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2. Advancing the Roles of the Registered Nurse and Advanced Practice Registered Nurse in Continence and Pelvic Health Care in the United States: A White Paper
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Newman, Diane K., Carillo, Megan, Talley, Kristine, Starr, Julie A., Thompson, Donna, and Wyman, Jean F.
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United States. Centers for Medicare and Medicaid Services -- International economic relations -- Training ,Societies ,Evidence, Expert ,Nursing ,Workplace multiculturalism ,Medical care -- Quality management ,Urinary incontinence ,Professional workers -- Training ,Associations, institutions, etc. ,Evidence-based medicine ,Registered nurses -- Training ,Health ,Health care industry - Abstract
The high prevalence and costs of urinary incontinence and related pelvic floor disorders in adults highlights the need for competent nurses and advanced practice nurses who can provide high-quality continence and pelvic health care. However, challenges exist in recognizing this as a nursing specialty, preparing new and experienced nurses with specialty knowledge and skills, increasing the number and diversity of the workforce, and promoting individual achievement and professional recognition as a continence and pelvic health nursing specialist. This White Paper provides recommendations based on evidence and expert opinion to support the Society of Urologic Nurses and Associate's efforts in advancing the roles of registered nurses and advanced practice registered nurses in the expanded specialty area of continence and pelvic health nursing. Keywords Incontinence, pelvic floor, nurses, advanced practice nurses, urology, urogynecology, competencies., White Paper NCPD 1.3 contact hours Identification of the Topic The high prevalence and costs of urinary incontinence (UI) and other pelvic floor disorders in adults highlight the need for [...]
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- 2024
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3. Application and challenges of using a Constructivist Grounded Theory methodology to address an undertheorized clinical challenge: A discussion paper
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Paul Bobbink, Philip Larkin, and Sebastian Probst
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Grounded theory ,Nursing methodology research ,Patient education as topic ,varicose ulcer ,Nursing ,RT1-120 - Abstract
Background: The benefits of nurse-led therapeutic patient education regarding wound healing and the prevention of recurrences for individuals living with a venous leg ulcer remain unclear. Obtaining the individuals perspective could offer an in depth understanding of why and how they engage or not, in self-management strategies following nurse-led patient education. Despite strong evidence indicating the need for further investigation into the benefits of therapeutic patient education in this population there is a lack of research into how individuals cope with chronic venous insufficiency or resulting ulceration. With this discussion paper we therefore explore the challenges associated with employing a Constructivist Grounded Theory methodology to gain a deeper insight into the experiences of patients with venous leg ulcers receiving individualized nurse-led patient education programs focused on the self-management of their condition. Objective: To identify and analyse the specific methodological and practical challenges encountered when applying a Constructivist Grounded Theory methodology to gain a better understanding of how patients with venous leg ulcer experience an individualised nurse-led patient education programme concerning the self-management of their condition. Design: discussion paper Results and Discussion: The constructivist approach to Grounded Theory methodology allows for the investigation of understudied phenomena such as nurse-led patient education for individuals living with venous leg ulcers. This methodology values the co-construction of a theory taking into consideration the inherent value of participants’ and researchers’ experiences. However, the specificities of constructivist epistemology challenge certain methodological aspects of Grounded Theory methods, such as how and when to use existing literature, conduct interviews to generate data and engage in the coding and theoretical sampling process for conceptualizing and proposing a theory. Conclusions: The constructivist paradigm of grounded theory methodolgy resonates with the art and science of nursing through its collaborative ‘real-world’ reflective approach, offering a unique way to explore understudied complex clinical nursing practice. Registration: This methodological paper is derived from a PhD study embedded in a clinical trial (NCT04019340) were the recruitment started on February 2020, approved by ethical committee of Geneva (CCER: 2019-01964) Tweetable abstract: Constructivist Grounded Theory Methodologies could support an in depth understanding of the impact of nursing interventions
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- 2024
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4. Exploring unfinished nursing care among nursing students: a discussion paper
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Alvisa Palese, Stefania Chiappinotto, Aysun Bayram, Walter Sermeus, Riitta Suhonen, and Evridiki Papastavrou
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Unfinished nursing care ,Missed nursing care ,Rationed nursing care ,Students ,Discussion paper ,Nursing ,RT1-120 - Abstract
Abstract Background In line with the impetus traceable among the nursing staff, studies regarding the perception of Unfinished Care among students have increased in recent years as also recommended by some policy documents in the consideration that, as future members of the staff, they are expected to raise concerns about failures in the standards of care. However, no discussion of their methodological requirements has been provided to date. The aim of this study is to debate Unfinished Care explorations among nursing students and developing recommendations. Methods A Rapid Review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, followed by a scientific discussion based on empirical evidence that emerged from the review combined with expert knowledge. Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases were searched up to May 2022. Results In the last five years, seven studies have been conducted by researchers affiliated at the university level, involving from 18 to 737 undergraduate students across Europe. By critically analysing their key aspects, there are derived some recommendations in conducting investigations in this field as, (a) the hidden meaning of Unfinished Care investigations among students by also deciding which concept is mostly appropriate to investigate; (b) the need of establishing alliances with the clinical settings in order to involve them in such explorations; (c) more complex research methods capable of exploring this issue among students by promoting learning outcomes and not only a simple data collection; and (e) the influences of these explorations on students’ wellbeing, as well as on ethical implications and that regarding the relationship between the healthcare services and the universities. Conclusion Policymakers consider students to be key informants of the quality of nursing care issues witnessed during their clinical placements. The related emerging line of research is intriguing because of the underlying methodological, ethical and system complexities that need to be addressed according to some considerations.
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- 2023
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5. Statistical Procedures Used in Pretest-Posttest Control Group Design: A Review of Papers in Five Iranian Journals
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Nahid Dehghan Nayeri, Farshid Alazmani Noodeh, Hamid Sharif Nia, Ameneh Yaghoobzadeh, Kelly A. Allen, and Amir Hossein Goudarzian
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Pretest-posttest study ,Analysis of covariance ,Nursing ,Medicine (General) ,R5-920 - Abstract
The pretest-posttest control group design is one of the most widely used quantitative experimental design models for evaluating the efficacy of programs, treatments, and interventions. Despite the prevalence and utility of this research design, best practices for data analytical procedures are not clearly defined. Invalid results decrease the chance of generalization. Given that Iranian Journals are interested in publishing pretest-posttest control group design studies, it is important to denote the accuracy of them. The aim of the current study is to explore the correct procedure for using ANCOVA in pretest-posttest control group designs to mitigate the potential limitations of this approach. This study explores the use of ANCOVA in pretest-posttest control group design. It has been done by analyzing data from experimental studies published in five Iranian journals indexed in PubMed or Scopus between 2011 and 2018. The results indicate that among the 280 published experimental studies in these journals, 53 papers (18.9 percent) used ANCOVA as the statistical test in pretest-posttest studies. The power of the test represents the probability of detecting differences between the groups being compared when such differences exist. Our analysis concludes that ANCOVA, which runs a multiple linear regression, is a suitable method for comparing and examining pretest-posttest study designs. Implications of this study have potential utility for researchers employing the use of pretest-posttest control group designs in various fields in and outside of Iran.
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- 2024
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6. Commentary: The Focus Group in Nursing Research: A Suitable Method or the Latest Trend? An Argumentative Paper
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Eman Harb and Hanan AL Obieat
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focus group ,interview ,data collection ,Nursing ,RT1-120 - Published
- 2024
7. A PRISMA assessment of the reporting quality of systematic reviews of nursing published in the Cochrane Library and paper-based journals.
