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1

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, n.º 1 (4 de enero de 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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GARANINA, Lilia Andreevna y Artem Aleksandrovich NAZAROV. "Study of the role of a nurse in providing pre-medical care for emergency conditions in gastroenterology". Vrač skoroj pomoŝi (Emergency Doctor), n.º 1 (1 de enero de 2021): 28–31. http://dx.doi.org/10.33920/med-02-2101-03.

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The functions of nurses in the department of gastroenterology are diverse. Nurses perform a wide range of medical appointments (injections, enemas, medication distribution, etc.), diagnostic procedures (body temperature measurement, gastric and duodenal intubation, etc.). If necessary, nurses should be able to calculate the respiratory rate and pulse rate, measure blood pressure, daily urine output, correctly collect the patient’s secretions (sputum, urine, feces) for analysis and send them to the laboratory. In urgent situations, nurses are required to be able to provide first aid (artificial respiration, chest compressions, the application of a hemostatic tourniquet) as well as first aid for gastrointestinal bleeding. This article presents evidence that the role of the nurse in gastroenterology is very important. Since some diseases in gastroenterology require urgent surgical intervention, a nurse is responsible for conducting a high-quality nursing process in the preoperative period and postoperatively for proper and timely nutrition of patients, organizes feeding of patients on strict bed rest, monitors the storage of food in refrigerators and bedside bedside tables, check the content and quality of programs.
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Pratiwi, Agni H., Armanu Armanu y Dewi K. Ningsih. "Nursing Documentation: Culture Perception, Motivation, and Commitment(Study in Paru Batu Hospital Malang East Java Indonesia)". Global Journal of Business and Social Science Review (GJBSSR) Vol. 2(2) 2014 2, n.º 2 (19 de abril de 2014): 110–17. http://dx.doi.org/10.35609/gjbssr.2014.2.2(14).

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Objective - Nursing documentation is a part of the medical records. Which have important values such as administrative and legal aspects, etc. Therefore, the hospital manager should design an organizational culture that increases nurse commitment and motivation to complete medical records. The objective of this study was to find out the effect of direct and indirect perception of organizational culture toward nurse's commitment with motivation as a mediating variable. Methodology - The data were collected using questionnaires. The sample was 44 nurses of inpatient unit inthe Paru Batu Hospital. Data analysis used in this research was path analysis. Findings - The result of data analysis showed that there was an influence of organizational culture on nurse commitment at a value of 0,592. Moreover, there was an influence of organizational culture on the commitment with motivation as a mediating variable at value of 0,307. Novelty - Nowadays, only few studies have investigated the influence of organizational culture toward commitment with motivation as a mediating variable. In addition, studies examining the effect of it with nurses as the subject and nursing documentation as the object are very limited. Type of Paper - Case study Keywords: Culture, Motivation, Commitment, Nursing Documentation
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4

Burdastova, Yulia V. "The analysis of foreign experience and Russian practices of changing the role of nurses". City Healthcare 1, n.º 2 (29 de enero de 2021): 89–94. http://dx.doi.org/10.47619/2713-2617.zm.2020.v1i2;89-94.

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The article provides an overview of the European experience in changing the role of a nurse, as well as Russian practices within the framework of a pilot project to expand the functions of nurses in accordance with the order of the Ministry of Health of Russia "On the approval of an action plan («road map») to expand the functions of specialists with secondary medical education. The author emphasizes that the new challenges of the millennium entail a shift in emphasis towards patient orientation, which implies an improvement in the quality of medical services, and this, in turn, will address the issues of competent distribution of powers between doctors and nurses. The article notes that patient-centered medical care entails an increase in the burden on nurses and their empowerment. The author analyzes both the advantages of expanding the role of nurses: career advancement with continuous professional and personal development through the acquisition of additional knowledge and competencies, and possible risks: psychological resistance of doctors and nurses to new forms of work, conflict of interests between doctors and nurses, unwillingness of nurses to work with documents, etc.
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Otsuka, Shizuka, Akiko Hamahata y Masaki Abe. "BPSD and the challenges faced by nurses". Working with Older People 24, n.º 1 (6 de enero de 2020): 39–48. http://dx.doi.org/10.1108/wwop-10-2019-0029.

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Purpose The purpose of this paper is to provide an overview of published literature on behavioural and psychological symptoms of dementia (BPSD) nursing in Japan and to highlight challenges that need to be resolved. Design/methodology/approach The criteria for retrieval of literature were as follows: a BPSD study conducted by a nurse in Japan, and it must have been published. Papers without conference proceedings and peer reviews and literature without English titles and abstracts were excluded. The PRISMA (preferred reporting items for systematic reviews and meta-analyses) was referenced. Findings Based on the analysis of 20 studies meeting the criteria, nurses tended to manage BPSD when all three of the following were clearly defined: attempts to understand BPSD, the provision of nursing intervention to improve the quality of care and clarification of the perception of BPSD. There were eight studies that implemented surveys considered to be helpful for nurses to understand BPSD with the aim of clarifying the symptomatic factors, meaning of each behaviour, etc. In the eight studies, nurses directly coped with BPSD in various ways. Four studies reported on how nurses perceive the associated behaviours and symptoms of BPSD patients. Originality/value This study suggests that not only implementing interventions but also aiming at improving nurses’ understanding of BPSD and their level of knowledge are crucial to promote BPSD nursing in Japan.
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Katsuragi, Seishi. "Better Working Conditions Won by ‘Nurse Wave’ Action: Japanese nurses’ experience of getting a new law by their militant campaign". Nursing Ethics 4, n.º 4 (julio de 1997): 313–22. http://dx.doi.org/10.1177/096973309700400407.

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Japanese nurses, like their counterparts in many other countries, are suffering from staff shortages and severe working conditions. The Japan Federation of Medical Workers’ Unions (Nihon Iroren) launched a campaign in 1989 for nurses called the ‘Nurse Wave’. Their demands were many: to increase the numbers of nursing staff, the regulation of night shifts, the implementation of a five-day working week everywhere, a fair appraisal of nurses’ work, better vocational training, etc. Nurses in white uniforms assembled at meetings, marched and took part in nationwide strikes. They collected over 5.4 million petition signatures, which they submitted to Parliament. After three years of campaigning, they won the enactment of a law for securing sufficient numbers of nursing personnel. This struggle, which highlighted the most pressing demands of nurses and was supported by the general public, was a new experience for Japanese nurses. It was a militant movement which demanded that the Government should change its health policy. Against the sluggish image of the Japanese labour movement, strikes and demonstrations organized by nurses dressed in white have made a strong impression on the Japanese people. As health care is a public service on which the life and death of people depend, a strike at a health institution naturally has constraints and must follow specific procedures. In this article, the measures taken by Nihon Iroren to minimize the consequences of strikes on patients and the local community, the impact of the nurses’ movement on the society, as well as the lessons drawn from the campaign, are presented.
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7

J.O., Sodimu, Ngozi O., Fadipe O.O. y Mosuro O.T. "Prevalence of Burnout Syndrome among Clinical Nurses Working at State Hospital, Ijaye, Abeokuta, Ogun State, Nigeria". African Journal of Health, Nursing and Midwifery 4, n.º 5 (23 de agosto de 2021): 85–101. http://dx.doi.org/10.52589/ajhnm-jxc09cbz.

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Even though burnout syndrome is detected in professionals from various areas, prevalence is particularly high in service and care workers, especially health and care ones. Among those, nurses have been the subject of several studies, because they experience constant stressful labour situations, working in direct contact with patients who have different expectations and degrees of suffering. It is, therefore, necessary to conduct a study to determine the prevalence of the symptoms of burnout among nurses in hospitals in an effort to anticipate the negative impact of burnout on hospital nursing services. Consequently, this study aims to determine the level, knowledge and prevention among clinical nurses. A descriptive design was adopted for this study which was conducted in State Hospital, Ijaye, Abeokuta. A total of 100 respondents were used for the study, a stratified sampling technique was used to select the participants. A modified, structured, closed-ended questionnaire was used. Analysis was presented in tables, charts and percentages. Nearly all the causes listed in the questionnaire were seen as factors causing burnout in clinical nurses (99% of working long hours). 96%: from patients and families. Furthermore, it was found out that the majority of the nurses agreed to items listed in the questionnaire as things a nurse can do to prevent burnout, establishing social support; 94%, set goals for self; 99% etc. This implies that the majority of the nurses know what they can do to prevent burnout. Aside from free study grants, job opportunities that are most likely to attract young people, what can be done to retain nurses are to improve job satisfaction, patient safety, quality of health care and quality of life for both nurses and patients.
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Petravičienė, Zita y Vida Bartašiūnienė. "Injuries, Suffered by Nurses, Changing Patients’ Position". Slauga. Mokslas ir praktika 2, n.º 4 (292) (23 de abril de 2021): 10–16. http://dx.doi.org/10.47458/slauga.2021.2.6.

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As recently as 20 years ago, the International Labor Organization has drawn the attention to the nurses’ working conditions, nursing and health. Nursing is one of the professions, mostly exposed to the risk of experiencing back injuries. One of the main precautions to prevent nurses' back injuries is the use of technical aids and the work environment provision with ergonomic means. There must be a lot and diverse devices in the workplace available for nurses to protect them from injuries [1]. The European Agency for Safety and Health at Work identifies several groups of risk factors that affect the health of nurses. They are work-related risks (monotonous movements, use of physical force, an uncomfortable body position), patient-related risks (a heavy patient, immobility, etc.), environment-related risks (slippery work surfaces, limited area, etc.), and other risks (lack of knowledge, inappropriate clothing and footwear, etc.) [2]. The aim of the research was to analyze the injuries experienced by nurses in changing the situation of patients. A quantitative survey was conducted, providing the questionnaires; its participants were nurses, working in Utena City health care institutions. The nurses usually experience various types of sprains of back, lumbar and shoulder girdle muscles. Injuries, suffered by nurses, are related to the lack of additional facilitators and knowledge on how to lift a patient in a correct manner.
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9

Labrague, Leodoro J., Denise M. McEnroe-Petitte, Romeo H. Achaso, Geifsonne S. Cachero y Mary Rose A. Mohammad. "Filipino Nurses’ Spirituality and Provision of Spiritual Nursing Care". Clinical Nursing Research 25, n.º 6 (26 de julio de 2016): 607–25. http://dx.doi.org/10.1177/1054773815590966.

