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Alabdulaziz H, Cruz JP. Perceptions of female Saudi undergraduate nursing students toward family-centered care. NURSE EDUCATION TODAY 2020; 89:104421. [PMID: 32311632 DOI: 10.1016/j.nedt.2020.104421] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Revised: 02/02/2020] [Accepted: 03/28/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND While family-centered care is considered a vital part of nursing care, nursing students seem to struggle in incorporating family-centered care in the clinical setting. Several factors such as minimal exposure in family interactions throughout their clinical practice, lack of experience in organizing family-centered clinical experiences, access to restricted clinical areas, and inadequate supervision from clinical instructors present as challenges among nursing students in practicing family-centered care. OBJECTIVES This study explored the perceptions of nursing students toward family-centered care in Saudi Arabia. DESIGN This study used the quantitative approach through the cross-sectional survey method. SETTINGS The study was conducted in the Faculty of Nursing of a government university in Saudi Arabia. PARTICIPANTS A total population sample comprising 232 female junior and student nurses participated in the study. METHODS After the approval of the Ethical Board Committee had been secured, a survey containing a demographic information sheet and the Family-Centered Care Questionnaire was distributed to the students from June 2018 to February 2019. RESULTS The overall mean of the students' responses in the questionnaire was 3.76 (SD = 0.67, range = 3.40-4.08), indicating a modest perception toward family-centered care. The dimension "family is the constant" received the most positive response from the students (M = 3.90, SD = 0.77), whereas the dimension "parent-to-parent support" was rated the lowest with a mean of 3.64 (SD = 0.89). Junior nursing students had more positive perception toward family-centered care than the seniors. Weak negative correlations were observed between students' age and family-centered care perception. CONCLUSIONS This study provides insights into family-centered care, which could be used in crafting policies and interventions in various health care settings and nursing education in Saudi Arabia. Such insights could foster positive perceptions toward family-centered care among student nurses and guarantee excellent family-centered care nursing practice.
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Affiliation(s)
- Hawa Alabdulaziz
- Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.
| | - Jonas Preposi Cruz
- Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawdmi, Saudi Arabia.
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102
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Walker LO. Gifts of wise women: A reflection on enduring ideas in nursing that transcend time. Nurs Outlook 2020; 68:355-364. [PMID: 32138977 DOI: 10.1016/j.outlook.2020.01.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2019] [Revised: 12/07/2019] [Accepted: 01/01/2020] [Indexed: 10/24/2022]
Abstract
In this essay, I propose there are enduring ideas in the works of nurse theorists from the 1960s and 1970s that were valuable not only in the past, but in nursing today as well as in possibly shaping the future of nursing knowledge development. I identify these as gift ideas and draw on the work of Wiedenbach for the gift of dignity in nursing philosophy, and the gifts of dialogue from Orlando, behavioral systems from Johnson, context from Roy, self-care from Orem, and finally the gift of nursing science as emergent in understanding life processes from Rogers. Although the core of nursing knowledge may be elusive, the gift ideas mentioned in this essay provide some guideposts in articulating and developing that core in the present as well as in the future.
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Nigenda G, Serván-Mori E, Aristizabal P, Zárate-Grajales RA. The correlates of precarious working conditions in the Mexican nursing labour market from 2005 to 2018: A repeated cross-sectional study. J Nurs Manag 2020; 28:1010-1020. [PMID: 32339361 DOI: 10.1111/jonm.13034] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Revised: 04/04/2020] [Accepted: 04/14/2020] [Indexed: 11/29/2022]
Abstract
AIM To analyse sociodemographic and labour correlates of labour precariousness among Mexican nurses from 2005 to 2018. BACKGROUND The progressive loss of labour rights has led to a situation characterized by precarious working conditions among health workers globally. METHODS A repeated cross-sectional and population-based study was carried out (N = 3,699,282). A generalized ordinal logistic regression model was estimated to assess correlates of precariousness. Precariousness was defined as a non-weighted score of the sum of five dichotomous variables: (a) non-written contract; (b) income lower than two times the minimum wage; (c) with a partial or an extended workday; (d) without social benefits; and (e) without social security. RESULTS The labour precariousness level increased during the studied period, particularly among the younger and the older, the single ones and among those located in suburban and rural areas. Nurses with lower levels of training were more exposed to precarious conditions, as well as those with jobs in private health institutions or working outside the health sector. CONCLUSIONS Precarious work is considered a combination of global and local labour factors, including the lack of protective labour policies in health institutions, which calls for the development of a public policy to protect jobs in the health sector. IMPLICATIONS FOR NURSING MANAGEMENT Given that precarious work is considered a combination of global and local labour factors, including the lack of protective labour policies in health institutions, public health institutions should avoid nursing outsourcing employment as much as possible, and full-time contracts should respect the fundamental international and country-specific labour rights.
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Affiliation(s)
- Gustavo Nigenda
- National School of Nursing and Obstetrics, National Autonomous University of Mexico, Mexico City, Mexico
| | - Edson Serván-Mori
- Center for Health Systems and Research, National Institute of Public Health, Cuernavaca, Mexico
| | - Patricia Aristizabal
- Iztacala Faculty of Higher Studies, National Autonomous University of Mexico, Mexico City, Mexico
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Factors Associated With Perceived Job Preparedness Among RNs: Results From a National Survey. J Nurs Adm 2020; 50:251-253. [PMID: 32317567 DOI: 10.1097/nna.0000000000000879] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This article examines perceived job preparedness by demographic and professional characteristics among practicing RNs who completed a national survey. Rural and male nurses felt less prepared for nursing practice and may benefit from tailored educational experiences to improve perceptions of being prepared for the workforce.
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Petges N, Sabio C, Hickey K. An Academic and Clinical Practice Partnership Model: Collaboration Toward Baccalaureate Preparation of RNs. J Nurs Educ 2020; 59:203-209. [PMID: 32243551 DOI: 10.3928/01484834-20200323-05] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 12/18/2019] [Indexed: 11/20/2022]
Abstract
BACKGROUND In response to the call for a baccalaureate-prepared nursing workforce versed in enhanced critical thinking, clinical judgment, and complex decision making, an innovative and highly accessible model for developing academic and clinical practice partnerships among stake-holders in nursing education was developed and implemented. METHOD Participatory action research informed the qualitative research methodology for implementing the model. The model allows for a number of data collection points to ensure the needs and concerns of stakeholders were considered. RESULTS Implementation of the model resulted in six new academic partnership agreements and two new clinical practice partnerships. CONCLUSION Academic and clinical practice partnerships are integral to fostering mutual respect among stakeholder institutions, enhancing collaboration toward evidence-based practice and joint research efforts, and creating seamless pathways to academic progression in the nursing profession. Such collaborative efforts are paramount to easing the barriers to baccalaureate and advanced-degree preparation in nursing. [J Nurs Educ. 2020;59(4):203-209.].
