WorldWideScience

Sample records for nursing services capacity

  1. The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa

    Directory of Open Access Journals (Sweden)

    Eileen M. Stuart-Shor

    2017-07-01

    Full Text Available The World Health Organization estimates a global deficit of about 12.9 million skilled health professionals (midwives, nurses, and physicians by 2035. These shortages limit the ability of countries, particularly resource-constrained countries, to deliver basic health care, to respond to emerging and more complex needs, and to teach, graduate, and retain their future health professionals—a vicious cycle that is perpetuated and has profound implications for health security. The Global Health Service Partnership (GHSP is a unique collaboration between the Peace Corps, President’s Emergency Plan for AIDS Relief, Seed and host-country institutions, which aims to strengthen the breadth and quality of medical and nursing education and care delivery in places with dire shortages of health professionals. Nurse and physician educators are seconded to host institutions to serve as visiting faculty alongside their local colleagues. They serve for 1 year with many staying longer. Educational and clinical best practices are shared, emphasis is placed on integration of theory and practice across the academic–clinical domains and the teaching and learning environment is expanded to include implementation science and dissemination of locally tailored and sustainable practice innovations. In the first 3 years (2013–2016 GHSP placed 97 nurse and physician educators in three countries (Malawi, Tanzania, and Uganda. These educators have taught 454 courses and workshops to 8,321 trainees, faculty members, and practicing health professionals across the curriculum and in myriad specialties. Mixed-methods evaluation included key stakeholder interviews with host institution faculty and students who indicate that the addition of GHSP enhanced clinical teaching (quality and breadth resulting in improved clinical skills, confidence, and ability to connect theory to practice and critical thinking. The outputs and outcomes from four exemplars which focus on the

  2. Advancing leadership capacity in nursing.

    Science.gov (United States)

    Scott, Elaine S; Miles, Jane

    2013-01-01

    To address the potential shortage of nurse leaders, the profession must evaluate current strategies in both education and practice. While many new graduates dream of becoming a nurse practitioner or nurse anesthetist, few transition into practice with the goal of becoming a nurse leader. To increase the number of nurses capable of leadership, the profession must address 2 critical issues. First, effort must be made to augment faculty and students' conceptualization of nursing such that leadership is seen as a dimension of practice for all nurses, not just those in formal leadership roles. In so doing, leadership identity development would be seen as a part of becoming an expert nurse. Second, a comprehensive conceptual framework for lifelong leadership development of nurses needs to be designed. This framework should allow for baseline leadership capacity building in all nurses and advanced leadership development for those in formal administrative and advanced practice roles. The knowledge and skill requirements for quality improvement and patient safety have been explored and recommendations made for Quality and Safety Education for Nurses, but parallel work needs to be done to outline educational content, objectives, and effective pedagogy for advancing leadership development in nursing students at all levels.

  3. Building the capacity for evidence-based clinical nursing leadership: the role of executive co-coaching and group clinical supervision for quality patient services.

    Science.gov (United States)

    Alleyne, Jo; Jumaa, Mansour Olawale

    2007-03-01

    The general aims of this article were to facilitate primary care nurses (District Nurse Team Leaders) to link management and leadership theories with clinical practice and to improve the quality of the service provided to their patients. The specific aim was to identify, create and evaluate effective processes for collaborative working so that the nurses' capacity for clinical decision-making could be improved. This article, part of a doctoral study on Clinical Leadership in Nursing, has wider application in the workplace of the future where professional standards based on collaboration will be more critical in a world of work that will be increasingly complex and uncertain. This article heralds the type of research and development activities that the nursing and midwifery professions should give premier attention to, particularly given the recent developments within the National Health Service in the United Kingdom. The implications of: Agenda for Change, the Knowledge and Skills Framework, 'Our Health, Our Care, Our Say' and the recent proposals from the article 'Modernising Nursing Career', to name but a few, are the key influences impacting on and demanding new ways of clinical supervision for nurses and midwives to improve the quality of patient management and services. The overall approach was based on an action research using a collaborative enquiry within a case study. This was facilitated by a process of executive co-coaching for focused group clinical supervision sessions involving six district nurses as co-researchers and two professional doctoral candidates as the main researchers. The enquiry conducted over a period of two and a half years used evidence-based management and leadership interventions to assist the participants to develop 'actionable knowledge'. Group clinical supervision was not practised in this study as a form of 'therapy' but as a focus for the development of actionable knowledge, knowledge needed for effective clinical management and

  4. Impact of Support Services on Associate Level Nursing Programs

    Science.gov (United States)

    Busby-Parker, Michelle N.

    2014-01-01

    The goal of the research was to show the impact of the implementation of support services on admissions and graduation from nursing programs. The use of support services has been linked to higher levels of success in nursing students in the classroom and the work place. As nursing schools experience pressure to increase the student capacity to…

  5. Professional Nursing Duties in the Central Services: Hospital Pharmacy Nurses

    Directory of Open Access Journals (Sweden)

    Inmaculada Gómez-Villegas

    2015-01-01

    Full Text Available Introduction. The new demands of a fast changing world necessitate expanding the traditional concepts of nursing, extending the classical aspects to cover new areas. Purpose. Based on their professional duties, the nursing team in the pharmacy of a second-level hospital aimed to establish a theoretical and situational framework for nurses working in the central services. Material and Methods. Application of the nursing process to nursing work in an area with no direct contact with patients. Results and Discussion. The application of the NANDA diagnoses to professional practice enabled the establishment of a nursing diagnosis with the implementation of measures designed to overcome a stressful situation with a risk of becoming unmotivated. Main Conclusion. The capacity to adapt the nursing profession to undertake new roles in the field of healthcare and the power of nursing own methodological resources permit the indirect care of “faceless” patients to be complemented with the inclusion of nurses from other services as clients, forming the focus of care, who can thus be helped with their daily care work.

  6. Comparing nurse managers and nurses' perceptions of nurses' self-leadership during capacity building.

    Science.gov (United States)

    Jooste, Karien; Cairns, Lindi

    2014-05-01

    This paper compares the perceptions of nurse managers and nurses about self-leadership of professional nurses while taking ownership of capacity building during unit management. The Nursing Strategy for South Africa states that the competency of nurses is dependent upon factors that lead to capacity building. A quantitative design was followed by conducting a survey. The target population included nurse managers and professional nurses working at an academic public hospital in the Gauteng Province of South Africa. The findings indicate shortcomings in relation to advising professional nurses about self-direction while taking ownership of their daily pressures and stresses associated with unit management. Professional nurses should develop their confidence by focusing on their self-leadership strengths when managing a unit. Recommendations are made to promote self-leadership while taking ownership of nurses during capacity building of unit management. © 2014 John Wiley & Sons Ltd.

  7. 38 CFR 51.130 - Nursing services.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Nursing services. 51.130... FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.130 Nursing services. The facility management must provide an organized nursing service with a sufficient number of qualified nursing...

  8. Development of the Hospital Nurse Surveillance Capacity Profile

    OpenAIRE

    Kutney-Lee, Ann; Lake, Eileen T.; Aiken, Linda H.

    2009-01-01

    Better patient outcomes are often achieved through effective surveillance, a primary function of nurses. The purpose of this paper is to define, operationalize, measure, and evaluate the nurse surveillance capacity of hospitals. Nurse surveillance capacity is defined as the organizational features that enhance or weaken nurse surveillance. It includes a set of registered nurse (staffing, education, expertise, experience) and nurse practice environment characteristics. Empirical referents were...

  9. 38 CFR 52.130 - Nursing services.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Nursing services. 52.130... FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.130 Nursing services. The program management must provide an organized nursing service with a sufficient number of qualified nursing...

  10. 42 CFR 483.30 - Nursing services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Nursing services. 483.30 Section 483.30 Public... Care Facilities § 483.30 Nursing services. The facility must have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental,...

  11. The demonstration projects: creating the capacity for nursing health human resource planning in Ontario's healthcare organizations.

    Science.gov (United States)

    Burkoski, Vanessa; Tepper, Joshua

    2010-05-01

    Timely access to healthcare services requires the right number, mix and distribution of appropriately educated nurses, physicians and other healthcare professionals. In Ontario, as in several other jurisdictions, changing demographics, patterns of health service utilization and an aging workforce have created challenges related to the supply of nurses available now and in the future to deliver quality patient care. From 2006 to 2009, the Nursing Secretariat (NS) of Ontario's Ministry of Health and Long-Term Care (the ministry) undertook a progressive and comprehensive approach to address the issue of nursing supply across the province through the introduction of 17 Nursing Health Human Resources Demonstration Projects (demonstration projects). The demonstration projects initiative has led to the creation of a unique collection of best practices, tools and resources aimed at improving organizational planning capacity. Evaluation of the initiative generated recommendations that may guide the ministry toward policy and program development to foster improved nursing health human resource planning capacity in Ontario healthcare organizations.

  12. Building leadership capacity in advanced nurse practitioners - the role of organisational management.

    Science.gov (United States)

    Elliott, Naomi

    2017-01-01

    To highlight the organisation-level management's role in building leadership capacity in advanced nurse practitioners and the need for appropriate supports to increase their becoming leaders. Little is published about the role of organisation-level management in building leadership capacity and in developing the next generation of nurse leaders. In times of economic constraint, organisations need to focus their efforts on targeted leadership initiatives. Advanced nurse practitioners are ideally positioned to act as leaders both within and beyond the health care organisation. From the available research evidence, several support structures and mechanisms are identified as enablers for advanced nurse practitioners to enact their leadership role. Health care organisations need to include building leadership capacity as a priority in their strategic plan and take action to build-up the level of advanced nurse practitioner leadership. Nurse executives have a vital role in influencing the organisation's strategic plan and making a business case for prioritising leadership capacity building within advanced nurse practitioners. A challenge for nurse executives faced with competing service and leadership development demands, involves strategic decision-making regarding whether the advanced nurse practitioner's role is limited to service delivery or its potential in leading health care reforms is realised. © 2016 John Wiley & Sons Ltd.

  13. Servant leadership in nursing: a framework for developing sustainable research capacity in nursing.

    Science.gov (United States)

    Jackson, Debra

    2008-01-01

    In the current professional climate, research activities are highly valued with nurses in all sectors actively encouraged to participate. However, working environments for many nurses are such that it can be difficult to privilege research activities in any sustained way. A number of organisational challenges coalesce to impede participation in research activities, including limited resources, lack of skills, knowledge and opportunities, and a culture of individualism. Strong, effective research leadership is essential to help mediate some of these negative aspects of organisational life, and promote creative environments to facilitate the development of research capacity. Servant leadership is a service-oriented approach that focuses on valuing and developing people, and offers a participatory and collaborative framework within which to build creative and productive research communities. Such communities can encourage connectedness between people, deepen the capacity for supportive collegiality, and foster a holistic social learning milieu to support researchers of all levels, including early career researchers and research higher degree candidates.

  14. Capacity building for global nursing leaders: challenges and experiences.

    Science.gov (United States)

    Shin, S; Han, J; Cha, C

    2016-12-01

    The aim of this article is to describe our experience in operating a capacity-building programme, the Korea International Cooperation Project, for global nursing leaders from developing countries, held during the International Council of Nurses (ICN) Conference in 2015 in Seoul, Korea. Globalization points to the importance of global leadership among nursing leaders. In accordance with the theme of 'Global Citizen, Global Nursing' at the ICN conference in 2015, a capacity-building programme for nursing leaders of developing countries was implemented. The global nursing leadership programme shared experiences during the preparation and operation of the conference. To prepare the programme, this paper describes selecting participants, working with invitation lists from 30 countries, and recruiting and training volunteers. The operation of the programme, orientation, organizing tailored programmes for participant groups, addressing unexpected issues and evaluating the programme are described. ICN could implement capacity-building programmes for nursing leaders of developing countries during its ICN conference for the nursing society. A programme tailored for each continent with similar sociocultural backgrounds and health issues would provide chances for collaboration and networking. A policy to compile global nursing indicators should be developed. This would allow nursing leaders to learn about the strengths and weaknesses of global nursing and provide evidence for collaboration. The programme was successful in introducing and broadening global perspectives of participants on health and education as well as building a network among leaders and next-generation leaders in participating countries for future cooperation and collaboration. © 2016 International Council of Nurses.

  15. Optimization of ATSC Mobile Handheld Service Capacity

    Directory of Open Access Journals (Sweden)

    Omneya Issa

    2013-01-01

    Full Text Available Mobile TV has become a reality offered on several mobile delivery systems. Among them is the Advanced Television System Committee (ATSC system for mobile and handheld digital television services, known as ATSC Mobile DTV or ATSC M/H, which has moved from standardization to implementation. As the North American broadcast industry is preparing to provide Mobile DTV service to consumers, this work discusses important technical parameters that affect the TV service quality and capacity. Since additional error correction mechanisms were added to overcome mobile transmission problems, the available payload for M/H services is limited. This creates a need to efficiently use the available M/H bandwidth. The paper aims to optimize the Mobile DTV service capacity while maintaining an acceptable perceived quality. It presents tradeoffs between several factors affecting service capacity and signal robustness, which is prominent for designing Mobile TV broadcasting scenarios.

  16. 42 CFR 405.2416 - Visiting nurse services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Visiting nurse services. 405.2416 Section 405.2416... Health Center Services § 405.2416 Visiting nurse services. (a) Visiting nurse services are covered if: (1... are furnished by a registered nurse, licensed practical nurse, or licensed vocational nurse who...

  17. (un) Disciplining the nurse writer: doctoral nursing students' perspective on writing capacity.

    Science.gov (United States)

    Ryan, Maureen M; Walker, Madeline; Scaia, Margaret; Smith, Vivian

    2014-12-01

    In this article, we offer a perspective into how Canadian doctoral nursing students' writing capacity is mentored and, as a result, we argue is disciplined. We do this by sharing our own disciplinary and interdisciplinary experiences of writing with, for and about nurses. We locate our experiences within a broader discourse that suggests doctoral (nursing) students be prepared as stewards of the (nursing) discipline. We draw attention to tensions and effects of writing within (nursing) disciplinary boundaries. We argue that traditional approaches to developing nurses' writing capacity in doctoral programs both shepherds and excludes emerging scholarly voices, and we present some examples to illustrate this dual role. We ask our nurse colleagues to consider for whom nurses write, offering an argument that nurses' writing must ultimately improve patient care and thus would benefit from multiple voices in writing.

  18. Capacity and competence: nurse credentialing and privileging.

    Science.gov (United States)

    Archibald, P J; Bainbridge, D D

    1994-04-01

    Ideally, patient needs are carefully matched with nursing skills, but despite the use of tools such as patient classification systems, matching needs with capabilities remains problematic. To effectively confront this problem, hospitals have a model to manage professionals with disparate education, training and experience--the medical staff credentialing and privileging program. Although adaptation of this model requires a significant cultural change for most nursing departments, it offers the benefits of fostering professionalism and increasing accountability in addition to better meeting patient care needs. In return for their initial investment, nurse executives may see results that include a more responsive, professional staff and increased customer satisfaction, both internal and external.

  19. 42 CFR 440.80 - Private duty nursing services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Private duty nursing services. 440.80 Section 440... nursing services. Private duty nursing services means nursing services for recipients who require more individual and continuous care than is available from a visiting nurse or routinely provided by the...

  20. [Promoting aesthetics to enhance nursing services].

    Science.gov (United States)

    Lee, Sheuan; Chang, Ting

    2011-10-01

    Nursing is a client-oriented profession dedicated to helping people. Nurses are responsible to both help relieve client physical and psychological symptoms and assist clients as necessary to die with dignity. As such, nursing schools should strengthen not only science and professional skills, but also student aesthetics. Today, fast changing medical technology is improving the treatment of diseases and extending average life spans. The National Health Insurance System in Taiwan, however, is increasingly restricting nursing manpower and raising staff workloads. Nurses are increasingly required to sacrifice ethical principles and conduct technical operations in medical settings defined by stringent cost controls. Nursing aesthetics cannot provide appropriate levels of care dignity and quality to clients under severe time and emotional distress constraints. Burnout, dissatisfaction, strained doctor-nurse relationships and lower quality care are all-too-frequent results. Under the circumstances, nursing functions are negatively influenced and fine nursing service is difficult to achieve. This article reviewed the literature to discuss the definition and meaning of aesthetics and relative factors that are difficult to define in clinical settings. This article may assist nurses to present aesthetics, upgrade care quality and further enhance nursing services.

  1. Organizational capacity of nonprofit social service agencies.

    Science.gov (United States)

    Paynter, Sharon; Berner, Marueen

    2014-01-01

    The U.S. social safety net is formed by governmental and nonprofit organizations, which are trying to respond to record levels of need. This is especially true for local level organizations, such as food pantries. The organizational capacity literature has not covered front-line, local, mostly volunteer and low resource organizations in the same depth as larger ones. This analysis is a consideration of whether grassroots nonprofit organizations have the ability to be a strong component of the social safety net. Based on the literature on organizational capacity, a model is developed to examine how service delivery at the local level is affected by organizational capacity. Surprisingly, we find few of the characteristics previously identified as important are statistically significant in this study. Even when so, the material effect is negligible. Current organizational capacity research may apply to larger nonprofits, but not to the tens of thousands of small community nonprofits, a significant limitation to the research to date.

  2. A Model of Grid Service Capacity

    Institute of Scientific and Technical Information of China (English)

    Youcef Derbal

    2007-01-01

    Computational grids (CGs) are large scale networks of geographically distributed aggregates of resource clusters that may be contributed by distinct organizations for the provision of computing services such as model simulation, compute cycle and data mining. Traditionally, the decision-making strategies underlying the grid management mechanisms rely on the physical view of the grid resource model. This entails the need for complex multi-dimensional search strategies and a considerable level of resource state information exchange between the grid management domains. In this paper we argue that with the adoption of service oriented grid architectures, a logical service-oriented view of the resource model provides more appropriate level of abstraction to express the grid capacity to handle incoming service requests. In this respect,we propose a quantification model of the aggregated service capacity of the hosting environment that is updated based on the monitored state of the wrious environmental resources required by the hosted services. A comparative experimental validation of the model shows its performance towards enabling an adequate exploitation of provisioned services.

  3. Nurse-led management of contraceptive services.

    Science.gov (United States)

    Wilson, Emma

    2014-07-01

    This article discusses the role of the practice nurse (PN) in the provision of health assessment for contraceptive choices. PNs who have an extended role as an independent nurse prescriber must demonstrate the principles of safe prescribing practice, with appropriate and informed assessment of the patient's needs and risk within the limited time of a general practice appointment. With continued professional development, PNs are well placed to provide comprehensive, independent nurse-led contraceptive services.

  4. Nursing Service Innovation: a case study examining emergency nurse practitioner service sustainability.

    Science.gov (United States)

    Fox, Amanda; Gardner, Glenn; Osborne, Sonya

    2017-09-14

    This research aimed to explore factors that influence sustainability of health service innovation, specifically emergency nurse practitioner service. Planning for cost effective provision of healthcare services is a concern globally. Reform initiatives are implemented often incorporating expanding scope of practice for health professionals and innovative service delivery models. Introducing new models is costly in both human and financial resources and therefore understanding factors influencing sustainability is imperative to viable service provision. This research used case study methodology (Yin, 2014). Data were collected during 2014 from emergency nurse practitioners, emergency department multidisciplinary team members and documents related to nurse practitioner services. Collection methods included telephone and semi-structured interviews, survey and document analysis. Pattern matching techniques were used to compare findings with study propositions. In this study, emergency nurse practitioner services did not meet factors that support health service sustainability. Multidisciplinary team members were confident that emergency nurse practitioner services were safe and helped to meet population health needs. Organizational support for integration of nurse practitioner services was marginal and led to poor understanding of service capability and underuse. This research provides evidence informing sustainability of nursing service models but more importantly raises questions about this little explored field. The findings highlight poor organizational support, excessive restrictions and underuse of the service. This is in direct contrast to contemporary expanding practice reform initiatives. Organizational support for integration is imperative to future service sustainability. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  5. 42 CFR 441.22 - Nurse practitioner services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nurse practitioner services. 441.22 Section 441.22... General Provisions § 441.22 Nurse practitioner services. With respect to nurse practitioner services that... State plan must meet the following requirements: (a) Provide that nurse practitioner services...

  6. Outplacement service for the nurse executive.

    Science.gov (United States)

    Kangery, R; Freund, C M

    1984-01-01

    Outplacement service (OPS) is a human resource service provided by organizations to terminated executives. In addition to assisting organizations with the mechanics of the termination process, OPS helps terminated executives cope with the trauma of job loss and find new employment. Given the frequent involvement of nurse executives in termination decisions and the risk of termination inherent in their own positions, nurse executives have a vested interest in OPS policies and programs.

  7. Developing a community multiple sclerosis nursing service.

    Science.gov (United States)

    Quinn, Debbie; Adams, John

    2014-05-20

    Reforms to the NHS following the passing of the Health and Social Care Act 2012 have created new purchaser organisations with responsibility for planning the configuration of healthcare services in their geographic areas. If a community multiple sclerosis (MS) nursing service is to survive in this environment, it must demonstrate its ability to contribute to achieving the purchaser organisations' objectives. Evaluation data, such as hospital admission avoidance and patient satisfaction, will be crucial in demonstrating the community MS nursing service's clinical and economic effectiveness. A strengths, weaknesses, opportunities and threats (SWOT) analysis of the issues facing a community MS service in this environment is provided.

  8. Do practice nurse solve future GP capacity problems?

    NARCIS (Netherlands)

    Lamkaddem, M.; Haan, J. de; Bakker, D. de

    2003-01-01

    Background: Task delegation is viewed as an important policy instrument to counter foreseen future shortages in GP capacity in the Netherlands. Therefore, a national programme to introduce practice nurses in general practice was launched in 1998 by the National Association of General Practice. In 20

  9. 42 CFR 440.140 - Inpatient hospital services, nursing facility services, and intermediate care facility services...

    Science.gov (United States)

    2010-10-01

    ... Definitions § 440.140 Inpatient hospital services, nursing facility services, and intermediate care facility... 42 Public Health 4 2010-10-01 2010-10-01 false Inpatient hospital services, nursing facility services, and intermediate care facility services for individuals age 65 or older in institutions...

  10. Perceived nursing service quality in a tertiary care hospital, Maldives.

    Science.gov (United States)

    Nashrath, Mariyam; Akkadechanunt, Thitinut; Chontawan, Ratanawadee

    2011-12-01

    The present study explored nurses' and patients' expectations of nursing service quality, their perception of performance of nursing service quality performed by nurses, and compared nursing service quality, as perceived by nurses and patients. The sample consisted of 162 nurses and 383 patients from 11 inpatient wards/units in a tertiary care hospital in the Maldives. Data were collected using the Service Quality scale, and analyzed using descriptive statistics and the Mann-Whitney U-test. The results indicated that the highest expected dimension and perceived dimension for nursing service quality was Reliability. The Responsiveness dimension was the least expected dimension and the lowest performing dimension for nursing service quality as perceived by nurses and patients. There was a statistically significant difference between nursing service quality perceived by nurses and patients. The study results could be used by nurse administrators to develop strategies for improving nursing service quality so that nursing service delivery process can be formulated in such a way as to reduce differences of perception between nurses and patients regarding nursing service quality. © 2011 Blackwell Publishing Asia Pty Ltd.

  11. 42 CFR 414.56 - Payment for nurse practitioners' and clinical nurse specialists' services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for nurse practitioners' and clinical nurse... HEALTH SERVICES Physicians and Other Practitioners § 414.56 Payment for nurse practitioners' and clinical nurse specialists' services. (a) Rural areas. For services furnished beginning January 1, 1992...

  12. Continuous quality improvement in nursing service.

    Science.gov (United States)

    Sorrentino, E A

    1992-03-01

    The 1991 Joint Commission standards specify continuous quality improvement in nursing services as a required characteristic. Chief nursing executives are in key positions to spearhead the quality movement in health care services. The 14 points of Deming's philosophy are highly relevant to health care organizations, specifically to nursing services. Each concept within the philosophy has broad applicability, and an organization with a firm commitment to neverending improvement will find it useful. Of primary importance is the recognition that short-run profits that sacrifice quality in patient care do not last. If a health care organization is to survive in a competitive environment, it is essential that a quality philosophy not just be espoused but practiced as well.

  13. Survey of Nursing Service Administration Graduates

    Science.gov (United States)

    Thomas, Barbara; And Others

    1974-01-01

    A 1972 follow-up study of graduates of the masters program in nursing service administration at the University of Iowa revealed that a large majority found their choice of major to be appropriate and satisfying. Assessment of graduates' employment records and professional activities indicated a successful graduate training program. (EA)

  14. 42 CFR 410.75 - Nurse practitioners' services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Nurse practitioners' services. 410.75 Section 410... Nurse practitioners' services. (a) Definition. As used in this section, the term “physician” means a... Medicare Part B coverage of his or her services, a nurse practitioner must be a registered...

  15. The impact on nurses and nurse managers of introducing PEPFAR clinical services in urban government clinics in Uganda

    Directory of Open Access Journals (Sweden)

    Kyegombe Nambusi

    2011-03-01

    Full Text Available Abstract Background Improving provider performance is central to strengthening health services in developing countries. Because of critical shortages of physicians, many clinics in sub-Saharan Africa are led by nurses. In addition to clinical skills, nurse managers need practical managerial skills and adequate resources to ensure procurement of essential supplies, quality assurance implementation, and productive work environment. Giving nurses more autonomy in their work empowers them in the workplace and has shown to create positive influence on work attitudes and behaviors. The Infectious Disease Institute, an affiliate of Makerere University College of Health Science, in an effort to expand the needed HIV services in the Ugandan capital, established a community-university partnership with the Ministry of Health to implement an innovative model to build capacity in HIV service delivery. This paper evaluates the impact on the nurses from this innovative program to provide more health care in six nurse managed Kampala City Council (KCC Clinics. Methods A mixed method approach was used. The descriptive study collected key informant interviews from the six nurse managers, and administered a questionnaire to 20 staff nurses between September and December 2009. Key themes were manually identified from the interviews, and the questionnaire data were analyzed using SPSS. Results Introducing new HIV services into six KCC clinics was positive for the nurses. They identified the project as successful because of perceived improved environment, increase in useful in-service training, new competence to manage patients and staff, improved physical infrastructure, provision of more direct patient care, motivation to improve the clinic because the project acted on their suggestions, and involvement in role expansion. All of these helped empower the nurses, improving quality of care and increasing job satisfaction. Conclusions This community-university HIV

  16. Service-Learning in Community College Nursing Education.

    Science.gov (United States)

    Holloway, Anne Safran

    2002-01-01

    A community college nursing program in Hawaii partners with the American Red Cross in service learning projects that prepare nursing students as AIDS prevention educators. Flexibility and partner commitment eased the challenges of time constraints, funding gaps, and workloads. (SK)

  17. 42 CFR 482.23 - Condition of participation: Nursing services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Nursing services. 482... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS OF PARTICIPATION FOR HOSPITALS Basic Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an...

  18. 42 CFR 441.21 - Nurse-midwife services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nurse-midwife services. 441.21 Section 441.21... General Provisions § 441.21 Nurse-midwife services. If a State plan, under § 440.210 or 440.220 of this subchapter, provides for nurse-midwife services, as defined in § 440.165, the plan must provide that...

  19. Model construction of nursing service satisfaction in hospitalized tumor patients

    OpenAIRE

    Chen, Yongyi; LIU, JINGSHI; Xiao, Shuiyuan; Liu, Xiangyu; Tang, Xinhui; Zhou, Yujuan

    2014-01-01

    This study aims to construct a satisfaction model on nursing service in hospitalized tumor patients. Using questionnaires, data about hospitalized tumor patients’ expectation, quality perception and satisfaction of hospital nursing service were obtained. A satisfaction model of nursing service in hospitalized tumor patients was established through empirical study and by structural equation method. This model was suitable for tumor specialized hospital, with reliability and validity. Patient s...

  20. Building the capacity of nursing professionals in Cambodia: Insights from a bridging programme for faculty development

    OpenAIRE

    Koto?Shimada, Kyoko; Yanagisawa,, Satoko; Boonyanurak, Puangrat; Fujita, Noriko

    2016-01-01

    To upgrade nursing instruction capacity in Cambodia, two bridging programmes were opened for the Bachelor of Science in Nursing simultaneously in?country and out?of?country (Thailand). A descriptive qualitative study was conducted to assess effectiveness of both programmes jointly and to explore needs concerning the further development of nursing education. This study included interviews with 34 current or previous programme participants (nursing instructors or hospital preceptors) and 10 man...

  1. Nurse leaders as stewards at the point of service.

    Science.gov (United States)

    Murphy, Norma; Roberts, Deborah

    2008-03-01

    Nurse leaders, including clinical nurse educators, who exercise stewardship at the point of service, may facilitate practising nurses' articulation of their shared value priorities, including respect for persons' dignity and self-determination, as well as equity and fairness. A steward preserves and promotes what is intrinsically valuable in an experience. Theories of virtue ethics and discourse ethics supply contexts for clinical nurse educators to clarify how they may facilitate nurses' articulation of their shared value priorities through particularism and universalism, as well as how they may safeguard nurses' self-interpretation and discursive reasoning. Together, clinical nurse educators and nurses may contribute to management decisions that affect the point of service, and thus the health care organization.

  2. Service-learning in nursing: Integrating student learning and ...

    African Journals Online (AJOL)

    Service-learning in nursing: Integrating student learning and community-based service experience through reflective practice. ... the students' reflective journals, group project reports and a focus-group discussion as the primary data sources.

  3. A Sample CISNE [Computerized Information Service for Nursing Educators] Nursing Course.

    Science.gov (United States)

    Alvir, Howard P.

    The Computerized Information Service for Nursing Educators (CISNE) is a computerized information system designed to help nursing instructors exchange ideas in an attempt to improve teaching methods. The system, which is under development, will assist nursing educators by performing eight functions: (1) coding courses for instant input and…

  4. A Model for Collaboration: The Frances Payne Bolton School of Nursing and the Frontier Nursing Service.

    Science.gov (United States)

    Novotny, Jeanne M.; And Others

    1996-01-01

    The collaboration between the Frontier Nursing Service and the Frances Payne Bolton School of Nursing provides a way for those with associate degrees in midwifery to obtain a baccalaureate degree in nursing and become eligible for advanced training in midwifery. Distance learning facilitates instruction for the geographically dispersed midwives.…

  5. Fostering Scholarship Capacity: The Experience of Nurse Educators

    Directory of Open Access Journals (Sweden)

    Penelope A. Cash

    2012-09-01

    Full Text Available In a milieu where traditional views of scholarship are embedded in the culture of educational institutions, and nursing programs in particular, this paper reports on a research project designed to support nurse educators’ capacity to engage in scholarly activities. Rogers’ (2003, 2004 “Diffusion of Innovation” model provided a theoretical vantage point from which to consider the ways scholarly inquiry in and across the nursing programs could be promoted. The project was evaluated between 2004 and 2007 using both quantitative and qualitative methods. In this paper we highlight some of the meanings emerging from the qualitative information collected because this data best illustrates Rogers’ (2003 model. Although significant progress was made towards building scholarship capacity with nursing faculty there remains ongoing work to be undertaken. Continuing to support a broader view of scholarship and intentional scholarship capacity building, particularly the scholarship of teaching and learning is becoming increasingly difficult given existing cultural and structural contradictions such as traditional ideologies associated with research; the competitiveness associated with the valuing of individual research; lack of infrastructure supports; and time for research in contexts where there are decreasing numbers of faculty. The authors think it is important to pay attention to this feedback as advances in scholarship of teaching and learning may be at risk.Le présent article traite d’un projet de recherche visant à soutenir la capacité des enseignants en sciences infirmières à entreprendre des activités scientifiques dans un milieu où la vision traditionnelle de l’avancement des connaissances en enseignement et en apprentissage est enchâssée dans la culture des institutions d’enseignement, et en particulier, dans les programmes de sciences infirmières. Le modèle de « diffusion de l’innovation » de Rogers (2003, 2004 a

  6. Model construction of nursing service satisfaction in hospitalized tumor patients.

    Science.gov (United States)

    Chen, Yongyi; Liu, Jingshi; Xiao, Shuiyuan; Liu, Xiangyu; Tang, Xinhui; Zhou, Yujuan

    2014-01-01

    This study aims to construct a satisfaction model on nursing service in hospitalized tumor patients. Using questionnaires, data about hospitalized tumor patients' expectation, quality perception and satisfaction of hospital nursing service were obtained. A satisfaction model of nursing service in hospitalized tumor patients was established through empirical study and by structural equation method. This model was suitable for tumor specialized hospital, with reliability and validity. Patient satisfaction was significantly affected by quality perception and patient expectation. Patient satisfaction and patient loyalty was also affected by disease pressure. Hospital brand was positively correlated with patient satisfaction and patient loyalty, negatively correlated with patient complaint. Patient satisfaction was positively correlated with patient loyalty, patient complaints, and quality perception, and negatively correlated with disease pressure and patient expectation. The satisfaction model on nursing service in hospitalized tumor patients fits well. By this model, the quality of hospital nursing care may be improved.

  7. Investing in nursing research in practice settings: a blueprint for building capacity.

    Science.gov (United States)

    Jeffs, Lianne; Smith, Orla; Beswick, Susan; Maoine, Maria; Ferris, Ella

    2013-12-01

    Engaging clinical nurses in practice-based research is a cornerstone of professional nursing practice and a critical element in the delivery of high-quality patient care. Practising staff nurses are well suited to identify the phenomena and issues that are clinically relevant and appropriate for research. In response to the need to invest in and build capacity in nursing research, hospitals have developed creative approaches to spark interest in nursing research and to equip clinical nurses with research competencies. This paper outlines a Canadian hospital's efforts to build research capacity as a key strategy to foster efficacious, safe and cost-effective patient care practices. Within a multi-pronged framework, several strategies are described that collectively resulted in enhanced research and knowledge translation productivity aimed at improving the delivery of safe and high-quality patient care.

  8. Nursing faculty roles in international service-learning projects.

    Science.gov (United States)

    Kohlbry, Pamela; Daugherty, JoAnn

    2013-01-01

    The purpose of this article is to describe faculty roles related to the design and implementation of an international nursing service-learning project. The impetus for this project was the 2008 American Association of Colleges of Nursing (AACN) recommendations for using service-learning and immersion of students in diverse communities to improve nursing education in the area of cultural competency (American Association of Colleges of Nursing, 2008a). We define service-learning as a learning experience engaging students in meeting community needs in an international setting so as to offer a different perspective into community health practices and to promote cultural competency. Based on our experience with service-learning, we identified four faculty roles in developing these types of projects. We define these roles as initiator, collaborator, facilitator, and advocate. This article will discuss the application of these faculty roles in developing service-learning opportunities with students. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. 42 CFR 440.166 - Nurse practitioner services.

    Science.gov (United States)

    2010-10-01

    ... by the State; and (ii) Have a family nurse practice limited to providing primary health care to... practice limited to providing primary health care to persons less than 21 years of age. (c) Requirements... 42 Public Health 4 2010-10-01 2010-10-01 false Nurse practitioner services. 440.166 Section 440...

  10. Referrals to the Marie Curie nursing service in North Yorkshire.

    Science.gov (United States)

    Hanratty, B; Feather, J; Ward, C

    2000-01-01

    District and Marie Curie nurses participated in a small-scale study to describe referrals to a Marie Curie service in one English health district over a 3-month period. The number of new patients referred was small; they were geographically clustered and had widely differing life expectancies. Anecdotal reports of difficulties with the 'Nurselink' referral system were not confirmed, and in situations where the system was in operation, Marie Curie nurses were more likely to speak directly to the referring nurse. The most frequently cited reason for referral was general nursing needs; however, Marie Curie nurses felt that they were most often involved to provide family support. These findings suggest that there may not be a shared understanding of the Marie Curie nurse's role, and that equity in community palliative nursing care merits examination. Defining and publicizing the role of the Marie Curie nurse, providing guidance for referrals and prioritizing communication between professionals are proposed not only to enhance the service locally but to ensure that the service is available to all. This article illustrates the value of research to identify ways to improve service delivery.

  11. Microbial handflora of nursing services workers in a Nigerian ...

    African Journals Online (AJOL)

    Microbial handflora of nursing services workers in a Nigerian University Teaching ... Care Units and Special Care Baby units of Jos University Teaching Hospital, ... This study has demonstrated that more stringent measures should be taken ...

  12. Building Leadership Capacity in Early Childhood Pre-Service Teachers

    Science.gov (United States)

    Campbell-Evans, Glenda; Stamopoulos, Elizabeth; Maloney, Carmel

    2014-01-01

    Building leadership capacity has emerged as a key concern within the early childhood profession in Australia as the sector responds to recent national reforms focusing on raising standards and improving quality provision of services. The purpose of this paper is to contribute to the discussion around these reforms and to make a case for changes…

  13. Patient satisfaction with nursing care in an emergency service

    OpenAIRE

    Patrícia Fátima Levandovski; Maria Alice Dias da Silva Lima; Aline Marques Acosta

    2015-01-01

    To analyze patient satisfaction with nursing care received at a hospital emergency service. Methodology. This is a quantitative, descriptive, cross-sectional study. The sample was composed by 250 patients over 18 years old who used an emergency service in the south region of Brazil. Data were collected using an identification form and the Patient Satisfaction Instrument. Results. Results point to a good level of satisfaction of patients with the nursing care received, with the greatest mean f...

  14. Nursing care at the end of life: a service learning course for undergraduate nursing students.

    Science.gov (United States)

    Jeffers, Stephanie; Ferry, Dawn

    2014-01-01

    An elective course titled "Nursing Care at the End of Life" was designed for fourth-year nursing students in a baccalaureate nursing program. This course, taught by the authors, was designed to teach students about caring for the dying patient. Students were required to complete service learning with patients in a hospice or hospital setting. Students reported having a positive learning experience and gaining new knowledge and a deeper understanding of the needs of dying patients and their families.

  15. The operating room case-mix problem under uncertainty and nurses capacity constraints.

    Science.gov (United States)

    Yahia, Zakaria; Eltawil, Amr B; Harraz, Nermine A

    2016-12-01

    Surgery is one of the key functions in hospitals; it generates significant revenue and admissions to hospitals. In this paper we address the decision of choosing a case-mix for a surgery department. The objective of this study is to generate an optimal case-mix plan of surgery patients with uncertain surgery operations, which includes uncertainty in surgery durations, length of stay, surgery demand and the availability of nurses. In order to obtain an optimal case-mix plan, a stochastic optimization model is proposed and the sample average approximation method is applied. The proposed model is used to determine the number of surgery cases to be weekly served, the amount of operating rooms' time dedicated to each specialty and the number of ward beds dedicated to each specialty. The optimal case-mix selection criterion is based upon a weighted score taking into account both the waiting list and the historical demand of each patient category. The score aims to maximizing the service level of the operating rooms by increasing the total number of surgery cases that could be served. A computational experiment is presented to demonstrate the performance of the proposed method. The results show that the stochastic model solution outperforms the expected value problem solution. Additional analysis is conducted to study the effect of varying the number of ORs and nurses capacity on the overall ORs' performance.

  16. 42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Condition of participation: Nursing services-Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice... Services § 418.66 Condition of participation: Nursing services—Waiver of requirement that substantially...

  17. Nursing students' perceptions of learning nursing skills in the ambulance service.

    Science.gov (United States)

    Nilsson, Tomas; Lindström, Veronica

    2017-05-01

    Several previous studies have explored nursing students' perceptions of clinical learning at hospitals and in other health care facilities, but there are few studies exploring nursing students' perceptions of the clinical learning in the ambulance service. Therefore, the aim of this study was to explore nursing students' perceptions of learning nursing skills in the ambulance service. An inductive qualitative study design with two focus group interviews and content analysis was used. Two themes were identified. The first theme, professional skills, included: Assessment, Prioritizing and initiating care, and Medical treatment and evaluation of interventions. The second theme, a holistic approach to the care included: Cultural, social, and ethical aspects of caring, Decision-making in collaboration with patients, and Care provided in the patients' home. The ambulance service provides a learning environment where the students face a multifaceted picture of health and illness. This learning environment helps nursing students to learn independently how to use professional nursing skills and how to care by employing a holistic approach. However, further research is needed to explore if and how this knowledge about nursing and caring in the ambulance service is useful when working as a Registered Nurse in other health care settings. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Evaluation of the implementation of a PhD capacity-building program for nurses in South Africa.

    LENUS (Irish Health Repository)

    Sheehan, Aisling

    2015-02-01

    Nursing is experiencing a significant deficit in research capacity needed to meet future global healthcare demands-there is a call to double the number of nurses and healthcare professionals with a doctorate.

  19. 42 CFR 409.12 - Nursing and related services, medical social services; use of hospital or CAH facilities.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Nursing and related services, medical social... Inpatient Hospital Services and Inpatient Critical Access Hospital Services § 409.12 Nursing and related... (b) of this section, Medicare pays for nursing and related services, use of hospital or...

  20. Capacity Allocation and Pricing Strategies for Wireless Femtocell Services

    CERN Document Server

    Duan, Lingjie; Huang, Jianwei

    2012-01-01

    Indoor cell phone users often suffer from poor connectivity. One promising solution, femtocell technology, has been rapidly developed and deployed over the past few years. One of the biggest challenges for femtocell deployment is lack of a clear business model. This paper investigates the economic incentive for the cellular operator (also called macrocell operator) to enable femtocell service by leasing spectrum resource to an independent femtocell operator. On the one hand, femtocell services can increase communication service quality and thus increase the efficiency of the spectrum resource. On the other hand, femtocell services may introduce more competition to the market. We model the interactions between a macrocell operator, a femtocell operator, and users as a three-stage dynamic game, and derive the equilibrium pricing and capacity allocation decisions. We show that when spectrum resources are very limited, the macrocell operator has incentive to lease spectrum to femtocell operators, as femtocell ser...

  1. 42 CFR 405.2414 - Nurse practitioner and physician assistant services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Nurse practitioner and physician assistant services... assistant services. (a) Professional services are reimbursable under this subpart if: (1) Furnished by a nurse practitioner, physician assistant, nurse midwife, or specialized nurse practitioner who is...

  2. Clinical application analysis of continuing nursing in nursing service for diabetic patients.

    Science.gov (United States)

    Yang, Qiaohong; You, Liming; Huang, Jiewei; Chen, Qingling; Li, Miaona; Wong, Frances KamYuet

    2016-11-01

    The research is to establish a Continuing Nursing Project after discharge which conforming to the actual conditions of our country and explore whether such Continuing Nursing Project could effectively improve therapy compliance and blood glucose control of diabetic patients. mainly analyzing pathological mechanisms of diabetic patients and exploring the clinical effect and the complication after implementing Continuing Nursing to patients. after implementing Continuing Nursing, the diabetic patients could be better at controlling their diet, the drug usage rate and exercise rate have been improved significantly, complication rate have been decreased and the clinical effect is remarkable. the application of Continuing Nursing in the nursing service for diabetic patients, which could effectively improve living quality and clinical symptoms of patients, deserves to be popularized.

  3. Heroines on Horseback: The Frontier Nursing Service of Appalachia

    Science.gov (United States)

    Sheffield, Caroline C.

    2014-01-01

    The men of the Breckinridge family have a long history of service to the nation, including many politicians, soldiers, and even a vice president of the United States. But it was a woman in the family, Mary, who had, arguably, the most direct and long-lived impact on those she served. As the founder of the Frontier Nursing Service (FNS) of Eastern…

  4. An Evaluation of Service Learning for Associate Degree Nursing Students

    Science.gov (United States)

    Pauli, Valerie M.

    2016-01-01

    The purpose of this study was to evaluate outcomes of the service-learning requirement in the Associate of Science in Nursing (ASN) curriculum at the local college. The problem addressed in this study was that the local ASN program lacked formal evaluation of the service-learning requirement. Guided by Kolb's model of experiential learning, a…

  5. Heroines on Horseback: The Frontier Nursing Service of Appalachia

    Science.gov (United States)

    Sheffield, Caroline C.

    2014-01-01

    The men of the Breckinridge family have a long history of service to the nation, including many politicians, soldiers, and even a vice president of the United States. But it was a woman in the family, Mary, who had, arguably, the most direct and long-lived impact on those she served. As the founder of the Frontier Nursing Service (FNS) of Eastern…

  6. The contribution of organization theory to nursing health services research.

    Science.gov (United States)

    Mick, Stephen S; Mark, Barbara A

    2005-01-01

    We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses' deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies.

  7. Core principles for developing global service-learning programs in nursing.

    Science.gov (United States)

    McKinnon, Tamara H; Fealy, Gerard

    2011-01-01

    Global service-learning enables nursing to develop its role in promoting global health and enabling vulnerable and marginalized global communities to develop their own capacity for growth and development. Global service-learning requires good planning that is based on sound best-practice principles. Drawing on the growing body of literature on service-learning, the authors outline and discuss seven key principles that can usefully guide global service-learning. These are: are compassion, curiosity, courage, collaboration, creativity, capacity building, and competence. These principles can form the basis for ethically sound program development, offer a means of standardizing program development, and provide common criteria with which to evaluate a program's success.

  8. Integrative Review of Service-Learning Assessment in Nursing Education.

    Science.gov (United States)

    Taylor, Susan L; Leffers, Jeanne M

    The aim of the research is to review all qualitative research studies related to service-learning assessment in nursing education. Recent literature reviews have examined quantitative but not qualitative research studies on service-learning assessment in nursing education. An integrative review analyzed the results of published qualitative research of service-learning assessment. Articles included in this review were published in English in peer-reviewed journals from 1997 to 2014 and encompassed information on outcomes, assessment or evaluation, nursing education, and service-learning. Nine articles containing thematic analysis were included in the final review. Findings were synthesized into a higher order of analysis. Eight categories from that analysis were created: professional competency development, integration of knowledge for the professional nursing role, greater understanding of community strengths and needs, collaboration and teamwork, transformation and personal growth, civic engagement, emotions and adjustment, and culture awareness and competency. The integrative review will aid in the development of measurement categories for further nursing service-learning assessment work.

  9. 42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Certified nurse-midwives' services: Qualifications... Medical and Other Health Services § 410.77 Certified nurse-midwives' services: Qualifications and conditions. (a) Qualifications. For Medicare coverage of his or her services, a certified nurse-midwife...

  10. 42 CFR 414.54 - Payment for certified nurse-midwives' services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for certified nurse-midwives' services. 414... Physicians and Other Practitioners § 414.54 Payment for certified nurse-midwives' services. For services...)(1)(K) of the Act for the payment of certified nurse-midwife services may not exceed 65 percent...

  11. Medical Services: Nursing Records and Reports

    Science.gov (United States)

    2007-11-02

    11) Item 11. Self–explanatory. (12) Item 12. Record if electrosurgical unit (ESU) was used by “X” in the YES or NO block. Enter medical maintenance...Guard cc cubic centimeter CNS clinical nurse specialist ESU electrosurgical unit expir expiration HR health record (records filed in DA Form 3444

  12. [Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services].

    Science.gov (United States)

    Oh, Eui Geum; Lee, Hyun Joo; Kim, Yukyung; Sung, Ji Hyun; Park, Young Su; Yoo, Jae Yong; Woo, Soohee

    2015-10-01

    The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

  13. Oral health services in primary care nursing centers: opportunities for dental hygiene and nursing collaboration.

    Science.gov (United States)

    Fellona, M O; DeVore, L R

    1999-01-01

    The basic oral health needs of more than 100 million Americans are not being met, which places them at an increased risk for serious oral and systemic health consequences. Primary care nursing centers, a comparatively new method of health care delivery, provide health care screening, education, and referral services to person typically underserved in the traditional health care delivery system. Primary care nursing centers were surveyed to determine to what extent they provide oral health screening, education, and referral services for clients, and to identify factors that discourage and encourage the integration of these services. Nurses from 158 primary care nursing centers in the United States made up the study population. Data were collected using a self-administered questionnaire. Data from 59 primary care nursing centers were analyzed using frequency distributions and measures of central tendency. Almost half of the responding nurses at primary care nursing centers "almost always" screen their clients for gum infections (49%) and oral lesions (48%). Fewer teach their clients how to perform oral cancer self-examinations (20%); or educate them regarding use of athletic mouth protectors (15%), the effects of xerostomia (19%), and the benefits of fluoride (38%). The majority do not always refer clients needing treatment for dental decay (55%), gum infections (61%), missing teeth (80%), oral lesions (67%), oral pain (64%), or oral trauma (65%). Lack of referral sources (64%) and unavailability of oral health professionals to provide on site basic oral health services (63%) were the leading factors that discourage the integration of oral health services in the centers. An appreciation for the benefits of oral health (73%) and a knowledgeable clinician to perform oral health services (68%) were the leading factors that encourage the integration of oral health services into primary care nursing centers. These data could be useful in planning, implementing, and

  14. Qualitative Research in an International Research Program: Maintaining Momentum while Building Capacity in Nurses

    Directory of Open Access Journals (Sweden)

    Judy Mill RN, PhD

    2014-02-01

    Full Text Available Nurses are knowledgeable about issues that affect quality and equity of care and are well qualified to inform policy, yet their expertise is seldom acknowledged and their input infrequently invited. In 2007, a large multidisciplinary team of researchers and decision-makers from Canada and five low- and middle-income countries (Barbados, Jamaica, Uganda, Kenya, and South Africa received funding to implement a participatory action research (PAR program entitled “Strengthening Nurses' Capacity for HIV Policy Development in sub-Saharan Africa and the Caribbean.” The goal of the research program was to explore and promote nurses' involvement in HIV policy development and to improve nursing practice in countries with a high HIV disease burden. A core element of the PAR program was the enhancement of the research capacity, and particularly qualitative capacity, of nurses through the use of mentorship, role-modeling, and the enhancement of institutional support. In this article we: (a describe the PAR program and research team; (b situate the research program by discussing attitudes to qualitative research in the study countries; (c highlight the incremental formal and informal qualitative research capacity building initiatives undertaken as part of this PAR program; (d describe the approaches used to maintain rigor while implementing a complex research program; and (e identify strategies to ensure that capacity building was locally-owned. We conclude with a discussion of challenges and opportunities and provide an informal analysis of the research capacity that was developed within our international team using a PAR approach.

  15. A magnet nursing service approach to nursing's role in quality improvement.

    Science.gov (United States)

    Bolton, Linda Burnes; Goodenough, Anne

    2003-01-01

    The heightened focus on quality and the rise of health care consumerism are manifestations of numerous interrelated dynamics, especially including the aging of the "baby boomers" and greater prevalence of chronic conditions, the explosion of biomedical scientific knowledge and technology, changes in prevailing methods of health care financing, a recent prolonged period of economic prosperity, widespread concerns about patient safety, return of disproportionate health care cost, and the democratization of medical knowledge consequent to widespread use of the Internet. Quality improvement in nursing was first introduced by Florence Nightingale during the Crimean War. Today, nursing quality continues to look at process, but has evolved to an emphasis on patient care outcomes. This article discusses nursing quality structure, processes, and outcomes at a large, teaching, tertiary medical center in Los Angeles, California. The medical center is one of two designated magnet nursing services in California. Nursing's role in achieving clinical and service quality for patients, communities, and staff are essential characteristics of magnet-designated nursing service organizations.

  16. The role of the nurse research facilitator in building research capacity in the clinical setting.

    Science.gov (United States)

    Jamerson, Patricia A; Vermeersch, Patricia

    2012-01-01

    With little guidance in the literature regarding best practices, clinical institutions have used different organizational models to meet the challenges of building research capacity. This article provides recommendations regarding the most productive models based on review of historical clinical research facilitation models and the results of a survey regarding extant models conducted among research facilitators who were members of the Midwest Nursing Research Society.

  17. The exploration of in-service training needs of psychiatric nurses

    African Journals Online (AJOL)

    2014-10-10

    Oct 10, 2014 ... technology in nursing, require continuous in-service training of psychiatric nurses to cope with, reflect on .... verbal and non-verbal communication skills as a primary .... information about in-service training needs and benefits.

  18. Evaluation of a nurse-led haemophilia counselling service.

    Science.gov (United States)

    O'Shea, Eadaoln; Coughlan, Michael; Corrigan, Helen; McKee, Gabrielle

    Genetic counselling and testing for females with a family history of haemophilia has long been advocated. However, there is little research in regard to clients' satisfaction with the existing counselling models in haemophilia, and in particular with nurse-led clinics. The purpose of this study was to evaluate whether clients were satisfied with a nurse-led carrier testing clinic and counselling service. A retrospective quantitative study of clients' satisfaction and perceived knowledge was undertaken using an anonymous questionnaire. A sample of 42 women who had attended the clinic in the last 12 months was identified. The response rate for the study was 71% (n = 30).Two thirds of the respondents were 35 years of age or younger, 93% had a family history of haemophilia and 56% were diagnosed as carriers. Perceived understanding and knowledge increased significantly between the first and second appointments (p nurse-led carrier testing clinic and counselling service.

  19. Psychometric Evaluation of the Service-Learning in Nursing Inventory.

    Science.gov (United States)

    Nickitas, Donna M; Fealy, Gerard M; De Natale, Mary L

    The aim was to develop an instrument to assess undergraduate nursing students' experience of service-learning to reveal benefits and identify service-learning as a professional value that leads to civic and social responsibility. Service-learning is a teaching and learning approach that integrates academic learning with experiential community-centered foci. It provides structured opportunities for reflection on broader social and cultural dimensions of health. There is no valid and reliable instrument to measure service-learning experience of nursing students. A psychometric evaluation was conducted through item analysis, validity, and reliability. Face validity agreement was 80 percent; the content validity index was adjusted until 1 was achieved for each item. Two factors explained 58.64 percent of the total variance. Cronbach's α was .940 for the skills subscale and .932 for the personal insight subscale. The inventory demonstrated strong psychometric properties. Future research should focus on replication on diverse populations.

  20. Geriatric Workforce Capacity: A Pending Crisis for Nursing Home Residents

    Directory of Open Access Journals (Sweden)

    Wei Chen eLee

    2013-07-01

    Full Text Available Introduction: The nursing home (NH population in the U.S. has grown to 1.6 million people and is expected to double by 2030. While 88.3% of NH residents are over 65, the elders aged 85 and more have become the principal group. This demographic change has increased the already high rates of chronic diseases and functional disabilities in NH residents. Methods: This study reviewed the supply of geriatricians in addressing the growing healthcare needs of NH residents. Results: English-written articles between 1989 and 2012 were reviewed. Trend data demonstrate that the geriatrician workforce has decreased from 10,270 in 2000 to 8,502 in 2010. Further, the pipeline analysis of physicians projected to receive board certification in geriatrics (and maintain this certification indicates a worsening of the already insufficient supply of geriatricians for this vulnerable population. Conclusion: Strategies to attract and maintain a geriatrician workforce are imperative to avert a mounting crisis in the geriatric care in NH and, by extension, other living settings.

  1. Service Learning and Community Health Nursing: A Natural Fit.

    Science.gov (United States)

    Miller, Marilyn P.; Swanson, Elizabeth

    2002-01-01

    Community health nursing students performed community assessments and proposed and implemented service learning projects that addressed adolescent smoking in middle schools, home safety for elderly persons, industrial worker health, and sexual abuse of teenaged girls. Students learned to apply epidemiological research methods, mobilize resources,…

  2. 42 CFR 440.155 - Nursing facility services, other than in institutions for mental diseases.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nursing facility services, other than in... PROVISIONS Definitions § 440.155 Nursing facility services, other than in institutions for mental diseases. (a) “Nursing facility services, other than in an institution for mental diseases” means...

  3. Harnessing collaboration to build nursing research capacity: a research team journey.

    Science.gov (United States)

    Priest, Helena; Segrott, Jeremy; Green, Barbara; Rout, Amelia

    2007-08-01

    This paper discusses a qualitative evaluation study, designed to explore nursing lecturers' research capability development through their engagement as co-researchers in a larger case study project (referred to as the 'main project'). It explores the justification for supporting research capacity development using this collaborative approach, the process and experience of undertaking collaborative research, and the effectiveness of this model of collaboration in developing new researchers. The paper also makes connections between the process of undertaking the research (designed to offer opportunities for inexperienced researchers to be involved) and the main project findings (which explored the ways in which academic schools develop research capacity). We first set the main project in its wider context and map key issues relating to research capacity development and collaboration in the literature, before outlining how we involved neophyte and 'midiphyte' researchers. The evaluative study, which is the focus of this paper, discusses the experiences of the neophyte researchers, and explores the synergies between the main project's key findings and the process of undertaking it. We conclude with some principles for using collaboration to build research capacity, visualised through a conceptual model. While this project was located within two universities in the UK, the development of research skills amongst nurses is likely to have broad international relevance. NB1 References to 'nursing', 'nursing research', and 'nursing education' are taken throughout to apply equally to midwifery, midwifery research, and midwifery education. NB2 For the purpose of this project, neophyte researchers are defined as staff needing formal training in research and involvement in others' research, and 'midiphyte' researchers as those with some training but needing support to develop research ideas.

  4. Variations and Trends in State Nursing Facility Capacity: 1978-93

    Science.gov (United States)

    DuNah, Richard; Harrington, Charlene; Bedney, Barbara; Carrillo, Helen

    1995-01-01

    The demand for nursing facility (NF) beds has been growing with the aging of the population and many other factors. As the need for nursing home care grows, the Nation's capacity to provide such care is the subject of increasing concern. This article examines licensed NFs and beds, presenting data on trends from 1978-93. Measures of the adequacy of NF beds in States are examined over time, including the ratio of beds per aged population, occupancy rates, and State official's opinions of the adequacy of supply. State and regional variations are shown over time, and we speculate on the factors which may be associated with the variation. PMID:10153471

  5. [Organizational structure of nursing services: reflections on the influence of the organizational power and culture].

    Science.gov (United States)

    Jericó, Marli Carvalho; Peres, Aida Maris; Kurcgant, Paulina

    2008-09-01

    This study addresses the culture and power influencing the organizational structure of the nursing services at a teaching hospital. The Nursing Service organizational structure (organization chart) was outlined due to the need of the general management of the hospital to standardize the nursing procedures. Due to this situation, the nursing managers' interest has arisen to widen the power setting, strengthening nursing in an intra-institutional environment.

  6. Modeling Hospitals’ Adaptive Capacity during a Loss of Infrastructure Services

    Directory of Open Access Journals (Sweden)

    Eric D. Vugrin

    2015-01-01

    Full Text Available Resilience in hospitals - their ability to withstand, adapt to, and rapidly recover from disruptive events - is vital to their role as part of national critical infrastructure. This paper presents a model to provide planning guidance to decision makers about how to make hospitals more resilient against possible disruption scenarios. This model represents a hospital’s adaptive capacities that are leveraged to care for patients during loss of infrastructure services (power, water, etc.. The model is an optimization that reallocates and substitutes resources to keep patients in a high care state or allocates resources to allow evacuation if necessary. An illustrative example demonstrates how the model might be used in practice.

  7. Develop high quality nursing service and normalize management of neonatal ward

    Directory of Open Access Journals (Sweden)

    Hua YANG

    2014-08-01

    Full Text Available Objective: To tamp basic neonatal care, provide high quality nursing service, improve the quality of neonatal care, guarantee the safety of nursing care, achieve satisfactory project. Methods:Adjust the staff of the neonatal ward , optimize schedule; strengthen the training and knowledge; strengthen the supervision and ensure the basic nursing; the nursing quality management group work out the rate of incidence of high quality nursing service, the incidence rate of hospital infection of the newborn as well as the satisfaction of their families. Results: The different data between the control group and observation group was statistically significant ( P < 0.05 . Conclusion: Develop the neonatal ward of high quality nursing service, ensure the basic nursing implement, significantly improve the quality of nursing, reduce nursing adverse events and neonatal hospital infection incidence to" zero defects and zero tolerance", and that ensures nursing safety, and achieve the goal of " quality care demonstration project" --- patient satisfaction, social satisfaction, and government satisfaction.

