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Kaya, Hülya, Burçin Işik, and Figen Çalişkan. "Metaphors used by in-service training nurses for in-service training nurses in Turkey." Journal of Advanced Nursing 69, no. 2 (April 26, 2012): 404–14. http://dx.doi.org/10.1111/j.1365-2648.2012.06019.x.
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Hanafi, Ahmad, and Filda Wahyuni. "Factor Related to Nurse Performance in the in Patient Ward of the Rokan Hulu General Hospital 2017." Jurnal Kesehatan Komunitas 5, no. 2 (September 3, 2019): 90–95. http://dx.doi.org/10.25311/keskom.vol5.iss2.376.
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Hospital is an organizaon which is establish because of the complexity of public demands and they began to realize the importance of health. Therefore there is a demand to the hospital to give the maximal services to the public. Nursing care service in the hospital is one of determinant for the quality service and hospital presge in the public percepon. The nurses performances is become important to meet a demand of the public demand of the maximal quality service. This study aims to determine the relaonship training, leadership, supervision, movaon to the nurse’s performance in the inpaent ward of the Rokan Hulu General Hospital 2017 This was a quantave study with analyc obervaonal desain and cross seconal approach. The analysis used univariate and bivariate analysis with chi-square test. Populaon were nurses at inpaent ward of the Rokan Hulu General Hospital amount 120 persons. Sample were 55 person who taken by accidental sampling. The results showed that there was a significant relaonship between training (OR 4,25, p= 0,022), leadership (OR 4,44, p=0,019), supervision (OR 5,47, p=0,008), movaon (OR 5,14, p=0,010) It can be concluded that the nurse’s performance is closely related to training, leadership, supervision, and movaon. It is recommended to the majareial of Rokan Hulu Regional Hospital to more frequent send nurses to aending the appropriate training, further improving good leadership funcons to improve nurse performance, supervision from supervisors in order to perform the task well, and need to provide movaon to the nurse in order to improve the performance of nurses.
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Milne, Derek. "A Review of the In-service Training of Nurses in Behaviour Therapy." Behavioural Psychotherapy 13, no. 2 (April 1985): 120–31. http://dx.doi.org/10.1017/s0141347300010077.
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This article presents an examination of 17 empirical studies of the in-service training of psychiatric and mental handicap nurses in behaviour therapy. Particular attention is given to subject characteristics, training methods, course content and evaluation. It is concluded that the integrity of both independent and dependent variables in this literature is suspect, and that it may therefore be premature to consider abandoning nurse training as a vehicle of institutional change. In contrast, what is needed are more systematic investigations, especially those which relate training interventions to institutional constraints, since both variables appear to be necessary conditions for successful innovations in patient care.
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Susiana, Made. "Effectiveness Of Nursing Competency Of Service Quality In Installation Of Hospital Buleleng Hospital." Journal for Quality in Public Health 3, no. 2 (May 12, 2020): 463–84. http://dx.doi.org/10.30994/jqph.v3i2.96.
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Buleleng Regional General Hospital as a health service provider is concerned with the quality of its services. The quality of nurse services is the biggest part of the overall quality of hospital services because of the amount of contact with patients. The quality of service itself is influenced by the satisfaction and expectations and needs of patients being met. To meet the excellent quality of service, nurses need to have superior competence, namely basic knowledge, hard skills, soft skills, work ethics and legal aspects. The purpose of this study is to provide recommendations based on an analysis of the influence of nurse characteristics and competence on service quality. This research is a descriptive observational study, conducted from November. The study population was nurses working in the Inpatient Room, and the number of samples obtained was 80 nurses. The variables analyzed were individual characteristics, nurse competence, hard skills, soft skills, work ethics, and legal aspects. The results of this study indicate that age, length of work and position of head of the family at work have an influence on nurse competence. Length of work, and soft skills also have a positive influence on service quality. Conclusion: there is a significant effect between length of work, and nurses' soft skills on service quality. Variables that need to be improved and improved are registration letters, work licenses, training, and training to improve soft skills and work ethics
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Safaeifard, Neda, Hossein Namdar Areshtanab, Fariborz Roshangar, Hossein Ebrahim, Hossein Karimi Moonaghi, and Raheleh Janani. "Preferred Learning Styles of Nurses in In-Service Training Courses in Tabriz University of Medical Sciences." Acta Facultatis Medicae Naissensis 36, no. 1 (March 1, 2019): 69–78. http://dx.doi.org/10.2478/afmnai-2019-0007.
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Summary Generally, progress, productivity and success of any organization depends on the skills and knowledge of their manpower. Thus, better and more accurate training programs in organizations will lead to their growth and efficiency will be eventually achieved. Due to the many advances in the field of medicine, nurses are the backbone of activities in organizations of medical sciences and patient’s affairs. For this purpose, in-service training courses for employees are the most important courses in nursing. This study was conducted at the University of Medical Sciences (Tabriz-Iran) aiming to determine the preferred learning styles of nurses in in-service training courses. In this cross-sectional study, all nurses working in medical and educational centers in a university in the North West of Iran were randomly selected. To collect data, a two-part questionnaire of Kolb’s demographic and social information was used. Data was analyzed by using descriptive and analytical statistics SPSS version 17 software. A total of 470 nurses with an average age of 36.46 ± 5.77 were studied. There was a significant correlation between preferred learning styles of nurses with nursing position, employment status, and income level. There was no a significant statistical relationship between the preferred learning style of nurses with age, work experience and experience in the center. The present study shows that the highest percentage of Kolb’s learning style is related to the preferential converging learning style (57.8%). This study aimed to determine the preferred learning styles of nurse’s in-service training courses in Tabriz University of Medical Sciences. The results of the study showed that converging and assimilating styles were the preferred learning ones among the majority of nurses; these styles are effective and interpreted according to their profession requiring a lot of information and knowledge. Due to the dominance of converging learning style among nurses, it is recommended to use appropriate teaching methods tailored to the style including the use of diagrams, presentations, lectures and self-learning with enjoyable materials.
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Sankar, Jhuma, Nandini Vijayakanthi, M. Jeeva Sankar, and Nandkishore Dubey. "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." BioMed Research International 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/403415.
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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<0.001). Immediately after training, the scores improved in both groups. At 6 weeks however, we observed a nonuniform decline in performance in both groups—in-service 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<0.001). Thus, knowledge and 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.
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Milne, Derek. "An Ecological Validation of Nurse Training in Behaviour Therapy." Behavioural Psychotherapy 13, no. 1 (January 1985): 14–28. http://dx.doi.org/10.1017/s0141347300009307.
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Behavioural ecology is a perspective within applied behaviour analysis which focuses on the complex relationship between interacting parts of a system, and particularly on the untargeted “side-effects” of interventions. This article considers two ecological effects of a large-scale nurse training venture in which 65 qualified psychiatric nurses received a one week in-service training in behaviour therapy. The effects of this training on two untargeted parameters, the nurses' clinical case notes (response generalization; N = 73) and ward teaching (generalization across subjects; N = 50) were evaluated via a combination of time-series and control group designs. The results indicated that the case notes became significantly more descriptive and less subjective, and that the learners developed significantly superior skills and knowledge in behaviour therapy as a consequence of the in-service training. These findings are discussed in terms of nurse training and behavioural ecology. The implication is that evaluations to date have generally been ecologically invalid, and that research on this topic would benefit from a more complex, naturalistic perspective.
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Julca Flores, Gloria. "The nurse's knowledge level on Cardiopulmonary Resuscitation in the Emergency Service of the National Hospital Sergio Bernales." Journal of Global Health and Medicine 1, no. 1 (January 4, 2018): 20. http://dx.doi.org/10.32829/ghmj.v1i1.34.
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The role of the nurse in CPR is aimed at the cessation of cardiorespiratory faliure by participating in the resuscitation and stabilization of the patient, to achieve the restoration of circulation and spontaneous breathing. Constant learning, through training, courses, etc., has allowed the improvement of the skills and abilities of nurses to reduce not only mortality, but to reduce morbidity, sequelae and complications, especially in risk situations of the patient's life. This article presents the nurse's knowledge level on Cardiopulmonary Resuscitation in the Emergency Service of the National Hospital Sergio Bernales
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Suprapto, Suprapto. "Nurse Compliance in Implementing Post Op Wound Care Standard Operating Procedures." Media Keperawatan Indonesia 4, no. 1 (February 13, 2021): 16. http://dx.doi.org/10.26714/mki.4.1.2021.16-21.
