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
Nicolene de, Jager; Sonya, Beukes; Anna G.W., Nolte.
Full Text Available Occupational health nurses (OHNs) are qualified registered nurses with a postgraduate qualification in occupational health nursing. An important activity of OHNs is to identify and assess health risks in the workplace. Health risk assessments (HRAs) are conducted by OHNs to determine all the occupat [...] ional health stressors, for example noise, vibration and chemical substances. The authors conducted legal compliance occupational health audits and observed that 85% (n = 23) of OHNs in different settings conduct HRAs only to a limited extent. The following objective was formulated for the study: To explore and describe the extent to which OHNs conduct HRAs as it is a legal requirement for compliance; and the possible reasons for not adhering to the regulation and conduct them only to a limited extent. A quantitative, descriptive design was used in this study. A sampling frame was developed from a list of all the members of the South African Society of Occupational Health Nursing Practitioners (SASOHN) in Gauteng. From the target population of OHNs in Gauteng, a systematic cluster sampling method was used. A self-developed questionnaire was distributed by mail and e-mail, and authors sent respondents reminders. The authors ensured that validity, reliability and ethical standards were adhered to. The findings revealed that OHNs are mature, experienced, predominately female practitioners who operate on behalf of a disproportionately large number of workers. Four factors influencing these nurses in conducting an HRA to a limited extent were identified: competence, ignorance about the role of the OHN, workload and attitude.
Spore, Diana L.; And Others
Developed and administered 17-item instrument to assess knowledge of specific mental health problems (depression, agitation, disorientation) and behavioral approaches to them to 191 nurse's aides and 21 clinicians with training in behavioral management and experience with older nursing home residents. Aides averaged 11 correct answers; clinicians
Zhang, Yuan; Flum, Marian; West, Cheryl; Punnett, Laura
The long-term care sector is characterized by high morbidity and employee turnover, along with associated costs. Effective health protection and health promotion are important to improve physical and psychosocial well-being of caregivers. Assessment of organizational readiness for change is an essential precursor to the successful implementation of workplace programs addressing work climate, structure of tasks and relationships, and other issues that may be perceived as challenging by some within the institution. This study qualitatively assessed readiness of five skilled nursing facilities for a participatory occupational health/health promotion intervention. Selection criteria were developed to screen for program feasibility and ability to conduct prospective evaluations, and information was collected from managers and employees (interviews and focus groups). Three centers were selected for the program, and the first year of formative evaluation and intervention experience was then reviewed to evaluate and modify our selection criteria after the fact. Lessons learned include adding assessment of communication and the structure of problem solving to our selection criteria, improving methods to assess management support in a concrete (potentially nonverbal) form, and obtaining a stated financial commitment and resources to enable the team to function. Assessment of organizational readiness for change is challenging, although necessary to implement effective and sustainable health promotion programs in specific organizations. PMID:25715335
Kayser-Jones, Jeanie; And Others
Presents data from the development and testing of an instrument created to evaluate the oral health of nursing home residents by nursing personnel. Examination of 100 residents by dentists and 3 categories of trained nurses established statistically significant interrater reliability, suggesting that nursing staff can be taught to evaluate the
Gunnarsdottir, Holmfridur K; Sveinsdottir, Herdis; Bernburg, Jon Gunnar; Fridriksdottir, Hildur; Tomasson, Kristinn
Health-related lifestyle, harassment at work, and self-assessed health of female flight attendants in comparison to that of female nurses and female primary school teachers were surveyed. A higher proportion of flight attendants than nurses or teachers were smokers, 26% vs. 15% and 17% respectively; and consumed alcohol at least once a week, 40% vs. 21% and 16%. Repeated sexual harassment at work was more common among the flight attendants, 31% vs. 8% and 4%; whereas bullying, physical violence and threats were less prevalent among the flight attendants (12%) than among nurses (19%). Flight attendants were on average somewhat taller, but weighed on average less, 63.8 kg vs. 72.4 kg and 72.7 kg respectively. Repeated exposure to sexual harassment, bullying, violence and threats was related to less physical and psychological well-being in all the groups. Teachers scored on average significantly lower than did the flight attendants on general health and physical well-being, while nurses did not. PMID:16971763
The current healthcare system requires nurses to utilize innovations and effective leadership to achieve positive health outcomes for their patients. Public health nurses (PHNs) are in a unique position to utilize leadership and advocacy to increase the overall health and well-being of their clients. Domestic violence (DV) is a serious and widespread public health issue and PHNs have a crucial role in providing a preventative and coordinated approach to identifying and responding to DV. This article describes the process through which a group of front line PHNs took an active role in leading the development and implementation of a pilot project to address DV within their practice area. Through the development of a working group, a foundation for guidance was established to reinforce the role of the PHNs in advocating for the need to shift the focus of DV interventions from a reactive to a proactive approach. The DV assessment pilot project is an example for practice and a motivator for nurses to be leaders for change within their practice areas. PMID:26154122
Juliana J. Willemse; Elma W. Kortenbout
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...
Juliana J., Willemse; Elma W., Kortenbout.
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 li [...] ve, their cultural context and their ability to identify resources available to assist with their health care (Allender, Rector & Warner 2010:17). This qualitative phenomenological study reflects on the self-reported lived experiences of undergraduate CHN students at the University of the Western Cape in the City of Cape Town, South Africa. These students conducted a family health assessment (FHA) learning task at the homes of families within communities. Purposive and convenience sampling was used by students who had conducted an FHA. Fourteen students agreed to participate in the study, of whom nine were interviewed, two withdrew and the remaining three were not interviewed since no new data were emerging during interviews, indicating that saturation had been reached. During in-depth interviews with seven female and two male students, data for the exploration of the lived experiences was gathered through the following question: 'How did you experience the FHA?' Field notes were taken and used to capture non-verbal communication of participants. The focus of the study was to explore the lived experiences of students and not those of the family on whom the FHA was completed. Data collected were categorised into themes, guided by the systematic data analysis process of Tesch (1990) cited in Cresswell (2003:192). Four themes emerged: challenges of family selection, challenges of safety, socio-cultural challenges and academic challenges experienced by the participants. This study will inform future research and curriculum planning for CHN education in a multifaceted context.
Juliana J. Willemse
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.
Habibi-Koolaee, Mahdi; Safdari, Reza; Bouraghi, Hamid
Background: The importance of the electronic health records in health care well known to everybody, as well as, the role of nurses to provide clinical care; they have a valuable role in successful implementation of electronic systems. The aim of this paper is to assess the nurses readiness for EHR implementation. Methods and Materials: This was a descriptive cross sectional study, conducted in 2013. Using cluster sampling, 310 nurses selected from teaching hospitals at Tehran University of Medical Sciences (TUMS). A self-structured questionnaire was used for gathering data. Data management and analysis was performed using SPSS for windows by using descriptive statistics. Results: 85.9% of nurses, participated in the study. The Microsoft Word (58.8%) was the higher level of skill according to ICDL. The mean of computer skills, knowledge and attitude of nurses towards EHR was 43.4%, 51.2% and 65.2%, respectively. In overall, the mean of readiness of nurses was 57.2%. Establish proper communication among providers and prevent duplications was the most positive attitude and complexity of service delivery was the most negative attitude toward EHR. Conclusion: The most obvious finding to emerge from this study is that it should be considered in the education, training and participation of nurses, it should be ensured the level of knowledge and attitude toward EHR and finally, some related courses in Health Information Systems suggested including the curriculum of nursing. PMID:26005277
Pinto, Karina Araújo; de Melo, Cristina Maria Meira
The objective of this investigation was to identify nurses' practice in heath audit. The hermeneutic-dialectic method was used for the analysis. The study was performed in three loci: the internal audit service of a hospital; the external audit service of a private health service buyer, and the state audit service of the public health system (SUS, acronym in Portuguese for Sistema Unico de Saúde-Unique Health System), in Bahia. Nine audit nurses were interviewed. In the SUS audit, the nurses report being fulfilled with their practice and with the valorization of their professional role. In the private audit--both inside and outside of health organizations--the nurses' activities are focused on meeting the interests of their contractors, and do not get much involved with the care delivered by the nursing team and with the needs of service users. PMID:20964043
Mitchell, E.A.; Ferguson, V; Norwood, M
A randomised controlled study of an educational programme for children with asthma and their families was carried out by community child health nurses. Three hundred and sixty eight children aged 2 to 14 years were enrolled in the study after admission to hospital for asthma. The intervention group was visited monthly by a nurse for six months. The subjects were assessed six months later by a postal, self administered questionnaire. European children in the intervention group were taking sign...
Cleary, Michelle; Horsfall, Jan; Deacon, Maureen; Jackson, Debra
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
Maryam Aalaa; Mahnaz Sanjari; Ali Tootee; Ghazanfar Mirzabeigi; Sedighe Salemi
Nurses Quality Of Life (QOL) may be affected by many different factors that can in turn influence their job competency. The aim of this study was to assess the QOL of Iranian nurses to provide evidence to enable policy makers to take the necessary steps needed to make improvements. Using a cross-sectional study design, we evaluated the QOL of Iranian nurses by the assessment of four health indicators: physical, psychological, social and environmental. A total of 850 nurses from 17 diff...
Jose Arturo Ruiz-Larios
Full Text Available This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Americas. There are significant regional differences in the levels and types of training of nurses working in public health areas and an increasing number of nurses are pursuing training in public health at the masters and doctoral levels. Many nurses carry out some or all of the essential functions of public health, but are not considered to be public health nurses. Generally, auxiliary and technical nurses have a broader presence in public health areas than professional nurses. In the future, regional health systems reforms should support increased recruitment and training of public health nurses, as well as stronger roles in public health research and health care at the individual, community, and population levels.
Jose Arturo Ruiz-Larios; Kelly Cooper; Laura Magaña-Valladares; Gustavo Nigenda
This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Amer...
Grilo, Ana M.; Santos, Margarida; Rita, Joana S.; Gomes, Ana I.
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...
Schaffer, Marjorie A; Nelson, Pamela; Litt, Emily
Public health nurses from 13 local public health agencies and nurse educators from five schools of nursing developed population-based public health nursing competencies for new graduates and novice public health nurses. Educators in one nursing program used a portfolio assignment to measure achievement of the competencies by traditional and RN to BSN students in a community health nursing course. Data were collected from surveys and focus groups to determine students' responses to the portfolio and their use of population-based public health nursing concepts. The assignment enhanced students' critical thinking skills; however, concerns about the structure and evaluation of the portfolio decreased student satisfaction. Recommendations are made for improving the portfolio format, increasing students' valuing of the portfolio, managing the tension between assessment and learning, and orienting clinical agency staff and nursing instructors. PMID:15921127
Hemingway, Steve; Stephenson, John; Roberts, Bronwyn; McCann, Terence
The aim of this study was to evaluate mental health and learning disability nursing students' perceptions of the usefulness of the objective structured clinical examination (OSCE) in assessing their administration of medicine competence. Learning disability (n = 24) and mental health (n = 46) students from a single cohort were invited to evaluate their experience of the OSCE. A 10-item survey questionnaire was used, comprising open- and closed-response questions. Twelve (50%) learning disability and 32 (69.6%) mental health nursing students participated. The OSCE was rated highly compared to other theoretical assessments; it was also reported as clinically real and as a motivational learning strategy. However, it did not rate as well as clinical practice. Content analysis of written responses identified four themes: (i) benefits of the OSCE; (ii) suggestions to improve the OSCE; (iii) concern about the lack of clinical reality of the OSCE; and (iv) OSCE-induced stress. The themes, although repeating some of the positive statistical findings, showed that participants were critical of the university setting as a place to conduct clinical assessment, highlighted OSCE-related stress, and questioned the validity of the OSCE as a real-world assessment. The OSCE has an important role in the development of student nurses' administration of medicine skills. However, it might hinder their performance as a result of the stress of being assessed in a simulated environment. PMID:25180411
Crihfield, Connie; Grace, Ted W.
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
Duffy, Sonia A; McCullagh, Marjorie; Lee, Corinne
The objective of this study was to conduct an assessment of the need for advanced practice, master's-prepared public health nurses in Michigan. A cross-sectional design was used to conduct interviews with former students, community leaders, and faculty. Content was analyzed qualitatively for themes. Participants were enthusiastic about the practice environment, but funding was a major concern. Almost all participants thought jobs were available and that public health nursing was cost-effective, yet there was concern about the aging work force and the need for higher education. Other disciplines serving in public health roles and hospitals were identified as competition to the public health nurse. Epidemiology, prevention, community assessment/program planning, health policy/law/ethics, leadership, health services, informatics, research, and grant writing were noted as skills needed. The results of this study are favorable for the future of advanced practice public health nursing practice and education. PMID:25802903
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 dont 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: The purpose of this study was to identify core journals in home health nursing and to determine how well these journals were covered by indexing and abstracting services. The study was part of the project for mapping the nursing literature of the Medical Library Association's Nursing and Allied Health Resource Section.
Absulem, Said; Hardin, Heather
The Institute of Medicine (IOM) estimates that every year 44,000 to 98,000 people die due to errors in hospitals, costing approximately $37.6 billion each year (2000). However, limited data are available detailing the extent of healthcare errors outside of hospitals. A cross-sectional study was conducted to assess how home health nurses perceive and deal with errors. A convenience sample of home health agencies (N = 33) located in a Southeastern state participated in the study. Packets containing sealed surveys, a flier, and a description of the study were mailed to the nurses. Nurses were asked to complete a survey about their most significant care error and how they responded. Results from the study on home health nurses' perceptions (N = 203) indicate that the perceived care errors were medication (40%), laboratory (15.5%), wound care (6.5%), scheduling and wrong patient visits (6%), teaching-care errors (5%), and needle sticks (1%). Medication errors remain the most commonly occurring error in the home healthcare area. PMID:21675394
Nadine M Aktan; Janet Tracy; Connie Bareford
Background/Objective: Proficiency in computerized documentation systems is an essential element of most areas of nursing practice today. Community health is one example of an area of nursing practice where computerized documentation systems help in the provision of high quality care. Nursing students must learn the basic principles of and begin to participate in the practices of computerized nursing documentation. It is, therefore, the responsibility of nursing faculty to promote student invo...
Beitz, Jolene; de Castro, A. B.
The use of pesticides in agriculture, public places, and private homes and gardens is ubiquitous throughout the United States. Children are particularly vulnerable to pesticide exposure because of immature biological and developmental processes. Thus, it is important that primary health care providers identify clients at risk for pesticide exposure and poisoning and know how to respond effectively if clients experience exposure. However, many primary health care providers are not adequately t...
Taghinejad, Hamid; Suhrabi, Zainab; Kikhavani, Sattar; Jaafarpour, Molouk; Azadi, Arman
Objective: This paper reports a study performed to investigate and assess the mental health as well as the demographic characteristics of nurses to examine their mental health status based on four physical, anxiety, social-function and depression items.
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 nursings role in public health with the hopes of attracting more public funds and more nurses to provide these essential services.
Julio César, Cadena Estrada; Sandra Sonalí, Olvera Arreola; María Teresa, Pérez López; Carmen L., Balseiro Almario; Reyna, Matus Miranda.
Full Text Available 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
Dobel-Ober, D; Brimblecombe, N; Bradley, E
Mental health nurses can now train to become independent prescribers as well as supplementary prescribers. Independent nurse prescribing can potentially help to reorganize mental health services, increase access to medicines and improve service user information, satisfaction and concordance. However, mental health nursing has been slow to undertake prescribing roles, and there has been little work conducted to look at where nurse prescribing is proving successful, and those areas where it is less so. This survey was designed to collect information from directors of nursing in mental health trusts about the numbers of mental health prescribers in England, gather views about prescribing in practice, and elicit intentions with regards to the development of nurse prescribing. In some Trusts, the number of mental health nurse prescribers has increased to the point where wider impacts on workforce, the configuration of teams and services are inevitable. Currently, the way that prescribing is used within different organizations, services and teams varies and it is unclear which setting is most appropriate for the different modes of prescribing. Future work should focus on the impact of mental health nurse prescribing on service delivery, as well as on service users, colleagues and nurses themselves. PMID:20633075
Farrar, Francisca Cisneros
Telehealth technology is an evidence-based delivery model tool that can be integrated into the plan of care for mental health patients. Telehealth technology empowers access to health care, can help decrease or prevent hospital readmissions, assist home health nurses provide shared decision making, and focuses on collaborative care. Telehealth and the recovery model have transformed the role of the home health nurse. Nurses need to be proactive and respond to rapidly emerging technologies that are transforming their role in home care. PMID:25999070
Full Text Available Nurses Quality Of Life (QOL may be affected by many different factors that can in turn influence their job competency. The aim of this study was to assess the QOL of Iranian nurses to provide evidence to enable policy makers to take the necessary steps needed to make improvements. Using a cross-sectional study design, we evaluated the QOL of Iranian nurses by the assessment of four health indicators: physical, psychological, social and environmental. A total of 850 nurses from 17 different provinces of Iran were recruited by random sampling. They were requested to complete the World Health Organization QOL-BREF questionnaire. Data were then analyzed. Results indicated that half of the nurses scored in the moderate range, suggesting that they had a reasonably good QOL. They scored considerably higher in terms of physical health indicators and achieved significantly lower scores regarding environmental health issues. Although the ?2 test did not show any significant association between the QOL indicators and different factors such as work experience, gender, job position and patients group. We found a significant association between the subjects position at work in the hospital shift pattern and their overall QOL score. The results of our study showed that more than half the nurses evaluated their QOL to be at a moderate level. The results from this study can be used by policy makers to help make improvements to nurses QOL that may enhance the quality of care they deliver to their patients. Future research including a group of nurses from over the whole country is essential so that a more representative cohort can be studied. It would also pave the way for the establishment of a QOL database for nurses in Iran that could monitor changes in the nursing population.
McDonald, A L; Langford, I H; Boldero, N
This paper examines the future of community nursing, within the wider framework of a rapidly changing National Health Service. The research was commissioned by the Community Performance Review Network, as part of a series of comparative studies between community healthcare NHS trusts. Three questionnaires were sent to 24 trusts, covering three of the community nursing services; district nursing, health visiting and school nursing. Of the 24 trusts involved in the network, 22 responded to some or all of the questionnaires. A wide range of management structures and working practices were found between trusts, but several common themes and issues of concern emerged. For district nurses, these included the shift from secondary to primary care and the changing demands of the client population served, with increasing numbers of elderly and chronically disabled patients. This led to anxiety over the communication between different providers of care, such as community, acute and social services, and the skills mix and training requirements for nurses. Health visitors and school nurses were concerned about being marginalized in the move towards integrated primary health care teams. As the emphasis changes from treating illness to health promotion, concern was expressed about how performance could be measured on the less quantifiable outcomes of preventative care, and hence how jobs could be justified to purchasers of health care. A central theme was the potential role of the nurse practitioner in provision of primary care, and this formed a focus for other anxieties concerning both the current situation and future of community nursing services. PMID:9292358
Happell, Brenda; Platania-Phung, Chris; Stanton, Robert; Millar, Freyja
People with serious mental illness experience premature death due to higher rates of cardiometabolic conditions (e.g. cardiovascular disease, diabetes) than the general population. Mental health services often do not provide sufficient cardiometabolic clinical care to address these risks. The cardiometabolic health nurse (CHN) role has been suggested as a strategy for ensuring integrated care is provided and sustained. The views of nurses in mental health would be essential in informing the viability and development for this initiative. This paper presents the findings of open-ended comments from a cross-sectional online survey of nurses working in mental health in Australia (n = 643) eliciting views about the possible introduction of the cardiometabolic nurse. Thematic analysis was undertaken, of 133 open comments on this topic. The findings suggest that nurses see the specialist role as suitable and valuable for mental health services. Some nurses voiced concern about specialisation leading to fragmentation (e.g. in responsibilities for physical health, division of mental and physical health care, and less emphasis on equipping all nurses with comprehensive care skills), especially for settings where generalist nursing was seen as already available. The findings suggest this role is viewed favourably by nurses, provided that it is consistent with holistic and comprehensive care. Empirical research is needed to see whether this role increases holism (as valued by consumers and nurses) and cardiometabolic outcomes. PMID:25397354
Westmoreland, Donna; Hays, Bevely J.
The Health Systems Nurse specialist program is an innovative master's curriculum in community health nursing, nursing administration, and nursing informatics. Students learn to work collaboratively to determine health priorities, develop and implement interventions, and monitor and improve patient outcomes. (Contains 11 references.) (JOW)
Laura, Figueroa-Martín; Gonzalo, Duarte-Clíments; Teodoro, González-Pérez; Trinidad, Rufino-Delgado.
Full Text Available Objetivo: Identificar las preguntas clave para valorar la salud bucodental del anciano, cuestionarios disponibles en nuestro medio, y diagnósticos de enfermería relacionados. Método: Revisión sistemática de la literatura con búsqueda en Biblioteca Virtual de Salud, Medline, Cochrane Library, Joanna [...] Briggs Institute, Cuiden, INHATA y BiblioPro. Análisis de contenido de valoraciones enfermeras específicas y cuestionarios disponibles en nuestro medio. Selección de diagnósticos de enfermería relacionados mediante método Delphi. Resultado: Se encuentran 1949 artículos, se seleccionan 10. En nuestro medio se utiliza la propuesta de valoración de Gordon y la contenida en la historia clínica informatizada en Atención Primaria de Canarias, Drago-AP. Entre los cuestionarios que exploran la salud bucodental el OHIP-SP (Oral ImpactProfile- Spanish) se muestra como el más completo en constructo. A juicio de expertos, hay 29 diagnósticos enfermeros que guardan relación con la salud bucodental de los ancianos, de los cuales, 15 muestran correspondencia con apartados valorados en el OHIP-SP tras la revisión de las características definitorias. Conclusiones: Identificamos 5 preguntas clave, exploración, cuestionarios y 29 diagnósticos relacionados, de los cuales 14 amplían el cuestionario. Con estas herramientas se puede diseñar un plan de actuación dirigido al logro de resultados de salud bucodental en el anciano, y así, realizar cuidados destinados a la mejora de este aspecto de salud con amplia repercusión sobre la calidad de vida y la salud general. Abstract in english Objective: To identify the key questions to assess the oral health of the elderly, the questionnaires available in our environment for this assessment, and related nursing diagnoses. Method: A systematic review of the literature with a search performed with Biblioteca Virtual de Salud, Medline, Coch [...] rane Library, Joanna Briggs Institute, Cuiden, INHATA and BiblioPro. Analysis of contents of Nursing specific assessments and questionnaires available in our environment. Nursing diagnoses related selected through Delphi method. Result: 1949 are finded, 10are selected. In our environment the proposal of the Marjory Gordon's assessment and the valuation of the clinical history used in primary care Canaries, Drago-AP are applied. Among the questionnaires to explore the oral health, OHIP- SP (Oral Impact Profile- Spanish) is showed as the most complete construct. According to experts, there are 29 nursing diagnoses relevant to the oral health of older people, of which 15 show correspondence with items of the questionnaire OHIP- SP after the revision of the defining characteristics. Conclusion: We identified 5 key questions, exploration, questionnaires and 29 diagnoses related, which 14 extend the questionnaire. With these tools it can be designed an action plan directed to the achievement of oral health results on the elderly, and, by that, take care due to improve in this healthy aspect with abroad repercussion about the quality of life and health in general.
Schröder, Christina; Bänsch, Alexander; Schröder, Harry
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...
The National Public Health Leadership Institute (NPHLI), a partnership between the Centers for Disease Control and Prevention and the University of North Carolina at Chapel Hill invites public health professionals to participate in a 2 year leadership program. Three Florida nurses participated in the NPHLI along with a cadre of 40 to 50 participants from the United States and foreign countries. Part of the commitment involved implementing a leadership project. This team chose to address the nursing shortage by developing and piloting mentorship program. Baseline research included a basic review of the literature and involvement in several work groups addressing various aspects of employing and retaining qualified public health nurses in Florida. During their NPHLI scholar year, team members sought input from a variety of professional sources on the reasons for the shortage of public health nurses in Florida. Based on responses from nurses, professional association members, and employees in the Florida Department of Health, team members developed a nursing mentorship project designed to address public health nursing retention and education. The goal was to develop a two-pronged mentorship program, which supported the attainment of clinical competence and workplace confidence while also improving the public health theoretical knowledge base of more experienced nurses. Nursing leadership at both the state and local levels agreed and embraced the concept. The Florida Team developed a Mentorship Handbook, which contains recruitment criteria, baseline, midterm and end of project assessment tools, and numerous other documents. The Team gained endorsement for the project and a commitment to see it through from the Department of Health's Nursing Office. The Florida Nurses Association partnered with the team to initiate the kickoff and involve team members in important discussion groups. In effecting change it is vital to have engaged and included the targeted "community" in the process. Achieving buy-in and ownership takes some investing. Time is important, everything seems to take longer than expected-therefore maintaining momentum is critical for team members. Finding resources for an unfunded project can be a challenge. Creative thinking in how the project relates to available resources is important. PMID:16021814
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.
Ansell, Helen; Meyer, Alannah; Thompson, Shona
This article describes an investigation into the use of technology and the issues nurses face undertaking nursing assessment. It reports qualitative, descriptive research involving interviews with ten ward nurses from three hospitals in New Zealand. Thematic analysis of the data revealed three key issues: the impact of technology, the influence of early warning systems and nurse autonomy. Results show how clinical decision making around nursing assessment is influenced by technology and the Early Warning Score. These clinical decisions may not always be informed by critical thinking in complex healthcare environments. The article concludes that nurse autonomy, while supported and endorsed in theory, is frequently in conflict with hospital risk-management policies and the use of prescriptive algorithms. PMID:26419716
Cheraghi, Mohammad Ali; Ghiyasvandian, Shahrzad; Aarabi, Akram
Presence of nurses in policy making will result improvement of nursing practice, and increase qualification of patients care, but still few nurses are involved in policy debates and health reforms and their status in policy making for nursing is not clear. The aim of this study was to elucidate Iranian nurses status in policy making for nursing in health system. This is a qualitative study. Using purposive sampling 22 participants were interviewed to gain deep understanding from the phenome...
Scalzi, C C; Wilson, D L; Ebert, R
This article presents the results of a national survey of job activities of corporate level occupational health nurse managers. The survey was designed to identify the relative amount of time spent and importance attributed to specific areas of their current job. In general this sample tended to have more management experience and educational preparation than previously cited studies: over 50% had completed a graduate degree. The scores for importance and time spent were highly correlated. That is, occupational health corporate nurse managers seemed to allocate their time to job responsibilities they considered most important. Management activities related to policy, practice standards, quality assurance, staff development, and systems for client care delivery appear to represent the core responsibilities of occupational health nursing management. Curriculum recommendations for management positions in occupational health include: health policy, program planning, and evaluation; business strategy; applications of management information systems; quality assurance; and marketing. PMID:2001272
Boyce, J C; Miller, T
Application of this learning process (problem assessment, program planning, intervention, and evaluation) at the aggregate level, was a creative, enjoyable, growth producing experience for the senior nursing students. It is a process that is not only useful in the local community, but also prepares nurses for working at county, state, and national levels. They learn to make valid observations and firm decisions, to carry out actions, to overcome obstacles, to alter behavior, and to evaluate results. It does not replace other practices and former services of community health nursing, but complements them. There exists a tremendous potential for nurses in planning health care, already being realized in many settings. Certainly grass roots communities, rural populations and urban neighborhoods are in the highest need of creative, effective health programs that take into account the total population. Given such creativity, it is possible by the year 2000, that the Community Health Nurse may become a combination medical advisor, health instructor, community leader, playwright, photographer, author and television director; certainly a captivating career for people of the New World. PMID:3001254
Nurses striving to provide quality health care for and with Indigenous individuals and communities in Australia face particular challenges. Past and present discriminatory or non-responsive health-care practices and policies have caused many Aboriginal women and their families to mistrust health-care professionals and practices. It is vital that nurses develop culturally safe and respectful ways of working in partnership with Aboriginal colleagues and clients. The author discusses how nurses in both Canada and Australia have drawn on critical and postcolonial feminist theories, Indigenous epistemologies and methodologies, and models of cultural safety to develop a more responsive, decolonizing approach to health care and training. Two practice examples from the Australian context highlight both the challenges and the benefits of incorporating decolonizing approaches into practice. The similarities in and differences between situations reveal a clear need for responsive and flexible decolonizing approaches. PMID:24236371
Black, Kirsten J; Wenger, Mary Beth; O' Fallon, Molly
Fidelity monitoring is a core component for successful translation of evidence-based interventions, yet little guidance is available on developing tools to assess intervention fidelity that are valid and feasible for use in community settings. We partnered with nurses in the field to develop a fidelity monitoring instrument that would capture the essential elements of the nursing intervention that is the core of Nurse-Family Partnership, a prenatal and early childhood home visitation program. Using a grounded approach, we employed concept mapping to identify the salient behavioral characteristics associated with the program, and then, adapting Dreyfus' model of skill development, created a tool to assess nurse home visitors (NHVs) according to their stage of growth. In a pilot, the Nursing Practice Assessment (NPA) form was used to assess 188 NHVs. The average time to complete the tool was 1?hour, and skill development stage was concordant with years of NHV experience. According to surveys of supervisors and NHVs, the tool captured the essential elements of the program model. Articulating the essential elements of each skill development stage can provide a foundation for professional development for NHVs. In response to feedback, online training modules were developed prior to large-scale implementation in the field. The grounded methods used to develop the NPA enhanced its internal consistency and implementation feasibility and could be utilized by other public health nursing programs. PMID:25778796
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
Dee, Cheryl; Stanley, Ellen E.
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.
Evmorfia Koukia; Sofia Zyga
Background: Psychiatric Nurses and nurses assistants working in an inpatient unit experience a significant number of critical cases. A small number of studies have explored which patients problems nurses perceive as critical case or incident and particularly which interventions they choose. Aim: The aim of the research was 1. To identify the clinical problems that mental health nurses and assistant nurses characterize as critical 2. To report the main nursing interventions 3. To investiga...
Doody, Owen; McInerney, Paula; Linnane, Lynda
Nursing students, Paula and Lynda, reflect on their first academic assessment of their 4-year intellectual disability nursing course. The reflection is conducted by the second and third authors of this article and is guided by Gibbs (1998) cycle, highlighting the positive and negative aspects of their workbook assignment during their first academic semester. Overall, the use of the workbook as an assessment method enabled the students to discover the importance of time management, attendan...
MPH Nelcy Martínez
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...
Lee, Jane A.
These guidelines for professional nurses and employers in industrial settings present basic and fundamental nursing principles, duties, and responsibilities in the practice of occupational health. The content is presented in four chapters. The first briefly introduces occupational health. Chapter 2 on occupational health nursing service covers
Choochart Deeromram; Amorn Suwannimitr; Suwadee Jundeekrayom
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 re...
August 2010 marks the centenary of the death of Florence Nightingale, who must be, without doubt, the most famous name in nursing. Most people, even those in the health professions, think of her as 'The Lady with the Lamp'; the heroine of the Crimean War, who tended the sick and wounded soldiers at Scutari. Important though this was, her main contribution, which continued long after Crimea, was in the organization of nursing training, in hospital planning, public and military health, and in effective collection of medical statistics. PMID:20081644
John Crowther, Andrew; Theresa Ragusa, Angela
Mental health nursing as a distinct speciality has been in decline in New South Wales (NSW), Australia, for two decades. Arguably, this decline has worsened both consumer outcomes and the workplace experiences of mental health nurses. This article reports on a study designed to ascertain the nature of contemporary mental health nursing practice in New South Wales. The study utilised focus group research methodology, with participants recounting the realities of their day-to-day professional practice and perceptions of their professional identity. The findings indicate a contracting, if not moribund, profession; a decrease in the value attached to mental health nursing; and a pattern of persistent underfunding by successive governments of mental health services. An analysis of present and historical trends reveals there is a pressing need for a restructure and re-formation of mental health nursing in rural areas. This article links the shortage of mental health nurses in NSW to the closure of the mental health nursing register, a shift to comprehensive/generalist nurse education models, a perceived lack of nurses' professional standing, and natural attrition without suitably qualified replacements. Mental health nurses in this study perceived that they were not valued by other health professionals or by their own managers. Participants in this study reported mental health nursing in rural areas was an unattractive career choice. These findings are important to the understanding of recruitment and retention issues in rural mental health nursing in Australia. PMID:21767253
Nursing students represent one of the largest groups of students in higher education in Sweden. Their future occupation as registered nurses requires professional competencies including working on health promotion. However, nurses are frequently recognised as an occupational group with a high risk of impaired health due to stress in the working environment. Therefore, the higher educational institutions providing nursing education have an important role to play in the health...
This study examined the sources of stress and mental health of nurses in Hong Kong. It also attempted to explore the functions of coping strategies in determining the stress and mental health of nurses. Results showed that more than one-third of the nurses could be considered as having poor mental health. While supervisory role produced the highest level of stress, organizational environment also created a substantial amount of stress for nurses. The most frequently used coping strategies wer...
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
Warelow, Philip; Edward, Karen-Leigh
Debate about nursing curricula has been on the forefront of industry and academia in Australia particularly since the shift from the 'apprenticeship style' of training for nurses to a university-based, comprehensive, bachelor's degree. There is the suggestion that university-based courses are rather inflexible and take for granted that the provision of mental health nursing across what is an essentially general course will ultimately attract the numbers of quality staff members required to fill speciality positions in mental health. Recent literature advocates for a direct entry undergraduate mental health programme in Australia, similar to that in the UK. This is suggested as one of many strategies to address the growing disparity between the demand and the supply for effective mental health treatment and care. The support of preceptor staff in the clinical field in terms of workloads, supervision and professional development are also identified as areas for attention. Another strategy that this paper addresses is the increased support of student preceptors in the areas of workload, supervision and professional development, whereas they forge organizational links between the tertiary sector and industry to facilitate enhanced communication channels between the theoretical curriculum (the theory) and the clinical sites (the practice). Additionally, increasing the mental health content in current curricula to a level that reflects hospital-based and community mental health needs is also required. PMID:19703040
...manager. Research indicates nursing case management is a cost effective...practice to provide primary nursing care services. This project...phased approach, using the nursing process--assessment, planning...needed for the community based nurse case management model...
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.
Kamau, Caroline; Medisauskaite, Asta; Lopes, Barbara
Abstract Nurses suffer disproportionate levels of stress and are at risk of sickness-absence and turnover intentions but there is a lack of research clarifying preventions. This study investigated the impact of inductions (job preparation courses) about mental health for nurses' job stress, general health and organizational commitment. Data from 6,656 nurses were analyzed using structural equation modeling (SEM), showing that mental health inductions increase nurses' job satisfaction, which reduces their occupational stress and improves their health. SEM showed that these occupational health benefits increase the nurses' commitment to the organization. Job satisfaction (feeling valued, rewarded) also had a direct effect on nurses' intentions to continue working for the organization. Mental health inductions are therefore beneficial beyond job performance: they increase occupational health in the nursing profession. PMID:24971576
MPH, Nelcy Martínez.
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: 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.
Willa Marlene Doswell; Betty Braxter; Annette DeVito Dabbs; Wendy Nilsen; Mary Lou Klem
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 profession...
Martin, Paul; Duffy, Tim; Johnston, Brian; Banks, Pauline; Harkess-Murphy, Eileen; Martin, Colin R
The European Family Health Nursing Project is a revitalized World Health Organization initiative led by the University of the West of Scotland. Partner countries include Armenia, Austria, Germany, Italy, Poland, Portugal, Romania, Slovenia, and Spain. European Union Lifelong Learning funding was received in 2011 to facilitate a consistency of approach in the development of a definition of family health nursing, required core competencies and capabilities, and consequent education and training requirements. Global health challenges have informed the development of the project: increasingly aging populations, the increasing incidence in noncommunicable diseases that are currently the main cause of death, and the significant progress made in the way health systems have developed to meet the demands in relation to access and equality of health services. Governments and policy makers should develop a health workforce based on the principles of teamwork and interdisciplinarity while recognizing the core contribution of the "specialist generalist" role in the primary care setting. PMID:23288887
Alpi, Kristine M.; Adams, Mary G.
Objectives: The purpose of this study was to identify the journals most cited in public health and community nursing and to determine which databases provide the most thorough indexing access to these journals. This study is part of the Medical Library Association Nursing and Allied Health Resource Section's project to map the nursing literature.
National Academies Press, 2011
"The Future of Nursing" explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single
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.
Noel, Dianne L
Many health care and academic centers have adopted Watson's Theory of Human Caring as their guiding principle; the theory is also used in other disciplines, such as library science. Human caring theory offers occupational health nurses as structure that not only defines a focus for practice, but also provides a basis for moral and philosophical practice analyses. In particular, nurses may find this theory useful in confirming the definition of "caring" and reconsidering what nursing is all about. More importantly, consideration and application of this theory may lead to research on its applicability to the field of occupational health nursing. This article presents the science and philosophy of human caring, specifically Watson's Theory of Human Caring. Two case studies are presented that demonstrate how the theory could be used to evaluate occupational health nursing practice. To demonstrate its possible relevance as an occupational health nursing framework, an analysis of and comparison to existing occupational health nursing guidelines are detailed and discussed. PMID:20027992
Russell, Gail E; Fawcett, Jacqueline
A conceptual model of nursing and health policy was proposed by the authors in 2001. Revisions in the model have been made, and the model has been used to guide the evolution of a nursing doctoral program and doctoral dissertation research. The revised model provides a framework for analysis and evaluation of public, organizational, and professional policies influencing the quality, cost, and access to nursing and other health care services, as well as for nursing-discipline specific and health services research at any one of four interacting levels: Level 1--efficacy of nursing practice processes; Level 2--effectiveness of nursing practice processes and effectiveness and efficiency of health care delivery subsystems; Level 3--equity of access to effective and efficient nursing practice processes and efficient nursing practice delivery systems, and equity in distribution of costs and burdens of care delivery; Level 4--justice and the social changes and market interventions addressing equity. PMID:16443986
Isaac D. Montoya; Olive M. Kimball
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 potentiall...
González Chordá, Víctor; Mena Tudela, Desirée; Cervera Gasch, Águeda; Salas Medina, Pablo; Folch Ayora, Ana; Orts Cortés, María Isabel; Maciá Soler, Loreto
Nursing Education in Europe is regulated by law from 2005. Clinical learning comprises at least 50% of the total degree program in nursing. It is necessary rely on professionals nurses involved in the learning process and skills development assessment. The level of implication in learning processes of these professional nurses is very important to ensure good results.
Zandee, Gail; Bossenbroek, Debra; Friesen, Meghan; Blech, Kari; Engbers, Ruth
A unique program that partners community health workers with nursing students was developed in response to community-based participatory research data and integrated into a public health practicum at a baccalaureate nursing program in West Michigan. The goal of the program is to promote the health of 3 underserved urban neighborhoods while educating nursing students in population health and public health nursing. The purpose of this paper is to describe program conception and implementation and discuss evaluation of educational outcomes as a public health learning experience. PMID:20525101
Shanley, Eamon; Jubb-Shanley, Maureen
The aim of this paper was to describe a newly-developed system of mental health nurse counselling (coping focus counselling (CFC)) for people with serious and complex mental health needs. The system is based on the recovery alliance theory (RAT) of mental health nursing. The paper identifies shortcomings in current practices in psychotherapy and counselling in the exclusive use of techniques from a single approach, for example, cognitive behaviour therapy, client-centred therapy, attachment theory, or Gestalt theory. It also discusses the opposite dangers of the use of many techniques from different approaches, without a clear rationale for their selection. CFC was developed to avoid these practices. It accommodates the selective use of techniques from different approaches. Techniques selected are viewed as deriving their meanings from the theoretical framework into which they are assimilated, namely RAT, and no longer take the same meaning from the theory from which they originated. Central to this integrative process is the use of the concept of coping. Other distinguishing features of CFC are the use of everyday language in using the system and the reaffirmation of the nurse-client relationship within a working alliance as the basis in which the CFC operates. PMID:22640173
The primary health care (PHC) nurse program in Tintswalo, South Africa conducts a 1 year training course in health care delivery in clinical nurse's communities. The program contains a research block geared toward action oriented research, especially descriptive and qualitative research. The research block has been expanded from 1 month to about 8 months. It is also integrated with other modules which, along with the expanded time period, allows more time for detailed exploration of sampling, analysis, and questionnaire design. For example, while learning about the respiratory system, students may conduct a survey on smoking. The results of research projects are implemented into the community. Sampling poses a problem for the program, however, because there in not a list of the whole population to allow for random sampling and few accurate maps exist. Students are working to overcome this obstacle by devising maps and by concentrating on cluster sampling. Nurses can be an advantage to any research of health services because they know what the real problems are and understand the people in the community and can empathize with them. Research that involves PHC workers results in several benefits. They document health related problems in the community and can present them to those in positions of authority. These actions may foster equity by directing resources to those most in need. In addition, research helped health workers to better manage time and resources. Further, research involving health workers reinforces community participation and furthers intersectorial cooperation. The program publishes its research in journals and hopes to present results at conferences and workshops. PMID:2046723
Mahmoud Al Kalaldeh
Full Text Available Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals and private sectors (two hospitals were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment. Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels. A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.
