Because patients' limited level of health literacy can have a negative impact on patient health outcomes, it is important to address this topic in the nursing curricula. The author discusses a comparative study that assessed baccalaureate nursing students' knowledge of health literacy before and after implementation of an asynchronous online educational module. With a significant difference between the pretest and posttest scores, the findings provide information that can inform curriculum planning in baccalaureate nursing programs. PMID:22914282
The attitudes and perceptions of practicing nurses, student nurses, and nurse educators toward computerization of health care were assessed using questionnaires sent to two general hospitals and five nursing education programs. The sample consisted of 83 first-year nursing students, 84 second-year nursing students, 52 practicing nurses, and 26…
Carl, David L.; And Others
Based on an expressed need for an evaluation tool or quality assurance measurements for occupational health programs, a committee of occupational health nurses was established. The committee acknowledge the importance of developing an evaluation tool that would be helpful to occupational health nurses in any setting, considering the diverse responsibilities and functions. A thorough review of the literature was conducted to identify available documents and resources for quality assurance measurements in health care facilities, and in particular, occupational health settings. The literature review indicated that most of the quality assurance programs were designed for the hospital setting. Utilizing the AAOHN standards, job descriptions and the AIHA audit tool for occupational health programs, the final 10 page assessment guide was developed and designed for use by occupational health nurses working alone or in a multiple nurse setting and by nurse managers. It is the intent of the committee that the assessment guide would provide a stimulus for further research and development of the tool by other occupational health nurse. PMID:1986747
Manchester, J; Summers, V; Newell, J; Gaughran, B; Spitler, K D
The Kennedy Axis V is a routine outcome measurement instrument which can assist the assessment of the short-term risk for violence and other adverse patient outcomes. The purpose of this study was to evaluate the interrater reliability and clinical utility of the instrument when used by mental health nurses in daily care of patients with mental illness. This cross-sectional study was conducted in inpatient and outpatient adult psychiatric care units and in one adolescent inpatient unit at a university hospital in the Netherlands. Interrater reliability was measured based on the independent scores of two different nurses for the same patients. The clinical utility of the instrument was evaluated by means of a clinical utility questionnaire. To gain a deeper understanding of rating difficulties at the adolescent unit, additional data were collected in two focus group interviews. The overall results revealed a substantial level of agreement between nurses (intraclass correlation coefficient and Pearson 0.79). Some rating challenges were identified, including difficulties with scoring the instrument and using tailor-made interventions related to the scores. These challenges can be resolved using refined training and implementation strategies. When the Kennedy Axis V is accompanied by a solid implementation strategy in adult mental health care, the instrument can be used for short-term risk assessment and thereby contribute in efforts to reduce violence, suicide, self-harm, severe self-neglect, and enhanced objectivity in clinical decision-making. PMID:23211020
Faay, Margo D M; van de Sande, Roland; Gooskens, Floor; Hafsteinsdóttir, Thóra B
The proliferation of second-degree baccalaureate nursing programs in the United States has led to a critical need for effective strategies to meet the unique learning needs of this group of students. This article describes an innovative approach to delivery of a health assessment course for accelerated nursing students. PMID:19297966
Yastik, Joanne; Anthony, Maureen
This study assessed the characteristics of nursing students currently enrolled in nursing education programs, how students finance their nursing education, their plans for clinical practice and graduate education, and the rewards and difficulties of being a nursing student. Data are from a survey administered to a national sample of 496 nursing students. The students relied on financial aid and personal savings and earnings to finance their education. Parents, institutional scholarships, and government loans are also important sources, but less than 15% of the students took out bank loans. Nearly one quarter of the students, particularly younger and minority students, plan to enroll in graduate school immediately after graduation and most want to become advanced nursing practitioners. Most of the nursing students (88%) are satisfied with their nursing education and nearly all (95%) provided written answers to two open-ended questions. Comments collapsed into three major categories reflecting the rewards (helping others, status, and job security) and three categories reflecting the difficulties (problems with balancing demands, quality of nursing education, and the admissions process) of being a nursing student. Implications for public policymaking center on expanding the capacity of nursing education programs, whereas schools themselves should focus on addressing the financial needs of students, helping them strike a balance among their school, work, and personal/family responsibilities and modifying certain aspects of the curriculum. PMID:16021558
Norman, Linda; Buerhaus, Peter I; Donelan, Karen; McCloskey, Barbara; Dittus, Robert
Background: This study investigates the prevalence of symptoms of shift work disorder in a sample of nurses, and its association to individual, health and work variables. Methodology/Principal Findings: We investigated three different shift work disorder assessment procedures all based on current diagnostic criteria and employing symptom based questions. Crude and adjusted logistic regression analyses were performed with symptoms of shift work disorder as the dependent variable. Par...
Background: This study investigates the prevalence of symptoms of shift work disorder in a sample of nurses, and its association to individual, health and work variables.
Methodology/Principal Findings: We investigated three different shift work disorder assessment procedures all based on current diagnostic criteria and employing symptom based questions. Crude and adjusted logistic regression analyses were performed with symptoms of shift work disorder as the dependent vari...
Full Text Available The Virtual Health Library – Nursing is as the broad of scientific and technical knowledge based in health-entered, organized, and stored in electronic format universally accessible on the WWW and compatible with international databases. The information sources are generated, updated, stored, and manipulated on the Internet by scholars in a decentralized manner using common methodologies for their integration into the Virtual Health Library- Nursing.
Isabel CF da Cruz
Full Text Available 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 live, 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 experiencedby the participants. This study will inform future research and curriculum planning for CHN education in a multifaceted context.
Juliana J. Willemse
Community health nursing curriculum components in a sample of baccalaureate nursing programs were investigated. Questionnaires were sent to a sample of 12 National League of Nursing (NLN) accredited, generic, baccalaureate nursing programs representative of the four NLN regions in the United States. Community health nursing content in theory…
Catell, Grace Manion
Evolving definitions of community and health promotion require the examination of community nursing practice. This article critically explores how the meanings of community may influence community nursing practice. In nursing, the most common definitions of community are of community as context/resource and community as client. The authors postulate that these definitions of community influence the nature of community practice. Moreover, if nurses are to practice within the context of health promotion, focusing on community as a relational experience, new patterns of community health promotion practice will need to emerge. This pattern of practice must honor people's experiences of community including power relations present in community. A new pattern of community health promotion nursing practice encompasses the four components of listening and critical reflection; participatory dialogue and critical questioning; pattern emergence and recognition; and movement to action. PMID:9595172
Sheilds, L E; Lindsey, A E
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
Full Text Available The great upsurge of knowledge and progress in occupational health medicine which occurred during both world wars was proof that good occupational health services mean greater productivity, with the result that today the scope of the occupational health nurse is unlimited.
:Nurses are increasingly the primary contact for clients concerned about health problems related to their environment. In response to the need for nursing expertise in the field of environmental health, the Institute of Medicine (IOM), Agency for Toxic Substances and Disease Registry (ATSDR), and National Institute of Nursing Research (NINR) have designed core competencies for the nursing profession. The IOM competencies focus on four areas: (1) knowledge and concepts; (2) assessment and referral; advocacy, ethics, and risk communication; and (4) legislation and regulation. The competencies establish a baseline of knowledge and awareness in order for nurses to prevent and minimize health problems associated with exposure to environmental agents. To address the known difficulties of incorporating new priorities into established practice, nurses attending an environmental health short course participated in a nominal group process focusing on the question, "What specific actions can we take to bring environmental health into the mainstream of nursing practice?" This exercise was designed to bring the concepts of the national initiatives (IOM, NINR, ATSDR) to the awareness of individual nurses involved in the direct delivery of care. Results include 38 action items nurses identified as improving awareness and utilization of environmental health principles. The top five ideas were: (1) get environmental health listed as a requirement or competency in undergraduate nursing education; (2) improve working relationships with interdepartmental persons-a team approach; (3) strategically place students in essential organizations such as NIOSH, ATSDR, or CDC; (4) educate nurse educators; and (5) create environmental health awards in nursing. The 38 original ideas were also reorganized into a five-tiered conceptual model. The concepts of this model include: (1) developing partnerships; (2) strengthening publications; (3) enhancing continuing education; (4) updating nursing practice; and (5) strengthening schools of nursing. The model serves as a road map for action in building environmental health capacity within mainstream nursing. PMID:12071904
Larsson, Laura S; Butterfield, Patricia
Background - Being patient centered is a core value for nursing. Patient centered-care has been related to patient and health provider satisfaction, better health outcomes, higher quality of care and more efficient health care delivery. Objectives - The purpose was to assess the orientation adopted by nurses and students in patient care, using The Patient-Practitioner Orientation Scale, as well as to compare the results between resident nurses and students from different academic years. Setti...
Grilo, Ana M.; Santos, Margarida; Rita, Joana S.; Gomes, Ana I.
As of March 1992, 83 percent of America's more than 2.2 million licensed registered nurses (RNs) were actively employed in nursing. RNs are the largest group of U.S. health care professionals and constitute a major part of the infrastructure necessary to any health care reform agenda. Therefore, it is critical to assess the extent to which the current nurse workforce is adequately prepared for its future role in a reformed health care system. Two central trends in the composition of the nurse workforce are noteworthy. First, while the number of RNs is large and continues to grow, cyclical, demand-driven shortages have occurred nationally since World War II. Further, hospital cost containment strategies periodically depress nurses' relative wages, contributing to the substitution of RNs for other workers. Second, there is concern in nursing, as in medicine, that the RN workforce is not optimally trained to meet future needs. While two-year associate degree programs now produce a majority of nursing graduates, the greatest need is for advanced practice nurses. Demand for such nurses is high and is expected to increase as more of the population gains access to health care services. The incentives put forth in the health care reform debate--expanded health insurance coverage, integrated health care delivery systems, and cost-effective practice--create the potential for expanded roles and increased job opportunities for nurses. Realizing this potential will depend largely on the profession's responsiveness to the changes confronting it under health care reform. PMID:7624821
Aiken, L H; Gwyther, M E; Friese, C R
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.
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
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 ...
Aktan, Nadine M.; Janet Tracy; Connie Bareford
This paper describes the formation, benefits, and implication to nursing practice of an automated nursing information system in a community health agency based on a service provided framework. The design of the service provided coding system is described. Benefits and future implications to the community health agency are discussed.
Miller, Judith L.; Sienkiewicz, Josephine I.
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.
Full Text Available 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 force required to meet these needs is nursing. Historically, nursing leaders in public health such as Florence Nightingale and Lillian Wald made significant inroads related to serious health issues because they were nurses. Today across the globe, nurses provide the key components of public health interventions including well baby care, health education, screening and immunization clinics, disaster management and emergency preparedness. With the growing nursing shortage in acute care settings, the brain drain of nurses from certain areas of the world, the shrinking public dollars for preventive health care, the nursing workforce needed to continue to provide these essential health care services is threatened. It is essential to put the spot light on nursing’s role in public health with the hopes of attracting more public funds and more nurses to provide these essential services.
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.
OBJECTIVES: Data are unavailable concerning legislation and the roles and activities of occupational health nurses in relation to health care workers. This survey was undertaken to identify these aspects of occupational health nurses and collect data on the topic in various countries. METHODS: A questionnaire was sent to prominent professionals in European countries and then to professionals in other countries. RESULTS: The study confirmed that very little is known about the number of occ...
Janine Bigaignon-Cantineau; Maria Gonzalez; Nathalie Broessel; Brigitte Denu; Halim Hamzaoui; Alain Cantineau
This study explores and describes the value of community health nursing from the perspective of community health nurses. The phenomenological method as defined by Colaizzi (1978) guided this exploration. Eleven community health nurses from the health department of a large urban center were interviewed for the study. The data revealed five major themes: 1) the value of activities in community health nursing; 2) the value of the purposes of community health nursing; 3) the value of prerequisites for community health nursing; 4) the value of the visibility of community health nursing; and 5) the value of community health nursing as the way to the future in health care. The findings of this study are particularly important in light of recent government interest in community health. However, if community health nurses are to capitalize upon this window of opportunity, they must clearly and forcefully articulate and make visible their value. Further research, particularly from a qualitative perspectives, could help to advance this field of practice. Research that articulates the value of community health nursing in various settings and from the perspectives of various nurses, clients, and colleagues could also clarify and promote the collective and individual value of community health nursing. PMID:8904396
Leipert, B D
Millions of Americans have unmet oral healthcare needs and profound oral health disparities persist in vulnerable and underserved populations, especially poor children, older adults, and racial and ethnic minorities. Nurses can play a significant role in improving the quality of oral health including access to care with appropriate education and training. The purpose of this paper is to describe New York University College of Nursing's response to this challenge. The Oral Health Nursing Educa...
There is a need to develop a clear understanding of the knowledge used by mental health nurses in day to day practice. Knowledge relating to holistic/therapeutic activities form the basis of mental health nurse education, however various studies have consistently shown the majority of mental health nurses activity relates to administrative and routine tasks and containment. This disparity between the knowledge bases prescribed, those described and the inability of education reforms to resolve...
...Health Resources and Services Administration Nursing Workforce Diversity Invitational Summit--``Nursing in 3D: Workforce Diversity, Health Disparities...Bureau of Health Professions, Division of Nursing, will host an invitational summit...
This study is a description of the current status of complementary health and healing in undergraduate nursing education in the United States. A sample of 105 respondents from 202 baccalaureate nursing programs accredited by the Collegiate Commission on Nursing Education in fall 2001 completed an 11-item survey. Findings revealed the majority of nursing programs (77%) responding include content and/or experiential learning in complementary health and healing in the curriculum. A wide range of content related to mind-body healing, alternative medicine, herbal supplements, manual and energy healing, and environmental modalities is included. Experiential learning is incorporated less frequently than is didactic content. Use of a holistic nursing curriculum model facilitates the inclusion of nursing interventions that promote complementary health and healing. Integration of content and experiential learning can promote students' critical thinking and communication skills, appreciation and honoring of diversity, self-care and healing practices, and leadership skills in addressing the public's health needs. PMID:12666613
Richardson, Silvana F
Full Text Available Abstract Background (i to describe oral health counselling in Norway to parents with infants and toddlers, ii to assess existing collaboration and routines in oral health matters between nurses and personnel in the PDS, iii to evaluate to what extent oral health was integrated in the basic educational curriculum of public health nurses. Methods This study was based on two separate surveys: the sample of Study I was 98 randomly selected child health clinics. A questionnaire covering oral health promotion counselling of parents with young children was returned by 259 nurses. Study II was a telephone survey addressing teachers of public health nurses at the eight educational institutions in Norway. Results The response rate in Study I was 45%. Nutrition (breast feeding, diet was the health subject most often prioritized in the counselling targeting parents of young children (by 60% of the nurses. Oral health was not among the first priority counselling subjects. The subject was seldom spontaneously mentioned by parents. Seventy percent of respondents reported (agreed or totally agreed that they managed to provide information parents needed and 72% believed that the information they gave influenced parents' health behaviours. Seven nurses (5.2% responded that they agreed with the statement that the information they gave only slightly influenced parents' health behaviour. Lack of time was mentioned as being a problem. Approximately half of the nurses (48% had regular contact with the PDS for the 0-3 year-old children, but only a quarter of the nurses claimed that children's teeth were routinely examined at the child clinics. Some forms of previously established contact with the PDS enhanced the likelihood of nurses' referrals. Oral health was a minor part of the educational curriculum for public health nurses; at three institutions, the subject was totally absent. Conclusion Collaboration between nurses and the PDS in Norway could be improved. Oral health should have a bigger place in the basic educational curriculum.
The purpose of this article was to examine the development of community health nursing and public health nursing in Taiwan from an educational perspective. Key issues addressed include: teaching strategies and scopes of practice used in community health nursing in Taiwan between 1910 and the 1950s; the philosophical foundations for the concepts of "health for all" and "social justice" in Taiwan's community health nursing; the five "P"s of community health nursing teaching and practice (population, prevention, promotion, policy, and partnership); the core competencies and scope of practice of community health nursing proposed by the TWNA Community Health Nursing Committee; and the core competencies and the tiers of classification proposed by the Quad Council of Public Health Nursing Organizations. This article helps to elucidate the inseparable relationship between community health nursing education and practice at both the micro and macro level and examines possible future directions for community health nursing in Taiwan. The author proposes the following recommendations for future community health nursing education development in Taiwan: 1) implement competence classifications appropriate to each nursing education preparation level, 2) promote multidisciplinary cooperation among education, practice, and policy, and 3) promote collaboration and consensus among community health nursing and public health related associations. PMID:24899554
Full Text Available In the final decades of the twentieth century world went through a complex process in political, technological, economic, social and health areas. In the process often referred to as globalization, many health problems including global spread have seen and many have still being seen. This situation obliges nurses who are the largest groups of health care providers, to be aware of health problems that result from globalization and to explore solutions these health problems requires them to gain a global perspective. To gain these attributes for nurses it is inevitable that critical elements needed challenges for global health should be intagrated with nursing education. In this article, it is suggested that what to do to improve global health in nursing education.
National public health policy influencing the entire population is particularly exciting when nurses serve as key players informing the process. The leaders in this dialogue participated in the process by sharing their disciplinary knowledge and experience. They were selected to work with bureaucrats to design healthcare for the future. This dialogue among two nurse leaders demonstrates a path to top leadership in the United States. Swider and Bigley here share their stories of how they moved beyond clinical practice to involvement in their communities and the nation. Through public health and policy initiatives, both nurse leaders have helped shape healthcare to provide better patient-centered care at all levels. This dialogue not only shares their successes, but also sets the stage for others in nursing to use policy to transform healthcare for the future. PMID:23575490
Clarke, Pamela N; Swider, Susan; Bigley, Mary Beth
Eight first-year nursing students in Hong Kong implemented a primary health care project involving health assessments of older adults. Clients improved health knowledge and were satisfied with assessments. Students demonstrated high competence in health assessment, needs assessment, evaluation strategies, and health promotion skills. (Contains 27…
Simpson, Peggy; Chan, Mun Che; Cheung, Lai Yin; Hui, Tze Shau; Li, Ka Ying; Tang, Hiu Tung; Tong, Hoi Ning; Wong, Sik Kwan; Wong, Po Ming
Background: There is increasing global evidence that today’s work environment results in a higher risk of adverse health among nursing staff than among many other professions. Since nurses constitute the largest group in the healthcare workforce and have a crucial role in providing care services, their impaired health might have an adverse effect on the quality of healthcare. The overall aim of this thesis was to explore work-related health and associated factors. A further aim was to descr...
The study examined the home health and the nursing home markets for Medicare and Medicaid services in fifty states, using secondary financial data on state policies and supply for the 1978-88 period. Descriptive data showed the growth in licensed nursing ...
It is important that mental health educators are clear about the nature and practice of reflective processes and their appropriate uses and inherent challenges. Active reflection was developed as a strategy for professional self-improvement in practice-based disciplines. Some mental health nursing courses use reflective exercises as a formal student assessment component. In this article, the authors draw on their experience and the literature to identify issues relating to aspects of the course, educators, and students that are associated with incorporating reflection-related activities as compulsory assessable items in an undergraduate nursing course. PMID:23330801
Cleary, Michelle; Horsfall, Jan; Hunt, Glenn E
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.
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.
This article describes the most recent efforts by the Quad Council of Public Health Nursing organizations to review and revise the competencies for PHN practice, and highlights the implications of these competencies for practice, education, and research. The Quad Council is a coalition of four nursing organizations with a focus on public health nursing and includes the Association of Community Health Nursing Educators; the Association of Public Health Nursing (known prior to July 1, 2012 as the Association of State and Territorial Directors of Nursing); the Public Health Nursing section of the American Public Health Association; and the Council on Economics and Practice of the American Nurses' Association. The Quad Council competencies are based on the Council on Linkages competencies for public health professionals and were designed to ensure that public health nursing fits in the domain of public health science and practice. PMID:24579712
Swider, Susan M; Krothe, Joyce; Reyes, David; Cravetz, Michelle
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...
Schro?der, C.; Ba?nsch, A.; Schro?der, H.
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...
The subject matter in focus in this research was the fact of nurses begin to work in the management leadership at the Municipal Health Foundation of Niterói (FMS). The Institutional Analysis, René Lourau trend, was the method used for analyzing the relationships established by 10 nurses acting as health managers. The "theoretical base" was constructed by oral activity of the agents, through an oriented interview, limiting three categories: "The Challenge of Being a Manager", "The Challenge of Being a Leader" and "The Challenge of Decision Making". Among the knowledge constructed one can points out the CHALLENGES that the nurse has to face in the health management, which are: to organize the work of other professionals and to take charge in fact of the leader role in the health system. PMID:16613388
Christovam, Barbara; Santos, Iraci
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
Nursing homes are considered lagging behind in adopting health information technology (HIT). Many studies have highlighted the use of HIT as a means of improving health care quality. However, these studies overwhelmingly do not provide empirical information proving that HIT can actually achieve these improvements. The main research goal of this…
Along with introducing the New Zealand Primary Health Care Strategy the Ministry of Health funded 11 primary health care nursing innovation projects for three years. One of these was sited in the Hutt Valley District Health Board region at what was originally known as the Hutt Valley Youth Service and later named the Vibe service. The funding supported employment of a clinical nurse leader who later, during the course of the project, qualified as a Nurse Practitioner (NP). The dynamic leadership provided by the nurse extended beyond service boundaries benefiting policy decision making throughout the District Health Board region and contributing to youth health and service development nationally. In return for fostering such leadership Vibe gained access to new dimensions of youth health care. It became apparent that high calibre clinical leadership, a major component of the NP scope of practice in primary health care, improves outcomes for the clientele, increases satisfaction for the team members and provides a model for potential NPs wherever they are situated. PMID:19558052
Nelson, Katherine M; Connor, Margaret; Alcorn, Gillian
Objectives: This research was conducted to provide new insights on clinical nurses' and nursing students' current use of health resources and libraries and deterrents to their retrieval of electronic clinical information, exploring implications from these findings for health sciences librarians.
Dee, Cheryl; Stanley, Ellen E.
Working in Partnership, the Department of Health's report on the 1994 review of mental health nursing, implies that mental health nurses should develop anti-oppressive approaches to nursing practice. There is a notable absence of articles within the nursing literature which specifically address this issue. This is possibly because the historical and ideological issues which have informed the development of mental health nursing are complex and difficult to unravel. However, an integration of the theories of David Cooper and Frantz Fanon may provide an appropriate starting point for the development of a theory of anti-oppressive practice which addresses some of the issues specific to mental health nursing. PMID:9335656
This article presents a case study describing how nurses can improve the health behaviors of people living in developing countries. Difficulties and potential solutions are presented. Health promotion allows people to exert control over their health to improve it. A primary difficulty of health promotion in developing countries is communication between care providers and patients. One solution is the utilization of an interpreter; however, in the present study, no professional interpreters were available, thereby complicating the comprehension of new health-related concepts. Another challenge is to understand the patients' perspectives as related to healthcare values. Additionally, as a result of a dearth of evidence-based research in developing countries, difficulties arise in implementing, assessing, and evaluating health promotion programs. Despite these obstacles, nurses continue to travel to developing countries to promote health. Recommendations include respect for a community's health values and incorporation of these values into healthcare planning. To be accepted as a teacher by the local population, the nurse must be able to set aside his/her personal beliefs relating to healthcare, well-being, and disease. Health promotion initiatives should include the means for implementation, thereby enabling the local population to develop skills that will allow them to carry out health promotion projects. PMID:20010179
Kater, Vered; Liebergall, Michal
Full Text Available Israel is now thirty years old, but its community health services date back to the early years of this century when the land was still under Turkish rule. The first written reports on the nursing services appeared in 1912 in New York City in the minutes of a group of Jewish women later known as Hadassah Women’s Organization. Some of the members had visited the Holy Land and, shocked by the state of health of the Jewish poor, saw the urgent need for improving care. It was decided to start with a system of community maternity nursing which would be carried out along the lines of the New York State Legislation. The nurses would be given funds to employ midwives, to supply linen to mothers and babies, and to distribute money for medicine and food to the poor. Furthermore, the nurses were to train probationers for community nursing, give talks to mothers and girls and nursing care to the sick poor. They were to be in contact with Hadassah by letters, monthly reports, and were to use an approved system of bookkeeping.
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. Result...
Choochart Deeromram; Amorn Suwannimitr; Suwadee Jundeekrayom
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: Assess 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...
Mph, Nelcy Marti?nez
Management of Inpatient Aggression in Forensic Mental Health Nursing. The application of the Early Recognition Method. Forensic mental health nurses take care of forensic patients convicted for an offense for which they were assessed not to be fully accountable due to their psychiatric disorder. For most forensic patients the core problem is to control their aggression. The Early Recognition Method [ERM] aims at providing nurses with a structured risk management strategy which enables them to...
Full Text Available One of the most important organelles in the body is the mitochondria. It is crucial for generating energy and producing freeradicals. Mitochondrial health is essential to the prevention and treatment of diseases. However, cellular or molecularmechanisms such as mitochondrial dysfunction are not adequately addressed in the current essentials of the AmericanAssociation of Colleges of Nursing (AACN for all nursing programs. Thus, mitochondrial function content should beincorporated into all nursing curricula that are practice-based. In this article, we will review the anatomy and physiology ofthe mitochondria (i.e., coenzyme Q10, and the need to include mitochondrial health as a concept in nursing. We willpresent various diseases/conditions that are affected by mitochondrial dysfunction such as coronary artery disease,diabetes, and aging. In the future, with the expanding advances in the biological sciences, nurses need to learn more aboutcellular function particularly the mitochondria. Consequently, there should be a new emphasis on mitochondrial health bynurses in education and practice.
Recent research indicates that knowledge of what a parent thinks may be more valuable information than observations of what a parent does. Therefore, maternal-child nurses should have a sound knowledge about not only specific behaviors that promote good parenting but also parental thinking, or the ideas parents hold about child rearing and child development. The authors present the importance of the nursing role in assessment of parental thinking, utilization of an appropriate framework for these assessments, and the considerations of nursing interventions that build on such assessments. PMID:7967750
Carter-Jessop, L; Yoos, L
People with serious mental illness are at high-risk for physical illnesses and premature death, and nurses can contribute to ensuring mental health services address these risks. There is very little research examining the role of nurses in mental health who provide physical health care. To identify the levels of participation in physical health care of people with serious mental illness (SMI), a national Internet-based survey of nurses working in mental health in Australia was conducted (n = 643). The survey included an adapted version of the Robson and Haddad Physical Health Attitude Scale. Data were analysed through comparison of frequencies, correlations, principal components analysis, and Mann-Whitney tests. Nurses reported regular physical health care in 12 of the 17 tasks presented to them. The three most common self-reported physical health care activities were inquiring about consumers' contact with GPs, doing physical assessments, and providing information on drug use and lifestyle. Although some practices were less common (e.g., contraceptive advice) nurses who provided one type of care tended to do other types as well. In addition, credentialing in mental health nursing was associated with slightly more regular engagement in all practice domains except screening and assessments. Nurses in mental health in Australia may be engaged in improving physical health of consumers with SMI more than is assumed. PMID:23477441
Happell, Brenda; Platania-Phung, Chris; Scott, David
Full Text Available 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: Assess 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
Methodologies were developed to assess the competence of nurse practitioners in clinical decisionmaking and communication skills. The decisionmaking skills were evaluated for two conditions: acute respiratory infections in children and hypertension in adu...