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Mallick-Searle T, St Marie B. Cannabinoids in Pain Treatment: An Overview. Pain Manag Nurs 2020; 20:107-112. [PMID: 31036325 DOI: 10.1016/j.pmn.2018.12.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 11/21/2018] [Accepted: 12/12/2018] [Indexed: 12/28/2022]
Abstract
The current landscape contains conflicting reports regarding the use of medical marijuana, creating fields of misinformation and lack of understanding by health care providers about cannabinoids. In this article we provide a dispassionate look at medical marijuana, while providing a clinical overview focusing on pain management. We examine the mechanisms of the endocannabinoid system, along with the pharmacology of cannabinoids. Current research on the use of marijuana for the treatment of pain is reviewed. Finally, recommendations for pain management nurses on integrating research, clinical practice, and U.S. drug policy are made.
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DeWolfe C, Birch S, Callen Washofsky A, Gardner C, McCarter R, Shah NH. Patient Outcomes in a Pediatric Hospital Medicine Service Staffed With Physicians and Advanced Practice Providers. Hosp Pediatr 2020; 9:121-128. [PMID: 30679202 DOI: 10.1542/hpeds.2018-0028] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Hospitals are employing more nurse practitioners and physician assistants on inpatient pediatric units. With this study, we compared patient outcomes in high-volume inpatient diagnoses on pediatric hospital medicine services staffed by attending physician hospitalists and residents (hospitalist and resident service [HRS]) with 1 staffed by attending physician hospitalists and advanced practice providers (HAPPS). METHODS A historical cohort study was implemented by using administrative data for patients admitted to HRS and HAPPS from 2007 to 2011 with asthma, bronchiolitis, cellulitis, and pneumonia with severity levels 1 and 2 for all-patient refined diagnosis-related groups. Length of stay, readmission, ICU transfer, and hospital charges were compared. RESULTS After controlling for clinical, demographic, and socioeconomic differences, the average probability of discharge was 10% greater each day (event ratio [ER] = 1.1 [1.06-1.14]) on HAPPS compared with HRS. By diagnosis, this trend persisted with asthma (ER = 1.07 [1.02-1.12]), cellulitis (ER = 1.2 [1.1-1.3]), and pneumonia (ER = 1.17 [1.08-1.28]) but not for bronchiolitis (ER = 0.99 [0.92-1.06]). Both 3- and 30-day readmissions were higher for HRS discharges with bronchiolitis (odds ratio = 5.9 [1.3-28.6] and 2.0 [1.3-3.3], respectively) but not for the other diagnoses. Hospital charges were 13% higher for patients on HRS than HAPPS. ICU transfers did not differ statistically. CONCLUSIONS Within the limitations of the design, HAPPS performed at least as well as HRS with respect to length of stay, readmissions, ICU transfers, and charges for 4 of the most common inpatient diagnoses with severity levels 1 to 2. Indicated in these results is that in this configuration, advanced practice providers on pediatric hospitalist services represent a viable model for other institutions to consider and test.
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Affiliation(s)
| | - Sarah Birch
- Departments of Advanced Practice Nursing and
| | | | | | - Robert McCarter
- Biostatistics and Informatics, Children's National Medical Center, Washington, District of Columbia; and
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Integrating population health into nursing education: The process of gaining commitment from Washington's nursing deans and directors. J Prof Nurs 2020; 36:6-12. [DOI: 10.1016/j.profnurs.2019.08.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Revised: 08/08/2019] [Accepted: 08/13/2019] [Indexed: 11/24/2022]
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Essential Nursing Care Management and Coordination Roles and Responsibilities: A Content Analysis. Prof Case Manag 2020; 24:249-258. [PMID: 31369488 DOI: 10.1097/ncm.0000000000000355] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Care management roles and responsibilities are frequently called out in leading white papers and exemplars; yet, the actual roles and responsibilities are poorly defined. METHOD A qualitative content analysis using 6 landmark white papers and exemplars from national organizations to collect emerging care management and coordination roles and responsibilities. RESULTS Three major themes emerged from the content analysis: (1) care management is about complex systems and complex medical and social needs, (2) nurses are central to the interdisciplinary team, and (3) informatics is vital to support and enhance care management. IMPLICATIONS FOR PRACTICE Care managers need to be experienced with complex systems of care as well as complex diagnoses and conditions that our clients and their caregiver's experience. A nurse being central to the clients and embedded within the interdisciplinary team aids in diminishing the burden of negotiating the trajectory of a condition/illness as well as improves the interdisciplinary communication and teamwork. This review of literature has defined the complexity of care management and the discreet roles and responsibilities, as well as how informatics is vital for care managers to target and monitor key populations needing care management.
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Ayan G, Türkmen E. The transcultural adaptation and the validity and reliability of the Turkish Version of Perroca's Patient Classification Instrument. J Nurs Manag 2020; 28:259-266. [PMID: 31793125 DOI: 10.1111/jonm.12916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 10/24/2019] [Accepted: 11/27/2019] [Indexed: 11/28/2022]
Abstract
AIM This study examines the transcultural adaptation and the reliability and validity of the Turkish version of Perroca's Patient Classification Instrument. BACKGROUND Nurse managers need valid and reliable patient classification tools for determining patients' acuity or dependency levels on nursing care for measuring nursing workloads. METHODS This study was conducted in two stages in a private hospital in Istanbul, Turkey. First, the instrument was translated, and its content validation was analysed. In the second stage, data were gathered from 300 hospitalized patients and were analysed by factor analyses, Cronbach's alpha and Cohen's kappa. RESULTS Validity testing with ten experts revealed a scale-content validity index of 0.93. Exploratory factor analysis revealed a two-dimensional instrument with distinct factor loadings and a variance of 66.97%. The confirmatory factor analysis revealed that the fit indices were satisfactory. This instrument had an overall Cronbach's alpha coefficient of .86 and Cohen's kappa coefficient of .826. CONCLUSION The study provides evidence that the Turkish version of Perroca's Patient Classification Instrument is a valid and reliable tool to determine patients' acuity levels on nursing care. IMPLICATIONS FOR NURSING MANAGEMENT This instrument may be used by nurse managers to determine acuity levels of patients and measure nursing workload.
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Affiliation(s)
- Guzin Ayan
- Critical Care Nurse, American Hospital, Istanbul, Turkey
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Alsadat Hosseini F, Momennasab M. Nursing Student Experiences of Caring for Burned Patient: From Fearfulness to Normalization. INVESTIGACION Y EDUCACION EN ENFERMERIA 2020; 38:e09. [PMID: 32124577 PMCID: PMC7871477 DOI: 10.17533/udea.iee.v38n1e09] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2019] [Accepted: 02/07/2020] [Indexed: 06/10/2023]
Abstract
OBJECTIVES To describe the care experiences of students in burn units. METHODS Qualitative research of the phenomenological descriptive type which was conducted with the participation of eight senior nursing students in Shiraz College of Nursing and Midwifery, Iran. The method used for gathering data about Student experiences in Care Services for Burn Cases was the individual semi-structured interview. The Colaizzi method was used for analysing and interpreting the data. RESULTS Three main themes emerged: the attractive but stressful experience, trying to adjust and metamorphosis in attitude. Taking care of burned patients led to metamorphosis and adaptation to the requirements of burn care due to the students' improved attitudes, awareness and potentials. This finally turned the stressful nature of taking care of a burn patient into an attractive experience for them. CONCLUSIONS Students with little clinical experience of stressful working situations in burn units faced different challenges. Due to the specific nature of taking care of burned patients, the clinical experiences of nursing students who offer these services are unique.