Full Text Available This study examined the sources of stress and mental health of nurses in Hong Kong. It also attempted to explore the functions of coping strategies in determining the stress and mental health of nurses. Results showed that more than one-third of the nurses could be considered as having poor mental health. While supervisory role produced the highest level of stress, organizational environment also created a substantial amount of stress for nurses. The most frequently used coping strategies were positive ones, including direct action coping and positive thinking. This study confirmed the hypotheses that nurses who adopted more positive and fewer negative coping strategies had better mental health, but failed to substantiate the moderating effects of coping on stress and mental health of nurses. Changes in the hospital care delivery system and socio-cultural factors in Hong Kong were put forward to explain the results. Implications of the findings and limitations of the study were discussed.
Isaac D. Montoya
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.
Full Text Available Objective: This descriptive study was planned to determine the behavior of a healthy lifestyle in nursing students who assume the role of nursing care services and education in their future lives. Material-Method: The research was conducted in Hitit University School of Health in November-December 2011. All of the 262 students who were studying in the Department of Nursing were included in the study. The survey was applied to 234 students whom can be accessed. A questionnaire included descriptive items and health perceptions of students with the 48-item scale consists of healthy lifestyle behaviors (HPLP was used as a tool for collecting the data. Results: The mean age of students who participated in this study was 20.40±1.96. The 72.6% of students were female and 27.4% were male, 67.1% of declared that their levels of economic status was moderate, 14.1% of currently smoked, and 70.1% of general health situation was good. It was seen that the average scale scores of HPLP was 121.57±19, 65. The total mean score is 2.53 ± 0:11 according to four scale of likert. The lowest mean score obtained from the subscales was exercise and the highest scores were interpersonal support and self-realization. Total scores of female students taken from the scale of healthy lifestyle behaviors were lower than the male students, but no significant difference was found between the groups. Exercise and stress management scores were higher in male students and the difference between the groups was statistically significant (p<0.05. Health responsibility subscale was highest in second year students. The average scores of self-realization and nutrition sub-groups were high in students whose perception of general health as "good". Conclusion: We determined that student scores taken from healthy lifestyle behaviors scale was moderate level. The issues about health protection and health promotion should be more take place in nursing school curricula. [TAF Prev Med Bull 2013; 12(3.000: 261-270
Rieder, Barbara A.
The role of public health nurses in the health care of infants and children prenatally exposed to drugs is discussed. Such nurses work in the family setting to promote health and prevent disease. Concepts of Kathryn Barnard have been used to develop policies and protocols for services to families with infants exposed to controlled substances. (GH)
Full Text Available Aims of this representative study were to assess the relevant differences between the work and organisational characteristics as well as the subjective resources and health status of nurses occupied in hospice care, compared to nurses from palliative stations. Further, the assessment of the predictive correlations between the work situation of this nurses as a factor influencing their health and perceived strains was also a leading intention.Method: In a written survey conducted in Germany in 2001, 820 nursing staff of 113 palliative stations and stationary hospices were included. A qualified diagnostic procedure for the assessment of health promoting work was implemented. In order of obtaining a secure comparison, a sample of 320 nurses working in 12 homes for old people in Saxony was also considered.Results: The nurses referred generally to favourable working conditions, still they informed about deficiencies in the perceived participation, organizational benefits and experienced gratification. Hospice nurses experienced overall more favourable work conditions than palliative nurses or than the staff of homes for old people (regarding identification with the institution, organizational benefits, accurate gratification and little time pressure during work. Hospice personnel were psychologically and physically healthier than the staff of palliative stations. Important predictors for health stability that could be assessed by multiple regression analysis were: positively evaluated work contents, the identification with the institution, little time pressure and a positive working atmosphere.Conclusions: The assessed organisational framework is generally more favourable in the institutions of professional terminal care than in common hospitals and homes for old people. Therefore, the conditions in hospices could have a modelling function for the inner-institutional work organisation and for the anchorage of the intrinsic motivation of nurses in the health care system.
Gulzar, Saleema Aziz; Faheem, Zahid Ali; Somani, Rozina Karim
The role of Community Health Nurses (CHNs) outside the traditional hospital setting is meant to provide and promote the health care needs of the community. Such nurses can play a substantial role in the community setting including emergencies like disasters. This became evident after the earthquake of October 8, 2005 in Pakistan. The objective was to address the issues, faced by primary healthcare providers working in earthquake-affected areas focusing on participatory approach. The experience of the interventions done by CHN by a guided frame work (assessment, planning, implementation and evaluation components) is described. Issues identified by CHN included: lack of training of health care providers, lack of collaboration, communication between the medical and management staff due to poor infrastructure of the healthcare facilities. The interventions were carried out, utilizing existing resources. Efforts were directed to build capacity of health care providers at grass root level to fill in gaps of health care delivery system for sustainable change. Overall, working in the earthquake affected areas is challenging. Health leadership should foresee role of CHN in emergencies where quality healthcare interventions are essential. PMID:23866452
de Castro, A. B.; Cabrera, Suzanne L.; Gee, Gilbert C.; Fujishiro, Kaori; Tagalog, Eularito A.
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...
The purpose of this research was to explore the mental health and well-being of Muslim nursing students in Thailand. Specifically, the study investigated the factors that impact anxiety and depression among Muslim nursing students. This cross-sectional research was conducted with a half sampling method of Muslim undergraduate students who were studying at a public nursing college in Thailand. From the 220 self-identified Muslim nursing students, 110 were sampled for this study, representing 1...
The steady evolution of domestic industries and the continued expansion of the workforce have outdated Taiwan's traditional model of occupational health nursing, which focuses on preventing work-related diseases and ensuring workplace safety. Professional-competency evaluations, now widely used within the medical and other professional communities to confirm that individuals have mastered relevant knowledge and skills, are a fixture in service quality management and related strategies. Occupational health nurses have a critical role in promoting and ensuring the quality of occupational-health related services. A multifaceted strategy is needed to update the domestic model of occupational health nursing. This strategy should include: 1) Set professional standards and create standard teaching materials for national occupational health nurses; 2) Enhance the professional efficacy of nurses in this field; 3) Survey the relevant role functions and education/training needs of occupational health nurses; 4) Develop relevant elective courses; and 5) Format courses/curricula for e-learning and for multimedia platforms. Furthermore, after implementation of this strategy, the model should be evaluated in terms of the knowledge and skills acquired by occupational health nurses. It is hoped that by reflecting local needs and experiences this new model will update the field of occupational health nursing to meet the needs of the current and future workplace in Taiwan and increase nursing knowledge and skills in order to foster and sustain healthy workplace environments. PMID:24899556
Nordentoft, Helle Merete; Wistoft, Karen
Purpose The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper explores how peer collaboration influences the school nurses collaborative learning and competence development. Design/methodology/approach The article is based on data from a three-year health educational development project at primary schools in Denmark. These data are a) Observations from 12 reflective workshops with school nurses b) Two questionnaire surveys c) 5 focus group interviews with 5 of the 6 subprojects after the project was over. In the workshops, the questionnaire surveys and the focus group interviews the school nurses were asked to reflect on the developmental process, their collaboration, own and mutual pedagogical competence development. Findings Systematic peer collaboration between school nurses qualify a) their learning and ability to reflect on practice b) their communication with colleagues and children c) the development of new and innovative approaches to school health nursing. The introduction of peer collaboration, however, takes time and energy and it can be challenge to introduce peer collaboration in a working culture in which school nurses traditionally work alone under a prominent work and time pressure. Research limitations/implications The study is explorative. Further research may explore the connection between collaborative learning among school nurses and the development of their competences in school health nursing. Practical implications The paper outlines how and why collaboration among school nurses should be introduced in a more systematic way in school health nursing. Originality/value The paper investigates the connection between informal educational activities for SNs and possible learning outcomes for practice. Specifically the paper looks into different ways SNs collaborate and the findings contribute to new understandings of how SNs practice can be organisedin order to stimulate the nurses participation and collaborative learning and increase the quality of school health nursing.
Steele, Ric G.; Wu, Yelena P.; Cushing, Christopher C.; Jensen, Chad D.
The goal of the current study was to assess the efficacy and acceptability of a web-based tutorial (Child Health Matters, CHM) designed to improve school nurses' communications with families about pediatric weight-related health issues. Using a randomized wait-list control design, a nationally representative sample of school nurses was
Regina R Witt; Maria Cecília Puntel de Almeida; Vivian Elizabeth Araujo
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 con...
McCullagh, Marjorie C; Berry, Peggy
Occupational health nursing focuses on promotion and restoration of health, prevention of illness and injury, protection from work-related and environmental hazards, and corporate profitability. Quality education about the relationship between work and health is critical for nurses' success regardless of work setting, and is consistent with Healthy People 2020 goals, but is lacking or limited in some programs. This report introduces an innovative occupational health nursing curriculum for students enrolled in baccalaureate nursing programs. The process of designing and pilot testing this novel curriculum, its alignment with nursing competencies, and its format and learning activities are described. Preparing professional nurses to understand the role of the occupational health nurse and the relationship between work and health is an essential curricular consideration for contemporary nursing education. PMID:26077879
Hurtado, David A; Nelson, Candace C; Hashimoto, Dean; Sorensen, Glorian
Meal breaks promote occupational health and safety; however, less is known about supervisors' support for nurses' meal breaks. In this study, the researchers tested whether the frequency of meal breaks was positively related to supervisors' support of nurses' meal breaks, and whether more frequent meal breaks were associated with less psychological distress. This study is based on a cross-sectional survey of 1,595 hospital nurses working on 85 units supervised by nursing directors. Specific meal-break support was measured at the nursing director level; frequency of meal breaks and psychological distress were measured at the individual nurse level. Multilevel adjusted models showed a positive association between supervisors' support for meal breaks and the frequency of nurses' meal breaks (?=.16, pnurses who took meal breaks more frequently reported lower psychological distress (?=-.09, pmental health and fatigue recovery and provide downtime. PMID:25994975
Fetter, Marilyn S
While substantial evidence links information technology (IT) with improved patient safety, care quality, access, and efficiency, nurses must demonstrate competencies in computers, informatics, and information literacy in order to use IT for practice, education, and research. The nursing profession has established IT competencies for all nurses at beginning and experienced levels. Newly revised standards also articulate role-specific expectations for advanced practice nurses. Unfortunately, there is a concern that many nurses may not possess these capabilities and that nurse educators are not prepared to teach them. IT competency evaluations, which have focused predominately on nursing education, indicate novice skill levels for most faculty and students. In numerous studies, again conducted largely in nursing education, significant improvement in IT competencies has been achieved only with intensive interventions. Deficits in IT competencies are a significant concern, because the federal government has mandated full implementation of Electronic Health Records (EHR) by 2014. EHR will require all nurses to use IT to deliver, document, and obtain reimbursement for patient care. In response to these concerns, two recent initiatives, the "Health Information Technology Scholars (HITS)" and "Technology Informatics Guiding Education Reform (TIGER)" projects, have been launched. By enhancing IT competencies, these projects will enable nurses to use evidence-based practice and other innovations to transform clinical care, education, and research. This report updates psychiatric-mental health nurses on the IT competencies literature, recent enhancement initiatives and innovations, and their implications for the specialty. PMID:19148816
Nordentoft, Helle Merete; Wistoft, Karen
Purpose: The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper explores how peer collaboration influences the school nurses' collaborative learning and competence development. Design/methodology/approach: The article is based
Hodge, Bernadette D; Ackerman, Sue; Evans, Carol; Erb, Tara; Cook, Mary Lou Wranesh
A collaborative effort between community health faculty in an upper division nursing program and nurses from a nearby agricultural health and research center resulted in an educational program focused on occupational health and safety issues in the agricultural industry. The 3 hour class was presented each semester between 1997 and 1999 to RN students enrolled in a community health organization class. In addition to information about the health and safety hazards in agriculture, the nursing students learned about the center's research projects and clinical services available to the farming community. A follow up survey was mailed to the nursing students to evaluate the effectiveness and relevance of the occupational health program by identifying the proportion of the nurses' caseloads spent on occupational health problems, and whether the information and materials presented in the class were relevant to practice. Results showed that even though the surveyed nurses were employed in nonoccupational practice settings, nearly everyone rated the occupational health information as useful. Findings also revealed that although nurses in nonoccupational practice can spend nearly a quarter of their time caring for clients with work related health problems, they may lack adequate educational preparation to do so. PMID:12080891
Clarke, Sonya; McDonald, Sinead; Rainey, Debbie
The aim of this article is to explore the views of registered nurses undertaking the new Objective Structured Clinical Examination (OSCE), incorporating an integrated preparatory skills workshop. The workshop and the OSCE were audited with particular regard to the student experience. This article describes the audit process and the results of three questionnaires: one carried out before the OSCE assessment, a second immediately after the workshop and a third four days after the assessment. The results provide an insight into the student experience. PMID:22860344
Commission on Graduates of Foreign Nursing Schools, Philadelphia, PA.
This document, prepared under the auspices of the Trilateral Initiative for North American Nursing, a professional organization of nursing, examines and compares nursing standards in Canada, Mexico, and the United States. The report focuses on first-level, general nurses and advanced or specialty practice nurses, and is organized in four parts:
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.
Rickard, Megan L.; Hendershot, Candace; Khubchandani, Jagdish; Price, James H.; Thompson, Amy
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
Wolf, Debra M; Anton, Bonnie B; Wenskovitch, John
Nurses' use of the Internet and social media has surfaced as a critical concern requiring further exploration and consideration by all health care organizations and nursing associations. In an attempt to support this need, the American Nurses Association (2011) published six principles of social networking that offered guidance and direction for nurses. In addition, the National Council of State Boards of Nursing (2011) published a nurse's guide to using social media. Surfing the Internet and using social media for professional and personal needs is extremely common among nurses. What is concerning is when nurses do not separate their professional and personal presence in the virtual world. This article presents an Institutional Review Board-approved pilot survey that explored nurses' use of social media personally and professionally and offers recommendations specifically directed to the occupational health nurse. PMID:25000549
Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence.Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables ...
Maíra Muniz Assis, Selma Petra Chaves Sá, Acácia Vidon, Vilma Duarte Câmara, Giselle Evangelista, Marcelle Nolasco, Wilayne Atanázio dos Santos
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.
Hall-Lord Marie-Louise; Nordang Kirsten; 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 during a 30 months' period with tw...
Sousan Valizadeh; Neda Akbari; Aleheh Seyyed Rasuli
Breast Self-examination (BSE) appears to be an effective method for earlier detection of breast cancer. Because health behaviors usually result from healthy beliefs, so the cognition of these beliefs related to breast self examinations is essential to design program for promoting this activity. The present study evaluates the healthy beliefs of 420 nurses about BSE in 21 therapeutic centers of Tabriz. Most (90%) of nurses received information about breast cancer and BSE and most (70.2%) nurse...
Baldwin, Kathleen A; Lyons, Roberta L; Issel, L Michele
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
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
Flávia Paula Magalhães Monteiro
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.
Kathleen R. Delaney
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. ...
Monroe, Todd B; Parish, Abby; Mion, Lorraine C
Nurses caring for older people with various psychiatric illnesses face many obstacles when treating pain. One setting with a high percentage of psychiatric conditions is long-term care where more than half of residents have some form of dementia, and behavioral symptoms of dementia (BSDs) may mimic behavioral displays of pain. Furthermore, two-thirds of nursing home residents have pain. Thus, many nursing home residents with dementia have pain that may be confounded by BSDs. Since many people with dementia are at risk for poor pain management, determining current methods in which nurses assess and manage pain in nursing home residents will aid in recognizing potential barriers to using current pain management guidelines and help develop strategies to enhance nurses' assessment and management of pain in this vulnerable population. The aim of this study was to explore nursing home nurses' cues and practices to identify and alleviate pain in nursing home residents with dementia. Nurses use the constructs of 'comfort' and 'quality of life' as key components in their overall pain assessment strategy in people with dementia. Indeed, the extensive process they use involving frequent reassessment and application of interventions is geared towards "appearance of comfort." Nurses reported difficulty in ascertaining whether a person with dementia was in pain, and they expressed further difficulty determining the intensity associated with resident pain. Nurses further reported that residents with dementia who are not well know by the staff were are greater risk of poor pain management. It was not unusual for nurses to discuss the importance of conflict resolution among family members as well as allowing for open expression of family's concerns. Nurses had to focus not only on the resident's comfort, but also the families' level of comfort with pain management, especially at the end-of-life. Findings support further use and development of discomfort behavior scales to help manage pain. PMID:26397435
Sedighe Salemi; Ghazanfar Mirzabeigi; Ali Tootee; Mahnaz Sanjari; Maryam Aala
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 i...
Yang, Kyeongra; Woomer, Gail R; Matthews, Judith T
Teamwork can benefit students, enhancing their ability to think critically, solve problems creatively, and collaborate effectively. We piloted a collaborative learning project with undergraduate community health nursing students (N = 83) that entailed working in teams to explore epidemiologic data, synthesize the literature, and develop an evidence-based plan for nursing intervention and evaluation pertaining to a public health issue. Project evaluation consisted of pre- and post-project surveys by students, peer evaluation, and formative and summative evaluation by faculty. Having students work in teams, while challenging both for faculty and students, may be a viable strategy for preparing the next generation of nurses for inter- and intraprofessional collaboration. Our experience suggests that instituting a collaborative learning experience as part of an undergraduate course in community health nursing can be an effective way to expose students to constructive approaches to teamwork and prepare them for evidence-based nursing practice in the future. PMID:21820963
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.
Nurses are an important component of primary medical care, and patient education is a common and important role of most nurses. Patient education and positive role modeling by nurses have the potential to influence patients' life style choices and the serious diseases that may be affected by those choices. A greater understanding of the ways nurses think about their own health could help facilitate healthier choices for them and in their patients. The purpose of this inquiry was to examine the experiences, attitudes and beliefs of student nurses related to their personal health, and to investigate those experiences, attitudes and beliefs as they relate to their education, relationships, values and career choice. The purpose was achieved through phenomenological interviews with eleven senior nursing students, nine females and two males, encouraging them to provide in as much detail as possible their attitudes and values about their personal health. The interviews were tape recorded, transcribed verbatim, and phenomenologically analyzed. A thematic structure emerged such that the nursing students experiences were represented by the four interrelated themes of caring for myself/caring for others ; I control my health/my world controls my health; I have energy/I'm tired; and feeling good/looking good. The contextual grounds for the themes that emerged during the analysis were the Body and Time. This structure was presented in terms of its relationship to health education, other research and to current theory.
Mirella Veras; Kevin Pottie; Vivian Welch; Ron Labonte; Javier Eslava-Schmalbach; Borkhoff, Cornelia M; Elizabeth A. Kristjansson; Peter Tugwell
Objective: Health professionals are paying increased attention to issues of global health. However, there are no current competency assessment tools appropriate for evaluating their competency in global health. This study aims to assess the validity and reliability of a global health competency survey for different health disciplines. Methods: A total of 429 students participated in the Global Health Competency Survey, drawn from family medicine residency, nursing, physiotherapy and occupatio...
Enfermagem na saúde da criança: estudo bibliográfico acerca da avaliação nutricional / Nursing in child's health: bibliography study on assessment nutritional / La enfermería en la salud del niño: estudio bibliográfico sobre la evaluación nutricional
Flávia Paula Magalhães, Monteiro; Joselany Áfio, Caetano; Thelma Leite de, Araujo.
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. Abstract in spanish 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, crecimie [...] nto, 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. Abstract in english 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 asses [...] sment, 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.
Hawkins, Joellen W; Watson, John C
Frontier nursing in the public health model might invoke images of school nurses on horseback in rural Kentucky or the wilds of the western prairies. Northern Minnesota was a frontier in the last decade of the 19th century, due to the discovery of one of the richest seams of iron ore on the North American continent. Immigrants from Europe responded to the opportunities this discovery created. Among the many Finns arriving on the Iron Range of Minnesota, as it came to be named, were the parents of Lillian Augusta Wilhelmena Beck, John and Hulda Beck. Over her more than nine decades of life, their daughter became one of the most well known school nurses on the Iron Range. Her story evokes memories of the creation of school nursing in the public health model by nurses at the Henry Street Settlement in New York City. PMID:21087311
Rosted, Elizabeth; Wagner, Lis
rosted e., wagner l., hendriksen c. & poulsen i. (2012)? Geriatric nursing assessment and intervention in an emergency department: a pilot study. International Journal of Older People Nursing doi: 10.1111/j.1748-3743.2012.00323.x 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 pilot 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?months 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?months follow-up. Conclusion.? ISAR 2 works well in a Danish ED setting and intercepts older peoples' problems. It seems that unresolved problems decrease when a nurse assesses and intervenes at discharge from ED, and at follow-up. However, a randomised controlled test should be carried out to confirm this. Implications for practice.? Nursing assessment and intervention should be implemented in the ED to reduce older peoples' unrevealed problems.
Lim, Fidelindo A; Brown, Donald V; Jones, Henrietta
As the health care needs of the lesbian, gay, bisexual, and transgender (LGBT) population become increasingly important, health care professionals require appropriate academic and clinical training in preparation for the increased demand for culturally competent care. Nurses are of particular interest, as they are the core direct caregivers in many health care settings. This article explores the national climate around LGBT individuals and their related health needs. Educators and administrators who work with future nurses should strive to ensure they foster the development of knowledgeable practitioners who will be able to implement best practices in LGBT patient care. Attention should be paid to providing students with diverse clinical placements, access to LGBT interest groups, and clear expectations for LGBT-sensitive nursing care plans and course outcomes selection that promote cultural competence. Recommendations for nursing education and curricular reform are discussed. PMID:23471873
Anaebere, Ann Kiki; DeLilly, Carol Rose
Faith Community Nurses consider community cultural practices an essential component in understanding how to effectively support an individuals 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, or...
Bohnenkamp, Jill H.; Stephan, Sharon H.; Bobo, Nichole
School nurses play a critical role in the provision of mental health services in the school environment and are valuable members of the coordinated student mental health team. They possess expertise to navigate in today's complicated educational and health care systems, and it is estimated that school nurses spend 33% of their time addressing
Leung, Sau Fong; Mok, Esther; Wong, Daniel
Assessment methods can influence the learning approaches of nursing students. Assessments designed to assess understanding rather than rote learning can contribute to a deep learning approach. Multiple-choice questions can be formulated at high cognitive levels for nursing assessments. This study aimed to examine the effect of high quality multiple-choice tests on the learning approaches of students enrolled in a mental health nursing course as measured by the revised two-factor study process questionnaire (R-SPQ-2F). Data were collected from 136 students in a higher diploma (HD) in nursing programme and 142 baccalaureate (BSN) nursing students. Two-step cluster analysis yielded three clusters represented by students who were predominantly deep, predominantly surface or intermediate in their orientation to learning. There was a general decrease in the deep learning score and an increase in the surface learning score of the students on the course, possibly related to the excessive workload in nursing studies. However, there was no direct association with multiple-choice assessment. The academic achievement of students correlated negatively with their surface learning approach. Students (n=31) in four focus group interviews believed that assessments constructed using scenario-based questions, simulated role-play situations and case studies could direct desired learning in order to facilitate their understanding of knowledge, their use of critical thinking, and their application of knowledge. PMID:18164105
de Chesnay, Mary
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
Kowitlawakul, Yanika; Chan, Sally Wai Chi; Pulcini, Joyce; Wang, Wenru
The Institute of Medicine (IOM) and the Health Information Technology Act (2009) in America had recommended that electronic health records (EHRs) should be fully adopted by 2014. This has urged educational institutions to prepare healthcare professionals to be competent in using electronic health records (EHRs) while they are in schools. To equip nursing students with competency in using EHRs, an electronic health record for nursing education (EHRNE) has been developed and integrated it into nursing curricula. The purposes of the study were to investigate the factors influencing nursing students' acceptance of the EHRs in nursing education using the extended Technology Acceptance Model with self-efficacy as a conceptual framework. The study is a descriptive study design using self-reported questionnaires with 212 student participants. The IBM SPSS and AMOS 22.0 were used to analyze the data. The results showed that attitude toward using the EHRNE was the most influential factor on students' acceptance. The preliminary findings suggested that to enhance the students' acceptance of the EHRNE, cultivation of a positive attitude toward using this EHR as well as increasing the perceived usefulness is very important. Also, the study's framework could be used in guiding learning health informatics and be applied to nursing students. PMID:24947068
Snow, L; Hefty, L V; Kenyon, V; Bell, M L; Martaus, T
Community health nurse managers require tested orientation methods to fit new employees into the rapidly changing conditions of professional practice, increase nursing productivity, and reduce turnover. The clinical competencies for community health nursing provide a workable framework for applying orientation principles to the special demands of community health nursing. PMID:1565605
D'Arruda, Kimberley A
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
Rotegård, Ann Kristin; Fagermoen, May Solveig; Ruland, Cornelia M
Patients experiences, knowledge and preferences, as well as more person-centered care need to be implemented in clinical support systems and are central values and outcomes of eHealth. Health assets represent such information. The concept of health assets was explored and described based on analysis of nursing documentation in cancer patients records.
Carnegie, Elaine; Kiger, Alice
This paper is a report from one phase of an exploratory case study. It investigated the environmental health concerns of members of communities within one city in the North East of Scotland. Individual interviews with stakeholders (n=21) and four focus groups were conducted with a convenience sample of community nurses (n=19). Community nurse participants believed that their environmental health role remains underdeveloped. They indicated that they do not view the NHS as a resource for environmental health information. An environmental role is constrained by the NHS not being perceived as a source of information or expert in environmental health. They described limited contact between community nurses and public health medicine and uncertainty and conflict of interest between clinical groups regarding the scope of an environmental health role. Policy makers could support the development of an environmental advocacy role--a pilot of this is required. PMID:20679981
Colangelo, R; Goldrick, B
A marketing needs assessment was undertaken as a community health project for baccalaureate nursing students. The objective of the project were: (1) to conduct a needs assessment utilizing the concepts of marketing in health planning, and (2) to identify health needs of a community based on active participation by members of the community. Through a collaborative effort with a community health agency, students were able to integrate the principles of marketing and participative decision-making into a learning experience. The results of the needs assessment provided the agency with valuable information for strategic planning. PMID:1646309
Jucelia Salgueiro Nascimento
Full Text Available Objective: To analyze the domiciliary visit performed by nurses in the Family Health Strategy as an activity to promote health. Methods: Exploratory/descriptive study with qualitative approach. The subjects were nine nurses of the Primary Health Units from Health Districts in Maceió-AL. Data was collected through semi-structured interviews in the months from April to August 2012 and were analyzed using content analysis and in light of the theoretical framework of Health Promotion. Results: The nurses recognize that the domiciliary visit can be a way to promote the health of individuals, families and community, but, in daily life, action maintains focus on disease, with curative actions of individual character, which do not take into account the social context where the user and his family are inserted. Conclusion: It is considered that the use of home visits by nurses in the family health strategy as a health promotion activity is still incipient because, although the nurses recognize the need for change in the model of care, in practice, it is observed that the focus of this action is directed to the biological model. doi:http://dx.doi.org/10.5020/18061230.2013.p513
McCarthy Carey F
Full Text Available Abstract Background More than thirty-five sub-Saharan African countries have severe health workforce shortages. Many also struggle with a mismatch between the knowledge and competencies of health professionals and the needs of the populations they serve. Addressing these workforce challenges requires collaboration among health and education stakeholders and reform of health worker regulations. Health professional regulatory bodies, such as nursing and midwifery councils, have the mandate to reform regulations yet often do not have the resources or expertise to do so. In 2011, the United States of America Centers for Disease Control and Prevention began a four-year initiative to increase the collaboration among national stakeholders and help strengthen the capacity of health professional regulatory bodies to reform national regulatory frameworks. The initiative is called the African Health Regulatory Collaborative for Nurses and Midwives. This article describes the African Health Regulatory Collaborative for Nurses and Midwives and discusses its importance in implementing and sustaining national, regional, and global workforce initiatives. Discussion The African Health Profession Regulatory Collaborative for Nurses and Midwives convenes leaders responsible for regulation from 14 countries in East, Central and Southern Africa. It provides a high profile, south-to-south collaboration to assist countries in implementing joint approaches to problems affecting the health workforce. Implemented in partnership with Emory University, the Commonwealth Secretariat, and the East, Central and Southern African College of Nursing, this initiative also supports four to five countries per year in implementing locally-designed regulation improvement projects. Over time, the African Health Regulatory Collaborative for Nurses and Midwives will help to increase the regulatory capacity of health professional organizations and ultimately improve regulation and professional standards in this region of Africa. The African Health Regulatory Collaborative for Nurses and Midwives will measure the progress of country projects and conduct an annual evaluation of the initiatives regional impact, thereby contributing to the global evidence base of health workforce interventions. Conclusion The African Health Regulatory Collaborative for Nurses and Midwives is designed to address priority needs in health workforce development and improve regulation of the health workforce. This model may assist others countries and regions facing similar workforce challenges.
Nathalia Costa Gonzaga
Full Text Available 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.
Phillips, Janice M; Malone, Beverly
As nursing continues to advance health care in the 21st century, the current shift in demographics, coupled with the ongoing disparities in health care and health outcomes, will warrant our ongoing attention and action. As within all health professions, concerted efforts are needed to diversify the nation's health-care workforce. The nursing profession in particular will be challenged to recruit and retain a culturally diverse workforce that mirrors the nation's change in demographics. This increased need to enhance diversity in nursing is not new to the profession; however, the need to successfully address this issue has never been greater. This article discusses increasing the diversity in nursing and its importance in reducing health disparities. We highlight characteristics of successful recruitment and retention efforts targeting racial/ethnic minority nurses and conclude with recommendations to strengthen the development and evaluation of their contributions to eliminating health disparities. PMID:24385664
Regina R Witt
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.
da Silva, Kely Vanessa Leite Gomes; Monteiro, Ana Ruth Macedo
This is a theoretical reflection on the clinical nursing care in mental health that is offered to the family. In view of having a family member with mental suffering, the family would delegate the care to that relative to the mental institution, thus there should be collaboration between the nursing and medical team to organize the environment and ensure family and social isolation. With the Psychiatric Reform, based on the proposal for psychosocial care, the family becomes the center of attention for health care professionals. The necessary support for clinical nursing care includes making conceptual changes in implementing health education, interdisciplinary work, and in the broadened clinic, so as to ensure comprehensiveness and subjects' autonomy. Clinical nursing care should permeate the subjects' politicalization, in which the actors militate to reach autonomy, and the practices involve dignity, creativity, welcoming, interdisciplinarity, hearing, and knowledge sharing. PMID:22031388
Hughes, Frances A; Bamford, Anita
The worldwide burden of mental illness is increasing. Strong leadership is increasingly emerging as a core component of good mental health nursing. The aim of this article is to demonstrate the ways in which nurses can provide strong and consistent leadership in a values-based practice environment that embodies respect for individuals' dignity and self-determination within a community residential mental health service, which provides a structural foundation for effective action. This is accomplished through the presentation of two vignettes, which highlight how the seemingly impossible becomes possible when an economic paradigm such as agency theory is exchanged for a sociological and psychological paradigm found in leadership as stewardship at the point of service. It is through stronger nursing leadership in mental health that stigma and discrimination can be reduced and better access to treatments and services can be gained by those with mental illness. Nurse leadership in mental health services is not new, but it is still relatively uncommon to see residential services for "high needs" individuals being led by nurses. How nurses meet the challenges faced by mental health services are often at the heart of effective leadership skills and strategies. PMID:21702426
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.
Phillips, Janice M.; Malone, Beverly
As nursing continues to advance health care in the 21st century, the current shift in demographics, coupled with the ongoing disparities in health care and health outcomes, will warrant our ongoing attention and action. As within all health professions, concerted efforts are needed to diversify the nation's health-care workforce. The nursing profession in particular will be challenged to recruit and retain a culturally diverse workforce that mirrors the nation's change in demographics. This i...
Hansson, Annika; Clausson, Eva; Janlöv, Ann-Christin
Rapid globalization and the integration of national economies have contributed to the sharp rise in enrollment in international schools. How does this global nomadism affect international school children and their individual health needs? This study attempts to find an answer by interviewing 10 school nurses, with varying degrees of experience in international schools in Sweden, Germany, and Switzerland. Through qualitative semistructured interviews, the school nurses described that the international school children expressed common health needs similar to the ones faced by children in other school settings. However, children in the international schools expressed additional context-specific health needs related to their transient lifestyle, such as language and cultural difficulties, emotional distress, vulnerability, homesickness, alienation, and increased physical health needs related to their expatriate lifestyle. These factors often present a challenge for the school nurse whose profession is to interpret the child's health needs, which may be obscured by cultural diversity. PMID:22025104
Hunt, Glenn E; Happell, Brenda; Chan, Sally W-C; Cleary, Michelle
The journal impact factor (JIF), and how best to rate the performance of a journal and the articles they contain, are areas of great debate. The aim of this paper was to assess various ranking methods of journal quality for mental health nursing journals, and to list the top 10 articles that have received the most number of citations to date. Seven mental health nursing journals were chosen for the analysis of citations they received in 2010, as well as their current impact factors from two sources, and other data for ranking purposes. There was very little difference in the top four mental health nursing journals and their overall rankings when combining various bibliometric indicators. That said, the International Journal of Mental Health Nursing is currently the highest ranked mental health nursing journal based on JIF, but publishes fewer articles per year compared to other journals. Overall, very few articles received 50 or more citations. This study shows that researchers need to consider more than one ranking method when deciding where to send or publish their research. PMID:22583749
Kuthy, James E; Ramon, Cheree; Gonzalez, Ronald; Biddle, Dan A
Hiring nurses is a difficult task that can have serious repercussions for medical facilities. If nurses without proper skills are hired, patients can suffer from insufficient quality of care and potentially life-threatening conditions. Nurse applicants' technical knowledge is extremely important to avoid negative outcomes; however, there are soft skills that factor into their success, such as bedside manner, personality, communication, and decision making. In order for medical facilities to select and maintain high-performing nurse staff, hiring managers must incorporate evaluations for these types of skills in their hiring process. The current study focused on using content/criterion-related validation design to create assessments by which nurse applicants can be evaluated for both technical knowledge/skills and soft skills. The study included participation of more than 876 nursing staff members. To rank applicants on divergent skills, 3 assessment types were investigated, resulting in the creation of an assessment with 3 components. The clinical, situational, and behavioral components that were created measure applicants' job knowledge, interpersonal competency in medical facility-related situations, and aspects of personality and behavior, respectively. Results indicate that using the assessment can predict 45% of a nurse applicant's future job performance. Practical implications include hiring and maintaining a higher quality of nurses and decreased hiring costs. PMID:23629042
Duers, Lorraine E; Brown, Norrie
The idea that formative assessment has the potential to prepare students, not only to succeed in summative assessments during the course, but also in the world beyond the classroom [Melland, H., Volden, C., 1998. Classroom assessment: linking teaching and learning. Journal of Nursing Education 37(6), 275-277] fuelled the desire to explore student nurses experiences of being assessed formatively. Focus group discussion, within a UK Higher Education setting, captured the holistic, dynamic and individual experiences student nurses (n=14) have of formative assessment. Ethical approval was obtained. Findings from three separate focus group discussions indicate that lecturers do not use the term "formative assessment" in their communication with the student nurses; student preparation and effort is greater when assessment is for summative purposes; oral feedback is preferable to written feedback which can, at times, be illegible and utilise unfamiliar vocabulary; lecturer comments are regarded as being more valuable than grades; student nurses are not being prepared for the critical feedback associated with peer review and they may, therefore, be vulnerable to the process and outcome of peer review. Thus, the UK centric focus of this small qualitative research study need not detract from its ability to add to the global knowledge base on formative assessment in nursing. PMID:19285761
Yepes i Baldó, Montserrat; Romeo Delgado, Marina; Berger, Rita, 1959-
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...
Bentayeb, Malek; Norback, Dan; Bednarek, Micha; Bernard, Alfred; Cai, Guihong; Cerrai, Sonia; Eleftheriou, Konstantinos Kostas; Gratziou, Christina; Holst, Gitte Juel; Lavaud, François; Nasilowski, Jacek; Sestini, Piersante; Sarno, Giuseppe; Sigsgaard, Torben; Wieslander, Gunilla; Zielinski, Jan; Viegi, Giovanni; Annesi-Maesano, Isabella
Few data exist on respiratory effects of indoor air quality and comfort parameters in the elderly. In the context of the GERIE study, we investigated for the first time the relationships of these factors to respiratory morbidity among elderly people permanently living in nursing homes in seven European countries. 600 elderly people from 50 nursing homes underwent a medical examination and completed a standardised questionnaire. Air quality and comfort parameters were objectively assessed in situ in the nursing home. Mean concentrations of air pollutants did not exceed the existing standards. Forced expiratory volume in 1?s/forced vital capacity ratio was highly significantly related to elevated levels of particles with a 50% cut-off aerodynamic diameter of indoor air quality affected respiratory health in elderly people permanently living in nursing homes, with frailty increasing with age. The effects were modulated by ventilation. PMID:25766977
Bakke, Sandra I.
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
Joseph, Carol; And Others
Describes the Mental Health Consultation Team at the Portland Veterans Affairs Medical Center nursing home. The team is an interdisciplinary group of mental health professionals and primary care providers. Cooperation among these professionals has decreased the demands for formal psychiatry and psychology consultations while increasing mental
Torvik, Karin; Nordtug, Bente; Brenne, Inger Karin; Rognstad, May-Karin
The prevalence of pain ranges from 27.8% to 86.5% in nursing homes and 42% to 50% in home care. Pain assessment is the first step toward effective pain management. The aim of this study was to explore the use of pain assessment strategies (verbal, numeric, and observation rating scales and standardized questions) in home care and nursing homes. The study was a descriptive cross-sectional survey. Health care providers who were responsible for the patients' medications replied to a questionnaire. In-home care and nursing homes in 11 randomly selected municipalities in Mid-Norway were included. Three hundred ninety-two individuals were included in this study (70% response rate): 271 (69%) from nursing homes and 121 (31%) from home care. The respondents working in home care had a higher educational level than those in working in nursing homes. Pain assessment instruments were not used frequently in nursing homes and home care. Verbal and numeric rating scales were used significantly more frequently in home care than in nursing homes. Registered nurses (RNs) in nursing homes used standardized questions significantly more often than did RNs in home care. RNs and social educators in home care self-reported less competence in treating the patients' total pain experience than did those in nursing homes. Workplace (working in home care) and regular training in the use of pain assessment tools explained more than 20% of the variation in the use of pain assessment tools. Regular training in the use of pain assessment tools is needed for health care workers in home care and nursing homes. PMID:25982750
Ezeonwu, Mabel; Berkowitz, Bobbie; Vlasses, Frances R
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
Palliative Care Awareness among Indian Undergraduate Health Care Students: A Needs-Assessment Study to Determine Incorporation of Palliative Care Education in Undergraduate Medical, Nursing and Allied Health Education
Sadhu Sakshi; Salins Naveen; Kamath Asha
Purpose: Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education. Methods: A non-ra...
Goto, Aya; Rudd, Rima E; Lai, Alden Y; Yoshida, Kazuki; Suzuki, Yuu; Halstead, Donald D; Yoshida-Komiya, Hiromi; REICH, Michael R.
Background: Local public health nurses (PHNs) have been recognized as the main health service providers in communities in Japan. The Fukushima nuclear disaster in 2011 has, however, created a major challenge for them in responding to mothers concerns. This was in part due to difficulties in assessing, understanding and communicating health risks on low-dose radiation exposure. In order to guide the development of risk communication plans, this study sought to investigate mothers primary con...
Staggers, Nancy; Rodney, Melanie
Usability issues with products such as Electronic Health Records (EHRs) are of global interest to nursing informaticists. Although improvements in patient safety, clinical productivity and effectiveness are possible when usability principles and practices are in place, most organizations do not embrace usability. This paper presents a new Health Usability Maturity Model consisting of 5 phases: unrecognized, preliminary, implemented, integrated and strategic. Within each level various aspects are discussed including focus on users, management, education, resources, processes and infrastructure. Nurse informaticists may use this new model as a guide for assessing their organization's level of usability and transitioning to the next level. Using tactics outlined here, nurse informaticists may also serve as catalysts for change and lead efforts to improve the user experience in organizations across industry, academe and healthcare settings. PMID:24199128
Silva, Simone Santana da; Assis, Marluce Maria Araújo
OBJECTIVETo analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network.METHODA qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013.RESULTSStrengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems.CONCLUSIONThe nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions. PMID:26353097
Rosted, Elizabeth Emilie; Poulsen, Ingrid
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 patients unresolved problems and preventing further functional decline and readmission.
