Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 40.440
Filtrar
2.
J Hosp Palliat Nurs ; 23(2): 114-119, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33633090

RESUMEN

In the spring of 2020, a novel virus known as COVID-19 (coronavirus disease 2019) was introduced to the human population, and the world faced a global pandemic with far-reaching consequences. One of the most difficult challenges that nurses faced in the midst of the crisis was the lack of proper personal protective equipment (PPE). The lack of PPE left health care professionals with a complicated ethical dilemma: Is there an ethical duty to care for patients in the absence of proper PPE? This article seeks to help the individual nurse (a) understand the ethical dilemma and the tensions that it brings, (b) look to the literature for guidance, and (c) understand how individuals can apply these ethical principles. After careful analysis, the recommendation is for the individual nurse to make a thorough assessment of their personal situation. This will include consideration for their family, community, financial responsibilities, legal protections, organizational policies, and personal health risk. Finally, this article serves as a call to organizations and professional leaders to increase their support of frontline health care workers and provide the individual nurse with the information they need in order to make sound decisions.


Asunto(s)
/enfermería , Ética en Enfermería , Equipo de Protección Personal/provisión & distribución , /epidemiología , Conflicto Psicológico , Humanos , Enfermeras y Enfermeros/psicología , Estados Unidos/epidemiología
4.
Curr Med Sci ; 41(1): 31-38, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33582902

RESUMEN

The outbreak of coronavirus disease 2019 (COVID-19) posed an unprecedented threat to health care providers (HCPs) in Wuhan, China, especially for nurses who were frequently exposed to infected or suspected patients. Limited information was available about the working experience of nurses in fighting against the pandemic. To learn the physical and psychological responses of nurses during the pandemic and explore the potential determinants, we conducted a large-scale survey in Wuhan. This multicenter cross-sectional study enrolled 5521 nurses who worked in designated hospitals, mobile cabins, or shelters during the pandemic. A structured online questionnaire was distributed to assess the physical discomforts, emotional distress and cognitive reactions of nurses at work, and the log-binomial regression analysis was performed to explore potential determinants. A considerable proportion of nurses had symptoms of physical discomforts [3677 (66.6%)] and emotional distress [4721 (85.5%)]. Nurses who were directly involved in the care of patients (i.e., care for severe patients: RR, 2.35; 95% CI, 1.95-2.84), with irregular work schedules (RR, 2.36; 95% CI, 1.95-2.87), and working overtime (RR, 1.34; 95% CI, 1.08-1.65) were at a higher risk for physical discomforts. Nurses who were directly involved in the care of patients (i.e., care for severe patients: RR, 1.78; 95% CI, 1.40-2.29), with irregular work schedules (RR, 3.39; 95% CI, 2.43-4.73), and working overtime (RR, 1.51; 95% CI, 1.12-2.04) were at a higher risk for emotional distress. Therefore, formulating reasonable work schedules and improving workforce systems are necessary to alleviate the physical and emotional distress of nurses during the pandemic.


Asunto(s)
/enfermería , Enfermeras y Enfermeros/psicología , Estrés Laboral/psicología , Carga de Trabajo/psicología , Adulto , China , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios
5.
Br J Nurs ; 30(2): 116-121, 2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33529104

RESUMEN

The COVID-19 pandemic has had a devastating impact on the UK, as well as many other countries around the world, affecting all aspects of society. Nurses and other health and care professionals are a group particularly exposed to the virus through their work. Evidence suggests that vaccines form the most promising strategy for fighting this pandemic. Should vaccination against be mandatory for nurses and other health professionals? This article explores this question using an ethical framework.


Asunto(s)
/administración & dosificación , Programas Obligatorios/ética , Enfermeras y Enfermeros/legislación & jurisprudencia , Vacunación/ética , Vacunación/legislación & jurisprudencia , /prevención & control , Humanos , Reino Unido/epidemiología
6.
Medicine (Baltimore) ; 100(3): e24289, 2021 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-33546054