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114
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Yaqoob A. A vision for nursing in Pakistan: is the change we need possible? BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2020; 29:70-72. [PMID: 31917937 DOI: 10.12968/bjon.2020.29.1.70] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Adnan Yaqoob, Assistant Professor, Lahore School of Nursing, The University of Lahore, sets out his vision for the future of nursing in Pakistan.
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Affiliation(s)
- Adnan Yaqoob
- Assistant Professor, Lahore School of Nursing, The University of Lahore
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115
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Öberg U, Orre CJ, Hörnsten Å, Jutterström L, Isaksson U. Using the Self-Management Assessment Scale for Screening Support Needs in Type 2 Diabetes: Qualitative Study. JMIR Nurs 2020; 3:e16318. [PMID: 34345780 PMCID: PMC8279441 DOI: 10.2196/16318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 05/10/2020] [Accepted: 08/10/2020] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Globally, most countries face a common challenge by moving toward a population-based structure with an increasing number of older people living with chronic conditions such as type 2 diabetes. This creates a considerable burden on health care services. The use of digital tools to tackle health care challenges established views on traditional nursing, based on face-to-face meetings. Self-management is considered a key component of chronic care and can be defined as management of the day-to-day impact of a condition, something that is often a lifelong task. The use of a screening instrument, such as the Self-Management Assessment Scale (SMASc), offers the potential to guide primary health care nurses into person-centered self-management support, which in turn can help people strengthen their empowerment and self-management capabilities. However, research on self-management screening instruments is sparse, and no research on nurses' experiences using a digitalized scale for measuring patients' needs for self-management support in primary health care settings has been found. OBJECTIVE This paper describes diabetes specialist nurses' (DSNs) experiences of a pilot implementation of the SMASc instrument as the basis for person-centered digital self-management support. METHODS This qualitative study is based on observations and interviews analyzed using qualitative content analysis. RESULTS From the perspectives of DSNs, the SMASc instrument offers insights that contribute to strengthened self-management support for people with type 2 diabetes by providing a new way of thinking and acting on the patient's term. Furthermore, the SMASc was seen as a screening instrument with good potential that embraces more than medical issues; it contributed to strengthening person-centered self-management support, and the instrument was considered to lead both parts, that is, DSNs and patients, to develop together through collaboration. CONCLUSIONS Person-centered care is advocated as a model for good clinical practice; however, this is not always complied with. Screening instruments, such as the SMASc, may empower both nurses and patients with type 2 diabetes with more personalized care. Using a screening instrument in a patient meeting may also contribute to a role change in the work and practice of DSNs.
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Affiliation(s)
- Ulrika Öberg
- Department of Nursing Umeå University Umeå Sweden
| | - Carl Johan Orre
- Department of Computer Science and Media Technology DVMT, Malmö University Malmö Sweden
| | - Åsa Hörnsten
- Department of Nursing Umeå University Umeå Sweden
| | | | - Ulf Isaksson
- Department of Nursing Umeå University Umeå Sweden
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Bhattacharya S, Sharma A, Kaushal V, Pandey N, Arora P, Thiyagarajan A. Assessment of job satisfaction among nursing officers working at a tertiary care hospital in Northern India. CHRISMED JOURNAL OF HEALTH AND RESEARCH 2020. [DOI: 10.4103/cjhr.cjhr_11_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Abstract
Resistance to change is a prevalent issue in nursing, with ongoing interventions needed to increase awareness and to support nurses on the journey to becoming change agents. The purpose of this article is to illustrate the foundations of change learned during nursing school, and their applicability as nursing students transition to the professional nurse role. Additional focus explores the vital role experienced nurses play in mitigating resistance to change, and strategies to support fellow nurses in adapting to change.
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118
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Cucolo DF, Perroca MG. The qualitative dimension of Nursing workload: a measurement proposal. Rev Lat Am Enfermagem 2019; 27:e3238. [PMID: 31826169 PMCID: PMC6896804 DOI: 10.1590/1518-8345.3274.3238] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 09/23/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE construct and test a proposal to measure the qualitative dimension of nursing workload; identify the workload cut-off point and its indicator as predictors of the good and optimal nursing care product score. METHOD this is a descriptive study conducted in four inpatient units and four intensive care units of a Brazilian teaching hospital, considering 308 evaluations performed by 19 nurses. Four measurement instruments were used: three to assess the care demand in relation to nursing and the other to classify the care product delivered at the end of the shift. The workload was calculated and its indicator was constructed. RESULTS a weak and inverse correlation was found between the care product score, workload and the workload indicator and the workload indicator in the units and moderate and inverse between Nursing care planning and Care needs assistance with the number of hospitalized patients. CONCLUSION it is possible to associate workload and its indicator with the care product. Nursing workload ≤ 173 hours (24 hours) and indicator ≤ 12.3 hours / professional were associated with a higher probability of obtaining a "good" and "optimal" score in the care product in the inpatient units.
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Affiliation(s)
| | - Marcia Galan Perroca
- Faculdade de Medicina de São José do Rio Preto, Departamento de Enfermagem Especializada, São José do Rio Preto, SP, Brazil
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Palliam S, Mahomed Z, Hoffman D, Laher AE. Learning in the Digital Era - Awareness and Usage of Free Open Access Meducation among Emergency Department Doctors. Cureus 2019; 11:e6223. [PMID: 31890424 PMCID: PMC6929262 DOI: 10.7759/cureus.6223] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Introduction Information and communication technology has revolutionized the space of medical education by providing a multitude of up-to-date evidence-based data to healthcare practitioners. Despite the increasing popularity of FOAM - Free Open Access Meducation (Medical Education) globally - data relating to its awareness and usage in Africa is lacking. In this study, we explore the awareness and usage of FOAM among doctors working at select emergency departments in Johannesburg. Methods The study comprised a prospective, questionnaire based, cross-sectional survey of medical doctors working at five academically affiliated emergency departments in Johannesburg. Data was described and compared. Results One-hundred and four participants completed the survey. Most of the respondents were aged between 31 and 39 years (n = 40, 43.9%). There were no significant differences between the proportion of females and males that used FOAM (p = 0.56). Most participants (n = 91, 87.5%) were aware of FOAM, while 82 (78.8%) used FOAM, 13 (12.5%) were unsure if they used FOAM and nine (8.7%) did not use FOAM. Majority of those that used FOAM, only used it once a week (n = 47, 57.3%). Most participants spent between one and two hours per day on FOAM (n = 29, 35.4%). Smartphones were by far the most commonly used device to access FOAM (n = 91, 87.5%). Conclusion The level of awareness of FOAM is high and its usage is prevalent among emergency medicine healthcare professionals in Johannesburg. As technology becomes more prominent, institutions must aim to adapt to the digital era in their teaching methods.