Rosted, Elizabeth Emilie; Poulsen, Ingrid
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 interventions impact on geriatric patients unresolved problems and their use of help from the community health centre. Method: We conducted a prospective descriptive study of selected geriatric patients with nursing intervention at discharge and 1 and 6 months follow-up. Included were geriatric patients 70+ years discharged to their home October 2006-June 2008. Intervention: After detecting the geriatric patients planned to be discharged, the geriatric nurse in the ED did a brief standardised nursing assessment developed by McCusker et al. comprising a checklist of physical, mental, medical and social problems. Focus was on unresolved problems that required medical intervention, new/different home care services or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: 150 geriatric patients participated, mean age 81.7 (70-99). At discharge they had in mean 2 164 (0-9) unresolved problems, after 1 month 0.8 (0-5), and after 6 months 0.5 (0-4). Before baseline ED visit 85 % of the patients received home care services, 1 and 6 months after discharge it was 96 %. Relevance to clinical practice: Structured nursing assessment and intervention in the ED could be a way of discovering geriatric patients unresolved problems and preventing further functional decline and readmission. To confirm the effect a randomized controlled trial including 270 patients is carried out as part of my PhD study at University of Southern Denmark. Data is collected from Copenhagen University Hospital Amager.
Yumang-Ross, Doreen J; Burns, Candace
Long work hours and irregular shifts are part of the nation's 24-hour society and contribute to employee fatigue. Factors affecting employee fatigue are circadian rhythm, sleep quality and quantity, individual health, the environment, and work tasks. Employee fatigue contributes to accidents and injuries, and affects occupational performance, safety, and health. These findings should be used by occupational health nurses to address fatigue management and develop comprehensive fatigue management programs. PMID:24971821
Rosted, Elizabeth Emilie; Wagner, Lis
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 peoples 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 peoples unrevealed problems.
Zugai, Joel Sebastian; Stein-Parbury, Jane; Roche, Michael
The concept of therapeutic alliance is relevant in contemporary mental health care, as the consumer-led recovery movement promotes the development of collaborative relationships, and is focussed on the consumer's individual concept of wellbeing. An evolutionary concept analysis was undertaken to establish a contemporary interpretation of therapeutic alliance for mental health nursing. The CINAHL, Scopus and PsycINFO databases were searched for articles (n = 322), with 52 deemed appropriate for analysis. Therapeutic alliance is characterised by mutual partnerships between nurses and consumers, and is dependent on a humanistic healthcare culture. Therapeutic alliance is associated with enhanced consumer outcomes and experiences with care. PMID:25988275
Andreja Kvas; Janko Seljak; Janez Stare
Background: The efficiency of the health care system is significantly dependent on the appropriate leadership and guidance of employees. One of the most frequently used new approaches in human resources management is the study of competencies and competency models. The aim of this research is to develop a competency model for leaders in nursing, and to compare it with the leadership competency model for state administration.Methods: A survey was conducted among 141 nurse leaders in Slovenia. ...
Ward, Julie A.; Beaton, Randal D.; Bruck, Annie M.; de Castro, A. B.
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...
Mª Mercedes Gago López
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.
Averlid, Gertrud; Axelsson, Susanna Bihari
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
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
Zaghloul, Ashraf A
Nursing is generally perceived as a demanding profession. There is a rising necessity for healthcare administrators to tackle the aspects leading to nurse stress and work burnout as a means towards maintaining a stable and continuous workforce at healthcare institutions.The study aimed at the development of a reliable and valid tool for measuring nursing staff stress and burnout at the University Hospital of King Faisal University, Saudi Arabia. A cross-sectional descriptive study was designed. All registered high nurses working at the hospital were included in the study. The total number accounted for 260 nurses. The study revealed a valid and reliable scale. Such results were indicated through face validity, content validity, and principal component analysis using the varimax rotation for the fifteen statements included in the questionnaire. The PCA explained 56.4% of the variance and concluded 3 main components under which the statements would be categorized. Dimensions were given suitable headings as follows; work aspects, working conditions, and workload. Reliability was assessed and revealed an internal consistency (Cronbach alpha=0.8) and a split-half Spearman-Brown coefficient for unequal length r= 0.79. In conclusion, the study demonstrated a short valid and reliable scale to assess the stressful areas for nurses. The scale is convenient for use by healthcare managers at different medical situations. Further studies are recommended for the use of the tool on representative samples of Saudi nurses. PMID:19302776
Happell, Brenda; McAllister, Margaret
There is an ongoing global shortage of mental health nurses. Within Australia, the principal strategy of offering a postgraduate education programme with various incentives to encourage nurses back to study has not been successful. This has led to the consideration of radical alternatives, including the return to pre-registration specialisation in mental health. The successful introduction of this strategy would require the full support of industry partners. To date, the voice of industry has not been heard in relation to this issue. The aim of this paper is to present the views of an Australian sample of mental health nursing directors regarding the resources and other factors required, should undergraduate specialist programmes in mental health be developed, to ensure they are relevant and likely to be successful. A qualitative exploratory research project was undertaken to explore the perspectives and opinions of industry partners. In-depth interviews were conducted with nursing directors (n = 12) in Queensland Australia. Five main themes were identified: relationships with universities; clinical placement preparation and support; workplace culture; facilitators and preceptors; and practical student learning. Genuine collaboration between the two organisations was considered crucial for delivering a quality programme and providing the required support for students. Transformative leadership could inform this collaboration by promoting acknowledgement of and respect for differences. PMID:25353302
Abdi masooleh F
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.
Fumi?, Nera; Marinovi?, Marin; Brajan, Dolores
Health care and today's medical and technical achievements and approved standards of treatment provide comprehensive quality, safety and traceability of medical procedures respecting the principles of health protection. Continuous education improves the quality of nursing health care and increases the effectiveness of patient care, consequently maintaining and enhancing patient safety. Patient health problems impose the need of appropriate, planned and timely nursing care and treatment. In providing quality nursing care, attention is focused on the patient and his/her needs in order to maintain and increase their safety, satisfaction, independence and recovery or peaceful death, so the health and nursing practices must be systematized, planned and based on knowledge and experience. Health and nursing care of patients at risk of developing acute and chronic wounds or already suffering from some form of this imply preventive measures that are provided through patient education, motivation, monitoring, early recognition of risk factors and causes, and reducing or removing them through the prescribed necessary medical treatment which is safe depending on the patient health status. Except for preventive measures, nursing care of patients who already suffer from some form of acute or chronic wounds is focused on the care and treatment of damaged tissue by providing appropriate and timely diagnosis, timely and proper evaluation of the wound and patient general status, knowledge and understanding of the wide range of local, oral and parenteral therapy and treatment, aiming to increase patient safety by preventing progression of the patient general condition and local wound status and reducing the possibility of developing infection or other complications of the underlying disease. In the overall patient management, through nursing process, medical interventions are implemented and aimed to maintain and optimize health status, prevent complications of existing diseases and conditions, provide appropriate wound treatment, increase satisfaction, reduce pain, increase mobility, reduce and eliminate aggravating factors, and achieve a satisfactory functional and aesthetic outcome. Many scientific researches and knowledge about the pathophysiological processes of wound formation and healing are currently available. Modern achievements can accelerate independence, reduce pain and encourage faster wound healing, thus it is important to continuously develop awareness, knowledge and experience, along with the treatment to achieve, maintain and enhance the quality of health care and patient safety. PMID:25326985
Close examination of the different healthcare systems and the present economic crisis worldwide suggests that all health organizations should re-evaluate the concept of health promotion and its relationship to cost-effectiveness. When choosing the most efficient and cost-effective system, each nation's healthcare system must seriously start to implement strategies for the change. Health professions, including nursing, must change their vision of education both in academic and practice settings, to focus on health promotion and illness prevention. The key principle underlying this paper is to illustrate the importance of health promotion and cost-effectiveness being adopted by all health organizations worldwide, as well as to observe the experiences of selected counties in developing a health policy related to education in primary healthcare. The paper will include a plan adopted by the General Nursing Directorate (GND) in the Kingdom of Saudi Arabia (SA), which contains a health promotion policy for the nursing administrations in all governmental primary healthcare centers in Saudi Arabia. PMID:22924205
For nurses interested in keeping up to date with developments in geriatric treatment, this set of resources created by expert practitioners will be quite a find. The entire site was developed as part of the Nurse Competence in Aging initiative created by the American Nurses Association. Here, visitors can read over twenty-five two-page assessment tools that include such helpful titles as â??Assessing Nutrition in Older Adultsâ?, â??Predicting Pressure Ulcer Riskâ?, and â??Immunizations for the Older Adultâ?. Written in clear and direct language, these resources will also be of assistance for nursing educators and those who are responsible for professional development workshops. It is also worth mentioning that these short tools are designed as screening tools, and are not for diagnosis.
Érica Toledo de Mendonça
Full Text Available The study has as object in nursing knowledge built during the Brazilian Sanitary Reform Movement, printed in the Annals of the Brazilian Nursing for the period 1977-1980. Objective: To analyze the content relating to this national health policy in the annals of the Brazilian Congress of Nursing in force from 1977 to 1980. This is a social-historical study, exploratory analysis that used the documentary as a research technique. We analyzed the Annals of the Brazilian Nursing the period 1977-1980, and categorization of selected themes in the corpus. The nurses, as actors engaged in national health system, they made a scientific output that showed signs of incorporation of political and social reality, building a knowledge in public health in line with the ideals sanitarians.
Soble, Irene Carol
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. ...
da Silva, Marysia Alves; Lana, Francisco Carlos Felix
This study is part of a Master's thesis on the participation of nurses on Health Councils and aims to analyze the perception nurses have of their role in these forums. A qualitative approach is used with a theoretical referential of Discourse Analysis. The subjects are nurses who have been members of Local and Municipal Health Councils in Goiânia, Goiás State, since 1995. The perceptions expressed are related to their concerns about not monopolizing the councils, about councils--especially local ones--being used for party political purposes, about avoiding corporate positions, about council autonomy, lack of infrastructure, political interference, lack of preparation on the part of professionals and the necessity of training for political quality, the contributions that they can make to discussion, reflection, group analysis, interventions and technical support. Hopeful perspectives refer to continued change in order to qualify a greater number of councilors, to the growing emancipation of people for citizenship and to the reliability of present administrations. PMID:15473425
Roghayeh Abedini; Alireza Choobineh; Jafar Hasanzadeh
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...
Beck, Cornelia; Buckwalter, Kathleen C; Dudzik, Pamela M; Evans, Lois K
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
Resource Publications, Inc., Princeton, NJ.
This publication contains descriptions of 59 hospitals and other medical agencies which offer job opportunities to nurses and those trained in the allied health professions. Included in the descriptions are a brief introduction, salaries and/or benefits, employment opportunities, location, and source of further information. A geographical index
Wu, Chia-Yi; Lin, Yi-Yin; Yeh, Mei Chang; Huang, Lian-Hua; Chen, Shaw-Ji; Liao, Shih-Cheng; Lee, Ming-Been
The evidence of suicide prevention training for nurses is scarce. Strategies to enhance general nurses' ability in suicide risk assessment are critical to develop effective training programs in general medical settings. This study was aimed to examine the effectiveness of an interactive discussion group in a suicide prevention training program for general nurses. In this randomized study with two groups of pre-post study design, the sample was recruited from the Medical, Surgical, and Emergency/Intensive Care Sectors of a 2000-bed general hospital via stratified randomization. Among the 111 nurses, 57 participants randomly assigned to the control group received a two-hour baseline suicide gatekeeper lecture, and 54 participants assigning to the experimental group received an additional five-hour group discussion about suicide risk assessment skills. Using a case vignette, the nurses discussed and assessed suicide risk factors specified in a 10-item Chinese SAD PERSONS Scale during a group discussion intervention. The findings revealed that the nurses achieved significant and consistent improvements of risk identification and assessment after the intervention without influencing their mental health status for assessing suicide risks. The result suggested an effective approach of interactive group discussion for facilitating critical thinking and learning suicide risk assessment skills among general nurses. PMID:24768204
Skarupski, Kimberly A; Pelkowski, Jennifer J
Nationally, almost 10 million older Americans are served by approximately 12,000 multipurpose senior centers (MSCs). Among those over age 65, 15% attended an MSC in the previous year. We can expect that the number of older Americans attending MSCs will increase as our population ages. We conducted face-to-face interviews with 59 older adults at an MSC that provides programming to approximately 350 individuals aged 60 and older during the course of 1 year. We identified several areas in which senior center participants could benefit from the presence of community health nursing: loneliness and social support; diet and nutrition, oral health, and self-rated health and exercise. Community health nurses should play an integral role in MSCs by providing direct healthcare in the form of interventions and referrals and by providing preventative care and advice so that senior center participants may maintain and improve the prospects for their independence and quality of life. PMID:12738578
International evidence reveals that hospital nurses have not been able to incorporate health promotion effectively into the framework of their care. This can be attributed to unclear conceptualizing of the barriers and facilitators to the role of nurses in health promotion. An integrative review was carried out to develop a conceptual model to assist hospital nurses in Jordan to understand how health promotion activities can be developed. Factors affecting the involvement of nurses in health promotion - ranging from limited knowledge about health promotion to the social image of nursing - can be structured into three levels: the micro (individual), meso (organizational) and macro (population). By understanding the interplay of factors between and within the levels, nurses and other health professionals can draw on the individual, social and organizational factors that influence nurses' role in health promotion. The proposed model can be considered as a springboard for developing health promotion activities related to hospitals in other Muslim-majority contexts. PMID:26074221
Mapanga, K. G., Mapanga, M. B
This article describes nursing in Zimbabwe within the context of primary health care, delineating various levels of delivery of nursing practice, educational preparation levels and implications for practice. This picture is intended to capture the quality of nursing care that is congruent to clients expectations of the ever-changing Zimbabwean society. Nursing programs at various levels include health assessment, nursing process and nursing research. Clinical specialization including functio...
Beck, Anne Marie
Objective: The purpose of this study was to evaluate the relationship between underweight status and weight loss events on the need for health care assistance among a sample of Danish nursing home residents over 12-months. Design: Longitudinal, repeated measures design with three data collection points at baseline (2004) and six and 12 months post baseline. Setting: 11 Danish nursing home facilities. Participants: 441 Danish nursing home residents over the age of 65. Measurements: Resident Assessment Instrument (RAI-NH) data were abstracted for each participant at each of three data collection points. RAI-NH data related to facility staff ratings of residents physical functioning (Activities of Daily Living, ADL) status and their need for health care staff assistance related to ADLs were collected at each time point in addition to the resident weight status and experience of weight loss according to three criterion (i.e., > 1%, >5% or >10% of baseline body weight at 6 or 12 months) and Body Mass Index (BMI) values. Results: Low BMI (< 18.5) and weight loss were both significantly associated with the need for staff assistance with ADLs during a 12-month timeframe. Conclusion: The results of this study suggest that elderly nursing home residents with a low BMI or weight loss may add to the substantial and costly burden of nursing home care due to the associated need for higher levels of ADL assistance.
Borycki, Elizabeth M.; Frisch, Noreen; Kushniruk, Andre W.; McIntyre, Marjorie; Hutchinson, David
In Canada there are few nurses who have advanced practice competencies in nursing informatics. This is a significant issue for regional health authorities, governments and electronic health record vendors in Canada who are implementing electronic health records. Few Schools of Nursing provide formalized opportunities for nurses to develop informatics competencies. Many of these opportunities take the form of post-baccalaureate certificate programs or individual undergraduate or graduate level...
Simmons, DeLanne A.
The Visiting Nurse Association of Omaha is a nonprofit, voluntary agency providing home health care, preventive care, clinical services, and school health services in an urban-rural setting. It has developed a computerized system which provides for: (1) centralized dictation by service delivery staff; (2) the printing of a uniform clinical, family problem-oriented record; (3) an integrated data base, statistical system, and financial system; and (4) the communication capability to remote stat...
Backes, Vânia Marli Schubert; do Prado, Marta Lenise; Lino, Mônica Motta; Ferraz, Fabiane; Canever, Bruna Pedroso; Gomes, Diana Coelho; Martini, Jussara Gue
The study aimed to describe the panorama of Education in Nursing and Health from abstracts of theses and dissertations published by nurses in Brazil between the years 2001 to 2009. This is a bibliometric, descriptive and quantitative study. Data were collected in the "Catalogue of Theses and Dissertations" from CEPEn/ABEn. After reading the abstracts and systematization of the material, analysis was performed using descriptive statistics. It was reviewed 4.101 studies, 523 of them on the theme of education. From these, 67% were dissertations and 33% of them were theses, predominantly produced in the southeast of Brazil. One conclude that the representation of the theme in the national context is significant and contributes to the advancement of knowledge in the field of Nursing, even though there are regional differences in the production process of this area of knowledge. PMID:23743846
Greatrex-White, Sheila; Moxey, Helen
The purpose of this study was to ascertain how well different wound assessment tools meet the needs of nurses in carrying out general wound assessment and whether current tools are fit for purpose. The methodology employed was evaluation research. In order to conduct the evaluation, a literature review was undertaken to identify the criteria of an optimal wound assessment tool which would meet nurses' needs. Several freely available wound assessment tools were selected based on predetermined inclusion and exclusion criteria and an audit tool was developed to evaluate the selected tools based on how well they met the criteria of the optimal wound assessment tool. The results provide a measure of how well the selected wound assessment tools meet the criteria of the optimal wound assessment tool. No tool was identified which fulfilled all the criteria, but two (the Applied Wound Management tool and the National Wound Assessment Form) met the most criteria of the optimal tool and were therefore considered to best meet nurses' needs in wound assessment. The study provides a mechanism for the appraisal of wound assessment tools using a set of optimal criteria which could aid practitioners in their search for the best wound assessment tool. PMID:23711205
N. Raees Dana
Full Text Available Introduction: Anecdotes abound about obesity and obese person being ridiculed and society attitudes about obese persons are clearly negative and many of health care workers, also believes these myths. This study was performed to determine the attitudes of nursing students of Semnan University of medical sciences about obesity myths. Materials and Methods: This research was a descriptive-analytic study and was performed on 115 of the nursing students of the Semnan University of Medical Sciences in May 2006. Data was collected with researcher-made questionnaire, which it was composed of demographic data and 25 common myths about obesity. The myths were selected from the internet using key word "Obesity myths". We used 5-point Likert scale for the assessment of nursing student's attitude. Statistical analysis was performed by SPSS program using chi-square and spearman correlation test. Results: The result of study showed that nursing students have anti-fat bias towards obese individuals and some of their attitudes need corrections, however, 59/1% of the students have positive attitudes about obesity myths (disagreement with obesity myths. Conclusion: Nurses are at first line of confrontation with clients and patients. Beliefs and attitudes of nurses can contribute to providing care of obese individuals. More education about obesity concept is necessary.
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 patients 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.
Heierle Valero, Cristina; Cano-Caballero Gálvez, María Dolores; Guillamet Lloveras, Ana; Celma Vicente, Matilde; Garach Mirasol, José Ignacio
The new European space for higher education requires changes in education manners as well as execution. One of the main challenges is for the students to acquire competence in their professional life. For that purpose they require knowledge, but also skills and a proactive attitude towards learning. In this paper we tell the experience of the Virgen de las Nieves School of Nursing in Granada, with regards to the integration of the practices for the subjects of Community Nursing III, Psychiatric and Mental Health Nursing, and Geriatric Nursing, which are taken in the third year of the Diplomatura en Enfermería degree. Said practices, which were previously being offered separately within different contexts, will be merged in the same program whose scope will be Primary Care. We believe that the experience has been very positive by looking both at the results and the satisfaction of the students and the professional lecturers. It has been achieved an increase in the number of community care practice hours, and students have managed to acquire more autonomy in their learning and to incorporate critical reasoning in their education. In the methodology used, they have been the main evaluators and protagonists in their learning process, seeking the implication of professionals and teaching tutors in this change. The consensus on the objectives and methods, along with the obstacles which had to be overcome, constitutes one of the most interesting aspects of this experience. PMID:21188872
Full Text Available Background: The efficiency of the health care system is significantly dependent on the appropriate leadership and guidance of employees. One of the most frequently used new approaches in human resources management is the study of competencies and competency models. The aim of this research is to develop a competency model for leaders in nursing, and to compare it with the leadership competency model for state administration.Methods: A survey was conducted among 141 nurse leaders in Slovenia. The respondents were asked to complete questionnaire with 95 leadership behaviours that form the leadership competency model for leaders in nursing. The data were analysed by ANOVA and Tukey's honestly significant differences test.Results: The levels of competencies set for themselves by leaders at the third leadership level in nursing (leaders of small units and teams are significantly lower than those set by all other leaders, both in nursing and in state administration. Statistically significant differences were apparent in the majority of areas.Conclusion: Within the context of the comparison of competency models, the greatest need for training can be observed at the third level of leadership in nursing. A comparison of models formulated in this way enables the exchange of good practices among leaders from various professional groups and easier identification of the training needs of individual groups of leaders in public administration. The proposed concept is designed to significantly simplify and unify the building of competency-based leadership models in public sector.
Susan G. Williams
Full Text Available Nursing faculty continue to find themselves challenged to meet student needs by the increasing student enrollment numbers and increasing faculty workloads without simultaneously increasing resources. The responsibility to meet student needs rests on the nursing faculty. It is therefore increasingly important that nursing faculty implement teaching modalities to meet student and patient needs. This article demonstrates facultys use of service-learning as an effective, innovative teaching modality to meet increasing student, patient, and community needs without additional resources. The authors seek to differentiate between service learning and contracted clinical experiences in order to enable nurse educators to use service learning as a teaching modality. The authors describe the process of using service learning with nursing process in this course. Nursing assessment is built into the project as a windshield survey. A literature review was conducted seeking to understand other uses of service learning in education and validate the authors experiences. This three-credit hour lecture and one credit hour clinical course has yielded unique and interesting service learning projects that positively impact their communities. The students work with cohorts of all races, ethnicities and cultures throughout the lifespan. Service-learning opportunities assist in the availability and accessibility of health care to safety net facilities and vulnerable populations who may not otherwise receive health care screening or treatment. Faculty in nursing and other health disciplines will likely appreciate the innovation, creativity, and autonomy afforded this modality of outreach.
Full Text Available Yuqun Zhang,1,2 Yueqiu Zhao,3 Shengqin Mao,1 Guohong Li,4 Yonggui Yuan1 1Department of Psychosomatics and Psychiatry, Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, Peoples Republic of China; 2Nursing Faculty of Southeast University, Nanjing, Peoples Republic of China; 3Nanjing Health School, Nanjing, Peoples Republic of China; 4Nursing Department, Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, Peoples Republic of China Objective: To explore health anxiety in a sample of nursing students to determine the relationships between health anxiety and life satisfaction, personality, and alexithymia.Methods: Two thousand and eighty-six nursing students in junior college, which were divided into five groups, were evaluated by questionnaires, including the Life Satisfaction Scales Applicable to College Students, the Chinese version of the Short Health Anxiety Inventory, the Toronto Alexithymia Scale (TAS-20, and the Eysenck Personality Questionnaire. Results: The mean age, whether the individual was an only child, residence (urban or rural, and were significantly different between the groups. The self-assessment scores were also significantly different between the groups. The Short Health Anxiety Inventory total score and the factor of fearing the likelihood of becoming ill were significantly negatively correlated with the Life Satisfaction Scales Applicable to College Students total score and its two factors, but were significantly positively correlated with psychoticism, neuroticism, and TAS-20 total scores and its scores of the three TAS-20 factors. The negative consequence scale of Short Health Anxiety Inventory was not significantly correlated with externally oriented thinking, but was significantly negatively correlated with extraversion. A hierarchical multiple regression analysis indicted that objective satisfaction, subjective satisfaction, neuroticism, and the three factors of TAS-20 were predictors of health anxiety.Conclusion: Health anxiety was correlated with life satisfaction, personality, and alexithymia in junior college nursing students. Subjective and objective satisfaction, neuroticism, and the identification and expression of emotions may be predictors of health anxiety in nursing students. Keywords: life satisfaction, personality, alexithymia
Achor Justin U
Full Text Available Abstract Background There is increasing public and professional awareness of autism spectrum disorders with early recognition, diagnosis and interventions that are known to improve prognosis. Poor knowledge about childhood autism among paediatric and psychiatric nurses who are members of multidisciplinary teams that care for such children may be a major barrier to early interventions that could improve quality of life and prognosis in childhood autism. Factors that influence knowledge about childhood autism among these nurses are not known. This study assessed knowledge about childhood autism among paediatric and psychiatric nurses in Ebonyi state, Nigeria and determined the factors that could be influencing such knowledge. Methods Forty specialist paediatric and forty psychiatric nurses, making a total sample of eighty, were randomly selected from all the health care facilities in Ebonyi state, Nigeria. A socio-demographic questionnaire and knowledge about childhood autism among health workers (KCAHW questionnaire were administered to them and the study was a point survey. Results The total mean score on the KCAHW questionnaire among the nurses that participated in the study was 12.56 ± 3.23 out of a total of 19 possible. The mean score for the paediatric nurses was 11.78 ± 3.64 while psychiatric nurses had mean score of 13.35 ± 2.58. The mean scores in Domain 1 were 6.17 ± 1.75 for the paediatric nurses and 6.52 ± 1.43 for the psychiatric nurses. The mean scores in Domain 2 were 0.65 ± 0.48 for the paediatric nurses and 0.80 ± 0.41 for the psychiatric nurses. Domain 3 showed mean scores of 1.97 ± 1.25 for the paediatric nurses while psychiatric nurses scored 2.62 ± 1.23. Domain 4 yielded the mean scores of 2.97 ± 1.54 and 3.42 ± 0.98 for the paediatric and psychiatric nurses respectively. There was significant relationship between the total mean score on the KCAHW questionnaire for the two groups and the area of specialisation of the nurses (t = -2.23, df = 78, p = 0.03 and there was also significant relationship between previous involvement in managing children with childhood autism as a specialist paediatric or psychiatric nurse and the total mean score on the KCAHW questionnaire (t = 6.90, df = 78, p = 0.00. Conclusion The scores reflect deficits in knowledge about childhood autism among the study cohorts. Paediatric and psychiatric nurses as members of multidisciplinary teams that care for children with childhood autism are expected to provide holistic care and adequate counselling to the families of these children. Unfortunately in this environment, they are not fully equipped with enough knowledge about childhood autism. Education on childhood autism is therefore needed and can be provided through continuing medical education and emphasizing childhood autism in their training curriculum. This will enhance early identification and diagnosis of childhood autism with early interventions that are known to improve prognosis.
Zauszniewski, J., Suresky, J
Psychiatric and mental health nursing practice continues to be strongly influenced by tradition, unsystematic trial and error, and authority. Yet the need for quality care that is based on the best and most current empirical research is well documented. Achieving evidence-based practice in the psychiatric nursing specialty will require that qualified nurse researchers conduct research relevant for practice and appropriately disseminate that research to those who can best use it, practicing nu...
Henderson, Anthony R; Martyr, Philippa
Mental health nursing education in Australia has undergone a significant transition in the last 50?years, influenced by national inquiries, national decisions, and international trends in nursing education. But mental health nursing education had also accumulated decades of history in each state, including sometimes unequal relations with general nursing. Complex inter- and intra-professional relationships at state level influenced this educational transition in each state, and Western Australia provides an example of this influence. Using a range of published and unpublished sources, including oral histories, this paper describes the revision of the mental health nursing curriculum in Western Australia from 1958, responses to the call for transition to the tertiary sector between 1976 and 1984, and the final transition of mental health nursing education to university level in Western Australia in 1994. Mental health nursing's educational standards improved only gradually in Western Australia from 1958 onwards, compared with professional advances in general nursing in the same period. Factors which may have held back these improvements include mental health nursing's professional conservatism, which was outpaced by general nursing's growing radicalization at the national level. A lack of professional confidence and cohesion left mental health nursing unable to respond effectively to rapid external changes in the 1960s and 1970s, and vulnerable to absorption and dominance by general nursing education programs. PMID:22809369
Khattab, Ahmed D; Rawlings, Barry
Assessment of clinical competence in nurse practitioner programmes has been greatly advanced over the last 10 years by widespread use of the objective structured clinical examination (OSCE). This article describes a modified OSCE developed in a nurse education department at a specific university within the UK to standardize evaluation of the physical examination skills of nurse practitioner students. Stations comprise procedure stations, which require students to perform a 'whole' examination of the subject, and question stations, which are composed of two forms of viva, involving various cognitive activities. A number of other universities are currently using this modified OSCE as a tool for formative and summative assessment, as a learning resource, and to identify gaps and weaknesses in clinical skills. PMID:18825850
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.
...invitational summit that focuses on Nursing Workforce Diversity (NWD...our ability to diversify the nursing workforce. The goal of the summit...Hansen, MHSA, RN, NE-BC, Nurse Consultant, Nursing Practice and Workforce...
Mallet, Anna Paula; Dall'Agnol, Clarice Maria; Souza, Dirciara Barañano
The objective of this qualitative, exploratory and descriptive study is to investigate the nursing practices related to travelers' health counseling. Data were collected from nursing professionals who work in the immunization sector of three Basic Health Units in Porto Alegre, Rio Grande do Sul, Brazil, using the technique of semi-structured interview. Five categories emerged from content analysis: care profile, health orientation, referrals to exchange the National Immunization Card for the International Certificate of Vaccination, information source and information material. The results signal the beginning of an organization of nursing practices focused on travelers' health, going beyond the focus on yellow fever. Failures in guidelines for acquisition of International Certificate of Vaccination still occur and information materials are missing. It points out to the need of broadening the discussion on travelers' health for a review of strategies for care organization and referrals for the construction of a specific policy. PMID:21500509
This study focused on the nurses experiences with multicultural clients in sexual and reproductive health care in Kokkola. The purpose of the study was to describe nurses experiences when facing multicultural clients in sexual and reproductive health care. The goal of the study was to gain information for the development of the nursing practice and education in the field of multicultural nursing. The research was conducted by combining both qualitative and quantitative research methods...
Randi Tofthagen; Anne-Grethe Talseth; Lisbeth Fagerström
The aim of this study was to explore mental health nurses' experiences of caring for inpatients who self-harm during an acute phase. The setting was four psychiatric clinics in Norway. Fifteen mental health nurses (MHNs) were recruited. Semistructured interviews comprised the method for data collection, with content analysis used for data analysis. Two main categories emerged: challenging and collaborative nurse-patient relationship and promoting well-being through nursing interventions. The ...
Alice Yuen Loke; Olivia Wai Man Fung
The purpose of this study was to explore Hong Kong nurses perceptions of competencies required for disaster nursing. Focus group interviews and written inquiry were adopted to solicit nurses perceived required competencies for disaster care. A total of 15 nurses were interviewed and 30 nurses completed the written inquiry on their perceived competencies related to disaster nursing. The International Council for Nurses (ICN) framework of disaster nursing competencies, consisting of four the...
Kathy Puskar; Giuliana Mazza
Background: Statistics have shown that veteran men and women are at greater risk for suicide than the general population. In order to decrease the incidence of suicide in veterans, nurse practitioners (NPs) and other health care professionals must not only become more aware of the risk factors for veteran suicides but also develop strong psychiatric interviewing skills. Purpose: To discuss the risk factors associated with veteran suicide, the assessment tools to ensure a comprehensive...
Full Text Available In 2011 advanced competences in nursing were defined and pilot tested in the Basque Healthcare System, in order to meet the needs of chronic patients. It is assumed that nursing professionals, in a functional sense, can fulfil a liaison role both within the health system and with external stakeholders. Integration between levels of care, the mobilisation of resources and case management are fundamental factors in achieving this objective. Background: In 2010, an overall strategy for tackling the challenge of chronicity was launched in the Basque Country. Its main objective was to drive the Basque Health Service (Osakidetza towards improving care for patients with chronic illnesses (Department of Health and Consumer Affairs, Basque Government and Osakidetza, 2010. Under this strategy, there was a commitment to develop and implement advanced competencies in nursing, with the objective of introducing nursing roles to better meet the needs of chronic patients. Methods: To achieve this objective, a one-group pre-test and post-test pre-experimental design was adopted for this study. We used the SATISFAD questionnaire to assess the satisfaction of patients and caregivers, and the SF-12 and Barthel Index to measure quality of life and level of independence respectively. Results: The experience of introducing the new nursing competencies has been rated as very positive by the participating patients and those around them (their caregivers and families as it is perceived to have resulted in care that is more personalised, better planned and focused on the patient than traditional healthcare. Nevertheless, the process was not found to have significantly improved patient perception of quality of life and level of independence.Conclusions: The implementation of advanced competencies in the Basque Country has shown that case management leads to improvements in social and health care for patients, and their caregivers and families, compared to traditional care.
Full Text Available Manual patient handling is known to be the major source ofmusculoskeletal load among hospital nurses. The objectives of the present study were determination of frequency ofmusculoskeletal disorders (MSDs and its associatedfactors together with assessment of musculoskeletal loaddue to patient transfer by PTAI method in hospitalnursing staff of Shiraz University of Medical Sciences (SUMS, Iran. In this cross-sectional study, 400 randomlyselected nurses of SUMS hospital participated. Data were collected by anonymousdemographic and Nordic Musculoskeletal Disorders Questionnaires together with PTAI index checklist. Statistical analyses wereundertaken using SPSS, version 16. Age and job tenure means of participantswere 30.76±6.44 and 6.92±5.75 years, respectively. 88.2% of the nursing staffreported some forms of musculoskeletal symptoms during the 12 months prior tothe study. The results of PTAI index assessment demonstrated that in 4%, 8.5% and87.5% of the subjects, musculoskeletal load were at levels 1, 2 and 3,respectively. The results revealed that PTAI index score was significantlyassociated with musculoskeletal disorders occurrence (p<0.001.Musculoskeletal load was high among nurses with patient transfer activity. Age, nurse to bed ratio, marital status, shiftwork and PTAI score were associated risk factors for MSDs in the studiednursing staff.
McKenna, Mary K.
Occupational health nursing has become an increasingly important specialty in the field of nursing during this century. In the broadest concept, occupational health is concerned with all factors which influence the health of people at work. Nurses, as well as other health care professionals, are attempting to apply the evolving technology of the computer to direct client care applications in the workplace. One such relevant use of the computer has been that of targeted disease surveillance in...
Mónica, Santos; Armando, Almeida.
Full Text Available A lei portuguesa não define com rigor as habilitações do Enfermeiro de Saúde Ocupacional nem o seu papel na Equipa de Saúde Ocupacional. Pretende-se com esta revisão bibliográfica, que utiliza as palavras-chave: Enfermagem do trabalho e Saúde do trabalhador, nas bases de dados MedLine with Full Te [...] xt, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, perceber qual o lugar que a Enfermagem tem na equipa de Saúde Ocupacional, descrevendo como esta é executada em diferentes países, com variadas perspetivas e objetivos. A Saúde Ocupacional comporta hoje uma abordagem abrangente, onde se inserem aspetos não laborais que interferem com a saúde do trabalhador, podendo englobar a família e/ou comunidade. A nível internacional, as tarefas predominantemente curativas deram lugar a outras de prevenção e de gestão, sendo inúmeros os programas que o Enfermeiro de Saúde Ocupacional tem capacidade para orientar, assumindo um papel central, completo e integrativo dentro da equipa. Finalmente, é fundamental quantificar custos, pré- e pós-atuação, para valorizar o seu trabalho financeiramente, perante a gestão da entidade empregadora. Abstract in spanish La legislación portuguesa no define con rigor la cualificación de la enfermera de salud laboral ni tampoco su papel dentro del equipo de salud laboral. Se pretende con esta revisión de la literatura, utilizando las palabras clave: el trabajo de enfermería y salud en el trabajo MedLine with Full [...] Text, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, entender qué lugar ocupa la enfermería en el equipo de salud laboral y describir cómo esta se lleva a cabo en diferentes países con diversas perspectivas y objetivos. La salud laboral incluye actualmente un enfoque integral, que abarca aspectos no laborales que interfieren en la salud del trabajador y puede englobar a la familia y/o a la comunidad. A nivel internacional, las tareas predominantemente curativas han dado paso a otras de prevención y de gestión, con numerosos programas que la enfermera de salud laboral está capacitada para dirigir, asumiendo así un papel central, completo e integrativo dentro del equipo. Por último, es fundamental cuantificar los costes de las actividades previas y posteriores para valorizar su trabajo financieramente, atendiendo así a la gestión de la entidad empleadora. Abstract in english Portuguese law does not define the precise qualifications of occupational health nurses or their role in the occupational health team. A literature review was carried out using the keywords nursing work and occupational health, in the databases Medline with Full Text, MedicLatina, Academic Search, [...] CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess and NHS Economic Evaluation Database, The aim was to understand the place of nursing in occupational health, describing how this is implemented in different countries with different perspectives and goals. Occupational health now uses a comprehensive approach which includes non-work aspects that interfere with worker health and may include family and/or community. Internationally, predominantly curative tasks have given way to others centered on prevention and management, with numerous programs that the occupational health nurse is able to lead, assuming a central role, fully integrated within the team. Finally, it is crucial to quantify costs, before and after activi
Full Text Available A lei portuguesa não define com rigor as habilitações do Enfermeiro de Saúde Ocupacional nem o seu papel na Equipa de Saúde Ocupacional. Pretende-se com esta revisão bibliográfica, que utiliza as palavras-chave: Enfermagem do trabalho e Saúde do trabalhador, nas bases de dados MedLine with Full Text, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, perceber qual o lugar que a Enfermagem tem na equipa de Saúde Ocupacional, descrevendo como esta é executada em diferentes países, com variadas perspetivas e objetivos. A Saúde Ocupacional comporta hoje uma abordagem abrangente, onde se inserem aspetos não laborais que interferem com a saúde do trabalhador, podendo englobar a família e/ou comunidade. A nível internacional, as tarefas predominantemente curativas deram lugar a outras de prevenção e de gestão, sendo inúmeros os programas que o Enfermeiro de Saúde Ocupacional tem capacidade para orientar, assumindo um papel central, completo e integrativo dentro da equipa. Finalmente, é fundamental quantificar custos, pré- e pós-atuação, para valorizar o seu trabalho financeiramente, perante a gestão da entidade empregadora.La legislación portuguesa no define con rigor la cualificación de la enfermera de salud laboral ni tampoco su papel dentro del equipo de salud laboral. Se pretende con esta revisión de la literatura, utilizando las palabras clave: el trabajo de enfermería y salud en el trabajo MedLine with Full Text, MedicLatina, Academic Search Complete, CINAHL Plus with full text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess e NHS Economic Evaluation Database, entender qué lugar ocupa la enfermería en el equipo de salud laboral y describir cómo esta se lleva a cabo en diferentes países con diversas perspectivas y objetivos. La salud laboral incluye actualmente un enfoque integral, que abarca aspectos no laborales que interfieren en la salud del trabajador y puede englobar a la familia y/o a la comunidad. A nivel internacional, las tareas predominantemente curativas han dado paso a otras de prevención y de gestión, con numerosos programas que la enfermera de salud laboral está capacitada para dirigir, asumiendo así un papel central, completo e integrativo dentro del equipo. Por último, es fundamental cuantificar los costes de las actividades previas y posteriores para valorizar su trabajo financieramente, atendiendo así a la gestión de la entidad empleadora.Portuguese law does not define the precise qualifications of occupational health nurses or their role in the occupational health team. A literature review was carried out using the keywords nursing work and occupational health, in the databases Medline with Full Text, MedicLatina, Academic Search, CINAHL Plus with Full Text, Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection, Health Technology Assess and NHS Economic Evaluation Database, The aim was to understand the place of nursing in occupational health, describing how this is implemented in different countries with different perspectives and goals. Occupational health now uses a comprehensive approach which includes non-work aspects that interfere with worker health and may include family and/or community. Internationally, predominantly curative tasks have given way to others centered on prevention and management, with numerous programs that the occupational health nurse is able to lead, assuming a central role, fully integrated within the team. Finally, it is crucial to quantify costs, before and after activities, to evaluate the work financially for the management of
Wu, Yelena P.; Steele, Ric G.
School nurses represent an important resource for addressing pediatric obesity and weight-related health. However, school nurses perceive numerous barriers that prevent them from addressing the weight-related health of students. The current study developed and tested a new, comprehensive measure of nurses' perceptions of 10 types of barriers to
Carolina Luiza Bernardes
Full Text Available Objective: To identify the issues occurred with nursing workers through a Health Monitoring System for Nursing Workers (SIMOSTE and to describe the consequences of those problems. Method: This is a quantitative, exploratory and descriptive study realized in a teaching hospital in the west region of the city of São Paulo. Results: From the SIMOSTE, 1.847 occurrences were registered in a six month period. Within the main occurrences, medical licenses, work related accidents with and without removals; psychiatric consultations and psychotherapy were highlighted. Conclusion: The data points out to the need for the development of new health vigilance actions to notify accidents and illness related to work, besides the prevention of issues.