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Zhang J, Han L, Shields L, Tian J, and Wang J
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- Bibliometrics, Humans, Guideline Adherence statistics & numerical data, Guidelines as Topic standards, Nursing, Periodicals as Topic standards, Systematic Reviews as Topic
- Abstract
Objective: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was released as a standard of reporting systematic reviewers (SRs). However, not all SRs adhere completely to this standard. This study aimed to evaluate the reporting quality of SRs published in the Cochrane Library and paper-based journals., Methods: The SRs which evaluate the effectiveness of nursing interventions in 2016 were identified via PubMed. The reporting quality of selected articles was evaluated using the PRISMA checklist. For comparison, we divided these articles into Cochrane review (CR) and non-Cochrane review (NCR). Based on the satisfaction of the applicable criteria, each article is assigned an accumulated score and a total percentage score., Results: Overall, 41.7% articles were concentrated in 19.0 to 22.5 points which represent the moderate quality, 22% articles were high quality. There were still 36.5% articles with low quality. The mean PRISMA score was 20.54 ± 2.367 for CRs, and 18.81 ± 2.536 for NCRs. Although no significant difference was exit between overall CR and NCR scores, there were differences between items 1, 5, 8, 16, 23. Analysis indicated that CR was significantly associated with the overall PRISMA score., Conclusion: Compliance of CR and NCR with PRISMA checklist exhibited different strengths and weaknesses. Our study underscores that nursing researchers should pay more attention to comprehensive reporting of SRs in nursing to follow the PRISMA statement., Implications for Nursing And/or Health Policy: Nursing researchers who participate in SRs should follow the latest Cochrane Handbook to prepare such study. Meanwhile, the PRISMA statement should be followed strictly to report SRs, so as to improve the quality of SRs.
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- 2019
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8. Developing an Educational Program for Ultrasound Hip Screening during Newborn and Infant Home Visits: A Protocol Paper
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Kyoko Yoshioka-Maeda, Chikako Honda, Hiroshige Matsumoto, Takeshi Kinjo, Kenta Fujiwara, and Kiyoshi Aoki
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community ,educational program ,hip screening ,nurse ,physical assessment ,ultrasonography ,Nursing ,RT1-120 - Abstract
Ultrasound hip screening is suitable for the early identification of developmental dysplasia of the hip (DDH). Newborn and infant home visits are good opportunities for hip screening in the community, but studies focusing on nurse-led screenings are lacking. Based on a pre–post design, this study aims to develop and evaluate an ultrasound training program to improve nurses’ assessment skills in detecting DDH cases during newborn and infant home visits. Said educational program will include e-learning, hands-on seminars, and clinical training. The primary outcome will be the success rate of imaging standard planes (standardized images for hip assessment) in clinical training. The secondary outcomes will include knowledge test results, objective structured clinical examination scores, time required for imaging, and inter-rater reliability between nurses and physicians. The educational program will address the issue of missed and late detection of DDH cases in resource-limited communities. This study will demonstrate the feasibility of procedures and the effectiveness of the educational program in 2024. The protocol was registered in the University Hospital Medical Information Network Clinical Trial Registry before starting the study (no. UMIN000051929, 16 August 2023).
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- 2024
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9. Caring for critically ill patients with a mental illness: A discursive paper providing an overview and case exploration of the delivery of intensive care to people with psychiatric comorbidity
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Dylan Flaws, Sue Patterson, Todd Bagshaw, Kym Boon, Justin Kenardy, David Sellers, and Oystein Tronstad
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critical illness ,ICU ,mental illness ,nursing ,psychiatry ,Nursing ,RT1-120 - Abstract
Abstract Aim To address the need for additional education in the management of mental illness in the critical care setting by providing a broad overview of the interrelationship between critical illness and mental illness. The paper also offers practical advice to support critical care staff in managing patients with mental illness in critical care by discussing two hypothetical case scenarios involving aggressive and disorganised behaviour. People living with mental illness are over‐represented among critically unwell patients and experience worse outcomes, contributing to a life expectancy up to 30 years shorter than their peers. Strategic documents call for these inequitable outcomes to be addressed. Staff working in intensive care units (ICUs) possess advanced knowledge and specialist skills in managing critical illness but have reported limited confidence in managing patients with comorbid mental illness. Design & Methods A discursive paper, drawing on clinical experience and research of the authors and current literature. Results Like all people, patients with mental illnesses draw on their cognitive, behavioural, social and spiritual resources to cope with their experiences during critical illness. However, they may have fewer resources available due to co‐morbid mental illness, a history of trauma and social disadvantage. By identifying and sensitively addressing patients' underlying needs in a trauma‐informed way, demonstrating respect and maximising patient autonomy, staff can reduce distress and disruptive behaviours and promote recovery. Caring for patients who are distressed and/or display challenging behaviours can evoke strong and unpleasant emotional responses. Self‐care is fundamental to maintaining a compassionate approach and effective clinical judgement. Staff should be enabled to accept and acknowledge emotional responses and access support—informally with peers and/or through formal mechanisms as needed. Organisational leadership and endorsement of the principles of equitable care are critical to creation of the environment needed to improve outcomes for staff and patients. Relevance to clinical practice ICU nurses hold an important role in the care of patients with critical illnesses and are ideally placed to empower, advocate for and comfort those patients also living with mental illness. To perform these tasks optimally and sustainably, health services have a responsibility to provide nursing staff with adequate education and training in the management of mental illnesses, and sufficient formal and informal support to maintain their own well‐being while providing this care. Patient and public involvement This paper is grounded in accounts of patients with mental illness and clinicians providing care to patients with mental illness in critical care settings but there was no direct patient or public contribution.
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- 2023
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10. Credential Inflation and The Professional Doctorate in California Higher Education. Research & Occasional Paper Series: CSHE.1.04
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California Univ., Berkeley. Center for Studies in Higher Education. and La Belle, Thomas J.
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The article argues that the time has come to change California's 1960 Master Plan for higher education by permitting the California State University (CSU) to award the doctorate in selected professional programs. The article also addresses the inadequacies of the joint doctorate as the means to remedy degree or credential creep; the CSU's focus on securing permission to grant the Ed.D. rather than other professional doctoral degrees; and the dominant role played in the State by the CSU relative to the UC in master's level education. Subsequently, the article considers why degree and credential creep occurs and explanations for the changes going on in physical therapy and audiology; and it explores other fields where degree changes are in flux. (Contains 6 notes.)
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- 2004
11. Definició i paper de la infermera-llevadora en la humanització al part: estudi de revisió
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Berta Boer Secanell
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nursing ,parturition ,humanization ,empowerment ,birth plan ,obstetric violence ,Public aspects of medicine ,RA1-1270 ,Women. Feminism ,HQ1101-2030.7 - Abstract
INTRODUCTION. The twentieth century saw a strong process of medicalization and thetechnification of care. In recent years, we are experiencing a change in the health care model and the concept of humanized childbirth is emerging. A tool to encourage this and avoid obstetric violence is the birth plan. The midwife hasa fundamental role in it.OBJECTIVES. Describe the concept of humanized childbirth care, know the role of the midwife in it and delve into the vindication of women, while identifying the historical evolution on this subject. METHODOLOGY. Bibliographic review through the PubMed, CINAHL, Scopus, and CercaBib databases. 15 articles were selected and a bibliometric analysis has been carried out using the tool VosViewer. RESULTS. Humanized care is focused on empowering and dignifying women, so they have an active and decisive role and can live the birth process as a positive experience. The birth plan is an instrument that positively influences this process and maternal-fetal outcomes, so its use is encouraged. In addition, midwives are essential in the implementation of humanized care that allows to avoid situations of obstetric violence. CONCLUSION. It is important that health professionals adopt ethical sensitivity that contributes to this respect for women’s autonomy and avoid situations of obstetric violence. It is necessary to change the obstetric model in the training of health professionals so that they become aware and adopt training models that tend to improve the quality of care.
