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Lanzoni, Gabriela Marcellino de Melo, Betina Hörner Schlindwein Meirelles, Alacoque Lorenzini Erdmann, Maira Buss Thofehrn et Clarice Maria Dall'Agnol. « ACTIONS/INTERACTIONS MOTIVATING NURSING LEADERSHIP IN THE CONTEXT OF PRIMARY HEALTH CARE ». Texto & ; Contexto - Enfermagem 24, no 4 (24 novembre 2015) : 1121–29. http://dx.doi.org/10.1590/0104-0707201500003740013.
Résumé :
The aim of this qualitative study is to understand the actions/interactions identified as motivating leadership for nurses working at Primary Health Care services in a city in the South of Brazil. The Grounded Theory was used as the methodological framework. Data collection occurred through semi-structured interviews with twenty-three nurses working in the municipal health network and seven Nursing professors with expertise on the theme, distributed in four sample groups. The analysis revealed the category Composing the profile of nurses for leadership and its importance in health organizations, supported by three subcategories. The nurse exercises leadership driven by personality, vocational training stimulus, characteristics of the profession and influence of the environment. Nurses are influenced and influence the health service, acting in compliance with health policies, helping to foster the participation and integration of other workers in the health services.
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Rahman, Muhammad Rijali, Endang Pertiwiwati et Ichsan Rizany. « Gaya Kepemimpinan Kepala Ruang Dengan Kepuasan Kerja Perawat ». JURNAL KEPERAWATAN RAFLESIA 2, no 2 (29 novembre 2020) : 89–97. http://dx.doi.org/10.33088/jkr.v2i2.502.
Résumé :
Nurse job satisfaction is one of the factors affecting work productivity. Job satisfaction is influenced by the leadership style applied by the chief nurse in leading his subordinates. The purpose of this study was determined the relationship between the leadership style of the chief nurse and the nurse's job satisfaction in the inpatient room at Idaman City Hospital in Banjarbaru. This research approach used cross sectional. The population was all nurses in the inpatient room with a total of 119 nurses. Sampling used quota sampling as many as 102 respondents. There were 3 research instruments used, consisted of questionnaire respondent characteristics, nurse job satisfaction and leadership style of the chief nurse. The method used by events that carry out actions on respondents, has been observed. The correlational and survey approaches used in this study were to present a questionnaire. The leadership style of nurse manager has an average of 57.90 (50-72). Nurse job satisfaction has rather average of 62,82 (38-96). There was a relationship between the leadership style of the chief nurse and the nurse's job satisfaction in the inpatient room at Idaman City Hospital in Banjarbaru (p-value = 0,000 <0.05). The leadership style of the head of the room in accordance with the situation and conditions and good application can produce nurses who are satisfied with their work and can also improve performance in carrying out their duties.
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Hall, DS. « Interactions between nurses and patients on ventilators ». American Journal of Critical Care 5, no 4 (1 juillet 1996) : 293–97. http://dx.doi.org/10.4037/ajcc1996.5.4.293.
Résumé :
BACKGROUND: Although the effectiveness of communication between nurses and ventilated patients has been identified by the American Association of Critical-Care Nurses as an area of concern, there are few reports of research in this area. OBJECTIVES: To examine the interactions between nurses and patients on ventilators and the relationship between characteristics of these nurses and their communication with patients. METHODS: An analytical, cross-sectional, experimental design was used to examine the work experience of 30 nurses with ventilated patients, the perceived level of consciousness of their ventilated patients, and the actions and reactions of nurses in relation to these patients. RESULTS: Significant correlations were found between the nurse's perception of the patient's degree of responsiveness and the number of positive and negative interactions with the patient, and between the length of time the nurse cared for the patient and the number of positive nurse reactions. Interaction patterns are also apparent from the data collected. CONCLUSIONS: Findings suggest that nurses' perceptions of patients' responsiveness and length of time nurses care for patients will influence nurse-patient interactions. Patterns of interaction suggest that nurses spend more time providing patients with information that the nurses consider important, rather than assessing or responding to patients' needs.
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Allan, Elaine, et Sadullah Luders. « Giving children a voice through partnership : a child rights-based approach to the co-design of postgraduate nurse education ». British Journal of Child Health 2, no 4 (2 août 2021) : 171–78. http://dx.doi.org/10.12968/chhe.2021.2.4.171.
Résumé :
Background There is an increasing need for the voice of children and young people to be more evident in planning and designing services, including the delivery of higher education, for school nurses to ultimately influence service delivery. Aim To raise awareness of the importance of children's rights by embedding them in postgraduate school nurse education to influence school nurse service delivery. Methods A model was developed through direct partnership with representatives of the Children's Parliament in Scotland. This model facilitated the inclusion of children and young people's opinions in the co-design of postgraduate nurse education in order to incorporate children and young people's rights and opinions and improve the delivery of the school nurse service in Aberdeen. Results In a supported environment, children and young people were able to negotiate relationships with multiagency professionals on an equal basis, building connections and trust with them in partnership, based on their perceptions of school nurses' daily actions and characteristics. Their negotiation of relationships identified various change management categories for improving the delivery of higher education and services. Conclusions Children and young people have clear opinions and views when consulted in an inclusive age-appropriate way through rights-based participation. It is important that listening and taking due cognisance of children's voices becomes the norm in influencing higher education, and that children and young people have a direct influence on improving children's services.
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Strini, Veronica, Roberta Schiavolin et Angela Prendin. « The Role of the Nurse in Informed Consent to Treatments : An Observational-Descriptive Study in the Padua Hospital ». Clinics and Practice 11, no 3 (29 juillet 2021) : 472–83. http://dx.doi.org/10.3390/clinpract11030063.
Résumé :
Background: The process to obtain valid informed consent in healthcare reflects many aspects. Healthcare professionals that take care of the patient must provide him all the necessary information and verify his understanding, considering individual characteristics. Nurses are one of the main participants in this process. Objective: This study assesses nurses’ perceptions of their role in the informed consent process. Material and Methods: An observational study involving 300 nurses operating in 13 wards of the Padua Hospital, through the submitting of a questionnaire in the period November–December 2018. Results: The final sample is made up of 206 nurses—27 males (13.11%) and 179 females (86.89%). Work experience, on average 15 years, is significant in determining the answers to questions about opinions and experiences. Age is significant in determining how often nurses provide information to the patient’s family members about the actions to be taken after discharge. The ward was decisive in the responses related to information provided to patients on the nursing care level and the actions to be taken after discharge, and the definition of the nurse’s duties. Conclusions: The data collected show the need for interventions to reduce the causes of difficult that the nurse has in informing patients.
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Jacobs, Sharon, Christine Taylor, Kathleen Dixon et Lesley Wilkes. « The alignment of nursing actions to the characteristics of clinical judgement of undergraduate student nurses ». Clinical Nursing Studies 7, no 3 (15 juillet 2019) : 88. http://dx.doi.org/10.5430/cns.v7n3p88.
Résumé :
Objective: Clinical judgement has long been an important component of safe and effective nursing care. However, despite extensive research being conducted in this area it remains difficult to articulate and observe clinical judgement in action. Nursing actions could reflect the characteristics of clinical judgement, yet this alignment has not previously been reported in the literature.Aim: The aim of the study was to identify whether the nursing actions performed could be aligned with the characteristics of clinical judgement.Methods: The setting for this study was a simulation laboratory housing a high-fidelity manikin in a large Australian university. The study used a descriptive method collecting both qualitative and quantitative data. Data was collected using a Multiple-Choice Questionnaire (MCQ), a checklist of nursing actions and associated characteristics of clinical judgement and post simulation interviews were audio recorded.Results: The nursing actions could be clearly aligned the 12 characteristics of clinical judgement. In this study it was difficult to differentiate between two of the characteristics: experiential knowledge and practical knowledge.Conclusions: Aligning the nursing actions to the characteristics of clinical judgement could assist in educating students to develop their clinical judgement. The use of aligning nursing actions to the characteristics could be a more accurate way of observing clinical judgement in action.
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Rocha, Aline de Sousa, Benedita Maryjose Gleyk Gomes, Roberta Sousa Meneses, Marcos Antonio Silva Batista, Rosane Cristina Mendes Gonçalves, Talita Sousa Batista, Samara Lima Ferreira et Fernanda Sousa Teixeira. « Actions of the nurse to the patient with a mental disorder ». Research, Society and Development 10, no 1 (6 janvier 2021) : e15510110385. http://dx.doi.org/10.33448/rsd-v10i1.10385.
Résumé :
The psychiatric reform that took place in Brazil carries characteristics of other movements that occurred in other parts of the world. The idea common to all movements is the struggle for the rights of the individual in mental suffering, seeking mainly the rupture of the mental model. These changes led to several transformations in the care scenario, for all professions directly linked to the patient. Nursing in turn has experienced and experiences significant changes in the provision of care. The aim of this study is to talk about nursing care for patients affected by mental disorder, making a temporal analysis of how this care occurred and how it presents itself in the current mental health conjuncture. The methodology is of the literature review type, which occurred through research in the databases BIREME, Lilacs, Scielo, BDENF and VHL. For this, the descriptors: nursing care for people with disorders were selected; nursing care for patients with mental disorders. In view of the results, it was evidenced that nurses are an important part of caring for patients with mental disorders, noting that these make up a multidisciplinary team and highlighting that care goes far beyond just caring for the patient, but that it consists mainly in the relationship with the patient's family, in bonding, in the work that aims at social reintegration and often also the family reinsertion of the individual. Profession that needs to undergo constant updates, but has experienced numerous transformations throughout this period of Reformation.
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McHugh, Matthew D., Linda H. Aiken, Carol Windsor, Clint Douglas et Patsy Yates. « Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals : an observational study ». BMJ Open 10, no 9 (septembre 2020) : e036264. http://dx.doi.org/10.1136/bmjopen-2019-036264.
