We interviewed 36 primary care nurses in three Dutch nursing homes regarding the functional oral health and dental treatment needs of 331 care-dependent residents (average age 77.8 years). The nurses assessed the residents' oral health condition as good (8.3 on a scale of 0 to 10). Edentulous residents wearing dentures were considered to have better functional oral health than dentate residents wearing partial dentures and edentulous residents not wearing dentures. According to the nurses, only 9% of the residents required dental treatment. This finding is in contrast with an intraoral study of the same population, in which dentists determined that 73% of the residents needed dental treatment. PMID:25353656
Gerritsen, P F M; Schrijvers, A J P; Cune, M S; van der Bilt, A; de Putter, C
Full Text Available The aim of this study was to explore and describe whether primary health care nurses are equipped with the skills they require in health assessment, treatment and care.
Die doel van hierdie navorsing was om te verken en te beskryfofdie primere gesondheidsorgverpleegkundiges met die nodige vaardighede toegerus is, ten einde in staat te wees om kwaliteit pasientsorg deur gesondheidsberaming, behandeling en verpleegsorg, te verleen. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
S S Monamodi
Full Text Available Occupational health nurses (OHNs are qualified registered nurses with a postgraduate qualification in occupational health nursing. An important activity of OHNs is to identify and assess health risks in the workplace. Health risk assessments (HRAs are conducted by OHNs to determine all the occupational health stressors, for example noise, vibration and chemical substances. The authors conducted legal compliance occupational health audits and observed that 85% (n = 23 of OHNs in different settings conduct HRAs only to a limited extent. The following objective was formulated for the study: To explore and describe the extent to which OHNs conduct HRAs as it is a legal requirement for compliance; and the possible reasons for not adhering to the regulation and conduct them only to a limited extent. A quantitative, descriptive design was used in this study. A sampling frame was developed from a list of all the members of the South African Society of Occupational Health Nursing Practitioners (SASOHN in Gauteng. From the target population of OHNs in Gauteng, a systematic cluster sampling method was used. A self-developed questionnaire was distributed by mail and e-mail, and authors sent respondents reminders. The authors ensured that validity, reliability and ethical standards were adhered to. The findings revealed that OHNs are mature, experienced, predominately female practitioners who operate on behalf of a disproportionately large number of workers. Four factors influencing these nurses in conducting an HRA to a limited extent were identified: competence, ignorance about the role of the OHN, workload and attitude.
Nicolene de Jager
The increase in advanced practice graduate programs and the inclusion of content and skills related to advanced health assessment as a core competency for practice served as the impetus for a 5-year follow-up study to track the changes, methodologies, and integration of technology into practitioner programs. The questionnaire was mailed to the faculty/schools listed as current members in the National Health Service Corps Nurse Practitioner Faculty Advocate Network. The number of responding schools was 135 (44%). The family nurse practitioner program continues to be the most offered advanced practice nursing program. Nearly all institutions offer a post-master's program and an advanced health assessment course to their clinical graduate students. Health assessment is usually taught concurrently or as a prerequisite for clinical experiences; there continues to be a strong emphasis on the physical examination component. Ethnic and cultural assessment and gerontological assessment content increased since the original study. Both class and laboratory class sizes decreased. Qualitative data that centered on differences in graduate versus undergraduate health assessment revealed a shift in focus in several areas: differential diagnoses, abnormals, and the inclusion of advanced skills. There was an emergence of more creative strategies: the use of standardized patients, online coursework, videotaping, "live" patients, and simulations. PMID:17540316
Kelley, Frances J; Kopac, Catharine A; Rosselli, John
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states. Logistic regression models were used to evaluate the relationship between basic EHR adoption and nurse-assessed quality of care outcomes. Nurses working in hospitals with basic EHRs consistently reported that poor patient safety and other quality outcomes occurred less frequently than reported by nurses working in hospitals without an EHR. Our findings suggest that the implementation of a basic EHR may result in improved and more efficient nursing care, better care coordination, and patient safety. PMID:22033316
Kutney-Lee, Ann; Kelly, Deena
Assessing emergency nursing competence is an ongoing issue for emergency clinical nurse specialists (CNS), educators, and other members of the leadership team. Validation of emergency nurses' competency is not only required by regulatory agencies, but common sense tells people that they need to know that nurses can safely care for patients. Strategies for evaluating and improving emergency nursing competence based on the author's experience are discussed in this article. PMID:11818265
Proehl, Jean A
Full Text Available The purpose of this study was to explore the connection nurses see between the environment and health concerns of their patients. The study surveyed registered nurses (RNs in a western state to determine whether they evaluated themselves as knowledgeable about environmental health (EH hazards and if they felt prepared by their nursing curriculum to share this information with their patients. The study replicates a survey of Wisconsin nurses concerning issues related to EH knowledge among RNs in Idaho. Data from 170 respondents to a mailed survey indicated that although nurses agreed that they should be knowledgeable about EH hazards, few were adequately prepared. Overall, many nurses felt unprepared from their nursing curricula to address EH issues in the field. Corrective measures are discussed.
The aim of this study was to examine the effect of having a basic electronic health record (EHR) on nurse-assessed quality of care, including patient safety. Few large-scale studies have examined how adoption of EHRs may be associated with quality of care. A cross-sectional, secondary analysis of nurse and hospital survey data was conducted. The final sample included 16,352 nurses working in 316 hospitals in 4 states. Logistic regression models were used to evaluate the relationship between b...
Kutney-lee, Ann; Kelly, Deena
Recent national and regional public health workforce development efforts have been conducted through a framework of public health services research. Public health nurses (PHNs) are the single largest professional group in the formal public health system, and thus have the greatest potential for positively impacting our community health systems. Effective public health workforce development is contingent on examination of how PHNs themselves make meaning of their practice. This paper suggests that a nursing perspective should be used from which to conduct research surrounding PHN practice. Literature describing PHN practice and recent workforce assessment efforts are reviewed. Assumptions are identified regarding the nature of nursing knowledge, and a theoretical perspective for inquiry about PHN praxis is developed. Finally, a model is offered to illustrate the reciprocal influence of nursing science and public health nursing practice. PMID:19154195
Swearingen, Connie Diaz
Full Text Available SciELO South Africa | Language: English Abstract in english The practice of community health nursing (CHN) may enhance the life experiences of families and communities, particularly amongst the poor and socially marginalised. CHN provides for a deeper understanding of the health status of families living within communities, for example, where and how they li [...] ve, their cultural context and their ability to identify resources available to assist with their health care (Allender, Rector & Warner 2010:17). This qualitative phenomenological study reflects on the self-reported lived experiences of undergraduate CHN students at the University of the Western Cape in the City of Cape Town, South Africa. These students conducted a family health assessment (FHA) learning task at the homes of families within communities. Purposive and convenience sampling was used by students who had conducted an FHA. Fourteen students agreed to participate in the study, of whom nine were interviewed, two withdrew and the remaining three were not interviewed since no new data were emerging during interviews, indicating that saturation had been reached. During in-depth interviews with seven female and two male students, data for the exploration of the lived experiences was gathered through the following question: 'How did you experience the FHA?' Field notes were taken and used to capture non-verbal communication of participants. The focus of the study was to explore the lived experiences of students and not those of the family on whom the FHA was completed. Data collected were categorised into themes, guided by the systematic data analysis process of Tesch (1990) cited in Cresswell (2003:192). Four themes emerged: challenges of family selection, challenges of safety, socio-cultural challenges and academic challenges experienced by the participants. This study will inform future research and curriculum planning for CHN education in a multifaceted context.
Juliana J., Willemse; Elma W., Kortenbout.
Full Text Available In this article obstacles that influence nurses mental health are described as well as ways to address the obstacles to promote mental health.
In hierdie artikel word struikelblokke wat verpleegkundiges se geestesgesondheid beinvloed beskryf asook wyses hoe om die struikelblokke aan te spreek om sodoende geestesgesondheid te bevorder. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Purpose The purpose of this study was to evaluate the association between the federally mandated Minimum Data Set (MDS) Vision Patterns assessment for nursing home residents in the United States and an assessment of their vision-targeted quality of life as assessed by certified nursing assistants (CNAs). Methods Participants were 371 residents over the age of 55 from 17 nursing homes in the Birmingham, Alabama metropolitan area and the CNAs directly assigned to their care. CNAs assessed the vision-targeted quality of life of residents in their charge using the Nursing Home Vision-Targeted Health-Related Quality of Life (NHVQoL) questionnaire. MDS assessment categories assigned to each resident by the MDS nurse coordinator (“adequate”, “impaired”, “moderately impaired”, “highly impaired”, “severely impaired”) were obtained from the medical record. Visual acuity was measured using logMAR charts by trained research staff. Results CNA-rated NHVQoL subscale scores decreased as the MDS rating indicated more vision impairment (all P's for trend <0.05). Almost all mean scores were in the 80s and 90s for those in the adequate, impaired, and moderately impaired categories. For those with MDS ratings of severely or highly impaired, NHVQoL subscale scores (except ocular symptoms) were dramatically lower (P?0.001) than those rated as moderately impaired. Conclusions Ratings by CNAs on the vision-targeted quality of life of nursing home residents under their care is in general agreement with the MDS category assigned by the nurse coordinator. However, CNA ratings are largely homogeneous in the adequate vision to moderately impaired categories. PMID:21331148
Swanson, Mark W.; McGwin, Gerald; Elliott, Amanda F.; Owsley, Cynthia
Intute's Nursing, Midwifery, and Health professional pages is a free online resource that provides information skills for nurses, midwives, and health visitors, allowing them to make practical use of the Internet in their work. The site contains key Internet resources to support the study, teaching, and/or research for nurses, midwives, and health visitors. For those completely unfamiliar with the Web world, the site also contains a glossary to help demystify some Internet terminology.
Prisons provide an ideal setting in which to carry out blood-borne virus testing among a high-risk population. This paper describes a nurse-led testing programme offered to all prisoners within the substance misuse unit at a local prison in South Wales over a 4-year period. Challenges to organizing such a clinic within the prison setting are discussed. Between April 2006 and April 2010, approximately 4500 prisoners were admitted through the substance misuse unit. Blood-borne virus testing took place among 176 prisoners, of which 24 were hepatitis C seropositive, 19 were confirmed as virus-positive, and eight were referred to specialist teams to consider treatment. Among prison populations blood-borne virus testing needs to be encouraged and improved. Offering testing provides opportunities for harm minimization, education and referrals for treatment. Such provisions are needed to benefit the health of individuals, their families and the wider public health. PMID:21646992
Perrett, Stephanie E
Elderly population is characterized by larger need for social welfare and medical treatment than other age groups. Along with aging, there is a number of emerging health, nursing, caring, psychological and social problems. Complexity of these problems results from overlapping and advancing involutional changes, multi-illness, decreased functional efficiency and other factors. The aim of the study was the assessment of health problems in geriatric patients as well as bio-psycho-social need deficiencies in a view of selected parameters of functional efficiency. The research group consisted of the Chair and Clinic of Geriatrics, 186 women and 114 men, 300 persons in total. The research was carried out using a diagnostic poll method with the application of the Activities of Daily Living (ADL) questionnaire of assessment of daily efficiency on the basis of the Katz Scale; the Care Dependency Scale (CDS) questionnaire used to measure the level of the care dependency and human needs, Norton's bed sores risk assessment scale, the Nursing Care Category (NCC) questionnaire applied to assess the need for nursing care. In most patients the results unveiled manifestations of three or more illnesses. Functional efficiency was at low and average level. Half of the subjects were endangered by risk of bed sores as well as showed high need fulfillment deficiency. The highest level of the deficiency was observed in patients in the eldest age group as well as suffering from multi-illness. Material status, education, place of residence or gender showed no significant influence on the level of need fulfillment. PMID:21862145
Muszalik, Marta; Dijkstra, Ate; K?dziora-Kornatowska, Kornelia; Zieli?ska-Wi?czkowska, Halina
This discussion paper argues for the critical importance of successful leadership for effective mental health nursing, observing that nursing leadership has long been regarded problematically by the profession. Using empirical and theoretical evidence we debate what leadership styles and strategies are most likely to result in effective, recovery-orientated mental health nursing. Models of transformational and distributed leadership are found to be highly congruent with mental health nursing values, yet the literature suggests it is a type of leadership more often desired than experienced. We note how the scholarly literature tends to ignore the "elephant in the room" that is organizational power, and we question whether transformational leadership pursued within a specific clinical context can influence beyond those confines. Nevertheless it is within these contexts that consumers experience nursing, effective or otherwise, thus we should advocate what is known about effective leadership wherever it is required. PMID:21932925
Cleary, Michelle; Horsfall, Jan; Deacon, Maureen; Jackson, Debra
This article is the first about occupational health nursing in Hungary. The authors describe the Hungarian health care and occupational health care systems, including nursing education and professional organizations for occupational health nurses. The Fundamental Law of Hungary guarantees the right of every employee to healthy and safe working conditions, daily and weekly rest times and annual paid leave, and physical and mental health. Hungary promotes the exercise of these rights by managing industrial safety and health care, providing access to healthy food, supporting sports and regular physical exercise, and ensuring environmental protection. According to the law, the responsibility for regulation of the occupational health service lies with the Ministry of Human Resources. Safety regulations are under the aegis of the Ministry of National Economy. [Workplace Health Saf 2014;62(10):421-430.]. PMID:25139783
Hirdi, Henriett Éva; Hong, OiSaeng
Full Text Available This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Americas. There are significant regional differences in the levels and types of training of nurses working in public health areas and an increasing number of nurses are pursuing training in public health at the master’s and doctoral levels. Many nurses carry out some or all of the essential functions of public health, but are not considered to be public health nurses. Generally, auxiliary and technical nurses have a broader presence in public health areas than professional nurses. In the future, regional health systems reforms should support increased recruitment and training of public health nurses, as well as stronger roles in public health research and health care at the individual, community, and population levels.
Jose Arturo Ruiz-Larios
This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Amer...
Jose Arturo Ruiz-Larios; Kelly Cooper; Laura Magaña-Valladares; Gustavo Nigenda
Almost from the beginning of formal college health programs in the second half of the 19th century, college health nurses were there to care for students in college and university settings. By the end of the 20th century, the role of college health nurses had evolved with the nursing field in general, but with enough unique features for the…
Crihfield, Connie; Grace, Ted W.
The aim of this study was to evaluate mental health and learning disability nursing students' perceptions of the usefulness of the objective structured clinical examination (OSCE) in assessing their administration of medicine competence. Learning disability (n = 24) and mental health (n = 46) students from a single cohort were invited to evaluate their experience of the OSCE. A 10-item survey questionnaire was used, comprising open- and closed-response questions. Twelve (50%) learning disability and 32 (69.6%) mental health nursing students participated. The OSCE was rated highly compared to other theoretical assessments; it was also reported as clinically real and as a motivational learning strategy. However, it did not rate as well as clinical practice. Content analysis of written responses identified four themes: (i) benefits of the OSCE; (ii) suggestions to improve the OSCE; (iii) concern about the lack of clinical reality of the OSCE; and (iv) OSCE-induced stress. The themes, although repeating some of the positive statistical findings, showed that participants were critical of the university setting as a place to conduct clinical assessment, highlighted OSCE-related stress, and questioned the validity of the OSCE as a real-world assessment. The OSCE has an important role in the development of student nurses' administration of medicine skills. However, it might hinder their performance as a result of the stress of being assessed in a simulated environment. PMID:25180411
Hemingway, Steve; Stephenson, John; Roberts, Bronwyn; McCann, Terence
Increasingly providers of mental health nurse education are required to demonstrate user involvement in all aspects of these programmes including student selection, programme design and student assessment. There has been limited analysis of how nursing students perceive user involvement in nurse education programmes. The aim of this study has been to explore mental health nursing student's perceptions of involving users in all aspects of pre-registration mental health nursing programme. Researchers completed a number of focus group interviews with 12 ex-mental health nursing students who had been recruited by purposeful sampling. Each focus group interview was recorded and analysed using a series of data reduction, data display and verification methods. The study confirms many of the findings reported in earlier user participation in education studies. Three main themes related to user involvement have been identified: the protection of users, enhanced student learning and the added value benefits associated with user involvement. PMID:22533371
O' Donnell, H; Gormley, K
Job satisfaction is a key to the retention of quality nurses. To promote staff retention and reduce costs, nursing administrators need current research on job satisfaction of home health nurses. In a study of job satisfaction of 66 home health nurses, research indicates that the most satisfying aspects of home care nursing include autonomy and independence, close nurse-client relationships, work hours, flexibility in scheduling hours, and satisfaction with peers and supervisors. When nursing administrators capitalize on these job satisfiers, staff turnover is reduced and costs are contained. PMID:7960880
Lynch, S A
Full Text Available Much has been written about the continual assessment of clinical practice and the theoretical aspects of the general science and art of nursing. This article aims to clarify the practical aspects of assessment rather than to discuss the numerous theories. Firstly, we need to define that we mean by evaluation or assessment.
Full Text Available Abstract Background Aims of the present study are the following: 1. to describe the rationale and methodology of the Services and Health for Elderly in Long TERm care (SHELTER study, a project funded by the European Union, aimed at implementing the interRAI instrument for Long Term Care Facilities (interRAI LTCF as a tool to assess and gather uniform information about nursing home (NH residents across different health systems in European countries; 2. to present the results about the test-retest and inter-rater reliability of the interRAI LTCF instrument translated into the languages of participating countries; 3 to illustrate the characteristics of NH residents at study entry. Methods A 12 months prospective cohort study was conducted in 57 NH in 7 EU countries (Czech Republic, England, Finland, France, Germany, Italy, The Netherlands and 1 non EU country (Israel. Weighted kappa coefficients were used to evaluate the reliability of interRAI LTCF items. Results Mean age of 4156 residents entering the study was 83.4 ± 9.4 years, 73% were female. ADL disability and cognitive impairment was observed in 81.3% and 68.0% of residents, respectively. Clinical complexity of residents was confirmed by a high prevalence of behavioral symptoms (27.5% of residents, falls (18.6%, pressure ulcers (10.4%, pain (36.0% and urinary incontinence (73.5%. Overall, 197 of the 198 the items tested met or exceeded standard cut-offs for acceptable test-retest and inter-rater reliability after translation into the target languages. Conclusion The interRAI LTCF appears to be a reliable instrument. It enables the creation of databases that can be used to govern the provision of long-term care across different health systems in Europe, to answer relevant research and policy questions and to compare characteristics of NH residents across countries, languages and cultures.
It is a well-known fact that nursing and feminism have enjoyed an uneasy alliance. In recent years, however, nursing has begun to recognize the importance of feminism. Nevertheless, the literature still rarely addresses the relevance of feminism for public health nursing. In this article, I articulate the relevance of feminism for public health nursing knowledge and practice. First, I define and describe feminism and public health nursing and then I discuss the importance of feminism for public health nursing practice. The importance of feminism for the metaparadigm concepts of public health nursing is then reviewed. Finally, I examine several existing challenges relating to feminism and public health nursing research, education, and practice. The thesis of this article is that feminism is vitally important for the development of public health nursing and for public health care. PMID:11569301
Leipert, B D
Full Text Available Objectives: To evaluate English, Afrikaans, and Xhosa mother-retained ‘Road-to- Health Book’ (RTH book for children, and an electronic calculator. Design: Researchers D Harrison (DH and H Harker (HH informed clinic staff about the contents and significance of the RTH book. They requested nurses to use this book in conjunction with the Road-to-Health Card and to issue and explain its use to every visiting client. The use of an electronic calculator that plotted horizontal centile and Z-score charts was demonstrated and explained. To determine the relevance of the book and the electronic calculator, nurses involved in the study for 6 months were given three standardised descriptive questionnaires with ‘yes’, ‘no’ and ‘don’t know’ responses. Clients were traced and interviewed by the researchers after 6 -1 2 months to obtain their views on the book. Setting: Clinics that provided children with healthcare in 24 locations in the Western Cape Province participated in the study. The children lived in informal settlements, in low-, middle- and high-income residential areas, and on farms in the Cape Town. Stellenbosch, and Paarl regions. Subjects: One hundred and fourteen nurses were enrolled in the study as well as 581 clients to whom the RTH book was issued. Outcome measures: The use of and comments on the RTH book by nurses and clients were based on analysis of the questionnaires. Results: The majority of nurses (81.6% and clients (96% found the RTH book useful. The horizontal and Z-score growth charts and electronic calculator were less acceptable because their use was time-consuming and less well understood. Conclusion: The RTH book with appropriate modifications should be issued to clients in place of the current Road-to-Health card and educational material.
Occupational health nurses have diverse backgrounds and their practices require the ability to perform unique professional tasks. This study empirically evaluated their activities and skills using a web-based log system to describe activities at 15 specific sampled times. A national sample of 128 occupational health nurses provided 1,893 activity logs revealing occupational health nurses use both clinical and management skills on a regular basis; indirect client care is as common as direct "hands-on" client care. Most occupational health nurses are directly paid by their employer and activities serve to benefit both individual workers and their employers. Occupational health nurses have specific knowledge and skills in addition to general nursing competencies. Understanding the actual work of occupational health nurses is necessary to align training, certification, and competency maintenance systems such as continuing education with the unique skills used in actual practice activities. PMID:24971818
Harber, Philip; Alongi, Gabriela; Su, Jing
Twenty-three public health schools and 492 university schools of nursing were surveyed to gather specific information on educational programs related to nuclear war. Twenty public health schools and 240 nursing schools responded. Nuclear war-related content was most likely to appear in disaster nursing and in environmental health courses. Three schools of public health report that they currently offer elective courses on nuclear war. Innovative curricula included political action projects for nuclear war prevention
Excessive workload from employment and household duties may negatively affect married female nurses' health. This study explored job stress, family stress, social support, and health status among married female nurses to identify predictors of nurses' health status. Using a cross-sectional design, 233 married female nurses were recruited from two regional teaching hospitals. The results showed that working hours per week, job stress, and overcommitment to their jobs were significant determinants of health status. Based on study findings, nursing supervisors should avoid scheduling nurses to work more than 48 hours per week. Job stress adjustment courses could enable nurses to relax after work, avoiding overcommitment. [Workplace Health Saf 2014;62(11):447-452.]. PMID:25102479
Fang, Li; Hung, Chich-Hsiu
Public health nursing has a code of ethics that guides practice. This includes the American Nurses Association Code of Ethics for Nurses, Principles of the Ethical Practice of Public Health, and the Scope and Standards of Public Health Nursing. Human rights and Rights-based care in public health nursing practice are relatively new. They reflect human rights principles as outlined in the Universal Declaration of Human Rights and applied to public health practice. As our health care system is restructured and there are new advances in technology and genetics, a focus on providing care that is ethical and respects human rights is needed. Public health nurses can be in the forefront of providing care that reflects an ethical base and a rights-based approach to practice with populations. PMID:23586767
Ivanov, Luba L; Oden, Tami L
Many nurses need to construct a research proposal at some stage of their career and there are multiple texts that provide guidance on doing so. However, most texts do not provide explicit guidance on the issue of social impact--the effect of research on the social health and wellbeing of individuals, families and communities and on the improved performance of relevant services. This article proposes that social impact should be considered from the beginning of a research project. It outlines a framework for assessing social impact to help strengthen the quality of research proposals and assist nurses constructing the proposal and also those evaluating it, including academic assessors or funding body reviewers. Nursing research should be useful and should have a positive effect on practice. Focusing on social impact can increase the chances of this desirable outcome. PMID:25074122
Bradbury-Jones, Caroline; Taylor, Julie
One of the International Council of Nurses' main remits, on behalf of its member organisations, is to prepare nurses for management and leadership roles. Its Leadership for Change (LFC) programme aims to complement a country's own educational and development schemes, to give nurses confidence in facing the challenges of health reforms in response to demand for services. This article describes the structure of LFC and illustrates how it helps nurses to emerge as effective leaders. PMID:22900384
Patient assessment provides the basis for identifying patient problems sensitive to nursing care and aligning nursing interventions to promote positive patient outcomes. We mapped the key concepts and attribute relations extracted from a set of initial patient assessment items to the International Classification for Nursing Practice (ICNP). Although we found the coverage of the ICNP not yet complete, we believe that the ICNP does have the potential to represent the nursing assessment data. PMID:18694109
Kim, Hyeoneui; Dykes, Patricia; Goldsmith, Denise; Zeng-Treitler, Qing
This paper reports on some outcomes of a research study evaluating a new assessment framework of clinical competence used in undergraduate nursing programmes in the Mid West Region of Ireland. First, this paper presents both the strengths and weaknesses of the present model, as articulated by student nurses. Second, it generates a broader critical debate around the concept of competency assessment. The model of competence in question was developed by the Irish Nursing Board then elaborated on by the University of Limerick in partnership with local health service providers in 2002. Methodology involved a triangulated approach, comprising a series of focus group interviews with students (n=13) and preceptors (n=16) followed by a survey of students (n=232) and preceptors (n=837). Findings from the student focus groups are reported here. Themes identified using Burnard's (1991) framework for analysis are preparation for competency assessment, competency documentation, supporting assessment in practice, organisational and resource factors and the competency assessment structure and process. Results from this research have implications for refinement and revision of the present competency assessment framework, for student and staff preparation and for collaboration between stakeholders. PMID:22874861
Bradshaw, Carmel; O'Connor, Maureen; Egan, Geraldine; Tierney, Katie; Butler, Mary Pat; Fahy, Anne; Tuohy, Dympna; Cassidy, Irene; Quillinan, Bernie; McNamara, Mary C
Background: Infection due to hospital-acquired microbes is an evolving problem worldwide, and horizontal transmission of bacterial organism continues to cause a high nosocomial infection rate in health care settings. Most nosocomial infections are thought to be transmitted by the hands of health care workers.The application of hand hygiene is effective in reducing infection rates. Objectives: To assess the level of knowledge and attitude regarding hand hygiene practices amongst the health care professionals and to identify areas of gaps in their knowledge and attitude. Materials and Methods: A cross-sectional study. Result: A total 160 respondents were studied about their knowledge and attitude towards hand hygiene practices and significant difference with a p-value of 0.0025 was observed regarding most frequent source of germs responsible for health care associated infections among resident and nurses. A significant difference with p-value of 0.0001 & 0.04 was observed in colonization due to jewellery and artificial nail among the study groups. The attitude regarding correct hand hygiene practices to be followed at all times was found to be better among nurses (62.5%) as compared to residents (21.3%) which was found to be highly significant with p-value attitudes and practices leading to reduction of nosocomial infections.
kaore, Navin Chandra M; Ramnani, Vijay Kumar; Gupta, Sanjay Kumar; Borle, Amod; Kaushal, Rituja
Health professionals, including nurses, stand accused of ignorance or oversight of children whose parent experience a mental health problem. Psychiatric nurses are in an ideal position to respond to children's needs and support their parents in a proactive and sensitive manner. The aim of this study was to explore psychiatric nurses' education, knowledge, confidence and practice with regard to the support needs of children whose parent has a mental health problem. This study employed a self-completion anonymous survey design with a sample of registered psychiatric nurses from one integrated mental health service in Ireland. The sample reported relatively low levels of education, knowledge, confidence and supportive clinical practice when it came to children whose parent has a mental health problem. There is an urgent need for education on family-focused care, and the development of guidelines and child focused services if the needs of parents and children are to be met. PMID:22632714
Houlihan, D; Sharek, D; Higgins, A
Full Text Available SciELO Mexico | Language: Spanish Abstract in spanish Introducción: La capacitación de enfermería es un proceso permanente para adquirir, mantener, renovar, reforzar, actualizar e incrementar los conocimientos, es necesario conocer la opinión del personal respecto a la capacitación impartida por sus instituciones. Objetivo: Evaluar la capacitación del [...] personal de enfermería de dos Institutos Nacionales de Salud. Material y métodos: Estudio observacional comparativo y transversal. La muestra fue aleatoria sistematizada (n=415 enfermeras del área operativa). Se midieron tres dimensiones: planeación, desarrollo y evaluación. Datos recolectados con instrumento ex profeso autoadministrado de 38 ítems sometido a prueba piloto y confiabilidad. Los datos se analizaron con frecuencias, porcentajes, medidas de tendencia central, pruebas T Student, ANOVA de una vía, correlación Pearson y Spearman tomando estadísticamente significativo p Abstract in english Introduction: Nursing training is a permanent process to acquire, maintain, renew, strengthen, update, and increment knowledge, and because of this, it is necessary to know the staff's opinion about the nursing training offered by their institutions. Objective: To assess the nursing staff training a [...] t two National Institutes of Health. Materials and methods: Observational, comparative and basic study. The sample was random and systematized (n = 415 nurses from the operative area). Three dimensions were measured: planning, development, and evaluation. Data were collected through a unique self-administered 38 items instrument which was used for a pilot test and further tested for its confidence level Data were analyzed through frequencies, percentages, central tendency measures, student T tests, one way ANOVA, and Pearson and Spearman correlations, having p
Julio César, Cadena Estrada; Sandra Sonalí, Olvera Arreola; María Teresa, Pérez López; Carmen L., Balseiro Almario; Reyna, Matus Miranda.
Full Text Available SciELO Mexico | Language: Spanish Abstract in spanish Introducción: La capacitación de enfermería es un proceso permanente para adquirir, mantener, renovar, reforzar, actualizar e incrementar los conocimientos, es necesario conocer la opinión del personal respecto a la capacitación impartida por sus instituciones. Objetivo: Evaluar la capacitación del [...] personal de enfermería de dos Institutos Nacionales de Salud. Material y métodos: Estudio observacional comparativo y transversal. La muestra fue aleatoria sistematizada (n=415 enfermeras del área operativa). Se midieron tres dimensiones: planeación, desarrollo y evaluación. Datos recolectados con instrumento ex profeso autoadministrado de 38 ítems sometido a prueba piloto y confiabilidad. Los datos se analizaron con frecuencias, porcentajes, medidas de tendencia central, pruebas T Student, ANOVA de una vía, correlación Pearson y Spearman tomando estadísticamente significativo p Abstract in english Introduction: Nursing training is a permanent process to acquire, maintain, renew, strengthen, update, and increment knowledge, and because of this, it is necessary to know the staff's opinion about the nursing training offered by their institutions. Objective: To assess the nursing staff training a [...] t two National Institutes of Health. Materials and methods: Observational, comparative and basic study. The sample was random and systematized (n = 415 nurses from the operative area). Three dimensions were measured: planning, development, and evaluation. Data were collected through a unique self-administered 38 items instrument which was used for a pilot test and further tested for its confidence level Data were analyzed through frequencies, percentages, central tendency measures, student T tests, one way ANOVA, and Pearson and Spearman correlations, having p
Julio César, Cadena Estrada; Sandra Sonalí, Olvera Arreola; María Teresa, Pérez López; Carmen L., Balseiro Almario; Reyna, Matus Miranda.
Competency assessment should be a changing and continuing process. In addition, it should be appropriate for the organization and the nursing staff. Nursing educators are challenged to provide a competency assessment process that is relevant and meaningful. This qualitative research study describes perinatal nurses' perceptions of a change from a traditional testing competency assessment to a hands-on competency assessment. The setting was a medical center in southeastern Alabama. Thirteen nurses participated in the study. Focus groups were used to explore the new assessment method. Three themes were identified: I am learning, multidimensional learning together, and increasing professional confidence. As the medical center perinatal nursing competency assessment program continues to improve, the expectation is for other departments to assess and revise their competency assessment program. J Contin Educ Nurs. 2014;45(10):453-460. PMID:25280194
Maddox, Brenda L; Waller-Wise, Renece; Weed, Latricia D
Full Text Available Background/Objective: Proficiency in computerized documentation systems is an essential element of most areas of nursing practice today. Community health is one example of an area of nursing practice where computerized documentation systems help in the provision of high quality care. Nursing students must learn the basic principles of and begin to participate in the practices of computerized nursing documentation. It is, therefore, the responsibility of nursing faculty to promote student involvement in this important process.Methods: Two different faculty experiences with students participating in computerized nursing documentation were described using different electronic systems, a notebook computer system and a Personal Digital Assistant (PDA system.Results/Conclusions: After reviewing the results of this descriptive experience, it is recommended that before students participate in computerized documentation, they receive written instructions. Sample charts, practice under direct faculty and staff guidance, and standardizing the learning experience are imperative. Educating the student in a technological environment is no longer optional for nurse faculty as the accurate documentation, transmission and management of data assures that the best practices are maintained, the proper billing of visits can be ensured, and the communication between the nursing student and community health nurses, as well as all members of the multi-disciplinary team is fostered.
Nadine M Aktan
The National Public Health Leadership Institute (NPHLI), a partnership between the Centers for Disease Control and Prevention and the University of North Carolina at Chapel Hill invites public health professionals to participate in a 2 year leadership program. Three Florida nurses participated in the NPHLI along with a cadre of 40 to 50 participants from the United States and foreign countries. Part of the commitment involved implementing a leadership project. This team chose to address the nursing shortage by developing and piloting mentorship program. Baseline research included a basic review of the literature and involvement in several work groups addressing various aspects of employing and retaining qualified public health nurses in Florida. During their NPHLI scholar year, team members sought input from a variety of professional sources on the reasons for the shortage of public health nurses in Florida. Based on responses from nurses, professional association members, and employees in the Florida Department of Health, team members developed a nursing mentorship project designed to address public health nursing retention and education. The goal was to develop a two-pronged mentorship program, which supported the attainment of clinical competence and workplace confidence while also improving the public health theoretical knowledge base of more experienced nurses. Nursing leadership at both the state and local levels agreed and embraced the concept. The Florida Team developed a Mentorship Handbook, which contains recruitment criteria, baseline, midterm and end of project assessment tools, and numerous other documents. The Team gained endorsement for the project and a commitment to see it through from the Department of Health's Nursing Office. The Florida Nurses Association partnered with the team to initiate the kickoff and involve team members in important discussion groups. In effecting change it is vital to have engaged and included the targeted "community" in the process. Achieving buy-in and ownership takes some investing. Time is important, everything seems to take longer than expected-therefore maintaining momentum is critical for team members. Finding resources for an unfunded project can be a challenge. Creative thinking in how the project relates to available resources is important. PMID:16021814
Counseling is an integral part of nursing, especially public health nursing. The normal day to day situations in which a public health nurse finds herself offer great potential for counselling. The technique used primarily by public health nurses is that of basic listening, which is so necessary for ascertaining and understanding situations and…
Martin, M. Joan
Competent performance by health care professionals is expected throughout society. However, defining what it is and teaching students how to perform competently faces many challenges. This article provides a brief overview of the contemporary focus on competency assessment in nursing education. The redesigned nursing curriculum at the University of Colorado is presented as an exemplar of a practice-oriented model that requires competent performance among students. Methods for implementing a c...
Redman, R. W.
Mixed methods research is becoming more widely used in order to answer research questions and to investigate research problems in mental health and psychiatric nursing. However, two separate literature searches, one in Scotland and one in the USA, revealed that few mental health nursing studies identified mixed methods research in their titles. Many studies used the term 'embedded' but few studies identified in the literature were mixed methods embedded studies. The history, philosophical underpinnings, definition, types of mixed methods research and associated pragmatism are discussed, as well as the need for mixed methods research. Examples of mental health nursing mixed methods research are used to illustrate the different types of mixed methods: convergent parallel, embedded, explanatory and exploratory in their sequential and concurrent combinations. Implementing mixed methods research is also discussed briefly and the problem of identifying mixed methods research in mental and psychiatric nursing are discussed with some possible solutions to the problem proposed. PMID:21749560
Kettles, A M; Creswell, J W; Zhang, W
Full Text Available Background: Nursing is one of the stressful jobs that affect nurse's general health. The aim of this study was assessment relationship between Spiritual intelligence, Hardiness and General health among nurses in the hospital of Bushehr in 1388. Methods: Cross- sectional study designed and 125 nurses who have been working in different wards of the hospital enrolled in the study. Data was collected using Spiritual intelligence, Hardiness, General health and characteristics demographic questionnaires. Correlation, t-test, ANOVA, Tukey and regression analysis was applied using SPSS-16 soft ware. Results: The results showed there was significant relationship between spiritual intelligence and hardiness (P<0.005, spiritual intelligence and General health (P<0.005, hardiness and General health (P<0.001. Among the demographic characteristics including age, gender, working section, marital status, job experiences, and education only working section showed significantly correlated with patience (P<0.005. Conclusion: Improvement of spiritual intelligence and reinforcement of hardiness could help to increase the general health of nurses.
Objectives The objectives of the study were to use persona-driven and scenario-based design methods to create a conceptual information system design to support public health nursing. Design and Sample We enrolled 19 participants from two local health departments to conduct an information needs assessment, create a conceptual design, and conduct a preliminary design validation. Measures Interviews and thematic analysis were used to characterize information needs and solicit design recommendations from participants. Personas were constructed from participant background information, and scenario-based design was used to create a conceptual information system design. Two focus groups were conducted as a first iteration validation of information needs, personas, and scenarios. Results Eighty-nine information needs were identified. Two personas and 89 scenarios were created. Public health nurses and nurse managers confirmed the accuracy of information needs, personas, scenarios, and the perceived usefulness of proposed features of the conceptual design. Design artifacts were modified based on focus group results. Conclusion Persona-driven design and scenario-based design are feasible methods to design for common work activities in different local health departments. Public health nurses and nurse managers should be engaged in the design of systems that support their work. PMID:24117760
Reeder, Blaine; Hills, Rebecca A.; Turner, Anne M.; Demiris, George
Donabedian first defined quality as the result of assessing the structures, processes, and outcomes of health care. The emphasis on quality assurance is changing to quality improvement. The definition of quality in health care has expanded to include the expectations and opinion of patients, their representative, and society. As the cost of health care continues to rise at twice the rate of inflation, business wants to know how health care dollars are spent. Occupational health nurses, to add value to the businesses in which they work, must be a part of the trend in measuring the quality of the products and services of their health services. PMID:1616507
Widtfeldt, A K
The Nurse Oncology Education Program (NOEP) is a nonprofit organization of the Texas Nurses Foundation that develops and provides education for nurses in all fields of practice on cancer prevention, detection, treatment, and survivorship. To meet the most current educational needs of nurses, NOEP conducts a biannual needs assessment survey to better understand its audience and inform its course development. The 2013 NOEP needs assessment survey used a convenience sample of licensed nurses throughout the United States. Nurses completed the online survey, and results revealed several priority areas for educational programs, including management of cancer symptoms and treatment side effects, complementary and alternative or integrative medicine, and screening recommendations. Time was noted as the largest barrier to educating patients and families about primary prevention practices. Results from this survey can be compared to those from previous surveys, particularly the 2009 and 2011 surveys, to determine changes in the demographics of NOEP's constituency, as well as consistencies in educational gaps. The results from the 2013 NOEP needs assessment survey offer valuable information about the learning needs of nurses across the country. The data can be used by the nurse educators and faculty who are responsible for providing cancer-specific education to nurses. PMID:25253111
Cannon, Carol A; Watson, Lisa K; Roth, Matt T; LaVergne, Shirley
An expanded nursing role in interdisciplinary team evaluations of students with special health needs includes systematically and sensitively seeking family perspectives. This article reviews family nursing assessment categories, reframing them for use in assessing family perspective regarding child health and educational needs and presenting a…
Papenfus, Heidi; Bryan, Audrey A.
