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1.
J Nurs Adm ; 50(2): 90-94, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977946

RESUMEN

As the role of nursing grows in healthcare, the engagement of frontline nurses in evidence-based practice, quality improvement, and research is becoming the expectation and no longer the exception. Clinical nurses are in a unique position to inform and implement scholarly projects. The purpose of this staff development and capacity-building project was to increase the output of scholarly work among frontline nurses through the formalization of nursing inquiry support via designated nursing inquiry project coordinators.


Asunto(s)
Educación Continua en Enfermería/organización & administración , Rol de la Enfermera , Investigación en Enfermería/organización & administración , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Desarrollo de Personal/organización & administración , Adulto , Actitud del Personal de Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad
2.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 12-19, jan.-dez. 2020. tab
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1047786

RESUMEN

Objetivo: o estudo objetivou identificar quais estratégias estão sendo utilizadas na implementação de registros eletrônicos relacionados ao processo de enfermagem, nas bases de dados: PubMed, Scopus e Web of Science. Método: trata-se de uma revisão integrativa na qual os descritores utilizados foram electronic health records e nursing process. Resultados: Os dados encontrados indicam que os estudos em sua maioria foram pesquisas quantitativas, publicadas no periódico Nursing informatics (Studies in Health Technology and Informatics) desenvolvidas em universidades e no continente americano. Conclusão: os dados apontam que a maior parte das pesquisas são referentes a usabilidade do registro eletrônico em saúde. Outros aspectos abordados foram as fragilidades e perspectivas associados ao uso do registro eletrônico, bem como o processo de enfermagem em sistemas informatizados


Objective: the objective of this study was to identify which strategies are being used in the implementation of electronic records related to the nursing process, in PubMed, Scopus and Web of Science databases. Method: this is an integrative review in which the descriptors used were electronic health records and nursing process. Results: the data found indicate that the studies were mostly quantitative research, published in the journal Nursing informatics (Studies in Health Technology and Informatics) developed in universities and in the American continent. Conclusion: the data indicate that most of the researches are referring to the usability of electronic health records. Other aspects addressed were the weaknesses and perspectives associated with the use of electronic registration, as well as the nursing process in computerized systems


Objetivo: el estudio tuvo como objetivo identificar qué estrategias están siendo utilizadas en la implementación de registros electrónicos relacionados al proceso de enfermería, en las bases de datos: PubMed, Scopus y Web of Science. Métodos: se trata de una revisión integrativa en la cual los descriptores utilizados fueron electronic health records y kind process. Resultados: los datos encontrados indican que los estudios en su mayoría fueron investigaciones cuantitativas, publicadas en el periódico Nursing informatics (Studies in Health Technology and Informática) desarrolladas en universidades y en el continente americano. Conclusiones: los datos apuntan que la mayor parte de las encuestas son referentes a la usabilidad del registro electrónico en salud. Otros aspectos abordados fueron las fragilidades y perspectivas asociadas al uso del registro electrónico, así como el proceso de enfermería en sistemas informatizados


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Registros de Enfermería , Registros Electrónicos de Salud/instrumentación , Proceso de Enfermería , Alfabetización Digital , Educación Continua en Enfermería
3.
Metas enferm ; 22(10): 5-13, dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-185326

RESUMEN

Objetivo: identificar las competencias necesarias para desempeñar el rol de gestora enfermera en España en cada uno de los niveles funcionales. Metodología: partiendo de la realización de una revisión bibliográfica de la literatura especializada se diseñó un estudio Delphi estructurado en cuatro rondas para consensuar las competencias necesarias para la gestora enfermera. Resultados: se obtuvo el consenso de 51 competencias, distribuidas en seis dominios. El nivel de experto se alcanza mediante estudios de máster y doctorado. La gestora enfermera tiene que desarrollar sus competencias al nivel de competente, muy competente y experto. El 96% de los integrantes del panel manifestó que para alcanzar el nivel de experto es necesario desarrollar estudios de máster o doctorado. El 60,78% de las competencias de la gestora enfermera de alta dirección debe ser desarrollada al nivel de experto mediante el desarrollo de estudios de máster, experto universitario y especialización universitaria, frente al 9,8% de la dirección logística y al 21,57% de las competencias requeridas para la dirección operativa. Para el nivel de competente serán necesarios estudios de experto, especialista universitario y formación continuada. Conclusiones: el modelo de competencias para la gestora enfermera en España se compone de 51 competencias, de las cuales ocho son básicas. De los resultados se evidencia el grado de desarrollo para cada competencia, y la formación requerida para alcanzar este grado