Résumé :
ObjectivesTo determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses.DesignAnalysis of cross-sectional data derived from nurse surveys linked with admitted patient outcomes data.SettingPublic hospitals in Queensland.Participants4372 medical-surgical nurses and 146 456 patients in 68 public hospitals.Main outcome measures30-day mortality, quality and safety indicators, nurse outcomes including emotional exhaustion and job dissatisfaction.ResultsMedical-surgical nurse-to-patient ratios before implementation of ratio legislation varied significantly across hospitals (mean 5.52 patients per nurse; SD=2.03). After accounting for patient characteristics and hospital size, each additional patient per nurse was associated with 12% higher odds of 30-day mortality (OR=1.12; 95% CI 1.01 to 1.26). Each additional patient per nurse was associated with poorer outcomes for nurses including 15% higher odds of emotional exhaustion (OR=1.15; 95% CI 1.07 to 1.23) and 14% higher odds of job dissatisfaction (OR=1.14; 95% CI 1.02 to 1.28), as well as higher odds of concerns about quality of care (OR=1.12; 95% CI 1.01 to 1.25) and patient safety (OR=1.32; 95% CI 1.11 to 1.57).ConclusionsBefore ratios were implemented, nurse staffing varied considerably across Queensland hospital medical-surgical wards and higher nurse workloads were associated with patient mortality, low quality of care, nurse emotional exhaustion and job dissatisfaction. The considerable variation across hospitals and the link with outcomes suggests that taking action to improve staffing levels was prudent.
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Rizany, Ichsan, Tutik Sri Hariyati et Sri Purwaningsih. « OPTIMALISASI FUNGSI KEPALA RUANGAN DALAM PENETAPAN JADWAL DINAS PERAWAT BERBASIS KOMPETENSI : PILOT STUDY ». Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) 1, no 3 (16 mars 2017) : 244. http://dx.doi.org/10.32419/jppni.v1i3.35.
Résumé :
e"> ABSTRAKTujuan penelitian: melakukan pemberdayaan fungsi kepala ruangan dalam implementasi jadwaldinas berbasis kompetensi di rumah sakit umum vertikal kelas A yang menjadi rumah sakit pusatrujukan nasional. Metode: pendekatan pilot studi yang dilaksanakan dari analisis situasi, pembuatanplan of action, implementasi, evaluasi dan analisis gap menggunakan literatur review. Pilot studidilakukan selama ± 7 minggu kepada 43 perawat dan 16 kepala ruangan sebagai responden.Analisis situasi dilakukan dengan menggunakan diagram fi sh bone. Hasil: Masalah utama ialahbelum optimalnya pelaksanaan jadwal dinas berbasis kompetensi. Implementasi yang dilakukanialah brainstorming kepada kepala ruangan tentang pentingnya kompetensi dalam pelaksanaanjadwal dinas dan melakukan uji coba jadwal dinas berbasis kompetensi. Hasil uji coba didapatkanbahwa 100% kepala ruangan merasa jadwal dinas berbasis kompetensi lebih efektif. Hasil kuesionermenunjukkan adanya peningkatan pengetahuan kepala ruangan tentang pentingnya kompetensidalam penjadwalan perawat menjadi 8,6 dan rata-rata penilaian diri (self asessment) dari kepalaruangan tentang evaluasi pembuatan jadwal dinas berbasis kompetensi sebesar 7,88 dari 10 poin.Pelaksanaan penjadwalan berbasis kompetensi mendapat hambatan berupa kurangnya jumlahtenaga perawat, karakteristik perawat, dan pemerataaan kompetensi. Simpulan: pemberdayaanfungsi kepala ruangan dalam implementasi jadwal dinas berbasis kompetensi lebih efektif danmemudahkan pekerjaan kepala ruangan dalam pengaturan jadwal dinas. Peran kepala ruangansangat penting dalam pembuatan jadwal dinas berbasis kompetensi. Peran kepala bidangkeperawatan sangat membantu sistem jadwal dinas dengan membuat kebijakan yang tepat dansejalan dengan misi pelayanan keperawatan untuk memberikan pelayanan berkualitas dan aman.Kata Kunci: jadwal dinas, kompetensi, perawat.OPTIMIZATION THE FUNCTION OF THE HEAD NURSE IN DETERMINING COMPETENCEBASED NURSE SERVICE SCHEDULE: A PILOT STUDYABSTRACTObjective: To empower the function of head nurse in implementing competence-based nurse serviceschedule in grade A hospital which serves as a national referral hospital. Methods: This studyemployed a pilot study approach that was performed in situation analysis, making of Plan of Action,implementation, evaluation and gap analysis using literature review. The pilot study was conductedfor approximately 7 weeks to 43 nurses and 16 head nurses as respondents. The situation analysiswas performed using fi shbone diagram. Results: The main problem was unoptimal implementationof competence-based nurse service schedule. The implementation done was brainstorming tothe head nurses about importance of competence in the implementation of service schedule andconducting trial of the competence-based nurse service schedule. The trial results indicated that100% of the head nurses thought that the competence-based nurse service schedule was moreeffective. The questionnaire results indicated increased head nurses’ knowledge of the importanceof competence in nurse scheduling by 8.6, and average self-assessment of the head nurseson the evaluation of competency-based nurse service scheduling by 7.88 out of 10 points. Theimplementation of competence-based scheduling was obstructed by lack of the number of nurses,characteristics of nurses and even distribution of competence. Conclusion: The empowerment ofthe function of head nurses in the implementation of competence-based nurse service schedule wasmore effectively and could facilitate the work of head nurses in managing the service schedule. The role of head nurses was very important in competence-based nursing service scheduling. The roleof head nurses was useful in nurse service schedule system by making appropriate policy and wasin line with the mission of nursing care in providing quality and safe service.Keywords: nurse scheduling, competence, nurse
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Burfitt, SN, DS Greiner, LJ Miers, MR Kinney et ME Branyon. « Professional nurse caring as perceived by critically ill patients : a phenomenologic study ». American Journal of Critical Care 2, no 6 (1 novembre 1993) : 489–99. http://dx.doi.org/10.4037/ajcc1993.2.6.489.
Résumé :
BACKGROUND: Critically ill patients have received little attention in the caring literature and yet are a population for whom caring behaviors are particularly important. OBJECTIVES: To describe patients' perceptions of caring exhibited by professional nurses in a critical care unit and to describe the meaning to the patients of these demonstrations of caring. METHODS: We used a phenomenologic approach for this descriptive study, which was conducted on 13 patients hospitalized in a critical care unit for at least 48 hours within 48 hours of their transfer from the unit. We asked them to respond to two open-ended questions and recorded all interviews on audio tapes that were transcribed verbatim. RESULTS: Caring in a critical care unit is attentive, vigilant behavior on the part of the nurse. This vigilance embodies nurturance and incorporates highly skilled, technical practices, as well as basic nursing care and beyond. Caring is a healing process of which lifesaving actions by the nurse are a part. Identifying the characteristics of the individuals involved in this healing process was one way of describing caring. Personal attributes of nurses, family members, and patients themselves are important in the descriptions of the caring process. These attributes are incorporated into the concept of mutuality. CONCLUSIONS: Caring is descriptive of a mutual process in which intentions are joined to form a shared experience. In this mutual process, healing is an outcome that might otherwise be elusive.
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Sumner, Jane. « Concept Analysis : The Moral Construct of Caring in Nursing as Communicative Action ». International Journal of Human Caring 10, no 1 (février 2006) : 8–16. http://dx.doi.org/10.20467/1091-5710.10.1.8.
Résumé :
A theoretical framework of caring in nursing proposes nurses and patients have underlying vulnerabilities and needs with emotional and cognitive responses. These characteristics suffuse and influence the assumed roles of nurse and patient, which are manifest within the healthcare specific context. The aim—to develop conceptual and operational clarity of this framework for instrument development. The qualitative researcher’s techniques of concept analysis are utilized. The probabilistic view is used. Concept identification is prototypical. The components of the personal and professional self of the nurse and the personal and illness self of the patient are identified as is the communicative relationship posited within Habermas’ (1995) moral maturity framework. This has resulted in the development of an operational definition of caring in nursing for instrumentation.
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Brofidi, Kalliopi, Konstantinos Vlasiadis et Anastas Philalithis. « Assessment of the nursing practice environment in Greek Hospitals : a cross-sectional study ». Journal of Research in Nursing 23, no 6 (12 août 2018) : 535–45. http://dx.doi.org/10.1177/1744987118788705.
Résumé :
Background The organisational characteristics of the nursing practice environment play a crucial role in nurses’ job satisfaction, job retention, quality-of-care service provision and patient outcomes. The widely used Practice Environment Scale of the Nursing Work Index assesses the favourability of these traits, showing the grade of magnetism of these factors in the workplace. Aims and methods This study aims to assess the nurse working environment at five public hospitals in Greece, and to compare these data with those of Magnet and non-Magnet hospitals. The Practice Environment Scale of the Nursing Work Index was completed by 532 nurses. Results Findings have shown that all five hospitals were assessed by nurses as unfavourable working environments. Four of five subscales were identified as unfavourable by the participants and only Collegial Nurse-Physician Relations were evaluated as a positive organisational trait. The mean scores in all five subscales of favourability were significantly lower than the corresponding scores of non-Magnet hospitals in the US. Conclusions The present study shows the favourability grade of Greek hospitals. When compared with Magnet and non-Magnet hospitals in the US, Greek hospitals were perceived as more unfavourable than non-Magnet hospitals. Action to improve the current situation must be taken by hospital management, supporting nurse involvement, continuous education, changing human resources management and adopting evaluation procedures.
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Teston, Elen Ferraz, Dandara Novakowski Spigolon, Edilaine Maran, Aliny de Lima Santos, Laura Misue Matsuda et Sonia Silva Marcon. « Nurses' perspective on health education in Diabetes Mellitus Care ». Revista Brasileira de Enfermagem 71, suppl 6 (2018) : 2735–42. http://dx.doi.org/10.1590/0034-7167-2018-0396.
Résumé :
ABSTRACT Objective: to grasp the perspective of nurses on health education in the process of caring for people with Diabetes Mellitus in Primary Care. Method: a descriptive study of a qualitative nature carried out with 13 nurses from the Family Health Strategy in Southern Brazil. The data were collected in November and December of 2017, through recorded interviews, which were submitted to content analysis, thematic modality. Results: three categories emerged, which show from the perspective of nurses, the influence of structural and assistance characteristics in the development of educational actions; outcomes of these actions, and possibilities to increase their quality as central to the nursing action. Final considerations: there are still gaps in the structuring of public health policies, especially in the process of managing and caring for people with diabetes, which limits quantitatively and qualitatively the development of educational actions in Primary Care.
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Jacobs, Sharon, Christine Taylor, Kathleen Dixon et Lesley Wilkes. « The advantages and disadvantages of using High Fidelity Simulation as an environment to observe undergraduate nurses’ actions and their alignment with clinical judgement characteristics ». Clinical Nursing Studies 8, no 1 (24 novembre 2019) : 15. http://dx.doi.org/10.5430/cns.v8n1p15.