There are many ways of living health as individuals describe it from unique perspectives. With the intent of serving others, healthcare professionals rely on a specific conceptualization of health consistent with a practice methodology. Hence, for the advancement of innovative scientific knowledge health can be viewed from distinct paradigmatic perspectives and must be founded on a congruent ontological-epistemological-methodological link in professional practice. The purpose of this column is to describe conceptualizations of health with congruent practice methodologies from three distinct nursing paradigmatic perspectives. The authors consider that these distinct paradigmatic nursing perspectives offer diverse disciplinary knowledge of social utility to nursing professional practice for the betterment of the ones being served. PMID:24740946
Doucet, Thomas J; Merlin, Marjolaine Dionne
This article examines the impact of a value-reflected approach in health education by demonstrating the nature of professional competence development connected to this approach. It is based on findings from two three-year health educational development projects carried out by school health nurses and researchers at primary schools in Denmark from 2004-2009. We argue for the importance of reflecting on values in school health nursing in order to navigate between human values and values deriving from medicine. Our studies demonstrate that value clarification, peer observation and reflective spaces at work develop pedagogical competences in health education improving school childrens’ health.
Wistoft, Karen; Nordentoft, Helle Merete
1. As a country that is both agricultural by nature, and moving toward new industrialization, Thailand is increasingly facing work related health problems. Major occupational illnesses are pesticide poisoning, silicosis, byssinosis, lead poisoning, and occupational injuries. 2. Although the demand for occupational health services is high, occupational health services in Thailand are still not comprehensive. 3. Because of the lack of role perception and inadequate preparation, Thai occupational health nurses have limited functions in providing occupational health services. The services are primarily directed at curative measures rather than prevention. 4. Occupational health nursing in Thailand is currently undergoing intensive development in education, practice, research, and legislation. PMID:12655981
Much of the practice of community health nurses is focused on health promotion. Nurse-client contracting has been used with clients experiencing hypertension, diabetes, or arthritis. A study was conducted to determine whether nurse-client contracting would be useful as a method for providing nursing care to assist sexually active young women to…
Van Dover, Leslie J.
It is the position of the National Association of School Nurses that students with chronic health conditions have access to a full-time registered professional school nurse (hereinafter referred to as school nurse). School districts should include school nurse positions in their full-time instructional support personnel to provide health services…
Morgitan, Judith; Bushmiaer, Margo; DeSisto, Marie C.; Duff, Carolyn; Lambert, C. Patrice; Murphy, M. Kathleen; Roland, Sharon; Selser, Kendra; Wyckoff, Leah; White, Kelly
Mental health nursing has an ageing workforce with a critical shortage of nurses in Western Australia. Additionally, mental health is not the preferred career for many graduate nurses. Current challenges with recruitment and retention suggest that strategies are needed to address this issue. This research project adopted a novel approach that focused on exploring the positive aspects of why mental health nurses remain, rather than why they leave. A cross-sectional design was employed comprising a brief interview survey, and nurses working within one public mental health service in Western Australia were invited to participate. A total of 192 nurses participated across 5 months, from adult, older adult, forensic, and education/research programmes. Thematic analysis was conducted from five key questions, and responses from questions one and two are discussed in this paper: 'Why did you choose mental health nursing?' and 'Why do you remain in mental health nursing?'. The main themes extracted in response to choosing mental health nursing were wanting to make a difference, mental health captured my interest, encouraged by others, and opportunities. Subsequent themes extracted from responses to remaining in mental health nursing were facing reality, passion for mental health nursing, patient-centred caring, and workplace conditions. Findings will be utilized to inform strategies for recruitment and retention of graduate nurses; further development of support systems, such as preceptorship training and improving student clinical experiences; as well as improving professional development opportunities for existing mental health nurses. PMID:25308149
Harrison, Carole A; Hauck, Yvonne; Hoffman, Rosemary
Problem based learning (PBL) is well established within the field of health-care education for professionals worldwide, although little has been done to explore the experiences of students undertaking a PBL course in mental health nursing. Without firm evidence of the benefits of PBL, educationalists in mental health might be reluctant to view it as an option in curricula design. This U.K. study examined the experiences of pre-registration post-graduate mental health student nurses undertaking a 2-year educational course in which all teaching and assessment followed a PBL philosophy. Focus groups were used throughout the course to elicit in-depth qualitative data that was analysed by applying a constant comparative method. The analysis of the data uncovered the following broad themes: 'moves to autonomy, 'surviving the groups' and 'the impact of PBL'. The findings show that participants had mainly positive experiences and gained a range of study and interpersonal skills central to mental health nursing. Participants described initial anxieties resulting from engagement in PBL. However, they increasingly gained confidence in this approach, exercising increasing control over the PBL process. Despite this increased autonomy, participants continued to value the input of skilled facilitators. A recurring issue centred on the potential for interpersonal conflict within the student group and its impact on their learning. It is suggested that more research is needed examining the use of PBL in mental health nursing. PMID:22313509
Cooper, Carol; Carver, Neil
Children of poverty and children of industrialization share problems inherent in their vulnerability to environmental conditions and their dependence on leaders to protect them. Children are often the silent sentinels of changing conditions. Unable to articulate their concerns, and possessing immature physiologic systems, the very young are vulnerable to disease. Sophisticated and sustainable societies can be measured in part by the health of their children; nursing leaders have the vision, authenticity, and power to influence a broad constituency. This article discusses the impact of the environment on children's health and the important role of nurse leaders. PMID:19092518
Preparing baccalaureate nursing students to deliver care to an increasingly complex patient population is an ongoing challenge for nursing educators. Wanting to provide their students with a more holistic approach to patient care, undergraduate psychiatric-mental health nursing course faculty created a clinical rotation to address the needs of psychiatric patients who also had 1 or more medical comorbidities. In this article, we describe a pilot project in which students volunteered to participate in a 24-hour clinical experience focused on assessing and addressing the mental health needs of patients admitted to a medical or surgical clinical unit. Evaluation of this approach indicates that the predominant clinical and educational model of specialized healthcare undermines a single course approach to integrated care. PMID:23608915
Faught, Dwight D; Gray, D Patricia; DiMeglio, Carleen; Meadows, Susan; Menzies, Victoria
Full Text Available The purpose of this study was to explore Hong Kong nurses’ perceptions of competencies required for disaster nursing. Focus group interviews and written inquiry were adopted to solicit nurses’ perceived required competencies for disaster care. A total of 15 nurses were interviewed and 30 nurses completed the written inquiry on their perceived competencies related to disaster nursing. The International Council for Nurses’ (ICN framework of disaster nursing competencies, consisting of four themes and ten domains, was used to tabulate the perceived competencies for disaster nursing reported by nurses. The most mentioned required competencies were related to disaster response; with the ethical and legal competencies for disaster nursing were mostly neglected by nurses in Hong Kong. With the complexity nature of disasters, special competencies are required if nurses are to deal with adverse happenings in their serving community. Nurses’ perceived disaster nursing competencies reported by nurses were grossly inadequate, demonstrating the needs to develop a comprehensive curriculum for public health. The establishment of a set of tailor-made disaster nursing core competencies for the community they served is the first step in preparing nurses to deal with disastrous situations for the health of the public.
Alice Yuen Loke
The Mental Health Nurse Incentive Program (MHNIP) is a funding scheme in Australia that enables mental health nurses to work in primary care settings with people with complex mental health problems for as long as necessary. This study examined the outcomes of the programme as reported by nurses. Nurses provided profiles of 64 people with whom they worked, including measures of symptoms and problems on admission to the programme and at a second point in time. The findings showed that people had high levels of symptom severity and distress on admission, and they experienced significant improvements in all problem areas except physical health over their time working with the nurse. The MHNIP appears to be addressing the needs of people with highly complex needs, but more sensitive measures of outcome ought to be routinely collected. The Mental Health Nurse Incentive Program (MHNIP) provides a funding mechanism for credentialed mental health nurses to work in primary care settings in Australia with people with complex and serious psychosocial and mental health problems. This project explored the extent to which the programme contributed to positive outcomes. Sixty-four service user profiles were provided by nurses working within the programme, including the Health of the Nation Outcome Scales (HoNOS), on admission and at the last review point. Mean total HoNOS scores on admission were higher than those typically seen on admission to inpatient care in Australia. Significant reductions in all problem areas except physical health problems were found at the last review point for this sample. These findings support the viewpoint that MHNIP is addressing the needs of people with the most complex needs in primary care and is achieving clinically significant outcomes. PMID:23701440
Lakeman, R; Bradbury, J
As our culture shifts from a sickness repair system to a health promotion and disease prevention system, nurses need to take more responsibility for practicing positive health behaviors. The problem addressed in this study was "Does exposure to nursing theory content and client interactions make any difference in the regular practice of positive health behaviors in nursing students when compared to non-nursing students?" The purpose of this study was to determine if nursing students practice healthy life styles that would help prepare them to be effective advocates for health promotion and disease prevention. The Health Habits Inventory (HHI) was used in this two-year longitudinal study to compare health habits between 71 nursing and 83 non-nursing students. There was a statistically significant difference between nursing and non-nursing students in time 1 (t = 4.91, p students scoring higher in health habits. Nursing students improved significantly from time 1 to time 2 (t = 2.05, p = .021) whereas nonnursing students did not improve (t = .94, p = .175). In specific behaviors, nursing students improved in eating breakfast regularly, performing monthly self breast and testicular exams, reading food labels, wearing seatbelts, and exercising at least three times a week. Implications include the importance of emphasizing self health care in nursing curricula to promote healthy life styles of nursing students who can subsequently become role models in their professional practice. PMID:11052653
Shriver, C B; Scott-Stiles, A
Nursing students represent one of the largest groups of students in higher education in Sweden. Their future occupation as registered nurses requires professional competencies including working on health promotion. However, nurses are frequently recognised as an occupational group with a high risk of impaired health due to stress in the working environment. Therefore, the higher educational institutions providing nursing education have an important role to play in the health...
Health information technology (IT) benefits both patients and providers with respect to health care quality and perceived usefulness. Although existing research provides a preliminary understanding of nurses' perception of health IT, perceptions do not guide actions. This phenomenological study explored nurses' perceptions regarding electronic health records and bar code medication administration four months post implementation on a medical-surgical unit in an academic medical center. Ten staff nurses (8 females and 2 males) participated. We categorized the results into five themes from personal-level to organizational-level confirmed expectations: (1) nurses' interaction with computer, (2) nursing performance regarding task accomplishment, (3) unit-specific teamwork, (4) interdisciplinary teamwork, and (5) quality of care. We discovered that effective health IT must be congruent with nursing expectations. IT professionals, nursing and organizational leaders may use findings to structure an environment supportive of effective health IT in nursing practice. PMID:24321515
Zadvinskis, Inga M; Chipps, Esther; Yen, Po-Yin
The recruitment and retention of mental health nurses within acute inpatient mental health facilities continues to be an ongoing issue. Literature and current research highlight an environment fraught with pressure and stress, identifying several key factors contributing to job dissatisfaction. These factors include greater patient acuity, unpredictable and challenging workspaces, violence, increased paperwork, and reduced managerial support. This qualitative, critical, feminist exploration investigated the lived experiences of 13 female mental health nurses working in inpatient services. They were asked about their practice and perceptions of workplace culture, and they shared their thoughts on stress management and professional well-being. Positive workplace practice was highlighted, and the participants revealed an environment they were proud to be a part of. Individual interviews, focus groups, and reflective practice were all used to collect data. The findings from the investigation unanimously support current literature that clearly confirms mental health nursing to be stressful. Interestingly, however, the findings also clearly identified that the way in which the nurse participants managed their stress was intrinsically linked to their job satisfaction. The major theme identified throughout the present study revealed that the female participants' ability to manage an at times complex workspace through the notions of teamwork, diversity, and creativity. All of the participants considered these elements as significant to providing a high standard in patient care. This research might provide an opportunity for others to view mental health nursing from a different perspective, and through the lived experiences of the participants, embrace the positive and rewarding aspects of the role. PMID:21371222
This exploratory study of family nursing practice in public health care was conducted in Finland and Utah. Staff nurses were interviewed in focus groups and asked to describe their practice of family nursing, the factors promoting and restraining practice, and the impact of the changes in health care delivery on practice. Thirty-six Finnish and 30 Utah nurses participated. Pressure to do more activities with fewer nurses and resources, changes in family problems, and skill level of the nurses were common themes. However, differences were evident. Finnish public health nurses used emotional support and information to help families empower themselves to use resources and to strengthen their family unit. Utah nurses focused first on individual level goals and then family cohesion and health. Nurse-initiated referrals and direct physical care were the primary intervention strategies of Utah nurses. Unlike the U.S. health care system, access for all in maternal and child health care and school health allowed Finnish nurses to develop long-term relationships with families, thus advancing family nursing practice. This study identifies several potential variables for further study particularly related to the organization of health care and nurse-family relationships. PMID:9682621
Duffy, M E; Vehvilainen-Julkunen, K; Huber, D; Varjoranta, P
Background Critically ill patients are susceptible to health care–associated infections because of their illnesses and the need for intravenous access and invasive monitoring. The critical care work environment may influence the likelihood of infection in these patients. Objective To determine whether or not the critical care nurse work environment is predictive of nurse-reported health care–associated infections. Methods A retrospective, cross-sectional design was used with linked nurse and hospital survey data. Nurses assessed the critical care work environment and provided the frequencies of ventilator-associated pneumonias, urinary tract infections, and infections associated with central catheters. Logistic regression models were used to determine if critical care work environments were predictive of nurse-reported frequent health care–associated infections, with controls for nurse and hospital characteristics. Results The final sample consisted of 3217 critical care nurses in 320 hospitals. Compared with nurses working in poor work environments, nurses working in better work environments were 36% to 41% less likely to report that health care–associated infections occurred frequently. Conclusion Health care–associated infections are less likely in favorable critical care work environments. These findings, based on the largest sample of critical care nurses to date, substantiate efforts to focus on the quality of the work environment as a way to minimize the frequency of health care–associated infections. PMID:24186818
Kelly, Deena; Kutney-Lee, Ann; Lake, Eileen T.; Aiken, Linda H.
The purpose of this research was to identify the profile of an excellent nurse manager who can lead effective health care teams. Leadership attributes and competencies that characterize an excellent nurse manager and tools to identify them are lacking in the literature but are required to efficiently and effectively address the growing shortage of registered nurses (RNs) in health care team leadership roles and the critical linkage of these roles to patient outcomes. A profile of an excellent nurse manager was developed on the basis of the responses of nurse managers across the United States who had been identified as excellent or competent by chief nurse executive assessment or/and the Nurse Manager Ability, Leadership, and Support of Nurses staff survey to the Kouzes and Posner Leadership Practices Inventory: Self Instrument. Statistically significant distinctions exist between nurse managers who are excellent and those who are competent as assessed by the Five Practices of Exemplary Leadership, which together comprise the profile of an excellent nurse manager. The Kouzes and Posner Leadership Practices Inventory: Self Instrument can be used to identify, recruit, and develop RNs in the nurse manager role as excellent leaders of effective health care teams. PMID:24896579
Kallas, Kathryn D
The purpose of this research was to define professional communication in nursing and to develop a prototype to assess and appraise communication at a selected college. The research focused on verbal and nonverbal communication between the nurse and the client using a simulated environment. The first objective was to identify the major characteristics of professional communication in nursing. In this study, the characteristics of professional communication emerged from the constant comparison method of the results of research studies in the fields of healthcare and communication. These characteristics became the elements, representative properties, and descriptive dimensions to assess and appraise verbal and nonverbal communication at the college of study. The second objective was to develop a template to assess verbal and nonverbal communication at a selected college. Using a two-fold process, the researcher used the results from the first objective to begin template construction. First, specialists in the fields of communication and nursing established the content validity of the elements, representative properties, and descriptive dimensions. Second, the course educators determined the relevancy and importance of the elements, properties, and descriptive dimensions to the objectives of two courses at the college of study. The third objective was to develop a rubric to appraise nursing students' verbal and nonverbal communication in a videotaped communication review. An appraisal rubric was constructed from an extension of the template. This rubric was then tested by faculty at the selected college to appraise the communication of five students each in the junior and senior years of the nursing program.
Diers, Jane E.
In recent decades there have been major advances in the creation and implementation of information technologies and in the development of measures of health care quality. The premise of this article is that informatics provides essential infrastructure for quality assessment and improvement in nursing. In this context, the term quality assessment and improvement comprises both short-term processes such as continuous quality improvement (CQI) and long-term outcomes management. This premise is ...
Henry, S. B.
As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence. PMID:20660926
Schofield, Ruth; Ganann, Rebecca; Brooks, Sandy; McGugan, Jennifer; Dalla Bona, Kim; Betker, Claire; Dilworth, Katie; Parton, Laurie; Reid-Haughian, Cheryl; Slepkov, Marlene; Watson, Cori
Lifestyle practices and the health promoting environment of hospital nurses This paper examined the lifestyle practices of hospital nurses and the impact of specific interventions in the hospital environment. The perception of nurse as health promoter and as carer of AIDS patients was also examined. A self-administered questionnaire was used to collect data at two different time periods. The sample represented 729 nurses (at pre- and post-time periods), both qualified and student nurses. Qualified nurses reported the highest stress levels while student nurses reported more negative lifestyle practices such as smoking, alcohol consumption and drug use. A greater number of current smokers (29%) consumed alcohol and used drugs than non-smokers. The impact of intervention strategies around compliance with smoking policy and work-site walk routes reduced exposure to passive smoking at work for qualified nurses and increased exercise participation for both groups of nurses. Workplace was identified as the main source of stress which included relationships at work and demands of the job. Hospital nurses experiencing high work stress were more likely to use professional support and personal coping (discuss problems with friends\\/family, have a good cry and eat more) than others. Nurses believed in the importance of health promotion as part of their work; however, qualified nurses felt more confident and gave more health related information than student nurses. Student nurses perceived a lower risk of contacting AIDS through work and a higher concern\\/worry in caring for AIDS patients than qualified nurses.
Situation diagnosis using exploratory and descriptive scientific methodology (participant observation with descriptive statistical treatment) in order to identify nursing' practices in the area of health promotion during a nursing child health consultation. The 31 consultations observed (n = 31) showed that the majority of observations occurred in children younger than 2 years being the most discussed topic feed with predominant use of expository methodology. There was also little use of informational support and when used relate to the themes of security and nutrition. Most providers raised questions and there was limited registration of the interaction between provider and child with an expenditure averaging of 23 minutes per consultation. Given the results and reflecting about them stands out as intervention the construction of a health promotion manual with the integration of theory and evidence of good practice in this area. PMID:23380769
Loureiro, Fernanda Manuela; da Silva, José António Neto Ferreira; Quitério, Margarida Maria de Sousa Lourenço; Charepe, Zaida Borges
The European Family Health Nursing Project is a revitalized World Health Organization initiative led by the University of the West of Scotland. Partner countries include Armenia, Austria, Germany, Italy, Poland, Portugal, Romania, Slovenia, and Spain. European Union Lifelong Learning funding was received in 2011 to facilitate a consistency of approach in the development of a definition of family health nursing, required core competencies and capabilities, and consequent education and training requirements. Global health challenges have informed the development of the project: increasingly aging populations, the increasing incidence in noncommunicable diseases that are currently the main cause of death, and the significant progress made in the way health systems have developed to meet the demands in relation to access and equality of health services. Governments and policy makers should develop a health workforce based on the principles of teamwork and interdisciplinarity while recognizing the core contribution of the "specialist generalist" role in the primary care setting. PMID:23288887
Martin, Paul; Duffy, Tim; Johnston, Brian; Banks, Pauline; Harkess-Murphy, Eileen; Martin, Colin R
Full Text Available Problem statement: In the literature, there is no consensus over what constitutes an appropriate model for mental health promotion among nursing students in Thailand. Approach: This quasi-experimental research was conducted to evaluate the effects of mental health promotion intervention. Several activities in this intervention were created for promoting sense of coherence which focused on the manipulation of both internal and external factors that effect mental health. Results: The results revealed that prior to the implementation of mental health promotion intervention, both experimental and control groups demonstrated that there were no significant differences on the mean score of all styles of defense mechanisms and sense of coherence either in total or individual dimensions. After intervention were implemented, however, there were significantly differences between groups using mature defense mechanisms (t = -3.486, pConclusion: These findings reflect the effectiveness of mental health promotion intervention. In order to prepare student nurses most effectively, nursing schools should apply this appropriate interventions with their students.
Full Text Available Introduction: professional hazards create insecurity and frustration to nurses during their clinical work. Aim of this review is to present and analyze daily risks and aggravating factors during the clinical work of nurses. Method: a systematic evaluation of the International and Greek literature findings was undertaken, according to Rogers’ model of analysis. Results: the frame of analysis showed five categories of risks which include: Biological/contagious risks, Chemical factors, Environmental/mechanical risks, Physical dangers, Psychosocial risks. Discussion: biological dangers can be dealt with by using suitable equipment for trauma avoidance and careful execution of nursing tasks. Chemical risks, including exposure to chemotherapeutic medicines, can be prevented by using protective measures such as gloves, masks, goggles and special appliances for preparing medication. The mechanical strain of the musculaskeletical system should be limited by ergonomic equipment and education, while the physical factors such as noise requires depends also on the personal sensitivity of workers. Conclusions: many preventative measures are based simply on the modification and adoption of a new behaviour and do not demand financial resources or special equipment. The strong-will for protecting the health status of nursing staff and promoting the profession are the two main drives in improving nursing working like conditions and the administration of safe care.
The purpose of this study was to describe sets of nursing concepts including, for example, nursing diagnoses and interventions, which are knowledge-based and clinically relevant to support nursing practice. Health information systems using the International Classification for Nursing Practice (ICNP®) provide a platform for standardized nursing documentation for patients' health care, clinical decision support, and repositories for re-use of clinical data for quality evaluation, research, management decisions and policy development. Clinically relevant sets of ICNP concepts can facilitate implementation of health information systems for nursing. Descriptive analysis was used to examine the types of, and relationships among, existing nursing content sets. Findings included the need for various types of content sets, as represented in ICNP catalogues, for nursing documentation. Five types of ICNP Catalogues included Care Plans, Order Sets, Clinical Templates, Nursing Minimum Data Sets, and Terminology Subsets. PMID:22874359
Coenen, Amy; Kim, Tae Youn; Bartz, Claudia C; Jansen, Kay; Hardiker, Nicholas
Full Text Available Competent performance by health care professionals is expected throughout society. However, defining what it is and teaching students how to perform competently faces many challenges. This article provides a brief overview of the contemporary focus on competency assessment in nursing education. The redesigned nursing curriculum at the University of Colorado is presented as an exemplar of a practice-oriented model that requires competent performance among students. Methods for implementing a competency-based curriculum and lessons learned during the process are discussed.
Redman, R.W., Lenburg, C.B., Hinton Walker, P
Discusses the history of health care services in prisons and the difficulties in providing prison medical services today. Indicates that prison nurses require more than just traditional nursing skills. (JOW)
The World Health Organisation's (WHO) Ottawa Charter for Health Promotion in 1986 provided the catalyst from which the Health Promoting Prison (HPP) movement emerged. Here, an extensive review of the available prison-related health literature provides the basis for critical discussion and recommendations for nursing services and prison-related health care. The findings suggest that current prison-based nursing services are seriously neglected and woefully lacking in structure and resources. This article recommends strategies for reform that includes nurses who practice in all settings, and not just prison-based nurses. If nurses wish to be at the forefront of future HPP strategies, they must first embrace the radical health promotion reforms that are emerging from the current literature. Building sustainable group capacity into prison-based health care, through developing social interaction, cohesion, participation and political action can only benefit the community at large and further emphasise the health promotion role of nursing. PMID:16326167
This was a descriptive, retrospective study, with a quantitative method, with the aim of analyzing the nursing diagnoses contained in the records of children of 0 to 36 months of age who attended infant health nursing consults. A documentary analysis and the cross-mapping technique were used. One hundred eighty-eight different nursing diagnoses were encountered, of which 33 (58.9%) corresponded to diagnoses contained in the Nomenclature of Nursing Diagnoses and Interventions and 23 (41.1%) were derived from ICNP® Version 1.0. Of the 56 nursing diagnoses, 43 (76.8%) were considered to be deviations from normalcy. It was concluded that the infant health nursing consults enabled the identification of situations of normalcy and abnormality, with an emphasis on the diagnoses of deviations from normalcy. Standardized language favors nursing documentation, contributing to the care of the patient and facilitating communication between nurses and other health professionals. PMID:24918883
Luciano, Thaís Savini; Lima da Nóbrega, Maria Miriam; Saparolli, Eliana Campos Leite; Leite de Barros, Alba Lucia Bottura
Nurses comprise a significant portion of the work force in any health care organization. This work force is one having the maximum exposure to patients. Further, they work hand in hand with the various departments of the organization. Though an unintended consequence of nursing care, nurses form a potential marketing tool for any health care organization. In that marketing tool role, however, there are hindrances that nurses face. These may result in an unhappy work environment a...
Montoya, Isaac D.; Kimball, Olive M.
The goal of this paper is to describe the establishment of a self-sustaining Student Learning Center (SLC) employing humanistic anatomical models to aid in the teaching of family planning and reproductive health clinical skills to nursing students in Nepal. In response to a local needs assessment a plan was developed to implement more thorough training of nursing students in family planning clinical skills. Nepalese nursing leaders worked together with a U.S. Non-Governmental Organization (NG...
Knecht, S. I.
Background: As members of interdisciplinary teams, school nurses provide behavioral health services. Studies indicate that school nurses may lack sufficient continuing education in adolescent behavioral health and in the management of behavioral health emergencies, specifically. We conducted this study to describe the adolescent behavioral health…
Ramos, Mary M.; Greenberg, Cynthia; Sapien, Robert; Bauer-Creegan, Judith; Hine, Beverly; Geary, Cathy
Palliative care awareness among Indian undergraduate health care students: A needs-assessment study to determine incorporation of palliative care education in undergraduate medical, nursing and allied health education
Full Text Available Purpose: Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education. Methods: A non-randomized population based study was conducted using 39-point questionnaire. Undergraduate medical, nursing and allied health students of Manipal University were the target population. Results: 326 students participated in the study. 61.7% of students feel that resuscitation is appropriate in advanced metastatic cancer. 67.5% feel that all dying patients need palliative care and most of the students think that palliative care is equivalent to pain medicine, geriatric medicine and rehabilitation medicine. 89% of students think that Morphine causes addiction in palliative care setting. 60.7% of students feel that prognosis should only be communicated to the family. Conclusion: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care.
The aim of this paper was to describe a newly-developed system of mental health nurse counselling (coping focus counselling (CFC)) for people with serious and complex mental health needs. The system is based on the recovery alliance theory (RAT) of mental health nursing. The paper identifies shortcomings in current practices in psychotherapy and counselling in the exclusive use of techniques from a single approach, for example, cognitive behaviour therapy, client-centred therapy, attachment theory, or Gestalt theory. It also discusses the opposite dangers of the use of many techniques from different approaches, without a clear rationale for their selection. CFC was developed to avoid these practices. It accommodates the selective use of techniques from different approaches. Techniques selected are viewed as deriving their meanings from the theoretical framework into which they are assimilated, namely RAT, and no longer take the same meaning from the theory from which they originated. Central to this integrative process is the use of the concept of coping. Other distinguishing features of CFC are the use of everyday language in using the system and the reaffirmation of the nurse-client relationship within a working alliance as the basis in which the CFC operates. PMID:22640173
Shanley, Eamon; Jubb-Shanley, Maureen
The multilevel community intervention model is a way of maximizing community resources and services and providing a community focus for undergraduate community health nursing students. The rationale for a change from traditional community health nursing clinical experiences to more community focused ones and current nursing standards supporting this change are identified. The model and its utilization with undergraduate nursing students is discussed. Three groups of undergraduate community health nursing students will each implement one piece of the model and through group discussions learn about the total model. PMID:9503955
Helvie, C O; Nichols, B S
This article focuses on a recently opened unit, Lancaster Farms, which houses over 300 young inmates, a proportion of whom cannot read and write. Nursing staff at the unit have cooperated with colleagues in other settings to produce an innovative programme designed to promote healthy lifestyles. Courses are available in areas ranging from parenting skills to sexual health. More importantly, perhaps, the unit is fostering an ethos that discourages bullying--arguably an experience which makes victims' lives so miserable that they would be unreceptive to health promotion initiatives. PMID:8029055
Children come to school with a variety of health conditions, varying from moderate health issues to multiple, severe chronic health illnesses that have a profound and direct impact on their ability to learn. The registered professional school nurse (hereinafter referred to as school nurse) provides medically necessary services in the school setting to improve health outcomes and promote academic achievement. The nursing services provided are reimbursable services in other health care settings, such as hospitals, clinics, and home care settings. The National Association of School Nurses (NASN) believes that school nursing services that are reimbursable nursing services in other health care systems should also be reimbursable services in the school setting, while maintaining the same high quality care delivery standards. Traditionally, local and state tax revenues targeted to fund education programs have paid for school nursing health services. School nurses are in a strategic position to advocate for improving clinical processes to better fit with community health care providers and to align reimbursements with proposed changes. Restructuring reimbursement programs will enable health care funding streams to assist in paying for school nursing services delivered to students in the school setting. Developing new innovative health financing opportunities will help to increase access, improve quality, and reduce costs. The goal is to promote a comprehensive and cost-effective health care delivery model that integrates schools, families, providers, and communities. PMID:25272416
Lowe, Janet; Cagginello, Joan; Compton, Linda
Clinical depression often is overlooked by healthcare providers when treating patients with cancer. Oncology nurses are in a pivotal position to assess for depression, communicate any changes in emotional status to the oncology treatment team, and offer support and education to patients and families. This article discusses the symptoms of depression and the available treatment options. PMID:23022929
Blair, Ellen W
Full Text Available Objective: This descriptive study was planned to determine the behavior of a healthy lifestyle in nursing students who assume the role of nursing care services and education in their future lives. Material-Method: The research was conducted in Hitit University School of Health in November-December 2011. All of the 262 students who were studying in the Department of Nursing were included in the study. The survey was applied to 234 students whom can be accessed. A questionnaire included descriptive items and health perceptions of students with the 48-item scale consists of healthy lifestyle behaviors (HPLP was used as a tool for collecting the data. Results: The mean age of students who participated in this study was 20.40±1.96. The 72.6% of students were female and 27.4% were male, 67.1% of declared that their levels of economic status was moderate, 14.1% of currently smoked, and 70.1% of general health situation was good. It was seen that the average scale scores of HPLP was 121.57±19, 65. The total mean score is 2.53 ± 0:11 according to four scale of likert. The lowest mean score obtained from the subscales was exercise and the highest scores were interpersonal support and self-realization. Total scores of female students taken from the scale of healthy lifestyle behaviors were lower than the male students, but no significant difference was found between the groups. Exercise and stress management scores were higher in male students and the difference between the groups was statistically significant (p<0.05. Health responsibility subscale was highest in second year students. The average scores of self-realization and nutrition sub-groups were high in students whose perception of general health as "good". Conclusion: We determined that student’ scores taken from healthy lifestyle behaviors scale was moderate level. The issues about health protection and health promotion should be more take place in nursing school curricula. [TAF Prev Med Bull 2013; 12(3.000: 261-270
Full Text Available Nurses comprise a significant portion of the work force in any health care organization. This work force is one having the maximum exposure to patients. Further, they work hand in hand with the various departments of the organization. Though an unintended consequence of nursing care, nurses form a potential marketing tool for any health care organization. In that marketing tool role, however, there are hindrances that nurses face. These may result in an unhappy work environment and potentially impact the overall image of the organization. Added to this, nurses may not always be equipped with the knowledge and expertise they need to meet current demands of their position and thus not promote the best nursing role for marketing purposes. Interestingly, good nursing care goes hand-in-hand with good marketing efforts in spite of this being an unintended consequence. The promotion of a strong and highly capable nursing image is an important strategy in marketing of health care services. The evolution of professional organizations and accreditation agencies has resulted in setting specific standards of practice for nursing graduates. These standards help to ensure delivery of patient care of some predetermined quality. Indirectly this offers marketability to the organization by promotion of the nursing image. At the executive level, nurse leaders can play an important role in development of nursing strategy formulation and at the same time influence strategic marketing design. This paper provides an overview of the role nurses may play in certain aspects of marketing.
Isaac D. Montoya
Full Text Available This study examined the sources of stress and mental health of nurses in Hong Kong. It also attempted to explore the functions of coping strategies in determining the stress and mental health of nurses. Results showed that more than one-third of the nurses could be considered as having poor mental health. While supervisory role produced the highest level of stress, organizational environment also created a substantial amount of stress for nurses. The most frequently used coping strategies were positive ones, including direct action coping and positive thinking. This study confirmed the hypotheses that nurses who adopted more positive and fewer negative coping strategies had better mental health, but failed to substantiate the moderating effects of coping on stress and mental health of nurses. Changes in the hospital care delivery system and socio-cultural factors in Hong Kong were put forward to explain the results. Implications of the findings and limitations of the study were discussed.
The role of public health nurses in the health care of infants and children prenatally exposed to drugs is discussed. Such nurses work in the family setting to promote health and prevent disease. Concepts of Kathryn Barnard have been used to develop policies and protocols for services to families with infants exposed to controlled substances. (GH)
Rieder, Barbara A.
Full Text Available Despite the fact that caring is the heart of nursing, there is growing evidence that nurses are not as effective as they ought to be in their caring role. This signifies that more attention needs to be given to the teaching of caring. The aim of this study was to pave the way to initiate the process of research on teaching caring, by suggesting priority areas. The needs assessment design was used for the study. Five steps were involved to achieve the aims. The first was to explore the nature and meaning of caring as presented in the literature. The second was to review completed research on aspects of caring within the nursing context. The third was to investigate the position of caring in the present nursing education system. The fourth was to investigate ways of promoting the teaching of caring as advocated in the literature and the final step based on inferences made from the first four steps was to suggest priority areas for research on teaching caring in nursing.
The purpose of this research was to explore the mental health and well-being of Muslim nursing students in Thailand. Specifically, the study investigated the factors that impact anxiety and depression among Muslim nursing students. This cross-sectional research was conducted with a half sampling method of Muslim undergraduate students who were studying at a public nursing college in Thailand. From the 220 self-identified Muslim nursing students, 110 were sampled for this study, representing 1...
The steady evolution of domestic industries and the continued expansion of the workforce have outdated Taiwan's traditional model of occupational health nursing, which focuses on preventing work-related diseases and ensuring workplace safety. Professional-competency evaluations, now widely used within the medical and other professional communities to confirm that individuals have mastered relevant knowledge and skills, are a fixture in service quality management and related strategies. Occupational health nurses have a critical role in promoting and ensuring the quality of occupational-health related services. A multifaceted strategy is needed to update the domestic model of occupational health nursing. This strategy should include: 1) Set professional standards and create standard teaching materials for national occupational health nurses; 2) Enhance the professional efficacy of nurses in this field; 3) Survey the relevant role functions and education/training needs of occupational health nurses; 4) Develop relevant elective courses; and 5) Format courses/curricula for e-learning and for multimedia platforms. Furthermore, after implementation of this strategy, the model should be evaluated in terms of the knowledge and skills acquired by occupational health nurses. It is hoped that by reflecting local needs and experiences this new model will update the field of occupational health nursing to meet the needs of the current and future workplace in Taiwan and increase nursing knowledge and skills in order to foster and sustain healthy workplace environments. PMID:24899556
Full Text Available Aims of this representative study were to assess the relevant differences between the work and organisational characteristics as well as the subjective resources and health status of nurses occupied in hospice care, compared to nurses from palliative stations. Further, the assessment of the predictive correlations between the work situation of this nurses as a factor influencing their health and perceived strains was also a leading intention.Method: In a written survey conducted in Germany in 2001, 820 nursing staff of 113 palliative stations and stationary hospices were included. A qualified diagnostic procedure for the assessment of health promoting work was implemented. In order of obtaining a secure comparison, a sample of 320 nurses working in 12 homes for old people in Saxony was also considered.Results: The nurses referred generally to favourable working conditions, still they informed about deficiencies in the perceived participation, organizational benefits and experienced gratification. Hospice nurses experienced overall more favourable work conditions than palliative nurses or than the staff of homes for old people (regarding identification with the institution, organizational benefits, accurate gratification and little time pressure during work. Hospice personnel were psychologically and physically healthier than the staff of palliative stations. Important predictors for health stability that could be assessed by multiple regression analysis were: positively evaluated work contents, the identification with the institution, little time pressure and a positive working atmosphere.Conclusions: The assessed organisational framework is generally more favourable in the institutions of professional terminal care than in common hospitals and homes for old people. Therefore, the conditions in hospices could have a modelling function for the inner-institutional work organisation and for the anchorage of the intrinsic motivation of nurses in the health care system.