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One of the causes of the occurrence of nosocomial infections is the implementation of standard operating procedures, whether implemented properly or not by nurses. Analyzing nurses' compliance in implementing standard operating procedures for post-op wound care. Analytical quantitative research with a cross-sectional research design. The population of surgical inpatient nurses was 32 nurses, with a sample size of 30 nurses with purposive sampling, analysis information used as chi-square. The results of statistical tests show that there is a relationship between education, knowledge, length of work, training, motivation, and nurse compliance in implementing standard operating procedures for postoperative wound care. That there is a relationship between education, knowledge, years of service, training, and motivation with nurses' compliance with the implementation of standard operating procedures for post-op wound care. Improving the quality of care through efforts to develop the capacity of nurses through education and training in wound care for all nurses.
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Edwards, Michelle, Alison Cooper, Freya Davies, Andrew Carson Stevens, Adrian Edwards, Thomas Hughes, Helen Snooks, et al. "PP19 Primary care streaming in emergency departments- contexts and mechanisms associated with perceived effectiveness outcomes: a realist evaluation." Emergency Medicine Journal 38, no. 9 (August 19, 2021): A9.1—A9. http://dx.doi.org/10.1136/emermed-2021-999.19.
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BackgroundRecent policy has encouraged emergency departments (EDs) to deploy nurses to stream patients from the ED front door to GPs working in a separate GP service operating within or alongside an ED. We aimed to describe mechanisms relating to effectiveness of streaming in different primary care service models identified in EDs. We explored perceptions of whether patients were perceived to be appropriately streamed to emergency care, primary care, other hospital services or community primary care services; and effects on patient flow (waiting times and length of stay in the ED); and safe streaming outcomes.MethodsWe used realist evaluation methodology to explore perceived streaming effectiveness. We visited 13 EDs with different primary care service models (purposively selected across England & Wales; 8 streamed primary care patients to a primary care clinician) and carried out observations of triage/streaming and patient flow and interviews with key members of staff (consultants, GPs, nurses). Field notes and audio-recorded interviews were transcribed and analysed by creating context, mechanism and outcome configurations to refine and develop theories relating to streaming effectiveness.ResultsWe identified five contexts (nurses’ knowledge and experience, streaming guidance, teamwork and communication, operational management and strategic management) that facilitated mechanisms that influenced the effectiveness of streaming (streaming to an appropriate service, patient flow, delivering safe care). We integrated a middle range psychological theory (cognitive continuum theory) with our findings to recommend a focus for training nurses in streaming and service improvements.ConclusionsWe identified key mechanisms relating to the effectiveness of primary care streaming in different models of service. We recommend a collaborative approach to service development, guidance and training (including input from ED clinicians and primary care clinicians) and a range of training strategies that are suitable for less experienced junior nurses and more experienced senior nurses and nurse practitioners.
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Dubik, Stephen Dajaan, Ernestina Yirkyio, and Kingsley E. Ebenezer. "Breastfeeding in Primary Healthcare Setting: Evaluation of Nurses and Midwives Competencies, Training, Barriers and Satisfaction of Breastfeeding Educational Experiences in Northern Ghana." Clinical Medicine Insights: Pediatrics 15 (January 2021): 117955652110107. http://dx.doi.org/10.1177/11795565211010704.
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Background: Breastfeeding education is critical in improving healthcare professionals’ competencies in providing breastfeeding care to mothers. We evaluated breastfeeding competencies, training, barriers and satisfaction of breastfeeding educational experiences among nurses and midwives in the Sagnarigu Municipality, Ghana. Methods: This cross-sectional study included nurses and midwives providing maternal and child health services at various primary healthcare facilities in Sagnarigu Municipality. Results: Nurses and midwives had higher pre-service breastfeeding training than in-service training with a mean training score of 10.0 and 5.2, respectively. Nurses and midwives who had both pre-service and in-service training had better satisfaction score ( P = .003), positive attitudes ( P = .016) and higher confidence level about breastfeeding ( P = .007). Approximately, 80% of the nurses and midwives reported that they need further training/updating on breastfeeding while 40% reported clinical/professional practice as the significant contributor to their breastfeeding counselling competencies. Mean satisfaction score correlated positively with confidence levels about breastfeeding counselling ( r = .224, P = .022) and pre-service training ( r = .342, P < .001); confidence levels about breastfeeding counselling also correlated positively with attitudes towards breastfeeding counselling ( r = .348, P < .001). Commonly reported barriers to breastfeeding counselling were mother’s poor compliance with breastfeeding recommendations, too much workload, inadequate time and materials for breastfeeding counselling. Conclusion: Nurses and midwives in this study felt confident about breastfeeding counselling, had positive attitudes towards breastfeeding counselling and generally, satisfied with their breastfeeding educational experiences. Despite nurses and midwives agreeing that breastfeeding counselling is integral in their professional practice, their role in providing breastfeeding counselling is hindered by individual and health systems barriers.
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Perwira, Yudha. "LEGAL RESPONSIBILITY ANESTHESIA ADMINISTRATOR IN THE HEALTH SERVICE." Indonesia Private Law Review 2, no. 1 (March 24, 2021): 25–36. http://dx.doi.org/10.25041/iplr.v2i1.2218.
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Good, quality and quality health services are one of the basic needs that everyone needs. Therefore, in the health world, the authority of anesthetist administrators within the scope of anesthesia services is direct, mandated, and collaborative where the mandate obtained from anesthetist administrators is not only from specialist doctors but also from the Government, as regulated in Article 14 Paragraph (1) and Paragraph (2) Ministry of Health Regulation No. 18 of 2016 concerning Licensing and Implementation of Anesthesia Administrator Practices. Now the delegation based on government assignments is carried out if there is no anesthetist in an area. The authority falls to the anesthetist in that area who has received training. This study aims to determine how the legal responsibility of anesthesia administrators in health services. The method used in this research is juridical normative, which examines legislation (statute approach) by examining all relevant regulations or statutory regulations and looking at the facts in the field. The research approach used is qualitative. This study's results indicate that anaesthesia services' general responsibility lies with anaesthetists in the practice of anesthesia services. What needs to be considered in the delegation of tasks from doctors to nurses is that the primary responsibility remains with the doctor who gives the assignment, nurses also have executive responsibility, delegation can only be carried out after the nurse has received sufficient education and competence to receive the delegation, delegation for the long term or continuously given to health nurses with special skills (specialist nurses), which are regulated by separate rules (standing orders). Anaesthetist administrators' role when carrying out health services to delegate authority according to these norms can only be performed by anaesthetist administrators who have received training.
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Hasan, Hani, Sunil Mamtora, and Nimish Shah. "Setting up a successful nurse-led intravitreal injections service: pearls from Swindon." British Journal of Nursing 29, no. 20 (November 12, 2020): 1178–85. http://dx.doi.org/10.12968/bjon.2020.29.20.1178.
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The demand for performing intravitreal injections has increased in recent years, prompting the need for more nurse training in their administration. The Great Western Hospitals NHS Trust in Swindon has developed a structured nurse training programme and now has 8 independent nurse injectors trained to undertake injections independently; nurse practitioners now contribute upwards of 85% of the total number of injections. The authors have also demonstrated the financial benefits of using injection assistant devices and shown the positive impact such devices have on training. In September 2019, the authors organised the first course to offer nurses and doctors hands-on experience in administering injections, using the Swindon training model to provide participants with a structured approach to learn how to perform intravitreal injections safely. Nurses made up 96% of participants; the remainder were doctors and managers; 6% had never performed an intravitreal injection; of units where they had, disposable drapes and a speculum were used in 71% of these. The number of injections performed per session at participants' units at the time they attended the course was: 17 or more injections=46%, 13–14=39%, and 11–12=15%. The course was rated 8.9/10 overall for content, with 85% very likely to recommend it to colleagues. All participants indicated that using the Swindon model made them feel confident to deliver injections safely. The authors demonstrated that using a structured training protocol and intravitreal assistant device improves the quality of nurse training and increases confidence in administering intravitreal injections.
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Edwards, Michelle, Michelle Edwards, Alison Cooper, Freya Davies, Andrew Carson Stevens, Thomas Hughes, Pippa Anderson, and Adrian Edwards. "192 Primary care streaming in emergency departments- contexts and mechanisms associated with perceived effectiveness outcomes: a realist evaluation." Emergency Medicine Journal 37, no. 12 (November 23, 2020): 837–38. http://dx.doi.org/10.1136/emj-2020-rcemabstracts.23.