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This study was to explore the perceptions of Filipino nurses’ spirituality and the provision of spiritual nursing care. A descriptive, cross-sectional, and quantitative study was adopted for this study. The study was conducted in the Philippines utilizing a convenience sample of 245 nurses. Nurses’ Spirituality and Delivery of Spiritual Care (NSDSC) was used as the main instrument. The items on NSDSC with higher mean scores related to nurses’ perception of spirituality were Item 7, “I believe that God loves me and cares for me,” and Item 8, “Prayer is an important part of my life,” with mean scores of 4.87 ( SD = 1.36) and 4.88 ( SD = 1.34), respectively. Items on NSDSC with higher mean scores related to the practice of spiritual care were Item 26, “I usually comfort clients spiritually (e.g., reading books, prayers, music, etc.),” and Item 25, “I refer the client to his/her spiritual counselor (e.g., hospital chaplain) if needed,” with mean scores of 3.16 ( SD = 1.54) and 2.92 ( SD = 1.59). Nurse’s spirituality correlated significantly with their understanding of spiritual nursing care ( r = .3376, p ≤ .05) and delivery of spiritual nursing care ( r = .3980, p ≤ .05). Positive significant correlations were found between understanding of spiritual nursing care and delivery of spiritual nursing care ( r = .3289, p ≤ .05). For nurses to better provide spiritual nursing care, they must care for themselves through self-awareness, self-reflection, and developing a sense of satisfaction and contentment.
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S., Mohana, Narayanasamy S., Asokan B. R. y Smita Kar. "Knowledge, attitude and practices of postgraduates, interns and nurses, on adverse drug reaction reporting in a tertiary care hospital: a comparative study". International Journal of Basic & Clinical Pharmacology 9, n.º 3 (25 de febrero de 2020): 408. http://dx.doi.org/10.18203/2319-2003.ijbcp20200712.

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Background: Pharmacovigilance is multidisciplinary field of the detection, assessment, understanding, and prevention of adverse drug reactions (ADRs). The incidences of ADRs about 95% are undocumented worldwide. However, there is a lack of information on ADR burden in developing countries due to lack of resources, infrastructure, and expertise.Methods: A cross-sectional questionnaire-based study was conducted on 90 staff nurses 90interns and 90 postgraduates. The validated questionnaire contained items to check knowledge including 7 questions, 9 questions to analyze attitude and 5 for practices. Comparison between knowledge, attitude and practice data obtained from resident doctors and nurses was performed using Chi square test.Results: A total of 270 healthcare professionals participated in the study. In our study the participants had good knowledge regarding the purpose of monitoring and reporting ADRs etc. The result shows that health care professionals felt reporting of ADRs is a professional obligation and all ADRs should be reported. There was no significant difference in the knowledge and attitude between interns and nurses but few questionnaires show significant variations between post graduate and staff nurse. The practice of ADR reporting was significantly higher in postgraduate compared to nurses.Conclusions: This study concluded that post graduate, intern and staff nurse had good knowledge and positive attitude towards pharmacovigilance and ADR reporting, but unfortunately the actual practice of ADR reporting is still deficient among staff nurse and intern. This can be improved by adequate training and motivation.
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11

Oberle, Kathleen. "Measuring Nurses' Moral Reasoning". Nursing Ethics 2, n.º 4 (diciembre de 1995): 303–13. http://dx.doi.org/10.1177/096973309500200405.

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The purpose of this exploratory study was to examine the possibility of designing a satisfactory method, using written responses to hypotheical scenarios, for evaluating the quality of moral reasoning in student nurses. Scenarios were developed from interviews with practising nurses. Nurses and student nurses provided written responses to the scenarios, and nursing faculty members from six institutions sorted the responses according to their perceptions of quality (i.e. 'best', 'next best', 'worst' etc.). There was very little agreement among faculty members on the quality of the responses. Consequently, it was impossible to develop a 'best' response on which the faculty members could agree. Analysis revealed a framework used by the participants for ethical decision-making. The results of this study have important implications for the way in which we think about the teaching and the evaluation of nursing ethics.
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Panchaud, Catherine. "Enhancing Ethical Thinking: the Role of a National Nurses' Association". Nursing Ethics 2, n.º 3 (septiembre de 1995): 243–46. http://dx.doi.org/10.1177/096973309500200307.

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In democratic Switzerland, each of its 26 cantons (states) has its own government and its own laws. Thus there are 26 ministries of health and as many different laws regulating medical and health care practice. The Swiss Nurses' Association likewise has 13 regional chapters and a central organization that works on the national level. Medicine is private and practically all of the Swiss population is privately insured. High technology has led to high specialization with, among other results, a reduced number of premature deaths, longer life span but also rising costs of health. Health professionals are also becoming much more aware of ethical issues such as cost versus quality, high technology versus compassionate care, etc. A multilingual (four national languages) and multicultural country, Switzerland's health care system relies heavily on foreign nurses, many of whom come from neighbouring France and Germany but also from England, Yugoslavia, Canada and other countries. Regulation of nursing practice is still poor. Nursing or nurses are hardly mentioned in the state laws and, when mentioned, are often put in a dependent relation to the physician. Basic nurse training is regulated nationally by cantonal delegations to the Swiss Red Cross. Although there is a good postbasic training scheme, nurses are still striving for access to the university. Meanwhile, they go abroad to acquire degrees. Research in nursing is being developed mainly by the efforts of individuals and the Swiss Nurses' Association.
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Jakubowska, Klaudia y Anna Sykut. "Actions improving the image of a nurse in electronic media. Opinion of students at medical courses". Pielegniarstwo XXI wieku / Nursing in the 21st Century 16, n.º 3 (26 de septiembre de 2017): 42–50. http://dx.doi.org/10.1515/pielxxiw-2017-0027.

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Abstract Aim. The aim of study was to define actions improving the image of nurses in electronic media. Material and method. 219 women and 44 men took part in a survey. They were the students of the following courses: nursing, medical rescue, obstetrics, medicine, dentistry, pharmaceutics, physiotherapy, public health. The studies were undertaken with use of own questionnaire in 2015. Results. Majority of respondents 64,6% (n=169) stated that improvement of image of their own profession belongs to the nurses, and only 35,4% (n=93) respondents indicated that the professional organizations of nurses and midwives have their impact on it. According to the students, the most crucial action that should be undertaken by professional organizations in order to improve the image of profession in electronic media was the improvement of wages and working conditions (72,2%, n=189) and better promotion of the profession in electronic media (73,8%, n=193). The nurses can influence the improvement of their image in media by taking care of the good opinion about the profession by setting good example (32%, n=84), and also by creating blogs, social forum, online information services, etc. (26,2%, n=69). Conclusions. According to the respondents, the image of a nurse in electronic media is shaped by the television and radio. The mentioned media tend to present nursing environment in a negative light. The data analysis shows that according to the respondents, the professional organizations of nurses and midwives and nurses themselves should be responsible for improvement of the situation. In order to improve the image, the nurses should promote professional achievements, change the stereotype used in shows and movies, and familiarize the public with the profession. The following branches of mass media should be used: internet websites, television and radio.
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Gheibizade, Mahin y Hadis Ashrafizadeh. "Different Dimensions of Iranian Nurses’ Competency: A Scoping Review". Journal of Client-centered Nursing Care 6, n.º 4 (1 de noviembre de 2020): 239–56. http://dx.doi.org/10.32598/jccnc.6.4.238.2.

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Background: Nurses are the largest group of healthcare providers. What is most important in acquiring nursing competency is knowing the competency levels and the factors, barriers, and strategies to increase nurses’ competency. This study aimed to investigate the different dimensions of Iranian nurses’ competency. Methods: The present study is a scoping review. The related Persian articles were searched for in SID, Magiran, ISI, Scopus, PubMed, and other databases, from 1988 to 2019. The searched keywords included skill, competency, and nurse. After identifying the relevant studies, the data were selected, screened, and charted. Finally, the results were collated, summarized, and reported. Also, data extracted from the studies included the study design, sample size, research population, sampling method, key results, the concept of competency, and other information (such as the level of competency, data gathering tools, the language of study, etc.). Results: Totally, 210 studies were fully reviewed and the data from 160 studies were extracted and analyzed. The results of this study were summarized in five themes: nurses’ competency levels, nursing competency dimensions, effective factors in clinical competency, effective strategies for the promotion of clinical competency, and the relationship between nursing competency and other variables (such as job satisfaction, quality of work-life, emotional intelligence, and patient satisfaction). Conclusion: The studies did not reach a collective consensus regarding the relationship between some variables and nursing competency. Besides, the use of different questionnaires made the comparison difficult. Therefore, further research is recommended in this area.
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Weber, Shani Michelle y Cheryl A. Steele. "Prospectively measuring the acuity of outpatient chemotherapy treatment regimens for staffing allocation." Journal of Clinical Oncology 34, n.º 7_suppl (1 de marzo de 2016): 48. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.48.