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- 2023
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12. Learning Experiences That Make a Difference: Findings from a National Study of Doctoral Education in the Professions. ASHE Annual Meeting Paper.
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Haworth, Jennifer Grant and Bair, Carolyn Richert
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The purpose of this study was to explore and develop baseline understandings of the purposes, character (i.e., cultural, teaching/learning, curricular practices), quality, and outcomes associated with doctoral education in four professional fields of study: clinical psychology, electrical engineering, nursing, and school administration. The analysis is based on 3 programs in each of these 4 fields and interviews with 148 stakeholders (faculty, administrators, students, and alumni). Through these interviews, five teaching and learning practices were identified that, from the perspectives of those interviewed, enrich students' doctoral experiences in ways that contribute meaningfully to learning and development. These areas are: (1) the problematization of professional knowledge and practice; (2) the use of relational teaching and learning throughout the doctoral experience; (3) an emphasis on integrative inquiry; (4) individualized mentoring of students; and (5) student engagement in authentic, research-based discovery activities. Taken together these five teaching and learning practices form a learning environment, a culture, that appears to value collegial and reciprocal engagement among faculty and students in a community of practice. (Contains 54 references.) (SLD)
- Published
- 2000
13. Distance Technology in Nursing Education. AACN White Paper.
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American Association of Colleges of Nursing, Washington, DC.
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Careful use of technology in education may enhance the ability of the nursing education profession to educate nurses for practice, prepare future nurse educators, and advance nursing science. To take full advantage of technology, several factors must be addressed. Superior distance education programs require substantial institutional financial investment, and program developers must consider coordination of services, hardware requirements, and ways to lower costs across state lines. Questions of intellectual property and copyright cannot be ignored. Technology-mediated teaching strategies can change the way teaching and learning occurs, and these strategies may change conventional thinking about how the quality of educational programs is assessed. It is already apparent that distance education technology has provided some nursing schools an advantage in recruiting students and is increasing competition among institutions. An appendix contains guidelines for the use of distance technology in nursing education. (Contains 16 references.) (SLD)
- Published
- 1999
14. Evaluating the impact of hybrid electronic-paper environments upon novice nurse information seeking.
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Borycki EM, Lemieux-Charles L, Nagle L, and Eysenbach G
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- British Columbia, Humans, Medical Informatics trends, Medical Records Systems, Computerized trends, Ontario, Risk Assessment, Access to Information, Medical Informatics methods, Medical Records Systems, Computerized organization & administration, Nursing, Paper
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Objective: The purpose of this study was to investigate the effects of hybrid environments (i.e. where part of the patient record is paper-based and part of it is electronic) upon aspects of novice nurse information seeking (i.e. amount of information accessed, choice of key information sources, type of information and use of information seeking tactics)., Methods: A within group, laboratory, experimental study was conducted using two simulated environments (i.e. a paper environment and a hybrid environment). Thirty-five novice nurses participated in the study., Results: Findings revealed significant differences between the paper and hybrid environments in terms of their effects upon aspects of novice nurse information seeking. Subjects accessed: 1) less information in the hybrid environment than the paper environment, 2) more non-electronic sources of information were accessed by novice nurses in the hybrid environment, and 3) novice nurses used more passive information seeking tactics in the hybrid environment than the paper environment. Qualitative findings from the cued recall data revealed subjects experienced increased cognitive load in the hybrid environment., Conclusions: Hybrid environments may affect aspects of novice nurse information seeking. Future research should explore the effects of hybrid environments upon the information seeking of other types of health professionals (e.g. physicians, physiotherapists) with differing levels of expertise (i.e. novice, intermediate and expert).
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- 2009
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15. Medicaid Certified School Match Program: Nursing Services. Technical Assistance Paper.
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Florida State Dept. of Education, Tallahassee. Bureau of Instructional Support and Community Services.
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This paper addresses issues related to Medicaid-reimbursable nursing services covered under the Florida Medicaid Certified School Match Program and the federal Medicare Catastrophic Coverage Act in coordination with the Individuals with Disabilities Education Act. Following a brief section providing background information, 23 questions and answers are grouped into the following categories: (1) general (e.g., what nursing services are included and excluded under the program, student eligibility, and medication administration); (2) providers (e.g., who can provide Medicaid-reimbursable services, required supervision of licensed practical nurses and school health aides); and (3) service and documentation requirements (e.g., Medicaid requirements in the student's record, the diagnosis statement, referencing the need for a Medicaid-reimbursable nursing service on the individualized education plan, and logging of service documentation). Also included are a list of area Medicaid school contacts, the documentation of nursing services form, and the documentation of medication administration form. (DB)
- Published
- 2001
16. Conceptualising personhood in nursing care for people with altered consciousness, cognition and behaviours: A discussion paper.
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Kivunja, Stephen, Pryor, Julie, River, Jo, and Gullick, Janice
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- *
NURSE-patient relationships , *AUTONOMY (Psychology) , *NURSING , *PATIENT-centered care , *INDIVIDUALITY , *COGNITION disorders , *SOCIAL skills , *COMMUNICATION , *CONSCIOUSNESS disorders , *CULTURAL pluralism - Abstract
The aim of this discussion paper is to explore factors and contexts that influence how nurses might conceptualise and assign personhood for people with altered consciousness, cognition and behaviours. While a biomedical framing is founded upon a dichotomy between the body and self, such that the body can be subjected to a medical and objectifying gaze, relational theories of self, multiculturalism and technological advances for life‐sustaining interventions present new dilemmas which necessitate discussion about what constitutes personhood. The concept of personhood is dynamic and evolving: where historical constructs of rationality, agency, autonomy and a conscious mind once formed the basis for personhood, these ideas have been challenged to encompass embodied, relational, social and cultural paradigms of selfhood. Themes in this discussion include: the right to personhood, mind–body dualism versus the embodied self; personhood as consciousness, rationality and narratives of self; social relational contexts of personhood and cultural contexts of personhood. Patricia Benner's and Christine Tanner's clinical judgement model is then applied to consider the implications for nursing care that seeks to reflexively incorporate personhood. Nurse clinicians are able to move between conceptions of personhood and act to support the body, as well as presumed autonomy and relational, social and cultural personhood. In doing so, they use analytical, intuitive and narrative reasoning which prioritises autonomous constructions of self. They also incorporate relational and social contexts of the person receiving care within the possibilities of technological advances and constraints of contextual resources. [ABSTRACT FROM AUTHOR]
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- 2024
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17. The relevance of the contribution of psychoneuroendocrinoimmunology and psychology of reasoning and decision making to nursing science: A discursive paper.
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Milani, Alessandra, Saiani, Luisa, Misurelli, Eliana, Lacapra, Silvana, Pravettoni, Gabriella, Magon, Giorgio, and Mazzocco, Ketti
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- *
PREVENTION of medical errors , *MEDICAL logic , *NURSING theory , *NURSE-patient relationships , *AUTOIMMUNE thyroiditis , *NURSING care plans , *NURSING assessment , *DECISION making in clinical medicine , *PROBLEM solving , *PSYCHOLOGY , *PHILOSOPHY of nursing , *HIP joint , *NURSING practice , *PAIN , *CONCEPTUAL structures , *PSYCHONEUROIMMUNOLOGY , *HIP osteoarthritis , *PSYCHOLOGY of nurses - Abstract
Aim: Patients' death or adverse events appear to be associated with poor healthcare decision‐making. This might be due to an inability to have an adequate representation of the problem or of the connections among problem‐related elements. Changing how a problem is formulated can reduce biases in clinical reasoning. The purpose of this article is to explore the possible contributions of psychoneuroendocrinoimmunology (PNEI) and psychology of reasoning and decision‐making (PRDM) to support a new nursing theoretical frame. Design: Discursive paper. Method: This article discusses the main assumptions about nursing and nurses' ability to face patient's problems, suggesting a new approach that integrates knowledge from PNEI and PRDM. While PNEI explains the complexity of systems, highlighting the importance of systems connections in affecting health, PRDM underlines the importance of the informative context in creating a mental representation of the problem. Furthermore, PRDM suggests the need to pay attention to information that is not immediately explicit and its connections. Conclusion: Nursing recognizes the patient–nurse relationship as the axiom that governs care. The integration of PNEI and PRDM in nursing theoretics allows the expansion of the axiom by providing essential elements to read a new type of relationship: the relationship among information. PNEI explains the relationships between biological systems and the psyche and between the whole individual and the environment; PRDM provides tools for the nurse's analytical thinking system to correctly process information and its connections. Impact on Nursing Practice: A theoretical renewal is mandatory to improve nursing reasoning and nursing priority identification. Integrating PNEI and PRDM into nursing theoretics will modify the way professionals approach patients, reducing cognitive biases and medical errors. No Patient or Public Contribution: There was no patient or public involvement in the design or writing of this discursive article. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Job Growth and Replacement Needs in Nursing Occupations. Working Paper.