Full Text Available Mobile health (mHealth is a rapidly growing field providing the potential to enhance patient education, prevent disease, enhance diagnostics, improve treatment, lower health care costs and increase access to health care services, and advance evidence-based research. For the field of nursing the potential capabilities of mHealth are not only for patient care but for delivery of nursing education to our future practicing nurses, providing a means of communication between healthcare professionals located close and at greater geographic distances, and provides access to information and personal monitoring for geographically isolated clients. Although mHealth capabilities’ value appears significant for training, and practice, there remains a significant need for research and evaluation of the devices that now appearing in the health care marketplace. The National Institute of Nursing Research’s strategic plan includes supporting research to develop and test the flood of health apps to assist clients in the management of their health. The purposes of this paper are to: 1 discuss the importance of mHealth in nursing practice, education, and research, and 2 describe the mHealth initiatives underway at the University of Pittsburgh School of Nursing as exemplars to stimulate mHealth research and promote nursing role in providing health care to patients in this age of information technology.
Willa Marlene Doswell
Comprehensive health assessments often are performed in school-based clinics or public health clinics by health professionals other than pediatricians. Pediatricians or other physicians skilled in child health care should participate in such evaluations. This statement provides guidance on the scope of in-school health assessments and the roles of the pediatrician, school nurse, school, and community. PMID:10742341
...residents in skilled nursing facilities and home health agencies. 415.204...residents in skilled nursing facilities and home health agencies. (a) Medicare...furnished by a skilled nursing facility or home health agency are paid...
... Cost of approved nursing and allied health education activities. 413... Cost of approved nursing and allied health education activities. (a...the costs of approved nursing and allied health education activities....
...for Medicare+Choice nursing and allied health education programs. 413...for Medicare+Choice nursing and allied health education programs. (a...reimbursement for approved nursing and allied health education programs and the...
Purpose The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper explores how peer collaboration influences the school nurses’ collaborative learning and competence development. Design/methodology/approach The article is based on data from a three-year health educational development project at primary schools in Denmark. These data are a) Observations from 12 reflective workshops with school nurses b) Two questionnaire surveys c) 5 focus group interviews with 5 of the 6 subprojects after the project was over. In the workshops, the questionnaire surveys and the focus group interviews the school nurses were asked to reflect on the developmental process, their collaboration, own and mutual pedagogical competence development. Findings Systematic peer collaboration between school nurses’ qualify a) their learning and ability to reflect on practice b) their communication with colleagues and children c) the development of new and innovative approaches to school health nursing. The introduction of peer collaboration, however, takes time and energy and it can be challenge to introduce peer collaboration in a working culture in which school nurses traditionally work alone under a prominent work and time pressure. Research limitations/implications The study is explorative. Further research may explore the connection between collaborative learning among school nurses and the development of their competences in school health nursing. Practical implications The paper outlines how and why collaboration among school nurses should be introduced in a more systematic way in school health nursing. Originality/value The paper investigates the connection between informal educational activities for SNs and possible learning outcomes for practice. Specifically the paper looks into different ways SNs collaborate and the findings contribute to new understandings of how SNs practice can be organisedin order to stimulate the nurses’ participation and collaborative learning and increase the quality of school health nursing.
Nordentoft, Helle Merete; Wistoft, Karen
Full Text Available Background: International Association for the Study of Pain defines pain as annoying sensations and emotions associated with actual or potential tissue damage or is described as such damage. Pains always are considered to be subjective sensations with multidimensional nature composed from physical, emotional and cognitive components. One of the main tasks in pain syndrome effective therapy is the option to perform objective assessment of pain intensity and quality utilizing principle of continuity. Independent surveys on pain management in postoperative period are performed in different countries of the world. Studies analyze effectiveness of both - medical and non-medical measurements in order to reduce pain syndrome. Very few investigations of chronic and acute pain influence on recovery process, progress and outcome of illness, assessment of pain intensity and quality are performed in Latvia. In the case of acute pain chronification, pain perception and management can be changed; pains become inadequately long lasting and may combine with psychogenic pains. According to the data obtained by the World Health Organization, fifty percent patients after injuries or operations have severe and insufferable pains despite the development of acute pain treatment and care. Insufficiently controlled postoperative pains become a risk factor for development of various abnormalities. Aim of the study: To study the usage of postoperative period pain intensity and quality assessment scales in the clinical practice of nursing, as well as availability of these methodsMaterial and methods: Survey utilizes quantitative research method. As an investigation tool was chosen questionnaire. Survey was carried out in the surgical profile wards in Riga and regional clinics of Latvia. Questionnaire embraced 309 nurses, working in the surgical profile.Results: Assessment of acute pains should be considered as the fifth vital sign providing more successful achievement of aims in pain care. Respondents recognize that in pain assessment pain evaluation scales are rarely used. In clinical practice prevails assessment of patient’s subjective condition. Only 5% of nurses – respondents utilize visual analogue scale, 22% - verbal pain scale, 16% - numerical pain rating scale. Investigation data confirm the role of professional experience of nurse in organization of pain assessment and care work, because 98% of respondents mention pain assessment as a constituent of nursing. Conclusions: One of the main objectives in effective therapy of pain syndrome is the possibility to perform objective assessment of pain intensity and quality. This objective should be achieved only with a help of shared team work – nurse, physician, anesthetist and other medical staff.
The Columbia Center for Public Health Preparedness, in partnership with the New York City Department of Health, recently developed an emergency preparedness training program for public health workers. A pilot training program was conducted for a group of school health nurses and evaluated using a pre/posttest design. A surprising finding was that 90% of the nurses reported at least one barrier to their ability to report to duty in the event of a public health emergency. The most frequently ci...
Qureshi, Kristine A.; Merrill, Jacqueline A.; Gershon, Robyn R. M.; Calero-breckheimer, Ayxa
Full Text Available The nurse plays an important role in the delivery of primary health care services in South Africa. The primary purpose is to provide the public with access to safe competent basic health care and to achieve this, the nurse should be empowered to practice within legal and ethical boundaries. This paper explores and describes the limitations imposed by legislation on the nurse’s ability to prescribe treatment in the primary health care field. The focus is mainly on the Nursing Act, the Pharmacy Act and the Medicines and Related Substances Control Act which highlights a number of limitations. It is concluded that empowerment of the nurse should not only include addressing the legal boundaries for practice, but also education and training opportunities to equip them with the expert knowledge and skills that they need to render a quality health care service.
This paper brings together ideas from two perspectives on ethics and health promotion. A discussion of the ethical dimension of the health promotion practice of community nurses is set in the wider context of health policy, with particular reference to health gain and individual responsibility. It is widely held that nurses have a key role to play in health promotion and that this is particularly the case for nurses working in primary health care. This assumption is reinforced by policy documents from the World Health Organization, the Department of Health and statutory bodies such as the United Kingdom Central Council for Nursing, Midwifery and Health Visiting. The approach of many nurses to health promotion has tended on the one hand to be somewhat naive and on the other to be authoritarian and didactic; there has been little discussion in the nursing literature of the ethical aspects of health promotion. However, recent developments in nurse education, such as Project 2000 and the consequent changes to preregistration programmes, have resulted in increased attention to both ethics and health promotion within the curriculum. PMID:8717873
Thomas, J; Wainwright, P
While nursing handovers are predominantly used in ward settings, this essential form of communication is also used by community mental health teams to promote continuity of care. A community mental health nursing handover form was developed to overcome poor communication of patient information. It is expected that the form will increase efficiency and reduce handover time by focusing on pertinent and current patient information. Implementation of a community mental health nursing handover form requires the willingness of staff to be proactive and embrace change. The involvement of nurse leaders is essential to implement successful change, overcome barriers and motivate staff. PMID:23855158
The DRGs and their aftermath have had an effect on all who are involved with home health care services, including the patient and provider. The staff of home health agencies must be competent, caring professionals who must also be able to cope with the regulatory issues that affect patient care. The effects on patients and families have also increased. Today's health care environment is requiring that they be responsible for self-care programs for many hi-tech procedures as well as care for those who are terminally ill. They are discovering that reimbursement is not available for the many services that they consider necessary, but that third-party payers consider these services to be of a custodial nature and, therefore, nonreimbursable. The effect on physicians is an increased amount of paperwork for home care services, as a result of frequent admissions to and discharges from service and changes in the frequency of visits or treatment plans. There is also the need for the timely signing of the required forms for agencies to meet the requirements of the Medicare program. The effects on the agencies include attempting to maintain financial solvency while providing quality health care services; maintaining staff morale and productivity; making hi-tech services available at an increased cost on a 24-hour basis by qualified staff to remain competitive; and guaranteeing safe, sound policies and procedures for patients and staff. Certainly the advent of DRGs has also had an impact on the nursing profession as it relates to home health care. The benefits of community health nursing identified in the past are no longer applicable in 1988. The job characteristics have changed and are no longer as attractive as they once were to nurses. In a recent publication I said there are times when I feel that I know what a swimmer experiences when being pounded by unrelenting waves in a rough surf. There is hardly time to catch your breath before the next wave hits. The DRG aftermath is just one of these waves. In spite of these never-ending waves, and the multiple internal and external changes, administrators must manage in an effective and efficient manner. We can survive the present turmoil and help to shape the future of the home care industry. Peter Drucker suggests in Managing in Turbulent Times that one should feed the opportunities and starve the problems. The challenge is to view our never-ending waves as opportunities that can take us to new heights in 1988. PMID:3138671
Harris, M D
Employee empowerment has become an increasingly important factor in determining employee health and wellbeing in restructured healthcare settings. The authors tested a theoretical model which specified the relationships among structural empowerment, 6 areas of worklife that promote employee engagement, and staff nurses' physical and mental health. A predictive, non-experimental design was used to test the model in a random sample of staff nurses. The authors discuss their findings and the implication for nurse administrators. PMID:16220057
Laschinger, Heather K Spence; Finegan, Joan
An investigation on nurses´ primary health care practice was developed to identify and analyze nurses’ general and specific competencies at the Brazilian Health System. This quantitative-qualitative research adopted the Delphi Technique as a method of study. Two groups of participants were selected. Fifty-two nurses and fifty-seven specialists accepted to participate in the study. Questionnaires were developed for data collection, including a Likert scale. A 75 percentage was adopted as a ...
Witt, Regina R.; Maria Cecília Puntel de Almeida; Vivian Elizabeth Araujo
Occupational health nurses provide most of the in-plant health care services in U.S. industry but have dubious credentials to provide care for many of the injuries and illnesses they encounter. The nurses work directly for the employer in an atmosphere designed to control employer costs and employee benefits. Their loyalty to the company and limited autonomy make it unlikely that they will represent the workers' interests. They generally embrace any expansion of their roles within the company. However, employers and government have made no serious effort to determine whether nurses can adequately take on these new functions and advance occupational health. A nurse-directed model carries the risk that nurses who are not knowledgeable enough about the law, or are overly committed to reducing costs, may overdelegate responsibilities, thereby aiding and abetting the unlicensed practice of nursing. This overreaching is part of an ill-conceived effort to establish nursing as a profession with the greater independence, expertise, and control over training that longstanding professions such as medicine and law have achieved. An extensive literature devoted to the approval and acceptance of occupational health nursing exists, yet constructive criticism of occupational health nursing is almost nonexistent. Occupational health and safety is much too important to be largely relegated to an inadequately defined semi-profession, striving to attain higher professional status and control while lacking the expertise, power, professional standards, and autonomy required of a profession. PMID:21411426
Draper, Elaine; Ladou, Joseph; Tennenhouse, Dan J
An environmental health learning experience involved collaborative activities of graduate public health and undergraduate nursing students. Pre/postcourse measures (n=31) showed increased awareness of issues and competence in interdisciplinary teamwork. (Contains 13 references.) (SK)
Wright, Dolores J.
Students in mental health nursing participated in researching, writing, acting in, and evaluating a play about schizophrenia. The experience demonstrated drama's effectiveness as a tool to develop sensitivity about health care concerns. (SK)
Rolfe, Andrew; And Others
Full Text Available Kibbutz nursing has long been established as a role that addresses the needs of a community’s health that arises from the underlying philosophy of the kibbutz communal structure. Despite the number of years of this nursing practice, there is a paucity of literature concerning its development and scope. While parallels may exist with other rural and remote nursing services throughout the world, the kibbutz philosophy of "each according to his ability and to each according to his needs" has governed the important areas of education, labor, and the provision of health to its members. This model of nursing care illustrates a number of examples of primary health principles that can be adapted and applied in other rural nursing practices. The article discusses problems nurses face in such an intimate setting as the kibbutz.
This qualitative study identifies the ideas regarding health education of 12 nurses who are part of the public health service of a city in the São Paulo countryside, and proposes a corresponding educational action. In this study, we used the methodology of action research. Data collection occurred in the second half of 2009 in the public health units of the mentioned municipality. Participant observation and interviews were implemented. The analysis and interpretation of data were conducted through categorization, based on the theory by Paulo Freire. As a result, the reductionism of health education in the pedagogical approach involving the transmission of knowledge was exposed, envisioning a biologicist tendency of academic training. However, in discussion circles, the awakening of political awareness related to the theme and the promotion of health was assumed. In conclusion, there is a need for changes in such training and for the facilitation of new modes of scientific production in the quest for social transformation. PMID:24601151
Coscrato, Gisele; Bueno, Sonia Maria Villela
The goal of the current study was to assess the efficacy and acceptability of a web-based tutorial (Child Health Matters, CHM) designed to improve school nurses' communications with families about pediatric weight-related health issues. Using a randomized wait-list control design, a nationally representative sample of school nurses was…
Steele, Ric G.; Wu, Yelena P.; Cushing, Christopher C.; Jensen, Chad D.
Patient safety, a cornerstone of quality nursing care in most healthcare organizations, has not received attention in the specialty of public health nursing, owing to the conceptual challenges of applying this individual level concept to populations. Public health nurses (PHNs), by definition, provide population-focused care. Safe practice of population-focused nursing care involves preventing errors that would affect the health of entire populations and communities. The purpose of this article is to conceptually develop the public health nursing concept of safe practice of population-focused care and calls for related research. Key literature on patient safety is reviewed. Concepts applying to population-focused care are organized based on Donabedian's Framework. Structural, operational and system failures and process errors of omission and commission can occur at the population level of practice and potentially influence outcomes for population-patients. Practice, research and policy implications are discussed. Safe PHN population-focused practice deserves attention. PMID:20934077
Issel, L Michele; Bekemeier, Betty
Nurses' use of the Internet and social media has surfaced as a critical concern requiring further exploration and consideration by all health care organizations and nursing associations. In an attempt to support this need, the American Nurses Association (2011) published six principles of social networking that offered guidance and direction for nurses. In addition, the National Council of State Boards of Nursing (2011) published a nurse's guide to using social media. Surfing the Internet and using social media for professional and personal needs is extremely common among nurses. What is concerning is when nurses do not separate their professional and personal presence in the virtual world. This article presents an Institutional Review Board-approved pilot survey that explored nurses' use of social media personally and professionally and offers recommendations specifically directed to the occupational health nurse. PMID:25000549
Wolf, Debra M; Anton, Bonnie B; Wenskovitch, John
Full Text Available Robert ?lusarz,1 Monika Biercewicz,2 Ewa Barczykowska,3 Beata Haor,4 Mariola G?owacka5 1Neurological and Neurosurgical Nursing Department, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, 2Clinic of Geriatrics, 3Nursing Department, Collegium Medicum, Nicolaus Copernicus University, Torun, 4Faculty of Health Science, University of Humanities and Economics in Wloclawek, Wloclawek, 5Institute of Health Sciences, State School of Higher Professional Education in Plock, Plock, Poland Background: One of the elements influencing the assessment of nursing care quality is the assessment of the nurse’s functions that determine the nurse’s particular tasks. The aim of this work was to assess selected tasks involved in the nurse’s caring function, which influence nursing care quality on neurosurgical wards, on the basis of patients’ and nursing staff’s opinions.Materials and methods: The research was carried out on neurosurgical wards in Poland on a group of 455 patients and 75 nurses. In order to assess nursing care quality, an author’s original questionnaire (Questionnaire – Patient Satisfaction was used.Results: Statistically significant differences concerned particular groups (both patients and nurses in the assessment of selected issues: providing information about performed activities and operations (P=0.000 and P=0.040, respecting personal dignity and assuring discretion during the operations (P=0.000 and P=0.001, speed of response to patient’s requests (P=0.000 and P=0.000, time availability of nurses for the patient (P=0.000 and P=0.000, providing information about further self-care at home (P=0.032, P=0.008, and nurses’ attitude (kindness, courtesy, tenderness, care to patients (patient’s assessment only P=0.000.Conclusion: Selected tasks in the field of the caring function of nurses were assessed differently by particular groups. There were no statistically significant differences in the assessment of particular tasks in the opinions of patients and nurses, which means that both examined groups similarly assessed tasks involved in the nurse’s caring function, which influence nursing care quality. Keywords: care quality, caring function, nurse, neurosurgery
Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses’ job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence.Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variable...
Background: Climate change affects human health, and health departments are urged to act to reduce the severity of these impacts. Yet little is known about the perspective of public health nurses—the largest component of the public health workforce—regarding their roles in addressing health impacts of climate change.
Polivka, Barbara J.; Chaudry, Rosemary V.; Mac Crawford, John
Pediatric medical and nursing education currently lacks the environmental health content necessary to appropriately prepare pediatric health care professionals to prevent, recognize, manage, and treat environmental-exposure–related disease. Leading health institutions have recognized the need for improvements in health professionals’ environmental health education. Parents are seeking answers about the impact of environmental toxicants on their children. Given the biologic, psychological,...
Mccurdy, Leyla Erk; Roberts, James; Rogers, Bonnie; Love, Rebecca; Etzel, Ruth; Paulson, Jerome; Witherspoon, Nsedu Obot; Dearry, Allen
The purpose of this study was to determine the present situation of occupational health nursing (OHN) education and to discuss future problems facing the fundamental nursing teaching staff. We conducted a questionnaire among fundamental nursing teachers, and our results showed that in occupational health nursing there is a gap between what is being taught at present and what the teaching staff thinks should be taught. In addition, the questionnaire showed that nursing teachers desire to teach such subjects as understanding of clients, health problems, methods of health management, the definition of OHN and concrete care in OHN, from 2 to 10 hours in the community health nursing course of the future. Because we believe that occupational health nurses can acquire a deeper knowledge and practice in continuous training, including postgraduate training, than in a fundamental nursing course, we suggest that there is the problem of how to combine fundamental nursing and continuous education in the future should be carefully studied. PMID:11431965
Yamase, Y; Nobuchika, H; Ishimatsu, N
Ethical issues are commonplace in the health care delivery system. Nurse practitioners (NPs) working in nurse-managed health centers (NMHCs) frequently care for patients who are vulnerable and marginalized as a result of their culture, language, low income, or lack of insurance. Because a nurse's commitment is to care for patients without considerations of social or economic status, personal attributes, or the nature of health problems, the distress that occurs while advocating for patients through and around existing barriers to health care access needs to be anticipated and addressed. PMID:16324949
Beidler, Susan M
The Canadian Health Outcomes for Better Information and Care (C-HOBIC) project introduced systematic use of standardized clinical nursing terminology for patient assessments. Implemented so far in three Canadian provinces, C-HOBIC comprises an innovative model for large-scale capture of standardized nursing-sensitive clinical outcomes data within electronic health records (EHRs). To support this activity, nursing assessment and outcomes concepts were mapped to the International Classification for Nursing Practice (ICNP(R)). By comparing serial data on a patient across multiple time points, the C-HOBIC model can generate nursing-sensitive patient outcome reports. A principle benefit of the C-HOBIC model is that it provides nurses with information critical to planning for and evaluating patient care. Inclusion of nursing information in either provincial databases or EHRs in three Canadian provinces promotes continuity of patient care across sectors of the healthcare systems in those provinces and also facilitates aggregation and analysis by administrators and policy makers. The C-HOBIC model provides standardized, consistent, interoperable clinical information that reflects nursing practice throughout the Canadian healthcare System. PMID:19261936
Hannah, Kathryn J; White, Peggy A; Nagle, Lynn M; Pringle, Dorothy M
Full Text Available Objective: to describe and to identify nurse’ attributions in the mental health services according to the Psychiatric Reform. Methods: descriptive and exploratory study, from qualitative approach, developed by recent literature review, in which we searched articles from the Virtual Health Library (BVS, and also the collection of Scielo. The analyses were done by pre and selective readings, and also textual and interpretative investigation of the selected texts. Results: it had been found 7544 publications. We limited the choice to those articles related with the nurse’s attributions and the assistance in the Mental Health Services after the Psychiatric Reform. We selected 34 articles. We defined three categories from the readings: Nursing in the Psychiatric Reform, Strategies for the Psychosocial Rehabilitation, Nurse’s Attributions Mental Health Services. We have observed that the more referred articles to the following Mental Health Services: Daily Hospital, Emergence Care, Specific Day Centres, Family Health Program Therapeutic Residential Services.,Conclusion: This research let us realize that most of the characteristics of nursing attributions in the mental health services owns to the replacement of the asylum model for different services such as Psychosocial Attention Center (CAPS, Day-Hospital, Group Homes and basic attention partnership.
Virgínia Faria Damásio, Viviane da Costa Melo, Karla Bernardes Esteves
The Ottawa Charter for Health Promotion is cited internationally as an appropriate conceptual framework for healthcare service delivery yet the literature reveals minimal evidence of nursing services interpreting and applying the Ottawa Charter strategies into nursing practice. Nurses with the community services of Noarlunga Health Services and the Drug and Alcohol Services Council of South Australia, however, do use the strategies to plan and implement their services. The Ottawa Charter strategies of developing personal skills; creating supportive environments; strengthening community action; building healthy public policy; and re-orienting services in the interest of health can be used as a tool to assist nurses to identify the purpose of their interventions and select a comprehensive range of nursing actions which address the needs of individuals while acknowledging the broader determinants of health. This article presents a nursing analysis of the Charter and provides examples of how the strategies are used to influence nursing practice in both organizations. The examples provided from the two different nursing services also demonstrate the adaptability and relevance of the strategies to diverse community nursing practice settings. PMID:9355440
Cusack, L; Smith, M; Byrnes, T
Full Text Available Objective: to search in specific nursing literature productions that highlights the performing of waiting room with elderly people. Methodology the approach used was descriptive about the waiting room next to the elderly. For the development of this research was used as a source for the survey of scientific production, the Virtual Health Library (VHL. We selected three databases for the search of studies: LILACS BEDENF, SCIELO. The operationalization of the survey was used keywords, since the term waiting room is not understood as a descriptor. Thus, we used the following words: waiting room and Nursing, with “booleadores” and in free form. Results: the study allowed to point that the literature about this subject is short. Conclusion: productions are not focusing the witting room as an activity for the elderly one, although it may serve as a space for experience exchange, a stimulus for the exercise of citizenship and health promotion.
Maíra Muniz Assis, Selma Petra Chaves Sá, Acácia Vidon, Vilma Duarte Câmara, Giselle Evangelista, Marcelle Nolasco, Wilayne Atanázio dos Santos
Background: QSEN has a variety of suggested strategies for teaching safe medication administration; however they do not have a recommendation for how to assess it. The purpose of this study was to gain information on how safe medication administration is assessed in nursing education.Methods: A survey was developed to identify methods used by nursing faculty members to assess nursing students’ knowledge and skills of safe medication administrati...
Gonzales, Kelly J.
Recognising the deteriorating patient is an essential nursing skill, and structured frameworks should be in place to assist effective patient assessment. The aim of this article is to encourage nurses to consider how to promote the 6Cs of nursing within such assessment. The article provides an overview of the Patient Assessment and Clinical-reasoning Tool designed to facilitate the development of clinical reasoning skills and effective communication with other healthcare professionals, thereby enhancing patient-centred care. PMID:24985305
The intensified nurse migration leads to severe problems for the health care systems in many developing countries. Using the Philippines as an example, this paper will address the question of global nurse migration from a philosophical perspective. John Rawls' liberal and Michael Walzer's communitarian theory of justice will be examined in view of the ethical problem of nurse migration. In line with Rawls' A Theory of Justice, nurse migration undermines the ability of the people in developing countries to make use of their basic rights and liberties. Walzer's communitarian assessment of nurse migration, on the other hand, will stress the shared 'thin' morality, as well as the shared history between the 'donating' and receiving countries. This paper argues that the commonality of a shared history and common values implies the moral obligation to ensure a fairer distribution of nurses. PMID:20807230
...information technology. Title: Locality Pay System for Nurses and Other Health Care Personnel, VA Form 10-0132...determine the appropriate pay scale for registered nurses, nurse anesthetists, and other health care personnel. Affected...
...SUPPLEMENTARY INFORMATION: Title: Locality Pay System for Nurses and Other Health Care Personnel. OMB Control Number...determine the appropriate pay scale for registered nurses, nurse anesthetists, and other health care personnel. An agency...
Full Text Available Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses’ job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence.Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1- Never effective, 5- Very effective. The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis.Results: The study showed the relative importance of the 28 organizational variables in influencing nurses’ job performance. Nurses in this study reported that workload and technological support are the most influential organizational variables on their job performance. Factor analysis yielded a five-factor model that explained 53.99% of total variance.Conclusion: Administratively controllable influence job organizational variables influence job performance of nurses in different magnitude.
Mental health nursing as one of the human services professions has frequently, been associated with stress and burnout. The three dimensions of burnout; emotional exhaustion, depersonalisation and reduced personal accomplishment have major implications for the quality of the service that mental health nurses are capable of giving. Various studies have demonstrated mental health nurses suffer a high degree of burnout. Other studies have identified the stressors associated with mental health nursing that may be precursors to burnout. The Evaluation of the National Mental Health Strategy (1998) demonstrated that the Strategy was achieving many of its objectives. The objectives that have been achieved in service delivery have produced a work environment that has many of the identified stressors associated with burnout. Therefore, it is imperative that strategies are implemented that address the problem of stress and burnout in the current mental health system. PMID:11924624
Full Text Available This paper provides an overview of the Home Health Care Classification (HHCC System focusing on its two interrelated taxonomies: HHCC of Nursing Diagnoses and HHCC of Nursing Interventions both of which are classified by 20 Care Components. It highlights the major events that influenced its development, current status, and future uses. The two HHCC taxonomies and their 20 Care Components are used as a standardized framework to code, index, and classify home health clinical nursing practice. Further, they are used to document, electronically track, evaluate outcomes and analyze home health care over time, across settings, population groups, and geographic locations.
This paper presents the findings of a qualitative project conducted to investigate the education and training requirements that non-mental health trained emergency nurses need to enable them to effectively care for psychiatric patients presenting to a West Australian emergency department. Non-mental health trained nurses are ill-equipped in their psychiatric knowledge, assessment and communication skills to provide best possible care to the one in ten patients presenting to the emergency department with a complex mental health issue. The area of assessment and management of mental health patients in the emergency department is a complex one and staff are required to assess, triage and manage these patients appropriately. Furthermore, with aggression and violence increasing, emergency department nurses are concerned about their safety in the workplace. Focus groups with emergency nurses and semi-structured interviews with subject matter experts were conducted at one West Australian teaching hospital. The findings of the project demonstrated that these nurses considered that customer focus, workplace aggression and violence, psychiatric theory, mental health assessment and chemical dependence as key learning areas. These findings will form a platform for further education and training for ED staff. PMID:17198753
Kerrison, Shirilee A; Chapman, Rose
Full Text Available SciELO Public Health | Language: English Abstract in english INTRODUCTION: Health systems and services research by nursing personnel could inform decisionmaking and nursing care, providing evidence concerning quality of and patient satisfaction. Such studies are rather uncommon in Cuban research institutes, where clinical research predominates. OBJECTIVE: Ass [...] ess the results of a strategy implemented between 2008 and 2011 to develop nursing capacity for health systems and services research in 14 national research institutes based in Havana. METHODS: The study comprised four stages: description of approaches to health systems and services research by nurses worldwide and in Cuba; analysis of current capacities for such research in Cuba; intervention design and implementation; and evaluation. Various techniques were used including: literature review, bibliometric analysis, questionnaire survey, consultation with experts, focus groups, and workshops for participant orientation and design and followup of research projects. Qualitative information reduction and quantitative information summary methods were used. Initially, 32 nursing managers participated; a further 105 nurses from the institutes were involved in research teams formed during intervention implementation. RESULTS: Of all published nursing research articles retrieved, 8.9% (185 of 2081) concerned health systems and services research, of which 26.5% (49 of 185) dealt with quality assessment. At baseline, 75% of Cuban nurses surveyed had poor knowledge of health systems and services research. Orientation, design and followup workshops for all institute teams developed individual and institutional capacity for health systems and services research. Post-intervention, 84.7% (27) of nurses reached good knowledge and 14.3% (5) fair; institutional research teams were formed and maintained in 9 institutes, and 13 projects designed and implemented (11 institutional, 2 addressing ministerial-level priorities) to research nursing issues at selected centers. CONCLUSIONS: A systematic strategy to build nursing capacity for health systems and services research can be effective in involving nurses in such research and in developing institutional support for it, fostering compliance with Cuban and international professional development priorities for nursing, as well as contributing to quality of patient services.
MPH, Nelcy Martínez.
Full Text Available Objective: To investigate the conception of Health Promotion among nurses working in the Family Health Program. Methods: This was a qualitative descriptive study, conducted in five Primary Health Care Units that are connected to the Family Health Program, in the city of Juiz de Fora - MG, Brazil, from March to April, 2010. Subjects were five nurses, one from each participating unit, randomly selected, according to their availability and acceptance to participate in the study. Data collection used semi-structured interview technique. The speeches were analyzed using thematic analysis. Results: From the analysis of the speeches it was evident that nurses misunderstand health promotion and prevention. They unanimously cited the role of educator played by nurses. Conclusion: The nurses were found to have a distorted conception of health promotion and health practices are still developed based on a preventive approach. Concept of health promotion generates questions among the studied group, therefore, it should be more discussed by nurses.
Priscila Araújo Rocha
Public health nurses (PHNs) have declined as a proportion of both the nursing and the public health workforces in the past 2 decades. This decline comes as 30 states report public health nursing as the sector most affected in the overall public health shortage. Taken together, these data point to a need for renewed recruitment efforts. However, the current public images of nurses are primarily those of professionals employed in hospital settings. Therefore, this paper describes the development of a marketable image aimed at increasing the visibility and public awareness of PHNs and their work. Such a brand image was seen as a precursor to increasing applications for PHN positions. A multimethod qualitative sequential approach guided the branding endeavor. From the thoughts of public health nursing students, faculty, and practitioners came artists' renditions of four award-winning posters. These posters portray public health nursing-incorporating its image, location of practice, and levels of protection afforded the community. Since their initial unveiling, these posters have been distributed by request throughout the United States and Canada. The overwhelming response serves to underline the previous void of current professional images of public health nursing and the need for brand images to aid with recruitment. PMID:21198816
Baldwin, Kathleen A; Lyons, Roberta L; Issel, L Michele
Text, illustrations, and exercises are provided in this set of learning modules to teach nurses and nursing students various patient care skills. The first module, "How to Write a Nursing Care Plan" by Dorcas S. Kowalski, discusses three tasks in developing patient care plans: identifying and prioritizing a patient's needs, gathering information…
Kowalski, Dorcas S.; And Others
We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses' deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies. PMID:16360704
Mick, Stephen S; Mark, Barbara A
Introduction: Several factors as learning styles can influence the learning process. The aim of thisstudy was to determine learning styles, which are used by nursing and allied health students in SemnanUniversity of Medical Sciences.Materials and Methods: This cross-sectional study was performed on 199 nursing and allied healthstudents of Semnan university of medical sciences (2007, Iran). Students were selected using a simplesampling method. The assessment instrument was the last version of ...
Fatemeh Ahadi; Jila Abedsaidi; Farrokh Arshadi; Raheb Ghorbani
Elementary Rehabilitation Nursing Care; a Manual for Nurses and Ancillary Workers in Nursing Homes, Hospitals, Convalescent Facilities, and Public Health Agencies. Public Health Service Publication No. 1436.
This guide for teacher and student use presents a comprehensive program of physical rehabilitation for aged and physically disabled patients. Developed by the Public Health Nursing Section, the manual was tested by state health department personnel and persons doing inservice teaching in their respective nursing homes. The program is designed to…
Colorado State Dept. of Public Health, Denver. Public Health Nursing Section.
Enfermagem na saúde da criança: estudo bibliográfico acerca da avaliação nutricional La enfermería en la salud del niño: estudio bibliográfico sobre la evaluación nutricional Nursing in child's health: bibliography study on assessment nutritional
Full Text Available O objetivo deste estudo foi analisar a produção científica acerca da atuação do enfermeiro na saúde nutricional da criança. Estudo bibliográfico realizado entre abril e maio de 2008, nas bases de dados online, com descritores: avaliação nutricional, antropometria, crescimento, criança. Critérios de inclusão: saúde infantil na avaliação nutricional, enfermeiro/autor e artigos publicados entre 2000 e 2007. Encontraram-se 15 artigos nos seguintes anos: 2000 (1, 2001 (1, 2002 (2, 2003 (4, 2005 (1, 2006 (3 e 2007 (3. Periódicos inscritos nas áreas: enfermagem (1, nutrição (1, saúde pública (3 e médica (1. Tipo de estudo: epidemiológicos (1, descritivos (5, transversais (7, longitudinal (1, estudo de caso (1, revisão de literatura (1 e relato de experiência (1. Unidades temáticas: avaliação nutricional mediante acompanhamento do crescimento e desenvolvimento infantil; fatores determinantes da nutrição infantil e avaliação nutricional como cuidado de enfermagem. Ressalta-se que o enfermeiro tem buscado fundamentação teórica e prática para cuidar da criança com déficit nutricional.Analizar la producción científica que existe sobre el papel que desempeña el enfermero en la salud nutricional del niño. Estudio bibliográfico desarrollado entre abril y mayo/2008 usando bases de datos en línea, a través de los siguientes descriptores: evaluación nutricional, antropometría, crecimiento, niño. Se aplicaron los siguientes criterios de inclusión: salud infantil en la evaluación nutricional, enfermero/autor y artículos publicados entre 2000 y 2007. Se encontraron 15 artículos en los años: 2000 (1, 2001 (1, 2002 (2, 2003 (4, 2005 (1, 2006 (3 e 2007 (3. Periódicos inscriptos en las áreas: enfermería (1, nutrición (1, salud pública (3 y médica (1. Tipo de estudio: epidemiológicos (1, descriptivos (5, transversales (7, longitudinales (1, estudio de caso (1, revisión de literatura (1 y relato de experiencia (1. Unidades temáticas: evaluación nutricional mediante acompañamiento del crecimiento y desarrollo infantil; factores determinantes de la nutrición infantil y evaluación nutricional como cuidado de la enfermería. Descata el hecho que el enfermero ha buscado desarrollar una fundamentación teórico/práctica para cuidar del niño con déficit nutricional.To examine the scientific production about the role of nurses in the nutritional health of child. Bibliographic study, held between April and May 2008 in on line databases, with descriptors: nutritional assessment, anthropometry, growth, child. Criteria for inclusion: child health in nutrition assessment, nurse / author and articles published between 2000 and 2007. Meeting 15 articles in the years: 2000 (1, 2001 (1, 2002 (2, 2003 (4, 2005 (1, 2006 (3 e 2007 (3. Regular subscribers in the areas: nursing (1, nutrition (1, health (3 and medical (1. Type of study: epidemiological (1, descriptive (5, Cross (7, longitudinal (1, the case study (1, review of literature (1 and report of experience (1. Thematic units: nutritional assessment by the monitoring of growth and child development by nurses; determinants of children's nutrition and nutritional assessment and nursing care. It is emphasized that the nurse has sought theoretical and practical reasons to take care of children with nutritional deficiency.
Flávia Paula Magalhães Monteiro
Regular school attendance is a necessary part of the learning process; student absenteeism has a direct association with poor academic performance. School nurses can influence student attendance. This study describes the impact of school nurse interventions on student absenteeism and student health. A retrospective review of 240 randomly selected…
Weismuller, Penny C.; Grasska, Merry A.; Alexander, Marilyn; White, Catherine G.; Kramer, Pat
The Health and Wellness Center (HWC), located in Joliet, Illinois, is a nurse-managed universally accessible primary health care center funded by a grant from the Health Resources and Services Administration. The goals of the HWC are to improve access to quality primary health care services for all patients, including those who are uninsured and underserved, and to develop and implement a model of nurse-managed primary health care that integrates both physical and mental health assessment and treatment. After 5 years of developing and using this model, it is clear that integration requires strategic supports from the financial, political, and professional sectors to be considered a cost-effective model of health care delivery. Recommendations for policy and practice change are offered based on the author's experiences of providing integrated health care at the HWC and the health care industry's responses to uninsured or underinsured patients' needs. PMID:21702428
A research project conducted in four nursing schools in New Zealand presents an account of student nurses' conceptions of health promotion. Focus groups of six to ten pre-registration nursing students were conducted in each of the schools of nursing. The findings indicated that the student nurses had difficulty clearly articulating the concept of health education and health promotion. The student nurses focused on individuals. The main strategy they used was the giving of information. This strategy was in keeping with a traditional approach to health promotion. However a number of students did include empowering interpersonal strategies in their health promotion activities. Many of the students demonstrated an awareness of the impact of economic determinants on health but did not have the support or opportunity to address these. None of the students included addressing the political determinants of health in their discussion of the health promoting role of the nurse. PMID:21640447
Walthew, Pat; Scott, Helen
Health promotion practice has evolved over the past four decades in response to the rising rates of chronic disease. The focus of health promotion is attaining wellness by managing modifiable risk factors, such as smoking, diet, or physical activity. Occupational health nurses are often asked to conduct worksite health promotion programs for individuals or groups, yet may be unfamiliar with evidence-based strategies. Occupational health nurses should lead interprofessional groups in designing and implementing worksite health promotion programs. This article introduces occupational health nurses to health promotion concepts and discusses evidence-based theories and planning models that can be easily introduced into practice. PMID:25101931
Dombrowski, Jill J; Snelling, Anastasia M; Kalicki, Michelle
Background Each year, nearly 7 million hospitalized patients acquire infections while being treated for other conditions. Nurse staffing has been implicated in the spread of infection within hospitals, yet little evidence is available to explain this association. Methods We linked nurse survey data to the Pennsylvania Health Care Cost Containment Council report on hospital infections and the American Hospital Association Annual Survey. We examined urinary tract and surgical site infection, the most prevalent infections reported and those likely to be acquired on any unit within a hospital. Linear regression was used to estimate the effect of nurse and hospital characteristics on health care–associated infections. Results There was a significant association between patient-to-nurse ratio and urinary tract infection (0.86; P = .02) and surgical site infection (0.93; P = .04). In a multivariate model controlling for patient severity and nurse and hospital characteristics, only nurse burnout remained significantly associated with urinary tract infection (0.82; P = .03) and surgical site infection (1.56; P < .01) infection. Hospitals in which burnout was reduced by 30% had a total of 6,239 fewer infections, for an annual cost saving of up to $68 million. Conclusions We provide a plausible explanation for the association between nurse staffing and health care–associated infections. Reducing burnout in registered nurses is a promising strategy to help control infections in acute care facilities. PMID:22854376
Cimiotti, Jeannie P.; Aiken, Linda H.; Sloane, Douglas M.; Wu, Evan S.
