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Agure S, Miyeso B, Abdullahi L. Interventions to enhance the use of Evidence Based Decision Making for Quality Care among Nurses: A Systematic Review. East Afr Health Res J 2024; 8:148-163. [PMID: 39234342 PMCID: PMC11371018 DOI: 10.24248/eahrj.v8i1.760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 03/04/2024] [Indexed: 09/06/2024] Open
Abstract
Background Decision-making is the cognitive process that results in the selection of a course of action from several possible alternative options. The complexity of nurses' decisions requires a broad knowledge base and access to reliable sources of information; as well as a supportive working environment therefore requiring that decision making be evidence based with robust knowledge translation platforms to disseminate the evidence. This review aimed to assess interventions for enhancing the use of evidence-based decision making for quality care among nurses. Methods This study followed the Preferred Reporting Items for Systematic Review and Meta-Analysis review (PRISMA 2020) checklist. This study protocol was registered with PROSPERO number CRD42021262318. Results The search revealed a total of 143 papers divided as follows: PubMed- 65 papers, CINAHL 25 papers and Cochrane 53 papers. In addition, references of included studies were scanned manually for potential papers and another 46 papers extracted. A total of 133 papers were chosen for detailed extraction following removal of 10 duplicate studies. Conclusion Results of this review revealed that the interventions that have been used to enhance the use of evidence for decision making are majorly educational. A few interventions have taken the form of modelling, guidelines and programming. Online solutions have also been seen to enhance the use of evidence for clinical practice of nurses.
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Affiliation(s)
- Safari Agure
- Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
| | - Barbara Miyeso
- African Institute for Development Policy (AFIDEP), Nairobi, Kenya
| | - Leyla Abdullahi
- Kenya Medical Research Institute (KEMRI), Nairobi, Kenya
- African Institute for Development Policy (AFIDEP), Nairobi, Kenya
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Mathew D, Cesario SK, Malecha A, Toms R. Role of Magnet®-recognized hospital nurse managers in implementing evidence-based practice: A mixed-method study. Worldviews Evid Based Nurs 2024; 21:23-33. [PMID: 38183158 DOI: 10.1111/wvn.12693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 10/31/2023] [Accepted: 11/04/2023] [Indexed: 01/07/2024]
Abstract
BACKGROUND Healthcare systems recognize evidence-based practice (EBP) as the prestigious standard for providing safe and high-quality patient care, nursing excellence, and Magnet Recognition. Despite the well-documented benefits, implementation of EBP is inconsistent and remains elusive in the US and throughout the world and many patients still fail to receive evidence-based care. The literature revealed a huge gap between nursing science and practice but provided evidence that nurse managers (NMs) had a pivotal leadership role in implementing EBP. AIM To gain a deeper understanding of Magnet-recognized hospital nurse managers' (MRHNMs) leadership roles, the influencing factors, and their experience in implementing EBP to enhance EBP initiatives and sustain Magnet recognition. METHOD This mixed-method study guided by Goodall's (Australasian Psychiatry, 2016. 24, 231) theory of expert leadership used a sequential explanatory method with a quantitative-driven design based on a national correlational survey augmented by a qualitative descriptive component using semi-structured interviews. RESULTS The findings of the study demonstrated that MRHNMs had a 54.6% effective leadership role in implementing EBP and produced numerous themes indicating that MRHNMs did implement EBP with struggle. MRHNMs in this study viewed EBP as a healthcare priority and leadership of NMs is necessary to promote EBP. However, lack of knowledge, difficulties with the EBP process, time constraints, and staffing issues negatively impacted EBP. Postgraduate degree, formal EBP education, critical care units as workplace, collaboration with doctorally prepared nurses, and Magnet culture enhanced EBP among MRHNMs. LINKING EVIDENCE TO ACTION EBP is essential for Magnet recognition and is a hallmark of nursing excellence, however, is a complex and challenging process. The leadership of NMs is necessary to shape evidence-based care, and NMs require EBP preparation during leadership training, necessary resources, and time to complete the EBP process. EBP cannot become a reality without leaders being engaged, supportive, and persistent.
