Optimizing Nursing Care by Integrating Theory-Driven Evidence-Based Practice

Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

Clinical trials on pediatric oncology use therapeutic techniques with the overwhelming majority of children's cancer patients obtaining therapy via clinical investigation procedures. Medical treatment is scheduled according to a specific protocol for enrolled patients. These protocols often do not refer to nursing care. Nursing care, on the other hand, must complement the medical care specified in the medical research protocol. Safe treatment administration, assessment of treatment responses, patients' and families' education, and communication with the whole medical team are just a few of the critical nursing tasks that should be properly managed. Nursing care standards have been developed in this study to strike a good balance between the procedure for clinical research and the nursing care connected with it. These recommendations outline the nursing activities and considerations that must be made while caring for pediatric cancer patients who are engaged in a specific clinical investigation procedure. The objective of this study is to outline the procedure through which nursing care guidelines could be developed and evaluated. The goal of this study was to find out the involvement of nurses in the process of health education for osteosarcoma and family patients.

The impact of nursing assessment on cardiovascular health behaviour: a scoping review

BACKGROUND

Assessment represents a critical first opportunity for nurses to influence individual changes in health behaviour. As the global prevalence of cardiovascular disorders rises, so does the role of nurses in cardiovascular health promotion. This review applies Pender's Health Promotion Model (HPM) to an evaluation of the current research on the role of nursing assessment as an intervention to impact cardiovascular health.

METHODS

This scoping review was conducted using the PRISMA-ScR framework for scoping reviews. A search of electronic databases (CINAHL, psychINFO, Medline) resulted in 335 records, which were then screened for eligibility for inclusion using the criteria (a) English language, (b) publication between 2009 and 2019, and (c) nursing intervention studies. A total of ten articles met criteria and are included in this scoping review.

RESULTS

Half (n = 5) of the articles cited a theoretical framework. While none of the articles explicitly used the HPM, all involved measurement of HPM constructs: perceived benefits of action, perceived barriers to action, perceived self-efficacy, interpersonal influences, and situational influences. The focus and methodology of the included articles was heterogeneous. Assessment tools used were self-report surveys, biometric data, qualitative interviews, or a combination of these measures. Results were generally positive and indicated that nursing assessment is effective at altering health promotion behaviour and attitudes.

CONCLUSIONS

This scoping review demonstrated that the current body of literature on the impact of nursing assessment on cardiovascular health promotion behaviour is limited but consistent. Future research would benefit from thorough integration of the HPM into research design in order to more fully explain the causative mechanisms underlying behaviour change as a result of nursing assessment.

Caring Science: Transforming the Ethic of Caring-Healing Practice, Environment, and Culture within an Integrated Care Delivery System

In early 2010, leaders within Kaiser Permanente (KP) Northern California's Patient Care Services division embarked on a journey to embrace and embed core tenets of Caring Science into the practice, environment, and culture of the organization. Caring Science is based on the philosophy of Human Caring, a theory articulated by Jean Watson, PhD, RN, AHN-BC, FAAN, as a foundational covenant to guide nursing as a discipline and a profession. Since 2010, Caring Science has enabled KP Northern California to demonstrate its commitment to being an authentic person- and family-centric organization that promotes and advocates for total health. This commitment empowers KP caregivers to balance the art and science of clinical judgment by considering the needs of the whole person, honoring the unique perception of health and healing that each member or patient holds, and engaging with them to make decisions that nurture their well-being. The intent of this article is two-fold: 1) to provide context and background on how a professional practice framework was used to transform the ethic of caring-healing practice, environment, and culture across multiple hospitals within an integrated delivery system; and 2) to provide evidence on how integration of Caring Science across administrative, operational, and clinical areas appears to contribute to meaningful patient quality and health outcomes.

Best practice models for acute and critical care: today and into the future

The purpose of this article is to describe selected best practices in acute and critical care. The evidence base for these models is steadily building. Attributes of past, present, and emerging models are discussed in the context of important considerations such as stress, capacity, and infection. The author offers suggestions for using what we know to advance models of care in the information age that has only just begun.

Achieving evidence-based nursing practice: impact of the Caledonian Development Model

AIM

To determine the impact of the Caledonian Development Model, designed to promote evidence-based practice.

BACKGROUND

The model features practice-development activities, benchmarking, knowledge pooling and translation through membership of a community of practice and a virtual college.

METHODS

Twenty-four nurses, from 18 practice sites formed three communities of practice, each selecting evidence-based guidance to implement. A modified group supervision framework empowered nurses to champion local implementation. Outcomes were determined at 6 months.

RESULTS

Eighty per cent of the patient-related criteria and 35% of the facilities criteria were achieved. The Revised Nursing Work Index indicated these nurses experienced greater autonomy (P = 0.019) and increased organizational support (P = 0.037). Focus groups revealed a deepening organizational support for the initiative over time, illuminated work-based learning challenges and overall enthusiasm for the approach.

CONCLUSION

Implementation of the model effectively promoted evidence-based practice, most notably at the level of the individual patient.

IMPLICATIONS FOR NURSING MANAGEMENT

Time and budgetary constraints necessitate smart, value for money approaches to developing evidence-based practice and improved care standards. This work demonstrates an effective model that strikes a balance between individual and group learning, virtual and real-time activities, coupled with resource pooling across organizations and sectors.

Creating a healing environment: an innovative educational approach for adopting Jean Watson'sTheory of Human Caring

Current focus on empirical data and evidence-driven nursing practice highlights the need to re-examine the importance of nursing theory to guide practice. The purpose of this article is to describe the rationale, approach, and outcomes of an innovative educational approach to teaching Jean Watson's Theory of Human Caring.