Résumé :
Background: High Fidelity Simulation (HFS) is used as an environment for research and education into clinical judgement in nursing with positive results. Nursing actions are important aspects of clinical judgement. Observing nursing actions could provide an opportunity to identify the characteristics of clinical judgement. Therefore, the environment of HFS was chosen for this research as an observational tool.Aim: The aim of this paper is to discuss the advantages and disadvantages of using HFS as an environment for the research in aligning the nursing actions of undergraduate nurses to characteristics of clinical judgement.Methods: The study discussed in this paper was conducted in a simulation laboratory housing an HFS manikin within a large Australian university. The study used a descriptive research design with 18 undergraduate nurses agreeing to participate.Results: The major advantage of using HFS was that it provided a real time and safe platform to determine the nursing actions enacted which represented the characteristics of clinical judgement. The major disadvantage in our research was that only one person was available to conduct the research. It is also time consuming to both create an authentic scenario as well as preparation prior to conducting a simulation session.Conclusions: HFS provided an ideal environment to observe the actions of undergraduate student nurses and aligning these actions to the characteristics of clinical judgement. Implications: In using HFS for research the availability of participants needs to be negotiated. Individual rather than group assessment will provide clearer identification of needs of students to be developed.
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Kaya, Ayla, et İlkay Boz. « The development of the Professional Values Model in Nursing ». Nursing Ethics 26, no 3 (20 septembre 2017) : 914–23. http://dx.doi.org/10.1177/0969733017730685.
Résumé :
One of the most important criteria for professionalism is accumulation of knowledge that is usable in professional practice. Nursing models and theories are important elements of accumulating nursing knowledge and have a chance to guarantee the ethical professional practice. In recent years, there has been an increase in the use of models in nursing research and newly created terminology has started to be used in nursing. In this study, a new model, termed as the Professional Values Model, developed by the authors was described. Concepts comprising the conceptual framework of the model and relations between the concepts were explained. It is assumed that awareness about concepts of the model will increase not only the patients’ satisfaction with nursing care, but also the nurses’ job satisfaction and quality of nursing care. Contemporary literature has been reviewed and synthesized to develop this theoretical paper on the Professional Values Model in nursing. Having high values in nursing increases job satisfaction, which results in the improvement of patient care and satisfaction. Also, individual characteristics are effective in the determination of individual needs, priorities, and values. This relation, proved through research about the Professional Values Model, has been explained. With development of these concepts, individuals’ satisfaction with care and nurses’ job satisfaction will be enhanced, which will increase the quality of nursing care. Most importantly, nurses can take proper decisions about ethical dilemmas and take ethical action when they take these values into consideration when giving care. The Professional Values Model seems suitable for nurse managers and it is expected that testing will improve it. Implementation of the Professional Values Model by nurse managers may increase motivation of nurses they work with. It is suggested that guidance by the Professional Values Model may help in enhancement of motivation efforts of the nurse managers and therefore should be taken into account.
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Oliveira, Arleusson Ricarte de, Yanna Gomes de Sousa, Ítalo Vinícius Albuquerque Diniz, Soraya Maria de Medeiros, Cláudia Martiniano et Marília Alves. « The daily routine of nurses in rural areas in the Family Health Strategy ». Revista Brasileira de Enfermagem 72, no 4 (août 2019) : 918–25. http://dx.doi.org/10.1590/0034-7167-2018-0243.
Résumé :
ABSTRACT Objective: to analyze the daily work of rural Family Health Strategy (FHS) nurses. Method: a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis. Results: rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management. Final considerations: conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.
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Twigg, Diane E., Christine Duffield et Gemma Evans. « The critical role of nurses to the successful implementation of the National Safety and Quality Health Service Standards ». Australian Health Review 37, no 4 (2013) : 541. http://dx.doi.org/10.1071/ah12013.
Résumé :
The National Safety and Quality Health Service Standards requires health service compliance by 2013 and covers several areas including governance arrangements, partnerships with consumers and eight key clinical processes. Nurses in Australia comprise 62% of the hospital workforce, are the largest component and hence play a critical role in meeting these standards and improving the quality of patient care. Several of the standards are influenced by nursing interventions, which incorporate any direct-care treatment that the nurse performs for a patient that may be nurse or physician initiated. The ability for nurses to undertake these interventions is influenced by the hours of care available, the skill mix of the nursing workforce and the environment in which they practice. Taking into consideration the predicted nursing shortages, the challenge to successfully implement the National Safety and Quality Health Service Standards will be great. This paper examines the role of nursing in the delivery of the National Standards, analyses the evidence with regard to nursing-sensitive outcomes and discusses the implications for health service decision makers and policy. What is known about the topic? The National Safety and Quality Health Service Standards have been endorsed for implementation by the Australian Health Ministers. Compliance with the National Safety and Quality Health Service Standards is required by Health Services in 2013. Nurses play a critical role in providing high-quality patient care and meeting accreditation standards. A decline in nursing standards is associated with inadequate staffing levels and skill mix and a lack of effective leadership and results in an increase in patient mortality. What does this paper add? The role of nurses in achieving compliance with the standards is discussed. We demonstrate that the capacity for nurses to undertake interventions is influenced by prevailing workforce characteristics. Significant nursing shortages have been identified as possible challenges to successfully implementing the National Safety and Quality Health Service Standards. What are the implications for practitioners? Practitioners need to review nursing hours of care, skill mix and the practice environment as part of the actions required to achieve the National Quality and Safety Standards. The Australian Commission on Safety and Quality in Health Care has the opportunity to take the lead by including such indicators in the measurement of hospital performance.
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Barlem, Jamila Geri Tomaschewski, Valéria Lerch Lunardi, Edison Luiz Devos Barlem, Aline Marcelino Ramos, Aline Belletti Figueira et Nerizane Cerutti Fornari. « Nursing beliefs and actions in exercising patient advocacy in a hospital context ». Revista da Escola de Enfermagem da USP 49, no 5 (octobre 2015) : 811–18. http://dx.doi.org/10.1590/s0080-623420150000500015.
Résumé :
AbstractOBJECTIVEAnalyzing beliefs and actions of nurses in exercising patient advocacy in a hospital context.METHODA quantitative cross-sectional exploratory and descriptive study, conducted with 153 nurses from two hospitals in southern Brazil, one public and one philanthropic, by applying Protective Nursing Advocacy Scale - Brazilian version. Data were analyzed using descriptive statistics and analysis of variance.RESULTSNurses believe they are advocating for patients in their workplaces, and agree that they should advocate, especially when vulnerable patients need their protection. Personal values and professional skills have been identified as major sources of support for the practice of advocacy.CONCLUSIONNurses do not disagree nor agree that advocating for patients in their working environments can bring them negative consequences. It is necessary to recognize how the characteristics of public and private institutions have helped or not helped in exercising patient advocacy by nurses.
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Silva, Irizete Maria da, Dean Douglas Ferreira de Olivindo, Gabriela Oliveira Parentes da Costa, Aclênia Maria Nascimento Ribeiro, Alaine Maria da Costa, Lígia Maria Cabedo Rodrigues, Gislane de Sousa Rodrigues et al. « Nursing in the immediate care of the victim of sexual violence ». Research, Society and Development 9, no 10 (24 octobre 2020) : e9059109281. http://dx.doi.org/10.33448/rsd-v9i10.9281.
Résumé :
Objective: to analyze in the main literature how the nurse's performance should be in the face of emergency care for the victim of sexual violence, identifying the main challenges in the immediate care of this victim. Methodology: it is an integrative literature review, with a qualitative approach and descriptive characteristics of the theme in question. The survey was carried out from February to November 2019, by the Virtual Health Library, in the databases: Lilacs, Medline, Bdenf and Ibecs, using the descriptors: Sexual violence, AND Violence against women, AND Nursing care. Another search was carried out on the Google Academic virtual library platform, with the descriptors: Sexual violence ”AND“ Nurse ”AND“ Notification. The time frame of both searches was from 2014 to 2018. The initial survey was 659 articles. After complete analysis, there were 14 articles that made up the final sample of this research. Results: the nurse is responsible for actions of identification, prevention, guidance, assistance to the victims and notification of the incident. Using as a tool the nursing process with anamnesis, physical examination, diagnosis, planning, implementation and evaluation of nursing. The latter also has the responsibility of not forgetting the ethical, moral and legal precepts that involve cases of violence. Conclusion: The studies analyzed showed numerous challenges in the immediate care of victims of sexual violence, such as the scarcity of materials and supplies, inappropriate places for care, which must be individualized and reserved so as not to expose intimacy and respect the patient's dignity. As well as non-physical barriers such as the lack of human resources, which generates work overload for the team.
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Moorefield, Grace E. « A transformational study abroad process model for nursing educators consideration ». Journal of Nursing Education and Practice 8, no 3 (27 octobre 2017) : 23. http://dx.doi.org/10.5430/jnep.v8n3p23.
Résumé :
Objective: Preparing nursing students within the college or university setting to make a positive difference in today’s global society increasingly includes opportunities to study abroad. Maximizing the transformational benefits of these experiences while minimizing the potential ill effects must be a focus of those who develop and implement these programs. This research was conducted to better understand the entire study abroad experience from the student point of view in order to develop a holistic model for nurse educators to utilize in the development of curricular and support programming.Methods: A descriptive, qualitative survey with 72 baccalaureate nursing and other art and science degree alumni from a mid-sized, private, Christian university in the United States who studied for a semester in a third world country was conducted. These participants provided essay answers to four questions regarding the impact, challenges, and opportunities appreciated throughout their study abroad experience, as well as recommendations for future study abroad programming. The responses were analyzed and the results compared with the theoretical framework upon which the study was based.Results and conclusion: Five major components of a transformative study abroad experience were exemplified. The first related to the characteristics of the sojourner, and the remaining four to a comprehensive patterned experiential process by which students moved through their study abroad experience towards transformation and action. The findings provide both a conceptual model and practical insights for nurse educators to consider as they prepare future nurses to engage their world for good through study abroad experiences.
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Purnawinadi, I. Gede. « The Characteristics Of Impaired Physical Mobility Among Patients With Stroke ». Klabat Journal of Nursing 1, no 1 (8 mai 2019) : 1. http://dx.doi.org/10.37771/kjn.v1i1.365.