Objective: to identify the skills needed to play the role of Nurse Manager in Spain at each function level. Methodology: based on a bibliographic review conducted in specialized literature, a Delphi study was designed, structured into four rounds, in order to reach a consensus about the skills needed by the Nurse Manager. Results: a consensus was reached about 51 skills, classified into six domains. The level expert is achieved through master and doctorate courses. Nurse Managers must develop their skills at the following levels: Competent, Very Competent and Expert. Out of the panel members, 96% declared that in order to reach the expert level it is necessary to acquire master or doctorate degrees; 60.78% of the skills of the High Management Nurse Manager must be developed at Expert level, through Master, University Expert and University Specialty degrees, vs. 9.8% of logistical management and 21.57% of skills required for operational management. The Competent level requires Expert, University Specialist and Continuous Education degrees. Conclusions: the competency model for the Nurse Manager in Spain consists of 51 skills, including eight basic skills. The level of development for each skill is shown in results, as well as the training required to achieve said degree


Asunto(s)
Humanos , Rol de la Enfermera , Enfermeras Administradoras , Educación Continua en Enfermería/tendencias , Supervisión de Enfermería , Técnica Delfos , Consenso , Administración Sanitaria
4.
J Nurs Adm ; 49(12): 610-616, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31725059

RESUMEN

Creating a nursing journal club is an initiative to promote nurses' use of best evidence in practice. A virtual nursing journal club (VNJC) was implemented in a Magnet-designated, midsize community hospital. The VNJC fostered nurses' reading nursing research studies and subsequent interaction with other nurses. The VNJC's formation, implementation, and evaluation are described. Quantitative and qualitative research critique items and an evaluation form are included that are essential to the site's ongoing processes.


Asunto(s)
Educación Continua en Enfermería/métodos , Difusión de la Información/métodos , Bibliotecas Digitales/organización & administración , Informática Aplicada a la Enfermería/organización & administración , Investigación en Enfermería/educación , Personal de Enfermería en Hospital/educación , Publicaciones Periódicas como Asunto , Adulto , Femenino , Hospitales Comunitarios , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa
5.
Rev Lat Am Enfermagem ; 27: e3179, 2019.
Artículo en Portugués, Inglés, Español | MEDLINE | ID: mdl-31596414

RESUMEN

OBJECTIVE: to evaluate the effect of an educational program on blood pressure recording for nursing professionals in relation to theoretical knowledge and the quality of these records. METHOD: quasi-experimental study conducted in a hospital service located in the city of São Paulo. The theoretical knowledge of 101 professionals was measured using a validated questionnaire before and after the educational intervention; the quality of blood pressure records was evaluated using a validated form which was applied to 354 records in the pre-intervention period and 288 in the post-intervention period. The educational program was based on active teaching-learning methodologies and consisted of two strategies: expository/dialogue class and a board game. The Wilcoxon, Mann-Whitney, Fisher and Chi-Square tests were used for comparisons, adopting a level of significance of α=0.05. RESULTS: the median of the professionals' scores increased from 19 to 22 points in the post-intervention period (p<0.001). There was an improvement in the quality of the blood pressure recordings regarding the variables: cuff size (p<0.001), arm used in the procedure (p<0.001) and patient position (p<0.001). CONCLUSION: the educational program showed positive results in the promotion of knowledge among nursing professionals and in the improvement of the quality of blood pressure recording.


Asunto(s)
Determinación de la Presión Sanguínea/enfermería , Educación Continua en Enfermería/métodos , Personal de Enfermería en Hospital/educación , Adulto , Presión Sanguínea , Determinación de la Presión Sanguínea/instrumentación , Brasil , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Personal de Enfermería en Hospital/normas , Mejoramiento de la Calidad , Encuestas y Cuestionarios
7.
J Nurs Adm ; 49(10): 466-472, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31490797

RESUMEN

Palliative care (PC) is a national and global priority, yet there is insufficient knowledge regarding PC among generalist clinicians. An interdisciplinary educational initiative was implemented to enhance a hospital workforce's PC knowledge and skills. More than 1000 clinicians attended at least 1 of 27 educational offerings. Measurable gains were evident in key outcome measures including PC referrals and advanced directive documentation. Changes reflected a transformation of workforce culture and resulted in 2 national awards for improving PC.