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48 Background: UPMC CancerCenter is a large outpatient medical oncology network of 25 locations, located within a 200 mile radius of Pittsburgh, PA. Covering all of these centers with a limited pool of float nurses was a daily challenge. The literature describes many attempts to quantify nursing workload retrospectively based upon complexity, hours of nursing time, etc. The ability to schedule staff equitability in advance is critical to managing staff. New targeted therapies and complicated treatment regimens which impact patient acuity bring to light the need for accurate acuity measurement. Methods: The first step in designing an acuity model was to determine the level of complexity of each treatment regimen based on standardized criteria. The model is a five point system encompassing route, teaching, reaction potential, etc. designed by frontline nurses. A designated nurse at each site calculates the acuity and enters it into an online system prospectively. Nursing Administration can view the staffing and acuity rating across the entire network. This enables the assignment of float nurses to the location with the greatest need. Results: A stoplight report using the database was developed to highlight the sites that are outside of 0.5 standard deviation (SD) range for both the acuity and patient ratios. It was determined that the average nurse to acuity ratio was 11.92 (within SD range 10.69-13.16). The average nurse to patient ratio was 6.31 (within SD range 5.6-7.03). This enables Nursing Administration to identify sites that typically operate below or above the average range in order to better allocate nursing resources. This report is shared among all sites to provide transparency which has improved understanding by the staff of nursing resource allocation. Conclusions: The development of this prospective acuity system has helped to quantify treatment complexity to better allocate daily staffing resources. Further evaluation is necessary to determine the optimal ratios that are the most economical while still providing safe patient care. There are future plans to link the acuity levels to treatment regimens within the Electronic Medical Record to reduce the manual workload.
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Saidam, Mohammed N. y Ashraf Y. Eljedi. "Palestinian emergency nurses’ knowledge and role perception about disaster management: a need for immediate actions". International Journal Of Community Medicine And Public Health 7, n.º 3 (27 de febrero de 2020): 831. http://dx.doi.org/10.18203/2394-6040.ijcmph20200930.

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Background: Preventing, preparing for, responding to, and recovering from disasters have become a priority for everyone. Gaza Strip in Palestine is constantly exposed to wars and disasters. One of the most prominent respondents to disasters in the health care system is emergency nurses. This study aimed to identify the role perception of Palestinian emergency nurses in Gaza Strip during disaster and their level of knowledge about disaster management.Methods: The analytical descriptive cross-sectional approach was used. The study sample consisted of all nurses working in emergency departments at the governmental hospitals in Gaza Strip. The eligible nurses were 180; only 162 filled the questionnaire with response rate 90% after signing the consent form. Data were analyzed using mean, t test and ANOVA.Results: The findings indicated that 75.9% of emergency nurses were male. About 53% were 20-29 years old. Most of them hold bachelor degree (73.5%) while only 4.3% had a master degree. The study found that the level of “role perception of nurses during disasters” was 81.5% (e.g., ability to participate in an emergency plan, provide psychosocial support, have high confidence during emergencies, etc.), followed by field of “nurses’ knowledge of disasters” with 78.03% (e.g., past experience, updated information, etc.).Conclusions: Although the Palestinian emergency nurses have an acceptable level of knowledge and role perception during disasters, they still need to raise their level of knowledge, preparedness and skills by integrating clearly defined theoretical and training sessions on disaster management in nursing curricula and through in-service activities for employees.
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Teshager, Freahiywot Aklew, Eshetu Haileselassie Engeda y Workie Zemene Worku. "Knowledge, Practice, and Associated Factors towards Prevention of Surgical Site Infection among Nurses Working in Amhara Regional State Referral Hospitals, Northwest Ethiopia". Surgery Research and Practice 2015 (2015): 1–6. http://dx.doi.org/10.1155/2015/736175.

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Knowledge and practice of nurses about surgical site infections (SSIs) are not well studied in Ethiopia. This paper contains findings about Northwest Ethiopian nurses’ knowledge and practice regarding the prevention of SSIs. The main objective of the study was to assess knowledge, practice, and associated factors of nurses towards the prevention of SSIs. The study was done using a questionnaire survey on randomly selected 423 nurses who were working in referral hospitals during the study period. The study showed that more than half of the nurses who participated in the survey had inadequate knowledge about the prevention of SSIs. Moreover, more than half of them were practicing inappropriately. The most important associated factors include lack of training on evidence based guidelines and sociodemographic variables (age, year of service, educational status, etc.). Training of nurses with the up-to-date SSIs guidelines is recommended.
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Milutinović, Dragana, Boris Golubović, Nina Brkić y Bela Prokeš. "Professional Stress and Health among Critical Care Nurses in Serbia". Archives of Industrial Hygiene and Toxicology 63, n.º 2 (1 de junio de 2012): 171–80. http://dx.doi.org/10.2478/10004-1254-63-2012-2140.

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Professional Stress and Health among Critical Care Nurses in SerbiaThe aim of this study was to identify and analyse professional stressors, evaluate the level of stress in nurses in Intensive Care Units (ICU), and assess the correlation between the perception of stress and psychological and somatic symptoms or diseases shown by nurses. The research, designed as a cross-sectional study, was carried out in the Intensive Care Units (ICU), in health centres in Serbia. The sample population encompassed 1000 nurses. Expanded Nursing Stress Scale (ENSS) was used as the research instrument. ENSS revealed a valid metric characteristic within our sample population. Nurses from ICUs rated situations involving physical and psychological working environments as the most stressful ones, whereas situations related to social working environment were described as less stressful; however, the differences in the perception of stressfulness of these environments were minor. Socio-demographic determinants of the participants (age, marital status and education level) significantly affected the perception of stress at work. Significant differences in the perception of stressfulness of particular stress factors were observed among nurses with respect to psychological and somatic symptoms (such as headache, insomnia, fatigue, despair, lower back pain, mood swings etc.) and certain diseases (such as hypertension, myocardial infarction, stroke, diabetes mellitus etc). In view of permanent escalation of professional stressors, creating a supportive working environment is essential for positive health outcomes, prevention of job-related diseases and better protection of already ill nurses.
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., Zarnigar, R. Elahi, T. Sagir, T. Zia, W. Latif y T. Laique. "Knowledge of Nurses Regarding Prevention From Needle Stick Injuries in Tertiary Care Hopital Lahore Pakistan". Pakistan Journal of Medical and Health Sciences 15, n.º 5 (30 de mayo de 2021): 1479–81. http://dx.doi.org/10.53350/pjmhs211551479.

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Nurses got exposed to various blood borne infections due to injury from different types of sharp instruments like needles, lancets, scissors etc. Such injuries ultimately became the reasons of blood borne diseases. Objectives: To analyze the knowledge and attitude of nurses about prevention from needle stick injury and the magnitude of such incidents in Tertiary Care Hospitals of Lahore. Study Design: Cross-sectional study. Methodology: Study setting was tertiary care hospitals of Lahore-Pakistan after ethical review committee’s (ERC) approval. Data was collected from nurses by using self-administered questionnaire from different department of tertiary care hospitals, Lahore. Convenient sampling technique was used, and sample size was 93. Statistical analysis: SPSS 21 was utilized for the data analysis. The tests of frequencies, percentages and graphs were applied. Results: Needle stick injuries association was measured with working experience among nurses. There was statistically significant difference found between the NSIs among (59%) nurses, who were having more working experience (22-24) about handling of needle during any procedure as compared to the nurses who lack in experience. The study results showed that majority of nurses have enough knowledge concerning to NSIs. Conclusion: We concluded that nurses have knowledge regarding the needle stick injury due to the training classes, however, ignorance of the protocols becomes the reason of such incidents even now. It is the need of time to implement appropriate strategies for precaution and intervention through hospital administration to avoid the needle stick injuries. Key Words: Needle Stick Injury, Re-capping of needles, Attitude and Knowledge.
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Angulo, Frederick, Senen Pena, Ruth Carrico, Furmanek Stephen, Zamparo Joann, Elisa Gonzalez, Sharon Gray, Kimbal Ford, Catia Ferreira y Julio Ramirez. "Frequency of Testing for Clostridioides difficile in Adults Hospitalized with Diarrhea in Louisville, Kentucky". Infection Control & Hospital Epidemiology 41, S1 (octubre de 2020): s444. http://dx.doi.org/10.1017/ice.2020.1113.