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Affiliation(s)
- Sashriqua Palliam
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
| | - Zeyn Mahomed
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
| | - Deidre Hoffman
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
| | - Abdullah E Laher
- Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF
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Hines-Martin V, Starks S, Hermann C, Smith M, Chatman JM. Understanding Culture in Context: An Important Next Step for Patient Emotional Well-Being and Nursing. Nurs Clin North Am 2019; 54:609-623. [PMID: 31703785 DOI: 10.1016/j.cnur.2019.08.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The impact of culture on health has gained considerable importance in care delivery. This review discusses the complex interaction of culture and social determinants, and the combined impact of these on emotional well-being. Examples of this interaction are presented and recommendations for change within nursing to improve care are discussed.
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Affiliation(s)
- Vicki Hines-Martin
- School of Nursing, University of Louisville, Room 4055 Building K, HSC, Louisville, KY 40202, USA.
| | - Shaquita Starks
- Department of Health Promotion and Disease Prevention, Advanced Practice & Doctoral Studies, College of Nursing, The University of Tennessee, The University of Tennessee Health Sciences Center, 920 Madison Avenue, #534, Memphis, TN 38163, USA
| | - Carla Hermann
- Indiana University Southeast, School of Nursing, 4201 Grant Line Road, New Albany, IN 47150, USA
| | - Montray Smith
- School of Nursing, University of Louisville, Room 3049, Building K, HSC, 555 South Floyd Street, Louisville, KY 40202, USA
| | - Jade Montanez Chatman
- School of Nursing, University of Louisville, Room 4053, Building K, HSC, 555 South Floyd Street, Louisville, KY 40202, USA
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Kusi-Appiah E, Dahlke S, Stahlke S, Hunter KF. Acute care nursing team members' perceptions of roles: Their own and each other's. J Nurs Manag 2019; 27:1784-1790. [PMID: 31532017 DOI: 10.1111/jonm.12877] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 09/10/2019] [Accepted: 09/14/2019] [Indexed: 11/29/2022]
Abstract
AIM To examine registered nurses', licensed practical nurses' and health care aides' perceptions of their and each other's roles. BACKGROUND Nursing team members' perceptions about their own and each other's roles affect how they understand their contributions to patient care and their work relationships and social status within health care organisations. There is a paucity of literature on how nursing team members perceive their roles and those of their colleagues. DESIGN Secondary analysis of qualitative data using qualitative description. The parent study used grounded theory to examine nursing care for hospitalized older adults. METHOD Conventional content analysis of interview transcripts and field notes from the original study. RESULTS All nursing team members reported satisfaction from providing direct care. Registered nurses were uniquely responsible for leadership. Scope-of-practice changes contributed to role confusion and tension among team members. CONCLUSIONS More research is needed to better understand how to support nursing teams learning about one another. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers could facilitate clarification about nursing roles and support effective role deployment.
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Affiliation(s)
| | - Sherry Dahlke
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Sarah Stahlke
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
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McGowan M, Reid B. Using the Plan, Do, Study, Act cycle to enhance a patient feedback system for older adults. ACTA ACUST UNITED AC 2019; 27:936-941. [PMID: 30187794 DOI: 10.12968/bjon.2018.27.16.936] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Patient feedback about healthcare experiences has gained increasing attention as an essential and meaningful source of information for identifying gaps and developing effective action plans for improving the quality of care. As experiences differ across patient groups, flexible and responsive feedback systems are essential. The population of older adults is growing rapidly; it constitutes an increasing proportion of the NHS client base. This group wants to have a say in their care and their views are critical in any performance assessment of a modern healthcare system. Nevertheless, collecting feedback data from older adults presents unique challenges, due to chronic conditions and comorbidities involving vision, hearing, speech and cognitive processing. In addition, nurses often find it difficult to act on feedback data in order to make quality improvements. This difficulty is associated with poor leadership, absence of explicit targets and an action plan, and the nature of clinical change required. This article offers insight into the development of a local innovation centred on enhancing the feedback system in a medical rehabilitation ward for older adults. A model for improvement in the form of the Plan, Do, Study, Act (PDSA) cycle provided a structured learning approach to facilitate the planning, testing, analysing and refining of the feedback system.
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Affiliation(s)
| | - Bernie Reid
- Lecturer in Nursing, Ulster University, Magee Campus, Derry
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Luchsinger JS, Jones J, McFarland AK, Kissler K. Examining nurse/patient relationships in care coordination: A qualitative metasynthesis. Appl Nurs Res 2019; 49:41-49. [DOI: 10.1016/j.apnr.2019.07.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 07/15/2019] [Accepted: 07/27/2019] [Indexed: 10/26/2022]
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Abstract
The authors of this column consider the subject of collaboration in terms of healthcare practice, research, and education. To that end, the concept of pragmatism is discussed as a precursor to collaboration followed by consideration of specific instances of collaboration in practice, research, and education. Additionally, the consequences of collaboration are discussed.
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Esquivel Garzón N, Díaz Heredia LP, Cañon Montañez W. Intervenciones adaptadas en personas con enfermedad cardiovascular: hacia un abordaje de enfermería para el cuidado individualizado. REVISTA CUIDARTE 2019. [DOI: 10.15649/cuidarte.v10i3.947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
A nivel mundial, las enfermedades cardiovasculares (ECV) constituyen la primera causa de morbimortalidad, lo que genera pérdida de años de vida productivos, discapacidad y muerte prematura, además de los costos sociales y para los sistemas de salud derivados de su atención1. Para el adecuado control de los factores de riesgo y el manejo de las ECV, se requiere que la persona modifique su estilo de vida, asuma hábitos saludables y se adhiera al tratamiento farmacológico. En este contexto, resulta indispensable no solamente lograr la participación activa del paciente en el mantenimiento de su propia salud2, sino también que los profesionales de la salud reconozcan al individuo como un ser activo, con habilidades para gestionar su salud, capaz de discernir y tomar decisiones dirigidas al logro de los objetivos terapéuticos.