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Aims/Objectives/BackgroundRecent policy has encouraged emergency departments (EDs) to deploy nurses to stream patients from the ED front door to GPs working in a separate GP service operating within or alongside an ED. We aim to describe mechanisms relating to effectiveness of streaming in different primary care service models identified in emergency departments. We explored whether patients were appropriately streamed to emergency care, primary care, other hospital services or community primary care services; patient flow (including effects on waiting times and length of stay in the emergency department); and safe streaming outcomes. We sought suggestions for quality improvements relating to streamingMethods/DesignA realist evaluation methodology was used to explore perceived streaming effectiveness. We visited 13 emergency departments (purposively selected across England & Wales; 8 streamed primary care patients to a primary care clinician) and carried out observations of triage/streaming and patient flow and interviews with key members of staff (consultants, GPs, nurses).Field notes from observations and audio-recorded interviews were transcribed verbatim and were analysed by creating context, mechanism and outcome configurations to refine and develop theories relating to streaming effectiveness.Results/ConclusionsWe identified five contexts (nurses’ knowledge and experience, streaming guidance, teamwork and communication, operational management and strategic management) that facilitated mechanisms that influenced the effectiveness of streaming (streaming to an appropriate service, patient flow, delivering safe care). We integrated a middle range psychological theory with our findings to recommend a focus for training nurses in streaming and service improvements. We recommend a collaborative approach to service development, guidance and training (including input from emergency department clinicians, primary care clinicians) and a range of training strategies that are suitable for less experienced junior nurses and more experienced senior nurses and nurse practitioners.
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Jarrett, C., P. Wainwright, and L. Lewis. "Education and training of practice nurses." Journal of Telemedicine and Telecare 3, no. 1_suppl (June 1997): 40–42. http://dx.doi.org/10.1258/1357633971930319.
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Seventeen nurses in eight rural general practices participated in a distance education project. Low-cost videoconferencing equipment was assessed for its suitability in two training sessions, concerning asthma and travel immunization. The intended learning outcomes were reached and although initially apprehensive, the nurses quickly became accustomed to the medium. Videoconferencing has now become an accepted part of in-service training. Technical reliability remains the most important problem.
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Yılmaz, Medine, Hatice Yıldırım Sarı, Meltem Ünlü, and Perihan Yetim. "Investigating intercultural effectiveness of paediatric nurses in a Turkish hospital." British Journal of Nursing 29, no. 3 (February 13, 2020): 152–58. http://dx.doi.org/10.12968/bjon.2020.29.3.152.
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Background: Cultural competence, an important part of patient-centred care, has been on the nursing agenda for many years. Aim: The aim of this study was to measure the intercultural effectiveness level of paediatric nurses, and to explore relationships between the level of intercultural effectiveness and some sociodemographic variables in paediatric nurses. Method: The study was conducted at İzmir Tepecik Training and Research Hospital's children's clinics in Turkey. A convenience sample of 98 paediatric registered nurses practising at the hospital was evaluated. To collect the study data, a sociodemographic characteristics questionnaire, a Cultural Approach in Nursing Care form and the Intercultural Effectiveness Scale (IES) were used. Results: The participating paediatric nurses' intercultural effectiveness levels were moderate, the problem they experienced most was the language problem and although many of them had not received adequate training in cultural care, based on their experiences, they regarded themselves as culturally competent. Conclusion: Cultural competence is vital in multi-ethnic and multicultural societies. Cultural competence training should be provided to nurses during nurse education, or in-service training during their professional life.
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Adams, Shamsu-Deen Mahama, Shokoh Varaei, and Fatemeh Jalalinia. "Nurses’ Knowledge and Attitude towards Postoperative Pain Management in Ghana." Pain Research and Management 2020 (August 8, 2020): 1–7. http://dx.doi.org/10.1155/2020/4893707.
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Background. Pain management is a very important aspect of nursing care among postoperative patients. Deficit in the knowledge and bad attitude towards pain management among nurses remain a problem in Ghana. In order to manage pain better in the surgical wards, nurses should be well equipped with knowledge of pain assessment and management. Purpose. The purpose of the study was to determine nurse’s knowledge and attitude towards pain management among postoperative patients in surgical units in Ghana. Methodology. This study used the quantitative study approach with a descriptive cross-sectional study design. A sample of 211 nurses was recruited using the convenience sampling method. Data were collected using a questionnaire regarding postoperative pain management. Descriptive statistics, Pearson’s correlation coefficient, and the chi-squared test were used to analyze the data using SPSS version 16.0. Results. The mean age of the nurses was 29.77, with the youngest nurse being 23 years and oldest being 39 years. Majority (72.5%) of nurses had moderate knowledge, and 89.6% of the nurses had negative attitude towards pain management. There was no significant relationship between nurse’s knowledge and years of experience as a nurse (r = −0.03, p=0.64), as well as no significant relationship between knowledge and number of years working in the surgical ward (r = 0.06, p=0.36). Also, there was no significant relationship between nurses’ knowledge and nurses’ attitude (r = 0.06, p=0.36). Conclusion and recommendation. The level of knowledge and attitude towards postoperative management were generally inadequate among nurses. Therefore, there is the need to implement in-service training on pain management for nurses working in the surgical units frequently.
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Miskir, Yihun, and Solomon Emishaw. "Determinants of Nursing Process Implementation in North East Ethiopia: Cross-Sectional Study." Nursing Research and Practice 2018 (September 6, 2018): 1–9. http://dx.doi.org/10.1155/2018/7940854.
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Nursing process is a framework used to provide an effective, coordinated, and organized quality care for patients. Effective implementation of this framework leads to improved quality of care and decreases potential complication, hospital length of stay, and the cost of care. To assess implementation of nursing process and its hindering factors, a quantitative cross-sectional study was conducted among nurses in Afar region hospitals from October 2016 to December 2016. The data were collected from 102 nurses using primary Brooking’s ward nurses’ self-report questionnaire and with some newly prepared questions. The collected data were entered using Epi-Data version 3.1 and analyzed by SPSS version 20 and then presented by tables, graphs, and figures. Forty-three (42.1%) nurses were implementing nursing process at the time of data collection. Assessment and diagnosis were carried out by 57 (56.9%) nurses, planning by 46% of nurses, implementation by 38.2% of nurses, and evaluation by 36.2% of nurses in Afar region. Among the hindering factors towards nursing process implementation, lack of preparedness or knowledge about the nursing process or some part of it (83.3%) and absence of in-service training pertinent to nursing process (75.5%) were the most mentioned ones. Generally, nursing process was poorly implemented in Afar region mainly due to lack of knowledge and absence of in service training. Therefore, giving emphasis for cognitive parts of students about nursing process during their school time and refreshing nurse staffs with continuous training will definitively improve level of nursing process implementation.
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Merkouris, Anastasios, Elizabeth D. E. Papathanassoglou, Dimitrios Pistolas, Vasileia Papagiannaki, John Floros, and Chryssoula Lemonidou. "Staffing and Organisation of Nursing Care in Cardiac Intensive Care Units in Greece." European Journal of Cardiovascular Nursing 2, no. 2 (July 2003): 123–29. http://dx.doi.org/10.1016/s1474-5151(03)00029-x.
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Purpose: To explore staffing and organisational characteristics of nursing care in cardiac intensive care units (CICUs) in Greece. Methodology: An exploratory descriptive survey design with additional cross-sectional comparisons was employed. A specifically developed survey-type questionnaire, addressed to nurse managers, was distributed to all CICUs in Greece. Results: The response rate was 76.2% ( N=32 units). Nursing staff per bed ratios over 24 h (whole-time equivalent) were very low and exhibited a mean of 1.25 (±0.53). The total registered nurse to assistance nurse (RN/AN) ratio was 2.74, but a lot of variability was observed and in many units ANs operated in RNs positions. Only 42% of the nurses had participated at in-service continuing education programs and a systematic training program in cardio pulmonary resuscitation (CPR) was provided in only 12 (37.5%) units. The reported frequencies at which specific technical tasks were performed autonomously by nurses varied substantially and reflected a medium to low level of practice autonomy; the most frequently reported tasks were: peripheral IV line insertion, CPR chest compression, titration of vasoactive drugs and administration of analgesics. Higher percentages of nurses had received in-service training associated with the likelihood of performance of several technical tasks ( P<0.03). Conclusions: Future studies need to explore the effect of these organisational characteristics on patient outcomes. The endorsement of nation-wide standards for nursing staffing and training in CICUs is imperative.