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Background: Although Clostridioides difficile infections (CDIs) are associated with significant morbidity and mortality, CDI disease burden may be underestimated if a high proportion of inpatients with diarrhea do not have stool specimens collected for CDI diagnostic testing. The objective of this study was to define the frequency of stool specimen collection and testing for CDI in adult hospitalized patients with diarrhea. Methods: A cross-sectional study was conducted in all 9 adult hospitals (total, 3,532 beds) in Louisville (adult aged ≥18 years; population 599,276) to identify patients with diarrhea and to observe the frequency of stool specimen collection for CDI diagnosis. For 7 consecutive days in December 2018, each ward was visited to identify new onset diarrhea (>3 loose stools in 24 hours) among Louisville adults: first via electronic medical record (EMR) review, then by nurse interviews, and finally by interviewing patients. For patients with diarrhea, research staff reviewed EMRs to determine whether a stool specimen was collected for CDI diagnosis, and they interviewed nurses about potential noninfectious causes of diarrhea. Results: Among 2,565 hospitalized adults (with 14,042 patient days), research staff identified 167 patients (47% men; median age, 64 years) with new onset diarrhea, 1.2 diarrhea cases per 100 patient days. Patients with diarrhea were initially ascertained by EMR review (50%), nurse interviews (42%) or patient interviews (8%); all cases identified by patient interviews were identified by nurses the following day (but many cases identified by nurses were never identified by EMR review). Nurses indicated that 67 cases had a potential noninfectious cause of diarrhea (eg, laxatives, feeding tube, colostomy, liquid diet, etc). Stool specimens were collected by hospital staff for CDI testing from 53 of 167 patients (32%) with diarrhea; 10 of 67 patients (15%) with diarrhea for whom nurses reported potential noninfectious causes of diarrhea (laxative use, enteric feeding, or gastric survey) in the past 24 hours; and 43 of 100 patients (43%) with diarrhea with no reported potential noninfectious causes of diarrhea. Stool collection frequency was similar on weekdays and weekends. Conclusions: The low frequency of CDI diagnostic testing of hospitalized patients with diarrhea indicates that CDI may be underdiagnosed in these hospitals and suggests, given that only 32% of patients with diarrhea had a stool specimen collected, that the CDI disease burden may be 3 times larger than currently appreciated. New-onset diarrhea occurred in >1% of patients each day; the most effective method for identifying patients with diarrhea was via nurse interviews.Funding: Pfizer Vaccines supported this study.Disclosures: Frederick Angulo, Kimbal D. Ford, Joann Zamparo, Elisa Gonzalez, Sharon Gray, David Swerdlow, and Catia Ferreira all report salary from Pfizer.
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Abu Raddaha, Ahmad H. "Nurses’ characteristics and perceptions toward using the electronic health record system as predictors of clinical nursing performance improvement". Clinical Nursing Studies 5, n.º 4 (7 de agosto de 2017): 32. http://dx.doi.org/10.5430/cns.v5n4p32.

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Objective: Little and inconclusive knowledge is known about nurses’ perceptions toward electronic health record (EHR) systems and how nurses role performance has been affected after using such systems. This study assessed the relationships between nurses’ sociodemographic characteristics, history and pattern of computer technology use, and perceptions toward the EHR system with their perceptions regarding improvement of clinical nursing performance after using the system. Predictors of nurses’ perception regarding the effect of the EHR system on improving their clinical nursing performance were delineated.Methods: Descriptive correlational design was used. A standardized self-administered questionnaire was used to collect data from nurses working at a governmental teaching hospital in Muscat, Oman. Nurses were selected randomly from a sampling frame, which consisted of a comprehensive list of employment numbers of nurses at the hospital.Results: With a response rate of 84.5%, 169 nurses returned completed questionnaires. The majority had highly positive perceptions toward the EHR system. A weakly negative correlation was observed between perceiving that EHR system is improving work performance with increasing level of academic nursing education (rho = 0.17, p = .02). Nurses who reported that it was easy to know how to request a test, record etc. using the EHR system [OR: 3.89 (95% CI: 1.54, 9.87), p < .01] were more likely perceive the EHR system as an improver to their clinical nursing performance. While, nurses who had completed at least baccalaureate nursing education [OR: 0.41 (95% CI: 0.19, 0.89), p = .02] were less likely to perceive the EHR system had improved their performance.Conclusions: Nurses should be able to demonstrate basic nursing informatics competencies when dealing with computers and software applications used in healthcare settings. Future qualitative studies are encouraged to explore the lived experiences of nurses, in order to develop better understanding to the impact of the EHR system on nursing practice.
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Mondal, S., B. Ghosh, S. Atreya, J. Bhaumik y A. Mukhopadhyay. "Role of Gynaecology Oncology Specialist Nurses in Improving Patient Follow-Up and Integration With the Health Care Team". Journal of Global Oncology 4, Supplement 2 (1 de octubre de 2018): 91s. http://dx.doi.org/10.1200/jgo.18.69100.

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Background: All advanced gynecologic cancers treated initially with a curative intent should also be referred to palliative care at the outset for symptom management. Specialist nurses can play an integral role in this process as patients feel more comfortable to relay their symptoms to nurses rather than busy clinicians. The concept of specialist nurses has been introduced in June 2016 in the Gynecologic Oncology Department in Tata Medical Center. We aim evaluate our services through this prospective audit. Aim: i: To assess whether pre and posttreatment counseling and follow-up by gynecologic oncology specialist nurses lead to better patient care in the following areas. Increased patient participation in self-reporting of PROM (patient reported outcome monitoring) and uptake of follow-up methods via e-mail, telephone etc. ii: Coordinate administration of intraperitoneal chemotherapy and follow-up. iii: Detection of posttreatment complications and symptoms by telephonic follow up and coordination with the treating team including quality of life data collection. iv: Communicating MDT decisions to patients and arrange appropriate follow-up. v: Reduction of patient follow-up appointments and distress by coordinating with other departments i.e., palliative care team and gynae/medical oncology at same visit. vi: Develop patient information leaflets and providing preoperative education Methods: Prospective audit for service evaluation. Patients follow-up was done by face to face, telephone, e-mail in the pre and postoperative period, during chemotherapy and follow-up visits by 4 specialist nurses. Results: Between June 2016 and December 2017, specialist nurses conducted follow-up of 225 patients both in preoperative and postoperative period and collected 30 day morbidity data. Preoperative health education was given to all. 36 patients were coordinated with palliative care team on same day with gynecologic visit to reduce harassment/repeat appointments. Postchemotherapy follow-up was done for 80 patients after each cycle of chemotherapy. Coordination for 19 intraperitoneal chemotherapy was done by nurses during a 9 month period. As a result of regular follow-up visits, women were more comfortable in self-reporting of symptoms to the nurse including sensitive issues like body image and sexuality even by nonface to face methods including telephone calls/e-mails and postal mails. This has led to early detection of recurrences in 4 women, participation in multicentric national/international quality of life studies (SOCQER2/ SOCQER IND) and successful organization of survivorship programs in gynecologic oncology. Conclusion: Counseling, education and building up of interpersonal relationship with specialist nurses can improve patient participation. The role of CNS is vital to the advancement of nursing practice.
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Davoodvand, Shirmohammad, Abbas Abbaszadeh y Fazlollah Ahmadi. "Spiritual development in Iranian nurses". Nursing Ethics 24, n.º 8 (21 de febrero de 2016): 936–49. http://dx.doi.org/10.1177/0969733016629772.

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Background: Spiritual development is one of the most important aspects of socialization that has attracted the attention of researchers. It is needed to train nursing student and novice nurses to provide high-quality care for patients. There is ambiguity in the definition of spiritual development and its relations, especially in the eastern countries. Research objectives:: To explore the concept of spiritual development in Iranian nurses. Research design: Qualitative content analysis approach. Data were gathered from semi-structured interviews. Participants and research context: The participants were 17 Iranian Muslim nurses selected using a purposeful sampling. The place of interviews was on their choice. Ethical considerations: Based on the principles of the Helsinki declaration, the focus was on preserving the participants’ autonomy, confidentiality, and anonymity. The participants were told the study purposes and trends, and their rights were emphasized; they were then asked to sign written consent forms. Formal research approval was obtained from Kerman University of Medical Sciences. Ethical approval was granted by the University Ethics Committee before the study was conducted (K/92 etc). Findings: Three themes for spiritual development were defined: obligation to religion, commitment to ethics, and commitment to law. From the results, factors such as connection to the limitless divine power, personal and society-oriented ethical codes, and commitment to the law are proposed. Discussion: There are some differences between these findings and previous study, especially in the relation of the spirituality, religion, and law. Some studies, mostly Iranian, support these findings partially. Conclusion: The results suggest that it is better to teach nursing education based on humanistic principles, ethics, and law to the new generation of nurses to improve community health and development. More studies are needed to examine the relation between these themes.
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Vorona, І. І. y O. D. Kolodnytska. "LATIN AS A COMPONENT OF FUTURE NURSERS’ PROFESSIONAL EDUCATION". Медична освіта, n.º 2 (3 de junio de 2020): 148–52. http://dx.doi.org/10.11603/me.2414-5998.2020.2.11166.

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The article points out the specifics of future nurses’ terminological competence development by using Latin medical terms. Mastering Latin medical terminology is obligatory for intercultural communication particularly in the nurses’ professional activity. The course “Latin and the Basis of Medical Terminology” contributes to the future nurses’ development of linguistic and terminological culture during professional training. Modern requirements include mastering the professional language (terminology) for specialists in different fields of knowledge. Understanding between colleagues and the qualified treatment often depend on the ability to formulate correctly special information orally or in written form, and the ability to be able to communicate professionally with co-workers more fluently and more confidently. Knowledge of professional terminology helps to gain a deeper understanding of specialized literature and to develop professional erudition. Nowadays, it is necessary to use methods allowing to optimize the educational process due to the most effective use of allotted time for the nurses’ terminological competence development. The nurses’ terminological competence is developed during the study of the course “Latin and the Basis of Medical Terminology”. It will help nurses master Professionally Oriented Study Programmes: Anatomy, Histology, Therapy, Clinical Courses, Chemistry, Pharmacology, Pharmacognosy, etc.
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Glazer, Nona Y. "Overlooked, Overworked: Women's Unpaid and Paid Work in the Health Services' “Cost Crisis”". International Journal of Health Services 18, n.º 1 (enero de 1988): 119–37. http://dx.doi.org/10.2190/2wkd-wak9-27jk-mbhp.