  8. Contracting for Management: Assessing Management Capacity under Alternative Service Delivery Arrangements

    Science.gov (United States)

    Brown, Trevor; Potoski, Matt

    2006-01-01

    Contracting critics suggest that when governments outsource, they reduce their capacity to produce services and manage service delivery. In this paper, we decompose the service delivery decision into service production and service management components. When governments contract for service production, they may also choose to contract for a…

  9. INFLUENCE OF INTERNATIONAL SERVICE LEARNING ON NURSING STUDENTS' SELF EFFICACY TOWARDS CULTURAL COMPETENCE.

    Science.gov (United States)

    Long, Tracey

    2016-01-01

    One method of gaining knowledge, skills and experience with different cultures for nurses and nursing students is through an international immersion experience with training in language, culture and community nursing. This study is a qualitative and quantitative measurement of the influence of a two-week service learning medical experience on a student-nursing group who traveled abroad to Belize, Central America.

  10. Building scholarly writing capacity in the doctor of nursing practice program.

    Science.gov (United States)

    Shirey, Maria R

    2013-01-01

    This article discusses a systematic teaching/learning approach to scholarly writing in the doctor of nursing practice program. The SMART Approach to building scholarly writing capacity in nursing consists of Strategies, Methods, and Assessment of Outcomes, Related to Teaching/Learning. The strategies include reiterating standards of excellence, building the discipline, dispelling fears, empowering with knowledge, facilitating independence, and celebrating excellence. Methods include scholarly writing assessment, planning and structure, evaluation and feedback, doing and redoing, mentoring for publication, and reiterating knowledge dissemination. The SMART Approach can achieve six key outcomes. Students who experience the developmental approach become stronger writers, and they achieve better course grades. Student evaluations of teaching suggest that this developmental approach is valuable, and faculty teaching is rated highly. Following manuscript development, students understand the relationship between didactic content and mentored activities that promote scholarly writing independence. Students learn that every professional activity provides a potential writing experience. Scholarly writing in nursing is a necessary skill set that can be learned. The SMART Approach to building scholarly writing capacity in nursing is effective because it uses a "guide by the side" approach as compared with traditional "sage on stage" principles.

  11. Visiting Nurse Service of New York celebrates multiculturalism.

    Science.gov (United States)

    Kolatch, A; Brandvold, M C

    1997-10-01

    Home health providers must develop culturally sensitive and specific programs for many populations. This article outlines the steps agencies and practitioners can take to design these programs. Examples of two specialty programs developed by the Visiting Nurse Service of New York, one focusing on the Jewish and Russian Jewish community and the other on the Asian Home Care Program, provide insight into the importance of a comprehensive approach to all cultural home care programs.

  12. School Nurse Communication Effectiveness with Physicians and Satisfaction with School Health Services

    Science.gov (United States)

    Volkman, Julie E.; Hillemeier, Marianne M.

    2008-01-01

    This study examined school nurses' communication with community physicians and its relationship to school nurse satisfaction with school health services. A stratified random sample of school nurses in Pennsylvania (N = 615) were surveyed about communication effectiveness with community physicians, satisfaction with school health services for…

  13. 26 CFR 31.3306(c)(13)-1 - Services of student nurse or hospital intern.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Services of student nurse or hospital intern...) § 31.3306(c)(13)-1 Services of student nurse or hospital intern. (a) Services performed as a student...' training school is chartered or approved pursuant to State law. (b) Services performed as an intern (as...

  14. The American Nurses of the Special Public Health Service and the Formation of Human Resources in Brazilian Nursing.

    Science.gov (United States)

    Bonini, Bárbara Barrionuevo; Freitas, Genival Fernandes de; Fairman, Julie; Mecone, Márcia Cristina da Cruz

    2015-12-01

    Objective To historicize the changes in training human resources in nursing in Brazil during the period from 1942 to 1961 based on the presence of 35 American nurses assigned to work in cooperation with Special Public Health Service. Method The sources used for the study were reports written by American nurses who described their impressions, suggestions, and the activities they carried out in the country. These were analyzed based on the discourse analysis of Michel Foucault. Results The period mentioned was marked by an American presence in nursing projects developed by the Special Public Health Service. The discourses indicated that the period was marked by many changes in Brazilian nursing, particularly with respect to attracting and training human resources for the profession. Conclusion The results indicate that the American nurses, through what they said and their influence, were central to the consolidation of a new paradigm in the training of nursing professionals in Brazil.

  15. Can nurse innovation improve customer perception of service quality and experience?

    Science.gov (United States)

    Weng, Rhay-Hung; Chen, Wan-Ping; Huang, Ching-Yuan; Hung, Chiu-Hsia; Hsu, Ching-Tai

    2016-07-01

    This study aimed to clarify how nurse innovation is related to customer perception of medical service quality and experience. Recently, many hospitals have put much emphasis upon the development of nurse innovation. A cross-sectional study was employed. This study adopted questionnaire survey method with nurses and customers of the inpatient wards from three Taiwanese hospitals as the research subjects. After pairing, there were 294 valid questionnaires. Hierarchical regression analysis was utilised to test the possible impact of nurse innovation on medical service quality and experience. In terms of the dimensions of nurse innovation, 'innovation behaviour' ranked the highest (3·24), followed by knowledge creation and innovation diffusion; in terms of the degree of the medical service quality, 'reliability' ranked the highest (4·35). As for the degree of the medical service experience, 'feel experience' ranked the highest (4·44). All dimensions of nurse innovation have no significant effects on medical service quality and experience. Of these three dimensions of nurse innovation, the level of innovation behaviour was perceived by the nurses as the highest. The study found that nurse innovation has no significant effects on customer perception of service quality and experience. Hospitals shall provide sufficient resources and budget for fostering innovation development and encourage their nurses to develop nursing innovation for patents. The education and training courses on 'patient-centred' shall be enhanced among hospital nurses. Healthcare managers shall also explore the difficulties about innovation diffusion and find the solutions for nurses. © 2016 John Wiley & Sons Ltd.

  16. Nursing home social services directors who report thriving at work.

    Science.gov (United States)

    Liu, Jinyu; Bern-Klug, Mercedes

    2013-01-01

    Nationally representative data from a sample (n = 928) of full-time nursing home social services directors were used to investigate whether knowing characteristics of the social environment at work can help to explain which directors report job thriving. Two-thirds of directors reported they were thriving in their jobs. Multiple regression results show that thriving is increased by job autonomy, being treated like an important part of the team, having enough time to identify and meet resident psychosocial needs, not having to do things that others could do, and being clear what the social services role is. Findings suggest that addressing these aspects of the social environment and social services role will likely contribute to increasing a sense of thriving at work among social services staff members.

  17. Perception of the nursing staff about the nurse’s role in the emergency service

    OpenAIRE

    Mayckel da Silva Barreto; Elen Ferraz Teston; Jamilly Grava Miranda; Guilherme de Oliveira Arruda; Elizabeth Amancio de Souza da Silva Valsecchi; Sonia Silva Marcon

    2015-01-01

    Objective: to know the perception of the nursing staff about the nurse's role in emergency service. Methods: descriptive study of a qualitative approach. 30 nursing professionals participated and were active in a unit of Emergency. The data were subjected to Content Analysis, thematic modality. Results: the interviewees highlighted as nurses functions, the development of management activities; the leadership and supervision of nursing staff; and the care provided to seriously ill patients. Fr...

  18. In-service education and training as experienced by registered nurses

    OpenAIRE

    T.F. Norushe; D Van Rooyen; J. Strumpher

    2004-01-01

    Nursing is a dynamic profession that is subject to rapid changes in health care provision, hence the need for inservice training programmes for nurses. Newly employed registered nurses require in-service training in order to update them regarding the latest developments in nursing practice. The researcher noted that some newly appointed registered nurses were not competent in all aspects relating to their tasks. This could have been due to a knowledge deficit relating to either new developmen...

  19. Perception of the nursing staff about the nurse’s role in the emergency service

    Directory of Open Access Journals (Sweden)

    Mayckel da Silva Barreto

    2015-12-01

    Full Text Available Objective: to know the perception of the nursing staff about the nurse's role in emergency service. Methods: descriptive study of a qualitative approach. 30 nursing professionals participated and were active in a unit of Emergency. The data were subjected to Content Analysis, thematic modality. Results: the interviewees highlighted as nurses functions, the development of management activities; the leadership and supervision of nursing staff; and the care provided to seriously ill patients. From the perspective of nursing technicians, management activities receive great attention from nurses, rather than direct patient care. However, for nurses, managerial functions and leadership and supervision of staff converge for quality care. Conclusion: the importance of care work of nurses in emergency situations is perceived both by nursing technicians and by nurses. However, perceptions of their role as a manager still show up conflicting.

  20. Universal Health Coverage through Community Nursing Services: China vs. Hong Kong

    Science.gov (United States)

    Chan, Wai Yee; Fung, Ita M; Chan, Eric

    2017-01-01

    ABSTRACT Objective: this article looks at how the development of community nursing services in China and Hong Kong can enhance universal health coverage. Methods: literature and data review have been utilized in this study. Results: nursing services have evolved much since the beginning of the nursing profession. The development of community nursing services has expanded the scope of nursing services to those in need of, not just hospital-level nursing care, but more holistic care to improve health and quality of life. Conclusion: despite the one-country-two-systems governance and the difference in population and geography, Hong Kong and China both face the aging population and its complications. Community nursing services help to pave the road to Universal Health Coverage. PMID:28146178

  1. Developing a Culture to Facilitate Research Capacity Building for Clinical Nurse Consultants in Generalist Paediatric Practice

    Directory of Open Access Journals (Sweden)

    Lesley Wilkes

    2013-01-01

    Full Text Available This paper reports a research capacity building exercise with a group of CNCs practicing in the speciality of paediatrics in New South Wales (NSW, Australia. It explores the first step in building a research culture, through identifying the research priorities of members of the NSW Child Health Networks Paediatric Clinical Nurse Consultant group, and this forms the major focus of this paper. A nominal group technique (NGT was utilised with sixteen members to identify research topics for investigation which were considered a priority for improving children's health care. The group reviewed and prioritised 43 research topics in children's health which were identified in the literature. As a result of conducting this research prioritisation exercise, the group chose two research topics to investigate: reasons for children representing to the Emergency Department and a comparison of the use of high-flow and low-flow nasal prongs in children with bronchiolitis. The research team will continue to mentor the nurses throughout their research projects which resulted from the NGT. One bridge to leadership development in enhancing patient care is translating knowledge to practice and policy development. This study leads the way for a group of CNCs in paediatric nursing to combine their research capacity and influence clinical knowledge.

  2. Evaluation of a nurse-led haemophilia counselling service.

    LENUS (Irish Health Repository)

    O'Shea, Eadaoln

    2012-01-01

    Genetic counselling and testing for females with a family history of haemophilia has long been advocated. However, there is little research in regard to clients\\' satisfaction with the existing counselling models in haemophilia, and in particular with nurse-led clinics. The purpose of this study was to evaluate whether clients were satisfied with a nurse-led carrier testing clinic and counselling service. A retrospective quantitative study of clients\\' satisfaction and perceived knowledge was undertaken using an anonymous questionnaire. A sample of 42 women who had attended the clinic in the last 12 months was identified. The response rate for the study was 71% (n = 30).Two thirds of the respondents were 35 years of age or younger, 93% had a family history of haemophilia and 56% were diagnosed as carriers. Perceived understanding and knowledge increased significantly between the first and second appointments (p < 0.001). Overall, the study identified a high level of client satisfaction with the nurse-led carrier testing clinic and counselling service.

  3. Evaluation of a Regional Australian Nurse-Led Parkinson's Service Using the Context, Input, Process, and Product Evaluation Model.

    Science.gov (United States)

    Jones, Belinda; Hopkins, Genevieve; Wherry, Sally-Anne; Lueck, Christian J; Das, Chandi P; Dugdale, Paul

    2016-01-01

    because of capacity constraints on the Parkinson's disease nurse specialist. Product: The Service has filled an important health need in the local context; 98.3% of patients surveyed reported that the Service met their needs and helped them understand their care plan, achieving the primary objective of improving patient self-management. Interviews with stakeholders provided positive feedback about the value and usefulness of the Service, and healthcare professionals reported improvement in their knowledge about PD management. The evaluation also identified ongoing gaps in service provision and highlighted areas for potential improvement. No discernible trends in admission rates before and after the implementation of the Service were identified. The introduction of a nurse-led PD service has had a positive impact on the provision of care for patients with PD and is a valued service. The evaluation highlighted some ongoing gaps in service provision and has generated some recommendations to address these.

  4. Optimal Capacity Conversion for Product Transitions Under High Service Requirements

    OpenAIRE

    Li, Hongmin; Graves, Stephen C.; Huh, Woonghee Tim

    2012-01-01

    We consider the capacity planning problem during a product transition in which demand for a new-generation product gradually replaces that for the old product. Capacity for the new product can be acquired both by purchasing new production lines and by converting existing production lines for the old product. Furthermore, in either case, the new product capacity is “retrofitted” to be flexible, i.e., to be able to also produce the old product. This capacity planning problem arises regularly at...

  5. Reaping the harvest: nursing student service involvement with a campus gardening project.

    Science.gov (United States)

    Ahonen, Kathleen; Lee, Carolyn; Daker, Emily

    2012-01-01

    The authors describe the development and incorporation of a multidisciplinary community garden as a service project in a baccalaureate nursing cohort in an urban university. The concepts of professional ethics and service, application of nutritional theory to a community cohort, and competencies in community health nursing are briefly discussed and applied to this service project.

  6. 26 CFR 31.3121(b)(13)-1 - Services of student nurse or hospital intern.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Services of student nurse or hospital intern... 1954) General Provisions § 31.3121(b)(13)-1 Services of student nurse or hospital intern. (a) Services... before 1966 as an intern (as distinguished from a resident doctor), in the employ of a hospital are...

  7. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nursing facility services for individuals age 21 or... institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility... recipients under age 21; and (2) Health care, treatment, and other measures to correct or ameliorate any...

  8. The "Strengthening Nursing Culture Project" - an exploratory evaluation study of nursing students' placements within Aboriginal Medical Services.

    Science.gov (United States)

    Hart, Bethne; Cavanagh, Miriam; Douglas, Denise

    2015-01-01

    Cultural awareness and cultural competence have been the focus of the transcultural nursing literature that has explored the roles and responsibilities of nurses in their care of Aboriginal and Torres Strait Islander Peoples. Cultural immersion programs, upholding cultural safety and cultural humility, offer valuable guidance to the education of nursing students regarding Aboriginal and Torres Strait Islander health and cultures. This study seeks to explore nursing students' experiences of a cultural immersion program within Aboriginal Medical Services (AMSs) in New South Wales, Australia. Eight nursing students participated in a mixed methods design exploratory study of their clinical placement within AMSs. A survey gathered data regarding levels of preparation and confidence, learning barriers, placement stressors and personal reflections. Nursing students reported positive and transformative experiences of intercultural learning. Cultural immersion programs provide a valuable framework for the design and evaluation of clinical placement programs for nursing students within intercultural learning spaces.

  9. An attempt for empowering education: A qualitative study of in-service training of nursing personnel

    OpenAIRE

    Chaghari, Mahmood; Ebadi, Abbas; Ameryoun, Ahmad; Safari, Mohsen

    2016-01-01

    Background: In-service training of nursing personnel has a significant role in increasing the empowerment of nurses and promotion of the quality of health services. The objective of this study is to identify and explain the process of in-service training of nursing personnel in the hospitals affiliated with Baqiyatallah University of Medical Sciences in Tehran. Materials and Methods: The present study employed a qualitative approach using Corbin and Strauss method (2008) in 2015, and examined...

  10. Empowering education: A new model for in-service training of nursing staff

    OpenAIRE

    MAHMUD CHAGHARI; MOHSEN SAFFARI; ABBAS EBADI; AHMAD AMERYOUN

    2017-01-01

    Introduction: In-service training of nurses plays an indispensable role in improving the quality of inpatient care. Need to enhance the effectiveness of in-service training of nurses is an inevitable requirement. This study attempted to design a new optimal model for in-service training of nurses. Methods: This qualitative study was conducted in two stages during 2015-2016. In the first stage, the Grounded Theory was adopted to explore the process of training 35 participa...

  11. Updating Nursing Service Notion and Improving Nursing Service Quality%更新护理服务理念提升护理服务品质

    Institute of Scientific and Technical Information of China (English)

    王蕾

    2016-01-01

    In the increasingly fierce competition in the medical market, in order to stand out in the competition and win the market and development, we should not ignore the function of nursing team as one of the indispensable main bodies of hos-pital. Our hospital should update the concept, improve the service awareness, maintain nurse-patient relationship, pay atten-tion to communication skills, enhance train of nurses, improve the quality of nurses, standardize the nursing service behav-ior, deepen nursing service connotation, pay attention to nursing service art, build nursing service atmosphere, strength nursing quality and safety management, advocate “give priority to prevention, put safety first”, improve nursing quality, im-prove nursing connotation quality and create an advantage nursing brand.%在日趋激烈的医疗市场竞争中,如何能够在竞争中脱颖而出,赢得市场和发展,作为医院不可缺少的主体之一的护理团队其作用不可忽视。该院更新观念,提高服务意识,和谐护患关系,注重沟通技巧,加强护士培训,提高护士素质,规范护理服务行为,深化护理服务内涵,注重护理服务艺术,营造护理服务氛围,强化护理质量与安全管理,倡导“预防为主、安全第一”,提高护理品质,提高护理内涵质量,创造优势护理品牌。

  12. Participation in planning and evaluating mental health services: building capacity.

    Science.gov (United States)

    Restall, Gayle; Strutt, Carolyn

    2008-01-01

    The participation of people who use mental health services in service planning and evaluation has become increasingly important in recent years. Health planners and people who use services are seeking information about how to enable participation that is meaningful and impacts positively on service delivery. This qualitative study explored the perspectives of people who use mental health services on participation in mental health service planning and evaluation. Sixty-three people from diverse backgrounds participated in either a focus group or interview. Themes were extracted from the data and resulted in a conceptual framework that can be used to guide the development and evaluation of participation.

  13. Preceptors' Experience of Nursing Service-Learning Projects.

    Science.gov (United States)

    Voss, Heather C

    2016-03-01

    Service-learning is a teaching-learning strategy in higher education that provides hands-on experiences in authentic clinical environments. Mutual decision making, shared goals, reciprocity, and tangible benefits to organizations and the people they serve are hallmarks of service-learning. However, the literature is sparse pertaining to preceptor experiences with service-learning projects, the extent of reciprocity, or the projects' impact on those who received the service. A small phenomenological study was conducted to better understand the experiences of four community-based health professionals who worked with nursing students on service-learning projects. Four themes emerged from face-to-face interviews and written reflections: (a) reciprocity among preceptor, clinical faculty, and student, (b) intentional planning and project clarity, (c) meaningful and authentic experience, and (d) valued and beneficial contributions that addressed a need. Insight gained from the experiences of the four preceptors in this study suggest that through careful planning and reciprocity, service-learning can have a positive impact on community-based organizations and the people they serve. Copyright 2016, SLACK Incorporated.

  14. Professional Nursing in State Service: Needs and Recommendations. A Skills Inventory of Registered Nurses Employed by the Commonwealth of Massachusetts.

    Science.gov (United States)

    Woods, Barbara

    This study analyzed factors in attracting and recruiting professional nurses into Massachusetts state service. Although Massachusetts had relatively many registered nurses (RN), 45% were inactive. Resulting shortages were great, especially in state hospitals. All agencies had high turnover, with impending staffing crises in some agencies because…

  15. 77 FR 41986 - Division of Nursing, Public Health Nursing Community Based Model of PHN Case Management Services

    Science.gov (United States)

    2012-07-17

    ...), Community Based Model of Public Health Nursing Case Management Services. This program is authorized under... management model that utilizes the PHN as a case manager. Research indicates nursing case management is a..., communication and monitoring. The goals and outcomes of the PHN case management model are early detection...

  16. Factors Predicting the Provision of Smoking Cessation Services Among Occupational Health Nurses in Thailand.

    Science.gov (United States)

    Chatdokmaiprai, Kannikar; Kalampakorn, Surintorn; McCullagh, Marjorie; Lagampan, Sunee; Keeratiwiriyaporn, Sansanee

    2017-01-01

    The purpose of this study was to identify factors predicting occupational health nurses' provision of smoking cessation services. Data were collected via a self-administered questionnaire distributed to 254 occupational health nurses in Thailand. Analysis by structural equation modeling revealed that self-efficacy directly and positively influenced smoking cessation services, and mediated the relationship between workplace factors, nurse factors, and smoking cessation services. The final model had good fit to the data, accounting for 20.4% and 38.0% of the variance in self-efficacy and smoking cessation services, respectively. The findings show that self-efficacy is a mediator that influences provision of smoking cessation services by occupational health nurses. Interventions to enhance nurses' self-efficacy in providing smoking cessation services are expected to promote provision of smoking cessation services to workers.

  17. Service Capacity Reserve under Uncertainty by Hospital’s ER Analogies: A Practical Model for Car Services

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Pérez Salaverría

    2014-01-01

    Full Text Available We define a capacity reserve model to dimension passenger car service installations according to the demographic distribution of the area to be serviced by using hospital’s emergency room analogies. Usually, service facilities are designed applying empirical methods, but customers arrive under uncertain conditions not included in the original estimations, and there is a gap between customer’s real demand and the service’s capacity. Our research establishes a valid methodology and covers the absence of recent researches and the lack of statistical techniques implementation, integrating demand uncertainty in a unique model built in stages by implementing ARIMA forecasting, queuing theory, and Monte Carlo simulation to optimize the service capacity and occupancy, minimizing the implicit cost of the capacity that must be reserved to service unexpected customers. Our model has proved to be a useful tool for optimal decision making under uncertainty integrating the prediction of the cost implicit in the reserve capacity to serve unexpected demand and defining a set of new process indicators, such us capacity, occupancy, and cost of capacity reserve never studied before. The new indicators are intended to optimize the service operation. This set of new indicators could be implemented in the information systems used in the passenger car services.

  18. 42 CFR 484.30 - Condition of participation: Skilled nursing services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Skilled nursing..., regularly reevaluates the patient's nursing needs, initiates the plan of care and necessary revisions... patient and family in meeting nursing and related needs, participates in in-service programs, and...

  19. Using computers for planning and evaluating nursing in the health care services.

    Science.gov (United States)

    Emuziene, Vilma

    2009-01-01

    This paper describes that the nurses attitudes, using and motivation towards the computer usage significantly influenced by area of nursing/health care service. Today most of the nurses traditionally document patient information in a medical record using pen and paper. Most nursing administrators not currently involved with computer applications in their settings are interested in exploring whether technology could help them with the day-to-day and long - range tasks of planning and evaluating nursing services. The results of this investigation showed that respondents (nurses), as specialists and nursing informatics, make their activity well: they had "positive" attitude towards computers and "good" or "average" computer skills. The nurses overall computer attitude did influence by the age of the nurses, by sex, by professional qualification. Younger nurses acquire informatics skills while in nursing school and are more accepting of computer advancements. The knowledge about computer among nurses who don't have any training in computers' significantly differs, who have training and using the computer once a week or everyday. In the health care services often are using the computers and the automated data systems, data for the statistical information (visit information, patient information) and billing information. In nursing field often automated data systems are using for statistical information, billing information, information about the vaccination, patient assessment and patient classification.

  20. Nurse-led liaison mental health service for older adults: service development using lean thinking methodology.

    Science.gov (United States)

    Atkinson, Paula; Mukaetova-Ladinska, Elizabeta B

    2012-04-01

    Liaison Psychiatric Services for Older Adults in the UK have been established over the last decade, with rather divergent team composition and involvement. The latest documents (National Dementia Strategy, Who Cares Wins) set the gold standard for liaison services for older adults in England, requiring a proactive approach to services and integrating assessment and treatment of mental disorder into routine general hospital practice. This requires a physical presence of liaison services in the hospital, with collaboration with medical colleagues. We have adopted the above strategy in a nurse-led liaison service working in a General District Hospital, and used the Toyota Production System. In the current study we reflect on the 5 day rapid progress improvement workshops event for the liaison branch of the project, and describe the process of identifying real situation problems for the care of the medically ill, the involvement of the liaison team in their clinical care, and a feedback on the change in practice. The novel approach of identifying areas for change in an ongoing nurse-led Liaison service for Older Adults resulted in improving access to mental health services for elderly medically ill inpatients and improved quality of their overall care. Copyright © 2011 Elsevier Inc. All rights reserved.

  1. The Urge to Merge: When Cellular Service Providers Pool Capacity

    CERN Document Server

    Hua, Sha; Panwar, Shivendra

    2011-01-01

    As cellular networks are turning into a platform for ubiquitous data access, cellular operators are facing a severe data capacity crisis due to the exponential growth of traffic generated by mobile users. In this work, we investigate the benefits of sharing infrastructure and spectrum among two cellular operators. Specifically, we provide a multi-cell analytical model using stochastic geometry to identify the performance gain under different sharing strategies, which gives tractable and accurate results. To validate the performance using a realistic setting, we conduct extensive simulations for a multi-cell OFDMA system using real base station locations. Both analytical and simulation results show that even a simple cooperation strategy between two similar operators, where they share spectrum and base stations, roughly quadruples capacity as compared to the capacity of a single operator. This is equivalent to doubling the capacity per customer, providing a strong incentive for operators to cooperate, if not a...

  2. Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

    Directory of Open Access Journals (Sweden)

    Fabian Ling Ngai Tung

    2016-01-01

    Full Text Available Objectives: to explore nurses' knowledge of universal health coverage (UHC for inclusive and sustainable development of elderly care services. Method: this was a cross-sectional survey. A convenience sample of 326 currently practicing enrolled nurses (EN or registered nurses (RN was recruited. Respondents completed a questionnaire which was based on the implementation strategies advocated by the WHO Global Forum for Governmental Chief Nursing Officers and Midwives (GCNOMs. Questions covered the government initiative, healthcare financing policy, human resources policy, and the respondents' perception of importance and contribution of nurses in achieving UHC in elderly care services. Results: the knowledge of nurses about UHC in elderly care services was fairly satisfactory. Nurses in both clinical practice and management perceived themselves as having more contribution and importance than those in education. They were relatively indifferent to healthcare policy and politics. Conclusion: the survey uncovered a considerable knowledge gap in nurses' knowledge of UHC in elderly care services, and shed light on the need for nurses to be more attuned to healthcare policy. The educational curriculum for nurses should be strengthened to include studies in public policy and advocacy. Nurses can make a difference through their participation in the development and implementation of UHC in healthcare services.

  3. A global service-learning experience for nursing students in Tanzania: a model for collaboration.

    Science.gov (United States)

    Kreye, Judy; Oetker-Black, Sharon

    2013-01-01

    This article addresses a model for creating a short-term global service-learning program. The Global Standards for the Initial Education of Professional Nurses and Midwives guided the development of a collaborative program involving a school of nursing in the Midwestern United States and one in Tanzania. Evaluation of the school of nursing and subsequent collaborative planning led to development and implementation of a 3-week global service-learning experience for nursing students. International academic partnerships, developed in accordance with WHO standards, will enhance educational experiences for nursing students both in the United States and abroad. © 2013 Wiley Periodicals, Inc.

  4. Analysis of Family Clinical, vision of service nurses

    Directory of Open Access Journals (Sweden)

    Daniele Merisio Raimundi

    2016-06-01

    Full Text Available Objective to know the practice of the Family Clinic in Cuiaba and its relationship with the precepts of the expanded clinic, from the perspective of the service nurses. Method qualitative descriptive research, data collection with semi-structured interviews and results analyzed according to the method of thematic content analysis. Results for nurses working in the service, this assumes a differentiated and innovative proposal, which seeks to correlate with shared management in its three spheres. Although most do not know the Enlarged Clinic term in his speech cited its main principles and its tools. The greatest potential described were related to the Support Center for Health and popular participation, and as challenges, the lack of community health worker, the national health establishment registration and the difficulty of operation due to the profile of the professionals technical level arising from secondary care. Conclusions The clinic has positive aspects that can contribute to the advancement of the profession, to train health professionals and an innovative primary care model. Therefore, it emphasizes the need for implementation of continuing education in order to realize its proposal, and further studies on site.

  5. Adult protective service use and nursing home placement.

    Science.gov (United States)

    Lachs, Mark S; Williams, Christianna S; O'Brien, Shelley; Pillemer, Karl A

    2002-12-01

    Adult Protective Services (APS) is the official state entity charged with advocacy for older adults who are victims of elder abuse or self-neglect. However, it has been speculated that APS intervention may lead disproportionately to nursing home placement (NHP). These analyses seek to determine if APS use is an independent risk factor for NHP. The sample was 2,812 community-dwelling older adults who were aged 65 years or older in 1982 in the New Haven Established Populations for Epidemiologic Studies in the Elderly cohort, a subset of whom were referred to elder protective services over a 9-year follow-up period from cohort inception. NHP of cohort members over that time period was determined. Rates of subsequent NHP were: 69.2% for self-neglecting subjects, 52.3% for mistreated subjects, and 31.8% for subjects who had no contact with APS (p self-neglect (hazard ratio [HR], 5.23; 95% confidence interval [CI], 4.07-6.72), and for elder mistreatment (HR, 4.02; 95% CI, 2.50-6.47). These hazards far exceeded those for other medical, functional, and social factors. APS use is an independent risk factor for nursing home placement; persons identified by APS as self-neglecting are at the highest risk.

  6. Influence of international service-learning on nursing student self-efficacy toward cultural competence.

    Science.gov (United States)

    Long, Tracey

    2014-08-01

    One method of gaining knowledge, skills, and experience with different cultures for nurses and nursing students is through an international immersion program of training in language, culture, and community nursing. This article presents a qualitative and quantitative research study of the influence of a 2-week service-learning medical experience of a nursing student group who traveled abroad to Belize, Central America. Copyright 2014, SLACK Incorporated.

  7. Use of mental health services by nursing home residents after hurricanes.

    Science.gov (United States)

    Brown, Lisa M; Hyer, Kathryn; Schinka, John A; Mando, Ahed; Frazier, Darvis; Polivka-West, Lumarie

    2010-01-01

    A growing body of research supports the value of mental health intervention to treat people affected by disasters. This study used a mixed-methods approach to evaluate pre- and posthurricane mental health service use in Florida nursing homes. A questionnaire was administered to 258 directors of nursing, administrators, and owners of nursing homes, representing two-thirds of Florida's counties, to identify residents' mental health needs and service use. In four subsequent focus group meetings with 22 nursing home administrators, underlying factors influencing residents' use of services were evaluated. Although most nursing homes provided some type of mental health care during normal operations, disaster-related mental health services were not routinely provided to residents. Receiving facilities were more likely than evacuating facilities to provide treatment to evacuated residents. Nursing home staff should be trained to deliver disaster-related mental health intervention and in procedures for making referrals for follow-up evaluation and formal intervention.

  8. Does empowering resident families or nursing home employees in decision making improve service quality?

    Science.gov (United States)

    Hamann, Darla J

    2014-08-01

    This research examines how the empowerment of residents' family members and nursing home employees in managerial decision making is related to service quality. The study was conducted using data from 33 nursing homes in the United States. Surveys were administered to more than 1,000 employees on-site and mailed to the primary-contact family member of each resident. The resulting multilevel data were analyzed using hierarchical linear modeling. The empowerment of families in decision making was positively associated with their perceptions of service quality. The empowerment of nursing staff in decision making was more strongly related to service quality than the empowerment of nonnursing staff. Among nursing staff, the empowerment of nursing assistants improved service quality more than the empowerment of nurses. © The Author(s) 2013.

  9. Community-Centered Service Learning: A Transformative Lens for Teaching-Learning in Nursing.

    Science.gov (United States)

    Yancey, Nan Russell

    2016-04-01

    Although service learning has been proposed as a teaching-learning modality in response to an ongoing challenge to transform nursing education, there is a risk to community and student when service learning is poorly conceived. A community-centered service learning approach founded on a nursing theoretical perspective and community model is explored as a way to honor the wisdom and perspective of the community in changing while illuminating a new way of being a nurse in community for the nursing student. © The Author(s) 2016.

  10. Student-Led Services in a Hospital Aged Care Temporary Stay Unit: Sustaining Student Placement Capacity and Physiotherapy Service Provisions

    Science.gov (United States)

    Nicole, Madelyn; Fairbrother, Michele; Nagarajan, Srivalli Vilapakkam; Blackford, Julia; Sheepway, Lyndal; Penman, Merrolee; McAllister, Lindy

    2015-01-01

    Through a collaborative university-hospital partnership, a student-led service model (SLS-model) was implemented to increase student placement capacity within a physiotherapy department of a 150 bed Sydney hospital. This study investigates the perceived barriers and enablers to increasing student placement capacity through student-led services…

  11. Customer service, access and capacity: vital signs for developing a marketing plan.

    Science.gov (United States)

    Bendycki, N; Zeroske, J

    1994-01-01

    Marketing plans that do not include an analysis of customer service, access and capacity issues are incomplete documents. Unresolved customer service, access and capacity issues can undermine an otherwise well-designed marketing plan. The medical and administrative leadership of the group practice or clinical department must work together to identify customer service, access and capacity issues which are affecting the practice's ability to respond to the needs of the marketplace. Someone with marketing expertise can provide valuable input to this process. The resulting solutions need to be developed which are realistic and in keeping with the general marketing direction of the practice.

  12. Critical service learning in community health nursing: enhancing access to cardiac health screening.

    Science.gov (United States)

    Gillis, Angela; Mac Lellan, Marian A

    2013-04-23

    Critical service learning (CSL) offers promise for preparing community health nursing students to be advocates for social justice and social change. The purpose of this article is to describe a community based CSL project designed to provide cardiac health screening to an underserviced population, wherein nursing's role in social justice is integrated into nursing practice. First, the relationship between social justice and CSL is explored. Then, the CSL approach is examined and differentiated from the traditional service learning models frequently observed in the nursing curriculum. The CSL project is described and the learning requisites, objectives, requirements, and project outcomes are outlined. While not a panacea for system reform, CSL offers nursing students avenues for learning about social justice and understanding the social conditions that underlie health inequalities. Nurse educators may benefit from the new strategies for incorporating social justice into nursing curriculum; this paper suggests that CSL offers one possibility.

  13. The history of nursing services and education in Sri Lanka and the effects on developing professionalism.

    Science.gov (United States)

    Jayasekara, Rasika S; McCutcheon, Helen

    2006-10-01

    Understanding the evolution of nursing in a country provides perspective on the origins of current successes and dilemmas and enables the development of strategies and plans for future trends in the profession. This article explores the evolution of nursing services and education in Sri Lanka and the effects on developing professionalism in nursing. Internet database searches, personal communication, and published and unpublished literature and reports were reviewed to obtain historical information on nursing services and education in Sri Lanka. The Sri Lankan health system is reviewed, and the establishment of Western medicine in Sri Lanka and its effects on developing institutionalized nursing education is presented, with a focus on the evolution of nursing education. Major challenges for the nursing profession in Sri Lanka are discussed, and some recommendations are shared.

  14. The usefulness of the Staff-Patient Interaction Response Scale for palliative care nursing for measuring the empathetic capacity of nursing students.

    NARCIS (Netherlands)

    Adriaansen, M.; Achterberg, T. van; Borm, G.

    2008-01-01

    In communicating with patients, especially patients receiving palliative care, empathy plays an important role. Little research has as yet been conducted into the development of the empathetic capacity of nursing students at various educational levels. An instrument that may be suitable for such res

  15. Regional public health preparedness teams in North Carolina: an analysis of their structural capacity and impact on services provided.

    Science.gov (United States)

    Horney, Jennifer A; Markiewicz, Milissa; Meyer, Anne Marie; Casani, Julie; Hegle, Jennifer; MacDonald, Pia D M

    2011-01-01

    In December 2001, the North Carolina Division of Public Health established Public Health Regional Surveillance Teams (PHRSTs) to build local public health capacity to prevent, prepare for, respond to, and recover from public health incidents and events. Seven PHRSTs are colocated at local health departments (LHDs) around the state. The authors assessed structural capacity of the PHRSTs and analyzed the relationship between structural capacity and the frequency of support and services provided to LHDs by PHRSTs. Five categories of structural capacity were measured: human, fiscal, informational, physical, and organizational resources. In addition, variation in structural capacity among teams was also examined. The most variation was seen in human resources. Although each team was originally designed to include a physician/epidemiologist, industrial hygienist, nurse/epidemiologist, and administrative support technician, team composition varied such that only the administrative support technician is common to all teams. Variation in team composition was associated with differences in the support and services that PHRSTs provide to LHDs. Teams that reported having a medical doctor or a doctor of osteopathic medicine (chi2 = 9.95; p < 0.01) or an epidemiologist (chi2 = 5.35; p < 0.02) had larger budgets and provided more support and services, and teams that housed a pharmacist reported more partners (chi2 = 52.34; p < 0.01). Teams that received directives from more groups (such as LHDs) also provided more support and services in planning (Z = 21.71; p < 0.01), communication and liaison (Z = 12.11; p < 0.01), epidemiology and surveillance (Z = 5.09; p < 0.01), consultation and technical support (Z = 2.25; p = 0.02), H1N1 outbreak assistance (Z = 10.25; p < 0.01), and public health event response (Z = 2.19; p = 0.03). In the last 10 years, significant variation in structural capacity, particularly in human resources, has been introduced among PHRSTs. These differences

  16. Civil Service Human Resource Capacity and Information Technology

    African Journals Online (AJOL)

    Tesfaye

    2009-01-01

    Jan 1, 2009 ... Abstract. The New Public Management (NPM) model has inspired reforms both in ... employees in Ethiopia and USA, so that the gap analysis between the two countries ... model for analysing the relationship between IT and human resource ... changing the structure of the civil service organisations. More.

  17. Differences between Irish and Australian psychiatric nurses' family-focused practice in adult mental health services

    LENUS (Irish Health Repository)

    Grant, Anne

    2016-04-01

    Psychiatric nurses\\' practice with parents who have mental illness, their children and families is an important issue internationally. This study provides a comparison of Irish and Australian psychiatric nurses\\' family-focused practices in adult mental health services. Three hundred and forty three nurses across Ireland and 155 from Australia completed the Family Focused Mental Health Practice Questionnaire. Cross-country comparisons revealed significant differences, in terms of family-focused skill, knowledge, confidence and practice. Australian psychiatric nurses engaged in higher family-focused practice compared to Irish nurses. The comparative differences between countries may be attributable to differences in training, workplace support and policy.

  18. 42 CFR 416.46 - Condition for coverage-Nursing services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Condition for coverage-Nursing services. 416.46 Section 416.46 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM AMBULATORY SURGICAL SERVICES Specific Conditions for Coverage §...

  19. Home health nursing care services in Greece during an economic crisis.

    Science.gov (United States)

    Adamakidou, T; Kalokerinou-Anagnostopoulou, A

    2017-03-01

    The purpose of this review was to describe public home healthcare nursing services in Greece. The effectiveness and the efficiency of home healthcare nursing are well documented in the international literature. In Greece, during the current financial crisis, the development of home healthcare nursing services is the focus and interest of policymakers and academics because of its contribution to the viability of the healthcare system. A review was conducted of the existing legislation, the printed and electronic bibliography related to the legal framework, the structures that provide home health care, the funding of the services, the human resources and the services provided. The review of the literature revealed the strengths and weaknesses of the existing system of home health care and its opportunities and threats, which are summarized in a SWOT analysis. There is no Greek nursing literature on this topic. The development of home health nursing care requires multidimensional concurrent and combined changes and adjustments that would support and strengthen healthcare professionals in their practices. Academic and nursing professionals should provide guidelines and regulations and develop special competencies for the best nursing practice in home health care. At present, in Greece, which is in an economic crisis and undergoing reforms in public administration, there is an undeniable effort being made to give primary health care the position it deserves within the health system. There is an urgent need at central and academic levels to develop home healthcare services to improve the quality and efficiency of the services provided. © 2016 International Council of Nurses.

  20. Service and education share responsibility for nurses' value development.

    Science.gov (United States)

    Schank, M J; Weis, D

    2001-01-01

    This article examines professional values of senior baccalaureate nursing students and practicing nurses. An important finding was that practicing nurses rated behaviors reflecting values in the American Nurses Association (ANA) Code for Nurses as more important than did senior students, thereby supporting the notion that practice contributes to value formation. The ongoing development and internalization of the nursing professions' values requires active involvement by staff development educators. The phenomena of value formation and development of professional values appear to mirror the novice to expert model.

  1. Emergency Medical Services Capacity for Prehospital Stroke Care

    Centers for Disease Control (CDC) Podcasts

    2013-09-05

    In this audio podcast, lead author and Preventing Chronic Disease’s 2013 Student Research Contest Winner, Mehul D. Patel, talks about his article on stroke care and emergency medical services.  Created: 9/5/2013 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 9/5/2013.

  2. Service user involvement in pre-registration general nurse education: a systematic review

    OpenAIRE

    Scammell, Janet; Heaslip, Vanessa; Crowley, Emma J.

    2016-01-01

    Aims and objectives: A systematic review of published studies on service user involvement in undergraduate, pre-registration general nursing education (excluding mental health-specific programmes). The objective is to examine how students are exposed to engagement with service users. Background: The requirement of service user involvement in all nurse education is policy expectation of health professional education providers, in response to the increased public and political expectations. Pre...

  3. The exploration of in-service training needs of psychiatric nurses / Herman Rankele Letlape

    OpenAIRE

    Letlape, Herman Rankele

    2012-01-01

    New research findings, changes in legislation and the use of information technology in nursing, requires continuous in-service training of psychiatric nurses (Booyens, 2004:381; Muller, 2004:294) to cope with, reflect on, evaluate and modify their clinical practice based on emerging knowledge (Cowen et al.,2009:2; Polit & Beck, 2006:4). Many studies have been conducted on the importance of in-service training, and authors agree that in-service training improves the quality of n...

  4. Service-linked scholarships, loans, and loan repayment programs for nurses in the southeast.

    Science.gov (United States)

    Thaker, Samir I; Pathman, Donald E; Mark, Barbara A; Ricketts, Thomas C

    2008-01-01

    A variety of public and private programs provide financial support for the costs of nurses' training in exchange for service commitments to work in rural, underserved, and other needy areas. Little is known about the number, size, and operations of these support-for-service programs for nurses. We identified and in this article describe such programs in eight southeastern states. Eligible programs were those that in 2004 paid for all or a portion of nurses' education costs in exchange for a period of clinical nursing service within one or more of the eight targeted states. Programs obligating nurses to a specific hospital, practice, or community or to teaching roles were excluded. Programs were identified through available compendia, online searches, and telephone contacts with program directors, nursing school administrators, and state officials. Additional data on eligible programs were gathered through telephone interviews and questionnaires mailed to program staff and from publicly available documents. Data were double coded, and qualitative and quantitative analyses were conducted. Twenty-four nursing support-for-service programs met our eligibility criteria in the eight-state region: nine scholarship programs; six loan repayment programs; five service-cancelable loan programs; two loan interest rate reduction programs; and two direct incentive programs. These programs had fiscal year 2004 budgets totaling approximately $28.8-31.8 million; collectively, they received approximately 11,700 applications from nurses, signed approximately 8,300 contracts, and had a combined field strength of approximately 4,900 nurses working to fulfill their program obligations. Individual states offered between zero and five eligible programs each. Support-for-service programs are a substantial component of federal and state nursing workforce distribution efforts in the Southeast. Future research should identify and describe these programs for other regions, measure outcomes, and

  5. [Advanced nursing practice: a must for the quality of care and mental health services].

    Science.gov (United States)

    Ricard, Nicole; Page, Claire; Laflamme, France

    2014-01-01

    New professional legislation and reorganization of mental health services have had a significant influence on mental health nursing practice. Many nurses have demonstrated clinical leadership and have been able to adapt their services to the needs of the population specially in the primary health care setting. However, many believe that the role of nurses is not sufficiently known and optimally utilized in mental health services. In this article we take a critical look at the mental health nursing practice in Quebec and at the essential requirements for its development. This review aims to: 1) describe current trends in the changing roles and the modernization of mental health nursing practice in Quebec, 2) provide an overview of the development of advanced nursing practice and its impact on the quality of mental health services; 3) clarify the concept of advanced nursing practice and position its development in Quebec and 4) propose various strategies for optimizing the role of nurses and their complementarity with other professionals providing mental health services. This review presents innovative practices developed by nurses in the context of the restructuring of mental health services. For example, new nursing roles have been developed to improve the collaboration with general practitioners groups in primary care settings and facilitate the evaluation and monitoring of patient presenting medical and psychological problems. Another interesting innovation was set up by nurses in developing a new service to allow timely access to integrated care for patients with substance abuse and mental health problems. The various testimonies reported in this article illustrate the potential contribution of these nursing innovations in improving the mental health services in Quebec. Also, in few countries, the reform of mental health services has been a good time to recognize this potential. Thus, some countries have repositioned the role of mental health nurses and

  6. Academy and health services in the consolidation of boarding school of nursing

    Directory of Open Access Journals (Sweden)

    Simone Domingues Garcia

    2015-03-01

    Full Text Available The study aimed to analyze the perception of teachers and nurses on the structure of the nursing internship at a public university of Paraná. We used a qualitative methodology to the collection in the period from March to August 2012. We used the electronic tool Google Docs, which enables the use of open and closed questions as well as data storage. The 27 study participants were nurse teachers and from the services used as training field of nursing internship. Data analysis enabled the establishment of two categories: Partnership between academia and health services: the construction of the completion of the internship and nursing boarding rating: structuring effectiveness. The results showed that the basis of consolidation of the nursing internship is the partnership of academia with health institutions and the strengthening of innovative educational proposals, as the systematic participatory assessments among stakeholders guided by the required reality of the labor market.

  7. An order insertion scheduling model of logistics service supply chain considering capacity and time factors.

    Science.gov (United States)

    Liu, Weihua; Yang, Yi; Wang, Shuqing; Liu, Yang

    2014-01-01

    Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful.

  8. An Order Insertion Scheduling Model of Logistics Service Supply Chain Considering Capacity and Time Factors

    Directory of Open Access Journals (Sweden)

    Weihua Liu

    2014-01-01

    Full Text Available Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC, which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order’s volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful.

  9. An Order Insertion Scheduling Model of Logistics Service Supply Chain Considering Capacity and Time Factors

    Science.gov (United States)

    Yang, Yi; Wang, Shuqing; Liu, Yang

    2014-01-01

    Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful. PMID:25276851

  10. 42 CFR 438.207 - Assurances of adequate capacity and services.

    Science.gov (United States)

    2010-10-01

    ... HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and Performance Improvement Access Standards § 438.207 Assurances of adequate capacity and services. (a) Basic rule. The State... that is sufficient in number, mix, and geographic distribution to meet the needs of the anticipated...

  11. Challenges to HIV service provision: the commonalities for nurses and social workers.

    Science.gov (United States)

    Olivier, C; Dykeman, M

    2003-10-01

    Interdisciplinary collaboration can be enhanced through an understanding of the challenges and needs associated with service provision. This study explores the experiences of 192 service providers, with additional comparisons of nurses and social workers. Service providers reported fear of contracting HIV, feeling helpless, problems getting up-to-date information, grief and inadequate referral resources. Except for many more nurses expressing worry about contracting HIV, nurses and social workers shared many of the same problems. In addition, both groups were concerned with the comprehensive health needs of people living with HIV/AIDS. Moreover, they demonstrated shared professional values such as the importance of self-awareness and professional knowledge, positive and non-judgemental attitudes, and non-discriminatory treatment of client groups. This commonality makes nurses and social workers natural allies in responding to the many challenges associated with HIV service provision. Study findings support collaboration in the areas of service delivery, policy development, advocacy and professional development.

  12. Development of community nursing: analysis of the central services and practice dilemmas.

    Science.gov (United States)

    Timpka, T; Svensson, B; Molin, B

    1996-06-01

    As examples of nurse practitioners in primary care, Swedish district nurses have been shown, in several studies, to respond well to the general pressure to achieve higher productivity in health care. Yet they have less frequently been involved in studies of the detailed content of the service they provide. To maintain total service quality, change should not be brought about only for the sake of efficacy. This study is divided into an analysis of the basic service provided in district nursing by identifying a typical interaction with a patient; and an analysis of the daily dilemmas district nurses experience, their consequences, and possible measures for change. For the consultation study, data were collected from 40 videorecordings of office-hour consultations by a rural district nurse. Regarding the dilemma situations, a critical incident questionnaire was returned by 153 district nurses in a Swedish country. The analyses showed that the district nurse practises in an area between self-care on the one hand, and the intersection of the different specialties in health care, on the other. Both the consultation study and the study of dilemmas in practice showed that the district nurse has to approach the health care organisation from a viewpoint close to that of the patient, which implies that she can, and has to, maintain an overview of the patient's total interaction with social institutions. This focal localisation of the shared care and co-ordination aspects constitutes a critical target for change and development efforts. The conclusions are that, first, the role of the district nurse/nurse practitioner as co-ordinator and advocate in patient-centred care could be considered in central health services policies and planning. Second, the content of the district nurses' daily work could be taken into account in the implementation of quality programs. These measures together can lead to an integration between today's theoretical nursing models and the dynamically

  13. The role of service-user feedback in undergraduate nursing courses.

    Science.gov (United States)

    Ward, Sue; Benbow, Judith

    2016-07-14

    There is an increasing expectation that service users should contribute in a meaningful way to student nurse education courses. This article describes how service-user feedback on undergraduate student nurses' performance during practice learning opportunities (PLOs) gives an insight into the qualities service users value in student nurses. At Cardiff University, the new Bachelor of Nursing course, launched in September 2012, took into account the Nursing and Midwifery (NMC) standards for preregistration, implementing a mechanism for service users to feed back on students' clinical performance. To facilitate this service, user/carer feedback pages were inserted into the students' bound clinical practice portfolio. A large sample of the clinical portfolios (n=100) from one cohort across adult, child and mental health nursing fields were examined at the end of year 1, year 2 and again at the end of year 3, and service users' comments collated. In considering the words used by service users, the authors propose that they reflected the six fundamental values-or 6Cs-of care, compassion, competence, communication, courage and commitment that underpin the delivery of excellent care. Conclusions drawn from the feedback were that students exhibited the caring and professional qualities that service users value, and indeed showed the dignity and respect for patients and people that the profession demands.

  14. Using the Donabedian framework to examine the quality and safety of nursing service innovation.

    Science.gov (United States)

    Gardner, Glenn; Gardner, Anne; O'Connell, Jane

    2014-01-01

    To evaluate the safety and quality of nurse practitioner service using the audit framework of Structure, Process and Outcome. Health service and workforce reform are on the agenda of governments and other service providers seeking to contain healthcare costs whilst providing safe and effective health care to communities. The nurse practitioner service is one health workforce innovation that has been adopted globally to improve timely access to clinical care, but there is scant literature reporting evaluation of the quality of this service innovation. A mixed-methods design within the Donabedian evaluation framework was used. The Donabedian framework was used to evaluate the Structure, Process and Outcome of nurse practitioner service. A range of data collection approaches was used, including stakeholder survey (n = 36), in-depth interviews (11 patients and 13 nurse practitioners) and health records data on service processes. The study identified that adequate and detailed preparation of Structure and Process is essential for the successful implementation of a service innovation. The multidisciplinary team was accepting of the addition of nurse practitioner service, and nurse practitioner clinical care was shown to be effective, satisfactory and safe from the perspective of the clinician stakeholders and patients. This study demonstrated that the Donabedian framework of Structure, Process and Outcome evaluation is a valuable and validated approach to examine the safety and quality of a service innovation. Furthermore, in this study, specific Structure elements were shown to influence the quality of service processes further validating the framework and the interdependence of the Structure, Process and Outcome components. Understanding the Structure and Process requirements for establishing nursing service innovation lays the foundation for safe, effective and patient-centred clinical care. © 2013 John Wiley & Sons Ltd.

  15. Nurse-led sexually transmitted disease clinics: staff perceptions concerning the quality of the service.

    Science.gov (United States)

    Mindel, A; Fennema, J S A; Christie, E; van Leent, E

    2009-11-01

    The aim of this study was to evaluate staff perception of a nurse-led sexually transmitted infection (STI) clinical service. The staff at the Amsterdam STI clinic were interviewed using a standardized questionnaire. A series of eight questions was designed to determine the perceived advantages or disadvantages of nurse-led clinics, based on personal experience, using a Likert scale. After completion of the structured interview, the staff were offered the opportunity of providing comments. All 36 members of staff completed the survey. Twenty-seven (75%) agreed or strongly agreed that nurse-led clinics provided more time with patients. Sixty-four percent agreed or strongly agreed that such a service provided greater confidentiality and 94% agreed or strongly agreed that 'nurse-led clinics provided a high level of job satisfaction for nurses.' In contrast, only 64% agreed or strongly agreed that nurse-led clinics provided a high level of job satisfaction for doctors. When staff comments were evaluated, four common themes emerged. First, that this was an efficient way of providing services; second, that the clinic was a pleasant environment, there was excellent teamwork and greater job satisfaction; third, that a good deal of rivalry existed between doctors and nurses and finally, that there was a need for and importance of protocols, rules and staff training and development. In conclusion, there was a high level of staff satisfaction with the service. Nurse-led STI clinics may be a useful adjunct to existing STI facilities.

  16. Service Learning: Providing the Building Blocks for a Socially Responsible Nursing Role

    Science.gov (United States)

    Johnson, Judith M.

    2013-01-01

    An explanatory correlational study was conducted to explore whether and to what extent a relationship between hours of participation in service learning and commitment to social responsibility exists for students enrolled in pre-licensure baccalaureate-nursing programs currently participating in the Nursing Licensure Compact. The convenience…

  17. Inservice Education: Consultation and Related Services for Nursing Home Personnel. Final Report.

    Science.gov (United States)

    United Hospital Fund of New York, NY.

    A project to demonstrate how a team of instructor/consultants could function on a regional basis to help upgrade inservice education programs in nursing homes was conducted. The design of this Nursing Home Training Program was structured to allow for changes in demonstrated services in accordance with reactions of participants. An advisory and an…

  18. In-service education and training as experienced by registered nurses

    Directory of Open Access Journals (Sweden)

    T.F. Norushe

    2004-09-01

    Full Text Available Nursing is a dynamic profession that is subject to rapid changes in health care provision, hence the need for inservice training programmes for nurses. Newly employed registered nurses require in-service training in order to update them regarding the latest developments in nursing practice. The researcher noted that some newly appointed registered nurses were not competent in all aspects relating to their tasks. This could have been due to a knowledge deficit relating to either new developments or of the procedure relating to a specific task. In some institutions newly-appointed registered nurses on probation reported not receiving in-service training for six months or longer, yet they were still expected to perform their tasks efficiently. The objectives of the study were to, firstly, explore and describe the experiences of registered nurses regarding in-service training programmes in their institutions and, secondly, to make recommendations to Nursing Service Managers relating to the development of effective inservice training programmes in their institutions. A qualitative, exploratory, descriptive design was implemented. Data was analysed using Tesch’s descriptive approach.

  19. Service Learning: Providing the Building Blocks for a Socially Responsible Nursing Role

    Science.gov (United States)

    Johnson, Judith M.

    2013-01-01

    An explanatory correlational study was conducted to explore whether and to what extent a relationship between hours of participation in service learning and commitment to social responsibility exists for students enrolled in pre-licensure baccalaureate-nursing programs currently participating in the Nursing Licensure Compact. The convenience…

  20. 5 CFR 831.304 - Service with the Cadet Nurse Corps during World War II.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Service with the Cadet Nurse Corps during World War II. 831.304 Section 831.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED... Nurse Corps during World War II. (a) Definitions and special usages. In this section— (1) Basic pay is...

  1. Cracking the nut of service-learning in nursing at a higher educational institution.

    Science.gov (United States)

    Julie, Hester; Adejumo, Oluyinka A; Frantz, Jose M

    2015-03-20

    The readiness of academics to engage in the service-learning (SL) institutionalisation process is not accentuated in research on SL institutionalisation in South Africa. The argument has been advanced that SL scholarship and willingness of key stakeholders are crucial for SL institutionalisation at the academic programme level. The research focus of the study being reported here was on readiness of respondents to embed SL in the curricula of the nursing programme. This study used a quantitative, exploratory and descriptive design. A self-administered structured questionnaire was used to collect data from a stratified sample comprising 34 respondents. The data were analysed for descriptive statistics using SPSS 19. The demographic profile of the respondents indicated that 31 (66%) were between 31 and 50 years old; 36 (75.16%) had a minimum of 10 years' nursing experience; 19 (39.6%) had a master's degree, two (4.2%) had a doctorate; and 29 (60.4%) had been employed by the school for a maximum of five years. The results indicated that the nurse educators were in need of SL capacity-building because 9 (18.8%) had limited or no knowledge of SL and 24 (50%) confused SL with other forms of community engagement activities. However, only 15 (33%) of the clinical supervisors and 13 (27%) of the lecturers indicated a willingness to participate in such a programme. The school was not ready to embed SL in the academic programme because of a lack of SL scholarship and willingness to remediate the identified theory-practice gaps.

  2. Cracking the nut of service-learning in nursing at a higher educational institution

    Directory of Open Access Journals (Sweden)

    Hester Julie

    2015-02-01

    Full Text Available Background: The readiness of academics to engage in the service-learning (SL institutionalisation process is not accentuated in research on SL institutionalisation in South Africa. The argument has been advanced that SL scholarship and willingness of key stakeholders are crucial for SL institutionalisation at the academic programme level.Aim: The research focus of the study being reported here was on readiness of respondents to embed SL in the curricula of the nursing programme.Method: This study used a quantitative, exploratory and descriptive design. A self-administered structured questionnaire was used to collect data from a stratified sample comprising 34 respondents. The data were analysed for descriptive statistics using SPSS 19.Results: The demographic profile of the respondents indicated that 31 (66% were between 31 and 50 years old; 36 (75.16% had a minimum of 10 years’ nursing experience; 19 (39.6% had a master’s degree, two (4.2% had a doctorate; and 29 (60.4% had been employed by the school for a maximum of five years. The results indicated that the nurse educators were in need of SL capacity-building because 9 (18.8% had limited or no knowledge of SL and 24 (50% confused SL with other forms of community engagement activities. However, only 15 (33% of the clinical supervisors and 13 (27% of the lecturers indicated a willingness to participate in such a programme.Conclusion: The school was not ready to embed SL in the academic programme because of a lack of SL scholarship and willingness to remediate the identified theory–practice gaps.

  3. From a bundled energy-capacity pricing model to an energy-capacity-ancillary services pricing model

    Energy Technology Data Exchange (ETDEWEB)

    Raineri, Ricardo; Arce, Raul; Salamanca, Carlos [Departamento de Ingenieria Industrial y de Sistemas, Pontificia Universidad Catolica de Chile, Casilla 306, Correo 22, Santiago (Chile); Rios, Sebastian [Departamento de Ingenieria Electrica, Pontificia Universidad Catolica de Chile, Casilla 306, Correo 22, Santiago (Chile)

    2008-08-15

    In this paper, we extend the Chilean power generation pricing mechanism, with capacity and energy payments, to one where ancillary services (AS), as frequency regulation and voltage control, are explicitly recognized. Adequacy and security attributes of the electric system and the public good characteristics of AS are set within the payment structure to distribute the financing of AS among those who benefit from their provision. The contribution to finance the provision of AS is determined assessing the value assigned to the system security by each agent, following what's an efficient pricing mechanism in the presence of public goods. (author)

  4. Nursing management in hospital emergency service: integrative review of the literature

    Directory of Open Access Journals (Sweden)

    Renata Cristina Antonelli

    2014-12-01

    Full Text Available This is an integrative literature review, which aims to analyze scientific articles that discuss the work of nurses in the management of hospital emergency services. The databases used were Latin American and Caribbean Health Science Literature (LILACS, Medical Literature Analysis and Retrieval System Online (MEDLINE, Integrated Building Environmental Communications System (IBECS, Scientific Electronic Library Online (SciELO and Nursing Database (BDENF. To conduct the survey, 10 articles were selected and classified into two themes, namely: "analyzing the work of the nurse in hospital emergency services" and "organizing the nurse work in hospital emergency services". The first category discussed the functions of the nurse and the satisfaction of these professionals, and the second, the problems identified in the hospital emergency service and strategies to organize the service, respectively. The theme developed showed how the work of the nurse presents as manager of that service, in addition to various strategies to alleviate or eliminate the identified problems in the urgency and emergency units of the hospital services.