As the health care needs of the lesbian, gay, bisexual, and transgender (LGBT) population become increasingly important, health care professionals require appropriate academic and clinical training in preparation for the increased demand for culturally competent care. Nurses are of particular interest, as they are the core direct caregivers in many health care settings. This article explores the national climate around LGBT individuals and their related health needs. Educators and administrators who work with future nurses should strive to ensure they foster the development of knowledgeable practitioners who will be able to implement best practices in LGBT patient care. Attention should be paid to providing students with diverse clinical placements, access to LGBT interest groups, and clear expectations for LGBT-sensitive nursing care plans and course outcomes selection that promote cultural competence. Recommendations for nursing education and curricular reform are discussed. PMID:23471873
Lim, Fidelindo A; Brown, Donald V; Jones, Henrietta
BACKGROUND: Pain is very common among nursing home residents. The assessment of pain is a prerequisite for effective multiprofessional pain management. Within the framework of the German health services research project, ‘Action Alliance Pain-Free City Muenster’, the authors investigated pain assessment adherence according to the German national Expert Standard for Pain Management in Nursing, which is a general standard applicable to all chronic/acute pain-affected persons and highly recommended for practice. OBJECTIVES: To evaluate the state of pain assessment and to identify need for improvement in 12 nursing homes in a German city. METHODS: In the present study, the authors used an ex-post-facto design (survey methodology). Available written policies for routine pain assessment in residents ?65 years of age were reviewed and a standardized online survey completed by 151 of 349 nurses in 12 nursing home facilities was conducted between September 2010 and April 2011. RESULTS: Most of the included nursing homes provided written policies for pain assessment, and the majority of nurses reported that they assess and regularly reassess pain. However, observational tools for residents with severe cognitive impairment and written reassessment schedules were lacking in many facilities or were inconsistent. CONCLUSIONS: Essentially, pain assessment appeared to be feasible in the majority of the German nursing homes studied. However, the absence or inconsistency of reassessment schedules indicate that pain management guidelines should include a detailed and explicit reassessment schedule for the heterogenic needs of nursing home residents. For residents with severe cognitive impairment, assessment tools are needed that are simple to use and clearly indicate the presence or absence of pain. PMID:24851238
Osterbrink, Jurgen; Bauer, Zsuzsa; Mitterlehner, Barbara; Gnass, Irmela; Kutschar, Patrick
Nurses are in a unique position to treat survivors of human trafficking and are most likely to encounter patients who have been involved in the sex trade. In particular, psychiatric-mental health nurses can be effective because they are educated to think of clients holistically and can provide both short-term medical intervention and long-term psychotherapy. Additionally, they can recognize and refer these individuals for medical treatment. The purpose of this article is to present an overview of sex trafficking and what psychiatric-mental health nurses can do to treat survivors. PMID:24274246
de Chesnay, Mary
The need to provide care 24 hours of the day, 365 days of the year, means for nurses, compulsory work in a system of rotating shifts, including the realization of nights. This system has repercussions on the life, health and well-being of nurses.In order to identify evidence on the relationship between the work to shift and/or night the health and well-being of nurses and develop recommendations to improve the adaptation to the system of rotating shifts and/or night, have carried out a review...
Mª, Mercedes Gago Lo?pez; Alicia Lorenza Bouzada Rodríguez; Antonia Otero López; Carmen Otero López; José Calvo Alonso; Rosa Carracedo Martín
Objectives: to reflect on nurse leadership in a health and nursing work organizational context, as well as to provide material for nurses and nursing students that aim to study and/or improve the exercise of leadership. Methods: a theoretical essay based on a bibliographical narrative review of books, papers, and dissertations; from which three axes of analysis and reflection have been built: searching for a leadership concept, potential development for the exercise of leadership and nurse le...
Jose? Lui?s Guedes Dos Santos, Rosa?ngela Marion Da Silva
Incorporating health promotion strategies in practice, and in particular within healthy public policy based on the Ottawa Charter, is widely recognized as within the mandate of nursing, although evidence suggests that nurses are reluctant to take on this role. An innovative strategy was developed to facilitate baccalaureate nursing students' learning about healthy public policy by immersing them in a real-world service-learning experience. Students partnered with a population, assessed the determinants of health, and implemented a population health promotion strategy that included attention to a health policy issue. Students identified strengths and weaknesses of the existing policy and were required to propose recommendations for change that addressed the social justice issues. Students presented their work to faculty, students, and community partners and developed a written position paper on the topic. Students evaluated the service-learning experience as an excellent experiential learning opportunity. PMID:21417191
This study has the objective of understanding the training of nurses for comprehensive health care. It used data from interviews with teachers, students and service nurses submitted to discourse analysis. There is an understanding of comprehensive care in the training of nurses from the perspective of establishing a healthcare model in which care is directed to the patient. There are reflections regarding the technologies and the form of organization of the work, expressed in a permanent tension: Clinical versus Collective Health as a challenge for comprehensive care. It was identified that building completeness in the formation implies assuming acting in health as an educative principle in a new form of learning-teaching in health, which breaks up with pre-formed, out-of-context knowledge. The conclusion is that comprehensive health care is taken as an object of reflection in the movement for change in the pedagogical practices, and that it is reflected in health attention. PMID:18450147
Silva, Kênia Lara; de Sena, Roseni Rosângela
Full Text Available Background: Health literacy is the ability to obtain, process, and understand health information in order to take appropriate health actions. Low health literacy is associated with poor health knowledge and self-management of chronic disease, inadequate utilization of preventive services, and increased hospital admissions. The American Association of Colleges of Nursing recommends that nursing schools incorporate health literacy into curricula. Little, however, has been reported about what nursing students have learned and done about health literacy in clinical. This study explored undergraduate nursing students’ experiences in caring for patients with low health literacy. Methods: A qualitative content analysis method was used to analyze 59 narratives written by undergraduate nursing students. Results: Three themes were uncovered: sensing low health literacy by behavioral cues, promoting health literacy with multiple strategies, and closing the health information loop with positive and negative feelings. Noncompliance, knowledge deficits, anxiety/concerns, and language barriers were behavioral cues indicating low health literacy, and these cues triggered the students’ information support actions. Students promoted patient understanding and utilization of information by using many interventions: simplifying information, reinforcing information, giving written information, and demonstration/teach-back. Many students felt good about being able to help increase knowledge and self-care skills of their patients. Some were frustrated because they were unable to promote lifestyle modifications of the patients with complicated chronic diseases. Students, however, did not employ standardized tools to assess the health literacy of the patient or the patient’s knowledge of specific diseases, nor did they assess readability of patient education materials or provide patient empowerment interventions to encourage active information-seeking and participation in self-care. Conclusions: Nursing students could identify behavioral cues suggestive of low health literacy and provide solutions to increase the patient’s health literacy. To enhance student practice, nursing curricula, however, can integrate relevant health literacy assessment tools and empowerment interventions.
Full Text Available Abstract Background More than thirty-five sub-Saharan African countries have severe health workforce shortages. Many also struggle with a mismatch between the knowledge and competencies of health professionals and the needs of the populations they serve. Addressing these workforce challenges requires collaboration among health and education stakeholders and reform of health worker regulations. Health professional regulatory bodies, such as nursing and midwifery councils, have the mandate to reform regulations yet often do not have the resources or expertise to do so. In 2011, the United States of America Centers for Disease Control and Prevention began a four-year initiative to increase the collaboration among national stakeholders and help strengthen the capacity of health professional regulatory bodies to reform national regulatory frameworks. The initiative is called the African Health Regulatory Collaborative for Nurses and Midwives. This article describes the African Health Regulatory Collaborative for Nurses and Midwives and discusses its importance in implementing and sustaining national, regional, and global workforce initiatives. Discussion The African Health Profession Regulatory Collaborative for Nurses and Midwives convenes leaders responsible for regulation from 14 countries in East, Central and Southern Africa. It provides a high profile, south-to-south collaboration to assist countries in implementing joint approaches to problems affecting the health workforce. Implemented in partnership with Emory University, the Commonwealth Secretariat, and the East, Central and Southern African College of Nursing, this initiative also supports four to five countries per year in implementing locally-designed regulation improvement projects. Over time, the African Health Regulatory Collaborative for Nurses and Midwives will help to increase the regulatory capacity of health professional organizations and ultimately improve regulation and professional standards in this region of Africa. The African Health Regulatory Collaborative for Nurses and Midwives will measure the progress of country projects and conduct an annual evaluation of the initiative’s regional impact, thereby contributing to the global evidence base of health workforce interventions. Conclusion The African Health Regulatory Collaborative for Nurses and Midwives is designed to address priority needs in health workforce development and improve regulation of the health workforce. This model may assist others countries and regions facing similar workforce challenges.
McCarthy Carey F
Full Text Available An investigation on nurses´ primary health care practice was developed to identify and analyze nurses’ general and specific competencies at the Brazilian Health System. This quantitative-qualitative research adopted the Delphi Technique as a method of study. Two groups of participants were selected. Fifty-two nurses and fifty-seven specialists accepted to participate in the study. Questionnaires were developed for data collection, including a Likert scale. A 75 percentage was adopted as a consensus criterion for scores 4 or 5 of this scale. Results showed 17 general and 8 specific competencies for the nursing group and 19 general and 9 specific competencies for the specialist group. These competencies were classified into ten areas of domain. This paper presents and discusses health care competencies found in this investigation.
Regina R Witt
Full Text Available Objective: to examine knowledge and practices of nurses about pain assessment in the hospital context. Method: this is about a descriptive and analytical cut of an assistance-converging research held in a private hospital at Fortaleza-Ceará, in 2007, approved by the Ethics Committee of Research of Ceara State University (Protocol nº07336264-6. It was applied structured interview with 15 nurses about pain assessment in practice, being performed qualitative data analysis and presentation of results in thematic categories. Results: it was identified that pain is predominantly conceptualized as an unpleasant sensation for humans, because it indicates that something is not right in the body. Pain assessment happens mainly with the evaluation of verbal report of the patient, the pain features and the signs/symptoms associated with painful situacions. About the treatment, the drug is still the prevailing opinion of the nurses, being cited: nonsteroidal anti-inflammatory drugs (NSAIDs, opioids and simple analgesics. Regarding non-pharmacological measures, were cited: the application of cold or heat, promoting peaceful environment, clarification of the procedure and condition of the patient, among others. Conclusion: nurses had demonstrate articulated knowledge and practices about pain management, but was not routinely evaluate it systematically, showing urgently the need to incorporate educational programs about pain assessment in nursing courses and health services in general. Descriptors: pain; pain measurement; nursing; nurses; hospital care.
Roberta Meneses Oliveira, Lucilane Maria Sales da Silva, Ilse Maria Tigre de Arruda Leitão
As nursing continues to advance health care in the 21st century, the current shift in demographics, coupled with the ongoing disparities in health care and health outcomes, will warrant our ongoing attention and action. As within all health professions, concerted efforts are needed to diversify the nation's health-care workforce. The nursing profession in particular will be challenged to recruit and retain a culturally diverse workforce that mirrors the nation's change in demographics. This increased need to enhance diversity in nursing is not new to the profession; however, the need to successfully address this issue has never been greater. This article discusses increasing the diversity in nursing and its importance in reducing health disparities. We highlight characteristics of successful recruitment and retention efforts targeting racial/ethnic minority nurses and conclude with recommendations to strengthen the development and evaluation of their contributions to eliminating health disparities. PMID:24385664
Phillips, Janice M; Malone, Beverly
...Health Professions Advanced Education Nursing Traineeship Program AGENCY...announcing a change to its Advanced Education Nursing Traineeship (AENT) program...Wasserman, DrPH, RN, Advanced Nursing Education Branch Chief, Division of...
Full Text Available Aim To analyze general aspects of intramuscular injection (IMprocedure and its compliance with current recommendations.Methods The study was conducted in the form of a cross-sectionalstudy. The sample consisted of 294 respondents (149were students of final year of the secondary nursing school, and145 nurses. Data were collected from February to April 2012.The instrument used to assess the IM injection procedure was aquestionnaire designed for the purpose of this study. Statisticalanalysis included descriptive and inferential analysis. Statisticallysignificant values were considered to be at the level of p<0.05.Results Dorsogluteal site to administer intramuscular injectionswas prefered for use by 139 (88.0% students and 130(89.7% nurses. Regarding the selection of a needle for IMinjection, 103 (68.2% students and 118 (72.0% nurses preferedto use 21 g needle (green. A total number of 112 (75.2%students would immediately give an injection after disinfectionof the skin, while 79 (54.5% nurses allow skin to dry, andthen give an injection. The Z-technique would be applied byonly 29 (20.0% nurses. Most respondents,129 (86.6% studentsand 109 (75.1% nurses withdrew needle immediatelyafter administering the drug. The injection site was not massagedby 95 (63.8% students and 46 (31.7% nurses.Conclusion Based on our results, we have concluded that inSerbia IM administration procedures are carried out traditionallyand this confirms the need for written instructions for implementingthis procedures in all health institutions in order tocarry it out uniformly and to prevent adverse events. This studyhas shown positive progress in implementing the procedure,but it is just a beginning.
This paper examines stances that are being adopted in relation to the current and future direction of mental health nursing practice. The argument is made that mental health nursing is being pushed into a direction that is essentially positivistic and narrow in its focus, stating that the current hegemony of thinking which dictates that our primary focus of concern should be with individuals suffering from severe or recurring mental illness, allied with the drive towards 'evidence based practice' is symptomatic of wider issues that should be of concern to all parties interested in the issue of mental health care. The authors examine the context and rationale for these developments from socio-political, philosophical and ethical viewpoints, highlighting that their logical outcome is the exclusion of individuals from the right to health care and question the motives underpinning what could be considered a fundamental shift in the provision of mental health services. The argument is then advanced that caution should be adopted by mental health nursing services before abandoning what Gournay (1994) described as 'redundant ideologies' and that a broader view of mental health nursing action should be accommodated. The validity of trying to account for mental nursing action in quantifiable and biomechanistic terms is questioned and an alternative paradigm of accounting for such action is suggested. PMID:10067482
Coleman, M; Jenkins, E
Nursing education is a challenge in a developing country like India. This cross sectional study assessed the attitudes and perceptions of nursing professionals and their desired future practices. The study was conducted using a modified version of Beliefs, Attitudes and Perceived Practice questionnaire among 129 students who were undergoing undergraduate nursing programme at a selected college of nursing in Bangalore. Data was analysed and interpreted by using descriptive and inferential statistics. Forty-four (34.1%) of the subjects agreed that they were enrolled of their own interest; 43 (33.3%) of them reported that they enrolled in nursing out of their own interest and also to improve their financial situations. Only 4 (3.1%) stated that they have to protect the rights and dignity of the patients. 45 (34.9%) of the subjects indicated that the nurse-patient relationship should be both professional and a relation of sympathy. Upon graduation 69 (53.5%) of the subjects preferred to pursue the nursing career, 36 (27.9%) in academics, 12 (9.30%) wanted to change the profession. Nearly 63 (48.8%) of the subjects agreed that social prejudice has a great influence on nursing students in choosing nursing profession as their career. An urgent need is seen in the area of educating nursing students regarding patient's rights. There is also a need to improve the image of nurses in the society to attract more number of students into this noble profession. Counselling and introduction to nursing course should be introduced by all the universities, to develop positive attitudes towards nursing profession. PMID:23534180
Poreddi, Vijayalakshmi; Ramachandra; Konduru, Reddemma; Math, Suresh Bada
How might the unconscious part of the mind affect mental health patients' emotions or behaviour? How might the unconscious motivations of mental health nurses affect their patients? The discovery of "the unconscious" two centuries ago has allowed philosophers and scientists, such as C. G. Jung, to explore the field. Contemporary mental health care subscribes to a dominance of neurobiological approaches, neglecting the unconscious or relegating it to that of a merely biological process. Approaching this subject from the perspective of Jung, we make a case for the inclusion of theoretical concepts about the unconscious in the discourse of mental health nursing. Such awareness may help mental health nurses to better understand the mental disease, disorder, and distress found in patients. It also may help them understand their own conflicts and motivations that, in turn, can have an affect on their patients. PMID:24702216
Moore, Alan; Cross, Wendy
The study aimed to analyze the nursing interventions related to the competencies of health promotion of overweight children and adolescents in the school context, in light of the Galway Consensus through an integrative review. Articles published between 1988 and June, 2013 were found in the databases CINAHL, SCOPUS, MEDLINE/PubMed, Cochrane, LILACS and SciELO. A total of 139 publications were obtained from indexed descriptors. Ten articles were selected after reading. The most evident competencies for health promotion were: catalyzing change, needs assessment and impact assessment. The highlights were activities of health education and partnerships with other health professionals and the families of students. It was found that the skills of health promotion developed by nurses can contribute to the adoption of healthy habits by overweight children and adolescents. PMID:24676122
Gonzaga, Nathalia Costa; de Araújo, Thelma Leite; Cavalcante, Tahissa Frota; Lima, Francisca Elisângela Teixeira; Galvão, Marli Teresinha Gimeniz
The Canadian Schools of Nursing (CASN) task force on public health was mandated to facilitate Schools of Nursing to provide students with the foundation required to meet the Canadian Community Health Nursing Standards of Practice. This paper reports on an environmental scan that explored barriers and enablers influencing the integration of community health nursing content in baccalaureate education in Canada. Data was collected over three phases including: 1) a pan-Canadian survey of nursing schools, 2) completion of open-ended workbook questions by educators, policy makers, administrators, and community health nursing managers attending a pan-Canadian symposium on community health nursing, and 3) recorded notes from the symposium. The response rate for the survey was 72.5% (n = 61 schools) and approximately 125 stakeholders participated in symposium activities. Internal and external enablers and challenges as well as recommendations for practice and education are presented. PMID:18597668
Valaitis, Ruta K; Rajsic, Christina J; Cohen, Benita; Leeseberg Stamler, Lynnette; Meagher-Stewart, Donna; Froude, Susan A
Full Text Available B A C K G R O U N D : Counselling is regarded as an interactive process during which help is usually provided toindividuals with health problems. In the framework of nursing, nurses also play a counselling role.A I M : The present study aims at determining the general public’s attitudes and opinions about the role that nursescan play as counsellors in health related topics.M A T E R I A L - M E T H O D : Our sample consisted of 246 participants randomly chosen; 104 (43.2% were menand 137 (56.8% were women. The data were collected using a questionnaire specifically developed for this study andbased on literature review.R E S U L T S : 56.1% of the participants are unaware of the term “health counselling” and 59.4% are unaware of thecounselling process performed by nurses. However, unawareness does not mean that they have negative attitudes,since 202 participants (82.8% say that they would seek counselling on health topics from nurses. Furthermore, themajority (90.7%, n=215 of the participants responded that they would trust the family nurse and 95.1% (n=231 saidthat they would welcome a family nurse’s placement in their neighbourhood. People with chronic diseases, and mainlyelderly people (n=127 would be the ones who would mostly seek counselling.C O N C L U S I O N S : The results indicate that nurses are accepted as counsellors by lay people. The communitynurse’s role is important because it contributes to detection, as well as addressing of health needs of communitymembers.
Although nursing leadership roles have been greatly transformed as a result of dramatic changes within healthcare over the past decade, there is little research on the nature of nurse manager work life in current work environments. The purpose of this study was to test a theoretical model derived from Kanter's theory of organizational empowerment: linking nurse managers' perceptions of structural and psychological empowerment to burnout, job satisfaction and physical and mental health. A descriptive, correlational design was used in a sample of 286 first-line (n=202) and middle-level (n=84) hospital-based nurse managers obtained from a provincial registry. Ironically, managers reported high levels of burnout, but good mental and physical health. Middle managers were more empowered and satisfied with their jobs than first-line managers. In both groups, approximately 45% of the variance in job satisfaction and 18-52% of the variance in physical and mental health was explained by empowerment and burnout. Empowered work environments were associated with lower nurse manager burnout and better physical and mental health. The results suggest that creating work environments that provide access to empowerment structures may be a fruitful strategy for creating healthy work environments for nurse managers. PMID:15656251
Laschinger, Heather K Spence; Almost, Joan; Purdy, Nancy; Kim, Julia
Community health nursing in Korea has undergone dramatic changes since 1980. These changes arose through the efforts of Mo Im Kim, an internationally known leader in Korean nursing, and colleagues who successfully worked to establish a national community health nurse practitioner program. This article will review these changes with the aim of describing the evolutionary process that culminated in a community health care system that is meeting the needs of Korean citizens who live in rural and isolated areas. The authors believe that the evolution of the community health nurse practitioner in Korea provides a paradigm that can serve as a model for other countries. Health care in Korea is organized differently than that in the United States. However, the plan, process, and political activism can be used for community and public health nursing change in the United States. The information contained in this article is based upon interviews with Mo Im Kim and 20 of her colleagues and associates. Interviewees were selected using a "snowball" sampling technique. Additional data were derived from various professional and personal documents of these individuals. The first author conducted the interviews in both Korea and in the United States. PMID:15144373
Cho, Ho Soon Michelle; Kashka, Maisie Schmidt
It is important to examine empirical evidence of cultural competence among health care providers and to understand how it is assessed from an organizational context. There is a dearth of information about these concepts. Given its relevance to caring for diverse patient populations, the purpose of this paper is to present findings from a mixed method study which conducted a general cultural assessment survey of Nurse Managed Health Centers (NMHCs) that were affiliates of the National Nursing Centers Consortium. Findings enabled the authors to formulate recommendations that could strengthen the cultural competence of staff Organizational leadership and advanced practice nurses would benefit from more intentional efforts to increase proficiency of NMHC staff members in their cultural knowledge and sensitivity skills when delivering care to the populations they serve. PMID:25011210
Waite, Roberta; Nardi, Deena; Killian, Priscilla
Introduction: professional hazards create insecurity and frustration to nurses during their clinical work. Aim of this review is to present and analyze daily risks and aggravating factors during the clinical work of nurses. Method: a systematic evaluation of the International and Greek literature findings was undertaken, according to Rogers’ model of analysis. Results: the frame of analysis showed five categories of risks which include: Biological/contagious risks, Chemical factors, Environ...
Fountouki A.; Theofanidis D.
Hiring nurses is a difficult task that can have serious repercussions for medical facilities. If nurses without proper skills are hired, patients can suffer from insufficient quality of care and potentially life-threatening conditions. Nurse applicants' technical knowledge is extremely important to avoid negative outcomes; however, there are soft skills that factor into their success, such as bedside manner, personality, communication, and decision making. In order for medical facilities to select and maintain high-performing nurse staff, hiring managers must incorporate evaluations for these types of skills in their hiring process. The current study focused on using content/criterion-related validation design to create assessments by which nurse applicants can be evaluated for both technical knowledge/skills and soft skills. The study included participation of more than 876 nursing staff members. To rank applicants on divergent skills, 3 assessment types were investigated, resulting in the creation of an assessment with 3 components. The clinical, situational, and behavioral components that were created measure applicants' job knowledge, interpersonal competency in medical facility-related situations, and aspects of personality and behavior, respectively. Results indicate that using the assessment can predict 45% of a nurse applicant's future job performance. Practical implications include hiring and maintaining a higher quality of nurses and decreased hiring costs. PMID:23629042
Kuthy, James E; Ramon, Cheree; Gonzalez, Ronald; Biddle, Dan A
Until the early Eighties, critical social theory as a philosophical orientation informing nursing science, theory development and practice did not exist. Interest on this topic began to arise only after the mid-Eighties. In fact, nursing scholars questioned the validity of empiricism as the historical foundation for nursing science and the limitations of interpretivism in strengthening nursing knowledge, and thus started to focus on the lack of epistemological perspectives in nursing, giving particular prominence to the peculiar social, political, historical and economic conditions involving those who needed nursing care. The theoretical reflection began to develop, like the empirical paradigm, the post-positivist paradigm and, later, the interpretative paradigm, expanded thanks to the early works by Martha Rogers and Rosemarie Rizzo Parse, were seen as unable to address issues related to power inequities, structural constraints and oppression suffered by vulnerable groups such as the homeless, mental health individuals, people affected by HIV+ and other infectious diseases, unemployed, etc.. Empiricism and interpretative paradigms did not manage to bridge the gap between theory and praxis, and a new theoretical and philosophical approach gradually gained ground. This paradigm, based on critical social theory, was developed by distinguished scholars and intellectuals, such as Max Horkheimer, Theodor Adorno, Herbert Marcuse of the Frankfurt School in the Thirties, and, in recent years, by Giddens, Bourdieu, Foucault, Habermas. On this social field the first works of Allen, Thompson, Stevens, Campbell and Bunting, Kendall, allowed to work out a new paradigmatic nursing approach that would have predicted the employment of the critical theory for particular nursing aspects, as a conceptual framework for nursing education, as a paradigm to carry out participatory action-research and for the development of the discipline. The purpose of this article was to describe this new paradigmatic nursing approach. In this way, we hope to give emphasis to the epistemological debate that should characterize a discipline that has undertaken by now, also in Italy, the characteristics of a scientific and a fully epistemological validity. PMID:17786173
Rocco, Gennaro; Stievano, Alessandro
The purpose of this study is to describe and discuss physicians' and nurses' documentation of the patient's needs assessment in electronic health records (EHR) in the neurological care setting. Both physicians and nurses collect, record and interpret data during patient care episodes. Assessment of patient's need for care and treatment is an important part of the care process. Planning, implementation and outcome assessment of the care process are based on needs assessment data. The data of this study consist of 48 neurological medical narratives and nursing care plans. The data were analyzed using descriptive statistics and content analysis. Physician's medical narratives include referrals to physiotherapy and consultations in other care specialties in which they have recorded the reason for the care, anamnesis and status praesens data. Nurses have documented patient's needs assessment in nursing care plans using Finnish Classification of Nursing Diagnoses (FiCND) and additional narrative text. Physicians' and nurses' patient needs assessment documentation complement each other. Nursing documentation includes more detailed information about patients' needs for care due the use of FiCND in documentation. The use of standardised documentation improves quality documentation and retrieval of data from EHR. PMID:20841691
Häyrinen, Kristiina; Saranto, Kaija
As the health care landscape continues to change with reform, obtaining funding for clinical initiatives is becoming increasingly difficult. At Catholic Health Initiatives, a number of nurse executives have recognized the need for creative philanthropy to advance specific projects. They have embraced opportunities for partnerships with their hospital foundation chief development officers to leverage philanthropy toward clinical innovations and to improve quality of care. Following are their discussions which reveal just how important nurse and employee involvement is to attracting and using philanthropy dollars in the next era of health care. PMID:25208144
A description is provided of a course, "Behavior of Man in Health and Illness," designed to introduce first-year undergraduate nursing students to the theories and concepts related to the health-illness continuum, the stress of illness, and coping theory. The description begins with an overview of course content, followed by information on the…
Bakke, Sandra I.
Describes the Mental Health Consultation Team at the Portland Veterans Affairs Medical Center nursing home. The team is an interdisciplinary group of mental health professionals and primary care providers. Cooperation among these professionals has decreased the demands for formal psychiatry and psychology consultations while increasing mental…
Joseph, Carol; And Others
Medicine administration is a high risk activity that most nurses undertake frequently. In this paper, the views of registered mental health nurses and final year student nurses are evaluated about the usefulness of the Medicines with Respect Assessment of the Administration of Medicines Competency Framework. A questionnaire using 22 items with closed and open response questions was distributed to 827 practising mental health nurses and 44 final year mental health nursing students. This article presents a content analysis of written replies to the open response questions. Four overlapping themes were identified in response to the open questions posed in the survey: (1) reasons for undertaking the Medicines with Respect Framework; (2) positive aspects; (3) negative aspects; and (4) service user benefits. PMID:23017041
Hemingway, Steve; White, Jacqueline; Baxter, Hazel; Smith, George; Turner, James; McCann, Terence
Recovery-oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena. Numerous studies have explored service users' accounts of the purpose, meaning and importance of 'recovery'; however, far less is known about healthcare staff confidence in its application to care delivery. A self-efficacy questionnaire and content analysis of nursing course documents were used to investigate a cohort of community mental health nurses' recovery-oriented practice and to determine the extent to which the current continuing professional development curriculum met their educational needs in this regard. Twenty-three community mental health nurses completed a self-efficacy questionnaire and 28 course documents were analysed. The findings revealed high levels of nurses' confidence in their understanding and ability to apply the recovery model and low levels of confidence were found in areas of social inclusion. The content analysis found only one course document that used the whole term 'recovery model'. The findings suggest a gap in the nurses' perceived ability and confidence in recovery-oriented practice with what is taught academically. Hence, nursing education needs to be more explicitly focused on the recovery model and its application to care delivery. PMID:22070737
Gale, J; Marshall-Lucette, S
Full Text Available Objective: to identify the nursing academic's knowledge about the education in health. Methods: this is about a descriptive and exploratory study from qualitative approach that had as subjects ten nursing students from 3rd to 8th period of the nursing course of a private university in Niterói, Rio de Janeiro, Brazil. The choice was random and for the fact of the same ones have already lived the theoretical-practical teaching, where they had the opportunity to develop educational activities in health in the practical field. It was used as instrument for data collection an interview itinerary composed by open questions. The collection of data closed up after the saturation of the speeches and the interpretation of the same ones was accomplished through the Thematic Analysis. Results: after analysis of the data, two categories emerged: The nursing academics and the education in health; The approach of the education in health in the graduation. Conclusion: this study showed us that the education in health needs to be analyzed continually, discussed and understood in the graduation as an important practice in the nurse's assistance performance.
Barbara Soares Avanci, Fernanda Garcia Bezerra Góes, Luciana Rangel Marins, Luciana da Silva Viana, Renata Loureiro Laborne Borges
Continued global economic difficulties and Taiwan's health insurance scheme have focused the domestic healthcare system excessively on medical treatments and made this system overly market-oriented. The NHI (national health insurance) Reimbursement Policy lacks adequate flexibility to adjust to current health needs. The situation constrains the medical service budget and causes nursing shortages in hospitals, which in turn marginalizes the public health nurses working at health centers. It is important for the government and professional associations to establish a public healthcare model that adequately meets the needs of the community. In addition to strengthening the role and function of public health nurses, a service model must be developed and piloted. This paper analyzes the situation and problem of maternal and child healthcare in Taiwan, studies the successful experiences of maternal and child healthcare from other counties, and then provides recommendations for the future development of public health nursing in Taiwan. PMID:24899555
This article describes a model of teaching community health nursing that evolved from a long-term partnership with a community with limited existing health programs. The partnership supported RN-BSN students' integration in the community and resulted in reciprocal gains for faculty, students and community members. Community clients accessed public health services as a result of the partnership. A blended learning approach that combines face-to-face interactions, service learning and online activities was utilized to enhance students' learning. Following classroom sessions, students actively participated in community-based educational process through comprehensive health needs assessments, planning and implementation of disease prevention and health promotion activities for community clients. Such active involvement in an underserved community deepened students' awareness of the fundamentals of community health practice. Students were challenged to view public health from a broader perspective while analyzing the impacts of social determinants of health on underserved populations. Through asynchronous online interactions, students synthesized classroom and community activities through critical thinking. This paper describes a model for teaching community health nursing that informs students' learning through blended learning, and meets the demands for community health nursing services delivery. PMID:24720659
Ezeonwu, Mabel; Berkowitz, Bobbie; Vlasses, Frances R
The state of education and service provision relating to young people and sex, sexualities, and sexual health is currently a major national challenge. Nurses working in the compulsory education sector are at the direct interchange between clients and their obvious experiential and academic needs, and attitudes and systems that frequently seem to fail them. From concerned parents and members of the public, through the teaching and nursing professions, to the UK Government, the message is the same: something must be done to improve the current status quo. The problem lies in the different beliefs about what to do and how to do it. School nurses are in a prime position to improve sexual health education and services for young people. However, it is unreasonable to expect school nurses, who are frequently overburdened with task-oriented jobs, to be effective with an additional remit for sexual health education without adequate support, resources and effective professional training. This article explores the role of school nurses as it develops to encompass numerous aspects of sexual health care. In order to enhance and promote these changes in line with client needs the article examines the strengths, weaknesses, opportunities and threats (SWOT analysis) of this changing role. PMID:11868209
Evans, D T
The present study aimed to identify the opinions of nursing students in relation to the interface between health, spirituality and religiosity and the information provided during their undergraduate formation. A cross-sectional study was conducted in 011 (May to October) through interviews on 120 students from a nursing school (82.1%) located at São Paulo State, Brazil. From these, 76% believe that spirituality have an influence on health. However, only 10% consider themselves very prepared to address patients' spiritual aspects and 54% stated that university education does not provide enough information to develop this competence. The fear of imposing religious beliefs is the main barrier related to this issue. Most students (83%) indicated that issues related to health and spirituality should be part of the nursing curricula. Therefore, it's necessary to implement learning scenarios during their academic training to help students in spiritual care. PMID:25080706
Espinha, Daniele Corcioli Mendes; de Camargo, Stéphanie Marques; Silva, Sabrina Piccinelli Zanchettin; Pavelqueires, Shirlene; Lucchetti, Giancarlo
Lebanon is undergoing rapid developments. The majority of occupations (approximately two thirds) fall under services, industry makes up one fifth, and the remaining occupations are in agriculture. Primary health care is recently gaining renewed interest, with a focus on primary preventive services. Occupational health practice lags behind, despite the presence of legislation. Data related to occupational illnesses and injuries are fragmented. There is need for comprehensive multidisciplinary national studies to identify occupational health needs. Occupational health nursing is underdeveloped in Lebanon. Nevertheless, the establishment of a National Nurses' Order is hoped to promote the educational preparation and scope of nursing practice in the field. PMID:15152716
Noureddine, Samar; Arevian, Mary
Full Text Available Background: QSEN has a variety of suggested strategies for teaching safe medication administration; however they do not have a recommendation for how to assess it. The purpose of this study was to gain information on how safe medication administration is assessed in nursing education.Methods: A survey was developed to identify methods used by nursing faculty members to assess nursing students’ knowledge and skills of safe medication administration. The specific research questions addressed in the survey were: 1 How is safe medication administration assessed prior to students entering the clinical area, 2 How is safe medication administration assessed during clinical, 3 How is knowledge of “right drug” assessed in the classroom and 4 How is knowledge of “right dose” assessed in the classroom setting. Results: The results of the survey indicated no standardized method for assessing safe medication administration in nursing education.Conclusions: There is much variation in how and when safe medication administration is assessed in the education setting. There is a need for a valid and reliable comprehensive assessment of safe medication administration in order to evaluate whether nursing students have the knowledge, skills and attitude to safely administrate medications.
Kelly J. Gonzales
Full Text Available Background & Aim: Patient satisfaction has been recognized as a key indicator of health care quality which is used by accreditation agencies to monitor quality of care in hospitals. A high proportion of health caregivers are nurses. The services provided by nurses are significantly influential in satisfaction of patients. The aim of this study was to assess patients' satisfaction from nursing care in hospitals of Iran University of Medical Sciences in 2010. Methods & Materials: In this cross-sectional study, we recruited 200 patients from different wards (except for special wards, Emergency department, Pediatric and Psychiatric wards at the time of discharge from hospital through multistage sampling method. Data were collected using Patient Satisfaction Instrument (PSI. Data analysis was performed using descriptive statistics, chi-square and regression analysis. Results: Majority of patients (72% were moderately satisfied. Patient satisfaction had a significant relationship with the type of ward (P?0.001, and type of hospital (P?0.001. Of demographic variables, only patients' level of education was significantly associated with patient satisfaction (P?0.019. Conclusion: In this study, patients were moderately satisfied from nursing care services. Educating hospital staff, especially nurses; and encouraging them to actively participate in activities to promote patient satisfaction should be a priority for hospital management. We should also consider that in a competitive market of health and treatment care giving, institutions that put patient satisfaction as their main goal are more successful. Key words: patient satisfaction, nursing care services, hospital
Background Quality in nursing documentation facilitates continuity of care and patient safety. Lack of communication between healthcare providers is associated with errors and adverse events. Shortcomings are identified in nursing documentation in several clinical specialties, but very little is known about the quality of how nurses document in the field of psychiatry. Therefore, the aim of this study was to assess the quality of the written nursing documentation in a psychiatric hospital. Method A cross-sectional, retrospective patient record review was conducted using the N-Catch audit instrument. In 2011 the nursing documentation from 21 persons admitted to a psychiatric department from September to December 2010 was assessed. The N-Catch instrument was used to audit the record structure, admission notes, nursing care plans, progress and outcome reports, discharge notes and information about the patients’ personal details. The items of N-Catch were scored for quantity and/or quality (0–3 points). Results The item ‘quantity of progress and evaluation notes’ had the lowest score: in 86% of the records progress and outcome were evaluated only sporadically. The items ‘the patients’ personal details’ and ‘quantity of record structure’ had the highest scores: respectively 100% and 71% of the records achieved the highest score of these items. Conclusions Deficiencies in nursing documentation identified in other clinical specialties also apply to the clinical field of psychiatry. The quality of electronic written nursing documentation in psychiatric nursing needs improvements to ensure continuity and patient safety. This study shows the importance of the existence of a validated tool, readily available to assess local levels of nursing documentation quality.