RESUMEN

BACKGROUND: Compassion fatigue is defined as a detrimental consequence of experiencing work-related stress among nurses, which can affect the job performance and harm emotional and physical health. The high risk of compassion fatigue among nurses may be even more severe in China. Although several studies have explored the prevalence and factors of compassion fatigue among Chinese nurses, most data derived merely from the specialty units of the hospital or limited samples, and there is a large heterogeneity among studies. Thus, it is indispensable to systematically summarize the risk factors and prevalence of compassion fatigue among clinical nurse in China. METHODS: Two reviewers will independently conduct comprehensively searches in 9 electronic databases including PubMed, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Web of science, MEDLINE, China National Knowledge Infrastructure (CNKI), WanFang and Chinese Biological Medical Database (CBM) with no search date restriction. Cross-sectional and prospective cohort studies that described the prevalence and factors of Chinese nurses compassion fatigue will be eligible for inclusion. The risk of bias and methodological quality of individual study will be assessed using an adapted quality assessment tool from the Agency for Healthcare Research and Quality (AHRQ). Stata 16.0 software will be used for meta-analysis. RESULTS: The primary outcome will be the prevalence of 3 dimension of compassion fatigue in Chinese nurses. The secondary outcomes will be comparisons of compassion fatigue scores among Chinese nurse of different education background, marital status, employment forms and professional titles. CONCLUSION: This overview will contribute to reveal the prevalence and influencing factors in compassion fatigue among Chinese nurses and provide a scientific evidence for the prediction and prevention in compassion fatigue. REGISTRATION NUMBER: The registration DOI is 10.17605/OSF.IO/V34X6.


Asunto(s)
Protocolos Clínicos , Desgaste por Empatía/diagnóstico , Enfermeras y Enfermeros/psicología , Prevalencia , China/epidemiología , Desgaste por Empatía/epidemiología , Desgaste por Empatía/psicología , Humanos , Satisfacción en el Trabajo , Metaanálisis como Asunto
7.
Tidsskr Nor Laegeforen ; 141(2)2021 02 02.
Artículo en Inglés, No | MEDLINE | ID: mdl-33528128

RESUMEN

BACKGROUND: Outside the cities, the medical services in the municipality are often centred around one GP practice. The local medical service is key to the municipality's healthcare preparedness. We wished to investigate how the healthcare personnel perceived the restructuring at their GP practice during the COVID-19 outbreak in March 2020, and the factors that facilitated and impeded the process. MATERIAL AND METHOD: The article is based on a focus group interview that was conducted with eight nurses and medical secretaries at Otta GP practice in June 2020. The interview was transcribed and analysed using systematic text condensation. RESULTS: The informants described a chaotic and demanding situation, in which they had to deal with their own as well as the patients' fears. They found crisis management to be difficult in a situation where the leadership in the municipality were unaware of the challenges of the GP practice. Lack of guidelines from the authorities at the start of the outbreak gave rise to considerable uncertainty. Through collaboration and flexibility, the practice arrived at new ways of working in order to safeguard its running. This gave a strong feeling of coping and fellowship, and a greater awareness of the informants' own importance in the front line of crisis management. INTERPRETATION: The study elucidates the role of support staff in the face of a crisis for the GP practice. Competent employees with the latitude and tools to tackle the challenges quickly guided the practice from chaos to a new type of working day. The municipality could have supported the process by ensuring the necessary resources and general guidelines for prioritisation of tasks.


Asunto(s)
Actitud del Personal de Salud , Medicina General/organización & administración , Pandemias , Grupos Focales , Humanos , Entrevistas como Asunto , Secretarias Médicas , Enfermeras y Enfermeros
8.
Nurs Educ Perspect ; 42(2): 74-80, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33596031

RESUMEN

AIM: The aim of this study was to explore facilitators and barriers to conducting a multisite national study in nursing academia unsupported by grant funding. BACKGROUND: Scholarship focused on the Quality and Safety Education for Nurses (QSEN) competencies stimulates opportunities for research and collaboration among nurse educators and clinicians. Twelve members of the QSEN Academic Task Force collaborated on a multisite study of the effectiveness of a QSEN teaching strategy and published the findings. METHOD: A descriptive phenomenological reflective approach using Kim's critical reflective inquiry model was used to explore the lived experiences of the original study investigators. Data were analyzed using Colaizzi's phenomenological reduction. RESULTS: Findings revealed seven facilitators and one overarching barrier to conducting academic research projects of this scope. CONCLUSION: Participants found that strong leadership, a commitment to teamwork and collaboration, and a shared interest were critical to conducting a successful national study across academic settings.