  5. Educating nurse leaders for board service: the northwest organization of nurse executives' story.

    Science.gov (United States)

    Brown, Laurie

    2015-01-01

    As more nurses consider serving on boards, it is important that they have resources to help them prepare for trustee positions. The Northwest Organization of Nurse Executives (NWONE) has recently put together a program to introduce nurse leaders to these roles. A variety of experts and experienced nurse board members shared their experiences and advice to the organization's members. NWONE encourages other organizations to support individuals who can add value to governance as we move into the next era.

  6. Shifting boundaries: religion, medicine, nursing and domestic service in mid-nineteenth-century Britain.

    Science.gov (United States)

    Helmstadter, Carol

    2009-06-01

    The boundaries between medicine, religion, nursing and domestic service were fluid in mid-nineteenth-century England. The traditional religious understanding of illness conflicted with the newer understanding of anatomically based disease, the Anglican sisters were drawing a line between professional nursing and the traditional role of nurses as domestic servants who looked after sick people as one of their many duties, and doctors were looking for more knowledgeable nurses who could carry out their orders competently. This prosopographical study of the over 200 women who served as government nurses during the Crimean War 1854-56 describes the status of nursing and provides a picture of the religious and social structure of Britain in the 1850s. It also illustrates how religious, political and social factors affected the development of the new nursing. The Crimean War nurses can be divided into four major groups: volunteer secular ladies, Roman Catholic nuns, Anglican sisters and working-class hospital nurses. Of these four groups I conclude that it was the experienced working-class nurses who had the greatest influence on the organization of the new nursing.

  7. Solving a Location, Allocation, and Capacity Planning Problem with Dynamic Demand and Response Time Service Level

    Directory of Open Access Journals (Sweden)

    Carrie Ka Yuk Lin

    2014-01-01

    Full Text Available Logistic systems with uncertain demand, travel time, and on-site processing time are studied here where sequential trip travel is allowed. The relationship between three levels of decisions: facility location, demand allocation, and resource capacity (number of service units, satisfying the response time requirement, is analysed. The problem is formulated as a stochastic mixed integer program. A simulation-based hybrid heuristic is developed to solve the dynamic problem under different response time service level. An initial solution is obtained from solving static location-allocation models, followed by iterative improvement of the three levels of decisions by ejection, reinsertion procedure with memory of feasible and infeasible service regions. Results indicate that a higher response time service level could be achieved by allocating a given resource under an appropriate decentralized policy. Given a response time requirement, the general trend is that the minimum total capacity initially decreases with more facilities. During this stage, variability in travel time has more impact on capacity than variability in demand arrivals. Thereafter, the total capacity remains stable and then gradually increases. When service level requirement is high, the dynamic dispatch based on first-come-first-serve rule requires smaller capacity than the one by nearest-neighbour rule.

  8. Innovative Use of Service-Learning to Enhance Baccalaureate Nursing Education.

    Science.gov (United States)

    Taylor, Wanda; Pruitt, Rosanne; Fasolino, Tracy

    2017-09-01

    Service-learning is an established pedagogical approach to nursing education found primarily in community nursing. With changing health care landscapes, the expansion of service-learning projects throughout the nursing program provides opportunities to enrich assessment and critical thinking and amplify exposure to determinants of health. Implementing service-learning in foundational nursing courses allows students to be challenged with the application of complex care management within a context of caring, cultural competence, social responsibility, and self-care initiatives. Integrating service-learning throughout the nursing curriculum has the potential to make positive, sustainable changes within a community, while simultaneously preparing students to view clients holistically, think critically, and develop cultural competence. Enhancing nursing curriculum by integrating service-learning opportunities can strengthen the learning experience and foster concepts of caring, social responsibility, cultural competence, and self-care. Working with community leaders from diverse groups can lead to sustainable projects that simultaneously benefit the community and nursing education. [J Nurs Educ. 2017;56(9):560-563.]. Copyright 2017, SLACK Incorporated.

  9. The Impact of Comprehensive School Nursing Services on Students' Academic Performance.

    Science.gov (United States)

    Kocoglu, Deniz; Emiroglu, Oya Nuran

    2017-03-01

    Introduction: School nursing services should be evaluated through health and academic outcomes of students; however, it is observed that the number of studies in this field is limited. The aim of this study is to evaluate the impact of comprehensive school nursing services provided to 4th grade primary school students on academic performance of students. Methods: The quasi-experimental study was conducted with 31 students attending a randomly selected school in economic disadvantaged area in Turky. Correlation analysis, repeated measures analyses of variance, multiple regression analysis were used to analyze the data with SPSS software. Results: At the end of school nursing practices, an increase was occurred in students' academic achievement grades whereas a decrease was occurred in absenteeism and academic procrastination behaviors. Whilst it was determined that nursing interventions including treatment/ procedure and surveillance was associated to the decrease of absenteeism, it also was discovered that the change in the health status of the student after nursing interventions was related to the increase of the academic achievement grade and the decrease of the academic procrastination behavior score. Conclusion: In this study, the conclusion that comprehensive school nursing services contributed positively to the academic performance of students has been reached. In addition, it can be suggested that effective school nursing services should include services such as acute-chronic disease treatment, first aid, health screening, health improvement-protection, health education, guidance and counseling and case management.

  10. The Impact of Comprehensive School Nursing Services on Students' Academic Performance

    Science.gov (United States)

    Kocoglu, Deniz; Emiroglu, Oya Nuran

    2017-01-01

    Introduction: School nursing services should be evaluated through health and academic outcomes of students; however, it is observed that the number of studies in this field is limited. The aim of this study is to evaluate the impact of comprehensive school nursing services provided to 4th grade primary school students on academic performance of students. Methods: The quasi-experimental study was conducted with 31 students attending a randomly selected school in economic disadvantaged area in Turky. Correlation analysis, repeated measures analyses of variance, multiple regression analysis were used to analyze the data with SPSS software. Results: At the end of school nursing practices, an increase was occurred in students’ academic achievement grades whereas a decrease was occurred in absenteeism and academic procrastination behaviors. Whilst it was determined that nursing interventions including treatment/ procedure and surveillance was associated to the decrease of absenteeism, it also was discovered that the change in the health status of the student after nursing interventions was related to the increase of the academic achievement grade and the decrease of the academic procrastination behavior score. Conclusion: In this study, the conclusion that comprehensive school nursing services contributed positively to the academic performance of students has been reached. In addition, it can be suggested that effective school nursing services should include services such as acute-chronic disease treatment, first aid, health screening, health improvement-protection, health education, guidance and counseling and case management. PMID:28299293

  11. The Impact of Comprehensive School Nursing Services on Students' Academic Performance

    Directory of Open Access Journals (Sweden)

    Deniz Kocoglu

    2017-03-01

    Full Text Available Introduction: School nursing services should be evaluated through health and academic outcomes of students; however, it is observed that the number of studies in this field is limited. The aim of this study is to evaluate the impact of comprehensive school nursing services provided to 4th grade primary school students on academic performance of students. Methods: The quasi-experimental study was conducted with 31 students attending a randomly selected school in economic disadvantaged area in Turky. Correlation analysis, repeated measures analyses of variance, multiple regression analysis were used to analyze the data with SPSS software. Results: At the end of school nursing practices, an increase was occurred in students’ academic achievement grades whereas a decrease was occurred in absenteeism and academic procrastination behaviors. Whilst it was determined that nursing interventions including treatment/ procedure and surveillance was associated to the decrease of absenteeism, it also was discovered that the change in the health status of the student after nursing interventions was related to the increase of the academic achievement grade and the decrease of the academic procrastination behavior score. Conclusion: In this study, the conclusion that comprehensive school nursing services contributed positively to the academic performance of students has been reached. In addition, it can be suggested that effective school nursing services should include services such as acute-chronic disease treatment, first aid, health screening, health improvement-protection, health education, guidance and counseling and case management.

  12. Linking public health nursing competencies and service-learning in a global setting.

    Science.gov (United States)

    Brown, Cynthia L

    2017-05-11

    Nurse educators in baccalaureate programs are charged with addressing student competence in public health nursing practice. These educators are also responsible for creating nursing student opportunities for civic engagement and development of critical thinking skills. The IOM report (2010) on the Future of Nursing emphasizes the nurse educator's role in promoting collaborative partnerships that incorporate interdisciplinary and intraprofessional efforts to promote health. The purpose of this article is to describe an innovative approach to address public health nursing competencies and to improve the health and well-being of indigenous populations in a global setting through promotion of collaboration and service- learning principles. As part of a hybrid elective course, baccalaureate nursing students from various nursing tracks participated in a 2 week immersion experience in Belize that included preimmersion preparation. These students were to collaborate among themselves and with Belizean communities to address identified health knowledge deficits and health-related needs for school-aged children and adult populations. Students successfully collaborated in order to meet health-related needs and to engage in health promotion activities in the Toledo district of Belize. They also gained practice in developing public health nursing competencies for entry-level nursing practice. Implementation of service-learning principles provided students with opportunities for civic engagement and self-reflection. Some challenges existed from the students', faculty, and global community's perspectives. Lack of culturally appropriate and country specific health education materials was difficult for students and the community. Faculty encountered challenges in communicating and collaborating with the Belizean partners. Commonalities exist between entry-level public health nursing competencies and service-learning principles. Using service-learning principles in the development of

  13. Graduate nurses' experiences of mental health services in their first year of practice: An integrative review.

    Science.gov (United States)

    Hooper, Mary-Ellen; Browne, Graeme; O'Brien, Anthony Paul

    2016-08-01

    New graduate nurses have reported negative experiences in mental health settings, particularly during the transitional period of practice. Previous research has focused on addressing the undergraduate preparation of nurses for practice instead of the experiences and outcomes of the transitional period. Recently, there has been growing interest in exploring the experiences of graduate nurses in transition and the implementation of promising interventions to facilitate new graduates' assimilation to practice. Despite these initiatives, the overall shortage of mental health nurses continues to rise, and graduates still report negative experiences in the mental health setting. The purpose of this study was to identify and explore the experiences of new graduate nurses in mental health services in their first year of clinical practice. An integrative review was conducted with 22 studies sourced from the CINAHL, PubMed, Scopus, and PsychINFO electronic databases, as well as through hand-searching the literature. Literature review findings have highlighted negative clinical experiences and increased attrition from mental health services for graduate nurses. These experiences were closely linked with the changes in the training of mental health nurses, role ambiguity, inadequate clinical preceptorship, encountering the reality of mental health services, and the role of health services in transitioning graduate nurses into clinical practice. Established research into organizational cultures demonstrates that negative organizational outcomes result from negative workplace experiences. Therefore, further research into new graduate nurses' experiences of mental health nursing and its culture might clarify the reasons why they might not be attracted to the discipline and/or are leaving early in their career. © 2016 Australian College of Mental Health Nurses Inc.

  14. Ecosystem services capacity across heterogeneous forest types: understanding the interactions and suggesting pathways for sustaining multiple ecosystem services.

    Science.gov (United States)

    Alamgir, Mohammed; Turton, Stephen M; Macgregor, Colin J; Pert, Petina L

    2016-10-01

    As ecosystem services supply from tropical forests is declining due to deforestation and forest degradation, much effort is essential to sustain ecosystem services supply from tropical forested landscapes, because tropical forests provide the largest flow of multiple ecosystem services among the terrestrial ecosystems. In order to sustain multiple ecosystem services, understanding ecosystem services capacity across heterogeneous forest types and identifying certain ecosystem services that could be managed to leverage positive effects across the wider bundle of ecosystem services are required. We sampled three forest types, tropical rainforests, sclerophyll forests, and rehabilitated plantation forests, over an area of 32,000m(2) from Wet Tropics bioregion, Australia, aiming to compare supply and evaluate interactions and patterns of eight ecosystem services (global climate regulation, air quality regulation, erosion regulation, nutrient regulation, cyclone protection, habitat provision, energy provision, and timber provision). On average, multiple ecosystem services were highest in the rainforests, lowest in sclerophyll forests, and intermediate in rehabilitated plantation forests. However, a wide variation was apparent among the plots across the three forest types. Global climate regulation service had a synergistic impact on the supply of multiple ecosystem services, while nutrient regulation service was found to have a trade-off impact. Considering multiple ecosystem services, most of the rehabilitated plantation forest plots shared the same ordination space with rainforest plots in the ordination analysis, indicating that rehabilitated plantation forests may supply certain ecosystem services nearly equivalent to rainforests. Two synergy groups and one trade-off group were identified. Apart from conserving rainforests and sclerophyll forests, our findings suggest two additional integrated pathways to sustain the supply of multiple ecosystem services from a

  15. Emergency nurse practitioner services in major accident and emergency departments: a United Kingdom postal survey.

    OpenAIRE

    Tye, C C; Ross, F.; Kerry, S. M.

    1998-01-01

    OBJECTIVE: To establish the current and predicted distribution of formal emergency nurse practitioner services in major accident and emergency departments in the United Kingdom; to determine organisational variations in service provision, with specific reference to funding, role configuration, training, and scope of clinical activity. METHODS: Postal survey of senior nurses of all major accident and emergency departments in the United Kingdom (n = 293) in May/June 1996. RESULTS: There were 27...

  16. Acute back pain management in primary care: a qualitative pilot study of the feasibility of a nurse-led service in general practice.

    Science.gov (United States)

    Breen, Alan; Carr, Eloise; Mann, Eileen; Crossen-White, Holly

    2004-05-01

    (1) To determine the acceptability of the Royal College of General Practitioner Guidelines to small samples of nurses, General Practitioners and acute back pain patients, (2) to determine what additional roles for nurses in the management of acute back pain in primary care might be acceptable to these samples, (3) to evaluate the responses of General Practitioners, nurses and patients to a suggested service model based on the RCGP Guidelines, (4) to identify opportunities for and barriers to the further development of such models and to obtain the appraisal of the above by an external group of assessors. Using a qualitative design the pilot study included Primary Care (General Practitioners, Practice Nurses and Patients) with the main outcome measures as: appraisal questionnaires (for RCGP Guideline), qualitative content analysis of focus group narratives, and appraisal of process and outcomes by an external panel. Attitudes towards the RCGP guidelines were positive, but professionals and patients alike did not think their recommendations could be implemented with the current service provision in primary care. There was criticism by professionals of the capacity for a nurse-led service within practices. Access to chiropractors, osteopaths and/or specialist physiotherapists in National Health Service primary care was raised as a need by both groups. All members of the Advisory Panel approved the processes for the recruitment of participants, focus group questions and analysis. Barriers to implementation of the RCGP Guideline and to a nurse-led acute back pain service in general practice, were illustrated. These mainly relate to grossly inadequate capacity to deal with multidimensional patient needs, allowing progression to chronic pain states and much higher health care costs. There was a strong desire to include a different group of professionals in primary care. We recommend a local needs assessment and consideration of a national strategy for the implementation

  17. Transformational leadership in nursing service. A test of theory.

    Science.gov (United States)

    McDaniel, C; Wolf, G A

    1992-02-01

    What are the leadership dimensions that result in low turnover or work satisfaction? Intellectual stimulation, charisma, and individual consideration constitute aspects of transformational leadership that are suggested to enhance retention and staff satisfaction. In this study, the authors tested transformational leadership theory in one nursing department with an executive, 11 midlevel administrators, and 77 staff registered nurses. Findings support the predictions. Composed of teachable components, transformational factors are similar to leadership qualities described in magnet hospitals, offering positive implications for nursing administration and professional nursing practice.

  18. A changing landscape: mapping provider organisations for community nursing services in England.

    Science.gov (United States)

    Spilsbury, Karen; Pender, Sue

    2015-01-01

    To scope the provision of community nursing services in England after implementation of the Transforming Community Services Programme. Over the past decade, significant UK policy initiatives have shaped the structure, organisation and responsibilities of community nursing services. Understanding these organisational changes is important in the context of organisations seeking to deliver 'care closer to home'. A systematic mapping exercise to scope and categorise community nursing service organisation provider models. There are 102 provider organisations representing a range of organisational models. Two-thirds of these organisations have structurally integrated with another NHS Trust. Smaller numbers reorganised to form community trusts or community interest companies. Only a few services have been tendered to an accredited willing provider while a small number have yet to establish their new service model. Local discretion appears to have dominated the choice of organisational form. National policies have driven the reorganisation of community nursing services and we have been able to describe, for the first time, these 'transformed' structures and organisations. Providing detail of these 'new' models of service provision, and where these have been introduced, is new information for nurse managers, policy makers and organisational leaders, as well as researchers. © 2013 John Wiley & Sons Ltd.

  19. Attitudes of pharmacists and nurses toward interprofessional relations and decentralized pharmaceutical services.

    Science.gov (United States)

    Thompson, D F; Kaczmarek, E R; Hutchinson, R A

    1988-02-01

    Pharmacists' and nurses' attitudes toward pharmacist-nurse relations and pharmaceutical services were surveyed before and after the implementation of satellite pharmacies at a 600-bed teaching hospital. The same questionnaire was distributed two months before decentralization (phase 1) and nine months after decentralization was completed (phase 2). Sixty questions about the pharmacy services and the drug treatment process were to be answered using a seven-point, Likert-type scale. Overall response rates for the two phases were 62% and 45%, respectively. Pharmacists' satisfaction with all measured aspects of pharmaceutical services increased after decentralization of services; nurses' satisfaction increased for all measures except pharmacist-conducted medication histories. Pharmacists' satisfaction with the nursing department was greater after decentralized services were implemented. Most aspects of role conflict, one of four measured antecedents to interdepartmental conflict, improved subsequent to decentralization of services. Because of changes in personnel between the two phases of the study, the results may represent the opinions of different people, rather than actual changes in satisfaction. The attitudes of nurses and pharmacists toward overall distributive pharmaceutical services and toward certain aspects of interprofessional relations improved after pharmaceutical services were decentralized.

  20. The effect of emotional intelligence on burnout and the impact on the nurses service quality

    Directory of Open Access Journals (Sweden)

    Agustina Hanafi

    2016-07-01

    Full Text Available This study attempts to analyze the effect of emotional intelligence on emotional exhaustion and this, in turn, on the quality of hospital care nurse. The subjects were nurses and patients RS RK.Charitas Palembang. This sample was taken using Non-Probability Sampling towards the nurses and patients in the patient units of the hospital Joseph 1 & 2, with the total respondents of 200 people. These were selected as sample and the data analyzed through the process using Structural Equation Model (SEM. It shows that emotional intelligence negatively affects the emotional exhaustion. Furthermore, the emotional intelligence has positive effect on the quality of nursing care. Most importantly, there is a greater direct effect of emotional intel-ligence towards service quality than the indirect effect through the emotional ex-haustion. Emotional exhaustion negatively affects the quality of nursing services.

  1. Capacity building of skilled birth attendants: a review of pre-service education curricula.

    Science.gov (United States)

    Adegoke, Adetoro A; Mani, Safiyanu; Abubakar, Aisha; van den Broek, Nynke

    2013-07-01

    to assess the level, type and content of pre-service education curricula of health workers providing maternity services against the ICM global standards for Midwifery Education and Essential competencies for midwifery practice. We reviewed the quality and relevance of pre-service education curricula of four cadres of health-care providers of maternity care in Northern Nigeria. we adapted and used the ICM global standards for Midwifery Education and Essential competencies for midwifery practice to design a framework of criteria against which we assessed curricula for pre-service training. We reviewed the pre-service curricula for Nurses, Midwives, Community Health Extension Workers (CHEW) and Junior Community Health Extension Workers (JCHEW) in three states. Criteria against which the curricula were evaluated include: minimum entry requirement, the length of the programme, theory: practice ratio, curriculum model, minimum number of births conducted during training, clinical experience, competencies, maximum number of students allowable and proportion of Maternal, Newborn and Child Health components (MNCH) as part of the total curriculum. four pre-service education programmes were reviewed; the 3 year basic midwifery, 3 year basic nursing, 3 year Community Health Extension Worker (CHEW) and 2 year Junior Community Health Extension Worker (JCHEW) programme. Findings showed that, none of these four training curricula met all the standards. The basic midwifery curriculum most closely met the standards and competencies set out. The nursing curriculum showed a strong focus on foundations of nursing practice, theories of nursing, public health and maternal newborn and child health. This includes well-defined modules on family health which are undertaken from the first year to the third year of the programme. The CHEW and JCHEW curricula are currently inadequate with regard to training health-care workers to be skilled birth attendants. although the midwifery curriculum

  2. Expansion of Safe Abortion Services in Nepal Through Auxiliary Nurse-Midwife Provision of Medical Abortion, 2011-2013.

    Science.gov (United States)

    Andersen, Kathryn L; Basnett, Indira; Shrestha, Dirgha Raj; Shrestha, Meena Kumari; Shah, Mukta; Aryal, Shilu

    2016-01-01

    The termination of unwanted pregnancies up to 12 weeks' gestation became legal in Nepal in 2002. Many interventions have taken place to expand access to comprehensive abortion care services. However, comprehensive abortion care services remain out of reach for women in rural and remote areas. This article describes a training and support strategy to train auxiliary nurse-midwives (ANMs), already certified as skilled birth attendants, as medical abortion providers and expand geographic access to safe abortion care to the community level in Nepal. This was a descriptive program evaluation. Sites and trainees were selected using standardized assessment tools to determine minimum facility requirements and willingness to provide medical abortion after training. Training was evaluated via posttests and observational checklists. Service statistics were collected through the government's facility logbook for safe abortion services (HMIS-11). By the end of June 2014, medical abortion service had been expanded to 25 districts through 463 listed ANMs at 290 listed primary-level facilities and served 25,187 women. Providers report a high level of confidence in their medical abortion skills and considerable clinical knowledge and capacity in medical abortion. The Nepali experience demonstrates that safe induced abortion care can be provided by ANMs, even in remote primary-level health facilities. Post-training support for providers is critical in helping ANMs handle potential barriers to medical abortion service provision and build lasting capacity in medical abortion. © 2016 The Authors. The Journal of Midwifery and Women's Health, published by Wiley Periodicals, Inc., on behalf of the American College of Nurse-Midwives.

  3. 社区护士执行社区护理服务水平的现状研究%Study on Present Situation of Nursing Services Provided by Community Health Nurses

    Institute of Scientific and Technical Information of China (English)

    郭玲; 刘素珍

    2012-01-01

    certain services ( P <0. 05 ). Conclusion The content and the forms of the community nursing service are limited. Community health nurses have certain difficulties in providing these services. Efforts should be taken to expand and improve the community nursing services, especially by strengthening the capacity - building of community nurses.

  4. Need for Specialized Support Services for Nurse Victims of Physical Assault by Psychiatric Patients.

    Science.gov (United States)

    Moylan, Lois Biggin; McManus, Marybeth; Cullinan, Meritta; Persico, Lori

    2016-07-01

    Assault of nurses in the psychiatric setting is an ongoing global concern. In a prior study by these authors, many nurses reported concern about the lack of supportive interventions offered to nurses after the assault event. These nurses reported ongoing psychosocial and emotional disturbance consistent with symptoms of post-traumatic stress disorder. A follow-up study was done to investigate the perceived need of assaulted nurses for specialized support groups to assist them in dealing with the experience. A quantitative, cross sectional survey descriptive research design was done to assess assaulted nurses' perceived need for specialized support groups. The survey also gathered data relating to the reporting of the assault. A qualitative narrative section was added to gather data that might have been missed in the quantitative segment. The sample consisted of 57 previously assaulted nurses currently working at multiple acute care sites. Study findings showed that if specialized support groups were available, 57% of the nurses might be interested in attending these, and 41% would be interested in attending these. These nurses also reported multiple signs and symptoms of post-traumatic stress disorder. Considering the serious negative impact of assault on nurses and their desire for follow-up support, there is a need for the availability of supportive services.

  5. Examining the breastfeeding support resources of the public health nursing services in Ireland.

    Science.gov (United States)

    Mulcahy, Helen; Phelan, Agnes; Corcoran, Paul; Leahy-Warren, Patricia

    2012-04-01

    The aim of the study was to review breastfeeding support provided by Public Health Nurses in Ireland. The objectives were to identify the availability of appropriate guiding policies, educational preparation, attitude of Public Health Nurses and the availability and use of other supportive services. Breastfeeding rates in Ireland are among the lowest in Europe. The main source of formal support for breastfeeding mothers in the community in Ireland is from Public Health Nurses who can make referral to other non-statutory resources. The nature of this support is determined by policies guiding clinical practice and education that increases breastfeeding confidence and competence of all personnel. Consequently, an assessment of breastfeeding resources requires an analysis of all these variables. A large quantitative, cross-sectional study was conducted, involving Public Health Nurses and mothers. This paper represents the results from the perspective of Public Health Nurses. Directors of Public Health Nursing (n = 24) and Public Health Nurses (n = 204) completed self-report questionnaires by mail and online. Data were analysed using the Statistical Package for Social Sciences and reported using descriptive and inferential statistics. Public Health Nurses are well educated to support breastfeeding and have a positive attitude and a high degree of self-assessed confidence and competence. A wide variety of non-statutory support exists for breastfeeding but is not always used to their full potential. Standardising educational requirements for Public Health Nurses in supporting breastfeeding is an area that requires attention. Ultimately, service delivery in relation to supporting breastfeeding mothers would benefit from being more timely and responsive. Awareness of support resources is necessary for Public Health Nurses to make appropriate referrals for breastfeeding mothers. Furthermore, Directors of Public Health Nursing need to encourage the breastfeeding supportive

  6. Capacity Development Services and the Demand Market in Albanian Tourism Sector

    Directory of Open Access Journals (Sweden)

    Rezarta BROKAJ

    2015-02-01

    Full Text Available Over the last 20 years the role of tourism has been increasingly recognized as an important development strategy, considering its importance in creating positive economical effects in worldwide level. Sustainability has become nowadays a principle of development and obviously of tourism development.Sustainable tourism is one of the main development priorities of local, national and international authorities to ensure long term success on a global market.One of the main reasons in sustainability of tourism development in Albania is that almost planners, operators and local community could not have created a connection through different dimensions of the sustainability.The paper explores the need and demand for building Albania`s private sector capacity for tourism development. This study was run in the most important market actors which operate in the tourism sector in Albania, especially focusing in clients of capacity development services. Questionnaire was used to collect data from the most important tourism operators, that use these services.The aim was to examine their views on tourism development, in an attempt to establish overall desired directions for tourism development and to suggest effective tourism strategies and policies to reinforce positive outcomes and alleviate problems resulting from previous unplanned tourism development.According to the survey, results showed the availability of capacity building services, the links with local and international service providers, their preferred service delivery mechanisms and the barriers that exist in this market.Hence understanding barriers of capacity development services can help to all the actors for future planning to achieve sustainable tourism development.Keywords: capacity development, tourism operators, sustainable development, service quality .

  7. The Impact of International Service-Learning on Nursing Students' Cultural Competency.

    Science.gov (United States)

    Kohlbry, Pamela Wolfe

    2016-05-01

    This article reports research findings on the effect of an international immersion service-learning project on the level and components of cultural competence of baccalaureate (BSN) nursing students. A triangulated methodology was used to determine changes in components and level of cultural competence pre- and postexperience. The theoretical model The Process of Cultural Competence in the Delivery of Healthcare Services was used. It identifies five central constructs in the process of becoming culturally competent: cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. The sample of 121 BSN nursing students was gathered from three southern California universities. Data were collected from 2009 to 2013. Using the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version© and Cultural Self-Efficacy Scale, constructs of cultural competency were measured in pre- and posttest participants who participated in international service-learning immersion experiences. A demographic survey and open-ended qualitative questions were completed at the posttrip meeting. Mean, frequencies, and correlations with demographic data and survey data were calculated. Pre- and posttrip means were analyzed. Qualitative analysis from six open-ended questions completed at the posttest were coded and themes emerged. The research findings demonstrated the impact of the international service-learning project on building cultural competency in nursing students. Quantitative findings revealed statistically significant differences between pre- and posttest surveys for two of the five constructs of cultural competence. Qualitative analysis supported the quantitative findings in cultural competency constructs found in the model. The research findings support nursing education program use of international service-learning immersion experiences to foster cultural competence in nursing students. Findings from

  8. Effects of Service-Learning on Graduate Nursing Students: Care and Advocacy for the Impoverished.

    Science.gov (United States)

    DeBonis, Ruselle

    2016-01-01

    Service-learning is a widely used teaching method that appears to be a good fit for graduate nurses, with essential outcomes of advocacy and culturally responsive health care in special populations. However, quantitative evidence to support its effectiveness is minimal. This study evaluated the impact of service-learning on graduate nursing students' cultural competence, civic engagement, and knowledge and understanding of the effects of poverty on health care. Students are required to serve 16 to 20 hours in a nurse-run free clinic as part of their clinical experience. Students (N = 152) completed pre- and postservice surveys. Statistically significant increases were noted in graduate students' civic engagement (p = .0001 to .0495), knowledge and understanding of health care issues (p Service-learning appears to be an effective tool with graduate nurses. Copyright 2016, SLACK Incorporated.

  9. User violence towards nursing professionals in mental health services and emergency units

    Directory of Open Access Journals (Sweden)

    Bartolomé Llor-Esteban

    2017-01-01

    Full Text Available Workplace violence is present in many work sectors, but in the area of mental health, nurses have a higher risk due to the close relationship they have with users. This study analyzed hostile user statements against nursing professionals of Mental Health Services and Emergency Units in Health Service (MHS hospitals in Murcia, Spain, and determined the frequency of exposure to the different violent user behaviors. The study was carried out with a sample of 518 nursing professionals from four hospital services: Mental Health, Emergency Units, Medical Hospitalization, and Maternal-and-Child. The nursing staff of Mental Health and Emergency Units was the most exposed to violence. Non-physical violence was more frequent in Emergency Units, whereas physical violence was more frequent in Mental Health. Among the consequences of exposure to non-physical violence are workers’ emotional exhaustion and the presence of psychological distress.

  10. Research culture and capacity in community health services: results of a structured survey of staff.

    Science.gov (United States)

    Friesen, Emma L; Comino, Elizabeth J

    2016-08-17

    Developing research capacity is recognised as an important endeavour. However, little is known about the current research culture, capacity and supports for staff working in community-based health settings. A structured survey of Division of Community Health staff was conducted using the research capacity tool. The survey was disseminated by email and in paper format. Quantitative data were analysed using descriptive statistics. Qualitative data were analysed thematically. In total, 109 usable responses were received, giving a response rate of 26%. Respondents were predominately nurses (n=71, 65.7%), with ~50% reporting post-graduate vocational qualifications. The highest levels of skills or organisational success were in using evidence to plan, promote and guide clinical practice. Most participants were unsure of organisational and team level skills and success at generating research. Few reported recent experience in research-generating activities. Barriers to undertaking research included lack of skills, time and access to external support and funding. Lack of skills and success in accessing external funding and resources to protect research time or to 'buy-in' technical expertise appeared to exacerbate these barriers. Community health staff have limited capacity to generate research with current levels of skill, funding and time. Strategies to increase research capacity should be informed by knowledge of clinicians' research experience and interests, and target development of skills to generate research. Resources and funding are needed at the organisational and team levels to overcome the significant barriers to research generation reported.

  11. The impact of innovation funding on a rural health nursing service: the Reporoa experience.

    Science.gov (United States)

    Connor, Margaret; Nelson, Katherine; Maisey, Jane

    2009-07-01

    Health Reporoa Inc. offers a first contact rural nursing service to the village of Reporoa and surrounding districts. From 2003 to 2006 it became a project site through selection for the Ministry of Health (MoH) primary health care nursing innovation funding. Health Reporoa Inc. successfully achieved its project goals and gained an ongoing contract from Lakes District Health Board to consolidate and further expand its services at the close of the funding period. This paper examines the impact of the innovation funding during the project period and in the two years that followed. The major impact came through an expansion of the accessible free health service to the local population; advancing nursing practice; increased connection to the nursing profession and wider health community, and enhanced affirmation of the nursing contribution. The rural nursing service model developed at Health Reporoa, through the benefit of innovation funding, can now act as a blueprint for other rural health services, particularly those in high deprivation areas.

  12. Occupational Risk Factors and Health Problems Faced by Nurses that Working Dialysis Unit and Nephrology Service

    Directory of Open Access Journals (Sweden)

    Mehtap Curcani

    2009-08-01

    Full Text Available AIM: This study is carried out descriptively with the aim of determining occupational risks the nurses working in dialysis units and nephrology services. METHOD: 47 nurses working in dialysis and nephrology units of the hospitals in Erzurum were included in the study content. In the collection of the data, questionnaire form prepared in the light of literature and including the preventions taken by nurses themselves or their organizations against the professional risks they faced, or personal problems the nurses experienced, professional risk or professional-personal features was used. RESULTS: In the result of the study, it was detected that 48.9% of the nurses was at 28-32 age group, and that 38.3% of the nurses graduated from nursing higher school, and that 72.3% of the nurses worked in dialysis unit. It was found out that while practicing their professions, the nurses expressed that infection risk (97.9%, stress (83%, verbal abuse (80.9%, psychiatric trauma (66%, allergic substance (63.8%, the noise (36.2%, and physical abuse (23.4% were the risk factors they raced in working medium .In the health problem seen in the nurses, in the first row is lumbago. CONCLUSION: In the result of the study, it was found out that while practicing their professions, the nurses expressed that infection risk was the highest rate among the risk factors they raced in working medium and, in the health problem seen in the nurses, in the first row is lumbago and that the nurses and organizations’ attempts which will reduce the risks were not sufficient. [TAF Prev Med Bull 2009; 8(4.000: 339-344

  13. [Perceptions of nursing service managers in the South African Military Health Service on their level of motivation].

    Science.gov (United States)

    Fischer, A; Muller, M

    2000-12-01

    The process of transformation in the South African Military Health Services, has influenced the nursing service managers' level of motivation and the following research question is applicable: what are the perceptions of the nursing service managers within the South African Military Health Services on their level of motivation? The purpose with this study was to explore and describe the perceptions of nursing service managers on their level of motivation within these health services. A qualitative research design was utilized and four focus group interviews were conducted with 33 nursing service managers country wide. The transcribed interviews were exposed to a content analysis. The results confirm that the level of motivation amongst these nursing service managers is low. The demotivators relate mainly to the following: inadequate acknowledgement, job insecurity in relation to the future, problems with the process of integration, transformation and rationalization, problems with management, many labour related issues, poor/inadequate communication, inadequate support, increased work load, poor physical environment, negative publicity and poor self motivation. Although there were a few motivators identified, they were of less importance. These results were interpreted within Herzberg's motivation theory to identify the hygiene/maintenance factors and to assess whether the important motivators were in place. During any process of change, and/or when the level of motivation amongst employees is low, it is important to adequately manage the environment (hygiene/maintenance factors within the Herzberg theory). But it is even more important to ensure that the motivators are in place or to intensify them. It is therefore recommended that a motivation strategy, based on the Herzberg theory as well as the Hackman-Oldham job enrichment model, be developed, implemented and evaluated.

  14. Policy talk: incentives for rural service among nurses in Ghana.

    Science.gov (United States)

    Kwansah, Janet; Dzodzomenyo, Mawuli; Mutumba, Massy; Asabir, Kwesi; Koomson, Elizabeth; Gyakobo, Mawuli; Agyei-Baffour, Peter; Kruk, Margaret E; Snow, Rachel C

    2012-12-01

    Like many countries in sub-Saharan Africa, Ghana is faced with the simultaneous challenges of increasing its health workforce, retaining them in country and promoting a rational distribution of staff in remote or deprived areas of the country. Recent increases in both public-sector doctor and nurse salaries have contributed to a decline in international out-migration, but problems of geographic mal-distribution remain. As part of a research project on human resources in the Ghanaian health sector, this study was conducted to elicit in-depth views from nursing leaders and practicing nurses in rural and urban Ghana on motivations for urban vs rural practice, job satisfaction and potential rural incentives. In-depth interviews were conducted with 115 nurses selected using a stratified sample of public, private and Christian Health Association of Ghana (CHAG) facilities in three regions of the country (Greater Accra, Brong Ahafo and Upper West), and among 13 nurse managers from across Ghana. Many respondents reported low satisfaction with rural practice. This was influenced by the high workload and difficult working conditions, perception of being 'forgotten' in rural areas by the Ministry of Health (MOH), lack of professional advancement and the lack of formal learning or structured mentoring. Older nurses without academic degrees who were posted to remote areas were especially frustrated, citing a lack of opportunities to upgrade their skills. Nursing leaders echoed these themes, emphasizing the need to bring learning and communication technologies to rural areas. Proposed solutions included clearer terms of contract detailing length of stay at a post, and transparent procedures for transfer and promotion; career opportunities for all cadres of nursing; and benefits such as better on-the-job housing, better mentoring and more recognition from leaders. An integrated set of recruitment and retention policies focusing on career development may improve job satisfaction

  15. An evaluation of governance capacity of the specialized component of pharmaceutical services in Brazil.

    Science.gov (United States)

    Rover, Marina Raijche Mattozo; Peláez, Claudia Marcela Vargas; Faraco, Emília Baierle; Farias, Mareni Rocha; Leite, Silvana Nair

    2017-08-01

    This paper presents application of an indicator protocol to assessment of current levels of governance capacity of the Specialized Component of Pharmaceutical Services (CEAF) in a state of the South of Brazil. We chose the theoretical referential of 'governance capacity' proposed by Carlos Matus, which reflects in the concepts of management capacity and pharmaceutical service management, due to the perception of a need to overcome the fragmentation and technicist reductionism that we believe has been imposed on the area of pharmaceutical services. Data was collected using the protocol in 74 municipal or state units. The results of the analysis indicate that the currently existing governance capacity needs improvement in all three dimensions that were evaluated, principally in relation to the aspects that seek sustainability of the governance. The model and the protocol used indicate a way forward for governance of pharmaceutical service by proposing a change from the technicist-logistical focus to an emphasis on strategic and political actions, or ones which foster greater participation and autonomy. With these results in hand, it will be possible to develop strategies for improvement of access to medicines in the SUS, in the sense that the CEAF becomes able to guarantee integrality of medicines treatments.

  16. Knowledge and attitude of nurses to Community Psychiatry services ...

    African Journals Online (AJOL)

    McRoy

    2014-07-26

    Jul 26, 2014 ... reproduction in any medium, provided the original work is properly cited. Knowledge and attitude .... psychiatric nursing evolved rapidly, and .... Procedure. Population from which sample was chosen. Sex. N. Marital status. N.

  17. Development of nursing management competencies: guidelines for continuous education services

    Directory of Open Access Journals (Sweden)

    Priscila Meyenberg Cunha Sade

    2015-12-01

    Full Text Available Abstract OBJECTIVE Developing continuing education guidelines for the development of nursing management competencies along with the members of the Center of Nursing Continuing Education of Parana. METHOD A qualitative research outlined by the action research method, with a sample consisting of 16 nurses. Data collection was carried out in three stages and data were analyzed according to the thematic analysis technique. RESULTS It was possible to discuss the demands and difficulties in developing nursing management competencies in hospital organizations and to collectively design a guideline. CONCLUSION The action research contributed to the production of knowledge, confirming the need and the importance of changing the educational processes and evaluations, based on methodologies and instruments for professional development in accordance with human resource policies and contemporary organizational policies.

  18. Exploring the dimensions of access to health services: implications for nursing research and practice.

    Science.gov (United States)

    Racher, Frances E; Vollman, Ardene Robinson

    2002-01-01

    Access to health services is a major concern across North America and abroad, with particular salience for the residents of rural and remote areas and the health professionals committed to providing services to them. Intrinsic to this discussion is clarification of the phenomenon of access to health services, a concept that remains nebulous and obscure to consumers, health care providers, and policymakers alike. Multiple understandings of access to health services impedes progress in the development of policy, the creation of programs, and the transformation of health services. Considerable discussion of theory concerning access to health services is articulated in public or community health literature and that of other disciplines; however, limited attention to this topic is apparent in nursing literature. This report articulates definitions, dimensions, and frameworks of access to health services from available literature and existing theory. Further, key points are identified and discussed for consideration in nursing research on the term access and implications for practice.

  19. An exploration of the services provided by the clinical nurse specialist within one NHS trust.

    Science.gov (United States)

    Martin, P J

    1999-05-01

    This study examines the services provided by clinical nurse specialists within one acute and community NHS Trust. The title 'clinical nurse specialist' (CNS) is used widely within health care services and describes a multitude of roles and service provision. Lack of role clarity impacts upon human resources, service delivery and the post holder. Patients, carers and health care professionals were invited to participate in focus groups. Groups sought information about the services provided by the CNS. The research adopted a grounded theory approach in order to generate a locally recognizable description of the services. From the data analysis eight technical services carried out by the CNSs emerged. Analysis also identified three areas where the CNS provided added value. The findings are discussed in relation to relevant literature. Recommendations are made concerning effective and efficient use of this important staff resource.

  20. Nurse task shifting for antiretroviral treatment services in Namibia: implementation research to move evidence into action.

    Directory of Open Access Journals (Sweden)

    Gabrielle O'Malley

    Full Text Available BACKGROUND: Evidence from several sub-Saharan countries support nurse-initiated antiretroviral treatment as a feasible alternative to doctor-led models characteristic of early responses to the HIV epidemic. However, service delivery models shown to be effective in one country may not be readily adopted in another. This study used an implementation research approach to assist policy makers and other stakeholders to assess the acceptability and feasibility of task shifting in the Namibian context. METHODS: The Namibian Ministry of Health and Social Services implemented a Task Shifting Demonstration Project (TSDP at 9 sites at different levels of the health system. Six months after implementation, a mixed methods evaluation was conducted. Seventy semi-structured interviews were conducted with patients, managers, doctors and nurses directly involved with the TSDP. Physician-evaluators observed and compared health service provision between doctors and nurses for 40 patients (80 observations, documenting performance in agreement with the national guidelines on 13 clinical care indicators. RESULTS: Doctors, nurses, and patients interviewed believed task shifting would improve access to and quality of HIV services. Doctors and nurses both reported an increase in nurses' skills as a result of the project. Observation data showed doctors and nurses were in considerable agreement (>80% with each other on all dimensions of HIV care and ≥90% on eight dimensions. To ensure success of national scale-up of the task shifting model, challenges involving infrastructure, on-going mentoring, and nursing scope of practice should be anticipated and addressed. CONCLUSION: In combination with findings from other studies in the region, data from the TSDP provided critical and timely information to the Namibian Ministry of Health and Social Services, thus helping to move evidence into action. Small-scale implementation research projects enable stakeholders to learn by

  1. "Enter To Learn, Go Forth To Serve": Service Learning in Nursing Education.

    Science.gov (United States)

    Callister, Lynn Clark; Hobbins-Garbett, Debra

    2000-01-01

    A women's health course for nursing students incorporated service learning activities in a variety of settings. Students' learning journals identified benefits of service learning: personal satisfaction, professional growth, higher levels of critical thinking, preparation for practice, and increased awareness of unmet community health needs. (SK)

  2. Overcoming Medicaid Reimbursement Barriers to Funding School Nursing Services for Low-Income Children with Asthma

    Science.gov (United States)

    Malcarney, Mary-Beth; Horton, Katherine; Seiler, Naomi

    2016-01-01

    Background: School nurses can provide direct services for children with asthma, educate, and reinforce treatment recommendations to children and their families, and coordinate the school-wide response to students' asthma emergencies. Unfortunately, school-based health services today depend on an unreliable patchwork of funding. Limited state and…

  3. A Proposal for the Retention of Certified Nurses Aides: Salter Healthcare Services.

    Science.gov (United States)

    McKinnon, Cole; Friberg, Laura; McKillop, Linda; Walsh, Marsha

    With an increasingly smaller base of potential employees in long-term care facilities, especially Certified Nursing Assistants (CNAs), and an increasingly larger population of elderly persons needing their services, Salter Healthcare Services in Massachusetts has developed plans for retaining CNAs. Although the Salter Corporation has been…

  4. Overcoming Medicaid Reimbursement Barriers to Funding School Nursing Services for Low-Income Children with Asthma

    Science.gov (United States)

    Malcarney, Mary-Beth; Horton, Katherine; Seiler, Naomi

    2016-01-01

    Background: School nurses can provide direct services for children with asthma, educate, and reinforce treatment recommendations to children and their families, and coordinate the school-wide response to students' asthma emergencies. Unfortunately, school-based health services today depend on an unreliable patchwork of funding. Limited state and…

  5. Developing a nurse led hospice outpatient clinic to improve palliative care services.

    Science.gov (United States)

    Lawton, Catherine

    A team of palliative care clinical nurse specialists at the Phyllis Tuckwell Hospice in Farnham, Surrey, set up a hospice based outpatient clinic to improve services for patients with cancer. This article examines how the team used clinical audit, a staff questionnaire and patient feedback to evaluate the service and make recommendations for the future development of the clinic.

  6. [Perception of nurses about advantages and constraints of their practice in mental health services].

    Science.gov (United States)

    Silva, Nathália Santos; Esperidião, Elizabeth; Bezerra, Ana Lúcia Queiroz; Cavalcante, Ana Caroline Gonçalves; Souza, Adrielle Cristina Silva; Silva, Kelly Kan Carvalho

    2013-01-01

    The study aimed to identify the advantages and constraints in the practices of nurses in Mental Health services. A qualitative descriptive study, was conducted in 22 public mental health services in the state of Goiás, involving 21 nurses as subjects. The evaluation referential of Avedis Donabedian was used for data discussion. Regarding the facilitating aspects, it were cited the availability of physical resources, furniture and materials for the workshops, professional and interpersonal relationships with staff, and coordination with users. Among the constraining aspects also predominated the structure that is offered by the services. It was evident that the structure and interpersonal relations have been conditioning aspects related to the effectiveness of nurses' practice in mental health services within the state of Goiás.

  7. Exploring registered Psychiatric Nurses' responses towards Service Users with a diagnosis of borderline personality disorder.

    LENUS (Irish Health Repository)

    McGrath, Bridget

    2012-01-01

    This study explored registered psychiatric nurses\\' (RPNs\\') interactions and level of empathy towards service users with a diagnosis of borderline personality disorder (BPD). A qualitative approach was used, and 17 RPNs were interviewed using a semistructured interview schedule incorporating the "staff-patient interaction response scale" (SPIRS). Four themes emerged following data analysis: "challenging and difficult," "manipulative, destructive and threatening behaviour," "preying on the vulnerable resulting in splitting staff and other service users," and "boundaries and structure." Additionally, low levels of empathy were evident in the majority of participants\\' responses to the SPIRS. The findings provide further insight on nurses\\' empathy responses and views on caring for service users with BPD and further evidence for the need for training and education for nurses in the care of service users diagnosed with BPD.

  8. Exploring Registered Psychiatric Nurses' Responses towards Service Users with a Diagnosis of Borderline Personality Disorder

    Directory of Open Access Journals (Sweden)

    Bridget McGrath

    2012-01-01

    Full Text Available This study explored registered psychiatric nurses' (RPNs' interactions and level of empathy towards service users with a diagnosis of borderline personality disorder (BPD. A qualitative approach was used, and 17 RPNs were interviewed using a semistructured interview schedule incorporating the “staff-patient interaction response scale” (SPIRS. Four themes emerged following data analysis: “challenging and difficult,” “manipulative, destructive and threatening behaviour,” “preying on the vulnerable resulting in splitting staff and other service users,” and “boundaries and structure.” Additionally, low levels of empathy were evident in the majority of participants' responses to the SPIRS. The findings provide further insight on nurses' empathy responses and views on caring for service users with BPD and further evidence for the need for training and education for nurses in the care of service users diagnosed with BPD.

  9. Building Capacity through University Hospital and University School of Nursing Partnerships. UHC/AACN White Paper.

    Science.gov (United States)

    American Association of Colleges of Nursing, Washington, DC.

    This paper represents the work of a task force sponsored by the University Health System Consortium and the American Association of Colleges of Nursing. These two organizations share a common concern for preparing and retaining a well-educated nursing workforce for complex university hospital settings. The charge to the task force was to develop…

  10. A finite capacity queue with Markovian arrivals and two servers with group services

    Directory of Open Access Journals (Sweden)

    S. Chakravarthy

    1994-01-01

    Full Text Available In this paper we consider a finite capacity queuing system in which arrivals are governed by a Markovian arrival process. The system is attended by two exponential servers, who offer services in groups of varying sizes. The service rates may depend on the number of customers in service. Using Markov theory, we study this finite capacity queuing model in detail by obtaining numerically stable expressions for (a the steady-state queue length densities at arrivals and at arbitrary time points; (b the Laplace-Stieltjes transform of the stationary waiting time distribution of an admitted customer at points of arrivals. The stationary waiting time distribution is shown to be of phase type when the interarrival times are of phase type. Efficient algorithmic procedures for computing the steady-state queue length densities and other system performance measures are discussed. A conjecture on the nature of the mean waiting time is proposed. Some illustrative numerical examples are presented.

  11. From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service

    DEFF Research Database (Denmark)

    Moth, Grete; Huibers, Linda; Vedsted, Peter

    2013-01-01

    be reduced by 26.2% though excluding administrative costs of a new organisation. Conclusion. Substituting GPs with nurses in OOH primary care may increase the cost in fees compared to a model with only GPs. Further research is needed involving more influencing factors, such as costs due to nurse training......Introduction. General practitioners (GP) answer calls to the Danish out-of-hours primary care service (OOH) in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We...... applied experiences from The Netherlands on nurse performance in the OOH triage concerning the number of calls per hour. Using the 2011 number of calls in one region, we examined three hypothetical scenarios with nurse triage and calculated the differences in fee costs. Results. A new organisation with 97...

  12. Factors influencing community nursing roles and health service provision in rural areas: a review of literature.

    Science.gov (United States)

    Barrett, Annette; Terry, Daniel R; Lê, Quynh; Hoang, Ha

    2016-02-01

    This review sought to better understand the issues and challenges experienced by community nurses working in rural areas and how these factors shape their role. Databases were searched to identify relevant studies, published between 1990 and 2015, that focussed on issues and challenges experienced by rural community nurses. Generic and grey literature relating to the subject was also searched. The search was systematically conducted multiple times to assure accuracy. A total of 14 articles met the inclusion criteria. This critical review identified common issues impacting community nursing and included role definition, organisational change, human resource, workplace and geographic challenges. Community nurses are flexible, autonomous, able to adapt care to the service delivery setting, and have a diversity of knowledge and skills. Considerably more research is essential to identify factors that impact rural community nursing practice. In addition, greater advocacy is required to develop the role.

  13. Solid waste from health services and the environment: perception of the nursing team

    Directory of Open Access Journals (Sweden)

    Ilisdayne Thallita Soares da Silva

    2012-09-01

    Full Text Available This study aimed to analyze the perception about the environmental impact of the production process of solid waste from health services of the nursing staff at a hospital in Santa Cruz. Qualitative research conducted in the period March-April 2010. Data were collected through interviews with 17 nurses and analyzed using thematic analysis. The data analysis demonstrated the production of solid wastes, along with the nursing procedures in your workspace. There was also a need for training on the solid waste from health services security-oriented environment, which indicates that knowledge by the nursing staff about this subject is still new, contributing to negative impacts on the environment are generated. Therefore, it is essential to invest in training that involves a process of continuing education, contributing to the consolidation of environmentally responsible values, to promote quality of life associated with sustainability and preservation.

  14. Poverty, philanthropy, and professionalism. The establishment of a district nursing service in Wellington, New Zealand, 1903.

    Science.gov (United States)

    Wood, Pamela; Arcus, Kerri

    2011-01-01

    The establishment in 1903 of a professional district nursing service in Wellington, New Zealand's capital city, was a philanthropic response to the need for skilled care for the sickpoor in their own homes, as hospital and charitable aid boards believed chronic patients drained their resources. This paper argues that it was the timely combination of the individual philanthropy of Sarah Ann Rhodes, the organisational philanthropy of the St John Ambulance Association and the new professional standing and availability of registered nurses such as Annie Holgate that ensured its successful foundation. It also argues that district nursing services blurred spatial, social, and public-private boundaries in new ways. Finally, it considers the district nurse's role as the philanthropist 's proxy, the means for realising the philanthropist's desire to help the sick poor.

  15. Determining the Level of Satisfaction of Patients in Nursing Care and Health Services

    Directory of Open Access Journals (Sweden)

    Sevban Arslan

    2012-12-01

    Full Text Available This study was conducted to determine patients’ satisfaction with nursing care and health services. This descriptive study was performed with 320 inpatients at University Hospital’s internal diseases and surgical units in July and November 2011. The data were collected by a questionnaire and the Visual Analog Patient Satisfaction Scale and the Scale of Patient Perception of Hospital Experience With Nursing. For statistical evalution , SPSS(Statistical Package for Social Science 15 percent by using the program, the Student t-test, ANOVA and Kruskal- Wallis analysis was done with. The mean total score was 8.65±1.52 on the Visual Analog Patient Satisfaction Scale. The Scale of Patient Perception of Hospital Experience With Nursing, the mean total score was 65.90±11.00. Consequently, Patients were satisfied with the nursing care and health services. [TAF Prev Med Bull 2012; 11(6.000: 717-724

  16. Undergraduate nursing students' perceptions of service-learning through a school-based community project.

    Science.gov (United States)

    Bassi, Sherry

    2011-01-01

    Service-learning (SL) is an experiential teaching method that combines instruction with community service, with the aim of enriching students' academic learning, interpersonal skills and sense of responsibility while making meaningful contributions to the community. However, measuring outcomes of service-learning projects is difficult. This article reports on the perceptions of 18 third-year undergraduate nursing students who took part in a pilot service-learning project targeting tobacco use in a local elementary school. Faculty members evaluated the program's outcomes by engaging students in structured reflection on the program about its relevance to their future careers as practicing professionals, especially in community-based settings. The students' perceptions were elicited through three sets of reflective assignments following the project. Findings from the reflective assignments suggest that the pilot program was successful in enhancing the students' academic, social, and personal development while building a partnership between the school of nursing and key players in the community, including school-based nurses, teachers, administrators, families, and community leaders. The author suggests that service-learning projects can help nursing students accomplish key developmental tasks of the college years (such as building their competence, autonomy, and integrity), while helping impart the skills and values they will need as they graduate and seek professional nursing roles.

  17. Nursing management in hospital emergency service: integrative review of the literature

    OpenAIRE

    Renata Cristina Antonelli; José Aparecido Bellucci Junior

    2014-01-01

    This is an integrative literature review, which aims to analyze scientific articles that discuss the work of nurses in the management of hospital emergency services. The databases used were Latin American and Caribbean Health Science Literature (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE), Integrated Building Environmental Communications System (IBECS), Scientific Electronic Library Online (SciELO) and Nursing Database (BDENF). To conduct the survey, 10 articles...

  18. Service-learning in nursing education: its impact on leadership and social justice.

    Science.gov (United States)

    Groh, Carla J; Stallwood, Lynda G; Daniels, John J

    2011-01-01

    Although studies suggest that service-learning is positive for students, findings reported are primarily qualitative. A convenience sample of 306 senior-level nursing students completed the Service-Learning Self-Evaluation Tool (SLSET) pre- and post-service-learning experience over a six-year span. The constructs measured were leadership skills and social justice. Paired t-tests were calculated. Statistically significant differences were noted between pre- and post-service-learning experience, with students rating themselves higher on leadership and social justice items after the experience. Cronbach's alpha for leadership and social justice were greater than 0.80. Service-learning as an educational methodology that combines community service with academic learning objectives is a viable strategy for facilitating leadership skills and increased awareness of social justice issues in nursing students.

  19. Experiences of the Implementation of a Learning Disability Nursing Liaison Service within an Acute Hospital Setting: A Service Evaluation

    Science.gov (United States)

    Castles, Amy; Bailey, Carol; Gates, Bob; Sooben, Roja

    2014-01-01

    It has been well documented that people with learning disabilities receive poor care in acute settings. Over the last few years, a number of learning disability liaison nurse services have developed in the United Kingdom as a response to this, but there has been a failure to systematically gather evidence as to their effectiveness. This article…

  20. A study of issues in administering library services to nursing studies students at Glasgow Caledonian University.

    Science.gov (United States)

    Crawford, John

    2002-06-01

    Glasgow Caledonian University has had a Scottish Office pre-registration nursing and midwifery contract since 1996. Nursing studies students seemed dissatisfied with the library service and there were frequent complaints. A major study was undertaken during 2000 consisting of: an initial lis-link enquiry, separate analysis of returns from nursing studies students of the Library's annual general satisfaction survey (conducted every February), separate analysis of returns from nursing studies students of the Library's opening hours planning survey, and four focus groups held in October 2000. These studies showed the concerns of nursing studies students to be similar to other students but more strongly felt. The four main issues were textbook availability, journal availability, opening hours and staff helpfulness. Working conditions, placement requirements, study requirements and domestic circumstances were all found to be important factors. IT skill levels tended to be low but there is a growing appreciation of the need for training in this area. Concluded that: Library's services to nursing studies students have become enmeshed with the problems of delivery and assessment of education for nurses. Greatly extended opening hours are essential including evening opening during vacations. The problem of access to textbooks is so severe that conventional solutions are not going to work. Programmes of core text digitization and the promotion of e-books are needed. Reciprocal access programmes with local hospital libraries is essential.

  1. The Development of Nursing Care Services Model for Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Dessie Wanda

    2017-01-01

    Full Text Available Introduction: Low birth weight (LBW infants deal with various problems during transitional period from intra-uterine and extra-uterine because of immature organs’ functions. This leads to LBW as the second death cause in Indonesia, particularly in the fi rst seventh days of infants’ lifes. The problem continues to occur at home when the infants have discharged. This research was aimed to develop the nursing care services model for LBW infants and to test the model. Method: The research design was an action research using quantitative and qualitative approach. This design was chosen as it facilitated improvement in health care system, which was involving nurses and other health providers. Results: Nursing care services provided by the nursing team are hindered by several factors, such as various level of nurses’ knowledge, not optimal health education activities, incomplete standard operational procedure, ethical dilemma, paramedic functions, and documentation system. This model was developed based on conservation and becoming a mother/maternal role attainment theory, family-centered care principles, and input from the experts through focus group discussion. Discussion: The result of this research is going to increase the quality of nursing care for LBW infants by achieving nurses’ and parents’ satisfaction in giving care for their infants which can lead to lower infant death rate.Key words: Model, Low birth weight infant, Nursing services, Action research

  2. 护理组长在优质护理服务中的作用探讨%Effect Exploration of Nursing Team Leaders in Good Nursing Service

    Institute of Scientific and Technical Information of China (English)

    刘俊艳; 孙薇; 朱崧毓

    2013-01-01

    In the process of good quality nursing service,through changing original nursing service model,the working content is defined,the duty of nursing team leaders is constructed,and the training and exam of nursing team leaders is done regularly,to make nursing team leaders play important role in good nursing service.In nursing quality,the quality of basic nursing,eritical patients' nursing nursing electronic record has enhanced to increase patients' satisfaction.%在开展优质护理服务过程中,通过改变原有护理工作模式,重新界定护理组长的工作内容、制定护理组长岗位工作职责、定期对护理组长进行培训及考核,充分发挥了护理组长在优质护理服务中的重要作用.在护理质量方面,基础护理质量、危重病人护理质量、护理电子病历质量都有所提高,有利于提高患者满意度.