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Merentek, Grace Aneke, Asnet Leo Bunga, and Wilhemus Hary Susilo. "IMPACT OF PATIENT SATISFACTION IN THERAPEUTIC COMMUNICATION ASPECTS AFTER IMPLEMENTATION OF CLINIC SUPERVISION BY NURSE MANAGER." Jurnal Ilmiah Perawat Manado (Juiperdo) 7, no. 1 (July 31, 2019): 50–65. http://dx.doi.org/10.47718/jpd.v7i1.802.
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Background: Nursing is an activity of providing care to individuals, families, groups or communities both sick and healthy as a form of professional service where the nursing practice is a service organized by nurses in the form of nursing care. One of the tasks of the nursing manager is to coordinate through supervision/supervision. Aims: This study aims to analyze, explore the effect of training and implementation of clinical supervision on nurse-patient therapeutic communication. Methods: This study used quasi-experimental design research before and after post control group. The number of samples in this study was 100 respondent nurses and patients who were divided into 75 intervention groups who were given training and implementation of supervision and control groups of 25 respondents. Results: The study showed that the improvement in the supervision capability of the headroom clinics increased significantly (p = 0,000) after training and implementation of clinical supervision. Patient satisfaction with therapeutic communication has increased with a value (p = 0,000). Conclusion: Implementation of clinical supervision contributed to patient satisfaction and therapeutic communication of patient nurses by 17.6%, while 82.4% was influenced by other variables (quality of service, hospital products). This study further recommends the implementation of clinical supervision to be one of the models in developing the quality of nursing services.
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Amalia Kinanti, Rizky, and Kris Linggardini. "Workload and work motivation relationships with nursing performance." Proceedings Series on Health & Medical Sciences 1 (December 10, 2020): 69–73. http://dx.doi.org/10.30595/pshms.v1i.36.
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Some provinces in Indonesia have been conducted by the directorate of health care service in 2004 with WHO, as a result that 70,4% of nurses have never had training, 39,8% of nurses at the hospital performed non nursing duties, 47,4% of non essential written duties. No specialized supervision and evaluation of nurses. According to interviews with some nurses in the Purbalingga Regency said the nurses’ workload was high because of the extra work off-duty and the function of a nurse. The objective for knowing the relationship of workload and work motivation with a nurse’s performance. This type of research is quantitative using a descriptive design correlation with a sectional cross. The population in this study is all the nurses in the Kutasari medikal center, the Purbalingga Center, the Kalikajar Center and the Kaligondang medical center in Purbalingga District. The sampling technique used is total sampling that is 33 respondents. Analysis used statistics in the chi square. Statistics in this study consist of frequency workload, work motivation and nurse performance. From the results of data processing, it is found that there is a relationship between workload and nurses' performance with a p-value of 0.017 <0.05. And there’s no connection between work motivation with nurse performance with p-value of 0.422 >0.05. There is a correlation between workload and nurse performance and no correlation between work motivation and nurse performance.
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Bohnenkamp, Jill Haak, Sharon A. Hoover, Elizabeth Halsted Connors, Lawrence Wissow, Nichole Bobo, and Donna Mazyck. "The Mental Health Training Intervention for School Nurses and Other Health Providers in Schools." Journal of School Nursing 35, no. 6 (July 22, 2018): 422–33. http://dx.doi.org/10.1177/1059840518785437.
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School nurses encounter many students presenting with mental health needs. However, school nurses report that they need additional training and resources to be able to support student mental health. This study involved a multilevel, stakeholder-driven process to refine the Mental Health Training Intervention for Health Providers in Schools (MH-TIPS), an in-service training and implementation support system for school health providers, including school nurses, to increase their competence in addressing student mental health concerns. Findings highlighted the importance of mental health content including assessment, common factors of positive therapeutic mental health interactions, common elements of evidence-based mental health practice, and resource and referral mapping. Additionally, multifaceted ongoing professional development processes were indicated. Study findings indicate that, with recommended modifications, the MH-TIPS holds promise as a feasible, useful intervention to support school nurse practice and ultimately impact student mental health and educational outcomes.
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Rao, Anitha C., and Prasannakumar Shetty. "Evaluative Study on Effectiveness of Maternal and Child Health Care Participatory Training Program among Staff Nurses, Auxiliary Nurse Midwives and Lady Health Visitors." Journal of South Asian Federation of Obstetrics and Gynaecology 4, no. 2 (2012): 120–22. http://dx.doi.org/10.5005/jp-journals-10006-1191.
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ABSTRACT Objectives The objectives of the study are to: (i) Determine the learning needs of staff nurses, auxiliary nurse midwives and lady health visitors on maternal and child health care. (ii) Determine the level of knowledge and selected maternal and child health care practices of staff nurses, auxiliary nurse midwives and lady health visitors on maternal and child health care before and after the implementation of the educational intervention program. (iii) Evaluate the effectiveness of maternal and child health educational intervention program. Materials and methods This evaluative study at selected health centers of Udupi district in India enrolled 50 staff nurses, auxiliary nurse midwives and lady health visitors who were currently employed. Results Major findings of the study were: There was a significant improvement (p < 0.05) in the performance skill related to antenatal, postnatal and newborn. Conclusion The training was effective in improving the overall performance of the workers. However, repeated in-service training is necessary in maintaining the levels of improvement. How to cite this article Rao AC, Shetty P. Evaluative Study on Effectiveness of Maternal and Child Health Care Participatory Training Program among Staff Nurses, Auxiliary Nurse Midwives and Lady Health Visitors. J South Asian Feder Obst Gynae 2012;4(2):120-122.
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Jones, Catherine, Jennifer Fraser, and Sue Randall. "An evaluation of training to prepare nurses in a home-based service to care for children and families." Journal of Child Health Care 24, no. 4 (October 15, 2019): 589–602. http://dx.doi.org/10.1177/1367493519881572.
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Evaluation of training was conducted for a paediatric hospital-in-the-home service in Sydney, Australia. Community nurses with no paediatric training or experience were employed and undertook a training program. The aim was to assess the degree to which the training had prepared them to care for children and families in their homes. A mixed-methods design was employed. Overall, the following aspects of the training were well received by the community nurses: paediatric resuscitation, growth and development, clinical deterioration and child protection. Each topic provided basic knowledge and skills in the speciality. The participating nurses generally reached a ‘competent’ level of practice as defined by Benner (2000). Further training and development is recommended. Where paediatric nursing practice is isolated from acute paediatrics services, opportunities must be provided to improve safe levels of practice for children of all ages.
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Armstrong, S. H., C. V. Ruckley, R. J. Prescott, J. J. Dale, and E. A. Nelson. "Deficiencies in Leg Ulcer Care: A National Survey in Scotland." Phlebology: The Journal of Venous Disease 13, no. 2 (June 1998): 40–44. http://dx.doi.org/10.1177/026835559801300202.
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Objective: To identify what specialist expertise and services are currently available, in Scotland, to support general practitioners (GPs) and community nurses in the management of leg ulcer patients and the perceived need for the improvement of the service. Design: Postal questionnaires to randomly selected samples of GPs and community nurses. Setting: All 15 Scottish Health Board areas. Subjects: Six hundred and seventy-three GPs and 441 community nurses were questioned. Results: Five hundred and twelve (76%) GPs replied. Barely half, 285 (56%), expressed satisfaction with the service and only 155 (30%) had access to a recognized leg ulcer specialist. GPs who had access to a specialist expressed a greater level of satisfaction with the leg ulcer service than those without a local specialist. Community nurse questionnaire: Three hundred and sixty (82%) nurses replied. Two hundred and forty six (68%) indicated that the diagnosis of the cause of ulceration was usually made by both the GP and the nurse but the choice of treatment was most often made by the nurse alone. The great majority (69%) did not have access to a local leg ulcer clinic and only 34 (9%) indicated that they had access to management protocols, almost 90% of nurses expressing a need for protocols. Both questionnaires revealed a lack of specialist support, dedicated leg ulcer clinics, better education and training, and leg ulcer management protocols. Conclusion: Serious deficiencies in the support available for community care of leg ulcer patients have been identified. The situation requires to be remedied if more cost-effective outcomes for leg ulcer patients are to be achieved.
