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Medicine (Baltimore) ; 99(6): e19172, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028441


Quality of Working Life (QWL) was developed in 1970s as a new theory on a basis of social-technical system theory. In 2004, Brooks considered that quality of nursing work life is a degree to which the registered nurses are able to satisfy important personal needs through their experiences in their work organization's goal. Quality of Nursing Work Life plays an important role in nursing management.The purpose of the project was to identify factors associated with nursing work life quality.A convenience sample of 3498 nurses from five tertiary general hospitals in Shanxi, Shandong, and Liaoning provinces in China was surveyed regarding quality of work life, working conditions, stress at work, general being, and job and career satisfaction (JCS).The mean overall quality of work life score was found to be 3.40 ±â€Š0.61 (on a scale of 1-5, with 5 being the highest), while the working conditions and stress at work received lower scores. The general well-being of females (3.49 ±â€Š0.74) was higher than that of males (3.35 ±â€Š0.87). We also found a statistically significant difference of JCS of different department groups (P = .004).The quality of working life of nurses was found to be in the middle range, with room for improvement. Nurse managers have an opportunity to implement measures to improve the quality of working life for nurses in China.

Enfermeras y Enfermeros/psicología , Calidad de Vida , Adulto , China , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/estadística & datos numéricos , Estrés Laboral/epidemiología , Estrés Laboral/psicología , Encuestas y Cuestionarios , Adulto Joven
Nursing ; 50(2): 61-63, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977808


Cultural competence is essential for establishing rapport with patients and for assessing patients' needs. This article discusses how self-awareness can help nurses provide culturally competent care to patients and their families.

Asistencia Sanitaria Culturalmente Competente , Relaciones Enfermero-Paciente , Enfermeras y Enfermeros/psicología , Autoimagen , Humanos
Br J Nurs ; 29(2): 127, 2020 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-31972109


Sam Foster, Chief Nurse, Oxford University Hospitals, considers the problems with pensions, and the spectre of money problems generally facing nurses.

Enfermeras y Enfermeros/economía , Enfermeras y Enfermeros/psicología , Pensiones , Inglaterra , Humanos , Medicina Estatal
Br J Nurs ; 29(2): 98-101, 2020 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-31972119


Many theories have been proposed for the decision-making conducted by nurses across all practices and disciplines. These theories are fundamental to consider when reflecting on our decision-making processes to inform future practice. In this article three of these theories are juxtaposed with a case study of a patient presenting with an ST-segment elevation myocardial infarction (STEMI). These theories are descriptive, normative and prescriptive, and will be used to analyse and interpret the process of decision-making within the context of patient assessment.

Toma de Decisiones Clínicas , Enfermeras y Enfermeros/psicología , Teoría de Enfermería , Humanos
Nursing ; 50(1): 53-57, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31855989


As new nurse retention is a challenge for the nursing profession, nursing organizations must work to address the needs of these nurses, be a resource to meet their needs, and promote the importance of belonging to a professional organization. This article outlines one state nursing association's efforts to solicit feedback from new nurses in an online survey and describes the survey's findings and recommendations for future directions.

Enfermeras y Enfermeros/psicología , Sociedades de Enfermería/organización & administración , Humanos , New Jersey , Encuestas y Cuestionarios
Nurs Educ Perspect ; 41(1): 10-15, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31860478


AIM: The aim of this study was to determine the perceptions of 14 novice nurse faculty of a 20-month experiential leadership academy on the leadership development. BACKGROUND: Managing the complexities of nursing faculty roles requires significant leadership skills that often are hard won. Evidence suggests that leadership preparation to prepare nursing faculty through guided mentoring can enhance faculty recruitment, satisfaction, and retention. METHOD: Participants completed open-ended questions about their experiences in Sigma Theta Tau International's Nurse Faculty Leadership Academy. RESULTS: Data analysis revealed a meta-theme of "Finding Authentic Leadership Voice." Four subthemes emerged to shape the meta-theme: Identifying Inner Strengths and Areas for Improvement, Increasing Self-Confidence and Self-Awareness, Increasing Focus on Others, and Clarifying Aspirations for a Leadership Future. CONCLUSION: Reflecting on their experiences, participants recognized changes in their leadership roles as they found an authentic voice that helped them persist and thrive amid the complexities of their faculty roles.