Résumé :
A valid nursing diagnosis is very important in nursing care. Clinical indicators are required to validate nursing diagnoses to reduce the risk of misdiagnosis. The accuracy of clinical indicators is determined by the limitation of characteristics and related factors. The purpose of this study was to describe the characteristics nursing diagnosis of impaired physical mobility. This research was a descriptive study conducted by assessment through observation in clinical practice. There were 20 records of stroke patient documentation used in this study. The results showed that the limitations of the main characteristics that emerged in stroke patients were dyspnea after activity (90%), gait disorder (100%), slow motion (100%), spastic movements (100%), uncoordinated movements (100%), posture instability (100%), difficulty flipping position (100%), limited range of motion (100%), discomfort (100 %), decreased fine motoric skills (90%), decreased gross motoric skills (100%), and moving tremor (90%). Nurses are expected to focus on main characteristics that arise during the assessment of stroke patients with nursing diagnoses of impaired physical mobility in order to plan effective nursing actions. For further investigators it is recommended to use valid instruments in conducting the assessment so that these characteristics can be a more accurate indicator in nursing diagnosis.
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Zafman, Kelly B., Joanne L. Stone et Stephanie H. Factor. « Trends in characteristics of women choosing contraindicated home births ». Journal of Perinatal Medicine 46, no 6 (28 août 2018) : 573–77. http://dx.doi.org/10.1515/jpm-2018-0029.
Résumé :
Abstract Objective: To characterize the American College of Obstetricians and Gynecologists (ACOG) contraindicated home births and the women who are receiving these births in hopes of identifying venues for intervention. Methods: The National Center for Health Statistics (NCHS) birth certificate records from 1990 to 2015 were used. “Planned home births” were defined as those births in which birthplace was coded as “residence” and birth attendant was coded as “certified nurse midwife (CNM)” or “other midwife”. Contraindicated home births were defined as “planned home births” from 1990 to 2015 that had one or more of the ACOG risk factors for home births, which include vaginal birth after prior cesarean delivery (VBAC), breech presentation and multiple gestations. Results: A review of trends in contraindicated home births from 1990 to 2015 suggests that they are increasing in number (481–1396) and as a percentage of total births (0.01%–0.04%, P<0.001). There has been an increase in the proportion of college-educated women (31%–51%, P<0.001). Most women receive prenatal care (>95%), which is most frequently initiated in the first trimester. The majority of home births were paid out-of-pocket (65%–69%). Conclusion: The increasing number of contraindicated home births in the United States requires public health action. Home births are likely a matter of choice rather than a lack of resources. It is unclear if women choose home births while knowing the risk or due to a lack of information. Prenatal education about contraindicated home births is possible, as almost all women receive prenatal care.
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Aprini, Kesty, Nurlely Nurlely et Nani Kartinah. « Gambaran Informasi dan Tindakan Petugas Kesehatan Terhadap Kepatuhan Berobat Pasien Tuberkulosis di Puskesmas Wilayah Kabupaten Banjar ». Jurnal Pharmascience 7, no 2 (31 octobre 2020) : 166. http://dx.doi.org/10.20527/jps.v7i2.8021.
Résumé :
Petugas kesehatan mempunyai pengaruh terhadap kualitas pelayanan kesehatan, termasuk pelayanan kesehatan terhadap pasien TB yang akan berpengaruh terhadap kepatuhan berobat. Tujuan penelitian ini menentukan persentase petugas kesehatan kategori baik, cukup, kurang dalam memberikan informasi dan tindakan terhadap pasien tuberkulosisdi Kabupaten Banjar. Penelitian ini dilakukan terhadap 97 petugas kesehatan dengan pendekatan cross sectional menggunakan kuesioner. Subjek pada penelitian ini yaitu tim program TB (Dokter, Perawat, Petugas lab) dan Apoteker/AA. Penilaian dilakukan terhadap karakteristik petugas, informasi dan tindakan yang diberikan petugas kesehatan terhadap kepatuhan berobat pasien TB yaitu dikategorikan baik, cukup dan kurang. Hasil penelitian pada karakteristik petugas kesehatan yaitu jenis kelamin perempuan sebanyak 68 orang, kategori umur >30 tahun sebanyak 57 orang, pendidikan terakhir yang paling banyak yaitu D3 sebanyak 47 orang, masa jabatan sebagai petugas TB (perawat) yang paling banyak yaitu selama <5 tahun sebanyak 20 orang. Informasi yang diberikan oleh petugas kesehatan terhadap kepatuhan berobat pasien TB dalam kategori baik yaitu 61 (62,88%) petugas kesehatan dan tindakan petugas TB sebanyak 47 (48,46%) petugas kesehatan. Oleh karena itu petugas kesehatan perlu memperhatikan lagi terkait kinerja pelayanan kesehatan agar informasi dan tindakan terhadap kepatuhan berobat pasien TB jauh lebih baik Health workers have an influence on the quality of health services, including health services for TB patients which will affect treatment compliance. The purpose of this study was to determine percentage of health workers in good, sufficient, and inadequate categories in providing information and action on tuberculosis patients in Banjar District. This research was conducted on 97 health workers with a cross sectional approach using a questionnaire. The subjects in this study were TB team programs which consist of Doctors, Nurses, Lab Officers and Pharmacists/Pharmacist assistant. An assessment was made of staff characteristics, information and actions given by health workers to TB patient treatment was categorized as good, sufficient and lacking. Thye result of this study characteristics on health workers are female sex which were 68 people, age categories>30 years as many as 57 people, the most recent education is D3 which were 47 people, while the longest term as TB officers (nurses) was for less than 5 years which were 20 people. Information provided by health workers on TB patient compliance in the good category was 61 (62.88%) health workers and the actions of TB workers were 47 (48.46%) health workers. Therefore, it is necessary to pay more attention to the performance of health services so that information and actions on TB patient compliance more better Keywords: TB Health care workers, Tuberculosis, Information, Action
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Dewi, Inggriane, Rahmat Sastro et Suryadi Alamsyah. « Hubungan Karakteristik Perawat Dengan Pelaksana Asuhan Keperawatan Spiritual Islami Di Ruang Inap Dewasa Rumah Sakit Kabupaten Bandung ». Jurnal Smart Keperawatan 7, no 2 (22 décembre 2020) : 125. http://dx.doi.org/10.34310/jskp.v7i2.346.
Résumé :
Kesenjangan antara pemenuhan kebutuhan spiritual oleh perawat dengan yang diterima oleh pasien rawat inap dewasa di rumah sakit Kabupaten Bandung ini mendorong sebuah penelitian dengan tujuan menganalisis implementasi asuhan keperawatan spiritual muslim di ruang rawat inap dewasa. Desain penelitian yang digunakan dalam penelitian ini adalah deskriptif korelatif, dengan pendekatan Cross Sectional sampel dalam penelitian ini adalah semua perawat pelaksana yang melakukan tindakan langsung kepada pasien yaitu sebanyak 39 orang dan pasien yang telah dirawat di ruangan ≥ 3 hari. Teknik pengambilan data dengan menggunakan kuesioner bagi perawat dan pasien, selain itu peneliti melakukan observasi terhadap dokumentasi asuhan spiritual Islami yang telah dilakukan perawat serta wawancara pada perawat.Hasil penelitian menunjukan pelaksanaan spiritual care Islami di ruang rawat inap dewasa ini, sebagian besar belum terlaksana (53%), data didukung oleh pernyataan pasien (68%) mengatakan kurang mendapatkan asuhan spiritual dari perawat serta aspek pendokumentasian yang kurang (33%) untuk pengkajian dan penegakan diagnosa keperawatan, sementara untuk perencanaan, implementasi dan evaluasi 100% tidak terdokumentasi. Terdapat hubungan antara jenis kelamin, pelatihan dan lama kerjaperawat dengan pelaksanaan asuhan keperawatan spiritual Islami (nilai P = 0,000) dan terdapat hubungan jenis kelamin dan lama kerja perawat dengan pendokumentasian asuhan keperawatan spiritual Islami dengan (nilai P 0,000).Kata kunci : asuhan keperawatan spiritual islami; perawat; dokumentasiTHE CORRELATION BETWEEN NURSE CHARACTERISTICS AND THE IMPLEMENTATION OF ISLAMIC SPIRITUAL NURSING CARE IN ADULT WARD OF BANDUNG DISTRICT HOSPITAL Abstract The gap between the fulfillment of spiritual needs by nurses and those received by adult inpatients room at Bandung Regency hospital encourages a study with the aim of analyzing the implementation of Muslim spiritual nursing care in adult inpatients. The research design used in this study was descriptive correlative, with a cross sectional approach. The sample in this study were all nurses who took direct action on the patient, as many as 39 people and patients who had been treated in the room ≥ 3 days. The data collection technique used a questionnaire for nurses and patients. In addition, the researcher made observations on the documentation of Islamic spiritual care that had been carried out by nurses and interviews with nurses. The results of the study show that the implementation of Islamic spiritual care in inpatient rooms today has not largely been implemented (53%), the data is supported by statements of patients (68%) saying they do not get spiritual care from nurses and lack of documentation (33%) for assessment and enforcement of nursing diagnoses, while for planning, implementation and evaluation they are 100% undocumented. There is a relationship between gender, training experience and length of work of nurses with the implementation of Islamic spiritual nursing care (value P = 0.000) and there is a relationship between gender and length of work of nurses with documentation of Islamic spiritual nursing care with (P value 0,000).. Keywords: islamicspiritual nursing care;nurse; documentation
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Chua, Bee Seok, Getrude Cosmas et Norkiah Arsat. « Nurses’ Preparedness, Readiness, and Anxiety in Managing COVID-19 Pandemic ». Asia Pacific Journal of Public Health 33, no 5 (3 mai 2021) : 564–70. http://dx.doi.org/10.1177/10105395211012170.
Résumé :
Nurses’ preparedness has been very important for them to treat patients effectively during the COVID-19 pandemic and serve the community. Nurses provide a vital role in mitigating the effects of health crises. In order to help nurses better understand their skills, abilities, and knowledge, as well as the actions that they should take to manage care, the research aims of this study are to (1) investigate the level of preparedness, readiness, and anxiety among nurses during the COVID-19 outbreak in Sabah, Malaysia; (2) examine the effects of various differences in preparedness and readiness among nurses; and (3) examine the effect of COVID-19 preparedness on anxiety among nurses. The results revealed that the nurses were moderately competent in managing the COVID-19 care situation. Each of the 3 differentiating characteristics (age, work experience, and previous disaster experience) did not predict how nurses would manage COVID-19 preparedness significantly. Besides, we also found only 2 dimensions of preparedness (familiarity with epidemiology and surveillance and familiarity with psychological issues) significantly predicted nurses’ anxiety levels. Familiarity with epidemiology and surveillance predicted nurses’ anxiety positively; in contrast, familiarity with psychological issues negatively influenced nurses’ anxiety.