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Góis, Rebecca Maria Oliveira de, Fernanda Costa Martins Gallotti, Ises Adriana Reis dos Santos, Ingredy Nayara Chiacchio Silva, Jainara Santos Freitas, Manuela de Carvalho Vieira Martins, Rodrigo Gallotti Lima, Virgínia Ramos dos Santos Souza, and Gilberto Tadeu Reis da Silva. "Nurses in the front line of the combat to Covid-19 in the hospital environment: related experience." International Journal for Innovation Education and Research 9, no. 3 (March 1, 2021): 448–55. http://dx.doi.org/10.31686/ijier.vol9.iss3.3011.
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Objective: to report nurses experiences at reference hospital in the care of patients diagnosed with COVID-19 in the state of Sergipe, Brazil. Method: descriptive study, of the experience report type, about nurses' experience in assisting patients diagnosed with COVID-19 in the hospital environment. Results: The nurses' experiences were structured into three categories: Structural and organizational changes in the hospital service; Nurse's work routine on the front line in the respiratory area; Main difficulties for nurses in caring for patients in the respiratory area and experienced opportunities. The positive aspects identified were participation in training and support for newly hired professionals. Conclusion: the COVID-19 pandemic changed economic, political, social and health care behavior. In addition, changes in the hospital environment demanded a reorientation of workflows, impacting nurses' mental health and suffering.
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Griffin, Gill, and Jonathan I. Bisson. "Introducing a nurse-led deliberate self-harm assessment service." Psychiatric Bulletin 25, no. 6 (June 2001): 212–14. http://dx.doi.org/10.1192/pb.25.6.212.
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Aims and MethodThis study considered patients admitted to hospital following deliberate self-poisoning. The characteristics of the patients and the outcomes of assessments by trainee psychiatrists and a mental health nurse were compared.ResultsThere were no significant differences in the outcome of 68 assessments performed by a trainee psychiatrist and 77 by a mental health nurse. The nurse assessment service was well-received by the poisons unit, a medical ward specialising in overdose treatment, and trainee psychiatrists.Clinical ImplicationsPsychosocial assessments following self-poisoning can be provided by appropriately trained and supervised mental health nurses. The introduction of a nurse-led service should enhance relationships with the local poisons unit and reduce the workload of junior doctors without compromising their training needs.
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McConkey, Roy, Sue Macdonald, Marlene Sinclair, and Igor Veljkovik. "Training community nurses on supporting families with children who have developmental difficulties: lessons from the former Yugoslavian Republic of Macedonia." Advances in Mental Health and Intellectual Disabilities 8, no. 6 (October 28, 2014): 370–80. http://dx.doi.org/10.1108/amhid-04-2014-0008.
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Purpose – In the former Yugoslavian republics, community nursing services are not well developed to support families with infants who have developmental problems. The purpose of this paper is to design an in-service training package for nurses on supporting families of children with developmental disabilities. Design/methodology/approach – A conceptual framework evolved to guide the design and content of the training package which was further consulted on with local partners. A cascade model of training was adopted, based largely on experiential learning. A nine-session training package (around 20 hours in all) was devised and a Training for Trainers workshop held to prepare them to use the package in their locality. The in-service training of nurses is ongoing during 2014-2015. Findings – Key findings are presented in relation to perceived training needs; the key features of the Training Framework; the content and teaching methods used and the outcomes of the Training for Trainers workshop. Ongoing evaluations will assess the impact of the training on community nurses and on families. Originality/value – This study provides a conceptual model for the provision of effective in-service training on developmental disabilities for community personnel throughout the region and internationally.
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Sofiana, Liena, Suci Musvita Ayu, and Dewik Sundari. "Factors associated with the level of compliance of nurses in universal precaution application." International Journal Of Community Medicine And Public Health 6, no. 7 (June 28, 2019): 2733. http://dx.doi.org/10.18203/2394-6040.ijcmph20192804.
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Background: The highest prevalence of surgical wound infections in NurHidayah Hospital occurred in 2014 which is at 2.80%. This was because nurses’ compliance in using PPE and hand washing was still low and the culture for reporting needle puncture events had not been implemented so that the number of nurses who were punctured was still unknown. Meanwhile, the lowest prevalence of surgical wound infections occurred in 2016 amounting to 0.76%, this happened because the compliance of nurses in using PPE was quite high and the incidence of needle puncture reached 0 (zero) but compliance in hand washing was still low.Methods: This study was a quantitative study with an observational analytic method with a cross sectional design. The variables in this study were knowledge, attitudes, working period, training and nurse compliance in the application of universal precaution with the number of respondents 46 nurses. The research instruments used were questionnaires and observation sheets. The data analysis was conducted using chi square test and fisher test.Results: Factor associated with the level of nurse compliance in universal university application was attitudes (0.000), while factors not related to the level of nurse compliance in the application of universal precaution include knowledge (0.124), years of service (0.657) and training (0.098).Conclusions: There is a relationship between attitudes and levels of nurse compliance in implementing universal precaution in NurHidayah Hospital. There is no relationship between knowledge, work and training with the level of nurse compliance in the application of universal precaution at NurHidayah Hospital.
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Poorani, Ali A., and Vincent Kane. "Veteran Patient Experience Academy: Putting Veterans First." Journal of Patient Experience 8 (January 1, 2021): 237437352110346. http://dx.doi.org/10.1177/23743735211034619.
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With a national priority to make the Veteran Health Administration (VA) a leading customer service organization and provide patient-centric services to veterans and their families, the Wilmington VA Medical Center (W VAMC) partnered with the University of Delaware’s Department of Hospitality and Sport Business Management at the Lerner College of Business & Economics to develop the VA Patient Experience Academy. The program focused on employee training and provided tools to enhance the veterans’ experience, operationalized the VA Way (VA Core Values, Service Behaviors, Service Recovery), and Own the Moment. Phase 1 of the VA Patient Experience Academy launched with 25 managers in February 2019 and were followed by 5 cohorts including physicians, nurse practitioners, registered nurses, licensed practical nurses, medical staff assistants, and staff. The participants were selected from the W VAMC and 5 Community-Based Outpatient Clinics. The results were measured on 3 levels: Learning outcomes, application of training to practice, and the veterans’ satisfaction scores. Scores in all 3 areas showed significant improvements.
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Alimba, Chinyere N., and Ishaya Jafaru. "Conflict dynamics and management patterns of student nurses in governement hospitals in Adamawa state, Nigeria / Dinâmica de conflito e padrões de gestão de enfermeiras estudantes em hospitais do governo do estado de Adamawa, Nigéria." Brazilian Journal of Health Review 4, no. 4 (August 13, 2021): 17277–301. http://dx.doi.org/10.34119/bjhrv4n4-227.
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The complexities associated with healthcare centres have made conflict a part and parcel of their operational milieus. Student nurses on formal clinical training, being part of the system, are not resistant to the deleterious outcomes of such conflicts. Thus, this is study assessed conflict dynamics and management strategies of student nurses in government hospitals in Adamawa State, Nigeria. A descriptive survey design was adopted and a sample of 160 student nurses was selected through random sampling technique. A self-structured questionnaire titled “Student Nursing Conflict Questionnaire” (SNCQ) was used to elicit primary data. Data collected were analysed with frequency counts, percentage and standard deviation. The study discovered that the majority of student nurses frequently encountered conflict (50.6%) in hospitals and they often perceived it as something bad (70.6%). Also, the major types of conflict often experienced by student nurses were “nurse-student nurse conflict” (NSC) (36.9%) and “patient relatives-student nurse conflict” (PRSC) (36.9%). The main causes of these conflicts were lateness to the hospital ( = 3.375) and unclear definition of responsibilities between student nurses and other auxiliary health workers ( = 3.338). Furthermore, the main consequences of conflict on student nurses were lowering their productivity ( = 3.550) and discouraging effective training of student nurses ( = 3.569). The conflict management styles often adopted by student nurses were collaborating style ( =3.153) and accommodating style ( =3.025). Based on these findings, it was recommended that medical peace education should be promoted in all ramifications in health establishments in order to help those that wish to become health practitioners such as student nurses as well as those already practicing in the field to understand conflict behavioural dynamics for constructive mitigation to enhance their productivity and healthcare service delivery.
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Winarni, Sri. "Nurse Knowledge About basic Life Support based on AHA 2015 at UPTD Puskesmas Kota Blitar." Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) 4, no. 3 (December 1, 2017): 201–5. http://dx.doi.org/10.26699/jnk.v4i3.art.p201-205.