B A C K G R O U N D : Counselling is regarded as an interactive process during which help is usually provided toindividuals with health problems. In the framework of nursing, nurses also play a counselling role.A I M : The present study aims at determining the general public’s attitudes and opinions about the role that nursescan play as counsellors in health related topics.M A T E R I A L - M E T H O D : Our sample consisted of 246 participants randomly chosen; 104 (43.2%) were menand 137 (...
Papathanasiou I.; Psychogiou M.; Lavdaniti M,; Kotrotsiou S.; Paralikas Th.; Lahana E.
Usability issues with products such as Electronic Health Records (EHRs) are of global interest to nursing informaticists. Although improvements in patient safety, clinical productivity and effectiveness are possible when usability principles and practices are in place, most organizations do not embrace usability. This paper presents a new Health Usability Maturity Model consisting of 5 phases: unrecognized, preliminary, implemented, integrated and strategic. Within each level various aspects are discussed including focus on users, management, education, resources, processes and infrastructure. Nurse informaticists may use this new model as a guide for assessing their organization's level of usability and transitioning to the next level. Using tactics outlined here, nurse informaticists may also serve as catalysts for change and lead efforts to improve the user experience in organizations across industry, academe and healthcare settings. PMID:24199128
Staggers, Nancy; Rodney, Melanie
Full Text Available The need to provide care 24 hours of the day, 365 days of the year, means for nurses, compulsory work in a system of rotating shifts, including the realization of nights. This system has repercussions on the life, health and well-being of nurses.In order to identify evidence on the relationship between the work to shift and/or night the health and well-being of nurses and develop recommendations to improve the adaptation to the system of rotating shifts and/or night, have carried out a review of the literature.After detailed analysis of the literature, we can conclude that the quality of the care provided is in direct relation to the health and well-being of the nursing professional. Implement measures to reduce the physical, psychic, social and family wear must be priority, being necessary to educate professionals, families, society and business. Among the recommendations highlight, those directed to the company; set realistic goals, to reduce workloads in the night shift adapting them to the actual number of nurses, flexible schedules and recommendations addressed to the professional related: diet, sleep, exercise, family life and social hygiene. The implementation of these measures will mean: increase satisfaction, reduce absenteeism, increase productivity, reduce the number of errors and decrease spending.
Mª Mercedes Gago López
The project International Classification of the Nursing Practices in Collective Health-CIPESC was the Brazilian contribution for the incorporation of the notion of collectiveness in the International Classification of Nursing Practice-ICNP. This article aims at analyzing the bibliographical production concerning nursing classifications available in the virtual library in health database since 1990. This is a bibliographical survey of nursing practice classification systems and is part of a larger research that intends to identify the collective face of the CIPESC instrument in the municipal health network of the city of Curitiba, in the State of Parana. The result shows that the majority of the texts are based on the clinical-individual model, and those that emphasize the social-epidemiologic model are still a minority. In addition, most studies focused on the collective were disseminated through the publications of the Brazilian Nursing Association, which has the hegemony in the diffusion of the knowledge about the collective face of classification systems. PMID:18450164
Cubas, Marcia Regina; Egry, Emiko Yoshikawa
The purpose of this study was to replicate a national study of physician knowledge, experience, and attitudes about breastfeeding. All family, pediatric, and women's health care nurse practitioners and nurse-midwives in a northwestern state were surveyed using a mail questionnaire; the response rate was 60.4%. Respondents were nearly unanimous in believing that "breast is best" and in recommending breastfeeding to expectant mothers as a part of their role. In general, 70% of respondents considered themselves effective or very effective in meeting the needs of breastfeeding patients. Although respondents were very supportive of breastfeeding, they were less knowledgeable about specific management strategies. There were differences in attitudes among nursing specialties and with years of experience. Overall, this statewide sample of nurse practitioners and nurse-midwives had a better understanding of the benefits of breastfeeding and an increased sense of effectiveness in managing breastfeeding problems than the physician participants in the national study. A national sample of nurse practitioners and nurse-midwives is needed to verify and expand on the results from this single jurisdiction, where 40% of the respondents were graduates of the home institution of the co-investigators. PMID:10907336
Hellings, P; Howe, C
In accordance with the Maternal and Child Health Service Act, public health centers and municipalities offer health education, health counseling, health examinations, and home visits for children and their mothers in their jurisdiction. On the basis of the new Maternal and Child Health Service Act, municipalities will have the responsibility to effectively promote health examination for three-year-old children beginning in 1997. To provide health examinations to infants and children, establishing a health personnel system, especially the public health nurse program, is extremely important. The purpose of this study is to determine fundamental facts concerning health manpower development among public health nurses in the municipalities, by reviewing research on health examinations for both infants and children. To determine personnel staffing requirements necessary for health examinations of infants and children in the municipalities of Japan, pertinent references were systematically reviewed. The main results are as follows; 1) The correlation coefficients between the total working hours of the public health nurse for MCH and the population per area and number of birth per year were significantly positive. 2) Total working hours for health examination of three-year-old children per 100 births per year, by the public health nurse were 143 hours, of which 79% were spent just for performing the examination itself. 3) Due to the lack of health personnel, rural towns and villages with small populations required public health nurses to be assisted by other staff, most often public health nurses from prefectural Health Centers. For example, in those areas with a population of less than 3,000, 43% of the total volume of work performed by public health nurses during the health examinations of three-year-old children required the assistance of prefectural public health nurses. 4) On the other hand, in those areas with populations more than 10,000, 88% of the total volume of work required to be performed by public health nurses during the health examinations for three-year-old children was covered by municipal public health nurses. 5) When the total number of working hours of the public health nurse for Maternal and Child Health was divided into the four parts of planning, implementation, evaluation and training, 86.7% of working hours were spent on implementation itself. 6) In those cities designated by the Government, the health personnel system was sufficient to carry out these health examinations. 7) It was found that in towns and villages with small populations, the health examinations for infants and children can be better carried out in combination with assistance by prefectural public health nurses. 8) The review of the findings suggests that it is important to clarify by further studies not only the relationship between the health manpower system and implementation of the health examination but also the relationship between this system and the effectiveness of the health examination in near future. PMID:8672807
Hoshi, T; Nakahara, T; Takabayashi, K; Gunji, A
Global warming and environmentalism continue to be national and international issues as their complexities and implications become better understood. One ironic contributor to the degradation of the environment is the health care system. Serving as clinical laboratories, hotels, restaurants, and offices that never close, U.S. hospitals produce more than 2 million tons of waste annually. Although the consequences and significance of health care's carbon footprint are undeniable, strategies to reduce this impact are challenging. This article discusses how the role, traits, and knowledge of nurses combined with their positions in the health care system make them key players in creating an environmentally sustainable health care industry. With an analysis of environmental action versus inaction, this article explores how nurses at the forefront of health care are equipped to change practice that will reach far beyond the bedside. PMID:23413481
Full Text Available An important component of nursing programmes in South Africa has been teaching of the principles of ethical practice and relevant ethical codes. A number of factors have contributed to the need to include human rights as an integral component of nursing curricula in South Africa. These include the Bill of Rights in the Constitution of South Africa and the implications thereof for health care delivery, the primary health care approach in the delivery of health care in South Africa, the development and acceptance o f Patients’ Rights Charters, and the recognition of the role that health professionals played - whether through lack of knowledge and awareness or direct involvement - in the human rights violations in the health sector exposed during the hearings of the Truth and Reconciliation Commission.
Marketing strategies are employed to ensure the success of new products, services or programs. Both profit and non-profit organizations have used social marketing strategies to inform, to motivate interest, and to engage the involvement of the consumer. A client-dependent health care system did not find it necessary to market services, but a health care system that encourages clients to choose the most appropriate health promotion service available must market services. Nurses are in the business of promoting the health of clients. Therefore, it is essential that nurses become familiar with, and involved in, the development of marketing plans and strategies. The connection between the four variables of the marketing mix (product, promotion, place, and price) and promoting the health of clients is described. A case example recapitulating the marketing strategies employed to raise public awareness of a self-help group for family caregivers is related, the marketing response is evaluated, and future recommendations are proposed. PMID:7888407
This paper discusses the use of simulation in nursing education and training, including potential benefits and barriers associated with its use. In particular, it addresses the hitherto scant application of diverse simulation devices and dedicated simulation scenarios in psychiatric and mental health nursing. It goes on to describe a low-cost, narrative-based virtual patient simulation technique which has the potential for wide application within health and social care education. An example of the implementation of this technology in a web-based pilot course for acute mental health nurses is given. This particular virtual patient technique is a simulation type ideally suited to promoting essential mental health nursing skills such as critical thinking, communication and decision making. Furthermore, it is argued that it is particularly amenable to e-learning and blended learning environments, as well as being an apt tool where multilingual simulations are required. The continued development, implementation and evaluation of narrative virtual patient simulations across a variety of health and social care programmes would help ascertain their success as an educational tool. PMID:22070549
Guise, V; Chambers, M; Välimäki, M
There is an ongoing global shortage of mental health nurses. Within Australia, the principal strategy of offering a postgraduate education programme with various incentives to encourage nurses back to study has not been successful. This has led to the consideration of radical alternatives, including the return to pre-registration specialisation in mental health. The successful introduction of this strategy would require the full support of industry partners. To date, the voice of industry has not been heard in relation to this issue. The aim of this paper is to present the views of an Australian sample of mental health nursing directors regarding the resources and other factors required, should undergraduate specialist programmes in mental health be developed, to ensure they are relevant and likely to be successful. A qualitative exploratory research project was undertaken to explore the perspectives and opinions of industry partners. In-depth interviews were conducted with nursing directors (n = 12) in Queensland Australia. Five main themes were identified: relationships with universities; clinical placement preparation and support; workplace culture; facilitators and preceptors; and practical student learning. Genuine collaboration between the two organisations was considered crucial for delivering a quality programme and providing the required support for students. Transformative leadership could inform this collaboration by promoting acknowledgement of and respect for differences. PMID:25353302
Happell, Brenda; McAllister, Margaret
Health care and today's medical and technical achievements and approved standards of treatment provide comprehensive quality, safety and traceability of medical procedures respecting the principles of health protection. Continuous education improves the quality of nursing health care and increases the effectiveness of patient care, consequently maintaining and enhancing patient safety. Patient health problems impose the need of appropriate, planned and timely nursing care and treatment. In providing quality nursing care, attention is focused on the patient and his/her needs in order to maintain and increase their safety, satisfaction, independence and recovery or peaceful death, so the health and nursing practices must be systematized, planned and based on knowledge and experience. Health and nursing care of patients at risk of developing acute and chronic wounds or already suffering from some form of this imply preventive measures that are provided through patient education, motivation, monitoring, early recognition of risk factors and causes, and reducing or removing them through the prescribed necessary medical treatment which is safe depending on the patient health status. Except for preventive measures, nursing care of patients who already suffer from some form of acute or chronic wounds is focused on the care and treatment of damaged tissue by providing appropriate and timely diagnosis, timely and proper evaluation of the wound and patient general status, knowledge and understanding of the wide range of local, oral and parenteral therapy and treatment, aiming to increase patient safety by preventing progression of the patient general condition and local wound status and reducing the possibility of developing infection or other complications of the underlying disease. In the overall patient management, through nursing process, medical interventions are implemented and aimed to maintain and optimize health status, prevent complications of existing diseases and conditions, provide appropriate wound treatment, increase satisfaction, reduce pain, increase mobility, reduce and eliminate aggravating factors, and achieve a satisfactory functional and aesthetic outcome. Many scientific researches and knowledge about the pathophysiological processes of wound formation and healing are currently available. Modern achievements can accelerate independence, reduce pain and encourage faster wound healing, thus it is important to continuously develop awareness, knowledge and experience, along with the treatment to achieve, maintain and enhance the quality of health care and patient safety. PMID:25326985
Fumi?, Nera; Marinovi?, Marin; Brajan, Dolores
Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80% of geriatric patients have complex and often unresolved caring needs. Objective: To investigate a structured nursing intervention’s impact on geriatric patients’ unresolved problems and their use of help from the community health centre. Method: We conducted a prospective descriptive study of selected geriatric patients with nursing intervention at discharge and 1 and 6 months follow-up. Included were geriatric patients 70+ years discharged to their home October 2006-June 2008. Intervention: After detecting the geriatric patients planned to be discharged, the geriatric nurse in the ED did a brief standardised nursing assessment developed by McCusker et al. comprising a checklist of physical, mental, medical and social problems. Focus was on unresolved problems that required medical intervention, new/different home care services or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: 150 geriatric patients participated, mean age 81.7 (70-99). At discharge they had in mean 2 164 (0-9) unresolved problems, after 1 month 0.8 (0-5), and after 6 months 0.5 (0-4). Before baseline ED visit 85 % of the patients received home care services, 1 and 6 months after discharge it was 96 %. Relevance to clinical practice: Structured nursing assessment and intervention in the ED could be a way of discovering geriatric patients’ unresolved problems and preventing further functional decline and readmission. To confirm the effect a randomized controlled trial including 270 patients is carried out as part of my PhD study at University of Southern Denmark. Data is collected from Copenhagen University Hospital Amager.
Rosted, Elizabeth Emilie; Wagner, Lis
The purpose of this project was to implement and evaluate the Video Analysis Tool (VAT) system, a tool for capturing and analyzing video evidence of students' clinical performance. Through the VAT system, nursing student dyads from 4 universities used a video camera, a computer, and a tripod in the residences of older adults to record interactions and psychosocial assessments of older adult clients. Using their recordings to compare their clinical activities with predefined clinical objectives derived from gerontological nursing standards, they made video clips of their assessments to demonstrate the required outcomes. Use of the VAT system received positive evaluations from students, faculty, and residents in multiple clinical sites. The process has significant implications for assessing clients and health care providers in their interactions in a variety of settings, including on home visits. It has additional applications for documenting performance measures of nurses and team members as they provide client care. PMID:25208159
Rosenkoetter, Marlene M; Smith, Deborah; Stachura, Max E; McDonough, JoEllen; Hunter, Carol; Thompson, Darrell; Richter, Sally; Jones, Gail
The Law of Prevention of Risks at Work marked an important point of flexion in the tie sanitary professions the field of the labor health. This work will mark the objective to locate to the Industrial Nursing (a company nursing assistant) in a context near the reality. For it, it will be equipped with legal content, and those articles of the Law of Prevention of Risks at Work will be mentioned and of the Regulations for Prevention Services, that establishes the guidelines of performance of the professionals of the Basic Unit of Health (Industrial Medicina and the company nursing assistant) Also will mention the objectives of the First draft of Law of the Reformation of Normative Marco of the Law of Prevention of Risks at Work, consequence of the alarming data of sinisterness and labor accidental. PMID:15816220
Aguilera, Antonio Javier Cortés
In 2009, occupational health nursing faculty and professionals at the University of Washington developed an innovative continuing nursing education offering, the OHN Institute. The OHN Institute was designed to meet the following objectives: (1) extend basic occupational health nursing training to non-occupational health nurses in Federal Region X, (2) target new occupational health nurses or those who possessed little or no advanced education in occupational health nursing, and (3) offer a h...
Ward, Julie A.; Beaton, Randal D.; Bruck, Annie M.; Castro, A. B.
Violence against the employed in the medical service represents a serious problem. Attention to this problem has been drawn by various world associations with the intention to use holistic approach in solving the problem. Violence against the workers in the medical service represents approximately a quarter of all the workplace violence. In my diploma work I deal with the workplace violence in the medical service, focusing on the violence practised in the home nursing. In the theoretica...
Objective: to describe and to identify nurse’ attributions in the mental health services according to the Psychiatric Reform. Methods: descriptive and exploratory study, from qualitative approach, developed by recent literature review, in which we searched articles from the Virtual Health Library (BVS), and also the collection of Scielo. The analyses were done by pre and selective readings, and also textual and interpretative investigation of the selected texts. Results: it had been found 7...
Virgi?nia Faria Dama?sio, Viviane Da Costa Melo
Health promotion programs offer an opportunity to support the health of employees, their families, and the communities in which they reside. By integrating health promotion programs with a company's sustainability efforts, the occupational health nurse can directly impact the company's bottom line by ensuring the benefits from a healthy, safe, and fully productive employee who is able to remain in the workplace for some time. This article discusses a successful health promotion program developed and implemented by an occupational health nurse in support of a company's sustainability effort. PMID:19928715
Redmond, Michael S; Kalina, Christine M
Full Text Available Abstract Background Intimate partner violence (IPV has a deep impact on women's health. Nurses working in primary health care need to be prepared to identify victims and offer appropriate interventions, since IPV is often seen in primary health care. The aim of the study was to assess nurses' preparedness to identify and provide nursing care to women exposed to IPV who attend primary health care. Method Data was collected using a questionnaire to nurses at the primary health care centres. The response rate was 69.3%. Logistic regression analysis was used to test relationships among variables. Results Shortcomings were found regarding preparedness among nurses. They lacked organisational support e.g. guidelines, collaboration with others and knowledge regarding the extensiveness of IPV. Only half of them always asked women about violence and mostly when a woman was physically injured. They felt difficulties to know how to ask and if they identified violence they mostly offered the women a doctor's appointment. Feeling prepared was connected to obtaining knowledge by themselves and also to identifying women exposed to IPV. Conclusion The majority of the nurses were found to be quiet unprepared to provide nursing care to women exposed to IPV. Consequences might be treatment of symptoms but unidentified abuse and more and unnecessary suffering for these women. Improvements are needed on both at the level of the organisation and individual.
Sundborg Eva M
The role of technology in the cost of health care is a primary issue in current debates concerning national health care reform. The broad scope of studies for understanding technological impacts is known as technology assessment. Technology policy makers can improve their decision making by becoming more aware, and taking greater advantage, of key trends in health care technology assessment (HCTA). HCTA is the systematic evaluation of the properties, impacts, and other attributes of health care technologies, including: technical performance; clinical safety and efficacy/effectiveness; cost-effectiveness and other economic attributes; appropriate circumstances/indications for use; and social, legal, ethical, and political impacts. The main purpose of HCTA is to inform technology-related policy making in health care. Among the important trends in HCTA are: (1) proliferation of HCTA groups in the public and private sectors; (2) higher standards for scientific evidence concerning technologies; (3) methodological development in cost analyses, health-related quality of life measurement, and consolidation of available scientific evidence (e.g., meta-analysis); (4) emphasis on improved data on how well technologies work in routine practice and for traditionally under-represented patient groups; (5) development of priority-setting methods; (6) greater reliance on medical informatics to support and disseminate HCTA findings.
Objective: The aim of the study is to explore school nurses' experience of health education. Design: A qualitative approach, phenomenology was used to answer the question. Method: Sixteen participants were recruited through purposeful and snowball sampling. Participants undertook an audio-recorded interview which was transcribed and analysed.…
Klein, Julie; Sendall, Marguerite C.; Fleming, Marylou; Lidstone, John; Domocol, Michelle
Text, illustrations, and exercises are utilized in this set of learning modules to instruct nurses and other health care professionals in the symptoms and treatment of common medical disorders. The first module, by Fern A. Curran, discusses the causes of decubitus ulcers (i.e., bedsores), the physical damage they can do, and methods of preventing…
Curran, Fern A.; And Others
Situation analysis has been used as a pedagogical tool in child health nurse training for some thirty years. An analysis of the work of trainers overseeing students' work placements highlight the need to consider in detail the definition of the terms "situation" and "professional situation". Reviewing what is often considered as obvious in this way helps to improve learning. PMID:24941630
Increasing the rate of recruitment of nursing students into mental health nursing (MHN) is vital to long-term sustainability of health care system support for people diagnosed with mental illness. However MHN is not a popular career path; this raises questions about what attitudes and beliefs may divert or attract students to this specialisation. The current research involved a survey of undergraduate nursing students at a regional university in Australia to clarify the nature of relationships between attitudes (e.g., the value of mental health nursing, stereotypes of people with mental illness) and how they may be antecedents to considering MHN as a career path. Through a structural equation model, it was ascertained that anxiety surrounding mental illness leads to less interest in MHN as a future career and suggests that anxiety is (a) partly due to negative stereotypes, and (b) countered by preparedness for a MHN role. Beliefs on how MHN can make a valuable contribution to people's well-being did not affect interest in pursuing MHN. These findings reconfirm the need to reduce anxiety about mental illness by educational approaches that effectively prepare students for MHN, combined with challenging negative stereotypes. PMID:24350751
Happell, Brenda; Platania-Phung, Chris; Harris, Scott; Bradshaw, Julie
Manual patient handling is known to be the major source ofmusculoskeletal load among hospital nurses. The objectives of the present study were determination of frequency ofmusculoskeletal disorders (MSDs) and its associatedfactors together with assessment of musculoskeletal loaddue to patient transfer by PTAI method in hospitalnursing staff of Shiraz University of Medical Sciences (SUMS), Iran. In this cross-sectional study, 400 randomlyselected nurses of SUMS hospital participated. Data were...
Roghayeh Abedini; Alireza Choobineh; Jafar Hasanzadeh
The Visiting Nurse Association of Omaha is a nonprofit, voluntary agency providing home health care, preventive care, clinical services, and school health services in an urban-rural setting. It has developed a computerized system which provides for: (1) centralized dictation by service delivery staff; (2) the printing of a uniform clinical, family problem-oriented record; (3) an integrated data base, statistical system, and financial system; and (4) the communication capability to remote stat...
Simmons, Delanne A.
The objective of this study was to assess the difficulties experienced by Family Health Strategy nurses in implementing an educational intervention regarding developmental surveillance. A qualitative approach was used with the assistance of eleven nurses, who participated in developmental surveillance workshops in the context of Integrated Management of Childhood Illness. Data were collected from May to June 2009 and were analyzed on the basis of content analysis methodology, using the theme modality. Four thematic nuclei were identified: evaluation of the training course regarding developmental surveillance; difficult areas which hinder the application of the acquired knowledge; facilitating points provided by the course, and practice transformation based on the knowledge acquired during the training course. The study highlighted the urgency of incorporating contents that give priority to questions concerning the infants' developmental surveillance in undergraduate nursing education, as well as in the family health internship. PMID:23223718
Reichert, Altamira Pereira da Silva; Lucena de Vasconcelos, Maria Gorete; Eickmann, Sophie Helena; Lima, Marilia de Carvalho
Full Text Available Nurses have an indispensable role in maintenance and promotion of adolescens’ health. Nurses must know the basic principles of appropriate approach to adolescents, should be able to guide the adolescent and family in the promotion and maintenance of health. In this article, general observation principles of adolescent and family, the appropriate nursing approach to the major adolescent health issues, how to evaluate gathered data about adolescent’s such as nutrition, physical activity, mental health and, development and growth, the properties of therapeutic communication with adolescent and family, physical activity to be integrated into the life of the adolescent and family, nursing approach to illness and accident prevention has been handled. (Turk Arch Ped 2011; 46 Suppl: 4-8
The health of individuals occurs within the context of their environment and the other individuals they interact with in the communities they live in, work in and visit. Promoting the health of the public requires multiple strategies aimed at improving the environment, the health knowledge of groups and individuals, maintaining adequate food and water, and reducing the spread of disease. Many disciplines are needed to meet these goals, but the largest segment of the professional health work f...
Joan Kub; Christine Savage
People with serious mental illness (SMI) have heightened rates of chronic physical disease. This study aimed to identify what nurse and organisational factors predict physical health care provided by nurses in contact with consumers with SMI, through a survey in Australia (N=643). Statistical analyses revealed that physical health care could be accounted for in terms of nurse views on consumer health, rights and nurse role ideal ('nurses should be involved in physical health care'), and organisational factors. However, organisational factors may be more important in determining physical health care than views and perceptions about consumers, roles and ideals. PMID:24673781
Happell, Brenda; Platania-Phung, Chris; Scott, David
Performing arts medicine is a growing health care profession specializing in the needs of performing artists. As part of the performing arts venue, the dancer, a combination of athlete and artist, presents with unique health care needs requiring a more collaborative and holistic health care program. Currently there are relatively few advanced practice nurses (APNs) who specialize in performing arts health care. APNs, with focus on collaborative and holistic health care, are ideally suited to join other health care professionals in developing and implementing comprehensive health care programs for the performing artist. This article focuses on the dancer as the client in an APN practice that specializes in performing arts health care. PMID:20644180
Weslin, Anna T; Silva-Smith, Amy
Objective: To evaluate the perception of the nursing staff of the Family Health Strategy (FHS) on health promotion. Methods: This was a qualitative and descriptive study, which occurred in nine FHS of the city of Crato-CE in the period October-December 2010. The subjects were nine nurses and eight of the nursing technicians with service time of three to eight years at FHS investigated. Randomly chosen and electing the criterion of saturation data, we used semi-structured interview, which was ...
Danielle Lopes de Alencar; Anna Laryssa Ribeiro de Oliveira Brito; Kenya Waléria de Siqueira Coelho Lisboa
Seventy-seven percent of the hospital employee nurses in this study had accepted hepatitis B vaccine, a higher rate than that reported in the literature for other health care workers. The study found a significant relationship between increased perceived susceptibility to HBV and hepatitis B vaccine acceptance. The unvaccinated nurses did not perceive the employee health setting as risky, yet their clientele (health care workers) are five to 10 times more likely than the general population to be hepatitis B carriers. The younger and less experienced nurses were significantly more likely to have been vaccinated. The hepatitis B vaccine should be offered early in the career of employed health care workers, made accessible at the worksite, and offered to student health care workers. Hepatitis B vaccine education and counseling should focus on increasing perceived susceptibility to HBV for all health care workers and stress vaccine safety and effectiveness. PMID:1288532
Mundt, D B
The evidence of suicide prevention training for nurses is scarce. Strategies to enhance general nurses' ability in suicide risk assessment are critical to develop effective training programs in general medical settings. This study was aimed to examine the effectiveness of an interactive discussion group in a suicide prevention training program for general nurses. In this randomized study with two groups of pre-post study design, the sample was recruited from the Medical, Surgical, and Emergency/Intensive Care Sectors of a 2000-bed general hospital via stratified randomization. Among the 111 nurses, 57 participants randomly assigned to the control group received a two-hour baseline suicide gatekeeper lecture, and 54 participants assigning to the experimental group received an additional five-hour group discussion about suicide risk assessment skills. Using a case vignette, the nurses discussed and assessed suicide risk factors specified in a 10-item Chinese SAD PERSONS Scale during a group discussion intervention. The findings revealed that the nurses achieved significant and consistent improvements of risk identification and assessment after the intervention without influencing their mental health status for assessing suicide risks. The result suggested an effective approach of interactive group discussion for facilitating critical thinking and learning suicide risk assessment skills among general nurses. PMID:24768204
Wu, Chia-Yi; Lin, Yi-Yin; Yeh, Mei Chang; Huang, Lian-Hua; Chen, Shaw-Ji; Liao, Shih-Cheng; Lee, Ming-Been
This article describes nursing in Zimbabwe within the context of primary health care, delineating various levels of delivery of nursing practice, educational preparation levels and implications for practice. This picture is intended to capture the quality of nursing care that is congruent to clients’ expectations of the ever-changing Zimbabwean society. Nursing programs at various levels include health assessment, nursing process and nursing research. Clinical specialization including funct...
Mapanga, K. G.
The National Association of School Nurses holds the position that a combination of school nursing services and school-based health centers (SBHCs) can facilitate positive health outcomes for students. SBHC services complement the work of the school nurses, who are responsible for the entire population of students, by providing a referral site for…
Bannister, Ann; Kelts, Susan
Adult health/medical-surgical nurses (n=54) and mental health/psychiatric nurses (n=54) were surveyed about contributions of nursing students in clinical placements. Students provided clinical staff with opportunities for mentoring, reciprocal learning, and professional development and made direct contributions to patient care. (SK)
Grindel, Cecelia Gatson; Bateman, Anne L.; Patsdaughter, Carol A.; Babington, Lynn M.; Medici, Geraldine
Full Text Available Nurses play a key role in comprehensive health care in the primary care level. They are spokeswoman for the promotion of healthy life styles in the community. Moreover, chronic diseases are one of the main challenges of the twenty-first century, as is obesity. Considering this problem, the Ministry of Health has launched a preventive program which it receives through the population centers of primary care. In its implementation across the health staff is responsible for providing outreach, being spokesman and example of it to the community. The aim of this paper is to determine the health status of nurses in charge of the prevention program, using anthropometric and clinical tests. We performed a cross-sectional, descriptive with quantitative methodology. The study population is a sample of 46 nurses (o s that includes all chief nurses and nurses in charge of the program for all health centers that comprise the Jurisdiction Sanitary Nezahualcóyotl. The 86.96% women and 13.04% are men. The 30.60% of the sample shows 52.17% overweight and some degree of obesity in the analysis by sex, is that 40.63% of women are overweight and 57.5% obese, while 14.29% of men are overweight 7.14% and obesity. In regard to waist circumference, the 91.30% of the sample show cardiovascular risk, the 92.50% in women (? 80 cm and 83.33% (? 90 cm in men. The 52.17% of the sample show alterations in blood glucose levels (? 100 mg / dl, 55% of women and 33.33% men. In the lipid profile, 78.26% have hypercholesterolemia and hypertriglyceridemia 73.91%. The men have the highest prevalence of hypertriglyceridemia (88.33% vs 72.50%, while women have the highest prevalence of hypercholesterolemia (80% vs. 66.67%. In conclusion, the structure of state health should pay attention to the nursing staff that implements the preventive program, because it implements staff have signs of the disease.
Grisel Barrios Rodríguez
Full Text Available Background: The efficiency of the health care system is significantly dependent on the appropriate leadership and guidance of employees. One of the most frequently used new approaches in human resources management is the study of competencies and competency models. The aim of this research is to develop a competency model for leaders in nursing, and to compare it with the leadership competency model for state administration.Methods: A survey was conducted among 141 nurse leaders in Slovenia. The respondents were asked to complete questionnaire with 95 leadership behaviours that form the leadership competency model for leaders in nursing. The data were analysed by ANOVA and Tukey's honestly significant differences test.Results: The levels of competencies set for themselves by leaders at the third leadership level in nursing (leaders of small units and teams are significantly lower than those set by all other leaders, both in nursing and in state administration. Statistically significant differences were apparent in the majority of areas.Conclusion: Within the context of the comparison of competency models, the greatest need for training can be observed at the third level of leadership in nursing. A comparison of models formulated in this way enables the exchange of good practices among leaders from various professional groups and easier identification of the training needs of individual groups of leaders in public administration. The proposed concept is designed to significantly simplify and unify the building of competency-based leadership models in public sector.
This study evaluated the accomplishment of the Nursing Outcomes Classification (NOC) outcome "Health Seeking Behavior" in 5 nurse-managed clinics. Nurse practitioners and registered nurses rated patients on 11 indicators of health seeking behaviors, and recorded their level of knowledge of the patient. A total of 556 evaluations were collected. Health seeking behavior scores were lowest in a rural county school-based clinic and highest in a federally qualified health center. Ratings increased with nurses' knowledge of patients and for older patients. PMID:16816605
Macnee, Carol L; Edwards, Joellen; Kaplan, Amy; Reed, Sue; Bradford, Susanne; Walls, Jennie; Schaller-Ayers, Jennifer M
Full Text Available Introduction: Anecdotes abound about obesity and obese person being ridiculed and society attitudes about obese persons are clearly negative and many of health care workers, also believes these myths. This study was performed to determine the attitudes of nursing students of Semnan University of medical sciences about obesity myths. Materials and Methods: This research was a descriptive-analytic study and was performed on 115 of the nursing students of the Semnan University of Medical Sciences in May 2006. Data was collected with researcher-made questionnaire, which it was composed of demographic data and 25 common myths about obesity. The myths were selected from the internet using key word "Obesity myths". We used 5-point Likert scale for the assessment of nursing student's attitude. Statistical analysis was performed by SPSS program using chi-square and spearman correlation test. Results: The result of study showed that nursing students have anti-fat bias towards obese individuals and some of their attitudes need corrections, however, 59/1% of the students have positive attitudes about obesity myths (disagreement with obesity myths. Conclusion: Nurses are at first line of confrontation with clients and patients. Beliefs and attitudes of nurses can contribute to providing care of obese individuals. More education about obesity concept is necessary.
N. Raees Dana
The University of Kentucky College of Nursing is in the 7th year of implementing a 7-year federally funded continuing education project. The major goal of MCH (maternal child health) Project 969, which is scheduled to terminate Sept. 30, 1984, is to develop and offer a series of quality continuing education courses for three distinct populations--practicing maternal child health nurses, State nurse consultants, and nurse supervisors at county or district levels. The purpose of these courses i...
Bolte, I. M.; Presler, E. P.
Full Text Available Introduction: much effort was conducted to support the use of electronic record systems in nursing process. Some of the most important reasons for its application are efficiency, security and the quality of the patients’ data registration. The purpose of this study is to present electronic registration software of patients, health assessment and to determine the attitude of nurses towards it. Methods: this is a R&D leading to construction of the patient’s health assessment software. In the beginning, Gordon Model and the daily charts of the patients were prepared to paper. During the next 8 months these charts were converted into the software programs. The databases were implemented using “the SQL server” and “C#Net” programming language. Results: the software used in this study included 4 parts; the first one contained information of Gordon health assessment model in 11 items, the second contained charts of the study, the third part consisted of Lund-Browder table and dummy data table for 4 age groups, and the fourth one was image infor-mation storage part for burn wounds pictures. Conclusion: despite barriers, electronic systems could lead to confidential information, increase the quality of nursing records, and also reduce the amount of expenses.
Mental health nursing is a critical issue for most countries. Nurses in low- and middle-income countries are often the primary providers of care for people with mental disorders. Some are highly qualified professionals who train other providers to identify and treat mental disorders. However, in other instances, particularly in low-income countries, nurses have had very little or no mental health training and receive no support from mental health professionals. The lack of sufficient mental health professionals in these countries creates an environment where nurses without training are often the only providers available to care for people with mental disorders. In September 2007 the World Health Organization and the International Council of Nurses produced a report summarizing the responses to some of the questions on a survey of nursing mental health practices in 177 countries and territories. The summary of the open-ended questions (e.g. what are the key issues for nurses providing mental health care in your country?) is reported for the first time in this article. Subsequent to the release of the Nurses in Mental Health Atlas, an online forum was held. There were 615 subscribers to this forum from over 80 countries. This article summarizes the rich insights and recommendations from both the survey's open-ended comments and the online forum. The issues discussed include: the varied and complex roles for nurses in mental health care; nursing education; prescribing practices; nurse recruitment and retention; human rights; research; and technical expertise. PMID:19239528
Barrett, T; Boeck, R; Fusco, C; Ghebrehiwet, T; Yan, J; Saxena, S
Full Text Available Nursing faculty continue to find themselves challenged to meet student needs by the increasing student enrollment numbers and increasing faculty workloads without simultaneously increasing resources. The responsibility to meet student needs rests on the nursing faculty. It is therefore increasingly important that nursing faculty implement teaching modalities to meet student and patient needs. This article demonstrates faculty’s use of service-learning as an effective, innovative teaching modality to meet increasing student, patient, and community needs without additional resources. The authors seek to differentiate between service learning and contracted clinical experiences in order to enable nurse educators to use service learning as a teaching modality. The authors describe the process of using service learning with nursing process in this course. Nursing assessment is built into the project as a “windshield survey”. A literature review was conducted seeking to understand other uses of service learning in education and validate the authors’ experiences. This three-credit hour lecture and one credit hour clinical course has yielded unique and interesting service learning projects that positively impact their communities. The students work with cohorts of all races, ethnicities and cultures throughout the lifespan. Service-learning opportunities assist in the availability and accessibility of health care to safety net facilities and vulnerable populations who may not otherwise receive health care screening or treatment. Faculty in nursing and other health disciplines will likely appreciate the innovation, creativity, and autonomy afforded this modality of outreach.