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Gibbs-Ward, Amie J., et Heather H. Keller. « Mealtimes as Active Processes in Long-term Care Facilities ». Canadian Journal of Dietetic Practice and Research 66, no 1 (mars 2005) : 5–11. http://dx.doi.org/10.3148/66.1.2005.5.
Résumé :
Mealtimes are central to the nutritional care of residents in long-term care facilities. There has been little Canadian research to guide interdisciplinary practice around mealtimes. This study included a grounded theory approach to explore mealtime experiences of 20 people with dementia living in two long-term care facilities, and the meal-related care they received from registered nurses, health care aides, and dietitians. Theoretical sampling directed the collection and analysis of data from mealtime observations in special care units and key informant interviews with care providers. The constant comparison method was used to analyze and conceptualize the data. A substantive theory emerged with three key themes: Each mealtime is a unique process embedded within a long-term care facility's environment. Residents are central to the process through their actions (i.e., arriving, eating, waiting, socializing, leaving, and miscellaneous distracted activities). Internal (i.e., residents’ characteristics) and external (i.e., co-resident, direct caregiving, indirect caregiving, administrative, and government activities) influences affect residents’ actions at mealtimes. The theory suggests that optimal mealtime experiences for residents require individualized care that reflects interdisciplinary, multi-level interventions.
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Barreto Waisbeck, Tania Michele, Guilherme Fleury Perini, Patricia do Carmo Della Vechia, Lidiane Soares Sodre Costa, Andrea Coletti, Cristina Vogel, Andreza Alice Feitosa Ribeiro et Nelson Hamerschlak. « Early Impact Of a Nurse-Based Program To Reduce The Time From First Fever To Antibiotic Infusion In Neutropenic Patients In a Oncohematological and Bone Marrow Transplantation Unit In Brazil ». Blood 122, no 21 (15 novembre 2013) : 1704. http://dx.doi.org/10.1182/blood.v122.21.1704.1704.
Résumé :
Abstract Introduction Febrile neutropenia is one of the major causes of morbidity, treatment interruptions and mortality during oncological treatment and bone marrow transplant (BMT). The time from fever to initiation of empiric antibiotics therapy (AET) is related to the outcome of patients. Ideally, patients should receive EAT in less than one hour after fever. However, many patients fail to receive EAT in less than 1 hour due to intrahospitalar delays, and may have impact in patient outcomes. Therefore, institutional policies to ensure ideal management of these patients are recommended and fever-to-patient antibiotic delivery is one of quality control measure in our Oncology and BMT Unit. Methods We implemented a nurse-based program to reduce the time from first fever or clinical EAT indication to EAT infusion. A senior nurse was in charge of implementing the program in the Oncohematological and Bone Marrow Transplantation Unit. Several actions were implemented: (1) Data collection for comparative studies, (2) Team education (pharmacy, medical and nurses) through lectures and (3) Daily data verification to verify the accuracy of data registered in medical files; (4) Survey about patient characteristics included in this study. All patients in the unit were daily censored for neutropenia, and neutropenic patients were followed for fever or need for ATB initiation. Patients who initiated EAT on the emergency room (ER) or day clinic were excluded from the analysis. For all patients, time from EAT indication and EAT infusion was collected. Data was then classified in 4 categories: (1) Time to EAT <1 hour; (2) Time to EAT >1 hour; (3) Major data inconsistency (defined when EAT indication registered time was later than EAT infusion registered time); (4) Minor data inconsistency (defined when time to EAT infusion was registered at the same time of EAT indication). Twenty medical files were retrospectively selected for comparison. Results We present the results of the first three months after the program implementation. In the retrospective group, only 35% (7/20) of patients received EAT in less than 1 hour, 15% (3/20) of patients received EAT in more than 1 hour, and inconsistencies were seen in 50% of medical files, including 40% of minor and 10% major inconsistencies. After program implementation (n=17), the percentage of patients receiving EAT in less than 1 hour was 82% (14/17), 6% of patients received EAT >1 hour (1/17), and 12% (2/17) of patients had minor inconsistencies in registered time. No major inconsistencies were observed after the program. For good practicing analysis, we grouped patients in two groups: Ideal (EAT <1 hour) and Not Ideal (EAT>1 hour and inconsistencies in medical file registration). With this approach, we showed that Ideal group improved from 35% to 82%, and the Not Ideal group declined from 65% to 18% (p=0.007). Moreover, the median time to EAT decreased from 60 minutes (range 30-240) to 30 minutes (range 8-66) (p=0.01) Conclusions The implementation of a nurse-based program significantly increased the number of patients receiving ATB in <1 hour in an Oncohematological and Bone Marrow Transplant Unit after only 3 months. Moreover, the time to ATB initiation was significantly decreased with this policy. Our findings indicate that, despite the nursing staff recognize the importance of febrile neutropenia, monitoring process, education and constant communication are necessary for an effective treatment and for improvement the patient care. Further implementation of this program in the day clinic and ER are planned and a survey about patient education of neutropenic infections will be implemented. Disclosures: No relevant conflicts of interest to declare.
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Restrepo-Medrano, Juan Carlos, et Sherezada Suaza-Velásquez. « ¿Qué hay de nuevo en calcifilaxia ? » Revista Ciencia y Cuidado 15, no 1 (1 janvier 2018) : 110. http://dx.doi.org/10.22463/17949831.1236.
Résumé :
Objetivo: Revisar la literatura científica publicada en las principales bases de datos, entre los años 1962 y 2016, cuyo objetivo fue abordar el tema de la calcifilaxia y sus principales características. Metodología: Se llevó a cabo una revisión de la literatura en las principales bases de datos de las Ciencias de la Salud y las Ciencias Sociales (medline-pubmed, cinhal, web of science, lilacs, sociological abstracts, cuiden, embase, psycoinfo e isi web of knowledge). Se emplearon descriptores en español, inglés y portugués: Calcifilaxis; diálisis, hiperparatiroidismo, necrosis, gangrena, calcificación vascular, cuidados de enfermería y diagnósticos de enfermería. Se hizo una revisión sistemática de los artículos seleccionados utilizando un protocolo para extraer los datos. Resultado: Se encontraron 45 artículos que cumplían con los criterios de búsqueda establecidos, 35 reportaron los resultados de ensayos clínicos o estudios cualitativos, 4 correspondían a revisiones sistemáticas y 6 se catalogaron como estudios retrospectivos. Los autores señalaron las principales características de la enfermedad, de los pacientes y los tratamientos más usados, pero poco del cuidado que debe brindar el profesional enfermero. Conclusión: En los estudios analizados se identificaron principalmente aspectos sobre el curso de la enfermedad y el tratamiento; se reportó la efectividad de algunos tratamientos utilizadas en la atención de dichos pacientes, pero ninguna de ellas definitiva, lo que permite proponer algunas acciones desde la disciplina enfermera.Palabras clave: Arteriolopatía urémica calcificante, necrosis cutánea, calcificación microvascular ¿What is new in calciphylaxis?AbstractObjective: To analyze the scientific literature published in the main databases between 1962 and 2016, whose objective was to address the issue of calciphylaxis and its main characteristics? Methodology: A literature review was carried out in the main databases of the Health Sciences and Social Sciences (medline-pubmed, cinhal, web of science, lilacs, sociological abstracts, cuiden, embase, psycoinfo and isi web of knowledge). An analytical review of the selected articles was made using a protocol to extract the data. Results: 45 articles were found that fulfilled the established search criteria, 35 reported the results of clinical trials or qualitative studies, 4 corresponded to systematic reviews and 6 were classified as retrospective studies. The authors pointed out the main characteristics of the disease, the patients and the most used treatments, but little of the care that should be provided by the nurse practitioner. Conclusion: In the analyzed studies, aspects regarding the course of the disease and treatment were identified; it was reported the effectiveness of some treatments used in the care of these patients, but none of them definitive, which allows to propose some actions from the nurse discipline.Key words: Calciphylaxis, nurse, Dialysis, chronic ulcers¿O que há de novo na calcifi laxia?ResumoObjetivo: Analizar a literatura científica publicada nas principais bases de dados entre 1962 e 2016, cujo objetivo era abordar a questão da calcifilaxia e suas principais características. Metodologia: Uma revisão da literatura foi realizada nas principais bases de dados das Ciências da Saúde e Ciências Sociais (medline-pubmed, cinhal, web of science, lilacs, abstracts sociológicos, cuiden, embase, psycoinfo e isi web de conhecimento). Uma revisão analítica dos artigos selecionados foi feita usando um protocolo para extrair os dados. Resultados: Foram encontrados 45 artigos que preencheram os critérios de pesquisa estabelecidos, 35 relataram resultados de ensaios clínicos ou estudos qualitativos 4, correspondem a revisões sistemáticas e 6 foram classificados como estudos retrospectivos. Os autores apontaram as principais características da doença, os pacientes e os tratamentos mais utilizados, mas pouco dos cuidados que devem ser prestados pela enfermeira praticante. Conclusão: Os estudos analisaram aspectos principalmente identificados do curso da doença e do tratamento; foi relatado a eficácia de alguns tratamentos utilizados nos cuidados desses pacientes, mas nenhum deles definitivo, o que permite propor algumas ações da disciplina de enfermagem.Palabras clave: Calcifilaxis, nurse, Diálisis, chronic ulcers
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Hastuti, Nur. « DAMPAK PERMASALAHAN HIDUP EMPAT TOKOH UTAMA TERHADAP KEPRIBADIAN DALAM NOVEL AUTO KARYA NATSUO KIRINO ». IZUMI 3, no 1 (5 janvier 2014) : 19. http://dx.doi.org/10.14710/izumi.3.1.19-33.
