Online course on vaccinating people with HIV/AIDS - effectiveness in the knowledge of nursing professionals.

OBJECTIVE: analyzing the effectiveness of an educational intervention on the knowledge of nursing professionals regarding the immunization of people with the human immunodeficiency virus. METHOD: a quasi-experimental study evaluated professionals' knowledge through a knowledge test applied before and after the development of an online training course. The data was analyzed using frequency, median, mean, standard deviation, and association tests. RESULTS: the sample consisted of 77 nursing professionals whose mean age was 43.2 years (SD+/-8.2). More than half of the individuals worked in basic health units (58.4%), 22.1% worked in specialized services that provide clinical monitoring for people with the human immunodeficiency virus, and 42 (54.5%) were nursing assistants or technicians. The professionals' performance improved after the intervention, with an increase in the median number of correct answers from 23.0 to 27.0 (p<0.001). CONCLUSION: offering an online training course on the immunization of people with the human immunodeficiency virus, as a continuing education activity, proved to be effective in improving nursing professionals' knowledge on this subject. HIGHLIGHTS: (1) Services do not evaluate the vaccination status of people living with HIV.(2) The knowledge of health professionals may influence vaccination rates.(3) Health professionals' knowledge of immunization may be insufficient.

School counselor perceptions and practices of advising male high school students regarding a career in nursing.

BACKGROUND: The literature describes how male high school students with an interest in a career in nursing have struggled to obtain guidance, support, and accurate information. PURPOSE: The purpose of this mixed-methods study was to understand the perceptions and practices of school counselors when advising male high school students about a nursing career. METHOD: Sixty-one school counselors completed an online survey, and nine participated in online interviews between June 2022 and February 2023. RESULTS: Unlike previously published studies, school counselors have an overall positive view of men in nursing and were supportive of male high school students becoming nurses. CONCLUSIONS: School counselors need more accurate and consistent resources.

Nursing Regulation Literature in Canada: Protocol for a Scoping Review.

BACKGROUND: Significant reforms are occurring in health practitioner regulation across Canada. Within the nursing profession, growing workforce challenges and health system demands have accelerated the pace of changes to nursing regulation policies and practices. There is significant political investment to modernize and harmonize nursing regulation across Canada, and evidence is needed to guide regulatory decision-making. To better understand the current state of scholarship and the gaps that exist, a comprehensive understanding of the available literature informing nursing regulation in Canada is first warranted. OBJECTIVE: The objective of this scoping review is to examine the nature, extent, and range of literature focused on nursing regulation in Canada. METHODS: The review will be conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. We will search electronic databases, including Ovid MEDLINE, Ovid EMBASE, CINAHL, Scopus, and Web of Science Core Collection. We will also search for grey literature using the websites of Canadian nursing regulatory bodies, nursing organizations, and other leading Canadian regulatory organizations. No limitations will be placed on the year of publication. The review will include papers that explore nursing regulation in Canada, including topics such as education program accreditation or approval, licensure, standards of practice and code of conduct/ethics development and enforcement, continuing competence, discipline and conduct, regulatory models, governance, and reform. We will extract data using a predeveloped tool. Data will be analyzed using descriptive statistics and conventional content analysis. RESULTS: A preliminary search in Ovid MEDLINE was undertaken on December 7, 2023, and a full search was conducted in 5 academic databases on March 15, 2024. Findings will be presented using evidence tables and a narrative summary. Reporting will follow the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) guidelines. This scoping review is expected to be completed in early 2025. CONCLUSIONS: The results will be disseminated through conference presentations and a publication in a peer-reviewed journal. The findings will provide a comprehensive overview of the state of nursing regulation literature across Canada and inform the development of a focused research agenda. TRIAL REGISTRATION: Open Science Framework osf.io/3qk8t; https://osf.io/bm7jv. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/56163.

Nursing workload: use of artificial intelligence to develop a classifier model.

OBJECTIVE: to describe the development of a predictive nursing workload classifier model, using artificial intelligence. METHOD: retrospective observational study, using secondary sources of electronic patient records, using machine learning. The convenience sample consisted of 43,871 assessments carried out by clinical nurses using the Perroca Patient Classification System, which served as the gold standard, and clinical data from the electronic medical records of 11,774 patients, which constituted the variables. In order to organize the data and carry out the analysis, the Dataiku® data science platform was used. Data analysis occurred in an exploratory, descriptive and predictive manner. The study was approved by the Ethics and Research Committee of the institution where the study was carried out. RESULTS: the use of artificial intelligence enabled the development of the nursing workload assessment classifier model, identifying the variables that most contributed to its prediction. The algorithm correctly classified 72% of the variables and the area under the Receiver Operating Characteristic curve was 82%. CONCLUSION: a predictive model was developed, demonstrating that it is possible to train algorithms with data from the patient's electronic medical record to predict the nursing workload and that artificial intelligence tools can be effective in automating this activity.