Asunto(s)
Educación Continua en Enfermería/organización & administración , Enfermería de Cuidados Paliativos al Final de la Vida/educación , Personal de Enfermería en Hospital/educación , Enfermería de Atención Primaria/métodos , Adulto , Curriculum , Femenino , Humanos , Masculino , Persona de Mediana Edad
9.
Eur J Oncol Nurs ; 42: 28-35, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31446261

RESUMEN

PURPOSE: There is a limited amount of studies with results on professional development of paediatric oncology nurses. This study seeks to increase the understanding of the factors associated with the professional development of paediatric oncology nurses through the continuous education programme from the paediatric nurses' perspective. METHOD: The descriptive, qualitative study used the text of participants' electronic diaries as data during a two-year continuing professional education programme in 2016-2018. The sample consisted of 17 paediatric oncology nurses who were working in three different university hospitals. The data were analysed with the inductive content analysis method. RESULTS: Professional development is linked with a strong knowledge base in nursing, which involves the use of nursing methods and up-to-date nursing practices. Professional development is also linked with the use of medical knowledge, which manifests as a deep understanding of cancers and their treatment. CONCLUSIONS: Research results show that a strong knowledge base in nursing alone is not sufficient for the professional development of paediatric oncology nurses. They also need to use their medical knowledge in order to gain an adequately deep understanding of children's cancers and their treatment. Nursing must be organised so that nurses have the opportunity to compare, share, question and argue for the methods they use with their colleagues in their own unit and other hospitals. Further research is needed on the professional development of paediatric oncology nurses and factors affecting it in order for a career development model to be created for this specific yet demanding area of nursing.


Asunto(s)
Educación Continua en Enfermería , Enfermería Oncológica/educación , Enfermería Pediátrica/educación , Adulto , Actitud del Personal de Salud , Femenino , Humanos , Estudios Longitudinales , Persona de Mediana Edad , Investigación Cualitativa , Desarrollo de Personal
10.
Rev Esc Enferm USP ; 53: e03482, 2019 Jul 29.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-31365728

RESUMEN

OBJECTIVE: To evaluate the knowledge and attitudes of Family Health Strategy nurses regarding sexuality in old age. METHOD: Cross-sectional, exploratory, descriptive, quantitative study with nurses of the Family Health Strategy of the city of Sobral-CE. The instruments used were a socio-demographic and professional questionnaire and the Aging Sexual Knowledge and Attitudes Scale, Brazilian version. Data were processed in GraphPad Prism 5®, and the significance level was set at p<0.05. RESULTS: The participants were 56 nurses, most of them female, young adults, who reported they were able to provide orientations about sexuality. The mean score in the knowledge dimension was 29.95 (SD=2.21), in a range of 20 to 60; the mean score in the attitude dimension was 27.14 (SD=2.19), in a range of eight to 40. Participants who declared receiving permanent health education and conducting health education on sexuality presented a significantly favorable knowledge, but no statistically significant attitude. CONCLUSION: Nurses have adequate knowledge about sexuality in old age, but still present conservative attitudes. Investing in processes of continuing health education can improve the knowledge and practice of nurses.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Enfermeras y Enfermeros/estadística & datos numéricos , Conducta Sexual/psicología , Sexualidad/psicología , Adulto , Anciano , Envejecimiento/psicología , Actitud del Personal de Salud , Brasil , Estudios Transversales , Educación Continua en Enfermería/métodos , Salud de la Familia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/psicología , Encuestas y Cuestionarios , Adulto Joven
11.
Soins ; 64(837): 41-44, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31345309

RESUMEN

Virtual reality is an innovative solution in simulation when it is used to reinforce caregivers' skills. A health facility has set up a continuing professional development programme using this technique. It has enabled caregivers to reinforce their skills in the area of blood transfusion safety.