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PRACTITIONER APPLICATION. J Healthc Manag 2019; 64:330-331. [DOI: 10.1097/jhm-d-19-00153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Alignment of American Association of Colleges of Nursing Graduate-Level Nursing Informatics Competencies With American Medical Informatics Association Health Informatics Core Competencies. ACTA ACUST UNITED AC 2019; 37:396-404. [DOI: 10.1097/cin.0000000000000537] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Shahsavari H, Zarei M, Aliheydari Mamaghani J. Transitional care: Concept analysis using Rodgers' evolutionary approach. Int J Nurs Stud 2019; 99:103387. [PMID: 31442782 DOI: 10.1016/j.ijnurstu.2019.103387] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Revised: 06/05/2019] [Accepted: 07/25/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND The process of moving patients from a hospital to a home or another care setting, also called transitional care, can lead to unwanted complications and negative outcomes. The term "transitional care" involves a wide range of conditions and services to ensure the continuity of care and prevention of unwanted consequences in vulnerable individuals, who are affected by any changes in care settings or caregivers. OBJECTIVES The purpose of this concept analysis is to clarify the concept of transitional care by considering its application in different studies and its changes over time. DESIGN A concept analysis. DATA SOURCES Literature from 2008 to 2018 were sought using Medline, PubMed, Google Scholar and Cochrane databases with terms "transitional care", "transitional care" OR "care transitions", "transitional care" AND "nursing", "transitional care" AND "discharge planning". REVIEW METHODS Rodgers' evolutionary concept analysis method was used to clarify the antecedents, attributes and consequences. RESULTS The 46 eligible articles were fully studied and findings were categorized into antecedents, attributes and consequences. Transitional care antecedents were classified into three categories: patient/family/caregivers related factors, factors related to hospital system (inpatient care), and social factors. The defining attributes include patient-oriented transitional care, transitional care with a hospital-based approach and transitional care with a community-based approach. Consequences categorized into patient-related consequences, family/caregiver-related consequences, and hospital-related consequences. CONCLUSION The results of the analysis of the transitional care concept have shown that this concept is not limited to care provided by nurses at discharge, and that its proper implementation requires considering many factors including the status of patients and their families, different members of the healthcare team, and environmental and social conditions and facilities. A proper understanding of transitional care not only specifies the role of care providers, but also creates a basis for designing an evidence based care program.
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Affiliation(s)
- Hooman Shahsavari
- Faculty of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
| | - Mohammad Zarei
- School of Medicine, Tehran University of Medical Science, Tehran, Iran
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Care and Treatment Recommendations for Pregnant Women with Opioid Use Disorder. MCN Am J Matern Child Nurs 2019; 44:212-218. [DOI: 10.1097/nmc.0000000000000538] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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131
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Dobrof J, Bussey S, Muzina K. Thriving in today's health care environment: strategies for social work leadership in population health. SOCIAL WORK IN HEALTH CARE 2019; 58:527-546. [PMID: 31002293 DOI: 10.1080/00981389.2019.1602099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 03/22/2019] [Accepted: 03/26/2019] [Indexed: 06/09/2023]
Abstract
The current healthcare environment challenges social workers to balance multiple constituencies - organizational, payer-related, and professional - and convey the value-added nature of clinical work with patients and families. As healthcare systems move towards population health, leadership opportunities abound. This article provides an historical overview of healthcare transformation and its impact on social work practice, and describes strategies implemented to bolster the clinical focus and organizational responsiveness of Mount Sinai Health System care management staff. The training and supervisory approaches offered make possible relatable and synergistic connections between clinical practice and organizational imperatives to decrease unnecessary utilization and healthcare costs.
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Affiliation(s)
- Judith Dobrof
- a Mount Sinai Health Partners , Mount Sinai Health System , New York , NY , USA
| | - Sarah Bussey
- a Mount Sinai Health Partners , Mount Sinai Health System , New York , NY , USA
| | - Kristin Muzina
- a Mount Sinai Health Partners , Mount Sinai Health System , New York , NY , USA
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Kelly KJ, Doucet S, Luke A. Exploring the roles, functions, and background of patient navigators and case managers: A scoping review. Int J Nurs Stud 2019; 98:27-47. [PMID: 31271977 DOI: 10.1016/j.ijnurstu.2019.05.016] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 05/29/2019] [Accepted: 05/30/2019] [Indexed: 12/30/2022]
Abstract
BACKGROUND Patient navigators and case managers are health care workers who aim to provide individualized assistance to patients facing significant health concerns. Although these roles emerged from distinct historical need, the terms are often used interchangeably in the literature and are described to have overlapping functions. Differences in the way that these roles are conceptualized across countries has led to a lack of clarity regarding the exact functions that each offer to patients, caregivers, and the health care system. OBJECTIVES To differentiate the functions and backgrounds of patient navigators and case managers across settings and disease contexts. DESIGN This review was guided based on the PRISMA extension for scoping reviews using a five-step review process: identify the research questions; search and identify relevant studies; select studies based on a priori criterion; chart the data; and collate, summarize and report the results. DATA SOURCES A search of the literature was undertaken in peer-reviewed databases (Medline, CINAHL, and PubMed) and the grey literature (Google and unpublished articles in online repositories). REVIEW METHODS Extracted data included information on patient navigators and/or case managers related to their reported background, training, and/or knowledge; roles and/or specific functions; clinical setting; and targeted condition or disease type. RESULTS The search strategy resulted in 10,523 articles. After applying the eligibility criteria during title and abstract evaluation, 468 full-text articles were reviewed, resulting in a total of 160 articles. Functions of patient navigators and case managers were organized into nine emerging categories: (1) advocacy; (2) care coordination; (3) case monitoring and patient needs assessment; (4) community engagement; (5) education; (6) administration and research activities; (7) psychosocial support; (8) navigation of services; and (9) reduction of barriers. The background and knowledge areas of each role were compared and contrasted, and three categories related to the practice context of each role were identified: (1) typical setting and care trajectory; (2) target patient population; and (3) mode of service delivery. CONCLUSIONS The current study identified important differences in the functions between patient navigators and case managers. However, there remains significant ambiguity between the functions of these two roles. Standardized definitions detailing scope of practice, and allowing for inherent flexibility across different settings, are needed to improve service delivery.
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Affiliation(s)
- K J Kelly
- University of New Brunswick Saint John, 100 Tucker Park Road, P.O. Box 5050, E2L 4L5, Saint John, New Brunswick, Canada.
| | - S Doucet
- University of New Brunswick Saint John, 100 Tucker Park Road, P.O. Box 5050, E2L 4L5, Saint John, New Brunswick, Canada.
| | - A Luke
- University of New Brunswick Saint John, 100 Tucker Park Road, P.O. Box 5050, E2L 4L5, Saint John, New Brunswick, Canada.