  3. Empowering Education: A New Model for In-service Training of Nursing Staff

    Science.gov (United States)

    CHAGHARI, MAHMUD; SAFFARI, MOHSEN; EBADI, ABBAS; AMERYOUN, AHMAD

    2017-01-01

    Introduction: In-service training of nurses plays an indispensable role in improving the quality of inpatient care. Need to enhance the effectiveness of in-service training of nurses is an inevitable requirement. This study attempted to design a new optimal model for in-service training of nurses. Methods: This qualitative study was conducted in two stages during 2015-2016. In the first stage, the Grounded Theory was adopted to explore the process of training 35 participating nurses. The sampling was initially purposeful and then theoretically based on emerging concept. Data were collected through interview, observation and field notes. Moreover, the data were analyzed through Corbin-Strauss method and the data were coded through MAXQDA-10. In the second stage, the findings were employed through ’Walker and Avants strategy for theory construction so as to design an optimal model for in-service training of nursing staff. Results: In the first stage, there were five major themes including unsuccessful mandatory education, empowering education, organizational challenges of education, poor educational management, and educational-occupational resiliency. Empowering education was the core variable derived from the research, based on which a grounded theory was proposed. The new empowering education model was composed of self-directed learning and practical learning. There are several strategies to achieve empowering education, including the fostering of searching skills, clinical performance monitoring, motivational factors, participation in the design and implementation, and problem-solving approach. Conclusion: Empowering education is a new model for in-service training of nurses, which matches the training programs with andragogical needs and desirability of learning among the staff. Owing to its practical nature, the empowering education can facilitate occupational tasks and achieving greater mastery of professional skills among the nurses. PMID:28180130

  4. Empowering Education: A New Model for In-service Training of Nursing Staff.

    Science.gov (United States)

    Chaghari, Mahmud; Saffari, Mohsen; Ebadi, Abbas; Ameryoun, Ahmad

    2017-01-01

    In-service training of nurses plays an indispensable role in improving the quality of inpatient care. Need to enhance the effectiveness of in-service training of nurses is an inevitable requirement. This study attempted to design a new optimal model for in-service training of nurses. This qualitative study was conducted in two stages during 2015-2016. In the first stage, the Grounded Theory was adopted to explore the process of training 35 participating nurses. The sampling was initially purposeful and then theoretically based on emerging concept. Data were collected through interview, observation and field notes. Moreover, the data were analyzed through Corbin-Strauss method and the data were coded through MAXQDA-10. In the second stage, the findings were employed through 'Walker and Avants strategy for theory construction so as to design an optimal model for in-service training of nursing staff. In the first stage, there were five major themes including unsuccessful mandatory education, empowering education, organizational challenges of education, poor educational management, and educational-occupational resiliency. Empowering education was the core variable derived from the research, based on which a grounded theory was proposed. The new empowering education model was composed of self-directed learning and practical learning. There are several strategies to achieve empowering education, including the fostering of searching skills, clinical performance monitoring, motivational factors, participation in the design and implementation, and problem-solving approach. Empowering education is a new model for in-service training of nurses, which matches the training programs with andragogical needs and desirability of learning among the staff. Owing to its practical nature, the empowering education can facilitate occupational tasks and achieving greater mastery of professional skills among the nurses.

  5. Empowering education: A new model for in-service training of nursing staff

    Directory of Open Access Journals (Sweden)

    MAHMUD CHAGHARI

    2017-01-01

    Full Text Available Introduction: In-service training of nurses plays an indispensable role in improving the quality of inpatient care. Need to enhance the effectiveness of in-service training of nurses is an inevitable requirement. This study attempted to design a new optimal model for in-service training of nurses. Methods: This qualitative study was conducted in two stages during 2015-2016. In the first stage, the Grounded Theory was adopted to explore the process of training 35 participating nurses. The sampling was initially purposeful and then theoretically based on emerging concept. Data were collected through interview, observation and field notes. Moreover, the data were analyzed through Corbin-Strauss method and the data were coded through MAXQDA-10. In the second stage, the findings were employed through Walker and Avant’s strategy for theory construction so as to design an optimal model for in-service training of nursing staff. Results: In the first stage, there were five major themes including unsuccessful mandatory education, empowering education, organizational challenges of education, poor educational management, and educational-occupational resiliency. Empowering education was the core variable derived from the research, based on which a grounded theory was proposed. The new empowering education model was composed of self-directed learning and practical learning. There are several strategies to achieve empowering education, including the fostering of searching skills, clinical performance monitoring, motivational factors, participation in the design and implementation, and problem-solving approach. Conclusion: Empowering education is a new model for in-service training of nurses, which matches the training programs with andragogical needs and desirability of learning among the staff. Owing to its practical nature, the empowering education can facilitate occupational tasks and achieving greater mastery of professional skills among the nurses.

  6. Computerized telephone nurse triage. An evaluation of service quality and cost.

    Science.gov (United States)

    Cariello, Francesca P

    2003-01-01

    The current reimbursement structure of health care in the United States motivates the providers of health care services to deliver these services with a cost-conscious mentality without compromising quality. This has led to the development of alternative methods of delivering health care services, one of which is computerized telephone nurse triage. This study investigates service quality from the perception of callers who used this system on behalf of a pediatric client. Cost was evaluated by comparing what the caller would have done if they did not speak with nurse triage with what they actually did after their interaction. A modified version of the SERVQUAL tool was administered via telephone survey to members of a managed health care plan who recently used nurse triage services for a pediatric patient. Findings were that the majority of callers--employed female parents--rated the level of service quality very highly. Education, employment status, age of the caller, child gender, birth order among siblings, and age of child did not affect the rating of service quality. Relationship to the child had an effect on the rating of service quality as men/fathers rated the level of service quality slightly lower than their female/mother counterparts. The evaluation of cost revealed that the action taken by the caller after they spoke with the nurse resulted in significant cost savings. Computerized telephone nurse triage is a well-accepted cost-saving alternative method of health care delivery that can effectively serve a variety of callers and pediatric patients.

  7. International survey of occupational health nurses' roles in multidisciplinary teamwork in occupational health services.

    Science.gov (United States)

    Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie

    2014-07-01

    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.

  8. User requirements for a practice-integrated nurse-administered online communication service for cancer patients.

    Science.gov (United States)

    Ruland, Cornelia M; Borosund, Elin; Varsi, Cecilie

    2009-01-01

    This paper describes the use of participatory design methods in the development of a nurse-administered online patient-provider communication (OPPC) service that is designed to be integrated into routine clinical practice. The OPPC service let patients stay connected with expert nurses and other health care providers to ask questions and receive advice from home. Through focus groups, workshops, heuristic evaluations and usability testing, we identified patients' and clinicians' (nurses' and physicians') user requirements, factors important for successful adoption, implementation and maintenance of the OPPC service, and usability. This paper shares important insights from these participatory design processes that may be helpful for other researchers who wish to implement clinical applications into routine practice.

  9. Transnational Capacity Building: An Australian-Danish Partnership Model for Higher Education and Research in Nursing

    DEFF Research Database (Denmark)

    Rasmussen, Bodil; Kolbæk, Raymond; Lorentzen, Vibeke

    2013-01-01

    Aim: The article describes how a three level nursing partnership program between Australia and Denmark evolved and how barriers can be diminished when built on guiding principles of: professional trust, mutual understanding and respect for each other’s social, educational and cultural conditions...... and expertise across international borders as an important vehicle for developing nursing practice and research. Conclusion: The Australian-Danish education and research partnership program demonstrates that exchanging experiences can create opportunities for nurses’ professional growth, to advance careers...

  10. Improving nursing practice and patient care: building capacity with appreciative inquiry.

    Science.gov (United States)

    Havens, Donna Sullivan; Wood, Susan O; Leeman, Jennifer

    2006-10-01

    Appreciative inquiry is a philosophy and methodology for promoting positive organizational change. Nursing leaders at 6 community hospitals are partnering with the authors on a project that uses appreciative inquiry to improve communication and collaboration, to increase nurse involvement in decision making, and to enhance cultural awareness and sensitivity. In this article, the authors describe appreciative inquiry, how hospitals are using it, and the initial lessons learned.

  11. Succession planning in an academic medical center nursing service.

    Science.gov (United States)

    Barginere, Cynthia; Franco, Samantha; Wallace, Lynne

    2013-01-01

    Succession planning is of strategic importance in any industry. It ensures the smooth transition from leader to leader and the ability of the organization to maintain the forward momentum as well as meet its operational and financial goals. Health care and nursing are no exception. In the complex and challenging world of health care today, leadership is critical to an organization's success and leadership succession is a key strategy used to ensure continuity of leadership and development of talent from within the organization. At Rush University Medical Center, a 667-bed academic medical center providing tertiary care to adults and children, the need for a focus on succession planning for the nursing leadership team is apparent as key leaders come to the end of their careers and consider retirement. It has become apparent that to secure the legacy and continue the extraordinary history of nursing excellence, care must be taken to grow talent from within and take the opportunity to leverage the mentoring opportunities before the retirement of many key leaders. To ensure a smooth leadership transition, nursing leadership and human resources partner at Rush University Medical Center to implement a systematic approach to leadership succession planning.

  12. The usefulness of the Staff-Patient Interaction Response Scale for palliative care nursing for measuring the empathetic capacity of nursing students.

    Science.gov (United States)

    Adriaansen, Marian; Van Achterberg, Theo; Borm, George

    2008-01-01

    In communicating with patients, especially patients receiving palliative care, empathy plays an important role. Little research has as yet been conducted into the development of the empathetic capacity of nursing students at various educational levels. An instrument that may be suitable for such research is the Staff-Patient Interaction Response Scale for Palliative Care Nursing (SPIRS-PCN). The purpose of the article is to determine the validity and reliability of the SPIRS-PCN, an instrument measuring empathy in palliative care. The criterion-related validity, homogeneity, and interrater reliability of the SPIRS-PCN were determined in nursing students (n = 357) who varied in gender, age, religious orientation, educational level, and experience in patient care. The validity of the SPIRS-PCN was underlined by identification of differences for religious orientation and the amount of experience. The variables gender, age, and educational level were not significant in relation to SPIRS-PCN scores. The homogeneity (Cronbach's alpha = .80) and interrater reliability (.74) of the instrument were adequate. We conclude that validity of the SPIRS-PCN was partially supported, whereas reliability was demonstrated. The instrument is feasible in educational situations; we recommend further research into the instrument's validity, especially in the progression of students' scores during the study program.

  13. Testing a measure of organizational learning capacity and readiness for transformational change in human services.

    Science.gov (United States)

    Bess, Kimberly D; Perkins, Douglas D; McCown, Diana L

    2011-01-01

    Transformative organizational change requires organizational learning capacity, which we define in terms of (1) internal and (2) external organizational systems alignment, and promoting a culture of learning, including (3) an emphasis on exploration and information, (4) open communication, (5) staff empowerment, and (6) support for professional development. We shortened and adapted Watkins and Marsick's Dimensions of Learning Organizations Questionnaire into a new 16-item Organizational Learning Capacity Scale (OLCS) geared more toward nonprofit organizations. The OLCS and its subscales measuring each of the above 6 dimensions are unusually reliable for their brevity. ANOVAs for the OLCS and subscales clearly and consistently confirmed extensive participant observations and other qualitative data from four nonprofit human service organizations and one local human service funding organization.

  14. REVIEW AND PERSPECTIVE OF HIGHWAY CAPACITY AND QUALITY OF SERVICE RESEARCH IN JAPAN

    Science.gov (United States)

    Oguchi, Takashi; Nakamura, Hideki

    The highway traffic congestion is one of the most important social and technical issues from the early days of motorization in Japan. Accordingly, the highway capacity has long been a major concern of traffic engineers, not only in research but also in practice, in order to alleviate the traffic congestions. Also, the concept of the quality of service of traffic flow and its proper understanding according to diverse conditions are crucial for implementing the performance-oriented highway planning and design schemes. This article therefore overviews the recent research works regarding highway capacity and quality of service particularly in Japan, after reviewing the state of the arts in bottleneck phenomena observed on Japan motorways and highways. And the future perspective of these research fields is discussed.

  15. Undergraduate Nursing Students' Experience of Service-Learning: A Phenomenological Study.

    Science.gov (United States)

    Knecht, Janet Gavin; Fischer, Beth

    2015-07-01

    Service-learning programs are becoming more evident in baccalaureate nursing curriculums. Anecdotal evidence describing student perceptions has been written; however, research has not been conducted regarding the in-depth student experience of service-learning with vulnerable populations in inner cities. This study was conducted using Colaizzi's descriptive phenomenological method of inquiry. Through purposeful sampling, 10 students were interviewed who have participated in service-learning throughout their sophomore, junior, and senior years of nursing education. Five themes were identified-Shattering Stereotypes, Overwhelmed With Their Need, Transitioning to Community Caregiver, Advocating, and Reciprocal Benefits-and a fundamental structure emerged. Listening to the voices of students participating in service-learning enables educators to gain an in-depth perspective of their experience and, ultimately, to maximize the service-learning program and improve care delivered to this vulnerable inner city population. Copyright 2015, SLACK Incorporated.

  16. A modelling tool for capacity planning in acute and community stroke services.

    Science.gov (United States)

    Monks, Thomas; Worthington, David; Allen, Michael; Pitt, Martin; Stein, Ken; James, Martin A

    2016-09-29

    Mathematical capacity planning methods that can take account of variations in patient complexity, admission rates and delayed discharges have long been available, but their implementation in complex pathways such as stroke care remains limited. Instead simple average based estimates are commonplace. These methods often substantially underestimate capacity requirements. We analyse the capacity requirements for acute and community stroke services in a pathway with over 630 admissions per year. We sought to identify current capacity bottlenecks affecting patient flow, future capacity requirements in the presence of increased admissions, the impact of co-location and pooling of the acute and rehabilitation units and the impact of patient subgroups on capacity requirements. We contrast these results to the often used method of planning by average occupancy, often with arbitrary uplifts to cater for variability. We developed a discrete-event simulation model using aggregate parameter values derived from routine administrative data on over 2000 anonymised admission and discharge timestamps. The model mimicked the flow of stroke, high risk TIA and complex neurological patients from admission to an acute ward through to community rehab and early supported discharge, and predicted the probability of admission delays. An increase from 10 to 14 acute beds reduces the number of patients experiencing a delay to the acute stroke unit from 1 in every 7 to 1 in 50. Co-location of the acute and rehabilitation units and pooling eight beds out of a total bed stock of 26 reduce the number of delayed acute admissions to 1 in every 29 and the number of delayed rehabilitation admissions to 1 in every 20. Planning by average occupancy would resulted in delays for one in every five patients in the acute stroke unit. Planning by average occupancy fails to provide appropriate reserve capacity to manage the variations seen in stroke pathways to desired service levels. An appropriate uplift

  17. Academic-practice collaboration in nursing education: service-learning for injury prevention.

    Science.gov (United States)

    Alexander, Gina K; Canclini, Sharon B; Krauser, Debbie L

    2014-01-01

    Teams of senior-level baccalaureate nursing students at a private, urban university complete a population-focused public health nursing practicum through service-learning partnerships. Recently, students collaborated with local service agencies for Safe Communities America, a program of the National Safety Council in affiliation with the World Health Organization. This article describes the student-led process of community assessment, followed by systematic planning, implementation, and evaluation of evidence-based interventions to advance prescription drug overdose/poisoning prevention efforts in the community.

  18. Measuring ecosystem capacity to provide regulating services: forest removal and recovery at Hubbard Brook (USA).

    Science.gov (United States)

    Beier, Colin M; Caputo, Jesse; Groffman, Peter M

    2015-10-01

    In this study, by coupling long-term ecological data with empirical proxies of societal demand for benefits, we measured the capacity of forest watersheds to provide ecosystem services over variable time periods, to different beneficiaries, and in response to discrete perturbations and drivers of change. We revisited one of the earliest ecosystem experiments in North America: the 1963 de-vegetation of a forested catchment at Hubbard Brook Experimental Forest in New Hampshire, USA. Potential benefits of the regulation of water flow, water quality, greenhouse gases, and forest growth were compared between experimental (WS 2) and reference (WS 6) watersheds over a 30-year period. Both watersheds exhibited similarly high capacity for flow regulation, in part because functional loads remained low (i.e., few major storm events) during the de-vegetation period. Drought mitigation capacity, or the maintenance of flows sufficient to satisfy municipal water consumption, was higher in WS 2 due to reduced evapotranspiration associated with loss of plant cover. We also assessed watershed capacity to regulate flows to satisfy different beneficiaries, including hypothetical flood averse and drought averse types. Capacity to regulate water quality was severely degraded during de-vegetation, as nitrate concentrations exceeded drinking water standards on 40% of measurement days. Once forest regeneration began, WS 2 rapidly recovered the capacity to provide safe drinking water, and subsequently mitigated the eutrophication potential of rainwater at a marginally higher level than WS 6. We estimated this additional pollution removal benefit would have to accrue for approximately 65-70 years to offset the net eutrophication cost incurred during forest removal. Overall, our results affirmed the critical role of forest vegetation in water regulation, but also indicated trade-offs associated with forest removal and recovery that partially depend on larger-scale exogenous changes in climate

  19. Policy-Focused Service-Learning as a Capstone: Teaching Essentials of Baccalaureate Nursing Education.

    Science.gov (United States)

    O'Neill, Moira

    2016-10-01

    The advancing accountability of nurses and nurse educators requires students to develop knowledge, skills, and judgment on a continuum of focus from individual patients to the broader context of care. A dynamic capstone policy course was developed by applying the American Association of Colleges of Nursing's Essentials of Baccalaureate Education for Professional Nursing Practice and capitalizing on related benefits of service-learning pedagogy. It shifts the approach from an intangible didactic lecture on policy and institutional structures to hands-on experiences in actual policy environment and patient health intersections. Acting as nurse consultants, students help clients address a system-based problem. Reflective assignments reinforce student learning as they take cumulative inventory of baccalaureate accomplishments. Competencies in professionalism, teamwork and collaboration, communication, problem solving, and quality assurance are assessed. Students have engaged at sophisticated levels of practice and advocacy. Situating capstone service-learning in a nursing policy course appears to sensitize students to perspectives of all ecological levels and desensitizes their discomfort in the policy arena. Implications for research include identifying and implementing measures of success in program outcomes. [J Nurs Educ. 2016;55(10):583-586.]. Copyright 2016, SLACK Incorporated.

  20. Promoting library services to qualified nurses: towards a market-led approach.

    Science.gov (United States)

    Hernando, S

    1997-06-01

    This article summarizes a research project carried out with the nursing staff of South Buckinghamshire NHS Trust. A 'community profile' looked at nurses' use of library and information services for patient care purposes and found that only a small portion of all categories of qualified staff were library users. A postal questionnaire was used to investigate why nurses sought information, what they used it for, where they obtained it from and how valuable they perceived it to be. The results shown that personal and departmental collections were used quite frequently and the information was widely disseminated by the nurses to patients and their families, to colleagues and to students. The overall message from the survey was that the information obtained is valued highly and is used for various important purposes in health care delivery, such as educating patients and their families and revising treatment plans. However, nurses have difficulty in accessing libraries, which are judged to contain the most accurate, reliable and up-to-date information. The data from the community profile and questionnaire were further analysed using soft systems methodology, in order to identify problems in the traditional model of information delivery to nurses via conventional library and information service. These were then investigated further and a series of recommendations for action drawn up.

  1. Landscapes‘ Capacities to Provide Ecosystem Services – a Concept for Land-Cover Based Assessments

    Directory of Open Access Journals (Sweden)

    Benjamin Burkhard

    2009-12-01

    Full Text Available Landscapes differ in their capacities to provide ecosystem goods and services, which are the benefits humans obtain from nature. Structures and functions of ecosystems needed to sustain the provision of ecosystem services are altered by various human activities. In this paper, a concept for the assessment of multiple ecosystem services is proposed as a basis for discussion and further development of a respective evaluation instrument. Using quantitative and qualitative assessment data in combination with land cover and land use information originated from remote sensing and GIS, impacts of human activities can be evaluated. The results reveal typical patterns of different ecosystems‘ capacities to provide ecosystem services. The proposed approach thus delivers useful integrative information for environmental management and landscape planning, aiming at a sustainable use of services provided by nature. The research concept and methodological framework presented here for discussion have initially been applied in different case studies and shall be developed further to provide a useful tool for the quantification and spatial modelling of multiple ecosystem services in different landscapes. An exemplary application of the approach dealing with food provision in the Halle-Leipzig region in Germany is presented. It shows typical patterns of ecosystem service distribution around urban areas. As the approach is new and still rather general, there is great potential for improvement, especially with regard to a data-based quantification of the numerous hypotheses, which were formulated as base for the assessment. Moreover, the integration of more detailed landscape information on different scales will be needed in future in order to take the heterogeneous distribution of landscape properties and values into account. Therefore, the purpose of this paper is to foster critical discussions on the methodological development presented here.

  2. [Implementation of nurse demand managment in primary health care service providers in Catalonia].

    Science.gov (United States)

    Brugués Brugués, Alba; Cubells Asensio, Irene; Flores Mateo, Gemma

    2017-04-14

    To describe and analyse the implementaction of nurse demand managment (NDM) among health care providers in Catalonia from 2005 to 2014. Cross sectional survey. Participants All service providers in Catalonia (n=37). Main measurements Interviews with nurse manager of each health care provides about ht barriers and facilitators concerning NDM. Facilitators and barriers were classified into 3 types: (i)health professional (competence, attitudes, motivation for change and individual characteristics); (ii)social context (patients and companions), and (iii)system related factors (organization and structure, economic incentives). Of the 37 providers, 26 (70.3%) have implemented the Demand Management Nurse (NDM). The main barriers identified are the nurse prescriptin regulation, lack of knowledge and skills of nurses, and the lack of protocols at the start of implantation. Among the facilitators are the specific training of professionals, a higher ratio of nurses to doctors, consensus circuits with all professionals and linking the implementation of NDM to economic incentives. NDM is consolidated in Catalonia. However, the NDM should be included in the curricula of nursing degree and continuing education programs in primary care teams. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  3. Internationally recruited neonatal nurses' experiences in the National Health Service in London.

    Science.gov (United States)

    Alexis, Obrey; Shillingford, Adeline

    2015-08-01

    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. © 2014 Wiley Publishing Asia Pty Ltd.

  4. Health Advocacy Project: Evaluating the Benefits of Service Learning to Nursing Students and Low Income Individuals Involved in a Community-Based Mental Health Promotion Project.

    Science.gov (United States)

    Samuels-Dennis, Joan; Xia, Liudi; Secord, Sandra; Raiger, Amelia

    2016-10-08

    Poverty, along with other factors such as unemployment, work and life stressors, interpersonal violence, and lack of access to high quality health and/or social services all play a role in determining who develops a mental illness and for whom those symptoms persist or worsen. Senior nursing student preparing to enter the field and working in a service learning capacity may be able to influence early recovery and symptom abatement among those most vulnerable to mental illness. A consortium of community stakeholders and researchers collaboratively designed a 10-week mental health promotion project called the Health Advocacy Project (HAP). The project combines case management and system navigation support delivered by trained and highly supervised nursing students to individuals experiencing major depressive disorder (MDD) and/or post-traumatic stress disorder (PTSD). In this article, we present the findings of a qualitative fidelity evaluation that examines the effectiveness of nursing students in delivering the health advocacy intervention at the level and with the intensity originally intended. The findings demonstrate how the services of senior nursing students may be optimized to benefit our healthcare system and populations most at risk for developing MDD and PTSD.

  5. 有价值的养老护理服务模式探讨%Nursing service value in the service for the aged

    Institute of Scientific and Technical Information of China (English)

    谢红

    2015-01-01

    Pattern and efifciency of nursing service is the core issues of elderly care service. Nursing care in elderly care service not only has its own professional value, but also has the value of appreciation that utilized resources efifciently in professional integration. This paper discussed nursing service value by elaborating function position of nursing, valuable activity, nursing service pattern in elderly care service, to illustrate the feature of nursing service in elderly care service, which may provide a reference for nursing staffs.%护理服务模式与效率问题是养老的核心问题,在养老服务中护理不仅有其自身专业价值,还有专业整合中资源被高效利用的升值价值存在.本文通过养老服务中护理的功能定位、有价值活动和养老护理服务模式分别对护理服务价值进行探讨,以期阐明养老服务中护理服务特性,为护理工作者提供参考.

  6. Measuring organizational flexibility in community pharmacy: Building the capacity to implement cognitive pharmaceutical services.

    Science.gov (United States)

    Feletto, Eleonora; Wilson, Laura Kate; Roberts, Alison Sarah; Benrimoj, Shalom Isaac

    2011-03-01

    Community pharmacy is undergoing transformation with increasing pressure to build its capacity to deliver cognitive pharmaceutical services ("services"). The theoretical framework of organizational flexibility (OF) may be used to assess the capacity of community pharmacy to implement change programs and guide capacity-building initiatives. To test the applicability of an existing scale measuring OF to the industry of community pharmacy in Australia. A mail survey was used to test a preexisting scale measuring OF amended from 28 items to 20 items testing 3 underlying factors of operational, structural, and strategic flexibility in the Australian community pharmacy context. The sample was 2006 randomly-stratified community pharmacies. A confirmatory factor analysis was conducted to assess the validity and reliability of the 1-factor models for each underlying construct and the full measurement model. Responses were received from a total of 395 (19.7%) community pharmacies. The 1-factor models of operational, structural, and strategic flexibility fit the data with appropriate respecification. Overall, the favorable fit of the individual factor constructs suggested that the multiple-factor measurement model should be tested. However, this model did not yield an interpretable response. Operational flexibility covaried negatively to the other factors, whereas structural and strategic flexibility shared covariance. Despite this, the results highlighting the individual factor fit suggest the constructs have application to pharmacy. The individual OF constructs were useful in the development and initial testing of a scale adapted for community pharmacy. When further developed and validated, the scale could be used to identify group of pharmacies that require individualized assistance to build capacity and integrate services and other new endeavors. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Using SERVQUAL to evaluate quality disconfirmation of nursing service in Taiwan.

    Science.gov (United States)

    Chou, Shieu-Ming; Chen, Thai-Form; Woodard, Beth; Yen, Miao-Fen

    2005-06-01

    The purpose of this study was to determine the extent of disconfirmation of the perceived quality of nursing services, and its relationship to patient's satisfaction, intent to return, and intent to recommend to others. The service dimensions were tangibles, reliability, responsiveness, assurance, and empathy, which were adopted from the Gap model of Parasuraman, Zeithaml and Berry (1985). A total of 186 subjects was tested by a modified SERVQUAL (service quality) instrument. These subjects were from 15 randomly selected medical-surgical units in a medical center in Taipei, Taiwan, Republic of China. The response rate was 92%. Descriptive statistics and multiple regression were used to analyze subjects' responses. A number of the demographic variables served as covariates in data analysis. Responsiveness was highly significant in predicting overall satisfaction with hospital service (p = .0003). Reliability was significant in predicting overall satisfaction with nursing care (p < .00005) and intent to return. Empathy was a highly significant predictor of intent to recommend.

  8. Nurses' Emotional Intelligence Impact on the Quality of Hospital Services

    OpenAIRE

    RANJBAR EZZATABADI, Mohammad; Bahrami, Mohammad Amin; Hadizadeh, Farzaneh; Arab, Masoomeh; Nasiri, Soheyla; AMIRESMAILI, Mohammadreza; Ahmadi Tehrani, Gholamreza

    2012-01-01

    Background Emotional intelligence is the potential to feel, use, communicate, recognize, remember, describe, identify, learn from, manage, understand and explain emotions. Service quality also can be defined as the post-consumption assessment of the services by consumers that are determined by many variables. Objectives This study was aimed to determine the nurses’ emotional intelligence impact on the delivered services quality. Materials and Methods This descriptive - applied study was carri...

  9. Evaluation of products and services of a nursing library: user satisfaction

    OpenAIRE

    2008-01-01

    The goal of the study was to evaluate the quality of the services provided by the library at the Nursing School of the University of São Paulo. A questionnaire evaluating users' satisfaction with the service was employed, covering five quality components: tangibles, reliability, responsiveness, assurance and empathy. The Satisfaction Rate was calculated through the degree of importance in relation to satisfaction. The analysis of the open-ended answers was quanti-qualitative. For Reliability ...

  10. 42 CFR 409.33 - Examples of skilled nursing and rehabilitation services.

    Science.gov (United States)

    2010-10-01

    ... indicators for adjusting therapeutic measures. Similarly, surgical patients transferred from a hospital to an... HEALTH AND HUMAN SERVICES MEDICARE PROGRAM HOSPITAL INSURANCE BENEFITS Requirements for Coverage of... qualify as either skilled nursing or skilled rehabilitation services—(1) Overall management and evaluation...

  11. [Cooperation between nursing homes and intellectual disability care services : State of affairs in Flanders].

    Science.gov (United States)

    Campens, J; Schiettecat, T; Vervliet, M; Van Heck, L; Lesseliers, J; Goethals, I; De Witte, N

    2017-09-01

    Considering the increasing life expectancy of people with intellectual disabilities (ID), the importance of cooperation between services for people with ID and elderly care services has been stressed in Flanders and the Netherlands, as well as internationally. However, the prevalence, intensity and content of such a cooperation are yet unknown. In order to gain information to address this issue, an online-survey was delivered to directors of all nursing homes in Flanders (n = 781). 229 surveys were completed.In more than 75% of the nursing homes, people with ID were among the residents over the past decade. However, at the same time a lack of expertise has been identified as a barrier to provide them optimal care and support. Hence, the respondents point out that a cooperation with ID care services could be beneficial. Nevertheless, those partnerships only arose in a quarter of the nursing homes so far, primarily for the purpose of exchange of expertise. Intersectoral multidisciplinary consultations and intersectoral care team consultations have been taking place as well, be it mainly in the context of a persons' transition from an ID care service to a nursing home. Until now, radical cooperations which involve an exchange of staff, seem to be rather rare.

  12. Nurse-led clinics: 10 essential steps to setting up a service.

    Science.gov (United States)

    Hatchett, Richard

    This article outlines 10 key steps for practitioners to consider when setting up and running a nurse-led clinic. It lays emphasis on careful planning, professional development and the need to audit and evaluate the service to ensure the clinic is measurably effective.

  13. Guidelines for Adolescent Preventive Services: A Role for the School Nurse.

    Science.gov (United States)

    Allensworth, Diane DeMuth; Bradley, Beverly

    1996-01-01

    Investigates the use of school nurses to deliver the American Medical Association's Guidelines for Adolescent Preventive Services (GAPS) in collaboration with school and community professionals. Examines GAPS' components and related critical issues (identifying students for screening, screening students, triage, interdisciplinary and interagency…

  14. [The armed forces health service and its nurses in the Great War].

    Science.gov (United States)

    Porte, Rémy

    2014-06-01

    The First World War was characterised by the multitude of battlefields as well as by the alternating cycles of offensive phases followed by periods of trench warfare. The reality of the fighting, far removed from initial expectations, had major repercussions on the organisation of healthcare services. Nurses played a central role in the healthcare provided during this conflict.

  15. Evaluation of outsourcing in nursing services: a case study of kashani hospital, isfahan in 2011.

    Science.gov (United States)

    Ferdosi, Masoud; Farahabadi, Ehsan; Mofid, Maryam; Rejalian, Farzaneh; Haghighat, Maryam; Naghdi, Parnaz

    2013-03-01

    Hospitals need to focus on their core activities, thus outsourcing of services may be effective in some instances. However, monitoring and supervision is a vital mechanism to preserving and enhancing the quality of outsourced services, and to identify the benefits and losses occurred. The purpose of this study is evaluation of nursing services outsourced in a general hospital from different point of views. This is a descriptive and applied study done by case study (before and after) method. Outsourcing nursing services of clinical wards (ENT and Neurosurgery) of Kashani Hospital in 2011 has been studied. We extracted data from a handmade questionnaire about internal customer's satisfaction and semi-structured interviews with officials, and also survey of financial and administrative documents and records related to the topic. The findings indicate an increased number of graduated nurses per bed to fulfill the main objective of outsourcing in this case. But achieving this objective is accompanied with remarkable increased costs per bed after outsourcing. Besides, we noticed minor changes in internal customer satisfaction rate. While outsourcing should bring about staff and patients' satisfaction and increase the efficiency and effectiveness, outsourcing nursing workforce singly, leaded to a loss of efficiency. Therefore, the applied outsourcing has not met the productivity for the hospital.

  16. Accounting for capacity and flow of ecosystem services: A conceptual model and a case study for Telemark, Norway

    NARCIS (Netherlands)

    Schroter, M.; Barton, D.N.; Remme, R.P.; Hein, L.G.

    2014-01-01

    Understanding the flow of ecosystem services and the capacity of ecosystems to generate these services is an essential element for understanding the sustainability of ecosystem use as well as developing ecosystem accounts. We conduct spatially explicit analyses of nine ecosystem services in Telemark

  17. Effective Capacity Analysis of Cognitive Radio Channels for Quality of Service Provisioning

    CERN Document Server

    Akin, Sami

    2009-01-01

    In this paper, cognitive transmission under quality of service (QoS) constraints is studied. In the cognitive radio channel model, it is assumed that the secondary transmitter sends the data at two different average power levels, depending on the activity of the primary users, which is determined by channel sensing performed by the secondary users. A state-transition model is constructed for this cognitive transmission channel. Statistical limitations on the buffer lengths are imposed to take into account the QoS constraints. The maximum throughput under these statistical QoS constraints is identified by finding the effective capacity of the cognitive radio channel. This analysis is conducted for fixed-power/fixed-rate, fixed-power/variable-rate, and variable-power/variable-rate transmission schemes under different assumptions on the availability of channel side information (CSI) at the transmitter. The impact upon the effective capacity of several system parameters, including channel sensing duration, detect...

  18. Shift work to balance everyday life - a salutogenic nursing perspective in home help service in Sweden.

    Science.gov (United States)

    Agosti, Madelaine Törnquist; Andersson, Ingemar; Ejlertsson, Göran; Janlöv, Ann-Christin

    2015-01-01

    Nurses in Sweden have a high absence due to illness and many retire before the age of sixty. Factors at work as well as in private life may contribute to health problems. To maintain a healthy work-force there is a need for actions on work-life balance in a salutogenic perspective. The aim of this study was to explore perceptions of resources in everyday life to balance work and private life among nurses in home help service. Thirteen semi-structured individual interviews and two focus group interviews were conducted with home help service nurses in Sweden. A qualitative content analysis was used for the analyses. In the analyses, six themes of perceptions of recourses in everyday life emerged; (i) Reflecting on life. (ii) Being healthy and taking care of yourself. (iii) Having a meaningful job and a supportive work climate. (iv) Working shifts and part time. (v) Having a family and a supporting network. (vi) Making your home your castle. The result points out the complexity of work-life balance and support that the need for nurses to balance everyday life differs during different phases and transitions in life. In this salutogenic study, the result differs from studies with a pathogenic approach. Shift work and part time work were seen as two resources that contributed to flexibility and a prerequisite to work-life balance. To have time and energy for both private life and work was seen as essential. To reflect on and discuss life gave inner strength to set boundaries and to prioritize both in private life and in work life. Managers in nursing contexts have a great challenge to maintain and strengthen resources which enhance the work-life balance and health of nurses. Salutogenic research is needed to gain an understanding of resources that enhance work-life balance and health in nursing contexts.

  19. Changing nursing student attitudes to consumer participation in mental health services: a survey study of traditional and lived experience-led education.

    Science.gov (United States)

    Byrne, Louise; Platania-Phung, Chris; Happell, Brenda; Harris, Scott; Sci, Dip Health; Hlth Nurs, M Ment; Bradshaw, Julie

    2014-09-01

    Mental health policy emphasises the importance of consumer participation in mental health services. To align education with policy and orient future healthcare services to active consumer involvement, the potential of academics with a lived experience of mental illness to impact on student attitudes towards consumer participation needs to be examined. A cohort comparative study was undertaken comparing attitudinal change between undergraduate nursing students undertaking two different mental health courses, one nurse-led (n  =  61) and one lived experience-led. Attitudes were measured through the Mental Health Consumer Participation Questionnaire. Within-cohort change was assessed via dependent sample t-tests, and degree of change was observed in each cohort, by comparing effect sizes. For the nurse-led course, attitudes on consumer involvement t (60)  =  -1.79, p consumer as staff t (60)  =  -4.12, p consumer capacity t (109)  =  -3.63, p consumer as staff, t (109)  =  -5.63, p consumer participation. Lived experience-led education was more beneficial in changing attitudes to consumer capacity and both types of education had similar positive effects on attitudes to consumers as staff.

  20. Involving mental health service users in nurse education through enquiry-based learning.

    Science.gov (United States)

    Rush, Brenda; Barker, Janet H

    2006-09-01

    Service user involvement and enquiry-based learning (EBL) are two modern approaches to nurse education, which previously have remained separate entities. This article describes an innovative project that brought together the two learning methods within the University of Nottingham. Mental health service users participated actively in the EBL process with student nurses to facilitate learning in the classroom before, during and after mental health placements. The process is described and an evaluation presented with examples of student responses showing how the experience inspired the students and contributed to the development of their understanding of mental health issues in both theory and practice. It is hoped that the article will encourage other health and social care professionals nationally and internationally to realise the potential of integrating service user involvement and EBL.

  1. Local Medicaid home- and community-based services spending and nursing home admissions of younger adults.

    Science.gov (United States)

    Thomas, Kali S; Keohane, Laura; Mor, Vincent

    2014-11-01

    We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states' efforts to expand HCBS for this population should continue.

  2. [The method of quality function deployment --QFD-- in nursing services planning].

    Science.gov (United States)

    Matsuda, L M; Evora, Y D; Boan, F S

    2000-10-01

    "Focus on the client" is the posture that must be adopted in order to offer quality products. Based on the Total Quality Management approach, the Quality Function Deployment method (QFD) is a tool to achieve this goal. The purpose of this study is to create a proposal for planning the nursing services following the steps and actions of this methodology. The basic procedure was to survey the necessity of 106 hospitalized patients. Data were deployed using the seventeen steps proposed. Results showed that the interaction is more important than the technique according to the clients and also that this method enables the implementation of quality in nursing care.

  3. Developing a strategic plan for a neonatal nurse practitioner service.

    Science.gov (United States)

    Lee, Laurie A; Jones, Luann R

    2004-10-01

    Neonatal nurse practitioners (NNPs) have been in practice for over 3 decades. More recently, NNPs have begun to take ownership for building their group practice models. The purpose of this article is to present a detailed case study demonstrating how one NNP group used a 4-phase strategic planning process to turn a crisis into an opportunity. The article describes data obtained during the strategic planning process from an informal national survey of NNP managers that focused on key benchmarks, such as role definition, responsibilities, protected nonclinical time, NNP salary and benefits, and educational and professional development support. Using the strategic planning process, the group defined mutually agreed upon minimum safe staffing levels for NNPs, interns, residents and neonatologists in their setting. Based on the data generated, the group successfully justified additional NNP positions and organizational support for 10% protected nonclinical time. A sample operational budget, comparison of 3 staffing scenarios, and a timeline are also provided.

  4. 创新护理管理模式打造护理服务品牌%Innovating nursing management mode and creating nursing service brand

    Institute of Scientific and Technical Information of China (English)

    张海梅; 庄旭华; 逯艳丽

    2016-01-01

    Objective:To explore the influence on hospital nursing human resources management,nursing quality and safety,nursing training and assess-ment by nursing management. Methods:Implemented such management methods as innovative management and humane management in nursing management work. Results:After the implementation of innovative management and humane management,the working enthusiasm of nurses was improved,the nursing quality and safety were guaranteed effectively and the overall level of the nursing was improved. Conclusion:The implementation of innovative and humane nursing management could improve the overall quality of the nursing team and the nursing,build up nursing service brand and improve nursing economic benefits as well as social benefits.%目的:探讨护理管理对医院护理人力资源管理、护理质量与安全、护理培训及考核的影响。方法:在护理管理工作中实施创新管理、人性化管理等管理方法。结果:实施创新管理及人性化管理后,护理人员工作积极性得到提高,护理质量与安全得到有效保障,护理整体水平提升。结论:实施创新及人性化护理管理,可提高护理队伍的整体素质,提高护理整体质量,树立护理服务品牌,提高护理经济效益及社会效益。

  5. CompassPoint Nonprofit Services: strengthening the capacities of nonprofits (1971-2008).

    Science.gov (United States)

    Eschman, Jessica R; Schwartz, Sara L; Austin, Michael J

    2011-01-01

    CompassPoint Nonprofit Services is a nonprofit organization that delivers cutting-edge research and support services to the nonprofit community. Over its 30-year history, CompassPoint has transitioned from a small management support agency into a nationally-recognized leader in nonprofit capacity building and nonprofit management research. Through its strong internal operations and external connections, the agency has been able to stay current on the multiple challenges facing the local and national nonprofit community. CompassPoint has been a valuable resource for the nonprofit sector as it has struggled to retain its identity over the past 30 years, in relation to political and economic changes that have altered the functioning of the sector as a whole.

  6. Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service.

    Science.gov (United States)

    Dwyer, Trudy; Craswell, Alison; Rossi, Dolene; Holzberger, Darren

    2017-01-13

    Reducing avoidable hospitialisation of aged care facility (ACF) residents can improve the resident experience and their health outcomes. Consequently many variations of hospital avoidance (HA) programs continue to evolve. Nurse practitioners (NP) with expertise in aged care have the potential to make a unique contribution to hospital avoidance programs. However, little attention has been dedicated to service evaluation of this model and the quality of care provided. The purpose of this study was to evaluate the quality of an aged care NP model of care situated within a HA service in a regional area of Australia. Donabedian's structure, process and outcome framework was applied to evaluate the quality of the NP model of care. The Australian Nurse Practitioner Study standardised interview schedules for evaluating NP models of care guided the semi-structured interviews of nine health professionals (including ACF nurses, medical doctors and allied health professionals), four ACF residents and their families and two NPs. Theory driven coding consistent with the Donabedian framework guided analysis of interview data and presentation of findings. Structural dimensions identified included the 'in-reach' nature of the HA service, distance, limitations of professional regulation and the residential care model. These dimensions influenced the process of referring the resident to the NP, the NPs timely response and interactions with other professionals. The processes where the NPs take time connecting with residents, initiating collaborative care plans, up-skilling aged care staff and function as intra and interprofessional boundary spanners all contributed to quality outcomes. Quality outcomes in this study were about timely intervention, HA, timely return home, partnering with residents and family (knowing what they want) and resident and health professional satisfaction. This study provides valuable insights into the contribution of the NP model of care within an aged care

  7. [The product of the service of nursing in the perspective of the management of quality].

    Science.gov (United States)

    Backes, Dirce Stein; Silva, Deise Marinho; de Siqueira, Hedi Heckler; Erdmann, Alacoque Lorenzine

    2007-06-01

    This study aimed at discussing the need of stimulating innovative and integrating management practices based on the offer of quality products in order to promote new Nursing thinking/practices. Several factors intervene in this process: complexity of the human life, competitiveness, customer's requirement level, globalization, and particularly information technology revolution. In order to supply these requirements and to overcome complexities, the use of tools capable of improving the supplied services, such as management practices based on quality services, along with the implementation of humanization services, is necessary.

  8. Application of the Workload Indicators of Staffing Need method to predict nursing human resources at a Family Health Service

    Directory of Open Access Journals (Sweden)

    Daiana Bonfim

    2016-01-01

    Full Text Available Objective verify the application of the Workload Indicators of Staffing Need method in the prediction of nursing human resources at a Family Health service. Method descriptive and quantitative study, undertaken at a Family Health service in the city of São Paulo. The set of sequential operations recommended in the Workload Indicators of Staffing Need method was used: definition of the professional category, type of health service and calculation of Available Work Time; definition of workload components; identification of mean time for workload components; dimensioning of staff needs based on the method, application and interpretation of the data. Result the workload proposed in the Workload Indicators of Staffing Need method to nursing technicians/auxiliary nurses was balanced with the number of professionals available at the Family Health service. The Workload Indicators of Staffing Need index amounted to 0.6 for nurses and 1.0 for nursing technicians/auxiliary nurses. Conclusion the application of the Workload Indicators of Staffing Need method was relevant to identify the components of the nursing professionals' workload. Therefore, it is recommendable as a nursing staffing tool at Family Health services, contributing to the access and universal health coverage.

  9. Improving teaching strategies in an undergraduate community health nursing (CHN) program: implementation of a service-learning preceptor program.

    Science.gov (United States)

    Kazemi, Donna; Behan, Jennifer; Boniauto, Maria

    2011-08-01

    A service-learning component was added to the existing preceptor practicum program at the University of North Carolina Charlotte's School of Nursing (UNCC SON) in the fall of 2007 for nursing students in the community health nursing (CHN) practicum course. The preceptorship model is commonly used in undergraduate nursing education. The aim of this study was to improve teaching strategies in the existing school health nursing (SHN) preceptor program by the addition of a service-learning community partnership. Adding the service-learning component was based on the Polvika model. A total of 27 nursing students and 33 preceptors participated in the study. Percentages, means, standard deviations, and rankings were used to analyze the data. The participants completed a multiple-choice survey and ranked a list of tasks. The students were able to fulfill their task responsibilities, and the service-learning preceptor program was cost effective for the SHN preceptors through hours saved by the nursing students. The preceptor role is associated with many factors, including perceived burden, which affects their willingness to work with students. The findings demonstrated that service learning is an effective teaching strategy in the CHN nursing students' learning by fostering the preceptors' benefits, rewards, support, and commitment to the role. Published by Elsevier Ltd.

  10. Facility Service Environments, Staffing, and Psychosocial Care in Nursing Homes

    Science.gov (United States)

    Zhang, Ning Jackie; Gammonley, Denise; Paek, Seung Chun; Frahm, Kathryn

    2008-01-01

    Using 2003 Online Survey Certification and Reporting (OSCAR) data for Medicare and Medicaid certified facilities (N=14, 184) and multinomial logistic regression this study investigated if (1) psychosocial care quality was better in facilities where State requirements for qualified social services staffing exceeded Federal minimum regulations and (2) facility service environments are associated with psychosocial care quality. For-profit status and higher percentage of Medicaid residents are associated with lower quality. Staffing, market demand, and market competition are associated with better quality. Psychosocial care quality is more associated with payer status and market forces and less with regulatory requirements. PMID:19361113

  11. 75 FR 22125 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...

    Science.gov (United States)

    2010-04-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and... Electric Energy, Capacity and Ancillary Services by Public Utilities, Order No. 697- C, FERC Stats. &...

  12. Exploring pre-service science teachers' pedagogical capacity for formative assessment through analyses of student answers

    Science.gov (United States)

    Aydeniz, Mehmet; Dogan, Alev

    2016-05-01

    Background: There has been an increasing emphasis on empowering pre-service and in-service science teachers to attend student reasoning and use formative assessments to guide student learning in recent years. Purpose: The purpose of this study was to explore pre-service science teachers' pedagogical capacity for formative assessment. Sample: This study took place in Turkey. The participants include 53 pre-service science teachers in their final year of schooling. All but two of the participants are female. Design and methods: We used a mixed-methods methodology in pursing this inquiry. Participants analyzed 28 responses to seven two-tiered questions given by four students of different ability levels. We explored their ability to identify the strengths and weaknesses in students' answers. We paid particular attention to the things that the pre-service science teachers noticed in students' explanations, the types of inferences they made about students' conceptual understanding, and the affordances of pedagogical decisions they made. Results: The results show that the majority of participants made an evaluative judgment (i.e. the answer is correct or incorrect) in their analyses of students' answers. Similarly, the majority of the participants recognized the type of mistake that the students made. However, they failed to successfully elaborate on fallacies, limitations, or strengths in student reasoning. We also asked the participants to make pedagogical decisions related to what needs to be done next in order to help the students to achieve academic objectives. Results show that 8% of the recommended instructional strategies were of no affordance, 64% of low-affordance, and 28% were of high affordance in terms of helping students achieve the academic objectives. Conclusion: If our goal is to improve pre-service science teachers' noticing skills, and the affordance of feedback that they provide, engaging them in activities that asks them to attend to students' ideas

  13. Racial disparities in receipt of hospice services among nursing home residents.

    Science.gov (United States)

    Frahm, Kathryn A; Brown, Lisa M; Hyer, Kathryn

    2015-03-01

    This study examined the relationship between race and advance care planning, hospitalization, and death among nursing home residents receiving hospice care. Secondary data analysis using the 2007 Minimum Data Set (MDS) was used to identify documentation of these activities for White, Black, Hispanic, and Asian residents with linear regression models fitted to each dependent variable. Across different types of advance directives, compared to White nursing home residents, Black, Hispanic, and Asian residents who received hospice services were significantly less likely overall to have documented advance directives. All racial groups were also more likely to experience hospitalization while on hospice, regardless of whether they had a documented "do not hospitalize" order. As nursing homes become more diverse, recognizing differences in hospice use and end-of-life planning will continue to increase in importance. © The Author(s) 2013.

  14. Physicians' and nurses' satisfaction with the clinical laboratory service of Gondar University Hospital, northwest Ethiopia.

    Science.gov (United States)

    Addis, Zelalem; Birhan, Wubet; Derseh, Dejene; Sahle, Biruktawit; Gizaw, Netsanet

    2013-09-01

    To assess physicians' and nurses' satisfaction with the service provided by the laboratory at Gondar University Hospital. We conducted a cross-sectional study involving 196 nurses and physicians. Overall level of satisfaction was 51.1% for nurses and 51.5% for physicians. Lack of consistency in the quality of laboratory work, absence of a timely report of critical values, test turnaround time, acceptability of results released, and reporting of reference ranges with test results were areas mentioned as sources of dissatisfaction. The study showed wide room for improvement. In addition to taking intervention, root causes of dissatisfaction need to be investigated and means of improving the satisfaction level should be designed and implemented.

  15. Who Hires Social Workers? Structural and Contextual Determinants of Social Service Staffing in Nursing Homes.

    Science.gov (United States)

    Roberts, Amy Restorick; Bowblis, John R

    2017-02-01

    Although nurse staffing has been extensively studied within nursing homes (NHs), social services has received less attention. The study describes how social service departments are organized in NHs and examines the structural characteristics of NHs and other macro-focused contextual factors that explain differences in social service staffing patterns using longitudinal national data (Certification and Survey Provider Enhanced Reports, 2009-2012). NHs have three patterns of staffing for social services, using qualified social workers (QSWs); paraprofessional social service staff; and interprofessional teams, consisting of both QSWs and paraprofessionals. Although most NHs employ a QSW (89 percent), nearly half provide social services through interprofessional teams, and 11 percent rely exclusively on paraprofessionals. Along with state and federal regulations that depend on facility size, other contextual and structural factors within NHs also influence staffing. NHs most likely to hire QSWs are large facilities in urban areas within a health care complex, owned by nonprofit organizations, with more payer mixes associated with more profitable reimbursement. QSWs are least likely to be hired in small facilities in rural areas. The influence of policy in supporting the professionalization of social service staff and the need for QSWs with expertise in gerontology, especially in rural NHs, are discussed. © 2016 National Association of Social Workers.

  16. Profit Optimization in SLA-Aware Cloud Services with a Finite Capacity Queuing Model

    Directory of Open Access Journals (Sweden)

    Yi-Ju Chiang

    2014-01-01

    Full Text Available Cloud computing realizes a utility computing paradigm by offering shared resources through an Internet-based computing. However, how a system control can enhance profit and simultaneously satisfy the service level agreements (SLAs has become one of the major interests for cloud providers. In this paper, a cloud server farm provided with finite capacity is modeled as an M/M/R/K queuing system. Revenue losses are estimated according to the system controls and impatient customer behaviors. Three important issues are solved in this paper. First, a profit function is developed in which both the system blocking loss and the user abandonment loss are evaluated in total revenue. A tradeoff between meeting system performances and reducing operating costs is conducted. Second, the effects of system capacity control and utilization on various performances of waiting time, loss probability, and final arrival rate are demonstrated. Finally, the proposed optimal profit control (OPC policy allows a cloud provider to make the optimal decision in the number of servers and system capacity, so as to maximize profit. As compared to a system without applying the OPC policy, enhancing providers’ profit and improving system performances can be obtained.

  17. How Does an Online Patient-Nurse Communication Service Meet the Information Needs of Men with Recently Diagnosed Testicular Cancer?

    OpenAIRE

    Mirjam Ekstedt; Cornelia Ruland; Cecilie Varsi; Ragnhild Hellesø; Torunn Wibe

    2012-01-01

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer ...

  18. Hospital nursing service reform is necessary%医院护理改革势在必行

    Institute of Scientific and Technical Information of China (English)

    郭燕红

    2011-01-01

    The essence of launching the high quality nursing service in hospitals is the implementation of clinical nursing mode and nurse management reform. The paper analyzed the importance of the high quality nursing service in hospitals, and it indicates that the implement of the High Quality Nursing Service is an activity of public hospital reform. In the nursing reform, the nursing care model must be improved, and provide the continuing, comprehensive and professional nursing care, which is according to the patients needs. On the other hand, the nursing management should be improved, including nursing resource management , performance evaluation of nursing staffs, the motivation and nursing career ladder establishment ,in order to enhance the nursing workforce.%医院推行优质护理服务的实质是临床护理服务模式和护士队伍管理的改革.分析了优质护理服务在医院工作中的重要性,提出实施优质护理服务是公立医院改革诸多举措在护理领域的实践,是公立医院改革的重要内容.在护理改革中,一方面要改革护理服务模式,在责任制整体护理工作模式下,为患者提供人性化、专业化、规范化的护理服务;另一方面,在护士岗位管理、人事管理、绩效考核、建立激励机制等护理管理问题中进行改革和探索.

  19. Evaluation of the impact of nursing clinics in the rheumatology services.

    Science.gov (United States)

    Muñoz-Fernández, Santiago; Aguilar, Ma Dolores; Rodríguez, Amparo; Almodóvar, Raquel; Cano-García, Laura; Gracia, Luís Antonio; Román-Ivorra, José A; Rodríguez, J Ramón; Navío, Teresa; Lázaro, Pablo

    2016-09-01

    Nursing clinics in rheumatology (NCRs) are organisational care models that provide care centred within the scope of a nurse's abilities. To analyse the impact of NCR in the rheumatology services, national multicenter observational prospective cohort studied 1-year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; and (3) its own appointment schedule. Variables included were (baseline, 6 and 12 months): (a) test to evaluate clinical activity of the disease, research and training, infrastructure of unit and resources of NCR and (b) tests to evaluate socio-demographics, work productivity (WPAI), use of services and treatments and quality of life. A total of 393 rheumatoid arthritis and ankylosing spondylitis patients were included: 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 + 11.8 vs 56 + 13.5 years). Statistically significant differences were found in patients attended in sites without NCR, at some of the visits (baseline, 6 or 12 months), for the following parameters: higher CRP level (5.9 mg/l ± 8.3 vs 4.8 mg/l ± 7.8; p rheumatology services contributes to improve some clinical outcomes, a lower frequency of primary care consultations and better work productivity of patients with rheumatic diseases.

  20. Developing strategies to enhance health services research capacity in a predominantly rural Canadian health authority.

    Science.gov (United States)

    Miller, Jennifer; Bryant Maclean, Leslie; Coward, Patricia; Broemeling, Anne-Marie

    2009-01-01

    This article outlines the planning, implementation and preliminary evaluation of a research capacity building (RCB) initiative within a predominantly rural Canadian health authority, Interior Health (IH), including initiative characteristics and key activities designed to initiate and enhance health services research capacity within the organization. Interior Health is one of 5 geographic health authorities in British Columbia. Over half of the population IH serves is considered to be rural/remote (approximately 3 people/km2), contributing to difficulties in sharing research information (ie geographical distance to meet in-person and a diverse set of needs and/or priority topics that warrant research support). An initial assessment of IH research capacity in 2006, using an organizational self-assessment tool and discussions with key stakeholders, revealed a need for enhanced communication of health research results, research education and networking opportunities for staff at all levels of the organization. Staff noted barriers to using and sharing research such as lack of time, resources and skills for, and value placed on, participating in research, as well as lack of awareness of linkages with local academic health researchers, including faculty located at two universities within the region. In response to this baseline assessment and stakeholder feedback, short-term funding has allowed for the initial development of RCB strategies in both urban and rural/remote areas of the region, including: IH Research Brown Bag Lunch Seminars; IH Research Skills Workshop Series; literature syntheses/summaries on priority topic areas; research collaboration/partnerships with health authorities, research networks and academic researchers; and an annual IH Research Conference. Although currently a poorly defined term, RCB is a concept that speaks to the need for improvement in the skills and assets that can facilitate the production and application research. It is difficult to

  1. Evidence-based nursing leadership: Evaluation of a Joint Academic-Service Journal Club.

    Science.gov (United States)

    Duffy, Joanne R; Thompson, Diane; Hobbs, Terry; Niemeyer-Hackett, Nancy Lee; Elpers, Susan

    2011-10-01

    This article describes the importance of evidence-based nursing leadership in the development and evaluation of a joint academic-service nursing leadership journal club. The use of scientific evidence and the embracing of an environment of continuous learning are essential to quality practice; however, nursing leadership has been slow to apply evidence-based practice to their own work. A noontime monthly meeting schedule, incentivized by lunch, was organized as a nursing leadership journal club. Articles were selected and reviewed monthly, and the process was formally evaluated using a written evaluation at the end of year 1. Eighteen articles were appraised by the group with 6 topics identified. Positive results included increased knowledge, competence of the leader, and attainment of goals. Recommendations include revision of goals, plans to share leadership of the group, development of a rigorous evaluation of outcomes, and dissemination of findings. The journal club was valuable in increasing awareness of nursing leadership research, promoting leadership development, and improving competence in the performance of research appraisals. Process improvement and further study are needed to increase understanding regarding the benefits of leadership journal clubs.

  2. New ways of seeing: Nursing students' experiences of a pilot service learning program in Australia.

    Science.gov (United States)

    Townsend, Lisa; Gray, Joanne; Forber, Jan

    2016-01-01

    The objective of this paper was to evaluate pre-registration nursing students' experiences of a pilot program that placed them in community based non-government organisations for clinical placement as part of a core mental health subject. Clinical placements that adopt a Service Learning model in primary health care environments are valuable to nursing students but are not commonly available in Australia. In order to enhance student exposure to primary health care models and support experiential learning about the social determinants of health, a pilot Service Learning program was designed to provide clinical placements in non-government organisations. Qualitative data were collected through one focus group with program participants. The focus group was audio-recorded and transcribed verbatim. Thematic analysis of transcribed data was undertaken. The overarching theme identified was 'new ways of seeing'. Three sub-themes - 'learning outside the box', 'confronting the real world' and 'transformative experiences' - were also identified. The authors have concluded that nursing students in community organisations for clinical practicum facilitated valuable learning and generated professional and personal insight leading to increased understanding of the social determinants of health and increased awareness of mental health nursing in the community. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Aligning oral mesalazine treatment to health service priorities: guidance for nurses.

    Science.gov (United States)

    Kemp, Karen; Sephton, Mark

    2014-04-01

    Oral mesalazine represents a crucial front-line agent for the treatment of active ulcerative colitis (UC) and the maintenance of remission. Clinical aspects of mesalazine therapy are guided by robust evidence-based guidelines, although there is a relative paucity of guidance examining the specific administrative and professional issues faced by inflammatory bowel disease (IBD) nurses. As IBD nurses frequently influence treatment decisions in UC, this article was written to provide a practical review of the key evidence and issues affecting mesalazine treatment. Therefore, it may act as an additional resource for IBD nurses, to enhance prescribing decisions. Using the UK's Quality, Innovation, Productivity and Prevention (QIPP) agenda as a framework, it considers clinical and health service priorities affecting treatment decisions. The quality of care perspective naturally focuses on efficacy; recent interest in specific aspects of efficacy, such as the speed of symptom resolution allows targeting of mesalazine treatment to individual needs. Furthermore, innovative adherence programmes build on the latest evidence to develop robust, integrated patient support approaches. In terms of productivity, nurse-led activities and more sophisticated management strategies may offer the best routes towards reducing the costs of care. Key opportunities for preventing ill health include improving adherence to maintenance therapy and achieving mucosal healing. The principles and approaches highlighted by the QIPP agenda emphasise that prescribing decisions for mesalazine in UC must take account of the full spectrum of clinical and health service needs, and cannot focus on any one element in isolation.

  4. Magnet status as a competitive strategy of hospital organizations: marketing a culture of excellence in nursing services.