Rhéaume, Ann; Dykeman, Margaret; Davidson, Patricia; Ericson, Penny
Health care restructuring during the 1990s resulted in major changes in the way nurses' work is defined and implemented. The adoption of the baccalaureate degree as basic preparation for entry into nursing has further complicated the lives of nurses. The purpose of this qualitative study is to explore the impact of health care reforms and changing educational requirements on nurses in New Brunswick, Canada. Sixty-three nurses representing different practice settings were interviewed and three focus groups were held with the nurses that were interviewed. Study findings indicate that nurses' practice has changed as a result of the reforms. Nurses give less direct care to patients and have taken on a greater administrative role. The requirement of a baccalaureate degree for entry to practice has placed a strain on working relationships between older and younger nurses, accentuating differences in working knowledge and work ethic among these groups. PMID:17652630
London, L; Baldwin-Ragaven, L
The need for health professionals to address their human rights obligations has emerged in the last decade both internationally as well as nationally following the findings of South Africa's Truth and Reconciliation Commission. Support for human rights norms has become a priority for institutions as well as practitioners within the health sector. Training plays a crucial role in shaping health professional practice. In addition to creating a clear understanding of the linkages between human rights and health, educators can role-model how health professionals should act to support human rights. This article explores human rights derived from the South African Constitution in relation to the obligation on health professionals to respect, protect, promote and fulfill human rights. The implications of this commitment to human rights training of nurses are discussed, drawing on the authors' nine years of experience in running courses for South African health professional educators. Themes include: developing core competencies for human rights in health professional curricula, identifying appropriate instructional methodologies and assessment tools suited to the content and context of human rights, and engaging the institutional environment for human rights teaching, at both the level of institutional culture and strategic implementation. At a time when there are increasing demands on the nursing profession to assume greater responsibility and develop versatility in its scope of practice, key challenges are posed for teaching and realising human rights. PMID:18592944
Full Text Available The need for health professionals to address their human rights obligations has emerged in the last decade both internationally as well as nationally following the findings of South Africas Truth and Reconciliation Commission. Support for human rights norms has become a priority for institutions as well as practitioners within the health sector. Training plays a crucial role in shaping health professional practice. In addition to creating a clear understanding of the linkages between human rights and health, educators can role-model how health professionals should act to support human rights. This article explores human rights derived from the South African Constitution in relation to the obligation on health professionals to respect, protect, promote and fulfill human rights. The implications of this commitment to human rights training of nurses are discussed, drawing on the authors nine years of experience in running courses for South African health professional educators. Themes include: developing core competencies for human rights in health professional curricula, identifying appropriate instructional methodologies and assessment tools suited to the content and context of human rights, and engaging the institutional environment for human rights teaching, at both the level of institutional culture and strategic implementation. At a time when there are increasing demands on the nursing profession to assume greater responsibility and develop versatility in its scope of practice, key challenges are posed for teaching and realising human rights.
L, London; L, Baldwin-Ragaven.
Full Text Available The need for health professionals to address their human rights obligations has emerged in the last decade both internationally as well as nationally following the findings of South Africa's Truth and Reconciliation Commission. Support for human rights norms has become a priority for institutions as [...] well as practitioners within the health sector. Training plays a crucial role in shaping health professional practice. In addition to creating a clear understanding of the linkages between human rights and health, educators can role-model how health professionals should act to support human rights. This article explores human rights derived from the South African Constitution in relation to the obligation on health professionals to respect, protect, promote and fulfill human rights. The implications of this commitment to human rights training of nurses are discussed, drawing on the authors' nine years of experience in running courses for South African health professional educators. Themes include: developing core competencies for human rights in health professional curricula, identifying appropriate instructional methodologies and assessment tools suited to the content and context of human rights, and engaging the institutional environment for human rights teaching, at both the level of institutional culture and strategic implementation. At a time when there are increasing demands on the nursing profession to assume greater responsibility and develop versatility in its scope of practice, key challenges are posed for teaching and realising human rights.
Emmerentia du Plessis; Susara P Human
This article is the last in a series of three articles on a strategy to promote nurses health research contribution in South Africa. Opsomming Hierdie artikel is die laaste in n reeks van drie artikels oor n strategie vir die bevordering van verpleegkundiges se gesondheids-navorsingsbydrae in Suid-Afrika. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
Jablonski, Rita A
The purpose of this paper is to describe the quantity and quality of oral hygiene content in a representative sample of before-licensure nursing fundamentals textbooks. Seven textbooks were examined. Quantity was operationalized as the actual page count and percentage of content devoted to oral health and hygiene. Quality of content was operationalized as congruency with best mouth care practices. Best mouth care practices included evidence-based and consensus-based practices as published pri...
Field, P A; Larsen, J
Mintzberg's theoretical framework of management, which examines the roles and functions of a manager in relation to effective communication, is used to analyse observational data of managerial conflict within a community health setting. In this setting the manager failed to establish sound interpersonal relations with her peers or with the clinic nurses. This led to a poor information base from which she could make decisions. The result was that the group became stressed and developed signs of disintegration. PMID:2715525
Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie
Access to occupational health services for primary prevention and control of work-related injuries and illnesses by the global workforce is limited (World Health Organization [WHO], 2013). From the WHO survey of 121 (61%) participating countries, only one-third of the responding countries provided occupational health services to more than 30% of their workers (2013). How services are provided in these countries is dependent on legal requirements and regulations, population, workforce characteristics, and culture, as well as an understanding of the impact of workplace hazards and worker health needs. Around the world, many occupational health services are provided by occupational health nurses independently or in collaboration with other disciplines' professionals. These services may be health protection, health promotion, or both, and are designed to reduce health risks, support productivity, improve workers' quality of life, and be cost-effective. Rantanen (2004) stated that basic occupational health services must increase rather than decline, especially as work becomes more complex; workforces become more dynamic and mobile, creating new models of work-places; and jobs become more precarious and temporary. To better understand occupational health services provided by occupational health nurses globally and how decisions are made to provide these services, this study examined the scope of services provided by a sample of participating occupational health nurses from various countries. PMID:25000546
Team-based learning (TBL) is an active learning approach that is becoming increasingly more popular in nursing education. When nurse educators flip the classroom and use methods such as TBL, students are often more engaged and are active participants in their own learning. This article outlines how a teaching team in an undergraduate nursing program used a modified TBL method to teach about community health nursing. The traditional method of TBL is described, as well as limitations of this approach and recommendations for future teaching. PMID:25350043
Across the world, there are concerns about how nursing and midwifery services are delivered in community settings. In the Republic of Ireland (ROI), significant economic contraction since 2009 has resulted in a decrease in the number of personnel available at a time when the older and younger population has been increasing. The purpose of this article is to outline a change initiative made in one public health nursing service in the ROI. In this change process, public health nursing staff moved from generalist to specialist roles. Distinct teams were created to deal with clinical care and child health, welfare, and protection. A key feature of the clinical team was the utilisation of a corporate caseload approach. The change was prompted by a reduction in staffing numbers, vacant caseloads, and increasing clinical risks and activity. Initial response to the change from frontline staff, management, and patients has been positive. The main effects of the change were noted in caseload management, risk management, and increased focus on clinical supervision. An external evaluation of the change initiative was carried out in 2014. PMID:26140321
Carson, J; Wood, M; White, H; Thomas, B
Organisational and administrative concerns topped the list of stressors reported by a national sample of hospital and community mental health nurses. Seven of the ten top stressors were listed by both groups. Community nurses also listed inadequate service provision and lack of time to plan treatment. Hospital nurses were most stressed by inadequacy of staffing cover in potentially dangerous situations and low morale at work. Jerome Carson et al believe the findings indicate an urgent need for change at senior NHS management and administration level. PMID:9400197
Lovri?, Robert; Prli?, Nada; Zec, Davor; Puelji?, Silvija; vanut, Botjan
The students' assessment of clinical faculty competencies and the faculty members' self-assessment can provide important information about nursing clinical education. The aim of this study was to identify the differences between the students' assessment of the clinical faculty member's competencies and the faculty member's self-assessment. These differences can reveal interesting insights relevant for improving clinical practice. PMID:25643320
Kroshus, Emily; Fischer, Anastasia N; Nichols, Jeanne F
Female high school athletes are an at-risk population for the Female Athlete Triad-a syndrome including low energy availability (with or without disordered eating), menstrual dysfunction, and low bone mineral density. School nurses can play an important role in reducing the health burden of this syndrome, by educating coaches and athletes, and by referring symptomatic student-athletes to appropriate community resources for evaluation and treatment. This study assessed knowledge, attitudes, communication, and referral behaviors of U.S. high school nurses about the Female Athlete Triad. Participants were a random sample of 370 U.S. high school nurses. The results indicated that only 19% of the nurses were able to identify the three components of the Triad and only 25% reported that they work proactively with coaches to help prevent health issues among their female athletes. Over 95% expressed interest in learning more about the Triad. Implications for educational program design are discussed. PMID:25530174
Ranse, Jamie; Hutton, Alison; Wilson, Rhonda; Usher, Kim
Disasters occur internationally and are nondiscriminatory. The loss resulting from the destruction associated with disasters leads to the development of various levels of psychological trauma in survivors. Health teams provide assistance to survivors before, during and after disasters, and mental health nurses make an important contribution to these teams. However, the leadership role of mental health nurses in disaster situations has not been extensively explored in the literature. This article discusses aspects of mental health nursing leadership in preparation for, response to and recovery from disasters. In particular, recommendations are made to enhance the leadership of mental health nurses in the context of disasters. PMID:26091078
Cooke, Marie; Matarasso, Beth
Reflective practice in nursing has been shown to improve both client care and nurses role satisfaction. Students require regular and guided opportunities to learn the necessary reflective skills that underpin best practice. Problem-based learning (PBL) processes based on comprehensive learning packages developed from actual clinical cases provide a contextualized and realistic means for students to develop and hone their reflective skills for use as mental health practitioners. This paper uses a case illustration to demonstrate the usefulness of PBL as a mechanism for developing reflective practice in the mental health context. Students analysed five cases drawn from actual documented clinical materials that included nursing, medical and allied health professionals' assessments, treatment regimes, and progress notes. One student's written analysis of the five cases and an interview with the student is presented as a case illustration. The case illustrates the student's reflections on the theme of 'hope' for the clients and identified three obstacles. These were: (i) a lack of acknowledgement by health professionals of traumatic life events; (ii) overlooking less tangible losses; and (iii) a central focus on drug treatment. Reflective learning strategies can be incorporated in on- and off-campus learning environments and used to assist the learner to practise critical reflective skills in a controlled and safe manner. Reflective processes are more meaningful if the PBL package that students encounter represents real clinical scenarios with comprehensive resource materials. PMID:16296991
José Luís Guedes dos Santos, Rosângela Marion da Silva, Adelina Giacomelli Prochnow, Carmem Lúcia Colomé Beck, Maria de Lourdes Rodrigues Pedroso, Joséte Luzia Leite
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.
Smolowitz, Janice; Speakman, Elizabeth; Wojnar, Danuta; Whelan, Ellen-Marie; Ulrich, Suzan; Hayes, Carolyn; Wood, Laura
There is widespread interest in the redesign of primary health care practice models to increase access to quality health care. Registered nurses (RNs) are well positioned to assume direct care and leadership roles based on their understanding of patient, family, and system priorities. This project identified 16 exemplar primary health care practices that used RNs to the full extent of their scope of practice in team-based care. Interviews were conducted with practice representatives. RN activities were performed within three general contexts: episodic and preventive care, chronic disease management, and practice operations. RNs performed nine general functions in these contexts including telephone triage, assessment and documentation of health status, chronic illness case management, hospital transition management, delegated care for episodic illness, health coaching, medication reconciliation, staff supervision, and quality improvement leadership. These functions improved quality and efficiency and decreased cost. Implications for policy, practice, and RN education are considered. PMID:25261382
Filipova, Anna A
The purpose of this study was to determine the levels of automation for 21 clinical functions and the benefits and barriers to electronic health records use in skilled nursing facilities in one of the Midwestern states in the US. A cross-sectional design was implemented. Data were collected from nursing home administrators using a mail and online survey approach. A total of 156 usable questionnaires of 397 distributed were returned, for a 39.30% response rate. While many facilities reported fully automated Minimum Data Set assessments, licensed nurse clinical notes, and care plans, there remained a predominant reliance on paper for functions, such as diagnostic tests and consults. Although many facilities had advanced toward using automation to produce quality reports, they were lagging behind in the use of automated clinical decision support and summary reports. The top two barriers included the amount of capital needed and the cost for hardware and infrastructure. Facilities with paper records were more likely to identify those barriers for functions, such as clinical notes and assessments. The top three benefits were quality patient care monitoring, management control of performance, and anywhere/anytime easier access to clinical data. The study concludes with recommendations to nursing home leaders and other stakeholders. PMID:23774447
The paper demonstrates a participatory, real-life experimentation-based design approach comprising design as well as organizational implementation of large IT systems. Evaluations within a series of sustained iterative cycles are supported by ethnographically inspired observations to identify and analyze changes to work practices that emerge from using the IT system. The approach might empower users by identifying and turning selected emergent changes into planned interventions and opportunity-based change in the following iteration. A large-scale experiment was conducted where an advanced prototype of an Electronic Health Record (EHR) system was configured in collaboration with clinicians and subsequently exposed to real-life use at an acute neurological stroke unit. The system replaced all paper records. The clinicians used the system 24 hours a day throughout one week. The observations focused on the nurses use of a large shared EHR display during highly collaborative situations. An ethnographic analysis of emergent changes to the nurses work reveals (a) a change from oral presentation to collective reading of patient records, (b) initiation of collective investigations of patient records, and (c) that nurses observations became a prominent part of the shared agenda during interdisciplinary team conferences (attended by all clinicians). The presentation will present video excerpts and audio transcripts from the observations and demonstrate (1) the empowerment experienced by the nurses during the experiment, and (2) the implications with regard to design
Buus, Niels; Cassedy, Paul
In this article, we report findings from a study aimed at developing the content and implementation of a manual for a research-based intervention on clinical supervision of mental health nursing staff. The intervention was designed to strengthen already existing supervision practices through educational preparation for supervision and systematic reflection on supervision. The intervention consists of three sessions and was implemented on two groups of mental health hospital staff. We present an outline of the manual and explain how the trial sessions made us adjust the preliminary manual. The effects of implementing the manual will subsequently be analysed in an independent randomised controlled trial.
Happell, Brenda; Stanton, Robert; Hoey, Wendy; Scott, David
People with serious mental illness experience disparities in primary health care. One solution is a specialist nursing position responsible for the coordination of the primary care of people with serious mental illness. However the views of nurses regarding this proposed role are only beginning to emerge. This study reports the readability, factorability, internal consistency and responses from a questionnaire regarding the views of nurses working in a mental health setting regarding the proposed role. The questionnaire was determined to have adequate readability, and internal consistency. Nurses are positive towards the development of the role however the cost-effectiveness should be considered. PMID:24673787
Marcos Hirata Soares
Full Text Available RESUMO Objetivo: realizar a adaptação transcultural a escala Nursing Students Attitudes Toward Mental Health Nursing and Consumers no Brasil. Métodos: os dados foram coletados em 2013, na cidade de Londrina-PR. As etapas metodológicas foram as de equivalência conceitual e de itens, equivalência semântica e equivalência operacional. Resultados: a validade de conteúdo realizada por um grupo de juízes, com o consenso mínimo de 80% resultou numa escala composta por 35 itens divididos em 6 fatores. Houve concordância de 100% dos juízes quanto aos parâmetros de clareza de linguagem, pertinência prática, e relevância teórica, assim como para exclusão de um fator. Conclusão: o instrumento está adaptado culturalmente para o Brasil, assim como apresenta validade de conteúdo satisfatória. São sugeridos estudos das propriedades psicométricas como a validade de construto, consistência interna e a confiabilidade do instrumento.
Full Text Available 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 results showed a statistically significant difference in sleep quality and general health of nurses based on two questionnaires (p=0.01; p=0.05 respectively. Conclusion: According to our findings we suggest fixed working shifts versus rotating one for nurses to reduce the side effects
Full Text Available Background/Objectives: The use of psychosocial interventions has been shown to improve the functioning of individuals with serious mental disorders such as schizophrenia. Such skills have been taught to mental health nurses in community settings for many years and have been well evaluated but there is a paucity of evidence for their use on acute inpatient wards. This study evaluates two teaching modules convened for qualified mental health nurses who are working in acute adult inpatient wards in several mental health units. The purpose of the modules is to teach trainees psychosocial interventions to equip them to care for patients with severe mental illness. The studys objectives are to evaluate the effectiveness of the teaching on the modules and also to evaluate the trainees success in transferring the interventions which they learned into clinical practice. Methods: A quasi experimental design was adopted to ascertain whether or not trainees perceptions of their practice had changed post module and to investigate whether trainees patients reported differences in their nursing care after training. A questionnaire was administered to each trainee (experimental group before and after the modules to elicit their opinion of their ability in caring for patients with severe mental health problems. Their responses pre module were then compared to their responses post module. The effectiveness of the modules was further evaluated by comparing the experimental groups post module responses to those of a group matched for length of service and experience who had not undertaken the modules (reference group. To measure the trainees transfer of psychosocial interventions into practice, a questionnaire was administered to the patients for whom they acted as named nurse throughout their stay on the ward. Their responses were compared to patients for whom the reference group acted as named nurse. The scales were tested for reliability using the Cronbach alpha test and statistical significant was assessed using both paired t-test and Wilcoxons. Results: The study found that the modules were effective in teaching trainees psychosocial interventions, but that they found implementation difficult. Conclusions: The modules were effective in giving trainees more confidence in caring for patients on acute wards. However, ways need to be found to empower trainees to transfer the skills which they have learned in the modules into clinical practice.
Wilson, Anne; Whitaker, Nancy; Whitford, Deirdre
Health reform worldwide is required due to the largely aging population, increase in chronic diseases, and rising costs. To meet these needs, nurses are being encouraged to practice to the full extent of their skills and take significant leadership roles in health policy, planning, and provision. This can involve entrepreneurial or intrapreneurial roles. Although nurses form the largest group of health professionals, they are frequently restricted in their scope of practice. Nurses can help to improve health services in a cost effective way, but to do so, they must be seen as equal partners in health service provision. This article provides a global perspective on evolving nursing roles for innovation in health care. A historical overview of entrepreneurship and intrapreneurship is offered. Included also is discussion of a social entrepreneurship approach for nursing, settings for nurse entre/intrapreneurship, and implications for research and practice. PMID:22686113
Margaret Edwards; Dean Care; Jeannette Bowman; Beth Perry; Caroline L. Park
Why do nursing and health studies graduate students who are enrolled in online programs decide to withdraw? The qualitative study reported in this paper investigated students self-identified reasons for withdrawing from an online graduate program in nursing and health studies. The focus of the study was Athabasca Universities Centre for Nursing and Health Studies (CNHS) online graduate program. Data were collected from program students who initiated withdrawal between the years 1999-2004. U...
Austvoll-Dahlgren, Astrid; Helseth, Sølvi
Public health nurses barriers and facilitators to the use of research in consultations about childhood vaccinations The aim of this study was to describe sources of information, as well as barriers and facilitators to the use of research during consultations by public health nurses concerning childhood vaccinations. The study was conducted using semi-structured focus group interviews in a grounded theory approach. Overall 16 public health nurses participated into three focus groups conducted...
Cleary, Michelle; Horsfall, Jan
Integrity is interpreted as a holistic phenomenon that incorporates personal characteristics, cognition, interpersonal awareness, and practical enactment-ultimately relating to matters society deems worthwhile. This approach enables integrity to be understood as both a personal morality and a social (group) morality. Mental health nurses embedded in a hierarchical bureaucratic organisation may act according to their personal morality and display moral strength in many situations; however, if the social morality of the group is at variance with their convictions, as individuals their capacity to be courageous and enact integrity will be tested. A likely consequence will be that those with the most cherished positive patient care values, those with a stronger adherence to moral convictions about the public good, and those with a clearly developed understanding of integrity parameters will depart, and possibly leave the profession. In this article, we provide an overview of the structural and contextual realities of nursing work within organisations and discuss how these factors can compromise whole unit integrity and seriously challenge mental health nurses' commitment to enacting integrity. In the final section of this article, broad suggestions for strengthening individual and group integrity are provided. PMID:24004361
Firment, Lynda; Morrison, Sarah
Occupational health nurses are in a position to follow individuals undergoing bariatric surgery before and after the procedure. By fully understanding the health problems caused by obesity, occupational health nurses can effectively communicate the importance of diet and exercise. PMID:17001839
Douglas, Kathy S
The wisdom and experience of pubic health nurses serving on a Navajo Reservation, who work far from the typical hospital setting, may well hold some of the keys to how we can successfully plan for and navigate the future of our shifting health care system. As more of the nursing workforce moves outside the walls of the hospital, competencies in autonomy, clinical judgment, decision making, and communication will increase in importance. long with safety and quality implications, this may also influence changes in nursing education, job requirements, hiring, and measuring performance. In addition, there may be implications around how new nurses are oriented and how they get the experience needed to function in more independent roles. Within their routine days, the conditions they work in, the situations they face, and the many ways public health nurses find to meet the needs of the people they serve, is a wealth of knowledge that may well translate into solutions for some of the challenges our nation's health care system is facing. PMID:22970554
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
Hesio, Cordeiro; Valéria Ferreira, Romano; Elaine Franco dos, Santos; Amílcar, Ferrari; Eliane, Fernandes; Telma Ruth, Pereira; Ana Tereza da Silva, Pereira.
Full Text Available 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.
JUAN REYES LUNA
Full Text Available Estudio cuasiexperimental que describe la adherencia de enfermeras hospitalarias a utilizar un modelo teórico como base de la valoración de enfermería, medida por la actitud y conducta hacia: valoración de enfermería, planificación del cuidado, conocimiento de modelos teóricos e importancia a realizar la valoración de enfermería en base aun modelo teórico. Una vez que el grupo experimental se capacitó en relación a modelos y teorías de enfemería y participó activamente en la elaboración de un instrumento de valoración, la adherencia se midió a través de las escalas de Actitud y de Conducta en Salud de Miller, adaptadas por los autores, y por la evidencia escrita en los registros. Para el análisis de los datos se usó la diferencia en diferencia mediante t de Student. Los resultados muestran que la adherencia medida por la actitud fue aceptada con una asociación estadística significativa; en cambio la adherencia medida por la conducta, no mostró diferencias significativas, resultados que fueron respaldados por la evidencia en los registros de enfermería de sólo un 11% de adherencia. Se concluye que los profesionales de enfermería, en términos de conductas adherentes, no evidenciaron cambios significativos antes y después del tratamiento experimental, pero se obtuvieron resultados positivos en términos cognitivos, ya que manifestó una actitud adherente a trabajar con un modelo teórico lo que es muy positivo para la profesión y es, por tanto, la motivación necesaria para lograr los cambios en el nuevo marco de la gestión del cuidado en enfermeríaThis quasi-experimental research study describes the adherence of hospital nurses toward using a nursing model as a guideline for nursing assessment. Adherence was measured according to nurses' attitude and behavior toward nursing assessment, nursing care plan, nurses' knowledge of nursing models, and the significance of performing their nursing assessment based on a theoretical model. Once the experimental group received training about nursing theories and models and actively participated in constructing an assessment tool, adherence was measured according to the Miller's Health Attitude Scale and Miller's Behaviour Scale both revised and adapted by the authors. Evidence of adherence was also sought in nursing notes from patients'charts. For data analysis the t test difference in difference was used. Results showed that adherence measured by attitude was statistically significant. On the other hand, no significant differences were observed when adherence was measured according to the behaviour scale. These findings were supported by nurses' notes where little adherence was found. We conclude that in terms of adherence behaviour, nurses did not show significant changes after the initial training. Significant findings were found in terms of nurses' attitude toward working with a nursing model as they showed a tendency to adhere to a model in the attitude scale. The latter is very significant for the nursing profession and it motivates us to continue to enact the current nursing reform focused on nursing care management
Strech, Scott; Wyatt, David A
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
Shin, Yunhee; Rew, Lynn
The purpose of this study was to explore the practical issues encountered by nursing students who participated in three mentoring programs to promote adolescent health as well as to suggest future mentoring program options for promoting healthy adolescent behavior. The principal investigator and the nursing students recorded practical issues as they arose and prepared memos on these issues offering suggestions for future programs. The written records and memos were reviewed and analyzed using a content analysis process. The content analysis revealed a number of issues and suggestions for future mentoring programs. These issues included the general advantages of mentors, growth in professional capability, progress in professional socialization, and the acquisition of health promotion strategies. Discussion on these issues allows us to assess the potential of nursing students as mentors in a mentoring program to promote adolescent health. Future program development includes program delivery within longer, more regularly structured periods of time while using a multifaceted collaborative approach that can then be evaluated with an appropriate scale to maximize the effects of the program. PMID:19540633
Betz, Cecily L
This article examines the impact of cultural factors influencing the youth's transition process and includes recommendations for addressing these needs within the context of nursing practice. Youth-centered transition planning begins with a comprehensive, culturally competent assessment of adolescent and family needs in order to foster youth autonomy and family support during this important stage of development. Nurses who work with youth with developmental disabilities are faced with many questions from youth and families regarding the how, what, when, and where of transition planning, such as "Where do I find an adult health care provider who has the clinical expertise and sensitivity to my disability concerns?" and "Where can I get health insurance coverage when I "age out" of the health insurance program I am currently enrolled in?" The questions youth and families have not only reflect their needs for services and supports, but also represent the cultural context of their experiences. Who is this youth who is fast growing up, soon to become an adult? What has been this young person's experiences as a boy or a girl, a person with a developmental disability, a member of his or her family, and a member of the community? Each youth's experiences have an enormous impact shaping his or her progression through adolescence, and the impact continues with adult development. Nurses can serve as pivotal members of the team assisting these youths with developmental disabilities and their families in confronting the challenges and excitement of successfully transitioning to adulthood. PMID:12914308
McInnis-Perry, Gloria; Greene, Ann; Mina, Elaine Santa
Standards of practice (SOPs) comprise competency statements, which are grounded in current knowledge and research, and provide foundations for performance that support professional accountability. The nursing profession, and specifically the psychiatric-mental health specialty of nursing practice in Canada, develops and revises practice standards regularly. The current article describes the collaborative, evidence-informed journey of the Canadian Federation of Mental Health Nurses during its fourth revision of the Canadian Psychiatric-Mental Health Nursing SOPs. An intraprofessional team of psychiatric-mental health nurses from the clinical, academic, research, and policy areas developed and nurtured collaborative processes that emphasize collegial and authentic relationships. Effective communication and a respectful learning environment supported the process for all members of the team. The current article provides recommendations for other professional organizations considering developing and/or revising SOPs. [Journal of Psychosocial Nursing and Mental Health Services, 53(9), 32-37.]. PMID:26325171
SS Vilakazi; MM Chabeli; SD Roos
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 i...
Westbrook Johanna I; Duffield Christine; Li Ling; Creswick Nerida J
Abstract Background Time nurses spend with patients is associated with improved patient outcomes, reduced errors, and patient and nurse satisfaction. Few studies have measured how nurses distribute their time across tasks. We aimed to quantify how nurses distribute their time across tasks, with patients, in individual tasks, and engagement with other health care providers; and how work patterns changed over a two year period. Methods Prospective observational study of 57 nurses for 191.3 hour...
O'Neil, M B; Woodard, M; Sosa, V; Hunter, L; Mulrow, C D; Gerety, M B; Tuley, M
This article describes a standard protocol for assessing physical function in elderly nursing home residents. Major physical dimensions that are measured with the protocol include range of motion, muscle force, muscle reflex activity, sensation, soft tissue status, balance/coordination, and posture. A practical, functionally prioritized treatment model based on the assessment is also presented. The standardized assessment and treatment plan may be useful to the physical therapist in (1) planning and prioritizing treatment, (2) identifying when goals have been met, (3) recognizing when there is a need for treatment plan modification, and (4) educating physical therapy students in applying problem-solving skills in their treatment sessions. PMID:1635944
Selma Aparecida Lagrosa Garcia
Full Text Available Objective: To investigate, with a qualitative approach, the role of Obstetric Nurses at the primary level of care given to womens 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 nurses 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.
Lindh R. Viveca; Persson V. Chatrin; Saveman Britt Inger; Englund Claire J; Idberger Karl; Östlund E.A. Ulrika
Background: Family systems nursing embraces the view that one family members 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 in nursing, this article evaluates teaching family systems nursing by using synchronous online health-promoting conv...
Jacob, Sini; Munro, Ian; Taylor, Beverley Joan
Background Mental health recovery is a prominent topic of discussion in the global mental health settings. The concept of mental health recovery brought about a major shift in the traditional philosophical views of many mental health systems. Aim The purpose of this article is to outline the results of a qualitative study on mental health recovery, which involved mental health consumers, carers and mental health nurses from an Area Mental Health Service in Victoria, Australia. This paper is Part One of the results that explored the meaning of recovery. Methods The study used van Manen's hermeneutic phenomenology to analyse the data. Findings Themes suggested that the cohort had varying views on recovery that were similar and dissimilar. The similar views were categorised under two processes involving the self, an internal process and an external process. These two processes involved reclaiming various aspects of oneself, living life, cure or absence of symptoms and contribution to community. The dissimilar views involved returning to pre-illness state and recovery was impossible. Conclusion This study highlights the need for placing importance on the person's sense of self in the recovery process. PMID:26041103
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.
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: 0.620.83, P soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing reeducation for the nurses by IP personnel helped drive these results. PMID:24548456
Full Text Available Abstract Background The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school. Methods This study was based on an extended version of the theory of planned behaviour (TPB. A total of 251 respondents (response rate of 70% from 42 school health programs across the Province of Québec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action. Results A total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (? = 0.36, moral norm (? = 0.27, attitude (? = 0.24, and subjective norm (? = 0.21 (ps Conclusions Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources.
Almalki Mohammed J; FitzGerald Gerry; Clark Michele
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 Q...
Al-Rawajfah, Omar M; Aloush, Sami; Hewitt, Jeanne Beauchamp
Datasets of gigabyte size are common in medical sciences. There is increasing consensus that significant untapped knowledge lies hidden in these large datasets. This review article aims to discuss Electronic Health-Related Datasets (EHRDs) in terms of types, features, advantages, limitations, and possible use in nursing and health-related research. Major scientific databases, MEDLINE, ScienceDirect, and Scopus, were searched for studies or review articles regarding using EHRDs in research. A total number of 442 articles were located. After application of study inclusion criteria, 113 articles were included in the final review. EHRDs were categorized into Electronic Administrative Health-Related Datasets and Electronic Clinical Health-Related Datasets. Subcategories of each major category were identified. EHRDs are invaluable assets for nursing the health-related research. Advanced research skills such as using analytical softwares, advanced statistical procedures, dealing with missing data and missing variables will maximize the efficient utilization of EHRDs in research. PMID:25421544
Two focus groups of health visitors, practice nurses and community nursery nurses were held to find out how much health visitors and nurses know about children's bone nutrition, and whether they are able to identify dietary sources of these nutrients. Results showed that these professionals spend a significant part of their time giving nutritional advice about children and young people and answering questions on a range of dietary matters. They were well informed about the importance for bone health of calcium, vitamin D, exercise and a healthy, balanced diet. The biggest misconception was that dairy products in the UK contain vitamin D. Most of the professionals knew that bone strength develops quickly during childhood, and some that it does so in adolescence but few were aware that 90% of the full genetic potential for bone strength is achieved before adulthood. The groups reported confusion over the Government's initiatives for vitamin D supplements, and lack of guidance from Primary Care Trusts on making Healthy Start vitamins available at clinics for mothers and babies. Overall, health visitors and nurses have a good knowledge of bone health but there are gaps and more educational resources are needed, including on dietary sources of vitamin D. The Government needs to give clear guidelines about its initiatives for vitamin D supplements for mothers and children aged under five years. It is disappointing that the Dairy Council's 3-a-Day message on meeting essential calcium needs through three daily servings of dairy foods has not got through. PMID:18973090
Visovsky, Constance; Haas, Marilyn; Faiman, Beth; Kurtin, Sandra; Shaftic, Anne Marie; Lyden, Elizabeth; Rice, Janique
The focus of this study was to assess the feasibility and clinical implementation of a standardized assessment for chemotherapy-induced peripheral neuropathy (CIPN) by registered nurses in patients undergoing neurotoxic chemotherapy. A total of 24 registered nurses from 4 different institutions were enrolled into the study. A pre- and posttest design was used to assess changes in nurses attitudes, knowledge, and perceived skill in CIPN assessment. Using selected data collection instruments, ...
McDonald, Anne; Frazer, Kate; Duignan, Catriona; Healy, Marianne; Irving, Annette; Marteinsson, Patricia; Molloy, Brenda; McNicholas, Elizabeth
Illuminating the full range of nursing actions is a challenge for nurses globally; the invisibility of nursing and of public health nursing in particular is well documented. Visibility can be enhanced by identifying core functions of nursing and matching corresponding levels of interventions and outcomes. This is a priority for the contemporary Irish public health nursing (PHN) service. In the United States, public health nurses have developed an 'Intervention Wheel' naming public health interventions at community, systems and individual/family levels. This aimed to make visible the core functions of PHN practice. The values and beliefs underpinning the Intervention Wheel have been shown to capture the essence of public health nursing within the European context. In total, US nurses described 17 Wheel interventions by recording stories from practice. Owing to concern that the public health aspect of their role was not only invisible but was at risk of erosion, Irish PHNs decided to replicate this storytelling approach to provide evidence for and authenticate the 17 interventions on the Intervention Wheel from their day-to-day public health practice. PMID:25754782
Full Text Available Gaps in research focusing on work related stress, burnout, job satisfaction and general health of nurses is evident within developing contexts like South Africa. This study identified the relationship between work related stress, burnout, job satisfaction and general health of nurses. A total of 1200 nurses from four hospitals were invited to participate in this cross-sectional study (75% response rate. Participants completed five questionnaires and multiple linear regression analysis was used to determine significant relationships between variables. Staff issues are best associated with burnout as well as job satisfaction. Burnout explained the highest amount of variance in mental health of nurses. These are known to compromise productivity and performance, as well as affect the quality of patient care. Issues, such as security risks in the workplace, affect job satisfaction and health of nurses. Although this is more salient to developing contexts it is important in developing strategies and intervention programs towards improving nurse and patient related outcomes.
Pilon, Bonita A; Ketel, Christian; Davidson, Heather A; Gentry, Chad K; Crutcher, Terri D; Scott, Aaron W; Moore, R Maldonado; Rosenbloom, S Trent
The Division of Nursing, Bureau of Health Workforce, has spearheaded a 3-year effort to increase the skills of nurses to lead interprofessional collaborative practice (IPCP) teams. Since 2012, the Nurse Education, Practice, Quality and Retention program has funded 53 sites engaged in this work. The purposes of this report are to describe the IPCP framework undergirding implementation at one such site, describe the evaluation components and approach, describe how health professions students are integrated into this model, and discuss implications of IPCP for future nurse-managed/nurse-led initiatives within an evolving health care environment. Core team members include a family nurse practitioner, physician, pharmacist, social worker, and community health advocate. The clinic is located within a public housing complex; the target population is largely uninsured or underinsured with a historically high rate of emergency department utilization. PMID:26194966
Bond, Eleanor F; Beaton, Randal
Disasters caused by naturally occurring or deliberately caused infections, toxic chemical spills, radiologic releases, or other catastrophic events are likely to challenge the US health care system and pose special risks to vulnerable groups. Despite these threats in the environment,most US nursing programs lack disaster nursing content. This article describes disaster nursing competencies needed in Washington State based on standards, local geographic and population vulnerabilities,expert review, and surveys of nursing students and practicing nurses. Disaster nursing competencies included the following categories: (1)providing for patient care needs; (2) practicing safely; (3) preparing,implementing, and evaluating institutional and community protocols in preparation for a disaster; (4) reporting and communicating; and (5)accessing up-to-date information. Practicing nurses and student nurses indicated a strong need for disaster nursing content; the greatest perceived need was for content related to caring for injured or ill patients and practicing safely during a disaster. PMID:16111991
Powell, Kimberly R; Mabry, Jennifer Lynn; Mixer, Sandra J
Emotional intelligence (EI) is necessary for the development of interpersonal and professional competence in nurses. We argue that the concept of emotional intelligence has particular relevance for mental health nursing leadership. In this critique, we examine the recent empirical evidence (2010-2014) related to emotional intelligence, in general, and nursing, specifically. Correlations between emotional intelligence and better overall health, increased work satisfaction, higher spiritual well-being, and decreased risk of job burnout are noted. We offer suggestions for mental health nurse leaders in developing successful project management teams and improving retention of current leaders. We also provide suggestions for future research. PMID:26091240
The study explored and analyzed the actual patient-related documentation performed by a sample of community health nurses working in voluntary home health agencies. The outcome of the study was a system flow chart of that documentation and included: common components of the documentation, where in the existing systems they are recorded, when they are recorded by the nurse and why they are used by the nurses and administrative personnel in the agencies. The flow chart is suitable for use as a ...
Hansen, Linda M.; Fossum, Mariann; Söderhamn, Olle; Fruhling, Ann
Although nursing personnel have used personal digital assistants (PDAs) to support home health care services for the past ten years, little is known about their experiences. This study was conducted to examine experiences of nursing personnel using a specialized home health care computer software application called Gerica. In addition, this research analyzed how well this application aligned with the workflow of the nursing personnel in their daily care of patients. The evaluation methods inc...
Shea, D G; Streit, A.; Smyer, M A
OBJECTIVE. This study examines the effects of resident and facility characteristics on the probability of nursing home residents receiving treatment by mental health professionals. DATA SOURCES/STUDY SETTING. The study uses data from the Institutional Population Component of the 1987 National Medical Expenditure Survey, a secondary data source containing data on 3,350 nursing home residents living in 810 nursing homes as of January 1, 1987. STUDY DESIGN. Andersen's health services use model (...
Shanita D. Williams; Hansen, Kristen; Smithey, Marian; Burnley, Josepha; Koplitz, Michelle; Koyama, Kirk; Young, Janice; Bakos, Alexis
It is widely accepted that diversifying the nation's health-care workforce is a necessary strategy to increase access to quality health care for all populations, reduce health disparities, and achieve health equity. In this article, we present a conceptual model that utilizes the social determinants of health framework to link nursing workforce diversity and care quality and access to two critical population health indicatorshealth disparities and health equity. Our proposed model suggests t...
Lefèvre, Åsa; Pia, Lundqvist; Eva, Drevenhorn; Inger, Hallström
The purpose of this study was to describe child health centre (CHC) nurses' views of managing parental groups during early childhood. All 311 CHC nurses working within the Swedish CHC system in one county were asked to complete a web-based questionnaire. Findings showed that although the CHC nurses were experienced, several found group leadership challenging and difficult. The need for specialized groups for young parents, single parents and parents whose first language was not Swedish was identified by 57% of the nurses. The CHC nurses found the participation of fathers in their parental groups to be low (an estimate of 10-20%), and 30% of the nurses made special efforts to make the fathers participate. Education in group dynamics and group leadership can strengthen CHC nurses in managing parental groups. It is recommended that specialized parental groups are organized by a few family centres so CHC nurses can develop their skill in managing such groups. PMID:24298189
Valoración de la formación docente desde los problemas asistenciales en el especialista de Enfermería Materno Infantil: antídoto universal para la aterosclerosis / Assessment of the learning process through the Maternal and Child Nursing Specialists health care practice
Norma, Mur Villar; Miriam, Iglesias León; María, Aguilar Cordero.
Full Text Available El programa de formación académica de la especialidad Enfermería Materno Infantil tiene el propósito de formar un profesional con una preparación teórico-práctica que lo capacite para la atención de salud a la población materno-infantil y contribuir a la formación de los profesionales de enfermería [...] en distintos niveles de salud. El presente trabajo se ha realizado en la provincia de Cienfuegos con el objetivo de determinar las regularidades que han estado presentes en la formación docente desde los problemas asistenciales en el especialista de Enfermería Materno Infantil y posibilitar un cambio, en caso de que sea necesario, en el modo de actuación profesional. Como consideraciones finales se plantean las insuficiencias en la formación docente para integrar los problemas asistenciales en el egresado de esta especialidad, de acuerdo con las nuevas misiones de la Universidad Médica y los servicios de salud en el área de atención materno-infantil. Abstract in english The curriculum of the Maternal and Child Nursing Specialty is aimed to prepare professionals with theoretical and practical training that enables them to assume the responsibility of the health care of mothers and children as well as to contribute to the training of nurses at different levels. This [...] study has been conducted in the province of Cienfuegos in order to determine the regularities that have been taking place in the learning process through the health care practice and to enable, if it is necessary, a change in the professional performance. As final considerations we have the inadequacies in the learning process as to the integration of health care problems in the formation of graduates of this specialty, according to the new missions of the Medical University and the health services in the area of maternal and child care.
