ABSTRACT
How to address these behaviors to promote health equity and inclusion.
Subject(s)
Microaggression , Nursing , HumansABSTRACT
Nurse burnout is a serious global problem that is associated with adverse job factors. In this article, research on burnout as measured by the Maslach Burnout Inventory is reviewed from 2000 to 2019, specifically analyzing job factors associated with nurse burnout and comparing US with international findings. Most of the reviewed articles found a significant relationship between nurse burnout and a nurse's intention to leave their job, job stress, nurse satisfaction, and workplace violence. There were very few articles reporting on research done in the United States, whereas most of them described international research. Recommendations on how to decrease the risk of nurse burnout are summarized.
Subject(s)
Burnout, Professional , Nurses, International , Nurses , Nursing Staff, Hospital , Burnout, Professional/epidemiology , Burnout, Psychological , Cross-Sectional Studies , Humans , Job Satisfaction , Personnel Turnover , Surveys and Questionnaires , United States/epidemiology , WorkplaceABSTRACT
Pandemics are not new, but our global community allows the spread of disease to occur much more rapidly than ever before. The recent COVID-19 pandemic has placed nurses on the frontlines caring for contagious and acutely ill patients. Nurse burnout is not new either; however, these demands have put a strain on nurses, and nurse burnout has been reported as being at high levels. This article looks at a history of pandemics and examines the research related to nurse burnout during previous and the current COVID-19 pandemic. The authors conclude this article with recommendations for evidence-based interventions to decrease factors associated with nurse burnout.
Subject(s)
Burnout, Professional , COVID-19 , Burnout, Professional/epidemiology , Burnout, Psychological , Humans , Pandemics , SARS-CoV-2 , Surveys and QuestionnairesABSTRACT
Gastrointestinal (GI) motility problems are common complications in critical care patients. GI problems contribute to an increased risk of morbidity and mortality. Toxic megacolon (TM) is a type of acquired megacolon categorized as a medical emergency and includes severe inflammation affecting all layers of the colon wall. The high incidence of GI complications in critically ill patients requires the critical care nurse to provide close monitoring of patients at risk and an acute awareness of the causation, signs and symptoms, and treatment of various GI motility disorders, including gastroparesis, ileus, and TM.
Subject(s)
Critical Care Nursing , Critical Illness , Gastrointestinal Motility , Critical Care , Gastroparesis/etiology , Humans , Ileus , Megacolon, Toxic/etiologyABSTRACT
Online education programs in nursing are increasing rapidly. Faculty need to be competent in their role and possess the skills necessary to positively impact student outcomes. Existing research offers effective teaching strategies for online education; however, there may be some disconnect in the application of these strategies and faculty perceptions of associated outcomes. Focus groups were formed to uncover how nursing faculty in an online program define and describe teaching effectiveness and quality indicators in an asynchronous online environment. A semistructured interview format guided group discussion. Participants (n = 11) included nurse educators from an online university with an average of 15 years of experience teaching in nursing academia and 6 years in an online environment. Teaching effectiveness, indicators of quality, and student success were three categories that emerged from the analysis of data. What materialized from the analysis was an overarching concept of a "dance" that occurs in the online environment. Effective online teachers facilitate, connect, lead, and work in synchrony with students to obtain indicators of quality such as student success, student improvement over time, and student application of knowledge to the professional role.
ABSTRACT
PURPOSE: To provide a stronger evidence base for cultural change in the nursing home, this study elicited nursing, recreational therapy, and medical staff perceptions of barriers to the implementation of nonpharmacological interventions for the behavioral and psychological symptoms of dementia (BPSD). DESIGN: Thirty-five staff members (registered nurses, licensed practical nurses, nurses' aides, recreational therapists, activity personnel, and medical directors) from six nursing homes located in Pennsylvania and North Carolina participated in the qualitative study. METHODS: A focus group methodology was used to capture discussions that were audio-recorded and transcribed verbatim. Data were analyzed using standard methods of content and thematic analysis. FINDINGS: Four broad themes were identified: the changing landscape; resident behaviors; reaching out to the person with dementia; and the educational needs of staff. The concept of time emerged as a key barrier to the use of nonpharmacological interventions for BPSD. CONCLUSIONS: Successful use of nonpharmacological interventions requires the right staff with the right education at the right time. The Vulnerability Framework is a model that helped organize these findings into a meaningful perspective. CLINICAL RELEVANCE: To effect change in the nursing home, the findings indicate a need for: implementation of staffing patterns that allow staff the time to make a difference in the care of residents with BPSD; development of educational programs that promote staff understanding versus control; and design of research studies that answer questions about the influence of time on the selection of interventions for BPSD.
Subject(s)
Attitude of Health Personnel , Dementia/nursing , Geriatric Nursing/organization & administration , Nursing Homes/organization & administration , Nursing Staff/psychology , Recreation Therapy/organization & administration , Aged , Decision Making, Organizational , Dementia/psychology , Diffusion of Innovation , Education, Nursing, Continuing , Focus Groups , Geriatric Nursing/education , Health Knowledge, Attitudes, Practice , Health Services Needs and Demand , Humans , North Carolina , Nursing Methodology Research , Nursing Staff/education , Nursing Staff/organization & administration , Organizational Culture , Organizational Innovation , Pennsylvania , Qualitative Research , Recreation Therapy/education , Surveys and QuestionnairesABSTRACT
This descriptive study tests the feasibility of using clinical simulation to understand proxy decision making by emergency department nurses for individuals with intellectual disability (ID). Results from a conjoint analysis used to identify decision-making patterns indicated that nurses relied on future health status, functional status, and family input while making important health care decisions for their clients. This information enhances our understanding of the complex array of services and supports that nurses are expected to provide. As individuals with ID age and experience increased morbidity, the role of the nurse and caregivers as critical health care decision makers is increasing.