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Nurses should be able to perform emergency obedient actions with knowledge base, in Kota Blitar nurses must have certificate of basic life support competence that still valid, nurses must follow the training if the certificate has expired, in Kota Blitar there are nurses who do not know the basic life support procedure that will affect a service quality. The purpose of this research is to know the nurse’s knowledge about basic life support based on AHA 2015 at UPTD Puskesmas Kota Blitar. The research method used descriptive research design, population is 59 nurses of UPTD Puskesmas Kota Blitar, sample of 30 nurses with purposive sampling technique. The data were collected by questionnaire. Result of research 26,7% good knowledge. 70% enough. 3.3% less. Knowledge is sufficient but needs to be upgraded to good in terms of indications of dismissal of basic life support, basic life support arrangements, and an indication of the success of basic life support. Suggestions for research are to conduct competence audits on nurses, and provide opportunities for training and basic life support update information.
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Procter, Susan, Lauren Griffiths, Agnes Fanning, Lizzie Wallman, and Heather P. Loveday. "Scoping the role and education needs of practice nurses in London." Primary Health Care Research & Development 18, no. 04 (March 27, 2017): 316–32. http://dx.doi.org/10.1017/s1463423617000093.
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Aims To identify education priorities for practice nursing across eight London Clinical Commissioning Groups (CCGs); to identify the education, training, development and support needs of practice nurses in undertaking current and future roles. Background The education needs of practice nurses have long been recognised but their employment status means that accessing education requires the support of their GP employer. This study scopes the educational requirements of the practice nurse workforce and working with educational providers and commissioners describes a coherent educational pathway for practice nurses. Method A survey of practice nurses to scope their educational attainment needs was undertaken. Focus groups were carried out which identified the education, training, development and support needs of practice nurses to fulfil current and future roles. Findings A total of 272 respondents completed the survey. Practice nurses took part in three focus groups (n=34) and one workshop (n=39). Findings from this research indicate a practice nurse workforce which lacked career progression, role autonomy or a coherent educational framework. Practice nurses recognised the strength of their role in building relationship-centred care with patients over an extended period of time. They valued this aspect of their role and would welcome opportunities to develop this to benefit patients. Conclusion This paper demonstrates an appetite for more advanced education among practice nurses, a leadership role by the CCGs in working across the whole system to address the education needs of practice nurses, and a willingness on the part of National Health Service education commissioners to commission education which meets the education needs of the practice nurse workforce. Evidence is still required, however, to inform the scope of the practice nurse role within an integrated system of care and to identify the impact of practice nursing on improving health outcomes and care of local populations.
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Walsh, Andrew. "Are new mental nurses prepared for practice?" Mental Health Review Journal 20, no. 2 (June 8, 2015): 119–30. http://dx.doi.org/10.1108/mhrj-10-2014-0040.
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Purpose – As well as working with people who have serious mental health problems, mental health nurses have to maintain a values-based approach to their interactions with mental health service users. However, some have suggested that students and newly qualified nurses are unprepared for this role. The purpose of this paper is to explore perceptions of practising mental health nurses, third year mental health nurse students and lecturers about how well students are being prepared for practice. Design/methodology/approach – A two-phase phenomenological study within a mental health nurse training institution and with staff from a Mental Health Trust in England. The study collected questionnaire responses from 87 participants (42 third year mental health nurse students, 39 practising mental health nurses and six nurse lecturers). A Likert scale questionnaire with written feedback produced data that formed the schedule for ten subsequent focus groups with 41 participants from the above categories. Focus group data were analysed using a process of interpretive phenomenological analysis. This led to the development of three main study themes. The transition from student to registered nurse is difficult, the importance of learning from experience, violence and aggression is difficult to manage, working effectively with victims of sexual abuse or those who have a diagnosis of personality disorder is difficult. Findings – Whilst the study found some evidence to suggest the development of positive values there is a perception that newly qualified mental health nurses lack confidence in other important areas. Participants also expressed doubt about whether it was possible to prepare someone for practice completely. Another finding was that the relationship between student and the mentor is critical to the quality of practice learning. Research limitations/implications – Study limitations are that this is a small selection of participants from one particular area. The researcher attempted to ensure that this study has internal validity. However, it is possible to question the extent to which findings may apply to other areas. Therefore, this study may be most useful to others as a basis for the discussion and comparison of these issues within mental health nurse educators. Practical implications – The need to encourage proactive learning approaches in students is emphasised. Universities should facilitate the sharing of clinical learning experiences as well as developing realistic training in the management of violence and aggression. It is possible to question how well nurses are prepared to work with the physical health needs of service users. Originality/value – This paper gives information about mental health nurse preparation for practice, which will be of value to training organisations as well as to employers of newly qualified mental health nursing staff.
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Boniwell, Nikki, Leanne Etheridge, Ruth Bagshaw, Joanne Sullivan, and Andrew Watt. "Mental health nurses’ perceptions of attachment style as a construct in a medium secure hospital: a thematic analysis." Journal of Mental Health Training, Education and Practice 10, no. 4 (September 14, 2015): 218–33. http://dx.doi.org/10.1108/jmhtep-01-2015-0002.
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Purpose – Attachment Theory can be regarded as central to the concept of relational security. There is a paucity of research examining the coherence of this construct for ward-based staff. The paper aims to discuss these issues. Design/methodology/approach – Five female nurses from the acute admission and assessment ward of a UK medium secure unit acted as participants. Semi-structured interviews were conducted, and inductive thematic analysis was applied. Findings – Six themes; “staff-service user relationships”, “staff diversities”, “service user backgrounds”, “variability in service users’ presentations”, “service users with personality disorder are problematic” and “nurses do not use attachment” emerged from the data. The nurses used heuristic models of attachment-related behaviour and they lacked knowledge of constructs associated with Attachment Theory. Research limitations/implications – Acute admissions may not be representative of all treatment contexts. Traditional models of attachment style may have only limited relevance in forensic services. Practical implications – Limited knowledge and confidence in the nurses regarding how Attachment Theory might apply to service users is interesting because it may limit the extent to which care, treatment and risk management might be informed by an understanding of service user representations of therapeutic relationships. Training and educational interventions for nurses that enhance understanding of personality development and attachment styles are warranted. Originality/value – The importance of nurses for achieving relational security is emphasised and the adequacy of their training is questioned.
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Moth, Grete, Linda Huibers, and Peter Vedsted. "From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs." International Journal of Family Medicine 2013 (September 30, 2013): 1–5. http://dx.doi.org/10.1155/2013/987834.
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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.
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Knight, Janet. "Community nutrition nurse specialist role: a service improvement." British Journal of Community Nursing 25, no. 2 (February 2, 2020): 76–81. http://dx.doi.org/10.12968/bjcn.2020.25.2.76.
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This article describes the introduction of a community nutrition specialist nurse role in Buckinghamshire. The need for this role arose from issues experienced by the large but busy district nursing team (caseload of >300 patients per day) in home enteral feeding management and troubleshooting. The post holder was appointed to support community, hospital, dietitians and industry home care nurses with nutritional screening in the community and home enteral feeding, with a greater focus on the former. The post holder was involved in the development of a community version of MUST along with a care pathway and the design of a training programme to improve district nurses' knowledge and confidence in managing malnutrition in the community. The post holder is also involved providing patients personalised advice for managing malnutrition and in referrals to the community dietetics team. Such innovations in staffing are vital if the negative impact of malnutrition on patients and the health service is to be curtailed.
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Crous, Lizelle, and S. J. Armstrong. "The bloody truth: Investigating nurse phlebotomy competencies at a private laboratory in Johannesburg, South Africa." Health SA Gesondheid 21 (October 11, 2016): 339–47. http://dx.doi.org/10.4102/hsag.v21i0.988.
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Background: With the introduction of the phlebotomist technician-certification programme in South Africa, nurses' phlebotomy competence, an acquired skill during basic training, was questioned. Various studies indicate that the majority of errors occur during the collection phase, causing negative outcomes for the patient.Objective: Despite in-service training, samples were rejected and linked to the nurse phlebotomist's sample collection technique. The purpose of this study was to establish if nurses' phlebotomy techniques could be improved through a workplace-training programme in the attempt to improve the quality of the test results.Method: The methodology used was a quantitative, experimental, pilot intervention study, based on a one group pre-test - post-test design. Data was collected by means of peer video recordings of the nurses (n = 20) based at outpatient departments of the laboratory. Independent evaluators evaluated the recordings against criterion-based observationalchecklists.Results: Compliance to standards on the venepuncture procedure was identified during the pre-test, with an average score of 61.9%. The training programme, developed to address all deviations from the standards, proved to be effective as the post-test compliance score was 85%.Conclusion: The reason for improving nurses' phlebotomy skills is to ensure accurate results that will assist clinicians caring for their patients. The results suggest that knowledge and skills were acquired, however further investigations are needed for guidance in the standardisation of training programmes and at what intervals should these training programmes be presented.