    Science.gov (United States)

    Tropello, Paula Grace Dunn

    2003-01-01

    With issues of patient safety, the nursing shortage, and managed care fiscal constraints, hospital organizations can strategically capture market share, while insuring best care practices, if they adopt the "Magnet Status" accreditation model. This quality indicator signifies to the consumer a culture of excellence in nursing services and fulfills the priority of customer satisfaction as a marketing strategy objective.

  5. Striving for balance - A qualitative study to explore the experiences of nurses new to the ambulance service in Sweden.

    Science.gov (United States)

    Hörberg, Anna; Lindström, Veronica; Kalén, Susanne; Scheja, Max; Vicente, Veronica

    2017-08-19

    New nurses and nurses new to a professional practice go through a transition where they adopt a new professional identity. This has been described as a challenging time where peer support and limited responsibility are considered necessary. Little is known about the experience of nurses being new to the ambulance service where support is limited and the nurse holds full responsibility of patient care. The aim of this study has therefore been to explore nurses' experiences during their first year of employment in the Swedish ambulance service. Data was generated from semi-structured interviews with 13 nurses having less than 12 months of experience of work in the ambulance service. The nurses represented nine different districts in Sweden. Analysis was a latent inductive qualitative content analysis. The analysis resulted in the main category, "Striving for balance during the transition process in the ambulance context". Transition in the ambulance service was experienced as a balance act between emotions, expectations and a strive for professional development. The balance was negatively affected by harsh, condescending attitudes among colleagues and the lack of structured support and feedback. In striving for balance in their new professional practice, the nurses described personal, unsupervised strategies for professional development. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

    Directory of Open Access Journals (Sweden)

    Francine Cassol Prestes

    2015-06-01

    Full Text Available OBJECTIVE To measure the pleasure and suffering indicators at work and relate them to the socio-demographic and employment characteristics of the nursing staff in a hemodialysis center in southern Brazil. METHOD Quantitative research, with 46 workers. We used a self-completed form with demographic and labor data and the Pleasure and Suffering Indicators at Work Scale (PSIWS. We conducted a bivariate and correlation descriptive analysis with significance levels of 5% using the Epi-Info® and PredictiveAnalytics Software programs. RESULTS Freedom of Speech was considered critical; other factors were evaluated as satisfactory. The results revealed a possible association between sociodemographic characteristics and work, and pleasure and suffering indicators. There was a correlation between the factors evaluated. CONCLUSION Despite the satisfactory evaluation, suffering is present in the studied context, expressed mainly by a lack of Freedom of Speech, with the need for interventions to prevent injury to the health of workers.

  7. Comparative analysis of the expected demands for nursing care services among older people from urban, rural, and institutional environments

    Directory of Open Access Journals (Sweden)

    Borowiak E

    2015-02-01

    Full Text Available Ewa Borowiak,1,2,* Joanna Kostka,3,* Tomasz Kostka1 1Department of Geriatrics, Medical University of Lodz, Poland; 2Institute of Nursing, Medical University of Lodz, Poland; 3Department of Physical Medicine, Medical University of Lodz, Poland *These authors contributed equally to this work Background: Demand for nursing and social services may vary depending on the socio-demographic variables, health status, receipt of formal and informal care provided, and place of residence. Objectives: To conduct a comparative analysis of the expectations of older people from urban, rural, and institutional environments concerning nursing care with respect to the care provided and elements of a comprehensive geriatric assessment. Material and methods: The study comprised 2,627 individuals above the age of 65 years living in urban (n=935 and rural (n=812 areas as well as nursing homes (n=880. Results: Family care was most often expected both in urban (56.6% and rural (54.7% environments, followed by care provided simultaneously by a family and nurse (urban – 18.8%; rural – 26.1% and realized only by a nurse (urban – 24.6%; rural – 19.2%. Not surprisingly, nursing home residents most commonly expected nursing care (57.5% but 33.1% preferred care provided by family or friends and neighbors. In the whole cohort of people living in the home environment (n=1,718, those living with family demonstrated willingness to use primarily care implemented by the family (62.0%, while respondents living alone more often expected nursing services (30.3%. In the logistic regression model, among the respondents living in the city, only the form of care already received determined the expectations for nursing care. Among the respondents living in the county, the presence of musculoskeletal disorders, better nutritional status, and current care provided by family decreased expectations for nursing care. Higher cognitive functioning, symptoms of depression, and living alone

  8. Development of leadership behaviors in undergraduate nursing students: a service-learning approach.

    Science.gov (United States)

    Foli, Karen J; Braswell, Melanie; Kirkpatrick, Jane; Lim, Eunjung

    2014-01-01

    The purpose of this study was to determine leadership behaviors developed by nursing students and peers before and after a service-learning experience. Nurses have been called to fill growing needs in the health care setting, rendering care to vulnerable and diverse populations in a wide range of organizations. Leadership behaviors are therefore essential. Baccalaureate students (N = 65) completed the Student Leadership Practices Inventory-Self at the beginning and end of the semester. The students also rated peers using the Leadership Practices Inventory-Observer and answered six questions about service-learning. Repeated measures of analysis of variance for pre- and posttests revealed that leadership behaviors improved (p learning into a leadership course is an effective approach to the development of leadership behaviors.

  9. Patient satisfaction and non-UK educated nurses: a cross-sectional observational study of English National Health Service Hospitals

    Science.gov (United States)

    Griffiths, Peter; Sloane, Douglas M; Rafferty, Anne Marie; Ball, Jane E; Aiken, Linda H

    2015-01-01

    Objectives To examine whether patient satisfaction with nursing care in National Health Service (NHS) hospitals in England is associated with the proportion of non-UK educated nurses providing care. Design Cross-sectional analysis using data from the 2010 NHS Adult Inpatient Survey merged with data from nurse and hospital administrator surveys. Logistic regression models with corrections for clustering were used to determine whether the proportions of non-UK educated nurses were significantly related to patient satisfaction before and after taking account of other hospital, nursing and patient characteristics. Setting 31 English NHS trusts. Participants 12 506 patients 16 years of age and older with at least one overnight stay that completed a satisfaction survey; 2962 bedside care nurses who completed a nurse survey; and 31 NHS trusts. Main outcome measure Patient satisfaction. Results The percentage of non-UK educated nurses providing bedside hospital care, which ranged from 1% to 52% of nurses, was significantly associated with patient satisfaction. After controlling for potential confounding factors, each 10-point increase in the percentage of non-UK educated nurses diminished the odds of patients reporting good or excellent care by 12% (OR=0.88), and decreased the odds of patients agreeing that they always had confidence and trust in nurses by 13% (OR=0.87). Other indicators of patient satisfaction also revealed lower satisfaction in hospitals with higher percentages of non-UK educated nurses. Conclusions Use of non-UK educated nurses in English NHS hospitals is associated with lower patient satisfaction. Importing nurses from abroad to substitute for domestically educated nurses may negatively impact quality of care. PMID:26634400

  10. Are doctors and nurses associated with coverage of essential health services in developing countries? A cross-sectional study

    Directory of Open Access Journals (Sweden)

    de Pinho Helen

    2009-03-01

    Full Text Available Abstract Background There is broad policy consensus that a shortage of doctors and nurses is a key constraint to increasing utilization of essential health services important for achieving the health Millennium Development Goals. However there is limited research on the quantitative links between health workers and service coverage rates. We examined the relationship between doctor and nurse concentrations and utilization rates of five essential health services in developing countries. Methods We performed cross-national analyses of low- and middle-income countries by means of ordinary least squares regression with coverage rates of antenatal care, attended delivery, caesarean section, measles immunization, tuberculosis case diagnosis and care for acute respiratory infection as outcomes. Doctor, nurse and aggregate health worker (sum of doctors and nurses concentrations were the main explanatory variables. Results Nurses were associated with utilization of skilled birth attendants (P = 0.02 and doctors were associated with measles immunization rates (P = 0.01 in separate adjusted analyses. Aggregate health workers were associated with the utilization of skilled birth attendants (P Conclusion A range of health system and population-level factors aside from health workers influences coverage of health services in developing countries. However, it is also plausible that health workers who are neither doctors nor nurses, such as clinical officers and community health workers, may be providing a substantial proportion of health services. The human resources for health research agenda should be expanded beyond doctors and nurses.

  11. Relationships between Personal Traits, Emotional Intelligence, Internal Marketing, Service Management, and Customer Orientation in Korean Outpatient Department Nurses

    Directory of Open Access Journals (Sweden)

    Bogyun Kim, MSN, RN

    2016-03-01

    Conclusions: Hospital administrators should support OPD nurses to cultivate sincere and sociable personal traits and emotional intelligence, and to consider employees as internal customers to improve patient-oriented services and satisfaction.

  12. Conceptualisation of knowledge construction in community service-learning programmes in nursing education.

    Science.gov (United States)

    Mthembu, Sindi Z; Mtshali, Fikile G

    2013-01-01

    Practices in higher education have been criticised for not developing and preparing students for the expertise required in real environments. Literature reports that educational programmes tend to favour knowledge conformation rather than knowledge construction; however, community service learning (CSL) is a powerful pedagogical strategy that encourages students to make meaningful connections between the content in the classroom and real-life experiences as manifested by the communities. Through CSL, learning is achieved by the active construction of knowledge supported by multiple perspectives within meaningful real contexts, and the social interactions amongst students are seen to play a critical role in the processes of learning and cognition. This article reflects facilitators’ perspective of the knowledge construction process as used with students doing community service learning in basic nursing programmes. The aim of this article was to conceptualise the phenomenon of knowledge construction and thereby provide educators with a shared meaning and common understanding, and to analyse the interaction strategies utilised by nurse educators in the process of knowledge construction in community service-learning programmes in basic nursing education. A qualitative research approach based on a grounded theory research design was used in this article. Two nursing education institutions were purposively selected. Structured interviews were conducted with 16 participants. The results revealed that the knowledge construction in community service-learning programmes is conceptualised as having specific determinants, including the use of authentic health-related problems, academic coaching through scaffolding, academic discourse-dialogue, interactive learning in communities of learners, active learning, continuous reflection as well as collaborative and inquiry-based learning. Upon completion of an experience, students create and test generated knowledge in different

  13. Nurses and advanced airway management: the experience of the Piacenza ambulance service

    Directory of Open Access Journals (Sweden)

    Fabio Mozzarelli

    2015-10-01

    Full Text Available The study examined the intubation manoeuvres performed by Piacenza local health authority ambulance service nurses in patients with sudden cardiac arrest of nontraumatic origin. The study has a retrospective observational design and analyzes all the intubation manoeuvres performed by ambulance service nurses in patients with non-traumatic cardiac arrest between January 2010 and December 2013. The success of the procedure with subglottic tubes was 97.7% (P>0.60, while it was 100% (P>0.50 with supraglottic devices. The success rate of the procedures is encouraging and the statistical analysis showed that there are no significant differences between literature data and the experience of Piacenza ambulance system crews. An increase in the use of supraglottic devices was also observed. The results show that the Piacenza ambulance service nursing staff has a good level of skills and competence in advanced airway management. A future development of this ability could involve intubation also in situations other than cardiac arrest using specific medication.

  14. Evaluation of the polytrauma victim by the nursing staff in an emergency service of Santa Catarina

    Directory of Open Access Journals (Sweden)

    Leandro Sanceverino Mattos

    2012-06-01

    Full Text Available Objective: To investigate the actions developed by the nursing staff of a private hospital emergency service in the southern Santa Catarina (SC, related to primary and secondary evaluation of polytrauma victims. Methods: Research of a qualitative approach, the type of case study, performed with twelve nurses. Sample has been characterized as non-probabilistic intentional. Data collection has been performed using the techniques of semi-structured interview and participant observation. Data analysis has been developed using the technique of content analysis. Results: Analysis of nurses’ testimonies and the results of observation have showed that most participants comprehend the importance of adopting the ABCDE rule in primary evaluation - A (Air Way - airway permeability with safe administration of cervical collar; B (Breathing; C (Circulation - search for bleeding and control; D (Disability - neurological evaluation; e E (Exposure - patient’s body exposition seeking missed injuries - and the need of meticulous secondary evaluation of polytrauma victim. However, due to demand of urgency and agility in emergencies of this nature, the rule is not followed in a systematic way. Conclusion: It has been demonstrated the nursing staff’s concern over the following aspects: agility of service; immediate performance of examinations; communication between emergency service professionals; adequate perception of the general condition of the victim; and the reception to victim and family.

  15. Stigma and barriers to accessing mental health services perceived by Air Force nursing personnel.

    Science.gov (United States)

    Hernandez, Stephen H A; Bedrick, Edward J; Parshall, Mark B

    2014-11-01

    We investigated perceptions of stigma and barriers associated with accessing mental health services among active component U.S. Air Force officer and enlisted nursing personnel (N = 211). The Britt and Hoge et al Stigma scale and Hoge et al Barriers to Care scale were administered via an anonymous, online survey. Stigma items pertained to concerns that might affect decisions to seek mental health treatment. Most of the sample agreed with the items "Members of my unit might have less confidence in me" and "My unit leadership might treat me differently." Approximately 20% to 46% agreed with the other four stigma items. Officer nursing personnel were significantly more likely than enlisted to agree that accessing mental health services would be embarrassing, harm their career, or cause leaders to blame them for the problem (p ≤ 0.03 for each comparison). Getting time off from work for treatment and scheduling appointments were perceived as barriers by 41% and 21% of respondents, respectively. We conclude that proportions of Air Force nursing personnel reporting concerns about potential stigmatizing consequences of seeking mental health care are substantial and similar to ranges previously reported by military service members screening positive for mental health problems after deployment.

  16. The role of the registered nurse in the marketing of primary healthcare services, as part of health promotion

    OpenAIRE

    M Rail; SM Meyer

    2006-01-01

    Existing literature on the marketing of primary healthcare services was reviewed to determine the role of registered nurses in this regard. The systematic review included “— five searches and ensured wide coverage of the results of available primary research studies on the topic. The results were summarised and the role of registered nurses in the marketing of primary healthcare services was identified. Primary research sources on the topic included textbooks on marketing by experts in the fi...

  17. 武警部队部分护理人员卫勤战备能力的调查与分析%Investigation and Analysis on Combat Readiness Capacity of Nurses in Armed Police Force Hospitals

    Institute of Scientific and Technical Information of China (English)

    唐秀花; 徐丽; 陆萍; 解温品; 胡青; 刘蕾

    2012-01-01

    Objective To investigate the combat readiness capacity of nurses in Armed Police Force (APF) hospitals and to discuss the strategy to improve their combat readiness capacity. Methods From January 2010 to December 2011, the data of combat readiness capacity of 1321 nurses who had participated in major health service of Olympics security, preservation of stability, earthquake relief and flood rescue, National Games security, World Expo security and Asian Games security from 5 Class-Ⅲ Level-A hospitals and 2 motor division hospital of APF(including soldier nurses, non-commissioned civilian nurses, noncommissioned nurses and contract nurses). Results The survey results showed that the clinical nurses gained the highest scores (3. 16±0. 85) in clinical nursing capacity in the three dimensions of combat readiness evaluation; compared with the combat readiness, they gained higher scores in the overall scores of the relative sense of identity related to combat readiness and the highest scores were in personal matters / physical fitness / psychosocial readiness (3. 96±0. 86). Conclusion The combat readiness capacity of the APF nurses needs to be improved, especially in the ability of military action and soldier/survival skills. We need to develop a normative, targeted training program to further improve the quality and effectiveness of the combat readiness training.%目的 了解我国武警部队部分护理人员卫勤战备能力的现状和水平,探讨提高其战备能力的方法.方法 2010年1月至2011年12月,对参加奥运会安保、处理突发事件、维护社会稳定、抗震救灾、抗洪抢险、全运会安保、世博会安保、亚运会安保等重大卫勤任务的武警部队5所三级甲等医院和2所机动师医院1 321名护理人员(包括军人护士、非现役文职护士、士官护士、合同制护士等)进行问卷调查.结果 有关战备能力评估的3个维度中,护理人员的临床护理能力得分最高,为(3.16±0

  18. Building sustainable rural research capacity: the experiences of a brain injury rehabilitation service.

    Science.gov (United States)

    Salmon, Lizette; Curtin, Michael; Ginnivan, Denis; Neumayer, Robert

    2007-06-01

    There is an emerging recognition of the need for health research that is conducted by and for rural people. Rural research promotes excellence in clinical practice and can improve staff recruitment and retention. A group of clinicians from a regional brain injury service collaborated with academics at their local university to form the Rural Rehabilitation Research on Brain Injury initiative. This initiative has funded four peer-reviewed research projects, secured an Australian Research Council grant and established the beginnings of a state-wide rural research collective involving all Brain Injury Rehabilitation Programs in New South Wales. Sustainable research enterprises such as this have significant potential as a 'prototype' for building research capacity in other rural health sectors. Governments and funding bodies should support these initiatives.

  19. Factors associated with the choice of public health service among nursing students in Thailand.

    Science.gov (United States)

    Sawaengdee, Krisada; Pudpong, Nareerut; Wisaijohn, Thunthita; Suphanchaimat, Rapeepong; Putthasri, Weerasak; Lagarde, Mylene; Blaauw, Duane

    2017-01-01

    Despite the fact that public and private nursing schools have contributed significantly to the Thai health system, it is not clear whether and to what extent there was difference in job preferences between types of training institutions. This study aimed to examine attitudes towards rural practice, intention to work in public service after graduation, and factors affecting workplace selection among nursing students in both public and private institutions. A descriptive comparative cross-sectional survey was conducted among 3349 students from 36 nursing schools (26 public and 10 private) during February-March 2012, using a questionnaire to assess the association between training institution characteristics and students' attitudes, job choices, and intention to work in the public sector upon graduation. Comparisons between school types were done using ANOVA, and Bonferroni-adjusted multiple comparisons tests. Principal component analysis (PCA) was used to construct a composite rural attitude index (14 questions). Cronbach's alpha was used to examine the internal consistency of the scales, and ANOVA was then used to determine the differences. These relationships were further investigated through multiple regression. A higher proportion of public nursing students (86.4% from the Ministry of Public Health and 74.1% from the Ministry of Education) preferred working in the public sector, compared to 32.4% of students from the private sector (p = Students who were trained in public nursing schools were less motivated by financial incentive regarding workplace choices relative to students trained by private institutions. To increase nursing workforce in the public sector, the following policy options should be promoted: 1) recruiting more students with a rural upbringing, 2) nurturing good attitudes towards working in rural areas through appropriate training at schools, 3) providing government scholarships for private students in exchange for compulsory work in rural

  20. Delivering good service: personal resources, job satisfaction and nurses' 'customer' (patient) orientation.

    Science.gov (United States)

    Gountas, Sandra; Gountas, John; Soutar, Geoffrey; Mavondo, Felix

    2014-07-01

    To explore the complex relationships between nurses' personal resources, job satisfaction and 'customer' (patient) orientation. Previous research has shown that nursing is highly intensive, emotionally charged work, which affects nurses' job performance and their customer orientation as well as patient or 'customer' satisfaction. This study contributes to the literature by examining how nurses' personal resources relate to their personal satisfaction and customer orientation and the relationships between them. Specifically, this study explores the effects of two facets of emotional labour (deep acting and surface acting), empathic concern, self-efficacy and emotional exhaustion on personal job satisfaction and customer orientation. We also test the moderating effects of inauthenticity and emotional contagion. A quantitative survey. Data were collected through a self-completion questionnaire administered to a sample of 159 Australian nurses, in a public teaching hospital, in 2010. The data were analysed using Partial Least Square analysis. Partial Least Square analysis indicates that the final model is a good fit to the data (Goodness of Fit = 0.51). Deep acting and surface acting have different effects (positive and negative) on job satisfaction and 'customer' orientation, self-efficacy has a positive effect on both and emotional exhaustion has a positive effect on customer orientation and a negative effect on job satisfaction. The moderating effects of emotional contagion and empathic concern, in the final model, are discussed. Understanding the complex interactions between personal resources, job satisfaction and customer orientation helps to increase service providers' (nurses in this study) personal satisfaction and 'customer' orientation particularly in difficult contexts. © 2013 John Wiley & Sons Ltd.

  1. The pursuit of excellence and innovation in service user involvement in nurse education programmes: report from a travel scholarship.

    Science.gov (United States)

    Terry, Julia M

    2013-05-01

    The involvement of service users and carers in nurse education is increasing, with the new standards for pre-registration nurse education in the UK, which require nurse education providers to demonstrate how they are involving users and carers in the planning, delivery, teaching and evaluation of nursing curricula (Nursing and Midwifery Council, 2010). A travel scholarship provided the opportunity to explore best practice in this area, focussing on identifying support systems and processes that enable user involvement. The scholarship was undertaken in the UK and Ireland during a 4 week study tour between June and July 2011, during which I visited 15 universities, and met with nurse education staff, users and carers involved in nurse education programmes. Prerequisite processes, the spectrum and variety of involvement activities, quality assurance and evaluation; and sustainability of user involvement in nurse education are reported in this paper. Service users and carers are an under-utilised resource, and as experts by experience have much to offer students and staff by increased involvement in nurse education programmes. The importance of values, enthusiasm and relationships, the cornerstones that strengthen user involvement; often sustain such partnerships. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. 山西省护理人员科研能力调查研究%Investigation on scientific research capacity of nursing staff in Shanxi province

    Institute of Scientific and Technical Information of China (English)

    潘银河; 程金莲; 寇丽红; 孙玉梅

    2011-01-01

    [目的]了解山西省护理人员科研能力状况及其特点.[方法]采用修订后的护理人员科研能力自评量表对山西省太原市6所三级甲等医院的临床护士进行调查,并对结果进行分析.[结果]护理人员科研能力总得分及各维度得分跨度较大,临床护理人员的整体科研能力较低,不同学历、职称的临床护理人员科研能力总分差异有统计学意义(P<0.05).不同学历的临床护理人员科研能力各维度得分差异有统计学意义(P<0.05);有行政职务者科研能力比无行政职务者强(P<0.05);不同年龄在问题发现能力和论文写作能力比较差异有统计学意义(P<0.05);不同护龄的护理人员只在问题发现能力上差异有统计学意义(P<0.05).[结论]太原市三级甲等医院临床护理人员的整体科研能力比较低,且参差不齐,提示给临床护理人员的科研培训应该有针对性.%Objective:To know about the status quo and characteristics of scientific research capacity of nursing staff in Shanxi province. Methods:Clinical nurses from six three - grade class A hospitals in Taiyuan city Shanxi province were investigated by using nursing staff scientific research ability self - assessment scale. And the results were analyzed. Results: The span of total score and every dimension score of scientific research capacity of nursing staff were wide. Global scientific research capacity of clinical nursing staff was low. There were significant statistical differences in terms of the total score of scientific research ability among clinical nurses with different educational background and professional titles(P<0.05). There were significant statistical differences in every dimension score of scientific research capacity among clinical nurses with different educational background(P<0.05). Scientific research capacity of clinical nurses on administrative duty was better than without duty(P<0.05). For different ages,the ability to

  3. Baccalaureate nursing student experiences at a camp for children with diabetes: the impact of a service-learning model.

    Science.gov (United States)

    Vogt, Marjorie A; Chavez, Ruth; Schaffner, Barbara

    2011-01-01

    Camp nurses deliver health care in a non-traditional setting. Research indicates that camp has a positive impact on campers with diabetes mellitus, but the impact on student nurse knowledge of diabetes care and confidence in the role as a member of the health care team is unknown. This study examined the experiences of student nurses at a summer residential camp for children with diabetes using a service-learning framework. Camp positively increased knowledge of diabetes in the nursing students. Reflective journals identified themes of anxiety, fatigue, responsibility, and increased confidence in the nursing student, while developing empathy for the lifestyle of children with diabetes. Future research on camp nursing is indicated.

  4. Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services.

    Science.gov (United States)

    Bliss, Julie; While, Alison E

    2014-01-01

    General practitioners and district nurses have a long history of providing care outside the hospital setting. With health care increasingly moving out of the hospital setting, there are more opportunities for general practitioners and district nurses to work together to meet the health needs of the local population. However, the reduction in qualified specialist practitioner district nurses over the last decade is concerning. The need for an effective district nursing service has been recognised by the Department of Health in their own model - the nature of district nursing work, often over a long period, enables relationships to develop with the patient, family and informal carers as a basis for anticipatory care to manage long-term conditions. Communication and understanding of the role are central to enhance effective working between general practitioners and district nurses, which can be fostered by engagement in community-oriented integrated care and case management.

  5. Improvement of emergency capacity among outpatient nurses in county-level general hospital%提高县级综合医院门诊护士应急能力的探讨

    Institute of Scientific and Technical Information of China (English)

    杨秀芳; 李蓉定; 唐秀华; 王颖; 余蓉

    2016-01-01

    Objective To explore the countermeasures for increasing the emergency capacity among outpatient nurses in the county-level general hospital. Methods The human resource,technical level and features of emergency ability among outpa-tient nurses in our hospital were analyzed. The countermeasures such as adopting the cultivation of emergency awareness among outpatient nurses,strengthening the training and exercise of emergency capacity by applying the PDCA management method and scene simulation method and reinforcing the training of comprehensive quality were adopted. Results After implementing the countermeasures,the emergency theoretical knowledge and emergency skills assessment scores in the outpatient nurses were high-er than those before the implementation,the difference was statistically significant(P<0.01),moreover the sudden emergency events could be effectively disposed. Conclusion Adopting the countermeasures in our hospital can improve the disposal ability of out-patient nurses on various emergency events,ensures the safe,orderly and efficient operation of outpatient service work,and pro-motes the deeply carrying out of high quality nursing service.%目的:探讨提高县级综合医院门诊护士应急能力的对策。方法通过对天府新区人民医院门诊护士人力资源、技术水平和应急能力特点进行分析,采取增强门诊护士应急意识的培养、应用PDCA管理法加情景模拟法加强应急能力的培训和演练、加强门诊护士综合素质的培养等对策。结果对策实施后门诊护士在应急理论知识和应急技能考核成绩均高于实施前,差异均有显著统计学意义(P<0.01);并能有效处置突发事件。结论该院采取的对策能提高门诊护士对各类突发事件的处置能力,保证门诊工作安全、有序、高效运行,保障患者安全,促进优质护理服务的深入开展。

  6. Medicare Advantage Members’ Expected Out-Of-Pocket Spending For Inpatient And Skilled Nursing Facility Services

    Science.gov (United States)

    Keohane, Laura M.; Grebla, Regina C.; Mor, Vincent; Trivedi, Amal N.

    2015-01-01

    Inpatient and skilled nursing facility (SNF) cost sharing in Medicare Advantage (MA) plans may reduce unnecessary use of these services. However, large out-of-pocket expenses potentially limit access to care and encourage beneficiaries at high risk of needing inpatient and postacute care to avoid or leave MA plans. In 2011 new federal regulations restricted inpatient and skilled nursing facility cost sharing and mandated limits on out-of-pocket spending in MA plans. After these regulations, MA members in plans with low premiums averaged $1,758 in expected out-of-pocket spending for an episode of seven hospital days and twenty skilled nursing facility days. Among members with the same low-premium plan in 2010 and 2011, 36 percent of members belonged to plans that added an out-of-pocket spending limit in 2011. However, these members also had a $293 increase in average cost sharing for an inpatient and skilled nursing facility episode, possibly to offset plans’ expenses in financing out-of-pocket limits. Some MA beneficiaries may still have difficulty affording acute and postacute care despite greater regulation of cost sharing. PMID:26056208

  7. Medicare Advantage Members' Expected Out-Of-Pocket Spending For Inpatient And Skilled Nursing Facility Services.

    Science.gov (United States)

    Keohane, Laura M; Grebla, Regina C; Mor, Vincent; Trivedi, Amal N

    2015-06-01

    Inpatient and skilled nursing facility (SNF) cost sharing in Medicare Advantage (MA) plans may reduce unnecessary use of these services. However, large out-of-pocket expenses potentially limit access to care and encourage beneficiaries at high risk of needing inpatient and postacute care to avoid or leave MA plans. In 2011 new federal regulations restricted inpatient and skilled nursing facility cost sharing and mandated limits on out-of-pocket spending in MA plans. After these regulations, MA members in plans with low premiums averaged $1,758 in expected out-of-pocket spending for an episode of seven hospital days and twenty skilled nursing facility days. Among members with the same low-premium plan in 2010 and 2011, 36 percent of members belonged to plans that added an out-of-pocket spending limit in 2011. However, these members also had a $293 increase in average cost sharing for an inpatient and skilled nursing facility episode, possibly to offset plans' expenses in financing out-of-pocket limits. Some MA beneficiaries may still have difficulty affording acute and postacute care despite greater regulation of cost sharing.

  8. [Opinion of medical and nursing students on the autonomy of adolescents in health care services].

    Science.gov (United States)

    Fortes, P A; Kurita, G de P

    1998-12-01

    In an effort to better understand some of the ethical and legal dilemmas that health professionals face in their daily activities, this study identified and analyzed the opinions and expectations of medical and nursing students at the University of São Paulo, Brazil, regarding the autonomy of adolescents in receiving health care services. Over the 1995-1996 period, interviews were done with students in the first and last years of their programs in the School of Medicine and the School of Nursing of the University of São Paulo. The results from the first-year students were compared with those of the final-year students. The interview questions dealt with such issues as providing medical care to adolescents when a parent or guardian was not present, adolescents making their own decisions on health care services, the confidentiality of information that adolescents provide, the circumstances in which that information could be given to parents or guardians, and situations where there were conflicts between the decisions of parents and adolescents. Despite variations among the opinions and expectations of the students, the overall results suggest that most of the medical and nursing students do not accept the concept of "health adulthood" or autonomy for adolescents and that the students instead choose to rely on current legal definitions of adulthood.

  9. Knowledge and skill retention of in-service versus preservice nursing professionals following an informal training program in pediatric cardiopulmonary resuscitation: a repeated-measures quasiexperimental study.

    Science.gov (United States)

    Sankar, Jhuma; Vijayakanthi, Nandini; Sankar, M Jeeva; Dubey, Nandkishore

    2013-01-01

    Our objective was to compare the impact of a training program in pediatric cardiopulmonary resuscitation (CPR) on the knowledge and skills of in-service and preservice nurses at prespecified time points. This repeated-measures quasiexperimental study was conducted in the pediatric emergency and ICU of a tertiary care teaching hospital between January and March 2011. We assessed the baseline knowledge and skills of nursing staff (in-service nurses) and final year undergraduate nursing students (preservice nurses) using a validated questionnaire and a skill checklist, respectively. The participants were then trained on pediatric CPR using standard guidelines. The knowledge and skills were reassessed immediately after training and at 6 weeks after training. A total of 74 participants-28 in-service and 46 preservice professionals-were enrolled. At initial assessment, in-service nurses were found to have insignificant higher mean knowledge scores (6.6 versus 5.8, P = 0.08) while the preservice nurses had significantly higher skill scores (6.5 versus 3.2, P nurses performing better in knowledge test (10.5 versus 9.1, P = 0.01) and the preservice nurses performing better in skill test (9.8 versus 7.4, P skills of in-service and preservice nurses in pediatric CPR improved with training. In comparison to preservice nurses, the in-service nurses seemed to retain knowledge better with time than skills.

  10. The Department of Veterans Health Administration Office of Nursing Service, "transforming nursing in a national healthcare system: an example of transformation in action".

    Science.gov (United States)

    Wertenberger, Sydney; Chapman, Kathleen M; Wright-Brown, Salena

    2011-01-01

    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.

  11. Process Improvement: Addressing Attrition from the Uniformed Services University of the Health Sciences Nurse Anesthesia Program.

    Science.gov (United States)

    Wilson, John Tyler; Gibbons, Susanne W; Wofford, Kenneth

    2015-10-01

    This retrospective cohort study examined the Uniformed Services University of the Health Sciences Registered Nurse Anesthesia program to identify reasons for high attrition rates. Relevant data were examined for 180 students enrolled in classes from 2005 through 2011. During that period, 40 students were dismissed or disenrolled, with the highest attrition rate (35%) occurring in the class of 2010. Evidence from this investigation indicates students who completed the program were younger, earned higher grade point averages while completing their undergraduate bachelor of science in nursing, and achieved higher analytic and total Graduate Record Examination scores than did students who withdrew or were dismissed. Gender differences were noted, as a greater proportion of women completed the program compared with men. Personal, family, and other issues frequently overlapped, with academic performance problems leading to attrition. Based on these findings, a number of important changes were made in the admission process to the USUHS RNA program and in the nonacademic mentoring and assistance offered to students.

  12. Comparative analysis of the expected demands for nursing care services among older people from urban, rural, and institutional environments

    Science.gov (United States)

    Borowiak, Ewa; Kostka, Joanna; Kostka, Tomasz

    2015-01-01

    Background Demand for nursing and social services may vary depending on the socio-demographic variables, health status, receipt of formal and informal care provided, and place of residence. Objectives To conduct a comparative analysis of the expectations of older people from urban, rural, and institutional environments concerning nursing care with respect to the care provided and elements of a comprehensive geriatric assessment. Material and methods The study comprised 2,627 individuals above the age of 65 years living in urban (n=935) and rural (n=812) areas as well as nursing homes (n=880). Results Family care was most often expected both in urban (56.6%) and rural (54.7%) environments, followed by care provided simultaneously by a family and nurse (urban – 18.8%; rural – 26.1%) and realized only by a nurse (urban – 24.6%; rural – 19.2%). Not surprisingly, nursing home residents most commonly expected nursing care (57.5%) but 33.1% preferred care provided by family or friends and neighbors. In the whole cohort of people living in the home environment (n=1,718), those living with family demonstrated willingness to use primarily care implemented by the family (62.0%), while respondents living alone more often expected nursing services (30.3%). In the logistic regression model, among the respondents living in the city, only the form of care already received determined the expectations for nursing care. Among the respondents living in the county, the presence of musculoskeletal disorders, better nutritional status, and current care provided by family decreased expectations for nursing care. Higher cognitive functioning, symptoms of depression, and living alone increased the willingness to obtain nursing care. Conclusion Older inhabitants of urban areas, rural areas, and those residing in institutions have different expectations for individual nursing care. Nearly 45% of seniors living in the community expect to obtain nursing care, while only 1.6% do not

  13. Using a social marketing approach to advertise Sexual Assault Nurse Examination (SANE) services to college students.

    Science.gov (United States)

    Konradi, Amanda; DeBruin, Patty L

    2003-01-01

    The authors report on an advertising campaign to communicate the availability and desirability of using Sexual Assault Nurse Examination (SANE) services. They used social marketing precepts to develop posters to educate college students about using SANE as a health service and as an arm of prosecution. After 2 advertising campaigns, they conducted an anonymous survey of 1,051 college students. The findings indicated that posters placed in residence halls and public bathrooms reached students, produced a statistically significant increase in students' understanding of SANE services, and were significantly associated with their hypothetical encouragement of others to use SANE. Gender mediated some results. Posters placed in private viewing spaces were found to be a viable way to communicate information about SANE. Funding to combat violence against women on campus should be aimed at increasing students' access to SANE and should include the costs of advertising the program.

  14. Mobile Nurse Practitioner: A Pilot Program to Address Service Gaps Experienced by Homeless Individuals.

    Science.gov (United States)

    Fraino, Joan Alviar

    2015-07-01

    An estimated 2.3 to 3.5 million individuals are homeless in the United States, many of whom have chronic medical and mental illnesses. Underserved individuals who are homeless experience gaps in services, resulting in poor health care outcomes and readmission to the hospital setting, often presenting in crisis through the emergency department. The financial state of hospitals is negatively impacted by the burden of patients returning to the hospital due to unresolved issues. The current article presents the role of a psychiatric-mental health nurse practitioner as part of a pilot program, Opportunity Village Mobile Health, that provides a comprehensive approach to meet the physical and mental health challenges of homeless individuals who are discharged from inpatient to outpatient services. Continuity of health care services are made available to this unique patient population to reduce hospital readmission rates and provide much needed transitional care. Copyright 2015, SLACK Incorporated.

  15. Evaluation of products and services of a nursing library: user satisfaction.

    Science.gov (United States)

    Cozin, Sheila Kátia; Turrini, Ruth Natalia Teresa

    2008-01-01

    The goal of the study was to evaluate the quality of the services provided by the library at the Nursing School of the University of São Paulo. A questionnaire evaluating users' satisfaction with the service was employed, covering five quality components: tangibles, reliability, responsiveness, assurance and empathy. The Satisfaction Rate was calculated through the degree of importance in relation to satisfaction. The analysis of the open-ended answers was quanti-qualitative. For Reliability and Empathy, the users showed dissatisfaction with the training for bibliographic research and the librarian's willingness to meet the clients' information needs, respectively. Responsiveness did not fully satisfy the users, disagreeing with the providers. However, both agreed that the archives are outdated. Among the tangible aspects, equipment and noise were criticized most often. The results show that the library offers good service quality to its users.

  16. Cancer patients' questions and concerns expressed in an online nurse-delivered mail service: preliminary results.

    Science.gov (United States)

    Andersen, Trine; Ruland, Cornelia M

    2009-01-01

    Internet-based online patient-nurse communication (OPNC) services can constitute an important opportunity to support patients to manage their illness between treatment and rehabilitation while being at home. We explored the content of messages sent by prostate and breast cancer patients to an OPNC service to identify symptoms, problems, concerns and information needs expressed in these messages. Using qualitative content analyses we examined 276 messages sent from 38 breast and 22 prostate cancer patients during 15 months. Two main themes emerged: Concerns about physical symptoms and treatment side effects; and worries and questions about treatment and follow up. Analyses showed that cancer patients have many serious unanswered questions and concerns that can create considerable uncertainty and anxiety. An OPNC service can to a great extent meet patients' need for advice and information and thus be an important health care supplement that can improve quality of care.

  17. Development of a multidisciplinary course in cultural competence for nursing and human service professions.

    Science.gov (United States)

    Munoz, Cora C; DoBroka, Cheryl Conrad; Mohammad, Saleem

    2009-09-01

    A multidisciplinary teaching model was used to develop a pilot course for students in the human service professions of nursing, education, and social work to gain additional knowledge and skills in providing diverse clients with culturally appropriate services during field and clinical experiences. This article focuses on the process of developing a multidisciplinary course in cultural competence that is consistent with a university mission to prepare students for leadership and service in an increasingly diverse society. Using the theoretical framework of Campinha-Bacote's process of cultural competence and the six developmental stages of intercultural competence in Bennett's developmental model of intercultural sensitivity, the course content covered the five components of cultural awareness, cultural knowledge, cultural skills, cultural encounters, and cultural desire. Students' written reflections indicated growth in acquisition of cultural knowledge, skills, and desire. Faculty collaboration across disciplines included the benefits of an enriched knowledge base and shared scholarship.

  18. Adding SUGAR: service user and carer collaboration in mental health nursing research.

    Science.gov (United States)

    Simpson, Alan; Jones, Julia; Barlow, Sally; Cox, Leonie

    2014-01-01

    SUGAR (Service User and Carer Group Advising on Research) is an initiative established to develop collaborative working in mental health nursing research between mental health service users, carers, researchers, and practitioners at City University London, United Kingdom. This article will describe the background of SUGAR; how the group operates; some of the achievements to date, including researcher reflections; and case studies of how this collaboration influences our research. Written reflective narratives of service user and carer experiences of SUGAR were analyzed using constant comparative methods by the members. Common themes are presented with illustrative quotes. The article highlights the benefits and possible limitations identified to date by members of SUGAR, outlines future plans, and considers the findings in relation to literature on involvement and empowerment. This article, written by staff and members of SUGAR, is the first venture into collaborative writing of the group and reflects the shared ethos of collaborative working. Copyright 2014, SLACK Incorporated.

  19. Universal Health Coverage through Community Nursing Services: China vs. Hong Kong.

    Science.gov (United States)

    Chan, Wai Yee; Fung, Ita M; Chan, Eric

    2017-01-30

    this article looks at how the development of community nursing services in China and Hong Kong can enhance universal health coverage. literature and data review have been utilized in this study. nursing services have evolved much since the beginning of the nursing profession. The development of community nursing services has expanded the scope of nursing services to those in need of, not just hospital-level nursing care, but more holistic care to improve health and quality of life. despite the one-country-two-systems governance and the difference in population and geography, Hong Kong and China both face the aging population and its complications. Community nursing services help to pave the road to Universal Health Coverage. este artigo analisa a forma como o desenvolvimento de serviços de enfermagem comunitários na China e Hong Kong pode melhorar a cobertura universal de saúde. literatura e revisão de dados foram utilizados neste estudo. serviços de enfermagem têm evoluído muito desde o início da profissão de enfermagem. O desenvolvimento dos serviços de enfermagem da comunidade ampliou o escopo dos serviços de enfermagem, para aqueles que precisam não apenas de cuidados de enfermagem de nível de hospital, mas cuidados mais holísticos para melhorar a saúde e qualidade de vida. apesar de ser "um-país-dois-sistemas" de governo, e as diferenças de população e geografia, Hong Kong e China enfrentam o envelhecimento da população e suas complicações. Os serviços de enfermagem da comunidade ajudam a pavimentar o caminho para a cobertura de saúde universal. este artículo analiza cómo el desarrollo de los servicios de enfermería comunitaria en China y Hong Kong pueden expandir la cobertura universal de salud. revisión de datos y literatura han sido utilizados en este estudio. los servicios de enfermería han evolucionado mucho desde el comienzo de la profesión. El desarrollo de los servicios de enfermería comunitaria han ampliado el alcance

  20. Evaluation of pH, buffering capacity, viscosity and flow rate levels of saliva in caries-free, minimal caries and nursing caries children: An in vivo study

    Directory of Open Access Journals (Sweden)

    Dwitha Animireddy

    2014-01-01

    Full Text Available Background and Aim: The present study was undertaken to evaluate the pH, buffering capacity, viscosity and flow rate of saliva in caries free, minimal caries and nursing caries children and to evaluate the relationship of these on the caries activity of children. Materials and Methods: A total of 75 school children of age group between 4 and 12 years were selected and divided into three equal groups: Group I, Group II and Group III, consisting of 25 subjects each. Group I included caries-free subjects, Group II included subjects with minimal caries and Group III included subjects with nursing caries. Saliva samples were collected from all subjects and were estimated for flow rate, pH, buffering capacity and viscosity. Results: There was a significant decrease in the mean salivary flow rate, salivary ph and salivary buffer capacity and a significant increase in the salivary viscosity among caries-free subjects, subjects with minimal caries and subjects with nursing caries. Conclusion: The physicochemical properties of saliva, such as salivary flow rate, pH, buffering capacity and viscosity, has a relation with caries activity in children and act as markers of caries activity.

  1. Reform of Nursing Management to Enhance the Quality of Nursing Service%改革护理管理提升服务质量

    Institute of Scientific and Technical Information of China (English)

    王吉善

    2011-01-01

    从护理的管理体制、用人机制、服务模式、服务收费4方面,分析了目前护理管理存在问题,指出实施护士的垂直管理是护理管理改革的方向.并就垂直管理的实施进行了探讨.%The paper analyzed the current nursing management problems from four aspects, including management system,employment mechanism, service model and service charge, pointed out that the implementation of vertical management of nurses is the reform direction of nursing care management.The paper also discussed the implementation of vertical management from the above four aspects.

  2. Building organizational capacity for effective mentorship of pre-registration nursing students during placement learning: Finnish and British mentors' conceptions.

    Science.gov (United States)

    Jokelainen, Merja; Jamookeeah, David; Tossavainen, Kerttu; Turunen, Hannele

    2011-10-01

    Health-care organizations have a key role in improving the quality of student mentorship in placements. This study presents the findings of Finnish and British mentors' conceptions of how to build organizational capacity for the provision of effective mentorship for pre-registration nursing students during placement learning. The data obtained from nine semistructured focus group interviews were analyzed using a phenomenographic approach. Three categories of description are presented. Organizations were mainly perceived as optimizers of investments in developing clear strategies for the provision of sufficient resources and professional support for mentors. The creation of a positive mentorship culture within a development-oriented, student-centred and goal-directive atmosphere was seen as essential. Furthermore, providing well-prepared placements for clinical practice of students was emerged as crucial, which included adequate working conditions and stakeholders as well as arrangements of learning opportunities. It is concluded that effective student mentorship requires health-care organizations to invest in financial and human resources in order to promote the quality of the placement learning environments. Such provision will enhance students' recruitment, retention and effectiveness, leading to safe practice and cost-benefits for health-care organizations in the longer term. © 2011 Blackwell Publishing Asia Pty Ltd.

  3. Self-directed community services for older Australians: a stepped capacity-building approach.

    Science.gov (United States)

    Ottmann, Goetz; Mohebbi, Mohammedreza

    2014-11-01

    Consumer-directed care (CDC) is increasingly widespread among aged care service options in Organisation for Economic Co-operation and Development (OECD) countries. However, the evidence base regarding the programmatic and contextual factors that affect the outcome of CDC interventions is surprisingly small. This paper reports on a self-directed care approach for older Australians with complex care needs. A multi-methods longitudinal comparative cohort study was employed comprising 4 survey tools and 56 semi-structured interviews. Participation rates were around 20%. A total of 185 (98 in the intervention and 87 in the control group) older people and carers were recruited at baseline. Eleven months later, 109 participants (59 in the intervention and 50 in the control group) completed the repeat measure. Attrition rates were around 40%. Data collection occurred between July 2010 and April 2012. The data suggest that intervention group participants were likely to be more satisfied with the way they were treated (P = 0.013), their care options (P = 0.014), the 'say' they had in their care (P < 0.001), the information they received regarding their care (P = 0.012), what they were achieving in life (P = 0.031), that the services changed their view on what could be achieved in life (P = 0.020) and with their standard of living (P = 0.008). The evaluation suggests that while only a very small segment of older people is interested in a voucher or cash option, a substantially larger group would like to have greater say over and more direct access to their care, without, however, assuming administrative and financial responsibilities. The paper concludes that a stepped capacity-building approach to CDC may improve the acceptability of CDC to older people and generate synergies that improve older people's care outcomes. © 2014 John Wiley & Sons Ltd.

  4. A pilot study to explore the feasibility of using theClinical Care Classification System for developing a reliable costing method for nursing services.

    Science.gov (United States)

    Dykes, Patricia C; Wantland, Dean; Whittenburg, Luann; Lipsitz, Stuart; Saba, Virginia K

    2013-01-01

    While nursing activities represent a significant proportion of inpatient care, there are no reliable methods for determining nursing costs based on the actual services provided by the nursing staff. Capture of data to support accurate measurement and reporting on the cost of nursing services is fundamental to effective resource utilization. Adopting standard terminologies that support tracking both the quality and the cost of care could reduce the data entry burden on direct care providers. This pilot study evaluated the feasibility of using a standardized nursing terminology, the Clinical Care Classification System (CCC), for developing a reliable costing method for nursing services. Two different approaches are explored; the Relative Value Unit RVU and the simple cost-to-time methods. We found that the simple cost-to-time method was more accurate and more transparent in its derivation than the RVU method and may support a more consistent and reliable approach for costing nursing services.

  5. Monitoring the impact of the DRG payment system on nursing service context factors in Swiss acute care hospitals: Study protocol.

    Science.gov (United States)

    Spirig, Rebecca; Spichiger, Elisabeth; Martin, Jacqueline S; Frei, Irena Anna; Müller, Marianne; Kleinknecht, Michael

    2014-01-01

    With this study protocol, a research program is introduced. Its overall aim is to prepare the instruments and to conduct the first monitoring of nursing service context factors at three university and two cantonal hospitals in Switzerland prior to the introduction of the reimbursement system based on Diagnosis Related Groups (DRG) and to further develop a theoretical model as well as a methodology for future monitoring following the introduction of DRGs. DRG was introduced to all acute care hospitals in Switzerland in 2012. In other countries, DRG introduction led to rationing and subsequently to a reduction in nursing care. As result, nursing-sensitive patient outcomes were seriously jeopardised. Switzerland has the opportunity to learn from the consequences experienced by other countries when they introduced DRGs. Their experiences highlight that DRGs influence nursing service context factors such as complexity of nursing care or leadership, which in turn influence nursing-sensitive patient outcomes. For this reason, the monitoring of nursing service context factors needs to be an integral part of the introduction of DRGs. However, most acute care hospitals in Switzerland do not monitor nursing service context data. Nursing managers and hospital executive boards will be in need of this data in the future, in order to distribute resources effectively. A mixed methods design in the form of a sequential explanatory strategy was chosen. During the preparation phase, starting in spring 2011, instruments were selected and prepared, and the access to patient and nursing data in the hospitals was organized. Following this, online collection of quantitative data was conducted in fall 2011. In summer 2012, qualitative data was gathered using focus group interviews, which helped to describe the processes in more detail. During 2013 and 2014, an integration process is being conducted involving complementing, comparing and contrasting quantitative and qualitative findings

  6. Emergency medical service, nursing, and physician providers' perspectives on delirium identification and management.

    Science.gov (United States)

    LaMantia, Michael A; Messina, Frank C; Jhanji, Shola; Nazir, Arif; Maina, Mungai; McGuire, Siobhan; Hobgood, Cherri D; Miller, Douglas K

    2017-04-01

    Purpose of the study The study objective was to understand providers' perceptions regarding identifying and treating older adults with delirium, a common complication of acute illness in persons with dementia, in the pre-hospital and emergency department environments. Design and methods The authors conducted structured focus group interviews with separate groups of emergency medical services staff, emergency nurses, and emergency physicians. Recordings of each session were transcribed, coded, and analyzed for themes with representative supporting quotations identified. Results Providers shared that the busy emergency department environment was the largest challenge to delirium recognition and treatment. When describing delirium, participants frequently detailed hyperactive features of delirium, rather than hypoactive features. Participants shared that they employed no clear diagnostic strategy for identifying the condition and that they used heterogeneous approaches to treat the condition. To improve care for older adults with delirium, emergency nurses identified the need for more training around the management of the condition. Emergency medical services providers identified the need for more support in managing agitated patients when in transport to the hospital and more guidance from emergency physicians on what information to collect from the patient's home environment. Emergency physicians felt that delirium care would be improved if they could have baseline mental status data on their patients and if they had access to a simple, accurate diagnostic tool for the condition. Implications Emergency medical services providers, emergency nurses, and emergency physicians frequently encounter delirious patients, but do not employ clear diagnostic strategies for identifying the condition and have varying levels of comfort in managing the condition. Clear steps should be taken to improve delirium care in the emergency department including the development of mechanisms

  7. Survey and coping strategies for job stress of new nurses in pharmacy intravenous admixture service: a pilot study.

    Science.gov (United States)

    Wang, Feng-Shuang; Jin, Ou; Feng, Hua; Wang, Feng-Hua; Ren, Chun-Hui

    2015-01-01

    To survey the nurse stress and analyze stressors in new nurses from pharmacy intravenous admixture service (PIAS). A questionnaire survey referring to the revised stressor scale was carried out on 52 new nurses of PIAS in four hospitals in Harbin. The average stress score for all participants was 2.43±0.63, as medium level of stress. The stressors were classified into 6 categories: ensuring up-to-date knowledge of professional nursing skills, increased workload and work-time, interpersonal relationship, ensuring knowledge of equipments, attending educational programs, and decreased occupational demand. The most important stressors included fear of medical accident occurrence, fear of failure in performance assessment, fear of occupational injuries, feeling fatigue and lack of sleep. Considering the various kinds of stressors in the working places, it was necessary for managers' to use appropriate strategies to cope with the job stress in new nurses of PIAS.

  8. Conceptualisation of knowledge construction in community service-learning programmes in nursing education

    Directory of Open Access Journals (Sweden)

    Sindi Z. Mthembu

    2013-01-01

    Full Text Available Background: Practices in higher education have been criticised for not developing and preparing students for the expertise required in real environments. Literature reports that educational programmes tend to favour knowledge conformation rather than knowledge construction; however, community service learning (CSL is a powerful pedagogical strategy that encourages students to make meaningful connections between the content in the classroom and real-life experiences as manifested by the communities. Through CSL, learning is achieved by the active construction of knowledge supported by multiple perspectives within meaningful real contexts, and the social interactions amongst students are seen to play a critical role in the processes of learning and cognition. This article reflects facilitators’ perspective of the knowledge construction process as used with students doing community service learning in basic nursing programmes. Objectives: The aim of this article was to conceptualise the phenomenon of knowledge construction and thereby provide educators with a shared meaning and common understanding, and to analyse the interaction strategies utilised by nurse educators in the process of knowledge construction in community service-learning programmes in basic nursing education.Method: A qualitative research approach based on a grounded theory research design was used in this article. Two nursing education institutions were purposively selected. Structured interviews were conducted with 16 participants.Results: The results revealed that the knowledge construction in community service-learning programmes is conceptualised as having specific determinants, including the use of authentic health-related problems, academic coaching through scaffolding, academic discourse-dialogue, interactive learning in communities of learners, active learning, continuous reflection as well as collaborative and inquiry-based learning. Upon completion of an experience

  9. Development of a nurse case management service: a proposed business plan for rural hospitals.

    Science.gov (United States)

    Adams, Marsha Howell; Crow, Carolyn S

    2005-01-01

    The nurse case management service (NCMS) for rural hospitals is an entrepreneurial endeavor designed to provide rural patients with quality, cost-effective healthcare. This article describes the development of an NCMS. A detailed marketing and financial plan, a review of industry trends, and the legal structure and risks associated with the development of the venture are presented. The financial plan projects a minimum savings of 223,200 dollars for rural institutions annually. To improve quality and reduce cost for rural hospitals, the authors recommend implementation of an NCMS.

  10. Evaluating capacity-building for mental health system strengthening in low- and middle-income countries for service users and caregivers, service planners and researchers.

    Science.gov (United States)

    Hanlon, C; Semrau, M; Alem, A; Abayneh, S; Abdulmalik, J; Docrat, S; Evans-Lacko, S; Gureje, O; Jordans, M; Lempp, H; Mugisha, J; Petersen, I; Shidhaye, R; Thornicroft, G

    2017-08-31

    Efforts to support the scale-up of integrated mental health care in low- and middle-income countries (LMICs) need to focus on building human resource capacity in health system strengthening, as well as in the direct provision of mental health care. In a companion editorial, we describe a range of capacity-building activities that are being implemented by a multi-country research consortium (Emerald: Emerging mental health systems in low- and middle-income countries) for (1) service users and caregivers, (2) service planners and policy-makers and (3) researchers in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda). In this paper, we focus on the methodology being used to evaluate the impact of capacity-building in these three target groups. We first review the evidence base for approaches to evaluation of capacity-building, highlighting the gaps in this area. We then describe the adaptation of best practice for the Emerald capacity-building evaluation. The resulting mixed method evaluation framework was tailored to each target group and to each country context. We identified a need to expand the evidence base on indicators of successful capacity-building across the different target groups. To address this, we developed an evaluation plan to measure the adequacy and usefulness of quantitative capacity-building indicators when compared with qualitative evaluation. We argue that evaluation needs to be an integral part of capacity-building activities and that expertise needs to be built in methods of evaluation. The Emerald evaluation provides a potential model for capacity-building evaluation across key stakeholder groups and promises to extend understanding of useful indicators of success.

  11. The role of the registered nurse in the marketing of primary healthcare services, as part of health promotion.

    Science.gov (United States)

    Rall, M; Meyer, S M

    2006-03-01

    Existing literature on the marketing of primary healthcare services was reviewed to determine the role of registered nurses in this regard. The systematic review included five searches and ensured wide coverage of the results of available primary research studies on the topic. The results were summarised and the role of registered nurses in the marketing of primary healthcare services was identified. Primary research sources on the topic included textbooks on marketing by experts in the field and relevant journal articles by authorities on healthcare marketing. The data were analysed and four main categories identified. To ensure the trustworthiness of the research, Lincoln and Guba's (1981: 215-216) criteria, as explained by Krefting (1991: 217), were applied. Because the population consisted of only literature, ethical considerations concerning human subjects were irrelevant. Results indicated that the basic commercial marketing principles (the so-called 4Ps--product, price, place, and promotion) could be adapted for the health sector. The conclusion was that registered nurses could contribute to the marketing of primary healthcare services by communicating with the community (promotion) and by ensuring effective service (product) delivery at the right price and place. Registered nurses could influence the community's perceptions of health care and facilitate behaviour changes, thereby promote health. The implementation of the findings and recommendations of this research could create a new awareness among registered nurses of their role in the marketing of primary healthcare services in South Africa and improve their skills in this regard.

  12. 75 FR 14342 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...

    Science.gov (United States)

    2010-03-25

    ... Energy Regulatory Commission 18 CFR Part 35 Market-Based Rates for Wholesale Sales of Electric Energy... Electric Energy, Capacity and Ancillary Services by Public Utilities, Order No. 697- C, FERC Stats. & Regs. ] 31,291 (2009). \\2\\ 18 CFR 35.42. \\3\\ Market-Based Rates for Wholesale Sales of Electric...

  13. Job Stress and Coping Mechanisms among Nursing Staff in Public Health Services

    Directory of Open Access Journals (Sweden)

    Loo-See Beh

    2012-07-01

    Full Text Available 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 inequitable superior/matron, lack of recognition, and conflict within and between groups were the stressors. Respondents also view social support as a buffer against the dysfunctional consequences of stress emanating from the workplace and established network of friends, family, superior, peers, and colleagues to seek emotional support when faced with job-related stress in the workplace. Further, respondents adopt more than one coping mechanisms to combat job stress based on scenarios, situations, and level of job stress. This study is limited only to the investigation of job stress and coping mechanism among nurses in a public hospital. Other non-medical and medical staffs such as administrators and doctors were not included in this study. Suggestions for future research are also mentioned.

  14. Leadership and learning disability nursing.

    Science.gov (United States)

    Jukes, Mark; Aspinall, Susan-Louise

    Leadership is seen as critical for the transformation of learning disability services and has been further emphasised since the publication of Transforming Care, the Department of Health's response to the review of events at Winterbourne View. What is clear within learning disability nursing and services is the demand for leadership in the quest for improving the quality and effectiveness of services across health and social care. This article discusses the challenges for the undergraduate learning disability nurse with the recommendation to pursue a framework that promotes and focuses on integrating knowledge transfer into services for people with a learning disability. It explores practice change using the Promoting Action on Research Implementation in Health Services (PARiHS) framework, and the example of the involvement of service users in practitioner training on the Mental Capacity Act 2005 and consent and capacity to consent for treatment.

  15. 急诊科护士共情能力培训效果研究%Effects of empathy capacity training in nurses of emergency department

    Institute of Scientific and Technical Information of China (English)

    谢晓梅; 杨大金; 孔悦; 张静; 曾忆恋

    2011-01-01

    目的 探讨急诊科护士共情能力的培训效果.方法 通过共情理论知识与技能的培训,使用中文版杰弗逊共情量表对21名参加共情能力培训的急诊科护士进行调查.结果 参加共情能力培训后急诊科护士共情能力得分与患者就诊满意度均高于培训前,差异具有统计学意义(P<0.01或P<0.05).结论 通过培训,急诊科护士共情能力的增强和技能的提高能促进护患沟通,促进良好护患关系的建立和发展.%Objective To discuss the effects of empathy capacity training in nurses of emergency department. Methods A total of 21 muses in emergency department were enrolled. Empathy capacity training was implemented and " Chinese version of the Jefferson Scale of Empathy Health Professionals" was employed. Results Nurses'empathy capacity and the score of patients' satisfaction were increased after the training, the differences were statistically significant (P < 0.01 or P < 0.05). Conclusion Through the training,the promotion of empathy capacity and skills can facilitate the communication between nurses and patients, and enhance the development of good nurse - patient relationship.