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Affiliation(s)
- Della Mathew
- Texas Woman's University (TWU), Houston, Texas, USA
- Memorial Hermann at Texas Medical Center, Houston, Texas, USA
| | | | - Ann Malecha
- Texas Woman's University (TWU), Houston, Texas, USA
| | - Robin Toms
- Texas Woman's University (TWU), Houston, Texas, USA
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Yackel HD, Montano ARL. Attitudes Toward Interprofessional Health Care Teams in a Regional Cancer Institute: A Cross-Sectional Survey Study. Semin Oncol Nurs 2023; 39:151468. [PMID: 37385871 DOI: 10.1016/j.soncn.2023.151468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 05/26/2023] [Accepted: 06/07/2023] [Indexed: 07/01/2023]
Abstract
OBJECTIVES Oncology is a rapidly changing clinical setting. Research has shown improved patient outcomes and staff satisfaction following interprofessional collaborative education, but there has been limited research on perceptions of interprofessional collaboration among oncology health care professionals. The aims of this study were to: 1) assess attitudes of health care professionals toward interprofessional teams in oncology care, and 2) assess for differences in attitudes across various demographic and workplace groups. DATA SOURCES The research design was an electronic cross-sectional survey. The main instrument utilized was the Attitudes Toward Interprofessional Health Care Teams (ATIHCT) survey. A total of 187 oncology health care professionals from a regional New England cancer institute completed the survey. The ATIHCT mean score was high (M = 4.07, SD = 0.51). Analysis revealed statistically significant differences in mean score among participant age groups (P = .03). Significant differences (P = .01) were also noted between different professional groups and their time constraints sub-scale score on the ATIHCT scale. A higher mean score occurred in participants who had a current certification (M = 4.13, SD = 0.50) compared to those without (M = 4.05, SD = 0.46). CONCLUSION High overall scores in attitudes toward health care teams suggest that cancer care settings are primed for interprofessional care model implementation. Future studies should examine strategies to improve attitudes among specific groups. IMPLICATIONS FOR NURSING PRACTICE Nurses are in a position to lead interprofessional teamwork in the clinical setting. Further research is necessary to examine best collaborative models in health care to support interprofessional teamwork.
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Affiliation(s)
- Hayley Dunnack Yackel
- Clinical Research Nurse and Scientist, Hartford HealthCare Cancer Institute, Hartford, Connecticut, USA.
| | - Anna-Rae L Montano
- Program Director of Inpatient Geriatric Services, Hartford Hospital, Hartford, Connecticut, USA
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Wang H, Sun W, Zhou Y, Li T, Zhou P. Teachers' assessment literacy improves teaching efficacy: A view from conservation of resources theory. Front Psychol 2022; 13:1007830. [PMID: 36389569 PMCID: PMC9649984 DOI: 10.3389/fpsyg.2022.1007830] [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: 07/31/2022] [Accepted: 10/11/2022] [Indexed: 11/23/2022] Open
Abstract
Recent revisions to the Conservation of Resources theory have not only reclassified categories of resources, but have also acknowledged the conceptual importance of "gain spirals" and "resource caravans" in enriching the theoretical understanding of resources. Given that teachers' assessment literacy is a prominent yet underexplored personal constructive resource in teaching, this paper examines its role in teaching efficacy. In addition, personal energy resources (e.g., psychological capital and professional identity) are studied as antecedents to teaching efficacy. To this end, a survey based on the Chinese versions of the Teacher Assessment Literacy Scale, the Teaching Efficacy Scale, the Psychological Capital Scale, and the Teacher Professional Identity Scale was administered to secondary school teachers in Henan Province, China, and 351 completed, valid surveys were returned. The findings indicated that the teachers' assessment literacy and teaching efficacy were positively correlated, verifying that assessment literacy can influence teaching efficacy through the separate and chain mediation effects of psychological capital and professional identity. The identification of such mediating pathways has confirmed that resources owned by teachers can lead to gain spirals and full resource caravans, thus expanding the Conservation of Resources theory by positing that resources can be nested within one another. This study has theoretical implications for teaching efficacy research and the Conservation of Resources theory as well as practical implications regarding how to boost teachers' constructive and energy resources and professional development.