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Dewaging shifts work from the marketplace to the household. The shift seems a short-term strategy used by capitalists, governmental policy-makers, and managers to reduce the wage bill for service workers in such areas as schooling, retailing, health services, and banking. In health services, the expansion of women's unpaid nursing in the household and a new labor process among paid nursing workers are necessary for new corporate and federal cost-containment strategies. Registered and licensed nurses, nurse's assistants and aides see their jobs eliminated, expanded, or moved from one work site to another. Increased use of outpatient clinics, in-and-out hospital stays of less than one day, and shortened hospital stays mean sick people in their homes, not hospitals. The work of caring for the sick does not disappear, however, though people may go without. Much nursing work is shifted to patients and to their families, and even to friends and neighbors. Within the family, women's unwaged work is central, supporting the new labor process among paid nurses. Wives, mothers, daughters, friends, etc., do the work once done for pay in clinics and hospitals.
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Davey, Anuradha, Parul Sharma, Sanjeev Davey, Arvind Shukla, Kajal Srivastava y Shaili Vyas. "Are the adverse psychiatric outcomes reflection of occupational stress among nurses: An exploratory study". Asian Journal of Medical Sciences 7, n.º 1 (28 de agosto de 2015): 96–100. http://dx.doi.org/10.3126/ajms.v7i1.12869.

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Background: Stress-related disorders encompass a broad array of conditions, including psychological disorders such as depression and anxiety etc. Among healthcare professionals, nurses have been found to be most prone to burnout.Aims and Objective: 1) To find out the prevalence of recent stress among staff nurses in terms of somatic symptoms, anxiety, social dysfunction and depression and; 2) To find out the association between these psychiatric outcomes and various socio-demographic variables, inter-personal relationships, working environment and professional stress.Materials and Methods: Institutional based cross sectional study conducted on 100 staff nurses. Goldberg and Hillier’s 28-item scaled version of the General Health Questionnaire (GHQ-28) was used to measure the psychological aspect of quality of life of Staff nurses. Results: The most common psychological outcome noted was the social dysfunction (94%) among the staff nurses. For anxiety, potential stressor were doctors’ attitude, insufficient salary and separate wash room for females; whereas significant association was found between depression and unsatisfactory attitude of doctors, fellow nurses, not enough time for rest and not getting enough holidays.Conclusion: Social dysfunction could be cause or effect of other psychiatric manifestations like anxiety or depressionAsian Journal of Medical Sciences Vol.7(1) 2015 96-100
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Alwani, Shaheena Salman, Muhammad Mansoor Majeed, Zoobia Ramzan, Shahzad Rauf, Muhammad Saad Syed, Sheikh Haroon Shah, Monia Zeeshan Hirwani y Faiq Hamirani. "Evaluation of Knowledge, Practices, Attitude, and Anxiety of Nurses towards COVID-19 during the Current Outbreak in Karachi, Pakistan". Pakistan Journal of Public Health 10, n.º 2 (5 de febrero de 2021): 82–90. http://dx.doi.org/10.32413/pjph.v10i2.601.

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Background: Since the emergence of the novel coronavirus, the front line soldiers during this pandemic are the healthcare professionals because of their direct association with COVID19 patients. In the management of such patients, nurses play a significant role through proper care and preventive measures. Due to its contagious nature, fatality, and no proper medicine, it is a risk to the health and life of nurses and has an impact on their psychological health. The aim of the current study was to assess the knowledge, attitude, practices, and anxiety levels of the frontline nurses. Methods: It was an online questionnaire-based cross-sectional survey targeting only those nurses involved in the management of COVID-19 patients from different hospitals of Karachi, Pakistan. SPSS 21 was used for data analysis. Descriptive analysis, Chi-Square, and t-tests were applied. P-value <0.05 was considered significant. Results: Data of 78 nurses were analyzed. We observed that nurses possess good knowledge about COVID-19, its sources, symptoms, and routes of transmission of the Virus, etc. The knowledge mean score was calculated at 14.67 ± 3.36. Health Department /Hospital and social media are the main sources of information regarding COVID-19. We investigated that 92.3% of the nurses had mild to severe anxiety and anxiety levels are significantly higher among females (P<0.05). Conclusion:-We concluded that the nurses performing their duties with COVID-19 positive patients have good knowledge and attitude. But their anxiety levels are high. Psychological interventions along with training should be given.
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Betriana, Feni. "How Do We Help Nurses Deal with Their Grief? - A perspective". Real in Nursing Journal 2, n.º 3 (20 de diciembre de 2019): 153. http://dx.doi.org/10.32883/rnj.v2i3.579.

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<p>Dying and death of patients are continuous events in healthcare setting. Even in the high technological situation, those are unavoidable and become parts of nurses` everyday work, especially in some units such as emergency department (ED), intensive care unit (ICU), high care unit (HCU), etc. Facing dying and death of patients were reported to cause nurses` grief (Shorter &amp; Stayt, 2009). In some cases, the grief may stay longer than it should be.</p><p> </p>
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Zeng, Jun-Fang, Ai-Xiang Xiao, Jun-Rong Ye, Hong-Tao Cai, Wei-Ming Li, Zhi-Chun Xia, Si-Jue Li y Jian-Kui Lin. "Occupational burnout in nurses: a concept analysis". Frontiers of Nursing 7, n.º 1 (31 de marzo de 2020): 1–8. http://dx.doi.org/10.2478/fon-2020-0006.

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AbstractObjectiveThis paper aims to clarify the concept of occupational burnout (OB) as well as develop appropriate methods to relieve or prevent OB in the nursing profession.MethodsWalker and Avant’s eight-step approach of concept analysis was applied.ResultsOB was defined as a chronic form of work-related stress. Accurately, it was characterized by emotional exhaustion, depersonalization/cynicism, and reduced personal accomplishment/inefficacy. Antecedents of burnout included (a) demographic characteristics; (b) chronic exposure to work-related stressors; (c) quantitative and qualitative job demands; (d) lack of job resources; and (e) personality traits. Consequences involved (a) individual’s unfavorable quality of life; (b) negative impact on the organization; and (c) poor services quality. Although the Maslach Burnout Inventory (MBI) is perceived as an ideal tool to measure burnout and hence, it is used worldwide, whether this instrument fits to measure this concept for nurses has still not yet been verified and thus further research is needed.ConclusionsBy proposing a comprehensive definition of the concept, this analysis contributes to recognition of the process of OB of nurses. All nurses are vulnerable to OB. Hence, burnout in nursing needs to be recognized as a critical factor in the delivery of safe patient care. It proposes that the prevention of OB would be achieved through team communication training, mindfulness group, education, etc.
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Muralidhar, Deutschland, Shiva Sirasala, Venkata Jammalamadaka, Moritz Spiller, Thomas Sühn, Alfredo Illanes, Axel Boese y Michael Friebe. "Collaborative Robot as Scrub Nurse". Current Directions in Biomedical Engineering 7, n.º 1 (1 de agosto de 2021): 162–65. http://dx.doi.org/10.1515/cdbme-2021-1035.

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Abstract Under-staffing of nurses is a significant problem in most countries. It is expected to rise in the coming years, making it challenging to perform crucial tasks like assessing a patient's condition, assisting the surgeon in medical procedures, catheterization and Blood Transfusion etc., Automation of some essential tasks would be a viable idea to overcome this shortage of nurses. One such task intended to automate is the role of a 'Scrub Nurse' by using a robotic arm to hand over the surgical instruments. In this project, we propose to use a Collaborative Robotic-arm as a Scrub nurse that can be controlled with voice commands. The robotic arm was programmed to reach the specified position of the instruments placed on the table equipped with a voice recognition module to recognize the requested surgical instrument. When the Surgeon says "Pick Instrument", the arm picks up the instrument from the table and moves it over to the prior defined handover position. The Surgeon can take over the instrument by saying the command "Drop". Safe pathways for automatic movement of arm and handover position will be predefined by the Surgeon manually. This concept was developed considering the convenience of the Surgeon and the patient's safety, tested for collision, noisy environments, positioning failures and accuracy in grasping the instruments. Limitations that need to be considered in future work are the recognition of voice commands which as well as the returning of the instruments by the surgeon in a practical and safe way.
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Leavitt, Frank J. "Educating Nurses for Their Future Role in Bioethics". Nursing Ethics 3, n.º 1 (marzo de 1996): 39–52. http://dx.doi.org/10.1177/096973309600300106.

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The emerging new multidisciplinary and crosscultural field of bioethics will require sen sitive, open-minded professionals to take the lead in hospital ethics, in genetic coun selling, and in the teaching of bioethics to students in nursing, medicine and the basic sciences. Nurses with ward experience who return to university to gain an MA or PhD in bioethics are eminently suited for this leadership role, for they may be more likely than physicians to study for a liberal education to supplement their professional know ledge ; their first-hand experience in nursing is an antidote to the pointless subtleties into which philosophical ethics so often degenerates. When teaching ethics to nurses one must remember that, while some will simply use this knowledge in their own clinical work, others will go on to be teachers and researchers in bioethics. Their training must therefore be broad and interdisciplinary, including real substantive philosophy (as opposed to philosophical ethics), as well as mystical bioethics, religious law, ethics of genetic counselling, clinical approaches to ethical pseudo prob lems, research skills, etc.
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Yousuf, Saleem, Tabasum Dilawar y Ifshana Iliyas. "Incidence of depression among nurses in Kashmir valley". International Journal of Research in Medical Sciences 9, n.º 4 (26 de marzo de 2021): 1071. http://dx.doi.org/10.18203/2320-6012.ijrms20211353.