Liderazgo , Tutoría , Enfermeras y Enfermeros , Docentes de Enfermería , Humanos , Mentores
Nurs Educ Perspect ; 41(1): E3-E7, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31860501


AIM: The aim of this literature review was to determine the state of the science related to clinical informatics competencies of registered nurses and to determine best practices in educational strategies for both nursing students and faculty. BACKGROUND: Continued emphasis on the provision of evidence-based patient care has implications for requisite informatics-focused competencies to be threaded throughout all levels of nursing educational programs. METHOD: Whittemore and Knalf's five-step integrative review process guided this research. An extensive search yielded 69 publications for critical appraisal. RESULTS: Results suggest nursing educational programs do not adhere to standardized criteria for teaching nursing informatics competencies. Another identified literature gap was the scarcity of research related to informatics training requirements for nurse educators. CONCLUSION: Findings support the need for continued research to provide clear direction about the expected clinical informatics competencies of graduate nurses and what training faculty need to facilitate student learning.

Informática Médica , Enfermeras y Enfermeros , Informática Aplicada a la Enfermería , Estudiantes de Enfermería , Competencia Clínica , Docentes de Enfermería , Humanos
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 246-251, jan.-dez. 2020. tab
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1047990


Objetivo: identificar o conhecimento de profissionais de saúde de unidades básicas de saúde da família sobre o manejo clínico da suspeita de febre de Chikungunya. Método: realizou-se um estudo transversal com 31 profissionais de saúde de unidades básicas e saúde da família, localizadas no Município de Quixadá-Ceará, nos meses de janeiro e fevereiro de 2018. Resultados: quase todos relatam que ao avaliar sinais de gravidade, critérios de internação e grupos de risco, se o paciente não apresentar sinais de gravidade, não tiver critérios de internação e/ou condições de risco, o mesmo deve permanecer em acompanhamento ambulatorial; se o paciente for apenas do grupo de risco, o mesmo deve receber acompanhamento ambulatorial em observação; e se o paciente apresentar sinais de gravidade e/ou tiver critérios de internação, ele deve receber acompanhamento em internação. Conclusão: os profissionais de saúde possuem conhecimento satisfatório sobre o manejo clínico da doença baseado nas orientações do Ministério da Saúde

Objective: to identify the knowledge of health professionals of family health basic units on the clinical management of suspected chikungunya fever. Method: a cross-sectional study with 31 healthcare professionals of basic units and family health, located in the city of Quixadá - Ceará, in the months of January and February 2018. Results: almost all report to evaluate signs of severity, admission criteria and risk groups, if the patient does not show signs of seriousness does not meet criteria for hospitalization and risk conditions/or should stay in outpatient follow-up; If the patient is only a risk group, he/she must be referred to outpatient follow-up for observation; and if the patient shows signs of severity and/or admission criteria, he should receive follow-up in hospital. Conclusion: health professionals have satisfactory knowledge on the clinical management of the disease based on the guidelines of the Ministry of Health

Objetivo: identificar el conocimiento de la salud profesionales de unidades básicas de salud de la familiaenel manejo clínico de só pecha Chikungunya fiebre. Método: estudio transversal con 31 profesionales de la salud de unidades básicas y de salud familiar, ubicado em la ciudad de Quixadá - Ceará, em los meses de enero y febrero de 2018. Resultados: informe casi todos para evaluar signos de gravedad, grupos de criterios de admisión y el riesgo, si el paciente no no mostrar signos de seriedad no tienen criterios para las condiciones de la hospitalización y el riesgo/unidad organizativa, debe mantenerse en seguimiento ambulatorio; Si el paciente es sóloel grupo de riesgo, el mismo debe recibir seguimento ambulatorio de observación; y si el paciente muestra signos de criterios de severidad y/o admisión, deben recibir seguimento em hospitalización. Conclusión: profesionales de la salud tienen conocimiento satisfactorio em el manejo clínico de la enfermedad basada en las directrices del Ministerio de Salud

Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Médicos , Conocimientos, Actitudes y Práctica en Salud , Fiebre Chikungunya/diagnóstico , Fiebre Chikungunya/terapia , Enfermeras y Enfermeros , Atención Primaria de Salud , Virus Chikungunya , Estudios Transversales , Estrategia de Salud Familiar
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 54-61, jan.-dez. 2020. ilus
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1048006