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Monash Univ., Clayton, Victoria (Australia). Centre for the Economics of Education and Training., Shah, Chandra, and Burke, Gerald
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Analysis of Australian Bureau of Statistics data from 1987-2001 identified patterns in nursing employment. Overall, the Australian labor force increased 29%; nursing occupations increased only 18%. The number of nursing workers per 100,000 population has steadily declined. The average age of nursing workers increased significantly; the proportion aged 45 and over rose from 20% to 37%. In contrast to the overall labor force, the average hours per week of work in nursing occupations declined in the 1990s. Three of four nursing workers are professionals; employment in this group increased 30%, with managers, educators, researchers, and midwives experiencing the most growth. The demand for nursing workers was weak overall but very strong for those caring for aged or disabled persons, driven by population aging and a policy change to provide care in community settings. A shift of nursing education to universities, restructuring of the nursing work force, and fiscal constraints on hospitals have affected the nursing labor market. Growth projections to 2008 using a general equilibrium model suggest the average annual growth of nursing workers will be only 0.4%. The aging of both the population and the nursing work force and wider occupational choices for women will increase demand for nursing workers. (Contains 47 references.) (SK)
- Published
- 2002
19. Perceptions of Classroom Climate by Students in Non-Traditional Majors for Their Gender. ASHE Annual Meeting Paper.
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Serex, Catherine P.
- Abstract
This study examined the possibility that not only women but also men, face a chilly classroom climate when they are students in a major that is considered nontraditional for their gender. Male and female junior and senior students (total n=426) majoring in accounting, education, engineering, or nursing at one university responded to the College Classroom Climate Survey. Analysis of variance was used to examine the relationships between the independent variables of gender and academic discipline and the interaction of gender and academic discipline and the dependent variable of perception of classroom climate. Findings indicated that, regardless of their gender, students in these majors did not perceive the climate to be "chilly." However, there was a difference in perception of classroom climate as a function of major. Specifically, both education and nursing students perceived a "warmer" classroom climate than accounting and engineering students. The pattern was the same for both males and females since there was no interaction of gender and academic discipline. (Contains 20 references.) (Author/DB)
- Published
- 1997
20. Stress in nurses: The 100 top-cited papers published in nursing journals.
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Martín-Del-Río B, Solanes-Puchol Á, Martínez-Zaragoza F, and Benavides-Gil G
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- Authorship, Bibliometrics, Humans, Journal Impact Factor, Nurses psychology, Nurses statistics & numerical data, Retrospective Studies, Nursing statistics & numerical data, Occupational Stress etiology, Periodicals as Topic statistics & numerical data
- Abstract
Aim: To identify and analyse the 100 most cited papers on stress in nurses published in nursing journals., Background: The number of citations an article receives is an index of its impact on the scientific community. An analysis of the most cited articles on stress in nursing would allow us to identify the most important articles and to obtain information about this area of knowledge., Design: A retrospective bibliometric analysis., Data Sources: In 2016, 111 journals belonging to the "nursing" category were identified in the Science and Social Science Citation Index. A search was performed of the Science Core Collection Website for articles on stress published in these journals., Review Methods: The topic, type of article, publishing journal, countries and institutions of origin and year of publication were extracted from the articles. The impact factor, immediacy index, journal country and publisher and h index were collected from the Institute for Scientific Information. The citation density, citation tendency and Bradford's law were calculated., Results: They identified articles were mostly empirical quantitative studies with a transversal design, published from 1975 - 2011 in 23 journals. They were signed by 233 authors, most of whom are English-speaking from the USA and UK. The core distribution of the publications comprises a single journal, the Journal of Advanced Nursing., Conclusion: The study of stress in nursing has shown increased visibility and recognition each decade. The most recent articles have the highest number of citations, are the highest in rank and have the higher citation densities., (© 2018 John Wiley & Sons Ltd.)
- Published
- 2018
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21. Perceptions of Nursing in Appalachia: A State of the Science Paper.
- Author
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Brewer EP
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- Appalachian Region, Delivery of Health Care standards, Humans, Review Literature as Topic, Nursing standards, Perception, Public Opinion
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Introduction: Nursing practice is continuously evolving in response to global health care need, sociopolitical culture, and advancing medical knowledge necessitating ongoing evaluation of professional practice. The purpose of this state of this science paper was to explore current perceptions of nursing and critique the depth of knowledge specific to nursing practice in the Appalachian region., Methodology: A review of the literature in multiple databases was conducted to explore perceptions of nursing in Appalachia., Results: Categories of perception included the following: (a) perceptions of nurses and education leaders that practice in the Appalachian region, (b) perceptions of communities of Appalachia and Appalachian health care systems, and (c) perceptions of patients possessing inherent cultural characteristics of the Appalachian region., Discussion: None of the literature specifically addressed perceptions of nursing. Much of the available literature was over 5 years old. A significant deficiency in understanding perceptions of nursing in Appalachia was identified.
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- 2018
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22. REGIONAL NURSING COUNCIL OF RIO DE JANEIRO invites tenders for Purchase of Toilet Paper
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Nursing ,News, opinion and commentary - Abstract
REGIONAL NURSING COUNCIL OF RIO DE JANEIRO, Brazil has invited tenders for Purchase of Toilet Paper. Tender Notice No: 90021/2024 Deadline: July 31, 2024 Copyright © 2011-2022 pivotalsources.com. All rights [...]
- Published
- 2024
23. SANTA CRUZ REGIONAL NATIONAL HEALTH FUND invites tenders for 884 Roll of Printing Paper for Steam Autoclave - Regional Nursing Supervision
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Nursing ,News, opinion and commentary - Abstract
SANTA CRUZ REGIONAL NATIONAL HEALTH FUND, Bolivia has invited tenders for 884 Roll of Printing Paper for Steam Autoclave - Regional Nursing Supervision. Tender Notice No: 24-0417-03-1438996-2-1 Deadline: July 15, [...]
- Published
- 2024
24. ALAGOAS REGIONAL NURSING COUNCIL invites tenders for Registration of Prices for the Purchase of Disposable Materials and Toilet Paper
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Nursing ,News, opinion and commentary - Abstract
ALAGOAS REGIONAL NURSING COUNCIL, Brazil has invited tenders for Registration of Prices for the Purchase of Disposable Materials and Toilet Paper.. Tender Notice No: 90006/2024 Deadline: July 24, 2024 Copyright [...]
- Published
- 2024
25. Do simultaneous inventions sleep? A case study on nursing sleeping papers
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Kokol, Peter, Blažun Vošner, Helena, and Završnik, Jernej
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- 2020
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26. Analysis of the effect of digital hospital efforts on paper savings in inpatient procedures and on the duration of nursing care services.