  16. Assessments of ecosystem services and human well-being in Thailand build and create demand for coproductive capacity

    Directory of Open Access Journals (Sweden)

    Louis Lebel

    2015-03-01

    Full Text Available Assessments of ecosystem services have been proposed as one way of incorporating concerns about environmental change and ecosystem conditions into subnational development planning. In Thailand a policy window for such initiatives is opening because of a transition in national policy toward area-based planning combined with broader political reforms to expand public participation and encourage more evidence-based decision making. We explored three case studies in Thailand in which central and local government agencies and research organizations partnered to engage local communities and other stakeholders in assessments of ecosystem services and human well-being. The analysis focused on the role ecosystem assessments play in building and creating demand for coproductive capacity. By coproductive capacities we mean the ability to combine scientific resources and governance capabilities in ways that bring about informed social change. We found evidence that the assessments built capacities for governance actors to explore scientific and research-based evidence, to consult scientific experts, and then to evaluate existing policies and plans using this newly acquired information. At the same time, scientific experts also learned to explore public policy issues, to consult planners and decision makers in government, and based on this knowledge to evaluate scientific evidence and revise the scope and goals of their research and analytical activities to better meet policy needs and demands. Coproductive capacities were built when various stakeholders jointly engaged in compilation and interpretation of evidence. Doing so helped legitimize the assessment process with positive feedback on both governance and science capacities. We also found evidence, however, of significant cultural and institutional constraints to designing and making better use of ecosystem services assessments. These constraints included insufficient resources for both knowledge making

  17. [Characteristics of pregnant women cared for in a visit to the prenatal outpatient nursing service: comparison of four decades].

    Science.gov (United States)

    Marques, Ana Gabriela B; Záchia, Suzana A; Schmidt, Maria Luiza S; Heldt, Elizeth

    2012-12-01

    The aim of the work was to identify characteristics of pregnant women cared for by an obstetric nurse in a visit to the prenatal outpatient nursing service and compare these over the period from 1972 to 2009. Sociodemographic and obstetric data were collected from the forms completed by the pregnant patients during their visit to the nursing service. A total of 1245 forms were analyzed 208 (16.7%) being from the 1970s, 323 (25.9%) from the 1980s, 329 (26.4%) from the 1990s, and 385 (30.0%) from year 2000. A significant difference was found between the previous decades and year 9000 in relation to the greater number of high-risk pregnancies, number of nursing consultations and obstetric ultrasounds performed during the prenatal exam. The characteristics of pregnant women were observed to change over time, as well as the care provided by the obstetric nurse during visits to the outpatient nursing service, remaining associated with the demands of patients and legal resolutions.

  18. 'Practice what you preach': Nurses' perspectives on the Code of Ethics and Service Pledge in five South African hospitals.

    Science.gov (United States)

    White, Janine; Phakoe, Maureen; Rispel, Laetitia C

    2015-01-01

    A recent focus of the global discourse on the health workforce has been on its quality, including the existence of codes of ethics. In South Africa, the importance of ethics and value systems in nursing was emphasised in the 2011 National Nursing Summit. The study explored hospital nurses' perceptions of the International Code of Ethics for Nurses; their perceptions of the South African Nurses' Pledge of Service; and their views on contemporary ethical practice. Following university ethics approval, the study was done at a convenience sample of five hospitals in two South African provinces. In each hospital, all day duty nurses in paediatric, maternity, adult medical, and adult surgical units were requested to complete a self-administered questionnaire. The questionnaire focused on their perceptions of the Code of Ethics and the Pledge, using a seven-point Likert scale. STATA(®) 13 and NVIVO 10 were used to analyse survey data and open-ended responses, respectively. The mean age of survey participants (n=69) was 39 years (SD=9.2), and the majority were female (96%). The majority agreed with a statement that they will promote the human rights of individuals (98%) and that they have a duty to meet the health and social needs of the public (96%). More nuanced responses were obtained for some questions, with 60% agreeing with a statement that too much emphasis is placed on patients' rights as opposed to nurses' rights and 32% agreeing with a statement that they would take part in strike action to improve nurses' salaries and working conditions. The dilemmas of nurses to uphold the Code of Ethics and the Pledge in face of workplace constraints or poor working conditions were revealed in nurses' responses to open-ended questions. Continuing education in ethics and addressing health system deficiencies will enhance nurses' professional development and their ethical decision-making and practice.

  19. The development of NEdSERV: quantitative instrumentation to measure service quality in nurse education.

    Science.gov (United States)

    Roberts, P

    1999-07-01

    The political climate of health care provision and education for health care in the latter years of the 20th century is evolving from the uncertainty of newly created markets to a more clearly focused culture of collaboration, dissemination of good practice, with an increased emphasis on quality provision and its measurement. The need for provider units to prove and improve efficiency and effectiveness through evidence-based quality strategies in order to stay firmly in the market place has never been more necessary. The measurement of customer expectations and perceptions of delivered service quality is widely utilized as a basis for customer retention and business growth in both commercial and non-profit organizations. This paper describes the methodological development of NEdSERV--quantitative instrumentation designed to measure and respond to ongoing stakeholder expectations and perceptions of delivered service quality within nurse education.

  20. The costs of nursing turnover: evidence from the British National Health Service.

    Science.gov (United States)

    Gray, A M; Phillips, V L; Normand, C

    1996-11-01

    This article reports empirical evidence on the costs of nursing and other staff turnover in the National Health Service. It begins by considering the possible costs and benefits associated with turnover. It then examines current turnover rates in the NHS and existing estimates of the direct administrative costs and the short-term productivity losses associated with turnover. Using these estimates, it compares the cost-effectiveness of a policy which uses across-the-board pay increases to reduce turnover with one which targets pay rises to certain groups only. Next, possible indirect costs of turnover are evaluated using data collected from a large cross-section of providers and other sources. No relationship is found between turnover rates and crude measures of patient service or staff morale measures. The paper concludes with a brief discussion of the main findings and some suggestions for future research.

  1. [Measuring water ecological carrying capacity with the ecosystem-service-based ecological footprint (ESEF) method: Theory, models and application].

    Science.gov (United States)

    Jiao, Wen-jun; Min, Qing-wen; Li, Wen-hua; Fuller, Anthony M

    2015-04-01

    Integrated watershed management based on aquatic ecosystems has been increasingly acknowledged. Such a change in the philosophy of water environment management requires recognizing the carrying capacity of aquatic ecosystems for human society from a more general perspective. The concept of the water ecological carrying capacity is therefore put forward, which considers both water resources and water environment, connects socio-economic development to aquatic ecosystems and provides strong support for integrated watershed management. In this paper, the authors proposed an ESEF-based measure of water ecological carrying capacity and constructed ESEF-based models of water ecological footprint and capacity, aiming to evaluate water ecological carrying capacity with footprint methods. A regional model of Taihu Lake Basin was constructed and applied to evaluate the water ecological carrying capacity in Changzhou City which located in the upper reaches of the basin. Results showed that human demand for water ecosystem services in this city had exceeded the supply capacity of local aquatic ecosystems and the significant gap between demand and supply had jeopardized the sustainability of local aquatic ecosystems. Considering aqua-product provision, water supply and pollutant absorption in an integrated way, the scale of population and economy aquatic ecosystems in Changzhou could bear only 54% of the current status.

  2. 基础护理流程的优化在创建手术室优质护理服务中的作用研究%Research on the efect of optimizing basic nursing procedure in high quality nursing service in operation room

    Institute of Scientific and Technical Information of China (English)

    杨柳蓉

    2015-01-01

    Objective To explore the effect of optimizing basic nursing procedure in high quality nursing service in operation room.MethodsThe procedure of basic nursing in operation room was revised and optimized from October 2013 to October 2014. The training of basic operation and nursing procedure for nurses and their nursing awareness were strengthened. Nursing care quality, patients' satisfaction rate, hospital inflection rate, nursing risky events and nurse-patient disputes before and after improvement of basic nursing procedures was compared. Results Scores of nurses' communication ability, responsibility, basic nursing, service attitude, writing normalization, emergency response capacity and overall nursing quality after optimization were significant higher than those before optimization (P<0.05). Patients' hospital inflection rate, rate of nursing risky events and rate of nurse-patient disputes after optimization were significantly lower than those before optimization, but patients' satisfaction rate was higher than that before optimization.Conclusion Optimizing basic nursing procedure in operation room can improve nurse's nursing quality and reduce the number of nursing risky events, which is good for providing high quality nursing service.%目的:探讨基础护理流程的优化在创建手术室优质护理服务中的作用。方法2013年10月~2014年10月通过完善及修订手术室基础护理流程,加强护理人员基础操作及护理流程培训,强化护理人员护理意识,比较基础护理流程优化前后护士护理质量、患者满意度、患者医院性感染率、护理风险事件及护患纠纷事件发生情况。结果优化后护理人员沟通能力、责任心、基础护理、服务态度、书写规范性、应急能力及总护理质量评分显著高于优化前(P<0.05)。优化后患者医院性感染率、护理风险事件及护患纠纷事件发生率低于优化前,而患者满意率高于优化

  3. [Degree of patient satisfaction regarding the reception given by emergency service nurses].

    Science.gov (United States)

    Moura Neto, António Jaime; Ribeiro, Luisa Maria; Magalhães, Luisa Maria; Torres, Madalena Fernanda; Mendes, Maria José

    2003-01-01

    Humanizing in hospitals begins with the patients' reception. Although this "function" should be considered as the duty of every person who works in Hospital, it is fundamental to be assumed as a nursing service, since we are the professional sector which spends more time with the patient. However, the reception may have positive or negative effects on the patient's recovery and on the Health Unit's image. Thus, and having the mission of optimizing the quality of health care, mainly as far as reception is concerned, with this study came out, through which we intend to analyse the patient's level of satisfaction as for the reception offered by the nurse in the Emergency Service of Hospital São Marcos de Braga. It is a study of a descriptive and exploratory nature, within a quantitative approach. To carry out this empirical study, we considered as target population the patients who needed the Emergency Service in the period between January and March of 2002, both male and female (about 50% of each), 50% of rural patients and 50% of urban patients, between the ages of 18 and 65 who stayed in this service from 3 to 12 hours. A random and representative selection of patients was taken, based on the criteria previously mentioned. We obtained a sample of 1440 patients through a random selection of 5 patients in the morning shift, 6 patients in the afternoon shift and 5 patients in the night shift, during the period in which the study was carried out. This study was carried out without the presence of the participants in the survey.

  4. Development and evaluation of an international service learning program for nursing students.

    Science.gov (United States)

    Curtin, Alicia J; Martins, Diane C; Schwartz-Barcott, Donna; DiMaria, Lisa; Soler Ogando, Béliga Milagros

    2013-01-01

    (1) Using Riner's framework, the development of an international service learning program in the Dominican Republic (DR) for Baccalaureate nursing students will be described, and (2) an initial impact of the students' experiences will be examined. A qualitative descriptive research design was used to examine its impact. The international service learning program included (1) didactic (five, 2 hr and one full day educational sessions) prior to (2) immersion (2 weeks in country), and (3) posttrip debriefing session. Ten females, senior nursing students participated in the program. Students' daily journals were examined using thematic analysis. Five major themes that emerged were as follows adapting physically, encountering frustration in their inability to fully meet patients' needs, increasing confidence in speaking Spanish and assessing health problems, and increasing cultural awareness. Students were descriptive regarding their daily activities, and did some, but limited, critical reflection. Models of reflection need to be explored to select the most appropriate technique to facilitate students' critical reflection in meeting the goals and objectives of the experience. Curriculum integration of global learning, social consciousness, and global cultural competence development is needed. © 2013 Wiley Periodicals, Inc.

  5. Federal Nursing Service Award. Impact of TriCare/managed care on total force readiness.

    Science.gov (United States)

    Ray, M A; Turkel, M C

    2001-04-01

    Mission readiness is dependent on a healthy total force and the response of military medical and nursing services. Managed care has become the norm in U.S. health care, including the Department of Defense Military Health System. Cost management, health maintenance organizations, and other health plans are defined as "managed care," an aggressive cost-control effort by health care purchasers and insurers to limit health care spending and services and advance a market-oriented, profit-driven system. The impact of managed care on mission readiness and retention of active and reserve personnel is and will continue to be profound. The purpose of this research was to conduct a qualitative, phenomenological study (life experiences) of TriCare/managed care to explore the impact and the meaning of the experience on total force mission readiness of the U.S. Air Force and how managed care has changed nursing practice. The results reveal the significance of the impact of TriCare/managed care on total force readiness by identifying, through themes, meta-themes, and a representative model, the negative effect that economics is having on active duty and reserve force health and well-being.

  6. Foley Catheters as Temporary Gastrostomy Tubes: Experience of a Nurse-Led Service.

    Science.gov (United States)

    Metussin, Adli; Sia, Rusanah; Bakar, Suriawati; Chong, Vui Heng

    2016-01-01

    Percutaneous endoscopic gastrostomy tube is the modality of choice for long-term enteral nutrition. In the event that replacement tubes are not available, urinary catheters can be used to maintain patency of the gastrostomy tract. This study reports our experience in a nurse-led service using Foley catheters as temporary gastrostomy tubes and the associated complications. Patients who had used Foley catheter as gastrostomy tube over a 2-year period (Jan 2011 to December 2012) were studied. Twenty-one patients had used Foley catheters as a temporary gastrostomy tube, and 12 (57.4%) did not experience any complications, including three patients who were still using Foley catheters at a median of 15 months (range 3-18). Two patients preferred the Foley catheter as feeding tubes. Six patients had replacements with formal balloon replacement tubes, and two patients did not require replacement. Complications occurred in nine (42.6%) patients: repeated burst Foley catheter balloon with peristomal leakage (n = 4), lumen blockage (n = 1), and catheter migration resulting in small bowel obstruction (n = 4). All complications were successfully managed with tube replacements. We showed that in a nurse-led service, using a Foley catheter as a temporary feeding gastrostomy tube is safe, but requires monitoring for complications.

  7. Nursing Homes

    Science.gov (United States)

    ... newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed dramatically over the past several ... how accessible are they? How close is the nursing home to family members? How close ... much do basic services cost? What services are covered? What additional ...

  8. 我国信息服务业服务能力的计量分析%Econometric Analysis of the Service Capacity of China's Information Services Industry

    Institute of Scientific and Technical Information of China (English)

    郭韧

    2013-01-01

    The information service industry is an important foundation of modern economic development .The service ca-pacity of information service industry is important to ensure the rapid development of other industries .The definition of the service capacity of the information service industry is given .Many factors which affect the information service industry ’ s service capabilities are analyzed .Using quantile regression analysis , the influence degree of different factors are analyzed at different development levels of information service industry .Strategies to improve the information service industry ’ s serv-ice capabilities according to different levels of development are also given .%信息服务业是现代经济发展的重要基础,信息服务业的服务能力是其他行业快速发展的重要保证。通过对信息服务业服务能力的界定,分析影响信息服务业的服务能力的诸多因素;运用分位数回归的方法,分析在不同的信息服务业发展水平下各影响因素对信息服务业的服务能力的影响程度,提出在不同的发展水平下提高信息服务业的服务能力的策略。

  9. Comparative analysis of management efficiency of head nurses before and after conducting high quality nursing service%优质护理服务开展前后护士长管理效能对比分析

    Institute of Scientific and Technical Information of China (English)

    向连; 黄顺淑

    2016-01-01

    目的:探讨优质护理服务对护士长管理效能的影响。方法以2012年3月起该院实施优质护理服务的372名护理人员为研究对象,比较优质护理服务开展前后护理人员工作能力、护理质量、患者对护理服务的满意度、护理不良事件发生率等护理管理指标的变化情况。结果优质护理服务开展后护理人员工作能力中专业技能、认真查对、健康教育、正确指导等指标,护理质量中基础护理、静脉治疗管理、安全管理、病室管理、特一级护理等指标,患者对护理服务满意度如工作主动性、服务态度、语言沟通能力、医疗环境、仪表行为等方面的评分均较开展前明显提高,护理不良事件中护理纠纷、用药差错、护理差错发生率均较开展前明显下降,差异均有统计学意义(P<0.05)。结论开展优质护理服务能有效提高护理人员工作能力、护理质量及患者对护理服务的满意度,降低护理不良事件的发生率,使护士长的管理效能明显提升。%Objective To explore the influence of carrying out the high-quality nursing service on the management effi-ciency of head nurses. Methods A total of 372 nurses in the implementation of high quality nursing service from March 2013 were taken as the research subjects. The changes situation of the nursing management indexes such as nurses working ability , nursing quality,patients′satisfaction on nursing and occurrence rate of nursing adverse events were compared between before and after conducting the high quality nursing services. Results The indexes of professional skill,careful check,health education and correct guidance in the nurse working ability,indexes of basic nursing,intravenous treatment management,safety management, wards management and special grade nursing or first grade nursing in the nursing quality and in the aspects of work initiative ,ser-vice attitude,language communication

  10. [Assessment of the association between nursing care services, hypertension, and Alzheimer's disease in elderly patients with late-stage diabetes].

    Science.gov (United States)

    Kondo, Seiji; Kondo, Yasuko; Kitagawa, Chihiro; Katsuta, Sayaka

    2013-12-01

    In an aging society with fewer children, diabetes self-control is difficult for elderly patients. Under these circumstances, it is expected that living in care homes for the elderly and institutions where nursing care services could be provided will help improve the prognosis of diabetic patients. Therefore, we assessed whether HbA(1c). levels (National Glycohemoglobin Standardization Program : NGSP) in 121 elderly patients with late-stage diabetes receiving home medical care in our clinic from March 2008 to March 2013 improved with nursing care services.

  11. Issues in Associate Degree Nursing. Bridge to Success. Education and Service: A Partnership for Associate Degree Nursing.

    Science.gov (United States)

    Southern Regional Education Board, Atlanta, GA.

    This publication is a compilation of highlights from papers presented at the Associate Degree Nursing (ADN) project's regional conferences during 1983-84. Papers address pertinent issues in ADN education and practice. "AD Education: Are the Parameters Real?" (Julia Perkins) examines the parameters of associate degree nursing education from a…

  12. From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs

    Directory of Open Access Journals (Sweden)

    Grete Moth

    2013-01-01

    Full Text Available Introduction. General practitioners (GP answer calls to the Danish out-of-hours primary care service (OOH in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We applied experiences from The Netherlands on nurse performance in the OOH triage concerning the number of calls per hour. Using the 2011 number of calls in one region, we examined three hypothetical scenarios with nurse triage and calculated the differences in fee costs. Results. A new organisation with 97 employed nurses would be needed. Fewer telephone consultations may result in an increase of face-to-face contacts, resulting in an increase of 23.6% in costs fees. Under optimal circumstances (e.g., a lower demand for OOH services, a high telephone termination rate, and unchanged GP fees the costs could be reduced by 26.2% though excluding administrative costs of a new organisation. Conclusion. Substituting GPs with nurses in OOH primary care may increase the cost in fees compared to a model with only GPs. Further research is needed involving more influencing factors, such as costs due to nurse training and running the organisation.

  13. Expanding the scope of practice for enrolled nurses working in an Australian rural health service - implications for job satisfaction.

    Science.gov (United States)

    Hoodless, Mary; Bourke, Lisa

    2009-05-01

    Career opportunities have been limited for enrolled nurses (ENs) working in small, rural health services. Medication endorsement offers ENs expanded scope of practice which may lead to improved job satisfaction. This small study compared job satisfaction between a group of ENs with recent medication endorsement and a group who elected not to undertake the course in a small, isolated health service. A questionnaire was designed to measure job satisfaction containing the measure of job satisfaction (MJS) scale and other information regarding the course in medication administration. Interviews were also conducted with medication endorsed nurses to gain a greater understanding about the course and their expanded scope of practice. Medication endorsed nurses were newer to nursing and their current job, and reported higher job satisfaction on all five factors. Non-medication endorsed nurses cited lack of confidence and ability as key reasons for not undertaking the course while medication endorsed nurses reported professional and personal reasons for expanding their scope of practice. Most enjoyed the responsibility and reported satisfaction from distributing medications and responding to pain while one viewed it as added work. The findings from this small study suggest that providing local education will improve job satisfaction of ENs.

  14. Effect of long-term care insurance on communication/recording tasks for in-home nursing care services.

    Science.gov (United States)

    Hirakawa, Yoshihisa; Masuda, Yuichiro; Uemura, Kazumasa; Kuzuya, Masafumi; Iguchi, Akihisa

    2004-01-01

    The purpose of this research was to clarify the possible changes brought about by the introduction of the long-term care insurance system in terms of number of communication/recording tasks, related nursing services in use, and when and where these tasks were performed. By examining the detailed content of communication/recording tasks, this study also sought to explore the advantages of introducing information technology (IT) systems in nursing service settings. The study was designed before-and-after study in two sessions, February 2000 and August 2000, namely before and after the introduction of Japan's long-term care insurance system. Participants were clients using the institution's in-home nursing services and all staff in a medical institution located in the Mikawa region of Aichi Prefecture, Japan. Following measurements were performed: (1). nursing service in use, (2). type of job, (3). date and time, (4). from whom, (5). to whom, (6). communication tool and (7). content, related to a particular communication. Communication/recording tasks were frequently performed around the starting and closing time of services. Following the adoption of the new system, these tasks tended to occur mostly around the starting time of services. As for the staff, the involvement of the professional carers increased. Regarding content of communication/recording, reports, confirmation and instruction increased. In conclusion, the use of IT driven devices is recommended to streamline the performance of communication/recording tasks as well as to ease the rush of these tasks thereby improving the quality of nursing services.

  15. Increasing access to safe abortion services through auxiliary nurse midwives trained as skilled birth attendants.

    Science.gov (United States)

    K C, N P; Basnett, I; Sharma, S K; Bhusal, C L; Parajuli, R R; Andersen, K L

    2011-01-01

    The use of medical abortion methods was approved by Department of Health Services in 2009 and introduced in hospitals and a few primary health centres (PHCs). Access would increase if services were available at health post level and provided by auxiliary nurse midwives trained as skilled birth attendants. Evidence from South Africa, Bangladesh, Nepal and Vietnam show that mid-level health workers can provide medical abortion safely. To determine the best way to implement the new strategies of medical abortion into the existing health system of Nepal; and to facilitate its full-scale implementation, monitoring and evaluation. An implementation research involving a baseline study, implementation phase and end line study was done in ten districts covering five development regions from July 2010 to June 2011. Both qualitative and quantitative methods were used. Of 1,799 medical abortion clients who received service, 46% were disadvantaged Janjati, 14% were Dalit, 42% were upper caste groups and rest were advantaged Janjati (7%), Muslim (1%) and others. 14% were referred by female community health volunteers and 56% were referred by others. Complication rate of 0.3% was well below acceptable levels. Condom use increased from 8% to 28% by the end of study. Use of Pills, Depo, intra uterine devices and implants also increased, but use of long acting family planning methods was negligible. This model should be replicated nationwide at health posts and sub-health posts where auxiliary nurse midwives are available 24 hours/day. Focus should be given first to those areas where access is difficult, time consuming and costly.

  16. Service user involvement in nursing, midwifery and health visiting research: a review of evidence and practice.

    Science.gov (United States)

    Smith, Elizabeth; Ross, Fiona; Donovan, Sheila; Manthorpe, Jill; Brearley, Sally; Sitzia, John; Beresford, Peter

    2008-02-01

    In the UK policy recommends that service users (patients, carers and the public) should be involved in all publicly funded health and social care research. However, little is known about which approaches work best in different research contexts and why. The purpose of this paper is to explain some of the theoretical limitations to current understandings of service user involvement and to provide some suggestions for theory and methods development. This paper draws upon findings from a review of the research 'evidence' and current practice on service user involvement in the design and undertaking of nursing, midwifery and health visiting research. A multi-method review was commissioned by the NHS Service Delivery and Organisation (SDO) Research and Development Programme. The timeframe was April 2004-March 2005. The full report (Ref: SDO/69/2003) and supplementary bibliography are available from: http://www.sdo.lshtm.ac.uk. REVIEW METHODS/DATA: Initial searches of the health and social care literature and consultations with researchers were used to develop a broad definition of the topic area. A service user reference group (26 members) worked with the project team to refine the scope of the review, to set inclusion criteria and develop a framework for the analysis. Systematic searches of the literature were undertaken online and through library stacks (345 relevant documents were identified). Ongoing and recently completed studies that had involved service users were identified through online databases (34 studies) and through a national consultation exercise (17 studies). Selected studies were followed up using telephone interviews (n=11). Members of the service user reference group worked with the research team to advise on key messages for dissemination to different audiences. Information was gained about contextual factors, drivers, concepts, approaches and outcomes of service user involvement in nursing, midwifery and health visiting research, as well as

  17. Being in front of the patient. Nurse-patient interaction and use of technology in emergency services

    Directory of Open Access Journals (Sweden)

    Yeimy Yesenia Granados-Pembertty

    2013-12-01

    Full Text Available Objective. This study sought to describe how the use of technology intervenes in the nurse-patient relationship, from the nurse's point of view. Methodology. This was a qualitative research with tools from grounded theory. Twenty semi-structured interviews were conducted with nurses working in emergency services in three municipalities of Colombia. Results. Four categories emerged: 1 direct care, the maximum interaction or being in front of the patient; 2 fairly direct care; 3 indirect care, institutional management; and 4 minimum interaction; technology as facilitator of the interaction and awareness of the necessity for interaction. Conclusion. This study shows the irreplaceable nature of the nurse and the fundamental necessity of technology. The dual mediations of technology constitute a paradoxical matter that reveals the importance of placing it as a means; warning on the danger of converting it an end in and of itself.

  18. An analysis of pre-service family planning teaching in clinical and nursing education in Tanzania.

    Science.gov (United States)

    Muganyizi, Projestine S; Ishengoma, Joyce; Kanama, Joseph; Kikumbih, Nassoro; Mwanga, Feddy; Killian, Richard; McGinn, Erin

    2014-07-12

    Promoting family planning (FP) is a key strategy for health, economic and population growth. Sub-Saharan Africa, with one of the lowest contraceptive prevalence and highest fertility rates globally, contributes half of the global maternal deaths. Improving the quality of FP services, including enhancing pre-service FP teaching, has the potential to improve contraceptive prevalence. In efforts to improve the quality of FP services in Tanzania, including provider skills, this study sought to identify gaps in pre-service FP teaching and suggest opportunities for strengthening the training. Data were collected from all medical schools and a representative sample of pre-service nursing, Assistant Medical Officer (AMO), Clinical Officer (CO) and assistant CO schools in mainland Tanzania. Teachers responsible for FP teaching at the schools were interviewed using a semi-structured questionnaire. Observations on availability of teaching resources and other evidence of FP teaching and evaluation were documented. Relevant approved teaching documents were assessed for their suitability as competency-based FP teaching tools against predefined criteria. Quantitative data were analyzed using EPI Info 6 and qualitative data were manually analyzed using content analysis. A total of 35 pre-service schools were evaluated for FP teaching including 30 technical education and five degree offering schools. Of the assessed 11 pre-service curricula, only one met the criteria for suitability of FP teaching. FP teaching was typically theoretical with only 22.9% of all the schools having systems in place to produce graduates who could skillfully provide FP methods. Across schools, the target skills were the same level of competence and skewed toward short acting methods of contraception. Only 23.3% (n = 7) of schools had skills laboratories, 76% (n = 22) were either physically connected or linked to FP clinics. None of the degree providing schools practiced FP at its own teaching hospital

  19. An exploration of the role and scope of the clinical nurse consultant (CNC) in a metropolitan health service.

    Science.gov (United States)

    Bloomer, Melissa J; Cross, Wendy M

    2011-01-01

    Clinical nurse consultants have been a part of the nursing workforce for some time however a lack of clarity regarding this role has led to significant variations in health service expectations, workloads and scope for the Clinical nurse consultants working within this metropolitan health service. The aim of this study was to explore the role of the CNC as it is perceived by them, in the context of this health service. A qualitative approach was used for this study. Following ethics approval a single audio-taped focus group was undertaken to gather data. Guiding questions were used to elicit responses from the group, moderated by the co-investigators. The focus group was transcribed verbatim. Each researcher independently analysed the narrative data, using coding and clustering the data to develop primary and sub-themes. Whilst each participant experiences their role individually, there were four themes derived from comments expressed by the participants: 'Diversity and conflict', 'Leaders but powerless', 'Support systems' and 'The portfolio holder role'. The role of the Clinical nurse consultant is complex and diverse. The variability in the role suggests that organisational consensus of the role, scope and purpose of the CNC position has not been actualised, resulting in a lack of support systems, and an underutilisation of the Clinical nurse consultants as leaders, where they can challenge existing practice and guide future directions in care delivery.

  20. Optimal management for infinite capacity N-policy M/G/1 queue with a removable service station

    Science.gov (United States)

    Chang, Y. C.; Pearn, W. L.

    2011-07-01

    In this article, we consider an infinite capacity N-policy M/G/1 queueing system with a single removable server. Poisson arrivals and general distribution service times are assumed. The server is controllable that may be turned on at arrival epochs or off at service completion epochs. We apply a differential technique to study system sensitivity, which examines the effect of different system input parameters on the system. A cost model for infinite capacity queueing system under steady-state condition is developed, to determine the optimal management policy at minimum cost. Analytical results for sensitivity analysis are derived. We also provide extensive numerical computations to illustrate the analytical sensitivity properties obtained. Finally, an application example is presented to demonstrate how the model could be used in real applications to obtain the optimal management policy.

  1. Relationships between Personal Traits, Emotional Intelligence, Internal Marketing, Service Management, and Customer Orientation in Korean Outpatient Department Nurses.

    Science.gov (United States)

    Kim, Bogyun; Lee, Jia

    2016-03-01

    Current increase and complexity of medical tests and surgical procedures at outpatient department (OPD) require OPD nurses to have customer orientation focusing on various customers' interests and needs. The purpose of this study was to identify the factors associated with customer orientation in nurses working at OPD of hospitals. The study used a descriptive correlational design with cross-sectional survey. The study settings were four general hospitals in Seoul and its metropolitan area. Data were collected from 138 OPD nurses from general hospitals. Study variables were personal traits, emotional intelligence, internal marketing, service management and customer orientation. Factors associated with customer orientation were identified as conscientiousness from personal traits (β = .37, p customers to improve patient-oriented services and satisfaction. Copyright © 2015. Published by Elsevier B.V.

  2. Developing capacity-building activities for mental health system strengthening in low- and middle-income countries for service users and caregivers, service planners, and researchers.

    Science.gov (United States)

    Semrau, M; Alem, A; Abdulmalik, J; Docrat, S; Evans-Lacko, S; Gureje, O; Kigozi, F; Lempp, H; Lund, C; Petersen, I; Shidhaye, R; Thornicroft, G; Hanlon, C

    2017-10-02

    There is increasing international recognition of the need to build capacity to strengthen mental health systems. This is a fundamental goal of the 'Emerging mental health systems in low- and middle-income countries' (Emerald) programme, which is being implemented in six low- and middle-income countries (LMICs) (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). This paper discusses Emerald's capacity-building approaches and outputs for three target groups in mental health system strengthening: (1) mental health service users and caregivers, (2) service planners and policy-makers, and (3) mental health researchers. When planning the capacity-building activities, the approach taken included a capabilities/skills matrix, needs assessments, a situational analysis, systematic reviews, qualitative interviews and stakeholder meetings, as well as the application of previous theory, evidence and experience. Each of the Emerald LMIC partners was found to have strengths in aspects of mental health system strengthening, which were complementary across the consortium. Furthermore, despite similarities across the countries, capacity-building interventions needed to be tailored to suit the specific needs of individual countries. The capacity-building outputs include three publicly and freely available short courses/workshops in mental health system strengthening for each of the target groups, 27 Masters-level modules (also open access), nine Emerald-linked PhD students, two MSc studentships, mentoring of post-doctoral/mid-level researchers, and ongoing collaboration and dialogue with the three groups. The approach taken by Emerald can provide a potential model for the development of capacity-building activities across the three target groups in LMICs.

  3. Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk

    Directory of Open Access Journals (Sweden)

    Caroline Evelin Nascimento Kluczynik Vieira

    2013-12-01

    Full Text Available OBJECTIVE: to analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation. METHOD: a cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB. The presence of Acantose nigricans, and the subjects' anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR. RESULTS: there was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008, metabolic syndrome (p=0.031, elevated triglycerides (p=0.045 and altered HDL (p=0.002. CONCLUSIONS: the suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.

  4. Scientific production of residence in the management of nursing services 2006 2011

    Directory of Open Access Journals (Sweden)

    Camila Severi Zanoni

    2015-03-01

    Full Text Available Retrospective, descriptive, documentary and quantitative study conducted to describe the scientific production of the Housing Management Services Nursing, University Hospital of Londrina State University, from 2006 to 2011. Information was collected by an instrument that identified the title, author, journal and classification in QUALIS / Coordination of Improvement of Higher Education Personnel of the articles produced. We analyzed 69 articles, 43.5% were published, 31.9% underwent the editorial board, 4.3% in the press, 14.5% resubmitted after rejection in the 1st submission and 5.8% are awaiting submission. There was a predominance of submission to journals B1 (44.6%. Of the 96 studies, 15 were presented at regional events in 60 national and 21 international, and 93.7% as a poster and nine received awards. The complexity of the health field and the demands of the labor market show the importance of research in nursing developed during the residency as enabler of reflection and transformation of professional practice.

  5. Empathy, loneliness, burnout, and life satisfaction in Chilean nurses of palliative care and homecare services.

    Science.gov (United States)

    Marilaf Caro, Magdalena; San-Martín, Montserrat; Delgado-Bolton, Roberto; Vivanco, Luis

    2017-06-03

    Empathy has been described as an essential competence of healthcare professionals who are working in palliative care and homecare services. In these services, usually accompanied by a high risk of physical and emotional burnout, empathy can play an important role in the improvement of occupational wellbeing. The aim of this study was to confirm the role of empathy in the prevention of loneliness and burn out, and in the promotion of life satisfaction. In 2016, an observational study was carried out in Chile with professional nurses who were working in palliative care and homecare services. Empathy with the patients, loneliness, life satisfaction, and burnout were measured using psychometric scales. Correlation analyses were applied to confirm relationships among the elements measured. In a sample of 64 participants, positive correlations were confirmed between empathy and life satisfaction (P = 0.40; p = 0.003), and between empathy and professional experience (P = 0.29; p = 0.04). On the other hand, inverse correlations were confirmed between empathy and burnout (P = -0.38; p = 0. 01), and between empathy and loneliness (P = -0.41; p = 0.004). These findings confirm the important role that empathy plays in the prevention of loneliness and burnout, and in the promotion of life satisfaction. Evidence found suggests that empathetic abilities can be improved by the professional experience. Copyright © 2017 The Authors. Published by Elsevier España, S.L.U. All rights reserved.

  6. Implementation of the essential elements of service learning in three nursing courses.

    Science.gov (United States)

    Bittle, Mary; Duggleby, Wendy; Ellison, Patty

    2002-03-01

    The students' creativity, enthusiasm, energy, and excellent planning skills made a tremendously positive impression on the community agencies that participated in this project. The students applied principles of: Epidemiology, including collecting meaningful descriptive data. Community and family intervention. Community partnerships. Leadership. Cultural competence. As students visited the homes of families of different ethnic and socioeconomic status than themselves, perhaps the most poignant outcome was the opportunity for students to experience cultural sensitivity, relativity, and accommodation-Implementing the essential elements of service learning provided the foundation for a successful service learning experience. It took the time, energy, and commitment of all involved, but the end result was an educational experience that benefited students, faculty, and the community. Service learning presents an effective, unique, and valuable means for nursing students to master the objectives of community health, leadership and management, and pediatrics courses, and to prepare to function in a health care environment that demands partnering with the community to use resources more effectively to promote public well-being.

  7. Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support.

    Science.gov (United States)

    Goeman, Dianne; Conway, Sue; Norman, Ralph; Morley, Jo; Weerasuriya, Rona; Osborne, Richard H; Beauchamp, Alison

    Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS). Methods. Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results. Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients' diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management.

  8. Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support

    Directory of Open Access Journals (Sweden)

    Dianne Goeman

    2016-01-01

    Full Text Available Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS. Methods. Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results. Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients’ diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management.

  9. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication.

    Science.gov (United States)

    Ghahramanian, Akram; Rezaei, Tayyebeh; Abdullahzadeh, Farahnaz; Sheikhalipour, Zahra; Dianat, Iman

    2017-01-01

    Background: This study investigated quality of healthcare services from patients' perspectives and its relationship with patient safety culture and nurse-physician professional communication. Methods: A cross-sectional study was conducted among 300 surgery patients and 101 nurses caring them in a public hospital in Tabriz-Iran. Data were collected using the service quality measurement scale (SERVQUAL), hospital survey on patient safety culture (HSOPSC) and nurse physician professional communication questionnaire. Results: The highest and lowest mean (±SD) scores of the patients' perception on the healthcare services quality belonged to the assurance 13.92 (±3.55) and empathy 6.78 (±1.88) domains,respectively. With regard to the patient safety culture, the mean percentage of positive answers ranged from 45.87% for "non-punitive response to errors" to 68.21% for "organizational continuous learning" domains. The highest and lowest mean (±SD) scores for the nurse physician professional communication were obtained for "cooperation" 3.44 (±0.35) and "non-participative decision-making" 2.84 (±0.34) domains, respectively. The "frequency of reported errors by healthcare professionals" (B=-4.20, 95% CI = -7.14 to -1.27, Pquality of healthcare services. Conclusion: Organizational culture in dealing with medical error should be changed to non-punitive response. Change in safety culture towards reporting of errors, effective communication and teamwork between healthcare professionals are recommended.

  10. From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs

    NARCIS (Netherlands)

    Moth, G.; Huibers, L.; Vedsted, P.

    2013-01-01

    Introduction. General practitioners (GP) answer calls to the Danish out-of-hours primary care service (OOH) in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We app

  11. Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support

    Science.gov (United States)

    Conway, Sue; Norman, Ralph; Morley, Jo; Weerasuriya, Rona; Osborne, Richard H.; Beauchamp, Alison

    2016-01-01

    Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS). Methods. Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results. Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients' diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management. PMID:27668261

  12. Aging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes?

    OpenAIRE

    Norma Altshuler; Jody Schimmel

    2010-01-01

    This issue brief, the first in a series, presents findings from the Administration on Aging’s National Survey of Older Americans Act Program Participants and assesses whether Title III services are reaching adults at higher risk of nursing home entry.

  13. Elementary Rehabilitation Nursing Care; a Manual for Nurses and Ancillary Workers in Nursing Homes, Hospitals, Convalescent Facilities, and Public Health Agencies. Public Health Service Publication No. 1436.

    Science.gov (United States)

    Colorado State Dept. of Public Health, Denver. Public Health Nursing Section.

    This guide for teacher and student use presents a comprehensive program of physical rehabilitation for aged and physically disabled patients. Developed by the Public Health Nursing Section, the manual was tested by state health department personnel and persons doing inservice teaching in their respective nursing homes. The program is designed to…

  14. Building capacity for antiretroviral delivery in South Africa: A qualitative evaluation of the PALSA PLUS nurse training programme

    Directory of Open Access Journals (Sweden)

    English R

    2008-11-01

    Full Text Available Abstract Background South Africa recently launched a national antiretroviral treatment programme. This has created an urgent need for nurse-training in antiretroviral treatment (ART delivery. The PALSA PLUS programme provides guidelines and training for primary health care (PHC nurses in the management of adult lung diseases and HIV/AIDS, including ART. A process evaluation was undertaken to document the training, explore perceptions regarding the value of the training, and compare the PALSA PLUS training approach (used at intervention sites with the provincial training model. The evaluation was conducted alongside a randomized controlled trial measuring the effects of the PALSA PLUS nurse-training (Trial reference number ISRCTN24820584. Methods Qualitative methods were utilized, including participant observation of training sessions, focus group discussions and interviews. Data were analyzed thematically. Results Nurse uptake of PALSA PLUS training, with regard not only to ART specific components but also lung health, was high. The ongoing on-site training of all PHC nurses, as opposed to the once-off centralized training provided for ART nurses only at non-intervention clinics, enhanced nurses' experience of support for their work by allowing, not only for ongoing experiential learning, supervision and emotional support, but also for the ongoing managerial review of all those infrastructural and system-level changes required to facilitate health provider behaviour change and guideline implementation. The training of all PHC nurses in PALSA PLUS guideline use, as opposed to ART nurses only, was also perceived to better facilitate the integration of AIDS care within the clinic context. Conclusion PALSA PLUS training successfully engaged all PHC nurses in a comprehensive approach to a range of illnesses affecting both HIV positive and negative patients. PHC nurse-training for integrated systems-based interventions should be prioritized on the ART

  15. Mapping the ecosystem service delivery chain: Capacity, flow, and demand pertaining to aesthetic experiences in mountain landscapes.

    Science.gov (United States)

    Egarter Vigl, Lukas; Depellegrin, Daniel; Pereira, Paulo; de Groot, Rudolf; Tappeiner, Ulrike

    2017-01-01

    Accounting for the spatial connectivity between the provision of ecosystem services (ES) and their beneficiaries (supply-benefit chain) is fundamental to understanding ecosystem functioning and its management. However, the interrelationships of the specific chain links within ecosystems and the actual benefits that flow from natural landscapes to surrounding land have rarely been analyzed. We present a spatially explicit model for the analysis of one cultural ecosystem service (aesthetic experience), which integrates the complete ecosystem service delivery chain for Puez-Geisler Nature Park (Italy): (1) The potential service stock (ES capacity) relies on an expert-based land use ranking matrix, (2) the actual supply (ES flow) is based on visibility properties of observation points along recreational routes, (3) the beneficiaries of the service (ES demand) are derived from socioeconomic data as a measure of the visitation rate to the recreation location, and (4) the supply-demand relationship (ES budget) addresses the spatially explicit oversupply and undersupply of ES. The results indicate that potential ES stocks are substantially higher in core and buffer zones of protected areas than in surrounding land owing to the specific landscape composition. ES flow maps reveal service delivery to 80% of the total area studied, with the highest actual service supply to locations with long and open vistas. ES beneficiary analyses show the highest demand for aesthetic experiences in all-season tourist destinations like Val Badia and Val Gardena, where both recreational amenity and overnight stays are equally high. ES budget maps identify ES hot and cold spots in terms of ES delivery, and they highlight ES undersupply in nature protection buffer zones although they are characterized by highest ES capacity. We show how decision/policy makers can use the presented methodology to plan landscape protection measures and develop specific regulation strategies for visitors based on

  16. The Role of Head Nurse in High Quality Nursing Service Work%护士长在开展优质护理服务工作中的作用

    Institute of Scientific and Technical Information of China (English)

    蒋凤

    2013-01-01

    护士长管理的精髓是以患者的满意为依归,它关系到优质护理目标的实现,护士长通过领会优质护理服务内涵、制定优质护理服务创建计划和制度、改变护理工作模式、加强基础护理工作、推出人性化服务、加强管理和严格绩效考核,以达到更好地开展优质护理服务的目的,让广大的民众享受到优质的护理服务。%The essence of management is the head nurse to patient satisfaction oriented, it is related to the implementation of high quality nursing target, nurse through understanding the connotation, the high quality nursing service for high quality nursing service in creating plans and system, change the nursing mode, strengthen basic care, introduced user-friendly service, strengthen the management and strict performance appraisal, in order to achieve to bet er carry out high quality nursing service, let the general public to enjoy the high quality nursing service.

  17. 应用团体伦理决策培养急诊科护士的伦理决策能力%To Cultivate the Ethical Decision -making Capacity of Nurses of Emergency Department by Group Ethical Decision- making

    Institute of Scientific and Technical Information of China (English)

    陈英

    2011-01-01

    目的 提高急诊科护士的伦理决策能力.方法 通过伦理决策过程,由护理团体对以往在急诊救治中的护理困境作出最佳伦理决策.结果使护士知晓伦理相关的理论,掌握应对护理实践中的护理伦理困惑的方法,提高护理伦理决策能力.结论 通过应用团体伦理决策法,培养和提高急诊科护士的伦理决策能力,有效地减少了护患医疗纠纷.%Objective: To increase the ethical decision - making capacity of nurses of emergency department. Method: Optimal ethical decisions are made by nursing group s discussion of the experience gathered from past ethical predicaments in emergency nursing. Result; Nurses are equipped with relevant ethical theories, measures of coping with possible ethical predicaments in future nursing practice, and increased capacity of nursing ethical decision - making. Conclusion: The ethical decision - making capacity of nurses of emergency department has been cultivated and increased by the approach of group ethical decision - making, resulting in a decrease in medical disputes between nurses and doctors.

  18. Improving the United States airline industry's capacity to provide safe and dignified services to travelers with disabilities: focus group findings.

    Science.gov (United States)

    McCarthy, Michael J

    2011-01-01

    As a component of a training development project for intercity air travel providers, we investigated the capacity of the airline industry to meet the needs of travelers with disabilities by exploring: (1) the level of sensitivity among personnel to travelers' needs, (2) training currently provided, (3) areas in which additional training might be beneficial, and (4) organisational/systems-level commitment to dignified assistance to all travelers. Forty-four airline/vendor employees participated in nine focus groups in four US cities. Groups were audio recorded and transcribed. A grounded-theory approach was used to develop a coding system which was then applied to transcripts to identify themes. Factors influencing capacity grouped broadly into four areas: characteristics of the job/system, characteristics of current training, characteristics of providers themselves, and characteristics of travelers. At an interpersonal level, providers were empathetic and desired to provide dignified services. They lacked training and adequate equipment in some cases, however, and organisational commitment varied between companies. Traveler characteristics were also shown to impact service delivery. Results are promising but additional regulatory and organisational policies are needed to ensure quality services. Providers and consumers of intercity air travel services may benefit from the findings and recommendations of this study.

  19. The role of the registered nurse in the marketing of primary healthcare services, as part of health promotion

    Directory of Open Access Journals (Sweden)

    M Rail

    2006-09-01

    Full Text Available Existing literature on the marketing of primary healthcare services was reviewed to determine the role of registered nurses in this regard. The systematic review included “— five searches and ensured wide coverage of the results of available primary research studies on the topic. The results were summarised and the role of registered nurses in the marketing of primary healthcare services was identified. Primary research sources on the topic included textbooks on marketing by experts in the field and relevant journal articles by authorities on healthcare marketing. The data were analysed and four main categories identified. To ensure the trustworthiness of the research, Lincoln and Guba’s (1981:215-216 criteria, as explained by Krefting (1991:217, were applied. Because the population consisted of only literature, ethical considerations concerning human subjects were irrelevant. Results indicated that the basic commercial marketing principles (the so-called 4Ps - product, price, place, and promotion could be adapted for the health sector. The conclusion was that registered nurses could contribute to the marketing of primary healthcare services by communicating with the community (promotion and by ensuring effective service (product delivery at the right price and place. Registered nurses could influence the community’s perceptions of health care and facilitate behaviour changes, thereby promote health. The implementation of the findings and recommendations of this research could create a new awareness among registered nurses of their role in the marketing of primary healthcare services in South Africa and improve their skills in this regard.

  20. The Effect of Liaison Nurse Service on Patient Outcomes after Discharging From ICU: a Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Zeinab Tabanejad

    2016-09-01

    Full Text Available Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized controlled trial, a total of 80 patients were selected by convenience sampling method from two teaching hospitals located in Tehran, Iran. Patients were randomly allocated to either the experimental or the control groups. Patients in the experimental group received post-ICU care from a liaison nurse and patients in the control group received the routine care. After the intervention, patients’ vital signs, level of consciousness, length of hospital stay, need for re-hospitalization in ICU, and satisfaction with care were measure. Data were analyzed by SPSS Ver.13 software. Results: None of the participants experienced ICU re-hospitalization. According to the result and there were no significant differences between the study groups regarding heart rate, respiratory rate, systolic blood pressure, post-ICU level of consciousness, satisfaction with care, and length of hospitalization in medical-surgical wards. However, the study groups differed significantly in terms of body temperature. Conclusion: Care services provided by an ICU liaison nurse has limited effects on patient outcomes. However, considering the contradictions among the studies, further studies are needed for providing clear evidence about the effectiveness of the liaison nurse strategy.

  1. Physical, mental and cognitive disabilities in relation to utilization of dental care services by nursing home residents.

    Science.gov (United States)

    Almomani, Fidaa M; Bani-Issa, Wegdan

    2017-05-01

    The main purpose of this study was to investigate factors affecting dental care utilization among nursing home residents in Jordan. A total of 221 subjects with a mean age of 62.4 years (121 males and 100 females) taken from among nursing home residents across Jordan were recruited and composed a convenience sample for this study. The Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Tinetti Assessment Battery for gait and balance (TAB), Disability of Arm, Shoulder, and Hand test (DASH) were administered and oral health status was assessed for all subjects and examined as expected correlates of dental care utilization among nursing home residents. The response rate was about 88%. One-third of residents suffered from total edentulism and most of the remaining dentate residents exhibited periodontal disease (90%). Of the dentate sample, 90% of residents had bleeding upon probing, 85% were diagnosed with tooth mobility, 88% had presence of dental calculus, and 30% were diagnosed with root caries. Of the denture wearers, 59.1 % reported having soreness with their dentures and 32% of denture wearers reported having poor quality dentures. MMSE score, suffering from tooth sensitivity and having diabetes mellitus were identified to be indicators for utilization of dental care services among the study population. Regular oral care, assessments, and rehabilitation services are considered to be limited for nursing home residents in Jordan. Based upon these findings, future interventions should address oral health among nursing home residents in Jordan. © 2017 Special Care Dentistry Association and Wiley Periodicals, Inc.

  2. The Effect of Liaison Nurse Service on Patient Outcomes after Discharging From ICU: a Randomized Controlled Trial

    Science.gov (United States)

    Tabanejad, Zeinab; Pazokian, Marzieh; Ebadi, Abbas

    2016-01-01

    Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized controlled trial, a total of 80 patients were selected by convenience sampling method from two teaching hospitals located in Tehran, Iran. Patients were randomly allocated to either the experimental or the control groups. Patients in the experimental group received post-ICU care from a liaison nurse and patients in the control group received the routine care. After the intervention, patients’ vital signs, level of consciousness, length of hospital stay, need for re-hospitalization in ICU, and satisfaction with care were measure. Data were analyzed by SPSS Ver.13 software. Results: None of the participants experienced ICU re-hospitalization. According to the result and there were no significant differences between the study groups regarding heart rate, respiratory rate, systolic blood pressure, post-ICU level of consciousness, satisfaction with care, and length of hospitalization in medical-surgical wards. However, the study groups differed significantly in terms of body temperature. Conclusion: Care services provided by an ICU liaison nurse has limited effects on patient outcomes. However, considering the contradictions among the studies, further studies are needed for providing clear evidence about the effectiveness of the liaison nurse strategy. PMID:27752487

  3. 以专科护士为主导的社区护理协同服务体系建立与实施%Establishment and practice of community nursing collaborative service system led by specialized nurse

    Institute of Scientific and Technical Information of China (English)

    贾静; 高燕; 贡浩凌

    2013-01-01

    In order to make the high quality nursing service step into the community and family, the community nursing collaborative service team led by specialized nurse was established through collaborating with the community health service center. The community nursing collaborative service was carried out by improving the ifles of healthy management of community residents, establishing model family in community, home visits, and telephone follow-up. The pertinence, professionalism and accessibility of nursing service were enhanced by community nursing collaborative service team and the connotation of high quality nursing was further deepened.%为使优质护理服务走进社区和家庭,与社区卫生服务中心合作建立以专科护士为核心的社区护理协同服务小组,通过完善社区居民健康管理档案、建立社区模范家庭、进行家庭访视和电话随访等形式,开展社区护理协同服务,增强了护理服务的针对性、专业性和可及性,进一步深化了优质护理服务内涵。

  4. Evaluation of pH, buffering capacity, viscosity and flow rate levels of saliva in caries-free, minimal caries and nursing caries children: An in vivo study

    OpenAIRE

    Dwitha Animireddy; Venkata Thimma Reddy Bekkem; Pranitha Vallala; Sunil Babu Kotha; Swetha Ankireddy; Noorjahan Mohammad

    2014-01-01

    Background and Aim: The present study was undertaken to evaluate the pH, buffering capacity, viscosity and flow rate of saliva in caries free, minimal caries and nursing caries children and to evaluate the relationship of these on the caries activity of children. Materials and Methods: A total of 75 school children of age group between 4 and 12 years were selected and divided into three equal groups: Group I, Group II and Group III, consisting of 25 subjects each. Group I included caries-free...

  5. Participatory design facilitates Person Centred Nursing in service improvement with older people: a secondary directed content analysis.

    Science.gov (United States)

    Wolstenholme, Daniel; Ross, Helen; Cobb, Mark; Bowen, Simon

    2017-05-01

    To explore, using the example of a project working with older people in an outpatient setting in a large UK NHS Teaching hospital, how the constructs of Person Centred Nursing are reflected in interviews from participants in a Co-design led service improvement project. Person Centred Care and Person Centred Nursing are recognised terms in healthcare. Co-design (sometimes called participatory design) is an approach that seeks to involve all stakeholders in a creative process to deliver the best result, be this a product, technology or in this case a service. Co-design practice shares some of the underpinning philosophy of Person Centred Nursing and potentially has methods to aid in Person Centred Nursing implementation. The research design was a qualitative secondary Directed analysis. Seven interview transcripts from nurses and older people who had participated in a Co-design led improvement project in a large teaching hospital were transcribed and analysed. Two researchers analysed the transcripts for codes derived from McCormack & McCance's Person Centred Nursing Framework. The four most expressed codes were as follows: from the pre-requisites: knowing self; from care processes, engagement, working with patient's beliefs and values and shared Decision-making; and from Expected outcomes, involvement in care. This study describes the Co-design theory and practice that the participants responded to in the interviews and look at how the co-design activity facilitated elements of the Person Centred Nursing framework. This study adds to the rich literature about using emancipatory and transformational approaches to Person Centred Nursing development, and is the first study exploring explicitly the potential contribution of Co-design to this area. Methods from Co-design allow older people to contribute as equals in a practice development project, co-design methods can facilitate nursing staff to engage meaningfully with older participants and develop a shared

  6. The development of an implementation framework for service-learning during the undergraduate nursing programme in the Western Cape Province

    Directory of Open Access Journals (Sweden)

    Hester Julie

    2015-07-01

    Full Text Available Background: Service-learning (SL is a contested field of knowledge and issues of sustainability and scholarship have been raised about it. The South African Higher Education Quality Committee (HEQC has provided policy documents to guide higher education institutions (HEIs in the facilitation of SL institutionalisation in their academic programmes. An implementation framework was therefore needed to institutionalise the necessary epistemological shifts advocated in the national SL policy guidelines.Objectives: This article is based on the findings of a doctoral thesis that aimed at developing an SL implementation framework for the School of Nursing (SoN at the University of the Western Cape (UWC.Method: Mixed methods were used during the first four phases of the design and developmenti ntervention research model developed by Rothman and Thomas.Results: The SL implementation framework that was developed during Phase 3 specified the intervention elements to address the gaps that had been identified by the core findings of Phases 1 and 2. Four intervention elements were specified for the SL implementation framework. The first intervention element focused on the assessment of readiness for SL institutionalisation. The development of SL capacity and SL scholarship was regarded as the pivotal intervention element for three of the elements: the development of a contextual SL definition, an SL pedagogical model, and a monitoring and evaluation system for SL institutionalisation.Conclusion: The SL implementation framework satisfies the goals of SL institutionalisation, namely to develop a common language and a set of principles to guide practice, and to ensure the allocation of resources in order to facilitate the SL teaching methodology.The contextualised SL definition that was formulated for the SoN contributes to the SL operationalisation discourse at the HEI.

  7. The development of an implementation framework for service-learning during the undergraduate nursing programme in the Western Cape Province.

    Science.gov (United States)

    Julie, Hester

    2015-11-13

    Service-learning (SL) is a contested field of knowledge and issues of sustainability and scholarship have been raised about it. The South African Higher Education Quality Committee (HEQC) has provided policy documents to guide higher education institutions (HEIs) in the facilitation of SL institutionalisation in their academic programmes. An implementation framework was therefore needed to institutionalise the necessary epistemological shifts advocated in the national SL policy guidelines. This article is based on the findings of a doctoral thesis that aimed at developing an SL implementation framework for the School of Nursing (SoN) at the University of the Western Cape (UWC). Mixed methods were used during the first four phases of the design and developmenti ntervention research model developed by Rothman and Thomas. The SL implementation framework that was developed during Phase 3 specified the intervention elements to address the gaps that had been identified by the core findings of Phases 1 and 2. Four intervention elements were specified for the SL implementation framework. The first intervention element focused on the assessment of readiness for SL institutionalisation. The development of SL capacity and SL scholarship was regarded as the pivotal intervention element for three of the elements: the development of a contextual SL definition, an SL pedagogical model, and a monitoring and evaluation system for SL institutionalisation. The SL implementation framework satisfies the goals of SL institutionalisation, namely to develop a common language and a set of principles to guide practice, and to ensure the allocation of resources in order to facilitate the SL teaching methodology.The contextualised SL definition that was formulated for the SoN contributes to the SL operationalisation discourse at the HEI.

  8. Participation in clinical supervision (PACS): an evaluation of student nurse clinical supervision facilitated by mental health service users.

    Science.gov (United States)

    Maplethorpe, Fran; Dixon, Julie; Rush, Brenda

    2014-03-01

    This paper discusses an innovative learning approach in which people having experience of mental health services facilitated humanistic clinical supervision with groups of student nurses in the classroom. A four-day course of preparation for the role of supervisor is described and the results of subsequent clinical supervision sessions are analysed. Seven service users who had previous experience of teaching students in the classroom and fifty students on a Diploma/BSc in mental health nursing course participated in the project, which was evaluated through focus groups. The results indicated that the service user supervisors appreciated the skills they had gained on the course and felt that they were more appropriate than lecturers to facilitate clinical supervision sessions. Some students expressed initial uncertainty about the appropriateness of service users as supervisors but as changes to the pedagogical process of supervision were made and the supervisors gained more experience and confidence, students expressed greater satisfaction. The authors conclude that clinical supervision facilitated by service users who have preparation and continual support can add considerable value to the learning experience of student nurses.

  9. How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer?

    Science.gov (United States)

    Wibe, Torunn; Hellesø, Ragnhild; Varsi, Cecilie; Ruland, Cornelia; Ekstedt, Mirjam

    2012-01-01

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: "a means for managing illness-related concerns at home," "a means for ensuring information flow," "a means for strategic information seeking," and "not yet available when needed most." Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety.

  10. Decentralized nursing education in Northern Norway: towards a sustainable recruitment and retention model in rural Arctic healthcare services

    Directory of Open Access Journals (Sweden)

    Bente Norbye

    2013-11-01

    Full Text Available Introduction. Decentralized nursing education (DNE was established at Tromsø University College in 1990 and has since become a part of the bachelor programme in nursing at UiT The Arctic University of Norway. The objective of the study was to investigate whether and to what degree the first DNE programme established in Norway has contributed to recruitment and retention of registered nurses (RNs in rural healthcare services. Methods. The quantitative survey took place in 2012. A questionnaire was distributed to 315 former students who had graduated from the DNE programme from 1994 to 2011. Results. The primary finding of this study is that the DNE successfully recruits students from rural areas of Northern Norway. Nearly, 87.5% have their first employment in community healthcare services. They continued to work in the rural areas and 85% still worked as nurses in 2012. The DNE programme has been successful regarding recruitment and retention of RNs to community healthcare services. Fifty-six percent have attended a variety of postgraduate programmes. Conclusion. The DNE programme demonstrates itself as a successful study model regarding recruitment and retention of RNs to rural and remote areas.

  11. How Does an Online Patient-Nurse Communication Service Meet the Information Needs of Men with Recently Diagnosed Testicular Cancer?

    Science.gov (United States)

    Wibe, Torunn; Hellesø, Ragnhild; Varsi, Cecilie; Ruland, Cornelia; Ekstedt, Mirjam

    2012-01-01

    Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: “a means for managing illness-related concerns at home,” “a means for ensuring information flow,” “a means for strategic information seeking,” and “not yet available when needed most.” Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety. PMID:23251816

  12. Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support

    DEFF Research Database (Denmark)

    Goeman, Dianne; Conway, Sue; Norman, Ralph

    2016-01-01

    Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse...... and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand...... organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service...