Asunto(s)
Competencia Clínica , Liderazgo , Enfermeras y Enfermeros , Humanos
9.
ABCS health sci ; 46: e021204, 09 fev. 2021. tab
Artículo en Inglés | LILACS | ID: biblio-1147174

RESUMEN

INTRODUCTION: The Brazilian National Tuberculosis Control Program was created to recommend and direct clinical actions, organizational setting, information systems and surveillance of tuberculosis. The process of implementation of control actions in Primary Care took place in several formats and with different outcomes, due to the influences of local organizational configuration. OBJECTIVE: To identify the facilities and difficulties reported by nurses in the implementation of the Tuberculosis Control Program in Primary Health Care. METHODS: A descriptive cross-sectional study with a quantitative approach, conducted in the city of Natal, Brazil. Data collected from November from 2017 to February 2018, with 80 nurses from Primary Health Care, through a structured questionnaire. Data were categorized according to similarity criteria and analyzed using descriptive statistics. RESULTS: The availability of nurses to work in the program (47.5%) and the presence of materials (31.2%) were the most frequently mentioned facilities. The most frequently mentioned difficulties were: adherence to treatment (21.2%) and the performance of complementary tests (15.0%). CONCLUSION: The findings of the study may contribute to reflection and planning of actions by health teams, as well as a tool for local managers to organize their services, in order to ensure the person with tuberculosis comprehensive care.


INTRODUÇÃO: O Programa Nacional de Controle da Tuberculose Brasileiro foi criado no intuito de preconizar e direcionar ações clínicas, das configurações organizacionais, de sistemas de informações e vigilância da tuberculose. O processo de implantação das ações de controle na Atenção Primária ocorreu em diversos formatos e com resultados diferenciados, devido às influências da configuração organizacionais locais. OBJETIVO: Identificar as facilidades e dificuldades referidas por enfermeiros na implantação do Programa de Controle da Tuberculose na Atenção Primária à Saúde. MÉTODOS: Estudo descritivo, realizado de forma transversal, com abordagem quantitativa, conduzido no município de Natal, a partir de dados coletados entre novembro de 2017 a fevereiro de 2018, com 80 enfermeiros da Atenção Primária à Saúde, mediante questionário estruturado. Os dados foram categorizados de acordo com critérios de semelhança e analisados por meio da estatística descritiva. RESULTADOS: Verificou-se que a disponibilidade do enfermeiro para atuação no programa (47,5%) e a presença de materiais (31,2%) foram as facilidades mais frequentemente referidas. As dificuldades mais referidas foram: adesão ao tratamento (21,2%) e a realização de exames complementares (15,0%). CONCLUSÃO: Os achados do estudo podem contribuir para reflexão e planejamento das ações pelas equipes de saúde, bem como ferramenta para os gestores locais organizarem seus serviços, no intuito de garantir à pessoa com tuberculose um cuidado integral.


Asunto(s)
Humanos , Atención Primaria de Salud , Tuberculosis/prevención & control , Planes y Programas de Salud , Enfermeras y Enfermeros , Evaluación en Salud
11.
Hu Li Za Zhi ; 68(1): 54-63, 2021 Feb.
Artículo en Chino | MEDLINE | ID: mdl-33521919

RESUMEN

BACKGROUND: Failure to follow the "Five Rights" and interruptions during medication administration are the two most common factors underlying nurse-related medication errors. PURPOSE: This study was designed to examine the effectiveness in terms of improving nurses' medication administration self-efficacy and recognition of medication errors of an online objective structured video examination (OSVE) intervention focused on the "Five Rights" and "management of interruptions during medication administration". METHODS: A quasi-experimental pretest-posttest research design with a respondent-driven sampling method was employed. One hundred and twelve nurses finished the online survey. Instruments included the self-efficacy of medication administration questionnaire and four online medication error OSVEs addressing the issue of medication error recognition. The intervention was an acute medication behavior OSVE. Paired t-tests were used to assess the pre-test / post-test differences between variables. RESULTS: The mean age of the 112 survey respondents was 27.21 years, and the mean years of working experience was 4.67. The mean self-efficacy of medication administration score, which was 38.88 (SD = 4.45) at baseline, increased significantly to 41.69 (SD = 4.58) at post-test (t = 7.11, p < .001). Similarly, the mean score for recognition of medication errors was 10.71 (SD = 7.16) at pre-test and significantly higher (15.32; SD = 4.94) at post-test (t = 5.90, p < .001). CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The online OSVE may be used to improve the recognition of medication errors and self-efficacy of medication administration in nurses. Future research is needed to examine the effect of this intervention in enhancing the safety of medication administration in actual clinical practice settings.