Deconstructing nursing's paradoxical relationship with the concept of complexity.

Although nursing seems to understand itself and its practice as complex, the literature is less clear about what this actually means. While complexity is discussed as an attribute of nursing, it is also suggested that complexity in nursing remains misunderstood and poorly articulated, is devalued, is not considered as a measure of health outcomes and remains invisible. Despite the overarching lack of a definition, some nurse scholars have conceptualized complexity as a complex intervention. For these authors, complexity becomes a complex intervention defined as that which is composed of component parts interacting in a variety of ways that influence the delivery of and outcomes of health-related interventions for populations. Conceptualizing complexity as a complex intervention forces nursing to embrace and adopt a received interpretation of complexity as expressed through complexity theory and complexity science. While complexity theory may afford us some tools for thinking about complexity, when we deconstruct nursing complexity to explicitly determinate and quantifiable tasks, this artificially narrowed orientation to complexity reveals an oversimplified explanation of the complexities associated with nursing and serves to blind us to its real qualities. Through a consideration of complexity from a Western philosophical tradition, I demonstrate that when nursing adopts the received interpretation of complexity as a complex intervention, this perspective on complexity contains nursing epistemologically and ontologically. I offer an extended conceptualization of complexity framed upon the consideration that nurses assume complexity and do not reduce it; that nurses have the capacity to not be paralysed by complexity and have developed logics to mobilize it in productive ways. Mobilizing complexity through navigating paradox and contradiction shapes an orientation to complexity that embraces an extended epistemology. This extended epistemology is characterized by a 'yes/and' mindset that expresses the dynamic and generative relationship between forms of knowledge which reflects complexity that characterizes nursing.

The public's perception of the nursing profession: Validity and reliability of the Chinese version of the nursing image scale in Taiwan.

The public's perception of the nursing image deeply influences nurses' work and professional development. However, the Taiwanese public's perception of nursing remains unclear. This study aimed to determine the validity and reliability of a Chinese version of the Nursing Image Scale (NIS) in Taiwan. This was a psychometric study using a cross-sectional survey. Participants were recruited via the snowball sampling method through the online community software LINE from August 1 to 13, 2019. After data collection, the construction and validation of the NIS to measure public opinion were assessed, including content validity, corrected item-total correlation, exploratory factor analysis (EFA), and reliability. A total of 1331 valid responses were included in the analysis. After EFA analysis, the 20 scale items were divided across the four domains of prudence and care, innovation and cooperation, efficiency and division, and professionalism and respect. The NIS (Chinese version) was valid and reliable for measuring public opinion and may be used to examine changes in public perceptions of nursing.

Functional Capacity and Self-Care in Post-COVID-19 Patients in a Recovery Program / Capacidad funcional y autocuidado en pacientes post-covid-19 en un programa de rehabilitación / Capacidade funcional e autocuidado em pacientes pós-covid-19 em um programa de reabilitação

Introducción: la COVID-19 se manifiesta con síntomas agudos. Tras la infección por coronavírus, estos pueden persistir o pueden aparecer otros nuevos, comprometiendo la capacidad funcional y el autocuidado. Esta condición se ha denominado "síndrome Post COVID-19 agudo". Objetivo: evaluar la capacidad funcional y el autocuidado en pacientes post COVID-19. Materiales y método: se trata de un estudio descriptivo y exploratorio, en el que se evaluaron 53 historias clínicas de pacientes atendidos en un Programa de Rehabilitación Funcional para el Síndrome Post COVID-19 Agudo, desarrollado en una universidad pública, desde agosto de 2022 hasta agosto de 2023. Se realizó análisis descriptivo y de asociación mediante las pruebas no paramétricas chi-cuadrado de Pearson o exacto de Fisher, con un nivel de significación del 5 % (p < 0,05). Resultados: la mayoría eran mujeres, mayores de 50 años y tratadas en su domicilio durante la infección. Se encontraron asociaciones entre el tiempo de hospitalización (p = 0,03), el antecedente de cirugía (p = 0,01) y la capacidad mediana de autocuidado (p = 0,04) con la capacidad funcional para realizar actividades instrumentales de la vida diaria (AIVD). Conclusiones: el síndrome post-covid-19 agudo se asocia con capacidad mediana de autocuidado y dependencia parcial para las AIVD. El hallazgo aporta al desarrollo de estrategias de educación para la salud y cuidados orientados a la rehabilitación.