Résumé :
Abstract This ressearch has title” The Impact of The Fourth Main Characters’ Life Problem Toward Their Characteristic In The Novel Auto By Natsuo Kirino”. The objects ressearch is novel Auto by Natsuo Kirino that was published in 1997. This ressearch has aim to get the description of characteristic structure of the four main characters that includes id, ego, and superego, and also about what are the effects of life problem toward their characteristics. The theoritical approach that is used in this ressearch is to answer those both problems and uses Sigmund Freud’s Psychoanalisist.From the characteristics ressearch result of the four main characters, they are Masako, Yayoi, Yoshie, and Kuniko, it is proved that their characteristics are more dominated by id impuls than ego impuls or superego. This is because work characteristic of id is pleasure principle to reduce tension or problem.The impact of life problem toward the characteristic of four main characters is descibed below. Masako has problem when she is never respected in her workplace. Difficult communication with her husband and her household that is not harmonious and her relationship with her children is not getting well. Those problems effect she does main action to reduce her tension in her life. She also helps her friend, Yayoi by throwing away Yayoi’s husband corpse that had been mutilated. Yayoi has problem with her husband who never respects her and her household that is not harmonious. Solution that is done by Yayoi because of household problem is by doing main action by killing her husband. Another character, Yoshie has a problem where she must nurse her mother in law who always grumble and gets angry to her when she come late. She must also work in the night to earn money to fulfill her needs. Those facts cause fury to Yoshie, so that she wants to kill her mother in law. Yoshie wants to leave out all her burdens and tensions by helps Masako to throw away Kenji’s corpse (Yayoi’s husband). Another character, Kuniko has problem about she feel that she has no face beauty and perfect body shape, so that she lives in luxurious way and has many debts to the creditors to cover her lack. She does this way to reduce her tension in her life. Keywords: novel, main character, life problem, psychoanalisist
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Hølge-Hazelton, Bibi, Thora Grothe Thomsen, Mette Kjerhol et Elizabeth Rosted. « Implementing a vision of person-centredness across a new university hospital in Denmark ». International Practice Development Journal 11, no 1 (19 mai 2021) : 1–3. http://dx.doi.org/10.19043/ipdj.111.013.
Résumé :
The experience of a collaborative process to build a research and development culture at a new university hospital underlined that the Person-centred Practice Framework (McCance and McCormack, 2017) forms a solid and valuable foundation for ongoing work. The fact that the process has involved researchers, leaders at different levels, clinical nurse specialists and other healthcare professionals makes the framework’s focus on the whole care environment especially relevant. How work towards a nursing research culture developed into a person-centred strategy In 2010, the management at our hospital in Denmark established a director of nursing research position, with a remit to create, develop and support a research culture within the nursing and allied health professions. No guidance was offered on how this should be done and as a consequence the ideas and professional profile of the person hired were highly influential (Hølge-Hazelton, 2019). Having a solid background in action research and studies of vocational and professional education, the new director launched a collaborative process to identify the desired characteristics of the research culture. Those contributing included the networks of clinical development nurses and head nurses, and the executive director of nursing. The proposed vision that emerged was: Our research culture should be constructive, creative, inclusive and visible at all levels of the hospital. This vision was discussed and agreed among all head nurses at the hospital. The idea was that the culture should be everybody’s business and include all levels of nursing, and furthermore that these levels would be interdependent and dynamic. The strategy to achieve this was defined as ‘bottom up, top down and don’t forget the middle’, to signal that research and development are closely related and that they should be participatory, based on a broad understanding of evidence (Rycroft-Malone, 2010), clinically relevant, and supported by the hospital’s leadership. Within the first years of work towards realising the vision, two more nursing researchers were hired in clinical departments at the hospital. They also had a background in personal and organisational learning processes, organisational development and action research. Their task was to support the realisation of the strategy at departmental and unit level.
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AlMekkawi, Mohamad, Firas Qatouni, Hussam Al Amoor, Bassam Alayed et Mohamad El Najm. « Clinical Teaching Effectiveness of Undergraduate Student Nurses in the United Arab Emirates ». SAGE Open Nursing 6 (janvier 2020) : 237796082094864. http://dx.doi.org/10.1177/2377960820948640.
Résumé :
Introduction Clinical supervision is a crucial aspect of developing nursing students' knowledge, skills, and professional attitudes. The characteristics of clinical instructors have a significant role in the progress and transition of students into their future professional roles. Objective The study aimed to examine the behaviors of effective clinical instructors as perceived by nursing students and faculty members in the UAE. Methods The study followed a cross-sectional quantitative research design to explore nursing students' and faculty members' perceptions of clinical instructors' effective behaviors that facilitate students' clinical practice. Data were collected from a convenience sample of 147 nursing students and 17 faculty members who completed an online version of the study survey at four nursing programs in the UAE. Results Students rated personality ( M = 4.96, SD = 1.91) and teaching ability ( M = 4.94, SD = 1.96) as the highest behaviors for effective clinical instructor. They perceived effective clinical instructor to be organized ( M = 5.19, SD = 1.88), shows self-confidence ( M = 5.16, SD = 1.84), able to answer questions ( M = 5.16, SD = 1.90), emphasizes what is crucial to learn ( M = 5.11, SD = 1.81), and takes responsibility for his/her actions ( M = 5.11, SD = 1.90). While faculty members perceived effective clinical instructor to encourage a climate of mutual respect ( M = 5.56, SD = 1.27), be approachable ( M = 5.47, SD = 1.32), demonstrates clinical skill and judgment ( M = 5.53, SD = 1.46), takes responsibility for his/her actions ( M = 5.53, SD = 1.37), and be a good role model ( M = 5.47, SD = 1.32). Conclusion Understanding clinical instructors' effective behaviors and supporting them during students' clinical experiences inspire a productive teaching-learning environment that is crucial to improve students' motivation, expand their learning opportunities and improve their hands-on skills.
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Maffei, Rossana, Stefania Fiorcari, Silvia Martinelli, Jenny Bulgarelli, Valentina Audrito, Patrizia Zucchini, Giulia Debbia et al. « Lenalidomide Promotes a Pro-Inflammatory Switch of Nurse-like Cells Derived from Chronic Lymphocytic Leukemia ». Blood 124, no 21 (6 décembre 2014) : 3286. http://dx.doi.org/10.1182/blood.v124.21.3286.3286.
Résumé :
Abstract Lenalidomide is an immunomodulatory agent clinically active in CLL patients. The specific mechanism of action is still undefined, but includes the modulation of microenvironment. In CLL patients, nurse-like cells (NLCs) differentiate from CD14+ mononuclear cells and nurture/protect CLL cells from apoptosis. NLCs resemble M2 macrophages with potent immunosuppressive functions. We examined the ability of lenalidomide to mediate a pro-inflammatory switch of NLCs affecting the protective microenvironment generated by CLL into tissues. NLCs were generated in presence or absence of lenalidomide: cell surface markers, phagocytosis and induction of T cell proliferation were analyzed after 10 days. NLCs activation was measured using a yellow tetrazolium MTT assay after 5 days of culture and NLCs proliferation was measured by CFSE staining. Microarray-based gene expression profiles of NLCs treated or not with lenalidomide were evaluated after 10 days and data were confirmed by real time PCR. Lenalidomide modifies the immunophenotype and the biological characteristics of NLCs. First, treatment with lenalidomide 0.5µM and 1µM increased the number of NLCs to 268% and 309% compared to untreated control (100%) respectively (p<0.05). To explain the high number of NLCs generated by lenalidomide, we analyzed cell activation and proliferation. We observed a strong increase in NLCs activation after treatment with lenalidomide that correlated with stimulation of NLCs proliferation from 44% to 55% (% of dividing cells) (p<0.05). In contrast with the high number of NLCs generated in presence of lenalidomide, we found that NLCs lost the ability to nurture and protect CLL cell from apoptosis reducing their viability from 54.2% to 44.5% (p<0.05), but they strongly attracted CLL cells reaching an increase of adhesion to 227% and 212% with the addition of 0.5µM and 1µM lenalidomide (p<0.05). Accordingly with these results, we investigated the ability of lenalidomide to interfere with leukemia-promoting activity of NLCs. Lenalidomide improved the ability of NLCs to engulf zymogen particles to 141% and 155% with dosage of 0.5µM and 1µM compared to control (100%) (p<0.05), further confirmed analyzing the uptake of FITC-dextran by NLCs that increased to 252% and 356% compared to untreated control (p<0.01). Moreover lenalidomide strongly improved the ability of NLCs to induce T cells proliferation from 19.5% to 35.0% (% of dividing cells) (p<0.05). Lastly, gene expression profiling showed a switch to a pro-inflammatory profile in NLCs induced by treatment with lenalidomide involving a modulation of pivotal genes for the immune response, activation/proliferation of T cells, complement activation as well as regulation of cellular movement, cytokine and chemokine activation. In particular, down-regulation of CCL2, CXCL12, IL-10, CD163 and up-regulation of IL-2 were apparent. Collectively, our data provide new insights into the mechanism of action of lenalidomide that reverts NLCs polarization from M2 to M1-skewed phenotype affecting the supporting and protective microenvironment generated by CLL into tissues. Disclosures Maffei: Celgene: support for travel to congresses Other. Marasca:Celgene: Honoraria, Research Funding.
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Erdius, Erdius, et Fatwa Sari Tetra Dewi. « HUBUNGAN BEBAN KERJA FISIK DAN MENTAL TERHADAP STRES KERJA PERAWAT DI RSUD DR. H. MOHAMAD RABAIN KABUPATEN MUARA ENIM ». Berita Kedokteran Masyarakat 33, no 9 (1 septembre 2017) : 439. http://dx.doi.org/10.22146/bkm.25551.
Résumé :
Job stress among nurses in Muara Enim: physical and mental workloads analysisPurposeThis study aimed to determine the description of the level of job stress and identify related factors that include workload, job satisfaction and individual characteristics of nurses in hospital of dr. H. Mohamad Rabain Muara Enim. MethodsThis research was a quantitative study with a cross-sectional design. Research subjects were 63 nurses who were selected using proportional stratified random sampling. Independent variables were physical and mental workload. External variables were job satisfaction, gender, age, years of service as employee, and marital status. The dependent variable was job stress. Job stress due to work measurements used a stress scoring questionnaire as the scoring method. Statistical tests were conducted to determine the correlation of job stress with the job stress factors of respondents using chi-square tests on physical workload variable and Fisher's Exact tests for mental workload with Confidence Interval (CI) 95% and p-value < 0.05. ResultsThere was no correlation between physical workload towards job stress in hospital of dr. H. Mohamad Rabain District of Muara Enim (p = 0.69). There was also no correlation between mental workload towards job stress in hospital of dr. H. Mohamad Rabain of Muara Enim district (p = 0.77). ConclusionFactors affecting the physical and mental workload are the absence of percentage between direct, indirect and non-nursing actions, and the differences between young and capable nurses. The work stress experienced by nurses is more influenced by other job factors.
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Tavares, Darlene Mara dos Santos, Mariana Mapelli de Paiva, Flavia Aparecida Dias, Marina Aleixo Diniz et Nayara Paula Fernandes Martins. « Socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension who live in rural areas : the importance of nurses' role ». Revista Latino-Americana de Enfermagem 21, no 2 (avril 2013) : 515–22. http://dx.doi.org/10.1590/s0104-11692013000200007.