Susan G. Williams
Full Text Available Yuqun Zhang,1,2 Yueqiu Zhao,3 Shengqin Mao,1 Guohong Li,4 Yonggui Yuan1 1Department of Psychosomatics and Psychiatry, Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, People’s Republic of China; 2Nursing Faculty of Southeast University, Nanjing, People’s Republic of China; 3Nanjing Health School, Nanjing, People’s Republic of China; 4Nursing Department, Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, People’s Republic of China Objective: To explore health anxiety in a sample of nursing students to determine the relationships between health anxiety and life satisfaction, personality, and alexithymia.Methods: Two thousand and eighty-six nursing students in junior college, which were divided into five groups, were evaluated by questionnaires, including the Life Satisfaction Scales Applicable to College Students, the Chinese version of the Short Health Anxiety Inventory, the Toronto Alexithymia Scale (TAS-20, and the Eysenck Personality Questionnaire. Results: The mean age, whether the individual was an only child, residence (urban or rural, and were significantly different between the groups. The self-assessment scores were also significantly different between the groups. The Short Health Anxiety Inventory total score and the factor of fearing the likelihood of becoming ill were significantly negatively correlated with the Life Satisfaction Scales Applicable to College Students total score and its two factors, but were significantly positively correlated with psychoticism, neuroticism, and TAS-20 total scores and its scores of the three TAS-20 factors. The negative consequence scale of Short Health Anxiety Inventory was not significantly correlated with externally oriented thinking, but was significantly negatively correlated with extraversion. A hierarchical multiple regression analysis indicted that objective satisfaction, subjective satisfaction, neuroticism, and the three factors of TAS-20 were predictors of health anxiety.Conclusion: Health anxiety was correlated with life satisfaction, personality, and alexithymia in junior college nursing students. Subjective and objective satisfaction, neuroticism, and the identification and expression of emotions may be predictors of health anxiety in nursing students. Keywords: life satisfaction, personality, alexithymia
Beginning in January 2014, millions of Americans will enroll in health insurance plans under the Affordable Care Act. Some of these individuals were obtaining health care in safety net health clinics, emergency departments, or urgent care centers; many were going without needed care and will be new to the health care system. In addition to these newly insured, the ranks of older Americans and persons in need of chronic disease management will be on the rise. The way in which health care is delivered will have to change in order for the health care workforce to meet the demand for their services without sacrificing quality or access. Nurse practitioners and registered nurses have the education and skills to provide health promotion, disease prevention, and chronic disease management services that will make up a sizable portion of the demand. Amending state practice acts so that the authority to practice matches the ability to practice and opening provider panels to advanced practice nurses will provide opportunities to establish or expand sustainable nurse-led primary care practices in health care shortage areas. Along with these changes, models of health care delivery that incorporate differentiated practice roles and shared interprofessional responsibility for providing care will maximize the capacity of the system to provide the health care that people need. PMID:24569758
Link, Denise G; Perry, Diane; Cesarotti, Evelyn L
Millions of children and adults in the United States have unmet oral health care needs, and professional nurses can play a central role in reducing oral health disparities and expanding access to care. Interprofessional education is requisite to improving oral health care outcomes. Baccalaureate nursing programs need to prepare collaborative practice-ready professional nurses to improve oral health care especially for vulnerable and underserved individuals, communities, and populations. This article presents an interprofessional faculty tool kit that builds upon The Essentials of Baccalaureate Education for Professional Nursing Practice as a framework for preparing professional nurses with basic knowledge, skills, and attitudes in oral health promotion and disease and injury prevention across the life cycle. Expectations for professional nursing practice are described within the context of The Essentials and contemporary oral health care issues. Exemplars of interprofessional teaching-learning strategies are provided to assist nurse faculty with integrating oral health into baccalaureate nursing curriculum. Nurse educators are called to prioritize oral health as an essential component of overall health and well-being, increase the visibility of evidence-based oral health promotion and disease and injury prevention in baccalaureate nursing curricula, and support interprofessional oral health education and collaborative care. PMID:24503317
Dolce, Maria C
Objective: to investigate the level of knowledge of nursing professionals on the psychiatric reform, related to its technical and scientific training and professional practice. Methods: exploratory and descriptive research with a qualitative approach, to be held in the Residential Therapeutic Service of the Municipal Health Secretariat of Caicó - RN. The study subjects will be the health professionals who are part of the nursing staff (6 aides and nursing technicians and 1 nurse), and the da...
Dulcian Medeiros Azevedo; Danielle Souza Silva
Patients with mental illness require unique and specific care. The purpose of this study was to explore the experiences of nurses, who provide such care for mentally ill people, within the context of Iranian culture. This hermeneutic phenomenological study was carried out in a university-affiliated hospital in an urban area of Iran. We interviewed 10 mental health nurses to capture in detail their experiences in psychiatric units, and the approach developed by Diekelmann et al. was employed to analyse the data. Four themes and five sub-themes were identified: 'being engaged with patients' (sub-themes: 'struggle for monitor/control', 'safety/security concerns', 'supporting physiological and emotional needs'), 'being competent', 'altruistic care' and 'facing difficulties and challenges' (sub-themes: 'socio-cultural' and 'organizational challenges'). The results provide valuable insights and greater understanding of the professional experiences of psychiatric nurses in Iran, and indicate the need for a stable and responsible organizational structure for those nurses who are expected to manage patient care in psychiatric wards. PMID:22384949
Zarea, K; Nikbakht-Nasrabadi, A; Abbaszadeh, A; Mohammadpour, A
The National Conferences of Health approached the question of Human Resources with emphasis, making prescriptions of interests for the Nursing, a huge class among the professionals of health. Aiming to identify, describe and analyze what the final reports of the last five conferences mentioned about this subject, it was done a documental study by means of analyses of the dissertation contained in those texts. The categories found are: job conditions; education; upbringing and qualification; formation of multi-professional teams and humanization. It was concluded that the aspects broached being in a punctual way or being in a more complex definition were driven to the human resources as a whole, with little specification for the nursing in contrast to the significance of this grouping for SUS. PMID:20098880
Dourado, Edilmar Pereira Vilela; Sanna, Maria Cristina
We present data about the higher education from a review of the national context to particularize the higher education in health and nursing and teaching trends in this field. We systematize data on education in Lula's government, noting the continuity and deepening of politics for higher education in Brazil, especially in regard to privatization and the transfer of resources to the private sector. In higher education in health we found that the official politic points to the adoption of innovative/active methodologies; the methodology of problematization as the only way to propose innovative curricular changes and acceptable when you receive the state incentive for the initiatives of change that are also observed in the experiences of curricular reforms of Brazilian nursing. PMID:18982228
Rodrigues, Rosa Maria; Caldeira, Sebastião
Full Text Available Current developments towards a German electronic Health Card raise the question whether the card is capable of improving care also for persons with special nursing needs including short-term as well as long-term care patients. The aging of the population - also in Germany - is coupled with an increase in the number of long-term care patients. They are patients who need medical as well as nursing care and who often need care provided by changing care settings (ambulatory care/home care vs. hospital during the course of their illness. Nursing Science has been recognizing the importance of an uninterrupted way of providing patient care (continuity of care as a central issue and has been developing concepts and instruments for case management and discharge management. Both approaches provide mechanisms proven under real life conditions for transferring patients safely from one to another setting. Although nursing telematics covers a wide range of topics, from semantic interoperability to telecare solutions, its primary applications, namely case management and discharge management, are only poorly supported by information and communication technology. It is therefore not surprising, that the electronic Health Card in Germany was planned without making any reference to case management and discharge management. Current concepts for the applications of the card simply ignore the scenario of transferring patients with special nursing needs between care settings. Though adjustments of the legal foundations of the electronic Health Card had been made recently, nurses will still not be able to exchange nursing summaries electronically by means of the card because nurses working in nursing homes and for ambulatory nursing services have no access rights for the data on the card. The full exploitation of the card and its potential for innovation does not only depend, however, on granting access rights to all nurses but also on issuing electronic Health Professional Cards (eHPC to nurses similar to the ones of physicians and pharmacists. As the eHPC is a basic prerequisite for using the electronic Health Card its implementation for nurses is required within a short time frame. In conclusion, only when the electronic health card and its applications are available to professional nursing care the growing number of patients with special nursing needs will benefit from its introduction.
This paper reviews practice in the area of intramuscular (IM) injection administration, an everyday activity for many nurses in clinical practice. The authors address administration of neuroleptic depot drugs within the adult mental health environment and examine the evidence base for this practice. A historical overview of injection practices and use of the dorsogluteal site is given, followed by more contemporary evidence on the benefits of using the ventrogluteal, deltoid and thigh sites. The authors point out that despite being a very commonplace nursing activity, there is a dearth of research-based guidelines for nurses in this area. A quantity of published papers and nursing texts on injection sites and techniques were assessed to evaluate their quality and relevance and their overall benefit to improving clinical practice. Much of the literature available was in the form of opinion pieces without a sound research/evidence base. There appears, however, to be enough consensual evidence to form an evidence-based clinical guideline for the administration of IM injections. The review of the available evidence, albeit at times contradictory, is presented along with a discussion of the implications for nurses. PMID:18454829
Cocoman, A; Murray, J
Consumer-directed health care plans (CDHPs) present an opportunity to control health care costs. Health savings accounts (HSAs) and health reimbursement arrangements (HRAs) are two different approaches to providing pre-tax funding for CDHP enrollees. Each has a significant impact on the nature and business aspects of worksite health care. Worksite clinics can provide support via on-site education, expanded acute care services, and referral to other health-related benefits and resources for all CDHP enrollees. With attention to the type of employee health benefits funding support (HSA or HRA), occupational health nurses can maximize the effectiveness and value of worksite clinic services for CDHP enrollees. PMID:17526298
Sherman, Bruce; Click, Elizabeth
Full Text Available This article is the last in a series of three articles on a strategy to promote nurses’ health research contribution in South Africa. Opsomming Hierdie artikel is die laaste in ‘n reeks van drie artikels oor ‘n strategie vir die bevordering van verpleegkundiges se gesondheids-navorsingsbydrae in Suid-Afrika. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Emmerentia du Plessis
The purpose of this paper is to describe the quantity and quality of oral hygiene content in a representative sample of before-licensure nursing fundamentals textbooks. Seven textbooks were examined. Quantity was operationalized as the actual page count and percentage of content devoted to oral health and hygiene. Quality of content was operationalized as congruency with best mouth care practices. Best mouth care practices included evidence-based and consensus-based practices as published pri...
Jablonski, Rita A.
...Institutes of Health National Institute of Nursing Research; Notice...Institute of Nursing Research Special...Panel, Pain Assessment for Traumatic...Institutes of Health, One Democracy...Institute of Nursing Research,...
Full Text Available In 2011 advanced competences in nursing were defined and pilot tested in the Basque Healthcare System, in order to meet the needs of chronic patients. It is assumed that nursing professionals, in a functional sense, can fulfil a liaison role both within the health system and with external stakeholders. Integration between levels of care, the mobilisation of resources and case management are fundamental factors in achieving this objective. Background: In 2010, an overall strategy for tackling the challenge of chronicity was launched in the Basque Country. Its main objective was to drive the Basque Health Service (Osakidetza towards improving care for patients with chronic illnesses (Department of Health and Consumer Affairs, Basque Government and Osakidetza, 2010. Under this strategy, there was a commitment to develop and implement advanced competencies in nursing, with the objective of introducing nursing roles to better meet the needs of chronic patients. Methods: To achieve this objective, a one-group pre-test and post-test pre-experimental design was adopted for this study. We used the SATISFAD questionnaire to assess the satisfaction of patients and caregivers, and the SF-12 and Barthel Index to measure quality of life and level of independence respectively. Results: The experience of introducing the new nursing competencies has been rated as very positive by the participating patients and those around them (their caregivers and families as it is perceived to have resulted in care that is more personalised, better planned and focused on the patient than traditional healthcare. Nevertheless, the process was not found to have significantly improved patient perception of quality of life and level of independence.Conclusions: The implementation of advanced competencies in the Basque Country has shown that case management leads to improvements in social and health care for patients, and their caregivers and families, compared to traditional care.
Full Text Available Manual patient handling is known to be the major source ofmusculoskeletal load among hospital nurses. The objectives of the present study were determination of frequency ofmusculoskeletal disorders (MSDs and its associatedfactors together with assessment of musculoskeletal loaddue to patient transfer by PTAI method in hospitalnursing staff of Shiraz University of Medical Sciences (SUMS, Iran. In this cross-sectional study, 400 randomlyselected nurses of SUMS hospital participated. Data were collected by anonymousdemographic and Nordic Musculoskeletal Disorders Questionnaires together with PTAI index checklist. Statistical analyses wereundertaken using SPSS, version 16. Age and job tenure means of participantswere 30.76±6.44 and 6.92±5.75 years, respectively. 88.2% of the nursing staffreported some forms of musculoskeletal symptoms during the 12 months prior tothe study. The results of PTAI index assessment demonstrated that in 4%, 8.5% and87.5% of the subjects, musculoskeletal load were at levels 1, 2 and 3,respectively. The results revealed that PTAI index score was significantlyassociated with musculoskeletal disorders occurrence (p<0.001.Musculoskeletal load was high among nurses with patient transfer activity. Age, nurse to bed ratio, marital status, shiftwork and PTAI score were associated risk factors for MSDs in the studiednursing staff.
Team-based learning (TBL) is an active learning approach that is becoming increasingly more popular in nursing education. When nurse educators flip the classroom and use methods such as TBL, students are often more engaged and are active participants in their own learning. This article outlines how a teaching team in an undergraduate nursing program used a modified TBL method to teach about community health nursing. The traditional method of TBL is described, as well as limitations of this approach and recommendations for future teaching. [J Nurs Educ. 2014;53(11):651-653.]. PMID:25350043
Access to occupational health services for primary prevention and control of work-related injuries and illnesses by the global workforce is limited (World Health Organization [WHO], 2013). From the WHO survey of 121 (61%) participating countries, only one-third of the responding countries provided occupational health services to more than 30% of their workers (2013). How services are provided in these countries is dependent on legal requirements and regulations, population, workforce characteristics, and culture, as well as an understanding of the impact of workplace hazards and worker health needs. Around the world, many occupational health services are provided by occupational health nurses independently or in collaboration with other disciplines' professionals. These services may be health protection, health promotion, or both, and are designed to reduce health risks, support productivity, improve workers' quality of life, and be cost-effective. Rantanen (2004) stated that basic occupational health services must increase rather than decline, especially as work becomes more complex; workforces become more dynamic and mobile, creating new models of work-places; and jobs become more precarious and temporary. To better understand occupational health services provided by occupational health nurses globally and how decisions are made to provide these services, this study examined the scope of services provided by a sample of participating occupational health nurses from various countries. PMID:25000546
Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie
Full Text Available A lei portuguesa não define com rigor as habilitações do Enfermeiro de Saúde Ocupacional nem o seu papel na Equipa de Saúde Ocupacional. Pretende-se com esta revisão bibliográfica, que utiliza as palavras-chave: “Enfermagem do trabalho e Saúde do trabalhador”, nas bases de dados MedLine with Full Text, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, perceber qual o lugar que a Enfermagem tem na equipa de Saúde Ocupacional, descrevendo como esta é executada em diferentes países, com variadas perspetivas e objetivos. A Saúde Ocupacional comporta hoje uma abordagem abrangente, onde se inserem aspetos não laborais que interferem com a saúde do trabalhador, podendo englobar a família e/ou comunidade. A nível internacional, as tarefas predominantemente curativas deram lugar a outras de prevenção e de gestão, sendo inúmeros os programas que o Enfermeiro de Saúde Ocupacional tem capacidade para orientar, assumindo um papel central, completo e integrativo dentro da equipa. Finalmente, é fundamental quantificar custos, pré- e pós-atuação, para valorizar o seu trabalho financeiramente, perante a gestão da entidade empregadora.La legislación portuguesa no define con rigor la cualificación de la enfermera de salud laboral ni tampoco su papel dentro del equipo de salud laboral. Se pretende con esta revisión de la literatura, utilizando las palabras clave: “el trabajo de enfermería” y “salud en el trabajo” MedLine with Full Text, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, entender qué lugar ocupa la enfermería en el equipo de salud laboral y describir cómo esta se lleva a cabo en diferentes países con diversas perspectivas y objetivos. La salud laboral incluye actualmente un enfoque integral, que abarca aspectos no laborales que interfieren en la salud del trabajador y puede englobar a la familia y/o a la comunidad. A nivel internacional, las tareas predominantemente curativas han dado paso a otras de prevención y de gestión, con numerosos programas que la enfermera de salud laboral está capacitada para dirigir, asumiendo así un papel central, completo e integrativo dentro del equipo. Por último, es fundamental cuantificar los costes de las actividades previas y posteriores para valorizar su trabajo financieramente, atendiendo así a la gestión de la entidad empleadora.Portuguese law does not define the precise qualifications of occupational health nurses or their role in the occupational health team. A literature review was carried out using the keywords “nursing work and occupational health,” in the databases Medline with Full Text, MedicLatina, Academic Search, CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess and NHS Economic Evaluation Database, The aim was to understand the place of nursing in occupational health, describing how this is implemented in different countries with different perspectives and goals. Occupational health now uses a comprehensive approach which includes non-work aspects that interfere with worker health and may include family and/or community. Internationally, predominantly curative tasks have given way to others centered on prevention and management, with numerous programs that the occupational health nurse is able to lead, assuming a central role, fully integrated within the team. Finally, it is crucial to quantify costs, before and after activities, to evaluate the work financially for the management of
Full Text Available SciELO Portugal | Language: Portuguese Abstract in portuguese A lei portuguesa não define com rigor as habilitações do Enfermeiro de Saúde Ocupacional nem o seu papel na Equipa de Saúde Ocupacional. Pretende-se com esta revisão bibliográfica, que utiliza as palavras-chave: “Enfermagem do trabalho e Saúde do trabalhador”, nas bases de dados MedLine with Full Te [...] xt, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, perceber qual o lugar que a Enfermagem tem na equipa de Saúde Ocupacional, descrevendo como esta é executada em diferentes países, com variadas perspetivas e objetivos. A Saúde Ocupacional comporta hoje uma abordagem abrangente, onde se inserem aspetos não laborais que interferem com a saúde do trabalhador, podendo englobar a família e/ou comunidade. A nível internacional, as tarefas predominantemente curativas deram lugar a outras de prevenção e de gestão, sendo inúmeros os programas que o Enfermeiro de Saúde Ocupacional tem capacidade para orientar, assumindo um papel central, completo e integrativo dentro da equipa. Finalmente, é fundamental quantificar custos, pré- e pós-atuação, para valorizar o seu trabalho financeiramente, perante a gestão da entidade empregadora. Abstract in spanish La legislación portuguesa no define con rigor la cualificación de la enfermera de salud laboral ni tampoco su papel dentro del equipo de salud laboral. Se pretende con esta revisión de la literatura, utilizando las palabras clave: “el trabajo de enfermería” y “salud en el trabajo” MedLine with Full [...] Text, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, entender qué lugar ocupa la enfermería en el equipo de salud laboral y describir cómo esta se lleva a cabo en diferentes países con diversas perspectivas y objetivos. La salud laboral incluye actualmente un enfoque integral, que abarca aspectos no laborales que interfieren en la salud del trabajador y puede englobar a la familia y/o a la comunidad. A nivel internacional, las tareas predominantemente curativas han dado paso a otras de prevención y de gestión, con numerosos programas que la enfermera de salud laboral está capacitada para dirigir, asumiendo así un papel central, completo e integrativo dentro del equipo. Por último, es fundamental cuantificar los costes de las actividades previas y posteriores para valorizar su trabajo financieramente, atendiendo así a la gestión de la entidad empleadora. Abstract in english Portuguese law does not define the precise qualifications of occupational health nurses or their role in the occupational health team. A literature review was carried out using the keywords “nursing work and occupational health,” in the databases Medline with Full Text, MedicLatina, Academic Search, [...] CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess and NHS Economic Evaluation Database, The aim was to understand the place of nursing in occupational health, describing how this is implemented in different countries with different perspectives and goals. Occupational health now uses a comprehensive approach which includes non-work aspects that interfere with worker health and may include family and/or community. Internationally, predominantly curative tasks have given way to others centered on prevention and management, with numerous programs that the occupational health nurse is able to lead, assuming a central role, fully integrated within the team. Fin
Mónica, Santos; Armando, Almeida.
This article details changes in nursing in the Slovak Republic. Nurses are an important part of the rapidly changing health care systems in the Slovak Republic, especially as nursing and health care move from a traditional to a more holistic approach. Nursing must adapt to the changes in the health care systems, including taking on more managerial responsibilities, requiring greater knowledge and skills. This article discusses the background and curriculum development of nursing education, from a traditional nursing education at the secondary school level to more advanced graduate-level programs, as nursing takes on a greater role in the Slovak Republic. Finally, the article details the need to implement the changes in education to the practice of nursing as well as the challenges of such implementation. PMID:10387238
Konosova, H; Narsavage, G L
The paper demonstrates a participatory, real-life experimentation-based design approach comprising design as well as organizational implementation of large IT systems. Evaluations within a series of sustained iterative cycles are supported by ethnographically inspired observations to identify and analyze changes to work practices that emerge from using the IT system. The approach might empower users by identifying and turning selected emergent changes into planned interventions and opportunity-based change in the following iteration. A large-scale experiment was conducted where an advanced prototype of an Electronic Health Record (EHR) system was configured in collaboration with clinicians and subsequently exposed to real-life use at an acute neurological stroke unit. The system replaced all paper records. The clinicians used the system 24 hours a day throughout one week. The observations focused on the nurses’ use of a large shared EHR display during highly collaborative situations. An ethnographic analysis of emergent changes to the nurses’ work reveals (a) a change from oral presentation to collective reading of patient records, (b) initiation of collective investigations of patient records, and (c) that nurses’ observations became a prominent part of the shared agenda during interdisciplinary team conferences (attended by all clinicians). The presentation will present video excerpts and audio transcripts from the observations and demonstrate (1) the empowerment experienced by the nurses during the experiment, and (2) the implications with regard to design
The purpose of this article is to describe the development and implementation of a shared position with a focus on evidence-based practice (EBP) between the Visiting Nurse Service of New York and the Lienhard School of Nursing, Pace University. A preexisting relationship between the two institutions in providing student experiences in a community setting paved the way for the evolution a new collaborative effort. The shared position was initially conceived by two of the authors as an outcome of research they were conducting in the home care setting, which tested a model of mentoring frontline nurses in the EBP process on health care professional and patient outcomes. An initial conception of the new role provided a working document for discussions between the two institutions and the creation of a workable contract. The implementation of several initiatives has already provided support for the position, and each partner has benefited from building this bridge between nursing education and service. Benefits include advancing knowledge of and implementing EBP in both settings and promoting collaborative, clinically related scholarship. PMID:18053962
Levin, Rona F; Vetter, Mary Jo; Chaya, Joan; Feldman, Harriet; Marren, Joan
School nurses represent an important resource for addressing pediatric obesity and weight-related health. However, school nurses perceive numerous barriers that prevent them from addressing the weight-related health of students. The current study developed and tested a new, comprehensive measure of nurses' perceptions of 10 types of barriers to…
Wu, Yelena P.; Steele, Ric G.
Full Text Available Background: Nurses are responsible and accountable for their nursing practice and there is a need to be culturally and linguistically competent in all of their encounters. To be culturally competent community nurses should have the appropriate transcultural education. It is therefore important to assess the level of cultural competence of the community nurses, within their everyday practice.Aim: The aim of the article was the cultural adaptation of the cultural competence assessment tool based on Papadopoulos,Tilki and Taylor Model in a sample of Cypriot community nurses.Methodology: To explore the psychometric properties of the Cultural Competence Assessment Tool that has been distributed in a sample of 28 community nurses. Also, a pre and post-measurement has been applied as to assess the test-retest reliability of the tool.Results: The analysis has shown that the Cultural Competence Assessment Tool has good psychometric properties and it iseasy to understand by the community healthcare professionals. Results showed that 60.7% disagreed that there is the samelevel of cultural competency with other European countries and 89.3% reported that assessment of their cultural competence is needed. Using the special analysis software for this tool, the pilot study showed that Cypriot community nurses have some degree of cultural awareness.Conclusion: Culturally competent care is both a legal and a moral requirement for health and social care professionals.Valuing diversity in health and social care enhances the delivery and effectiveness of care for all people, whether they are members of a minority or a majority cultural group. Using an appropriate tool for assessing cultural competence is very important and useful for health professionals to be culturally competence.
Full Text Available The need for health professionals to address their human rights obligations has emerged in the last decade both internationally as well as nationally following the findings of South Africa’s Truth and Reconciliation Commission. Support for human rights norms has become a priority for institutions as well as practitioners within the health sector. Training plays a crucial role in shaping health professional practice. In addition to creating a clear understanding of the linkages between human rights and health, educators can role-model how health professionals should act to support human rights. This article explores human rights derived from the South African Constitution in relation to the obligation on health professionals to respect, protect, promote and fulfill human rights. The implications of this commitment to human rights training of nurses are discussed, drawing on the authors’ nine years of experience in running courses for South African health professional educators. Themes include: developing core competencies for human rights in health professional curricula, identifying appropriate instructional methodologies and assessment tools suited to the content and context of human rights, and engaging the institutional environment for human rights teaching, at both the level of institutional culture and strategic implementation. At a time when there are increasing demands on the nursing profession to assume greater responsibility and develop versatility in its scope of practice, key challenges are posed for teaching and realising human rights.
In this article, we report findings from a study aimed at developing the content and implementation of a manual for a research-based intervention on clinical supervision of mental health nursing staff. The intervention was designed to strengthen already existing supervision practices through educational preparation for supervision and systematic reflection on supervision. The intervention consists of three sessions and was implemented on two groups of mental health hospital staff. We present an outline of the manual and explain how the trial sessions made us adjust the preliminary manual. The effects of implementing the manual will subsequently be analysed in an independent randomised controlled trial.
Buus, Niels; Gonge, Henrik
Full Text Available Introduction: Elderly in Medellin present conditions of economic, social, environmental and gen-eral health vulnerability; in nursing homes shows further deterioration of health related quality of life (HRQOL. Objective: To compare the profile of HRQOL of adults over public and private nursing homes in Medellin. Materials and methods: Across-sectional correlational study in 220 elderly selected using probability sampling. WHOQOL-BREF was used and the clinical data of each individual. We assessed scale reliability using Cronbach’s alpha, internal consistency and discriminant validity using Pearson correlations, analyzes of HRQOL were based on summaries measures and frequencies, non-parametric and parametric tests and lineal regression. Results: We found 50 % hypertension, 23.6 % diabetes mellitus, dislipidemia 22.3 % and 15 % osteoporosis. The WHOQOL-BREF showed excellent reliability, internal consistency and discriminant validity, the best score was the psychological health and worst in social relationships. We found no differ¬ences in HRQOL by type of nursing home. The main factors related to HRQL were satisfaction with family support and participation in social groups. Conclusion: We identified some determinants of HRQOL, this demonstrated its multidimensionality; relevant information for further research and for the implementation of public health policies and clinical actions.
Jaiberth Antonio Cardona Arias
Health reform worldwide is required due to the largely aging population, increase in chronic diseases, and rising costs. To meet these needs, nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provision. This can involve entrepreneurial or intrapreneurial roles. Although nurses form the largest group of health professionals, they are frequently restricted in their scope of practice. Nurses can help to improve health services in a cost effective way, but to do so, they must be seen as equal partners in health service provision. This article provides a global perspective on evolving nursing roles for innovation in health care. A historical overview of entrepreneurship and intrapreneurship is offered. Included also is discussion of a social entrepreneurship approach for nursing, settings for nurse entre/intrapreneurship, and implications for research and practice. PMID:22686113
Wilson, Anne; Whitaker, Nancy; Whitford, Deirdre
This paper explores the effects of mental policy changes and the curtailment of mental health nursing education on the realities of working as a mental health nurse in rural and remote locations in New South Wales, Australia. Using the twin lenses of mental health nursing and the sociology of work and social change, the experiences of mental health nurses are explored and set in the context of the evolution of the mental health nurse into non-specialist mental health worker. At the same time, mental health nurses are challenged to adapt to new practice realities. PMID:25259638
Crowther, Andrew John; Ragusa, Angela Theresa
Full Text Available Introduction: Low back pain is one of the widespread problems among nurses which can cause disability, absenteeism, work restriction, and negative economic impacts. This study aimed at determining the role of health beliefs, somatization tendency and mental health on back pain among nurses. Methods: The present research was a cross sectional study among 246 nursing personnel (all nurses and nurse aids working in Shahrood hospitals in 2008. CPUID questionnaire was used to collect data. Chi-square test, multiple logistic regressions and Mann Whitney test for analysis were performed. Results: The mean age of participants was 33.7 ± 0.2 yrs, and the mean work hours per day were 47.5 ± 8 hours. 69% of them had more than 5 years work experience. 59% (n=145 of the study population reported back pain in previous 12 months. Significant relationships were found between work experience, working with hands above shoulder height, Familiarity with people suffering from back pain outside of work environment, somatisation tendency, health beliefs P>0.05.Conclusion: Results indicated that in addition to physical work related risk factors, health beliefs and somatisation tendency can be risk factors for back pain which confirms results of similar studies in other countries.
Public health nurses’ barriers and facilitators to the use of research in consultations about childhood vaccinations The aim of this study was to describe sources of information, as well as barriers and facilitators to the use of research during consultations by public health nurses concerning childhood vaccinations. The study was conducted using semi-structured focus group interviews in a grounded theory approach. Overall 16 public health nurses participated into three focus groups conduct...
Austvoll-dahlgren, Astrid; Helseth, Sølvi
Objective: to verify the scientific production on elder women, gender and sexuality in journals of Nursing, Public Health and Gerontology. Methods: a systematic review of literature, in journals of Nursing, Public Health and Gerontology in Brazil, in the years 2003 to 2007. Results: the 362 articles were pre-selected (111 in nursing, 95 in Public Health and 156 in Gerontology), of these, seven focus on elderly women, gender and sexuality. It was possible to understand that sexuality and gende...
Beatriz Carvalho Cavalheiro, Silvana Sidney Costa Dos Santos
This paper reports the findings of an informal survey to assess nurses' use of complementary therapies within the health care setting. Increasing interest amongst the general public and health care professionals appears to have resulted in an assumption that there is currently widespread use of therapies such as massage, homoeopathy, aromatherapy, reflexology and acupuncture within the health care setting. However, to date there have been no national research studies undertaken to substantiate this assumption. This study attempted to identify the range of practices and magnitude of use by nurses who are members of the Royal College of Nursing Complementary Therapy Forum (RCNCTF) UK. A convenience sample was used and a semi-structured questionnaire was inserted into the group's bi-annual newsletter and sent to all members of the RCNCTF (n = 1662). A total of 178 subjects completed and returned the questionnaire, representing a 9.3% response rate. Given the informal nature of this survey, and the fact that it was an insert in a newsletter, a relatively low response was anticipated. Contrary to expectation, findings indicated that the majority of respondents were aged between 41 and 50 years. The six principal therapies practised were (in order of use) massage, aromatherapy, reflexology, relaxation, visualization and acupuncture. The three most common areas of practice, both in the NHS and private sector, were in the community, palliative care and oncology. Findings also indicated that complementary therapies were more commonly practised in the private sector as part of formal working practice. This was in contrast to nurses working in the NHS, where complementary therapies appeared to form less than 20% of their formal nursing care and respondents indicated that, when used, it was often in addition to daily nursing care. Results indicate that nurses are practising complementary therapies less than has been assumed. Those therapies commonly practised form a broader mantle than therapies commonly presented as the primary therapies in complementary medicine, namely homoeopathy, acupuncture, herbalism, chiropractic and osteopathy. This survey represents a single snapshot of nurses' use of complementary therapies. The convenience sample focused upon a self-selected group of people who were members of the RCNCTF and this has to be borne in mind when considering the results. The intention is to report the findings and no attempt is made to generalize upon the results. However, there is clearly a need to identify national utilization of complementary therapies within the health care sector. PMID:9439258
Avaliação de competências de médicos e enfermeiros das Equipes de Saúde da Família da Região Norte do Brasil / Assessment of competence of physicians and nurses of the Family Health Team in the Northern Region of Brazil
Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Trata-se de um estudo quantitativo, realizado com base na análise de questionários aplicados a médicos e enfermeiros dos Estados do Maranhão, Tocantins, Pará e Amapá, no ano de 2006. A pesquisa é parte integrante do Projeto de Expansão do Programa de Saúde da Família (PROESF), subsidiado pela Fundaç [...] ão Cesgranrio. Foram respondidos 346 questionários, sendo 160 por médicos e 186 por enfermeiros. Dentre os resultados encontrados, está o fato de que médicos e enfermeiros que trabalham na Saúde da Família da Região Norte estabelecem um perfil profissional de competência onde há necessidades específicas de educação permanente. Conclui-se, portanto, que a mera adesão à Estratégia de Saúde da Família não garante por si só a dinâmica e o sucesso das ações voltadas à reorganização da rede, à melhoria da gestão e aperfeiçoamento da gerência do SUS. Além disso, a capacitação profissional é precária frente à demanda de formação exigida. Abstract in english In 2006, a quantitative study was accomplished, based on the analysis of questionnaires, applied to both physicians and nurses in the States of Maranhão, Tocantins, Pará and Amapá. The research is part of the Family Health Expansion Project (PROESF), subsided by the Health Ministry and conducted by [...] the Cesgranrio Foundation. Competences were analyzed and grouped according to the parameters of WONCA Europe (European Society of Family Medicine), and supported by the World Health Organization (WHO, WONCA, 2002). A total of 346 questionnaires were answered - 160 by physicians and 186 by male/female nurses. The questionnaire comprised the same questions to physicians and nurses and, after computing data, the results in both groups were quite similar, what made us infer that there is a nucleus of shared competences. As a result, it is clear that both physicians and nurses working with Family Health in this region establish a personal competence profile that shows specific needs in continuing education. As a conclusion, the mere compliance with Family Health strategies does not assure the dynamics and success of actions related to network re-organization and improvement of SUS management. Furthermore, professional capacity is poor, as compared to the exigencies of the required formation.
Hesio, Cordeiro; Valéria Ferreira, Romano; Elaine Franco dos, Santos; Amílcar, Ferrari; Eliane, Fernandes; Telma Ruth, Pereira; Ana Tereza da Silva, Pereira.
Nursing work has evolved tremendously over the last century, raising ongoing questions about nursing's professional status. Through various strategies, professionalization in nursing has to some extent been accomplished, although autonomy over nursing practice has been elusive. This is especially so in the contemporary health care system, in which managerial control is emphasized and physician dominance continues. In response to professional constraints in traditional work settings, nursing self-employment is growing. In this study I used focused ethnography to explore the professional experiences of Canadian self-employed nurses and to reconsider nursing knowledge, ethics, and professionalism in this unique context. Despite the barriers they faced, these nurses offered a perspective on nursing professionalism that transcends classic professional traits, showing how the concept of professionalism can be invoked not as a way to "prove" status but as a way to describe a sense of commitment and the contribution to societal well-being. PMID:23653332
Full Text Available Objectives: to describe the role of nurses in the Family Health Strategy (FHE and identify the facilities and difficulties in developing work-oriented health education. Methodology: this is about an exploratory study, from qualitative approach, performed with eight nurses working of the FHE in Cachoeiras de Macacu city, Rio de Janeiro, Brazil. Research meets the recommended by Resolution 196/96 and was approved by the Ethics Committee of the School of Nursing Anna Nery/UFRJ with protocol number 52/2008. To collect data, we used the structured interview, consisting of closed questions, being employed thematic content analysis to analyze the data. Result: the role of nurses in the PSF is the manager and educator, working for change in behavior of the community, to improve their quality of life. Conclusion: we emphasize the role of manager and educator that is exercised by the nurse. Despite encountering some difficulties in implementing actions to improve the quality of living, nurses use various resources according to their creativity, in view of autonomy that is inherent in the FHE.
Elaine Antunes Cortez, Geilsa Soraia Cavalcanti Valente, Maíra Muniz Assis, Virginia Correia Almeida, Fernanda da Silva Chagas, Rosane Abreu Tórnio
In health-care education, it is important to assess the competencies that are essential for the professional role. To develop clinical reasoning skills is crucial for nursing practice and therefore an important learning outcome in nursing education programmes. Virtual patients (VPs) are interactive computer simulations of real-life clinical scenarios and have been suggested for use not only for learning, but also for assessment of clinical reasoning. The aim of this study was to investigate how experienced paediatric nurses reason regarding complex VP cases and how they make clinical decisions. The study was also aimed to give information about possible issues that should be assessed in clinical reasoning exams for post-graduate students in diploma specialist paediatric nursing education. The information from this study is believed to be of high value when developing scoring and grading models for a VP-based examination for the specialist diploma in paediatric nursing education. Using the think-aloud method, data were collected from 30 RNs working in Swedish paediatric departments, and child or school health-care centres. Content analysis was used to analyse the data. The results indicate that experienced nurses try to consolidate their hypotheses by seeing a pattern and judging the value of signs, symptoms, physical examinations, laboratory tests and radiology. They show high specific competence but earlier experience of similar cases was also of importance for the decision making. The nurses thought it was an innovative assessment focusing on clinical reasoning and clinical decision making. They thought it was an enjoyable way to be assessed and that all three main issues could be assessed using VPs. In conclusion, VPs seem to be a possible model for assessing the clinical reasoning process and clinical decision making, but how to score and grade such exams needs further research. PMID:23938093
Forsberg, Elenita; Ziegert, Kristina; Hult, Håkan; Fors, Uno
Few frameworks exist to guide home health nurses during the response and recovery phases of disasters such as flooding. The Double ABCX Model of Family Adaptation is offered as an example of a guiding framework for nurses in postflood management. Phases of the model are linked to the nursing process, and management strategies are applied to individuals and families living in the community. Postcrisis decision-making is detailed through the discussion of nursing diagnoses, interventions, and evaluation. Implications highlight the value of using a theoretical framework to guide practice, develop knowledge, and clarify the home health nurse's role in postflood management. PMID:20694875
Hunter Revell, Susan M; McCurry, Mary K
A randomized trial was conducted to determine if a public health nursing intervention consisting of telephone contacts or home visits affected the receipt of preventive health services by children eligible for the Early Periodic Screening, Diagnosis, and Treatment program. Each nursing intervention was applied using a protocol, and outcome data for 1654 case subjects were obtained from state-paid provider claims. However, the trial revealed no statistically significant differences between the study groups, nor was ethnicity a significant factor. Methodological and study context issues were identified that may have affected the results, the generalization of which is limited by the strict selection of cases. PMID:7762725
Oda, D S; Heilbron, D C; Taylor, H J
This paper explores a number of issues associated with the recent increase in nurses choosing to leave the Norwegian health care system in order to become independent practitioners of complementary and alternative medicine (CAM).The paper suggests that in Norway, nurses perceive medical hegemony continues to persist. Nurses perceive restrictions in their ability to develop their professional roles and status. CAM would appear to offer many nurses, the opportunity to develop their clinical ski...