  13. Assessing capacity for providing culturally competent services to LGBT older adults.

    Science.gov (United States)

    Portz, Jennifer Dickman; Retrum, Jessica H; Wright, Leslie A; Boggs, Jennifer M; Wilkins, Shari; Grimm, Cathy; Gilchrist, Kay; Gozansky, Wendolyn S

    2014-01-01

    This qualitative, interview-based study assessed the cultural competence of health and social service providers to meet the needs of LGBT older adults in an urban neighborhood in Denver, Colorado, known to have a large LGBT community. Only 4 of the agencies were categorized as "high competency"; 12 were felt to be "seeking improvement" and 8 were considered "not aware." These results indicate significant gaps in cultural competency for the majority of service providers. Social workers are well-suited to lead efforts directed at improving service provision and care competencies for the older LGBT community.

  14. Assessing Capacity for Providing Culturally Competent Services to LGBT Older Adults

    Science.gov (United States)

    Portz, Jennifer Dickman; Retrum, Jessica H.; Wright, Leslie A.; Boggs, Jennifer M.; Wilkins, Shari; Grimm, Cathy; Gilchrist, Kay; Gozansky, Wendolyn S.

    2014-01-01

    This qualitative, interview-based study assessed the cultural competence of health and social service providers to meet the needs of LGBT older adults in an urban neighborhood in Denver, Colorado, known to have a large LGBT community. Only 4 of the agencies were categorized as “high competency” while 12 were felt to be “seeking improvement” and 8 were considered “not aware.” These results indicate significant gaps in cultural competency for the majority of service providers. Social workers are well-suited to lead efforts directed at improving service provision and care competencies for the older LGBT community. PMID:24798180

  15. Research on Influence of SAFE-CARE Nursing Management System on Satisfaction to Nursing Service%应用SAFE-CARE体系对护理服务满意度影响的研究

    Institute of Scientific and Technical Information of China (English)

    王琴; 李乐之; 赵丽萍; 黄金; 刘娟

    2014-01-01

    目的:探讨SAFE-CARE体系对提升护理服务满意度的作用。方法运行医院SAFE-CARE体系,对比该体系运行前及运行3个季度后医生、护士对护理服务的满意度情况。结果运行SAFE-CARE体系前医生对护理服务满意度总分为(11.47±1.27)分;运行3个季度后为(14.23±0.46)分,差异有统计学意义(P<0.05);运行SAFE-CARE体系前护士对护理服务满意度总分为(11.29±1.35)分;运行3个季度后为(17.27.23±2.83)分,得分高于运行前,差异有统计学意义(P<0.05)。结论 SAFE-CARE体系应用于护理工作中,能够提高医生和护士对护理服务的满意度。%Objective To investigate the role of nursing management SAFE-CARE system in raising the quality of nursing service. Methods Created and ran the SAFE-CARE system, compared the doctors' satisfaction and nurses' satisfaction to nursing service before and three quarters after running the management system. Results The scores of doctors' satisfaction to nursing service was 11.47±1.27 before running the SAFE-CARE nursing management system (P<0.05) and it was 14.23±0.46 after running the SAFE-CARE nursing management system (P<0.05). The scores of nurses' satisfaction to nursing service was 11.29 ±1.35 before running the SAFE-CARE nursing management system (P<0.05) and it was 17.27 ±2.83 after running the SAFE-CARE nursing management system (P<0.05). Conclusions The application of SAFE-CARE nursing management system can improve the doctors' and nurses' satisfaction to nursing service in the Nursing Services.

  16. Selection of library services by post-registration nursing, midwifery and health visiting students.

    Science.gov (United States)

    Yeoh, J; Morrissey, C

    1996-06-01

    This paper describes a small-scale survey undertaken with 300 nurses, midwives and health visitors on post-registration courses and registered for the ENB Higher Award. The aim was threefold: first to examine reasons for electing to use particular libraries; second, the relationship between workplace, home, teaching site and choice of library services; and third, the use of library enquiry services. There was a 56% response rate to the postal questionnaire and results indicated that the key factor in selecting a library was availability of resources rather than convenience to home or workplace. The third largest group of respondents worked in community organizations with little or no on-site access to resources and were dependent on access to other libraries. Most who used the library for literature searching needed to seek help in spite of preliminary user education sessions. Similar levels of assistance were needed to locate journals and use the computerized book catalogue. The paper recommends explicit information on strategic entry points, necessity of a broad central collection, integration of information retrieval into post-registration courses, use of self-study packs, better trust/university liaison and recognition of the need for resource transfer from teaching to learning.

  17. Level of Service Considerations in Connection with Capacity Adjustment by ITS Systems

    DEFF Research Database (Denmark)

    Jensen, Peder; Andersen, Claus Lund

    1998-01-01

    The paper explores the level of service definition in connection with urban traffic and ITS systems. In addition a new definition is suggested to account for problems encountered with the traditional definition.......The paper explores the level of service definition in connection with urban traffic and ITS systems. In addition a new definition is suggested to account for problems encountered with the traditional definition....

  18. An Improved Model for Headway-Based Bus Service Unreliability Prevention with Vehicle Load Capacity Constraint at Bus Stops

    Directory of Open Access Journals (Sweden)

    Weiya Chen

    2012-01-01

    Full Text Available This paper presents an improved model for improving headway-based bus route service reliability at bus stops using real-time preventive operation control, taking into account dynamic interaction among random passenger demand, stochastic driving conditions of route segments, and vehicle load capacity constraint. In this model, the real-time information of passenger demand and vehicle operation is involved to predict the imminent unacceptable headway deviation, in the case of which some in-time preventive control strategies are deployed according to the given control rules. As a case study, a single fixed bus route with high-frequency services was simulated and different scenarios of real-time preventive operation control were performed. Headway adherence and average passenger wait time were used to measure bus service reliability. The results show that the improved model is closer to the real bus route service, and using real-time information to predict potential service unreliability and trigger in-time preventive control can reduce bus bunching and avoid big gap.

  19. Reorientation of health services: enablers and barriers faced by organisations when increasing health promotion capacity.

    Science.gov (United States)

    McFarlane, K; Judd, J; Devine, S; Watt, K

    2016-04-20

    Issue addressed: Primary healthcare settings are important providers of health promotion approaches. However, organisational challenges can affect their capacity to deliver these approaches. This review identified the common enablers and barriers health organisations faced and it aimed to explore the experiences health organisations, in particular Aboriginal organisations, had when increasing their health promotion capacity.Methods: A systematic search of peer-reviewed literature was conducted. Articles published between 1990-2014 that focused on a health care-settings approach and discussed factors that facilitated or hindered an organisation's ability to increase health promotion capacity were included.Results: Twenty-five articles met the inclusion criteria. Qualitative (n = 18) and quantitative (n = 7) study designs were included. Only one article described the experiences of an Aboriginal health organisation. Enablers included: management support, skilled staff, provision of external support to the organisation, committed staffing and financial resources, leadership and the availability of external partners to work with. Barriers included: lack of management support, lack of dedicated health promotion staff, staff lacking skills or confidence, competing priorities and a lack of time and resources allocated to health promotion activities.Conclusions: While the literature highlighted the importance of health promotion work, barriers can limit the delivery of health promotion approaches within primary healthcare organisations. A gap in the literature exists about how Aboriginal health organisations face these challenges.So what?: Primary healthcare organisations wanting to increase their health promotion capacity can pre-empt the common barriers and strengthen identified enablers through the shared learnings outlined in this review.

  20. Landscape Capacity for Ecosystem Services Provision Based on Expert Knowledge and Public Perception (Case Study from the Northwest Slovakia

    Directory of Open Access Journals (Sweden)

    Bezák Peter

    2014-12-01

    Full Text Available Landscape represents appropriate spatial dimension for a study of ecosystems, especially due to ability to translate scientific knowledge into proper guidance for land use practice and enhancing the inclusion of local stakeholders in decision-making procedures. We tested social preferences method to reach initial and raw overview of the ecosystem services (ES distribution and their values in the study areas. Perception of experts and local residents about capacities of relevant CORINE land cover (CLC types to provide various ES was linked with Geographic Information System databases. We quantified the results on the basis of the mean values for each CLC type and the ES groups and these were interpreted also in spatial context. The expectation about perceptible capacities of forest to provide goods and services was fulfilled by responses of the experts, as was the expected difficulty to assess capacities of transitional woodland shrub or complex cultivation patterns. However, additional land cover types in question are meadows and pastures or discon-tinuous urban fabric. Mostly middle ranking values prevail in responses of local residents and uncertainty in the background is much greater comparing to the experts. On the other hand, rural people may better recognise diversified fow of services due to their everyday close connection to more ES. Large variation in the scores of some valued CLC classes in responses of the local residents and also experts seems resulting from lack of knowledge in the background and differences in viewpoint and appreciation. We understand the gaps in evaluating ES by the experts and resident population as good experience and key challenge for the further steps and fine-tuning of the research methods.

  1. Enhancing the Capacity of School Nurses to Reduce Excessive Anxiety in Children: Development of the CALM Intervention.

    Science.gov (United States)

    Drake, Kelly L; Stewart, Catherine E; Muggeo, Michela A; Ginsburg, Golda S

    2015-08-01

    Excessive anxiety is among the most common psychiatric problems facing youth. Because anxious youth tend to have somatic complaints, many seek help from the school nurse. Thus, school nurses are in an ideal position to provide early intervention. This study addresses this problem and describes the plans to develop and test a new intervention (Child Anxiety Learning Modules; CALM), delivered by school nurses, to reduce child anxiety and improve academic functioning. An iterative development process including consultation with an expert panel, two open trials, and a pilot randomized controlled study comparing CALM to usual care is proposed. Feedback will be solicited from all participants during each phase and data on outcome measures will be provided by children, parents, teachers, and independent evaluators. Data will be collected on intervention satisfaction and feasibility. Primary outcomes that include child anxiety symptoms, classroom behavior, and school performance (e.g., attendance, grades, standardized test scores) will be collected at pre- and post-interventions and at a 3-month follow-up evaluation. Pediatric anxiety is a common problem that school nurses frequently encounter. Consequently, they are well positioned to play a key role in enhancing access to behavioral health interventions to reduce anxiety and may therefore make a significant positive public health impact. © 2015 Wiley Periodicals, Inc.

  2. OICU护士岗前培训的探讨%Discussion about the ways of pre-service training for all the newly employed nurses in OICU

    Institute of Scientific and Technical Information of China (English)

    周春柳; 刘羿韵

    2009-01-01

    目的 对我院OICU护士岗前培训方法进行探讨.方法 对我院16名OICU新上岗护士进行为期1个月的岗前培训.结果 经过岗前培训的护士,重症监护技能有明显提高.结论 对OICU新上岗护士进行岗前培训,使我院OICU护士掌握重症监护技能,更好服务于患者.%Objective Discussion about the ways of pre-service training for all the newly employed nurses in OICU in our hospital.Methods One charge nurse and three primary nurses have been selected from the sixteen nursing elites in the department of nursing to take the in-service training in the intensive care unit of obstetrics in general hospitals for 3 months.After their return to hospital,they will serve as teachers,teaching other non-trained nurses.Each trained nurse is responsible for four nontrained ones.A total of twelve nurses will take an orientation which will last for one month.Results The nurses who have taken the pre-service training have made much progress in intensive care therapy skill.Conclusions We should train the newly employed nurses in OICU with the pre-service training.In this way,the nurses in OICU in our hospital could master the skill of intensive care therapy to provide better service to our patients.

  3. Examining pre-service science teachers' developing pedagogical design capacity for planning and supporting task-based classroom discussions

    Science.gov (United States)

    Ross, Danielle Kristina

    Teachers face many challenges as we move forward into the age of the Next Generation Science Standards (NGSS) (Achieve, Inc., 2013). The NGSS aim to develop a population of scientifically literate and talented students who can participate in the "innovation-driven economy" (p. 1). In order to meet these goals, teachers must provide students with opportunities to engage in science and engineering practices (SEPs) and learn core ideas of these disciplines. This study followed pre-service secondary science teachers as they participated in a secondary science teacher preparation program intended to support the development of their pedagogical design capacity (Brown, 2009) related to planning and supporting whole-class taskbased discussions. Teacher educators in this program designed an intervention that aimed in supporting this development. This study examined a particular dimension of PDC -- specifically, PSTs effective use of resources to plan science lessons in which students engage in a high demand task, participate in SEPs, and discuss their work in a whole-class setting. In order to examine the effectiveness of the intervention, I had to define PDC a priori. I measured PDC by documenting how/whether PSTs engaged in the following instructional planning practices: developing Learning Goals, selecting and/or designing challenging tasks, anticipating student thinking, planning for monitoring student thinking, imagining the discussion storyline, planning questions, and planning marking strategies. Analyses showed a significant difference between baseline lesson plan scores and Instructional Performance scores. These findings suggest these patterns and changes were directly linked to the teacher preparation program. The mean increase in Instructional Performance scores during the course of the teacher preparation year further supports the effect of the teacher preparation coursework. Pre-service teachers with high pedagogical design capacity continually integrated the

  4. Flexible learning: Evaluation of an international distance education programme designed to build the learning and teaching capacity of nurse academics in a developing country.

    Science.gov (United States)

    Lewis, Peter A; Tutticci, Naomi F; Douglas, Clint; Gray, Genevieve; Osborne, Yvonne; Evans, Katie; Nielson, Catherine M

    2016-11-01

    The professional development of nurse academics has been high on the agenda in many of the Asia-Pacific's developing countries including Vietnam. In collaboration with the Vietnamese Nurses Association, an Australian university designed and delivered a distance learning programme (DLP). The DLP sought to build academic capacity with a specific focus on the skills required to develop, implement and deliver a new national nursing curriculum. This paper will describe the design and delivery of the DLP as well as report on programme evaluation survey findings. Of the 175 surveys administered 112 were returned yielding a response rate of 64%. The majority of Vietnamese nurse academics identified all DLP modules as 'very well' designed and easy to learn from (range 63.9%-84.2%). Predominantly, academics also found the module content to be 'of great use' to their professional practice (range 73%-89.5%). Asked specifically about the benefit of the DLP online discussions, 106 (95.5%) participants stated they found the online discussions to be of use. An explanatory comment was also requested to explore this question and responses yielded three themes: 'networking and collaboration'; 'acquiring new knowledge'; and 'improving English'. When asked if they had changed their academic practice as a result of DLP participation, 105 (94.6%) academics stated they had - change was focussed on student centred learning and building a staff community of practice. While these study results indicate the DLP to be successful, it will be how Vietnamese academics utilise and build these skills which will measure the real success of the programme in the future. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Limits to Decentralization in Mozambique: Leadership, Politics and Local Government Capacities for Service Delivery

    NARCIS (Netherlands)

    A.P.J. Machohe (Antonio)

    2011-01-01

    textabstractMozambique has been a centralized State since its independence in 1975. During this time, local government has depended on the Central Government and has lacked autonomy in both local policy decisions and resource management in addition to the complete failure of effective local services

  6. Limits to Decentralization in Mozambique: Leadership, Politics and Local Government Capacities for Service Delivery

    NARCIS (Netherlands)

    A.P.J. Machohe (Antonio)

    2011-01-01

    textabstractMozambique has been a centralized State since its independence in 1975. During this time, local government has depended on the Central Government and has lacked autonomy in both local policy decisions and resource management in addition to the complete failure of effective local services

  7. Facilitators and Barriers to Effective Smoking Cessation: Counselling Services for Inpatients from Nurse-Counsellors’ Perspectives — A Qualitative Study

    Directory of Open Access Journals (Sweden)

    I-Chuan Li

    2014-05-01

    Full Text Available Tobacco use has reached epidemic levels around the World, resulting in a world-wide increase in tobacco-related deaths and disabilities. Hospitalization presents an opportunity for nurses to encourage inpatients to quit smoking. This qualitative descriptive study was aimed to explore nurse-counsellors’ perspectives of facilitators and barriers in the implementation of effective smoking cessation counselling services for inpatients. In-depth interviews were conducted with 16 nurses who were qualified smoking cessation counsellors and who were recruited from eleven health promotion hospitals that were smoke-free and located in the Greater Taipei City Area.  Data were collected from May 2012 to October 2012, and then analysed using content analysis based on the grounded theory approach. From nurse-counsellors’ perspectives, an effective smoking cessation program should be patient-centred and provide a supportive environment. Another finding is that effective smoking cessation counselling involves encouraging patients to modify their lifestyles. Time constraints and inadequate resources are barriers that inhibit the effectiveness of smoking cessation counselling programs in acute-care hospitals. We suggest that hospitals should set up a smoking counselling follow-up program, including funds, facilities, and trained personnel to deliver counselling services by telephone, and build a network with community smoking cessation resources.

  8. Designing a Staff Development Program and Subsequent Handbook for Use at Woburn Nursing Center: A Long-Term Care Facility of Salter Healthcare Services.

    Science.gov (United States)

    McKinnon, Cole; Capone, Martha

    Woburn Nursing Center (WNC), a private nursing home owned and operated by Salter Healthcare Services (SHS), developed an integrated, comprehensive staff development program and handbook. A literature review focused on staff needs, responsible agent, and handbook development. The following activities were undertaken: a review of ERIC documents,…

  9. Diabetes knowledge in nursing homes and home-based care services: a validation study of the Michigan Diabetes Knowledge Test adapted for use among nursing personnel

    OpenAIRE

    Haugstvedt, Anne; Aarflot, Morten; Igland, Jannicke; Landbakk, Tilla; Graue, Marit

    2016-01-01

    Background Providing high-quality diabetes care in nursing homes and home-based care facilities requires suitable instruments to evaluate the level of diabetes knowledge among the health-care providers. Thus, the aim of this study was to examine the psychometric properties of the Michigan Diabetes Knowledge Test adapted for use among nursing personnel. Methods The study included 127 nursing personnel (32 registered nurses, 69 nursing aides and 26 nursing assistants) at three nursing homes and...

  10. Personal Capacity Building for the Human Services: The Roles of Curriculum and Individual Differences in Predicting Self-Concept in College/University Students

    Science.gov (United States)

    Parker, Philip D.; Martin, Andrew J.

    2008-01-01

    While much research has outlined the importance of intra-psychic factors in predicting workplace success, it is rare that attention is given to the development of these factors in training for human service professions (e.g. psychology, clergy, nursing). Accordingly, the present study explores differences in self-concept, a key intra-psychic…

  11. Singapore - The Nursing Scene

    Directory of Open Access Journals (Sweden)

    M.A. Doyle

    1985-09-01

    Full Text Available In many ways Singapore still bears evidence of the period of British colonialism and the system of nursing service and nursing education is also still greatly influenced by the British system of nursing.

  12. 医护组合服务模式在社区护理工作中的应用%Application of doctor-nurse composite service model in the community nursing

    Institute of Scientific and Technical Information of China (English)

    陈丽; 乔莉华

    2014-01-01

    Objective:To explore the role of the doctor-nurse composite service model in the community nursing. Methods:The inlfuence of the doctor-nurse composite service model on the community nursing was evaluated through adopting questionnaire and interview surveys to the community nurses. Results:Implementation of the doctor-nurse composite service model enhanced 88.24% of the work ability of the community nurses, increased 76.46% of the work efficiency and 88.24%community nurses considered that the model could improve the relationship between the health personnel and the community residents. Conclusion:The doctor-nurse composite service model can promote the work ability of the community nurses, increase their work efifciency and improve their relationship with the community residents.%目的:探讨医护组合服务模式在社区护理工作中的作用。方法:通过对社区护士采用问卷式和访谈式调查评价医护组合服务模式对社区护理工作的影响。结果:医护组合服务模式的实施使88.24%的社区护士工作能力得到提升,76.46%的社区护士工作效率得到提高,88.24%的护士认为实行医护组合模式能促进医务人员与社区居民的关系。结论:医护组合服务模式能够提升社区护士的工作能力,提高工作效率和促进与社区居民的关系。

  13. Building the Capacity of Indonesian Education Universities for ICT in Pre-Service Teacher Education: A Case Study of a Strategic Planning Exercise

    Science.gov (United States)

    Lim, Cher Ping; Pannen, Paulina

    2012-01-01

    This paper documents how four Indonesian teacher education institutions (TEIs) engaged in strategic planning to build their capacity in developing pre-service teachers' ICT in education competencies. These TEIs adopted a holistic approach towards strategic planning by drawing upon the six dimensions of the "Capacity Building Toolkit" for…

  14. Building the Capacity of Indonesian Education Universities for ICT in Pre-Service Teacher Education: A Case Study of a Strategic Planning Exercise

    Science.gov (United States)

    Lim, Cher Ping; Pannen, Paulina

    2012-01-01

    This paper documents how four Indonesian teacher education institutions (TEIs) engaged in strategic planning to build their capacity in developing pre-service teachers' ICT in education competencies. These TEIs adopted a holistic approach towards strategic planning by drawing upon the six dimensions of the "Capacity Building Toolkit" for TEIs in…

  15. Building the Capacity of Indonesian Education Universities for ICT in Pre-Service Teacher Education: A Case Study of a Strategic Planning Exercise

    Science.gov (United States)

    Lim, Cher Ping; Pannen, Paulina

    2012-01-01

    This paper documents how four Indonesian teacher education institutions (TEIs) engaged in strategic planning to build their capacity in developing pre-service teachers' ICT in education competencies. These TEIs adopted a holistic approach towards strategic planning by drawing upon the six dimensions of the "Capacity Building Toolkit" for…

  16. Changes in the organizational structure of public health nurse service in the Republic of Croatia 1995 to 2012.

    Science.gov (United States)

    Bendeković, Zvonimir; Simić, Dobrislav; Gladović, Ana; Kovačić, Luka

    2014-12-01

    Since 1996, after the privatization of primary health care, public health nurse (PHN) in Croatia remained employed within the health center, mainly responsible for the preventive care of the inhabitants from defined catchment's area. Before that time they were part of general practice teams. The main aim of the study was to investigate what are the trends in the organizational structure of PHN service in Croatia, from 1995-2012. The main source was the Croatian Health Service Yearbooks. The obtained results shows that they are college educated and mostly in full-time jobs. The important findings are the lack of nurses and theirs regional differences. In highly demanding societies, with growing numbers of elderly, mental, social and economic problems, it will be worthy to consider the lower standard then 5 100 inhabitants per one PHN. Also, it should be taken into account to invest into the lowering of regional disparities.

  17. [Specificities of war surgery, and capacities of the military health service].

    Science.gov (United States)

    de Saint-Julien, Jacques; Auroy, Yves; Pons, François

    2013-12-01

    In view of the recent evolution of military conflicts, particularly in the Afghan theater, and the conditions in which wounded warriors are managed in the field prior to hospitalization, the authors examine the technical specificities of medical teams, based on studies of avoidable mortality. War surgery has become a separate specialty, following the disappearance in France of the general surgical specialty, of which it was the military coun-terpart. The authors stress the role of hemorrhaging and its treatment, based on three strategies: damage control resuscitation, blood transfusion, and early evacuation within the "golden hour ". The French Armed Forces Health Service, in a new strategic plan, is refocusing its activity on war traumatology, through better education and training of medical-surgical teams and by opening up its scholarship structures to the French civilian public health service sector.

  18. Perspectives of Cardiac Care Unit Nursing Staff about Developing Hospice Services in Iran for Terminally ill Cardiovascular Patients: A Qualitative Study

    National Research Council Canada - National Science Library

    Azami-Aghdash, Saber; Ghojazadeh, Morteza; Naghavi-Behzad, Mohammad; Imani, Shahin; Aghaei, Mir Hossein

    2015-01-01

    The present study was conducted aiming to determine the points of view of cardiac care units' nursing staff about designing and providing Hospice services in Iran for cardiovascular patients in the final stages of life...

  19. Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication

    Directory of Open Access Journals (Sweden)

    Akram Ghahramanian

    2017-06-01

    Full Text Available Background: This study investigated quality of healthcare services from patients’ perspectives and its relationship with patient safety culture and nurse-physician professional communication. Methods: A cross-sectional study was conducted among 300 surgery patients and 101 nurses caring them in a public hospital in Tabriz–Iran. Data were collected using the service quality measurement scale (SERVQUAL, hospital survey on patient safety culture (HSOPSC and nurse physician professional communication questionnaire. Results: The highest and lowest mean (±SD scores of the patients’ perception on the healthcare services quality belonged to the assurance 13.92 (±3.55 and empathy 6.78 (±1.88 domains,respectively. With regard to the patient safety culture, the mean percentage of positive answers ranged from 45.87% for "non-punitive response to errors" to 68.21% for "organizational continuous learning" domains. The highest and lowest mean (±SD scores for the nurse physician professional communication were obtained for "cooperation" 3.44 (±0.35 and "non participative decision-making" 2.84 (±0.34 domains, respectively. The "frequency of reported errors by healthcare professionals" (B=-4.20, 95% CI = -7.14 to -1.27, P<0.01 and "respect and sharing of information" (B=7.69, 95% CI=4.01 to 11.36, P<0.001 predicted the patients’perceptions of the quality of healthcare services. Conclusion: Organizational culture in dealing with medical error should be changed to non punitive response. Change in safety culture towards reporting of errors, effective communication and teamwork between healthcare professionals are recommended.

  20. Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations

    Science.gov (United States)

    Martín-Fernández, Jesús; del Cura-González, Mª Isabel; Rodríguez-Martínez, Gemma; Ariza-Cardiel, Gloria; Zamora, Javier; Gómez-Gascón, Tomás; Polentinos-Castro, Elena; Pérez-Rivas, Francisco Javier; Domínguez-Bidagor, Julia; Beamud-Lagos, Milagros; Tello-Bernabé, Mª Eugenia; Conde-López, Juan Francisco; Aguado-Arroyo, Óscar; Bayona, Mª Teresa Sanz-; Gil-Lacruz, Ana Isabel

    2013-01-01

    Background Identifying the economic value assigned by users to a particular health service is of principal interest in planning the service. The aim of this study was to evaluate the perception of economic value of nursing consultation in primary care (PC) by its users. Methods and Results Economic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP) of €14.4 (CI 95%: €13.2–15.5; median €10) and an average Willingness to Accept [Compensation] (WTA) of €20.9 (CI 95%: €19.6–22.2; median €20). Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4–6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively). Conclusions The economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception of value of

  1. Economic valuation of health care services in public health systems: a study about Willingness to Pay (WTP for nursing consultations.

    Directory of Open Access Journals (Sweden)

    Jesús Martín-Fernández

    Full Text Available BACKGROUND: Identifying the economic value assigned by users to a particular health service is of principal interest in planning the service. The aim of this study was to evaluate the perception of economic value of nursing consultation in primary care (PC by its users. METHODS AND RESULTS: Economic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP of €14.4 (CI 95%: €13.2-15.5; median €10 and an average Willingness to Accept [Compensation] (WTA of €20.9 (CI 95%: €19.6-22.2; median €20. Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4-6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively. CONCLUSIONS: The economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception

  2. Eradicating Barriers to Mental Health Care Through Integrated Service Models: Contemporary Perspectives for Psychiatric-Mental Health Nurses.

    Science.gov (United States)

    Ellis, Horace; Alexander, Vinette

    2016-06-01

    There has been renewed, global interest in developing new and transformative models of facilitating access to high-quality, cost-effective, and individually-centered health care for severe mentally-ill (SMI) persons of diverse racial/ethnic, cultural and socioeconomic backgrounds. However, in our present-day health-service delivery systems, scholars have identified layers of barriers to widespread dispersal of well-needed mental health care both nationally and internationally. It is crucial that contemporary models directed at eradicating barriers to mental health services are interdisciplinary in context, design, scope, sequence, and best-practice standards. Contextually, nurses are well-positioned to influence the incorporation and integration of new concepts into operationally interdisciplinary, evidence-based care models with measurable outcomes. The aim of this concept paper is to use the available evidence to contextually explicate how the blended roles of psychiatric mental health (PMH) nursing can be influential in eradicating barriers to care and services for SMI persons through the integrated principles of collaboration, integration and service expansion across health, socioeconomic, and community systems. A large body of literature proposes that any best-practice standards aimed at eliminating barriers to the health care needs of SMI persons require systematic, well-coordinated interdisciplinary partnerships through evidence-based, high-quality, person-centered, and outcome-driven processes. Transforming the conceptual models of collaboration, integration and service expansion could be revolutionary in how care and services are coordinated and dispersed to populations across disadvantaged communities. Building on their longstanding commitment to individual and community care approaches, and their pivotal roles in research, education, leadership, practice, and legislative processes; PMH nurses are well-positioned to be both influential and instrumental in

  3. Impact of a mobile health aplication in the nursing care plan compliance of a home care service in Belo Horizonte, Minas Gerais, Brazil.

    Science.gov (United States)

    de Britto, Felipe A; Martins, Tatiana B; Landsberg, Gustavo A P

    2015-01-01

    To assess impact of a mobile health solution in the nursing care plan compliance of a home care service. A retrospective cohort study was performed with 3,036 patients. Compliance rates before and after the implementation were compared. After the implementation of a mobile health aplication, compliance with the nursing care plan increased from 53% to 94%. The system reduced IT spending, increased the nursing team efficiency and prevented planned hiring. The use of a mobile health solution with geolocating feature by a nursing home care team increased compliance to the care plan.

  4. Development and evaluation of an inpatient [correction of impatient] holistic nursing care services department.

    Science.gov (United States)

    Newshan, Gayle

    2004-08-01

    This paper describes the development and evaluation of a holistic nursing department at a 261-bed conventional, community hospital. Through the holistic nursing department, a nurse visits hospitalized inpatients. The visit might include complementary and alternative modalities (CAM) therapies, such as relaxation techniques, therapeutic touch, aromatherapy, and therapeutic suggestion. Evaluation of visits occurred through a retrospective chart review and patient satisfaction surveys. Main outcome measures were patient satisfaction, physiological changes, and pre- and post-distress scores. Discomfort and distress was decreased and patient satisfaction high when CAM therapies were used in conjunction with traditional inpatient medical and nursing care.

  5. Reorienting health services in the Northern Territory of Australia: a conceptual model for building health promotion capacity in the workforce.

    Science.gov (United States)

    Judd, Jenni; Keleher, Helen

    2013-06-01

    Reorienting work practices to include health promotion and prevention is complex and requires specific strategies and interventions. This paper presents original research that used 'real-world' practice to demonstrate that knowledge gathered from practice is relevant for the development of practice-based evidence. The paper shows how practitioners can inform and influence improvements in health promotion practice. Practitioner-informed evidence necessarily incorporates qualitative research to capture the richness of their reflective experiences. Using a participatory action research (PAR) approach, the research question asked 'what are the core dimensions of building health promotion capacity in a primary health care workforce in a real-world setting?' PAR is a method in which the researcher operates in full collaboration with members of the organisation being studied for the purposes of achieving some kind of change, in this case to increase the amount of health promotion and prevention practice within this community health setting. The PAR process involved six reflection and action cycles over two years. Data collection processes included: survey; in-depth interviews; a training intervention; observations of practice; workplace diaries; and two nominal groups. The listen/reflect/act process enabled lessons from practice to inform future capacity-building processes. This research strengthened and supported the development of health promotion to inform 'better health' practices through respectful change processes based on research, practitioner-informed evidence, and capacity-building strategies. A conceptual model for building health promotion capacity in the primary health care workforce was informed by the PAR processes and recognised the importance of the determinants approach. Practitioner-informed evidence is the missing link in the evidence debate and provides the links between evidence and its translation to practice. New models of health promotion service

  6. Nurse clinic versus home delivery of evidence-based community leg ulcer care: A randomized health services trial

    Directory of Open Access Journals (Sweden)

    Buchanan Maureen

    2008-11-01

    Full Text Available Abstract Background International studies report that nurse clinics improve healing rates for the leg ulcer population. However, these studies did not necessarily deliver similar standards of care based on evidence in the treatment venues (home and clinic. A rigorous evaluation of home versus clinic care is required to determine healing rates with equivalent care and establish the acceptability of clinic-delivered care. Methods Health Services RCT was conducted where mobile individuals were allocated to either home or nurse clinic for leg ulcer management. In both arms, care was delivered by specially trained nurses, following an evidence protocol. Primary outcome: 3-month healing rates. Secondary outcomes: durability of healing (recurrence, time free of ulcers, HRQL, satisfaction, resource use. Data were collected at base-line, every 3 months until healing occurred, with 1 year follow-up. Analysis was by intention to treat. Results 126 participants, 65 randomized to receive care in their homes, 61 to nurse-run clinics. No differences found between groups at baseline on socio-demographic, HRQL or clinical characteristics. mean age 69 years, 68% females, 84% English-speaking, half with previous episode of ulceration, 60% ulcers at inclusion 2 for Conclusion Our findings indicate that organization of care not the setting where care is delivered influences healing rates. Key factors are a system that supports delivery of evidence-based recommendations with care being provided by a trained nursing team resulting in equivalent healing rates, HRQL whether care is delivered in the home or in a community nurse-led clinic. Trial registration ClinicalTrials.gov Protocol Registration System: NCT00656383

  7. Patients Require on Nurses Occupational Qualities and Countermeasures in Excellent Nursing Service%优质护理服务中患者对护士职业素质要求及对策

    Institute of Scientific and Technical Information of China (English)

    陈芳

    2013-01-01

    [目的]了解优质护理服务中患者对护士职业素质的要求,提高护理人员职业素质,实现优质护理.[方法]随机调查杭州市某三甲医院优质护理示范病区患者200例,采用自行设计问卷进行调查.[结果]患者最重视的是护士的服务态度,其次是娴熟的技术和专业知识,再次是良好的沟通技巧和护理经验.[结论]在护理人员队伍建设中要注重礼仪和服务态度,提高护理人员理论及操作技能,推行全程连续的护理,加强护患沟通是提高护士素质及服务质量的有效举措.%[Objective] To understand patients'requirements on nurses occupational qualities in good nursing, to improve nurses'occupational quality. [Method] Randomly investigate 200 cases in an excellent nursing demonstration ward of a grade-A hospital, take self-made questionnaire for investigation. [Result] Patients pay most attention to nurses service attitude, next is skilled technical and specialized knowledge, the last is good communication skill and nursing experience. [Conclusion] In nursing personnel team construction, we shall emphasize etiquette and attitude, improve nurses theory and operationai skill, and promote whole-course continual nursing; to reinforce patient-nurse communication is an effective measure in improving nurses and service quality.

  8. Effect experience of implementing high quality nursing service in operating room nursing%手术室护理中实施优质护理服务的效果及体会

    Institute of Scientific and Technical Information of China (English)

    陈永霞

    2015-01-01

    目的:分析优质护理服务在手术室护理中的应用效果。方法:在实施优质护理服务前后,分别收治择期手术患者各100例,比较两组患者的手术焦虑程度、手术配合度及护理满意度。结果:实施优质护理服务后,患者手术焦虑程度、护理满意度及手术配合度均明显优于实施前(P<0.05)。结论:在手术室护理中实施优质护理服务有利于减少患者焦虑情绪,提高患者手术主动配合率和护理满意度。%Objective:To analyze the application effect of high quality nursing service in operating room nursing.Methods:Before and after implementing high quality nursing service,100 patients with selective operation were respectively selected.The surgery anxious degrees,surgery cooperation degrees and nursing satisfactions of patients in two groups were compared.Results:After implementing high quality nursing service,the surgery anxious degree,surgery cooperation degree and nursing satisfaction of patients were significantly better than those before implementing(P<0.05).Conclusion:Implementing high quality nursing service in operating room nursing helps to reduce the anxiety of patients,improve the surgery active cooperation rate and nursing satisfaction.

  9. Building the Capacity for Climate Services: Thoughts on Training Next Generation Climate Science Integrators

    Science.gov (United States)

    Garfin, G. M.; Brugger, J.; Gordon, E. S.; Barsugli, J. J.; Rangwala, I.; Travis, W.

    2015-12-01

    For more than a decade, stakeholder needs assessments and reports, including the recent National Climate Assessment, have pointed out the need for climate "science translators" or "science integrators" who can help bridge the gap between the cultures and contexts of researchers and decision-makers. Integration is important for exchanging and enhancing knowledge, building capacity to use climate information in decision making, and fostering more robust planning for decision-making in the context of climate change. This talk will report on the characteristics of successful climate science integrators, and a variety of models for training the upcoming generation of climate science integrators. Science integration characteristics identified by an experienced vanguard in the U.S. include maintaining credibility in both the scientific and stakeholder communities, a basic respect for stakeholders demonstrated through active listening, and a deep understanding of the decision-making context. Drawing upon the lessons of training programs for Cooperative Extension, public health professionals, and natural resource managers, we offer ideas about training next generation climate science integrators. Our model combines training and development of skills in interpersonal relations, communication of science, project implementation, education techniques and practices - integrated with a strong foundation in disciplinary knowledge.

  10. Building capacity without disrupting health services: public health education for Africa through distance learning

    Science.gov (United States)

    Alexander, Lucy; Igumbor, Ehi Uche; Sanders, David

    2009-01-01

    The human resources crisis in Africa is especially acute in the public health field. Through distance education, the School of Public Health of the University of the Western Cape, South Africa, has provided access to master's level public health education for health professionals from more than 20 African countries while they remain in post. Since 2000, interest has increased overwhelmingly to a point where four times more applications are received than can be accommodated. This home-grown programme remains sensitive to the needs of the target learners while engaging them in high-quality learning applied in their own work contexts. This brief paper describes the innovative aspects of the programme, offering some evaluative indications of its impact, and reviews how the delivery of text-led distance learning has facilitated the realization of the objectives of public health training. Strategies are proposed for scaling up such a programme to meet the growing need in this essential area of health human resource capacity development in Africa. PMID:19338669

  11. Building capacity without disrupting health services: public health education for Africa through distance learning

    Directory of Open Access Journals (Sweden)

    Igumbor Ehi

    2009-04-01

    Full Text Available Abstract The human resources crisis in Africa is especially acute in the public health field. Through distance education, the School of Public Health of the University of the Western Cape, South Africa, has provided access to master's level public health education for health professionals from more than 20 African countries while they remain in post. Since 2000, interest has increased overwhelmingly to a point where four times more applications are received than can be accommodated. This home-grown programme remains sensitive to the needs of the target learners while engaging them in high-quality learning applied in their own work contexts. This brief paper describes the innovative aspects of the programme, offering some evaluative indications of its impact, and reviews how the delivery of text-led distance learning has facilitated the realization of the objectives of public health training. Strategies are proposed for scaling up such a programme to meet the growing need in this essential area of health human resource capacity development in Africa.

  12. Advancing Tobacco Dependence Treatment Services in the Eastern Mediterranean Region: International collaboration for training and capacity-building

    Directory of Open Access Journals (Sweden)

    Feras I. Hawari

    2014-10-01

    Full Text Available Tobacco use negatively affects health and is a major risk factor for non-communicable diseases (NCDs. Today, tobacco use ranks third among risk factors in North Africa and the Middle East in terms of disease burden. Despite the established need for these services, tobacco dependence treatment (TDT services are still inadequate in the Eastern Mediterranean region (EMR. Among the main challenges hindering their expansion is the current lack of training opportunities. The provision of training and capacity-building—a key enabler of TDT—offers an excellent catalyst to launch TDT services in the region. This review discusses the need for TDT training in the EMR and describes a model for providing regional evidence-based training in line with international standards. The King Hussein Cancer Center in Amman, Jordan, is the regional host for Global Bridges, a worldwide TDT initiative. Using this model, they have trained 1,500 professionals and advocates from the EMR over the past three years.

  13. The New Mexico School Nurse and Emergency Medical Services Emergency Preparedness Course: Program Description and Evaluation

    Science.gov (United States)

    Elgie, Robert; Sapien, Robert E.; Fullerton-Gleason, Lynne

    2005-01-01

    Illness and injuries are common among students and school staff. Therefore, school nurses must be prepared. In this study, a 16-hour scenario-based emergency preparedness course for school nurses was evaluated for its effectiveness. Effectiveness was measured by (a) traditional methods (written exams and confidence surveys) and (b) skills and…

  14. How nurses can use social enterprise to improve services in health care.

    Science.gov (United States)

    Dawes, David

    This article describes the concept of social enterprise in nursing, and outlines how this model can help to improve care delivered to patients. It provides advice for nurses interested in pursuing this entrepreneurial route and also offers case studies demonstrating how the social enterprise model has been implemented in practice.

  15. [Systematization of nursing care in urgency and emergency services: feasibility of implementation].

    Science.gov (United States)

    Maria, Monica Antonio; Quadros, Fátima Alice Aguiar; Grassi, Maria de Fátima Oliveira

    2012-01-01

    This study analyzes the feasibility of implementing the Nursing Care Systematization in an emergency and urgency hospital department. This is a field study, descriptive, qualitative structured according to the content analysis described by Bardin (2009). It was performed in a hospital specialized in emergency care. The sample consisted of eight practical nurses, five nurses and two assistants, all of them with experience of at least six months in the emergency room. The difficulties referred to the implementation of the NCS are: complexity in their steps; disinterest of the institution; theoretical unpreparedness of nursing, its devaluation by other professionals, inadequate sizing of employees and inadequacy of the hospital physical structure. In this context, it was note that the nurse loses representation in the health team and the application of SAE turns out to be often underestimated.

  16. Causes and management of aggression and violence in a forensic mental health service: perspectives of nurses and patients.

    Science.gov (United States)

    Dickens, Geoffrey; Piccirillo, Maria; Alderman, Nick

    2013-12-01

    Nurses' attitudes about the causes and management of aggression affects their choice of intervention. We aimed to compare the attitudes held by patients and staff in a forensic mental health service with the Management of Aggression and Violence Attitudes Scale, and examine the factor validity of the tool in this setting by conducting a prospective comparative questionnaire survey. Staff (n = 72) and patient (n = 98) attitudes differed to a limited extent. Confirmatory factor analysis refuted the previously reported structure of the tool. Exploratory factor analysis suggested three underlying factors related to modifiability of aggression, hands on management, and hands off management. Patients were more optimistic than nurses about the modifiability of aggressive behaviour. Male patients and those with diagnoses other than personality disorder were significantly more likely to agree about modifiability than controls. Forensic inpatients recognize the need for the use of a range of techniques to prevent and manage aggression and violence, but selected groups are most likely to believe that aggression is modifiable. Prevention and management of aggression training should emphasize the modifiability of aggressive behaviour. The development of measures of modifiability and management style would assist in the evaluation of training and would offer new avenues for research. © 2012 The Authors; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

  17. 优质护理服务的实践与体会%Practice and experience of carrying out high-quality nursing service.

    Institute of Scientific and Technical Information of China (English)

    刘淑华; 曹岳蓉; 张允荷; 朱晓燕; 冯予红

    2011-01-01

    目的:探讨我院开展"优质护理服务示范工程"活动的实践效果和体会.方法:以卫生部下发加强基础护理工作的规范性文件、、和文件的内容为指导,结合指导精神,在我院积极开展优质护理服务活动.观察活动前后患者对护理工作的评价、陪护率、护士基础护理质量评分以及护士工作中存在的问题.结果:活动后,患者对护士工作的满意度、认可情况显著高于活动前;而陪护率显著下降(P<0.01);基础护理质量评分明显提高,护士工作中存在的问题明显减少.结论:开展"优质护理服务示范工程"活动可明显改善护理质量,提高患者对护理工作的满意度.%Objective:To investigate the practice effects of demonstration project on high quality nursing service in our hospital. Methods: With the application of the following four documents:" Guiding Principles of Nursing General Hospital classification ( Trial)" ," Basic Nursing Items of Patient in Hospital ( Trial)" ," Basic Nursing service Regulation" and the" Common Clinical Nursing Technology Service Regulation" published during the enforcement of 2010 High Quality Nursing Service Demonstration Project" , we conducted the project in our department. The patients satisfaction about the nursing work, the accompany rate, the quality of care and the nurses mistakes at work were compared between pre - and post - enforcement of the project. Results: After conduct of the project,patients were more satisfied and approved with nursing service than before its conduct and the nurse made fewer mistakes at service as well ( P < 0.01 ). The quality of care was higher and the accompany rate were lower than before ( P < 0.05 ). Conclusions: The enforcement of high quality nursing service demonstration project may improve the nursing quality and the evaluation of patient care.

  18. 综合医院分级护理服务体系的构建%Establishment of Grading Nursing Service System of Comprehensive Hospitals

    Institute of Scientific and Technical Information of China (English)

    魏畅; 王建荣; 张黎明; 冯志英; 郭俊艳

    2011-01-01

    目的 构建综合医院的分级护理服务体系.方法 对200名不同护理等级住院患者的护理需求进行调查和分析,按照主次因素分析法的原则,建立了基于患者需求的分级护理服务内容框架.依据护理服务内容框架设计咨询调查表,采用专家咨询法,对22名护理专家进行两轮次的咨询调查,确定分级护理服务体系.结果 构建的分级护理服务体系包括21项一级护理服务项目,10项二、三级护理服务项目以及每个项目的 最少执行频次和执行人员最低资质.结论 建立的分级护理服务体系,明确了分级护理服务内容、标准以及执行人员资质,为临床护士提供了可参照的依据,有利于提高分级护理质量.%Objective To establish a grading nursing service system of in comprehensive hospitals. Methods Through investigation and analysis to the nursing requirements from 200 inpatients in different nursing grades, the frame of grading nursing service was established based on the patients' demands according to the principle of “analytical primary and secondary factors process”. On this basis, by using “Delphi method”, 22 nursing experts were consulted for two rounds to make professional standards of grading nursing. Results The established service system included 21 basic service items of first grade nursing and 10 items of second and third grade nursing service,with the least frequency in each item and the bottom qualification line to performers in each item. Conclusion The establishment of grading nursing service system presents definite contents of grading nursing,service standard and qualification of performers,and provides the executive standard to clinic nurses and improves the quality of grading nursing.

  19. Humanistic considerations of high quality nursing care service project%优质护理服务工程的人文考量

    Institute of Scientific and Technical Information of China (English)

    黄小静; 贾启艾

    2011-01-01

    优质护理服务工程作为系统工程,必须坚持科学管理、安全控制、优质护理、高效服务的宗旨,实现护理技术、科学与人文的完美结合.为此,指出优质护理服务工程的人文困境并对其进行全面解读,从而探索解决问题的人文路径.%As a systemic project, high quality nursing service project must insist on the purpose of scientific management, safety control, high quality nursing and high effective services to realize the perfect combination of technique, science, and humenitary of nursing. Therefore, it pointed out the humenitary dilemma of high quality nursing service project and readout in all round so as to explore a humenitary pathway for solving these problems.

  20. Bureaucrats as Innovators? Statistical Analysis on Innovative Capacity within the Hungarian Central Civil Service

    Directory of Open Access Journals (Sweden)

    Marton GELLÉN

    2016-12-01

    Full Text Available What makes a public administration innovative if it is strongly legalistic and profoundly bureaucratic? Are there innovators in such a setting who would be able to elaborate strategies in accordance with public demands? If yes, who are the innovators and what are they like? Are they among the leaders? The article offers an answer to these questions based on an empirical research conducted in Hungary where public administration is not only legalistic but has a strong culture of topdown domination. The current study targets the key element of innovativeness namely: managerial and cultural prerequisites of innovation within central public administration. The empirical research was carried out in the Hungarian central civil service. The article also discusses whether such an environment would have an impact on innovations. According to the fi ndings of the article, certain prerequisites of an innovative environment exist in the given strictly hierarchic, traditionally stiff setting; however, traits of innovativeness can be identifi ed in innovators who are genuine bureaucrats at the same time.

  1. Multimedia Capacity Analysis of the IEEE 802.11e Contention-based Infrastructure Basic Service Set

    CERN Document Server

    Inan, Inanc; Ayanoglu, Ender

    2007-01-01

    We first propose a simple mathematical analysis framework for the Enhanced Distributed Channel Access (EDCA) function of the recently ratified IEEE 802.11e standard. Our analysis considers the fact that the distributed random access systems exhibit cyclic behavior. The proposed model is valid for arbitrary assignments of AC-specific Arbitration Interframe Space (AIFS) values and Contention Window (CW) sizes and is the first that considers an arbitrary distribution of active Access Categories (ACs) at the stations. Validating the theoretical results via extensive simulations, we show that the proposed analysis accurately captures the EDCA saturation performance. Next, we propose a framework for multimedia capacity analysis of the EDCA function. We calculate an accurate station- and AC-specific queue utilization ratio by appropriately weighing the service time predictions of the cycle time model for different number of active stations. Based on the calculated queue utilization ratio, we design a simple model-ba...

  2. Emergency department patient satisfaction: customer service training improves patient satisfaction and ratings of physician and nurse skill.

    Science.gov (United States)

    Mayer, T A; Cates, R J; Mastorovich, M J; Royalty, D L

    1998-01-01

    Customer service initiatives in healthcare have become a popular way of attempting to improve patient satisfaction. This study investigates the effect of clinically focused customer service training on patient satisfaction in the setting of a 62,000-visit emergency department and level I trauma center. Analysis of patient complaints, patient compliments, and a statistically verified patient-satisfaction survey indicate that (1) all 14 key quality characteristics identified in the survey increased dramatically in the study period; (2) patient complaints decreased by over 70 percent from 2.6 per 1,000 emergency department (ED) visits to 0.6 per 1,000 ED visits following customer service training; and (3) patient compliments increased more than 100 percent from 1.1 per 1,000 ED visits to 2.3 per 1,000 ED visits. The most dramatic improvement in the patient satisfaction survey came in ratings of skill of the emergency physician, likelihood of returning, skill of the emergency department nurse, and overall satisfaction. These results show that clinically focused customer service training improves patient satisfaction and ratings of physician and nurse skill. They also suggest that such training may offer a substantial competitive market advantage, as well as improve the patients' perception of quality and outcome.

  3. Relationship between psychiatric nurse work environments and nurse burnout in acute care general hospitals.

    Science.gov (United States)

    Hanrahan, Nancy P; Aiken, Linda H; McClaine, Lakeetra; Hanlon, Alexandra L

    2010-03-01

    Following deinstitutionalization, inpatient psychiatric services moved from state institutions to general hospitals. Despite the magnitude of these changes, evaluations of the quality of inpatient care environments in general hospitals are limited. This study examined the extent to which organizational factors of the inpatient psychiatric environments are associated with psychiatric nurse burnout. Organizational factors were measured by an instrument endorsed by the National Quality Forum. Robust clustered regression analysis was used to examine the relationship between organizational factors in 67 hospitals and levels of burnout for 353 psychiatric nurses. Lower levels of psychiatric nurse burnout was significantly associated with inpatient environments that had better overall quality work environments, more effective managers, strong nurse-physician relationships, and higher psychiatric nurse-to-patient staffing ratios. These results suggest that adjustments in organizational management of inpatient psychiatric environments could have a positive effect on psychiatric nurses' capacity to sustain safe and effective patient care environments.

  4. Influence by continuous nursing on self-nursing capacity and quality of life in elderly parturient women%延续性护理对高龄产妇自我护理能力及生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    吴小红

    2016-01-01

    目的 探讨延续性护理对高龄产妇自我护理能力及生活质量的影响.方法 200例高龄产妇, 依据护理措施不同分为对照组(常规护理措施)和延续性护理组(延续性护理措施), 各100例.比较两组临床疗效.结果 延续性护理组自我护理能力评分和生活质量评分均高于对照组, 差异具有统计学意义(P<0.05).结论 延续性护理可以提高高龄产妇我护理能力及生活质量, 值得临床推广应用.%Objective To investigate influence by continuous nursing on self-nursing capacity and quality of life in elderly parturient women.Methods A total of 200 elderly parturient women were divided by difference nursing measures into control group (conventional nursing measure) and continuous nursing group (continuous nursing measure), with 100 cases in each group. Clinical effects of the two groups were compared. Results The continuous nursing group had all higher scores of self-nursing capacity and quality of life than the control group, and the difference had statistical significance (P<0.05).Conclusion Continuous nursing can improve self-nursing capacity and quality of life in elderly parturient women, and this method is worth clinical promotion and application.

  5. [Monitoring of nursing service context factors: first descriptive results of a cross-sectional Swiss study prior the introduction of SwissDRG].

    Science.gov (United States)

    Kleinknecht-Dolf, Michael; Spichiger, Elisabeth; Frei, Irena Anna; Müller, Marianne; Martin, Jacqueline S; Spirig, Rebecca

    2015-04-01

    The adoption of DRG-based payment systems has narrowed hospitals' financial margins, necessitating streamlining and process optimization. The experience of other countries shows that this restructuring can influence context factors essential to the delivery of nursing care. As a result, nursing care quality and patient safety may be impacted. The Sinergia Project aims to develop a monitoring model and related instruments to continuously monitor the impact of DRG-based reimbursement on central nursing service context factors. The descriptive, quantitative results were collected within the framework of a study with a mixed methods design by means of an online survey in which nurses from five hospitals participated. The results show that the nursing service context factors examined (nursing care complexity, quality of the work environment, management, moral distress and job satisfaction), have relevance in all practice areas as regards practice setting and nursing care delivery. Patterns can be recognized that are consistent with those found in the literature and which could be an indication of the relationships between the context factors above, as was hypothesized in the model. The study has provided the participating hospitals with useful data upon which to base discussions on ensuring quality of nursing care and practice development, in addition to information important to the further development of the model and the instruments employed.

  6. Facilitated Learning to Advance Geriatrics: Increasing the Capacity of Nurse Faculty to Teach Students About Caring for Older Adults.

    Science.gov (United States)

    Krichbaum, Kathleen; Kaas, Merrie J; Wyman, Jean F; Van Son, Catherine R

    2015-06-01

    The Facilitated Learning to Advance Geriatrics program (FLAG) was designed to increase the numbers of nurse faculty in prelicensure programs with basic knowledge about aging and teaching effectiveness to prepare students to provide safe, high quality care for older adults. Using a framework to improve transfer of learning, FLAG was designed to include: (a) a workshop to increase basic knowledge of aging and common geriatric syndromes, and effective use of evidence-based teaching/learning strategies; (b) a year-long mentoring program to support application of workshop learning and leading change in participants' schools to ensure that geriatrics is a priority. Both formative and summative evaluation methods were used, and included self-assessment of objectives, program satisfaction, and teaching self-efficacy. FLAG achieved its overall purpose by enrolling 152 participants from 19 states including 23 faculty from associate degree programs and 102 from baccalaureate programs. Self-rated teaching effectiveness improved significantly from pre- to post-workshop each year. Achievement of learning objectives was rated highly as was satisfaction. Transfer of learning was evidenced by implementation of educational projects in home schools supported by mentoring. The FLAG program provided opportunities for nurse educators to learn to teach geriatrics more effectively and to transfer learning to their work environment. Future FLAG programs will be offered in a shortened format, incorporating online content and strategies, adding other health professionals to the audience with the same goal of increasing the knowledge and abilities of educators to prepare learners to provide competent care for older adults. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  7. 优质护理服务在急诊科的应用效果探究%Application Effect of High Quality Nursing Service in Emergency Department

    Institute of Scientific and Technical Information of China (English)

    同小利

    2014-01-01

    Objective To study application effect of high quality nursing service in emergency department .Methods 344 cases patients with emergency treatment were divided into observation group and control group , control group given emergency department routine nursing care , observation group given high quality nursing service .Nursing quality and pa-tient satisfaction were compared .Results Observation group nursing quality , patient satisfaction were significantly high-er than control group .Conclusions High quality nursing service can improve the quality of nursing and patients satisfac -tion.%目的:探讨优质护理服务在急诊科的应用效果。方法选取344例急诊患者为研究对象,采用数字表法随即分为观察组和对照组,对照组实施急诊科常规护理,观察组开展优质护理服务。比较两组护理质量及患者满意度。结果观察组护理质量、患者满意度均明显高于对照组。结论优质护理服务可提升急诊科护理质量,提高患者满意度,值得在临床护理工作中的推广应用。

  8. Bachelor studies for nurses organised in rural contexts – a tool for improving the health care services in circumpolar region?

    Directory of Open Access Journals (Sweden)

    Gudrun Nilsen

    2012-03-01

    Full Text Available Objectives: This article is based on a pilot study of Finnmark University College's off-campus bachelor programme (BA for nurses, organised in rural areas. The objectives were to explore whether these courses had contributed to reduced vacancies; whether the learning outcome of the off-campus courses was the same as the on-campus programme, and how the education had influenced the nurses’ professional practice in local health services. Study design: In the study we used mixed strategies in data collection and analyses. Methods: Data about course completion, average age, average grades and retention effect were collected in 2009/2010 from 3 off-campus classes and their contemporary on-campus classes. Then 7 of the off-campus nurses were interviewed. A content analytical approach to the data was employed. Results: With retention of 93%, the off-campus BA course for nurses has been one of the most effective measures, particularly in rural areas. The employers’ support for further education after graduating seems to be an important factor for the high retention rate. Teaching methods such as learning activities in small local groups influenced the nurses’ professional development. Local training grants, supervision and a local learning environment were important for where they chose their first job after graduation. Conclusions: The study confirms that nurses educated through off-campus courses remain in the county over time after graduating. The “home-grown” nurses are familiar with the local culture and specific needs of the population in this remote area. The study confirms findings in other studies, that further education is an important factor for nurses’ retention.

  9. A novel system for providing compatible blood to patients during surgery: "self-service" electronic blood banking by nursing staff.

    Science.gov (United States)

    Cheng, G; Chiu, D S; Chung, A S; Wong, H F; Chan, M W; Lui, Y K; Choy, F M; Chan, J C; Chan, A H; Lam, S T; Fan, T C

    1996-04-01

    A good blood bank must be able to provide compatible blood units promptly to operating room patients with minimal wastage. A "self-service" by nursing staff blood banking system that is safe, efficient, and well-accepted has been developed. Specific blood units are no longer assigned to surgical patients who have a negative pretransfusion antibody screen, irrespective of the type of surgery. A computer-generated list of the serial numbers of all group-identical blood units currently in the blood bank inventory is provided for each patient. The units themselves are not labeled with a patient's name. The group O list will be provided for group O patients, the group A list for group A patients, and so forth. Should the patient require transfusion during surgery, the operating room nurses go to the refrigerator, remove any group-identical unit, and check the serial number of the unit against the serial numbers on the patient's list. If the serial number is on that list, the blood bank will accept responsibility for compatibility. The system was implemented in 1995. Since implementation, a total of 2154 patients have undergone operations at this hospital. Thirty-two patients received more than 10 units of red cells each. There were no transfusion errors. The crossmatch-to-transfusion ratio was reduced from 1.67 to 1.12. Turnaround time for supplying additional or urgent units to patients in operating room was shortened from 33 to 2.5 minutes. There was no incidence of a blood unit's serial number not being on the list. Work by nurses and technical staff was reduced by nearly 50 percent. The "self-service" (by nursing staff) blood banking system described is safe and efficient. It saves staff time and can be easily set up.

  10. [Nurse home visits in France].

    Science.gov (United States)

    Monguillon, Dominique; Gracia, Pierre-Benjamin

    2011-10-01

    Nurse home visits in France. More and more nurses carry out home visits, either as freelance nurses or employees of a nurse home visits service, a home hospital care structure or a nursing care centre. These home visits are both demanded by patients and encouraged by the health authorities. As a consequence, the service is expanding every year.

  11. Using heuristic algorithms for capacity leasing and task allocation issues in telecommunication networks under fuzzy quality of service constraints

    Science.gov (United States)

    Huseyin Turan, Hasan; Kasap, Nihat; Savran, Huseyin

    2014-03-01

    Nowadays, every firm uses telecommunication networks in different amounts and ways in order to complete their daily operations. In this article, we investigate an optimisation problem that a firm faces when acquiring network capacity from a market in which there exist several network providers offering different pricing and quality of service (QoS) schemes. The QoS level guaranteed by network providers and the minimum quality level of service, which is needed for accomplishing the operations are denoted as fuzzy numbers in order to handle the non-deterministic nature of the telecommunication network environment. Interestingly, the mathematical formulation of the aforementioned problem leads to the special case of a well-known two-dimensional bin packing problem, which is famous for its computational complexity. We propose two different heuristic solution procedures that have the capability of solving the resulting nonlinear mixed integer programming model with fuzzy constraints. In conclusion, the efficiency of each algorithm is tested in several test instances to demonstrate the applicability of the methodology.

  12. Library and information services to support the education and development of nurses: the management of co-operation and change--a clash of two cultures?