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Rohyani, Dwi, Sudibyo Supardi, and Djuariah Chanafi. "Comparative Study of The Effect of Training on Nurses Performance Related To The Safety Targets of Fall Risk Patients at General Hospital Indonesian Christian University Jakarta." JOURNAL EDUCATIONAL OF NURSING(JEN) 3, no. 2 (December 11, 2020): 52–63. http://dx.doi.org/10.37430/jen.v3i2.76.
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Patient’s Safety is part a service system in a hospital to give comfort and protection, so the patient feel more secured. Fall patient’s accident is mostly reported happen to adult patient when they were having a care unit. Patien’s safety training is purposed to add nurses performance motivation to prevent fall patient. This research is meant to see whether there is a connection between the workshop, attitude, motivetion of nurses performance and the patient safety from fall accident in General Hospital Indonesian Christian University, Jakarta. This research used quantitative method combine with comparative study design. This comperative study is conducted by comparing the nurses performance toward patient safety of fall accedent between those who had the trainng workshop and those who dont have the training workshop. The ammount of the sample to this research is 94 respondents, which is divided into two groups. 56 respondents who had the workshop training and 38 respondents who did not have workshop training. Then two these two groups are conducted an osbervation and being compared. The technique of sample taking is using total sampling technique. The result of this research showed that there is an influence of training (p=0,000) motivation (p = 0,010), to patient safety of fall accident prevention OR (Odd Ratio) valvue is 8,603 times higher than to thoses who did not have the patient safety training workshop. This research recommends the necessary to conduct a workshop training to develop attitude, motivation and standarized nurse performance to prevent patient fall accident risk.
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Thompson, HJ. "Managing patients with lumbar drainage devices." Critical Care Nurse 20, no. 5 (October 1, 2000): 59–68. http://dx.doi.org/10.4037/ccn2000.20.5.59.
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All nurses who care for patients with LDDs must have demonstrated initial competency with LDDs and should participate in periodic in-service training to maintain that competency. Clearly an educated critical care nurse is the most essential partner that a patient with an LDD can have for preventing complications and ensuring that the best outcomes for the patient are achieved. Nurses caring for patients with an LDD must have a clear institution-specific policy and procedure available to guide the care of these patients.
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Abramczyk, A., J. B. Lewoc, and A. Izworski. "Nurse training case study: e-training of nurses in diabetes problems." Nurse Education in Practice 5, no. 2 (March 2005): 70–77. http://dx.doi.org/10.1016/j.nepr.2004.01.007.
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Saprilla, Ajenk Nanda. "PENGARUH RESPONSIVENESS PERAWAT DALAM PRAKTIK KOMUNIKASI TERAPEUTIK TERHADAP KEPUASAN PASIEN INSTALASI RAWAT INAP RSU HAJI SURABAYA." Jurnal Administrasi Kesehatan Indonesia 6, no. 2 (December 7, 2018): 173. http://dx.doi.org/10.20473/jaki.v6i2.2018.173-179.
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Background: Patient’s satisfaction is one of indicators measured in the hospital minimum service standards. In Installation of Inpatient (IRNA) of Haji Surabaya hospital, there are 17 indicators, but only nine are met (52.94%). One of them is patients’ satisfaction level amounted to 74.35% out of the standard (82%). The high number of complaints on nurses’ competence in providing services causes the unachieved patients’ satisfaction. There were 61 complaints from 2014 to 2017.Aim: This study aimed to analyze the influence of nurses’ responsiveness to patients’ satisfaction of in-patient installation (IRNA) at Haji Surabaya Hospital.Method: The questionnaires used Likert scale 1-5 for independent variables and dependent variables. The scoring scales for the independent variable or nurses’ responsiveness range from strongly disagree to strongly agree. Meanwhile, the scoring scale for the dependent variable ranges from very dissatisfied to very satisfied.Results: The findings indicated that there was a significant influence of responsiveness on patients’ satisfaction amounted to 0.003 (<α = 0.05). This indicated that the better assessment on the nurses’ responsiveness is, themore satisfied the patients are at in-patient installation (IRNA), Haji Surabaya Hospital.Conclusion: It can be concluded that more than 20% of responses was satisfied with the nurses’ responsiveness. The hospital needs to hold a human resource training especially a nurse-patient therapeutic communication training for maintaining the service quality at the hospital.Keywords: hospitalization, patient, responsiveness, satisfaction
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Eckardt, Patricia, Marilyn J. Hammer, Margaret Barton-Burke, Margaret McCabe, Christine T. Kovner, Liza Behrens, Heather Reens, and Barry S. Coller. "All nurses need to be research nurses." Journal of Clinical and Translational Science 1, no. 5 (October 2017): 269–70. http://dx.doi.org/10.1017/cts.2017.294.
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IntroductionNurses are critical to the research enterprise. However all nurses are not prepared to participate as members of the research team since education and training in clinical research nursing and nurse-specific Good Clinical Practice are not consistently included in nursing curricula. The lack of nurse education and training in clinical research and Good Clinical Practice leaves research participants vulnerable with a nursing workforce that is not prepared to balance fidelity to protocol and patient quality care and safety.MethodsA collaborative network of nurses within Clinical and Translational Science Awards and beyond was established to address this education and training need. Over a 2-year period, using expert opinion, Delphi methods, and measures of validity and reliability the team constructed curriculum and knowledge test items.ResultsA pilot modular electronic curriculum, including knowledge pretest and post-tests, in clinical research nursing and nurse-specific Good Clinical Practice competencies was developed.ConclusionsAs the scope and setting of clinical research changes, it is likely that all practicing nurses, regardless of their practice setting or specialty, will care for patients on research protocol, making all nurses, in essence, clinical research nurses. The curriculum developed by this protocol will address that workforce education and training need.
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Lanzoni, Gabriela Marcellino de Melo, Betina Hörner Schlindwein Meirelles, Alacoque Lorenzini Erdmann, Maira Buss Thofehrn, and Clarice Maria Dall'Agnol. "ACTIONS/INTERACTIONS MOTIVATING NURSING LEADERSHIP IN THE CONTEXT OF PRIMARY HEALTH CARE." Texto & Contexto - Enfermagem 24, no. 4 (November 24, 2015): 1121–29. http://dx.doi.org/10.1590/0104-0707201500003740013.
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The aim of this qualitative study is to understand the actions/interactions identified as motivating leadership for nurses working at Primary Health Care services in a city in the South of Brazil. The Grounded Theory was used as the methodological framework. Data collection occurred through semi-structured interviews with twenty-three nurses working in the municipal health network and seven Nursing professors with expertise on the theme, distributed in four sample groups. The analysis revealed the category Composing the profile of nurses for leadership and its importance in health organizations, supported by three subcategories. The nurse exercises leadership driven by personality, vocational training stimulus, characteristics of the profession and influence of the environment. Nurses are influenced and influence the health service, acting in compliance with health policies, helping to foster the participation and integration of other workers in the health services.
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Burke, Dominic, and Angela Cocoman. "Training needs analysis of nurses caring for individuals an intellectual disability and or autism spectrum disorder in a forensic service." Journal of Intellectual Disabilities and Offending Behaviour 11, no. 1 (January 25, 2020): 9–22. http://dx.doi.org/10.1108/jidob-10-2019-0024.
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Purpose Examining the education and training needs of forensic nurses is paramount as services move from the older institutions to new care settings. The purpose of this study was to identify Irish Forensic nurses perceived deficits in their knowledge and skills to assist them to provide effective seamless care for individuals with an intellectual disability within their forensic mental health service, so that appropriate training could be provided. Design/methodology/approach Training needs analysis (TNA) procedures are used as a way of establishing the continuing processional development of staff, as they seek to identify the gaps between the knowledge and skills of an individual and the need for further training. A training needs tool developed by Hicks and Hennessy (2011) was used and completed by nurses working in an Irish forensic mental health service. A total of 140 surveys were circulated and 74 were completed (51 per cent response). Findings The top priority training needs identified were for additional training in research and audit and in the use of technology. Other self-identified training needs included additional training in behavioural management for challenging behaviour, understanding mental health and intellectual disability and dual diagnosis, training in enhancing communication skills and how to work with patients who have an intellectual disability patients specific training on autistic spectrum disorders and a guide and template for advance individual care planning and for caring for the physical health needs and promoting the physical health needs of these patients. Originality/value Despite there being a vast range of training issues identified, the majority of nurses appear to have a clear idea of their training needs to ensure the provision of seamless care for individuals with an intellectual disability within a forensic mental health setting. This TNA has identified the specific needs of nursing staff working at different positions across the interface of intellectual disability and forensic mental health care.