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Affiliation(s)
- Hongxi Wang
- Faculty of Education, Henan University, Kaifeng, China
- Institute of Educational Examination and Evaluation, Henan University, Kaifeng, China
| | - Wenwen Sun
- Faculty of Education, Henan University, Kaifeng, China
| | - Yue Zhou
- Faculty of Education, Henan University, Kaifeng, China
| | - Tingting Li
- Faculty of Education, Henan University, Kaifeng, China
| | - Peiling Zhou
- Faculty of Education, Henan University, Kaifeng, China
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Van Horn LT, Wright L, Arikawa AY, Sealey-Potts C, Hamadi H. Determinant factors associated with the use of evidence-based dietetics practice among registered dietitian nutritionists. Nutr Diet 2022. [PMID: 36193686 DOI: 10.1111/1747-0080.12771] [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: 03/29/2022] [Revised: 07/26/2022] [Accepted: 08/11/2022] [Indexed: 11/28/2022]
Abstract
AIMS There is a lack of research assessing perceived and actual evidence-based dietetics practice knowledge among registered dietitian nutritionists. This cross-sectional research examined the association between determinant factors (i.e., education attainment) and objective knowledge (i.e., quiz items) of evidence-based dietetics practices. Other determinant factors associated with perceived knowledge and skill, attitudes, behaviours and outcomes related to evidence-based dietetics practice were also assessed. Perceived knowledge items were compared to objective knowledge items to evaluate the accuracy of self-assessed evidence-based dietetics practice knowledge among dietitians in the United States. METHODS A modified and adapted evidence-based practice survey was emailed to registered dietitian nutritionists in the United States via the Commission on Dietetic Registration database between November and December 2020. Analysis of variance assessed the relationship between highest degree held and actual knowledge of evidence-based dietetics practices. Multiple linear regression and ordinal logistic regression determined participant-level characteristics associated with survey subscales and survey items, respectively. Pearson's correlation coefficient evaluated the relationship between subjective and objective items. RESULTS Four hundred and eighty-two dietitians completed the survey. Each increase in degree type was associated with an increase in objective knowledge score (all comparisons p < 0.001). Other determinants included recency of degree completion and peer-reviewed publications. Moderate positive associations (r = 0.35, p < 0.001) were found between subjective and objective measures. CONCLUSION Graduate-level education, recency of degree completion and peer-reviewed publications were supportive of evidence-based dietetics practice-related outcomes. Future research should evaluate the efficacy of training, particularly among those further from their highest completed degree.