M. A. Ibrahim E. H. Wagner C. A. Williams R. A. Greenberg D. G. Kleinbaum
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 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
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.
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 professio...
Willa Marlene Doswell; Betty Braxter; Annette DeVito Dabbs; Wendy Nilsen; Mary Lou Klem
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.
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: I...
Joolaee, S.; Hajibabaee, F.; Jafar Jalal, E.; Bahrani, N.
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 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.
The promotion of sexual health as a crucial component of health and welfare is an essential part of health care services and a topic of the health care professionals' work. As experts in health education, public health nurses have a key role in sexual health promotion. In the course of the last three decades the national health administration has developed and supported health promotion activities of the health sector and co-actors by giving guidelines and recommendations, by producing ...
Full Text Available Environmentally Safe Health Care Agencies: Nursing’s Responsibility, Nightingale’s LegacyFlorence Nightingale and subsequent nurse scholars have written about the impact of the environment on human health. Nightingale described, and staked out, the nurse’s role in optimizing environments for healing. Since Nightingale’s time numerous scholars have documented that environmental conditions play a major role in the health of individuals and populations. As nurses become more informed about the environment as a determinant of human health, they will be able to advocate more effectively for environmental conditions that promote health. This article provides both theoretical and practical perspectives to integrate environmental concerns into nursing practice. It recommends specific actions nurses can undertake to improve the environment within the health care setting. In particular the article provides a historical review of an environmental focus in nursing, discusses ways to manage both upstream waste and downstream waste (solid, biohazard, and hazardous chemical wastes so as to decrease environmental pollution, and recommends specific nursing actions to promote a healthy environment within our health care agencies.
Full Text Available With the changes in health care occurring in South Africa, new functions concerning the community nurse are being presented. The goal of the study was to explore and describe the role of the community nurse in health committees. An explorative, descriptive design was used and the empirical part was undertaken within the context of a metropolitan local authority. After conducting a literature study, six major roles of the community nurse on health committees were identified. After that a questionnaire was presented to community nurses to explore and describe their perceptions about the role of the community nurse on health committees. An interview schedule based on the literature study was drafted for presentation to selected members of health committees. Lastly guidelines describing the role of the community nurse on health committees were developed based on the findings of the study.
V M Taylor
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
North-South partnerships in graduate nursing education can prepare students to address global healthcare issues, increase cultural competence, and build research capacity. However, the current literature does not include a critical and systematic assessment of partnerships using established guidelines. This paper has two objectives: 1) Find and refine a suitable measure to assess a North-South inter-institutional research and clinical partnership in nursing; 2) Pilot test an assessment measure and describe the results of a systematic institutional self-evaluation of a developing North-South research and clinical partnership within a graduate nursing program. The first objective was addressed by searching for, examining and selecting an assessment measure. The second objective was obtained by applying the assessment measure to a developing graduate-level research and clinical partnership between a Canadian School of Nursing and a Malawian College of Nursing; qualitative data collected included information from a document review and subjective experiences of partners. Results showed that when appropriate revisions are made to an existing guideline, it is applicable to use as an assessment measure for North-South inter-institutional research and clinical partnerships. Recommendations for improvement were made, allowing the guideline to be more specific for research and clinical partnerships. Results demonstrated that the existing Canadian-Malawian partnership was strongest in the guideline category of "shaping the purpose and scope of the partnership," and weakest in "partnership implementation and context." This paper implies that: 1) evaluation can strengthen partnerships and enhance educational experience for nursing students; 2) research comparing and contrasting different genres of partnerships could help determine which type is the most appropriate for an institutions' particular outcome goals; and 3) effective establishment and maintenance of North-South partnership occurs through an on-going process of evaluation. PMID:23664107
Birch, Amelia P; Tuck, Jodi; Malata, Address; Gagnon, Anita J
The sexual health setting provides many opportunities for nursing students to meet the competencies set out in the Nursing and Midwifery Council's Standards for Pre-Registration Nursing Education. However, students who are daunted by the setting may adopt a passive, observer role. Mentors may find it a challenge to facilitate the learning of pre-registration nursing students in this setting. This article explores several strategies that mentors can adopt to make learning active and relevant for nursing students. These strategies may also be relevant to other nursing fields and to midwifery students. PMID:24779841
Brown, Kate; Plant, Selina
Private-duty, home health care agencies have struggled in assuring compliance with accurate and complete nursing documentation. In this descriptive study, the author reports on an improvement and innovation project in a private-duty, home health care agency aimed at improving nursing documentation, as measured in chart review audits. Initial strategies were directed toward revising the documentation system, with implementation of a flow record, and conducting group nurse education. These efforts had a minimal effect on improving documentation compliance. A major, multifocus strategy was then implemented. The educational component stressed pre- and posttest. The chart audit tool was revised to track individual nurse behaviors. Nurses were mentored when documentation did not meet standards. Lastly, the nurse job description and corresponding performance appraisal document were revised to clarify nurse responsibility and strengthen nurse accountability; progressive discipline was initiated when warranted. Significant and sustained improvement was subsequently realized. PMID:10343478
Borchers, E L
With the baccalaureate as the desired entry level to practice for community health nurses, schools of nursing must ensure their content and methods are robust and current to the fields of both nursing and public health. A foundation in such diverse areas as population biology and population genetics is now desirable for practice. Combining principles of adult learning and case study methodology, this article describes the development of a central case study with extensive related components. Students explored the principles of population biology, epidemiology, community health nursing, and public health sciences and policy in multiple media using several learning strategies. PMID:18522155
Sistrom, Maria Gilson
Nursing is a hazardous occupation in the United States, but little is known about workplace health and safety issues facing the nursing work force in the Philippines. In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting be...
Castro, A. B.; Cabrera, Suzanne L.; Gee, Gilbert C.; Fujishiro, Kaori; Tagalog, Eularito A.
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...
Full Text Available The ability to communicate effectively with patients who have low health literacy depends on our ability to recognize this problem and to create a patient-centered and shame-free healthcare environment. Because of the shame and embarrassment these patients experience, they often use their well-developed coping skills to mask their limited literacy. Although a number of reading- and comprehension-assessment tools are available, there is debate whether or not these tools should be used clinically. This article provides guidance in regard to establishing an environment that promotes health literacy, assessing health literacy levels, utilizing strategies to increase health literacy, evaluating the learning that has occurred, and incorporating health literacy concepts into the nursing curriculum.
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 study was aimed to analyze and assess the use and perception of electronic health records (EHRs) by nurses. The study sample included 113 nurses from different shifts of primary health facilities in Catalonia, Spain, devoted to adult as well as pediatric outpatients using EHRs throughout the year 2010. A majority of the sample (87.5%) were women and 12.5% were men. The average age was 44.27 years and the average time working in primary healthcare was 47.15 months. A majority (80.4%) rece...
Galimany Masclans, Jordi; Garrido Aguilar, Eva; Girbau I Garci?a, M. Rosa; Lluch Canut, Ma Teresa; Fabrellas I Padre?s, Nu?ria
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
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.
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.
Full Text Available Psychiatric nurses in the United States (US stand at the edge of a changing mental health care landscape. Federal initiatives are moving into place; ones that aim to increase access to care, place a greater emphasis on prevention and wellness, and position recovery as the focus of mental health treatment. The Psychiatric Mental Health (PMH specialty is at a pivotal moment of choice: it can organize around a future vision of PMH nursing or can silently acquiesce to a marginalized position. At this pivotal time, PMH nurses must build a greater presence in national workforce dialogue and convey the need for nursing in mental health care service delivery; a policy message build on the PMH nurses ability to provide access to safe and quality mental health care and substance use services. This paper discusses how to put these strategies into place via workforce development, strategic alliances, and critical conceptual shifts.
Kathleen R. Delaney
Public health nurses in Ireland are generalist practitioners with a wide range of roles that address the needs of clients in the community across their lifespan. Child protection is one of many of the roles of Irish public health nurses. However, with increasing caseloads, birth rates and aging populations, their child protection role is becoming more difficult to define and practise safely. This paper presents a key finding of a qualitative study that explored the views of a group of public health nurses (n = 10) regarding their role with pre-school children. A significant theme following analysis of the interviews were the nurses\\' expressed concerns on their role in child protection. There is a need to define the role practised by public health nurses in child protection and to achieve a standard for this nationally.
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
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
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 th...
Background: From January through June 2009, 6.1 million children were uninsured in the United States. On average, students with health insurance are healthier and as a result are more likely to be academically successful. Some schools help students obtain health insurance with the help of school nurses. Methods: This study assessed public school…
Rickard, Megan L.; Hendershot, Candace; Khubchandani, Jagdish; Price, James H.; Thompson, Amy
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.
Nelcy Martínez, MPH.
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
This paper explores themes relevant to mental health nursing using the example of one educational module of a nursing degree. The authors argue that the educational preparation of mental health nursing students in higher education must address certain contested philosophical, conceptual, social and ethical dimensions of contemporary mental health care practice. These themes are discussed within the context of a third-year mental health nursing module within a Scottish nursing degree programme. By interlinking epistemology and ontology, the notion of student as 'critical practitioner', involving the encouragement of 'critical thinking', is developed. This is shown via engagement with parallel perspectives of the sciences and the humanities in mental health. Narratives of student nurse engagement with selected literary texts demonstrate the extent to which issues of knowledge, self-awareness and personal development are central to a student's professional journey as they progress through an academic course. The paper concludes by suggesting that these 'critical perspectives' have important wider implications for curriculum design in nursing education. Insights from critical theory can equip nurse educators to challenge consumerist tendencies within contemporary higher education by encouraging them to remain knowledgeable, critical and ethically sensitive towards the needs of their students. PMID:23552221
McKie, A; Naysmith, S
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
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 nursesâ?? 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 nursesâ?? 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 nursesâ?? participation and collaborative learning and increase the quality of school health nursing.
Nordentoft, Helle Merete; Wistoft, Karen
Environmental quality is a leading indicator of population health. Environmental health content has been integrated into the curriculum of an Accelerated Bachelor of Science in Nursing program for second-degree students through development of an environmental health nursing module for the final-semester community health nursing course. The module was developed through collaboration between two professional schools at Duke University (the School of Nursing and the Nicholas School of the Environment and Earth Sciences). It focused on the role of the built environment in community health and featured a mix of teaching strategies, including five components: (1) classroom lecture with associated readings, (2) two rounds of online small-group student discussions, (3) assessment of the built environment in local neighborhoods by student teams, (4) team presentation of the neighborhood assessments, and (5) individual student papers synthesizing the conclusions from all team presentations. The goal of the module was to provide nursing students with an organizing framework for integrating environmental health into clinical practice and an innovative tool for understanding community-level components of public health. PMID:16961563
Hays, Judith C; Davis, Jeffrey A; Miranda, Marie Lynn
Full Text Available We evaluated the psychological distress using a scale of the K6, the 6-item scale of psychological distress on public health nurse in Kagawa prefecture, Japan. We send the questionnaire to all public health nurses (n = 419 in Kagawa prefecture. Then, a total of 256 public health nurses (1 man and 255 women, had completely answered the questionnaires, were analyzed in a cross-sectional investigation study. The association between psychological distress and considerable factors were evaluated by using the K6, with psychological distress defined as 13 or more points out of a total of 24 points. A total of 15 public health nurses (5.9% were defined as psychological distress. Clear relationships between the K6 score and age, experience duration as public health nurse were not noted. The K6 score in subjects with anxiety of preventing suicide was significantly higher than that without. In addition, the K6 score in subjects who feel their own mental status was excellent was also lower than that in subjects without that. In conclusion, some factors might be associated with psychological distress, as assessed by the K6, in public health nurse in Kagawa prefecture, Japan.
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: 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: 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 compr...
Nordang, Kirsten; Hall-lord, Marie-louise; Farup, Per G.
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 dur...
Nordang Kirsten; Hall-Lord Marie-Louise; Farup Per G
A 3-year study compared 52 undergraduate nursing students with 93 education majors and with the general population. No significant differences among students on 9 health behaviors appeared. Compared with the general population, nursing students had inadequate time for sleep, exercise, and eating breakfast. (Contains 77 references.) (SK)
Clement, Madeleine; Jankowski, Louis W.; Bouchard, Louise; Perreault, Michel; Lepage, Yves
Full Text Available 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 (NGO to implement this project. This paper details the need for the SLCs, the content and structure of the SLCs, and the process of establishing an SLC at Tribhuvan University, Maharjgunj Nursing Campus in Kathmandu, the largest of all nursing campuses in Nepal.
The adoption of the Patient Protection and Affordable Care Act and the recent Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, have brought about a resurgence of interest in the social determinants of health as the basis for healthcare decisions in nursing education, research, and health policy. Nurses are positioned to be at the forefront of crucial healthcare reform to affect health outcomes and reduce health disparities profoundly. However, for nurses of the 21st century to improve the health of U.S. citizens and promote health equity effectively, we must first intently address the social determinants of health in our current nursing educational models, research agendas, and public health policies. PMID:23818478
Mahony, Deborah; Jones, Emily J
Psychiatric diagnosis: some implications for mental health nursing care This article explores some of the functions of psychiatric diagnosis and the implications this has for the mental health nursing care that service users receive. It proposes that because a psychiatric diagnosis often fails to describe the individual's experience of mental distress it can be regarded as a categorization process that, while not necessarily intentionally, serves to maintain oppressive power relations within society. It does this by establishing and maintaining the parameters of normality and abnormality in a manner that reflects particular gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders will be used to illustrate some of the inherent biases in the diagnostic process. Mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. If mental health nursing practice is a patient-centred partnership, as many of our nursing standards suggest, then nursing's focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. Mental health nurses need to turn to service users to learn how best to help. PMID:10718877
This article explores how the intersections of gendered, racialized and neoliberal dynamics reproduce social inequality and shape the violence that nurses face. Grounded in the interviews and focus groups conducted with a purposeful sample of 17 registered nurses (RNs) and registered practical nurses (RPNs) currently working in Ontario's mental health sector, our analysis underscores the need to move beyond reductionist notions of violence as simply individual physical or psychological events. While acknowledging that violence is a very real and disturbing experience for individual nurses, our article casts light on the importance of a broader, power structure analysis of violence experienced by nurses in this sector, arguing that effective redress lies beyond blame shifting between clients/patients and nurses. Our analysis illustrates how assumptions about gender, race and care operate in the context of global, neoliberal forces to reinforce, intensify and create, as well as obscure, structural violence through mechanisms of individualization and normalization. PMID:23517526
Choiniere, Jacqueline A; MacDonnell, Judith A; Campbell, Andrea L; Smele, Sandra
Communication has been identified as an important attribute of clinical leadership in nursing. However, there is a paucity of research on its relevance in mental health nursing. This article presents the findings of a grounded theory informed study exploring the attributes and characteristics required for effective clinical leadership in mental health nursing, specifically the views of nurses working in mental health about the importance of effective communication in day to day clinical leadership. In-depth interviews were conducted to gain insight into the participants' experiences and views on clinical leadership in mental health nursing. The data that emerged from these interviews were constantly compared and reviewed, ensuring that any themes that emerged were based on the participants' own experiences and views. Participants recognized that effective communication was one of the attributes of effective clinical leadership and they considered communication as essential for successful working relationships and improved learning experiences for junior staff and students in mental health nursing. Four main themes emerged: choice of language; relationships; nonverbal communication, and listening and relevance. Participants identified that clinical leadership in mental health nursing requires effective communication skills, which enables the development of effective working relationships with others that allows them to contribute to the retention of staff, improved outcomes for clients, and the development of the profession. PMID:24131413
Ennis, Gary; Happell, Brenda; Broadbent, Marc; Reid-Searl, Kerry
Full Text Available Objective: to think about the formation of the nursing senior student having family health strategy as a base. Methodology: this paper describes a bibliographic research done based on Virtual Health Library (BVS - Biblioteca Virtual em Saúde on the site Scientific Electronic Library on-line (Scielo and Latin-America and Caribbean Literature in Health Science (Lilacs, along the period of 2002 to 2009 in Portuguese. For the selection of the articles were the following keywords: national health care system, family health, education, nursing. The selection was made using an instrument constructed for this purpose. After the analysis, which were performed independently by three researchers were selected from 13 publications that had relation with the theme. Result: the Family Health Strategy demand a special profile from the professionals who must change the individual /illness/ cure approach to a holistic assistance promoting health in a integrated way. Under these perspectives it´s necessary a reformulation in the nursing graduation curriculum having projects centered in the student working together theory and practice and adapting to the epidemiology profile in which it is inserted. Although there have been changes for the graduating students, there are still some gaps and challenges to be overcome. Conclusion: the importance of an early introduction of ESF subject is emphasize in order to promote the nurse formation making him/her able to work bearing this interdisciplinary perspective in mind at SUS matching with this new demand of health profile. Descriptors: single health system; health family; education; nursing.
Alyne Gonçalves, Eid Lara de Araújo Reis, Natalia C. A. Araujo, Cristiane Aparecida Silveira
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
Faith Community Nurses consider community cultural practices an essential component in understanding how to effectively support an individual’s mental health during important life transitions. Additionally, as part of their practice, Faith Community Nurses seek to understand how religious beliefs and life transitions such as marriage, divorce, birth, death, and illness impact on spiritual and mental health care. The emotional tolls of family separations due to wars, unexpected life events, ...
Anaebere, Ann Kiki; Delilly, Carol Rose
Background: Burnout is one of the most important factors in reduced productivity in organizations and involves physical and mental signs, especially in the human service professions. The role of nurses in the healthcare system is vital and motivation to ensure health security is extremely important. We carried out this research to examine the relationship between burnout and mental health in the nursing staff of educational hospitals of Tehran University of Medical Sciences.Methods: A descrip...
Abdi masooleh F; Kaviani H; Khaghanizade M; Momeni Araghi A.
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
1. A basic understanding of the judicial system will enable occupational health nurses to read court opinions and have a better understanding of whether or how they or their companies are affected by the decision. With this knowledge, occupational health nurses can help their organization avoid legal liability by ensuring that the company does not act contrary to the decisions of the controlling courts. 2. As they are often involved in the process of contracting for goods and services, occupational health nurses need to be aware of general contract terminology and negotiating techniques so they will be better able to protect their companies. In addition, occupational health nurses can also assist in the actual contract drafting process with knowledge of a few concepts, such as the description, caption, operative language of the agreement, and definitions, of a contract. 3. Occupational health nurses are often called upon to be expert witnesses and can play an integral part in the litigation process. Because of the importance of expert witnesses, occupational health nurses must have an understanding of how to effectively provide expert witness testimony. PMID:12033091
D'Arruda, Kimberley A
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
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.
Health competence is not only a requirement for personal health action; it is also a condition for professionalisation of health promotion. Health promotion has meanwhile become a well recognised part of nursing. This is the reason why in this study the term "health competence", which is actually very much discussed in health sciences, is presented. This concept is knowledge based (health literacy). It is focused on the ability to read, understand and work with health information to be able to do decisions in daily life which are positive for the health. An experienced-based understanding, which focuses on the ability to feel and to perceive and which is regarded as a precondition of self care, is added to this knowledge-based understanding of "health competence". The concept for this interpretation is the "Leibkonzept" which has already been discussed as a fruitful concept in nursing science in other publications. PMID:21789765
Nurses’ Quality Of Life (QOL) may be affected by many different factors which can in turn influence their competency in their job. The aim of this study is to assess the QOL of Iranian nurses to provide evidence for policy makers to take necessary strides needed to make improvements.
Materials and methods
Using a cross-sectional study design, we evaluated the QOL of Iranian nurses by the assessment of four indic...
Maryam Aala; Mahnaz Sanjari; Ali Tootee; Ghazanfar Mirzabeigi; Sedighe Salemi
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 investigate obstacles faced by nurses for implementation of the Family Planning’s Health Policy. Method: phenomenological research with qualitative approach. The sample consisted of twelve nurses who work in assistance at Basic Health Units/GO. Data gathering occurred in recorded semi-structured interviews after approval of the Ethics Committee in Research of UniEVANGÉLICA (number protocol 204/2007, according to the determination 196/96 of the National Health Counsel. The content analysis systematized data into two categories: a the nurse’s role and its appreciation in assistance to the family planning at Basic Health Units; b obstacles faced during assistance to this family planning. Results: they were verified institutional and professional obstacles; nurses help excited to the family planning what makes connection with community they are working with easier; difficulties to offer integral assistance due to the lack of adherence of women to the program; lack to offer contraceptive methods, lack of autonomy to prescribe nursing cares and scarcity of professional training. Conclusion: it is suggested creation of protocol of assistance, ongoing trainings; participation of doctor in regular assistance to women; offering on quantity and diversity contraceptive methods to soften difficulties of returning of users and insertion of men to the program.
Maria Madelena Costa, Zeile da Mota Crispim
The history of nursing is replete with examples of nurses battling for autonomy over their education, knowledge and work practices. The latest battleground is HealthDirect, Australia's first medial call centre, where nurses are required to meet externally imposed clinical standards while satisfying legal and financial obligations. These objectives are arguably achieved when nurses assess callers' health problems via computerised algorithms that determine an appropriate plan of action. That way, nurses' subjective responses to callers are ruled out. To ensure nurses comply with the standard processes, calls are monitored randomly and surreptitiously in formal and informal ways. This paper explores how nurses respond to standard procedures and surveillance, in order to argue that nurses' input partially drives reform processes. Nurses continue to seek autonomy over the advice they give and how their work is evaluated but are constrained by structural power relations. PMID:15892729
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
Full Text Available Background and Aim: There are no occupational health data concerning the prevalence of mental disorders in Iranian hospital nurses. Such information may be a prerequisite for efficient occupational mental health interventions. The aim of this study was to determine mental health status among shift work hospital nurses.Materials and Methods: This paper reports the findings of a cross-sectional survey that was part of a larger quasi-experimental study. We selected and evaluated 1195 nurses in 12 general hospitals in Shiraz (capital of Fars Province, using the 28-item version of the General Health Questionnaire (GHQ. We used structured observations in accordance with an occupational health checklist to assess working environment during the work period.Results: Results indicated that 28.7% of nurses were in poor mental health. Mental disease was more common among females than males (p<0.05. Prevalence rates for anxiety and somatic symptoms were 42.2% and 35.5% respectively. The prevalence of depression was 11.9% and social dysfunction, 79.5%. There was a significant relationship between shift work and anxiety as well as sleep disorders (p< 0.05. Associations were also found between marital status and depression and between gender and social dysfunction (p< 0.001. Conclusion: Prevalence figures for mental disorders are similar to those from nationwide surveys but it seems that social dysfunction and anxiety disorders are more common in nurses compared to the general population aged 15 and over. More attention must be paid to the health of shift work nurses (especially female staff. This can take the form of shift work health education programs, occupational health counseling, and periodic examinations.
Occupational stress at work has been increasingly recognized as a major risk factor for chronic disease and poor quality of work life among employees. The purpose of this study was to examine how occupational health nurses in Finland manage work-related stress. A descriptive cross-sectional study design was used with a sample of 354 Finnish occupational nurses who responded to the survey. No specific standardized tools to assess or handle work-related stress in occupational health services or their client companies were identified. Open-ended interviews together with burnout questionnaires were the most frequently used methods to assess the stress of employees. Interventions were directed at individual employees. A need for standardized stress assessment instruments and stress management by work organizations was found. Methods to cope with work-related stress should be developed by the occupational health team and companies' health resources departments to ensure the adoption of common protocols. PMID:24811696
Kinnunen-Amoroso, Maritta; Liira, Juha
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
BACKGROUND: Veterans are among the highly-susceptible and highly-esteemed groups of the society. there is no correct, principled, and comprehensive programming with respect to home-nursing care for them. METHODS: In this quasi-experimental study, 26 veterans with spinal cord complications, with a 70-percent damage who were resident of Najaf Abad, Iran were concluded. The data were gathered by a checklist consisted of two parts, the first part included the demographic data and the second part consisted of Para-clinical (clinical findings) assessment of the veterans suffering from urinary infection, laboratorial assessments, and assessing the bedsores. The researcher visited all the veterans and completed the checklist by interviewing them. RESULTS: The mean age of the veterans was 45 (5.1) years and the highest frequency (53.8%) belonged to the age range of 40-44 years. The mean number of the family members was 4.4 people. The veterans who had paraplegia damage included 88.6%. Considering the damage rate, the highest frequency (69.2%) belonged to thoracic vertebra level. all the 26 veterans had been suffering from urinal infection before the managerial intervention; however 20 subjects (76.9%) had urinal infection after the intervention. CONCLUSIONS: It can be stated that pressure wounds are preventable and these caring measures can be offered to susceptible groups of the community in a better and cheaper way if more studies are done with a closer contact and a higher number of samples in addition to have unison among the community-based systems.
Rastegari, Mohammad; Dehkordi, Akbar Jaafariyan; Sabouhi, Fakhri; Ghalriz, Parvin
With the introduction of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) on CD-ROM, research was initiated to compare coverage of nursing journals by CINAHL and MEDLINE in this format, expanding on previous comparison of these databases in print and online. The study assessed search results for eight topics in 1989 and 1990 citations in both databases, each produced by SilverPlatter. Results were tallied and analyzed for number of records retrieved, unique and overlappin...
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
The present study aimed to develop and evaluate a nutritional and nursing risk assessment method for diabetic inpatients to improve healthcare and risk management. Diabetic inpatients diagnosed according to the World Health Organization guidelines, together with their nursing staff, were divided into two groups for nutritional and nursing risk assessment. Data from one group were used to establish the assessment method, and data from the other group were used to evaluate the reliability and effectiveness of the method. To establish the method, various risk variables in the nutritional and nursing processes were evaluated by logistic regression analysis; the score and probability of the risk variables were determined based on odds ratios. The overall nutritional and nursing risk for individual inpatients was then judged by the accumulated scores. The analysis showed that there were a number of risk factors, including age and body mass index. The risk was shown to increase with increasing score for the inpatients, and the ?2 test (Pnursing risk were 88.3 and 66.5%, respectively, with predictive positive and negative rates of 12.83 and 98.53%, respectively. Therefore, the method is simple, cost-effective and fast; it can be used to screen a large number of patients by nursing staff and can also be used by patients themselves. Overall, the method is an effective and practicable nutritional and nursing risk assessment and educational tool.
WANG, JING; LIN, YUN; ZENG, KAIHONG; YANG, YONGTAO; HU, XUEFEI; ZHAO, RONG; LI, ZEYUE
Aims: (1) To examine whether prevalence of burnout is higher among community psychiatric nurses working under recently introduced job specific work systems than among public health nurses (PHNs) engaged in other public health services. (2) To identify work environment factors potentially contributing to burnout.
Between 1993 and 1999, an average of 1.7 million violent workplace incidents were recorded per year. Of the nonfatal injuries and lost days due to occupational violence, 32% occur in the health care setting. The annual incidence rate for violence against nurses is 22 incidents per 1,000 nurses. When an occupational health professional analyzes an exposure, engineering controls, administrative controls, and personal protective equipment policies are drafted to ensure the future safety of employees. This literature review identifies best practice controls used to protect health care workers from violence in the workplace. PMID:24169954
Brown, Bethany G; Burns, Candace
Nursing and allied health libraries at educational institutions in Norway have generally indexed their book collections with uncontrolled terms. With the reorganization of higher education in 1994, the majority of these libraries joined BIBSYS, which is a joint library system for higher education and research in Norway. This has led to chaos when searching the joint catalogue for literature on nursing and related fields. A term such as ‘behaviour problems’ may have up to five synonyms. In...