Objetivo: conhecer a percepção dos trabalhadores de enfermagem acerca das cargas de trabalho em uma Unidade de Terapia Intensiva Neonatal. Método: estudo qualitativo com 24 trabalhadores de enfermagem em uma unidade de Terapia Intensiva Neonatal em um hospital universitário, em junho de 2017, por meio de entrevistas semiestruturadas e analisadas por análise textual discursiva. Resultados: verificou-se que os trabalhadores de enfermagem percebem sua exposição às cargas de trabalho e as relacionam com a ocorrência de acidentes e doenças de trabalho. As cargas psíquicas foram as mais representativas no ambiente de trabalho, entretanto, destaca-se a relação identificada pelos trabalhadores entre as cargas químicas e os produtos utilizados na limpeza das incubadoras. Conclusão: o reconhecimento das cargas de trabalho oportuniza a criação de medidas que possam minimizá-las durante a assistência de recém-nascidos em cuidado intensivo, visando à saúde do trabalhador

Objective: the study's purpose has been to know the perception of nursing workers about the workloads in a Neonatal Intensive Care Unit. Method: this is a qualitative study performed with 24 nursing professionals in a Neonatal Intensive Care Unit at a University Hospital, on June 2017, through semi-structured interviews and analyzed through textual discourse analysis. Results: it has been verified that the nursing workers notice their exposition to workloads and relate them with the occurrence of accidents and illnesses at work. The psychic workloads were the most representative in the working environment, however, it is highlighted the relation identified by the workers between the chemical workloads and the products used in the cleaning of incubators. Conclusion: the recognition of workloads makes possible the creation of measures that can minimize them during the assistance to newborns in intensive care, aiming at the workers' health

Objetivo: conocer la percepción de los trabajadores de enfermería acerca de las cargas de trabajo en una Unidad de Terapia Intensiva Neonatal. Método: estudio cualitativo con 24 trabajadores de enfermería en una unidad de Terapia Intensiva Neonatal en un hospital universitario, en junio de 2017, por medio de entrevistas semi-estructuradas y analizadas por análisis textual discursiva. Resultados: se verificó que los trabajadores de enfermería perciben su exposición a las cargas de trabajo y las relacionan con la ocurrencia de accidentes y enfermedades de trabajo. Las cargas psíquicas fueron las más representativas en el ambiente de trabajo, sin embargo, se destaca la relación identificada por los trabajadores entre las cargas químicas y los productos utilizados en la limpieza de las incubadoras. Conclusión: el reconocimiento de las cargas de trabajo proporciona la creación de medidas que puedan minimizarlas durante la asistencia de recién nacidos en cuidado intensivo, objetivando la salud del trabajador

Humanos , Salud Laboral , Carga de Trabajo , Enfermeras y Enfermeros , Brasil , Unidades de Cuidado Intensivo Neonatal
Niger J Clin Pract ; 22(12): 1693-1697, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31793476


Objectives: This study aims to measure the level of knowledge of the nurses who collect blood cultures at our hospital, and after providing the necessary training, evaluate the distribution of microbial growth and rate of contamination in blood cultures that are referred to our laboratory during a 1-year term. Methods and Materials: A survey was conducted to assess the level of knowledge regarding blood culture acquisition with the participation of 99 nurses at our hospital in October 2017. Blood cultures sent to our laboratory during 2017 May-October were retrospectively evaluated in terms of their results, contamination rates, and number of bottles. Taking survey results into account, monthly trainings were provided to the nurses for 6 months starting from October 2017, and blood culture results and error rates were investigated prospectively. Results: It was determined from the survey results that the level of knowledge regarding the need to wipe the rubber septum of the blood culture bottle with alcohol prior to adding the blood sample (23.2%) and definition of a blood culture set (25.3%) were quite low. It was found that while the contamination rate prior to training was 6.4%, it fell to 3.7% after training, and although the rate of single-bottle cultures was 6.3% before training, it decreased by 2.0%. Conclusions: Standardizing blood culture acquisition with the provided training will produce maximal benefit for every laboratory in terms of cost and workload.