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.
...Health National Institute of Nursing Research; Notice of Closed Meetings...Committee: National Institute of Nursing Research Special Emphasis Panel Assessing...Committee: National Institute of Nursing Research Special Emphasis Panel...
The process of what information is captured in documenting patient care assessment and how it is summarised, communicated and interpreted by nurses across different healthcare services is the main focus of this thesis. Currently in Ireland, systems within the domain of healthcare are undergoing transformation. Existing practices where health information is collected at one local health organisation level and often duplicated across differing services will not support the strategic goals of th...
Abdullah, Abdul Ghani Kanesan; Alzaidiyeen, Naser Jamil; Yee, Ng Mooi
The purpose of this research is to study the impact of the critical thinking component in the health education curriculum of nurses for patients with different health needs. Data for this research was gathered from mixed approaches, quantitative and qualitative approaches. For the quantitative approach 84 student nurses were selected randomly to
Hacker, Karen; Wessel, Genie L.
Discusses partnerships between school-based health centers and school nurses, clarifying the role of school nurses and school-based health centers in the areas of collaboration, communication, and cooperation and examining obstacles to partnerships. Elements for successful collaboration are reviewed (clarifying roles, sharing leadership and
Khubchandani, Jagdish; Telljohann, Susan K.; Price, James H.; Dake, Joseph A.; Hendershot, Candace
Background: This study assessed the perceptions and practices of school nurses regarding adolescent dating violence (ADV). Methods: The membership list of the National Association of School Nurses was used to identify a national random cross-sectional sample of high school nurses in the United States (N?=?750). A valid and reliable survey
The aim of this study was to determine nursing teachers' and students' attitudes to and experiences of using an electronic assessment and feedback tool in supervision of clinical training. The tool was called eTaitava, and it was developed in Finland. During the pilot project, the software was used by 12 nursing teachers and 430 nursing
Recently, Health Impact Assessment has gained great attention in Korea. First, the Ministry of Environment introduced HIA within existing Environment Impact Assessment. Second, the Korea Institute for Health and Social Affairs began an HIA program in 2008 in alliance with Healthy Cities. In this short report, these two different efforts are introduced and their opportunities and challenges discussed. We believe these two approaches complement each other and both need to be strengthened. We also believe that both can contribute to the development of health in policy and project development and ultimately to improvements in the Korean population's health.
The purpose of this study was to investigate the influence of Chinese culture on nursing leadership behavior in Taiwan nurses. A descriptive study compared staff nurses' assessment of Chinese value in the leadership behavior of their head nurses. Data analysis was made on a convenience sample in Taiwan of 214 head nurses and 2,127 staff nurses who had worked with their head nurse for at least one year. Six medical centers and regional hospitals in northern (Taipei), central (Taichung) and southern (Kaohsiung) Taiwan were recruited for this study. Instruments included the demographic questionnaire, Chinese Value Survey, and Kang's Chinese Leadership Behaviors Module Scale. Results indicated that head nurses scored significantly higher than staff nurses in terms of all cultural values and leadership behaviors. Both staff nurses and head nurses scored the highest mean scores in personal integrity (Yi) and human connectedness (Ren) and the lowest in moral discipline (Li). Staff nurse perceptions of leadership behavior indicated the role of parent to be higher than either the role of director or mentor. Head nurses perceptions of leadership behavior emphasized the role of the director more than either parent or mentor. There were no significant differences between the staff nurses and head nurses in terms of expectative leadership behavior, which gave the role of director higher mean scores than those of either the parent or mentor. Positive and significant associations (r = .266 to r = .334) were found between cultural values and perceptions of leadership behavior. Cultural values predicted 10.6% of leadership behavior variance. The three demographic characteristics of location in northern Taiwan (beta = .09), intention to leave (beta = -.14), and general unit (beta = .10) and the two cultural values of human connectedness (Ren) (beta = .16) and personal integrity (Yi) (beta = .16) together reported a cumulative R2 of 14.6% to explain variance in leadership behavior perceptions. Results of this study identified the important cultural values "Ren" and "Yi". Managers and administrators could add the consideration of such cultural values into nursing leadership to enhance the organization in which Taiwan nurses work. PMID:18528817
Yearous, Sharon Kay Guthrie
The independent, complex role of a school nurse requires accurate documentation of assessments, interventions, and outcomes. Consistent documentation by all school nurses is crucial to study the impact of nursing interventions on children's health and success in school. While standardized nursing languages are available, the actual use of
Full Text Available Aim To investigate the possibility of assessing clinical skill competenceof nursing students by using the Objective StructuredClinical Examination (OSCE.Methods The search for empirical articles on the assessmentof clinical skill competence of nursing students was based onthe SCOPUS electronic database. Search strategy included theutilization of two or three key words based on the MeSH index(OSCE, nursing students and clinical competence. Theanalysis was restricted to papers in the English language duringthe last ten years. Bibliography of selected papers was used tosearch for additional empirical studies as well.Results A review of the literature showed that since 1975,when the first objective structured clinical examination was introduced,there has been a growing interest in the assessmentutilization of clinical skill competence of nursing students.This method of assessment included direct evaluation of clinicalskills in the classroom or hospital room. Application ofobjective structured examination required a good organization,prepared checklists, as well as a number of examiners, time andmoney. By analyzing the efficiency of this method some authorshave pointed out that the use of this method could lead toconsidering health care as a simple set of tasks to be performed,while others have emphasized that by a customized implementationof this method other clinical skill competence of nursingstudents can be also evaluated. Students opinion about thismethod of assessment is different.Conclusion The widespread use of OSCE for the assessmentof clinical skill competence also imposes a number of questionsfor those involved in its planning, implementation and assessment.
M M Chabeli
With the advent of Outcomes-Based Education in South Africa, the quality of nursing education is debatable, especially with regard to the assessment and evaluation of clinical nursing education, which is complex and renders the validity and reliability of the methods used questionable. This paper seeks to explore and describe the use of portfolio assessment and evaluation, its implications and guidelines for its effective use in nursing education. Firstly, the concepts of assessment, evaluati...
Kleinman Leah; Frank Lori; Ciesla Gabrielle; Rupnow Marcia; Brodaty Henry
Abstract Background Multiple instruments exist to measure dementia behaviors, but the nursing staff perspective on those behaviors and their level of burden has not been well measured. The goal of this study was to examine the psychometric performance of the Modified Nursing Care Assessment Scale (M-NCAS), a 28-item nurse rating of burden associated with care for institutionalized individuals with dementia. Nurses rate items in terms of extent to which the behavior or characteristic is presen...
The South African health system has undergone major changes over the last 5 - 1 0 years. These rapid changes have not only significantly increased the visibility of the nurse practitioner in South Africa, but are also posing challenges to the profession and health care services that need to be addressed. In its Health Policies the Government has indicated that the nursing/midwifery profession, as the biggest group of health care professionals, should be the practitioners to provide primary he...
Luboga Sam; Zuyderduin Anneke; Nderitu Esther; Ropers Steven; Nguyen Lisa; Hagopian Amy
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 and Aga Khan University Nursing ...
Hiligsmann, M.; Kanis, JA; Compston, J.; Cooper, C.; Flamion, B; P. Bergmann; Body, JJ; Boonen, S; Bruyere, O; Devogelaer, JP; Goemaere, S.; Kaufman, JM; S. Rozenberg; Reginster, JY
We review the various aspects of health technology assessment in osteoporosis, including epidemiology and burden of disease, and assessment of the cost-effectiveness of recent advances in the treatment of osteoporosis and the prevention of fracture, in the context of the allocation of health-care resources by decision makers in osteoporosis. This article was prepared on the basis of a symposium held by the Belgian Bone Club and the discussions surrounding that meeting and is based on a review...
Koch, P.; Schilling, J; Läubli, M; Mitscherlich, F; Melchart, D.; Bellucci, S
OBJECTIVES AND METHODS: To review Switzerland's mixed public and private healthcare system with regard to health technology assessment (HTA). RESULTS: In the past, remarkable work in HTA was done. Accomplishments include the following: (i) Switzerland became an early member of the International Network of Agencies for Health Technology Assessment. (ii) HTA has its legal bases in terms of effectiveness, appropriateness, and efficiency. (iii) The federal law allows the introduction of new techn...
Research has focused on electronic health record use during patient interactions primarily from a physician or advanced practice nurse perspective. Few if any empirical data exclusively explored the patient's hospital experience of the nurse-patient relationship when nurses use an electronic health record to communicate with them during patient interactions. The study was conducted to determine how use of a computer for documentation and care delivery influences communication dynamics between a nurse and patient within an inpatient setting. Hermeneutic phenomenology was the methodology used. A purposeful sample of 11 adults from a medical unit of a community hospital comprised the sample. After institutional review board approval was obtained, a questionnaire, addressing demographic data and information about previous computer and electronic health record use, was administered. In-depth interviews were conducted to uncover patient's experiences and reactions to their interactions with nurses as electronic health records were being utilized. Four themes were derived from the data analysis: (1) presence, (2) respect, (3) knowledge, and (4) trust and safety. Recommendations, including logistical modifications and innovative educational approaches, were derived from the themes and related findings. PMID:24365972
Happell, Brenda; McAllister, Margaret
Preparation of nursing students for practice in mental health settings in Australia has been criticized since comprehensive education replaced preregistration specialist education. Current and projected workforce shortages have given rise to considering the reintroduction of specialization at preregistration level as a potential solution. Support of heads of schools of nursing would be essential for such an initiative to be considered. A qualitative exploratory study was undertaken involving in-depth telephone interviews with heads of schools of nursing in Queensland. Participants generally favoured the concept of specialization in mental health nursing at undergraduate level. Data analysis revealed the following themes: meeting workforce needs, improving quality of care, employability of graduates, an attractive option for students, and what would have to go. Participants identified many benefits to mental health service delivery and consumer outcomes. How the initiative could be developed within an already overcrowded curriculum was identified as the major barrier. This level of support is encouraging if necessary changes to the educational preparation for mental health nursing practice are to be considered. PMID:25109595
Kaewboonchoo, Orawan; Ratanasiripong, Nop; Hanklang, Suda; Chumchai, Pornlert
Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or the control group. Results indicated that biofeedback intervention was effective in significantly reducing the levels of stress, anxiety, and depression over the 4-week period, while the control group had increases in symptoms of anxiety and depression over the same timeframe. As future leaders in the public health nursing arena, the more psychologically healthy the graduate students in public health nursing are, the better the public health nursing professionals they will be as they go forth to serve the community after graduation. PMID:25954515
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 ...
Geilsa Soraia Cavalcanti Valente, Maira Muniz Assis, Vera Maria Saboia; Adriana Passos Bento, Ademir do Canto; Joana Lídia Rodrigues Vilhena; Maria Inez de Oliveira Porto; Sheila Lopes da Silva
Full Text Available Objective: to identify the practices of nurses' performance during the prenatal low risk in the Basic Health Method: a descriptive exploratory qualitative approach with the type of literature review, held in the Virtual Health Library (VHL, the bases LILACS, BDENF and SCIELO. After the data collection took place an exploratory reading, selective, analytical and interpretive. Results: selected to be two categories: the nursing consultation in favor of a proposed new nursing work and educational activities in prenatal care: reflections, and overcoming obstacles. Please note that the process of entering a nursing consultation in prenatal care in the content of graduation is a major resource for the contribution of expanding healthcare coverage to pregnant women. This coverage is through the educational role/participation, valuing the customer as a citizen, enabling the knowledge of your body, stimulating self-care and addressing issues of sexuality and gender, arising in everyday woman, intended to improve the quality of life of the female population. Conclusion: This study reinforces and encourages the continuation and improvement of care to pregnant women by nurses in clinical nursing considering guidelines, educational practices and knowledge dissemination.
Pipe, Teri Britt
How do we prepare the nursing and health workforce of the future to meet the challenges of the US health system and equip graduates with problem-solving strategies that are scientific, compassionate, and agile? This article provides examples of several approaches for nursing health professions education, including innovation, interprofessionalism, and multiple, simultaneous community collaboratives. Specific examples highlight ways academic nursing programs and practice organizations are working together to provide stimulating, realistic, safe, and effective education while exposing students to the challenges inherent in the health system. PMID:24569757
The author reviewed cultural competence models and cultural competence assessment instruments developed and published by nurse researchers since 1982. Both models and instruments were examined in terms of their components, theoretical backgrounds, empirical validation, and psychometric evaluation. Most models were not empirically tested; only a few models developed model-based instruments. About half of the instruments were tested with varying levels of psychometric properties. Other related issues were discussed, including the definition of cultural competence and its significance in model and instrument development, limitations of existing models and instruments, impact of cultural competence on health disparities, and further work in cultural competence research and practice. PMID:24817206
Three hundred and fifty-two OHNs and collaborative persons from 17 countries and the ILO assembled at UOEH to participate in the 17th UOEH International Symposium to commemorate the inauguration of the UOEH School of Health Sciences from October 20 to 22, 1997. The main theme of this Symposium was "Occupational Health Nurse (OHM) Expertise." The Symposium was opened by greetings from Dr. Akira Koizumi, followed by a message from ILO presented by Dr. G.H. Cappee, head of the Medical Section Occupational Safety & Health Branch, ILO. Dr. Bonnie Rogers of North Carolina University, Chapel Hill, and President of AAOHN, lectured on the main theme of the Symposium, and Dr. M.A. Fingerhut gave a lecture on "Partnership in Occupational Safety and Health." At the general sessions, 5 themes were discussed.--1) Partnership in Occupational Health, 2) Education and Training of OHNs, 3) Intervention/Behavior to Disease Prevention and Health Promotion, 4) How to Integrate Computing into Occupation Health Nursing and 5) Cost/Benefit Effectiveness of Occupational Health Nursing. For all 5 sessions, there were keynote lectures, oral and poster presentations. This report reviews the lectures by Dr. B. Rogers on "Expertise in Occupational Health Nursing," by Dr. Kuchinski on "Education and Training of Occupational Health Nurses in The US," the presentation by Mrs. J. Fanchette, DIUST/GIT Service de Pathologie Professionnelle Hospital Civil, France, on "Evaluation of An Interuniversity Diploma Course Occupational Health Nurse Qualification," by Dr. K. June, Soonchunhyang Univ., Korea, on "Transition of Occupational Health Nursing Education in Korea" and finally, the lecture by Dr. F. Mitsuhashi on "Revisions in the Industrial Safety and Health Law and Expected Models for Occupational Health Nursing Staff." PMID:9760708
Uys, L R; Groenewald, B; Mbambo, S
The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. A mail questionnaire requested the sampled nurses to rate the frequency and importance of the tasks they perform. Only 19% of the nurses (41 nurses of all categories) returned the questionnaire, and an index taking into account frequency and importance, was calculated. The self-report data was compared with data from non-participant observation done over 19 days in 14 units in all three hospitals. A total of 39 tasks were done more than six times per week, of which most (16) were in the category of clinical assessment and recording. Counselling and teaching (8 tasks), were the second most frequent type of task. Only two tasks were rated as very important (giving injections and assessing respiratory status). When frequency and importance were combined into a Task Index, a large number of tasks scored in the middle range, with very few very high or low. Respondents identified 33 tasks that did not appear on the questionnaire. The observations showed that all categories of nurses shared many tasks in hospital settings. However, Registered Nurses were involved in specialized treatment and care, as well as administration of the unit. The specialists type tasks of Registered Nurses were also clear in Operating Theatre settings. The implications of the study are discussed and recommendations are made. PMID:15027264
Beatriz de Carvalho Cavalheiro, Silvana Sidney Costa dos Santos
Full Text Available Objective: to verify the scientific production on elder women, gender and sexuality in journals of Nursing, Public Health and Gerontology. Methods: a systematic review of literature, in journals of Nursing, Public Health and Gerontology in Brazil, in the years 2003 to 2007. Results: the 362 articles were pre-selected (111 in nursing, 95 in Public Health and 156 in Gerontology, of these, seven focus on elderly women, gender and sexuality. It was possible to understand that sexuality and gender issues of elder women remain invisible, and few significant. From the seven articles three categories were abstracted: feminization of aging, social of womens aging and asexualized elderly. Conclusion: the nurses and the groups of studies and research on gender began to dawn, showing interest in the issues. Requires that the educational projects of graduate programs in health, especially in nursing, bringing more thoughts on gender and sexuality of older women.
Adriana Gonçalves de Barros, Adriana Maria Pereira da Silva, Luiz Carlos Gomes Costa Júnior, Viviane Euzébia Pereira Santos, Caroline Araújo Fonseca
Full Text Available Objective: to analyze how the team describes the Nursing Management of Solid Waste in Health. Methodology: consisted of an exploratory, descriptive, from quantitative approach. The study was conducted with 20 members of Nursing group, 10 nurses and 10 technicians Nursing hospitalization units of a public hospital in Petrolina / PE. The data was collected through a questionnaire with open and closed in november 2009 and data analysis took place with the help of EPI INFO 3.5.1 (august/2008. Results: most health professionals have a distorted view of what is the waste of health services and how to classify them. Conclusion: after data analysis, it is necessary to conduct training with a view to raising awareness among professionals about the proper handling of solid waste, and thus prevent accidents and improve the quality of life of the team and its clients. Descriptors: waste of health services; nursing team; solid residues
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
Norma, Mur Villar; Miriam, Iglesias León; Manuel, Cortés Cortés; María, Aguilar Cordero.
Full Text Available 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.
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.
Almalki Mohammed J
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 communitys 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.
Karageorgi, Stalo; Hankinson, Susan E.; Kraft, Peter; Vivo, Immaculata De
Endometrial cancer is a disease primarily driven by cumulative exposure to estrogen unopposed by progesterone. Reproductive factors associated with changes in endogenous hormone levels and use of exogenous hormones such as postmenopausal hormones (PMH) influence the risk of disease. The authors used the Nurses Health Study (NHS), comprised of 121,700 nurses, to assess the above associations. Over 28 years of follow-up, 778 adenocarcinoma cases were diagnosed and 1,850,078 person-years were a...
Lanzoni, Gabriela Marcellino de Melo; Meirelles, Betina Hörner Schlindwein
This study aimed to understand the nurses' contributions in the network of relationships and interactions of community health workers (CHW) in a city located in the south of the country. The Grounded Theory was used and twenty individuals were interviewed, among health professionals and users of the health center, divided into three sample groups. The nurse is recognized as a key element in the network of relationships and interactions of the CHW with the community, being viewed as a leader. Although showing signs of an authoritarian leadership, the nurse promotes dialogue and acts as a facilitator of teamwork in health promotion. It was concluded that the nurses of the Family Health Strategy have a significant role in the health team, providing clinical support to organize the care, and management, to foster good relations, direct the activities and conduct the flow of information. PMID:24008710
Full Text Available BACKGROUND: South African's infant and child mortality rates remain high and at the current rate of decline will not meet the Millennium Development Goals of a two thirds decrease by 2015. At the latest available count, there were fewer than 1500 qualified paediatric nurses on the National South Afr [...] ican Nursing Council register, with only about 100 nurses graduating with this qualification from South African nursing schools annually. It is not clear, however, if current paediatric nurse training programmes adequately equip nurses to make a real impact on reducing the under-5 mortality rate. In their 2011 interim report, the Ministerial Committee on Morbidity and Mortality in Children under 5 years recommended strengthening paediatric nurses' training as a strategy to reduce the under-5 mortality rate. METHOD: In response to the Committee on Morbidity and Mortality in Children recommendation, a colloquium was convened as a national forum for schools of nursing, departments of health, health care facilities, clinicians and regulatory bodies to advance children's nursing in South Africa. OBJECTIVES: The goals of the colloquium were to thoroughly investigate the situation in South Africa's paediatric nurse training, plot ways to strengthen and expand postgraduate paediatric programmes to meet priority child health needs, and to build relationships between the various schools and stakeholders. RESULTS: Outcomes included the clarification and strengthening of a 'stakeholder grid' in nurse training, recognition of the need for more active teaching and learning strategies in curricula linked to national child health priorities, as well as the need to develop and support clinical nursing practice in facilities.
Lefevre, Åsa; Lundqvist, Pia; Drevenhorn, Eva; Hallström, Inger
The purpose of this study was to describe child health centre (CHC) nurses' views of managing parental groups during early childhood. All 311 CHC nurses working within the Swedish CHC system in one county were asked to complete a web-based questionnaire. Findings showed that although the CHC nurses were experienced, several found group leadership challenging and difficult. The need for specialized groups for young parents, single parents and parents whose first language was not Swedish wa...
Full Text Available Background: South Africans infant and child mortality rates remain high and at the current rate of decline will not meet the Millennium Development Goals of a two thirds decrease by 2015. At the latest available count, there were fewer than 1500 qualified paediatric nurses on the National South African Nursing Council register, with only about 100 nurses graduating with this qualification from South African nursing schools annually. It is not clear, however, if current paediatric nurse training programmes adequately equip nurses to make a real impact on reducing the under-5 mortality rate. In their 2011 interim report, the Ministerial Committee on Morbidity and Mortality in Children under 5 years recommended strengthening paediatric nurses training as a strategy to reduce the under-5 mortality rate.Method: In response to the Committee on Morbidity and Mortality in Children recommendation, a colloquium was convened as a national forum for schools of nursing, departments of health, health care facilities, clinicians and regulatory bodies to advance childrens nursing in South Africa.Objectives: The goals of the colloquium were to thoroughly investigate the situation in South Africas paediatric nurse training, plot ways to strengthen and expand postgraduate paediatric programmes to meet priority child health needs, and to build relationships between the various schools and stakeholders.Results: Outcomes included the clarification and strengthening of a stakeholder grid in nurse training, recognition of the need for more active teaching and learning strategies in curricula linked to national child health priorities, as well as the need to develop and support clinical nursing practice in facilities.
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...
Full Text Available Background: South Africans infant and child mortality rates remain high and at the current rate of decline will not meet the Millennium Development Goals of a two thirds decrease by 2015. At the latest available count, there were fewer than 1500 qualified paediatric nurses on the National South African Nursing Council register, with only about 100 nurses graduating with this qualification from South African nursing schools annually. It is not clear, however, if current paediatric nurse training programmes adequately equip nurses to make a real impact on reducing the under-5 mortality rate. In their 2011 interim report, the Ministerial Committee on Morbidity and Mortality in Children under 5 years recommended strengthening paediatric nurses training as a strategy to reduce the under-5 mortality rate. Method: In response to the Committee on Morbidity and Mortality in Children recommendation, a colloquium was convened as a national forum for schools of nursing, departments of health, health care facilities, clinicians and regulatory bodies to advance childrens nursing in South Africa. Objectives: The goals of the colloquium were to thoroughly investigate the situation in South Africas paediatric nurse training, plot ways to strengthen and expand postgraduate paediatric programmes to meet priority child health needs, and to build relationships between the various schools and stakeholders. Results: Outcomes included the clarification and strengthening of a stakeholder grid in nurse training, recognition of the need for more active teaching and learning strategies in curricula linked to national child health priorities, as well as the need to develop and support clinical nursing practice in facilities.
Xueyan Chen; Jihong Wang; Wenjuan Li
To investigate the results of criterion-meeting assessment method used for the operation test in fundamentals of nursing, 101 nursing undergraduates who entered Nursing College, Beihua University in 2007, were randomly divided into experimental group and control group. The students in the control group were examined with the traditional assessment method, namely, the points were given the students one-time and estimated in a way of quantitative analysis. The students in...
Liana Amorim Corrêa; Iraci dos Santos; Denilson Campos Albuquerque
Assuming that nursing assessment for heart failure clients help us to face the changes in your daily, we enquire what the contribution of sensible listening applied to nursing assessment. The purpose is to identify the needs of care creating a new way to care/research sensibly through nursing appointment. The methodology of quantitative character and exploratory applied in the form of evaluation was performed by 50 clients in an hospital in Rio de Janeiro. It was found that 100% of the people...
Sexual health is an essential and often neglected component of primary care. Nurse practitioners are ideal members of the healthcare team to be providing sexual health information, diagnoses, and treatments. Unfortunately, this is an area that has been lacking in the education of all healthcare providers. This paper describes a program that incorporates sexual health into the curriculum for nurse practitioner students through collaboration between the university school ...
S Ghadakpoor; P. Mansoori; Keshavarzi, S.; Rezaie, S.; F Sharif
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 aff...
Wolf, Debra M; Olszewski, Kimberly
Social media is a buzzword frequently referred to in marketing materials, general media, and personal conversations. Although many refer to the term social media, some individuals do not understand its meaning or how it affects their daily lives at work and home. Since the expansion of the Internet to web 2.0, multiple platforms of communication occur virtually through various social media. Understanding and learning how to use these platforms are essential to stay connected with friends, family, and colleagues; advance connections to professional organizations; and extend educational opportunities. This article presents basic information for occupational health nurses to improve their understanding of social media and how to communicate virtually using different platforms safely and securely. PMID:26240119
Mapanga, K. G., Mapanga, M. B
Full Text Available This article describes nursing in Zimbabwe within the context of primary health care, delineating various levels of delivery of nursing practice, educational preparation levels and implications for practice. This picture is intended to capture the quality of nursing care that is congruent to clients expectations of the ever-changing Zimbabwean society. Nursing programs at various levels include health assessment, nursing process and nursing research. Clinical specialization including functional majors such as nursing education, nursing administration as well as health economics and budgeting have greater emphasis at the Masters level. The practice of nursing assists individuals, groups and communities to attain the ability to exercise their self-care to enhance health promotion.
Full Text Available Abstract Background Makerere University College of Health Sciences (MakCHS in Uganda is undergoing a major reform to become a more influential force in society. It is important that its medicine and nursing graduates are equipped to best address the priority health needs of the Ugandan population, as outlined in the governments Health Sector Strategic Plan (HSSP. The assessment identifies critical gaps in the core competencies of the MakCHS medicine and nursing and ways to overcome them in order to achieve HSSP goals. Methods Documents from the Uganda Ministry of Health were reviewed, and medicine and nursing curricula were analyzed. Nineteen key informant interviews (KII and seven focus group discussions (FGD with stakeholders were conducted. The data were manually analyzed for emerging themes and sub-themes. The study team subsequently used the checklists to create matrices summarizing the findings from the KIIs, FGDs, and curricula analysis. Validation of findings was done by triangulating information from the different data collection methods. Results The core competencies that medicine and nursing students are expected to achieve by the end of their education were outlined for both programs. The curricula are in the process of reform towards competency-based education, and on the surface, are well aligned with the strategic needs of the country. But implementation is inadequate, and can be changed: Learning objectives need to be more applicable to achieving competencies. Learning experiences need to be more relevant for competencies and setting in which students will work after graduation (i.e. not just clinical care in a tertiary care facility. Student evaluation needs to be better designed for assessing these competencies. Conclusion MakCHS has made a significant attempt to produce relevant, competent nursing and medicine graduates to meet the community needs. Ways to make them more effective though deliberate efforts to apply a competency-based education are possible.
Juliana J. Willemse
Full Text Available Background: The global use of mobile devices with their connectivity capacity, and integrated with the affordances of social media networks, provides a resource-rich platform for innovative student-directed learning experiences.Objective: The objective of this study was to review the experiences of undergraduate nurses on the improvement of primary health care education at a School of Nursing at a University in the Western Cape, South Africa, through the incorporation of a social media application, WhatsApp.Method: A qualitative, exploratory, descriptive, and contextual design was used to explore and describe data collected from a purposive sample of 21 undergraduate nursing students. The study population was engaged in a WhatsApp discussion group to enhance their integration of theory and clinical practice of the health assessment competency of the Primary Health Care Module. Participants submitted electronic reflections on their experiences in the WhatsApp discussion group via email on completion of the study. Thematic analysis of the qualitative data collected was done according to Teschs (1990 steps of descriptive data analysis in order to identify the major themes in the study. The electronic reflections were analysed to explore their rich, reflective data.Results: Seven themes were identified that included: positive experiences using the WhatsApp group; the usefulness of WhatsApp for integrating theory and clinical practice; the availability of resources for test preparation; opportunity for clarification; anonymity; exclusion of students as a result of the lack of an appropriate device, and the application caused the battery of the device to run flat quickly.Conclusion: The results of the experiences of students in the WhatsApp discussion group could be used to inform the use of social media applications in teaching and learning, with the purpose of enhancing the integration of the theory and clinical practice.
Franklin, Natasha; Melville, Paula
Competency assessment is a paradigm that is common in the healthcare environment and this being particularly true within the nursing profession. Demonstration of competence is necessary to meet the requirements of healthcare organisations and is a mandated requirement of nurses by the Nursing and Midwifery Board of Australia. Within the nursing education sector, one approach to determine competence, is through the use of competency assessment tools. Despite widespread use of competency assessment tools there remains ongoing concerns relating to the efficacy of competency assessment tools as a mean to demonstrate 'competency' amongst enrolled and registered nurses in the clinical environment. The authors of this paper ascertain that competency assessment tools run a serious risk of being nothing more than a 'quick-fix' means of assessment to demonstrate 'nursing competence' required for key performance indicators and clinical governance and that will provide evidence for accreditation standards. Based on this premise, the authors, provide an alternative approach to the use of competency assessment tools that moves away from a 'tick-box' approach to a 'patient-centred' competency model. This approach increases the reliability and validity of competency assessments, allows for the recognition of the knowledge, skills and experience of individual nurses, offers a more satisfying and rewarding approach to demonstrating 'competency' for nurses and finally, demonstrates 'real-life' competency. PMID:26285406
Honey, Michelle; Doherty, Iain
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
Weston, Marla J; Falter, Betty; Lamb, Gerri S; Mahon, Gary; Malloch, Kathy; Provan, Keith G; Roe, Sue; Werbylo, Linda
Competency in leadership skills is necessary to manage in the current chaotic health care environment and proactively participate in the creation of a better environment. Although interest in pursuing a career in health care is growing, lack of leadership competence contributes to employee frustration and dissatisfaction, which directly and indirectly impacts the supply of health care workers. To addressthe lack of leadership competence and its disturbing consequences, the Arizona nursing community designed a model for nursing leadership and created a partnership to provide a high-quality, affordable leadership education program focused on enhancing the leadership competencies of frontline nursing supervisors. PMID:18990893
Craft, Judy; Ainscough, Louise
Devising authentic assessments for subjects with large enrolments is a challenge. This study describes an electronic role-play assessment for approximately 600 first-year nursing students to learn and apply pathophysiology (bioscience) concepts to nursing practice. Students used Microsoft Office PowerPoint[R] to prepare electronic role-plays both
Hendricks, J; Baume, P
Despite the poor performance of the general economy, the health care industry in Australia has experienced constant growth for several decades. Overall, Australia's expenditure on health is relatively high and, with an increasingly aged population, this expenditure is not likely to decrease. With the current concerns over cost-containment in the health sector it is important to assess the value of nursing care in economic terms. This paper explores the issue of valuing of nursing care within the framework of the Australian Health Care System. Questions are posed of nurses as to whether they are prepared to confront the realities of the health care arena and whether they are ready to value nursing practice in terms of economic value. As well as answering these questions, the paper argues that nursing costs are not sufficiently reimbursed under the current Australian health benefits, and that this poor estimation of the worth of health care may stem from the historical and social influences of nursing and the care provided by nurses. The paper concludes that the Australian health care system is clearly no longer static and that the public cannot afford to support the costs associated with a growing health care industry. Moreover, nursing can no longer afford not to be viewed as an entity in it's own right. A greater awareness of nursing's output will result if organisational or institutional changes are encouraged for the benefit of the Australian society, as a whole, as well as for the nursing profession. PMID:9080270
Frahm, Kathryn; Gammonley, Denise; Zhang, Ning Jackie; Paek, Seung Chun
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
Soderlund, Lena Lindhe; Nilsen, Per; Kristensson, Margareta
Objective: This article explores the training and counselling experiences of 20 nurses, aiming to identify key elements in the process of learning and applying motivational interviewing (MI) counselling skills with adherence to protocols. Setting/method: The nurses were recruited from 10 primary health care units in Ostergotland, Sweden. The study
Boddey, Kerrie; de Berg, Kevin
Nursing students have typically found the study of chemistry to be one of their major challenges in a nursing course. This mixed method study was designed to explore how prior experiences in chemistry might impact chemistry achievement during a health science unit. Nursing students (N = 101) studying chemistry as part of a health science unit were
Kaiser, Katherine Laux; Carter, Kimberly Ferren; O'Hare, Patricia A.; Callister, Lynn Clark
Describes the work of a task force to revise public health nursing curriculum that combined the expertise of the American Association of Colleges of Nursing and specialty organizations. Discusses the current state of community/public health nursing and the model used to identify core professional knowledge and values underpinning the curriculum.
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 Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy. Many of these nurses have been leaving the scantily staffed mental health care services in increasing numbers to join other sectors of health or elsewhere since the beginning of the implementation of the policy. During the research study, phenomenological in-depth interviews were conducted with three groups of 12 community mental health nurses altogether. An open central question was posed to each group followed by probing questions to explore and describe these nurses experience of the decentralisation and integration of psychiatric-mental health care services. After the data was analysed, related literature was incorporated and guidelines for advanced psychiatric nurses were formulated and described to assist these nurses to cope with the decentralisation and integration of psychiatric-mental health care services. The guidelines were set up for the management of the community mental health nurses who are experiencing obstacles in the quest for mental health which also interfere with their capabilities as mental health care providers.
Håkans, Vivéca Busck
Formulating a nursing diagnosis on the basis of a patients situation and health is a task that places great demands on a nurses skills in many areas. The nurses in the study were in contact with nursing diagnoses in their daily work, mainly in standard care plans. All were in favor of using care plans and nursing diagnoses. Awareness of the signs and related factors that exist in the electronic health record (EHR) was low.
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 Late in 2011, the Royal Australian Air Force (RAAF deployed a Role One enhanced health facility in support of Exercise Precision Support. The Role One health facility was deployed to the Shoalwater Bay military training area and tasked with providing 24 hour care during the pre-deployment exercise for Australian forces headed to operations overseas. The Precision Support exercise integrates with air operations, large scale logistic movements and austere base establishment elements, to aid in the preparation, training and sustainment of service personnel for operational roles, both in a conflict environment as well as humanitarian aid roles. The Role One provided this medical support with 2 Emergency Nurse Practitioners (ENPs, Registered Nurses (RNs, Medical Assistants (MAs and Radiographers. The ENPs took on the role of the senior clinicians during this exercise, competently managing all of the health complaints that presented during the exercise period. This article will discuss and review the role of the Nurse Practitioner (NP within a Role One, deployed Defence health facility, build on international evidence whilst supporting the utilisation of NPs in the RAAF Health Service and subsequently more widely in the greater Australian Defence Force (ADF. This article will provide some practical evidence enabling health commanders to recognise, deploy and fully utilise NPs, in order to support current and future ADF operations.
Cleary, Michelle; Horsfall, Jan; O'Hara-Aarons, Maureen; Jackson, Debra; Hunt, Glenn 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
...Required Assessment Tool for State Nursing Homes Receiving Per Diem Payments...diem to State homes providing nursing home care to eligible veterans...tool for State homes providing nursing home care, The Centers for...previous entry of a Registered Nurse in the medical record...
A questionnaire-based descriptive pilot study was conducted among all nurses routinely working with MRI in the Northern part of Sweden to provide an indication of the self-reported prevalence of health complaints related to working with MRI systems. Fifty-nine nurses (88% response rate), with on average 8 (±6) years experience with MRI scanning procedures, returned the questionnaire. In total, 9 nurses (15%) reported regularly experiencing at least one of the health complaints (1-5% for specific health complaints) attributed to arise or be aggravated by their presence in the MRI scanning room. Stratification of the results indicated that reporting of adverse symptoms was not related to the level of occupational workload/stress. However, reporting of health complaints was related to the strength of the magnet(s) the nurses worked with, with 57% of symptoms reported by those nurses working with the strongest systems (both 1.5 and 3 T scanners in this population). Although this descriptive study did not include a control population and was based on self-reporting of health complaints, these data indicate that the prevalence of reported health complaints is not related to perceived work load or occupational stress, but does confirm data from other occupational sectors and indicates that the prevalence of adverse health complaints increases with the strength of the MRI system for nurses as well.
Lu, Kuei-Yun; Chang, Liang-Chih; Wu, Hong-Lan
The purpose of this study was to assess both direct and indirect relationships between professional commitment, job satisfaction, and work stress in public health nurses (PHNs) in Taiwan. The two major questions addressed were as follows: What were the professional commitment, job satisfaction, and work stress among PHNs? What model accurately portrays the relationships between these three independent variables? Exploration of the causal pathways among these variables revealed a fitness model. A structured, self-administered questionnaire with three scales was distributed to the subjects. A total of 258 subjects completed the questionnaire, yielding a 90% response rate. Results demonstrate a significant, direct, and positive effect of professional commitment on job satisfaction, as well as a significant inverse influence of job satisfaction on work stress. An indirect effect of professional commitment on work stress through job satisfaction was also revealed in the findings. All paths in the model were significant (P job satisfaction and work stress of nurses. This study suggests that professional commitment is an important factor related to work stress and that health care institutions should be concerned with this issue. PMID:17383604
Bakhshi, Savita; Sun, Fei; Murrells, Trevor; While, Alison
Many registered nurses (RNs) are not achieving the recommended daily levels of physical activity. This study collected data from 623 RNs about their personal health behaviours and their professional, physical activity-related health-promotion practices. The findings showed that 75% of the sample reported engaging in personal physical activity, 25% were at risk of hazardous drinking or active alcohol use disorders, 17% were past smokers and 11% were current smokers, 47% reported having a normal body weight-size, and 73% desired to be a normal body weight-size. Nearly half of the sample reported that they were promoting physical activity within their clinical practice. Personal physical activity behaviour, perceived health status, length of clinical practice, clinical specialty, and actual body weight-size were significantly related to the RNs' professional, physical activity-related practices. This study highlights a need for training on physical activity-related counselling, including awareness of the latest recommendations and strategies to promote physical activity. Health-care employers should also consider addressing nurses' barriers to the promotion of physical activity within their clinical practice so that all health-care contacts are able to maximise opportunities to promote active ageing. PMID:26043015
Piper, Stewart M.; Brown, Peter A.
Psychology offers nurses engaging in health education insight into the motivation behind behavior. It can aid the process of developing patient knowledge, understanding, and empowerment, but not if used to reinforce social control. (SK)
Nadja Cristiane Lappann Botti, Vanessa Carvalho de Araújo
Full Text Available Objective: to analyze the understanding of nurses on care in the area of Mental Health and identify the association between bioethics and care in mental health. Methodology: qualitative research in the Psychosocial Care Center (CAPS III, located in the countryside of Minas Gerais state. Data were collected through interviews with four nurses from the CAPS III. The results were analyzed through the technique of the Discourse of the Collective Subject. The research project was approved of the Research Ethics Committee of the Catholic University of Minas Gerais (CAAE 0047.0.213.000-08. Results: the nurses role in mental health as it is hybrid and that requires different skills. Conclusion: there is the paradigm shift from the practice of nurses in mental health to still find itself in duality models of care to the sufferers of mental disorders.
Foster, Kim; McAllister, Margaret; O'Brien, Louise
An exploration of the 'self' is generally considered a fundamental and necessary place from which to commence practice as a mental health nurse. Self-awareness and attention to one's own feelings, thoughts, and experiences can contribute to the therapeutic use of self in effective provision of mental health nursing care. This purposeful use of self, inherent in the role of the mental health nurse, may also be seen as synchronous to the role of the qualitative researcher who seeks to uncover the meaning of others' experiences. Autoethnography is a qualitative research method that connects the researcher's personal self to the broader cultural context. Evocative writing, where the writer shares personal stories on their experiences, is used to extend understanding of a particular social issue. This paper will argue how this emerging method in social science research is of particular relevance to mental health nursing research and practice. PMID:16499790
Ellerbe, Suellyn; Regen, Debra
The current health care environment has heightened the importance of achieving positive patient outcomes and excellent customer satisfaction. To remain competitive, health care organizations must adapt quickly to changing regulatory requirements, quality improvement initiatives, and customer expectations. To ensure nursing practice at the Saint Clare's Health System in Northwest New Jersey is at the forefront of leading change, the nursing staff has embraced the Institute of Medicine report The Future of Nursing: Leading Change. The empowered nursing team has applied Benner's Novice to Expert model and McCauley's Careful Nursing Theory as the foundation for nursing practice. The ability to apply evidence-based nursing research and cultivate professional development at the bedside has resulted in retention of expert nurses at the bedside. Engaging the nursing team has resulted in increased patient satisfaction and improved clinical outcomes. Advanced practice nurses play an important role to mentor the nursing staff and promote an interdisciplinary, collaborative relationship between all health care disciplines and community support programs. Nurses are recognized for their accomplishments and encouraged to obtain specialty certification, advanced degrees, and earn state and national recognition through professional organizations. The professional nurses at the Saint Clare's Health System are prepared to work in whatever environment the new normal creates. PMID:22677961
Nolan, P; Soares, J; Dallender, J; Thomsen, S; Arnetz, B
Recent studies suggest that violence in health care environments, especially mental health care, appears to be increasing. Although there is a lack of cross-cultural studies to prove it, this increase in violence would seem to be an international phenomenon. The present study sought to compare the extent and nature of violence encountered by mental health nurses in Sweden and England. Systematic studies of violence have previously been carried out independently in both countries but this was the first attempt to compare levels of violence. Clearly defined study protocols were put in place, an operational definition of 'violence' adhered to, and random samples recruited. A specially designed questionnaire was sent to every subject (Swedish nurses n=720; English nurses n=296) enquiring about the extent of nurses' exposure to violence, the nature and severity of the violence experienced, and the effect of violence on self-esteem and job satisfaction. Significant differences were found with English nurses experiencing more violence than their Swedish counterparts. Yet support for English nurses appeared to be less good than for Swedish nurses. Reasons for the differences are discussed along with possible measures to minimise the frequency of violence against nurses and the negative effects on their work. PMID:11470100
Almalki Mohammed J; FitzGerald Gerry; Clark Michele
Abstract Background Quality of work life (QWL) has been found to influence the commitment of health professionals, including nurses. However, reliable information on QWL and turnover intention of primary health care (PHC) nurses is limited. The aim of this study was to examine the relationship between QWL and turnover intention of PHC nurses in Saudi Arabia. Methods A cross-sectional survey was used in this study. Data were collected using Brooks survey of Quality of Nursing Work Life, the A...