This article introduces and explores the concept of political economy. In particular it focuses upon the political economy of health while also considering the implications for international nursing studies in the context of health care more generally. Political economy is not only about budgets, resources and policy. It is also about particular…
Peters, Michael A.; Drummond, John S.
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.
Background The majority of young children receive no early dental examination while attending primary health care for routine check-ups. Our aim was to study primary care nurses’ knowledge of oral health care (OHC) and their attitudes toward delivering OHC, as well as to assess their willingness to obtain OHC information. Methods We conducted a cross-sectional survey of all primary-care nurses working in the public health centres of Tehran city. An anonymous self-administered questionnaire queried their knowledge in paediatric-, general and medicine-related areas of dentistry, providing knowledge scores for three domains. The nurses’ attitudes toward OHC and their willingness to obtain OHC information underwent evaluation with statements utilizing a five-point Likert scale. Altogether 680 nurses took part in the survey. The Chi-square test, t-test, one-way ANOVA and logistic regression model served for statistical analyses. Result The mean score for the paediatric dentistry domain (3.6, SD: 1.5) was lower than for the medical (4.4, SD: 2.3) and dental domains (5.8, SD: 1.5). Obtaining higher scores in the paediatric (OR?=?1.2) and dental (OR?=?1.3) domains, and a greater willingness to receive OHC information (OR?=?5.3), were associated with a positive attitude toward OHC. Nurses with a lower education (OR?=?1.9) and better oral health behaviour (OR?=?1.1) as well as those working in a non-affluent region (OR?=?1.6) had a more positive attitude toward OHC. Conclusion Primary care nurses’ low level of knowledge in OHC and their positive attitude and willingness to obtain more information point to the need for appropriate OHC training and encouragement for the nurses to promote oral health and prevent dental diseases.
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
For several decades now the World Health Organization has indicated the need for a reorientation of the health services away from focusing solely on illness and disease to one that considers both disease prevention and health promotion. Successive publications that guide public health policy both nationally and internationally reiterate the need for health promotion and the principles of health for all to become integral to the fabric of health care delivery. The role of the nurse as health promoters is well recognized. However despite acknowledgement by professional nursing bodies and nurse educators that health promotion forms a central tenet of undergraduate nurse education curricula, there are varied approaches to teaching and learning and little formal evaluation of the consequences of approaches taken. The aims of this study are to identify current health promotion curricular content within the Irish undergraduate nursing programme context; to measure nursing students' attitudes towards health promotion and to examine nursing students' reported lifestyle behaviours. PMID:21215497
Mooney, Bróna; Timmins, Fiona; Byrne, Gobnait; Corroon, Ann Marie
This study aimed to examine job strain and family well-being among public health nurses. A total of 239 public health nurses participated in the study. Data were collected using a questionnaire. One-way ANOVA and Pearson's correlation coefficients were used to assess the association of each factor with family well-being. It was found that there was a correlation between job strain and family well-being. Individual and family factors were also associated with family well-being. In all, 67% of nurses had a high rating for family well-being. A large portion of nurses belonged to the category of "active job" (51.5%). More than 50% of nurses were exposed to high "job demand" and 97.5% were in high "job control." The study suggests that nurses should be promoted with the ability to be in authority and display decision-making skills and should receive support and encouragement from supervisors and coworkers in order to improve family well-being. PMID:21807628
Jirapongsuwan, Ann; Likitpornswan, Orawan; Triamchaisri, Somporn K; Chandanasotthi, Pimsupa
In Canada, as well as internationally, efficiency-focused organizational restructuring in healthcare has resulted in stressful job change for nurses, although nurses continue to work in a system that values technology-based, physician-provided services. Employed nurses have had to participate in organizational activities that undermine their professional values and goals. Nursing entrepreneurship presents an opportunity to explore nursing's professional potential in nursing practice that is uniquely independent. In this study, a focused ethnographic approach was used to explore the experiences of self-employed nurses, who see themselves as leaders in advancing the profession of nursing and its contribution to healthcare. Key themes in the findings include the responses of self-employed nurses to health system change, expanded roles for nurses, the consequences of this non-traditional approach to nursing work and the possibilities for change that arise from nursing entrepreneurship. This research has implications for healthcare policy, professional advocacy and nursing education. PMID:23809640
Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to...
Full Text Available To assess the knowledge of cardiopulmonary resuscitation (CPR among the nurses ( n= 302 of community-based health services in Hainan province of China, a survey was made by randomized stratified cluster sampling using self-designed questionnaires. The passing rate for qualification of the knowledge of CPR was found to be very low in Hainan province (23.18 %. A significant difference of regions and different educational level among the nurses were also noticed (P<0.01. It may be concluded from the study that nurses of community-based health services in Hainan province lack the basic knowledge of CPR, especially in rural region.
Traditionally child health care (CHC) has been an arena where mothers and nurses meet, but in recent years fathers are entering CHC with increasing frequency. The aim of this study was to describe nurses’ experiences of fathers’ participation in CHC. Nine Swedish nurses working in CHC were interviewed and asked to give a description of their experiences from meetings with fathers in CHC. Phenomenology according to Giorgi was used for the analysis and the essence of the findings was that f...
Nursing administrators facing reorganization understand the difficulties and resistance that accompany organizational change. This article discusses resilience, a critical character trait for successfully managing change. Understanding the change process can assist those charged with the challenge of leading organizational change to manage the journey more effectively. PMID:10205480
Bonalumi, N; Fisher, K
Perceived stress of nurse anesthetists and their work environment has been the focus of several previous studies. This article presents a study of different factors that may contribute positively or negatively to the work environment of nurse anesthetists in Norway. It focuses on factors that nurse anesthetists perceive as health promoting at work and indicates how a healthy work environment can be created. A qualitative method was used, which included interviews with a strategic sample of 14 nurse anesthetists working in anesthesia departments. The data were collected in 2008. A grounded theory approach was used as the method of analysis. From the data analysis emerged 1 core category, Collaboration for better or worse-the fate of nurse anesthetists at the workplace. There were also 3 categories, Management as organizer of conditions, Well-being in an operating theater, and Clarity of role, and a number of subcategories. Collaboration through teamwork emerged as a crucial factor in the work environment of nurse anesthetists, while management was considered an important factor for creating a healthy work environment. Production pressure and communication difficulties were perceived as negative for the work environment. Management should therefore be actively involved and oriented toward creating favorable conditions for collaboration. PMID:23248835
Averlid, Gertrud; Axelsson, Susanna Bihari
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
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
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.
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
The mental health of older adults contributes to their overall well-being. However, numerous studies have reported substantial prevalence of mental health problems, especially depression, in nursing home residents. Due to the poor quality of education and training provided to nursing home front-line caregivers, most of whom are nursing assistants, many residents experiencing depression are not recognized as such and consequently receive no treatment. Emphasizing the aging process and mental health components in education and training programs for nursing assistants could have a positive impact on the detection and treatment of depression in residents. PMID:18649212
Glaister, Judy A; Blair, Charles
Full Text Available Background: Burnout is one of the most important factors in reduced productivity in organizations and involves physical and mental signs, especially in the human service professions. The role of nurses in the healthcare system is vital and motivation to ensure health security is extremely important. We carried out this research to examine the relationship between burnout and mental health in the nursing staff of educational hospitals of Tehran University of Medical Sciences.Methods: A descriptive cross-sectional survey was conducted among 200 nurses selected via probable multistage sampling. We used three instruments in this study: 1 demographic questionnaire 2 General Health Questionnaire-28 (GHQ-28 and 3 Maslach Burnout Inventory (MBI.Results: On the whole, using the MBI subscale, we found low levels of emotional exhaustion and depersonalization and high levels of reduced sense of personal accomplishment, both in frequency and intensity. The prevalence of symptomatic samples in the GHQ-28 was 43%, and two variables, burnout and poor mental health, were related (p<0.001. Burnout was to be related to gender, age and years of work. The correlation between poor mental health and years of work as well as hours of work in a week were significant. Conclusions: Our results suggest that there is a strong correlation between poor mental health and burnout. Furthermore, the prevalence of symptomatic samples detected in our study using the GHQ-28 was much higher than that reported in studies of the general population. The high prevalence of symptomatic samples and high prevalence of burnout in the dimension of self accomplishment, especially in younger nurses, combined with the strong correlation between poor mental health and burnout all show that care should be taken to improve the stressful conditions that nurses face.
Abdi masooleh F
This report contains information from a fall 1991 health occupations assessment of 1,021 health-related employers in Eastern Iowa and the Illinois Quad Cities area. Twelve chapters present comprehensive results of all surveys; results of 10 labor market survey instruments developed for chiropractic offices, dentists' offices, emergency medical…
Eastern Iowa Community Coll. District, Davenport.
Full Text Available Objective: to recover the different health care practices performed throughout the history of public health nursing in Brazil, since the 20th century. Methodology: the research was conducted through literature review, in February 2010, the databases Scielo and Database of Nursing. Moreover, it was researched in the Library of the Faculty of Nursing, University of Rio de Janeiro. For the screening of the studies used the analysis of titles and abstracts. Results: it was observed that nursing care was founded care practices on religion and charity; and evolved from 20th century repressive health practices and strictly curative and individualizing biomedicine techniques to humanized and comprehensive practices, as proposed by the new nursing theories, and collective practices, as recommended by principles and guidelines of the Unique Health System. Conclusion: the individualizing and curative care practices used throughout nursing history still permeate nurses’ work. Although today a number of care practices are focused on collectivity, comprehensive care and health promotion, the hospital-centric approach remains strong, hence promoting stratified and palliative health care.
Luciana Valadão Alves Kebian, Sonia Acioli
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
Healthcare accreditation models generally include indicators related to healthcare employees' perceptions (e.g. satisfaction, career development, and health safety). During the accreditation process, organizations are asked to demonstrate the methods with which assessments are made. However, none of the models provide standardized systems for the assessment of employees. In this study, we analyzed the psychometric properties of an instrument for the assessment of nurses' perceptions as indica...
Yepes I Baldo?, Montserrat; Romeo Delgado, Marina; Berger, Rita
A study was conducted to identify staffing patterns for nursing personnel in the health care institutions of Oklahoma in order to predict future needs for nursing education and training. Structured interviews with administrators and directors of nursing from eighteen hospitals and eighteen nursing homes were used to elicit demographic data…
Frazier, William D.
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
Mental health for older adults is a looming public health problem. Yet, geriatric mental health specialists are a scarce commodity, and few generalists have had formal education in either geriatrics or mental health. A multilevel collaboration using a diffusion of innovation model served to achieve change nationally in preparing entry-and advanced practice-level nurses to improve the mental health of older Americans. The John A. Hartford Foundation Geropsychiatric Nursing Collaborative at the American Academy of Nursing is the exemplar described here. The Geropsychiatric Nursing Collaborative developed and infused mental health competency enhancements for generalist and specialist nurses; identified and disseminated teaching-learning strategies to convey related key concepts using the POGOe (Portal of Geriatric Online Education) website; raised awareness through multiple presentations and publications; and notified deans of every school of nursing about these new resources. Fully embracing diffusion of innovation principles, the Geropsychiatric Nursing Collaborative is achieving change in this critical area of nursing practice. PMID:21757081
Beck, Cornelia; Buckwalter, Kathleen C; Dudzik, Pamela M; Evans, Lois K
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
The purpose of this article is to describe teaching/learning strategies for each of the 15 Essentials of Baccalaureate Nursing Education for Entry-Level Community/Public Health Nursing (ACHNE, 2009). Carper's ways of knowing serve as foundations for creating classroom and clinical experiences that focus on clinical action with community as client. Each community/public health essential is defined with relevance to community/public health nursing practice. Five teaching/learning strategies have been delineated for each essential with suggestions of teaching resources and/or target population application. Teaching/learning strategies that focus on community as client, population health, and the essential knowledge and competencies of C/PH nursing will help ensure preparation of baccalaureate prepared nurses with knowledge and skills to improve the health of populations. PMID:24579713
Callen, Bonnie; Smith, Claudia M; Joyce, Barbara; Lutz, Jayne; Brown-Schott, Nancy; Block, Derryl
Fundamentally, the expectation of every hospital's management is that health employees apply electronic health registers. Additionally, since 2003, hospital staff is required to prepare nursing documentation in Hungary. The documentation can be made either manually or electronically, but in most places both of these options are used. Due to the financing system and the 'minimum basic data set' principle, some data have to be available electronically inany case. Data collection and data proces...
Researchers were involved in an evaluative approach to examine the health promotion activities of paediatric nurses from a paediatric tertiary hospital centre (N = 83) and five paediatric non-tertiary hospital centres (N = 48) from Sydney, Australia. The aims of this study were to understand the nature of heath promotion in paediatric nursing practice by examining nurses' attitudes, investigating paediatric nurses' involvement in the five action area of the Ottawa Charter, and identifying barriers to the implementation of health promotion in practice. The researchers developed a health promotion survey based around the Ottawa Charter for Health Promotion (World Health Organisation, 1986a), and a literature review of nurses' involvement in health promotion. Results showed that tertiary paediatric nurses undertook more varied health promotion activities such as creating supportive environments (CSE), reorienting health services (RHS) and building healthy public policy (BHPP) than did non-tertiary paediatric nurses who were involved in only one action area of the Charter, that of developing personal skills (DPS). This research revealed that within paediatric nursing practice the action areas of the Ottawa Charter of BHPP and CSE were important; and that there is support for the advocacy role of paediatric nurses. There is also evidence that paediatric nurses may have health promotion knowledge deficits associated with the Ottawa Charter, and that the environment of multidisciplinary allied health professionals in a tertiary paediatric centre may positively influence senior paediatric nurses and their capacity to be involved in varied health promotion activities associated with the Ottawa Charter. PMID:22800393
Roden, Janet; Jarvis, Lynda
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 qual...
Isma, Gabriella; Bramhagen, Ann-cathrine; Ahlstro?m, Gerd; Ostman, Margareta; Dykes, Anna-karin
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 interventionâ??s impact on geriatric patientsâ?? 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 patientsâ?? 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
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 examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective, randomized, controlled trial with follow-up at one and six months. Included were patients >70 at increased risk of readmission and functional decline (had an ISAR 1 score of 2-6 points) and discharged home in the period 16th of February 2009 to 31st of January 2011, N=271. Intervention: A nurse did a brief nursing assessment comprising a checklist of 10 physical, mental, medical and social items. The focus was on unresolved problems which require medical intervention, new or different home care services, or comprehensive geriatric assessment. Following this the nurses made relevant referrals to the geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: Primary endpoints will be presented as unplanned readmission to ED; admission to nursing home; and death. Secondary endpoints will be presented as physical function; depressive symptoms; health related quality of life; and hours of help received from the community. Conclusion: The presentation at the conference will include results collected at one and six months follow-up, this will show if a two-stage intervention consisting of screening with the ISAR 1 tool followed by structured nursing assessment and intervention in the ED could be a way of discovering geriatric patientsâ?? unresolved problems and preventing further functional decline and readmission.
Rosted, Elizabeth Emilie; Wagner, Lis
... and Health at Work is April 28. The theme is "Safety and Health in the Use of ... Management About AAOHN Membership Conference Education Practice Careers Publications Foundation Committee BoD Foundation AAOHN National Office 7794 ...
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...
Savage, Christine; Kub, Joan
Aim To describe and test a model for structured nursing assessment and intervention to older people discharged from Emergency Department (ED). Background Older people recently discharged from hospital are at high risk of readmission. This risk may increase when they are discharged straight home from an ED as time pressure requires staff to focus on the presenting problem although many have complex, unresolved, care needs. Method A prospective descriptive study was conducted. Older people aged 70 and over and at risk of adverse health and functional outcome were included. Intervention: At discharge, and at 1 and 6 month follow-up, a brief standardised nursing assessment (ISAR 2) developed by McCusker et al. was carried out. The focus was on unresolved problems that required medical or nursing intervention, new or different home care services or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to the geriatric outpatient clinic, community health centre, general practitioner or made arrangements with next-of-kin. Results One hundred and fifty people participated, mean age was 81.7. At discharge they had a mean of 1.9 unresolved problems, after 1 month 0.8, and after 6 months 0.4. Older people receiving home care services increased from 79% at discharge to 89% at 1 month and 90% at 6 month follow-up. Conclusion ISAR 2 works well in a Danish ED setting and intercepts older peoplesâ?? problems. It seems that unresolved problems decrease when a nurse assesses and intervenes at discharge from ED, and at follow-up. However a randomized controlled test should be carried out to confirm this. Relevance to clinical practice Nursing assessment and intervention should be implemented in the ED to reduce older peoplesâ?? unrevealed problems.
Rosted, Elizabeth Emilie; Wagner, Lis
...National League of Nursing Accrediting Commission...Association for Clinical Pastoral Education...operator of an approved nursing or allied health...practice of the nursing or allied health...maintenance of payroll records of teaching staff...instruction and clinical training...
This study examined school nurses' communication with community physicians and its relationship to school nurse satisfaction with school health services. A stratified random sample of school nurses in Pennsylvania (N = 615) were surveyed about communication effectiveness with community physicians, satisfaction with school health services for…
Volkman, Julie E.; Hillemeier, Marianne M.
There is currently a worldwide shortage of registered nurses, driven by large shifts in both the demand for and supply of nurses. Consequently, various policies to increase the recruitment and retention of nurses are under discussion, in particular, the role that wage increases might have in promoting nurse labour supply. In this paper we provide the first detailed empirical investigation into the quitting behaviour of nurses in the British National Health Service (NHS), using a newly constru...
Frijters, Paul; Shields, Michael A.; Price, Stephen Wheatley
Community health practice in various forms has been recorded for over 5 000 years (Anderson, 1969). The ancient Egyptians developed a community system for water supply and sewage disposal. The Hebrews focused on the promotion of health through the Mosaic code which regulated personal hygiene, food, sanitation, maternal health, and more. The Greeks (500-100 BC) emphasised values of personal hygiene and exercise. The Romans (100 BC - 500 AD), on the other hand, were concerned with the State rat...
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...
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...
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
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
This study designed and tested a computerized nursing assessment based on the concept of self-care in nursing (Orem, 1980). Previous research by Horn and Swain (1978) served as the guide in the development of a paper-based assessment tool. The paper-based assessment was then transformed into a computer-assisted assessment. A control assessment, structured paper-based and computer-assisted assessment were evaluated for time, quantity and quality of nursing diagnoses, and acceptance by nurses. ...
Soble, Irene Carol
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.
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. [Workplace Health Saf 2014;62(7):274-281.]. PMID:25000546
Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie
Although there have been several wars and conflicts since World War I, the escalating numbers of veterans since that time is now evident. Extraordinary survival results have evolved from effective triage, trauma treatment, and recovery maneuvers during Operation Iraqi Freedom and Operation New Dawn (OIF) in Iraq and Operation Enduring Freedom (OEF) in Afghanistan. Yet even with those results, the number of physical and mentally wounded individuals exceeded 32,000 from OIF and 16,000 from OEF. How will we help these service men and women meet the special challenges they may face after discharge from the military? This article presents a rationale for content integration, health concerns, and realistic educational suggestions for faculty as they prepare professional nurses to care for these veterans and their families. Future nurses need to be prepared to care for this patient population in community health care systems. PMID:24127612
Allen, Patricia E; Armstrong, Myrna L; Conard, Patricia L; Saladiner, Jason E; Hamilton, Mary Jane
Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses' benefits more comparable to those of other white-collar employees. Patient satisfaction levels are lower in hospitals with more nurses who are dissatisfied or burned out-a finding that signals problems with quality of care. Improving nurses' working conditions may improve both nurses' and patients' satisfaction as well as the quality of care. PMID:21289340
McHugh, Matthew D; Kutney-Lee, Ann; Cimiotti, Jeannie P; Sloane, Douglas M; Aiken, Linda H
Full Text Available 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 recorded. During data analysis, we opted for collective subject discourse (CSD, which emerged the central ideas that enabled the formation of CSD for each professional category. The subjects were informed about the research objectives by submitting the Term of Consent, which was signed by all. The project was approved by the Ethics Committee at the Rural University of Cariri (RUCA, with approval No. 21/2010. Results: It was observed that the conceptual and practical vision on health promotion approaches the concept of prevention, however, nurses recognize health more broadly, in the context of the social construction of individual, differing from the CSD of the nursing technicians. The actions taken in the field of health promotion are still delimited by lectures. Conclusion: Perceptions of professionals are constituted by a weakness related to CSD and the actions performed by them, constituting an obstacle to the consolidation of a new model of care that has as central to health promotion.
Danielle Lopes de Alencar
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.
Patient's health locus of control (HLOC) belief associates with superior health outcomes and patient satisfaction. Higher levels of HLOC beliefs among patients and nurses contribute positively in developing the partnership model of care. The purpose of this study was to examine the differences between nurses and patients' perception of patient's health locus of control at the Jordanian general health-care settings. This study used cross-sectional, descriptive-correlation design to collect data using self-report questionnaires from 180 general nurses and 178 patients in general wards. Data collected were in regard to patient's perception of health locus of control. Patients and nurses expressed high level of externality and internality HLOC beliefs inferring the significance of partnership model of care. Chance was rated low among nurses and patients. The study emphasizes the role of nurses in enhancing their patient control and power over their health and participation in planning and implementation of health-care plans. PMID:24888996
Hamdan-Mansour, Ayman M; Marmash, Lily R; Alayyan, Rana; Hyarat, Saba Y
This article examines public health nursing (PHN) education in the United States from 1900 to 1950. Following establishment of district nursing and the Henry Street Settlement in the late 1800s, nurses worked with families and communities in schools, homes, and with immigrant populations in tenements of industrialized cities. By the early 1900s, PHN leaders recognized that graduates needed broader education than provided by hospital training schools to prepare nurses to address social conditions and promote health and hygiene for populations. Current themes in professional nursing, such as social determinants of health, have their roots in early discourse about PHN education. PMID:24892857
Kulbok, Pamela A; Glick, Doris F
Full Text Available O artigo aborda o perfil sócio-demográfico e ocupacional do Programa Saúde da Família (PSF do Estado de Mato Grosso, Brasil, apresentando os julgamentos avaliativos de médicos e enfermeiros das equipes sobre os seguintes aspectos: graus de concordância sobre os propósitos do programa; graus de uso de meios de planejamento e de implantação das ações de atenção básica. Trata-se de pesquisa avaliativa, que conduziu às seguintes conclusões: (1 o perfil dos profissionais confirma a tendência da feminilização da força de trabalho em saúde; prevalecem os contratos precários de trabalho e a rotatividade dos trabalhadores; os rendimentos são díspares entre as duas categorias profissionais; registraram-se esforços de capacitação para adequar o perfil de formação ao programa; (2 médicos e enfermeiros julgam que o programa alterou o modelo assistencial, favorecendo o controle social, a vigilância epidemiológica e a promoção à saúde; (3 eles julgam ser elevado o grau de implantação de várias ações de atenção básica previstas, e menor o das ações educativas, intersetoriais e de controle das doenças crônicas e endêmicas.This article addresses the profile and assessment of the Family Health Program by physicians and nurses regarding the following aspects: profile characteristics; degree of agreement with the program's proposals; and application of methods for planning and implementing primary care activities. This was an evaluative study with health professionals, and the conclusions highlighted the following: (1 the professional profile reinforcing feminization of the healthcare work force; prevalence of precarious work contracts and worker turnover; wage disparity between professional categories; and efforts at training to achieve the program profile; (2 alteration of the healthcare model by the program, favoring social control and epidemiological surveillance as well as healthcare promotion; and (3 a high degree of implementation of several basic healthcare activities, although implementation of educational and inter-sector activities and control of chronic and endemic diseases was more limited.
Ana Maria Canesqui
Background: The performance of the community health nurse depends on a combination of scientific and practical competencies acquired by educational experiences during the nursing course. Curriculum planners of nursing education need to understand nursing education to train professional and community-oriented nurses. The aim of this article is to explore the experiences of nursing students during their community health nursing clinical clerkship courses. Materials and Methods: A grounded theory approach was used to conduct this study. Twelve nursing students, 13 health-care staff members, and 10 nursing instructors were interviewed individually in 2011-2012. The interviews were tape-recorded and later transcribed verbatim. The transcriptions were analyzed using the method of Strauss and Corbin. Results: Ambivalence of motivation was the main category and included five subcategories: Professional identity, educational atmosphere, educational management, motivation-based approaches, and inadequate productivity. This paper presents the aspects of the community health nursing clerkship course from the viewpoint of students in areas such as the role of the community health nurse, attitude toward the course, medical orientation, prerequisite skills/knowledge, poor administrative planning, rotation of students, insufficient activity for students, passiveness, providing service to clients, responsibility, and inproductivity. These categories could explain the nature of the community health nursing clerkship of the Mashhad Faculty of Nursing and probably others in Iran. Conclusions: The findings revealed inadequate productivity of the community health nursing education; so, it is suggested to define a position for nurses in this setting and remove barriers and provide conditions for them to play more important roles in the promotion of community health.
Ildarabadi, Eshagh; Moonaghi, Hossein Karimi; Heydari, Abbas; Taghipour, Ali
Full Text Available 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 leadership in the past, present, and future. Results: leadership is an important competence for the nurse in managing the work process and coordinating the activities involving health and nurse care. Thus, the exercise of leadership requires nurses to develop entrepreneurial postures based on the setting of teams, negotiation, power relations share, and exploring human motivation at work. Conclusion: the nurse must be sure of his/her leadership role and try to develop coherently and with a critical view on the reality before different contexts, valuing the multidimensionality of the human being that provides and receives care.
José Luís Guedes dos Santos, Rosângela Marion da Silva, Adelina Giacomelli Prochnow, Carmem Lúcia Colomé Beck, Maria de Lourdes Rodrigues Pedroso, Joséte Luzia Leite
In 1994 the Department of Health recommended that nurses be introduced to the process of clinical supervision during pre-registration training. In response to this recommendation, the now defunct English National Board (ENB) stated that: "It will be a requirement that all students of pre-registration nursing programmes receive preparation in what to expect from clinical supervision" (ENB, 1995, p. 4). Despite the fact that no further guidance was issued there is an emerging body of literature exploring this area. This paper reports findings from the initial phase of a three-year prospective longitudinal study examining students' experiences of group clinical supervision undertaken as part of their pre-registration training. In this part of the study 32 mental health nursing students participated in focus groups in which they discussed their expectations of clinical supervision. Content analysis of the data produced five major categories: 'the nature of clinical supervision'; 'roles and responsibilities'; 'staying safe and doing no harm'; 'being in a group'; and 'being a student'. The findings suggest that the idea of supervision is attractive to students, although there are significant anxieties both about supervision in general and of group supervision in particular. PMID:17141379
Carver, Neil; Ashmore, Russell; Clibbens, Nicola
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
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 b...
Hossein Kakooei; Mohammad Hadi Rahimi; Mostafa Hosseini
BACKGROUND: A third of patients with schizophrenia are out of contact with secondary services. Many of these patients receive maintenance medication as depot antipsychotics from practice nurses, most of whom have negligible training in mental health. AIM: To examine the impact of a structured assessment on the process of care and clinical status of schizophrenia patients by practice nurses who received a one-day training course. METHOD: All identified patients were randomly allocated to struc...