Résumé :
OBJECTIVE: To describe the socio-demographic characteristics and quality of life of elderly patients with systemic arterial hypertension; to correlate the quality of life with the time of diagnosis and number of medication, as well as to compare the quality of life with the type of medication. METHOD: In this cross sectional home survey design, 460 elderly people from rural areas were involved. The data was collected with the use of the following instruments: World Health Organization Quality of Life-bref and World Health Organization Quality of Life Olders. A descriptive analysis, Pearson correlation and t-Student test (p<0.05) were undertaken. RESULTS: Predominant patient characteristics were: women between the age of 60 and 70, married, four to eight years of formal education, income of one minimum wage, living with their partners. The time of diagnosis was associated with lower quality of life in the physical domain. Elderly patients who used Inhibitors and Angiotensin Converting Enzyme and who did not use AT1 blocker had lower scores in relation to functioning of the senses. Those who used calcium channel blocker scored higher in relation to autonomy. CONCLUSION: there is a need for actions to control systemic arterial hypertension and its associated complications, with the purpose of improving quality of life.
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Gao, Tian, Xuzhu Zhang, Bruce Gurd et Zunyu Liu. « From self-management to a systemized process : the implementation of lean management in a Chinese hospital’s pharmacy intravenous admixture services center ». Leadership in Health Services 33, no 4 (23 juillet 2020) : 325–37. http://dx.doi.org/10.1108/lhs-12-2019-0085.
Résumé :
Purpose The purpose of this paper is to explore the importance of lean leadership in an implementation in a Chinese hospital, considering a particular focus on the attitudes of nursing professionals while identifying specific cultural or institutional factors in China that might affect the implementation. Design/methodology/approach The authors use Harrison et al.’s (2016) framework to explore the outcomes of a nine-month action research project whereby the authors observed the process and outcomes of implementing lean in a pharmacy intravenous admixture service of a Chinese hospital. Findings The implementation of lean had positive results, which improved the efficiency of the operation, reduced the work start time and the amount of staff, and improved clinical satisfaction. In the process of implementation, nursing professionals showed a positive attitude toward the implementation and showed no obvious resistance under the positive influence of the head nurse. The combination of Chinese cultural characteristics, nursing culture and strong leadership enabled lean success. Originality/value The unit moved from self-management to a systemized process of using lean concepts and methods, it is an important change for hospital managers.
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Markey, Bernadine. « The Professional Nurse : Issues and Actions ». AORN Journal 60, no 3 (septembre 1994) : 486. http://dx.doi.org/10.1016/s0001-2092(07)62791-4.
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Oldnall, Andrew S. « The Professional Nurse : Issues and Actions ». Journal of Advanced Nursing 20, no 2 (août 1994) : 396–97. http://dx.doi.org/10.1046/j.1365-2648.1994.20020396-3.x.
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Pozzar, Rachel A., Andrea Catherine Enzinger, Meghan Orechia, Embree Thompson, Ann Furey, Anny THR Fenton, Hanneke Poort et al. « Building out lifelines for safety, trust, empowerment, and renewal : Development, feasibility, and acceptability of the BOLSTER intervention for patients with gynecologic cancers and their caregivers. » Journal of Clinical Oncology 39, no 28_suppl (1 octobre 2021) : 187. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.187.
Résumé :
187 Background: Peritoneal carcinomatosis (PC) afflicts over half of women with advanced gynecologic (GYN) cancers. Patients with PC often require ostomies, gastric tubes, or catheters to palliate their symptoms, yet patients and caregivers report feeling unprepared to manage these devices at home. Our aims were to develop and assess the feasibility and acceptability of an intervention (BOLSTER) to support patients with GYN cancers and their caregivers after hospitalization for PC. Methods: We used the ADAPT-ITT approach to adapt components of the Standard Nursing Intervention Protocol for the target population. First, we assembled a team of stakeholders and topical experts to identify gaps in patient resources. Next, we developed patient- and family-centered educational materials. We augmented written materials with illustrations and produced short videos of patients and caregivers managing medical devices. We developed a protocolized manual for a baccalaureate-prepared nurse to provide care coordination, skills training, and symptom management education across several in-person or telehealth visits. We also created a smartphone application to assess patient-reported outcomes, deliver tailored educational content, and trigger clinical action between visits. Finally, we assessed the feasibility and acceptability of two iterations of BOLSTER in single-arm pilot studies of English-speaking adult patients hospitalized for PC and their caregivers. We defined feasibility as a ≥50% consent-to-approach ratio and acceptability as ≥70% of participants recommending BOLSTER. Results: Intervention characteristics during and the results of each single-arm pilot study are shown in Table. In the first single-arm pilot, 2/4 participants declined home visits, 2/4 wished BOLSTER were shorter, and 3/4 desired access to BOLSTER earlier in their disease course. For the second single-arm pilot, we expanded participant eligibility criteria, eliminated home visits, and reduced the duration of the intervention. Conclusions: BOLSTER is a technology-enhanced, nurse-led care management intervention that is feasible and acceptable to patients with GYN cancer-associated PC and their caregivers. A randomized controlled pilot study of BOLSTER represents a logical next step. Clinical trial information: NCT03367247. [Table: see text]
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Jahromi, Marzieh Kargar, Afifeh Rahmanian Koshkaki, Farzad Poorgholami et Malihe Talebizadeh. « A Study of Nurses’ Perception of Professional Values in the University Hospitals Affiliated with Jahrom University of Medical Sciences, 2015 ». Bangladesh Journal of Medical Science 17, no 1 (11 janvier 2018) : 47–51. http://dx.doi.org/10.3329/bjms.v17i1.35279.
Résumé :
Objectives: In order to deal with professional ethical issues successfully, nurses and other providers of clinical care need to rely on professional values that are meant to guide their professional decision-making, actions and behaviors .These values form the basis of nursing. Accordingly, the present study aims to investigate nurses’ perception of professional values in the hospitals affiliated with Jahrom University of Medical Sciences.Method: In this descriptiveanalytical study, 100 nurses employed at the university hospitals of Jahrom were selected through simple convenience sampling. To examine the subjects’ perception of professional values, the researchers used a two-part questionnaire: part one consisted of questions about the personal and social characteristics of the subjects; part two was the Nurses Professional Values Scale-Revised. The latter consists of 26 items based on American Nurses Association Code of Ethics for Nurses and addresses the following areas: caring (9 items), activism (5 items), trust (5 items), professionalism (4 items) and justice (3 items).Answers are scored based on a 5-point Likert scale: the answer choices “Not important” and “Very important” are assigned 1 point and 5 points respectively. The score range is between 26 and 130—higher scores indicate the respondent’s greater familiarity with professional values.Findings: The participants of the study consisted of 99 nurses who were selected from the various parts of the university hospitals of Jahrom. The participants’ mean scores for caring, activism, trust, professionalism, justice and total perception of professional values were found to be 32.15,15.47, 17.37, 13.32,10.66 and 88.98 respectively. The results of the study showed that there was not a significant relationship between the age, gender and marital status of nurses on one hand and their professional values scores on the other (P=0.7).Conclusion: There is need for effective programs to enhance nurses’ awareness of certain of their professional duties and improve their professional performance in a wide range of professional areas alongside their duties as care-givers.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.47-51
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Zybartaitė, Aurelija, et Lina Gedrimė. « Influence of music on work performance during joint replacement surgery, attitudes of surgical team members ». Slauga. Mokslas ir praktika 2, no 2 (290) (23 février 2021) : 1–10. http://dx.doi.org/10.47458/slauga.2021.2.2.
Résumé :
Progress is constantly being made in almost all areas of life, including medicine. For this reason, various measures are being introdu-ced to make any work done more efficient, easier, more productive. Music can be used in medicine, especially in the operating room, as its effect on the members of the operating team is extremely positive. And while this is acknowledged, there is not much research on this topic – the impact of music on members of the operating team.Object – is the influence of music on work performance during joint replacement, from the point of view of surgical team members.Problem – is whether music during endoprosthesis surgery can increase the productivity of surgical team members?Aim – to analyze the influence of music on the performance of work during endoprosthesis operations, from the point of view of the members of the operating team – was aimed at implementing the research objectives:1) to review the peculiarities of joint endoprosthesis operations;
2) to reveal the influence of music on work in the operating room from the point of view of team members;3) to study the influence of music on the quality of work during joint arthroplasty.Methods: The method of questionnaire survey was chosen to study the attitude of the members of the operating team to the influence of music on the work productivity in the operating room. The questionnaire is considered to be the most appropriate method for explaining people’s opinions and behavior, and it is based on reliability.This was related to the aims of this study - to analyze the impact of music on performance during endoprosthesis operations. The study was conducted by submitting questionnaires to 100 members of the operating team (surgeon-operator, anesthesiologist, resuscitator, anesthesiologist, resident, anesthesia and intensive care nurse, operating nurse, and operating assistant) working in health care facilities. It should be noted that during the data collection, the members of the operational team filled in the questionnaires remotely - links to the online uploaded questionnaire were sent to each respondent. This method of conducting the study was chosen due to the current situation in Lithuania - the COVID-19 pande-mic.Results of the study. The study revealed that joint replacement surgery is seen as a complicated procedure, which is complicated by team changes, because it often increases tension, affects everyone’s joint work, feels general discomfort, becomes more difficult to concentrate, increa-ses the likelihood of errors. In order to make teamwork smoother, attention should be paid to the organization of work, the fostering of interperso-nal relationships, the assessment of one’s own characteristics and peculiarities of communication, and the stronger fostering of the work envi-ronment. Music can be an effective and valuable tool for making a positive impact on operational team members. Music can help reduce anxiety, encourage relaxation, suppress the response to stressful situations, and increase the effectiveness of actions. It is very important that the music is selected in the right genre to suit the members of the operating team.
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Amirova, Aliya, Theodora Fteropoulli, Paul Williams et Mark Haddad. « Efficacy of interventions to increase physical activity for people with heart failure : a meta-analysis ». Open Heart 8, no 1 (juin 2021) : e001687. http://dx.doi.org/10.1136/openhrt-2021-001687.