Asunto(s)
Transfusión Sanguínea/enfermería , Educación Continua en Enfermería , Entrenamiento Simulado/métodos , Realidad Virtual , Competencia Clínica , Difusión de Innovaciones , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Seguridad del Paciente
12.
Br J Nurs ; 28(13): 870-877, 2019 Jul 11.
Artículo en Inglés | MEDLINE | ID: mdl-31303048

RESUMEN

BACKGROUND: In 2016 the Nursing and Midwifery Council in the UK introduced revalidation, which is the process nurses are required to follow to renew their registration. This provides an opportunity for nurses to shape, develop and evolve social media to meet their professional requirements. AIMS: to examine different ways nurses can use social media tools for continuous professional development (CPD) and revalidation. METHODS: using a qualitative reflective design, data were gathered from content on the @WeNurses platform and activities organised with other leading health organisations in England. These data were analysed using the social media relationship triangle developed by the authors with a thematic analysis approach. FINDINGS: analysis revealed that social media was used in six categories: publishing, sharing, messaging, discussing, collaborating, and networking. Organised social media events such as: blogs, tweetchats, Twitter storms, webinars, infographics, podcasts, videos and virtual book clubs can support nurses with revalidation and professional development. CONCLUSION: Through using a participatory CPD approach and embracing professional social media applications nurses have moved social media from the concept of a revolution to an evolution.


Asunto(s)
Certificación , Educación Continua en Enfermería/métodos , Medios de Comunicación Sociales/estadística & datos numéricos , Humanos , Investigación en Evaluación de Enfermería , Reino Unido
13.
J Nurses Prof Dev ; 35(5): 255-260, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31318733

RESUMEN

The purpose of this descriptive correlational study was to determine if implementing gamification teaching methodologies in nondigital format into nursing orientation has a positive effect on orientees' motivation and knowledge retention. The study included a convenience sample of 152 registered nurses who attended the nursing orientation class at a Midwestern acute care facility. This study found that gamification had a positive effect on the orientees' motivation and knowledge retention.


Asunto(s)
Juegos Experimentales , Capacitación en Servicio/normas , Motivación , Personal de Enfermería en Hospital/educación , Evaluación de Programas y Proyectos de Salud , Educación Continua en Enfermería , Conocimientos, Actitudes y Práctica en Salud , Humanos , Personal de Enfermería en Hospital/normas
14.
Int J Health Care Qual Assur ; 32(6): 910-926, 2019 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-31282262

RESUMEN

PURPOSE: The purpose of this paper is to provide an empirical basis for considering in-service training, tenure prolongation and continuing education as methods for enhancing nursing performance. DESIGN/METHODOLOGY/APPROACH: A self-reported questionnaire was used to collect data from 532 nurses, who were selected using the simple random sampling method from ten hospitals in Accra North, Ghana. Confirmatory factor analysis (CFA) was used to test the study's hypotheses. FINDINGS: The resulting model is of good fit at 5 per cent significance level (χ2=1.492, p=0.222), with in-service training found to be the ultimate method for enhancing nursing performance. The fitted CFA model also shows that in-service training is positively associated with education and tenure at 1 per cent significance level (p<0.001). The overall evidence suggests that training, continuing formal education and tenure prolongation are methods for improving nursing performance. ORIGINALITY/VALUE: Apart from its contribution to the literature, this study applies validated primary data to empirically identify key methods for enhancing nursing performance.


Asunto(s)
Competencia Clínica , Educación Continua en Enfermería/métodos , Capacitación en Servicio/organización & administración , Personal de Enfermería en Hospital/educación , Encuestas y Cuestionarios , Adulto , Países en Desarrollo , Ghana , Humanos , Análisis y Desempeño de Tareas
15.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 1058-1064, jul.-set. 2019. tab
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1005605