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Affiliation(s)
- Leslie Thompson Van Horn
- Brooks College of Health, Department of Nutrition and Dietetics, University of North Florida, Jacksonville, Florida, USA
| | - Lauri Wright
- Brooks College of Health, Department of Nutrition and Dietetics, University of North Florida, Jacksonville, Florida, USA
| | - Andrea Y Arikawa
- Brooks College of Health, Department of Nutrition and Dietetics, University of North Florida, Jacksonville, Florida, USA
| | - Claudia Sealey-Potts
- Brooks College of Health, Department of Nutrition and Dietetics, University of North Florida, Jacksonville, Florida, USA
| | - Hanadi Hamadi
- Brooks College of Health, Department of Health Administration, University of North Florida, Jacksonville, Florida, USA
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Status Quo of Occupational Identity of Nursing Staff in Rehabilitation Department and Its Relationship with Work Stressors. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:9974311. [PMID: 36262993 PMCID: PMC9553466 DOI: 10.1155/2022/9974311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/31/2022] [Accepted: 09/15/2022] [Indexed: 01/26/2023]
Abstract
Due to the continuous progress of social economy, medical and health technology and the development of disciplines have shown a trend of rapid development. In the current medical environment, quality nursing services are constantly promoted. Nursing staff are dedicated to their work to the best of their ability. Meanwhile, they should be rewarded with corresponding happiness and joy in their work. This study starts from the perspective of nursing management and psychology. On this basis, it investigates the occupational identity and work stress status of nursing staff. At the same time, the data are analyzed, and the relationship between occupational identity and work pressure is analyzed. This article provides a certain theoretical basis and support for the decision-making of relevant nursing managers, and also makes efforts to improve the professional identity and work happiness of nursing staff. In this study, which surveyed 596 rehabilitation nurses, the nurses' total occupational stress score was 74.52, with an average score of 2.12 points. The overall score for professional identity was 102.00, with an average score of 3.40 points. This belonged to the medium level. It showed that the occupational pressure of nurses should be paid attention to by relevant managers. Two of the five dimensions with the highest scores were occupational social support and occupational self-reflection. A negative correlation was found between occupational stress and its dimensions and occupational identity and its dimensions (P < 0.01).
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Santana-Padilla YG, Bernat-Adell MD, Santana-Cabrera L. Nurses’ perception on competency requirement and training demand for intensive care nurses. Int J Nurs Sci 2022; 9:350-356. [PMID: 35891902 PMCID: PMC9305005 DOI: 10.1016/j.ijnss.2022.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 05/29/2022] [Accepted: 06/13/2022] [Indexed: 11/19/2022] Open
Affiliation(s)
- Yeray Gabriel Santana-Padilla
- Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Canary Islands, Spain
- Corresponding author.
| | | | - Luciano Santana-Cabrera
- Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Canary Islands, Spain
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Kerlin MP, Costa DK, Kahn JM. The Society of Critical Care Medicine at 50 Years: ICU Organization and Management. Crit Care Med 2021; 49:391-405. [PMID: 33555776 DOI: 10.1097/ccm.0000000000004830] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Meeta Prasad Kerlin
- Division of Pulmonary, Allergy, and Critical Care Medicine and Palliative and Advanced Illness Research Center, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
- Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA
| | - Deena Kelly Costa
- Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI
- Institute for Healthcare Innovation & Policy, University of Michigan, Ann Arbor, MI
| | - Jeremy M Kahn
- Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA
- Department of Health Policy & Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA
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VITALE E. "Anxiety, Depression and Insomnia Conditions in Italian Nurses
during the First and the Second Waves of the Covid-19 Pandemic". JOURNAL OF EVIDENCE-BASED PSYCHOTHERAPIES 2021. [DOI: 10.24193/jebp.2021.1.5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
"Background: To assess the levels of anxiety, depression and insomnia among
Italian nurses directly involved in the care of patients with Covid-19,
considering the first and the second wave of the pandemic.
Methods: An online questionnaire was administered on some pages of the
nursing social networks and addressed precisely to nurses directly involved
in the care of patients affected by Covid-19 in two different periods of the
pandemic: during the first wave (March2020 - May 2020) and during the
second wave (October 2020 - November 2020).
Results: A total of 592 nurses agreed to participate in the study: 291 nurses
during the first wave and 301 during the second wave. No significant
differences were recorded among the two groups based on anxiety disorder
(p=.364). A significant difference between the two groups were recorded
considering the depression and the insomnia condition, too (p <.001;
p<.001). Additionally, no significant differences were recorded between the
two waves, both for the anxiety, depression and insomnia disorders. In fact,
there were only sex-related differences for each wave, but between the two
waves the condition among nurses did not vary significantly.
Conclusion: Further psychological support should be implemented and
nurses encouraged in their care of patients suffered from Covid-19."