Morris, J A; Smith, P S
According to DiBenedetto, "Occupational health nurses enhance and maximize the health, safety, and productivity of the domestic and global work force" (1999b). This project clearly defined the multiple roles and activities provided by an occupational and environmental health nurse and assistant, supported by a part time contract occupational health nurse. A well defined estimate of the personnel costs for each of these roles is helpful both in demonstrating current value and in future strategic planning for this department. The model highlighted both successes and a business cost savings opportunity for integrated disability management. The AAOHN's Success Tools (1998) were invaluable in launching the development of this cost effectiveness model. The three methods were selected from several tools of varying complexities offered. Collecting available data to develop these metrics required internal consultation with finance, human resources, and risk management, as well as communication with external health, safety, and environmental providers in the community. Benchmarks, surveys, and performance indicators can be found readily in the literature and online. The primary motivation for occupational and environmental health nurses to develop cost effectiveness analyses is to demonstrate the value and worth of their programs and services. However, it can be equally important to identify which services are not cost effective so knowledge and skills may be used in ways that continue to provide value to employers (AAOHN, 1996). As evidence based health care challenges the occupational health community to demonstrate business rationale and financial return on investment, occupational and environmental health nurses must meet that challenge if they are to define their preferred future (DiBenedetto, 2000). PMID:11806494
Carvalho, Amâncio; Carvalho, Graça Simões
Primary Health Care (PHC) is seen as the sector of Health Services most appropriate to develop practices of Health Education (HE) and PHC nurses are seen as the key personal. The objectives of the present study were: (i) to identify nurses conceptions of health education, (ii) to characterise their health education practices, (iii) to know their HE-training, and (iv) to identify their felt needs on HE-training. For this purpose, a cross-sectional and retrospective study was carried out in th...
The association between depression and cardiovascular disease has been well established and has been shown to decrease patients' quality of life and increase the risk of mortality, frequency and duration of hospitalization, and health care costs. The inpatient setting provides a potentially valuable opportunity to assess and treat depression among patients with acute cardiac illness, allowing for daily monitoring of treatment side effects. Although systematic depression screening appears to be feasible, efficient, and well accepted on inpatient cardiac units, the current lack of consistent inpatient assessment for depression in heart failure patients suggests the presence of barriers influencing the effective diagnosis and treatment of depression among inpatients with heart failure. The theory of planned behavior describes the cognitive mechanism by which behavioral intent is formed, giving some insight into how nurses' attitudes and beliefs affect their performance of routine depression screening. In addition, application of this cognitive theory suggests that nurses may be influenced to adopt more positive attitudes and beliefs about depression through educational intervention, leading to greater likelihood of routine assessment for depression, ultimately leading to more timely diagnosis and treatment and improved patient outcomes. PMID:25280199
Full Text Available Background & Aim: The present study aimed to investigate the spiritual health among nursing and midwifery students at Kerman University of Medical Sciences in 2012 . Methods & Materials: This was a cross-sectional study in which all 222 nursing and midwifery students studying at Kerman University of Medical Sciences were recruited to study. Data were gathered using t he Palutzian & Ellison questionnaire of spiritual well-being. The obtained data were then analyzed in the SPSS-20 using parametric statistical tests such as independent t-test and Anova . Results: Results showed that spiritual well-being of nursing and midwifery students was in the good range. Except gender, no statistically significant relationships were observed between the mean of spiritual well-being and parameters such as age, marital status, academic year, and field of study . Conclusion: According to the findings , spiritual health among nursing and midwifery students was moderate. It is necessary to promote spirituality among nursing and midwifery students .
... protect infants and children from effects of the pesticide. Types of Toxicity Tests EPA Requires for Human Health Risk Assessments EPA ... In 1996, Congress made significant changes to strengthen pesticide laws through the Food Quality Protection Act (FQPA). Many of these changes ...
Meng, Hongdao; Wamsley, Brenda R.; Eggert, Gerald M.; Van Nostrand, Joan F.
Context: Patients with heart conditions in rural areas may have different responses to health promotion-disease Self-management interventions compared to their urban counterparts. Purpose: To estimate the impact of a multi-component health promotion nurse intervention on physical function and total health care expenditures among elderly adults
Hasselhorn, H M; Tackenberg, P
In many industrialised countries the number of workers with low health is expected to increase in the nursing profession. This will have implications for occupational health work in health care. The European NEXT-Study (www. next-study. net, funded by EU) investigates working conditions of nurses in ten European countries and provides the opportunity to evaluate the role of health with respect to age and the consideration of leaving nursing.
Selma Aparecida Lagrosa Garcia; Sidney Antonio Lagrosa Garcia; Umberto Gazi Lippi
Objective: To investigate, with a qualitative approach, the role of Obstetric Nurses at the primary level of care given to womens 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 ac...
MB Makupu; Botes, A.
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...
MacNeela, Pádraig; Morris, Roisin; Scott, Anne; Treacy, Margaret P; Hyde, Abbey
Continued ambiguity about the scope of mental health nursing is harmful to the discipline's identity and to patients' interests. Using a Delphi survey design, consensus was achieved on a set of 70 items representing core elements of mental health nursing among a sample of 150 mental health nurses working in Ireland. Items achieving consensus in Round 3 of the survey were composed of 28 clinical phenomena (framed as client problems), 18 direct and 12 indirect nursing interventions, and 12 nursing-sensitive outcomes of care. Mental health nurses accepted responsibility across a broad range of outcomes apart from those linked to physical care, the one domain of care rejected by participants. The findings portray mental health nursing as a psychosocial enterprise, encompassing both phenomenological and diagnosis-related elements. PMID:20851325
Willison, Kevin Donald
Nursing has long embraced a holistic approach to health care. Providing such an approach is also a goal embodied within many complementary therapy (CT) practices, such as Swedish massage therapy (SMT). Primary health care (PHC) reform initiatives as well often support a holistic approach to patient/client management. Presently, amongst the practices of nursing, a potential synergy between CTs and PHC domains has not as yet been adequately explored within the humanities and social/scientific literature. The purpose of this review is to address the potential of such a collaboration, as made feasible by incorporating an integrative medicine approach to enhance comprehensiveness of care, and in turn, holistic nursing. PMID:17105695
Cato, Mary L; Lasater, Kathie; Peeples, Alycia Isabella
This article describes a self-evaluation and feedback strategy used by nursing students and simulation faculty in a junior-level adult acute care course. Simulations are developed and implemented with the intention of furthering students' clinical judgment skills. A clinical judgment rubric, based on the Tanner Model of Clinical Judgment, is used as a self-assessment tool. The rubric describes the development of clinical judgment over four levels and is scored by students as they reflect on their practice. In addition to using the rubric's descriptors to rate themselves (Beginning, Developing, Accomplished, and Exemplary), the students apply an evidence-based process, citing simulation examples of their clinical thinking as support for their ratings. Simulation faculty respond to the postings, affirming students' observations or helping them experience a different perspective, and offer help to move toward the next stage of clinical judgment development. The postings offer clinical faculty insight into clinical judgment processes observed in the practicum settings. PMID:19476075
Mafuba, Kay; Gates, Bob
International studies have shown poor uptake of public health initiatives by people with learning disabilities. In addition, studies have shown that people with learning disabilities experience poor access to public health services. The contribution of community learning disability nurses in meeting the public health needs of people with learning
Carabez, Rebecca; Pellegrini, Marion; Mankovitz, Andrea; Eliason, Michele J; Dariotis, Wei Ming
Nurses work with diverse populations, but the nursing literature lacks research, theoretical frameworks, or practice guidelines regarding lesbian, gay, bisexual, and transgender (LGBT) health. Through diverse teaching strategies, students explored issues related to LGBT patients, families, and nurses using a cultural humility lens. Diverse teaching strategies included readings, a 2-hour presentation on LGBT health issues, and an assignment to conduct a scripted interview with two nurse key informants, based on the Health Care Equality Index (HEI). Students completed an online LGBT awareness preinterview survey, completed interviews, and completed a postinterview survey. Students showed a significant increase in knowledge about sexual orientation and gender identity and research and interview methods from pretest to posttest. The diverse teaching strategies involved in this assignment can enhance student knowledge, attitudes, and skills related to LGBT health care needs and increase appreciation of nursing research. PMID:25545145
Marceca, M; Mastromattei, A; Pasquarella, A; Casagrande, S; Guasticchi, G
The Italian health system has been completely public for 25 years; it is now adopting a federal structure conferring to the single regions a leading role in public health management. Therefore clear evaluation methods and tools need to be adopted in order to guarantee equity-based decision making. Multidimensional evaluation, a method first developed in the geriatric setting, represents an extremely useful tool both to establish the best profile of assistance and to guide the management of different services. It is mainly used to evaluate health status and needs for assistance within non self-sufficient populations, largely composed of the elderly. Currently available assessment tools reveal different approaches, goals and level of accuracy. The authors have examined and compared 21 different multidimensional assessment tools adopted in Italy with a standardized method based on pre-established data collection and evaluation criteria. Both quantitative (number of items used for every single dimension or sub-dimension) and quali-quantitative aspects (level of detail for every single dimension or sub-dimension) are included in the analysis. Tools were also evaluated according to the degree of fulfilment of certain fixed requirements. In the authors' opinion, given a specific assistance setting and its users, once the goals and requirements of the evaluation instrument are clearly defined, adopting this methodology--defined as "Progressive exclusion method for easier visualization of criteria correspondence and quali-quantitative aspects", would help to identify the most suitable assessment tools to be used. The authors hope that, on a regional level, the public health system will make a greater use of homogeneous multidimensional comprehensive assessment tools in order to foster both a uniform approach towards the needs for assistance and transparent criteria of resources allocation in public health services. PMID:15049536
Denholm, Bonnie G
Malignant hyperthermia (MH) is a high-risk, low-occurrence medical emergency with symptoms that include a severe increased rate of metabolic activity and rigid skeletal muscles. Clinicians should be knowledgeable and prepared for an MH event because it can occur in areas outside the operating room and without anesthetic triggers. Patients who have this rare genetic condition may come to the emergency department (ED) presenting with symptoms of heat stroke. However, the incidence of suspected MH in the ED or other critical care areas is not easily quantifiable because clinicians may not report cases to a centralized registry. The purpose of this article is to describe the MH-susceptible vulnerable population, to apply a vulnerability theoretical model to assess patients and families, to identify strategies for health promotion to reduce vulnerability, and to discuss how advanced practice nurses who specialize in emergency care can help decrease the vulnerability of MH-susceptible patients and families. By using a vulnerability model to assess the MH-susceptible population, nurses can effectively sort out strategies to prevent poor patient outcomes related to MH and promote health for this high-risk population. Measuring accurate core temperatures, applying effective cooling methods, and administering dantrolene are key concepts in caring for a patient who is experiencing an MH event. Advanced practice emergency nurses can participate in reducing vulnerability for this population by applying the Emergency Nurses Association Clinical Nurse Specialist competencies to MH-related vulnerabilities. Enhancing preparedness, evaluating and coordinating education programs, advocating for report submissions to the North American Malignant Hyperthermia Registry, and assessing opportunities for community collaboration are among the strategies discussed for reducing vulnerability for the MH-susceptible population. PMID:26218487
Swan, J H; Benjamin, A E
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...
Batt, A; Le Duff, F; Trouve, F; Bideau, C; Brunet, N; Chermeux, H; Drean, M P; Guyot, M C; Le Bras, L; Le Parc, B; Le Peru, I; Lefebvre, A; Lesellier, F; Perrot, M F; Sansoucy, M A; Trepos, M F
This study presents a pedagogical work carried out with a group of 13 school nurses of the Academy of Rennes, as part of a course in survey methodology. A descriptive survey aiming to achieve a better understanding of experienced health status of nurses, and of its repercussions on the execution of their missions, was implemented during the course, as a result of the demand and the expertise of the participants. Overall, nurses report to be in good health. However, one can not underestimate the existence of a group at risk (5% of the sample) that often suffers somatic troubles accompanied by sleep disorders and anxiety, as these risks concern primarily permanent staff nurses working in boarding establishments, with half of them falling into this category. A demand for regular monitoring of their health was clearly expressed through the study. This may be the object of a subsequent study by an academic team. PMID:10798175
Cieslowski, B J; Wajngurt, D; Cimino, J J; Bakken, S
Recent investigations have tested the applicability of various terminology models for the representing nursing concepts including those related to nursing diagnoses, nursing interventions, and standardized nursing assessments as a prerequisite for building a reference terminology that supports the nursing domain. We used the semantic structure of Clinical LOINC (Logical Observations, Identifiers, Names, and Codes) as a reference terminology model to support the integration of standardized assessment terms from two nursing terminologies into the Medical Entities Dictionary (MED), the concept-oriented, metadata dictionary at New York Presbyterian Hospital. Although the LOINC semantic structure was used previously to represent laboratory terms in the MED, selected hierarchies and semantic slots required revisions in order to incorporate the nursing assessment concepts. This project was an initial step in integrating nursing assessment concepts into the MED in a manner consistent with evolving standards for reference terminology models. Moreover, the revisions provide the foundation for adding other types of standardized assessments to the MED. PMID:11825165
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
FLÁVIA PAULA, MAGALHÃES MONTEIRO; THELMA LEITE, DE ARAUJO; LORENA, BARBOSA XIMENES; NEIVA FRANCENELY, CUNHA VIEIRA.
Full Text Available 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.
Full Text Available 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 professional profiles. Participants were conveniently selected from five selected hospitals in Limpopo Province. The study participants valuation using the AIS showed that nurses tended to develop strong bonds and relationships with the patients; felt frustrated by their inability to help the terminally ill AIDS sufferers and were subsequently affected by the death of their patients. Personal accomplishments of the nurses remained high and the levels of emotional exhaustion and depersonalization levels were low. The BDI showed that over 3 out of 4 nurses were experiencing between mild mood disturbance and extreme depression. Higher average scores were noted for items of the depression scale like sadness, dissatisfaction, fatigue and low level of energy. The findings highlight the need to develop psychological support programmes for nurses caring for AIDS patients and promote the provision of social incentives and recognition of the role of nurses in AIDS care.
M, Davhana-Maselesele; JO, Igumbor.
Full Text Available 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 u [...] sed for data collection. The questionnaire incorporated the AIDS Impact Scale (AIS), Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI) and the participants' demographic and professional profiles. Participants were conveniently selected from five selected hospitals in Limpopo Province. The study participants' valuation using the AIS showed that nurses tended to develop strong bonds and relationships with the patients; felt frustrated by their inability to help the terminally ill AIDS sufferers and were subsequently affected by the death of their patients. Personal accomplishments of the nurses remained high and the levels of emotional exhaustion and depersonalization levels were low. The BDI showed that over 3 out of 4 nurses were experiencing between mild mood disturbance and extreme depression. Higher average scores were noted for items of the depression scale like sadness, dissatisfaction, fatigue and low level of energy. The findings highlight the need to develop psychological support programmes for nurses caring for AIDS patients and promote the provision of social incentives and recognition of the role of nurses in AIDS care.
Rosted, Elizabeth Emilie
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 patients 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 peoples 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 participants 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 participants 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 participants 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 intervention group had li
Kenny, Richard F.; Van Neste-Kenny, Jocelyne M. C.; Burton, Pamela A.; Park, Caroline L.; Qayyum, Adnan
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
Kidd, Lori I.; Morgan, Karyn I.; Savery, John R.
Nursing education programs are proliferating rapidly in the United States in an effort to meet demand for nurse professionals. Multiple challenges arise from this rapid expansion. One challenge is finding sufficient clinical sites to accommodate students. Increased competition for scarce resources requires creativity in clinical contracting. This
Geurden, Bart; Adriaenssens, Jef; Franck, Erik
The story of evidence-based practice in nursing is long, with many successes, contributors, leaders, scientists, and enthusiasts. Nurse educators have great advantages offered from a wide variety of educational resources for evidence-based practice. These resources offer students the opportunity to connect their emerging competencies with clinical needs for best practices in clinical and microsystem changes. PMID:25458138
Mª Dolores Poyatos Ruiz
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.
L F Small
Full Text Available T he researcher, being a nursing lecturer, questioned the method of selection of learning opportunities for student nurses in two training hospitals in the Northern part of Namibia.
The study therefore focused on the following objective: To identify the factors that influence the selection of learning opportunities for primary health care in hospital units. A qualitative research design utilising focus group discussions were used. The population consisted of conveniently selected lecturers, student nurses and registered nurses. The same initial question was asked in each focus group to initiate the discussions. The data were analysed according to Tesch's method.
The results indicated that there is positive commitment from the lecturers and registered nurses to be involved in selecting appropriate learning opportunities. The student nurses also demonstrated a willingness to learn and to be exposed to learning opportunities in primary health care. There were however certain constraints that emerged as themes, namely:
Managerial constraints Educational constraints
Under the theme "managerial constraints" categories such as workload, nursing staff shortages and communication problems were identified. Under the theme "educational constraints" categories such as a lack of guidance, and the correlation of theory and practice emerged.
Recommendations based on this research report include improvement of in-service education on managerial and educational aspects to facilitate the primary health care approach in hospitals.
Natalia Cámara Conde
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.
Conlon, M M M; Bush, C J; Ariyaratnam, M I; Brennan, G K; Owtram, R
Mental health nurses are expected to adhere to a range of professional values. The values of social integration that mental health nurses practise are somewhat at odds with the values of the British welfare state. Alternative systems of welfare support are demonstrated in other countries. Mental health nurses must consider models of practice, such as that described by Clifton et?al. (2013b), to manage the disconnection between what is expected and what can be achieved. This discussion paper considers the implications for mental health nursing practice when working alongside individuals in receipt of state benefits. There is arguably a profound impact on an individual's recovery from mental ill health when that individual is also dependent on financial support from the government. Access to welfare benefits can have a significant impact on the recovery journey of that individual. This discussion paper will consider the practice implications for mental health nurses whose professional values include maxims such as 'challenging inequality' and 'respecting diversity', and will seek to examine the implications for practice when such values are divergent from those demonstrated in government policy. The paper will make comparisons with international welfare systems to demonstrate the way in which alternative configurations of state welfare can promote a system of social justice that is in greater equilibrium with the professional values of mental health nurses. Finally, the discussion will focus on the options for mental health nurses to either subscribe to government policy or to find compromise solutions that enable attention to remain focused and active on a strong value base of social justice and recovery-focused practice. PMID:26014831
Gilcéria Tochika, Shimoda; Ilva Marico Mizumoto, Aragaki; Clóvis Arlindo de, Sousa; Isilia Aparecida, Silva.
Full Text Available 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.
Tveiten, Sidsel; Severinsson, Elisabeth
The aim of the present study was to examine the meaning and experiences of client supervision from the perspective of Norwegian public health nurses. The World Health Organization (WHO) states that new intervention strategies to improve public health are necessary. Supervision represents such a strategy. Three focus groups were interviewed twice. The data were analyzed by qualitative content analysis. The findings revealed three themes: (i) the meaning of the umbrella term client supervision; informing, teaching, giving advice and ensuring the quality of supervision; (ii) factors influencing supervision; the public health nurses' available time and competence and the clients' ability to be supervised; and (iii) events and content representing the complexity of conducting supervision. In conclusion, the width of the concept, the influencing factors and the complexity claim that public health nurses have competence to supervise. PMID:15507048
Godin Gaston; Chabot Guylaine; Gagnon Marie-Pierre
Abstract Background The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option f...
People across the globe use social media to connect with one another, stay in touch with friends and family, and exchange information. Health care has embraced social media, and nursing organizations such as the American Nurses Association (ANA) and NASN have a presence in the social media landscape. The students in our schools today are digital natives who grew up with and are at home in the world of technology. With so many options in the digital world, the question is how can school nurses harness this technology to connect with their students and families? More importantly, how can school nurses use social media in a professional and responsible manner and help to enhance the profession of school nursing overall? This article will outline the planning and implementation of an ongoing social media campaign on wellness and healthy behaviors by one Texas suburban school district. PMID:25816429
Full Text Available Nursing is a profession providing services directly to people through interpersonal relationships. Using emotional intelligence and communication skills, nurses, while taking care, could detect more accurately the needs of patients and create a positive impact on patients by providing effective care. Emotional intelligence and communication skills should get involved and developed in the nursing education process. The purpose of this study is to evaluate nursing students levels of emotional intelligence and communication skills and to determine the relationship between them. The data were obtained from 195 students studying in Harran University Nursing Department of School of Health through Personal Information Form, Emotional Intelligence Evaluation Scale and Communication Skills Evaluation Scale. To analyze the data t-test, variance analysis and Pearsons correlation analysis were used. As a result, a significant positive relationship was found between students emotional intelligence and communication skills.
There has been a growing recognition of work-related stress among nurses in Cameroon that has contributed to job dissatisfaction and high turnover. This study, which was conducted with 158 nurses in three major hospitals and three rural health centers in the Northwest Province of Cameroon, examined whether there were significant differences in job satisfaction between nurses in urban hospitals and rural community health settings in the six major components of the job: work, pay, promotions, supervision, co-worker relationships, and the job in general. A convenience sample of 158 staff nurses grouped into three categories (nurses' aides, registered nurses, and state registered nurses), volunteered to participate in this study. These nurses differ by level of educational preparation of 1, 2, and 3 years, respectively. The Job Descriptive Index questionnaires and the Job In General scales were used to measure job satisfaction. These data were analyzed with inferential statistics. Focus group interviews with 10 nurses were also done, and content analysis was used to analyze the data. The major findings indicated significant differences between job satisfaction and type of healthcare work setting, level of professional education, gender, years of service, and age group. These results are useful for nurse educators, administrators, and researchers in the formulation and implementation of effective health policies for nurses and health care organizations. This study also provided the groundwork for a future cross-cultural study of nurses in the United States and Cameroon. PMID:10646412
Haines, Caroline; Hoskins, Rebecca
International Nurses Day is celebrated around the world each year on May 12, Florence Nightingale's birth date (1820). Her theories were published in Notes on Nursing in 1860 and contributed significantly to the development of public health and leadership in hospital management. On Nurses Day, however, it is important to acknowledge the contribution of other great nurses in history, such as Mary Seacole, and to celebrate the contribution that nurses continue to make to the health and wellbeing of society. PMID:18686414
Carol Shieh; Anne E. Belcher; Barbara Habermann
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 n...
Sandra Gelabert Vilella
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 students 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.
Shin, Hyunsook; Shim, Kaka; Lee, Yunah; Quinn, Laurie
The Lasater clinical judgment rubric (LCJR) is a standardized scoring method to assess student clinical judgment. The aims of this study were to (a) develop a scenario-specific clinical judgment assessment tool guided by the LCJR and (b) evaluate the new assessment tool's psychometric properties and ability to assess clinical judgment. Content validity was established using an expert panel. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to assess the psychometric properties of the instrument. Convergent validity was identified using critical thinking. A three-factor model identified and confirmed with EFA and CFA was used in the new assessment tool to assess 250 undergraduate nursing students from three universities in Seoul, South Korea. The internal consistency using Cronbach's alpha coefficient was 0.825. Results of this study can provide nursing faculty with ways to develop and use new assessment tools in nursing education. PMID:25350903
David, Helena Maria Scherlowski Leal; Bonetti, Osvaldo Peralta; da Silva, Maria Rocineide Ferreira
This essay discusses the role of Brazilian nursing as a socially committed practice, in the political and pedagogic plan. The concepts of popular participation, representative and participatory democracy, and education in health are recovered, enlightened by the recent history of the constitution of social network of practices and reflections called Popular Education and Health. The construction process and the ethical-political principles of a National Policy of Popular Education in Health are presented, discussing the participation of nursing in the changes of educational practices, in spaces of political representation and formulation of public policies, with a perspective of achieving a fair and equal social order. PMID:22751727
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.
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
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
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.
Guevara Edilma B.; Mendias Elnora P.
Objective. To identify changes in nursing practice and the nursing-practice environment that have occurred with implementation of health sector reform in five countries in the Americas. Methods. An exploratory study of selected settings in Argentina, Brazil, Colombia, Mexico, and the United States of America was conducted between 1997 and 1999 to collect narrative data from 125 professional nurses about their perceptions of nursing practice and changes in work environments. Descriptions of ch...
Gephart, Sheila; Carrington, Jane M; Finley, Brooke
In response to unprecedented financial government incentives, electronic health record (EHR) adoption has tripled since 2009. While EHR benefits are emphasized, research demonstrates that adoption may result in unintended consequences that nurse administrators can anticipate and mitigate. Unintended consequences are defined as unplanned effects, whether positive or negative. Little is known about nursing perceptions and experience of unintended consequences arising from EHR implementation, and nursing studies are minimal in comparison with research on experience among their interprofessional colleagues. The purpose of this article is to present the state of the science on nurses' experiences with unintended consequences of EHRs derived from a systematic review that includes 4 original studies. Findings demonstrate that nurses experience changes to workflow, must continually adapt to meet patient's needs in the context of imperfect EHR systems, and have difficulty accessing the information they need to make patient care decisions. Even so, most state they would not revert to paper records if given the choice. Implications for nurse administrators include the need for continual engagement with nurses along the continuum of EHR design, as well as the need to encourage nurses to speak up and acknowledge workflow changes that threaten patient safety or do not support work efficiency. PMID:26340247
A number of social forces are converging to shape the coming health care and professional practice environment for nurse practitioners (NPs) and the public they serve. Two major innovations of the 1960s, NPs and community health centers, have reached their fourth decade since their inception. These forces have traveled parallel and overlapping paths in their mission to provide high quality health care. Today the current federally qualified community health centers (FQHCs) are a major componen...
Ratanasiripong, Paul; Kaewboonchoo, Orawan; Ratanasiripong, Nop; Hanklang, Suda; Chumchai, Pornlert
Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or t...
Gifford, Wendy A; Holyoke, Paul; Squires, Janet E.; Angus, Douglas; Brosseau, Lucie; Egan, Mary; Graham, Ian D; Miller, Carol; Wallin, Lars
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 c...
Nurse practitioners' (NPs) knowledge, experience, and intention to use health literacy strategies in practice were investigated using the Theory of Planned Behavior as the theoretical framework. NPs who work in outpatient settings were recruited at a national NP conference. Participants were administered 3 self-report instruments: Health Literacy Knowledge and Experience Survey, Parts I and II; and the Health Literacy Strategies Behavioral Intention Questionnaire. Overall knowledge of health ...
Puentes, William J; Bradway, Christine K; Aselage, Melissa
Within the older adult population, certain idiosyncratic aspects of mental illness add to the challenges of helping clients manage these disorders. Older adults are more likely than younger populations to experience physiologically based comorbidities, a dynamic that further strains coping capacities. Barriers to the provision of comprehensive mental health nursing care for older adults include myths and stigmas about aging and mental health. Nurse educators are challenged to move students toward a more positive, empirically based approach to the care of older adults' mental health. In this article, background information supporting the importance of working to improve students' knowledge of and attitudes toward mental illness in older adults is provided. Specific teaching strategies in the areas of older adult mental health, dementia, and delirium are discussed. Resources to support the incorporation of these strategies into nursing curricula are described. PMID:20608592
Full Text Available In this article the legal limitations in the practice of the primary health care nurse in the Republic of South Africa, having direct implications for the achievement of the goal: "Health for all by the year 2000", are explored and described The questions which had to be answered by means of the research are in relation to the nature and scope of the limitations obstructing the practice of the primary health care nurse. A legislative (document analysis was performed and limitations in the legislation confirmed. It is recommended that an empirical investigation be done to verify the results after which amendments and clarification of the legislation may be requested.
Greig, B A; Rehmer, P
Roles that were essential in the health care setting of the past are rapidly disappearing in today's era of redesign. Career development and advancement are tumultuous processes in the current health care environment. The article illustrates what nontraditional roles can offer nurses through a case study on the contract negotiation process. It is hoped that the article will encourage nurses to take risk in choosing career experiences. Such choices will facilitate the learning that is necessary to lead the complex health care organizations of today. PMID:10711144
Wasylko, Yolanda; Stickley, Theodore
Describes how psychodrama, forum theatre, and other forms of drama can facilitate active learning, develop empathy and reflective skills, and foster emotional intelligence in nursing education. Contains 21 references. (SK)
Communication of care is essential in the multidisciplinary health care system and the patient record is an important tool for communication. The electronic patient record was introduced to facilitate the documentation of care, as well as the communication and evaluation of care. District nurses met the patient independently of other caregivers at the surgery or in the patients home. Documentation by district nurses is assumed to contribute to the view of the patient so that safe care can be...
Loo-See Beh; Leap-Han Loo
The main purpose of this study is to investigate the prominent causes and effects of job stress and coping mechanism among nurses in public health services. The research methodology included qualitative and quantitative survey. The results indicated that the major contributor of job stress among nurses is the job itself. Heavy workload, repetitive work, and poor working environment were among the stressors identified in the category of job itself. Respondents identified that inconsiderate and...
Galder Abos-Mendizabal; Roberto Nuño-Solinis; Leticia San Martin-Rodriguez
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...
Zhang Y; Zhao Y; Mao S; Li G; Yuan Y
Yuqun Zhang,1,2 Yueqiu Zhao,3 Shengqin Mao,1 Guohong Li,4 Yonggui Yuan1 1Department of Psychosomatics and Psychiatry, Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, Peoples Republic of China; 2Nursing Faculty of Southeast University, Nanjing, Peoples Republic of China; 3Nanjing Health School, Nanjing, Peoples Republic of China; 4Nursing Department, Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, Peoples ...
Wilson Sally; Bremner Alexandra P; Hauck Yvonne; Finn Judith
Abstract Background There is increasing interest in the contribution of the quality of nursing care to patient outcomes. Due to different casemix and risk profiles, algorithms for administrative health data that identify nursing-sensitive outcomes in adult hospitalised patients may not be applicable to paediatric patients. The study purpose was to test adult algorithms in a paediatric hospital population and make amendments to increase the accuracy of identification of hospital acquired event...
Dyane Rocha; Rachel de Carvalho
Objective: To determine the degree of knowledge undergraduatenursing students have concerning humanizing hospital care. Methods:This was a descriptive level 1 survey with quantitative data analysis.The sample comprised 36 students enrolled in the 8th semester of theundergraduate nursing course. Data was collected at the NursingSchool of Hospital Israelita Albert Einstein by means of a questionnairewith identification data and specific questions concerning humanization.Results: Students define...
Alexandropoulou, Marianthi; Sourtzi, Panayota; Kalokerinou, Athena
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
Davis, Terry C.; Fredrickson, Doren D.; Kennen, Estela M.; Humiston, Sharon G.; Arnold, Connie L.; Quinlin, Mackey S.; Bocchini, Joseph A., Jr.
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.
Cecília Nogueira Valença, Raimunda Medeiros Germano, Rejane Maria Paiva de Menezes
Full Text Available Objective: to analyze the complex theme of self-medication in the elderly people and the role of health professionals and nursing. Methodology: this is a theoretical essay based on a literature review of the narrative type. It was selected articles indexed in databases Scientific Electronic Library Online (SciELO and the Database of Nursing (BDENF, from 2003 to 2009, using as descriptors: self-medication, nursing and elderly people. It was also used books and manuals of the ministry of health. From the reading and qualitative synthesis of abstracts, were set up two axes of analysis and reflection: Aging and self: views on the issue and Medication in the elderly people: the role of health professionals and nursing. Results: the elderly people are the age group that uses more drugs. Self-medication is a practice that can generate serious health risks such as intoxication. The qualified professional should guide the public about the medicine to lessen the risk and effectively as possible. Conclusion: it was conclude that the use of knowledge of health professionals and nurses to help to reduce the risks associated with self-medication and problems related to use of medicines, contributing to the improvement of quality of life of older people.
Lewis, S J
Government policies, programmes and projects can have a significant impact on health. Health impact assessments (HIAs) seek to estimate this impact, but they often do so by measuring intermediate or proxy indicators and factors that act to determine health. These measures frequently assume a static population. However, regeneration policies can work hard for several years to no apparent effect. One explanation could be migration. Families who have benefited move from the area and other, perhaps more deprived, families move in. Conversely, healthy, prosperous families may move into an improved area, giving the impression that the health of the population has changed, when in fact it is the actual population that has changed. Census data in England and Wales show that a positive correlation exists between migration within wards and deprivation scores. This paper explores the possible implications of migration for HIA. The census, NHS central register, electoral register, labour force survey, central index of the Department of Social Security, council tax database and other data sources are examined to identify what migration data are available at a local level. Factors that determine rates of migration at a local level have been reviewed, with special reference to the differences between population subgroups. The paper concludes with recommendations to take account of residential mobility and changes in migration patterns when carrying out HIAs. PMID:12909418
The issue of occupational stress amongst health care professionals is currently a major concern in health policy. The main goal of the present study has been to investigate the relationship between levels of stress among nurses, and some of the psychosocial and organisational characteristics of their job. The participants of the cross-sectional survey were female nurses (n = 218) chosen at random from public hospitals in Csongrad Country, Hungary. A self-administered questionnaire was the method used for data collection: this questionnaire contained various items on psychosomatic symptoms, self-perceived health, sociodemographic data, job satisfaction, health risk behaviours, drug consumption, emotional load and social support from peers. The findings suggest that the frequency of common psychosomatic symptoms (e.g. sleeping problems, tension headache, chronic fatigue or palpitations), regular alcohol drinking, heavy smoking, and frequent use of tranquilisers and sleeping pills can be read as an indicator of nurses' work-related stress level. Nurses with only primary education had the highest such levels, while those with baccalaureate-level education had the lowest. Furthermore, nurses aged 51-60 years and those on rotating night shift proved to be vulnerable to stress the most frequently. However, no significant differences were found between nurses working in-theatre and those non-theatre; nor was job satisfaction found to have a significant impact on the levels of stress experienced. The results suggest that supportive relationships with peers may reduce the occurrence of high stress levels among nurses, leading the author to conclude that social support and the psychosocial work climate should be improved in health care institutions. PMID:10518353
Bentayeb, M; Norback, D
ABSTRACT Few data exist on respiratory effects of indoor air quality and comfort parameters in the elderly. In the context of the GERIE study, we investigated for the first time the relationships of these factors to respiratory morbidity among elderly people permanently living in nursing homes in seven European countries. 600 elderly people from 50 nursing homes underwent a medical examination and completed a standardised questionnaire. Air quality and comfort parameters were objectively assessed in situ in the nursing home. Mean concentrations of air pollutants did not exceed the existing standards. Forced expiratory volume in 1 s/forced vital capacity ratio was highly significantly related to elevated levels of particles with a 50% cut-off aerodynamic diameter of <0.1 ?m (PM0.1) (adjusted OR 8.16, 95% CI 2.2429.3) and nitrogen dioxide (aOR 3.74, 95% CI 1.0613.1). Excess risks for usual breathlessness and cough were found with elevated PM10 (aOR 1.53 (95% CI 1.152.07) and aOR 1.73 (95% CI 1.1710.3), respectively) and nitrogen dioxide (aOR 1.58 (95% CI 1.152.20) and aOR 1.56 (95% CI 1.032.41), respectively). Excess risks for wheeze in the past year were found with PM0.1 (aOR 2.82, 95% CI 1.15 7.02) and for chronic obstructive pulmonary disease and exhaled carbon monoxide with formaldehyde (aOR 3.49 (95% CI 1.1710.3) and aOR 1.25 (95% CI 1.021.55), respectively). Breathlessness and cough were associated with higher carbon dioxide. Relative humidity was inversely related to wheeze in the past year and usual cough. Elderly subjects aged ?80 years were at higher risk. Pollutant effects were more pronounced in the case of poor ventilation. Even at low levels, indoor air quality affected respiratory health in elderly people permanently living in nursing homes, with frailty increasing with age. The effects were modulated by ventilation.
Full Text Available Brett Williams,1 Ted Brown,2 Malcolm Boyle,1 Lisa McKenna,3 Claire Palermo,4 Jamie Etherington1 1Department of Community Emergency Health and Paramedic Practice, 2Department of Occupational Therapy, 3School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash UniversityPeninsula Campus, Frankston, 4Department of Nutrition and Dietetics, Faculty of Medicine, Nursing and Health Sciences, Monash UniversityBerwick Campus, Berwick, Vic, Australia Purpose: This research examines the extent and nature of empathy among emergency health (paramedic, nursing, and midwifery students at one Australian university and investigates the longitudinal changes in empathy levels across the course of study. Methods: First-, second-, and third-year students at Monash University completed the Jefferson Scale of EmpathyHealth Professional (JSE-HP in 2008, 2009, and 2010, and the resulting mean empathy scores were analyzed by course, year of course, year of study, age, and sex. Results: Midwifery students were found to have higher empathy levels than nursing and emergency health students. Second- and third-year students scored higher than their counterparts in the first year. Empathy levels dipped in 2009 and rose in 2010. Students aged 2630 years and 3135 years recorded higher scores than their younger colleagues, and female students were found to be more empathic than their male counterparts. Conclusion: The finding that empathy levels are relatively stable over the term of study contributes to the understanding of how empathy evolves over the course of study and offers insights into the importance of incorporating and promoting empathy in health care curricula. Keywords: empathy, nursing, paramedics, midwifery, undergraduates
Oliver, Gina M; Pennington, Lila; Revelle, Sara; Rantz, Marilyn
Strengthening health care overall is essential to the health of our nation and promoting access to health care as well as controlling health care costs in a quality cost-effective manner. Nurse practitioners have demonstrated to be effective and cost-effective providers in prior research; however, many states restrict their practice. We examined for a statistically significant relationship between the level of advanced practice registered nurse (APRN) practice (full, reduced, or restricted) allowed and results of recent nationwide, state level analyses of Medicare or Medicare-Medicaid beneficiaries of potentially avoidable hospitalizations, readmission rates after inpatient rehabilitation, and nursing home resident hospitalizations and then compared them with state health outcome rankings. States with full practice of nurse practitioners have lower hospitalization rates in all examined groups and improved health outcomes in their communities. Results indicate that obstacles to full scope of APRN practice have the potential to negatively impact our nation's health. Action should be taken to remove barriers to APRN practice. PMID:25172368
Fhumulani M. Mulaudzi
Full Text Available Background: Child-rearing remains a concern within our communities, especially because families of today lack primary parents due to multifaceted challenges such as working mothers, diseases and violence. Health-promoting school initiatives are necessary because they allow a multifaceted approach to child-rearing. They further provide a conducive environment for continued schoolchild-rearing moving from home to school.Objectives: This study promotes an integrated approach to school care using the African concept of Ubuntu solidarity and sense of community as a point of departure. The socio-ecological model was used, which includes the work of the school healthcare nurse in contributing to holistic health services.Method: An integrative review was conducted in January 2013, which included methodology studies, a theory review and a variety of studies related to school health. The studies were categorised according to school health, Ubuntu and the socio-ecological model.Findings: The role of school healthcare nurses entails acting as a liaison officer between a variety of stakeholders who work together to shape the future of children.Conclusion: Ubuntu, together with the socio-ecological model, can assist us to involve an entire community to raise children. This knowledge serves as a background to the planning of a school health programme. The role of the nurse in school health can also assist in collaborative efforts to formulate the programme and develop the competencies that will inform school health nurse training curricula.