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Pace, Lydia E., Jean-Marie Vianney Dusengimana, Nancy L. Keating, Vedaste Hategekimana, Vestine Rugema, Jean Bosco Bigirimana, Ainhoa Costas-Chavarri, et al. "Impact of Breast Cancer Early Detection Training on Rwandan Health Workers’ Knowledge and Skills." Journal of Global Oncology, no. 4 (December 2018): 1–10. http://dx.doi.org/10.1200/jgo.17.00098.
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Purpose In April 2015, we initiated a training program to facilitate earlier diagnosis of breast cancer among women with breast symptoms in rural Rwanda. The goal of this study was to assess the impact of the training intervention in breast cancer detection on knowledge and skills among health center nurses and community health workers (CHWs). Methods We assessed nurses’ and CHWs’ knowledge about breast cancer risk factors, signs and symptoms, and treatability through a written test administered immediately before, immediately after, and 3 months after trainings. We assessed nurses’ skills in clinical breast examination immediately before and after trainings and then during ongoing mentorship by a nurse midwife. We also examined the appropriateness of referrals made to the hospital by health center nurses. Results Nurses’ and CHWs’ written test scores improved substantially after the trainings (overall percentage correct increased from 73.9% to 91.3% among nurses and from 75.0% to 93.8% among CHWs ( P < .001 for both), and this improvement was sustained 3 months after the trainings. On checklists that assessed skills, nurses’ median percentage of actions performed correctly was 24% before the training. Nurses’ skills improved significantly after the training and were maintained during the mentorship period (the median score was 88% after training and during mentorship; P < .001). In total, 96.1% of patients seen for breast concerns at the project’s hospital-based clinic were deemed to have been appropriately referred. Conclusion Nurses and CHWs demonstrated substantially improved knowledge about breast cancer and skills in evaluating and managing breast concerns after brief trainings. With adequate training, mentorship, and established care delivery and referral systems, primary health care providers in sub-Saharan Africa can play a critical role in earlier detection of breast cancer.
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Rastogi, Aayushi, Sapna Chauhan, Archana Ramalingam, Madhavi Verma, Seena Babu, Sarita Ahwal, and Akanksha Bansal. "Capacity building of healthcare workers: Key step towards elimination of viral hepatitis in developing countries." PLOS ONE 16, no. 6 (June 24, 2021): e0253539. http://dx.doi.org/10.1371/journal.pone.0253539.
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Background Lack of awareness about viral hepatitis (VH) potentially predisposes the healthcare workers (HCWs) to a higher risk of infection and may in turn increase the risk of transmission of the infection to their families and in the community. Thus, combating VH, requires adequate and updated training to the HCWs. With this objective, Project PRAKASH designed a meticulously planned training program, aimed to assess the effect of a one-day training on VH among in-service nurses. Methods and material The content and schedule of scientific sessions of the training program were decided by subject experts to improve knowledge, attitude and practice(KAP) related to VH among in-service nurses. A 54-item questionnaire divided into four domains: Transmission and Risk Factors; Prevention; Treatment; Pathophysiology and Disease Progression were used to assess the KAP related to VH. The questionnaire consisted of four sections: demographic details, knowledge(30-items), attitude(12-items) and practice(12-itmes) with a total score of 30, 60 and 24 respectively in each section. The pre-post knowledge assessment was done and impact assessment survey was undertaken among the participants who completed six months post-training period. Paired-t-test was used to assess the effect of training on knowledge using SPSSv-22. Results A total of 5253 HCWs were trained through 32 one-day trainings, however data for 4474 HCWs was included in final pre-post knowledge analysis after removing the missing/incomplete data. Mean age of participants was 33.7±8.4 with median experience of 8(IQR: 3–13). Mean improvement in knowledge score was found to be significant (p<0.001) with mean knowledge score of 19.3±4.4 in pre-test and 25.7±3.9 in the post-test out of 30. Impact assessment survey suggested change in attitude and practice of HCWs. Conclusion The one-day training programs helped the in-service nurses to enhance their knowledge related to viral hepatitis. The study provided a roadmap to combating viral hepatitis through health education among HCWs about viral hepatitis.
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Ahsan, Ahsan, Ni Luh Diah Ayu Sita Dewi, Ali Haedar, and Ike Nesdia Rahmawati. "Factors Associated to Basic Emergency Obstetric Neonatal Care (BEONC) Nurses' Decision Making Skill." Jurnal Keperawatan Soedirman 13, no. 2 (November 18, 2018): 64. http://dx.doi.org/10.20884/1.jks.2018.13.2.732.
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<em><span lang="EN-US">Neonatal mortality rate (NMR) is an indicator to measure health degree of an area, health problem which involves some institutions to take a decision. The postponement of emergency condition recognition, attaining health facilities, and treatment are three theories of neonatal emergency postponement. The prominent problem of postponement of emergency condition recognition is nurse's ability to think critically to take a decision to determine emergency condition in neonatal. Critical thinking skill is an obligation competence for neonatal emergency nurses. Some theories reveal that characteristic of age, gender, educational background, training and tertiary education, working experience, and employment status influence nurses's decision making skill in treating neonatal emergency case. Different curriculum for introduction to critical thinking in treating neonatal emergency is a basis problem to be a neonatal emergency competent nurse. This research aims to analyze age, gender, education, advance training, experience, and employment status towards decision making skill neonatal emergency implementation at community health care center PONED. This research used cross sectional with purposive sampling. One hundred fifty three (153) nurses were invoked to be the subjects of this research. Besides, this research used Closed Ended Instrument. Based on the results of cross table, p value p>0.05 age, training, working experience and employment status were not related to decision making skill in emergency. Furthermore, male and bachelor of nursing science (p<0.05) is decision making skill of nurses in neonatal emergency. It is concluded that gender and nurse's educational background related to situation awareness. The results of this research are expected to encourage on service quality enhancement of neonatal emergency treatment.</span></em>
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McKinless, Eleanor. "Impact of stress on nurses working in the district nursing service." British Journal of Community Nursing 25, no. 11 (November 2, 2020): 555–61. http://dx.doi.org/10.12968/bjcn.2020.25.11.555.
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This literature review aimed to identify the consequences of working in a highly stressful environment within district nursing teams and the implications this has on nursing practice and the welfare of nurses. The review analysed 10 primary research studies, resulting in three emerging themes that formed the foundation of a discussion; burnout and compassion fatigue; reduced job satisfaction and retention; and emotional injury. The results identified that healthy behaviours, emotional intelligence and effective caseload and staffing management can reduce the negative impact that stress can have on nurses. Organisations need to promote healthy behaviours through support and training and need to reassess how caseloads are managed in correlation with staffing levels. Coaching in emotional intelligence skills is vital and should be provided to all nurses within the DN service.
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Gierczak, Grażyna. "Wacława Juszkiewicz-Kamieńska in the service of another man." Pielegniarstwo XXI wieku / Nursing in the 21st Century 18, no. 1 (March 1, 2019): 68–74. http://dx.doi.org/10.2478/pielxxiw-2019-0009.
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AbstractIntroduction. Wacława Juszkiewicz-Kamieńska throughout her life served the sick, wounded and those in need of help. With great dedication, she became involved in social work for the nursing and veteran community.Aim. Presentation of a personal model of nurse, liaison officer and social activist.Material and methods. The work uses a biographical method. The technique of document and intelligence analysis was applied.Results. Wacława Juszkiewicz-Kamieńska became the model of a nurse who developed her own personality by serving the other person. From the first days of the war, as a nurse, she actively participated in the care of wounded soldiers and partisans, the sick and those in need of help. She served unselfishly in conspiratory outpatient clinics, sanitary points of the Polish Red Cross and in the Holy Trinity Hospital in Piotrków Trybunalski. In the post-war period, for eleven years, she conducted a vaccination campaign against tuberculosis, which at that time was a huge social problem. She became involved in training nurses and students. She was a co-creator of the Polish Nursing Association.Conclusions. Wacława Juszkiewicz-Kamieńska became the model of a nurse worthy of imitating and devoted to the development of nursing in the Piotrkowska Land. She deserves to remain in our memory forever.