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Affiliation(s)
- Elsa VITALE
- Registered Nurse at the Department of Mental Health, ASL Bari, Italy. Contract professor for the basic and specialist degree course in nursing at the University of Bari
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Zheng R, Zhou Y, Fu Y, Xiang Q, Cheng F, Chen H, Xu H, Fu L, Wu X, Feng M, Ye L, Tian Y, Deng R, Liu S, Jiang Y, Yu C, Li J. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: A cross-sectional study. Int J Nurs Stud 2021; 114:103809. [PMID: 33207297 PMCID: PMC7583612 DOI: 10.1016/j.ijnurstu.2020.103809] [Citation(s) in RCA: 94] [Impact Index Per Article: 31.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 09/20/2020] [Accepted: 10/17/2020] [Indexed: 02/05/2023]
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) is a public health emergency of international concern and has caused traumatic experience for nurses worldwide. However, the prevalence of depression and anxiety symptoms in nurses, and how psychosocial factors influence nurses in this public crisis are unknown. OBJECTIVES To determine the effect of COVID-19 on the mental health of nurses and the prevalence of anxiety and depression symptoms among nurses in China during the outbreak. DESIGN A cross-sectional study. SETTINGS AND PARTICIPANTS A total of 3,228 nurses in Sichuan Province and Wuhan City were selected by convenience sampling. All participants were invited to complete the questionnaire through WeChat from January 27 to February 3, 2020. METHODS A self-reported questionnaire combining depression and anxiety scale was used to collect data anonymously. Binary and multivariate logistic regression was applied to measure the odds of psychosocial factors of anxiety and depression and perceived health, respectively. RESULTS The total incidence of depression (34.3%) and anxiety (18.1%) during the COVID-19 outbreak was lower than that during the SARS outbreak; however, the rate of depression in our study (47.1%) was high and similar in a recent study (50.4%) about the health care workers exposed to COVID-19 in China. The results indicated that COVID-19-related stress, relationship quality with family, and demographic characteristics were associated with depression, anxiety, and perceived health status. Furthermore, the prevalence of depression was similar between nurses working in low-risk COVID-19 wards was as high as working in high-risk COVID-19 wards (OR, 1.078; 95% CI, 0.784-1.481). CONCLUSIONS Our study revealed the high prevalence of depression and anxiety among nurses during the outbreak of COVID-19. COVID-19 factors and psychosocial factors were associated with mental health of nurses. The results suggest that hospitals should implement effective mental health promotion programs focused on occupational safety and family support to improve the well-being of nurses.
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Affiliation(s)
- Rujun Zheng
- West China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China
| | - Yuhong Zhou
- West China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China
| | - Yan Fu
- West China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China
| | - Qiufen Xiang
- West China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China
| | - Fang Cheng
- Department of Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
| | - Huaying Chen
- Department of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Huiqiong Xu
- Department of Abdominal Oncology, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Lan Fu
- Breast Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Xiaoling Wu
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Mei Feng
- Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Lei Ye
- Emergency Department, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Yongming Tian
- Department of Intensive Medicine, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Rong Deng
- Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Shanshan Liu
- Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, China
| | - Yan Jiang
- Department of Nursing/Evidence-based Nursing Center, West China Hospital, Sichuan University, Chengdu 610041, China.
| | - Chunhua Yu
- West China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.
| | - Junying Li
- West China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.
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Barría P RM. Nursing during Times of Pandemic: from Courage on the Front Line to Heroic Courage in Banksy's Mural. INVESTIGACION Y EDUCACION EN ENFERMERIA 2020; 38:e2. [PMID: 33047545 PMCID: PMC7883917 DOI: 10.17533/udea.iee.v38n2e02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
On 12 May 2020, the world commemorated thebicentennial of the birth of Florence Nightingale,and to date, multiple publications in press media,social networks, and journal articles have relatedher biography and accounted for her contributionand legacy, not only to nursing, but to publichealth. It is precisely within this context of healthcontingency due to the COVID-19 pandemic thatthe relevance of Nightingale gains greater senseon aspects as simple, but as necessary, likehandwashing and measures of basic health.
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