Fhumulani M. Mulaudzi
Full Text Available Background: Child-rearing remains a concern within our communities, especially because families of today lack primary parents due to multifaceted challenges such as working mothers, diseases and violence. Health-promoting school initiatives are necessary because they allow a multifaceted approach to child-rearing. They further provide a conducive environment for continued schoolchild-rearing moving from home to school. Objectives: This study promotes an integrated approach to school care using the African concept of Ubuntu solidarity and sense of community as a point of departure. The socio-ecological model was used, which includes the work of the school healthcare nurse in contributing to holistic health services. Method: An integrative review was conducted in January 2013, which included methodology studies, a theory review and a variety of studies related to school health. The studies were categorised according to school health, Ubuntu and the socio-ecological model. Findings: The role of school healthcare nurses entails acting as a liaison officer between a variety of stakeholders who work together to shape the future of children. Conclusion: Ubuntu, together with the socio-ecological model, can assist us to involve an entire community to raise children. This knowledge serves as a background to the planning of a school health programme. The role of the nurse in school health can also assist in collaborative efforts to formulate the programme and develop the competencies that will inform school health nurse training curricula.
Sendall, Marguerite C.; Lidstone, John; Fleming, MaryLou; Domocol, Michelle
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
Sunday Joseph Ayamolowo
Full Text Available Background: Job satisfaction, quality of work environment and morale of health practitioners is beginning to receive attention worldwide.Objectives: This study examined the nature of the work environment of community health nurses, and determined the level of job satisfaction among these nurses. It further explored the relationship between work environment and job satisfaction of these nurses, and perceived factors in the work environment that would increase their job satisfaction. Methods: A descriptive cross-sectional design was employed. The study was conducted in public primary health care facilities in Ekiti State, Nigeria. All the 216 nurses in these facilities were recruited but only 161 nurses responded to the instrument administered. A 58- item semi-structured questionnaire was used to survey nurses currently practicing in the above health setting. Data analysis was done using descriptive and inferential statistics.Results: Findings from the study revealed the mean score of nurses perception of their work environment to be 64.65±19.77. Forty four percent (44% of the nurses perceived their WE as of an average quality while 31% reported high quality WE. A majority (67.1% of the nurses had low degree of job satisfaction while only few nurses (3.1% reported high degree of satisfaction with job. A significant positive strong correlation was found between overall work environment and the general job satisfaction of the nurses(r = 0.55, p = < 0.01. Provisions of modern equipment for work and increment/prompt payment of salary were the most prominent factors in work environment that the nurses perceived as capable of increasing their job satisfaction (54.7% and 49.7% respectively. The least reported factor was recommendation when one does a good job (1.9%.Conclusion: The study concluded that a healthy work environment for nurses in the primary health care settings is an important factor in improving work satisfaction, reducing turnover intention and improving nursing care outcomes.
Advancing our understanding of nursing work and work role effectiveness: is the Irish nursing minimum data set for mental health psychometrically robust and can it be used to inform nursing sensitive patient outcomes?
The aim of this study was to investigate the validity and reliability of the Irish Nursing Minimum Data Set for mental health to determine its usability in the clinical setting. A secondary aim of this study was to explore the ability of the tool to capture nursing sensitive outcomes of care, conceptualised and defined according to change in the patients condition mediated by nursing interventions. The research methodology was guided by a measurement error concept map. The validity of the I...
Sunday Joseph Ayamolowo; Omolola Irinoye; Mayowa Antony Oladoyin
Background: Job satisfaction, quality of work environment and morale of health practitioners is beginning to receive attention worldwide.Objectives: This study examined the nature of the work environment of community health nurses, and determined the level of job satisfaction among these nurses. It further explored the relationship between work environment and job satisfaction of these nurses, and perceived factors in the work environment that would increase their job satisfaction. Methods: A...
Nordby-Hörnell Elisabeth; Forsberg Christina; Falkenberg Torkel; Andersson Susanne K; Airosa Fanny; Öhlén Gunnar; Sundberg Tobias
Abstract Background This study explores nursing personnel's experiences and perceptions of receiving tactile massage and hypnosis during a personnel health promotion project. Nursing in a short term emergency ward environment can be emotionally and physically exhausting due to the stressful work environment and the high dependency patient care. A health promotion project integrating tactile massage and hypnosis with conventional physical activities was therefore introduced for nursing personn...
Delk, Kayla L
This article explores general principles of workers' compensation law and the ability to sue third parties for employee injuries by using case law and the treatise Larson's Workers' Compensation Law. This overview provides occupational health nurses with a background on workers' compensation law, who is liable for employee injuries, and how recovery from third parties is distributed between the employer or insurer and the employee. The author then explores interventions that occupational health nurses can implement to reduce employee injury and employer costs for providing workers' compensation. The goal of this article is to stimulate occupational health nurses' critical-thinking and problem-solving skills so they may identify risks and implement cost-effective solutions that will prevent injuries to employees. PMID:22387245
Full Text Available A number of media reports appeared on the shortages of professional health workers in the public health sector. Unsatisfactory working conditions in health facilities were mentioned as one of the key aspects responsible for the shortages. Literature indicates that stress caused by unsatisfactory work environments may play a major role in employees decision to resign their jobs, in spite of enjoying the nature of their work. The aim of this article is to explore the current human resource situation in nursing i.e. to determine if a shortage of nursing skills exists, to establish the challenges that nurses have to face in performing their duties and to establish the potential effect of the work environment on attrition.
Kanda, Mikiko; Ota, Erika; Fukuda, Hiromi; Miyauchi, Shinji; Gilmour, Stuart; Kono, Yuko; Nakagama, Erika; Murashima, Sachiyo; Shibuya, Kenji
Introduction To realise universal health coverage in an ageing society, adequate provision of appropriately trained human resources is essential. The nurse practitioner (NP) is an autonomous and independent, advanced practice nurse capable of providing treatment and care that can be substituted for some aspects of a medical doctor's (MD's) role, especially in a community setting. Previous systematic reviews found higher levels of patient satisfaction with services provided by NPs than those provided by MDs. As non-communicable diseases become a major health burden requiring long-term healthcare in community settings, this systematic review aims to assess the equivalence of NP services to standard care provided by MDs, and to determine whether their practice is an effective alternative to that of MDs in community settings. Methods and analysis Relevant randomised controlled trials (RCTs) and cluster RCTs will be searched in the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL and the British Nursing Index. We will assess patient and health system utilisation outcomes of interventions comparing treatment and care provided by NPs in community settings with that provided by MDs. Two authors will independently screen studies for inclusion, consulting with a third author where necessary to resolve discrepancies. The risk of bias of included studies will be assessed using the Cochrane Collaboration risk of bias tool, and quality of evidence using the GRADE approach. Meta-analysis of included studies will be conducted using fixed-effect or random-effects models depending on the degree of between-study heterogeneity. Results will be presented using risk ratios with 95% CI for dichotomous outcomes and standardised mean differences with 95% CI for continuous outcomes. Ethics and dissemination This systematic review and meta-analysis protocol does not require ethical approval. We will disseminate the findings of this systematic review and meta-analysis via publications in peer-reviewed journals. Trial registration number PROSPEROCRD42014009627. PMID:26105030
This 5-year project has been used for consumers to identify the best health care plans and services for their needs. The goals of the Consumer Assessment of Health Plans (CAHPS?) are to (1) develop and test questionnaires that assess health plans and services, (2) produce easily ...
...to the Required Assessment Tool for State Nursing Homes Receiving Per Diem Payments From VA...that receive per diem from VA for providing nursing home care to veterans. It requires State nursing homes receiving per diem from VA to use...
Ana Cristina Viana Campos, Daniela Carla Medeiros-Silva, Flávia Fonseca de Toledo, Patrícia Maria Pereira de Araújo Zarzar, Júlio César Batista Santana, Eduardo Augusto dos Santos Moreira-Silva
Full Text Available Objectives: to investigate the knowledge, the attitudes and practices of the nurses students' in the specialization in Family Health, of the Institute of Continuous Education in PUC Sete Lagoas city, Belo Horizonte, Brasil. Methods: transversal, descriptive, study developed with 17 nurses, students of the Family Health Specialization, with volunteered to participate in the study. It was conducted toward the application of modified questionnaire with the thematic dental avulsion. The data were analyzed by descriptive statistical methods. Results: most of the nurses (71% never heard before the term dental avulsion. Five nurses (29% would not know which providences is necessary in case of dental avulsion, six (35% would store the tooth and conduct the person to the dentist, three (18% just direct the person to the dentist, one nurse (6% would conduct the person to do the restoration, the other (6% would store the tooth in milk and would give the tooth to the rescuer, and only one (6% of them would make the replantation immediately. Conclusions: we can affirm that the analyzed nurses present inadequately knowledge when they were questioned about different aspects of urgency procedures in cases of dental avulsion.
Maria Vera Lúcia Moreira Leitão Cardoso
Full Text Available Publications of research in child health have been increasing every year. This studys 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.
Happell, Brenda; Bennetts, Wanda; Harris, Scott; Platania-Phung, Chris; Tohotoa, Jenny; Byrne, Louise; Wynaden, Dianne
Australian mental health policy clearly articulates recovery focus as the underpinning of mental health services. Barriers to achieving a recovery focus are identified in the literature, with negative attitudes of health professionals receiving particular attention. The involvement of people with lived experience of significant mental health challenges and mental health service use is essential to enhancing more positive attitudes. Lived-experience involvement in the education of nurses is evident; however, it is generally limited and implemented on an ad hoc basis. Overall, there is a paucity of literature on this topic. A qualitative exploratory study was undertaken to elicit the views and perceptions of nurse academics and lived-experience educators about the inclusion of lived experience in mental health nursing education. One major theme to emerge from the research was issues of fear and power, which included three subthemes: facing fear, demystifying mental illness, and issues of power. Lived-experience involvement has an important role to play in the education of nurses in addressing fear and demystifying the experience of mental illness. The power that lived-experience educators exercised in their roles varied considerably, and for many, was limited. Therefore, the effectiveness of lived-experience involvement requires a more equitable distribution of power. PMID:25366907
Mataboge, Sanah M.L.; Van Rensburg, Elsie S.J.; Kgalabi J. Ngako
Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse.The objectives of this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs) presenting with acute symptoms; and secondly, to make recommendations ...
Alexis, Obrey; Shillingford, Adeline
The aim of this study was to explore internationally recruited neonatal nurses' (IRNNs) perceptions of their experiences of working in the National Health Service (NHS) in London. This was an exploratory study. A purposive sample of 13 nurses (all females) from two teaching hospitals in London participated in this study. Semi-structured face-to-face interviews were used to capture IRNNs views of working in the NHS in London. Five themes emerged, namely: motivation to migrate, lack of preparation for neonatal nurses, environmental conditions impacting on care delivery, neonatal nurses deskilling, and role restrictions as well as professional development. The findings of this study provide first-hand insights from the subjective perspectives of IRNN experiences. IRNNs experienced some challenges to their working lives; however, good preparation is important when recruiting them to work in the NHS. PMID:24666785
Tetteh, Hassan A
Kaizen is a proven management technique that has a practical application for health care in the context of health care reform and the 2010 Institute of Medicine landmark report on the future of nursing. Compounded productivity is the unique benefit of kaizen, and its principles are change, efficiency, performance of key essential steps, and the elimination of waste through small and continuous process improvements. The kaizen model offers specific instruction for perioperative nurses to achieve process improvement in a five-step framework that includes teamwork, personal discipline, improved morale, quality circles, and suggestions for improvement. PMID:22201574
Qualitative studies in mental health nursing research deploying the 'lived experience' construct are often written on the basis of conventional qualitative inquiry assumptions. These include the presentation of the 'authentic voice' of research participants, related to their 'lived experience' and underpinned by a meta-assumption of the 'metaphysics of presence'. This set of assumptions is critiqued on the basis of contemporary post-structural qualitative scholarship. Implications for mental health nursing qualitative research emerging from this critique are described in relation to illustrative published work, and some benefits and challenges for researchers embracing post-structural sensibilities are outlined. PMID:24118139
Ryan, C Anthony
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.
Gustafson, D H; Sainfort, F C; Van Konigsveld, R; Zimmerman, D R
There have been few detailed evaluations of measures of quality of care in nursing homes. This is unfortunate because it has meant that much research on factors affecting nursing home quality has used measures of questionable reliability and validity. Moreover, some measures currently in use have been developed using methodologies not based on solid conceptual grounds, offering little reason to expect them to have much internal or external validity. In this article we suggest characteristics ...
de Carlo, Keri
This project applied ethnographic content analysis to examine 19 American films made during the period 1942-2005. The purpose of this examination is to consider how the medium of American film portrays psychiatric mental health nursing and its world within the hospital. It critiques the way film frames mental health nursing and the profession's interactions with other disciplines, such as psychiatry, that might reveal a disposition that is peculiar to this group. It concludes that Hollywood film genre continues to perpetuate the notion that mental health nursing occupies an aberrant, secret, and dangerous world and that its role remains one of custodial companionship. If Chiari, Pinel, and Tuke, the founders of moral therapy during the Age of Reason observed these films, they could be forgiven if they wondered whether psychiatric mental nursing remained trapped in the Middle Ages While some of the films reviewed may be considered vacuous nonsense, its discourses reflect how society views people with serious mental illness and those who nurse them. This critique is a challenge for the profession to educate society regarding the profession's true work, reclaiming its commitment to affirming the dignity and human rights of those with mental illness by instigating political strategies that will destabilize the subversive and dividing practices that film merely manipulates. PMID:17845553
Gradellini, Martina; Fiaccadori, Cianzia
A collaboration experience with the Fondation Médical d'Ampasimanjeva nurses, in an international cooperation project,permits to analyse the basic nursing concepts, starting from the local cultural approach. Research main outcome is to describe health, death, illness, and nursing care concepts in the Malgasi Antemoro tribe. Closing to the ethnographic research, work has been developed in three different moments: a first job organization starting from a spread literature analysis, the follow work on field about collecting data, and the last data elaboration and discussion Collecting data tool was the focus group which has done with the complete hospital nursing staff, divided by ward places. A fourth one was addressed to a twenty medical patients group. Focus group questions came from the Rising Sun Model guide, by Madeleine Leininger, adapted to the research own needs. Outcomes show an important traditional medicine influence, explained by the way people conceive health, illness, and even life, all elements directly affected the nursing care. It stands out a strong belief that health depends by the ability of person to work. The death concept is saw as a passage's phase to the Razana's spiritual condition. This is the reason supporting fatalism as approach to the death, that appear as an inevitable event managed by God. Disease's concept is related to traditional healers; as a matter of facts, it exists a strong belief that diseases find origin from magician. PMID:20943096
Carryer, Jenny; Yarwood, Judy
In New Zealand, as in many other countries, the demand for health services is escalating as chronic disease, population ageing and health disparities increase. It has been argued that a more comprehensive primary health care approach is needed combining biomedical approaches with a social determinants and social justice based approach. The contemporary development of the nurse practitioner (NP) role in New Zealand (NZ) offers the possibility of taking up a more critical approach to strengthen and extend primary health care services (PHC). Nurse practitioners could simply be utilised to shore up the nature and style of existing primary care (PC) service configurations or, more usefully, they could lead a revolution in traditional approaches towards genuine primary health care delivery. PMID:26281404
Full Text Available In America, mental health needs surpass the availability of specialized providers. This vulnerable population also has other obstacles for comprehensive care including gaps in medical coverage, stigma, economic barriers, and a geographical mal?distribution of qualified mental health professionals. A wide availability of primary care providers, including primary care and family nurse practitioners, are well-positioned to deliver integrated mental and physical health care. A case study from a Southern California Coachella Valley primary care clinic with integrated services is used to demonstrate the much-needed approach of care to address health disparities that face low?income immigrants, migrant workers, and others without access to specialized care centers and providers. It is argued that mental health care should be part of all holistic treatment provided by primary care and family nurse practitioners. This has implications for curricula and practice development.
John R. McQuaid, PhD; Brian P. Marx, PhD; Marc I. Rosen, MD; Lynn F. Bufka, PhD; Wendy Tenhula, PhD; Helene Cook, MA; erence M. Keane, PhD
Assessment in mental health research has evolved from focusing on symptoms and diagnosis to addressing a broad range of change, including psychosocial functioning. This is consistent with developments in the areas of psychosocial rehabilitation and the increase in recovery-oriented intervention models for mental disorders. We reviewed the status of assessment in mental health research, providing an overview of symptom and diagnostic assessment that is the cornerstone of most mental health res...
Kramer, C.F.; Rybicka, K.; Knutson, A.; Morris, S.C.
Environmental and occupational health effects associated with exposures to various chemicals are a subject of increasing concern. One recently developed methodology for assessing the health impacts of various chemical compounds involves the classification of similar chemicals into risk-assessment categories (RACs). This report reviews documented human health effects for a broad range of pollutants, classified by RACs. It complements other studies that have estimated human health effects by RAC based on analysis and extrapolation of data from animal research.
Environmental and occupational health effects associated with exposures to various chemicals are a subject of increasing concern. One recently developed methodology for assessing the health impacts of various chemical compounds involves the classification of similar chemicals into risk-assessment categories (RACs). This report reviews documented human health effects for a broad range of pollutants, classified by RACs. It complements other studies that have estimated human health effects by RAC based on analysis and extrapolation of data from animal research
AIM: This paper reports on the implementation of a competency assessment tool for registered general agency nurses working in an acute paediatric setting, using a change management framework. BACKGROUND: The increased number of registered general agency nurses working in an acute children\\'s hospital alerted concerns around their competency in working with children. These concerns were initially raised via informal complaints about \\'near misses\\
Børøsund, Elin; Ruland, Cornelia M; Moore, Shirley; Ekstedt, Mirjam
BACKGROUND: Despite evidence of benefits, integration of patient-centered communication in clinical practice is challenging. Interactive tailored patient assessment (ITPA) tools can contribute to a more patient-centered care approach. However, little research has examined the impact of such tools on nursing care once they have been implemented. OBJECTIVE: To explore nurses' experiences of the benefits of and barriers to using an ITPA called Choice, in cancer care one year after its implementa...
Full Text Available The South African health system has undergone major changes over the last 5 - 1 0 years. These rapid changes have not only significantly increased the visibility of the nurse practitioner in South Africa, but are also posing challenges to the profession and health care services that need to be addressed. In its Health Policies the Government has indicated that the nursing/midwifery profession, as the biggest group of health care professionals, should be the practitioners to provide primary health care services to the communities. But to do this, they require enabling legislation. The permit system has been in place for non-pharmacists and institutions other than hospitals and pharmacies to acquire, possess, use and supply medication for a number of years. This system has been fraught with problems mainly due to a lack of clarity on exactly how the system works and the system has been abused. The purpose of this article is to explore the current situation with the aim to analyze the legal framework that exists within which the primary health care services, and specifically the diagnosing and prescribing of medication, could be performed. The conclusion is made that health legislation has not kept up with the rapid changes in service delivery and are not adequate to empower the nurse to deliver health services. Some recommendations are made for the way forward.
The South African health system has undergone major changes over the last 5-10 years. These rapid changes have not only significantly increased the visibility of the nurse practitioner in South Africa, but are also posing challenges to the profession and health care services that need to be addressed. In its Health Policies the Government has indicated that the nursing/midwifery profession, as the biggest group of health care professionals, should be the practitioners to provide primary health care services to the communities. But to do this, they require enabling legislation. The "permit system" has been in place for non-pharmacists and institutions other than hospitals and pharmacies to acquire, possess, use and supply medication for a number of years. This system has been fraught with problems mainly due to a lack of clarity on exactly how the system works and the system had been abused. The purpose of this article is to explore the current situation with the aim to analyze the legal framework that exists within which the primary health care services, and specifically the diagnosing and prescribing of medication, could be performed. The conclusion is made that health legislation has not kept up with the rapid changes in service delivery and are not adequate to empower the nurse to deliver health services. Some recommendations are made for the way forward. PMID:11993258
Full Text Available Objective: Health Technology Assessment (HTA aims at informing healthcare policymakers, managers and practitioners of the "clinical consequences, but also the economic, ethical, and other social implications of the diffusion and use of a specific procedure or technique on medical practice". So considering the policy-oriented nature of HTA that calls for a close integration into the functioning and governance of health systems the present study focuses on executive processes and function of the HTA office of Iran.Materials and methods: Data of this review study were collected through documented sources and observations from 2007 to 2010.Results: Health Technology Assessment began its activities as a secretariat in the Deputy of Health in 2007 and it continues as a Health Technology Assessment Office at the Management of Health Technology Assessment, Standardization, and Tariff at the Deputy of curative affairs of MOHME in the beginning of 2010.14 Technology of modern medical equipment and 8 pharmaceutical medicine are assessed, Now many of measures for HTA establishment such as cooperation National Institute of Health Research (NIHR, Holding scientific committee meetings, Establishing the Masters degree of health technology assessment ,Building capacities for health technology assessment through education in major universities of the country.Conclusion: pay attention to health technology assessment, selection and application of proper technologies in the frameworks of policy-making and managerial strategies and make efforts to develop it with the support of the governmental in Iran is necessary.
Kiel, Joan M
Nurses have a great deal of interaction with patients. Given this, nurses play a vital role in conveying to patients knowledge of their privacy, security, and confidentiality of patient health information rights under the Health Insurance Portability and Accountability Act (HIPAA). Nurses also can be "at the head of the table" in their own organization and professional organizations in regard to facilitating the implementation of the HIPAA and making access to patient information more "consumer friendly." This article discusses the role that nurses can develop into concerning HIPAA implementation in an ever-burgeoning arena of consumer advocacy and consumer information. PMID:25627858
Full Text Available Objective: Health professionals are paying increased attention to issues of global health. However, there are no current competency assessment tools appropriate for evaluating their competency in global health. This study aims to assess the validity and reliability of a global health competency survey for different health disciplines. Methods: A total of 429 students participated in the Global Health Competency Survey, drawn from family medicine residency, nursing, physiotherapy and occupational therapy programs of five universities in Ontario, Canada. The surveys were evaluated for face and content validity and reliability. Results: Factor analysis was used to identify the main factors to be included in the reliability analysis. Content validity was supported with one floor effect in the racial/ethnic disparities variable (36.1%, and few ceiling effects. Seven of the twenty-two variables performed the best (between 34% and 59.6%. For the overall rating score, no participants had floor or ceiling effects. Five factors were identified which accounted for 95% of the variance. Cronbachs alpha was >0.8 indicating that the survey items had good internal consistency and represent a homogeneous construct. Conclusion: The Global Health Competency Survey demonstrated good internal consistency and validity.
Nicotera, Anne Maydan; Mahon, Margaret M; Wright, Kevin B
Quality communication is essential for building strong nursing teams. Structurational divergence (SD) theory explains how institutional factors can result in poor communication and conflict cycles; the theory has been developed in nursing context, although it is applicable to all organizational settings. We describe the design, implementation, and evaluation of an intervention to reduce SD and improve nurses' work life and team-member relationships. An intensive 9-hour course provided training in conflict/SD analysis and dialogic conflict/SD management to 36 working nurses from a variety of settings. Quantitative pre- and posttests were administered, with a comparison sample. The course reduced measures of negative conflict attitudes and behaviors: direct personalization, persecution feelings, negative relational effects, ambiguity intolerance, and triangulation (gossiping and complaining to uninvolved third parties). The course also increased important attitudes necessary for productive dialogue and conflict management: perceptions of positive relational effects, conflict liking, and positive beliefs about arguing. As compared with nonparticipants, participant posttests showed lower conflict persecution; higher recognition of positive relational effects; lower perceptions of negative relational effects; higher conflict liking; lower ambiguity intolerance; and lower tendency to triangulate. Qualitatively, participants perceived better understanding of, and felt more empowered to manage, workplace conflicts and to sustain healthier workplace relationships. This intervention can help nurses develop tools to improve system-level function and build productive team relationships. PMID:24896578
Full Text Available Introduction: It is necessary to understand that psychological reactions after a natural disaster are as complex as disaster itself. Following a catastrophic earthquake like Bams, such reactions can be seen in nursing team members as well. Materials and Methods: This study is a descriptive cross sectional analytic research, conducted with cooperation of Japanese Nursing Association to identify somatic and psychological problems of nursing team members of Bam. A total of 92 members of nursing team affiliated to healthcare centers of Bam were studied. Data collection tools were 2 questionnaires; first for evaluating demographic characteristics and general health and second- questionnaire of Goldberg and Williams- for evaluation of four domains of psychosomatic problems, anxiety and insomnia, psychosocial functioning and severe depression. Each domain contained seven questions, each scored from 0 to 3 based on Likert score. Complete score of general health was 0-84. Scores were classified in four groups: 0-20 as optimal, 21-4 as approximately optimal, 41-6 as approximately suboptimal and 61 and higher as suboptimal. Results: One year after the earthquake, evaluation of general health of nursing team members showed 30.3% of subjects had optimal psychosomatic status, 34.8% had moderate problems of anxiety and insomnia, 40.2% had approximately optimal psychosocial functioning and 44.2% of subjects were not severely depressed. Overall, 38.4% of nursing team members had approximately optimal general health. Conclusion: This study showed that following a catastrophic earthquake, most of the victims suffer from several psychological and somatic reactions. In addition to on time rescue procedures, other important allaying factors are cultural and religious values and believing in God.
Full Text Available Abstract Background The study of the factors that encourage evidence-based clinical practice, such as structure, environment and professional skills, has contributed to an improvement in quality of care. Nevertheless, most of this research has been carried out in a hospital context, neglecting the area of primary health care. The main aim of this work was to assess the factors that influence an evidence-based clinical practice among nursing professionals in Primary Health Care. Methods A multicentre cross-sectional study was designed, taking the 619 Primary Care staff nurses at the Balearic Islands Primary Health Care Service, as the study population. The methodology applied consisted on a self-administered survey using the instruments Evidence-Based Practice Questionnaire (EBPQ and Nursing Work Index (NWI. Results Three hundred and seventy seven surveys were received (60.9% response rate. Self-assessment of skills and knowledge, obtained 66.6% of the maximum score. The Knowledge/Skills factor obtained the best scores among the staff with shorter professional experience. There was a significant difference in the Attitude factor (p?=?0.008 in favour of nurses with management functions, as opposed to clinical nurses. Multivariate analysis showed a significant positive relationship between NWI and level of evidence-based practice (p? Conclusions Institutions ought to undertake serious reflection on the lack of skills of senior nurses about Evidence-Based Clinical Practice, even when they have more professional experience. Leadership emerge as a key role in the transferral of knowledge into clinical practice.
Borup, Ina K; Holstein, BjØrn Evald
The objective of this study was to compare overweight and normal weight pupils' perceived outcome of the health dialogue with the school nurse. A random sample of schools in Denmark, where pupils age 11.6, 13.6 and 15.6 years old, answered a questionnaire (response rate 88%, n = 5205). The independent variable weight group was measured by self-reported height and weight and calculated as body mass index. Perceived outcome of the dialogue was measured as: (i) reflected on the dialogue; (ii) discussed the content with parents; (iii) followed the advice of the nurse; and (iv) visited the nurse again. Overweight boys reflected (odds ratio (OR) = 1.73), discussed the dialogue with at least one parent (OR = 1.38), followed the nurse's advice (OR = 1.42) and visited the nurse again (OR = 2.68). There was a significant statistical link between age group and perceived outcome among the boys, but not girls. The 11-year-old overweight boys perceived more positive effects from the dialogue with the school nurse.
Chan Bibiana C
Full Text Available Abstract Background This paper examines the opportunity and need for lifestyle interventions for patients attending generalist community nursing services in Australia. This will help determine the scope for risk factor management within community health care by generalist community nurses (GCNs. Methods This was a quasi-experimental study conducted in four generalist community nursing services in NSW, Australia. Prior to service contacts, clients were offered a computer-assisted telephone interview to collect baseline data on socio-demographics, health conditions, smoking status, physical activity levels, alcohol consumption, height and weight, fruit and vegetable intake and 'readiness-to-change' for lifestyle risk factors. Results 804 clients participated (a response rate of 34.1%. Participants had higher rates of obesity (40.5% vs 32.1% and higher prevalence of multiple risk factors (40.4% vs 29.5% than in the general population. Few with a SNAPW (Smoking-Nutrition-Alcohol-Physical-Activity-Weight risk factor had received advice or referral in the previous 3 months. The proportion of clients identified as at risk and who were open to change (i.e. contemplative, in preparation or in action phase were 65.0% for obese/overweight; 73.8% for smokers; 48.2% for individuals with high alcohol intake; 83.5% for the physically inactive and 59.0% for those with poor nutrition. Conclusions There was high prevalence of lifestyle risk factors. Although most were ready to change, few clients recalled having received any recent lifestyle advice. This suggests that there is considerable scope for intervention by GCNs. The results of this trial will shed light on how best to implement the lifestyle risk factor management in routine practice.
Aranda, K; de Goeas, S; Davies, S; Radcliffe, M; Christoforou, A
Creative and imaginative approaches to mental healthcare education are known to help students explore emotions, empathy and others' experiences, as well as address ambivalence and ambiguity. Very few studies in mental health nursing education specifically utilise photography as a participatory pedagogic tool, with even fewer utilising photography to explore understandings of culture, values and diversity. Photography makes visible complex, collaborative forms of learning and previously unidentified, unarticulated ideas about culture and values. Photography as a critical pedagogic method helps develop critical, politicized understandings of culture and values. Increasing culturally diverse populations means complex and conflicting values have become a common feature in mental health nursing. In education the need to critically examine such topics necessitates creative and engaging pedagogy, and visual methods are readily acknowledged as such. Yet while many studies advocate and demonstrate the value of art-based methods in student learning, very few studies in mental health nursing specifically utilize photography as a participatory pedagogic tool, and fewer still use photography to explore understandings of culture, values and diversity. In this paper, we discuss a qualitative study where mental health nursing students used photography to create images in order to explore their own and often dominant culture and attendant values. Findings suggest that photography makes visible situated, relational and collaborative learning, and surfaces previously unidentified, unarticulated ideas about culture and values. These practices mimic important processes central to mental health nursing practice and contemporaneous understandings of diverse cultures. We argue that photography provides an important resource with which to unearth subjugated knowledge, promote critical understandings of culture and values, and thereby help address inequalities in mental health care. PMID:25753461
Mbambo, S; Uys, L R; Groenewald, B
The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only. A mail questionnaire requested the sampled nurses to rate the frequency and importance of the tasks they perform. A total of 71% of the nurses (60 nurses of all categories) returned the questionnaire, and an index taking into account frequency and importance, was calculated. The self-report data was compared with data from non-participant observation done over 11 days in five clinics. The respondents rated 11 tasks as being performed more than six times per week, and no task as being important in that more than 70% of respondents felt it could never be omitted. However, on the task index, which combines frequency and importance, 57 tasks received the highest possible score of ten, and few (25%) were rated below five. The work context of nurses in PHC settings and hospitals was compared using Exhaustion-Disengagement Model and it was proposed that hospital nurses had higher job demands and lower job resources, and therefore ran a higher risk of both exhaustion and disengagement. A clear difference in the roles of different categories of nurses was found, although they have many tasks in common. PMID:15027265
Burgermeister, Diane; Kwasky, Andrea; Groh, Carla
Mental health disorders represent a significant burden across all nations with the vast majority of people being undiagnosed and/or undertreated. There is an urgent need to address these mental health disparities and to implement strategies that will improve appropriate diagnosis and treatment at both the local and international level. Two solutions will be discussed in this paper. First, an integrated care model which has the potential to decrease fragmentation of care and barriers to appropriate treatment. Second, the training and education of nurses in basic mental health competencies. This paper argues that nurses are well positioned to help meet the growing need for mental health care in a variety of health care settings. This paper will describe an educational workshop that was part of a plan to incorporate mental health concepts across a Doctor of Nursing Practice curriculum. It is believed that the underlying concepts of this educational model are transferrable to other countries and can serve as a template for improving the ability to identify, treat, and manage mental health care. PMID:22104956
Mann, S; Byrnes, T
An innovative approach to nursing education was piloted by the School of Nursing at Flinders University and Noarlunga Health Services, a generic community health service, in Adelaide, South Australia. The approach, encapsulated in the four-year Community Enrichment Project (CEP), focused on Primary Health Care (PHC) and nursing practice. The CEP developed curriculum and organised student placements, which promoted understanding of PHC in a way that integrated acute and community sectors. This paper considers the impact of splitting the students' third year final practicum, of seven weeks, between acute and community placements. Integral to the overall outcome of the project was the community agencies' cooperation in accepting students for longer clinical placements than had previously been the norm. This resulted in students being engaged in activities and projects in diverse areas. The students were aided in linking PHC theory to practice by the CEP team members who mentored them throughout these placements. Outcomes demonstrated the ability of students to integrate PHC theory to practice, across a variety of health settings. Students moved from a position of little knowledge or understanding of PHC, to an integrated knowledge of PHC principles and the relationship to enhanced nursing practice. PMID:11858402
Singh, Charanjit; Cross, Wendy; Jackson, Debra
This article will present the findings of a research study that investigated the extent to which mental health nurses employed within rural and metropolitan areas of Australia are affected by burnout, using the Maslach Burnout Inventory (MBI) and a demographic questionnaire. The study also examined whether the Maslach Burnout Inventory (MBI) was a valid measure of mental health burnout within the Australian context and culture or alternatively, in what ways it needed to be refined? A cross-sectional study of mental health nurses (n = 319) from the states of New South Wales, Victoria, Queensland and Western Australia was undertaken. The 22-item Maslach Burnout Inventory (MBI) was used to measure burnout and a demographic questionnaire utilising a cluster sampling, cross-sectional design survey method, was used to gather the data. The study found that gender and level of qualification were the two major factors that showed any significance, where males experienced a higher level of depersonalisation on the frequency and intensity sub-scale scores of the MBI and that the more qualified a nurse, the greater the level of depersonalisation they experienced. These results were true for participants in both rural and metropolitan settings within Australia. Age was the third most influencing factor in terms of emotional exhaustion, where younger participants (under 30) reported higher levels of emotional exhaustion. Younger male mental health nurses experienced higher levels of depersonalisation. PMID:26309172
Popil, Inna; Dillard-Thompson, Darlene
This article describes gaming, an interactive teaching strategy that promotes active learning. An evaluation study conducted with home health care nurses tested the use of a game as a teaching tool. The study evaluated learning outcomes and learners' level of engagement and satisfaction with an educational game as a teaching method. PMID:25955422
Molony, Sheila L.; Evans, Lois K.; Jeon, Sangchoon; Rabig, Judith; Straka, Leslie A.
Background: Long-term care providers across the United States are building innovative environments called "Green House" or small-house nursing homes that weave humanistic person-centered philosophies into clinical care, organizational policies, and built environments. Purpose: To compare and contrast trajectories of at-homeness and health over
Rabenschlag, Franziska; Hoffmann, Sven; Kozel, Bernd; Sprenger, Rosmarie
In the interdisciplinary treatment process nurses play an important role, assessing suicide risk. To cope with this responsibility, the use of assessment instruments is recommended. Although a lot of instruments exist to assess the risk of suicide, nurses do not use them consistently. This cross-sectional study seeks to answer the following questions: How do nurses assess the suicidality of patients of psychiatric hospitals in the German speaking part of Switzerland? Do they use assessment instruments and if so, which ones? Ward nurses in every psychiatric hospital (n = 32) were asked about the state of the nursing practice in assessing the suicide risk by means of an electronic questionnaire. The following results emerged: Nurses use instruments to assess suicide risk on about half of the wards (n = 119, 50.63%). 13% of the mentioned instruments are research-based. Nurses mostly assess suicide endangerment in the case of a presumed danger, less often at admission and least often during the discharge process. As suicidality is assessed mostly when nurses assume a danger in this study, and due to the fact that suicides most frequently occur shortly prior to or during the discharge process, an expansion of or the introduction of the assessment is recommended before the discharge process. PMID:23876661
Quality health care is an issue of concern worldwide, and nursing can and must play a major and global role in transforming the healthcare environment. Doctorally prepared nurses are very much needed in the discipline to further develop and expand the science, as well as to prepare its future educators, scholars, leaders, and policy makers. In 1968, the Master of Science in Nursing Program was initiated in Turkey, followed by the Nursing Doctoral Education Program in 1972. Six University Schools of Nursing provide nursing doctoral education. By the graduating year of 2001, 154 students had graduated with the Doctor of Philosophy in Nursing (Ph.D.), and 206 students were enrolled in related courses. Many countries in the world are systematically building various collaborative models in their nursing doctoral education programs. Turkey would like to play an active role in creating collaborative nursing doctoral education programs with other countries. This paper centres on the structure and model of doctoral education for nurses in Turkey. It touches on doctoral programs around the world; describes in detail nursing doctoral education in Turkey, including its program structure, admission process, course units, assessment strategies and dissertation procedure; and discusses efforts to promote Turkey as a potential partner in international initiatives to improve nursing doctoral education. PMID:15465171
Henderson, Julie; Koehne, Kristy; Verrall, Claire; Gebbie, Kristine; Fuller, Jeffrey
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
Wertenberger, Sydney; Chapman, Kathleen M; Wright-Brown, Salena
The Department of Veterans Health Administration Office of Nursing Service has embarked on a multiyear transformational process, an example of which is the development of an organization-wide nursing handbook. The development of this handbook offered the opportunity to improve collaboration, redefine expectations and behavior, as well as prepare for the future of Nursing within the Veterans Health Administration. The lessons learned from this process have revolved around the themes of leadership skills for managing high-level change often in a virtual environment; constant collaboration; that the practice of nursing will continue to evolve on the basis of new evidence, technology, customer expectations, and resources; and that the process to accomplish this goal is powerful. PMID:21654487
Peltier, J W; Boyt, T; Westfall, J
The prosperity of a health care organization is contingent on its ability to compete for and retain a high quality staff of "loyal" nurses. Although the benefits of maintaining a loyal nursing staff are obvious, turnover in the health care industry is dangerously high. One solution for reducing turnover is to develop and sustain a loyal nursing staff. The purpose of this article is to apply customer-oriented marketing theories and practices to better understand how strong nurse-provider relationships can be developed and maintained over time. The authors first examine relationship marketing literature as it applies to nurse relationship and management issues. Second, a framework for conceptualizing internal marketing efforts devoted to enhancing nursing staff satisfaction and retention in tested. Finally, strategies for practicing relationship marketing will be provided. PMID:10848197
Muntean, Ana; Mihaela TOMITA; Ungureanu, Roxana
Background: Population health, as defined by WHO in its constitution, is out a physical, mental and social complete wellbeing. At the basis of human welfare is the human dignity. This dimension requires an integrated vision of health care. The ecosystemical vision of Bronfenbrenner allows highlighting the unexpected connections between social macro system based on values and the micro system consisting of individual and family. Community nurse is aimed to transgression in practice of educat...
Staggers, Nancy; Rodney, Melanie
Usability issues with products such as Electronic Health Records (EHRs) are of global interest to nursing informaticists. Although improvements in patient safety, clinical productivity and effectiveness are possible when usability principles and practices are in place, most organizations do not embrace usability. This paper presents a new Health Usability Maturity Model consisting of 5 phases: unrecognized, preliminary, implemented, integrated and strategic. Within each level various aspects ...
Gülay Ta?demir; Mehtap K?z?lkaya
The aim of this descriptive study was to evaluate the NANDA nursing diagnoses of Pamukkale University Denizli Healthcare College final year students for the patients they undertook the care of and to determine the aims and interventions relevant to these diagnoses.The study universe consisted of all Pamukkale University Denizli Healthcare College final year students who were continuing their education during the 2009-2010 educational year and took the Mental Health and Disease Nursing course ...
Christa Van der Walt; Belinda Scrooby; Elna Steenkamp
An integrative literature review of identified scientific evidence, published from January 2000 to December 2008, of the utilisation of reflexology as complementary and alternative medicine (CAM) modalities to promote well-being and quality of life in adults with chronic diseases was done to facilitate nurses to give informed health education during comprehensive nursing care to patients with chronic diseases. Selected accessible databases were searched purposefully for research articles (<...
Terry, Nicolas P
Mobile health (mHealth) combines the decentralization of health care with patient centeredness. Mature mHealth applications (apps) and services could provide actionable information, coaching, or alerts at a fraction of the cost of conventional health care. Different categories of apps attract diverse safety and privacy regulation. It is too early to tell whether these apps can overcome questions about their use cases, business models, and regulation. PMID:25940254
Professional nurses working in rural, primary health-care settings are experiencing burnout due to serious shortages of personnel. This is exacerbated by the brain drain of nurses leaving the country. Rural settings are resource constrained in terms of personnel and equipment. This results in dissatisfaction among nurses due to the unbearable working conditions which result in stress and frustration. A qualitative, explorative, descriptive study was conducted to explore and describe the exper...
Whitener, L M; Cox, K R; Maglich, S A
To be effective, presentation of health messages for development of self-care agency must be age and developmentally appropriate. Blending cognitive development theories with selected foundational capabilities and dispositions from Self-Care Deficit Nursing Theory (SCDNT) has resulted in five concrete factors for successfully designing and delivering health messages for optimal learning in children. The capacity to learn requires perception, attention, play, communication, and memory. Actual evidence of learning about healthy choices by elementary school-aged children is illustrated. Indications of successes and deficiencies in design and delivery of health promotion messages during a school health fair are presented. PMID:9504206
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.
