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1.
Br J Nurs ; 29(3): 172-173, 2020 Feb 13.
Artículo en Inglés | MEDLINE | ID: mdl-32053434

RESUMEN

Emeritus Professor Alan Glasper, from the University of Southampton, discusses a government initiative to increase the number of nurses in the NHS through the reintroduction of student funding.


Asunto(s)
Educación en Enfermería/economía , Financiación Gubernamental , Enfermeras y Enfermeros/provisión & distribución , Estudiantes de Enfermería , Apoyo a la Formación Profesional/economía , Humanos , Medicina Estatal , Reino Unido
8.
BMC Med Educ ; 19(1): 135, 2019 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-31068167

RESUMEN

BACKGROUND: Preparing a 21st century nursing workforce demands future-oriented curricula that address the population's evolving health care needs. With their advanced clinical skill sets and broad scope of practice, Advanced Practice Nurses strengthen healthcare systems by providing expert care, especially to people who are older and/or have chronic diseases. Bearing this in mind, we revised our established Master of Nursing Science curriculum at the University of Basel, Switzerland. METHODS: Guided by the Advanced Nursing Practice framework, interprofessional guidelines, fundamental reports on the future of health care and the Bologna declaration, the reform process included three interrelated phases: preparation (work packages (WPs): curriculum analysis, alumni survey), revision (WPs: program accreditation, learning outcomes), and regulations (WPs: legal requirements, program launch). RESULTS: The redesigned MScN curriculum offers two specializations: ANP and research. It was implemented in the 2014 fall semester. CONCLUSIONS: This curriculum reform's strategic approach and step-by-step processes demonstrate how, beginning with a solid conceptual basis, congruent logical steps allowed development of a program that prepares nurses for new professional roles within innovative models of care.


Asunto(s)
Curriculum , Bachillerato en Enfermería , Reforma de la Atención de Salud/organización & administración , Enfermeras y Enfermeros/provisión & distribución , Educación Continua en Enfermería , Práctica Clínica Basada en la Evidencia , Humanos , Modelos Educacionales , Modelos de Enfermería , Enfermeras y Enfermeros/normas , Evaluación de Programas y Proyectos de Salud , Informe de Investigación , Suiza
9.
Zhonghua Shao Shang Za Zhi ; 35(4): 318-320, 2019 Apr 20.
Artículo en Chino | MEDLINE | ID: mdl-31060183

RESUMEN

In August 2nd Kunshan factory aluminum dust explosion accident 2014, 35 severe mass burn patients were admitted to our hospital, including 18 men and 17 women, aged 21 to 50 (38±9) years. Their severe injuries caused much difficulty to the treatment. In the early period of treatment, a series of measures of nursing human resource management were implemented, such as carrying out training program for non-burn speciality nurses of different levels and origin, grouping and task-dividing, organizing work schedule and assigning in a unified way, and establishing monitoring team of speciality quality. Except for 2 cases of deaths in the early period, the other 33 patients were treated and nursed timely and effectively in the early period. The rescue rate arrived at 94.3% (33/35) on the 17th day post burn. In this period, no such nursing adverse event and complication occurred as bed-dropping, unplanned extubation, coagulation in veins of lower limb, catheter-related infection, or cross infection.


Asunto(s)
Accidentes de Trabajo , Aluminio/toxicidad , Quemaduras/terapia , Explosiones , Enfermeras y Enfermeros/provisión & distribución , Adolescente , Adulto , Quemaduras/complicaciones , Niño , China , Polvo , Femenino , Fuerza Laboral en Salud , Humanos , Masculino , Adulto Joven
10.
Crit Care Nurs Clin North Am ; 31(2): 211-224, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31047094

RESUMEN

This article expands on the Gerontological Society of America leaders' work to explore challenges facing healthcare providers in preparing for an aging population. Traditional medicine and models of care may no longer meet complex patient needs. Older patients present with multifaceted issues while living longer with chronic health conditions. The changing environment requires a cross-disciplinary perspective. Changes in reimbursement are in the early stages of implementation and will be used to evaluate measurable outcomes. Preparing to care for this population can only occur with enough health professionals and expanded use of advance practice nurses. Health improvement is economically advantageous.


Asunto(s)
Envejecimiento/fisiología , Enfermería Geriátrica/estadística & datos numéricos , Geriatría/estadística & datos numéricos , Geriatría/tendencias , Anciano , Enfermedad Crónica , Humanos , Enfermeras y Enfermeros/provisión & distribución , Médicos/provisión & distribución
11.
Nurs Womens Health ; 23(3): 217-223, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31054831

RESUMEN

OBJECTIVE: To evaluate the degree to which registered nurses perceive their labor and delivery units to be adhering to Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) staffing guidelines. DESIGN: Prospective, cross-sectional study via an online survey of labor nurses recruited from hospitals in three states. SETTING/LOCAL PROBLEM: In late 2016 and early 2017, labor nurses in selected hospitals in California, Michigan, and New Jersey were contacted via e-mail invitation to participate in a study about nursing care during labor and birth. Nurse leaders in each hospital facilitated the invitations. PARTICIPANTS: A total of 615 labor nurses from 67 hospitals. INTERVENTION/MEASUREMENTS: Descriptive statistics and linear regression models were used for data analysis. RESULTS: Most nurses reported that the AWHONN nurse staffing guidelines were frequently or always followed in all aspects of care surveyed. Hospitals with annual birth volumes of 500 to 999 range were significantly more likely than hospitals with 2,500 or more annual births to be perceived as compliant with AWHONN staffing guidelines. CONCLUSION: When the AWHONN staffing guidelines were first published in 2010, there was concern among some nurse leaders that they would not be adopted into clinical practice, yet nurses in our sample overwhelmingly perceived their hospitals to be guideline compliant. There remains much more work to be done to determine nurse-sensitive outcomes for maternity care and to ensure that all women in labor in the United States are cared for by nurses who are not overburdened or distracted by being assigned more women than can be safely handled.