Burns, T.; Millar, E.; Garland, C.; Kendrick, T.; Chisholm, B.; Ross, F.
Health assessment skills are vital to professional nursing practice. Health assessment has traditionally been taught using lecture, teacher-developed tests, practice and live demonstration, and interactive and computer-based learning materials. Rapid advances in information technology during the past decade have greatly expanded distance learning options in higher education. Although much nursing education now uses the Internet, there has been limited use of the Web to teach psychomotor and clinical skills. This article describes how online instruction can be integrated into a health assessment course to teach physical examination skills. The development of instructional videos that can be digitally streamed onto the Web for ready and repeated access can also enhance online learning of technical and clinical skills. Student evaluation of this Web-enhanced course revealed that online assignments enabled them to pace their learning, thereby promoting greater flexibility and independence. Students were able to master the technical skills of working online with minimal difficulty and reported that working online was no more stressful than attending class. The most helpful aspect of the online course was the instructor-developed video that was digitally streamed online. PMID:16130340
Genetics and genomics are emerging as the central science for 21st century health care. Proficient nursing care incorporates this central science. Nursing genetic competency includes anticipating future demands spurred by knowledge advancement. Three emerging public health areas that call for future neonatal nursing genetic competency development will be discussed here: increasing emphasis on neonatal family health histories, population genetic biobanking, and family genetic advocacy. Neonata...
Williams, Pamela S. Holtzclaw
We evaluated the psychological distress using a scale of the K6, the 6-item scale of psychological distress on public health nurse in Kagawa prefecture, Japan. We send the questionnaire to all public health nurses (n = 419) in Kagawa prefecture. Then, a total of 256 public health nurses (1 man and 255 women), had completely answered the questionnaires, were analyzed in a cross-sectional investigation study. The association between psychological distress and considerable factors were evaluated...
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.
Healthcare accreditation models generally include indicators related to healthcare employees' perceptions (e.g. satisfaction, career development, and health safety). During the accreditation process, organizations are asked to demonstrate the methods with which assessments are made. However, none of the models provide standardized systems for the assessment of employees. In this study, we analyzed the psychometric properties of an instrument for the assessment of nurses' perceptions as indicators of human capital quality in healthcare organizations. The Human Capital Questionnaire was applied to a sample of 902 nurses in four European countries (Spain, Portugal, Poland, and the UK). Exploratory factor analysis identified six factors: satisfaction with leadership, identification and commitment, satisfaction with participation, staff well-being, career development opportunities, and motivation. The results showed the validity and reliability of the questionnaire, which when applied to healthcare organizations, provide a better understanding of nurses' perceptions, and is a parsimonious instrument for assessment and organizational accreditation. From a practical point of view, improving the quality of human capital, by analyzing nurses and other healthcare employees' perceptions, is related to workforce empowerment. PMID:23240737
Yepes-Baldó, Montserrat; Romeo, Marina; Berger, Rita
Health care has a long-held perception of perioperative nurses as providers who advocate for patients and who carry out physician orders. According to the Institute of Medicine's 2010 report on the future of nursing, not only must that view evolve, but nurses also must play a leading role, in partnership with physicians and other health care colleagues, if health care reform is to succeed. Several factors will prepare nurses for this new role of partnering to advance health, including advancing their formal education, developing leadership as a core competency, acquiring leadership skills, and being active in new models of leadership (ie, mentorship, volunteering, advocacy). PMID:23978176
Strech, Scott; Wyatt, David A
The goal of home health nursing is to promote self-care capabilities in the client's home. A conceptual model for home health care would incorporate the nursing practice performed in the home on an intermittent skilled nursing visit. An appropriate model for home health care would include concepts of health service delivery, standards of care on which to focus practice, and guide the development of nursing interventions that are efficient and effective in our cost-conscious society. The model would also include the ability to measure the quality of services delivered in the home. PMID:7715973
McClung, R L
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.
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
Enhanced knowledge regarding the factors that influence and support the self-efficacy of emergency department (ED) registered nurses and their provision of care to women who have experienced abuse is necessary for the promotion of optimal health care. The purpose of this study was to examine the self-efficacy of registered nurses with respect to assessing and responding to woman abuse in the ED. Study hypotheses and research questions were derived from Bandura's theory of self-efficacy. A secondary analysis (N = 158) of data from the Violence against Women: Health Care Provider Survey was completed. Originally, survey questions were not developed to operationalize the concepts outlined by Bandura. However, they were found to be good indicators. Four scales were developed from the item pool, validated through factor analysis and used to operationalize study variables. Positive relationships were found between self-efficacy information available to ED registered nurses and their self-efficacy for assessing and responding to woman abuse (r= .73, p Bandura's theory and demonstrate that the clinical responses of ED registered nurses are complex and must be understood in terms of self-efficacy and the factors that support its development. PMID:17290955
Hollingsworth, Erin; Ford-Gilboe, Marilyn
Introduction and questions of exploration: In a first step this paper outlines the global context of and international influences on nurse migration. Liberalization of health markets is identified as a trigger point steering movements of nurses globally. Facts and figures concerning nurse migration are highlighted in a second section focusing on developments in the USA and UK, which are recruiting nurses from Europe and overseas on a large scale, and adding the latest European approaches and ...
Abstract Introduction and questions of exploration In a first step this paper outlines the global context of and international influences on nurse migration. Liberalization of health markets is identified as a trigger point steering movements of nurses globally. Facts and figures concerning nurse migration are highlighted in a second section focusing on developments in the USA and UK, which are recruiting nurses from Europe and overseas on a large scale, ...
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
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. [Workplace Health Saf 2014;62(5):198-205.]. 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
In light of developments in science and technology, content has been added to the nursing curriculum to support and improve students' healthy lifestyle behaviours. The aim of this study was to determine whether any difference was observed in the behaviour of nursing students. This longitudinal and descriptive study was conducted with 57 students during 2002-2006 academic years Marmara University, School of Nursing. The "health promotion lifestyle profile" developed in 1987 by Pender et al. was evaluated as to its validity and reliability in Turkey by the HPLP (healthy lifestyle behaviour scale) adapted by Esin. Percentage, variance analysis, Cronbach alpha coefficient and the t-test were used in the analysis of data. The findings indicated that healthy lifestyle behaviours of nursing students changed over time, from when they began and at the end of every year during their nurse training. PMID:18495538
Alpar, Sule Ecevit; Senturan, Leman; Karabacak, Ukke; Sabuncu, Necmiye
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
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.
Background Identifying the economic value assigned by users to a particular health service is of principal interest in planning the service. The aim of this study was to evaluate the perception of economic value of nursing consultation in primary care (PC) by its users. Methods and Results Economic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP) of €14.4 (CI 95%: €13.2–15.5; median €10) and an average Willingness to Accept [Compensation] (WTA) of €20.9 (CI 95%: €19.6–22.2; median €20). Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4–6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively). Conclusions The economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception of value of health services.
Martin-Fernandez, Jesus; del Cura-Gonzalez, M? Isabel; Rodriguez-Martinez, Gemma; Ariza-Cardiel, Gloria; Zamora, Javier; Gomez-Gascon, Tomas; Polentinos-Castro, Elena; Perez-Rivas, Francisco Javier; Dominguez-Bidagor, Julia; Beamud-Lagos, Milagros; Tello-Bernabe, M? Eugenia; Conde-Lopez, Juan Francisco; Aguado-Arroyo, Oscar; Bayona, M? Teresa Sanz-; Gil-Lacruz, Ana Isabel
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.
Forensic mental health nursing is a recognized field of nursing in most countries. Despite a growing body of literature describing aspects of practice, no publication has been found that captures the core knowledge, skills, and attitudes of forensic mental health nurses. One group of nurses in Australia have pooled their knowledge of relevant literature and their own clinical experience and have written standards of practice for forensic mental health nursing. This paper identifies the need for standards, provides a summary of the standards of practice for forensic mental health nurses, and concludes with how these standards can be used and can articulate to others the desired and achievable level of performance in the specialty area. PMID:24158155
Martin, Trish; Maguire, Tessa; Quinn, Chris; Ryan, Jo; Bawden, Louise; Summers, Monica
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.
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
Teenage health issues and the means to address them have caused increasing concern over recent years. This study investigated the involvement and training of practice nurses, the topics raised during consultations with teenagers, and the comfort of the practice nurses in dealing with these topics. Data were collected using a postal questionnaire survey (response rate 80.6%). Expansion of the role of the practice nurse in teenage health may be appropriate but needs to be supported by training.
Gregg, R.; Freeth, D.; Blackie, C.
The history of nursing in Sydney is central to understanding a range of issues including healthcare and gendered employment. This article is an introduction to nursing’s complex, fascinating and much neglected history in Sydney, Australia. Its focus is on hospitals as these have been, and remain, a central site for nursing practice and education. It explores the very different experiences of nursing students and matrons, the difficult working conditions which led to the ‘battleaxe’ ster...
Background: Nurses are vulnerable to various sleep disorders because of the nature of their job. If nurses do not experience a good general health, they will not be able to do their job (patient care) well. Materials and Method: We conducted a descriptive-comparative study in 180 nurses that were selected with the stratified sampling method who have been working in different work shift hours in teaching hospitals. We used PSQI and GHQ-28 questionnaire for collecting data.Results: The study re...
The aim of the study was to investigate the role of community mental health nurses in educating clients and families about schizophrenia. A random sample of community mental health nurses was surveyed using a postal questionnaire. Results showed that most nurses did not use a specific approach for education. Families were educated when clients were admitted to hospital and clients were included when they regained the ability to process information. All nurses provided practical advice to families coping with clients' unpredictable behaviours. The client's home was mostly used for education. Clients and families were often in denial of the illness. Time constraints restricted the nurses' role of providing education. Nurses reported that psycho-educational theories or models were not incorporated into their basic professional education. Nurses require the necessary knowledge, skills and confidence to competently perform this role. PMID:10855091
Fung, C; Fry, A
The purpose of this study was to explore the nature of health insurance coverage research universities offer their employees and the extent to which these employers offer options providing for reimbursement of services of independent nurse practitioners. A request for health insurance documents mailed to 77 public research universities resulted in a response rate of 83 per cent. A total of 75 per cent sent usable descriptions of insurance coverage for analysis. Among the respondents, 69 per cent (n = 40) reported offering insurance through Blue Cross/Blue Shield companies. Nursing services reimbursed generally included traditional nursing care such as private duty nursing and home health care. Coverage of nursing services that overlap with traditional medical practice, such as prenatal care and labor and delivery services of nurse midwives, anesthesia services of nurse anesthetists, psychiatric services of nurse specialists, and primary care nursing services of nurse practitioners, was less evident. Findings generally indicated that in spite of the presence of enabling or mandatory state legislation for third-party reimbursement of nursing services, legislation is not being implemented in many states by employers in their purchase of group policies. PMID:2312928
Scott, C L; Harrison, O A
In this paper key highlights of the scholarly work presented at the Toronto 2008 Global Alliance for Nursing Education & Scholarship (GANES) conference are summarized, challenges opportunities and issues facing nursing education globally arising from the conference discourse are outlined and initial steps are suggested as a way forward to a shared global view of baccalaureate and graduate nursing education and scholarship. This shared view arises from beginning understandings of the issues and opportunities we face globally starting with and building upon the lessons learned from the literature and from the experiences of nursing educators and nursing education organization locally, regionally, nationally and internationally. The theme of the groundbreaking GANES Toronto conference was "Educating the future nursing and health workforce: A global challenge". One hundred seventy delegates from 17 countries attended the event, with over 80 papers presented. A primary focus of GANES is the contribution of a strategic alliance of national nursing education organizations to contribute to nursing education leading practices and policy that address the scaling up of global nursing and health workforce. The founding members of GANES see a clear link between a strong educational infrastructure and strong scholarship activities in nursing and the ability of a society to be healthy and prosperous. Evidence presented at the recent GANES conference supports that belief. Through the strength of partnerships and other capacity-building efforts, member countries can support each other to address the global nursing education and health challenges while respecting the local issues. PMID:19388426
Rukholm, Ellen E; Stamler, Lynnette Leeseberg; Talbot, Lise R; Bednash, Geraldine; Raines, Fay; Potempa, Kathleen; Nugent, Pauline; Clark, Dame Jill Macleod; Bernhauser, Sue; Parfitt, Barbara
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
This study assessed the impact of caring for AIDS sufferers on the mental health of nurses. This assessment was measured against the level of burnout, stress and depression among 174 nurses caring for people living with HIV and AIDS in Limpopo Province, South Africa. A structured questionnaire was used for data collection. The questionnaire incorporated the AIDS Impact Scale (AIS), Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI) and the participants’ demographic and profess...
Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practical nurses. The first unit deals with the various aspects of pediatric nursing, including the growth and development levels of children, diseases and conditions specific to children, and the application of health…
Arizona State Dept. of Education, Phoenix.
Migrant Health Service, Inc., was established to address the health needs of migrant farmworkers and their families. Ten satellite nurse-managed centers and two mobile units use a voucher system to provide financial support for clients. The centers also provide clinical experiences for nursing students. (Contains 22 references.) (JOW)
Guasasco, Charlene; Heuer, Loretta Jean; Lausch, Cheryl
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 SciELO Cuba | Language: Spanish Abstract in spanish Este artículo pretende presentar a enfermería desde el concepto de profesión, con el propósito de argumentar si cumple con los criterios para ser considerada en propiedad como tal. Para ello es necesario considerar la evolución histórica del concepto profesión en enfermería, asociado a los cuidados [...] de salud y la instrucción formal impartida a partir de Florence Nightingale. El análisis de enfermería como profesión es realizado según las características señaladas por Ellis y Hartley, las que consideran aspectos tales como; conocimientos, metodología, nivel educacional, autonomía, ética, contribución social y compensación. Se puede concluir que enfermería es una profesión joven, y que existen fundamentados elementos para argumentar, que se dispone de las herramientas necesarias para seguir desarrollándose. Abstract in english This article aims to introduce the concept of nursing as a profession in order to argue whether it meets the criteria to be considered as such. It is therefore necessary to take into account the historical evolution of the professional concept in nursing, which is associated with health care and the [...] formal instruction that has been taught since the time of Florence Nightingale. Nursing as a profession is analyzed according to the characteristics identified by Ellis and Hartley, including issues such as: knowledge, methodology, education level, autonomy, ethics, social contribution, and compensation. It can be concluded that nursing is a young profession and there are grounds to argue that there are tools available to further develop this occupation.
Mónica, Burgos Moreno; Tatiana, Paravic Klijn.
Polycystic ovarian syndrome is a complex problem affecting as many as 10% of a company's female work force. The condition commonly presents with symptoms of oligomenorrhea or amenorrhea, central obesity, and hirsutism. Stein (1935) first postulated the condition as cystic ovaries resulting from continuous LH stimulation. A current hypothesis is that PCOS may be two conditions--one resulting from LH and a second the result of a hyperinsulinemia. Weight loss and exercise, often difficult to maintain, can often return a woman to normal ovulatory cycles. First line pharmocotherapy includes OCs with desogestral as the progestin component. Antiandrogens such as spironolactone can be added to increase the antiandrogen effect. The occupational health nurse may be the only health care provider with whom the employee comes into contact who is able to see the impact of the syndrome over time, thus allowing the opportunity to counsel employees about long term risk reducing behaviors. PMID:12596342
Kelley, Larry S
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.
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.
In Australia, there is a workforce shortage of nurses in the mental health sector, and it is essential that universities play a part in the recruitment of nurses to work in this area. In this article, we present a literature review of educational strategies for mental health in undergraduate nursing curricula and how these align with the recommendations of the Mental Health Nurse Education Task Force. We reviewed quantitative and qualitative research from 2005 to 2012. Twelve studies from Australia and elsewhere of different types of educational courses and strategies were included for this review. The key topics identified were in relation to a general overview of programmes outlining the content and outcomes, clinical placement strategies, involvement of consumers and mental health nurses in curriculum delivery and oversight, e-learning strategies, and implementation of mental health majors. Finally, limitations with considering the literature as a whole were highlighted, and recommendations made for future changes and research. PMID:23718842
Neville, Christine; Goetz, Sandra
Describes a study of the impact of a nurse training program for family planning that stresses the development of nurses' counseling skills. Found an association between improved family planning training for nurses and positive changes in family planning knowledge, attitudes, and behavior among women attending Egyptian Ministry of Health clinics.…
Halawa, M.; And Others
Full Text Available The increasing growth of life expectancy in western societies brings along higher rates of chronic, limiting and invalidating diseases. Amongst these services being offered to the dependent elder, the ATDOM program is intended to provide health support for elders at home.The project was first developed to assess the health characteristics for patients included in ATDOM program.To reach that objective a Descriptive study was developed. The study population were the 87 patients included in the ATDOM program at the Community Health Care Center of Castellar del Vallès. Measurement instruments used for assessing some of the main variables were Barthel scale, Braden scale and Zarit test. NANDA classification was used to identify Nursing diagnoses.Average age of our population was 82’90 years, 35’6% of them being male and 64’4% female. 98’9% of these patients reported having an identified caregiver. Average age of caregivers was 62’94, 82’6% being women. 21’8% of patients presented with severe or total dependence levels. 26’1% of caregivers reported being overloaded by caregiving burden. Only 1’4% had high risk of having bedsore.Most prevailing nursing diagnoses were related to skin injury and difficulties with physical mobility as well as to lack of autonomy on daily living activities.
Montserrat Ballester Rubio
Mental health nurses have a key role in improving the physical health of people with a serious mental illness, however, there have been few studies of their attitudes or the extent of their involvement in this work. The aim of this study was to examine mental health nurses' attitudes to physical health care and explore associations with their practice and training. A postal questionnaire survey including the Physical Health Attitude Scale for mental health nurses (PHASe) was used within a UK mental health trust. The 52% (n?=?585) of staff who responded reported varying levels of physical health practice; this most frequently involved providing dietary and exercise advice and less frequently included advice regarding cancer screening and smoking cessation. Having received post-registration physical health-care training and working in inpatient settings was associated with greater reported involvement. More positive attitudes were also evident for nurses who had attended post-registration physical health training or had an additional adult/general nursing qualification. Overall, the attitudes of mental health nurses towards physical health care appear positive and the willingness of nurses to take on these roles needs to be recognized. However, there are areas where nurses in our sample were more ambivalent such as cancer screening and smoking cessation. PMID:23066812
Robson, Debbie; Haddad, Mark; Gray, Richard; Gournay, Kevin
In an effort to better understand the current use and adoption rates of electronic health records and other health information technology (HIT) applications within nursing homes, the Division of Health Care Policy and Research at the University of Colorad...
A. Kramer A. Richard K. May M. Kaehny
Two aspects of a study examining the congruence of critical caring theory with public health nursing practice are reported. They confirm a congruence between expert public health nursing practice and the theory in terms of (a) a caring/social justice ethics that underpins practice and (b) the relevance to their practice of the carative health promoting process of contributing to the creation of supportive and sustainable physical, social, political, and economic environments. Public health nurse participants encountered many barriers to a practice underpinned by a caring/social justice ethic, some of which limited their moral agency. PMID:22429948
Falk-Rafael, Adeline; Betker, Claire
Background/objectives:Sarcopenia and sarcopenic obesity (SO) are geriatric syndromes leading to physical disability, poor quality of life and death. The aim of this study was to investigate the prevalence of sarcopenia and SO in nursing homes in Turkey and to define local disparities for diagnosing sarcopenia and SO.Subjects/methods:This cross-sectional multicenter study was performed in 711 patients in 14 nursing homes. Comprehensive geriatric assessment tests, handgrip strength and calf circumference (CC) measurements were carried out. Sarcopenia was both defined by handgrip strength and CC criteria.Results:According to handgrip strength measurement, 483 (68%) of patients were sarcopenic (male: 72%, female: 63.8%), 228 were non-sarcopenic. The prevalence of SO was 22% (13.7% in men, 30.2% in women). Patients (82.5%) who were diagnosed as sarcopenic by the handgrip strength test were not sarcopenic according to CC sarcopenia criteria. Therefore, we tried to determine the optimal CC value for diagnosing sarcopenia in our population.Conclusions:Both sarcopenia and SO were prevalent among Turkish nursing home elderly residents. Most of the patients with sarcopenia were obese or overweight. We showed that diagnosing sarcopenia with CC measurement underestimated the sarcopenia prevalence assessed by handgrip strength. So we concluded that, although different assessment methods are recommended for the diagnosis of sarcopenia local disparities should be considered. PMID:24569540
Halil, M; Ulger, Z; Varl?, M; Döventa?, A; Oztürk, G B; Kuyumcu, M E; Yavuz, B B; Yesil, Y; Tufan, F; Cankurtaran, M; Saka, B; Sahin, S; Curgunlu, A; Tekin, N; Akçiçek, F; Karan, M A; Atl?, T; Beger, T; Erdinçler, D S; Ar?o?ul, S
The purpose of this paper was to describe the development and testing of a computer simulation program designed to assess the decision-making process in the public health nurses' work in child health care. The work was based primarily on theories of problem-solving and decision making; on knowledge of child development, health care, and education; and on the soft systems methodology. An authoring program and two simulations were designed and produced at the University of Turku by a team of two nurse researchers, a computer specialist, and three public health nurses. The simulations presented two typical situations encountered by the public health nurses' work in child health care. A total of 61 public health nurses from 11 health centers in the southwestern part of Finland completed the simulations. The public health nurses responded positively to the simulations and the program worked very well. The results revealed some inconsistencies in the decision-making process of the public health nurses with respect to the needs of the child and the family. The public health nurses' decisions were more closely related to the developmental stage of the child than to the unique needs of each family. The simulation is acting to test the public health nurses' ability to make decisions "here and now" but not about caring it forward. These shortcomings can be corrected by asking them to explain their decisions and thoughts after each stage and by tape recording their answers. The findings gave many answers to the question of how the computer simulation program can be developed. PMID:1643578
Full Text Available As residents of the mental health specialty, we take great care plan with methodology NANDA-NOC-NIC (NNN in each of our rotations. Because of that there is still no consensus on how to use this methodology; we made this poster with our proposal. To do this, we propose a practical and standardized to carry out the care plans to guide future resident nurse of mental health in their care plans.Taking into account the review of various models of existing ratings of nursing at present, as well as taxonomy NNN, we carried out the development of a poster in which we show a practical example of how our proposed structure of a care plan:Evaluation: through functional patterns of M. Gordon Diagnosis: respecting the PES format: - (P Problem: Using with the NANDA taxonomy - (E Etiology: related factors- (S Signs and symptoms: definitorial characteristics Planning: depending on the diagnosis set forth, the NOCs will agree. Performance indicators are also defined, specifying the current state, as well as the level to maintain /achieve and the time to be assessed. Lastly proposed interventions (NIC and developed activities to be carried out to achieve the expected results. Implementation: implementation of interventions and activities Evaluation: we review the performance indicators, assessing the level reached in light of the current situation of the patient, and proposing corrective measures if necessary. As discussion could conclude that we used in our rotations this structure, so that we standardized "way we do." In turn, we have disseminated this structure in the National Congress of Mental Health Nursing.
Natalia Cámara Conde
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.
This article describes ongoing cancer screening in a low-income and ethnically diverse community (primarily Southeast Asian and Hispanic). These services are part of the comprehensive care provided in a district nursing community health clinical. Screening services occur within the refugee community and include mammograms, individualized breast self-exam (BSE) teaching, home follow-up on the BSE teaching, and assistance obtaining any additional screening or treatment, if necessary. Except for technician activities, students plan, implement, and evaluate all services. The first event was in spring 1995, the second in summer 1995, and the third in fall 1995. Thus far, 85 women have received services. Cambodian and Laotian women show the lowest level of knowledge and experience related to breast cancer detection. This article provides some of the first data on cancer screening for low-income Cambodian and Laotian women in the United States. The article also shows how ongoing cancer screening and prevention services can be provided to populations that have not been successfully reached through usual means, e.g., referral by nurse practitioner, physician, and electronic or print media. Specific means of overcoming barriers to screening, prevention, and learning are described in detail. PMID:8885482
Bailey, S; Bennett, P; Hicks, J; Kemp, C; Warren, S H
We did a mail survey in 1998 in Tohoku district. We sent questionnaires to approximately 300 Occupational Health (OH) nurses and got 132 replies. Occupations of respondents were 66 public health nurses and 57 nurses. More than 70% did not have a managerial position. About 40% were respondents without colleagues in nursing occupations. Full time occupational physicians were in 40% of companies, and semi-full time occupational physicians were in 60%. Respondents citing good coordination in the former were 60%, and in the latter were 80%. Of all business activities occupying OH nursing employees, persons who performed more than 90% of the tasks numbered more than 30%. Persons not satisfied with present employment positions were 80%. Reasons for dissatisfaction in declining order of incidence were work duties, contract conditions for employment, and personal relations. Planning and summary of OH nursing activities were carefully done highly. For the OH nursing activity evaluation, we examined guidelines for business locations by observing them from the OH nursing aspect and the OH nursing job itself. Guidelines considered for business locales from the OH nursing vantage point show numerically, for example, rates of examinees with abnormal findings, work absenteeism, etc, and expectations as to whether or not health conditions are conspicuously reflected in productivity. Conversely, from the OH nursing vantage point for guidelines on business locales, while receiving affirmative economic evaluation of occupational health and safety measures, progress (process) should also be included in the object of evaluation. Furthermore, guidelines should be mindful of the need to have qualitative and quantitative changes in health behavior of workers and perspectives on health. PMID:11436348
Tada, Y; Mogami, A; Satou, M; Inoue, M; Yasuhara, S; Yamaya, S
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.
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
Two surveys of private nursing homes, designated geriatric wards, and a sample of social service part III homes were carried out in the Brighton Health District using questionnaires supplemented (in the second survey) by some interviews. The dependency of old people in the private nursing homes was more like that of long stay hospital patients rather than that of residents in social services homes. In the private nursing homes, however, a smaller proportion of patients were in the medium to h...
The objectives of this study were to identify the role of community nurses in the prevention of tuberculosis (TB) and to identify problems experienced by them when fulfilling this role in the Tshwane Health District of Gauteng. A non-experimental, descriptive, quantitative research design method was used to collect data from community nurses. The sample included 59 registered nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data and...
Mnisi, Siphiwe D.; Peu, Mmapheko Doriccah; Meyer, Salome M.
The objectives of this study were to identify the role of community nurses in the prevention of tuberculosis (TB) and to identify problems experienced by them when fulfilling this role in the Tshwane Health District of Gauteng. A non-experimental, descriptive, quantitative research design method was used to collect data from community nurses. The sample included 59 registered nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data and quantitative d...
Mnisi, Siphiwe D.; Peu, Mmapheko D.; Meyer, Salome? M.