- Author
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Volkan, Esra, Köse, İlker, Cece, Sinem, and Elmas, Özge
- Subjects
PUBLIC hospitals ,MEDICAL informatics ,MEDICAL quality control ,HOSPITAL care ,HOSPITALS ,NURSING ,ELECTRONIC health records ,COMPARATIVE studies ,PATIENT satisfaction ,MEDICAL care costs - Abstract
Background: This study has two primary objectives. Firstly, it aims to measure the time savings achieved through the digitization of paper forms filled out by nurses in the inpatient care process. Secondly, it seeks to reveal the financial savings resulting from reduced paper consumption due to the digitalization. The Health Information Management System Society (HIMSS)--Electronic Medical Record Adaption Model (EMRAM), which makes stage-based (0--7) evaluations, serves as a tool to measure the rate of technology utilization in public hospitals in Turkey. The study is based on the HIMSS EMRAM criteria for 2018. Bahçelievler State Hospital, a public hospital in Turkey, was chosen as the research facility. In 2017, it was accredited as Stage 6 with HIMSS EMRAM. However, not all its wards have been digitalized. Initially, pilot selected wards were digitized. Therefore, digital and non-digital wards serve together. In this context, 4 wards were randomly selected and time, paper and toner savings before and after digitalization were measured. Method: A table was created in Microsoft Excel,listing the forms used by nurses in inpatient care and the time required to fill them out.The time spent for filling paper-based forms and digital-based forms was measured in randomly selected wards. Result: The analysis showed that digital forms saved more time, paper and toner. For example, filling out the patient history form took 45 min when using paper, compared to 12 min in digital environment. Approximately 27% time savings are achieved only for the patient history form. The total time savings delivered by digitalization for 1,153 inpatients during the year were found as 117 care days, and the savings on total paper consumption was 41.289 pages. For 1,153 inpatients throughout the year, the total time savings from digitalization was 117 care days and the total paper consumption savings was 41,289 pages. In addition, in 4 wards with a total bed capacity of 25, annual paper savings of $1,705.86 and toner savings of $283,736 were achieved. Discussion: This study reveals the benefits of digitalisation in hospitals for nurses. It saves the time that nurses allocate for filling out paper forms with digitalised forms. Thus, it is a good practice example in terms of using the time allocated for form filling for patient care.When we extend this study to Turkey in general, it can be considered that the time savings achieved by nurses by digitizing inpatient forms varies between 10.8% and 13%. The number of nurses working in public hospitals in Turkey is approximately 160,000. Assuming that 60% of the nurses work in the inpatient ward, it is understood that the annual savings achieved by digitizing the forms corresponds to a range of 398--559 nursing hours. [ABSTRACT FROM AUTHOR]
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- 2024
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27. How the current non‐significant effects of person‐centred care on nurses' outcomes could be abated by the WE‐CARE roadmap enablers: A discursive paper
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Cornelia Van Diepen, Andreas Fors, Monica Bertilsson, Malin Axelsson, Inger Ekman, and Gunnel Hensing
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enablers ,job satisfaction ,patient‐centred care: nurses ,person‐centred care ,WE‐CARE roadmap ,Nursing ,RT1-120 - Abstract
Abstract Aim To describe the non‐significant results in nurses' outcomes after the implementation of person‐centred care (PCC) and discuss if and how enablers of the WE‐CARE roadmap for implementing PCC could abate the non‐significant results. Design In this paper, an innovative framework of enablers in the WE‐CARE Roadmap is explained in relation to increased PCC and nurses' job satisfaction. Method Findings from a scoping review and published material provided how PCC and nurses' outcomes connect. The WE‐CARE roadmap entails five enablers: Information technology, Quality measures, Infrastructure, Incentive systems and contracting strategies. Results The WE‐CARE roadmap was described and each enabler in the WE‐CARE roadmap is discussed concerning PCC and the nurses' job satisfaction. Thus far, the effects of PCC on nurses' outcomes have been non‐significant. The WE‐CARE roadmap enablers can be implemented to ensure an increased PCC implementation and higher nurses' job satisfaction.
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- 2023
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28. Nursing Research and Practice with Refugees. Southeast Asian Refugee Studies. Bibliography. Occasional Papers, Number 10.
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Minnesota Univ., Minneapolis. Southeast Asian Refugee Studies. and Muecke, Marjorie A.
- Abstract
This 99-item bibliography gathers the widely dispersed nursing literature on refugees, including unpublished master's degree theses and conference proceedings. Nurse researchers, more than researchers in other health care fields, have undertaken exploratory studies to document and interpret the health beliefs and health care practices of various groups of refugees. The bibliography is arranged according to the following refugee groups: (1) Afghan; (2) Arab; (3) Cuban and Haitian; (4) El Salvadoran; (5) Ethiopian; (6) Indochinese and general Southeast Asian, including Cambodian, Vietnamese Chinese, Hmong and Mien, Lao, and Vietnamese; (7) Iranian; (8) Polish; and (9) Tibetan. In each section, annotated citations to empirical studies, which represent the cutting edge of nursing interpretation of the refugee phenomena and are the least accessible, precede unannotated citations to practice-focused publications appearing in books or journals. All publications cited are in English. (FMW)
- Published
- 1990
29. Because they’re worth it? A discussion paper on the value of 12-h shifts for hospital nursing
- Author
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Dall’Ora, Chiara, Ejebu, Ourega-Zoé, and Griffiths, Peter
- Published
- 2022
- Full Text
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30. Call for papers for a special issue on evidence-based practice in nursing
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Hong-Lin Chen and Yan Hu
- Subjects
Nursing ,RT1-120 - Published
- 2023
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31. Prevalence and Risk Factors of Postpartum Depression among Women: A Review Paper
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Nour Alrida and Basheer Al-Zu'bi
- Subjects
postpartum depression ,postnatal depression ,risk factors ,prevalence ,Nursing ,RT1-120 - Abstract
Background: Postpartum depression (PPD) is one of the most serious problems that affect women and sometimes men in the postpartum period, it can be distinguished from the postpartum blues by the severity and duration. PPD is more serious and persist after the first week of the postpartum period, and can develop to Psychosis if doesn’t treat. This review to investigate the prevalence and risk factors of postpartum depression. Method: An electronic search in the databases, Cochrane databases for systemic review, ELM, Google Scholar, and Pub Med, using the keywords of Postpartum Depression, Postnatal depression, Risk Factors, and Prevalence. Result: After reviewing 23 studies, the prevalence worldwide was one in nine women had PPD. The risk factors were: psychosocial factors like lack of support, history of previous psychiatric illness, biological factors such as the deficiency of some nutrients (Vit-D, Omega-3, the race and ethnicity, the place of residence, the newborn health condition, mode of birth, and Anemia. Conclusion: PPD is the most common complication in the postpartum period. Good assessment from beginning of the preconception period to antenatal and finally in the postpartum period, can rescue many mothers from suffering. We as Healthcare providers should pay more attention to mothers especially in the postpartum period in the same level of priority as her infants.
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- 2023
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32. Did Sleeping Papers in nursing research miss their target audience?
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Kokol, Peter, Završnik, Jernej, and Blažun Vošner, Helena
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- 2020
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33. Partnership-based nursing practice framework for patients with advanced chronic obstructive pulmonary disease and their families—A discursive paper.