Full Text Available Objective: To investigate, with a qualitative approach, the role of Obstetric Nurses at the primary level of care given to women’s health as a vital component of the multidisciplinary team, which today is fundamental for providing care, prevention as well as health education and promotion, especially in programs whose activities are geared towards primary care of pregnant, parturient, and puerpera women. Methods: Brazilian laws and the determinations of Nursing Councils in reference to the activities of the obstetric nurse were researched, including the nurse’s responsibilities and limits. The bibliographic search was conducted in health-related journals, lay publications, and the Internet. Results: The conflicts between professional physicians and nurses were discussed. Conclusions: It was concluded that the activities of the nurse, conducting low-risk prenatal clinical visits in the basic healthcare network, has legal and ethical support and provides true benefit to the clients.
Selma Aparecida Lagrosa Garcia
New professional legislation and reorganization of mental health services have had a significant influence on mental health nursing practice. Many nurses have demonstrated clinical leadership and have been able to adapt their services to the needs of the population specially in the primary health care setting. However, many believe that the role of nurses is not sufficiently known and optimally utilized in mental health services. In this article we take a critical look at the mental health nursing practice in Quebec and at the essential requirements for its development. This review aims to: 1) describe current trends in the changing roles and the modernization of mental health nursing practice in Quebec, 2) provide an overview of the development of advanced nursing practice and its impact on the quality of mental health services; 3) clarify the concept of advanced nursing practice and position its development in Quebec and 4) propose various strategies for optimizing the role of nurses and their complementarity with other professionals providing mental health services. This review presents innovative practices developed by nurses in the context of the restructuring of mental health services. For example, new nursing roles have been developed to improve the collaboration with general practitioners groups in primary care settings and facilitate the evaluation and monitoring of patient presenting medical and psychological problems. Another interesting innovation was set up by nurses in developing a new service to allow timely access to integrated care for patients with substance abuse and mental health problems. The various testimonies reported in this article illustrate the potential contribution of these nursing innovations in improving the mental health services in Quebec. Also, in few countries, the reform of mental health services has been a good time to recognize this potential. Thus, some countries have repositioned the role of mental health nurses and supported the development of new models of advanced practice in mental health. These developments have been particularly significant in the United States and Australia. In United States, during the 1990s, at least four models of advanced practice in mental health nursing have been developed leading to wide variations in the roles, education, job titles, scope of practice and legal authorizations. Consequently, a consensus model of uniform standards of practice, accreditation and education has been proposed. This LACE model (Licensure, Accreditation, Certification, Education) will be in effect in 2015. Australia has adopted a more systematic approach, unified and progressive to facilitate the development of advanced mental health nursing practice. Australia who, through their many publications, retains more attention since a clear definition of the role of the nurse practitioner in mental health and a legal framework has been adopted at the national level. The Australian experience and the finding from studies suggest that mental health nurse practitioners and nurses who are specialized in mental health have the potential to make a significant contribution to enhancing access to and quality of mental health care through flexible an innovative approaches. So there are more and more evidence and indications that Quebec should invest in enhancing the skills of mental health nurses through the development of advanced nursing practice and integration of this new model in primary care. In addition, researches, funded by the Canadian Services Research Foundation (CHSRF, 2010), shows that the contribution of advanced nursing practice has never been stronger and there is a broad consensus to its value for the Canadian health care system (Dicenso.et Lukosius-Briant, 2010). The implementation of advanced practice nursing role in mental health is part of best practices required to improve care and mental health services and should be taken into account in future Action Plan 2014-2020. PMID:25120119
Ricard, Nicole; Page, Claire; Laflamme, France
Home health nurse clinicians are invaluable in the detection of children at risk for nonorganic failure to thrive (NOFTT). The literature has emphasized the role of hospital-based health care personnel in evaluating NOFTT, a strategy that relies heavily on the parent for initiation of services. Since one of the most commonly agreed-on causes of NOFTT is a disturbance in the mother-child relationship, case-finding efforts need to be community-based and less reliant on parental recognition. Because the most effective interventions take place in the child's home setting, the home health nurse clinician is in a unique position to assess the home environment for dysfunctional family interactions and behaviors and then to use the ongoing relationship with the family to implement prevention strategies for NOFTT, including teaching, modeling, and coaching effective parenting. Home-based nursing also provides the means for necessary follow-up of these families to ensure the success of the strategies. PMID:2324928
Klein, M J
The purpose of this study was to explore the practical issues encountered by nursing students who participated in three mentoring programs to promote adolescent health as well as to suggest future mentoring program options for promoting healthy adolescent behavior. The principal investigator and the nursing students recorded practical issues as they arose and prepared memos on these issues offering suggestions for future programs. The written records and memos were reviewed and analyzed using a content analysis process. The content analysis revealed a number of issues and suggestions for future mentoring programs. These issues included the general advantages of mentors, growth in professional capability, progress in professional socialization, and the acquisition of health promotion strategies. Discussion on these issues allows us to assess the potential of nursing students as mentors in a mentoring program to promote adolescent health. Future program development includes program delivery within longer, more regularly structured periods of time while using a multifaceted collaborative approach that can then be evaluated with an appropriate scale to maximize the effects of the program. PMID:19540633
Shin, Yunhee; Rew, Lynn
Full Text Available Estudio cuasiexperimental que describe la adherencia de enfermeras hospitalarias a utilizar un modelo teórico como base de la valoración de enfermería, medida por la actitud y conducta hacia: valoración de enfermería, planificación del cuidado, conocimiento de modelos teóricos e importancia a realizar la valoración de enfermería en base aun modelo teórico. Una vez que el grupo experimental se capacitó en relación a modelos y teorías de enfemería y participó activamente en la elaboración de un instrumento de valoración, la adherencia se midió a través de las escalas de Actitud y de Conducta en Salud de Miller, adaptadas por los autores, y por la evidencia escrita en los registros. Para el análisis de los datos se usó la diferencia en diferencia mediante t de Student. Los resultados muestran que la adherencia medida por la actitud fue aceptada con una asociación estadística significativa; en cambio la adherencia medida por la conducta, no mostró diferencias significativas, resultados que fueron respaldados por la evidencia en los registros de enfermería de sólo un 11% de adherencia. Se concluye que los profesionales de enfermería, en términos de conductas adherentes, no evidenciaron cambios significativos antes y después del tratamiento experimental, pero se obtuvieron resultados positivos en términos cognitivos, ya que manifestó una actitud adherente a trabajar con un modelo teórico lo que es muy positivo para la profesión y es, por tanto, la motivación necesaria para lograr los cambios en el nuevo marco de la gestión del cuidado en enfermeríaThis quasi-experimental research study describes the adherence of hospital nurses toward using a nursing model as a guideline for nursing assessment. Adherence was measured according to nurses' attitude and behavior toward nursing assessment, nursing care plan, nurses' knowledge of nursing models, and the significance of performing their nursing assessment based on a theoretical model. Once the experimental group received training about nursing theories and models and actively participated in constructing an assessment tool, adherence was measured according to the Miller's Health Attitude Scale and Miller's Behaviour Scale both revised and adapted by the authors. Evidence of adherence was also sought in nursing notes from patients'charts. For data analysis the t test difference in difference was used. Results showed that adherence measured by attitude was statistically significant. On the other hand, no significant differences were observed when adherence was measured according to the behaviour scale. These findings were supported by nurses' notes where little adherence was found. We conclude that in terms of adherence behaviour, nurses did not show significant changes after the initial training. Significant findings were found in terms of nurses' attitude toward working with a nursing model as they showed a tendency to adhere to a model in the attitude scale. The latter is very significant for the nursing profession and it motivates us to continue to enact the current nursing reform focused on nursing care management
JUAN REYES LUNA
Full Text Available SciELO Chile | Language: Spanish Abstract in spanish Estudio cuasiexperimental que describe la adherencia de enfermeras hospitalarias a utilizar un modelo teórico como base de la valoración de enfermería, medida por la actitud y conducta hacia: valoración de enfermería, planificación del cuidado, conocimiento de modelos teóricos e importancia a realiz [...] ar la valoración de enfermería en base aun modelo teórico. Una vez que el grupo experimental se capacitó en relación a modelos y teorías de enfemería y participó activamente en la elaboración de un instrumento de valoración, la adherencia se midió a través de las escalas de Actitud y de Conducta en Salud de Miller, adaptadas por los autores, y por la evidencia escrita en los registros. Para el análisis de los datos se usó la diferencia en diferencia mediante t de Student. Los resultados muestran que la adherencia medida por la actitud fue aceptada con una asociación estadística significativa; en cambio la adherencia medida por la conducta, no mostró diferencias significativas, resultados que fueron respaldados por la evidencia en los registros de enfermería de sólo un 11% de adherencia. Se concluye que los profesionales de enfermería, en términos de conductas adherentes, no evidenciaron cambios significativos antes y después del tratamiento experimental, pero se obtuvieron resultados positivos en términos cognitivos, ya que manifestó una actitud adherente a trabajar con un modelo teórico lo que es muy positivo para la profesión y es, por tanto, la motivación necesaria para lograr los cambios en el nuevo marco de la gestión del cuidado en enfermería Abstract in english This quasi-experimental research study describes the adherence of hospital nurses toward using a nursing model as a guideline for nursing assessment. Adherence was measured according to nurses' attitude and behavior toward nursing assessment, nursing care plan, nurses' knowledge of nursing models, a [...] nd the significance of performing their nursing assessment based on a theoretical model. Once the experimental group received training about nursing theories and models and actively participated in constructing an assessment tool, adherence was measured according to the Miller's Health Attitude Scale and Miller's Behaviour Scale both revised and adapted by the authors. Evidence of adherence was also sought in nursing notes from patients'charts. For data analysis the t test difference in difference was used. Results showed that adherence measured by attitude was statistically significant. On the other hand, no significant differences were observed when adherence was measured according to the behaviour scale. These findings were supported by nurses' notes where little adherence was found. We conclude that in terms of adherence behaviour, nurses did not show significant changes after the initial training. Significant findings were found in terms of nurses' attitude toward working with a nursing model as they showed a tendency to adhere to a model in the attitude scale. The latter is very significant for the nursing profession and it motivates us to continue to enact the current nursing reform focused on nursing care management
JUAN, REYES LUNA; PATRICIA, JARA CONCHA; JOSE M, MERINO ESCOBAR.
Full Text Available The nursing attendance in mental health has been changing your paradigm, such as psychiatric remodeling and the new role assumed by the nurses. This study aims to describe the activities developed for a group of nursing academics during the practical process of teaching-learning applied at patients with mental disease in therapeutic phase. It is an experience report developed at a Psychosocial Support Center located at the city of Fortaleza-Ceará in the period held from September to November of 2004. The activities implemented by the academics were the group of community therapy, the wait room group and the therapeutic relationship. The community therapy and the therapeutic relationship obtained larger success due to the deep interaction between patients and academics, in addiction to the confort and sence of valuable the activities caused them. The development of the experience revealed itself important once it provided the mutual learning, obtaining satisfactory results and certainty that these activities are susceptible of implementation in other services.
Tahissa Frota Cavalcante
Full Text Available Abstract Background Burnout is a psychological reaction triggered by interaction between personal characteristics and stress factors. Reorganizations and downsizing with increased workload imply stress for health-care professionals. This is a study of burnout in nurses during a period with two comprehensive reorganizations. Methods In this quasi-experimental retrospective cohort study, burnout was assessed in nurses with long work experience in three surveys during a 30 months' period with two comprehensive reorganizations and downsizing of a hospital unit with mostly seriously ill patients with cancer. Burnout was measured with Bergen Burnout Indicator (BBI at each survey, and "Sense of Coherence" (SOC with Antonovsky's questionnaire at the last survey. Results One man and 45 women aged 30 to 65 years were invited to the surveys. There was a significant increase in burnout during the study period, the mean increase in BBI-score was 12.5 pr year (p Conclusions There was a significant development of burnout in a group of nurses during a period with two reorganizations and downsizing. Burnout was associated with low SOC. Working with seriously ill patients with cancer has probably made the nurses exceptionally vulnerable to the stress and workload related to the reorganizations.
Full Text Available Background: Statistics have shown that veteran men and women are at greater risk for suicide than the general population. In order to decrease the incidence of suicide in veterans, nurse practitioners (NPs and other health care professionals must not only become more aware of the risk factors for veteran suicides but also develop strong psychiatric interviewing skills. Purpose: To discuss the risk factors associated with veteran suicide, the assessment tools to ensure a comprehensive suicide assessment and the application of these tools by an NP or other health care professional to a case study. Methods: Review of published literature on the topic. Conclusion: This paper will provide valuable information for NPs and other health care professionals when assessing for suicide risk in veterans.
The purpose of this study was to identify key concepts and semantic relations necessary to represent standardized and local patient assessment items in an electronic documentation system and to evaluate the degree to which coverage of both are represented by ICNP. A total of 805 unique assessment concepts were identified. Forty-three percent had exact matches in ICNP, and an additional 20% had matches in the ICNP classified as narrower, broader or other. PMID:18999149
Goldsmith, Denise M; Kim, Hyeon-eui; Choi, Jeeyae; Goldberg, Howard S; Dykes, Patricia C
The aim of this review was to examine the perceptions of patients with mental disorders and mental health nurses of health promotion targeting physical activity and eating habits in mental health care. An electronic search strategy was conducted. Furthermore, references were searched by hand-searching the reference lists of the retrieved articles from the electronic databases. The literature on perceptions of health promotion and lifestyle interventions in mental health care principally consist of qualitative studies using interviews and focus groups. Positive perceptions of both mental health nurses and patients towards health promotion targeting physical activity and eating habits in mental health care were identified. Contrary, several barriers for integrating healthy lifestyles into the daily life of patients were described. Patients usually want to learn more about healthy lifestyles, but see the ability to change their physical health as beyond their control. In this sense, support from mental health nurses is considered as important. Despite the awareness of the importance of health promotion in mental health care, it appears that visions and attitudes towards the potential of health promotion are in need of change. PMID:21749554
Verhaeghe, N; De Maeseneer, J; Maes, L; Van Heeringen, C; Annemans, L
Full Text Available Abstract Background The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school. Methods This study was based on an extended version of the theory of planned behaviour (TPB. A total of 251 respondents (response rate of 70% from 42 school health programs across the Province of Québec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action. Results A total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (? = 0.36, moral norm (? = 0.27, attitude (? = 0.24, and subjective norm (? = 0.21 (ps Conclusions Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources.
Enabling patients, service users and carers to participate in the education of students in the healthcare sector is widely espoused, both in the literature and by professional regulatory bodies. This article focuses on one aspect of this: the issue of patient involvement in the assessment of nursing students in the practice setting. The challenges and complexities that may arise are explored, and recommendations are made for further work in this area. PMID:25052675
Casey, Deborah; Clark, Liz
Full Text Available This study was designed to study knowledge, attitudes and views about health promotion among nurse clinicians in rural South Africa. The sample included 90 nurse clinicians (73 primary health care nurses and 17 midwives in the age range of 24 to 59 years (M age 38.4 yr., SD=9.3 in the Northern Province. Results indicate that nurses (66.6% had an inadequate knowledge score on health promotion in this sample. Higher knowledge scores on health promotion were not associated with age and years of experience. However, male nurses had significantly higher knowledge scores on health promotion than female nurses. The majority strongly supported the centrality of their role in health promotion acknowledging the time constraints involved. Better knowledge on health promotion was associated with more positive views on health promotion. More nurses had a satisfactory positive attitude towards health promotion (63.3% than knowledge about health promotion (33.3%. Finally, the study found that compliance with health promotion was seen as a problem but health counselling was nevertheless seen as cost effective.
Although the benefits of regular physical activity are widely acknowledged, recent findings indicate that a growing number of youth are not as active as they should be. The impact of a sedentary lifestyle during childhood on lifelong pathological processes and associated health care costs have created a need for immediate action to manage, if not prevent, unhealthy behaviors during this vulnerable period of life. The concept of identifying children with exercise deficit disorder early in life and prescribing effective interventions to prevent the cascade of adverse health outcomes later in life is needed to raise public awareness, focus on primary prevention, and impact the collective behaviors of health care providers and public health agencies. School nurses are in a unique position to take advantage of well-child visits as an ideal opportunity to assess physical activity habits and encourage daily participation in play, recess, sports, planned exercise, and physical education. PMID:22427317
Faigenbaum, Avery D; Gipson-Jones, Trina L; Myer, Gregory D
Like a museum with carefully positioned exhibits mental health nursing would look different if the display of fashionable dead things in its cultural lineage were viewed through a different lens. This paper has the aim of using transcribed interview data from mental health nurses to explore how their perception of nursing culture represents a particular historical identity (pseudo names given to ensure confidentiality). The paper discusses five themes about the formation of collective identity and concludes that mental health nurses are theoretically well positioned to develop and rethink social recovery models, ideas about fragmented selves and multiple histories that the postmodern age now curates. PMID:23444837
In this article the authors establish a connection between health care models and pedagogical trends considering their education and health care experiences in the hospital and in the communities and also the review of the literature. The pedagogical trends and health care models used by nurses in nursing education demonstrate their world view. Therefore it is important that they understand what is behind their practice so that nursing is in a political and historical context and its practice can foster the social transformation or keep the status quo. The purpose of this study is to contribute to the construction of nursing education. PMID:10948950
Kohlrausch, E; da Rosa, N G
As Japan's industries pursue technical innovations, the responsibilities of occupational health nurses are becoming increasingly complex. With such change, continuing professional development (CPD) and continuing education (CE) are crucial to the provision of appropriate care for workers. This study examined current practices of occupational health nurses and identified barriers to conducting occupational CPD and CE activities. A survey questionnaire was sent to 2,077 occupational health nurses late in 2010, asking about factors affecting attendance at and participation in CPD and CE activities, including challenges for occupational health nurses in practice. Findings demonstrated that many occupational health nurses do not work for companies that support CPD and CE. A significant finding was that occupational health nurses in Japan desire CPD activities and recognize the importance of attending CE activities. Continuing education is viewed by occupational health nurses as essential for their professional development and advancement with broader practice responsibilities and authority. Findings from this study are useful in crafting recommendations to increase occupational health nurse participation in both CPD and CE, leading to improvement in overall workplace health and safety in Japan. PMID:24806039
Mizuno-Lewis, Satomi; Kono, Keiko; Lewis, Desmond R; Gotoh, Yuki; Hagi, Noriko; Sato, Mitsutoshi; Yoshikawa, Etsuko; Higashikawa, Kaoru; Yamazaki, Masato; Naito, Masako; Kondo, Nobuko
An innovative collaborative partnership between bachelor of science nursing (BSN) students and local public schools was developed in response to a call for increasing awareness of colorectal cancer (CRC) screening in Michigan's underserved populations; through this partnership, community health nursing students provide health education for middle- and high-school aged students who became colon health ambassadors and delivered important messages about the importance of colorectal cancer screenings for their significant others age 50 and older. At the completion, the program reached approximately 1,800 school-age students and their family members. The program provides nursing students with unique service-learning experience while improving their theoretical knowledge and clinical skills in health disparities and community health nursing. The purpose of this article is to describe the development and implementation of this community-academic collaboration and discuss the evaluation of educational outcomes as community health nursing experience. PMID:24219638
Wu, Tsu-Yin; Wozny, Patrick J; Raymond, D M
Community health nursing in China is an emerging specialty. A multi-component collaborative endeavor between the Schools of Nursing of Tianjin Medical University, China, and the University of Ottawa, Canada is described. This project, funded by the Canadian International Development Agency, commenced in 1989. It has laid the groundwork for an expanded role for community health nurses in Tianjin, a municipality of 11 million people located in Northeast China. The historical context for the evolution of community health nursing in China and the emergence of community health nursing as a priority area within the project are described. Major project activities are highlighted, illustrating several underlying principles for strengthening the educational preparation of baccalaureate nurses who can apply community health skills. These include creating a critical mass of faculty who can teach community health nursing, modelling classroom and clinical teaching of community health nursing, bridging the gap between nursing in the community and nursing, in the hospital, and developing a prototype for baccalaureate community health nursing experience. Lessons learned from this initiative are summarized. PMID:10319665
Edwards, N; Bunn, H; Mei, W C; Hui, Z D
This article describes how Southern University School of Nursing (SUSON) participated in meeting the immediate health care needs of evacuees from New Orleans and environs that were victims of Hurricane Katrina. It describes how SUSON's advanced practice nurses use a mobile health unit (the Jag Mobile) to continue to serve evacuees that now live in Renaissance Village, a transitional housing trailer park. Ideas are presented that can help schools of nursing create a disaster response plan. PMID:18717209
Rami, Janet S; Singleton, Enrica K; Spurlock, Wanda; Eaglin, Angela R
Work-related Musculoskeletal Disorders (MSD) represent a major occupational health concern when considering the relationships between work and disease but associations between MSD and hospital work, especially in the nursing profession, aren't yet full understanded.QMSDuestions that still need to be answered include: Are nurses' work-related musculoskeletal symptoms and injuries dependent on the wards, the hospital organization and even the national occupational health policies that they originated from? Is their MSD related with workplaces demands, equipment, and nurse-patient ratios? Do these factors highlight different nursing occupational exposure to MSD hazards? What are the individual and psychosocial contributes to nurses WRMSDs in different nursing contexts? As such, a new approach which integrates more realistic working conditions, real hospital equipment, workplace features, and individual information would likely be a better way forwards in the addressing the current MSD epidemic among hospital nurses, worldwide...... PMID:25134634
Serranheira, Florentino; Smith, Derek
The increasing interconnectedness of the world and the factors that affect health lay the foundation for the evolving practice of global health diplomacy. There has been limited discussion in the nursing literature about the concept of global health diplomacy or the role of nurses in such initiatives. A discussion of this concept is presented here by the members of a Task Force on Global Health Diplomacy of the American Academy of Nursing Expert Panel on Global Nursing and Health (AAN EPGNH). The purpose of this article is to present an integrative review of literature on the concept of global health diplomacy and to identify implications of this emerging field for nursing education, practice, and research. The steps proposed by Whittemore and Knafl (2005) were adapted and applied to the integrative review of theoretical and descriptive articles about the concept of global health diplomacy. This review included an analysis of the historical background, definition, and challenges of global health diplomacy and suggestions about the preparation of global health diplomats. The article concludes with a discussion of implications for nursing practice, education, and research. The Task Force endorses the definition of global health diplomacy proposed by Adams, Novotny, and Leslie (2008) but recommends that further dialogue and research is necessary to identify opportunities and educational requirements for nurses to contribute to the emerging field of global health diplomacy. PMID:22999856
Hunter, Anita; Wilson, Lynda; Stanhope, Marcia; Hatcher, Barbara; Hattar, Marianne; Hilfinger Messias, Deanne K; Powell, Dorothy
In 2005, Pinnacle Health System, Zynx Health, and Siemens Medical Solutions developed a partnership to conduct a study to explore the opportunities and challenges associated with the integration of evidence-based knowledge within the EHR with the goal of creating repeatable methodologies for integrating nursing knowledge within the EHR. The two-phase study involved access to referential evidence-based content, as well as integration of customized evidence-based plans of care within the documentation applications of the EHR.
Matter, Sheri; Brown, Cindy; Button, Patricia S.; Kennedy, Rosemary
...provider must provide all of the courses...practice of the nursing or allied health...teaching staff or students, or both...staff. (v) Provide and control...employment in a nursing or allied health...instruction of students enrolled in...clerkship of undergraduate medical...
Nurses' roles in shaping health policy in the United States related to patient safety have not been fully expanded. This article explores various patient safety issues and how nurses can become involved to shape health policy in this area. PMID:12772476
Mrayyan, Majd T; Huber, Diane L
A profile of 169 Hong Kong nursing students indicated they practice good interpersonal relations but exhibit a lack of physical activity. Seniors had the most difficulty with stress management and spiritual growth. Nursing students' potential to promote patients' health may be inhibited by their own lack of compliance with health behavior.…
Hui, Wai-Hing Choi
Elementary school teacher time spent on student health issues and the relationship to school nurse services was the focus of this 2-year study. A cross-sectional design was used to survey traditional and exceptional (special needs) classroom teachers about the time they spent on health issues and their perception of school nurse presence. The…
Hill, Nina Jean; Hollis, Marianne
Full Text Available Introduction: Several factors as learning styles can influence the learning process. The aim of thisstudy was to determine learning styles, which are used by nursing and allied health students in SemnanUniversity of Medical Sciences.Materials and Methods: This cross-sectional study was performed on 199 nursing and allied healthstudents of Semnan university of medical sciences (2007, Iran. Students were selected using a simplesampling method. The assessment instrument was the last version of Kolb learning style inventory (KLSIV.3.1.Results: Generally, the learning styles of students were divergent (% 27.1, accommodations (% 26.6,convergent (%23.6, and assimilation (%22.6. The preferred learning style in nursing students wasconvergent (%31.9, and in allied health students was divergent (%36.1. There was a significantrelationship between the type of learning styles with academic courses (P=0.006 married status(P=0.004 and average score (P=0.031, but there was no correlation between the type of learning stylesand gender.Conclusion: Considering the predominance of convergent and divergent learning styles in thesestudents, the usage of some educational methods such as problem -based learning, group discussions,brain storming, role playing, computerized simulation and demonstration are recommended in theoretical,clinical and skill laboratory fields, so that; the students in the new and objective situations can apply theirvisualization for more earning knowledge and professional skills.
The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994: 155). Respondents in both groups held similar perceptions regarding integration of primary health care approach into a Community Nursing Science Curriculum. Five categories, which are in line with the curriculum cycle, were identified as follows: situation analysis, selection and organisation of objectives/goals, content, teaching methods and evaluation. Guidelines and recommendations for the integration of the primary health care approach into a Community Nursing Science Curriculum were described. PMID:11949291
Vilakazi, S S; Chabeli, M M; Roos, S D
Full Text Available The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994:155. Respondents in both groups held similar perceptions regarding integration of primary health care approach into a Community Nursing Science Curriculum. Five categories, which are in line with the curriculum cycle, were identified as follows: situation analysis, selection and organisation of objectives/ goals, content, teaching methods and evaluation. Guidelines and recommendations for the integration of the primary health care approach into a Community Nursing Science Curriculum were described.
The document is an excellent pointer system to identify current literature or changes in assessment criteria for many chemicals of interest to Superfund. It was prepared for Superfund use by the Environmental Criteria and Assessment Office (ECAO-Cin) in EPA's Office of Health and Environmental Assessment. Chemicals considered are those for which Health Effects Assessment Documents, Health and Environmental Effects Profiles, Health Assessment Documents or Air Quality Criteria Documents have been prepared by ECAO. Radionuclides considered are those believed to be most common at Superfund sites. Tables summarize reference doses (RfDs) for toxicity from subchronic and chronic inhalation, oral exposure, slope factors and unit risk values for carcinogenicity based on lifetime inhalation and oral exposure, and radionuclide carcinogenicity
There is little debate about the importance of preparing nursing graduates to provide culturally sensitive care to an increasingly diverse society. However, it is difficult for nurse educators to fit learning experiences that help students develop cultural competence into already full programs and create mechanisms to evaluate the results. This article describes a study to assess the impact of a study abroad program on developing cultural competence, including cultural awareness, sensitivity, knowledge, and skills. Results from the Cultural Awareness Survey, reflective journals, and interviews illustrate how the study abroad experience influenced the development of components of cultural competence and might influence clinical practice. Results suggest effective teaching strategies to assist students in becoming culturally competent are experiential in nature and include role modeling, reflective activities, and group discussion. PMID:22616405
Carpenter, Linda J; Garcia, Alexandra A
Computerized Clinical Simulation Testing is an uncued, dynamic, interactive test that permits examinees to simulate the clinical decision-making skills used in the nursing management of client needs. It has the potential for helping boards of nursing to make more valid assessments about who is competent to practice nursing. (JOW)
Bersky, Anna K.; Yocom, Carolyn J.
Recently, Health Impact Assessment has gained great attention in Korea. First, the Ministry of Environment introduced HIA within existing Environment Impact Assessment. Second, the Korea Institute for Health and Social Affairs began an HIA program in 2008 in alliance with Healthy Cities. In this short report, these two different efforts are introduced and their opportunities and challenges discussed. We believe these two approaches complement each other and both need to be strengthened. We also believe that both can contribute to the development of health in policy and project development and ultimately to improvements in the Korean population's health.
The Republic of Singapore is an island city-state in Southeast Asia. Its population enjoys good health and the Singapore Ministry of Health's mission is to promote good health and reduce illness, ensure access to good and affordable health care, and pursue medical excellence. This is achieved through a healthcare system that includes both private and public sector elements. The financing philosophy of Singapore's healthcare delivery system is based on individual responsibility and community support. Health care in Singapore is financed by a combination of taxes, employee medical benefits, compulsory health savings, insurance, and out-of-pocket payment. The capability for health technology assessment in Singapore was developed concurrently with its medical device regulation system in the 1990s. The first formal unit with health technology assessment (HTA) functions was established in September 1995. Today, HTA features in decision making for the Standard Drug List, licensing of medical clinics, the Health Service Development Programme, healthcare subsidies, and policy development. The public sector healthcare delivery clusters have also recently started health services research units with HTA functions. Singapore is organizing the 6th Health Technology Assessment International (HTAi) Annual Meeting in June 2009. Bringing this prestigious international conference to Asia for the first time will help raise awareness of HTA in the region. PMID:19527542
Pwee, Keng Ho
Preparation of nursing students for practice in mental health settings in Australia has been criticized since comprehensive education replaced preregistration specialist education. Current and projected workforce shortages have given rise to considering the reintroduction of specialization at preregistration level as a potential solution. Support of heads of schools of nursing would be essential for such an initiative to be considered. A qualitative exploratory study was undertaken involving in-depth telephone interviews with heads of schools of nursing in Queensland. Participants generally favoured the concept of specialization in mental health nursing at undergraduate level. Data analysis revealed the following themes: meeting workforce needs, improving quality of care, employability of graduates, an attractive option for students, and what would have to go. Participants identified many benefits to mental health service delivery and consumer outcomes. How the initiative could be developed within an already overcrowded curriculum was identified as the major barrier. This level of support is encouraging if necessary changes to the educational preparation for mental health nursing practice are to be considered. PMID:25109595
Happell, Brenda; McAllister, Margaret
The process of what information is captured in documenting patient care assessment and how it is summarised, communicated and interpreted by nurses across different healthcare services is the main focus of this thesis. Currently in Ireland, systems within the domain of healthcare are undergoing transformation. Existing practices where health information is collected at one local health organisation level and often duplicated across differing services will not support the strategic goals of th...
With the advent of Outcomes-Based Education in South Africa, the quality of nursing education is debatable, especially with regard to the assessment and evaluation of clinical nursing education, which is complex and renders the validity and reliability of the methods used questionable. This paper seeks to explore and describe the use of portfolio assessment and evaluation, its implications and guidelines for its effective use in nursing education. Firstly, the concepts of assessment, evaluati...
Chabeli, M. M.
Full Text Available Abstract Background Registered Sick Children’s Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives childhood obesity. The aim of this study was to elucidate the conceptions of childhood overweight, including obesity, among nurses working in Child Health Care. Method A qualitative study using a phenomenographic approach, based on open-ended interviews with 18 Child Health Care nurses (CHC-nurses strategically selected from 17 Child Health Care Centres in the southern part of Sweden. Results Four categories of description emerged from the data: Perception of childhood overweight changes, Overweight in younger children a neglected concern, Overweight a delicate issue and Importance of family lifestyle. The participating CHC-nurses conceived overweight in children, primarily obesity in children to be an extensive and serious problem which affects children, families and the surrounding society. Overweight in children was further perceived as a consequence of their parent’s lifestyle and their awareness of the problem, which was considered by the CHC-nurses as a sensitive and a provoking issue. It was also perceived that overweight in children is not taken seriously during the pre-school period and that concerns regarding overweight in younger children were mainly about the appearance and not the health of the child. The CHC-nurses perceived that the proportion of overweight children has increased, which Swedish society and the CHC-nurses have adapted to. This adaptation makes it difficult for CHC-nurses to define those children who are overweight. Conclusion CHC-nurses provide a comprehensive and complex picture of childhood overweight, which includes several difficulties dealing with this issue. Attention to CHC-nurse’s conceptions of overweight in children is important since it can affect the parent-nurse relationship and thereby the nurse’s, as well as the parent’s efforts to influence the children’s weight. It is suggested that CHC- nurses should work with person centered counseling and empowerment concerning parent to child relations in cases involving overweight.
Isma Gabriella E
Despite increasing needs resulting from emerging societal and health care issues, the number of trained community/public health (C/PH) nurses in the United States is facing a precipitous decline. Numerous factors contribute to this shortage including an aging workforce, a poorly funded public health system, inconsistencies in C/PH nursing educational approaches and opportunities, and a shortage of sites for clinical training. Determined to address the C/PH nursing shortage in their region, a consortium of public health professionals, university deans and faculty, and state nursing leaders in southeastern Wisconsin came together to address these issues from three perspectives: (a) curricular analysis and redesign, (b) expansion of clinical placement opportunities, and (c) paid community/public health nursing internships for seniors in baccalaureate nursing programs. This article outlines briefly the activities undertaken related to curricular review and clinical placements, and then describes in detail the approach, challenges and results of the senior internship program. Together, these programs produced long-lasting results including an unprecedented level of collaboration between academic institutions and public health nursing professionals, the expansion of both traditional and nontraditional clinical sites in the region, and a transformative learning experience for seventeen senior nursing students from five participating universities. PMID:24517169
Young, Staci; Acord, Lea; Schuler, Sue; Hansen, Judith M
Seventy to eighty percent of youth receiving mental health services receive these services in schools. Nurses have been identified as the second major provider of mental health services in the schools, yet little has been written about the role of psychiatric mental health nurses in rural school-based clinics or how they were trained in this role. This paper describes an innovative clinical experience for graduate students to shape the role of advanced psychiatric mental health nurses in rural, minority schools using evidence-based approaches. The authors describe the context, theoretical frameworks, role development, outcomes, and lessons learned. PMID:17991053
Grossman, Janet; Laken, Marilyn; Stevens, Janet; Hughes-Joyner, Frederica; Sholar, Michael; Gormley, Captain Kevin
Full Text Available Protection of health care workers including students from being infected when caring for high risk patients is a major cause for concern to all promoting occupational health. Safety of every employee is mandatory. Furthermore, universal guidelines for precautions must be used by all interacting with high risk patients and clients to protect themselves and prevent the spread of infection. The aim of this paper was to ascertain the availability of universal guidelines for precautions against the spread of infection in clinical settings and determine the precautions used by OHN students during their clinical placements. To realise these objectives, a quantitative and descriptive design was followed. A purposive sampling method was used to select 45 Occupational health nursing students who participated in the study.Data was collected with the use of a structured questionnaire and the results revealed that: most units where OHN students were placed for clinical experience had guidelines for universal precautions although these were not always accessible to them; regarding compliance to universal precautions, OHN students were reportedly aware of the hazards of failure to comply although in some emergencies and where personal protective material was not available, they had to provide care without using protective equipments. Recommendations made include that employers and staff at all occupational settings must ensure that updated guidelines for universal precautions are available and accessible to every body interacting with high risk patients; health care providers and students must be fully informed about and should always adhere to universal precautions.
The document represents a brief, quantitatively oriented scientific summary of health effects data. It was developed by the Environmental Criteria and Assessment Office to assist the Office of Emergency and Remedial Response in establishing chemical-speci...
The report summarizes and evaluates information relevant to a preliminary interim assessment of adverse health effects associated with specific chemicals or compounds. The Office of Emergency and Remedial Response (Superfund) uses these documents in preparing cost-benefit analyse...
Background Canadian Community health nurses (CHNs) work in diverse urban, rural, and remote settings such as: public health units/departments, home health, community health facilities, family practices, and other community-based settings. Research into specific learning needs of practicing CHNs is sparsely reported. This paper examines Canadian CHNs learning needs in relation to the 2008 Canadian Community Health Nursing Standards of Practice (CCHN Standards). It answers: What are the learning needs of CHNs in Canada in relation to the CCHN Standards? What are differences in CHNs’ learning needs by: province and territory in Canada, work setting (home health, public health and other community health settings) and years of nursing practice? Methods Between late 2008 and early 2009 a national survey was conducted to identify learning needs of CHNs based on the CCHN Standards using a validated tool. Results Results indicated that CHNs had learning needs on 25 of 88 items (28.4%), suggesting CHNs have confidence in most CCHN Standards. Three items had the highest learning needs with mean scores > 0.60: two related to epidemiology (means 0.62 and 0.75); and one to informatics (application of information and communication technology) (mean = 0.73). Public health nurses had a greater need to know about “…evaluating population health promotion programs systematically” compared to home health nurses (mean 0.66 vs. 0.39, p educators and practice leaders need to consider these results in determining where to strengthen content in graduate and undergraduate nursing programs, as well as professional development programs. For practicing CHNs educational content should be tailored based on learner’s years of experience in the community and their employment sector. PMID:25349531
Full Text Available Objective: to verify the scientific production on elder women, gender and sexuality in journals of Nursing, Public Health and Gerontology. Methods: a systematic review of literature, in journals of Nursing, Public Health and Gerontology in Brazil, in the years 2003 to 2007. Results: the 362 articles were pre-selected (111 in nursing, 95 in Public Health and 156 in Gerontology, of these, seven focus on elderly women, gender and sexuality. It was possible to understand that sexuality and gender issues of elder women remain invisible, and few significant. From the seven articles three categories were abstracted: feminization of aging, social of women’s aging and asexualized elderly. Conclusion: the nurses and the groups of studies and research on gender began to dawn, showing interest in the issues. Requires that the educational projects of graduate programs in health, especially in nursing, bringing more thoughts on gender and sexuality of older women.