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134
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Abudu-Birresborn D, McCleary L, Puts M, Yakong V, Cranley L. Preparing nurses and nursing students to care for older adults in lower and middle-income countries: A scoping review. Int J Nurs Stud 2019; 92:121-134. [PMID: 30807890 DOI: 10.1016/j.ijnurstu.2019.01.018] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 01/08/2019] [Accepted: 01/30/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND The aim of this review was to examine the extent and nature of published literature on nurses' and nursing students' preparedness to care for older adults in lower and middle-income countries. METHOD A scoping review with 27 articles, guided by the Arksey and O'Malley (2005) framework was conducted. The following electronic databases were searched: MEDLINE, CINAHL, ERIC and SCOPUS. Grey literature using Google Scholar and ProQuest were also searched. Key search terms and subject headings such as "nursing students", "nurses", "stakeholders", "ministry of health", "readiness", "knowledge", "attitudes", "elder care", "seniors care" and "older adults" were used to identify relevant articles. Studies that reported on gerontological nursing, nursing students' and nurses' knowledge and attitudes towards older adults, and stakeholders/employers' views about nursing students' knowledge and attitudes towards older adults were included. RESULTS Nurses reported having moderate to insufficient knowledge in the care of older adults in the majority of the studies. Nursing students reported insufficient knowledge in the care of older adults. However, both nurses and nursing students reported positive attitudes towards the care of older adults but held misconceptions about caring for older adults. Nursing students also reported a low preference for working with older adults. DISCUSSION AND IMPLICATIONS The inadequate preparation of nurses and nursing students in the care of older adults means there are opportunities to enhance knowledge about health and nursing care in lower and middle-income countries and build on the positive attitudes towards older adults.
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Affiliation(s)
- Diana Abudu-Birresborn
- Faculty of Nursing, University of Toronto, 155 College Street Suite, Toronto, ON 130M5T 1P8, Canada.
| | - Lynn McCleary
- Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON L2S 3A1, Canada.
| | - Martine Puts
- Faculty of Nursing, University of Toronto, 155 College Street Suite, Toronto, ON 130M5T 1P8, Canada.
| | - Vida Yakong
- Department of Midwifery, University for Development Studies, Box 1350, Tamale, West Africa, Ghana.
| | - Lisa Cranley
- Faculty of Nursing, University of Toronto, 155 College Street Suite, Toronto, ON 130M5T 1P8, Canada.
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135
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Phillips C, Bassell K, Fillmore L. Transforming Nursing Education through Clinical Faculty Development. TEACHING AND LEARNING IN NURSING 2019. [DOI: 10.1016/j.teln.2018.09.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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136
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Simpson V. Policy and Practice Recommendations for Nurse Practitioner–Led Medicare Annual Wellness Visits. ACTA ACUST UNITED AC 2018. [DOI: 10.1093/ppar/pry046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Vicki Simpson
- School of Nursing, Purdue University, West Lafayette, IN
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137
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Kim Y, Jang SJ. Nurses' organizational communication satisfaction, emotional labor, and prosocial service behavior: A cross-sectional study. Nurs Health Sci 2018; 21:223-230. [PMID: 30536877 DOI: 10.1111/nhs.12586] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 10/24/2018] [Accepted: 10/25/2018] [Indexed: 11/28/2022]
Abstract
In this study, we investigated nurses' organizational communication satisfaction and emotional labor in an attempt to identify the factors that influence nurses' prosocial service behavior in Korea. A cross-sectional study was conducted on 145 nurses at two Korean tertiary hospitals in 2017. Most participants (89%) were female, and the mean age was 28.45 ± 5.50 years; data analysis was mainly based on a multiple regression. It was consequently found that nurses' organizational communication satisfaction and emotional labor positively affected their prosocial service behavior. The potential benefits of emotional labor were also explored, and these variables were determined to explain 41.1% of the variance in prosocial service behavior. These findings provide evidence that organizational communication satisfaction and emotional labor in nurses can have significant effects on their prosocial service behavior.
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Affiliation(s)
- Youngsoo Kim
- Graduate School of Advanced Nursing Practice, Eulji University, Daejeon, Korea
| | - Sun Joo Jang
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
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138
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Balieiro MMFG. Enfermagem de práticas avançadas: cuidados especializados e liderança na construção da excelência em Enfermagem. ACTA PAUL ENFERM 2018. [DOI: 10.1590/1982-0194201800079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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139
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Frawley T, Meehan A, De Brún A. Impact of organisational change for leaders in mental health. J Health Organ Manag 2018; 32:980-1001. [PMID: 30468417 DOI: 10.1108/jhom-08-2018-0220] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is to examine the impact of organisational and structural change on the evolution of quality and safety in health organisations, specifically in mental health services. DESIGN/METHODOLOGY/APPROACH Data were gathered through semi-structured interviews. In total, 25 executive management team members in both public and private mental health services were interviewed and data were analysed using Burnard's framework. FINDINGS Three overarching themes emerged: organisational characteristics, leadership and accountability; sustaining collaboration and engagement with stakeholders; and challenges to and facilitators of quality and safety. Taken together, the findings speak to the disruptive and disorienting impact of on-going organisational change and restructuring on leaders' ability to focus on, and advance, the quality and safety agenda. RESEARCH LIMITATIONS/IMPLICATIONS Typical with qualitative research of this nature, the potentially limited generalisability of the findings must be acknowledged. PRACTICAL IMPLICATIONS There is a need for strategies to implement change that are informed by evidence and theory and informed by decades of research on this topic, rather than introduced ad hoc. Change agents must pair effective change management and implementation science strategies to specific contexts, depending on what is being implemented and ensure appropriate evaluation of organisational change to bolster the evidence base around quality and safety and inform future decision-making. ORIGINALITY/VALUE The study explores an identified gap in the literature on the impact of on-going organisational re-structuring and transformation on the evolution of quality and safety in mental health services.
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Affiliation(s)
- Timmy Frawley
- School of Nursing, Midwifery and Health Systems, University College Dublin College of Health Sciences , Dublin, Ireland
| | - Annabel Meehan
- Mental Health Division, St John of God Community Mental Health Services, Dublin, Ireland
| | - Aoife De Brún
- School of Nursing, Midwifery and Health Systems, University College Dublin College of Health Sciences , Dublin, Ireland
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Higgins A, Downes C, Varley J, Doherty CP, Begley C, Elliott N. Rising to the challenge: Epilepsy specialist nurses as leaders of service improvements and change (SENsE study). Seizure 2018; 63:40-47. [PMID: 30399460 DOI: 10.1016/j.seizure.2018.10.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 10/05/2018] [Accepted: 10/25/2018] [Indexed: 01/17/2023] Open
Abstract
PURPOSE To report the leadership role and change activities of epilepsy specialist nurses (ESNs) in Ireland; findings from the SENsE study. METHOD A mixed methods study design was used, involving 12 epilepsy specialist nurses working in five units in Ireland, 24multidisciplinary team members working with them, and 35 people with epilepsy and their family members. Data were collected using individual and focus group interviews, observation and documentary analysis. RESULTS Five key areas in which ESNs demonstrated leading on the change agenda were identified. These included: Initiating new clinical practice developments; Building capability within the multidisciplinary team; Developing education programmes and resources for people with epilepsy, family and the public; Exerting influence through membership of committees and lobbying; and Advancing the ESN role. CONCLUSION Though the epilepsy specialist nurse role was first established in the UK in 1988, much of the literature that discusses or describes the ESN role is founded on anecdotal evidence, or focusses on their clinical expertise. Findings from this study provide empirical evidence that the ESNs were involved as key players in leading changes within the services, in the education of others, and the continuous advancement of epilepsy care.