V., Aedo Carreño; T., Parada Santander; C., Alcayaga Rojas; M., Rubio Acuña.
Full Text Available El registro de la valoración de una herida es la documentación escrita y fotográfica de su evolución y conlleva un proceso de observación, recolección de datos y evaluación. Con el avance de la informática, se han implementado diversos sistemas de registro electrónico en el área del cuidado de las h [...] eridas. La presente revisión de literatura tiene por objetivo describir la utilidad de los registros electrónicos como herramienta de apoyo en el área de la valoración de las heridas. Se realizó una exhaustiva revisión de literatura, de las bases de datos COCHRANE LIBRARY MEDLINE, PUBMED, PROQUEST NURSING & ALLIED HEALTH SOURCE. Se incluyeron artículos publicados desde el año 1998 hasta el 2010. Dentro de los principales resultados se desprende que el contar con una óptima documentación de valoración de las heridas es fundamental debido a razones clínicas, legales, de investigación, de docencia, de administración de recursos materiales y humanos y de comunicación con los diferentes miembros del equipo de salud. Existen variados beneficios en la utilización del uso del sistema de registro electrónico (SRE), sin embargo, no existe consenso si el SRE o el sistema de registro manual es la mejor manera de registrar las actividades de enfermería. Se recomienda la creación de un formato electrónico amigable, contando con la participación de profesionales relacionados al área de la informática, junto a profesionales de enfermería, para definir en forma exacta lo que debe registrarse en la valoración de las heridas. Abstract in english The wound assessment record, is the written and photographic documentation of their development and involves a process of observation, data collection and evaluation. With the advance of computer technology, have implemented various electronic record systems in the area of wound care. This literatur [...] e review aims to describe the usefulness of electronic records as a support tool in the assessment area of the wounds. We conducted a thorough review of literature, the COCHRANE LIBRARY databases MEDLINE, PUBMED, Proquest NURSING & ALLIED HEALTH SOURCE. Articles published from 1998 to 2010. Among the main results suggest that having an excellent documentation of assessment of injury, is essential due to medical reasons, legal, research, teaching, administration and human resources and communication with different members of health team. There are many benefits in using the use of electronic registration system (ERS), but there is no consensus whether the ERS or the manual registration system is the best way to record the activities of nursing. We recommend creating a user-friendly electronic format, with the participation of professionals working in the area of information technology, along with nursing professionals to define exactly what should be recorded in the assessment of injuries.
Emancipatory practices of nurses in primary health care: the home visit as an instrument of health needs assessment / Práticas emancipatórias de enfermeiros na Atenção Básica à Saúde: a visita domiciliar como instrumento de reconhecimento de necessidades de saúde / Prácticas emancipadoras del enfermero en la atención primaria de salud: la visita domiciliaria como instrumento de reconocimiento de necesidades de la salud
Celia Maria Sivalli, Campos; Bárbara Ribeiro Buffette, Silva; Deisi Cristine, Forlin; Carla Andréa, Trapé; Iara de Oliveira, Lopes.
Full Text Available Objetivo Identificar as práticas emancipatórias de enfermeiros da Atenção Primária, com a finalidade de contribuir para o aprimoramento do cuidado em saúde. Método [...] Pesquisa social de natureza qualitativa, do tipo estudo de caso. Foram entrevistados os enfermeiros de uma Unidade de Saúde da Família em São Paulo. Resultados Identificou-se que a visita domiciliária, prática protocolar, ampliou seu escopo e identificou determinantes do processo saúde-doença, desencadeando na Unidade de Saúde da Família práticas emancipatórias. Essa ampliação ocorreu porque o projeto de cuidado intencionalizado ampliou o objeto tradicional dos serviços de saúde. Conclusão Advoga-se que as diretrizes das políticas sociais ancorem projetos que tomem como finalidade o aprimoramento das necessidades de saúde e que o cotidiano do trabalho proporcione reflexão e discussão dos projetos de cuidado, para intencionalizar práticas que incidam nos determinantes do processo saúde-doença, tanto quanto nos resultados - a doença expressa no corpo individual. Abstract in spanish Objetivo Identificar las prácticas emancipadoras de enfermeras en Unidad de Salud Familiar fueron el objeto de este estudio. Método La investigación social cuali [...] tativa tipo estúdio de caso. Fueron entrevistados enfermeros de una Unidad de Salud Familiar en Sao Paulo. Resultados Se identificó que la Visita Domiciliaria ha ampliado su alcance y identificado determinantes del proceso salud-enfermedad, lo que provocó en la Unidad de Salud Familiar prácticas emancipadoras. Esta expansión se produjo debido a que el diseño de la atención en propósito por la USF amplió el tradicional objeto de los servicios de salud. Conclusión Se aboga que las directrices de las políticas sociales basen proyectos que tengan como fin el mejoramiento de las necesidades de salud y que el trabajo diario proporcione la reflexión y discusión de los proyectos de atención, para proponer prácticas que enfoquen en los determinantes del proceso salud-enfermedad, tanto cuanto en sus resultados - la enfermedad en el cuerpo individual. Abstract in english Objective Identify nurses emancipatory practices in primary care, to contribute to the improvement of health care. Method A case study type social research of q [...] ualitative nature, in which nurses of a primary health care service unit in São Paulo were interviewed. Results The home visit was identified as a nursing practice possible to be expanded in order to identify social determinants of health, triggering emancipatory practices in the service. This expansion occurred because the design of health care labour intended by the service team changed its focus from the traditional object of health services, the disease. Conclusion First, it is advocated that social policies lead projects with the purpose of improving health needs. On the other hand, the daily labour needs to provide opportunities for reflection and discussion of healthcare projects, leading workers to propose labour-processes targeted to both the social determinants of health and peoples illness.
Rosenkotter, N.; Vondeling, H.
The European Union has named genomics as one of the promising research fields for the development of new health technologies. Major concerns with regard to these fields are, on the one hand, the rather slow and limited translation of new knowledge and, on the other hand, missing insights into the impact on public health and health care practice of those technologies that are actually introduced. This paper aims to give an overview of the major assessment instruments in public health [ health technology assessment (HTA), health needs assessment (HNA) and health impact assessment (HIA)] which could contribute to the systematic translation and assessment of genomic health applications by focussing at population level and on public health policy making. It is shown to what extent HTA, HNA and HIA contribute to translational research by using the continuum of translational research (T1-T4) in genomic medicine as an analytic framework. The selected assessment methodologies predominantly cover 2 to 4 phases within the T1-T4 system. HTA delivers the most complete set of methodologies when assessing health applications. HNA can be used to prioritize areas where genomic health applications are needed or to identify infrastructural needs. HIA delivers information on the impact of technologies in a wider scope and promotes informed decision making. HTA, HNA and HIA provide a partly overlapping and partly unique set of methodologies and infrastructure for the translation and assessment of genomic health applications. They are broad in scope and go beyond the continuum of T1-T4 translational research regarding policy translation. Copyright (C) 2010 S. Karger AG, Basel
Gina MA Higginbottom
Full Text Available Objectives: The multicultural nature of Canadian society and the decline in health of immigrants after relocation toCanada prioritizes a commitment to ensure equity in health care access and outcomes. An important feature shaping healthcare access and outcomes is the reception of culturally safe and competent care. Partnering with senior management at atertiary care hospital, this pilot study aimed to investigate whether an identified cultural assessment tool, the FamilyCultural Heritage Assessment Tool (FamCHAT, validated for use in a rural primary care setting, was suitable for use intertiary care. The objectives were to investigate: 1 whether using the FamCHAT enabled the nurses to elicit assessmentinformation from their patients who represent diverse ethnocultural groups, and 2 the nurses perspectives on the practicaluse of this form in their clinical practice.Methods: Nurses purposively selected from the Womens, Surgery and Medicine units were asked to complete theFamCHAT form with all patients admitted during a three-month period in 2009. Focus group interviews were then held tolearn the nurses perspectives related to the forms constructs and its use in their practice. The data from the completedFamCHAT forms were tabulated and analyzed using descriptive statistics to determine the extent of completion andaccuracy, and the sample characteristics. The interview data was analyzed using qualitative analytical software (ATLAS.tiScientific Software Development, GmbH, Germany and Roper and Shapiras framework for analysis of ethnographicdata.Results: The nurses filled out forty-four FamCHAT forms with patients having a diverse ethnocultural profile. In manyforms, several questions were either left blank or answered incorrectly with regard to the guidance notes containingcategorical answers for the variables of family size and language. Nine nurses participated in two focus groups (n = 4 andn = 5 and one in an individual interview. Five themes emerged from the qualitative data analysis: feasibility of using theFamCHAT in acute care practice; ethnocultural awareness needs of the participating nurses; perspectives of nurses aboutpatient concerns; potential for enhancement to nursing care assessments; and suggestions for enhancing and facilitating anew tool or approach. Nurses participating in the interviews thought that the constructs within FamCHAT could be useful for enhancing nursing assessments in their practice, but thought the tool was too long, was repetitive to some of theircurrent assessment data, and had questions many patients were uncomfortable answering. One option suggested in bothfocus groups was to embed the most useful constructs into existing assessment frameworks. Some of the variables werethought to be of limited relevancy for some nursing specialties.Conclusions: The findings provided valuable information for the hospital management in their efforts to revise nursingassessment tools. Consideration is being given to integrating some of the constructs into their existing nursing assessment,with recognition that each unit might benefit from different approaches. Other, systematic, approaches to enhancingcultural competency also need to be considered. This study highlights the importance of validating practice tools for use insettings that differ from those used for their original development.
Faith N. Dube
Full Text Available Background: Psychiatric conditions contribute to 13%of the global burden of diseases and account for one third of years lost because of disability (YLD. Despite the high prevalence of mental health problems, primary health care (PHC services remain ineffective in managing patients with mental health conditions.Objectives: The aim of the study was to determine the practices of PHC nurses in the management of psychiatric patients in primary health care clinics in one of the rural districts in South Africa.Method: A survey was conducted amongst nurses working in several PHC clinics in KwaZulu-Natal (KZN in order to determine their practices in the management of psychiatric patients. Mixed methods were used to determine the PHC nurses practices in the management of psychiatric patients.Results: The findings revealed that in five sites (83.3% treatments are not reviewed every six months, there were no local protocols on the administration of psychiatric emergency drugs, and none of the study sites provided psychiatric patients with education on their medication and its possible side effects.Conclusion: Based on the results of this study it is evident that psychiatric patients at PHC clinics in the district where the study was conducted do not receive quality treatment according to institutional mental health guidelines.
Annesi-Maesano, Isabella; Norback, Dan
Indoor air pollution (IAP) that constitutes a major global public health problem requiring increasing efforts in research and policymaking and it may have special significance for elderly that are likely to spend most of their day indoors and appear to be particularly susceptible to adverse effects of chemical pollutants and bio-contaminants. Yet, evidence existing on the effects of IAP in elderly is scanty. The Geriatric study in Europe on health effects of air quality in nursing homes (GERIE) study aims to assess health effects of major indoor air pollutants and thermal conditions in elderly (> 70 years) living stably in nursing homes (NH) across Europe. Respiratory effects were particularly considered as airways and lung constitute the first target of air pollutants.Objectives: We describe here the rationale and the methods of the GERIE Study.
Mirela Borges, Sergio José Nicoletti.
Full Text Available The assessment of the impact of the training sessions on health organizations is essential to their ongoing enhancement as it attempts to ensure that the knowledge gained by the Professional is conveyed to the working environment and translates the actions into effective results. Accordingly, this study aimed at identifying the determining factors of the impact of a Nutritional Support training session on the job as a means to improve the process to plan and assess the training program of the newly hired nursing professionals at the RBAPBSP hospital. It is a descriptive and correlational transversal study of quantitative nature. The data was collected by means of a questionnaire developed and validate by the researcher Abbad (1999 entitled Assessment Model of the Impact on the Training Session on the Job IMPACT.
Sutor, B; Rummans, T A; Smith, G E
Behavioral disturbances among nursing home patients with dementia are common and substantially affect patients and caregivers. Assessing the environmental, medical, and psychiatric causes of problematic behaviors and implementing a plan of behavioral, medical, and psychiatric management can reduce difficult target behaviors. This article presents a multifaceted approach to assessing patients with dementia who have behavioral problems, reviews medical and pharmacological management of these problems, and presents a multidisciplinary approach to developing treatment plans aimed at reducing such behaviors among nursing home patients with dementia. PMID:11357801
Ellinor Fredriksson; Brekke, Hilde K.; Lars Ellegård
Background: The Swedish board for health and social welfare (SoS) has presented four questions on dietary habits as indicators of adherence to dietary recommendations. However, these questions have not been evaluated. Objective: To evaluate if four questions on dietary habits correlate with dietary intake assessed by food records. Design: A total of 279 medical and nursing students, 170 women and 109 men, completed four questions on usual consumption frequency of vegetables, fruits, fish, and...
Ryan, Kelly M.
Health promotion of school faculty and staff is an important part of a coordinated school health program. The lack of evaluation of health promotion programs and inconsistent results highlighting the efficacy and benefits of programs adds to employers' perceptions of inconsistent benefits. More studies evaluating effectiveness and development of
McAllister, Margaret; Happell, Brenda; Bradshaw, Julie
The strength of mental health nursing and its potential contribution to improved consumer outcomes depends upon strong and clearly articulated leadership. However, studies of leadership have tended to focus on nurses holding senior positions rather than exploring the leadership embedded in clinical work. A qualitative exploratory study was undertaken with identified mental health nurse leaders in one Australian state, in order to explore their experiences and what they found to be most meaningful in their work. This article reports the findings from this study. The data was analysed thematically to yield insights significant to mental health nursing and identity. The findings suggest these leaders find intrinsic rewards in the role; aspire to making authentic connections with consumers; appreciate the position of trust that they hold in bearing witness to individuals' distress; and use creative means to solve problems and achieve therapeutic outcomes. Sharing these themes builds knowledge on values that are embedded in mental health nursing practice and offers scope for integrating leadership attributes into the education, supervision and development of all mental health nurses. These findings also reveal the complexity of mental health nursing as a profession and the difficulties that might be encountered in attempts to define it in terms of its component tasks and functions. PMID:24004359
Contemporary nursing is based on a conglomerate of theoretical nursing models. These models each incorporate four central concepts: person, health, environment, and nursing. By defining these concepts, nurses develop an individual framework from which they base their nursing practice. As an aspiring nurse practitioner in the gastroenterology field, I have retrospectively assessed my personal definitions of person, health, environment, and nursing. From these definitions, I am able to incorporate specific theoretical frameworks into my personal belief system, thus formulating a basis for my nursing practice. This foundation is comprised of the influence of nursing theorists Jean Watson, Sister Callista Roy, Kolcaba, Florence Nightingale, and Ida J. Orlando; the Perioperative Patient-Focused Model; Watson's Theory of Human Caring; theories regarding transpersonal human caring and healing; and feminist theories. Therefore, this article describes self-examination of nursing care by defining central nursing concepts, acknowledging the influence of nursing theorists and theories, and developing a personal framework from which I base my nursing practice. PMID:15502517
von Treuer, Kathryn; Fuller-Tyszkiewicz, Matthew; Little, Glenn
Shift workers have a higher rate of negative health outcomes than day shift workers. Few studies however, have examined the role of difference in workplace environment between shifts itself on such health measures. This study investigated variation in organizational climate across different types of shift work and health outcomes in nurses. Participants (n = 142) were nursing staff from a metropolitan Melbourne hospital. Demographic items elicited the type of shift worked, while the Work Environment Scale and the General Health Questionnaire measured organizational climate and health respectively. Analysis supported the hypotheses that different organizational climates occurred across different shifts, and that different organizational climate factors predicted poor health outcomes. Shift work alone was not found to predict health outcomes. Specifically, permanent night shift workers had significantly lower coworker cohesion scores compared with rotating day and evening shift workers and significantly higher managerial control scores compared with day shift workers. Further, coworker cohesion and involvement were found to be significant predictors of somatic problems. These findings suggest that differences in organizational climate between shifts accounts for the variation in health outcomes associated with shift work. Therefore, increased workplace cohesion and involvement, and decreased work pressure, may mitigate the negative health outcomes of shift workers. PMID:25151462
Hung, Tsui-Mei; Tang, Lee-Chun; Ko, Chen-Ju
Critical thinking has been regarded as one of the most important elements for nurses to improve quality of patient care. The aim of this study was to use problem-based learning (PBL) as a method in a continuing education program to evaluate nurses' critical thinking skills. A quasiexperimental study design was carried out. The "Critical Thinking Disposition Inventory" in Chinese was used for data collection. The results indicated significant improvement after PBL continuous education, notably in the dimensions of systematic analysis and curiosity. Content analysis extracted four themes: (a) changes in linear thinking required, (b) logical and systematic thinking required performance improved, (3) integration of prior knowledge and clinical application, and (4) brainstorming learning strategy. The study supports PBL as a continuing education strategy for mental health nurses, and that systematic analysis and curiosity effectively facilitate the development of critical thinking. PMID:25993456
Full Text Available An effective workforce performing within the context of a positive cultural environment is central to a healthcare organizations ability to achieve quality outcomes. The Nursing Culture Assessment Tool (NCAT provides nurses with a valid and reliable tool that captures the general aspects of nursing culture. This study extends earlier work confirming the tools construct validity and dimensionality by standardizing the scoring approach and establishing norm-referenced scoring. Scoring standardization provides a reliable point of comparison for NCAT users. NCAT assessments support nursings ability to evaluate nursing culture, use results to shape the culture into one that supports change, and advance nursings best practices and care outcomes. Registered nurses, licensed practical nurses, and certified nursing assistants from 54 long-term care facilities in Kentucky, Nevada, North Carolina, and Oregon were surveyed. Confirmatory factor analysis yielded six first order factors forming the NCATs subscales (Expectations, Behaviors, Teamwork, Communication, Satisfaction, Commitment (Comparative Fit Index 0.93 and a second order factorThe Total Culture Score. Aggregated facility level comparisons of observed group variance with expected random variance using rwg(J statistics is presented. Normative scores and cumulative rank percentages and how the NCAT can be used in implementing planned change are provided.
Avaliação da saúde bucal de idosos por enfermeiros: validade e confiabilidade do instrumentO ASBTO Evaluación de la salud bucal de ancianos por enfermeros: fiabilidad y validez del instrumento IESB Nurse's assessment of oral health of elderly people: OHAT validity and reliability
Ana Lúcia Schaefer Ferreira de Mello
Full Text Available O objetivo do estudo foi aplicar o Instrumento "Avaliação da Saúde Bucal para Triagem Odontológica" (ASBTO em idosos institucionalizados para determinação dos índices de validade e confiabilidade, quando da aplicação por Enfermeiros. Os exames foram executados por um Enfermeiro e por um Cirurgião-Dentista (CD em 50 idosos de uma instituição de longa permanência. A determinação da consistência interna foi verificada por meio do Coeficiente Alfa de Cronbach e ANOVA. Para determinação da estabilidade e confiabilidade foram considerados os percentuais de concordância e teste Kappa. Não houve diferença estatística significante entre as médias finais obtidas pelo CD e pelo Enfermeiro (p=0,41. Houve maior consistência interna nos exames procedidos pelo CD. Os percentuais de concordância variaram de 60%, na categoria Lábio, até 90%, na categoria "Dentes naturais". O Kappa total do instrumento alcançou 0,46. A utilização do ASBTO é passível por Enfermeiros. Faz-se necessária adequada capacitação e treinamento prático para padronização de critérios.Se objetivó aplicar el Instrumento Evaluación de la Salud Bucal (IESB para la determinación de la fiabilidad y validez, cuando de la aplicación por enfermeros. Los exámenes fueron ejecutados por un Enfermero y por un Dentista en 50 ancianos institucionalizados. La determinación de la consistencia interna se verificó a través del Coeficiente Alfa de Cronbach y test de ANOVA. Para la determinación de la estabilidad y fiabilidad fue considerado el percentil de acuerdo y prueba Kappa. No hubo diferencia estadística significante entre los promedios finales del Dentista y Enfermero (p=0,41. Hubo más grande consistencia interna en los exámenes procedidos por el Dentista. Los porcentuales de concordancia entre Enfermero y Dentista variaron desde un 60% - Labio, hasta un 90% - Dientes. El valor Kappa total del instrumento alcanzó 0,46. El instrumento IESB puede ser utilizado por enfermeros para rastreo, sin embargo demanda entrenamiento práctico para ajuste de los criterios de examen.The aim of the study was to apply the Oral Health Assessment Tool (OHAT for determination of the reliability and validity indexes, when utilized by nursing staff. The OHAT was administered to 50 elderly individuals. The exams were performed in different periods of times by a Nurse and a Dental Surgeon (DS. The determination of internal consistency was verified through Cronbach's Alpha Coeficient and ANOVA. For the determination of stability and reliability, the percentage agreement and Kappa test were considered. There was no statistical difference among the final averages obtained by the DS and the nurse (p=0.41. There was a higher internal consistency in the exams performed by the DS. The Kappa value of the instrument reached 0.46, being considered moderate. The OHAT instrument can be used by nurses as a screening tool; however, previous training is needed for criteria standardization.
Isis Marques Severo
Full Text Available This study is exploratory, of qualitative nature and has the objective to identify the bibliographical production of nursing related to the aging, to the education in health and the methodological strategies, in Brazilian publications, from 2000 to 2006. Online database BDENF was used to search the articles and the keywords were: health education, aged, aging, behavior and nursing. Eight articles had been identified and five were chosen which are in the following publications: Revista Brasileira de Enfermagem (two, Revista Latino-Americana de Enfermagem (two and Cogitare Enfermagem (one. The discussion of the selected articles was based on the technique of content analysis. The results had demonstrated that the subjects education in health and aged people have little space in researches by Brazilian nursing, in this period and at the database consulted, and group activity was distinguished as predominant methodological strategy of education in health. In such activity, the promotional actions of the autonomy of aged individuals had been valued. It is recommendable that the subject of the study could take part in new inquiries because population aging is a reality tending to expansion. The increment of studies in this area is needed; therefore the education in health is relevant for the process of human aging with quality.
Michiyo Ando; Takako Natsume; Hiroko Kukihara; Hiroko Shibata; Sayoko Ito
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 nur...
Full Text Available Background The second leading cause of death due to cancer in Turkey is breast cancer, which accounts for 24% of female cancers. Aims: To determine the practices of nurses and midwives and their attitude toward breast self-examination (BSE. Setting and Design: The descriptive survey was conducted to determine the practices of nurses and midwives and their attitude toward BSE. It tried to cover the total population rather than sampling part of it. However, 15 nurses and midwives, where there were errors detected in their data coding papers, and who did not accept to join the study, were excluded from the study. A total of 80 nurses and midwives were included in the study group. Materials and Methods: This survey was carried out at the State Hospital, all Public Health Cabins, and Family Health Centers, in the rural area of Izmir, a city located in the western region of Turkey. The data was collected between 15 March and 1 April 2004. Statistical Analysis: The analysis included descriptive statistics, to examine the association between BSE and medical history, knowledge of BSE, and attitude toward BSE. Results: The results of the study indicated that 52% of the sample performed BSE. Approximately 35% of those who performed BSE reported that they acquired information regarding BSE during their work experience. A significant relationship was found between higher levels of work experience and BSE practice. Except for age, no significant relation was found between the sociodemographic factors and BSE practice. The sample showed a strong belief in the breast lump being the cause of breast cancer and it had a significant correlation with BSE practice. Conclusion: A positive correlation was found between nursing work experience and their practice alongside BSE medical professionals. Almost all the nurses and midwives knew how to conduct BSE, but did not prioritize practicing it.
Full Text Available World Health Organization describes health as the state of being completely fine corporally, socially and psychologically. The state of being completely fine which is indicated in this description of health has been criticised by many scientists and with the idea that noone shall ever realise tha state of being completely fine corporally and psychologically, it was emphasized that individuals could be evaluated to be healthy as long as they are productive. Starting from the intrauterine period, woman passes through different periods such as childhood, adolescence, adulthood, elderliness and she experiences some physical, psychological and social differences in each of these periods within the frame of life cycle. While these differences influence productivities and life qualities of women negatively, they also make them more inclined to psychiatric illnesses. Therefore, psychological problems are more common among women and they last longer. Considering the fact that among the medical personnel, it is the nurses who spend time with patients during the phases of diagnosis, treatment and rehabilitation the most, it could be said that nurses have a significant role in intervening in problems that affect the psychological health of woman. The nurse has responsibilities such as determining the problem the woman goes through, providing protective care, getting an early diagnosis, making the convenient remedial intervention and consigning, when necessary. In this article, significant woman health problems that could be experienced starting from the intrauterine life until the end of life by woman, the effects of this problem to the psychological health of the woman and nursing approaches in view of these problems are discussed.
Jacobs K., Ngako; Elsie S.J., van Rensburg; Sanah M.L., Mataboge.
Full Text Available Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse. The objectives of [...] this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs) presenting with acute symptoms; and secondly, to make recommendations for the advanced PNPs to facilitate promotion of the mental health of PNPs with reference to nursing practice, research and education. A qualitative, explorative, descriptive and contextual design was used. The target population was PNPs working with MHCUs presenting with acute symptoms in a public mental health care institution in Gauteng. Data were collected by means of four focus group interviews involving 21 PNPs. The researcher made use of drawings, naïve sketches and field notes for the purpose of data triangulation. Data were analysed in accordance with Tesch's method of open coding. The three themes that emerged were: PNPs experienced working with these MHCUs as entering an unsafe world where care became a burden; they experienced negative emotional reactions and attitudes towards these MHCUs that compromised quality nursing care; and they made a plea for a nurturing environment that would enhance quality nursing care. The PNPs suggest skills and competency development, organisational support, and a need for external resources. Creation of a positive environment and mobilisation of resources as well as the identification and bridging of obstacles are essential in the promotion of the overall well-being and mental health of PNPs.
Kgalabi J. Ngako
Full Text Available Psychiatric nurse practitioners (PNPs working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse.The objectives of this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs presenting with acute symptoms; and secondly, to make recommendations for the advanced PNPs to facilitate promotion of the mental health of PNPs with reference to nursing practice, research and education.A qualitative, explorative, descriptive and contextual design was used. The target population was PNPs working with MHCUs presenting with acute symptoms in a public mental health care institution in Gauteng. Data were collected by means of four focus group interviews involving 21 PNPs. The researcher made use of drawings, naïve sketches and field notes for the purpose of data triangulation. Data were analysed in accordance with Teschs method of open coding.The three themes that emerged were: PNPs experienced working with these MHCUs as entering an unsafe world where care became a burden; they experienced negative emotional reactions and attitudes towards these MHCUs that compromised quality nursing care; and they made a plea for a nurturing environment that would enhance quality nursing care.The PNPs suggest skills and competency development, organisational support, and a need for external resources. Creation of a positive environment and mobilisation of resources as well as the identification and bridging of obstacles are essential in the promotion of the overall wellbeing and mental health of PNPs.
Ngako, Kgalabi J; Van Rensburg, Elsie S J; Mataboge, Sanah M L
Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse.The objectives of this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs) presenting with acute symptoms; and secondly, to make recommendations for the advanced PNPs to facilitate promotion of the mental health of PNPs with reference to nursing practice, research and education.A qualitative, explorative, descriptive and contextual design was used. The target population was PNPs working with MHCUs presenting with acute symptoms in a public mental health care institution in Gauteng. Data were collected by means of four focus group interviews involving 21 PNPs. The researcher made use of drawings, naïve sketches and field notes for the purpose of data triangulation. Data were analysed in accordance with Tesch's method of open coding.The three themes that emerged were: PNPs experienced working with these MHCUs as entering an unsafe world where care became a burden; they experienced negative emotional reactions and attitudes towards these MHCUs that compromised quality nursing care; and they made a plea for a nurturing environment that would enhance quality nursing care.The PNPs suggest skills and competency development, organisational support, and a need for external resources. Creation of a positive environment and mobilisation of resources as well as the identification and bridging of obstacles are essential in the promotion of the overall wellbeing and mental health of PNPs. PMID:23327763
Lindh R. Viveca
Full Text Available Background: Family systems nursing embraces the view that one family members 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 in nursing, this article evaluates teaching family systems nursing by using synchronous online health-promoting conversations. Methods: Fifteen registered nurses attended the course Health-Promoting Family Focused Nursing, an advanced-level nursing elective 10-week course. The course used technology enhanced learning and was evaluated qualitatively and quantitatively. Students and teachers participated in semi-structured focus group interviews analyzed qualitatively. The students filled in a traditional course evaluation. Students responded before and after the course to the multidimensional research instrument Families Importance in Nursing CareNurses Attitudes (FINC-NA. Results: The students were satisfied with the course and the synchronous health-promoting conversations. They learned to think family and acknowledged the importance of inviting families to take part in the care of a family member. They stated that the online practice had helped them gain a useful tool for their future family nursing practice. The teachers appreciated working in a team to develop the course. At the start of the project they viewed the online technology as a challenge. However, during the course they saw many pedagogical possibilities with the synchronous meetings and that the online family conversation training worked well. The ability to record the meetings offered educational advantages and the opportunity for students to reflect on the conversations. Even if the students rated families importance in nursing care positively prior to the course on FINC-NA, the students still gave the following domains even stronger support post-course: Family as a resource in nursing care, Family as a burden, and Family as own resource. Conclusions: Family systems nursing and health-promoting conversations with families, comprising interaction between several participants, can be learned using online pedagogical methods. Furthermore, the belief that health-promoting family conversations need to be held with all participants in the same room has been challenged.
Garand, Linda; Mitchell, Ann M; Dietrick, Ann; Hijjawi, Sophia P.; Pan, Di
A fundamental objective of the National Strategy for Suicide Prevention is the prevention of suicide in older adults, especially elderly males, because these individuals are at higher risk for suicide than any other age group. Furthermore, they are the fastest growing segment of the population. The suicide rates for older Caucasian men are particularly high. Because nurses play an important role in the identification of persons at risk for suicide, it is important that they be cognizant of th...
Knowledge is necessary to use information to make decisions in nursing situations. Nursing data must be grouped in a logical way so the interrelationship between the classification systems and specific concrete phenomena in individual nursing situations is useful. The processing and management of information for decision making is the focus in nursing and health care. The development and use of language that represents the domain of nursing is an essential dimension in an integrated and coordinated health care delivery system. The design and acceptance of a universal nursing language system is critical to collect appropriate data to document nursing's role, functions, and effectiveness in health care by the year 2000. This is an urgent message for nurses to be involved in the technology and nursing care documentation to demonstrate quality care that is cost effective. In the next century, nurses must speak a common nursing language that has the same meaning for all nurses. PMID:11995531
Happell, Brenda; Platania-Phung, Chris; Scott, David; Hanley, Christine
People with serious mental illness experience higher rates of oral and dental health problems than the wider population. Little is known about how dental health is viewed or addressed by nurses working with mental health consumers. This paper presents the views of nurses regarding the nature and severity of dental health problems of consumers with serious mental illness, and how often they provide advice on dental health. Mental health sector nurses (n=643) completed an online survey, including questions on dental and oral health issues of people with serious mental illness. The majority of nurses considered the oral and dental conditions of people with serious mental illness to be worse than the wider community. When compared with a range of significant physical health issues (e.g. cardiovascular disease), many nurses emphasised that dental and oral problems are one of the most salient health issues facing people with serious mental illness, their level of access to dental care services is severely inadequate and they suffer significantly worse dental health outcomes as a result. This study highlights the need for reforms to increase access to dental and oral health care for mental health consumers. PMID:23905538
Full Text Available Health-care service provision and procurement is increasingly subject to policy decisions, managed more than ever before. Becoming more international, collaboration is increasing as the health professions, research and industry all work across borders. Differing health-care systems across the countries result from national and regional policy developments and priorities."nIn health-care, all interventions and procedures are basically technologies-including radiology and sur-gery, and technology assessment is mandatory to meet the national and professional goals in this sec-tor. "nHealth-care technology assessment (HTA is a systematic, broad-ranging evaluation of the implications of using technologies within a particular health-care system. Structured and evidence-based input are its aim for policymaking in order to inform the formulation of safe and effective health policies that are patient-focused and seek to achieve the best value in all health-care sectors, more specifically in the radiology department. The following headlines are the topics in our study:"nDecisions Related to Health Technologies"nAppraisal Entities and Corresponding As-sessment Units"nAssessment, Appraisal and Decision-Making Institutions"nHTA Agencies and Units in Radiology"nModel of a Policy Process in Radiology"nFactors that Influence Radiology Policy-Making"nHTA Process"nDifferent Levels of Health-Care Technolo-gies/Intervention
Full Text Available This study investigated registered nurses in four selected state health institutionsperceptions with regard to continuing formal education. The relevance of continuing formal education is being emphasised globally by the increasing quest for quality assurance and quality management systems within an ethos of continuous improvement.According to Tlholoe (2006:5, it is important to be committed to continual learning, as peoples knowledge become less relevant because skills gained early in a career are insufficient to avoid costly mistakes made through ignorance. Continuing formal education in nursing is a key element to the maintenance of quality in health care delivery. The study described: registered nurses views on continuing formaleducation registered nurses perceived barriers to continuing formal educationA quantitative descriptive survey design was chosen using a questionnaire for data collection. The sample consisted of 40 registered nurses working at four state health institutions in the Western Cape Province, South Africa. Convenience sampling was selected to include registered nurses who were on duty on the days during which there searcher visited the health institutions to distribute the questionnaires. The questionnaire contained mainly closed-ended and a few open-ended questions. Content validity of the instrument was ensured by doing a thorough literature review before construction of items and a pretest. Reliability was established by the pretest and providing the same information to all respondents before completion of the questionnaires.The ethical considerations of informed consent, anonymity and confidentiality were adhered to and consent to conduct the study was obtained from relevant authorities. Descriptive statistics, based on calculations using the Microsoft (MSExcel (for Windows 2000 programme, were used to summarise and describe the research results. The research results indicated that most registered nurses perceive continuing formal education as beneficial to their personal and professional growth and that it could lead towards improving the quality of patient/client care, but barrier sexist which prevent or deter them from undertaking continuing formal education programmes. The main structural barriers included lack of funding and lack of coherent staff development planning and physical barriers including job and family responsibilities.
L, Richards; E, Potgieter.
Full Text Available This study investigated registered nurses in four selected state health institutions' perceptions with regard to continuing formal education. The relevance of continuing formal education is being emphasised globally by the increasing quest for quality assurance and quality management systems within [...] an ethos of continuous improvement. According to Tlholoe (2006:5), it is important to be committed to continual learning, as people's knowledge become less relevant because skills gained early in a career are insufficient to avoid costly mistakes made through ignorance. Continuing formal education in nursing is a key element to the maintenance of quality in health care delivery. The study described: registered nurses views on continuing formal education registered nurses perceived barriers to continuing formal education A quantitative descriptive survey design was chosen using a questionnaire for data collection. The sample consisted of 40 registered nurses working at four state health institutions in the Western Cape Province, South Africa. Convenience sampling was selected to include registered nurses who were on duty on the days during which the researcher visited the health institutions to distribute the questionnaires. The questionnaire contained mainly closed-ended and a few open-ended questions. Content validity of the instrument was ensured by doing a thorough literature review before construction of items and a pretest. Reliability was established by the pretest and providing the same information to all respondents before completion of the questionnaires. The ethical considerations of informed consent, anonymity and confidentiality were adhered to and consent to conduct the study was obtained from relevant authorities. Descriptive statistics, based on calculations using the Microsoft (MS) Excel (for Windows 2000) programme, were used to summarise and describe the research results. The research results indicated that most registered nurses perceive continuing formal education as beneficial to their personal and professional growth and that it could lead towards improving the quality of patient/client care, but barriers exist which prevent or deter them from undertaking continuing formal education programmes. The main structural barriers included lack of funding and lack of coherent staff development planning and physical barriers including job and family responsibilities.
Department of Veterans Affairs The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH...
Mu?lu C et al.
Full Text Available Aim: to compare anxiety, depression, quality of life, some socio-demographiccharacteristics affecting those in nurses working at primary health care centers andTraining and Research Hospitals.Method: The study encountered female nurses working in Primary Health Carecenters and Trabzon Numune Training and Research Hospital, assigning into twogroups. Between December 2008 and January 2009, a total of 100 subjects, covering50 subjects from each group was planned to encounter (n1=50, n2=50. Data werecollected by applying socio-demographic information form, SF36 quality of lifescale, Beck Depression Inventory, State-Trait Anxiety Scale and Epworth SleepinessScale to subjects agreed to participate in the study. Parametric and non-parametrictests were used for statistical analysis and p<0.05 was accepted for significance.Results: A total of 100 nurses from Training and Research Hospital and PrimaryHealth Care centers were taken into study. No statistical significant differencesbetween nurses from both groups were observed for the state anxiety, trait anxiety,depression scale and SF-36 quality of life, and similar results were obtained.However, Epworth sleepiness scale between the two groups was statisticallysignificant (p=0.019. Parameters in preferring workplace, endorsing theiroccupation for their-self, total working time a week and job satisfaction wereobserved statistically significant between groups (p=0.027, p=0.005, p=0.030 andp<0.0001 respectively.Conclusion: It was concluded that quality of life was adversely affected in nursesworking in different work conditions. Quality of life in nurses working at trainingand research hospitals was more adversely affected than in primary care settings,
Full Text Available Background: Nurses in primary healthcare record data for the monitoring and evaluation of diseases and services. Information and communications technology (ICT can improve quality in healthcare by providing quality medical records. However, worldwide, the majority of health ICT projects have failed. Individual user acceptance is a crucial factor in successful ICT implementation.Objectives: The aim of this study is to explore nurses knowledge, attitudes and perceptions regarding ICT so as to inform the future implementation of electronic medical record (EMR systems.Methods: A qualitative design was used. Semi-structured interviews were undertaken with nurses at three community health centres (CHCs in the King Sabata Dalyindyebo Local Municipality. The interview guide was informed by the literature on user acceptance of ICT. Interviews were recorded and analysed using content analysis.Results: Many nurses knew about health ICT and articulated clearly the potential benefits of an EMR such as fewer errors, more complete records, easier reporting and access to information. They thought that an EMR system would solve the challenges they identified with the current paper-based record system, including duplication of data, misfiling, lack of a chronological patient record, excessive time in recording and reduced time for patient care. For personal ICT needs, approximately half used cellphone Internet-based services and computers.Conclusions: In this study, nurses identified many challenges with the current recording methods. They thought that an EMR should be installed at CHCs. Their knowledge about EMR, positive attitudes to ICT and personal use of ICT devices increase the likelihood of successful EMR implementation at CHCs.
Full Text Available BACKGROUND: Nurses in primary healthcare record data for the monitoring and evaluation of diseases and services. Information and communications technology (ICT) can improve quality in healthcare by providing quality medical records. However, worldwide, the majority of health ICT projects have failed [...] . Individual user acceptance is a crucial factor in successful ICT implementation. OBJECTIVES: The aim of this study is to explore nurses' knowledge, attitudes and perceptions regarding ICT so as to inform the future implementation of electronic medical record (EMR) systems. METHODS: A qualitative design was used. Semi-structured interviews were undertaken with nurses at three community health centres (CHCs) in the King Sabata Dalyindyebo Local Municipality. The interview guide was informed by the literature on user acceptance of ICT. Interviews were recorded and analysed using content analysis. RESULTS: Many nurses knew about health ICT and articulated clearly the potential benefits of an EMR such as fewer errors, more complete records, easier reporting and access to information. They thought that an EMR system would solve the challenges they identified with the current paper-based record system, including duplication of data, misfiling, lack of a chronological patient record, excessive time in recording and reduced time for patient care. For personal ICT needs, approximately half used cellphone Internet-based services and computers. CONCLUSIONS: In this study, nurses identified many challenges with the current recording methods. They thought that an EMR should be installed at CHCs. Their knowledge about EMR, positive attitudes to ICT and personal use of ICT devices increase the likelihood of successful EMR implementation at CHCs.
Reid Ponte, Patricia; Hayman, Laura L; Berry, Donna L; Cooley, Mary E
The University of Massachusetts Boston and Dana-Farber/Harvard Cancer Center joined forces in 2009 to create a Postdoctoral Nursing Research Fellowship in Cancer and Health Disparities. In combining the resources of a large university and a research-intensive service institution, the postdoctoral program provides a new model for preparing nurse scientists to conduct independent research that advances nursing knowledge and interdisciplinary understanding of complex health issues. The multifaceted program consists of educational programming, research training, and career planning components. Additionally, each fellow is assigned a nurse scientist mentor and interdisciplinary co-mentor. The mentors support the fellows with scholarly activities and research training and help the fellows craft individualized ca