Résumé :
ObjectivesThis meta-analysis aims to (1) evaluate the efficacy of physical activity interventions in heart failure and (2) to identify intervention characteristics significantly associated with the interventions’ efficacy.MethodsRandomised controlled trials reporting intervention effects on physical activity in heart failure were combined in a meta-analysis using a random-effect model. Exploratory meta-analysis was performed by specifying the general approach (eg, cardiac rehabilitation), strategies used (eg, action planning), setting (eg, centre based), mode of delivery (eg, face to face or online), facilitator (eg, nurse), contact time and behavioural change theory use as predictors in the random-effect model.ResultsInterventions (n=21) had a significant overall effect (SMD=0.54, 95% CI (0.13 to 0.95), p<0.0005). Combining an exercise programme with behavioural change intervention was found efficacious (SMD=1.26, 95% CI (0.26 to 2.26), p<0.05). Centre-based (SMD=0.98, 95% CI (0.35 to 1.62), and group-based (SMD=0.89, 95% CI (0.29 to 1.50),) delivery by a physiotherapist (SMD=0.84, 95% CI (0.03 to 1.65),) were significantly associated with efficacy. The following strategies were identified efficacious: prompts/cues (SMD=3.29, 95% CI (1.97 to 4.62)), credible source (standardised mean difference, SMD=2.08, 95% CI (0.95;3.22)), adding objects to the environment (SMD=1.47, 95% CI (0.41 to 2.53)), generalisation of the target behaviour SMD=1.32, 95% CI (0.22 to 2.41)), monitoring of behaviour by others without feedback (SMD=1.02, 95% CI (0.05 to 1.98)), self-monitoring of outcome(s) of behaviour (SMD=0.79, 95% CI (0.06 to 1.52), graded tasks (SMD=0.73, 95% CI (0.22 to 1.24)), behavioural practice/rehearsal (SMD=0.72, 95% CI (0.26 to 1.18)), action planning (SMD=0.62, 95% CI (0.03 to 1.21)) and goal setting (behaviour) (SMD=0.56, 95% CI (0.03 to 1.08)).ConclusionThe meta-analysis suggests intervention characteristics that may be suitable for promoting physical activity in heart failure. There is moderate evidence in support of an exercise programme combined with a behavioural change intervention delivered by a physiotherapist in a group-based and centre-based settings.PROSPERO registerationCRD42015015280.
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Schmieding, Norma Jean. « A Model for Assessing Nurse Administrators' Actions ». Western Journal of Nursing Research 12, no 3 (juin 1990) : 293–306. http://dx.doi.org/10.1177/019394599001200303.
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Mrayyan, Majd T. « Nurses' autonomy : influence of nurse managers' actions ». Journal of Advanced Nursing 45, no 3 (février 2004) : 326–36. http://dx.doi.org/10.1046/j.1365-2648.2003.02893.x.
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Carroll, Theresa L. « Characteristics of Nurse Managers ». JONA : The Journal of Nursing Administration 17, no 10 (octobre 1987) : 4???7. http://dx.doi.org/10.1097/00005110-198710000-00001.
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Spoelstra, Sandra, Monica Schueller, Alla Sikorskii et Katelyn Ware. « Training Clinicians to Support Aging in Place in a Medicaid Home and Community-Based Waiver Program ». Innovation in Aging 4, Supplement_1 (1 décembre 2020) : 436–37. http://dx.doi.org/10.1093/geroni/igaa057.1410.
Résumé :
Abstract A randomized trial in 18 home and community-based waiver sites implemented an aging-in-place model for 12,000 disabled older (mean age 78) adults. The trial was underpinned by the Knowledge-to-Action model and utilized 7 implementation strategies, including a 5.5-hour online social worker (SW) and registered nurse (RN) training. Baseline self-efficacy and attitudes of SWs and RNs were measured using validated scales, and knowledge uptake and satisfaction with a tool designed by the team. Characteristics, knowledge uptake, and satisfaction of SWs versus RNs were compared using t-, Wilcoxon, and chi-square tests. Two hundred forty-one RNs and 264 SWs participated. RNs were older (mean age 50; standard deviation [SD] 10.95) than SWs (41.35; SD=11.21) p<.01; and >90% overall were female. RNs had more professional experience, while SWs worked more years in the waiver (p<.01). SWs had greater self-efficacy (t(497)=2.99, p<.04), better attitudes (t(500)=2.59, p<.01), employability (t(500)=2.99, p<.04), and balance (t(491)=2.03, p<.05) than RNs. No differences were found on leadership, organizational culture, motivation, pressure to change, or attitude toward evidence-based practice. Knowledge uptake (range 1-16) was high and did not differ for RNs (Mean=15.2, SD=1.23) versus SWs (Mean=15.26, SD=0.89). Training content, format, role explanation, and information satisfaction (range 0-50) means also did not differ for RNs (Mean=35, SD=10.2) or SWs (Mean=34.9, SD=9.8). While many of the characteristics and outcomes were similar for RNs and SWs, SW’s higher self-efficacy, better attitude, and employability despite less experience in the waiver indicate they may play a positive role in implementation of the intervention that is currently underway.
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Soothill, Keith, Jon Barry et Catherine Williams. « Words and actions : A study in nurse wastage ». International Journal of Nursing Studies 29, no 2 (mai 1992) : 163–75. http://dx.doi.org/10.1016/0020-7489(92)90006-3.
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ROZIER, CAROLYN K. « Nurse Executive Characteristics Gender Differences ». Nursing Management (Springhouse) 27, no 12 (décembre 1996) : 33???42. http://dx.doi.org/10.1097/00006247-199612000-00009.
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Schutzenhofer, Karen Kelly, et Donna Bridgman Musser. « Nurse Characteristics and Professional Autonomy ». Image : the Journal of Nursing Scholarship 26, no 3 (septembre 1994) : 201–5. http://dx.doi.org/10.1111/j.1547-5069.1994.tb00314.x.
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Bowles, K., A. Zettek-Sumner et K. Radhakrishnan. « Contributors to frequent telehealth alerts including false alerts for patients with heart failure : A mixed methods exploration ». Applied Clinical Informatics 04, no 04 (2013) : 465–75. http://dx.doi.org/10.4338/aci-2013-06-ra-0039.
Résumé :
Summary Background: Telehealth data overload through high alert generation is a significant barrier to sustained adoption of telehealth for managing HF patients. Objective: To explore the factors contributing to frequent telehealth alerts including false alerts for Medicare heart failure (HF) patients admitted to a home health agency. Materials and Methods: A mixed methods design that combined quantitative correlation analysis of patient characteristic data with number of telehealth alerts and qualitative analysis of telehealth and visiting nurses’ notes on follow-up actions to patients’ telehealth alerts was employed. All the quantitative and qualitative data was collected through retrospective review of electronic records of the home heath agency. Results: Subjects in the study had a mean age of 83 (SD = 7.6); 56% were female. Patient co-morbidities (p<0.05) of renal disorders, anxiety, and cardiac arrhythmias emerged as predictors of tele-health alerts through quantitative analysis (n = 168) using multiple regression. Inappropriate tele-health measurement technique by patients (54%) and home healthcare system inefficiencies (37%) contributed to most telehealth false alerts in the purposive qualitative sub-sample (n = 35) of patients with high telehealth alerts. Conclusion: Encouraging patient engagement with the telehealth process, fostering a collaborative approach among all the clinicians involved with the telehealth intervention, tailoring tele-health alert thresholds to patient characteristics along with establishing patient-centered telehealth outcome goals may allow meaningful generation of telehealth alerts. Reducing avoidable tele-health alerts could vastly improve the efficiency and sustainability of telehealth programs for HF management. Citation: Radhakrishnan K, Bowles K, Zettek-Sumner A. Contributors to frequent telehealth alerts including false alerts for patients with heart failure: A mixed methods exploration. Appl Clin Inf 2013; 4: 465–475http://dx.doi.org/10.4338/ACI-06-RA-0039
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Gunawan, Joko. « THE PROS AND CONS OF THE RELATIONSHIP BETWEEN PERSONALITY AND LEADERSHIP OR MANAGERIAL BEHAVIOR OF NURSING MANAGER ». Belitung Nursing Journal 2, no 5 (28 octobre 2016) : 107–9. http://dx.doi.org/10.33546/bnj.38.
Résumé :
Dear Editor, “Complex role in complex times” that is what nurse managers have as the one on the most key roles in the hospital.1 They are not just about managing staff schedules, but also need to have a vision and able to inspire them.2 Thus, competent nurse managers are needed. Research suggests that employees and employers are looking for similar characteristics or personality traits in their leaders. Personality trait refers to the dimensions of individual differences in tendencies to show consistent patterns of thoughts, feelings and actions.3 Personality trait seems able to explain why a person acts the way he/she does when in a leadership position. Research aggregated the results of 222 correlations contained in 73 studies of personality and leadership performance by involving 25,000 managers from every level in organizations across every industry sector.4 There were four of the five dimensions of the big five personality were significantly correlated with leadership emergence and effectiveness with adjustment / emotional stability as the best predictor, and agreeableness as the weakest predictor.4 Scholars who believe in data, these findings definitively indicate that personality predicts leadership behaviors across all organizational levels and industry sectors, and does so more powerfully than any known alternative.5 Personality traits relate to leader behaviors to a greater extent and less ambiguously than earlier reviews had suggested.6 However, although there are clear evidences in examining the relationship between personality and leadership or managerial behavior, it is also important that there are cons about the degree to which personality is related to managerial or leadership behavior Literature indicates that personality traits cannot be concluded to determine leadership with some considerations: (1) it is impossible to find one specific personality trait that characterizes leaders and (2) it is impossible to isolate a number of traits, which combined, explain leadership.7 Thus, it is failed to investigate a clear relationship between personality and leadership. It might be other indications that traits work with other factors in the leadership or managerial behavior.8 Study investigated the relationship between personality and transformational leadership, and now some agreement that there may be five super-traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness to experience) are related to managerial or leadership behavior. But, it is important to note the effect sizes were not large.5 Another study emphasized that “one should be careful in generalizing our findings on the relation of traits to leadership perceptions to other areas of leadership."9 The findings could not be directly concluded that there are traits that would generally predict the performance of a leader’s work group or organization, nor do they imply that there are certain types of leadership behaviors that will generally produce superior performance.9 On the other hand, the main issue in management research is what kind of behavior managers exhibit and how behavior influences the outcome of the organization. Why leaders behave the way they do adheres to a general issue in psychology, the relationship between personality and behavior. It is not a burning issue in leadership 5. Additionally, there is no evidence to support that managers are primarily recruited based on their personality traits. Managers are not recruited or promoted based on their personality in formal organizations. Managers are hired primarily due to their formal competence and previous merits.10 Finally, the correlation between personality trait and managerial or leadership behavior remains inconclusive. However, it is agreed that personality cannot be excluded from leadership and management.