Introdução: a covid-19 se manifesta com sintomas agudos. Após a infecção pelo coronavírus, eles podem persistir ou novos podem surgir, comprometendo a capacidade funcional e o autocuidado. Essa condição foi chamada "síndrome pós-covid-19 aguda". Objetivo: avaliar a capacidade funcional e o autocuidado em pacientes pós-covid-19. Materiais e método: trata-se de um estudo descritivo e exploratório, que avaliou 53 prontuários de pacientes atendidos em um Programa de Reabilitação Funcional da síndrome pós-covid-19 aguda, desenvolvido em uma universidade pública, de agosto de 2022 a agosto de 2023. Procedeu-se à análise descritiva e de associação com testes não paramétricos Qui-quadrado de Pearson ou exato de Fisher, com nível de significância de 5 % (p < 0,05). Resultado: a maioria era do sexo feminino, maiores de 50 anos com tratamento domiciliar durante a infecção. Foram encontradas associações entre tempo de internamento (p = 0,03), história de cirurgias (p = 0,01) e média capacidade para o autocuidado (p = 0,04) com a capacidade funcional para realizar as atividades instrumentais de vida diária (AIVD). Conclusões: a síndrome pós-covid-19 está associada à média capacidade de autocuidado e dependência parcial para AIVD. O achado contribui para a elaboração de estratégias de educação em saúde e cuidado voltado à reabilitação.

Introduction: COVID-19 manifests with acute symptoms. After coronavirus infection, they may persist or new ones may emerge, compromising functional capacity and self-care. This condition has been named "acute post-COVID-19 syndrome". Objective: To evaluate functional capacity and self-care in post-COVID-19 patients. Materials and methods: This is a descriptive and exploratory study, which evaluated 53 medical records of patients receiving care in a Functional Recovery Program for acute post-COVID-19 syndrome, conducted at a public university, from August 2022 to August 2023. A descriptive and association analysis was performed using Pearson's Chi-squared or Fisher's exact nonparametric tests, with a significance level of 5 % (p < 0.05). Results: Most participants were female, aged over 50 and receiving home care during the infection. Associations were found between the length of hospitalization (p = 0.03), having a history of surgery (p = 0.01), and a medium self-care capacity (p = 0.04) with the functional capacity to perform instrumental activities of daily living (IADL). Conclusion: Post-COVID-19 syndrome is associated with medium self-care capacity and partial dependence in terms of IADLs. The finding contributes to the development of health education and care strategies aimed at providing recovery.

Interventions that support novice nurses' transition into practice: A realist review.

BACKGROUND: Many transition-to-practice programs have been developed to support novice nurses during their first years into practice. These programs report improvements in retention, wellbeing and clinical competence, but the driving mechanisms of these interventions remain largely unclear. OBJECTIVE: To identify how transition-to-practice programs for novice nurses work and in what contexts they work successfully. METHODS: A realist review was conducted. Eligibility criteria included intervention studies aimed at novice nurses in their first two years of practice that reported outcomes on organizational or individual nurse level. The underlying theory of included transition-to-practice programs was extracted, and relevant contextual factors, mechanisms and outcomes were explored and synthesized into context-mechanism-outcome (CMO) configurations. The search was limited to studies between 2000 and 2023. RESULTS: A total of 32 studies were included, evaluating 30 different transition-to-practice programs with a wide range of intervention components including stress management, clinical education, professional and peer support, and ward rotations. Transition-to-practice programs were often designed without a theoretical foundation. Driving mechanisms behind the programs pertained to psychological, professional, and social development. Contextual factors that activated the mechanisms were enabling conditions for mentors and novice nurses, selection and motivation of novice nurses and organizational culture. CONCLUSIONS: Current transition-to-practice programs primarily focus on the individual and professional development of nurses. However, transition to practice can benefit from a systemic approach that includes development initiatives on the organizational level. REGISTRATION: PROSPERO ID CRD42021268080, August 15, 2021. TWEETABLE ABSTRACT: Context and mechanisms determine successful implementation of transition to practice programs for novice nurses. @transitiontopractice @nurseworkforce.

[Nursing science put to the epistemological test]. / La science infirmière à l'épreuve de l'épistémologie.

Today, we are witnessing the emergence of a nursing discipline that is clearly seeking to base its legitimacy primarily on science. However, only an epistemological approach can assure us of the relevance of such an approach. While the nursing discipline must unquestionably be based on a rational, scientific approach, can we not nevertheless assume that an irreducible element of mystery will forever remain at the heart of care?

This Could Be a Game Changer.

Creating a potential solution to the nursing workforce issue.