Background Nurses and allied health care professionals (physiotherapists, occupational therapists, speech and language pathologists, dietitians) form more than half of the clinical health care workforce and play a central role in health service delivery. There is a potential to improve the quality of health care if these professionals routinely use research evidence to guide their clinical practice. However, the use of research evidence remains unpredictable and inconsistent. Leadership is consistently described in implementation research as critical to enhancing research use by health care professionals. However, this important literature has not yet been synthesized and there is a lack of clarity on what constitutes effective leadership for research use, or what kinds of intervention effectively develop leadership for the purpose of enabling and enhancing research use in clinical practice. We propose to synthesize the evidence on leadership behaviours amongst front line and senior managers that are associated with research evidence by nurses and allied health care professionals, and then determine the effectiveness of interventions that promote these behaviours. Methods/Design Using an integrated knowledge translation approach that supports a partnership between researchers and knowledge users throughout the research process, we will follow principles of knowledge synthesis using a systematic method to synthesize different types of evidence involving: searching the literature, study selection, data extraction and quality assessment, and analysis. A narrative synthesis will be conducted to explore relationships within and across studies and meta-analysis will be performed if sufficient homogeneity exists across studies employing experimental randomized control trial designs. Discussion With the engagement of knowledge users in leadership and practice, we will synthesize the research from a broad range of disciplines to understand the key elements of leadership that supports and enables research use by health care practitioners, and how to develop leadership for the purpose of enhancing research use in clinical practice. Trial registration PROSPERO CRD42014007660.
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
Determinación de las características del docente asistencial que forma al especialista de Enfermería Materno Infantil: Una propuesta de indicadores / Assessment of the characteristics of the medical care teachers who train the Maternal and Child Health Nursing specialists
Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Fundamento: Los rasgos que deben poseer los docentes asistenciales que forman al especialista en Enfermería Materno Infantil son esenciales para trasmitir y formar modos de actuación en la docencia. Objetivo: Determinar las características del docente asistencial que forma al especialista de Enferme [...] ría Materno Infantil. Métodos: Se realizó un estudio exploratorio que abarca los años 2007-2008 en el Hospital General Universitario ?Gustavo Aldereguía Lima? de Cienfuegos, se aplicó la teoría de la decisión, para la selección de los criterios que fueron tomados en el modelo multicriterial, mediante la aplicación de una variante del método Delphi. El universo estuvo constituido por los coordinadores y metodólogos que atienden la especialidad Enfermería Materno infantil a nivel nacional, para la obtención de la muestra se realizó un muestreo no probabilístico (muestreo de expertos). Resultados: Se precisan 23 criterios que son superiores al punto de corte PC4 correspondiente a la categoría de mucho que vincula el modelo del profesional con las exigencias sociales para conocer, relacionar y aplicar el contenido de la enfermería utilizando los recursos materiales que relacionan lo concreto con lo abstracto para promover la continuidad asistencial del cuidado y la utilización de las potencialidades de la asistencia en la formación del especialista donde quedó demostrado el comportamiento del profesional. Conclusiones: Se evidencia a través de los criterios identificados que la asistencia es el sustento de la formación docente que necesita el profesional para organizar los procesos docentes a partir de los problemas asistenciales que le permita cumplir con el encargo social de formador en salud. Abstract in english Backgrounds: The features of the Mother and Child Health Nursing specialist?s teaching care training are paramount to form appropriate teaching behaviors. Aim: To determine the features of the medical care teacher who trains the Mother and Child Health Nursing specialist. Methods: An exploratory res [...] earch was carried out during the years 2008-2009 in the ?Gustavo Aldereguía Lima? General University Hospital of Cienfuegos, Decision Theory was applied to select the criteria taken into account in the Multicriterial model, by means of a variation of the Delphi Method. The universe was made up by the coordinators and methodologists who run the Mother and Child Health Nursing specialty on a national level, and a non-probabilistic sampling was conducted to obtain the Sample (Experts Sampling). Results: 23 criteria exceeding the PC4 cutoff point corresponding to the ?much? category are needed, which links the professional model to the social demands to know, relate and apply the contents of nursing using the material resources that connect the concrete to the abstract to promote the continuity of medical care and the use of the potential of assistance in the training the specialists in which the professional?s behavior was demonstrated. Conclusions: By means of the stated criteria, it is evidenced that medical care is the basis for the kind of teaching training our professional needs to organize the teaching process, starting from medical care issues. That training allows them to accomplish their social task as health trainers.
Norma, Mur Villar; Miriam, Iglesias León; Manuel, Cortés Cortés; María, Aguilar Cordero.
Assessment of the characteristics of the medical care teachers who train the Maternal and Child Health Nursing specialists Determinación de las características del docente asistencial que forma al especialista de Enfermería Materno Infantil
Full Text Available Backgrounds: The features of the Mother and Child Health Nursing specialist’s teaching care training are paramount to form appropriate teaching behaviors. Aim: To determine the features of the medical care teacher who trains the Mother and Child Health Nursing specialist. Methods: An exploratory research was carried out during the years 2008-2009 in the “Gustavo Aldereguía Lima” General University Hospital of Cienfuegos, Decision Theory was applied to select the criteria taken into account in the Multicriterial model, by means of a variation of the Delphi Method. The universe was made up by the coordinators and methodologists who run the Mother and Child Health Nursing specialty on a national level, and a non-probabilistic sampling was conducted to obtain the Sample (Experts Sampling. Results: 23 criteria exceeding the PC4 cutoff point corresponding to the “much” category are needed, which links the professional model to the social demands to know, relate and apply the contents of nursing using the material resources that connect the concrete to the abstract to promote the continuity of medical care and the use of the potential of assistance in the training the specialists in which the professional’s behavior was demonstrated. Conclusions: By means of the stated criteria, it is evidenced that medical care is the basis for the kind of teaching training our professional needs to organize the teaching process, starting from medical care issues. That training allows them to accomplish their social task as health trainers.Fundamento: Los rasgos que deben poseer los docentes asistenciales que forman al especialista en Enfermería Materno Infantil son esenciales para trasmitir y formar modos de actuación en la docencia. Objetivo: Determinar las características del docente asistencial que forma al especialista de Enfermería Materno Infantil. Métodos: Se realizó un estudio exploratorio que abarca los años 2007-2008 en el Hospital General Universitario “Gustavo Aldereguía Lima” de Cienfuegos, se aplicó la teoría de la decisión, para la selección de los criterios que fueron tomados en el modelo multicriterial, mediante la aplicación de una variante del método Delphi. El universo estuvo constituido por los coordinadores y metodólogos que atienden la especialidad Enfermería Materno infantil a nivel nacional, para la obtención de la muestra se realizó un muestreo no probabilístico (muestreo de expertos. Resultados: Se precisan 23 criterios que son superiores al punto de corte PC4 correspondiente a la categoría de mucho que vincula el modelo del profesional con las exigencias sociales para conocer, relacionar y aplicar el contenido de la enfermería utilizando los recursos materiales que relacionan lo concreto con lo abstracto para promover la continuidad asistencial del cuidado y la utilización de las potencialidades de la asistencia en la formación del especialista donde quedó demostrado el comportamiento del profesional. Conclusiones: Se evidencia a través de los criterios identificados que la asistencia es el sustento de la formación docente que necesita el profesional para organizar los procesos docentes a partir de los problemas asistenciales que le permita cumplir con el encargo social de formador en salud.
María José Aguilar Cordero
Full Text Available Introduction: Low back pain is a chronic disease with direct physical, economic and social implications. It is accepted that the nursing staff is among the high-risk group for the development of musculoskeletal disorders of the lumbar spine in particular. The purpose of this study was to investigate the problem of low back pain in nurses and in assistant nurses of Primary Health Care. Material and Methods: The sample consisted of 212 nurses and nursing assistants. As a place of research were selected medical facilities of the institution of the Social Insurance Institution of Athens and the outpatient departments of the Hospitals Laiko and Korgialenio – Benakio. Data were collected using an anonymous, self-administered and weighted questionnaire from 4/1/10 to 30/6/10. For data processing used the statistical package for social sciences (SPSS 16.Results: The 87.3% of the sample consisted of women and 8.5% of men. The majority (42% belonged to the age group of 30-40 years and were graduates of Technological Education. The 33.5% (N=71 of respondents reported to be suffering from spinal injuries that occur due to working conditions with 78.8% (N=167 report that they feel pain both during the work and after this. Conclusions: The low back pain in nursing personnel is a multifactorial problem with direct socioeconomic implications. Reducing the incidence and prevalence of the disease is both individual and collective team effort and bodies.
This study aimed to clarify whether a collaborative exercise using a Wiki to teach nursing students health-specific terminology resulted in better learning. In one New Zealand School of Nursing a list of health-related and discipline-specific terms was created, first-year nursing students were expected to learn these before their initial clinical practice. However, students found the terms difficult to learn. The use of a collaborative Wiki exercise to create a glossary of health terms was seen as a way to aid student learning, while also providing a learning environment where students would develop collaborative skills. PMID:24839746
Honey, Michelle; Doherty, Iain
This work presents a research undertaken for a diploma of Master in social sciences in connexion with the conceptions of HES new graduate nurses concerning health promotion. An inductive qualitative approach has been used to explore the influence of the alternation training within the University of Applied Sciences of Health arc on their professionalisation. In addition to the semi-directing interviews, an understanding maintenance in group has been led to account for the reflexivity and difficulties of the new graduates. The results show that they spontaneously refer to the global health model, but are confused when asked to define the concept of health promotion. The practical training seems to be less professionalized in this precise field, in connection with a prevalence of the biomedical model and the nurses' increased workload. We identify socialization in the places of acute care. The results show that the formation at school accurately prepared the nurses to exert their role as a "reflexive practitioner" who takes into account the complexity of the various determinants of health with respect to the situations of care, although the lessons remain very abstract. The analysis of the results show that professionalisation of HES nurses is hesitant and fragile in the field of the promotion of health, due to several conceptual, epistemic, organisational and political factors. A "project-actions" has been worked out and has raised some levers and obstacles with its realisation. This research opens on other tracks of research, which could be able to explore more accurately the difficulties and obstacles at school and on the spot for practise and their influence on the professionalisation of the nurses-to-be. PMID:21972583
Messmer-Al Abed, Naamat
Introduction: This study identifies and analyzes the levels of relations between decision-making competency, self-determination, and health lifestyle in nursing students. Methods: This study was designed as a descriptive research to identify the relations of nursing students’ decision-making compe...
BongSuk Lee; Ji-Su Kim
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 ...
Galder Abos-Mendizabal; Roberto Nuño-Solinis; Leticia San Martin-Rodriguez
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.
Using 2003 nursing home data from the Minimum Data Set (MDS) database, this study investigated the role of family support among nursing homes serving residents with a mental health history. Exploratory factor analysis was used to create and test a conceptual model of family support using indicators located within the MDS database. Families were…
Frahm, Kathryn; Gammonley, Denise; Zhang, Ning Jackie; Paek, Seung Chun
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
In response to low scores on a patient safety culture survey, the Veterans Health Administration National Center for Patient Safety implemented a comprehensive nursing-focused crew resource management program for frontline nursing staff. This article highlights significant cultural and clinical outcomes from the program. PMID:23425908
Sculli, Gary L; Fore, Amanda M; West, Pricilla; Neily, Julia; Mills, Peter D; Paull, Douglas E
The report describes the factors affecting the job satisfaction and retention of nurses at community and migrant health centers (C/MHCs), in light of the nursing shortage that existed at the time of the study. Literature reviews, the use of a questionnair...
D. C. Jones N. P. Rizzo C. Mullinix
A health hazard evaluation of the Palatine Nursing Home, Palatine, New York was conducted to determine if the nursing staff had contracted scabies from a patient at the facility which provides constant care for the acute and chronically ill. Scabies, caus...
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.
Background: Family systems nursing embraces the view that one family member’s illness affects other family members and vice versa. Family nursing developed as a way for nurses to work with families to promote health. Previously, teachers performed most of the education on health-promoting conversations with families on campus. Because online education is increasingly requested...
Viveca, Lindh R.; Chatrin, Persson V.; Saveman Britt Inger; Englund Claire J; Idberger Karl; Ulrika, O?stlund E. A.
Health information technology is revolutionizing the way we interact with health-related data. One example of this can be seen in the rising adoption rates of electronic health records by healthcare providers. Nursing plays a vital role in electronic health record adoption, not only because of their numbers but also their intimate understanding of workflow. The success of an electronic health record also relies on how usable the software is for clinicians, and a thorough usability evaluation is needed before implementing a system within an organization. Not all nurses have the knowledge and skills to perform extensive usability testing; therefore, the informatics nurse specialist plays a critical role in the process. This article will discuss core usability principles, provide a framework for applying these concepts, and explore the role of the informatics nurse specialist in electronic health record evaluation. Health information technology is fundamentally changing the clinical practice environment, and many nurses are seeking leadership positions in the field of informatics. As technology and software become more sophisticated, usability principles must be used under theguidance of the informatics nurse specialist to provide a relevant, robust, and well-designed electronic health record to address the needs of the busy clinician. PMID:24473121
Rojas, Crystal L; Seckman, Charlotte A
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.
Full Text Available South Africa is called “the rainbow nation” because it has so many different cultures. These have an impact on the provision of primary health care. The purpose of this research is to foster good relationships between community health nurses and traditional healers and to explore, identify and describe the attitude of community health nurses towards the integration of traditional healers into primary health care. A non-experimental, explorative and descriptive research strategy was designed to explore the working relationship between community health nurses and traditional healers. Data was collected using a structured questionnaire. Quantitative as well as qualitative data analysis techniques were adopted to interpret the findings. The results indicated that respondents demonstrated positive attitudes towards working with traditional healers, especially in the provision of primary health care. Positive opinions, ideas and views were provided about the integration of traditional healers into primary health care. Respect, recognition and sensitivity were emphasized by respondents.
United States Air Force Environmental Health Nurses(EHNs) are required by regulation to provide support during peacetime natural disasters. Additionally, they are also expected to monitor shelter safety and decontamination procedures during armed conflict...
B. T. Kauffman
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.
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.
Frequently, research and conference papers explore difficult or problematic areas of practice that can inadvertently render daily nursing accomplishments invisible and create the perception of a discipline in crisis. In this qualitative study, we explore the views of registered nurses about achievements in the workplace and good nursing work in an acute inpatient mental health setting in Sydney, Australia. Mental health nurses were asked a series of questions about their experiences and understanding of what constitutes good nursing work as well as their sense of optimism about their work. A total of 40 structured face-to-face interviews were completed. Among the responses to questions about achievements and good nursing practice, five broad themes were identified: i) teamwork; (ii) interpersonal interactions with patients; (iii) providing practical and holistic support to patients; (iv) patients' mental health improvements; and (v) optimism-pessimism continuum. Findings contribute to a discussion of good nursing work in acute mental health settings, as well as self-perceptions of optimism and hopefulness, which are important contributors to positive, supportive health-care settings and patient recovery. PMID:22583567
Cleary, Michelle; Horsfall, Jan; O'Hara-Aarons, Maureen; Jackson, Debra; Hunt, Glenn E
A survey of registered nurses in the Rochester area was conducted to identify needs of potentially reemployable nurses in response to the prevailing opinion that uncongenial working conditions were the primary cause for the shortage of nurses. Data were collected from 20 percent random sample of registered nurses who completed either a survey form…
Kanun, Clara; Podratz, Rosalyn
Occupational health nurses use their knowledge and skills to improve the health and safety of the working population; however, companies increasingly face budget constraints and may eliminate health and safety programs. Occupational health nurses must be prepared to document their services and outcomes, and use quantitative tools to demonstrate their value to employers. The aim of this project was to create and pilot test a quantitative tool for occupational health nurses to track their activities and potential cost savings for on-site occupational health nursing services. Tool developments included a pilot test in which semi-structured interviews with occupational health and safety leaders were conducted to identify currents issues and products used for estimating the value of occupational health nursing services. The outcome was the creation of a tool that estimates the economic value of occupational health nursing services. The feasibility and potential value of this tool is described. PMID:24410823
Graeve, Catherine; McGovern, Patricia; Nachreiner, Nancy M; Ayers, Lynn
Professional environments likely affect patient safety, quality of care provided, and nurses' satisfaction and retention. The aim of this study was to explore mental health nurses' perceptions of their professional practice environment and examine differences in perceptions between nurses working at institutions and those practising in community care. The methodology used was descriptive and comparative. The sample consisted of 248 mental health nurses working within the public sector (76% response rate) drawn from a psychiatric hospital (n = 163) and community settings (n = 85). We administered the Revised Professional Practice Environment (RPPE) questionnaire. Comparisons of the two groups were made using eight subscales of the RPPE. The results indicated that mental health nurses' ratings of their practice environment were slightly positive (M = 2.69; range = 1-4). Nurses working in a psychiatric hospital perceived the professional practice environment more negatively (M = 2.66) than their colleagues in community care (M = 2.73). A t-test comparison revealed statistically significant differences between the two groups within subcategories of work motivation (P = 0.04) and leadership and autonomy (P = 0.03). Nurses working in the community gave higher ratings in comparison with their colleagues working in institutional settings. In conclusions, an in-depth analysis of differences in practice environments is required to define causes of these differences and how they might influence nurses' abilities to provide quality care. PMID:23413921
Farmakas, A; Papastavrou, E; Siskou, O; Karayiannis, G; Theodorou, M
Workplace violence, including workplace intimate partner violence, has major long-term health and employment outcomes and affects nursing personnel in significant numbers. By affecting productivity, absenteeism and job satisfaction workplace violence also...
A. D. Wolf B. K. Fowler C. Lindauer C. Ross C. Vincent D. Sheridan E. J. Kub G. Moscou-Jackson J. Agnew J. Campbell J. Deaton J. T. Messing L. LaFlair R. Bolyard S. Fitzgerald
The report summarizes and evaluates information relevant to a preliminary interim assessment of adverse health effects associated with Toxaphene. All estimates of acceptable intakes and carcinogenic potency presented in this document should be considered as preliminary and reflec...
The report summarizes and evaluates information relevant to a preliminary interim assessment of adverse health effects associated with Parathion. All estimates of acceptable intakes and carcinogenic potency presented in this document should be considered as preliminary and reflec...
The organizational structure of many hospitals conflicts with the practice of professional nursing, adversely affecting patient outcomes. The ability of nurses to practise in a professional manner may be influenced by the organizational culture of their work environment. Personal attributes may also play a role. Patient outcomes depend on the identification and promotion of scarce health resources. Personal investment theory was used as the conceptual foundation for this study because of its ability to blend environmental context and personal behaviours associated with motivation. Secondary data analysis was undertaken to determine whether organizational culture and personal sense of accomplishment can predict nursing professionalism. Multiple regression analysis showed that organizational culture predicted over 16% of the variance in nursing professionalism. Therefore, nursing professionalism and hospital environment featuring a strong organizational culture are two health resources that can promote improved patient outcomes. PMID:11998192
Manojlovich, M; Ketefian, S
Health Impact Assessment (HIA) was disseminated by World Health Organization (WHO) European Region in Gothenburg consensus paper in 1999. In this consensus, HIA is defined as ‘a combination of procedures, methods and tools by which a policy, program or project may be judged as to its potential effects on the health of population and the distribution of those effects within the population’. HIA was accepted as a goal for 4th phase of healthy city projects between 2003- 2008. HIA is...
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.
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 ...
Background: Early menopause has been associated with many adverse health outcomes, including increased risk of cardiovascular disease morbidity and mortality. Lead has been found to be adversely associated with female reproductive function, but whether exposures experienced by the general population are associated with altered age at menopause has not been explored. Objective: Our goal was to assess the association between cumulative lead exposure and age at natural menopause. Methods: Self-reported menopausal status and bone lead concentration measured with K-shell X-ray fluorescence—a biomarker of cumulative lead exposure—were obtained from 434 women participants in the Nurses’ Health Study. Results: The mean (± SD) age at natural menopause was 50.8 ± 3.6 years. Higher tibia lead level was associated with younger age at menopause. In adjusted analyses, the average age of menopause for women in the highest tertile of tibia lead was 1.21 years younger (95% CI: –2.08, –0.35) than for women in the lowest tertile (p-trend = 0.006). Although the number of cases was small (n = 23), the odds ratio for early menopause (< 45 years of age) was 5.30 (95% CI: 1.42, 19.78) for women in the highest tertile of tibia lead compared with those in the lowest tertile (p-trend = 0.006). There was no association between patella or blood lead and age at menopause. Conclusions: Our results support an association between low-level cumulative lead exposure and an earlier age at menopause. These data suggest that low-level lead exposure may contribute to menopause-related health outcomes in older women through effects on age at menopause. Citation: Eum KD, Weisskopf MG, Nie LH, Hu H, Korrick SA. 2014. Cumulative lead exposure and age at menopause in the Nurses’ Health Study Cohort. Environ Health Perspect 122:229–234;?http://dx.doi.org/10.1289/ehp.1206399
Eum, Ki-Do; Nie, Linda H.; Hu, Howard; Korrick, Susan A.
Nurses have been found to experience higher levels of stress-related burnout compared to other health care professionals. Despite studies showing that both job satisfaction and burnout are effects of exposure to stressful working environments, leading to poor health among nurses, little is known about the causal nature and direction of these relationships. The aim of this systematic review is to identify published research that has formally investigated relationships between these variables. ...
Natasha Khamisa; Karl Peltzer; Brian Oldenburg
This qualitative study explored the experiences of adult nursing students from one university who had undertaken a clinical placement with health visitors. A convenience sample of 10 students were recruited to the study and semistructured interviews used to gather data. Interviews were digitally recorded, transcribed verbatim and subject to thematic analysis. Three global themes emerged: the learning experience; mentors and mentorship; and the nursing and health visiting relationship. PMID:22779391
Ridley, Caroline Ann
Background & Aim: Sleep is an important physiological process that has deep effects on psychological and physical health. This study carried out to investigate the association between quality of sleep and health-related quality of life in nurses. Methods & Materials: In this cross sectional and descriptive-analytic study, 127 nurses in Imam Hossein Hospital of Shahroud, Iran, during February and March 2006 were chosen enumeration and then their sleep quality and their quality of life in eight...
Bagheri H; Shahabi Z; Ebrahimi H; Alaeenejad F
The purpose of the research study was to describe guidelines to improve the community health clinics as a learning context conducive to learning. The objectives of the study commenced by getting the perception of student nurses from a nursing college in Gauteng; community sisters from ten community health clinics in the Southern Metropolitan Local Council and college tutors from a college in Gauteng. The research design and method used, consisting of a qualitative, exploratory, descriptive an...
Mb, Makupu; Botes, A.
Tiziana Rivera, the winner of the 2013 Nursing Leadership Award at the November HealthAchieve conference, is chief nursing executive and chief practice officer at Mackenzie Health. As such, she provides strategic leadership for the development and implementation of a shared vision for professional practice, nursing and all disciplines to promote innovative care and the development of care delivery models that will improve quality of care and population health.Prior to assuming her position at Mackenzie Health, Rivera provided strategic leadership for the Seniors' Health Program at Trillium Health Centre, where her role focused on the development of seniors' health services across the continuum of care. She has published numerous articles in refereed journals, conducted several research studies and presented her papers provincially, nationally and internationally. Rivera has a clinical appointment at the University of Toronto Faculty of Nursing, a faculty adviser position at Ryerson and an adjunct faculty position at the School of Health Sciences, York University and at the School of Health Sciences, Humber Institute of Technology and Advanced Learning.In the following Q and A, Rivera shares her thoughts on leadership in nursing and perspectives on several critical issues. PMID:24809420
The nurses function, no matter the working area, is guided by ethical approaches, grounded in science and well-tried experiences, and has to be conducted according to national laws, statutes and instructions. To survey newly graduated Swedish nurses knowledge about current statutes and laws that govern their healthcare system. A questionnaire was developed from facts in relevant statutes and laws presented and used in the nursing education programmes. Following a pilot study testing the items...
Kapborg, Inez D.; Bertero?, Carina
Focus in this report of a group tour of occupational health nurses from the US to China and the Philippines in May 1982 is on the visit to Shanghai, Soochow, Peking, and Manila. The trip was designed to develop a professional exchange between the 2 countries and to obtain continuing education units in Occupational Health Nursing. It was an opportunity for the US nurses to personally meet professional associates. Advance reading material was mailed to each tour participant for review prior to the trip. Focusing on the contrasting health delivery care system in China, emphasis was on the traditional and nontraditional treatment methods. Activities such as acupuncture, acupressure, and use of herbs and nontraditional medications were described. Health care in urban and rural areas is contrasted for variances. At this time the treatment theory and practice of psychology in the Western world is being challenged by concepts from other disciplines. Critics of the US model claim that it is culture bound with the disease oriented model rather than the new therapies with the preventive and holistic concept, the body mind integration, and the assumption of responsibility for oneself and the events which occur in one's life. During the tour of Shanghai a visit to the Commune provided an opportunity to experience the agricultural, industrial, and medical environment of that community population. The barefoot doctors today number 1 million and are formally trained in some Western methods. These doctors, usually women have received formal training, generally serve in the community in which they were trained and concentrate on prevention, counseling, and treatment of common disorders. The practice of the barefoot doctor involves counseling in birth control and on the need for birth control and refilling some prescriptions and pelvic reexaminations. As a result of the Commune tour it was evident that Chinese nurses in their Commune hospitals are involved in the total care plan of Commune operations but are not involved in occupational health nursing. The tour group met with the public health and occupational health nurses at the Philippine Nurses Association headquarters buildling. 100,000 registered nurses are spread out over 7000 islands. The occupational health nurses are required by the government to update their education. The Philippine Occupational Health Nurses Association conducts an aggressive educational program with meetings and seminars. Standards of practice for the occupational health nurse are not yet developed, but it is a goal which they expect to accomplish. PMID:6551742
Seaver, M E
Abstract Background There is significant concern about the worldwide migration of nursing professionals from low-income countries to rich ones, as nurses are lured to fill the large number of vacancies in upper-income countries. This study explores the views of nursing students in Uganda to assess their views on practice options and their intentions to migrate. Methods Anonymous questionnaires were distributed to nursing students at the Makerere Nursing School a...
A summary of proceedings of the Forum on Arthritis Research and Education in Nursing and Allied Health is presented. The keynote address, "The Burden of Arthritis," by Dorothy P. Rice, provides data collected by the National Center for Health Statistics on the prevalence of arthritis, the burden it imposes, and the volume, type, and cost of health…
Public Health Service (DHHS), Rockville, MD.
Background: Emotion and how people manage it is an important part of personality that would immensely affect their health. Investigations showed that emotional intelligence is significantly related to and can predict psychological health.Objective: To determine the effect of teaching emotional intelligence to intensive care unit nurses on their general health.Methods: This randomized clinical trial (registered as IRCT20120802...
Sharif, F.; Rezaie, S.; Keshavarzi, S.; Mansoori, P.; Ghadakpoor, S.
This paper investigates the attitudes and practices of members of the primary care team towards assessing the very elderly in the community. Using self-completion questionnaires 47 general practitioners, 24 health visitors and 22 community nurses in the Bath health district were asked if they felt over 75 year olds should be assessed, and if so who should do it, and what the assessment should include. A majority of all three groups of professionals considered it important to assess the over 7...
Tremellen, J.; Jones, D. A.