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Background: In 2017, 197 million Indians were suffering from mental disorders, of whom 46 million had depression. In Kashmir, 41% have been identified as having probable depression. Depression is one of the most frequently diagnosed mental illness which is characterized by feelings of sadness, loss of energy, motivation, concentration, changes in appetite, changes in sleep, etc. Depression is known to impact work performance, their colleagues and potentially on the quality of care provided to patients. Nursing, a loyal profession, is considered as one of the most susceptible profession to depression. This study was conducted with the aim of finding the incidence of depression among Nurses.Methods: A descriptive, cross sectional study was conducted on 200 Nurses collected by using convenient sampling from different hospitals in Srinagar district of Kashmir Valley in order to assess the incidence of Depression among them. Depression was diagnosed by following Diagnostic and Statistical Manual-5 (DSM-5) criteria and assessment was done on the bases of age, gender, marital status, family type and residence.Results: Majority of the Nurses were found to be females (68%), above 30 years (64%), belonged to nuclear family (69%), married (71%) and residing in rural areas (64%). As for as incidence of depression is concerned, 134 (67%) Nurses were found to be having symptoms of depression.Conclusions: Most of the Nurses were diagnosed with depression that has a negative impact on the patient care. Thus, there is a dire need for screening of the Nurses and thus early detection of affected one's.
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Shimada, Shiena, Michiko Aoyanagi y Naomi Sumi. "Components and Related Factors of Nursing Interventions for Improving Resilience in Cancer Patients Undergoing Chemotherapy". Healthcare 9, n.º 3 (8 de marzo de 2021): 300. http://dx.doi.org/10.3390/healthcare9030300.

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Resilience is considered an effective concept for cancer patients, but nursing interventions for improving resilience have not been studied adequately yet. We aimed to explore the components and related factors of nursing interventions for promoting resilience among cancer patients receiving chemotherapy (NIPRPC). This cross-sectional study included 68 facilities from 396 cancer hospitals in Japan. Participants were 377 nurses who worked at the outpatient chemotherapy center or cancer ward. They completed self-administered questionnaires including the NIPRPC items and Resilience Scale for Nurses, etc. We conducted factor, correlational, and regression analysis. Based on the exploratory factor analysis, six-dimensional factor components: “Support for patients during the present situation and increasing their self-affirmation”, “Support for self-help”, “Support for utilizing the cancer medical team”, “Support for obtaining family cooperation”, “Support for maintaining regular lifestyle during chemotherapy”, and “Support for interacting with cancer patients and utilizing necessary information”. The strong related factors for all six factors were the resilience of the nurses and the number of collaborations with multiple occupations. Our findings will help nurses improve the psychosocial quality of life of cancer patients and address their needs related to cancer chemotherapy treatment.
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Govekar-Okoliš, Monika y Nataša Kermavnar. "Nursing Mentoring and Mentors’ Views on the Efficiency of University Students’ Practice". Andragoška spoznanja 26, n.º 2 (19 de junio de 2020): 87–103. http://dx.doi.org/10.4312/as.26.2.87-103.

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The article describes the views nurse mentors have on the efficiency of their mentoring of nursing students in one of the public hospitals in Slovenia. This is one of the least addressed fields of research, particularly when evaluating the effects of nurse mentors. The purpose of the quantitative study is to ascertain the situation and effects nurses have when mentoring university students during their clinical practice. The descriptive method of empirical research was applied. The research was based on the analysis of a questionnaire for nurse mentors. The goal was to find out how they view mentorship efficiency, how to increase it, and how mentors evaluate their competences, difficulties, etc. The study’s findings bring new insights and important recommendations on how to improve mentoring during the clinical practice of nursing students. The research showed that mentors needed pedagogical and andragogical knowledge. The results are important for improving the quality of nursing mentorship and positively affect their further education and professional development. It would also be important to establish a Slovenian, European and international network of nursing mentorship for university students in the future. This would have an impact on the international cooperation of nurse mentors and their mentoring efficiency, as well as better practical training and employment for students of nursing.
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Kaliyaperumal, Deepalakshmi, Yaal Elango y Iswarya Santhanakrishnan. "Fatigue, depression and anxiety among nurses working in shift in a tertiary care hospital in South India". International Journal of Research in Medical Sciences 7, n.º 7 (28 de junio de 2019): 2655. http://dx.doi.org/10.18203/2320-6012.ijrms20192895.

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Background: Shift work has become a social and economic necessity, as most sectors like the healthcare require round the clock operation. Extended and variable working hours leads to desynchronization of the body’s circadian rhythm. Thus, shift work is commonly associated with various physical and mental disorders like insomnia, fatigue, depression, anxiety, cognitive impairment, etc. The aim of the study was to assess the prevalence of sleep deprivation and hence, the levels of fatigue, depression and anxiety among shift working nurses.Methods: This cross-sectional study was conducted among shift working nurses. Sleep deprivation among 97 female and 3 male healthy nurses of age 20-50 years was assessed by Epworth Sleepiness Scale (ESS). Fatigue Severity Scale, Patient Health Questionnaire (PHQ-9) and Hamilton Anxiety Rating Scale (HAM-A) were used for assessing fatigue, depression and anxiety respectively. Level of Sleep deprivation, Depression and Anxiety were expressed in Proportion. Difference in fatigue levels during day and night shift was analyzed using Wilcoxon Signed-Ranks Test.Results: Analysis of ESS, showed, 69% of shift working nurses had poorer sleep quality. The level of fatigue experienced following a night shift work was significantly higher than that following day shift work (Z= 3.34, p = 0.0008). Moderate to severe depression and anxiety was observed in 15% and 16% of the nurses working in shift.Conclusions: Thus, shift work is inevitably associated with sleep deprivation. There exists an increased prevalence of fatigue, depression and anxiety among shift working nurses.
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Mia, MY, MA Ali, MA Rahman, L. Naznin y MU Hossain. "Hospital Waste Management in Tangail Municipality". Journal of Environmental Science and Natural Resources 5, n.º 1 (7 de agosto de 2012): 121–27. http://dx.doi.org/10.3329/jesnr.v5i1.11566.

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An investigation was conducted on hospital waste management in Tangail Municipality and its impact on human health. Data was collected through questionnaire interview from local residents, superintendents, nurses, observation and secondary sources. The results revealed that wastes are collected every alternative day and though sometime in irregular basis. Hospital wastes causes different health hazards like bad smell, infestation of animals, diarrhoea, skin diseases etc. due to irregular collection, unsafe handling, disposal, storage, transportation and finally dumped with municipal wastes. For knowing health impacts, among 110 general respondents 63% was affected, and 50 respondents who were associated with medical waste handling including nurse, pickers, workers, etc. in which more than 90% were affected one or more diseases due to improper management and imposed of hospital wastes. Shortage of dustbin is common in every hospitals and clinics in Tangail Municipality. The study also revealed that 1000-1500kg wastes were generated per day in Tangail Municipal area in which 19.23% infectious and 80.77% noninfectious. DOI: http://dx.doi.org/10.3329/jesnr.v5i1.11566 J. Environ. Sci. & Natural Resources, 5(1): 121 - 127, 2012
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Murakami, Yutaka, Yuko Ohno, Miki Nishimura, Michiko Kido y Kenji Yamada. "Evaluating the Effectiveness of a Vascular Access Imaging Device Used in Training Recently Graduated Nurses". Journal of Robotics and Mechatronics 29, n.º 2 (20 de abril de 2017): 346–52. http://dx.doi.org/10.20965/jrm.2017.p0346.

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[abstFig src='/00290002/08.jpg' width='300' text='The VAID helps to select proper IV insertion sites' ] Peripheral intravenous (IV) line placement is one of the most invasive and painful procedures performed by nurses. Although it is a common nursing procedure, sufficient and effective skill training is necessary before nurses, especially new nurses, work with patients. Vascular access imaging devices (VAIDs) have been developed and put into use in hospitals. Many studies have been conducted to evaluate the effectiveness of the device in clinical settings such as in neonatal care, pediatric care, emergency care, etc., but the effectiveness of the device in training nurses who have just recently graduated has rarely been reported, especially in Japan. In this paper, we report on a quasi-experimental study that evaluated the effectiveness of the VAID for training recent nursing school graduates to successfully perform IV line placement. Eleven newly registered nurses participated in this study. Their preparations were video recorded for analysis. Students’<span class=”bold”>t</span>-tests were used to compare time and success rates of IV placement with VAID assistance and without it. Furthermore, subjects reported their feelings and the self-evaluation related to VAID use by answering a questionnaire, and their responses were analyzed. The results showed no significant change in the length of time needed nor in the success of peripheral IV line placement when the VAID was used; however, nurses indicated the VAID did help them in deciding where the IV should be inserted. These results suggest that the use of the VAID could be clinically meaningful as an IV training tool and that it could reduce the time needed to select venipuncture sites.
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Abd-Elhakam, Eman Mohammed y Amira Mohammed Salama. "Maternity Nurses’ Performance Regarding Management of the Intrapartum Woman With Cardiac Disease". International Journal of Studies in Nursing 3, n.º 3 (30 de julio de 2018): 60. http://dx.doi.org/10.20849/ijsn.v3i3.498.

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Background: Cardiac disease in pregnancy is a leading cause of maternal and neonatal morbidity and mortality. Effective management is based upon close fetal and maternal monitoring during pregnancy and labour. The aim of the present study was to evaluate maternity nurses’ performance regarding management of intrapartum woman with cardiac disease. Research design: A quasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses was included in the present study. Setting: The present study was conducted in Obstetrical and Gynecological Department at Benha University Hospital. Tools: Two tools were utilized for data collection. I-A structured interviewing questionnaire which include two parts; Part 1: Socio demographic characteristics. Part2: Assessment of nurses’ knowledge regarding cardiac disease during pregnancy and labour which includes Physiological changes of cardiovascular system during pregnancy. Causes and risk factors, etc. II-Maternity nurses' practice observational checklistwhich focus on management of cardiac women during labor including four stages of labour and Nursing care for moderate and high risk cases immediately after labour. Results: Shows significant improvement in nurses' knowledge 57.8% compared to 90.6% post intervention. Also, improvement is clear in satisfactory level of practice after intervention, in first stage for example was 32.8 % pre intervention compared to 87.5% post intervention. there were highly statistical significance differences between mean score of both knowledge and practice regarding management of intrapartum woman with cardiac diseases between the pre and post intervention phases (p<0.001).Conclusion: the study concluded that research hypotheses are supported and educational intervention had appositive effect on improvement nurses 'knowledge and practice and in turn their performance regarding management of intrapartum woman with cardiac diseases. Recommendation: Periodic educational program for nursing staff in Obstetrics and Gynecology Department regarding nursing care of cardiac patients.
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Diakiv, Olha, Viktor Ostroverhov y Halyna Yuryk. "INNOVATIVE TECHNOLOGIES IN PERSONNEL DEVELOPMENT". Regional’ni aspekti rozvitku produktivnih sil Ukraїni, n.º 24 (2019): 108–15. http://dx.doi.org/10.35774/rarrpsu2019.24.108.