Estudo retrospectivo do perfil dos casos de violência contra a mulher / Restrospective study of the profile of cases of violence against women / Estudio restrospectivo del perfil de los casos de violencia contra la mujer

Objetivo:caracterizar os casos de violência contra a mulher, notificados em um município do sudoeste do Paraná. Método:trata-se de um estudo retrospectivo, descritivo e de abordagem quantitativa.A coleta de dados ocorreu no portal do Departamento de Informática do Sistema Único de Saúde, pesquisando variáveis como: faixa etária, escolaridade, raça/cor, tipos de violência e responsável pela agressão. Resultados:foram encontrados 1.762 casos notificados entre 2017 e 2021. Conclusões: as mulheres mais acometidas foram: jovens de 15 a 19 anos (27,70%); ensino médio completo (28,04%); e brancas (68,44%). Referente ao tipo de violência e responsável pela agressão, 20,56% das ocorrências foram de forma física e 33,47% tendo o cônjuge como principal executor

Objective:to characterize the cases of violence against women reported in a municipality in the southwest of Paraná, Brazil. Method:this is a retrospective, descriptive study with a quantitative approach. Data collection took place on the website of the Information Technology Department of the Unified Health System, searching for variables such as: age group, schooling, race/color, types of violence, and the person responsible for the aggression. Results:1,762 cases were reported between 2017 and 2021. Conclusions: the most affected women were:young people aged 15 to 19 (27.70%); complete high school (28.04%); and white (68.44%). Regarding the type of violence and the person responsible for the aggression, 20.56% of the incidents were physical and 33.47% had the spouse as the main perpetrator.

Objetivo:caracterizar los casos de violencia contra la mujer notificados a un municipio del suroestedel Paraná. Método:se trata de un estudio retrospectivo, descriptivo y de enfoque cuantitativo. La recopilación de datos ocurrió en el portal del Departamento de Informática del Sistema Único de Salud investigandovariables como: grupo de edad, educación, raza/color, tipos de violencia y, responsable por la agresión. Resultados:se encontraron1.762 casos reportados entre 2017 y 2021. Conclusiones:las mujeres más afectadas fueron jóvenes de 15 a19 años (27,70%), con enseñanza secundaria completa (28,04%) y blancas (68,44%). En cuanto al tipo de violencia y responsable por la agresión, el 20,56% de las ocurrencias fueron de forma física y el 33,47% tuvieron al cónyuge como principal ejecutor.

Instrumento de avaliação do processamento de produtos para saúde em centros de esterilização: estudo metodológico / Assessment instrument for the processing of healthcare products in sterilization centers: a methodological study / Instrumento de evaluación del procesamiento de productos sanitarios en centros de esterilización: estudio metodológico

Objetivo:construir e validar um instrumento de avaliação do processamento de produtos para saúde em centro de materiais e esterilização. Método:estudo metodológico realizado com 22 profissionais de saúde, sendo oito juízes especialistas e 14 enfermeiros responsáveis pelo setor de apoio. Foram realizadas quatro rodadas da técnica Delphi e posteriormente, as propriedades psicométricas foram analisadas por meio do Índice de Validade de Conteúdo e do teste Alfa de Cronbach. Resultados: o tempo de experiência dos juízes especialistas variou de 2 a 18 anos, com média de 7,7 (±6,1). A validação de conteúdo obteve média global de 0,95 (±0,05) e mediana de 0,97. O teste Alfa de Cronbach apresentou boa consistência interna após aplicação do pré-teste. Ao final, a versão do instrumento foi consolidada em 43 questões, divididas em três eixos de avaliação. Conclusão: este instrumento poderá ser utilizado em nível nacional, visto que suas propriedades psicométricas apresentaram valores satisfatórios.

Objective: to develop and validate an assessment instrument for the processing of healthcare products in a central materials and sterilization centers. Method:a methodological study was conducted with 22 healthcare professionals, comprising eight expert judges and 14 nurses responsible for the support sector. Four rounds of the Delphi technique were carried out, and subsequently, the psychometric properties were analyzed using the Content Validity Index and Cronbach's Alpha test.Results: the experience of the expert judges ranged from 2 to 18 years, with an average of 7.7 (±6.1). Content validation yielded a mean score of 0.95 (±0.05) and a median of 0.97. The Cronbach's Alpha test showed good internal consistency. Atthe end, the instrument version was consolidated into 43 questions.Conclusion: this instrument can be used nationally, asits psychometric properties showed satisfactory values.

Objetivo: construir y validar un instrumento para evaluar el procesamiento de productos sanitarios en centrosde materiales y esterilización.Método: estudio metodológico realizado con 22 profesionales de la salud, ocho de los cuales fueron jueces expertos y 14 enfermeros responsables del sector de apoyo. Se realizaron cuatro rondas de la técnica Delphi y posteriormente se analizaron las propiedades psicométricas mediante el Índice de Validez de Contenido y la prueba Alfa de Cronbach. Resultados:la experiencia de los jueces expertos osciló entre 2 y 18 años, con una media de 7,7 (±6,1). La validación de contenido obtuvo una media global de 0,95 (±0,05) y una mediana de 0,97. La prueba Alfa de Cronbach mostró buena consistencia interna luego de aplicar el pretest.Conclusión: este instrumento puede ser utilizado a nivel nacional, ya que sus propiedades psicométricas presentaron valores satisfactorios.