Beatriz de Carvalho Cavalheiro, Silvana Sidney Costa dos Santos
The independent, complex role of a school nurse requires accurate documentation of assessments, interventions, and outcomes. Consistent documentation by all school nurses is crucial to study the impact of nursing interventions on children's health and success in school. While standardized nursing languages are available, the actual use of…
Yearous, Sharon Kay Guthrie
OBJECTIVES AND METHODS: To review Switzerland's mixed public and private healthcare system with regard to health technology assessment (HTA). RESULTS: In the past, remarkable work in HTA was done. Accomplishments include the following: (i) Switzerland became an early member of the International Network of Agencies for Health Technology Assessment. (ii) HTA has its legal bases in terms of effectiveness, appropriateness, and efficiency. (iii) The federal law allows the introduction of new techn...
Koch, P.; Schilling, J.; La?ubli, M.; Mitscherlich, F.; Melchart, D.; Bellucci, S.
Several antineoplastic drugs have been classified as carcinogens by the International Agency for Research on Cancer (IARC) on the basis of epidemiological findings, animal carcinogenicity data, and outcomes of in vitro genotoxicity studies. 5-Fluorouracil (5-FU), which is easily absorbed through the skin, is the most frequently used antineoplastic agent in Portuguese hospitals and therefore may be used as an indicator of surface contamination. The aims of the present investigation were to (1) examine surface contamination by 5-FU and (2) assess the genotoxic risk using cytokinesis-block micronucleus assay in nurses from two Portuguese hospitals. The study consisted of 2 groups: 27 nurses occupationally exposed to cytostatic agents (cases) and 111 unexposed individuals (controls). Peripheral blood lymphocytes (PBL) were collected in order to measure micronuclei (MN) in both groups. Hospital B showed a higher numerical level of contamination but not significantly different from Hospital A. However; Hospital A presented the highest value of contamination and also a higher proportion of contaminated samples. The mean frequency of MN was significantly higher in exposed workers compared with controls. No significant differences were found among MN levels between the two hospitals. The analysis of confounding factors showed that age is a significant variable in MN frequency occurrence. Data suggest that there is a potential genotoxic damage related to occupational exposure to cytostatic drugs in oncology nurses. PMID:25072720
Ladeira, C; Viegas, S; Pádua, M; Gomes, M; Carolino, E; Gomes, M C; Brito, M
Full Text Available The primary goal of the study was to assess the efficacy of mindfulness-based meditation therapy on the psychological well-being and sense of coherence of nurses with respect to coping with stress. The participants were 28 nurses working in a ward for elderly patients, with 15 included in the intervention group and 13 in the control group. Nurses in the intervention group received two sessions of mindfulness-based meditation therapy, including breathing, yoga movement and meditation. Each nurse was taught the program in the first session, then exercised at home with a CD, and subsequently met with an interviewer in a second session after two weeks. Nurses in the control group did not receive any interventions. The participants completed the General Health Questionnaire (GHQ, including subdomains of physical symptoms, anxiety and sleep disturbance, interference with social activities, and depression; and the Sense of Coherence (SOC questionnaire, which includes three subdomains of comprehensibility, manageability, and meaningfulness pre- and post-intervention. The GHQ scores of the intervention group showed a significantly greater decrease than those of the control group. The SOC scores of the intervention group showed a significantly greater increase after the intervention compared to those in the control group, with the highest score for the meaningfulness subdomain. These results indicate that mindfulness-based meditation therapy is effective for improving the psycho-logical well-being and sense of coherence of nurses, which helps them to cope with stress.
The document represents a brief, quantitatively oriented scientific summary of health effects data. It was developed by the Environmental Criteria and Assessment Office to assist the Office of Emergency and Remedial Response in establishing chemical-specific health-related goals ...
The document represents a brief, quantitatively oriented scientific summary of health effects data. It was developed by the Environmental Criteria and Assessment Office to assist the Office of Emergency and Remedial Response in establishing chemical-specific health-related goals ...
The document represents a brief, quantitatively oriented scientific summary of health effects data. It was developed by the Environmental Criteria and Assessment Office to assist the Office of Emergency and Remedial Response in establishing chemical-specific health-related goals ...
Occupational health nurses have the skills and knowledge to provide a holistic perspective in advancing their company's triple bottom line, healthy people, healthy planet, and healthy profits. The HS3 model provides a road map for integrating health, safety, sustainability, and stewardship, all of which directly impact every company's triple bottom line. Occupational health nurses can use the HS3 model to promote healthy lifestyles, reduce risk and injuries, protect the natural environment, and improve resource alignment. Occupational health nurses have a unique opportunity to demonstrate the value they bring to their employers using synergistic HS3 planning that cost-effectively links work injury management, health promotion, environmental protection, safety training and surveillance, and regulatory compliance. Implementing the HS3 model requires occupational health nurses to be innovators who can change the conversation. PMID:19639861
Weiss, Marjorie D
Full Text Available Abstract Background Quality of work life (QWL is defined as the extent to which an employee is satisfied with personal and working needs through participating in the workplace while achieving the goals of the organization. QWL has been found to influence the commitment and productivity of employees in health care organizations, as well as in other industries. However, reliable information on the QWL of primary health care (PHC nurses is limited. The purpose of this study was to assess the QWL among PHC nurses in the Jazan region, Saudi Arabia. Methods A descriptive research design, namely a cross-sectional survey, was used in this study. Data were collected using Brooks’ survey of quality of nursing work life and demographic questions. A convenience sample was recruited from 134 PHC centres in Jazan, Saudi Arabia. The Jazan region is located in the southern part of Saudi Arabia. A response rate of 91% (n?=?532/585 was achieved (effective response rate?=?87%, n?=?508. Data analysis consisted of descriptive statistics, t-test and one way-analysis of variance. Total scores and subscores for QWL items and item summary statistics were computed and reported using SPSS version 17 for Windows. Results Findings suggested that the respondents were dissatisfied with their work life. The major influencing factors were unsuitable working hours, lack of facilities for nurses, inability to balance work with family needs, inadequacy of vacations time for nurses and their families, poor staffing, management and supervision practices, lack of professional development opportunities, and an inappropriate working environment in terms of the level of security, patient care supplies and equipment, and recreation facilities (break-area. Other essential factors include the community’s view of nursing and an inadequate salary. More positively, the majority of nurses were satisfied with their co-workers, satisfied to be nurses and had a sense of belonging in their workplaces. Significant differences were found according to gender, age, marital status, dependent children, dependent adults, nationality, nursing tenure, organizational tenure, positional tenure, and payment per month. No significant differences were found according to education level of PHC nurses and location of PHC. Conclusions These findings can be used by PHC managers and policy makers for developing and appropriately implementing successful plans to improve the QWL. This will help to enhance the home and work environments, improve individual and organization performance and increase the commitment of nurses.
Almalki Mohammed J
The introductory physics is taught by a physics teacher who integrated nursing technique with the text in the nursing format, in nursing language and demonstrating in class the operation of nursing instruments, with lecture support from a nursing teacher. This is teaching med-nursing physics. The null hypothesis is rejected under the alternative hypothesis that teaching med-nursing physics is superior than teaching traditional introductory physics in the nursing college of the study university, by a traditional trained physics teacher. The study design is a case group comparing with 6 groups of controls, who from 24and 5-year-discipline systems are taking or took the introductory physics. The superiority testing is relied on the accessment form that has 10 questions on the introductory physics, and 10 questions on nursing technique. The SAS procedure of GLM has been employed for the 1-way ANOVA on the 20 accessment questions, under scoring systems.
Wang, Wen-Ruey; Lin, Y.; Chen, K.
Full Text Available Background: South African’s infant and child mortality rates remain high and at the current rate of decline will not meet the Millennium Development Goals of a two thirds decrease by 2015. At the latest available count, there were fewer than 1500 qualified paediatric nurses on the National South African Nursing Council register, with only about 100 nurses graduating with this qualification from South African nursing schools annually. It is not clear, however, if current paediatric nurse training programmes adequately equip nurses to make a real impact on reducing the under-5 mortality rate. In their 2011 interim report, the Ministerial Committee on Morbidity and Mortality in Children under 5 years recommended strengthening paediatric nurses’ training as a strategy to reduce the under-5 mortality rate. Method: In response to the Committee on Morbidity and Mortality in Children recommendation, a colloquium was convened as a national forum for schools of nursing, departments of health, health care facilities, clinicians and regulatory bodies to advance children’s nursing in South Africa. Objectives: The goals of the colloquium were to thoroughly investigate the situation in South Africa’s paediatric nurse training, plot ways to strengthen and expand postgraduate paediatric programmes to meet priority child health needs, and to build relationships between the various schools and stakeholders. Results: Outcomes included the clarification and strengthening of a ‘stakeholder grid’ in nurse training, recognition of the need for more active teaching and learning strategies in curricula linked to national child health priorities, as well as the need to develop and support clinical nursing practice in facilities.
This article presents an assessment of whether race, education, gender, or other testing bias was present in a state-mandated nurse aide competency test. This assessment was carried out with data from two sources: (a) a statewide standardized test for all nurse aides that was given by a nationally known testing company, (b) an independent observational evaluation with a Behaviorally Anchored Rating Scale (BARS) for nurse aides' performance that was carried out by the investigators. The results show that race and education level were predictors of performance on written and manual portions of the standardized test. Gender, age, and years of experience were also shown to predict test success. Comparing data from the two sources suggests that a possible bias in the standardized nurse aid test. The independent observation of performance on the job with the BARS is shown to be less biased. PMID:9128536
Baker, S L; Stoskopf, C H; Ciesla, J R; Glik, D C; Cover, C M
The purposes of this study were to survey the actual conditions of the employment status and activities of occupational health nurses who are employed in Japanese Industrial Health Organizations (IHOs), and to investigate whether the OHNs provide quality health services to employees. We mailed 1,780 questionnaires to nurses who belong to 92 IHOs (members of the National Federation of Industrial Health Organizations). A total of 976 questionnaires were returned (54.8% valid response rate) and 968 questionnaires were considered eligible for analysis. The results showed the following issues: 1) most public health nurses belonged to the department of occupational health service, but they did not have enough experience with industrial hazards or workers safety or health; 2) public health nurses want to participate more directly in care for workers; 3) Public Health Nurses provided health counseling in the charge of their enterprises, but they did not take managerial roles, including place-of-work patrol, attendance to safety, and health committees in their workplaces; 4) they were not satisfied with the present roles demanded by the other staff and their managers; 5) they did not have enough opportunities to attend the job training. Together, the results of this study suggest that the OHNs in IHOs need to have more opportunities to perform their expertise in industrial health & safety and job training in order to provide autonomous health services to the workers. PMID:18655546
Nakatani, Junko; Shiraishi, Akiko; Shibako, Mina; Snoji, Takuro; Hara, Yoshiko; Ishihara, Itsuko
Prevention is better than cure. Public health plays an important role in promoting prevent medicine. To obtain the abilities to provide appropriate nursing services, learning public health is necessary for students who want to become registered nurses. When teachers teach public health to nursing students, it is important to motivate them to learn it. Therefore, we investigated the reasons for the lack of motivation to learn public health by conducting a questionnaire survey. The subjects were female nursing students in 29 vocational schools in Kanagawa and Chiba prefectures of Japan that allow graduation after a 3-year study period. We asked the students whether or not they had completed the subject of public health and analyzed those students who answered affirmatively. We analyzed 1,553 respondents whose average age was 22.6 ± 5.2 years (range, 18 to 45). Using factor analysis, we discovered the 5 reasons that lead to the lack of nursing students' motivation to learn public health: "Difficulties acquiring knowledge of public health," "Inappropriate attitudes of public health teachers," "Thinking lightly about the national examination in the field of public health," "Lack of understanding the importance of learning public health," and "Future plans that do not specialize in public health." Using multiple linear regression analysis, these 5 reasons were significant predictors for the lack of students' motivation. Older students also had significantly less motivation to learn public health than did younger students. When teachers instruct their students, they should teach public health better with the present knowledge. PMID:24172685
Kudo, Yasushi; Hayashi, Sachiko; Yoshimura, Emiko; Tsunoda, Masashi; Tsutsumi, Akizumi; Shibuya, Akitaka; Aizawa, Yoshiharu
Musculo – skeletal stress in nursing staff and its association with health disorders Aim of the study was to investigate health complaints and work pressure among nursing staff, and to evaluate the associations of musculo - skeletal stress with their health disorders. Methods. During October - December, 2003, 300 employees of one Kaunas hospital were interviewed. In this case - control study, 100 respondents were included into the case group, and 200 were controls. The main criteri...
Assessment of students' learning is a crucial question when great changes occur in the higher education sector. One such educational reform is the Bologna declaration, the requirements of which have resulted in significant modifications in documents as assessment forms for clinical education. The aim of this study was to investigate students' and preceptors' perceptions of using the revised version of an assessment form, the AssCE form. Using convenience sampling, a questionnaire survey was completed by 192 nursing students and 101 preceptors. Most of the participants found that the revised AssCE form was possible to use during different years of the programme, and factors in the AssCE form were possible to combine with learning outcomes in the course syllabus. Most participants perceived that the scale added to each factor facilitated the assessment dialogue and offered possibilities to illustrate the students' development during clinical periods. Findings also showed that students were most often prepared with self-assessment before the assessment discussions. More information about the use of the AssCE form, also in combination with learning outcomes in the course syllabus, may further support the use of the form and contribute to students' development during clinical practice. PMID:24140366
Löfmark, Anna; Thorell-Ekstrand, Ingrid
Full Text Available Objectives: to describe the influences patterns of work of nurses in the hospital emergency on their mental health, identifying the types of nurses' perceptions of the risks of illness in their work and to discuss strategies for self-care performed by nurses of the emergency. Methodology: this is a qualitative, exploratory and descriptive study. Interviews were conducted with seven nurses, who agreed to participate in the study in accordance with Resolution 196/96 of CONEP whose project was approved by the research ethics under the HUAP record n. 001/2009. Data were transcribed and later analyzed from the thematic content analysis. Results: influences patterns of work of nurses in the emergency room for their mental health forms of perception nurse about the risks of illness in their work, and strategies of self-care performed by nurses of the hospital emergency. Conclusion: the symptoms and signs that are provided by the nursing professionals are related to the triggering factors of burn-out, and a pressing need for nursing professionals to pay attention to prevention of stress as a factor protecting their own health.
Carla Castilho Martins, Geilsa Soraia Cavalcanti Valente
The most significant investment a nursing executive can make in an organization and to the delivery of quality patient care is the development of current and future front-line nurse managers. We are on the brink of massive changes in access and the delivery of health care. The front-line manager is in a critical position to make it all work and deliver what the public wants: better access, improved quality, and less cost. If front-line nurse managers are key stakeholders and will undoubtedly play a major role in health care reform, are they ready? Nurse leaders must evaluate, educate, embrace, enable, empower, espouse, engage, and excite frontline nurse managers in order to expand health care services efficiently and effectively. PMID:20672546
Kirby, Karen K
The Oncology Nursing Society (ONS), a member of the Nursing Organizations Alliance, invests in advocating for health and public policy decisions by sending members to the Nurse in Washington Internship (NIWI) program annually. NIWI provides a forum to educate nurses on the legislative process, giving attendees a better understanding of political, legislative, and regulatory issues facing nurses. The 2014 ONS delegation participated in training and lobbying focused on federal funding issues, nursing education, workforce oversight, and funding for nursing research. The three-day program ended with a Capitol Hill visit where nurses met with their respective legislators or their staff, using skills learned at NIWI briefings to influence policy for nurses and the patients they serve. Critical health and public policy decisions affecting nurses, their practice, and their patients require participation in and understanding of the legislative process. This article provides a glimpse into the three-day experience of the delegates attending the 2014 NIWI. PMID:25427709
Saria, Marlon Garzo; Stone, Alec; Walton, AnnMarie Lee; Brown, Gean; Norton, Vicki; Barton-Burke, Margaret
The occupational and environmental health nurse entrepreneur can avoid business failure by engaging in a planning process that maximizes financial resources. Successful financial management involves understanding key financial reports and using those reports as management tools to "keep score" on the business. The prices the occupational and environmental health nurse entrepreneur charges for services will have a direct effect on the success of the business. Payroll, earnings, and expense records are useful management tools to help the occupational and environmental health nurse entrepreneur track the business and meet legal requirements. PMID:11111418
Rainer, S R; Papp, E
The purpose of the study was to explore relationships between nurses' perceptions of the impact of health information technology on their clinical practice in the acute care setting, their use of electronic nursing care reminders, and episodes of missed nursing care. The study aims were accomplished with a descriptive design using adjusted correlations. A convenience sample (N = 165) of medical and/or surgical, intensive care, and intermediate care RNs working on acute care hospital units participated in the study. Nurses from 19 eligible nursing units were invited to participate. Adjusted relationships using hierarchical multiple regression analyses indicated significant negative relationships between missed nursing care and nursing care reminders and perceptions of health information technology. The adjusted correlations support the hypotheses that there is a relationship between nursing care reminder usage and missed nursing care and a relationship between health information technology and missed nursing care. The relationships are negative, indicating that nurses who rate higher levels of reminder usage and health information technology have decreased reports of missed nursing care. The study found a significant relationship between nursing care reminders usage and decreased amounts of missed nursing care. The findings can be used in a variety of improvement endeavors, such as encouraging nurses to utilize nursing care reminders, aid information system designers when designing nursing care reminders, and assist healthcare organizations in assessing the impact of technology on nursing practice. PMID:25119428
Piscotty, Ronald J; Kalisch, Beatrice
Full Text Available The fact that nursing is a difficult profession which lacks of social recognition results in being abandoned by many nurses and not being selected by young people. ?im: The aim of the present study was to investigate the perceptions of nurses, other health care professionals and students about the nursing profession and to determine the factors that influence their attitude towards it. Material and Method: 949 students of nursing and medical schools and health care professionals participated in the study. The data was gathered by the means of two structured questionnaires, the composition of which was based on the nursing database. The data's statistical analysis was fulfilled by the SPSS 12. Results: ?he 89,2% of the sample believes that nursing practice requires knowledge, skills, and critical thinking. The 82,4% also believes that the quality of care provided depends on the quality of the nurses' education and lifelong learning is nurses' duty (94,4%. Moreover, the 82,6% of the participants thinks that the nurses do not lose their interest in the patient's care as much as they become more educated. Factors such as religion and frequency of sick leave do not influence the attitude towards the profession, but the reality shock, the lack of nursing staff and the experience of negative bias adversely influence the attitude towards it. Conclusions: The confrontation of factors that influence negatively the image of the profession combined with a better and continuing education for nurses will lead to increase the social status of the nursing profession.
Full Text Available The Romanian health sector went through a process of reform began in 2000 which entered into a final adjustment phase in 2010 when the economic crisis, the health professionals accelerated trend of labour migration, the precarious health of the population brought new challenges to the unsolved existing problems. Nurses are numerically the most important category of health professionals. Since 1994 they experienced a convergent movement of professionalization in the interior of the nurse profession. The aim of the study is to explore the nurses’ perceptions of the impact of the health care system reform on their own profession and on the internal process of professionalization. As a result a quantitative research was conducted on a sample including 411 nurses of different specialties working in Iasi county. The results of the research point out the significant impact of factors related to the reform of the health care system on the quality of the care process, on the nurses’ work conditions and professional satisfaction. The external disruptive factors produce negative effects on nurses’ group cohesion, despite the centripetal efforts of the professional organization and induce a slowdown movement of the nurses professionalization process.
Full Text Available The object of this paper is to reflect upon the dimension of health education as a process of construction in comparison with the current pattern of health attention. It also intends to obtain a critical view upon nursing care and in the education of nurses, trying to look for strategies for an innovational and creative practice of health education. In this article, it is aimed to discuss realities and evidences as well as reassure necessities, transform situations and widen the awareness about the professional practice of nurses. Understanding health in its wide dimension demands from the professionals an articulation that is able to apprehend the way of thinking and the way of doing the routine of patients and professionals in the entireness of the human being. It aims, over all, the participation of professionals and the nursing team in the educative process in which they are introduced, acting as co-responsible in the caring of people’s health.
Francisca Georgina Macêdo de Sousa
Social, scholarly, and technical changes and changes in health politics have a lasting influence on the nursing profession. The development of nursing science programs can be seen in this context and institutions, which offer educational programs for nurses, have to orient them toward the new demands of the profession. Up to now in the German-speaking realm, published data, which describe the changes the nursing profession can expect, have not been available, nor have possible future fields of activity of nursing been examined. In order to close this gap, a group of opinion leaders and experts in nursing in German-speaking Switzerland were studied. Eighty-one people were surveyed by means of a questionnaire, and ten people were interviewed in-depth. The results reflect the visions and perspectives of the nursing profession of the future in German-speaking Switzerland. The expectation is that nursing should deal increasingly with sociopolitical changes and that the main issues of nursing with regard to type of client and locations where care is given will change. A re-orientation toward strengthening professional identity is called for in the following areas: involvement in determining and shaping decisions in politics and health politics; taking entrepreneurial initiatives; building clinical practice on caring, patient preferences, and evidence; making professional training and continuing education clinically-oriented as well as the development and the establishment of nursing science. Through a re-orientation, nursing should be better able to meet the challenges, which it faces because of health and social problems in the population. A great discrepancy exists between the expectations for nursing in the future and present reality. The challenge will be to see whether it will be possible to close the gap between visions and reality by means of training, continuing education, and changes in clinical practice. PMID:12385266
Spirig, R; Petry, H; Kesselring, A; De Geest, S
Many school nurses across the nation have had the opportunity to be involved with school renovation and new construction projects in their districts. Renovation and new construction projects allow school nurses the opportunity to work with facilities planners, school officials, and architects to design school health office facilities that enhance…
Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practical nurses. Covered in the units are the following: the nursing care of mothers and newborns (obstetrics, prenatal care and complications, patient needs, care of the newborn, prematurity, medications, and cultural…
Arizona State Dept. of Education, Phoenix.
Describes one elementary school's experience utilizing undergraduate nursing students as an alternative resource for providing health education. Nursing students observed in the classroom, prepared teaching plans, and presented topics. Participants reported that the experience was effective in relation to the levels of achievement attained by…
Drott, Patricia M.
These curriculum materials for preparing nursing assistants in Pennsylvania provide 14 units of secondary and postsecondary instruction. Presented within the topic of the role and function of the nursing assistant are units providing an introduction to health care, communications, infection control, emergency and disaster procedures, and ethical…
Richards, Beverly; Moore, Susan
Full Text Available Abstract Background Makerere University College of Health Sciences (MakCHS in Uganda is undergoing a major reform to become a more influential force in society. It is important that its medicine and nursing graduates are equipped to best address the priority health needs of the Ugandan population, as outlined in the government’s Health Sector Strategic Plan (HSSP. The assessment identifies critical gaps in the core competencies of the MakCHS medicine and nursing and ways to overcome them in order to achieve HSSP goals. Methods Documents from the Uganda Ministry of Health were reviewed, and medicine and nursing curricula were analyzed. Nineteen key informant interviews (KII and seven focus group discussions (FGD with stakeholders were conducted. The data were manually analyzed for emerging themes and sub-themes. The study team subsequently used the checklists to create matrices summarizing the findings from the KIIs, FGDs, and curricula analysis. Validation of findings was done by triangulating information from the different data collection methods. Results The core competencies that medicine and nursing students are expected to achieve by the end of their education were outlined for both programs. The curricula are in the process of reform towards competency-based education, and on the surface, are well aligned with the strategic needs of the country. But implementation is inadequate, and can be changed: • Learning objectives need to be more applicable to achieving competencies. • Learning experiences need to be more relevant for competencies and setting in which students will work after graduation (i.e. not just clinical care in a tertiary care facility. • Student evaluation needs to be better designed for assessing these competencies. Conclusion MakCHS has made a significant attempt to produce relevant, competent nursing and medicine graduates to meet the community needs. Ways to make them more effective though deliberate efforts to apply a competency-based education are possible.
Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62–0.83, P < .001), and HCA-MRSA bacteremia rate was reduced by 41% from 0.18 to 0.10 per 1,000 PD (incidence rate ratio, 0.59; 95% confidence interval: 0.42–0.84, P = .003). Total MRSA rate and MRSA bacteremia rate also showed significant reduction with nonsignificant reductions in overall non-HCA-MRSA and non-HCA-MRSA bacteremia. Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing reeducation for the nurses by IP personnel helped drive these results. PMID:24548456
Sopirala, Madhuri M.; Yahle-Dunbar, Lisa; Smyer, Justin; Wellington, Linda; Dickman, Jeanne; Zikri, Nancy; Martin, Jennifer; Kulich, Pat; Taylor, David; Mekhjian, Hagop; Nash, Mary; Mansfield, Jerry; Pancholi, Preeti; Howard, Mary; Chase, Linda; Brown, Susan; Kipp, Kristopher; Lefeld, Kristen; Myers, Amber; Pan, Xueliang; Mangino, Julie E.
The purpose of this research was to define, the practice domain of community-based child health nursing in light of widespread political, economic and social changes in Western Australia. The project was conducted by a group of nurse researchers with experience in child health nursing from the School of Nursing and Midwifery at Curtin University and the Child and Adolescent Community Health Division at the Department of Health, Western Australia. The overall aim of the project was to map the scope of nursing practice in the community child health setting in Western Australia and to identify the decision making framework that underpins this nursing specialty. Given the widespread social, economic and health service management changes, it was important for nurses involved with, or contemplating a career in, community-based child health to have the role accurately defined. In addition, consumer expectations of the service needed to be explored within the current climate. A descriptive qualitative study was used for this project. A purposive sample of 60 participants was drawn from the pool of child health nurses in the South Metropolitan Community Health Service, North Metropolitan Health Service and Western Australian Country Health Service. Following ethical approval data was collected via participants keeping a 2-week work diary. The data was coded and thematic analysis was applied. Several themes emerged from the analysis which were validated by follow up focus group interviews with participants. This clearly demonstrated common, recurring issues. The results identified that the community-based child health nurses are currently undertaking a more complex and expanded child health service role for an increasingly diverse client population, over their traditional practices which are still maintained. Excessive workloads and lack of human and non human resources also presented challenges. There are increasing requirements for child health nurses to engage in community development and capacity building, often through a multidisciplinary partnership, which requires them to have sound brokerage and facilitation skills to enable community inclusion and inter-agency collaboration at the local level. The study has highlighted the importance and multifaceted nature of the role of the community-based child health nurse. To enable them to function optimally, the following suggestions/recommendations are offered. These being: More physical resources be allocated to community-based child health nursing More resources allocated to assist community-based child health nurses to support culturally and linguistically diverse families Mapping of child health nurses' workloads The development of community health client dependency rating criteria reflecting the social determinants of health in order for health service refinement of staffing allocations based on an acuity scale Specific staff development opportunities to reflect the increased workload complexity Managerial support for the implementation of formal clinical (reflective) supervision Additional clerical assistance with non-nursing duties. PMID:22545907
Borrow, Stephanie; Munns, Ailsa; Henderson, Saras
The process of using nurse license renewal data to generate the information needed to measure and project the supply of RNs, LPNs, and APNs in a state is described. The use of licensing applications as the foundation to which time-varying survey questions can be added offers a continuing record of the behavior of the nursing workforce for all nurses in a state workforce. A significant added benefit is this can occur at a fraction of the cost of a one-point-in-time survey of even a small sample of nurses. Other states could benefit from adopting a similar approach of collaboration between health care systems (e.g., hospital associations), boards of nursing, and academia. Such collaboration would allow nursing administrators and academia alike the ability to accurately predict nursing workforce needs, thus facilitating operational decision making and strategic planning. PMID:19753897
Wilson, Barbara L; Johnson, William G
Full Text Available This article describes nursing in Zimbabwe within the context of primary health care, delineating various levels of delivery of nursing practice, educational preparation levels and implications for practice. This picture is intended to capture the quality of nursing care that is congruent to clients’ expectations of the ever-changing Zimbabwean society. Nursing programs at various levels include health assessment, nursing process and nursing research. Clinical specialization including functional majors such as nursing education, nursing administration as well as health economics and budgeting have greater emphasis at the Masters level. The practice of nursing assists individuals, groups and communities to attain the ability to exercise their self-care to enhance health promotion.
Mapanga, K. G., Mapanga, M. B
Full Text Available Late in 2011, the Royal Australian Air Force (RAAF deployed a Role One enhanced health facility in support of Exercise Precision Support. The Role One health facility was deployed to the Shoalwater Bay military training area and tasked with providing 24 hour care during the pre-deployment exercise for Australian forces headed to operations overseas. The Precision Support exercise integrates with air operations, large scale logistic movements and austere base establishment elements, to aid in the preparation, training and sustainment of service personnel for operational roles, both in a conflict environment as well as humanitarian aid roles. The Role One provided this medical support with 2 Emergency Nurse Practitioners (ENPs, Registered Nurses (RNs, Medical Assistants (MAs and Radiographers. The ENPs took on the role of the senior clinicians during this exercise, competently managing all of the health complaints that presented during the exercise period. This article will discuss and review the role of the Nurse Practitioner (NP within a Role One, deployed Defence health facility, build on international evidence whilst supporting the utilisation of NPs in the RAAF Health Service and subsequently more widely in the greater Australian Defence Force (ADF. This article will provide some practical evidence enabling health commanders to recognise, deploy and fully utilise NPs, in order to support current and future ADF operations.
Full Text Available Use of a standardized nursing language for documentation of nursing care is vital both to the nursing profession and to the bedside/direct care nurse. The purpose of this article is to provide examples of the usefulness of standardized languages to direct care/bedside nurses. Currently, the American Nurses Association has approved thirteen standardized languages that support nursing practice, only ten of which are considered languages specific to nursing care. The purpose of this article is to offer a definition of standardized language in nursing, to describe how standardized nursing languages are applied in the clinical setting, and to explain the benefits of standardizing nursing languages. These benefits include: better communication among nurses and other health care providers, increased visibility of nursing interventions, improved patient care, enhanced data collection to evaluate nursing care outcomes, greater adherence to standards of care, and facilitated assessment of nursing competency. Implications of standardized language for nursing education, research, and administration are also presented.
Marjorie A. Rutherford
This paper is a report of a study exploring mental health service users' (MHSUs') experiences of diabetes care. Diabetes is a growing clinical concern in mental health nursing practice. However, little is known about MHSUs' experience of diabetes care. This is a descriptive qualitative study. Semi-structured telephone interviews were held between June and October 2011, with seven MHSUs who had diabetes. Participants reported experiences of stigma and diagnostic overshadowing (DO) when reporting symptoms of diabetes or when feeling unwell. Participants also encountered a split between their mental health and diabetes care needs, which resulted in a lack of holistic or integrated care. All participants mentioned experiencing complications of diabetes even to the extent of diabetic ketoacidosis. Mental health nurses (MHNs) must critically reflect on their attitudes towards service users that report physical symptoms to ensure that stigma and DO do not constitute barriers to appropriate screening and treatment. The complex relationship that exists between mental illness and diabetes requires MHNs to ensure physical and mental health care are wholly integrated and not split. Education needs are apparent so that symptoms and complications can be recognized and treated accordingly. PMID:24548452
The role of public health in a reformed health care system is currently a matter of great debate at the national and state levels. Many public health nursing leaders have expressed concern about changes in public health policy and funding sources that have led to the near demise of the generalist public health nurse. Generalist public health nurses may be an endangered species; however, the role is still in existence in rural Alaska. Will they be one more example of how "what we learn from history is that we don't learn from history?" Taking the discrete area of the Yukon Kuskokwim Delta of Alaska and studying the forces of geography, politics, economics, social factors and health issues, this article provides an historic account of the development of a unique health care delivery system and the role of the public health nursing structure within it, from earliest known records to present day. The long-standing efforts to document these data were spurred by the National Centennial of Public Health Nursing activities, celebrated in 1993. PMID:7667178
Nord, E H
A questionnaire-based descriptive pilot study was conducted among all nurses routinely working with MRI in the Northern part of Sweden to provide an indication of the self-reported prevalence of health complaints related to working with MRI systems. Fifty-nine nurses (88% response rate), with on average 8 (±6) years experience with MRI scanning procedures, returned the questionnaire. In total, 9 nurses (15%) reported regularly experiencing at least one of the health complaints (1-5% for specific health complaints) attributed to arise or be aggravated by their presence in the MRI scanning room. Stratification of the results indicated that reporting of adverse symptoms was not related to the level of occupational workload/stress. However, reporting of health complaints was related to the strength of the magnet(s) the nurses worked with, with 57% of symptoms reported by those nurses working with the strongest systems (both 1.5 and 3 T scanners in this population). Although this descriptive study did not include a control population and was based on self-reporting of health complaints, these data indicate that the prevalence of reported health complaints is not related to perceived work load or occupational stress, but does confirm data from other occupational sectors and indicates that the prevalence of adverse health complaints increases with the strength of the MRI system for nurses as well.
The study was aimed at evaluating the impact of educative health actions on nursing appointments with 18 transplanted heart clients, based on Orem's Theory. It was conducted in a Heart Transplant and Insufficiency Unit of a Public Health Institution in Fortaleza-CE. The data were collected by way of nursing appointments. 14 nursing diagnoses were identified in the first appointment and 7 in the last one. It was found out that the clients developed self-care skills with the implementation of educative health actions, tuming them into self-care agents, reaching a good level of health and well-being. On the other hand, it raised nurses' awareness of a systematic and efficacious management of the clinical monitoring of their clientele. PMID:16047809
Santos, Zélia Maria de Sousa Araujo; de Oliveira, Vera Lucia Mendes
The study has important implications for the way that Ministry of Health hospitals are managed and for its policies regarding several aspects of human resources including efficient and effective use of nursing manpower.
Hanan A. Al-Ahmadi
Full Text Available Research has shown that shift work, in particular night work, can have negative effects on the health, safety and well-being of workers. Our study assessed, in a hospital setting, the effects of bright light (BL on general health and psychological problems during night shift work. In an experimental design, 15 female nurses at a general hospital that located in Tehran were exposed to moderate bright light (2000 lx during night work. The evaluation of general health status, job stress, and burnout syndrome conditions was done as follows: The 28-item General Health Questionnaire (GHQ-28 was used as a screening tool for the detection of general health status; for assessing the level of stress, perception stress scale (PSS was filled; and for burnout syndrome conditions, burnout self-report questionnaire (BSR was completed. T-test and paired t-test analysis were used to assess the association between BL exposure for a total of 30 min during each night shift and changes in general health status, job stress and burnout syndrome. This study clearly shows that BL administration could not reduce anxiety symptoms, somatic symptoms, severe depression and improved social dysfunction significantly during night shift. However, BL exposure significantly decreased the perception stress (P=0.008 and burnout syndrome (P=0.06 during night permanent shift. These results suggest that BL might have provoked changes in perception stress and burnout syndrome of nurses working night permanent shift.
Nurses' perceptions of their role are influenced by societal attitudes, government policies and trends in professional issues. Dynamic factors in contemporary health environments challenge traditional nursing roles, in particular those of community nurses. Role theory is a conceptual framework that defines how individuals behave in social situations and how these behaviours are perceived by external observers. This paper reviews the role theory literature as a conceptual framework to explore community nurses' perceptions of their role. Three theoretical perspectives of role theory have emerged from the literature review: 1. social structuralism 2. symbolic interactionism and 3. the dramaturgical perspective. These philosophical perspectives provide a useful framework to investigate the role of community nurses in the contemporary health care system. PMID:17622998
Brookes, Kim; Davidson, Patricia M; Daly, John; Halcomb, Elizabeth J
Background One of the elements influencing the assessment of nursing care quality is the assessment of the nurse’s functions that determine the nurse’s particular tasks. The aim of this work was to assess selected tasks involved in the nurse’s caring function, which influence nursing care quality on neurosurgical wards, on the basis of patients’ and nursing staff’s opinions. Materials and methods The research was carried out on neurosurgical wards in Poland on a group of 455 patients and 75 nurses. In order to assess nursing care quality, an author’s original questionnaire (Questionnaire – Patient Satisfaction) was used. Results Statistically significant differences concerned particular groups (both patients and nurses) in the assessment of selected issues: providing information about performed activities and operations (P=0.000 and P=0.040), respecting personal dignity and assuring discretion during the operations (P=0.000 and P=0.001), speed of response to patient’s requests (P=0.000 and P=0.000), time availability of nurses for the patient (P=0.000 and P=0.000), providing information about further self-care at home (P=0.032, P=0.008), and nurses’ attitude (kindness, courtesy, tenderness, care) to patients (patient’s assessment only P=0.000). Conclusion Selected tasks in the field of the caring function of nurses were assessed differently by particular groups. There were no statistically significant differences in the assessment of particular tasks in the opinions of patients and nurses, which means that both examined groups similarly assessed tasks involved in the nurse’s caring function, which influence nursing care quality. PMID:25170257
OElusarz, Robert; Biercewicz, Monika; Barczykowska, Ewa; Haor, Beata; Glowacka, Mariola
Background Within the setting of a public health service we analyse the distribution of resources between individuals in nursing homes funded by global budgets. Three questions are pursued. Firstly, whether there are systematic variations between nursing homes in the level of care given to patients. Secondly, whether such variations can be explained by nursing home characteristics. And thirdly, how individual need-related variables are associated with differences in the level of care given. Methods The study included 1204 residents in 35 nursing homes and extra care sheltered housing facilities. Direct time spent with patients was recorded. In average each patient received 14.8 hours direct care each week. Multilevel regression analysis is used to analyse the relationship between individual characteristics, nursing home characteristics and time spent with patients in nursing homes. The study setting is the city of Trondheim, with a population of approximately 180 000. Results There are large variations between nursing homes in the total amount of individual care given to patients. As much as 24 percent of the variation of individual care between patients could be explained by variation between nursing homes. Adjusting for structural nursing home characteristics did not substantially reduce the variation between nursing homes. As expected a negative association was found between individual care and case-mix, implying that at nursing home level a more resource demanding case-mix is compensated by lowering the average amount of care. At individual level ADL-disability is the strongest predictor for use of resources in nursing homes. For the average user one point increase in ADL-disability increases the use of resources with 27 percent. Conclusion In a financial reimbursement model for nursing homes with no adjustment for case-mix, the amount of care patients receive does not solely depend on the patients’ own needs, but also on the needs of all the other residents. PMID:24597468