RESUMEN

Objetivo: Compreender as causas que levam à não adesão dos profissionais de enfermagem às capacitações realizadas no hospital. Métodos: Estudo de caráter exploratório-descritivo, do tipo transversal e de cunho qualitativo, realizado com profissionais de enfermagem de uma clínica de um hospital de Belém/PA por meio de questionários. Resultados: O total da população deste estudo é composto de 25 funcionários: cinco enfermeiros, onze técnicos de enfermagem e oito auxiliares de enfermagem. Após a análise dos questionários, identificaram-se três categorias. Conclusão: Os resultados demonstram a necessidade de se adaptar as práticas da Educação Permanente em Saúde à realidade do profissional e da instituição. É importante salientar que, apesar das dificuldades enfrentadas pelos profissionais, eles compreendem a importância da educação permanente, isso demostra relevância deste estudo, pois percebendo o porquê das causas da não adesão podem-se trabalhar medidas que reduzam a dispersão do profissional de enfermagem nas atividades educativas no local de trabalho


Objective: Understand the causes that lead to non-adherence of nursing professionals to hospital training. Methods: Exploratory descriptive study, of type transverse type and of qualitative character, accomplished with nursing professionals at the clinic of the Hospital in Belém-Pa by means of questionnaires. Results: The total population of this study is composed of 25 employees: 5 nurses, 11 nursing technicians, 8 nursing assistants. After the analysis of the questionnaire responses, it was possible to identify three major categories. Conclusion: The results demonstrate the need to adapt the practices of permanent education in health the reality of the professional and the institution. It is important to note that despite the difficulties encountered by professionals, they understand the importance of education permanent, this demonstrates relevance of this study, because realizing the reason of the causes of non-adhesion one can work in measures that reduce the dispersion of the nursing professional in the educational activities in the workplace


Objetivo: Comprender las causas que llevan a la no adhesión de los profesionales de enfermería a las capacitaciones realizadas en el hospital. Métodos: Estudio de carácter exploratorio-descriptivo, del tipo transversal y de cuño cualitativo, realizado con profesionales de enfermería de una clínica de hospital de Belém-PA por medio de cuestionarios. Resultados: El total de la población de este estudio está compuesta de 25 funcionarios: 5 enfermeros, 11 técnicos de enfermería, 8 auxiliares de enfermería. Después del análisis de los cuestionarios, se identificó 3 categorías: Conclusión: Los resultados demuestran la necesidad de adaptar las prácticas de la Educación Permanente en Salud a la realidad del profesional y de la institución. Es importante subrayar que a pesar de las dificultades enfrentadas por los profesionales, ellos comprenden la importancia de la Educación Permanente, eso demuestra la relevancia de este estudio, pues percibiendo el por qué de las causas de la no adhesión se puede trabajar en medidas que reduzcan la dispersión del profesional de enfermería en las actividades educativas en el lugar de trabajo


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Educación Continua en Enfermería , Capacitación Profesional , Grupo de Enfermería
16.
Nurs Adm Q ; 43(3): 267-273, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31162346

RESUMEN

Innovation and creativity are part of everyday life for the bedside nurse. Nursing clinicians continuously innovate and create to meet each patient's unique needs. However, policies, regulations, and drama can inhibit that creativity when clinicians move into management. Three nurse leaders discuss their journeys to bring innovation into their leadership practices through participation in a yearlong program, the "Executive Fellowship in Innovation Health Leadership."The authors share insights gained after they participated in a cohort of health care leaders who took part in this yearlong fellowship. Details of the fellowship program are discussed, along with the benefits of entering such a program. Three separate innovation projects are reviewed. In Iowa, an Assistant Vice President of Nursing led the restructure and development of a support role to remove unnecessary tasks from nurse managers. In California, a Director of Education, Practice, and Informatics took a personal journey to enhance her senior leadership skills. In Florida, a Chief Nursing Officer created a program designed to teach nurse leaders to be innovative in health care. Each author addresses the innovation model/methodologies that they applied in the execution of their individual projects.


Asunto(s)
Educación Continua en Enfermería/métodos , Becas/tendencias , Liderazgo , Enfermeras Administradoras/educación , Curriculum , Humanos , Tutoría/métodos , Tutoría/tendencias
17.
Crit Care Nurse ; 39(3): 59-66, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31154332

RESUMEN

Pain management and sedation strategies have become more complex in recent years, with accompanying documented increases in morbidity and mortality. Consequently, various government agencies and professional associations have issued requirements or recommendations designed to ensure optimal and safe pain management in different populations. The pediatric nurse must understand the rationale behind these guidelines, which pain and sedation assessment tools are valid and reliable, how and when to use these tools, and the purpose and limitations of each tool. This article summarizes the recent recommendations, identifies valid and reliable pediatric pain and sedation assessment tools, and describes the appropriate use of these tools to provide safe and high-quality patient care.