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Affiliation(s)
- Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
| | - Carmel Downes
- School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
| | - Jarleth Varley
- School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
| | - Colin P Doherty
- Department of Neurology, St. James's Hospital, James's Street, Dublin 8, Ireland.
| | - Cecily Begley
- School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
| | - Naomi Elliott
- School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
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Embracing the future for emergency nurse practitioners and specialty practice: Implications for research, clinical practice, education, and health policy. J Am Assoc Nurse Pract 2018; 30:586-591. [PMID: 30320712 DOI: 10.1097/jxx.0000000000000123] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The emergency nurse practitioner (ENP) specialty has grown rapidly, responding and adapting to changes within emergency care. Designation and advancement of nurse practitioner (NP) specialties follows a systematic process as defined by the profession. This includes establishment of scope and standards of practice, educational standards, and policy initiatives to ensure quality and safety within the profession. This article describes how the ENP specialty has used evidence to meet health system needs and chart a transformational future. Current recommendations for advancing health care transformation, as described by the American Association of Colleges of Nursing-Manatt Report, inform and frame the processes by which the ENP specialty has collaborated with diverse stakeholders to create a research and policy agenda to ensure that ENPs are appropriately prepared to lead and provide access to safe, affordable, quality health care. These processes provide a future-oriented model that promotes advancement of the NP profession through provision of new NP specialty designations as they emerge to meet changing health care system needs.
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142
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Chakkaravarthy K, Ibrahim N, Mahmud M, Venkatasalu MR. Predictors for nurses and midwives' readiness towards self-directed learning: An integrated review. NURSE EDUCATION TODAY 2018; 69:60-66. [PMID: 30007149 DOI: 10.1016/j.nedt.2018.06.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Accepted: 06/25/2018] [Indexed: 06/08/2023]
Abstract
AIM To systematically review the existing evidence on predictors for nurses and midwives' readiness towards Self-directed Learning (SDL). BACKGROUND Increased complexities in healthcare settings demand that nurses and midwives become involved in lifelong learning by means of self-directed learning (SDL) for delivering quality healthcare. More evidence is available for the self-directed learning readiness (SDLR) of nursing and midwifery students, less is systematically derived on predictors for nurses and midwives' readiness to SDL. DESIGN An integrative systematic review. METHODS Systematic searches were carried out using the following five electronic databases: PubMed, Science Direct, Google Scholar, Ovid Medline and Embase. Studies published in English language from 2000 to 2017 were included. The integrative systematic review framework developed by Whittemore and Knafl (2005) was used to analyse and summarise the key themes. RESULTS Of 804 initial screening papers, in total of eight eligible studies (six quantitative and two qualitative) were found. Integrative analysis resulted in four themes as predictors for nurses and midwives' readiness towards SDL: 1) personal characteristics, 2) working environment, 3) online learning and SDLR, and 4) process of SDL. Review found that, although demographic characteristics of nurses and midwives do not influence their SDLR, work environment often influences their SDLR. Furthermore, nurses and midwives have a positive interest in online learning that is often used to improve their knowledge acquisition. CONCLUSION The review concludes that qualified nurses and midwives have a unique SDL predictors and process; hence, a personalized SDL programme should be prescribed based on personality traits so as to achieve better SDL outcomes. Future research should address the facilitating factors for SDLR, barriers to SDLR and strategies to improve SDLR among nurses and more importantly midwives, as limited evidence is available with respect to the latter.
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Affiliation(s)
- Karpagam Chakkaravarthy
- PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Jalan Tungku Link Gadong, BE1410, Negara, Brunei Darussalam.
| | - Norzihan Ibrahim
- Department of Nursing Services, Ministry of Health, Brunei Darussalam, Negara, Brunei Darussalam.
| | - Mardiah Mahmud
- PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Jalan Tungku Link Gadong, BE1410, Negara, Brunei Darussalam.
| | - Munikumar Ramasamy Venkatasalu
- PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Jalan Tungku Link Gadong, BE1410, Negara, Brunei Darussalam.
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143
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Weierbach FM, Stanton MP. Rural Community Case Management Experience for Bachelor of Science in Nursing Students: A Focus Group Evaluation. J Nurs Educ 2018; 57:557-560. [PMID: 30148519 DOI: 10.3928/01484834-20180815-09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Accepted: 05/01/2018] [Indexed: 11/20/2022]
Abstract
BACKGROUND This presentation concerns the evaluation of an additional clinical experience in case management for senior baccalaureate students. During their final leadership course, nursing students can elect to do an additional 80-hour precepted clinical experience focusing on case management in primary care clinics. As part of that experience, they rotate through seven nurse-managed rural primary health clinics in Tennessee. METHOD As part of the evaluation process, students and preceptors were asked to review the experiences that students had participating in the clinical. RESULTS For the most part, students were highly satisfied with the case management experience and thought it provided an additional skill set for them as they were completing their final year in nursing school and preparing to enter the nursing workforce as graduates of the Bachelor of Science in Nursing program. CONCLUSION A community case management clinical opportunity in primary care allows a community experience for students that provides them with an opportunity to witness an RN practicing to the full scope of the license. [J Nurs Educ. 2018;57(9):557-560.].
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Kwon CY, Lee B. Clinical effects of acupressure on neck pain syndrome ( nakchim): a systematic review. Integr Med Res 2018; 7:219-230. [PMID: 30271710 PMCID: PMC6160503 DOI: 10.1016/j.imr.2018.01.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 12/25/2017] [Accepted: 01/11/2018] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Nakchim is a kind of neck pain syndrome that causes neck pain and stiffness without obvious trauma in East Asian traditional medicine. We aimed to summarize and critically evaluate the evidence regarding the efficacy and safety of acupressure on nakchim. METHODS We searched eight databases for studies published up to August 29, 2017. Clinical studies evaluating the efficacy of acupressure on nakchim were included. The acupressure methods of included studies were divided into proximal acupressure performed on acupuncture points located in neck and shoulder, and distal acupressure performed on acupuncture points located in other areas. Overall clinical effective rate (CER) and immediately cured rate (ICR), which means rate of the symptom totally resolved after one treatment session, were calculated as mean percentage with 95% confidence interval. All included studies were assessed for methodological quality. RESULTS Two case studies and 13 case series with 1037 participants were included, and 17 types of proximal acupuncture points and 14 types of distal acupuncture points were used. The most commonly used proximal and distal acupuncture points were GB20 and GB39, respectively. The CER in one study using both proximal and distal acupressure was 100%. The CER and ICR in studies using only proximal acupressure was 95.65% and 71.61%, respectively. The CER and ICR in studies using only distal acupressure was 99.37% and 69.08%, respectively. Eight studies performed simple acupressure technique using one acupuncture point, of which SI11, GB39, BL57, and TE3 were used. None of the studies reported adverse events. CONCLUSION This review suggests that acupressure may be effective on nakchim. However, it is not conclusive due to low methodological quality and low evidence level of included studies.