Asunto(s)
Errores de Medicación , Autoeficacia , Adulto , Humanos , Enfermeras y Enfermeros , Encuestas y Cuestionarios
12.
BMJ Open Respir Res ; 8(1)2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33414261

RESUMEN

INTRODUCTION: The COVID-19 pandemic has impacted specialty chronic obstructive pulmonary disease (COPD) care. We examined the degree to which care has moved to remote approaches, eliciting clinician and patient perspectives on what is appropriate for ongoing remote delivery. METHODS: Using an online research platform, we conducted a survey and consensus-building process involving clinicians and patients with COPD. RESULTS: Fifty-five clinicians and 19 patients responded. The majority of clinicians felt able to assess symptom severity (n=52, 95%), reinforce smoking cessation (n=46, 84%) and signpost to other healthcare resources (n=44, 80%). Patients reported that assessing COPD severity and starting new medications were being addressed through remote care. Forty-three and 31 respondents participated in the first and second consensus-building rounds, respectively. When asked to rate the appropriateness of using remote delivery for specific care activities, respondents reached consensus on 5 of 14 items: collecting information about COPD and overall health status (77%), providing COPD education and developing a self-management plan (74%), reinforcing smoking cessation (81%), deciding whether patients should seek in-person care (72%) and initiating a rescue pack (76%). CONCLUSION: Adoption of remote care delivery appears high, with many care activities partially or completely delivered remotely. Our work identifies strengths and limitations of remote care delivery.


Asunto(s)
Actitud del Personal de Salud , Educación del Paciente como Asunto , Pautas de la Práctica en Medicina , Enfermedad Pulmonar Obstructiva Crónica/terapia , Automanejo , Cese del Hábito de Fumar , Telemedicina/métodos , Adulto , Anciano , Actitud Frente a la Salud , Prestación de Atención de Salud/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros , Aceptación de la Atención de Salud , Fisioterapeutas , Médicos , Pautas de la Práctica en Enfermería , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Reino Unido
14.
Rev Infirm ; 70(267): 40-41, 2021 Jan.
Artículo en Francés | MEDLINE | ID: mdl-33455681

RESUMEN

Available and voluntary, with ten years' experience in the intensive care unit, a nurse testifies to the reinforcement she brought to the Grand-Est region last April, when her nursing colleagues from the hospitals were facing the surge of patients struck by serious forms of COVID-19. A memorable experience.


Asunto(s)
Unidades de Cuidados Intensivos , Enfermeras y Enfermeros , Prestación de Atención de Salud/organización & administración , Hospitales , Humanos , Equipo de Protección Personal/provisión & distribución , Resucitación
16.
BMC Palliat Care ; 20(1): 8, 2021 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-33422058

RESUMEN

BACKGROUND: Palliative care improves the quality of lives of patients and families affected by advanced illnesses through the prevention and relief of suffering. While palliative care is well established in developed countries, it is inadequate or non-existent in most developing countries. Palliative care is an emerging concept in Bhutan, a tiny Himalayan Kingdom. A small community palliative care service is available in the national referral hospital with three dedicated inpatient palliative care beds. This study explored the needs for palliative care among patients diagnosed with advanced illnesses and is a component of a larger project aimed to inform a suitable palliative care model for the country. METHODS: This is a cross-sectional descriptive study. A survey, using a structured questionnaire including the EORTC QLQ-C30, was carried out among patients with advanced illness in hospitals, primary care units and communities across the country. Purposeful and snowball sampling strategies were used to recruit study participants. RESULTS: Seventy (76%), out of 93 eligible patients, agreed to participate in the survey. Participants reported low to moderate scores on physical, role, emotional, cognitive and social functioning, a moderate score for the global health/ quality of life scale and moderately high (worse) scores in symptoms including fatigue, pain, insomnia, loss of appetite and the financial impact from the disease. CONCLUSIONS: The symptom burden experienced by patients affected by advanced illnesses demonstrates the need for palliative care in Bhutan. These findings will help inform the development of a public health-focused palliative care model, modified to the Bhutanese context, as recommended by the World Health Organization.