The objectives of this study were to identify the role of community nurses in the prevention of tuberculosis (TB) and to identify problems experienced by them when fulfilling this role in the Tshwane Health District of Gauteng. A non-experimental, descriptive, quantitative research design method was used to collect data from community nurses. The sample included 59 registered nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data and quantitative data analysis methods were employed. Various opinions and ideas on the role of community nurses in the prevention of TB and the problems experienced were identified. Based on the results of this research, measures to protect community nurses from contracting TB whilst on duty should be a priority. Government should support TB programmes by providing money to non-governmental organisations and direct observed treatment short course (DOTS) supporters to make follow-up visits to patients possible, thus reducing the number of defaulters. Stringent measures should be taken at all border points to ensure that foreigners are screened for TB, multidrug-resistant TB and extensively drugresistant TB. This study was limited to community nurses in the Tshwane Health District of Gauteng who were registered with the South African Nursing Council (SANC) and therefore this study could not be generalised to registered nurses in the hospital setting or even to clinics in the rest of South Africa. PMID:23327774
Mnisi, Siphiwe D; Peu, Mmapheko D; Meyer, Salomé M
Full Text Available This study it analyzes the ways of performance of the nurse in the different fields of the management of the health system, identifying intervening factors in the management process; aspects related to its formation that favor or harm the practical one of the management, as also, the necessary preceding experiences to the performance of the paper of manager in the present time. A exploratory research of field with nurses of 11 pertaining cities to the Regional Management of Health of Manhumirim/MG will be developed, through half-structuralized interview. One expects through the results, to demonstrate the relevancy of the formation of the nurse for the construction of the paper of managing nurse of health system.
Rapid increases in the size and costs of the home health market, unknown impacts of Medicare's DRG hospital reimbursement on the posthospital market, and general lack of knowledge about factors that explain interstate variation in home health utilization all suggest the importance of developing and testing models of Medicare home health use. This article proposes and tests a model of state home health utilization as a function of the nursing home market. This model proposes that home health u...
Full Text Available Assessing patients’ views indicates to patients that we are concerned about continuous assessment and improvingservices in general. It also indicates that we are a conscientious professional within a genuine humanistic line of work. Thepaper discusses the many theoretical and methodological problems that have arisen from attempts to measure andquantify patient satisfaction. Numerical data are thought to be ‘sterile’ without any insight into personal meanings. On theother hand purely qualitative methods have not been widely used. This discussion paper ends with the formulation of twosimple questions which can help us to explore and negotiate patients’ needs and satisfaction. Two non-offensivestraightforward questions are proposed as examples which could be used on a regular basis by nurses caring for olderpatients.
Full Text Available We show a proposal to increase the quality of nursing cares, improving mental health care of hospitalized patients by creating the figure of the liaison nurse within the liaison psychiatry team. This nurse would not only be a reference to support the nursing staff at the level of patient care, but also the psycho-emotional self-care professional.Objectives: Justifying the need to include the figure of the specialist mental health team liaison psychiatry nurse. Method: The rotation as residents, for a month, with the interconsultation team psychiatric hospital Gregorio Marañón and literature review. Results: There have been partially unmet needs, these could be covered with the existence of a nurse specialist in mental health consultation in this hospital. Discussion: Possibly it poses difficulties in defining the roles of various liaison team professionals, which we expect can be defined at the start implementing the new member.The hospital itself has an own field defined, articulated through the NANDA, NIC, NOC methodology, which covers aspects that so far have not being made, there is not a nurse figure into the psychiatric consultation liaison team.
Natalia Cámara Conde
The definitions and meaning qualified nurses employed in an acute NHS hospital setting in the UK gave to health education and health promotion practice and how these fitted established language and theory were investigated qualitatively. These concepts, and the concomitant frameworks and models of practice, have been the subject of considerable debate in the literature. While unresolved both in general and in nursing, a degree of theoretical convergence was established in the 1990s [Bunton, R., Macdonald, G., 1992. Health promotion: disciplines and diversity. Routledge, London; Maben, J.M., Macleod Clark, J. 1995. Health promotion: a concept analysis. Journal of Advanced Nursing 22, 1158-165] helped by The Ottawa Charter [WHO, 1986. Ottawa Charter for Health Promotion. http://www.who.int/hpr/archive/docs/ottawa.html]. For many of the participants in this study however, the meanings given to these concepts and the predominant use of health education were inconsistent with much of the language of the wider debate and this has potential implications for nurse education. For, if the findings are considered transferable then there is a need to develop education strategies and curricula that articulate the ideological foundations of policy and practice and to use mainstream terminology to assist nurses both to understand and contribute to the contemporary health promotion debate. PMID:17512097
The process of transformation in the South African Military Health Services, has influenced the nursing service managers' level of motivation and the following research question is applicable: what are the perceptions of the nursing service managers within the South African Military Health Services on their level of motivation? The purpose with this study was to explore and describe the perceptions of nursing service managers on their level of motivation within these health services. A qualitative research design was utilized and four focus group interviews were conducted with 33 nursing service managers country wide. The transcribed interviews were exposed to a content analysis. The results confirm that the level of motivation amongst these nursing service managers is low. The demotivators relate mainly to the following: inadequate acknowledgement, job insecurity in relation to the future, problems with the process of integration, transformation and rationalization, problems with management, many labour related issues, poor/inadequate communication, inadequate support, increased work load, poor physical environment, negative publicity and poor self motivation. Although there were a few motivators identified, they were of less importance. These results were interpreted within Herzberg's motivation theory to identify the hygiene/maintenance factors and to assess whether the important motivators were in place. During any process of change, and/or when the level of motivation amongst employees is low, it is important to adequately manage the environment (hygiene/maintenance factors within the Herzberg theory). But it is even more important to ensure that the motivators are in place or to intensify them. It is therefore recommended that a motivation strategy, based on the Herzberg theory as well as the Hackman-Oldham job enrichment model, be developed, implemented and evaluated. PMID:11949294
Fischer, A; Muller, M
Objective: To describe and compare patient and nurse assessments of the quality of care in postoperative pain management, to investigate differences between subgroups of patients, and to compare patient assessments in different departments.
Idvall, E.; Hamrin, E.; Sjostrom, B.; Unosson, M.
Various forms of electronic health records (EHRs) are currently being introduced in several countries. Nurses are primary stakeholders and need to ensure that their information and knowledge needs are being met by such systems information sharing between health care providers to enable them to improve the quality and efficiency of health care service delivery for all subjects of care. The latest international EHR standards have adopted the openEHR approach of two-level modelling. The first level is a stable information model determining structure, while the second level consists of constraint models or 'archetypes' that reflect the specifications or clinician rules for how clinical information needs to be represented to enable unambiguous data sharing. The current state of play in terms of international health informatics standards development activities is providing the nursing profession with a unique opportunity and challenge. Much work has been undertaken internationally in the area of nursing terminologies and evidence-based practice. This paper argues that to make the most of these emerging technologies and EHRs we must now concentrate on developing a process to identify, document, implement, manage and govern our nursing domain knowledge as well as contribute to the development of relevant international standards. It is argued that one comprehensive nursing terminology, such as the ICNP or SNOMED CT is simply too complex and too difficult to maintain. As the openEHR archetype approach does not rely heavily on big standardised terminologies, it offers more flexibility during standardisation of clinical concepts and it ensures open, future-proof electronic health records. We conclude that it is highly desirable for the nursing profession to adopt this openEHR approach as a means of documenting and governing the nursing profession's domain knowledge. It is essential for the nursing profession to develop its domain knowledge constraint models (archetypes) collaboratively in an international context. PMID:16115795
Hovenga, Evelyn; Garde, Sebastian; Heard, Sam
The powerful and complex mandates arising from reports such as "The Future of Nursing: Leading Change, Advancing Health" and "Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World" challenge colleges and universities to reconsider how they deliver nursing…
Campbell, Suzanne Hetzel; Crabtree, Robbin D.; Kelly, Patrick
Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese OBJETIVO: Relacionar as necessidades de saúde e a qualidade de vida de nutrizes. MÉTODOS: Estudo transversal com 219 nutrizes selecionadas por amostra consecutiva de conveniência. O instrumento de pesquisa utilizado foi o WHOQOL-bref. RESULTADOS: O não atendimento das necessidades de saúde das nutri [...] zes esteve associado às menores médias de qualidade de vida, com diferença estatística significativa: no domínio Físico, para mulheres com necessidade de sono e repouso, apoio familiar e tempo para si; no domínio Relações Sociais, para mulheres com necessidade de apoio familiar; no domínio Meio Ambiente, para aquelas com necessidade de acesso aos serviços de saúde, ambiente adequado para amamentar e apoio profissional; no domínio Psicológico para nutrizes com necessidade de ter boa saúde mental. CONCLUSÃO: As nutrizes com necessidades de saúde não supridas apresentaram média de qualidade de vida inferior. Abstract in english OBJECTIVE: Establish a relationship between nursing mothers' health needs and their quality of life. METHODS: Cross-sectional study with 219 nursing mothers selected by consecutive convenience sampling. The assessment instrument WHOQOL-bref was used in this study. RESULTS: A significant statistical [...] difference was found between the non-satisfaction of the nursing mothers' health needs and a lower mean quality of life score as follows: in the physical domain, for women who needed sleep and rest, family support and time for themselves; in the social relationships domain, for women who needed family support; in the environment domain, for those who needed access to health services, an appropriate environment to breastfeed and professional support; in the psychological domain, for mothers who needed good mental health. CONCLUSION: Nursing mothers with unsatisfied health needs presented a lower mean quality of life score.
Shimoda, Gilcéria Tochika; Aragaki, Ilva Marico Mizumoto; Sousa, Clóvis Arlindo de; Silva, Isilia Aparecida.
Abstract Background Health professionals working in primary care and public health have opportunities to address body weight status issues with their patients through face-to-face contact. The objectives of this all-Ireland project are: 1. to assess the attitudes, current practices\\/behaviours and knowledge of key health professional groups on body weight status; 2. to assess the health professional groups\\' ability to identify body weight status in both adults and children. The health professional groups are: (a) community related public health nurses; (b) school public health nurses; (c) GPs and practice nurses (primary care); and (d) occupational health nurses (workplace) from both Northern Ireland and the Republic of Ireland. Methods\\/Design This all-Ireland multi-disciplinary project follows a mixed methods approach using both quantitative and qualitative methodologies, and consists of four components: 1. Literature review - to explore the role of health professionals in managing obesity through spontaneous intervention in a variety of health promotion settings. 2. Telephone interviews and focus groups - to gain an in-depth insight into the views of health professionals in assessing body weight status. 3. Survey (primarily online but also paper-based) - to determine the attitudes, current practices\\/behaviours and knowledge of health professionals in assessing body weight status. 4. Online evaluation study - an online interactive programme will be developed to assess health professionals\\' ability to identify the body weight status of adults and children. Discussion This project will assess and report the attitudes, current practices\\/behaviours and knowledge of key health professional groups within Northern Ireland and the Republic of Ireland on body weight status, and their ability to identify body weight status in both adults and children. The results of this project will generate recommendations for clinical practice in managing obesity, which may inform policy guidelines.
Full Text Available Abstract Background Health professionals working in primary care and public health have opportunities to address body weight status issues with their patients through face-to-face contact. The objectives of this all-Ireland project are: 1. to assess the attitudes, current practices/behaviours and knowledge of key health professional groups on body weight status; 2. to assess the health professional groups' ability to identify body weight status in both adults and children. The health professional groups are: (a community related public health nurses; (b school public health nurses; (c GPs and practice nurses (primary care; and (d occupational health nurses (workplace from both Northern Ireland and the Republic of Ireland. Methods/Design This all-Ireland multi-disciplinary project follows a mixed methods approach using both quantitative and qualitative methodologies, and consists of four components: 1. Literature review - to explore the role of health professionals in managing obesity through spontaneous intervention in a variety of health promotion settings. 2. Telephone interviews and focus groups - to gain an in-depth insight into the views of health professionals in assessing body weight status. 3. Survey (primarily online but also paper-based - to determine the attitudes, current practices/behaviours and knowledge of health professionals in assessing body weight status. 4. Online evaluation study - an online interactive programme will be developed to assess health professionals' ability to identify the body weight status of adults and children. Discussion This project will assess and report the attitudes, current practices/behaviours and knowledge of key health professional groups within Northern Ireland and the Republic of Ireland on body weight status, and their ability to identify body weight status in both adults and children. The results of this project will generate recommendations for clinical practice in managing obesity, which may inform policy guidelines.
Full Text Available Nursing students begin to complete practicum experiences during their first year, increasing the number of applied credits as they progress toward degree completion. This contributes to integrating knowledge and skills from all of their courses and to obtaining the basic competencies of the nursing profession. It is also essential to identify the student’s sources of stress in order to provide strategies to confront them and diminish the potential consequences. Therefore, it is a priority to ascertain the perception of stress and the stressors. This study applied both quantitative and quality methods to achieve its objectives: to analyze the perception of stress and the stress-generating factors faced by third- and fourth-year nursing students during the mental health practicum, and to determine satisfaction with the new mental health practicum in a student survey and in a focus group of mentor nurses. Study results identified four major stress factors before students began the practicum: the difficulty of providing nursing care for the patient with a mental disorder, knowing how to react in an unfamiliar situation, lack of knowledge about mental health services, and the possibility of patient aggression. Only the latter remained as a stressor after the practicum was completed. Student satisfaction with the mental health practicum was highly positive. Mentor nurses were particularly satisfied with the changes in student follow-up and evaluation, emphasizing the importance of reflective practice and students’ self-management of their learning experience as set out by the European Higher Education Area.
Sandra Gelabert Vilella
Full Text Available The Third Report of the Pew Health Professions Commission, "Critical Challenges: Revitalizing the Health Professions for the Twenty-First Century" (1995, describes a transformed U.S. health care industry characterized by systems of integrated care combining primary, specialty, and hospital services. Forecasting the success of such systems, the Report states that they will produce better management, accountability, responsiveness, more effective use of resources, innovation, and diversity in health delivery, inclusivity in the definition of health, more concern about education, prevention and care management rather than treatment, more orientation to what is improving the health of the entire population, and more reliance on outcomes data and evidence. The Report predicts that these changes will cause closure of as many as half of the nation's hospitals, expansion of primary care, surpluses in the supply of physicians, nurses, and pharmacists, consolidation of allied health professions, and demand for public health professionals. The Commission's seven recommendations for nursing deal with maximizing opportunities presented by the profession's educational diversity, regulation, and educational change, downsizing particularly in diploma and associate degree programs, expanding Master's level practitioner programs, developing new models of integration between education and the systems of health care, and "recovering" the clinical management role of nursing. This paper examines and critiques the recommendations of the Commission regarding nursing and discusses the challenges they present.
Throughout its history the Robert Wood Johnson Foundation (RWJF) has made a deep commitment to nursing, investing more than $592 million in programs to sustain, grow, and reshape the nurse workforce. In recent years the foundation has adopted strategies to expand the impact and reach of its nursing grants. The RWJF supported the 2010 Institute of Medicine (IOM) study on the future of nursing, which envisioned expanded roles for nurses in the US health care system. Since then, the RWJF has invested heavily in implementing the IOM report's recommendations through the Future of Nursing: Campaign for Action, a partnership with AARP. In the past three years, that report has been the most-read IOM publication. Also, "action coalitions" are working in fifty states and the District of Columbia to implement its recommendations; philanthropic partners are also supporting implementation; and leaders in academic and clinical nursing settings continue their work to advance nurse education, changes in scope of practice, and other IOM recommendations. PMID:24191098
Hassmiller, Susan B
Full Text Available Nursing faces yet another divergence between demand and supply that is evidenced in insufficient nurse staffing with significant implications for patient safety. Many believe this shortage of registered nurses is entrenched in long-standing problems related to the value and image of nursing and the limited role nursing has had in identifying priorities within health care delivery systems. Nursing's Agenda for the Future is a plan resulting from the experience and wisdom of a broad representation of general nursing and nursing specialty organizations. Efforts to realize the priorities and objectives have evolved over the past two years in order to make larger strides, or quantum leaps, toward reaching the objectives contained within the plan. This article reviews the activities leading up to the development of this plan, presents the key areas of concern addressed in this plan, describes what has been accomplished since the publication of this plan in 2002, and outlines the work that lies ahead to bring to fruition the objectives the plan established.
Objectives The purpose of this study was to examine the applicability of the International Organization for Standardization (ISO) reference terminology model for nursing to describe the terminological value domain content regarding the entities and attributes of the detailed clinical models (DCMs) used for nursing assessments. Methods The first author mapped 52 DCM entities and 45 DCM attributes used for perinatal care nursing assessments to semantic domains and their qualifiers to the ISO model. The mapping results of the entity and attribute concepts were classified into four categories: mapped to a semantic domain qualifier, mapped to a semantic domain, mapped to a broader semantic domain concept, and not mapped. The DCM mapping results were classified into three categories: fully mapped, partially mapped, and not mapped. The second author verified the mapping. Results All of the entities and 53.3% of the attribute concepts of the DCMs were mapped to semantic domains or semantic domain qualifiers of the ISO model, 37.8% of the attributes were mapped to the broader semantic domain concept, and 8.9% of the attributes were not mapped. At the model level, 48.1% of the DCMs were fully mapped to semantic domains or semantic domain qualifiers of the ISO model, and 51.9% of the DCMs were partially mapped. Conclusions The findings of this study demonstrate that the ISO reference terminology model for nursing is applicable in representing the DCM structure for perinatal care nursing assessment. However, more qualifiers of the Judgment semantic domain are required in order to clearly and fully represent all of the entities and attributes of the DCMs used for nursing assessment.
Min, Yul Ha
Full Text Available Objective: to stablish association between the prevailing paradigms in health care and current nursing practices in Brazil, also their predominant theoretical approaches. Methodology: it's an analytical test based on discussion of theories, concepts and knownledges of some authors on the subject. The research was conducted through online databases, books, theses and dissertations. The inclusion criteria were classic and recent studies that address the theme of this study. Results: the discussion was started by addressing the historical trajectory of care/caring, pointing its changes, its prospects and influence of the current and emerging paradigms, with the focus on nursing care. Conclusion: nursing nowadays is running through several changes, due to the professionals inability to find solutions to the quotidian practical issues. In this context, nursing tries to rescue the essence of human caring as its unifying focus, essential to the practice, although there is awareness that caring does not compose a paradigm in the context of human health experience.
Rodrigo Assis Neves Dantas, Walkíria Gomes da Nóbrega, Luiz Alves Morais Filho, Eurides Araújo Bezerra de Macêdo, Patrícia de Cássia Bezerra Fonseca, Bertha Cruz Enders, Rejane Maria Paiva de Menezes, Gilson de Vasconcelos Torres
In recent years the National Health Service (NHS) in Britain has experienced an acute shortage of qualified nurses. This has placed issues of recruitment and retention in the profession high on the political agenda. In this paper we investigate the determinants of job satisfaction for nurses, and establish the importance of job satisfaction in determining nurses? intentions to quit the NHS. We find that nurses who report overall dissatisfaction with their jobs have a 65% higher probability of...
Shields, Michael A.; Ward, Melanie E.
AÇÕES DE PROMOÇÃO DA SAÚDE REALIZADAS POR ENFERMEIROS NA AVALIAÇÃO DO CRESCIMENTO E DESENVOLVIMENTO INFANTIL / NURSING HEALTH PROMOTION ACTIONS IN THE ASSESSMENT OF CHILD GROWTH AND DEVELOPMENT / ACCIONES DE PROMOCIÓN DE LA SALUD REALIZADAS POR LAS ENFERMERAS EN LA EVALUACIÓN DE CRECIMIENTO Y DESARROLLO INFANTIL
Full Text Available SciELO Chile | Language: Portuguese Abstract in portuguese Objetivou-se identificar as ações de promoção da saúde pelo enfermeiro na avaliação do crescimento e do desenvolvimento infantil e analisá-las quanto às competências essenciais da promoção da saúde preconizadas pela Public Health Agency of Canada. Realizou-se uma Revisão integrativa em cinco bases d [...] e dados, utilizando uma combinação dos termos: crescimento e desenvolvimento, criança, promoção da saúde e enfermagem. Procedeu-se a análise de 10 artigos na íntegra. Os estudos apontam que as ações de enfermagem são bem diversificadas e relacionam-se às medidas de investigação, avaliação e/ou intervenções, porém enfatizam apenas os aspectos nutricionais nesse processo, em detrimento às diferentes dimensões que contemplam o desenvolvimento infantil. Entre as sete competências identificadas, houve predomínio da avaliação e análise. Ademais, a competência diversidade e inclusão social foram identificadas em apenas dois estudos. Por fim, os enfermeiros vêem aplicando suas habilidades/competências na promoção da saúde, no entanto integram-nas sem utilizar um referencial teórico que norteie suas ações de crescimento e desenvolvimento infantil. Abstract in spanish El objetivo de este trabajo fue identificar las acciones para promoción de la salud por enfermeras en la evaluación del crecimiento y desarrollo del niño y analizar las competencias básicas de promoción de la salud recomendadas por la Agencia de Salud Pública de Canadá. Se llevó a cabo una revisión [...] integradora en cinco bases de datos, utilizando una combinación de términos: crecimiento y desarrollo, niño, promoción de la salud y enfermería. Se procedió al análisis de los 10 artículos. Los autores señalaron que las Acciones de enfermería se encuentran diversificadas, y se refieren a las medidas de investigación, evaluación y/o intervenciones, sin embargo insisten en los aspectos nutricionales de este proceso, en lugar de las diferentes dimensiones que incluyen el desarrollo del niño. Entre las siete competencias identificadas, hubo predominio de la evaluación y análisis. Además, las competencias diversidad e inclusión social se identificaron en sólo dos estudios. Por último, las enfermeras ven aplicados sus conocimientos/competencias en promoción de la salud, sin utilizar un referencial teórico que oriente sus acciones en el crecimiento y desarrollo infantil. Abstract in english Aimed to identify the actions of health promotion by nurses in the assessment of child growth and development and to analyze them as core competencies of health promotion recommended by the Public Health Agency of Canada. Carried out a integrative review of five databases, using a combination of the [...] terms: growth and development, child health promotion and nursing. Proceeded to the analysis of articles 10 in its entirety. The authors pointed out that nursing actions are well diversified and relate to measures of research, assessment and /or interventions, however they only emphasize on the nutritional aspects in this process, rather than the different dimensions that include child development. Among the seven competencies identified, evaluation and analysis were predominant. Moreover, the competence diversity and inclusion were identified in only two studies. Finally, the nurses see that their skills/competencies are being applied in health promotion, incorporating them without using a theoretical framework that guides their actions in child growth and development.
FLÁVIA PAULA, MAGALHÃES MONTEIRO; THELMA LEITE, DE ARAUJO; LORENA, BARBOSA XIMENES; NEIVA FRANCENELY, CUNHA VIEIRA.
Full Text Available The actions assigned to each professional member of the Family Health team are proposed by the Ministry of Health. Guidelines developed by the Municipal Health Departments seek to support the providers according to the specific context of each township. This project aims to characterize the activities of the nurses in relation to the techniques and care within this program in Cachoeiro de Itapemirim, Espírito Santo, southeastern Brazil. It is a qualitative research using participatory observations and semi-structured interviews with these providers. Its aims to address issues related to their identity, the social representation of nursing, and the need to verify their knowledge about the guidelines and how is observed in the working process. It will possibly contribute for the reflection about the nursing practice under the public health scope.
The purpose of this paper is to examine the impact of demographic variables, organizational commitment levels, perception of health and quality of work on turnover intentions. A self-reported cross-sectional survey design was used to collect data from Jordanian registered nurses who were working between June 2011 and November 2011. The findings showed strong effects of the quality of work, perception of health and normative organizational commitments on turnover intentions. This study sheds the light on the important work outcomes in health-care organizations. Increasing nursing quality of work and normative organizational commitment are good strategies for reducing turnover intentions. PMID:24580978
Al-Hussami, Mahmoud; Darawad, Muhammad; Saleh, Ali; Hayajneh, Ferial Ahmed
In Swaziland, the health care system is experiencing severe scarcity of health care workers (HCWs) due to difficult working conditions, migration and the human immunodeficiency virus (HIV) pandemic. Nurses and other HCWs in Swaziland are personally as affected by communicable diseases as the general population. High levels of HIV and TB co-infection bring added complexity to care. The loss of skilled staff in key positions has had a particularly negative impact on the quality of care and service delivery. The Swaziland Nurses Association (SNA) has established a Centre for Comprehensive Wellness for HCWs in the public and private sector and their immediate families to support the health workforce. PMID:24020598
Mamba, P; Dlamini, M; Mallinson, R K; Williams, V
Tobacco use, lack of physical activity, poor diet, and alcohol use are the key preventable causes of death in the United States. This study tested the use of nurses as consultants to primary care practices to assist practice clinicians and staff in identifying and carrying out plans to help their adult patients improve these health behaviors. A pre-post chart audit was conducted, and 17 of 20 practices (85%, p = <.01) increased documentation of health behavior delivery a mean absolute increase of 5.5% after the intervention. Nurse consultation may be an effective strategy to increase health behavior delivery to patients in primary care. PMID:19875038
Holtrop, Jodi Summers; Dosh, Steven A; Torres, Trissa; Arnold, Anita K; Baumann, Jeanne; White, Linda L; Pathak, Pramod K
This objective of this study is to present the pedagogic strategies adopted by the Rio de Janeiro State University Nursing School (UERJ--Brazil) for the demedicalization of care in nursing education in women's health. It presents the context of teaching in this area of knowledge. It also presents, from the perspective of concepts by Pierre Bourdieu, three spheres of students' and teachers' performance in this process. PMID:15151057
Vargens, Octávio Muniz da Costa; Progianti, Jane Márcia
The purpose of this study was to determine whether an in-service for public health nurses (PHNs) and accompanying educational materials could improve vaccine risk/benefit communication. The content and timing of vaccine communication were recorded during 246 pre-and 217 post-intervention visits in two public health immunization clinics.…
Davis, Terry C.; Fredrickson, Doren D.; Kennen, Estela M.; Humiston, Sharon G.; Arnold, Connie L.; Quinlin, Mackey S.; Bocchini, Joseph A., Jr.
The current government in the United Kingdom has made a commitment to reducing the high rates of teenage conceptions and sexually transmitted infections by implementing various sexual health strategies. It emphasises an increased public health role for school nurses by identifying that they have access to the school-age population and the…
Westwood, Jo; Mullan, Barbara
Published research concerning health promotion in Greek schools is limited. The aim of the study was to evaluate special education school nurses' involvement in health promotion activities, examine their attitudes toward it, and to explore the factors influencing their practices. A cross-sectional survey was carried out in 2005 by mailed…
Alexandropoulou, Marianthi; Sourtzi, Panayota; Kalokerinou, Athena
Full Text Available Introduction: This study identifies and analyzes the levels of relations between decision-making competency, self-determination, and health lifestyle in nursing students. Methods: This study was designed as a descriptive research to identify the relations of nursing students’ decision-making competency, self-determination, and health lifestyle. The subjects were 187 nursing students. Data were collected using a structured questionnaire and were analyzed by the IBM SPSS Statistics 19 program. Results: Decision-making competency of nursing students was 3.38 ± 0.41 points, and self-determination was 3.07 ± 0.38 points. Stress and physical exercise were the general and health-related lifestyle factors that contributed to the differences in decision-making competency. There were no differences in self-determination according to these factors. Conclusion: The results of the study showed that the levels of decision-making competency and self-determination in nursing students were moderate. Further studies are recommended for the development of these core abilities in nursing students.