- Author
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Jónsdóttir, Helga, Halldórsdóttir, Bryndís S., and Ingadóttir, Thorbjörg Sóley
- Subjects
- *
NURSE-patient relationships , *CLINICAL medicine , *MEDICAL quality control , *OUTPATIENT services in hospitals , *PALLIATIVE treatment , *SELF-management (Psychology) , *MEDICAL care , *KEY performance indicators (Management) , *NURSING , *HOSPITALS , *CHRONIC diseases , *OBSTRUCTIVE lung diseases , *NURSING practice , *ADVANCED practice registered nurses , *CONCEPTUAL structures , *MEDICAL-surgical nurses , *FAMILY nursing - Abstract
Aim: The increase in the number of people with chronic obstructive pulmonary disease (COPD) and the disease burden, has prompted concerted efforts to improve healthcare, particularly outpatient services. In line with these attempts the Partnership-Based Nursing Practice Theoretical Framework for People with COPD was developed to guide outpatient nursing care. The principal approach of the framework is a ‘Dialogue’ with the patients, which has four components: ‘Establishing family involvement’, ‘Assisting living with symptoms’ and ‘Facilitating access to healthcare’, with the primary goal being ‘Enhancement of the health experience’. With new knowledge, research on the framework, and extensive experience in using it, a need arose to modify the framework to maximize its clinical utility. Design: Discursive paper. Methods: A narrative review and critical reflection was conducted to revise the nursing practice framework via selected literature search from 2012 to 2022, research on the framework, and the authors' reflections on the clinical experience of using the framework. Results: The nursing practice framework highlights capacities and possibilities that lie in the nurse–patient relationship. The overarching dialogue in the revised framework includes both patients and families. The action-related component ‘Assisting living with the disease’ was added to the framework to underscore the significance of attempting to understand what may lie ahead for patients and families. The other action-related components are as follows: ‘Assisting living with symptoms’ and ‘Facilitating access to healthcare’. The primary goal remains unchanged: enhancing the ‘Health experience’. Conclusion: Using the revised nursing practice framework in outpatient care may help to enhance the lives of people with COPD and their families, particularly at advanced stages of the disease. It may have transferability to other groups of people living with progressive diseases dealing with complicated health problems, and to reduce the usage of costly healthcare resources such as hospital care. Implications for the Profession and/or Patient Care: The partnership-based nursing practice framework assumes an extension of conventional specialized respiratory service and embraces a comprehensive account for that which may influence the patient's health problems. This guidance, which holistically attends to patient-family needs of living with complicated and progressive health predicaments, is fundamental. It contributes to strengthening the disciplinary focus of nursing, interdisciplinary collaboration, person-family-centred quality nursing care and inspires research initiatives. Critical reflections and updates on nursing practice frameworks, such as this revision, are essential to advance nursing and healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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34. The effects of 16-weeks of prebiotic supplementation and aerobic exercise training on inflammatory markers, oxidative stress, uremic toxins, and the microbiota in pre-dialysis kidney patients: a randomized controlled trial-protocol paper
- Author
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Headley, Samuel A, Chapman, Donna J, Germain, Michael J, Evans, Elizabeth E, Hutchinson, Jasmin, Madsen, Karen L, Ikizler, Talat Alp, Miele, Emily M, Kirton, Kristyn, O’Neill, Elizabeth, Cornelius, Allen, Martin, Brian, Nindl, Bradley, and Vaziri, Nosratola D
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Cardiovascular ,Prevention ,Clinical Trials and Supportive Activities ,Clinical Research ,Kidney Disease ,6.1 Pharmaceuticals ,Evaluation of treatments and therapeutic interventions ,Renal and urogenital ,Adult ,Aged ,Amylose ,Analysis of Variance ,Biomarkers ,Double-Blind Method ,Exercise ,Gastrointestinal Microbiome ,Humans ,Inflammation ,Kidney Failure ,Chronic ,Middle Aged ,Oxidative Stress ,Resistant Starch ,Zea mays ,Resistant starch ,Inflammatory markers ,Oxidative stress ,Uremic toxins ,Urology & Nephrology ,Clinical sciences ,Health services and systems ,Nursing - Abstract
BackgroundChronic kidney disease (CKD) is characterized by dysbiosis, elevated levels of uremic toxins, systemic inflammation, and increased markers of oxidative stress. These factors lead to an increased risk of cardiovascular disease (CVD) which is common among CKD patients. Supplementation with high amylose maize resistant starch type 2 (RS-2) can change the composition of the gut microbiota, and reduce markers of inflammation and oxidative stress in patients with end-stage renal disease. However, the impact of RS-2 supplementation has not been extensively studied in CKD patients not on dialysis. Aerobic exercise training lowers certain markers of inflammation in CKD patients. Whether combining aerobic training along with RS-2 supplementation has an additive effect on the aforementioned biomarkers in predialysis CKD patients has not been previously investigated.MethodsThe study is being conducted as a 16-week, double-blind, placebo controlled, parallel arm, randomized controlled trial. Sixty stage 3-4 CKD patients (ages of 30-75 years) are being randomized to one of four groups: RS-2 & usual care, RS-2 & aerobic exercise, placebo (cornstarch) & usual care and placebo & exercise. Patients attend four testing sessions: Two baseline (BL) sessions with follow up visits 8 (wk8) and 16 weeks (wk16) later. Fasting blood samples, resting brachial and central blood pressures, and arterial stiffness are collected at BL, wk8 and wk16. A stool sample is collected for analysis of microbial composition and peak oxygen uptake is assessed at BL and wk16. Blood samples will be assayed for p-cresyl sulphate and indoxyl sulphate, c-reactive protein, tumor necrosis factor α, interleukin 6, interleukin 10, monocyte chemoattractant protein 1, malondialdehyde, 8-isoprostanes F2a, endothelin-1 and nitrate/nitrite. Following BL, subjects are randomized to their group. Individuals randomized to conditions involving exercise will attend three supervised moderate intensity (55-65% peak oxygen uptake) aerobic training sessions (treadmills, bikes or elliptical machine) per week for 16 weeks.DiscussionThis study has the potential to yield information about the effect of RS-2 supplementation on key biomarkers believed to impact upon the development of CVD in patients with CKD. We are examining whether there is an additive effect of exercise training and RS-2 supplementation on these key variables.Trial registrationClinicaltrials.gov Trial registration# NCT03689569 . 9/28/2018, retrospectively registered.
- Published
- 2020
35. Developing a Virtual Reality Simulation Program for Improving Nursing Students’ Clinical Reasoning Skills in Home Settings: A Protocol Paper
- Author
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Kyoko Yoshioka-Maeda, Chikako Honda, Yuka Sumikawa, Yuko Okamoto, Megumi Shimada, Hitoshi Fujii, Riho Iwasaki-Motegi, Takahiro Miura, and Mai Otsuki
- Subjects
clinical judgment ,community ,nursing students ,randomized controlled trial ,simulation ,virtual reality ,Nursing ,RT1-120 - Abstract
Most nursing simulation programs focus on persons’ healthcare needs in hospital settings, and little is known about how to identify them in home settings. This study aims to develop and validate a virtual reality (VR) simulation program for nursing students to improve their clinical reasoning skills and confidence in assessing persons’ healthcare needs in home settings. We developed a VR simulation program based on a literature review and expert discussion. In Phase 1, home visit nurses or public health nurses will validate the program through their interviews in 2022. In Phase 2, we will conduct a pilot and main single-blinded randomized trial for nursing students to confirm the effectiveness from 2022 and 2023. Participants will be randomly allocated into an intervention group using VR simulations and a control group receiving videos regarding three kinds of community residents’ lives [1:1]. After obtaining informed consent, the students will submit their anonymous data to the researchers to prevent associating their grade evaluation. The primary outcome will be their clinical reasoning skills. The second outcome will include their satisfaction and self-confidence. This study will examine the effectiveness of improving their clinical reasoning skills and confidence in assessing persons’ healthcare needs in home settings.
- Published
- 2022
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36. SAO PAULO'S STATE GOVERNMENT invites tenders for Acquisition of Nursing Materials (Thermosensitive Paper and Others)
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Nursing ,Company acquisition/merger ,News, opinion and commentary - Abstract
SAO PAULO'S STATE GOVERNMENT, Brazil has invited tenders for Acquisition of Nursing Materials (Thermosensitive Paper and Others). Tender Notice No: 90004/2024 Deadline: April 16, 2024 Copyright © 2011-2022 pivotalsources.com. All [...]