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The aim of the article is to substantiate the innovative approaches in the work of nurses, because their competence ensures availability and quality of medical and preventive care to the population. The subject is defined as the stages of development of nursing personnel, including education, career growth, and employee motivation. In order to achieve the set aim and to solve the chosen tasks, modern research methods have been used. They include scientific abstraction (in the study of the categories of “core competencies”, “competence”); systematic approach (to substantiate the principles influencing the professional development of the worker), sociological survey (questionnaire) (to determine the methods of motivating nursing personnel), etc. The provisions and conclusions of the work are presented as a system of measures aimed at improving the competence, capacity building and utilization of the intellectual capital of health institutions. It is revealed that the core professional competencies of nursing staff are the basis of employee development in the organization, and they help determine the level of professional competence of nurses, their practical skills. Innovative technologies for the development of nursing staff are disclosed, including: building core competencies, individual development plan, performance appraisal, career planning, training and staff development, employee motivation. It is established that the employee clearly defines his needs, goals, expectations in the individual development plan to know how to develop in the future and properly plan the steps and necessary measures to achieve the goals. Performance appraisal allows the assessor to determine the professional competence of the nurse. When planning nursing careers, it is necessary to take into account the specifics of the healthcare sector, the constant increase of requirements for the quality of medical services, the introduction of new medical technologies, etc. Motivation behind the career choice is often founded upon the principles of charity, assistance, care, compassion, and being altruistic.
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Nagy, Samantha, Jessica Dietch, Danica Slavish, Brett Messman, Camilo Ruggero, Kimberly Kelly y Daniel Taylor. "333 Associations Between Insomnia and Health Correlates in Nurses". Sleep 44, Supplement_2 (1 de mayo de 2021): A133. http://dx.doi.org/10.1093/sleep/zsab072.332.

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Abstract Introduction Insomnia, shiftwork (i.e., circadian rhythm disruptions) and insufficient sleep are common among nurses and healthcare workers. Each of these sleep problems can contribute to physical (e.g., inflammation, musculoskeletal pain, cardiovascular disease and heart rate variability, indigestion, and menstrual cycle irregularity) and mental (e.g., depression, anxiety, suicidality) health problems as well as daytime fatigue and sleepiness among nurses and may contribute to burnout and job change. Methods Participants (N=458) were nurses recruited for a parent study, “Sleep and Vaccine Response in Nurses (SAV-RN)” (Taylor & Kelly: R01AI128359-01). Most identified as female (90.5%), White/Caucasian (77.2%), and non-Hispanic (88.6%) with an average age of 39.03 (SD = 11.07). Participants completed baseline measures online via Qualtrics survey. The Sleep Condition Indicator (SCI; Espie et al., 2014) was used to identify a probable diagnosis of insomnia (score of ≤16 = Insomnia; endorsement of each of the primary DSM-5 criteria on the measure). In addition, a checklist of current major health conditions (high blood pressure, sleep apnea, GI issues, HIV/AIDS, cancer, etc.) was also completed. A Chi square test of Independence was conducted using SPSS to determine if insomnia detected by the SCI was associated with reported health conditions. Results At baseline, 25.4% of nurses had a probable insomnia diagnosis. Insomnia was associated with a greater likelihood of diagnosed sleep apnea, cancer (all types), high blood pressure, chronic pain, gastrointestinal problems, an autoimmune disease, and/or an endocrine problem at Month 11 of the study (all ps &lt;.05). Data cleaning is ongoing, but similar analyses will be presented examining shift work sleep disorder and insufficient sleep (i.e., average &lt; 6hrs per night) as individual and simultaneous predictors of physical and mental health at baseline and change from baseline to Month 11 (if available). Conclusion These results help to identify associations between insomnia and health conditions in nurses and may contribute to future research that supports evidence-based intervention and prevention strategies for this population. While evidence-based interventions for sleep disturbances and insomnia exist (CBT-I), accessibility and feasibility of scaling such interventions to reach the nursing community at large remains challenging. Support (if any):
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41

Haczyński, Józef, Kazimierz Ryć y Zofia Skrzypczak. "“Zdrowie 2017” [Health 2017] Nurses and Doctors in the Polish Healthcare System". Journal of Management and Financial Sciences, n.º 32 (27 de julio de 2019): 115–26. http://dx.doi.org/10.33119/jmfs.2018.32.8.

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Healthcare systems operate properly as long as there are enough skilful health professionals available. This paper compares the population of doctors and nurses in the healthcare system in Poland and in other European countries. We used statistical data gathered by the Organisation for Economic Cooperation and Development (OECD), Statistics Poland, Ministry of Health, as well as materials from the General Medical Council, and the Nursing and Midwifery Council in Poland. We made an attempt to find out why Poland ranks so low in the lists showing the number of practising doctors and nurses per 1,000 population. We identified the main sources of “inflows” (graduates of medical and nursing schools) and “outflows” (retirement, migration, people leaving medical professions) into/ from the pool of health professionals. Our goal was also to specify which areas necessitate systemic changes to increase the number of practising doctors and nurses. We decided that institutional changes are also needed: increasing the number of students admitted to medical schools, better working conditions for medical professionals, incentives to return to Poland, etc. Such changes combined with rising public expenditure may improve the performance of the healthcare system in Poland.
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Sikder, Rajib, Subha Sankha Kundu, Rituraj Dey, Ujjwal Pattanayak, Kunal Kanti Majumdar y Gautam Kumar Joardar. "Knowledge, socio demographic profile, vaccination status and factors determining the acceptance of hepatitis B vaccine among nursing staff of KPC Medical College of West Bengal". International Journal Of Community Medicine And Public Health 7, n.º 2 (28 de enero de 2020): 554. http://dx.doi.org/10.18203/2394-6040.ijcmph20200426.

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Background: Hepatitis B, a vaccine preventable infection is one of the important causes of morbidity in India. The risk of acquiring the infection is more among the health care providers like nurses than in general population as they come in close contact with patients. The study has been done to know the sociodemographic profile, vaccination status along with the knowledge about the disease and the factors determining the acceptance of vaccination among nursing staff of KPC Medical College in West Bengal.Methods: A cross-sectional study was carried out among the 284 nursing staff of KPC Medical College and Hospital in November to December, 2018 with the help of pre-designed and semi-structured questionnaire. Data on demographic characteristics, knowledge, occupational exposure, vaccination status and factors for acceptance of vaccine etc. were collected and analysed.Results: 86% nursing staff received vaccination out of which 71% were completely vaccinated, 29% were partially and 14% were non vaccinated. The acceptable knowledge was found in 84% of the nurses. The major reason of vaccination was to protect themselves from infection and the major reason for non-acceptance was time limitation, cost issues etc. Accidental prick was found in 5% of the nurses and universal precautionary measure was taken by 98% of the nurses.Conclusions: In spite of availability of safe, effective and cheap vaccine against hepatitis B infection, 29% of nursing staff were partially vaccinated and 14% were non-vaccinated. There should be a mandatory vaccination at the beginning of their training and frequent educational and awareness programme for them on hepatitis B.
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43

Aghedo, Princewill, Isaiah Dada Owoeye, Moses Adeyemo, Victor Bayem Nwachukwu y Oluwatomisin Ogidan. "Challenges in Communication with Nursing and Midwifery Council of Nigeria (NMCN)". International Journal of Innovative Science and Research Technology 5, n.º 6 (10 de julio de 2020): 1100–1104. http://dx.doi.org/10.38124/ijisrt20jun685.

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Communication is an important aspect of organisation’s relationship in service to the public. The study investigates nurses’ opinion on ‘Challenges in communicating with Nursing and Midwifery Council of Nigeria (NMCN)’. This is a descriptive web-based study with 896 participants. Data analysis was done using Google form. The result showed that 91.1% majority of the respondents were Registered/Graduate nurses. Majority 74.1% have tried to reach out to Nursing and Midwifery Council of Nigeria (NMCN) through email, phone calls, text messages, Letters etc. 39.2% of those who reached out by email never got any reply. The participants suggested a better customer service, embracement of online availability and prompt responses to the received messages by Nursing and Midwifery Council of Nigeria (NMCN). The study recommends that an active online availability by NMCN to improve communication.
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44

Toppo, Neelam Anupama, Deepali Soni, Priyanka Dubey y Priyank Mishra. "A Study on Factors Associated With Spread of Covid 19 among Health Care Delivery Workers in Jabalpur District [India]". International Journal of Innovative Research in Medical Science 5, n.º 11 (1 de noviembre de 2020): 502–9. http://dx.doi.org/10.23958/ijirms/vol05-i11/990.