Asunto(s)
Infecciones por VIH/fisiopatología , Evaluación de Necesidades , Neoplasias/fisiopatología , Cuidados Paliativos , Calidad de Vida , Insuficiencia Renal Crónica/fisiopatología , Tuberculosis Resistente a Múltiples Medicamentos/fisiopatología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Técnicos Medios en Salud , Bután , Cognición , Femenino , Infecciones por VIH/psicología , Infecciones por VIH/terapia , Humanos , Hepatopatías Alcohólicas/fisiopatología , Hepatopatías Alcohólicas/psicología , Hepatopatías Alcohólicas/terapia , Enfermedades Pulmonares/fisiopatología , Enfermedades Pulmonares/psicología , Enfermedades Pulmonares/terapia , Masculino , Persona de Mediana Edad , Neoplasias/psicología , Neoplasias/terapia , Enfermeras y Enfermeros , Médicos , Insuficiencia Renal Crónica/psicología , Insuficiencia Renal Crónica/terapia , Traumatismos de la Médula Espinal/fisiopatología , Traumatismos de la Médula Espinal/psicología , Traumatismos de la Médula Espinal/terapia , Enfermo Terminal , Tuberculosis Resistente a Múltiples Medicamentos/psicología , Tuberculosis Resistente a Múltiples Medicamentos/terapia , Adulto Joven
17.
BMC Palliat Care ; 20(1): 9, 2021 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-33423672

RESUMEN

BACKGROUND: South Africa is a very diverse middle-income country, still deeply divided by the legacy of its colonial and apartheid past. As part of a larger study, this article explored the experiences and views of representatives of hospices in the Western Cape province of South Africa on the provision of appropriate spiritual care, given local issues and constraints. METHODS: Two sets of focus group discussions, with 23 hospice participants, were conducted with 11 of the 12 Hospice Palliative Care Association registered hospices in the Western Cape, South Africa, to understand what spiritual care practices existed in their hospices against the backdrop of multifaceted diversities. The discussions were analysed using thematic analysis. RESULTS: Two prominent themes emerged: the challenges of providing relevant spiritual care services in a religiously, culturally, linguistically and racially diverse setting, and the organisational context impacting such a spiritual care service. Participants agreed that spiritual care is an important service and that it plays a significant role within the inter-disciplinary team. Participants recognised the need for spiritual care training and skills development, alongside the financial costs of employing dedicated spiritual care workers. In spite of the diversities and resource constraints, the approach of individual hospices to providing spiritual care remained robust. DISCUSSION: Given the diversities that are largely unique to South Africa, shaped essentially by past injustices, the hospices have to navigate considerable hurdles such as cultural differences, religious diversity, and language barriers to provide spiritual care services, within significant resource constraints. CONCLUSIONS: While each of the hospices have established spiritual care services to varying degrees, there was an expressed need for training in spiritual care to develop a baseline guide that was bespoke to the complexities of the South African context. Part of this training needs to focus on the complexity of providing culturally appropriate services.


Asunto(s)
Diversidad Cultural , Personal de Salud , Hospitales para Enfermos Terminales , Cuidado Pastoral , Espiritualidad , Clero , Consejeros , Grupos Focales , Humanos , Lenguaje , Enfermeras y Enfermeros , Investigación Cualitativa , Religión , Trabajadores Sociales , Sudáfrica
20.
Gen Hosp Psychiatry ; 68: 90-96, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33418193

RESUMEN

OBJECTIVE: We aimed to explore anxiety status across a broad range of HCWs supporting patients with COVID-19 in different global regions. METHOD: This was an international online survey in which participation was on voluntary basis and data were submitted via Google Drive, across a two-week period starting from March 18, 2020. The Beck Anxiety Inventory was used to quantify the level of anxiety. RESULTS: 1416 HCWs (70.8% medical doctors, 26.2% nurses) responded to the survey from 75 countries. The distribution of anxiety levels was: normal/minimal (n = 503, 35.5%), low (n = 390, 27.5%); moderate (n = 287, 20.3%), and severe (n = 236, 16.7%). According to multiple generalized linear model, female gender (p = 0.001), occupation (ie, being a nurse dealing directly with patients with COVID-19 [p = 0.017]), being younger (p = 0.001), reporting inadequate knowledge on COVID-19 (p = 0.005), having insufficient personal protective equipment (p = 0.001) and poor access to hand sanitizers or liquid soaps (p = 0.008), coexisting chronic disorders (p = 0.001) and existing mental health problems (p = 0.001), and higher income of countries where HCWs lived (p = 0.048) were significantly associated with increased anxiety. CONCLUSIONS: Front-line HCWs, regardless of the levels of COVID-19 transmission in their country, are anxious when they do not feel protected. Our findings suggest that anxiety could be mitigated ensuring sufficient levels of protective personal equipment alongside greater education and information.


Asunto(s)
Ansiedad/epidemiología , Enfermeras y Enfermeros/estadística & datos numéricos , Estrés Laboral/epidemiología , Equipo de Protección Personal/estadística & datos numéricos , Médicos/estadística & datos numéricos , Adulto , Factores de Edad , /terapia , Femenino , Encuestas de Atención de la Salud , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...