- Published
- 2024
37. NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY invites tenders for Rfq Purchase of Bond Paper for College of Nursing
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Nursing ,News, opinion and commentary - Abstract
NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY, Philippines has invited tenders for Rfq Purchase of Bond Paper for College of Nursing. Tender Notice No: 03212024001 Deadline: March 25, 2024 Copyright [...]
- Published
- 2024
38. The feeling of being home when nearing end-of-life—the example of Norway: A discussion paper.
- Author
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Staats, Katrine, Ervik, Bente, and Fæø, Stein Erik
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HOME environment ,NURSES' attitudes ,NURSING care facilities ,PSYCHOLOGY of the terminally ill ,DEATH ,PALLIATIVE treatment - Abstract
Home is regarded as an important and safe place to be when nearing the end of life. However, for some, the home may be a place where people feel anxious and alone. The aim of this discussion paper is to reflect on the contextual and theoretical meaning of home. We will, based on a broader understanding of home, also suggest that home-deaths can take place both in a home-based care context and a facility-based care context, as the meaning of home belongs to the individual. We will end our discussion by concluding that the actions of care and nurses’ attitudes are of vital importance, so that a feeling of home can be created for patients nearing the end of life, irrespective of their context. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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39. The Education of Nurses: A Rising National Concern. A Position Paper. Issue Paper No. 2.
- Author
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National Advisory Council on Vocational Education, Washington, DC.
- Abstract
This position paper of the National Advisory Council on Vocational Education is written in response to the American Nurses' Association's (ANA) proposal, which calls for reducing a four-level system to two levels of nursing: the professional nurse, who would be required to have a bachelor of science degree in nursing, and an assistant technical nurse, who would have an associate degree in nursing and work under the supervision of the professional nurse. Among the findings of the council concerning the issue of entry-level nursing reported in the paper are (1) there is no conclusive evidence that the proposal will result in improved health care services; (2) implementation of the ANA position would eliminate the diploma nurse and the licensed practical nurse; (3) diploma nurse training programs, licensed practical nurse training programs, and associate degree programs currently offer viable options to persons desiring a career as a nurse; (4) all four types of nurse training programs produce valuable members of the health care delivery system; (5) implementation of the ANA position would increase the cost of health services; and (6) implementation of the ANA proposal would result in disfranchisement of career opportunities for and discrimination against several disadvantaged and special populations. Positions of health and relevant educational associations with respect to the proposal are appended. (LRA)
- Published
- 1980
40. Call for papers for a special issue on improving patient safety
- Author
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Huaping Liu
- Subjects
Nursing ,RT1-120 - Published
- 2023
- Full Text
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41. Call for papers for a special issue on cognitive impairment care in older adults
- Author
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Hong Li
- Subjects
Nursing ,RT1-120 - Published
- 2023
- Full Text
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42. PRIMARY HEALTH CARE CORPORATION invites tenders for Supply of Nursing Consumables - Electrodes, Defibrillator Pads, ECG Papers, Thermal Printer Papers, Etc
- Subjects
Electrodes ,Health care industry ,Electrocardiography ,Primary health care ,Nursing ,Electrocardiogram ,Defibrillators ,Health care industry ,News, opinion and commentary - Abstract
PRIMARY HEALTH CARE CORPORATION, Qatar has invited tenders for Supply of Nursing Consumables - Electrodes, Defibrillator Pads, ECG Papers, Thermal Printer Papers, Etc. Tender Notice No: PHCC/TAC/08/2024 Deadline: March 19, [...]
- Published
- 2024
43. Using data from mHealth apps to inform person-centred practice: A discussion paper.
- Author
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Radbron, Emma, McCance, Tanya, Middleton, Rebekkah, and Wilson, Valerie
- Subjects
- *
MOBILE apps , *DIGITAL technology , *MEDICAL care use , *TEAMS in the workplace , *NURSES , *LEADERS , *LEADERSHIP , *TELEMEDICINE , *PATIENT-centered care , *CONCEPTUAL structures , *MIDWIFERY , *NURSING research , *ACQUISITION of data , *QUALITY assurance - Abstract
mHealth applications (apps) are tools that can enhance research by efficiently collecting and storing large amounts of data. However, data collection alone does not lead to change. Innovation and practice change occur through utilisation of evidence. The volume of data collected raises questions regarding utilisation of data by nurses and midwives, and how data from mHealth apps can be used to improve person-centred practice. There is limited empirical evidence and a lack of direction from global health authorities to guide nurses and midwives in this area. To describe strategies for nurses and midwives that could enhance the effective use of data generated by mHealth apps to inform person-centred practice. The purpose of this paper is to stimulate reflection and generate actions for data utilisation when using mHealth apps in nursing research and practice. This discussion paper has been informed by current evidence, the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, and research experience as part of doctoral study. Before engaging in data collection using mHealth apps, nurses and midwives would benefit from considering the nature of the evidence collected, available technological infrastructure, and staff skill levels. When collecting data and interpreting results, use of a team approach supported by engaged leadership and external facilitation is invaluable. This provides support to operate apps, and more importantly use the data collected to inform person-centred practice. This paper addresses the limited available evidence to guide nurses and midwives when using mHealth apps to collect and use data to inform practice change. It highlights the need for appropriate technology, external facilitative support, engaged leadership, and a team approach to collect meaningful evidence using mHealth apps. Clinicians, leaders, and researchers can apply the strategies provided to enhance the use of mHealth apps and ensure translation of evidence into practice. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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44. Burnout and Nursing Care: A Concept Paper
- Author
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Vitor Parola, Adriana Coelho, Hugo Neves, Rafael A. Bernardes, Joana Pereira Sousa, and Nuno Catela
- Subjects
nursing ,nurse–patient relations ,burnout ,Nursing ,RT1-120 - Abstract
Burnout comprises a series of undetermined physical and psychosocial symptoms caused by an excessive energy requirement at work—it is a crisis in relationships with work itself and not necessarily a concern with underlying clinical disorders related to workers. Professions involving human interactions commonly involve emotional engagement, especially when the cared-for person needs assistance and support, as is the primary concern in the nursing profession. To some extent, the acknowledgment of the phenomena of burnout and how it affects people is sometimes addressed from a biomedical perspective. This concept paper aims to describe the burnout concept and reflect on the impact on nurses. Our intention with this reflection, considering the burnout impact on nurses, is to support a paradigm change in the prevention and management of burnout in healthcare contexts, promoting and fostering the well-being of nurses.
- Published
- 2022
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45. The Use of 360-Degree Video in Developing Emotional Coping Skills (Reduced Anxiety and Increased Confidence) in Mental Health Nursing Students: A Protocol Paper
- Author
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Caroline Laker, Pamela Knight-Davidson, David Hawkes, Paul Driver, Maxine Nightingale, Ann Winter, and Andrew McVicar
- Subjects
360-degree video ,nurse education ,stress and coping ,mental health nurses ,emotional distress ,cognitive re-appraisal ,Nursing ,RT1-120 - Abstract
Higher education institutions are uniquely placed to introduce emotional coping skills to promote resilience in pre-registration nurses in order to reduce anxiety and increase confidence before they enter clinical placement for the first time. In this qualitative study, we will explore the use of a 360-degree video in developing skills for coping. The participants will be mental health nursing students. We will develop a 360-degree video in collaboration with a mental health service user. All participants will watch the video. A sub-group will receive a supportive clinical supervision discussion within a cognitive reappraisal/solution-focused/VERA framework. We will record the experiences of the participant to explore: (1) how students felt about the use of 360-degree video, as an education tool to build skills of resilience; (2) whether the students involved felt more confident and less anxious about the situation in the video as a result of participating in the cognitive reappraisal/solution-focused/VERA supervision discussion.