Asunto(s)
Sedación Consciente/normas , Hipnóticos y Sedantes/administración & dosificación , Manejo del Dolor/métodos , Enfermería Pediátrica/normas , Guías de Práctica Clínica como Asunto , Niño , Preescolar , Sedación Consciente/métodos , Educación Continua en Enfermería , Femenino , Humanos , Masculino , Dolor/tratamiento farmacológico , Pediatría , Reproducibilidad de los Resultados , Estados Unidos
19.
Nurse Educ Pract ; 38: 7-13, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31170627

RESUMEN

The aim of this randomized controlled trial was to develop a web-based acute pain management education program for nurses and to evaluate its effectiveness. The developed program consisted of a total duration of 400 min with eight modules and 29 topics in pain management. Fifty nurses from the post-anesthesia care unit in two university-affiliated hospitals in Seoul, Korea were randomly assigned to either the experimental group (n = 25) or the control group (n = 25) and a total of 46 nurses, 23 for each group, completed the pre and post-tests. The pre and post-tests were performed to evaluate the changes of the nurses' knowledge, attitude, and self-efficacy regarding acute pain management. The experimental group showed a significant increase in knowledge and in self-efficacy about pain management compared to the control group (u = 389.0, p = .006; u = 360.0, p = .030, respectively). The results support the effective use of these web-based modules as part of a continuing education program on pain management for nurses working in an acute care setting. The findings of this study can be the basis for the development of evidence-based guidelines and training tailored to the Korean culture and similar settings.


Asunto(s)
Enfermeras y Enfermeros/psicología , Manejo del Dolor/enfermería , Adulto , Competencia Clínica/normas , Educación Continua en Enfermería/métodos , Femenino , Humanos , Internet , Masculino , Manejo del Dolor/tendencias , República de Corea , Autoeficacia , Encuestas y Cuestionarios
20.
Nurs Womens Health ; 23(3): 200-216, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31171242

RESUMEN

OBJECTIVE: To improve nurses' comfort in helping laboring woman void on a bedpan after initiation of epidural analgesia, to increase the frequency of bedpan use in the labor and birth unit, and to decrease the use of continuous indwelling Foley catheters during the intrapartum period. DESIGN: Quality improvement project. SETTING: A single large, midwestern U.S. hospital (>3,000 births annually), where bedpans are infrequently used after epidural placement. PARTICIPANTS: Registered nurses on a labor and birth unit. INTERVENTION/MEASUREMENTS: A 20-minute educational presentation that included current urinary catheter evidence-based practice, preferential use of bedpans, and methods to help women void successfully was taught to all registered nurses in the author's labor unit. Nurses rated on a scale of 0 (not comfortable at all) to 10 (extremely comfortable) their comfort level at helping a woman with a bedpan. Primary data were collected through a convenience sample of anonymous surveys (n = 52) completed by registered nurses regarding their experience with bedpan and catheter use during labor and their comfort level helping women be successful with voiding. This was followed by a retrospective chart audit for women with term, singleton pregnancies who labored with epidural analgesia. RESULTS: Nurses' comfort levels increased from an average of 5.7 to 7.2 (p = .067). Postepidural bedpan use increased from 5.5% (n = 12) to 19% overall (n = 20; p < .001), with five women using bedpans exclusively. When assisted with bedpan use, 38% (n = 12) of women were able to void 34 of the 53 times it was offered (64%). Use of continuous indwelling Foley catheters decreased from 61.7% (n = 137) to 54.7% (n = 58), and use of intermittent catheterization increased from 30.6% (n = 68) to 37.7% (n = 40). CONCLUSION: When assisted by nurses educated in and comfortable with different voiding techniques, women may be able to avoid medically unnecessary use of urinary catheters during labor.


Asunto(s)
Analgesia Epidural/enfermería , Aparatos Sanitarios/normas , Trabajo de Parto/psicología , Relaciones Enfermero-Paciente , Enfermeras y Enfermeros/psicología , Adulto , Educación Continua en Enfermería/métodos , Femenino , Humanos , Embarazo
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