This paper outlines preliminary research of an innovative software program that enables the use of an electronic health record in a nursing education curriculum. The software application program is called EHRNE, which stands for Electronic Heath Record for Nursing Education. The aim of EHRNE is to enhance student's learning of health informatics when they are working in the simulation laboratory. Integrating EHRNE into the nursing curriculum exposes students to electronic health records before they go into the workplace. A qualitative study was conducted using focus group interviews of nine nursing students. Nursing students' perceptions of using the EHRNE application were explored. The interviews were audio-taped and transcribed verbatim. The data was analyzed following the Colaizzi (1978) guideline. Four main categories that related to the EHRNE application were identified from the interviews: functionality, data management, timing and complexity, and accessibility. The analysis of the data revealed advantages and limitations of using EHRNE in the classroom setting. Integrating the EHRNE program into the curriculum will promote students' awareness of electronic documentation and enhance students' learning in the simulation laboratory. Preliminary findings suggested that before integrating the EHRNE program into the nursing curriculum, educational sessions for both students and faculty outlining the software's purpose, advantages, and limitations were needed. Following the educational sessions, further investigation of students' perceptions and learning using the EHRNE program is recommended. PMID:23273687
Kowitlawakul, Yanika; Wang, Ling; Chan, Sally Wai-Chi
Current mental health trends in brief therapy require a new understanding of the nurse--client relationship. This qualitative focused ethnography explored the perceptions and actions of community mental health nurses in building a therapeutic alliance in the context of brief therapy and the factors that facilitate or impede its development. Informants were 11 nurses with at least 3 years of experience in community mental health nursing primarily providing brief therapy or consulting practice. Participants described therapeutic alliance as the point at which the clients recognize that the nurse is fully attuned to "being in the moment" as they connect to their own issues in a positive way. Building an alliance consisted of three nonlinear overlapping phases: "establishing mutuality," "finding the fit in reciprocal exchange," and "activating the power of the client." Implications include recommendations to enhance intentional alliance building and directions for further research to explore differing world views among nurses on alliance formation within the context of brief therapy and consultations. PMID:21111292
Spiers, Judith A; Wood, Ava
Currently in Australia, both Aboriginal and non-Aboriginal Australians are attempting to reconcile themselves with a history of colonization/invasion, which resulted in human rights violations against Australia's indigenous people. Australian nursing has to examine its past in relation to the treatment of Aboriginal Australians. Relationships between nurses and Aboriginal health workers are the most commonly occurring professional relationships between nurses and Aboriginal people and are of key importance to the successful delivery of health services to Aboriginal communities. This qualitative study, grounded in feminism, aimed to explore the professional relationships between Aboriginal health workers and nurses and to develop insights which could assist the Australian nursing profession through a process of reconciliation with Aboriginal Australians. Feminist analysis of narrative text revealed several key themes as being crucial to this process. These were: learning to know and understand; towards workplace equity; and skill sharing -- learning from each other. Implications for nursing, in its journey toward reconciliation with Aboriginal Australians, are drawn from this study. PMID:10064287
Jackson, D; Brady, W; Stein, I
Full Text Available The social needs and requests change constantly, so that health care is evolving to a more focused on the users, in order to meet users´ needs and expectations of those who are going to get our assistance. Aim: We have developed a research to evaluate the quality of the assistance received by the patientst in their first encounter in the hospital external consulting rooms of traumathology at Santa Bárbara Hospital, letting us know about the patient´s satisfaction after the consulting has finished. Material and method: A transverse descriptive study on the traumathology consulting room of Santa Bárbara Hospital in Puertollano was developed for two months. The research is formed by the patients who attend this consulting room for their first time. A self made multiple choice questionnaire, which was designe by experts, and patients were asked to answer it once their first consulting at traumathology service had finished. Results: 95.6% of the patients considered as good or very good the nursing kindness (confidence/reliabitity when seeing them; 93.5% of them considered as good or very good the information given to them and 90.6% of them considered as good or very good the medical explanations they got. We also noticed a significant statistical difference among nursing kindness (confidence/reliabitity, enough consultation time and explanations received, with regard to the variant high resolution. Conclusions: The study reveals that more than 90% of the interviewed people considered as good or very good the clinical assistance and service given. The research has allowed us to know the areas that we can work on and improve.
Mª Dolores Poyatos Ruiz
Full Text Available Abstract Background There is broad policy consensus that a shortage of doctors and nurses is a key constraint to increasing utilization of essential health services important for achieving the health Millennium Development Goals. However there is limited research on the quantitative links between health workers and service coverage rates. We examined the relationship between doctor and nurse concentrations and utilization rates of five essential health services in developing countries. Methods We performed cross-national analyses of low- and middle-income countries by means of ordinary least squares regression with coverage rates of antenatal care, attended delivery, caesarean section, measles immunization, tuberculosis case diagnosis and care for acute respiratory infection as outcomes. Doctor, nurse and aggregate health worker (sum of doctors and nurses concentrations were the main explanatory variables. Results Nurses were associated with utilization of skilled birth attendants (P = 0.02 and doctors were associated with measles immunization rates (P = 0.01 in separate adjusted analyses. Aggregate health workers were associated with the utilization of skilled birth attendants (P Conclusion A range of health system and population-level factors aside from health workers influences coverage of health services in developing countries. However, it is also plausible that health workers who are neither doctors nor nurses, such as clinical officers and community health workers, may be providing a substantial proportion of health services. The human resources for health research agenda should be expanded beyond doctors and nurses.
de Pinho Helen
Because of the lack of data for the carcinogenicity and threshold toxicity of acenaphthene risk assessment values cannot be derived. The ambient water quality criterion of 0.2 mg/l is based on organoleptic data, which has no known relationship to potential human health effects. A...
Stroke is a significant medical emergency and occurs frequently in patients receiving renal replacement therapy. In 2005, the Registered Nurses Association of Ontario (RNAO) published Nursing Best Practice Guidelines for Stroke, highlighting the necessity and expectation that all nurses, regardless of specialty, are able to perform an abbreviated neurological assessment, identify the symptoms of stroke, and respond to these as a medical emergency. This article highlights the significance of neurovascular disease in persons who receive renal replacement therapy, and serves as an educational review for dialysis nurses to increase their neurological functional assessment skills. The outlined abbreviated neurological assessment parallels the Canadian Neurological Scale, and is based on the practice recommendations published in the RNAO Nursing Best Practice Guidelines in 2005. PMID:24344519
McCallum, Charlotte; Leonard, Margaret
Statistics coursework is usually a core curriculum requirement for nursing students at all degree levels. The American Association of Colleges of Nursing (AACN) establishes curriculum standards for academic nursing programs. However, the AACN provides little guidance on statistics education and does not offer standardized competency guidelines or recommendations about course content or learning objectives. Published standards may be used in the course development process to clarify course content and learning objectives. This article includes suggestions for implementing and integrating recommendations given in the Guidelines for Assessment and Instruction in Statistics Education (GAISE) report into statistics education for nursing students. [J Nurs Educ. 2014;53(4):192-198.]. PMID:24654590
Hayat, Matthew J
Background: The Community Alliance for Research Empowering Social Change (CARES) is an academic-community research partnership designed to train community members on research methods and develop the infrastructure for community-based participatory research (CBPR) to examine and address racial/ethnic health disparities. The Brentwood Community Health Assessment (BCHA) was developed through a CBPR pilot project grant from CARES.Objectives: The purpose of the BCHA is to assess health care utilization and identify existing barriers to health care access among a multi-ethnic community in the Hamlet of Brentwood, New York.Methods: Using CBPR approaches, the community-academic research partnership develop the study design and survey instrument. Trained Bilingual (English/Spanish) data collectors verbally administered surveys door-to-door to residents of Brentwood from October 2010 to May 2011. Inclusion criteria required participants to be at least 18 years of age and speak either English or Spanish.Results: Overall, 232 residents completed the BCHA; 49% were male, 66% Hispanic, 13% non-Hispanic White, 13% non-Hispanic Black, 29% had less than a high school education, and 33% were born in United States. The assessment results revealed that most residents are able to access health care when needed and the most significant barriers to health care access are insurance and cost.Conclusions: We describe the community-academic partnered process used to develop and implement the BCHA and report assessment findings; the community-partnered approach improved data collection and allowed access into one of Suffolk County's most vulnerable communities. PMID:24859100
Goodman, Melody S; Gonzalez, Maria; Gil, Sandra; Si, Xuemei; Pashoukos, Judith L; Stafford, Jewel D; Ford, Elsa; Pashoukos, Dennis A
The purpose of this study was to assess the self-efficacy of nursing faculty and students related to their potential use of mobile technology and to ask what implications this technology has for their teaching and learning in practice education contexts. We used a cross-sectional survey design involving students and faculty in two nursing…
Kenny, Richard F.; Van Neste-Kenny, Jocelyne M. C.; Burton, Pamela A.; Park, Caroline L.; Qayyum, Adnan
Introduction To combat the AIDS epidemic and increase HIV treatment access, the South African government implemented a nurse-based, doctor-supported model of care that decentralizes administration of antiretroviral treatment (ART) for HIV positive patients through nurse initiated and managed ART. Médecins Sans Frontières (MSF) implemented a mentorship programme to ensure successful task-shifting, subsequently assessing the quality of clinical care provided by nurses. Methods A before-after cross-sectional study was conducted on nurses completing the mentorship programme in Khayelitsha, South Africa, from February 2011-September 2012. Routine clinical data from 229 patient folders and 21 self-assessment questionnaires was collected to determine the number of patients initiated on ART by nurses; quality of ART management before-after mentorship; patient characteristics for doctor and nurse ART initiations; and nurse self-assessments after mentorship. Results Twenty one nurses were authorized by one nurse mentor with one part-time medical officer's support, resulting in nurses initiating 77% of ART eligible patients. Improvements in ART management were found for drawing required bloods (91% vs 99%, p?=?0.03), assessing adherence (50% vs 78%, pHIV-infected children and pregnant women, blood result interpretation and long-term side effects. Conclusions Implementation of a clinical mentorship programme in Khayelitsha led to nurse initiation of a majority of eligible patients, enabling medical officers to manage complex cases. As mentorship can increase clinical confidence and enhance professional development, it should be considered essential for universal ART access in resource limited settings.
Green, Ann; de Azevedo, Virginia; Patten, Gabriela; Davies, Mary-Ann; Ibeto, Mary; Cox, Vivian
Background: The necessity of a valid and reliable assessment tool is one of the most repeated issues in nursing students` clinical evaluation. But it is believed that present tools are not mostly valid and can not assess students` performance properly.Objectives: This study was conducted to design a valid and reliable assessment tool for evaluating nursing students` performance in clinical education.Methods: In this methodolo...
Mehrnoosh Pazargadi; Tahereh Ashktorab; Sharareh Khosravi; Hamid Alavi majd
Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. The risk increases when they are discharged directly from Emergency Department (ED). Time pressure there often requires focus on the presenting problem, although 80 % of geriatric patients have complex and often unresolved caring needs. To ensure seamless transition from the ED to the patientsâ?? home, assessment and intervention carried out by an aged care nursing specialist is suggested as a model for assessing unresolved caring needs. Thus, the aim of this thesis was to examine the use and effect of a two-stage model for structured nursing assessment and problem solving intervention, ISAR II, carried out immediately following discharge from ED and again after 30 days and 180 days in order to assess older peoplesâ?? unresolved problems. This thesis comprises two separate studies. Study A presents a prospective and descriptive pilot study covering 30 days and 180 days follow-ups in which the ISAR II model for structured nursing assessment and problem solving intervention was tested; 154 older persons, 70 years and over participated, their mean age was 82 (SD 7.0) and 113 (73%) were female. Study B presents a randomised controlled study where it was investigated whether the ISAR II model is effective in preventing acute hospital readmissions, permanent admission to nursing home or mortality; 271 older persons 70 years and over were included. Their mean age was 82 (SD 6.6), 180 (66%) were female and 128 (32%) refused to participate. To identify the older persons who were in greatest need of assistance a screening instrument was used, ISAR I. ISAR I comprise six questions and when scoring 2 or more the older person was considered at increased risk of readmission to hospital or functional decline and thus offered to participate in our study. Intervention: After detecting the older people at risk who were planned to be discharged, the research nurse assessed physical, emotional, and cognitive functional status and did a brief standardised nursing assessment and intervention, ISAR II, developed by McCusker et al.. ISAR II comprises a checklist of physical, mental, medical and social problems. Focus was on unresolved problems that required medical intervention, new/different community assistant 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. The assessments and ISAR II were repeated at follow-up home visits 30 days and 180 days after discharge. In Study A, it was found that the rate of readmission to hospital was 22% after 30 days and 32% after 180 days. A decrease in participantsâ?? unresolved problems was found from 2 at baseline to 0.5 at 180 days follow-up and an increase of 13% in participants receiving community service assistance from baseline to 30 days follow-up. The ISAR II model worked well in the ED and thus it should be investigated further in a randomised controlled study. In Study B no effect was found on acute readmission to hospital, permanent admission to nursing home, or death. Though, a tendency toward earlier readmission to hospital was found in the intervention group. Effect was found in emotional wellbeing as participants in the intervention group were less likely to be at risk of depression after 180 days measured by GDS5 (P=0.05). Also a significant difference was found in participantsâ?? tiredness scores. While fewer reported they felt not tiered, more reported they felt tiered in four to six items in the control group (p<0.0001). Participants in both groups maintained their level of physical function. In the intervention group participantsâ?? unresolved problems diminished from 2 to 0.6 at 180 days follow-up though no significant differences in assistance provided either by the community nurse or by home help was found. A subgroup analyses of participants with an ISAR I score of 2 showed that the interventi
Rosted, Elizabeth Emilie
Public health nursing is a core practice of primary health care. Public health nurses (PHNs) in Taiwan act both as individual/family-based primary care providers and as population-based community care providers. Previous studies in Western countries have shown the role preference of PHNs to be highly influenced by the structure of the healthcare system, policies and major programs, and health insurance reimbursement mechanisms. Thus, the impact of the health transition and related changes in the abovementioned systems should be taken into consideration when adjusting the roles and functions of PHNs. The rising prevalence of chronic diseases and the multiple burdens caused by diseases is making healthcare delivery increasingly complicated. With PHNs no longer able to provide "catch-all" services due to manpower shortages, several potential specialty areas have opened up to participation and development by community nursing. These include psychiatric care, long-term care and palliative care, school/workplace health promotion, and disease management in hospitals. It will be essential that community nurses bridge the gap in service left by PHNs so that PHNs may refocus their job role on the health needs of the community as a whole. PHNs should continue to build partnerships with primary care settings and perform the key functions of demonstration, support, collaboration, service, and surveillance in the community. PMID:24899553
Full Text Available Introduction: Health anxiety is one of the most common anxiety disorders among medical students which can affect their activities in professional and educational fields. Therefore, the main objective of the present research is to study the effects of cognitive therapy training in groups on health anxiety among nursing students. Materials and Methods: This is a quasi-experimental study conducted on 30 nursing students with health anxiety score more than average. The students were randomly divided into two groups of experimental and control. After the short form health anxiety questionnaire was filled in by participants, cognitive therapy was taught to the experimental group in twelve ninety- minute sessions. Then both experimental and control groups filled in the health anxiety questionnaire again. Data were analyzed using co-variance test (Ancova. Results: The findings of this research showed that cognitive therapy training in groups in the significance level of P?0.05 reduced the rate of health anxiety among nursing students (P?0.017. Conclusion: The cognitive therapy training in groups has an important role in reducing health anxiety rate among nursing students. So the results of this research can be used in designing interventions such as deployment of educational programs for medical students.
E Mohamadkhani Shali
Background: The term "green health promotion" is given to health promotion underpinned by the principles of ecological health and sustainability. Green health promotion is supported philosophically by global health promotion documents such as the 1986 Ottawa Charter for Health Promotion and the ecological public health movement. Green…
Sendall, Marguerite C.; Lidstone, John; Fleming, MaryLou; Domocol, Michelle
The advent of health care reform means new pressures on American hospitals, which will be forced to do more with less. In the next decade, increased use of "Lean" principles and practices in hospitals can create real value by reducing waste and improving productivity, costs, quality, and the timely delivery of patient care services. In 2010, the Institute of Medicine recommended that nurses lead collaborative quality improvement efforts and assume a major role in redesigning health care in the United States. In this article, we provide an overview of the use of Lean techniques in health care and 2 case studies of successful, nurse-directed Lean initiatives at the Robert Wood Johnson University Hospital. The article concludes with some lessons we have learned and implications for nursing education in the future that must include the concepts, tools, and skills required for adapting Lean to the patient care environment. PMID:22677964
Johnson, Joyce E; Smith, Amy L; Mastro, Kari A
Background: Promotion and provision of individuals’ health is one of the bases for development in societies. Students’ mental health is very important in each society. Students of medical sciences universities, especially nursing students, are under various stresses in clinical environment, in addition to the stress they experience in theoretical education environment. With regard to the importance of nursing students’ general health and considering the various existing strategies to promote general health components, use of complementary treatments is more considered because of their better public acceptance, low costs, and fewer complications. One of the new strategies in this regard is laughter Yoga. The present study was conducted with an aim to define the effect of laughter Yoga on general health among nursing students. Materials and Methods: This is a quasi-experimental two-group three-step study conducted on 38 male nursing students in the nursing and midwifery school of Isfahan University of Medical Sciences in 2012. In the study group, eight 1 h sessions of laughter Yoga were held (two sessions a week), and in the control group, no intervention was conducted. The data of the present study were collected by Goldberg and Hiller's General Health Questionnaire and analyzed by SPSS version 12. Results: The findings showed a significant difference in the mean scores of general health before and after laughter Yoga intervention in the two groups of study and control. Conclusions: The findings showed that laughter Yoga had a positive effect on students’ general health and improved the signs of physical and sleep disorders, lowered anxiety and depression, and promoted their social function. Therefore, laughter Yoga can be used as one of the effective strategies on students’ general health.
Yazdani, Mohsen; Esmaeilzadeh, Mojtaba; Pahlavanzadeh, Saeid; Khaledi, Firouz
Background Recently competency approach in Health Professionals’ Education (HPE) has become quite popular and for an effective competency based HPE, it is important to design the curriculum around the health care needs of the population to be served and on the expected roles of the health care providers. Unfortunately, in community settings roles of health providers tend to be described less clearly, particularly at the Primary Health Care (PHC) level where a multidisciplinary and appropriately prepared health team is generally lacking. Moreover, to tailor the education on community needs there is no substantial evidence on what specific requirements the providers must be prepared for. Methods This study has explored specific tasks of physicians and nurses employed to work in primary or secondary health care units in a context where there is a structural scarcity of community health care providers. In-depth Interviews of 11 physicians and 06 nurses working in community settings of Pakistan were conducted along with review of their job descriptions. Results At all levels of health settings, physicians’ were mostly engaged with diagnosing and prescribing medical illness of patients coming to health center and nurses depending on their employer were either providing preventive health care activities, assisting physicians or occupied in day to day management of health center. Geographical location or level of health facility did not have major effect on the roles being expected or performed, however the factors that determined the roles performed by health providers were employer expectations, preparation of health providers for providing community based care, role clarity and availability of resources including health team at health facilities. Conclusions Exploration of specific tasks of physicians and nurses working in community settings provide a useful framework to map competencies, and can help educators revisit the curricula and instructional designs accordingly. Furthermore, in community settings there are many synergies between the roles of physicians and nurses which could be simulated as learning activities; at the same time these two groups of health providers offer distinct sets of services, which must be harnessed to build effective, non-hierarchal, collaborative health teams.
Full Text Available Publications of research in child health have been increasing every year. This study’s objective was to analyze the content of articles about health child from abstracts published in Brazilians journals of nursing classified on “Qualis CAPES” as International B and C, in the period between 2000 and 2005. Descriptive and documentary study, which the sample consisted of 202 abstracts which had as focus child health in their titles. They were consulted on BVS/BIREME site, universities’ libraries and personal collection of the authors. After that, they were photocopied, read and examined from March to May, 2006. The data about the name of journal, year of publication, title of the article, authors, city, theme, objective and type of research were noted in a specific instrument. The findings revealed that the themes most investigated were nursing care (16.0% and nutrition (12.3%; the themes least researched were domestic accidents (2.0%, HIV (2.0%, and pain (1.2%. In relation to year of publication, 2004 had the highest number of articles/abstracts (23.3%. The Southeast Region published 53.6% of the abstracts and the North 0.6%. Nursing have been doing studies about child health, but it is necessary to stimulate and support continuing these researches, on a broader variety of topics about child health, especially in regions like North and Central-West of Brazil.Keywords: Nursing, child health, periodicals.
Maria Vera Lúcia Moreira Leitão Cardoso
Full Text Available Publications of research in child health have been increasing every year. This study’s objective was to analyze the content of articles about health child from abstracts published in Brazilians journals of nursing classified on “Qualis CAPES” as International B and C, in the period between 2000 and 2005. Descriptive and documentary study, which the sample consisted of 202 abstracts which had as focus child health in their titles. They were consulted on BVS/BIREME site, universities’ libraries and personal collection of the authors. After that, they were photocopied, read and examined from March to May, 2006. The data about the name of journal, year of publication, title of the article, authors, city, theme, objective and type of research were noted in a specific instrument. The findings revealed that the themes most investigated were nursing care (16.0% and nutrition (12.3%; the themes least researched were domestic accidents (2.0%, HIV (2.0%, and pain (1.2%. In relation to year of publication, 2004 had the highest number of articles/abstracts (23.3%. The Southeast Region published 53.6% of the abstracts and the North 0.6%. Nursing have been doing studies about child health, but it is necessary to stimulate and support continuing these researches, on a broader variety of topics about child health, especially in regions like North and Central-West of Brazil. Keywords: Nursing, child health, periodicals.
Maria Vera Lúcia Moreira Leitão Cardoso
This study was designed to evaluate whether the nurses' assessment of postoperative pain can be an alternative to patients' self-reporting. We examined 187 patients receiving postoperative intravenous patient-controlled analgesia. The nurses assessed the patients' pain with three pain indices (therapeutic efficacy, pain intensity, and facial pain expression) 8 hr after operation. The patients recorded their resting and movement pain using 100-mm visual analog scales immediately following the nurses' assessment. There was an acceptable correlation between overall pain measurement assessed by patients and that assessed by nurses (canonical correlation coefficient=0.72, p=0.0001). The resting pain was more reliably reflected than the movement pain in overall measurement assessed both by nurses and by patients. Among the three pain indices assessed by nurses, the pain intensity most reliably reflected the patients' self-reports. The pain intensity assessed with a simple verbal descriptor scale therefore is believed to be an effective alternative to the patients' self-reports of postoperative pain at rest. However, it mirrored the patients' self-reports during movement less reliably. Therapeutic efficacy and facial pain expression indices were not effective alternatives to patients' self-reporting. PMID:11748363
Chung, I S; Sim, W S; Kim, G S; Park, S H; Park, Y S; Cha, K J; Park, Y S; Lim, Y J; Lee, S C; Kim, Y C
Publications of research in child health have been increasing every year. This study’s objective was to analyze the content of articles about health child from abstracts published in Brazilians journals of nursing classified on “Qualis CAPES” as International B and C, in the period between 2000 and 2005. Descriptive and documentary study, which the sample consisted of 202 abstracts which had as focus child health in their titles. They were consulted on BVS/BIREME site, universities’ l...
The records of health care institutions can be of great value to library patrons. Yet, librarians rarely provide these unique resources because records must be collected, arranged, and described before they can be useful to patrons. The University of Pennsylvania's Center for the Study of the History of Nursing conducted a survey of health care agencies in the mid-Atlantic region to locate records created by area health care institutions. The goals of this project were to develop a database o...
Weinberg, D. M.
Full Text Available Objective: to evaluate the nurses’ knowledge about the systematization of nursing assistance. Method: this is about a descriptive cross-sectional study, from quantitative approach. No probabilistic sample of 18 nurses who worked in hospital answered a semi-structured questionnaire with 10 questions about the knowledge the SNA. Accuracy and errors were computed. Descriptive analysis was performed. Research approved by the Ethics Committee of Anhanguera Educacional number 196/2009. Results: the most know the meaning of the abbreviation SNA, the number of stages the nursing process but don't know what the satges of the nursing process. They able to answer the types of diagnostic existing, knew that the law of COFEN establishes the implementation in all health institutions public and private, didn't know the proper definition of nursing diagnosis and claim to use a theory to support the nursing care. Showed the advantage the possibility of a holistic assessment of the patient and the disadvantage of lack time to perform the SNA. Conclusion: the knowledge is undoubtedly of great importance for the nurses, accordingly, this research showed some weakness about the knowlegde of systematization of nursing assistance and is necessary to learny to apply in pratice.
Cleide Pereira Vasconcelos, Paulline Pereira Boaventura, Luciano Ramos de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto, Marina Morato Stival
Presents a method for integrating cultural competence throughout the nursing curriculum. The model contains six cultural phenomena: communication, space, social organization, time, environmental control, and biological variation. Contains 17 references. (SK)
Davidhizar, Ruth; Giger, Joyce Newman
This curriculum guide, revised from a 1975 edition, provides teachers with up-to-date information and skill-related applications needed by practical nurses. It includes 4 sections and 24 instructional units. Each unit of instruction consists of eight basic components: performance objectives, teacher activities, information sheets, assignment…
Rogers, Helen V.; Reid-Sloan, Jamee
The nurse practitioner role incorporates enhancing access to health-care services, particularly for populations that are underserved. This entails working collaboratively with colleagues across multidisciplinary teams and emphasizing a nursing model of practice within the nurse practitioner role. In Australia, the added value associated with establishing mental health nurse practitioner (MHNP) positions based in the emergency department (ED) is emerging. This paper presents qualitative findings from a study using a mixed-method design to evaluate an ED-based MHNP outpatient service in Sydney, Australia. One component of the evaluation involved semistructured interviews conducted with a random selection of study participants and a stratified sample of ED staff. This is the second of a two-part paper that presents an analysis of the qualitative data derived from the staff interviews (n = 20). Emergency staff were very supportive of the outpatient service, and perceived that it enhanced overall service provision and improved outcomes for patients. Moreover, staff expressed interest in receiving more formal feedback on the outcomes of the service. Staff also felt that service provision would be enhanced through additional mental health liaison nurses working in the department, especially after hours. An ED-based MHNP outpatient service expedites access to follow up to individuals with a broad range of problems, and supports ED staff in the provision of safe, effective, and more holistic care. PMID:21457178
Wand, Timothy; White, Kathryn; Patching, Joanna; Dixon, Judith; Green, Timothy
This paper intends to analyse the effects of recent health policy changes in the United Kingdom upon nursing, examining some of the anomalies raised by the rhetoric of the politics and the actualities of the change process and exploring and analysing nursings' presence within that change process. Specific reference will be paid to the philosophy and ideology of the reforms and comparisons made with some of the original factors underpinning the purpose and functioning of the British National Health Service and professional groups within it. In particular, this paper considers the functioning of nursing as an holistic, intuitive, humanistic, and caring act within the context of the scientific, rational, performance and outcomes-orientated new public management ideology presently sweeping the health service. The resultant tensions this apparent dichotomy is causing nursing will be tentatively explored. Lastly, an agenda for change will be proposed which will identify ways in which nursing can respond and, more importantly, be proactive within the contextual changes highlighted. PMID:9080269
It is estimated that the chronic, fragile and complex patient represents 5% of the general population, but uses up to 65% of the total amount of health care resources. Older people who are dependent, with chronic illnesses and comorbidities need professional care that promotes self-care and self-management of their illnesses. Thus, new strategies need to be considered to channel those professional care services to focus on this group. Nurse practicioners are professionals who could lead this change to improve the sustainability of the health care system, since they are in a position to respond in an effective way to the demands of patients with chronic illnesses, dependency or fragility. For the nurse working force to provide an efficient and cost-effective response to the health needs of chronically ill and disabled persons, an analysis needs to be made of the factors that restrict professional growth, as well as those nursing services where nurses do not take part in the decision making, as well as how to correct them. The lack of goals or quality care indicators, the measurement of the problem, the lack of patients assigned to a nurse practicioners, lack of training, the disparity of the profession in Spain, and the inability of the system to lead a self-sufficient care system project, should also be taken into consideration. PMID:24378343
Miguélez-Chamorro, Angélica; Ferrer-Arnedo, Carmen
Full Text Available Objective: to elaborate the profile of nursing diagnoses in pregnant women assisted in a Family’s Health Unit based on NANDA-I’s Taxonomy II. Methods: this is about a retrospective study, analytic descriptive, regards to analysis from 20 pregnant women handbooks registered in the prenatal program from a family’s health unit. Data were collected in July 2008, with a form composed of three parts: partner-demographic data, obstetric data and referring data to defining characteristics and related factors (of risk of the nursing diagnoses. Diagnoses were analyzed based on the descriptive statistics and discussed according to obstetrics references. Results: 13 nursing diagnoses were elaborated: risk for infection of the genital tract, ineffective maintenance of the health, risk for infection of the urinary tract, prejudiced urinary elimination, nauseas, sharp pain (head, pelvis and lumbar, fatigues, insomnia, sexual dysfunction, risk of paternity or prejudiced maternity, volume of excessive liquid, constipation, anxiety. Conclusion: the objective of the study was researched and we hope from the nursing diagnoses elaborated, some nursing interventions specific be addressed to the problems identified in the pregnant women during the prenatal consultations.