- Published
- 2022
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46. Because they’re worth it? A discussion paper on the value of 12-h shifts for hospital nursing
- Author
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Chiara Dall’Ora, Ourega-Zoé Ejebu, and Peter Griffiths
- Subjects
Economics ,Workforce ,Nursing ,Productivity ,Efficiency ,Recruitment ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract The organisation of the 24-h day for hospital nurses in two 12-h shifts has been introduced with value propositions of reduced staffing costs, better quality of care, more efficient work organisation, and increased nurse recruitment and retention. While existing reviews consider the impact of 12-h shifts on nurses’ wellbeing and performance, this discussion paper aims to specifically shed light on whether the current evidence supports the value propositions around 12-h shifts. We found little evidence of the value propositions being realised. Staffing costs are not reduced with 12-h shifts, and outcomes related to productivity and efficiency, including sickness absence and missed nursing care are negatively affected. Nurses working 12-h shifts do not perform more safely than their counterparts working shorter shifts, with evidence pointing to a likely negative effect on safe care due to increased fatigue and sleepiness. In addition, nurses working 12-h shifts may have access to fewer educational opportunities than nurses working shorter shifts. Despite some nurses preferring 12-h shifts, the literature does not indicate that this shift pattern leads to increased recruitment, with studies reporting that nurses working long shifts are more likely to express intention to leave their job. In conclusion, there is little if any support for the value propositions that were advanced when 12-h shifts were introduced. While 12-h shifts might be here to stay, it is important that the limitations, including reduced productivity and efficiency, are recognised and accepted by those in charge of implementing schedules for hospital nurses.
- Published
- 2022
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47. The concept, importance and values of support during childbearing and breastfeeding – A discourse paper
- Author
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Anette Ekström‐Bergström, Stina Thorstensson, and Caroline Bäckström
- Subjects
birth ,clinical practice ,family ,fathers ,healthcare organizations ,labour ,Nursing ,RT1-120 - Abstract
Abstract Background Professional support in childbearing has beneficial effects on childbirth experience, interactions within the family, breastfeeding and medical outcomes. However, more knowledge is needed about prerequisites for professional support to be valuable and satisfactory during childbearing. Aim The aim of this discourse paper is to describe and explore prerequisites for professional support that are of value for women and their families during childbearing as well as how healthcare organizations can be formed to facilitate these prerequisites. Design Discourse paper. Methods This discourse paper is based on our own experiences and is supported by literature and theory. Results Well‐functioning structures and processes facilitate professional support that leads to safe, secure, calm and prepared parents with the ability to handle the challenges of childbearing and parenting. When organizing care in childbearing, prerequisites for support needs must also be considered.
- Published
- 2022
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48. Examining Evidence-Based Content Related to Hospital Acquired Pressure Ulcer Prevention in Paper and Electronic Health Records
- Author
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Jaekel, Camilla M.
- Abstract
Although there have been great advancements in the Electronic Health Record (EHR), there is a dearth of rigorous research that examines the relationship between the use of electronic documentation to capture nursing process components and the impact of consistent documentation on patient outcomes (Daly, Buckwalter & Maas, 2002; Gugerty, 2006; Maas & Delaney, 2004; Solomon et al., 2000). This retrospective study used a descriptive, non-experimental design with mixed methods to examine evidence based content related to hospital acquired pressure ulcer (HAPU) prevention in both paper records and EHRs and examine how these concepts were represented in a standardized nursing terminology as well as health records for hospitalized patients. There were 67 concepts extracted from clinical based guidelines. Forty of the 67 concepts were cross mapped to the International Classification of Nursing Practice (ICNP) via a broader parent relationship while 14 of the 67 concepts could not be cross mapped. These findings suggest further research is needed to enhance the ability of ICNP to represent the more detailed concepts for nursing interventions for HAPU prevention. An unanticipated finding was a 61% increase in number of consults for wound ostomy continence nurses (WOCNs) sent on at-risk patients in the EHR timeframe (100%) as compared to the paper record timeframe (39%). The increase in consults was attributed to the embedded rule structure of the EHR suggesting an enhancement of clinical decision making in HAPU prevention. The relationship between HAPU incidence and type of health record was also examined and identified a 13% difference in HAPU incidence proportion after implementation of the electronic record (p<0.001). Despite the limitations, this study contributes to nursing knowledge related to documentation of data and retrieval of information regarding nursing care for the prevention of HAPUs. The study also has implications for translational science, which is concerned with the implementation of evidence into professional practice at the point of care (Cummings, Browner & Hulley, 2007). [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]
- Published
- 2012
49. The nursing profession: public image, self-concept and professional identity. A discussion paper.
- Author
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ten Hoeve Y, Jansen G, and Roodbol P
- Subjects
- Career Choice, Clinical Competence standards, Communications Media, Culture, Education, Nursing, Humans, Nurse's Role, Nurse-Patient Relations, Public Opinion, Social Perception, Workplace, Nursing, Self Concept, Social Identification
- Abstract
Aim: To discuss the actual public image of nurses and other factors that influence the development of nurses' self-concept and professional identity., Background: Nurses have become healthcare professionals in their own right who possess a great deal of knowledge. However, the public does not always value the skills and competences nurses have acquired through education and innovation., Design: Discussion paper., Data Sources: We identified 1216 relevant studies by searching MEDLINE, CINAHL and PsycINFO databases in the period 1997-2010. Finally, 18 studies met our inclusion criteria., Discussion: The included studies show that the actual public image of nursing is diverse and incongruous. This image is partly self-created by nurses due to their invisibility and their lack of public discourse. Nurses derive their self-concept and professional identity from their public image, work environment, work values, education and traditional social and cultural values., Implications for Nursing: Nurses should work harder to communicate their professionalism to the public. Social media like the Internet and YouTube can be used to show the public what they really do., Conclusion: To improve their public image and to obtain a stronger position in healthcare organizations, nurses need to increase their visibility. This could be realized by ongoing education and a challenging work environment that encourages nurses to stand up for themselves. Furthermore, nurses should make better use of strategic positions, such as case manager, nurse educator or clinical nurse specialist and use their professionalism to show the public what their work really entails., (© 2013 John Wiley & Sons Ltd.)
- Published
- 2014
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50. Person-centred care and online pedagogy in nursing education: a discussion paper.
- Author
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Avilés, Lissette, Castillo-Mansilla, Daniela, Wang, Yin, and Smith, Pam
- Subjects
CURRICULUM ,NURSING education ,INTERNET ,TEACHING methods ,PATIENT-centered care ,NURSING practice ,LEARNING strategies ,ALTERNATIVE education ,NURSING students - Abstract
To discuss person-centred care in nursing education and the role of online pedagogy to facilitate meaninful learning. The core principles and values of person-centred care are at the centre of national and international healthcare education. Person-centred care recognises partnerships and relationships between nurses, healthcare practitioners and individual patients, carers and their families and part of the training of healthcare professionals. However, the literature on how person-centred care is taught to facilitate meaningful learning in nursing education particularly in the context of online pedagogy is limited. A critical discussion paper. A critical discussion of person-centred care and online pedagogy that can facilitate teaching practices are presented, drawing on authors' positionality and case exemplars. Teaching person-centred care using online pedagogy appears to have a promising impact on undergraduate and postgraduate nursing students' experiences. Engaging students in critical examination and reflection on the complexities of person-centred care in practice creates meaningful experiential learning for both students and educators. Evidence suggests that the use of online pedagogy is a beneficial and effective way to incorporate the teaching of person-centred care into nursing education, yet more evidence is needed to evaluate its impact on nursing practice. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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