Cultivo de Sangre/normas , Recolección de Muestras de Sangre/normas , Sangre/microbiología , Contaminación de Equipos/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Enfermeras y Enfermeros/psicología , Adulto , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Estudios Retrospectivos , Encuestas y Cuestionarios
Soins Gerontol ; 24(140): 32-35, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31806176


Improving immunisation coverage for older adults is a public health issue. Since 2008, nurses have been authorised to vaccinate this population against influenza without a medical prescription. One study examined the opinions of a sample of 78 private duty nurses in Martinique on influenza and anti-tetanus vaccination of elderly populations. The majority of nurses said they were not in favour of vaccination.

Vacunas contra la Influenza , Gripe Humana , Anciano , Actitud del Personal de Salud , Humanos , Vacunas contra la Influenza/uso terapéutico , Gripe Humana/prevención & control , Martinica , Enfermeras y Enfermeros , Vacunación
Br J Nurs ; 28(22): 1478-1484, 2019 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-31835941


BACKGROUND: the Nursing and Midwifery Council has emphasised that its recently introduced standards for student supervision and assessment aim to 'ensure that no one gets onto the register who shouldn't be there'. A key element in achieving this is the new practice assessor role, implemented to bolster practical assessment processes. AIM: to identify the key personal characteristics of robust practice assessors who are prepared to fail underperforming students. METHOD: a national study, using a grounded theory approach. Thirty-one nurses were interviewed about their experiences of failing students in practice-based assessments. FINDINGS: robust practical assessors have a 'core of steel', characterised as having five key features: solidarity, tenacity, audacity, integrity and dependability. CONCLUSION: organisations should base their selection of practice assessors on how strongly they exhibit these five characteristics. Designating all current mentors as new practice assessors, when it is known that often they are reluctant to fail, could perpetuate failure to fail.

Educación en Enfermería/organización & administración , Evaluación Educacional/normas , Mentores/psicología , Enfermeras y Enfermeros/psicología , Estudiantes de Enfermería , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Investigación Cualitativa , Reino Unido
Br J Nurs ; 28(22): 1499, 2019 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-31835942


Sam Foster, Chief Nurse, Oxford University Hospitals, considers initiatives both at home and worldwide to develop the leadership potential of nurses at all levels, and why it matters.

Liderazgo , Enfermeras y Enfermeros/psicología , Medicina Estatal/organización & administración , Inglaterra , Humanos
Br J Nurs ; 28(22): S18-S25, 2019 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-31835943


Medical professionals follow evidence-based practice guidelines to achieve effective patient outcomes. Traditionally, to develop guidelines, a small group of experts examine evidence then agree on a set of statements, which are then published in journals. However, more than 7000 primary care journal articles are published monthly. This study examined a different way of drawing up practice guidelines, which involved large numbers of nurses from different countries directly in developing then disseminating the guidelines to speed up acceptance and the implementation of best practice. The results were consensus-based best practice guidelines for the treatment of patients with ostomies, which have received a high level of acceptance and enthusiasm from practitioners in 27 countries.

Consenso , Enfermeras y Enfermeros/psicología , Estomía/enfermería , Guías de Práctica Clínica como Asunto , Humanos
Medicine (Baltimore) ; 98(49): e18059, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31804312


Chronic urticaria has a high economic burden and reduces patient's quality of life. Nurses experience insomnia because of their shifting work, especially if they work night shifts and 3-shift rotational schedules. This study aimed to examine whether insomnia is a risk factor of chronic urticaria in nurses.Data were obtained from the Registry for Medical Personnel, which contains all registered medical staff between 2007 and 2008. All study subjects were divided into those with insomnia and without insomnia. The primary exposure of interest was chronic urticaria. In addition, potential comorbidities including diabetes mellitus, hypertension, hyperlipidemia, anxiety, and depression were estimated.A total of 103,242 registered nurses between 2007 and 2008 were enrolled. Around 97,899 (94.8%) nurses did not have insomnia, and 5343 (5.2%) had insomnia. The proportion of chronic urticaria in nurses with insomnia was significantly higher than those without (0.92% vs 0.50%, P < .0001). The odds ratio of chronic urticaria in nurses with insomnia was 1.67 (95% confidence interval: 1.22-2.29, P = 0.0014) compared to those without insomnia after adjusting for age, sex, hospital level, and comorbidities.The risk of chronic urticaria was higher in nurses with insomnia than in those without insomnia. The relationship between insomnia and chronic urticaria might not be a direct causal association. Other contributing factors of insomnia include different perceptions of stress from night shift work, stress coping and adaptation, positive self-image, and emotional equilibrium related to person's capacity to adapt to change. The same situation may have different effects on different individuals.