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Affiliation(s)
| | - Boram Lee
- Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, Korea
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145
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Praz C, Ducki J, Connaissa ML, Terrier P, Vuistiner P, Léger B, Luthi F. Working Together and Being Physically Active Are Not Enough to Advise Uniformly and Adequately Low Back Pain Patients: A Cross-Sectional Study. Pain Res Manag 2018; 2018:4128913. [PMID: 30046363 PMCID: PMC6038593 DOI: 10.1155/2018/4128913] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Accepted: 05/22/2018] [Indexed: 01/02/2023]
Abstract
The profession of the health-care providers (HCPs) influences their recommendations to the patients. Conversely, interdisciplinarity seeks to challenge such differences, so that the patient receives one single and consistent therapeutic message. Some studies also suggest associations between HCPs life habits and recommendations. Our hypotheses were (1) that despite interdisciplinary work, the profession remains a predictor of recommendations and (2) that HCPs who are more physically active recommend more activity. Three clinical vignettes were presented to a group of experts of low back pain (LBP) (guidelines), and 20 physicians, 22 physiotherapists, and 23 nurses to assess how they evaluate the symptoms and pathologies of LBP patients and how much work and physical activity they recommend. Physical activity was assessed with accelerometers and questionnaires. Some interprofessional differences remained present within an interdisciplinary team. The nurses were more restrictive and further away from the guidelines. The physicians were the most in line with them. The physiotherapists recommend as much physical activity, but less work activity than the physicians. The level of physical activity of the HCPs is not associated with their recommendations. To ensure a clear and unique message, educational actions may be undertaken to promote the biopsychosocial model and clarify the guidelines.
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Affiliation(s)
- C. Praz
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
| | - J. Ducki
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
- Institute of Sports Sciences, University of Lausanne, Géopolis, Campus Dorigny, 1015 Lausanne, Switzerland
| | - M. L. Connaissa
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
- Institute of Sports Sciences, University of Lausanne, Géopolis, Campus Dorigny, 1015 Lausanne, Switzerland
| | - P. Terrier
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
| | - P. Vuistiner
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
| | - B. Léger
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
| | - F. Luthi
- Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
- Department for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation Suvacare, Avenue Grand-Champsec 90, 1950 Sion, Switzerland
- Department of Physical Medicine and Rehabilitation, Orthopaedic Hospital, Lausanne University Hospital, Rue du Bugnon 21, 1011 Lausanne, Switzerland
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146
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Demidenko J, Routasalo P, Helminen M, Paavilainen E, Suominen T. Family functioning evaluated by family members of older patients and nurses in emergency departments. Scand J Caring Sci 2017; 32:1064-1073. [PMID: 29227534 DOI: 10.1111/scs.12552] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Accepted: 11/17/2017] [Indexed: 01/03/2023]
Abstract
The functioning of families in emergency departments (EDs) encompasses the level at which the families of older patients perform as a whole during the ED stay. Currently, little is known about how the families of older patients function in EDs. In this study, family functioning included the subareas of family strengths, structural factors and relationships both inside and outside the family. The study aimed to describe family functioning in EDs as evaluated by both the family members (n = 111) of older patients and nurses (n = 93). The data were collected from four Estonian hospitals, and the scale used was the Family Functioning, Health and Social Support scale. The results showed that both the family members and nurses evaluated family functioning and all its subareas as being moderate. Family structural factors were found to be associated with the family members' social status. The scores in the subareas were higher when older patients had received help from family members before the ED visit. The family members and nurses differed significantly in the scores they gave for family functioning in general and for all the subareas. No association was found between family functioning as rated by nurses and the families' demographic characteristics. These results suggest that nurses should pay more attention to family functioning in general and to the structural factors within the family, including internal relationships, while older patients are in the ED. Comprehensive knowledge about how families function during an ED stay may help nurses to better meet the needs of older patients and their families and help them to prepare families to provide aftercare at home. Our findings support the idea that healthcare organisation and delivery should be more family centred.
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Affiliation(s)
- Jekaterina Demidenko
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
| | | | - Mika Helminen
- Faculty of Social Sciences, Health Sciences, University of Tampere and Pirkanmaa Hospital District, Science Center, Tampere, Finland
| | - Eija Paavilainen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Etelä-Pohjanmaa Hospital District, Tampere, Finland
| | - Tarja Suominen
- Faculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland
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147
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Affiliation(s)
- Sharon M Brownie
- School of Medicine, Griffith Health, Griffith University, Brisbane, QLD, Australia.,Oxford PRAXIS Forum, Green Templeton College, Oxford University, Oxford, UK
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148
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Karimi S, Haghani F, Yamani N, Kalyani MN. Exploring the perception of nursing students about consequences of reflection in clinical settings. Electron Physician 2017; 9:5191-5198. [PMID: 29038696 PMCID: PMC5633212 DOI: 10.19082/5191] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 06/12/2017] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Reflection on practical experiences is a key element that enables students to recognize their own strengths and weaknesses and develop nursing skills. Whilst reflection may enhance students' learning in practice, there is little evidence about nursing students' perception of the consequences of reflection in clinical settings. OBJECTIVE This study aimed to explore Iranian nursing students' perception regarding the consequences of reflection during clinical practices. METHODS This qualitative study was conducted by a conventional content analysis approach in two nursing schools at Shiraz and Fasa Universities of Medical Sciences in Iran. Data were collected through in-depth semi-structured interviews during 2015-2016, from 20 students selected by purposive sampling. All the interviews were tape-recorded, transcribed verbatim, and analyzed by content analysis method. Rigor of this study was approved by member check and external audit. RESULTS Two categories emerged from the data analysis, including movement toward professionalism and self-actualization of emotions. The former consisted of three subcategories of function modification, sharing experiences and generalizing experiences. The latter consisted of two subcategories of inner satisfaction and peace of mind. CONCLUSION The results indicated that nursing students' reflection in clinical settings is effective in personal and professional levels. Reflection in a personal level led to positive emotions that increased the quality of care in patients. Accordingly, nursing educators need to create a nurturing climate as well as supporting reflective behaviors of nursing students.
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Affiliation(s)
- Shahnaz Karimi
- Ph.D. Student of Medical Education, Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Haghani
- Ph.D. in Curriculum Planning, Associate Professor, Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nikoo Yamani
- MD, MSc, Ph.D. in Curriculum Planning, Associate Professor, Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Majid Najafi Kalyani
- Ph.D. in Nursing Education, Assistant Professor, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran
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