    Science.gov (United States)

    Capel, S; Banwell, L; Walton, G

    1997-12-01

    This paper reports on the findings of research conducted by the Department of Information and Library Management and the Information Services Department at the University of Northumbria at Newcastle on behalf of the LINC Health Panel. It aims to investigate the organization and funding of library and information services to the nursing profession since the move of nurse education into higher education. The paper focuses on the lack of co-operation and communication between the National Health Service and higher education cultures in the provision of services to nurses. A brief review of the literature includes the views of experts in the field on library and information services and education for nurses as they are now, and ideas for possible developments for the future. This is followed by a description of the main research findings and the five key issues identified by information professionals in a questionnaire survey as vital for future consideration and action. Finally, the conclusions drawn from the findings have been developed into recommendations for the direction of the future discussion, research and action which is needed to further improve library and information services for all nurses.

  13. A model for empowerment of nursing in Iran

    Directory of Open Access Journals (Sweden)

    Salsali Mahvash

    2005-03-01

    Full Text Available Abstract Background While the Iranian nursing profession tries to reach to its full capacity for participating in the maintenance of public health, its desire to develop is strongly influenced by cultural, economic, and religious factors. The concept of empowerment is frequently used in nursing and the health services, particularly in relation to the quality of care, since the mission of nursing is to provide safe and quality nursing care thereby enabling patients to achieve their maximum level of wellness. When considering the importance of nursing services in any health system, the 54th World Health Assembly recommended that programs be designed to strengthen and promote the nursing profession. Since empowerment is crucial to the role of nurses, a qualitative study was conducted and aimed at designing a model for empowering nurses in Iran. Methods A grounded theory approach was used for analyzing the participants' experiences, their perceptions and the strategies affecting empowerment. Data collection was done through Semi-structured interviews and participant observation. Forty-four participants were interviewed and 12 sessions of observation were carried out. Results Three main categories emerged from the data collected; these are "personal empowerment", "collective empowerment", and "the culture and structure of the organization." From the participants' perspective, empowerment is a dynamic process that results from mutual interaction between personal and collective traits of nurses as well as the culture and the structure of the organization. Impediments, such as power dynamics within the health care system hinder nurses from demonstrating that they possess the essential ingredients of empowerment. Conclusion A model was designed for empowering the nursing profession in Iran. Implementing this model will not only define nursing roles, identify territories in the national healthcare system, but it will restructure nursing systems, sub

  14. Nursing and eHealth: facing the challenges of the UK health service modernization agenda

    OpenAIRE

    Levy, Sharon

    2008-01-01

    Across the United Kingdom (UK) large sums of money are being spent on healthcare modernisation programmes, which seek to embed Information and Communications Technologies (ICT) within clinical settings. On-line surveys carried out by the Royal College of Nursing (RCN) in the last few years (2004-7) have demonstrated that the majority of nurses, midwives and health visitors welcome the idea of working in modern settings where ICT supports effective and efficient care. However, results also hig...

  15. Functional capacity and health: guidelines and nursing care of the elderly Capacidad funcional y salud: orientaciones para cuidar al adulto mayor1

    Directory of Open Access Journals (Sweden)

    GIRALDO M CLARA INÉS

    2008-07-01

    Full Text Available Objective: to assess health and functional capacity of older people with a functional dependence, for self care, as the elements to guide nursing care and family care at home. Methodology: transversal descriptive study in 40 people of 65 years of age and older with a functional dependence, looked after by relatives in Envigado Colombia; convenience sampling. Assessment of the functional capacity using the Katz index and Lawton and Brody's scale, adjusted as per the Neurosciences Group, University of Antioquia. Findings: population between 67 and 98 years old, average age 84,08; 82,5% women. Major organ systems most affected: cardiovascular, osteomuscular and neurological; between 47,5% and 27,5% of the older people had them compromised. Two different behaviors were identified: men and older people, with greater degrees of dependence for basic and instrumental activities; no statistical association was determined due to the small size of the sample. Basic activities were affected as follows: between 67,5% and 55% of the older people needed help; and instrumental activities were compromised: between 95% and 75% of the older people are totally dependent when executing them. Conclusions: Nursing should consider assessment of the functional capacity formulated to the health and integral situation of the older people, in order to guide their care and to support family caregivers. Besides, this will prevent unnecessary care dependences which would be against older people's aspirations as an autonomous and independent individual. It is job of the nursing professional to train family caregivers on assessment of the functional capacity.Objetivo: valorar la salud y la capacidad funcional de ancianos con dependencia funcional para el autocuidado, como elementos para orientar el cuidado de enfermería y el cuidado familiar en casa. Metodología: estudio descriptivo transversal en 40 personas de 65 y más años con dependencia funcional

  16. Capacidad funcional y salud: orientaciones para cuidar al adulto mayor Functional capacity and health: guidelines and nursing care of the elderly

    Directory of Open Access Journals (Sweden)

    CLARA INÉS GIRALDO M

    2008-07-01

    Full Text Available Objetivo: valorar la salud y la capacidad funcional de ancianos con dependencia funcional para el autocuidado, como elementos para orientar el cuidado de enfermería y el cuidado familiar en casa. Metodología: estudio descriptivo transversal en 40 personas de 65 y más años con dependencia funcional, cuidados por familiar, en Envigado Colombia; muestreo por conveniencia. Valoración de la capacidad funcional con el índice de Katz y la escala de Lawton y Brody, ajustados según grupo de Neurociencias, Universidad de Antioquia. Hallazgos: población entre 67 y 98 años, edad promedio 84,08 años; 82,5% mujeres. Sistemas orgánicos más afectados: cardiovascular, osteomuscular y neurológico; entre 47,5% y 27,5% de los ancianos los tenían comprometidos. Se identificaron dos comportamientos: los hombres, y las personas de edad más avanzada, con mayores grados de dependencia en las actividades básicas e instrumentales; no se determinó asociación estadística por el pequeño tamaño muestral. Las actividades básicas estaban afectadas así: entre el 67,5% y el 55% de los ancianos requería ayuda; y las actividades instrumentales estuvieron comprometidas: entre el 95% y el 75% de los ancianos son totalmente dependientes en ellas. Conclusiones: Enfermería ha de considerar la valoración de la capacidad funcional articulada al estado de salud integral de los ancianos, para orientar su cuidado y apoyar a los cuida-dores familiares. Esto además previene dependencias de cuidado innecesarias que estarían en contra de las aspiraciones del adulto mayor como individuo autónomo e independiente. Es tarea de profesionales en enfermería capacitar a cuidadores familiares sobre valoración de la capacidad funcional.Objective: to assess health and functional capacity of older people with a functional dependence, for self care, as the elements to guide nursing care and family care at home. Methodology: transversal descriptive study in 40 people of 65 years

  17. The Impact of Emergency Nurse Practitioners on Referrals to a Tertiary Hand Trauma Service: A Pilot of Referral Quality Scoring System

    OpenAIRE

    McGoldrick, Ciara; Damkat-Thomas, Lindsay; Lewis, Harry

    2011-01-01

    Abstract Hand injuries account for 2000 referrals to the Northern Ireland plastic surgery trauma service each year. Emergency nurse practitioners are increasingly utilised to assess and manage minor injuries and independently refer patients to the hand trauma service. This paper uses a newly developed scoring system to assess the impact of varying grades of referring practitioner on the quality and appropriateness of referral.

  18. A comparison of adherence to correctly documented triage level of critically ill patients between emergency department and the ambulance service nurses.

    Science.gov (United States)

    Jönsson, Kenneth; Fridlund, Bengt

    2013-07-01

    Priority or triage has always occurred in emergency care. Today it is performed by both nurses in emergency departments (EDs) and ambulance services (ASs) to ensure patient safety. Recent studies have shown that nurses are unlikely to change their first impressions and patients suffering from blunt trauma are undertriaged. Our study aimed to compare and evaluate the adherence to correct triage level documentation, between nurses in the ED and the AS, according to current regulations. Of 592 analysed triage records from a university, a central and a district hospital, the adherence was 64% by ED nurses and 43% by AS nurses (pnurses do not adhere to the triage system and do not correctly document the triage level. Internal feedback and control are two approaches to improve the patient outcome, indicating that organisational actions must be taken.

  19. Measurement of special access to home visit nursing services among Japanese disabled elderly people: using GIS and claim data.

    Science.gov (United States)

    Naruse, Takashi; Matsumoto, Hiroshige; Fujisaki-Sakai, Mahiro; Nagata, Satoko

    2017-05-30

    Home care service demands are increasing in Japan; this necessitates improved service allocation. This study examined the relationship between home visit nursing (HVN) service use and the proportion of elderly people living within 10 min' travel of HVN agencies. The population of elderly people living within reach of HVN agencies for each of 17 municipalities in one low-density prefecture was calculated using public data and geographic information systems. Multilevel logistic analysis for 2641 elderly people was conducted using medical and long-term care insurance claims data from October 2010 to examine the association between the proportion of elderly people reachable by HVNs and service usage in 13 municipalities. Municipality variables included HVN agency allocation appropriateness. Individual variables included HVN usage and demographic variables. The reachable proportion of the elderly population ranged from 0.0 to 90.2% in the examined municipalities. The reachable proportion of the elderly population was significantly positively correlated with HVN use (odds ratio: 1.938; confidence interval: 1.265-2.967). Residents living in municipalities with a lower reachable proportion of the elderly population are less likely to use HVN services. Public health interventions should increase the reachable proportion of the elderly population in order to improve HVN service use.

  20. An economic analysis of a nurse-led telephone triage service.

    Science.gov (United States)

    Navratil-Strawn, Jessica L; Ozminkowski, Ronald J; Hartley, Stephen K

    2014-09-01

    Telephone nurse lines help callers to select the most appropriate site and level of care for acute conditions. We examined whether compliance with nurse recommendations was associated with lower average health care expenditure, and identified the employer characteristics associated with higher than average savings. Telephone calls to a nurse-led help line made by commercial health plan members who worked for large employers were identified. The callers' intention before calling and the nurse recommendation regarding site/level of care were recorded. Compliance was determined using medical claims during a 30-day post-call observation period and was based on adherence to nurse recommendations. A total of 132,509 calls during 2012 were identified for the study. Nurse recommendations were that 31% of the callers seek a higher level of care than mentioned at the start of the call, 25% use a lower level of care and 44% pursue their originally intended level of care. After regression-based adjustment, the average medical expenditures were compared between compliers and non-compliers. Overall, 57% of callers were compliant with nurse recommendations. The average expenditures were $328 lower among compliant callers. A logistic regression analysis identified employer characteristics positively associated with achieving higher than average savings. These were having a low employee-to-dependent ratio, a headquarters in the Western region of the US, a low prospective health risk score, and participation by the employer in a targeted communication campaign. Compliance with the triage recommendations resulted in lower average health care expenditures, and several characteristics were positively associated with achieving higher savings.

  1. Role of the Movement of Excellent Nursing Service in Promoting Nursing Quality%开展"优质护理服务"对提升护理质量的作用

    Institute of Scientific and Technical Information of China (English)

    马郑萍; 刘春雨

    2011-01-01

    通过对甘肃省三级医院开展优质护理服务工作情况讨论,探讨开展"优质护理服务"中存在的问题,提出改进措施,以拓展护理新思路,提高护理工作质量.%By summarizing the experiences of launching the movement of excellent nursing service at class3 hospital in Gansu province,some problems existing in the movement can be discussed and methods have been taken for better development in nursing service.

  2. Strengthening capacity for local evidence to inform local responders to HIV in a remote Solomon Island health service

    Directory of Open Access Journals (Sweden)

    David MacLaren

    2015-04-01

    Full Text Available Background: Documenting specific knowledge and attitudes about HIV in the culturally diverse nation of Solomon Islands is essential to inform locally targeted public health responses. As part of a large capacity-strengthening project at Atoifi Adventist Hospital in East Kwaio, Solomon Islands, researchers, using a ‘learn-by-doing’ process, worked with participants in public health research methods. Methods: Overall, 43 people attended research capacity building workshops in 2011; eight joined the HIV study group. A cross-sectional survey including semi-structured interviews on HIV was conducted by the group. In February 2014, a hospital administrator was interviewed about how the 2011 study informed local HIV responses. Results: Of the 53 survey participants, 64% self-assessed as having little or no HIV knowledge, but 90% knew HIV could be transmitted between men and women during sex. Less than 50% knew HIV could be transmitted between two men having sex, 45% thought HIV could be transmitted by mosquitoes and 55% agreed condoms help protect from HIV. Most participants reported negative attitudes towards people with HIV. Three years later the health administrator reported ad hoc responses to HIV because of low HIV prevalence, increasing noncommunicable diseases, staff turnover and resource shortages. Discussion: This HIV study was used to strengthen research skills in local health professionals and community members in Solomon Islands. It showed that community members require accurate information about HIV transmission and that entrenched stigma is an issue. Although results provided local evidence for local response, ongoing health system challenges and little local HIV transmission meant HIV services remain rudimentary.

  3. Motivational incentives of nurses and nursing leadership

    National Research Council Canada - National Science Library

    Bakola H; Zyga S; Panoutsopoulos G; Alikari V

    2016-01-01

    ... and maximizing the quality of service. Purpose: The purpose of this paper is to highlight the need for motivating nurses, presenting a realistic framework of incentives as well as the role of nursing leadership in this. Method...

  4. [Inter-organizational relationship in the integration teaching-nursing service at the primary health care].

    Science.gov (United States)

    de Andrade, Selma Regina; Boehs, Astrid Eggert; Coelho, Bruna; Schmitt, Isabel Maria; Boehs, Carlos Gabriel Eggert

    2014-01-01

    This study aimed to characterize the stages of the inter-organizational relationships between educational and caring aspects of Nursing, operating in the context of primary health care in a municipality of Santa Catarina, Brazil. The qualitative approach of the case study was used by deliberately selecting the cooperation between two organizations. Eight teaching nurses and eight assistant nurses were interviewed. The data were submitted to content analysis, and the results demonstrated a number of elements in the phases of interaction (negotiation, commitment and execution of activities), as well as the variability of their content over time. It was concluded that the interaction, at an operational level, is characterized by dynamics that happen during relationship cycles, usually spanning through the school-semester, producing new negotiations and commitments for the following semester.

  5. 38 CFR 17.166 - Dental services for hospital or nursing home patients and domiciled members.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Dental services for... Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Dental Services § 17.166 Dental services for... domiciliary care pursuant to the provisions of §§ 17.46 and 17.47, will be furnished such dental services...

  6. A inteligência emocional em enfermeiros responsáveis por serviços hospitalares La inteligencia emocional del enfermero responsable de los servicios hospitalarios The emotional intelligence of nurses responsible for hospital services

    Directory of Open Access Journals (Sweden)

    José António da Conceição Alves

    2012-07-01

    Emotional Intelligence Capabilities of Veiga Branco (2004, we conducted a descriptive correlational study, using quantitative methods. The results suggest that older nurses and those with longer service, as well as chief nurses, have a greater capacity for emotional intelligence (global, with the exception of empathy, compared with specialist nurses in charge of service.

  7. Being an effective nurse consultant in the English National Health Service: what does it take? A study of consultants specializing in safeguarding.

    Science.gov (United States)

    Franks, Helen; Howarth, Michelle

    2012-10-01

    This study established key attributes and perceived strengths, weaknesses, opportunities and threats (SWOT) of nurse consultants specializing in safeguarding children. The nurse consultant role in England spans four domains--clinical, leadership, education and research--and was intended to enable senior nurses to remain in clinical practice. ata identifying the time spent by the nurse consultants in the four domains was collated and a thematic content analysis of the SWOT of the role was ascertained from semi-structured interviews with nurse consultants (n = 4) and stakeholders (n = 6). Strengths and opportunities in clinical (consultancy), leadership and educational functions were identified but some weaknesses and threats in terms of nurse consultant's contributions to research were also identified. The role was neither wholly strategic nor clinical. Role ambiguity meant that they were not always valued by managers, making the role potentially expendable. Nurse consultants are pivotal within health-care organizations because they span clinical practice and leadership enabling them to support managers in strategic planning, commissioning and implementation of policy. Nurse consultants can support strategic practice development and influence quality and effectiveness service-wide. To succeed they must be understood, supported and nurtured by managers. © 2012 Blackwell Publishing Ltd.

  8. High quality nursing service in obstetrics application%优质护理服务在产科临床护理实践中的应用

    Institute of Scientific and Technical Information of China (English)

    刘秀荣; 王硕; 柴雅静; 潘秀敏; 高艳君

    2013-01-01

    Objective To summarize the experiences of high quality nursing service in obstetrics application. Methods The hardware facilities were improved and perfected; the training of nurses was strengthened, the quality circle group and lfexible working schedule were established;the post worklfow was revised;and one to one accompany childbirth approach was applied; the connotation of health education was improved; the nursing notes about obstetric clinical practice were simpliifed. Results High quality nursing service upgraded the obstetric nursing quality, the patients’ satisfactions were promoted. Conclusion High quality nursing service can protect obstetric nursing service standardization, process and ensure continuity of high quality service and improve patients’ satisfaction greatly.%目的:总结优质护理服务在产科应用中的体会。方法将完善硬件设施、强化护士培训、成立品管圈小组、弹性工作排班、修订岗位工作流程、一对一陪伴分娩、丰富健康宣教内涵、简化护理表格书写等应用于产科临床实践。结果优质护理服务提高了产科护理服务质量,提升了患者满意度。结论优质护理服务能保障产科护理服务规范化、流程化,确保优质服务的持续性,并大幅度提升患者满意度。

  9. A road map to building ethics capacity in the home and community care and support services sector.

    Science.gov (United States)

    Boulanger, Renaud F; Ibarra, Kimberley; Wagner, Frank

    2014-01-01

    There are unique ethical issues that arise in home and community care because of its locus and range of service. However, the academic literature on ethical issues in the sector of home and community care and support remains minimal. Opportunities for education, collaboration and exchange among professionals and care providers are also severely limited. Although the proposed solution of developing ethics capacity in the home care setting is over 20 years old, only modest progress had been made until recently. This article introduces the Community Ethics Network (CEN), a replicable network of home and community care agencies in the Greater Toronto Area. Its achievements can be attributed to a commitment to work toward a common approach to ethical decision-making and to a focus on education, case reviews and policy development. CEN has produced numerous positive outcomes; key among these is the development and delivery of standardized training on ethics to more than 2,000 front-line staff of diverse backgrounds/professions and representing over 40 different organizations.

  10. Research progress on demands of inpatients to nursing service%住院病人护理服务需求的研究进展

    Institute of Scientific and Technical Information of China (English)

    姜金霞; 彭幼清; 陈丽萍

    2012-01-01

    综述了国内外住院病人护理服务需求的研究,依据Maslow的人类基本需要层次理论展开阐述,总结不同病人在住院期间的护理服务需求,并分析了病人护理服务需求的影响因素.%It reviewed the research on demands of inpatients to nursing service, expounded it in detail according to Maslow basic human needs hierarchy theory,summarized the demands of patients to nursing service during hospi-talization, and analyzed the influencing factors of demands of patients to nursing service.

  11. Using conflict theory to explore the role of nursing home social workers in home- and community-based service utilization.

    Science.gov (United States)

    Fogler, Sarah

    2009-11-01

    Nursing home social work (NHSW) practitioners are central to home- and community-based service (HCBS) utilization. They assist residents with long-term care (LTC) decision-making and coordinate community-based LTC supports and services for older adults transitioning back into the community after a rehabilitative nursing home (NH) stay. As members of multiple groups, they must simultaneously balance the needs of NH residents, the NH organization, and social policies related to LTC. To date, policy research on HCBS has been atheoretical in that it has not accounted for the possible inherent conflicts that adversely affect the discharge planning practices of NHSW practitioners. This article applies the Conflict Theory to (a) explore the competing interests of the NH industry and the nation's government, (b) examine the potential effect of these competing interests on the effectiveness of NHSW discharge planning practices, and (c) present a conceptual framework to further investigate the relationship between NHSW and both individual LTC outcomes and national policy initiatives aimed at increasing HCBS utilization.

  12. The Recovery Knowledge Inventory for Measurement of Nursing Student Views on Recovery-oriented Mental Health Services.

    Science.gov (United States)

    Happell, Brenda; Byrne, Louise; Platania-Phung, Chris

    2015-01-01

    Recovery-oriented services are a goal for policy and practice in the Australian mental health service system. Evidence-based reform requires an instrument to measure knowledge of recovery concepts. The Recovery Knowledge Inventory (RKI) was designed for this purpose, however, its suitability and validity for student health professionals has not been evaluated. The purpose of the current article is to report the psychometric features of the RKI for measuring nursing students' views on recovery. The RKI, a self-report measure, consists of four scales: (I) Roles and Responsibilities, (II) Non-Linearity of the Recovery Process, (III) Roles of Self-Definition and Peers, and (IV) Expectations Regarding Recovery. Confirmatory and exploratory factor analyses of the baseline data (n = 167) were applied to assess validity and reliability. Exploratory factor analyses generally replicated the item structure suggested by the three main scales, however more stringent analyses (confirmatory factor analysis) did not provide strong support for convergent validity. A refined RKI with 16 items had internal reliabilities of α = .75 for Roles and Responsibilities, α = .49 for Roles of Self-Definition and Peers, and α = .72, for Recovery as Non-Linear Process. If the RKI is to be applied to nursing student populations, the conceptual underpinning of the instrument needs to be reworked, and new items should be generated to evaluate and improve scale validity and reliability.

  13. 市场营销理念在护理服务中的应用现状%The application status of the marketing concept in nursing services

    Institute of Scientific and Technical Information of China (English)

    吴建平; 郭云萍

    2012-01-01

    文章归纳了护理市场营销的外部护理营销、内部护理营销、互动护理营销等护理营销模式,指出了市场营销理念在护理服务中的应用现状,即:完善沟通技术,促进团队整体素质的提高;落实护理品牌,提升护理服务窗口形象;贯彻个性、多样化护理服务,实现护理质量质的飞跃.%This paper reviewed the marketing modes of external marketing mode, internal marketing mode, interactive marketing mode. The application of the marketing concept in nursing services could improve the communication technology and the quality of team, implement nursing brands and enhance the image of nursing service,realize the personality and diverse nursing services,so as to improve the quality of nursing services.

  14. Influence of nursing information construction on excellent care services%护理信息化建设对优质护理服务的影响

    Institute of Scientific and Technical Information of China (English)

    邓婉文

    2016-01-01

    目的:探讨护理信息化建设对优质护理服务的影响,为临床进行护理管理提供参考依据。方法:选择2013年2月~2014年3月我院收治的80例患者作为研究对象,随机将患者等分成试验组和对照组,对照组采取常规护理管理;试验组在常规护理管理的基础上进行护理信息化建设,护理管理结束后对比分析两组患者的护理总满意率、护理质量评分、护理缺陷发生率、护理差错发生率及书写文书时间。结果:试验组患者的满意度明显高于对照组(P <0.05);试验组的护理质量评分明显高于对照组的护理质量评分;试验组的护理缺陷发生率、护理差错发生率及书写文书时间均低于对照组(P <0.05)。结论:护理信息化建设可以有效提高护理服务质量和水平,减少护理差错事件,促进护患关系的和谐发展,故护理信息化建设可在优质护理服务中大力推广和应用。%Objective:To explore the influence of nursing information construction on excellent care services,and provide reference for clinical nursing man-agement. Methods:Selected 80 patients admitted by our hospital from February 2013 to March 2014 as research objects,randomly divided them into experi-mental group and control group,gave routine nursing management to the control group and conducted nursing information construction on the experimental group on the basis of giving them routine nursing management. After the nursing management ended,compared and analyzed the total nursing satisfaction rate,nursing quality score,nursing defect incidence,nursing error incidence and writing time of nursing record of patients in the two groups. Results:The patient satisfaction of the experimental group was obviously higher than that of the control group(P < 0. 05);the nursing quality score of the experimental group was obviously higher than that of the control group;the nursing defect incidence,nursing

  15. A CIS (Clinical Information System) Quality Evaluation Tool for Nursing Care Services

    Science.gov (United States)

    Lee, Seon Ah

    2010-01-01

    The purpose of this study was to develop a tool to evaluate the quality of a clinical information system (CIS) conceived by nurses and conduct a pilot test with the developed tool as an initial assessment. CIS quality is required for successful implementation in information technology (IT) environments. The study started with the realization that…

  16. 护理服务推动"医养结合"养老模式发展%Nursing service promotes the development of the integrating pension service with medical service system

    Institute of Scientific and Technical Information of China (English)

    刘文红; 彭嘉琳

    2015-01-01

    Along with the degree of population aging worse off continuously,the demand for medical service is growing.The integrating pension service with Medical Service is the recent model proposed by the government.However,there are some problems within the model.The nursing care is the most important one of it.To clarify the specialized duty of the nurses in the pension service is of vital importance to the development of the integrating pension service with Medical Service model.The clear duty of the pension system and medical service could ultimately establish a good pension service environment,thus promote the development of the pension system.%随着我国老龄化程度的不断加剧,老年人对养老和医疗护理的需求与日俱增,"医养结合"养老模式是近年来国务院提出的解决这一问题的办法.目前,我国"医养结合"养老模式仍存在一些问题,其中护理服务问题首当其冲,明确养老机构护士的护理职责范围对于推动医养结合模式的良好发展具有举足轻重的作用.只有医、养分工明确,按各自职能提供服务,做好衔接,才能促进养老服务全面发展.

  17. The application of nursing grouping system to high - quality nursing service in the demonstrated unit.%小组责任制在优质护理示范病房中的应用

    Institute of Scientific and Technical Information of China (English)

    曾伟娴; 江桂素; 郑秀先

    2011-01-01

    目的:探讨小组责任制工作模式在优质护理服务示范病房的应用效果.方法:选择我院首批开展优质护理服务的3个示范病区,实行小组责任制工作模式,责任护士分管患者,负责为患者提供全程、连续的护理服务.比较实施前及实施6个月后患者对护理工作的满意度及医师、护士对小组责任制工作模式的满意度.结果:实施小组责任制工作模式6个月后,3个试点病区患者对护理工作满意度明显提高(P<0.05,P<0.01);96.77%的医师认为护士责任包干管患者后能主动、及时报告患者病情变化;95.24%的护士认为护士管患者后对患者病情更熟悉.结论:实施小组责任制工作模式能更好调动护士的工作积极性,为患者提供优质的护理服务.%Objective :To explore the effect of the work pattern of nursing grouping system that apply to high - quality nursing service in the demonstrated unit. Methods:3 high - quality nursing service demonstrated units were found in our hospital, where the nursing responsibility - bound grouping system were first performed and the nurse - in - charge would provide the patient with whole and continuous nursing service. The nursing job satisfaction was conducted before and 6 months after the application, and the nursing grouping system satisfaction was also evaluated among doctors and nurses. Result: After 6 months the application of nursing responsibility - bound grouping system, the patient satisfaction with nursing job was raised obviously in the 3 demonstrated units,( P < 0.05, P < 0.01 ). 96.7 % doctors felt the nurse - in - charge would report patient' s condition actively and promptly. 95.2% nurses felt that they were more familiar with the patient's condition. Conclusion: The application of responsibility - bound grouping system could promote the activity of nurse, then high - quality nursing service was resulted.

  18. 优质护理服务模式下柔性激励在护理管理中的应用%Application of flexible incentive measures to nursing management in the implementation of high quality nursing service mode

    Institute of Scientific and Technical Information of China (English)

    杨香芝; 白连君; 王爱新; 孙彩霞; 吴月敏; 王丽君

    2012-01-01

    Objective :To investigate the application effect of flexible incentive measures to nursing management in the implementation of high quality nursing service mock. Methods:The; flexible incentive measures and organizational culture construction were introduced into responsibility holistic nursing mode of high quality nursing service in order to strengthen clinical nursing care and improve nursing quality. No. 2 department of orthopedics was selected as the experimental group,in which the responsibility holistic nursing mode was implemented in the first half year of 2011 , and No. I department of orthopedics was taken as the control group ( implementation of post responsibility nursing mode ). The patients'satisfaction, nurses'satisfaction and the result of quality assessment were observed in the two groups. Results: The patients'satisfaction.nurses'satisfaction and the result of quality assessment were significantly higher and better in the experimental group than the control group ( P < 0. 01 ). Conclusion :The flexible incentive measures are applicable to the department of nursing of county-level hospital. The measures can significantly improve the patient's satisfaction with nursing service,the nurse's sense of personal accomplishment and quality of holistic nursing care; in the implementation of high quality nursing service mode.%目的:探讨优质护理服务模式下柔性激励在护理管理中的应用效果.方法:利用柔性激励及组织文化建设等手段引入优质护理服务责任制整体护理模式,协调护理人员切实加强临床护理工作,改善护理服务.选取2011年上半年实施优质护理服务责任制整体护理模式的骨二科为实验组,与同期实施岗位功能制护理模式骨一科为对照组,观察两组在患者满意度、护士满意度及各项护理质量考核成绩.结果:实验组患者满意度、护士满意度、护理质量考核成绩均明显高于对照组(P<0.01).结论:优质护理服务模

  19. Practice and experience of high-quality nursing service in grass-roots hospital%基层医院开展优质护理服务的实践与体会

    Institute of Scientific and Technical Information of China (English)

    张宝芝; 王皓

    2013-01-01

    目的:明确护理人员职责,提供优质护理服务.方法:首先在两个试点病房开展优质护理服务,再依次在其他两个病房陆续推广;修订各项工作制度、工作流程和岗位职责;实行责任包干;加强护理质量管理和人力资源管理;分层级使用护士,明确护理服务内容;配合人事改革薪酬机制.结果:提高了护理质量及患者满意度,改变了护士的服务理念,明确了优质护理的内涵.结论:优质护理服务的实践改变了护士服务的理念,提高了护理质量.%Objective:To rearrange nursing duties and provide quality nursing services.Methods:In two wards,the activities of high-quality nursing service were implemented through revising nursing duties,rules,and procedures,implementing ~sponsibility system for nursing,strengthening the management of nursing quality and human resources.using nurses according to bier-archical levels and expanding the content of nursing services.Assisting personnel section reform salary and rewards systems.Results:The quality of nursing and the satisfaction of patients with nursing work improved.The service concept and the knowledge of connotation obout high-quality nursing service were increased and clear.Conclusion:The practice of high-quality nursing service changed nures's service concept ang improved the quality of nursing.

  20. Survey on influencing factors of developing nursing service program of high quality%开展优质护理服务工程的影响因素调查

    Institute of Scientific and Technical Information of China (English)

    冯怡; 储伟芳; 赵志芳

    2011-01-01

    Objective To study the influencing factors of developing nursing service program of high quality and provide reference for advancing nursing service program. Method Investigate 255 nurses by self-designed questionnaire on developing nursing service program. Result Most nursing staff consider it necessary and feasible to develop nursing service program and basic nursing is very important But implement rate of some basic nursing care is low. Main factors influencing developing nursing service program of high quality are heavy mental pressure of nurses, insufficient human resources and heav-y workload. Conclusion Nurses' attitude towards nursing service program and human resources are the main factors influencing nursing service program of high quality.%目的 了解开展优质护理服务工程的影响因素,为推进优质护理服务工程提供参考.方法 自编开展优质护理服务工程的影响因素调查表,对255名护士进行调查.结果 多数护理人员认为开展优质护理服务工程有必要、具可行性,认为基础护理很重要,但部分基础护理落实率偏低;影响优质护理服务工程的主要因素有护士心理压力大、人力资源不足、工作量大等.结论 开展优质护理服务工程的主要影响因素是护士对优质护理服务工程的态度和护士人力资源.

  1. The effect of nursing intervention under the guidance of high-quality nursing service model on patients with anal itching treated with red light High quality nursing service model under the nursing intervention on%优质护理服务模式指导下的护理干预措施对红光治肛门瘙痒患者的影响

    Institute of Scientific and Technical Information of China (English)

    梁思杏; 侯晓慧; 魏丽芳

    2013-01-01

    目的 优质护理服务模式指导下的护理干预措施对红光治疗肛门瘙痒患者的影响.方法 根据有无实施优质护理服务将88例红光治疗肛门瘙痒患者分为两组,即对照组和观察组,比较两组患者焦虑抑郁情绪、基础护理合格率和患者对护理服务的满意度.结果 干预3周,观察组患者焦虑抑郁标准分明显低于对照组,差异有统计学意义(P<0.05),观察组患者基础护理合格率和患者对护理服务的满意度均明显高于对照组患者,差异有统计学意义(P<0.05).结论 优质护理活动能够明显改善红光治疗肛门瘙痒患者的焦虑抑郁情绪,提高患者基础护理质量合格率和患者对护理服务的满意度.%Objective To explore the effect of nursing intervention under the guidance of high-quality nursing service model on patients with anal itching treated with red light.Methods According whether implementing high-quality nursing service or not,from 2010May to 2012 June in our hospital 88 patients with anal itching were divided into control group and observation group.Two groups were compared with anxiety and depression,basic nursing qualification rate and patients satisfaction with nursing service.Results After 3 weeks,the standard score of anxiety and depression of the patients in the observation group was significantly lower than that of control group,there was significant difference (P < 0.05),in the observation group based nursing qualification rate and patients'satisfaction with nursing service were significantly higher than those in the control group,there were significant differences (P < 0.05).Conclusion High-quality care activities can obviously improve the anxiety and depression emotion of patients with anal itching treated with red light,the quality of basic nursing qualification rate and patients' satisfaction with nursing service.

  2. 神经外科优质护理服务中护士执行力培训的探讨%Nurse Executive Ability Training in High Quality Nursing Service of Neurosurgery Department

    Institute of Scientific and Technical Information of China (English)

    艾玲

    2014-01-01

    Objective:To put forward suggestions and countermeasures about nurse executive ability training in high quality nursing service of neurosurgery department. Method:Construction of high quality nursing in neurosurgery department in our hospital was regarded as the basis,the analysis on the important significance for the implementation and execution of training of nurse was carried,to summary execution problems,and put forward the training suggestions according to existing problems.Result:High quality nursing service of neurosurgery department needed to enhance the nurse executive ability,the need to focus on communication skills training,construction,construction,construction of the appraisal system construction of self learning. Conclusion:High quality nursing service needs higher execution of nurses. Nurses should strengthen the skill and ability,communication ability,learning ability construction,and improve the appraisal system in order to promote the nurse executive force.%目的:就神经外科优质护理服务中护士执行力培训提出有关的建议和对策。方法:以本院神经外科优质护理建设有关情况作为依据,在对执行力和执行力培训的重要意义进行分析后,总结护士执行力存在的问题,并根据存在的问题提出培训建议。结果:神经外科优质护理服务中要提升护士执行力,需要注重交际沟通建设、技能培训建设、自我学习建设、考核制度建设。结论:优质护理服务需要护士具有较高的执行力。护士要加强技能能力、交际能力、学习能力建设,同时完善有关的考核制度,以推动护士执行力。

  3. Managing and caring for distressed and disturbed service users: the thoughts and feelings experienced by a sample of English mental health nurses.

    Science.gov (United States)

    Chambers, M; Kantaris, X; Guise, V; Välimäki, M

    2015-06-01

    This paper reports the thoughts and feelings experienced by registered mental health nurses caring for distressed and/or disturbed service users in acute inpatient psychiatric settings in England. The prevailing thoughts of nurses were of cognitive dissonance and the conflict between benevolence and malevolence if coercive measures were seen as negative rather than positive; prevailing feelings experienced by nurses were fear, anxiety and vulnerability. To enhance care quality, nurses expressed the need for better communication with service users, and preventing the use of coercive measures and promotion of alternative methods of care and management. The nurses considered that debriefing dialogues following untoward incidents, practice development initiatives, education and training together with clinical supervision could be the way forward. The paper builds on the existing literature in offering clear explanations of nurses' thoughts and feelings when caring for distressed and/or disturbed service users in an English acute, inpatient psychiatric setting. Despite the small sample size and the limitations that it generates, the study findings will be of interest to the wider mental health nursing community. The findings will link to other national and international studies and therefore be valuable for future research studies of this kind. Collectively, they are building up a general picture of the distress, cognitive and emotional dissonance experienced by mental health nurses when using coercive interventions. The findings will help to develop mental health nurse education and enhance practice. High levels of distress and disturbance among service users experiencing acute mental illness is a major problem for mental health nurses (MHNs). The thoughts and feelings experienced by these nurses when caring for service users are of paramount importance as they influence clinical practice and caregiving. Similarly to research by other countries, this paper reports

  4. Impact evaluation of a health promotion-focused organisational development strategy on a health service's capacity to deliver comprehensive primary health care.

    Science.gov (United States)

    Costello, Michelle; Taylor, Jane; O'Hara, Lily

    2015-01-01

    A comprehensive primary health care approach is required to address complex health issues and reduce inequities. However, there has been limited uptake of this approach by health services nationally or internationally. Reorienting health services towards becoming more health promoting provides a mechanism to support the delivery of comprehensive primary health care. The aim of this study was to determine the impact of a health promotion-focused organisational development strategy on the capacity of a primary health care service to deliver comprehensive primary health care. A questionnaire and semistructured individual interviews were used to collect quantitative and qualitative impact evaluation data, respectively, from 13 health service staff across three time points with regard to 37 indicators of organisational capacity. There were significant increases in mean scores for 31 indicators, with effect sizes ranging from moderate to nearly perfect. A range of key enablers and barriers to support the delivery of comprehensive primary health care was identified. In conclusion, an organisational development strategy to reorient health services towards becoming more health promoting may increase the capacity to deliver comprehensive primary health care.

  5. Prehospital administered fascia iliaca compartment block by emergency medical service nurses, a feasibility study

    Science.gov (United States)

    2014-01-01

    Introduction Patients with a proximal femur fracture are often difficult to evacuate from the accident scene. Prehospital pain management for this vulnerable group of patients may be challenging. Multiple co-morbidities, polypharmacy and increased age may limit the choice of suitable analgesics. The fascia iliaca compartment (FIC) block may be an alternative to intravenous analgesics. However this peripheral nerve block is mainly applied by physicians. In the Netherlands, prehospital emergency care is mostly provided by EMS-nurses. Therefore we examined whether well-trained EMS-nurses are able to successfully perform a FIC block in order to ensure timely and appropriate effective analgesia. The study was study was registered in the Netherlands Trial Register (NTR-nr 3824). Methods Ten EMS nurses were educated in the performance of a FIC-block. Indications, technique, side-effects and complications were discussed. Hereafter the trained EMS-nurses staffed ambulance teams were dispatched to patients with a suspicion for a proximal femur fracture. After confirmation of the diagnosis, the block was performed and 0.3 ml/kg lidocaine (10 mg/ml) with adrenaline 5 μg/ml was injected. The quality of pain relief, occurrence of complications and patient satisfaction were evaluated. Results In 108 patients a block was performed. One hundred patients could be included. Every EMS nurse performed at least 10 FIC blocks. The block was effective in 96 patients. The initial median (NRS)-pain score decreased after block performance to a score of 6 (after 10 minutes), 4 (after 20 minutes) and 3 (after 30 minutes). At arrival at the Emergency Department the median pain score was 3. Dynamic NRS-pain scores when transferring the patient from the accident scene to the ambulance stretcher, during transportation to the hospital and when transferring the patient to a hospital bed were, 4, 3 and 3.5 respectively. Patient satisfaction was very high. No complications were noted

  6. Experience of Carrying out High Quality Nursing Service in ICU%浅谈ICU开展优质护理服务体会

    Institute of Scientific and Technical Information of China (English)

    章敏

    2015-01-01

    目的探讨优质护理服务在重症监护病房应用中的体会和具体实施措施。方法让护士转变观念,主动服务,实行大包干责任制及实施床边工作制,制定切实可行的基础护理工作时间表,规范护理服务行为,明确各岗位职责。结果自开展优质护理服务以来,护理质量及患者满意度明显提高。结论开展优质护理服务可以提高护理工作质量及患者满意度。%Objective To investigate the experience of high quality nursing service in the application in the intensive care unit and the specific implementation measures.Methods The implementation of al-round responsibility system and the implementation of bedside work system,formulate feasible basic nursing work schedule,standardized nursing behaviors,clear job responsibilities.Results Since car ying out high quality nursing service,nursing quality and patient satisfaction improved significantly.Conclusion to car y out high-quality care can improve the nursing quality and patients satisfaction.

  7. Exploring the Capacity of Water Framework Directive Indices to Assess Ecosystem Services in Fluvial and Riparian Systems: Towards a Second Implementation Phase

    Science.gov (United States)

    Vidal-Abarca, M. R.; Santos-Martín, F.; Martín-López, B.; Sánchez-Montoya, M. M.; Suárez Alonso, M. L.

    2016-06-01

    We explored the capacity of the biological and hydromorphological indices used in the Water Framework Directive (WFD) to assess ecosystem services by evaluating the ecological status of Spanish River Basins. This analysis relies on an exhaustive bibliography review which showed scientific evidence of the interlinkages between some ecosystem services and different hydromorphological and biological elements which have been used as indices in the WFD. Our findings indicate that, of a total of 38 ecosystem services analyzed, biological and hydromorphological indices can fully evaluate four ecosystem services. In addition, 18 ecosystem services can be partly evaluated by some of the analyzed indices, while 11 are not related with the indices. While Riparian Forest Quality was the index that was able to assess the largest number of ecosystem services ( N = 12), the two indices of macrophytes offered very poor guarantees. Finally, biological indices related to diatoms and aquatic invertebrates and the Fluvial Habitat Index can be related with 7, 6, and 6 ecosystem services, respectively. Because the WFD indices currently used in Spain are not able to assess most of the ecosystem services analyzed, we suggest that there is potential to develop the second phase of the WFD implementation taking this approach into consideration. The incorporation of the ecosystem services approach into the WFD could provide the framework for assess the impacts of human activities on the quality of fluvial ecosystems and could give insights for water and watershed management in order to guarantee the delivery of multiple ecosystem services.

  8. Talking with the experts: evaluation of an online discussion forum involving mental health service users in the education of mental health nursing students.

    Science.gov (United States)

    Simpson, Alan; Reynolds, Lisa; Light, Ian; Attenborough, Julie

    2008-07-01

    The Chief Nursing Officer's recent review of mental health nursing called for the widespread involvement of mental health service users in the education of mental health nurses. This paper describes an innovative project that involved mental health service users in the education of pre-registration mental health nursing students through an online discussion forum that blended e-learning with enquiry-based learning (EBL). The findings of an evaluation are presented, drawing on quantitative and qualitative methods. Overall, the project was a success with students and service users engaging in online discussions on a range of issues. EBL presentations demonstrated understanding of the service user experience and students reflected on implications for clinical practice. All participants would take part again and recommend the online forum to others. Analysis of activity data revealed different levels and styles of student involvement. Limitations in communication skills appeared to limit student participation, alongside logistical difficulties, whereas the service users eagerly utilised the forum. Potential implications for healthcare education are discussed and recommendations made for developments in user-led e-learning and further research.

  9. Development of the Basic Knowledge Assessment Tool for Medical-Surgical Nursing (MED-SURG BKAT) © and implications for in-service educators and managers.

    Science.gov (United States)

    Toth, Jean

    2011-01-01

    BACKGROUND OF THE PROBLEM: Medical-surgical nursing is now the largest specialty in acute care, and needs an objective measure of basic knowledge necessary to provide safe care to patients. The Joint Commission on Accreditation of Healthcare Organizations noted that healthcare organizations have in the past relied on education and experience to support competence, but an increasing number are seeking objective measures of a nurse's knowledge that is required for safe practice. The American Nurses Association adds that safe practice is both a professional and a moral responsibility. A review of the literature failed to locate a standardized test of basic knowledge in medical-surgical nursing. In-service educators and managers need such a test to facilitate orientation programs, and as a way to safely decrease the length of orientation for new employees with previous experience in medical-surgical nursing. The purpose of the study was to develop a valid and reliable test to measure basic knowledge in medical-surgical nursing. The Basic Knowledge Assessment Tool for Medical-Surgical nursing was developed with support for its validity and reliability. © 2011 Wiley Periodicals, Inc.

  10. Cooperation within physician-nurse team in occupational medicine service in Poland - Knowledge about professional activities performed by the team-partner.

    Science.gov (United States)

    Sakowski, Piotr

    2015-01-01

    The goal of the study has been to learn about physicians' and nurses' awareness of the professional activities that are being performed by their colleague in the physician-nurse team. Postal questionnaires were sent out to occupational physicians and nurses in Poland. The analysis includes responses from 232 pairs of physician-nurse teams. The knowledge among occupational professionals about tasks performed by their colleagues in the physician-nurse team seems to be poor. Respondents were asked about who performs tasks from each of 21 groups mentioned in the Occupational Medicine Service Act. In the case of only 3 out of 21 groups of tasks, the rate of non-consistence in answers was lower than 30%. A specified number of professionals performed their tasks on the individual basis. Although in many cases their team colleagues knew about those activities, there was a major proportion of those who had no awareness of such actions. Polish occupational physicians and nurses perform a variety of tasks. Occupational nurses, besides medical role, also play important organizational roles in their units. The cooperation between the two professional groups is, however, slightly disturbed by the deficits in communication. This issue needs to be improved for the betterment of operations within the whole system. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  11. Application effect on nursing service of endocrine nursing personnel by precast worksheet%预制工作表在内分泌护理人员护理工作中的应用及效果

    Institute of Scientific and Technical Information of China (English)

    王娟; 肖新华

    2013-01-01

    Objective To investigate the effect of nursing service of endocrine nursing personnel by precast worksheet. Methods Twenty-four endocrine nursing personnel who worked in the endocrinology department in our hospital from August 2011 to August 2012 were selected as the observation group, twenty endocrine nursing personnel who worked in the endocrinology department in our hospital from August 2009 to August 2010 were selected as the control group. The control group was given routine work, the observation group was arranged according to the desk work content for precast worksheet, basic theory test score, basic skills assessment score,basic nursing score and patients nursing service satisfaction were compared. Results The basic theory test score and basic skills assessment scor of endocrine nursing personnel in the observation group were higher than that in the control group (P < 0.05), the basic nursing score and patients nursing service satisfaction in the observation group were higher than that in the control group (P < 0.05). Conclusion The precast worksheet can obviously improve the nursing theoretical level and the level of skill and operation of endocrine nursing personnel, it can improve the quality of nursing and patients nursing service satisfaction, it is one of the tools to improve the efficiency of nursing work area.%目的 探讨预制工作表在内分泌护理人员护理工作中的应用及效果.方法 选取2011年8月~2012年8月在首都医科大学附属北京世纪坛医院内分泌科工作的24名护理人员为观察组,选择2009年8月~2010年8月在首都医科大学附属北京世纪坛医院内分泌科工作的20名护理人员为对照组,对照组给予患者常规工作进度,观察组则根据科室工作内容制定的预制工作表安排护理工作,比较两组护理人员基础理论考试得分、基本技能考核得分、患者基础护理得分和患者对护理服务的满意度.结果 观察组护理人员基础理

  12. Discussion on Virtual Nursing Home Service Quality Evaluation Index System%虚拟养老院服务质量评价指标体系初探

    Institute of Scientific and Technical Information of China (English)

    罗艳; 石人炳

    2016-01-01

    Virtual nursing home is an upgraded version of home care services built by information tech-nology, and it has become a critical means to solve the aged service issues in the process of population aging. In this study, we defined the concept of virtual nursing home firstly. Under circumstances of absence of unified service quality evaluation of home care services, we have adjusted and modified the SERVQUAL model in five dimensions and specific indexes and explored service quality’ s dimensions and evaluation system of informa-tion service centers and service providers in the virtual nursing home through drawing on classic SERVQUAL service quality evaluation theory and methods and combining with the virtual nursing home characteristics. We hope that we could construct a service quality evaluation system on virtual nursing home through making use of new dimensions and indexes from the evaluation of importance and service quality to provide reference for vir-tual nursing service quality evaluation and reference.%虚拟养老院是信息技术打造的居家养老服务的升级版,成为人口老龄化进程中解决老年人养老服务问题的新方法。本研究首先对虚拟养老院进行概念界定,在居家养老服务没有统一服务质量评价指标的情况下,借鉴经典的SERVQUAL服务质量评价理论和方法,结合虚拟养老院的特点,对SERVQUAL模型中的五大维度和具体指标进行调整和适用性修改,探索虚拟养老院中信息服务中心和服务提供机构的服务质量维度和评价指标体系,以期从重要性评价和服务质量表现评价两个方面运用新的维度和指标,最终形成对虚拟养老院服务质量评价指标体系,为虚拟养老院服务质量评价提供借鉴和参考。

  13. 无线移动数字技术助力优质护理服务%High Quality Nursing Service Supporting by Wireless Mobile Digital Technique

    Institute of Scientific and Technical Information of China (English)

    陈煜羲

    2012-01-01

    With the development of"high quality nursing service demonstration project", based on wireless mobile digital technology, this paper applies the mobile nursing information system and mobile data terminal (EDA) to improve the quality of clinical nursing mass and work efficiency, making the nursing job and management obey the standard process.%配合“优质护理服务示范工程”活动的开展,以无线移动数字技术为基础,通过移动护理信息系统的应用以及移动数据终端EDA(Enterprise Digital Assistant)的使用,使护士工作站前移到病房,护理工作及管理形成按标准流程办事,提高临床护理质量及工作效率。

  14. Comparing knowledge and opinions on depression among nurses in the health services.

    Science.gov (United States)

    Furegato, Antonia Regina F; Ferreira da Silva Candido, Mariluci C; Lobo da Costa, Moacyr

    2009-01-01

    This study aimed to compare nurses' knowledge and opinion about depression. Sample consisted of 101 nurses in the basic health care network in two cities in the state of São Paulo (Brazil). Subjects answered two questionnaires presented by WHO about knowledge and viewpoints regarding depression. Projects were approved by the Ethics Committee. The profile reveals that graduation time of Group A (Ribeirão Preto), with 28 subjects, is longer than Group B (São José do Rio Preto), with 73 subjects, and work mobility is higher for Group A. There were significative differences between the two groups (T= 0.012 and T=0.666) in these questions. Group B showed greater interest in mental health. No significant differences occurred between the two groups, neither in relation to the knowledge nor in their opinion about depression (Med 7.0 and 7.3). Nevertheless, it was observed lack of specific knowledge, need of updating, lack of experience and unawareness of the importance of their therapeutic role for depressed patients. There are differences in the profile of the two groups; however, there are no significant differences in their knowledge and opinion about depression. In both groups deficit of knowledge and unawareness of nurses about importance of their therapeutic role in depression is observed.

  15. Perspectives of cardiac care unit nursing staff about developing hospice services in iran for terminally ill cardiovascular patients: A qualitative study

    Directory of Open Access Journals (Sweden)

    Saber Azami-Aghdash

    2015-01-01

    Full Text Available Introduction: The present study was conducted aiming to determine the points of view of cardiac care units′ nursing staff about designing and providing Hospice services in Iran for cardiovascular patients in the final stages of life. Materials and Methods: In this qualitative study, the perspectives of 16 Cardiac Care Unit (CCU nurses selected purposefully among hospitals of Tabriz-Iran University of Medical Sciences were investigated using semi-structured interviews and were analyzed in content analysis method. Results: 33 themes were finally extracted. Some nurses were for and some were against designing and providing Hospice services in Iran. The main reasons identified for supporting this plan included: Possibility of designing and providing these services consistent with high ethical values of Iranian society; approval of authorities due to increasing the load of chronic diseases and aged population; need of families due to the problems in taking care of patients and life concerns; better pain relief and respectful death; decrease of costs as a result of lower usage of diagnostic-therapeutic services, less use of expensive facilities and drugs, and better usage of hospital beds. Conclusion: Growing load of chronic diseases has made the need for Hospice as a necessary issue in Iran. In order to provide these services, studying the viewpoints of health service providers is inevitable. Therefore using and applying the results of this study in planning and policy making about designing and providing these services in Iran for cardiovascular patients in their final stages of lives could be helpful.

  16. 护理专业学生健康教育能力培养研究%Research about capacity-building of health education for nursing students

    Institute of Scientific and Technical Information of China (English)

    李新辉; 白彩锋; 陈丽丽; 姬春; 李杨春

    2009-01-01

    Objective To promote the ability of health education for nursing students, and then to lay a good foundation for health education activities in future. Methods General training were used for nursing students such as lictures, micro-teaching and community health education practice, and then ana-lyzed the results by quantitative and qualitative methods. Results The average scores of the ability of health education before and after the micro-thaehing was 75.45 and 84.25 respectively, there was a signifi-cant difference between them. The qualitative results indicated that nurisng students had mastered the basic knowledge and skills of science in education and dissemination, had learned how to access information to organize and made health education materials, implement health education activities and evaluated the re-sults. Conclusions Nusing students participate in the extra-curricular health education activities can ef-fective improve their capacity of health education.%目的 提高护生健康教育能力,为今后的健康教育活动奠定良好的基础.方法 运用小讲课培训、微格教学法评价和社区健康教育实践相结合的方法对3名护理专业硕士研究生及50名护理本科生进行健康教育能力培养,并对结果进行定量和定性分析.结果 实施微格教学培养前护生健康教育能力(小讲课)成绩平均为75.45分,培养后为84.25分,培养前后护生的小讲课得分比较差异显著;定性结果显示,护生掌握了教育学和传播学的基本知识和技能,学会了查阅、组织和制作健康教育资料、实施健康教育并能对健康教育结果进行评价.结论 护生积极参加课外健康教育培训和实践活动是提高其健康教育能力的有效途径.

  17. Evaluation and improvement of high quality nursing service%深化优质护理服务工作的实践

    Institute of Scientific and Technical Information of China (English)

    张红梅; 李艳梅; 孙红

    2015-01-01

    In the process of implementingDetailed Rules of High Quality Nursing Service Evaluation (2014 Edition) and carrying out the work of self-examination and peer review, we found some common problems in the whole hospital, such as incomplete documentation, not in place emergency preplan and the rehearsal, lacking continuous improvement of extended nursing, and inconsistent nurses' hierarchical evaluation with post promotion execution, etc. Through the interpretations and the training ofDetailed Rules of High Quality Nursing Service Evaluation (2014 Edition), we put forward the speciifc performance requirements and the examination points according to the rules with problems and helped the head nurses understand and carry out the evaluation criteria exactly. These practices got the high recognition of the head nurses, improved the nursing management and the nursing quality at the same time.%在我院落实《优质护理服务评价细则(2014版)》和开展自查互查工作过程中,发现文件材料不完善、应急预案及演练不到位、延伸护理未进行持续改进、护士分层考核与岗位晋级执行不统一等全院共性问题。通过对《优质护理服务评价细则(2014版)》的解读与培训,对存在问题的条款提出具体执行要求和考核要点,帮助护士长理解和正确落实评价标准,得到了护士长的高度认可,同时改进了护理管理工作,提升了护理质量。

  18. Public and private maternal health service capacity and patient flows in Southern Tanzania: using a geographic information system to link hospital and national census data.

    Science.gov (United States)

    Tabatabai, Patrik; Henke, Stefanie; Sušac, Katharina; Kisanga, Oberlin M E; Baumgarten, Inge; Kynast-Wolf, Gisela; Ramroth, Heribert; Marx, Michael

    2014-01-01

    Strategies to improve maternal health in low-income countries are increasingly embracing partnership approaches between public and private stakeholders in health. In Tanzania, such partnerships are a declared policy goal. However, implementation remains challenging as unfamiliarity between partners and insufficient recognition of private health providers prevail. This hinders cooperation and reflects the need to improve the evidence base of private sector contribution. To map and analyse the capacities of public and private hospitals to provide maternal health care in southern Tanzania and the population reached with these services. A hospital questionnaire was applied in all 16 hospitals (public n=10; private faith-based n=6) in 12 districts of southern Tanzania. Areas of inquiry included selected maternal health service indicators (human resources, maternity/delivery beds), provider-fees for obstetric services and patient turnover (antenatal care, births). Spatial information was linked to the 2002 Population Census dataset and a geographic information system to map patient flows and socio-geographic characteristics of service recipients. The contribution of faith-based organizations (FBOs) to hospital maternal health services is substantial. FBO hospitals are primarily located in rural areas and their patient composition places a higher emphasis on rural populations. Also, maternal health service capacity was more favourable in FBO hospitals. We approximated that 19.9% of deliveries in the study area were performed in hospitals and that the proportion of c-sections was 2.7%. Mapping of patient flows demonstrated that women often travelled far to seek hospital care and where catchment areas of public and FBO hospitals overlap. We conclude that the important contribution of FBOs to maternal health services and capacity as well as their emphasis on serving rural populations makes them promising partners in health programming. Inclusive partnerships could increase

  19. Public and private maternal health service capacity and patient flows in southern Tanzania: using a geographic information system to link hospital and national census data

    Directory of Open Access Journals (Sweden)

    Patrik Tabatabai

    2014-01-01

    Full Text Available Background: Strategies to improve maternal health in low-income countries are increasingly embracing partnership approaches between public and private stakeholders in health. In Tanzania, such partnerships are a declared policy goal. However, implementation remains challenging as unfamiliarity between partners and insufficient recognition of private health providers prevail. This hinders cooperation and reflects the need to improve the evidence base of private sector contribution. Objective: To map and analyse the capacities of public and private hospitals to provide maternal health care in southern Tanzania and the population reached with these services. Design: A hospital questionnaire was applied in all 16 hospitals (public n=10; private faith-based n=6 in 12 districts of southern Tanzania. Areas of inquiry included selected maternal health service indicators (human resources, maternity/delivery beds, provider-fees for obstetric services and patient turnover (antenatal care, births. Spatial information was linked to the 2002 Population Census dataset and a geographic information system to map patient flows and socio-geographic characteristics of service recipients. Results: The contribution of faith-based organizations (FBOs to hospital maternal health services is substantial. FBO hospitals are primarily located in rural areas and their patient composition places a higher emphasis on rural populations. Also, maternal health service capacity was more favourable in FBO hospitals. We approximated that 19.9% of deliveries in the study area were performed in hospitals and that the proportion of c-sections was 2.7%. Mapping of patient flows demonstrated that women often travelled far to seek hospital care and where catchment areas of public and FBO hospitals overlap. Conclusions: We conclude that the important contribution of FBOs to maternal health services and capacity as well as their emphasis on serving rural populations makes them promising

  20. Public and private maternal health service capacity and patient flows in southern Tanzania: using a geographic information system to link hospital and national census data

    Science.gov (United States)

    Tabatabai, Patrik; Henke, Stefanie; Sušac, Katharina; Kisanga, Oberlin M. E.; Baumgarten, Inge; Kynast-Wolf, Gisela; Ramroth, Heribert; Marx, Michael

    2014-01-01

    Background Strategies to improve maternal health in low-income countries are increasingly embracing partnership approaches between public and private stakeholders in health. In Tanzania, such partnerships are a declared policy goal. However, implementation remains challenging as unfamiliarity between partners and insufficient recognition of private health providers prevail. This hinders cooperation and reflects the need to improve the evidence base of private sector contribution. Objective To map and analyse the capacities of public and private hospitals to provide maternal health care in southern Tanzania and the population reached with these services. Design A hospital questionnaire was applied in all 16 hospitals (public n=10; private faith-based n=6) in 12 districts of southern Tanzania. Areas of inquiry included selected maternal health service indicators (human resources, maternity/delivery beds), provider-fees for obstetric services and patient turnover (antenatal care, births). Spatial information was linked to the 2002 Population Census dataset and a geographic information system to map patient flows and socio-geographic characteristics of service recipients. Results The contribution of faith-based organizations (FBOs) to hospital maternal health services is substantial. FBO hospitals are primarily located in rural areas and their patient composition places a higher emphasis on rural populations. Also, maternal health service capacity was more favourable in FBO hospitals. We approximated that 19.9% of deliveries in the study area were performed in hospitals and that the proportion of c-sections was 2.7%. Mapping of patient flows demonstrated that women often travelled far to seek hospital care and where catchment areas of public and FBO hospitals overlap. Conclusions We conclude that the important contribution of FBOs to maternal health services and capacity as well as their emphasis on serving rural populations makes them promising partners in health