/epidemiología , Enfermeras y Enfermeros/estadística & datos numéricos , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Adaptación Psicológica , Factores de Edad , Comorbilidad , Emociones , Femenino , Humanos , Masculino , Estrés Laboral/epidemiología , Calidad de Vida , Factores de Riesgo , Autoimagen , Factores Sexuales , Horario de Trabajo por Turnos , Tolerancia al Trabajo Programado
Soins ; 64(840): 60, 2019 Nov.
Artículo en Francés | MEDLINE | ID: mdl-31847974
Enferm. intensiva (Ed. impr.) ; 30(4): 181-191, oct.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-184482


Introducción: Las competencias que abordan en su entorno laboral las enfermeras de cuidados intensivos (UCI), han aumentado con la adquisición de nuevas responsabilidades asociadas a cuidados y dispositivos a realizar al paciente crítico. Múltiples estudios avalan la necesidad de la especialización de las enfermeras que trabajan en este tipo de unidades. Apoyado en estas evidencias, la European Federation of Critical Care Nurse, recomienda unificar la formación de las enfermeras de cuidados intensivos. Por tanto, nos planteamos el siguiente objetivo: valorar las necesidades formativas que detectan las enfermeras de UCI a través de sus vivencias y experiencias profesionales. Método: Estudio cualitativo descriptivo, con enfoque fenomenológico, a través de una entrevista semiestructurada donde se estudiaron los 4 ámbitos que la European Federation of Critical Care Nurse recoge (clínico, profesional, gestión y educativo). Se entrevistaron a 15 enfermeras de una UCI polivalente. Resultados: Los entrevistados reconocen que la formación previa era deficiente para los cuidados y medidas de soporte que tuvieron que afrontar. Consideran que la formación posterior y la experiencia fueron determinantes para poder desarrollar efectivamente su labor profesional. Además afirman que las medidas de soporte y los cuidados son temas a desarrollar continuamente mediante una formación dirigida. Conclusión: Las enfermeras reconocen que debe existir una formación destinada a cumplir las competencias que las UCI requieren, y que estas se ven afectadas por el tipo de unidad y el tipo de pacientes atendidos

Introduction: The competences of intensive care (ICU) nurses in their healthcare environment, have increased with the acquisition of new responsibilities associated with new care and devices for critical patients. Many studies suggest the need for specific training of nurses that work in these units. Based on this evidence, the European Federation of Critical Care Nurses Associations, recommends unifying the training of intensive care nurses. Therefore we set ourselves the following objective: to assess the training needs detected by ICU nurses through their experience and practical knowledge. Method: Descriptive qualitative study, with a phenomenological approach, through semi-structured interview where the four areas (clinical practice, professional, management and educational) covered by the European Federation of Critical Care Nurses Associations were studied. Fifteen nurses from an adult polyvalent ICU were interviewed. Results: The interviewees acknowledged that the previous training was deficient for the care and support measures that they had to face. They considered that subsequent training and experience were decisive in order to carry out their work effectively. They also stated that support measures and care are topics to be developed continuously through targeted training. Conclusion: The nurses in this research study acknowledged that training is needed to achieve the competences required in ICU, and these are affected by the type of unit and patients

Humanos , Masculino , Femenino , Enfermeras y Enfermeros/estadística & datos numéricos , Cuidados Críticos/tendencias , Educación en Enfermería/tendencias , Unidades de Cuidados Intensivos/estadística & datos numéricos , Análisis Cualitativo , Competencia Clínica , Entrevistas como Asunto/estadística & datos numéricos
Rev Infirm ; 68(256): 33-34, 2019 Dec.
Artículo en Francés | MEDLINE | ID: mdl-31870477


Emotional skills refer to the ability to identify, understand, express, use one's emotions and those of others. For caregivers, who are experiencing increasingly stressful work conditions and who are accompanying people going through painful moments in their lives, emotional skills are a valuable tool. They make it easier to take a step back from the professional and personal experience and thus promote a better quality of life at work. They concern health students in their initial training.

Cuidadores , Estrés Laboral , Lugar de Trabajo , Cuidadores/psicología , Emociones , Humanos , Enfermeras y Enfermeros/psicología , Calidad de Vida