Maria Clerya Alvino Leite, Maria Mirtes da Nóbrega, Maria Miriam Lima da Nóbrega
The purpose of this exploratory cross-sectional study was to explore the health-related profile and quality of life among older persons living with and without pain in nursing homes. Ten nursing homes were approached, and 535 older persons were invited to join the study from 2009 to 2011. The nursing home residents' demographic information and information regarding their pain situation and the use of oral analgesic drug and nondrug therapy among the older residents with chronic pain were also collected. Residents' physical health (using the Barthel Activities of Daily Living (ADL) and Elderly Mobility Scores); psychologic health, including happiness, life satisfaction, depression, and loneliness (using the Happiness Scale, the Life Satisfaction Scale, the Geriatric Depression Scale, and the UCLA Loneliness Scale); and quality of life were investigated. Among the 535 nursing home residents, 396 (74%) of them suffered from pain, with mean pain scores of 4.09 ± 2.19, indicating medium pain intensity a remaining 139 (26%) reported no pain. The location of pain was mainly in the knees, back and shoulders. Our results demonstrated that, with the exception of the no-pain group (p mobility and ADL, was positively correlated with happiness and life satisfaction, and was negatively correlated with loneliness and depression. Pain management is a high priority in elderly care; as such, innovative and interdisciplinary strategies are necessary to enhance quality of life particularly for older persons living in nursing homes. PMID:24315270
Tse, Mimi M Y; Wan, Vanessa T C; Vong, Sinfia K S
Full text: In general, the main justification for the provision of health services is to improve the health of individuals and populations. Some experts focus on other goals for the health care systems, such as promoting health care innovation and increasing employment. Information on the efficacy of a diagnostic or therapeutic procedure has become more widely available during the last 25 years, both through increased research and increased availability of data based on, e.g. the Cochrane Collaboration and the Health Technology Assessment Database (INAHTA). At the same time, the most relevant information is often in proprietary hands, that is, in private organizations such as the manufacturing industry or in organizations that collect health information. The American Food and Drug Administration routinely assesses efficacy of devices and makes this information openly accessible. Unfortunately, the European Union focuses on trade issues, including innovation, and does not have a strong focus on public health. Competition for health care resources is a major concern even in segments of the population living in the richest countries. The problem of limited resources is, of course, much more pronounced in poor countries, in particular in the poorest countries. Although cost effectiveness of health care is very important conceptually, data are often not available. Cost effectiveness is often developed within the context of national needs and is very difficult to transfer to other jurisdictions. In addition, data on cost effectiveness are often not available to compare different options in health care. There is thus enormous scope for such studies in the future. Broader issues, such as health care organization and morals and ethics are also important. For example, is it ethical to promote advanced technology in poor countries that cannot provide even basic health care services? Is it ethical for researchers to overlook the basic needs of poor countries when working on new technological systems? The problems for developing countries include the relative lack of information, but also other issues, for example: 1) Equipment is often purchased by donors, which often requires the purchase of the national product of the donning country in the case of bilateral aid. This makes it difficult to develop effective international equipment policies. 2) Industry plays a key role in promoting equipment and furnishing information. International industry is relatively good at furnishing technical information and purchasers can make contracts that also require reasonable support to ensure continued operation of the equipment. However, industry does not often furnish information that helps to determine if the equipment is actually useful in the particular context of limited resources or poor countries. 3) Developing countries rarely have a policy structure that encourages comparisons between different options. Frequently, policy-makers in developing countries point out that they feel they must accept what is offered or be left with little or nothing. 4) R and D focuses on the market in industrialized countries, paying little attention to the specific needs of poorer countries, which may result in a general lack of appropriate technology. In the 1970s, the WHO defined a basic radiology system for developing countries, which was marketed by companies such as General Electric and Siemens. Although this effort failed due to various reasons, in general, such attempts by industry to design products for developing countries are rare. So what is to be done? From the standpoint of those working in industrialized countries, the key point is probably to develop and help develop better information on equipment and its efficacy in providing health benefits. From the standpoint of those working in developing countries, there is an urgent need to develop policy structures. A key point is that developing countries must be prepared to say 'no, thank you,' in order to have ownership of their health care systems. Essential elements of national policies for ef fect
This study was designed to evaluate whether the nurses' assessment of postoperative pain can be an alternative to patients' self-reporting. We examined 187 patients receiving postoperative intravenous patient-controlled analgesia. The nurses assessed the patients' pain with three pain indices (therapeutic efficacy, pain intensity, and facial pain expression) 8 hr after operation. The patients recorded their resting and movement pain using 100-mm visual analog scales immediately following the ...
Chung, I. S.; Sim, W. S.; Kim, G. S.; Park, S. H.; Cha, K. J.; Park, Y. S.; Lim, Y. J.; Lee, S. C.; Kim, Y. C.
Childhood obesity is becoming a topical issue in both the health literature and the popular media and increasingly child health nurses are observing preschool children who appear to be disproportionately heavy for their height when plotted on standardized growth charts. In this paper literature related to childhood obesity in New Zealand and internationally is explored to identify current issues, and the implications of these issues for nurses in community based child health practice are discussed. Themes that emerged from the literature relate to the measurement of obesity, links between childhood and adult obesity and issues for families. A theme in the literature around maternal perception was of particular interest. Studies that investigated maternal perceptions of childhood obesity found that mothers identified their child as being overweight or obese only when it imposed limitations on physical activity or when the children were teased rather than by referring to individual growth graphs. The implications for nursing in the area of child health practice is discussed as nurses working in this area need an understanding of the complex and often emotive issues surrounding childhood obesity and an awareness of the reality of people's lives when devising health promotion strategies. PMID:15729807
McKey, Anne; Huntington, Annette
Primary Health Care, as the words imply, is the initial, or first level of health care given to individuals needing or seeking that care. The whole population needs primary health care, for it is basic to attaining, retaining or regaining health, or making the best use of what health is left.
Full Text Available Primary Health Care, as the words imply, is the initial, or first level of health care given to individuals needing or seeking that care. The whole population needs primary health care, for it is basic to attaining, retaining or regaining health, or making the best use of what health is left.
Gender mainstreaming is one of the most important strategies in promoting global gender equality. The Taiwan government launched policies on gender mainstreaming and gender impact assessment in 2007 in response to strong public and academic advocacy work. With rising awareness of gender issues, nursing professionals in Taiwan should keep pace with global trends and become actively involved in advancing gender-mainstreaming policies. This article shows that nursing professionals should prepare themselves by cultivating gender competence, understanding gender-related regulations, recognizing the importance of gender impact assessment implementation, integrating gender issues into nursing education, conducting gender-related research and participating in decision-making processes that promote gender mainstreaming. Nursing professionals should enhance their knowledge and understanding of gender mainstreaming-related issues and get involved in the gender-related decision-making process in order to enhance gender awareness and women's health and further the professional development of nurses. PMID:22113627
Background This survey provides data on the Mental Health System in Ghana for the year 2011. It supplies essential planning information for the implementation of Ghana’s new Mental Health Act 846 of 2012, a renewal of the Ghana 5 year plan for mental health and it contributes to international knowledge base on mental health. It provides a baseline from which to measure future progress in Ghana and comparison data for use in other countries. In addition to reporting our findings we describe and analyse deficiencies and strengths of the Ghana mental health system. Methods We used the World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS) to collect, analyse, and report data on the mental health system and services for all districts of the ten regions of Ghana. Data was collected in 2012, based on the year 2011. Results In 2011, Ghana was a lower middle income country with a population of approximately 25 million. A mental health policy, plan and legislation were in place. Mental health legislation was outdated and no longer in line with best practice standards. Services were significantly underfunded with only 1.4% of the health expenditure going to mental health, and spending very much skewed towards urban areas. There were 123 mental health outpatient facilities, 3 psychiatric hospitals, 7 community based psychiatric inpatient units, 4 community residential facilities and 1 day treatment centre, which is well below what would be expected for Ghana’s economic status. The majority of patients were treated in outpatient facilities and psychiatric hospitals and most of the inpatient beds were provided by the latter. There were an estimated 2.4 million people with mental health problems of which 67,780 (ie 2.8%) received treatment in 2011. The were 18 psychiatrists, 1,068 Registered Mental Nurses, 19 psychologists, 72 Community Mental Health Officers and 21 social workers working in mental health which is unbalanced with an unbalanced emphasis on nurses compared to what would be expected. Conclusions The main strength of the mental health system was the presence of a long established service with staff working across the country in outpatients departments and hospitals. The main weakness was that government spending on mental health was very low and the bulk of services, albeit very sparse, were centred around the capital city leaving much of the rest of the country with almost no provision. Service provision was dominated by nurses with few other professions groups present.
Full Text Available Aims: The aims of this study were threefold: 1 to explore nursing students perceptions of knowledge development after participating in an actual research project; 2 to explore undernutrition and its relationship to other clinical factors; 3 to explore the user-friendliness of the Minimal Eating Observation and Nutrition Form (MEONF-II in relation to dependency in Activities of Daily Living (ADL. Methods: A pilot study (Study 1, S1 was conducted in October 2010, including 281 patients. After extending the research protocol a second data collection (S2 was conducted in March 2011, including 236 patients (total n=517. First and third year nursing students (n=188 collected the data, during one day of their clinical practice courses by assessing three patients each in hospitals or nursing homes. Students answered questions about their experiences from participating in the study. Patient related assessments included: MEONF-II; ADL dependency (S1 and S2; insomnia; low-spiritedness; and subjective health (S2. In addition, questions about the user-friendliness of MEONF-II were included (S1 and S2. Results: Among the nursing students, 51% experienced that their knowledge about nutrition increased and 67% that their understanding for research increased by participating in the project. Out of the patients, 57% were women, 50% were almost independent, 27% had some dependency, 23% were almost totally dependent in ADL, and 48% were at moderate/ high undernutrition risk. In S2, 32% of patients had insomnia, and 46% experienced low-spiritedness. Dependency in 5-6 and 3-4 ADLs (OR, 2.439 and 2.057, respectively, compared to dependency in 0-2 ADLs, were the strongest predictors for undernutrition risk, followed by insomnia (OR 2.124. Nursing students experienced the MEONF-II as easy to understand (93%, easy to answer (94% and relevant (94%, and the suggestions for measures to take in case of risk as relevant (95%, independent of the patients’ ADL status. Conclusions: By participating in an actual research project nursing students gets an understanding for research and tools for working with quality improvements in their future role as professional nurses. Undernutrition, mental and physical factors constitute coexisting problems in need for further investigation. Nursing students perceive the MEONF-II as user-friendly, independent of patient ADL dependency.
OBJECTIVE. To investigate competence of general practice nurses caring for patients with mental health problems in the somatic departments. MATERIAL AND METHODS. A quantitive study on competence of general practice nurses using an anonymous questionnaire was carried out in Klaipeda secondary health care institution in January-February of 2007. The respondents (128 general practice nurses) were selected from seven departments, in which psychiatric consultation was more frequently recommended. In the working places of nurses, 140 questionnaires were distributed; 135 questionnaires were completed (response rate was 96.4%), among them 7 questionnaires were acknowledged as not valid. RESULTS. About 45.0% of general practice nurses had knowledge how to care for the patients with mental health problems, from 1.6 to 21.9% did not have knowledge, and the rest reported having only moderate knowledge (28.1-64.1%). These findings provided a statistically significant link between the duration of employment and education (r from 0.292 to 0.76; P from <0.05 to <0.01). However, only 30.5% of respondents were able to manage conflicts. Most common undesirable events (60.3%) were runaway from inpatient clinic care, injury followed by runaway (29.4%), and suicide (10.3%). From 18.8% to 28.9% of respondents believed that undesirable events were influenced by an unsuitable environment of the department, the shortage of time and personnel, difficulty in getting a psychiatrist's consultation. Only 3.1% of respondents thought that these undesirable events might be affected by the lack of competence of personnel. Most of the nurses (form 75.0% to 84.4%) had a positive attitude toward the patients; however, the nursing principles were recognized only by (6.3% to 24.2%) of respondents. CONCLUSIONS. Competence of the nurses caring for the patients with mental health problems is not at the level required. This may be associated with insufficient professional skills, conflict situations with the patients, and the lack of acknowledgment of the principles of nursing. PMID:19996670
Svediene, Ligija; Jankauskiene, Lina; Kusleikaite, Marija; Razbadauskas, Art?ras
Varying intensities of nurse-mediated health education advice were administered to subjects over a three-month period. Mean serum total cholesterol was calculated for each group at the outset and completion of the study. A multidimensional health locus of control (MHLC) scales questionnaire was self-completed by subjects at the outset. A highly significant association between internality and reduction in serum total cholesterol in the high-intensity intervention group was observed. The comple...
Brown, S.; Steele, K.
This complete text of Title VIII of the Public Health Service Act concerning nurse training, discusses in three major parts, financial assistance for expansion and improvement of nurse training (the major part), assistance to nursing students, and general information focusing on the establishment of a National Advisory Committee on Nurse Training…
Health Resources Administration (DHEW/PHS), Bethesda, MD. Div. of Nursing.
Full Text Available Health Impact Assessment (HIA was disseminated by World Health Organization (WHO European Region in Gothenburg consensus paper in 1999. In this consensus, HIA is defined as ‘a combination of procedures, methods and tools by which a policy, program or project may be judged as to its potential effects on the health of population and the distribution of those effects within the population’. HIA was accepted as a goal for 4th phase of healthy city projects between 2003- 2008. HIA is a new process for our country and especially municipal boroughs, local authorities interest with it. There is no legal base for HIA in our country. EIA practices conducted since 1993 showed us that, environmental and public health was postponed. Functional and decisive implementation of HAI depends on legal basis and national acceptance. If legal basis is supplied, society must take care about it, work for strict application and have to put a crimp in going back. [TAF Prev Med Bull 2010; 9(6.000: 689-694
Full Text Available Introduction: Educational environment has a serious impact on students’ mental health. Few data are available on mental health of Physiotherapy students. Aim: The purpose of this study was to assess the mental heath of students in a tertiary Physiotherapy Department during the 3rd years of studies. Material and methods: 80 males and females physiotherapy students of the 5th and 6th semester of a tertiary Physiotherapy Department filled in the GHQ-28 questionnaire. Comparisons between groups were performed using the non parametric Mann-Whitney-U test at significance level of p=0.05. Results: Physiotherapy students’ mean age was 21.77±2.42 years old. The majority of the sample were women (47 participants, 58.7%. 50% of students had a total GHQ -28 score >5, indicating high levels of distress, with anxiety and insomnia being major problems. No statistically significant differences were traced between men and women, although women had a higher total score in comparison with men (median values: 5 vs 3 respectively. Conclusions: Physiotherapy students’ mental health and especially female physiotherapy students’ mental health appears substantially burdened. Anxiety and insomnia are major problem for students of Physiotherapy.
: With increased mobility, it is important that individuals keep their own personal health records (PHRs). Nurse practitioners are encouraged to assume greater responsibility for PHR adoption and recognize the key role they play in recommending PHR use. This article also briefly discusses college students' perceptions of their exposure to online PHRs. PMID:24932786
Koeniger-Donohue, Rebecca; Agarwal, Naresh Kumar; Hawkins, Joellen W; Stowell, Sarah
Public health nurses (PHNs) work to address critical health issues at the individual, family, and population levels. In recent years, a global nursing shortage has posed a significant challenge to the recruitment and retention of PHNs. Hospital-based research has shown that a healthy and productive work environment is vital to successful nursing recruitment and retention. Specific organizational characteristics have been linked to job satisfaction, organizational commitment, job vacancies, and turnover rates. Although it is presumed that similarities exist between the public health and acute care nursing work environments, further evaluation is required. This literature review was conducted to identify studies that characterize the PHN work environment. An online database search was conducted to identify prospective PHN studies published between 2000 and 2010. Definitions were established for screening purposes. Twenty-nine PHN studies in the United States and abroad met criteria for inclusion in this review. Satisfaction with teamwork and job autonomy generally was reported. However, inadequate PHN staffing was described as a concern, with problems magnified during prolonged response to public health emergencies. Insufficient control over PHN practice was reported as well. Perceptions regarding other work environment characteristics were mixed or were not measured in detail. More in-depth research is recommended with the ultimate goal of improving PHN recruitment and retention. PMID:23392207
Dingley, Jacquelyn; Yoder, Linda
Full Text Available Back pain has been recognized as a problem in hospitals, with up to 50% of healthcare staff reporting symptoms (Smedly, Egger, Cooper and Coggon, 1997 and Engels, van der Guilden, Senden and van ’t Hof, 1996. The general purpose of this study was to determine the health and fitness profiles of nurses working in a public hospital. It was hypothesized that there is a correlation between the prevalence of lower back pain and being overweight or obese amongst nurses. One hundred and seven nurses from a local hospital in KwaZulu Natal participated in this study. Responses from a health questionnaire examining medical history, dietary, exercise and lifestyle patterns were analysed. Fitness tests determinedflexibility (sit and reach, muscular strength (back and grip strength, aerobic capacity (Astrand-Rhyming cycle and anthropometrical data (percent body fat and BMI. Results suggested overall poor health and fitness profiles and a high incidence of back pain correlating with increased body fat percentages, thus accepting the hypothesis. The need for health and wellness intervention strategies in hospitals for the nurses was emphasized.
Critical incident analysis has been espoused as a valuable method of promoting reflective nursing practice and as a tool for developing curriculum content. Despite an obvious application to mental health nursing, however, there has been little detailed examination of the practicalities and educational value of critical incident analysis within a mental health nursing curriculum. This paper is based on the use of critical incident analysis within the mental health branch of a Project 2000 diploma course. It presents the content of material brought by students, teaching methods used to facilitate learning, and the progressive development of students' reflective processes over the course of a complete branch programme. Using Benner's (1984) From Novice to Expert, the authors explore questions regarding the nature and effects of the critical incident technique in attaining competence in mental health nursing skills. The authors conclude with a theory-based evaluation and analysis of this student-centered experiential approach to learning as a method for developing reflective practice, and suggest areas for educational research. PMID:7714277
Minghella, E; Benson, A
Full Text Available Background: Job satisfaction is defined as the degree to which employees like or enjoy their jobs and the degreeof satisfaction is based on the importance placed upon this reward and benefit.Objective: Aim of this study was to determine the job satisfaction levels of nurses and physicians working in thesame health care facility, analyze the factors that may affect job satisfaction levels. This study was conducted asa descriptive study and was carried out in one Medical Care Center Northwestern Region of Turkey, Bursa.Results:A job satisfaction scale developed by researchers according to literature review. The scale contained 36items related to measure job satisfaction levels of the participants. Data were collected from 65 nurses and 15physicians. Motivation of nurses is significantly higher than physicians. There is no affect of nurses’ educationlevels on general job satisfaction levels (p>0.05. No significant association was found between gender andmotivation (p>0.05. Payments and organization–related factors affect job satisfaction among nurses andphysicians.Conclusion:This scale yielded significant results in all subgroups except for satisfaction with patient treatment,care services and age. Seniority in the profession and age correlates with general job satisfaction level. Futurestudies need to focus on if job dissatisfaction affects health care workers to quit their jobs, differences amonggenders and profession.
Australia, in common with many other countries, is expanding the role of Primary Health Care (PHC) to manage the growing burden of chronic disease and prevent hospitalisation. Australia's First National Primary Health Care Strategy released in 2010 places general practice at the centre of care delivery, reflecting a constitutional division of labour in which the Commonwealth government's primary means of affecting care delivery in this sector is through rebates for services delivered from the universal healthcare system Medicare. A review of Australian nursing literature was undertaken for 2006-2011. This review explores three issues in relation to these changes: How PHC is conceptualised within Australian nursing literature; who is viewed as providing PHC; and barriers and enablers to the provision of comprehensive PHC. A review of the literature suggests that the terms 'PHC' and 'primary care' are used interchangeably and that PHC is now commonly associated with services provided by practice nurses. Four structural factors are identified for a shift away from comprehensive PHC, namely fiscal barriers, educational preparation for primary care practice, poor role definition and interprofessional relationships. The paper concludes that while moves towards increasing capacity in general practice have enhanced nursing roles, current policy and the nature of private business funding alongside some medical opposition limit opportunities for Australian nurses working in general practice. PMID:23952616
Henderson, Julie; Koehne, Kristy; Verrall, Claire; Gebbie, Kristine; Fuller, Jeffrey
Full Text Available The purpose of the research study was to describe guidelines to improve the community health clinics as a learning context conducive to learning. The objectives of the study commenced by getting the perception of student nurses from a nursing college in Gauteng; community sisters from ten community health clinics in the Southern Metropolitan Local Council and college tutors from a college in Gauteng. The research design and method used, consisting of a qualitative, exploratory, descriptive and contextual approach and the design was divided into two phases. Phase one consisted of a field/empirical study and phase two of conceptualization. In all the samples follow-up focus group interviews were conducted to confirm the findings. To ensure trustworthiness, Lincoln and Guba’s model (1985 was implemented and data analysis was according to Tesch’s model (1990 in Creswell 1994:155 based on a qualitative approach. The conceptual framework discussed, indicating a body of knowledge, was based on the study and empirical findings from phase one to give clear meaning and understanding regarding the research study. The research findings were then compared with existing literature within the framework, to determine similarities and differences as literature control method. Guidelines were then formulated from phase one and two to solve the indicated problems based on the three different sample groups. Ethical consideration was maintained throughout the research study. Recommendations related to nursing education, nursing practice and nursing research were indicated accordingly.
With the popularity of accelerated pre-licensure nursing programmes and the growth in nursing student enrolments, traditional clinical education continues to be a challenge to deliver. Nursing faculty members are required to develop and implement educational innovations that achieve effective learning outcomes, while using fewer resources. The purpose of this qualitative study was to explore the effectiveness of a constructivism-based learning project to achieve specific learning outcomes and to supplement approximately 30 clinical hours in a psychiatric-mental health nursing course. Students participated in a 10-week, multistage project that examined life histories, treatment resources, and evidence-based practice, as applied to a single individual with a mental illness. Students reported increased understanding of mental health and illness, developed personal relevance associated with the knowledge gained, and learned to problem solve with regard to nursing care of individuals diagnosed with mental illness. For many students, there also appeared to be a reduction in stigmatized attitudes towards mental illness. Constructivism-based learning is a promising alternative to supplement clinical hours, while effectively achieving learning outcomes. Future research is needed to further validate the use of this method for the learning of course content, as well as the reduction of stigma. PMID:21676137
DeCoux Hampton, Michelle
Evaluating the success of major funding programs from the National Institutes of Health (NIH) remains a vexing challenge. We propose a set of criteria to evaluate epidemiological studies that fit within the discovery, development, and delivery paradigm introduced by the NIH. We apply these criteria to the Nurses’ Health Study (NHS), a large epidemiological cohort study initiated in the 1970s to evaluate the associations between oral contraceptives and risk of breast cancer and between diet ...
Colditz, Graham A.; Winn, Deborah M.
Full Text Available Abstract Background A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS. Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS using professionally trained Standardized Patients Educators (SPE's in Ireland. This study was designed to test the content, process and acceptability of a screening programme in CCS with Irish medical and nursing students using trained SPE's and a previously validated global rating scale for CCS. Methods Eight tutors from the Schools of Nursing and Medicine at University College Cork were trained in the use of a validated communication skills and attitudes holistic assessment tool. A total of forty six medical students (Year 2 of 5 and sixty four nursing students (Year 2/3 of 4 were selected to under go individual CCS assessment by the tutors via an SPE led scenario. Immediate formative feedback was provided by the SPE's for the students. Students who did not pass the assessment were referred for remediation CCS learning. Results Almost three quarters of medical students (33/46; 72% and 81% of nursing students (56/64 passed the CCS assessment in both communication and attitudes categories. All nursing students had English as their first language. Nine of thirteen medical students referred for enhanced learning in CCS did not have English as their first language. Conclusions A significant proportion of both medical and nursing students required referral for enhanced training in CCS. Medical students requiring enhanced training were more likely not to have English as a first language.
Climate change affects the social and environmental determinants of health such as clean air, sufficient food, safe drinking water and secure shelter, and may be considered a threat to health. Healthcare professionals have been called to take action on carbon reduction. Action depends on various factors such as personal commitment to environmental issues and professionals' understanding of climate change, and action may occur at individual, organisational, community, national and international levels. As public health is a core component of the nurse's role, this article discusses the health effects of climate change and suggests ways to address these effects. PMID:23763102
Full Text Available Background: Emotion and how people manage it is an important part of personality that would immensely affect their health. Investigations showed that emotional intelligence is significantly related to and can predict psychological health.Objective: To determine the effect of teaching emotional intelligence to intensive care unit nurses on their general health.Methods: This randomized clinical trial (registered as IRCT201208022812N9 was conducted on 52 of 200 in intensive care unit nurses affiliated to Shiraz University of Medical Sciences. They were recruited through purposeful convenience sampling and then randomly categorized into two groups. The intervention group members were trained in emotional intelligence. Bar-on emotional intelligence and Goldberg's general health questionnaires were administered to each participant before, immediately after, and one month after the intervention.Results: While the mean score of general health for the intervention group decreased from 25.4 before the intervention, to 18.1 immediately after the intervention and to 14.6 one month later, for the control group, it increased from 22.0, to 24.2 and to 26.5, respectively (pConclusion: Teaching emotional intelligence improved the general health of intensive care unit nurses.