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Introduction: COVID-19 is an infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. One target during this pandemic is to control infection by promoting the use of Masks, hand sanitizations and maintaining the social distance. And the key spreaders as well most vulnerable for Covid-19 are Medical care staff (Doctors, Nurses, paramedical workers, ward boy etc). Objectives: To assess what factors were responsible for spread the disease and to understand the pattern of spread of COVID-19 among these workers. Methodology: An exploratory study design conducted among the COVID-19 positive Doctors, Nurses, and paramedical staff working in Govt. or private set up. Through Telephonic conversation, data was collected. Result: 75% of a positive health professional was from NSCB medical college which has been designated as COVID Health Centre. The staffs are providing Critical care to Covid patients, Anaesthetics, Surgeons, Nurses, ward boys are at high risk for acquiring the disease. Out of 40 positive cases, only two had history of travel. Even people who wore PPE were also got infected. Maximum 38% were those who were wearing a mask but not all the time gloves. 20% were those who neither wearing masks nor gloves during exposure with contacts. Among those who were symptomatic most of them had fever followed by Fever with cough and cold, Fever with weaknesses and coughing, sore throat, body ache, etc. Conclusion: efforts are needed to reduce lapses in compliance with masking, use of gloves or the practice of hand hygiene and maintaining the social distancing in non-patient care areas, wards and OPDs.
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45

Bariya, Bhavesh R., Grishma D. Chauhan, Aarti Jadeja y Meet Jain. "Assessment of bio medical waste management practices of staff nurses according to newer guidelines in a teaching hospital of rural Vadodara, Gujarat". International Journal Of Community Medicine And Public Health 4, n.º 10 (22 de septiembre de 2017): 3922. http://dx.doi.org/10.18203/2394-6040.ijcmph20174275.

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Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice.
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46

Passalacqua, Rodolfo, Caterina Caminiti, Mario Annunziata, Claudia Borreani, Francesca Diodati, Daniele Fagnani, Luciano Isa, Silvia Filiberti, Maria Grazia Ollari y Jessica Saleri. "Final results of a large collaborative, hospital-based quality improvement study aimed at the implementation of interventions for the psychosocial care of adult cancer patients (HUCARE project)." Journal of Clinical Oncology 30, n.º 15_suppl (20 de mayo de 2012): 9120. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.9120.

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9120 Background: Incorporating psychosocial research into practice is challenging. Aim of this study is to assess the feasibility and effectiveness in real life of interventions which have been tested in RCTs and have demonstrated to improve pts psychosocial conditions Methods: This is an implementation study of five EBM interventions conducted in 28 centers. We adopted the model of Pronovost (BMJ 2008), which includes context analysis to identify local barriers; introduction of the interventions, and evaluation of how many pts receive the recommended interventions. Primary EPs: degree of implementation detected in a blinded fashion by external personnel. Interventions included: 1) EBM communication courses for doctors and nurses; 2) use of a question prompt list (QPL) for all pts; 3) creation of the Point of Information and Support (PIS) in the ward (J Clin Oncol 27:1794-99,2009); 4) identification of a referring nurse (RN) for informing and educating pts; 5) screening of distress and social needs. Results: In December 2008, 28 eligible centers applied to participate. 27 are evaluable and 1 is too early. 156 oncologists and 401 nurses attended the 3 days training course. A QPL was subjected to cross-cultural adaptation, yielding the first validated Italian QPL (BMC Health Serv Res 2010). 24 centers (89%) have successfully implemented the intervention; 3 centers failed for various reasons: internal conflicts of the staff, poor motivation, etc. Main results for each intervention are shown in the table. Conclusions: A successful implementation of EBM measure was obtained in the vast majority of oncology centers and yields to significant changes in the delivery of psychosocial care. Project funded by the Italian Ministry of Health and Lombardia Region. [Table: see text]
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47

Rassin, Michal y Tamar Kanety. "Nurses' Perception of Patient Rounds – between the Real and the Ideal". International Journal of Studies in Nursing 2, n.º 2 (10 de octubre de 2017): 21. http://dx.doi.org/10.20849/ijsn.v2i2.202.

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Background: Although patient rounds became part of the wards' routine for many years, there are still gaps regarding its tasks, cyclicality and participants and also the round was not backed by clear goals or instructions.Aim: to examine how nurses perceive rounding in terms of its cyclicality, tasks and participants.Method: research participants were 181 nurses of the internal, surgery-orthopedic, and maternity wards. They fill a questionnaire containing 41 items, specifically designed for this research. Data was analyzed using descriptive and comparative statistics.Results: significant differences between nurses from the various wings (p=0.000) were found in the performance of actual rounding during all shifts. Rounding was performed in the internal wards every two hours and 48 minutes in average, compared with every two hours and 12 minutes in the surgery wards and every hour and 54 minutes in the maternity wards. A gaps were found between real and ideal (p=0.000), show the ideal timeframe between the rounds were shortened by 10-30 minutes in each shift. The tasks rated as most important in all shifts were: early identification of medical distress situations (respiratory, bleeding, changes in conciseness etc.), taking actions to avoid complications including identifying a malfunctioning transfusion, position changes, answering patient questions, pain assessment and treatment, and answering basic needs.Conclusions: A policy for the performance of rounding, may bridge the gap between real and ideal and promote the quality of nursing care will provide clear guidance as to its tasks, cyclicality and participants.
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48

Wu, Charlotte, Wade M. Bannister, Hungching Chan, Pam Schumacker, Michael W. Rosen, Kelly L. Blair y Arthur H. Rossof. "How effective is telephonic case management of cancer patients undergoing active therapy?" Journal of Clinical Oncology 31, n.º 15_suppl (20 de mayo de 2013): e17519-e17519. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e17519.

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e17519 Background: The Cancer Support Program (CSP) of Optum provides patients and their caregivers with telephonic case management by experienced oncology nurses, social workers and appropriately-trained physicians. Goals include reducing emergency department visits and hospitalizations, and helping patients comply with treatments and more effectively manage symptoms. The intent of this study is to evaluate the effectiveness of CSP from both quality and financial perspectives. Methods: The study used a case control approach to compare participants and non-participants of the Optum CSP program. Propensity score method was applied to adjust for baseline differences between the two groups. The study population consisted of cancer patients (N=8,833) enrolled in commercial health plans through self-insured employers. The patients were referred into CSP between July 2009 and June 2011. Outcomes of cost and hospice days were estimated with generalized linear models. We also compared the group of CSP participants (N=3,716) to active cancer patients enrolled in a general CM program (N=2,867) on the topics the nurses discussed with patients. Results: For program participants who were under active treatment and survived at least 6 months after referral , medical cost per patient per month during the six month of engagement was reduced by 9.8% (95% confidence interval [3.7%, 15.6%], p-value 0.002). The decedent’s cost during the last 3 months of the life was reduced by 19.9% (95% confidence interval [2.8%, 34.1%], p-value 0.025). Average hospice days of all deceased CSP participants increased by 42.3%, (95% confidence interval [13.9%, 77.8%], p-value 0.002). CSP nurses, all of whom had cancer management experience, addressed 56 topics of cancer-related support compared to only 11 for general CM nurses. Among the topics that both groups addressed, 35% of the topics were addressed 10% or more frequently by CSP nurses, including “Cancer Treatment Choices Outlined” and “Education Provided: Cancer Medications” etc. Conclusions: We conclude the Optum CSP program is effective in reducing medical cost, promoting use of hospice and providing cancer-specific patient support for a population of cancer patients under active treatment.
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Bozic, Andrea, Ivan Mikov, Djordje Gajdobranski, Branislava Brestovacki-Svitlica y Zlatko Ciric. "Influence of personal characteristics on the occurrence of lumbar pain in nurses". Medical review 71, suppl. 1 (2018): 65–69. http://dx.doi.org/10.2298/mpns18s1065b.

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Introduction. Even though lumbar pain is one of the most common medical problems of today, it is difficult to determine its precise origin. When identifying the risk factors for developing lumbar pain, one should also take into account the personal characteristics such as gender, age, body mass index, smoking habits, physical activities etc. The basic goal of this study was to assess the relationship between the socio-demographic characteristics (age, gender, level of education), the body mass index, smoking habits, and lumbar pain in nurses. Material and Methods. This cross-sectional study was conducted in five healthcare institutions in the area of Vojvodina by interviewing nurses by means of the modified Nordic questionnaire. Results. The participants were predominantly female, the majority of them having secondary school degree. The study revealed a statistically significant relationship between lumbar pain and the increase of age and body mass index, while smoking habits did not influence the occurrence of lumbar pain. Conclusion. A better organization of work in relation to the age and gender as well body mass control would reduce the risk of lumbar pain.
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50

Jović, Darija. "The satisfaction of the users of health services with the work of nurses at the Rosulje Family Medicine Clinic // Zadovoljstvo korisnika zdravstvenih usluga radom medicinskih sestara u Ambulanti porodične medicine „Rosulje“". SESTRINSKI ŽURNAL 5, n.º 1 (28 de noviembre de 2018): 41. http://dx.doi.org/10.7251/sez0118041j.

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The quality of health care is a very complex feature of the condition and functioning of the health care system, and one of the elements of quality is the satisfaction of the users (patients) provided with health care. In order to evaluate patient satisfaction, there are many opportunities that are provided in order to obtain information about what they think and feel about the healthcare provided. In some institutions there are books of impressions, cases for remarks and praise, nursing surveys, telephone surveys, etc. In this paper, the questionnaire examined the satisfaction of patients with the work of nurses in the Rosulje Family Medicine Clinic. The results of the study show that the patients are very satisfied with the work of the staff in APM Rosulje. Positive attitude towards the work of the clinic is contributed by the long-standing placement of nurses and doctors in the outpatient clinic, the knowledge of patients, their habits and thus better communication and recognition of the patient and family problem.
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