Asunto(s)
Enfermeras y Enfermeros/psicología , Percepción , Admisión y Programación de Personal/normas , Adulto , Anciano , California , Estudios Transversales , Femenino , Guías como Asunto , Humanos , Masculino , Michigan , Persona de Mediana Edad , New Jersey , Enfermeras y Enfermeros/estadística & datos numéricos , Enfermeras y Enfermeros/provisión & distribución , Estudios Prospectivos , Encuestas y Cuestionarios , Estados Unidos
12.
Int Nurs Rev ; 66(2): 183-190, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30989654

RESUMEN

AIM: To examine the migration of nurses from Latin America to Spain over the period from 2006 to 2016. BACKGROUND: This study examines the impact of the 2008 global economic crisis on migration flows of nurses to Spain from its major source countries of Latin America. METHODS: Using an exploratory case study, we present original data provided by the Ministry of Education, Culture and Sport of the Government of Spain upon request on applications and success rates for credential recognition of nurses intending to immigrate to Spain, with an extended analysis of Latin American applications which account for the 70% of skilled worker migration to Spain. RESULTS: Successful applications for credential recognition of overseas nursing qualifications plummeted from a peak of 1384 in 2007 to 55 in 2016. Migration intentionality also decreased but has undergone a slight increase in recent years. DISCUSSION/CONCLUSION: We found that the economic crisis effectively closed the door to internationally educated nurses to work as nurses in Spain. Moreover, the denial of official recognition of nursing credentials appears to be unaffected by the existence of bilateral trade and mobility agreements between Spain and source countries. We conclude that the level of nursing migration to Spain is a sensitive indicator of domestic labour market conditions. IMPLICATIONS FOR HEALTH POLICY: Despite the lack of any transparent policy on the credential approvals, in practice the government is limiting access to the nursing labour market by overseas education nurses. We urge that attention be paid by health human resource planners on the intersection between labour market and migration trends to support a transparent and data-informed discussion by all stakeholders on the current state of the nursing labour market in Spain and its future needs.


Asunto(s)
Emigración e Inmigración/tendencias , Enfermeras Internacionales/tendencias , Enfermeras y Enfermeros/provisión & distribución , Recursos Humanos/tendencias , Humanos , América Latina , Enfermeras y Enfermeros/economía , Factores Socioeconómicos , España
13.
J Nurses Prof Dev ; 35(4): 210-214, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30829740

RESUMEN

Given the current professional behavioral health workforce shortage, nursing professional development practitioners require educational resources to fully support registered nurses across settings in responding to patients with behavioral health symptoms. Mental Health First Aid is an 8-hour training to help nonprofessional bystanders assess a mental health crisis, provide initial help, and connect to supports and self-help resources in the local community. Mental Health First Aid was acceptable and useful to 60 RNs and can be supplemented with additional content.


Asunto(s)
Competencia Clínica/normas , Primeros Auxilios/enfermería , Tamizaje Masivo/enfermería , Trastornos Mentales , Enfermeras y Enfermeros/provisión & distribución , Enfermería Psiquiátrica/educación , Adulto , Femenino , Humanos , Masculino , Tamizaje Masivo/métodos , Persona de Mediana Edad , Desarrollo de Personal
14.
Can Bull Med Hist ; 36(1): 1-26, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30901267

RESUMEN

This article is the Presidential Address to the 2018 meeting of the Canadian Society for the History of Medicine at the University of Regina. It examines the organization of the nursing service in Newfoundland during the 1950s and 1960s, as well as the recruitment and retention of nurses in cottage hospitals and nursing stations in outport communities. A number of interconnected strategies were used by the Newfoundland government to staff the nursing service, including recruiting internationally educated nurses, adjusting expectations with respect to registration standards, and using both trained and untrained workers to support nurses' labour. Although this article is intended more as a reconnaissance suggesting the possibilities of such research, it does analyze the interconnected issues of geography, funding and pay, the nursing shortage, and the renegotiation of nursing labour that characterized this period. Furthermore, although this is a case study of Newfoundland and Labrador, it is worth considering how, or whether, the linked strategies used in the province were transferable to other communities across rural, remote, or northern Canada.


Asunto(s)
Educación en Enfermería/normas , Administración de los Servicios de Salud/historia , Servicios de Salud/historia , Historia de la Enfermería , Enfermeras y Enfermeros/provisión & distribución , Selección de Personal/historia , Servicios de Salud/economía , Administración de los Servicios de Salud/economía , Historia del Siglo XX , Terranova y Labrador , Selección de Personal/economía
15.
Hum Resour Health ; 17(1): 19, 2019 03 07.
Artículo en Inglés | MEDLINE | ID: mdl-30845978

RESUMEN

BACKGROUND: The 2013-2014 West African Ebola outbreak highlighted how the world's weakest health systems threaten global health security and heralded huge support for their recovery. All three Ebola-affected countries had large shortfalls and maldistribution in their health workforce before the crisis, which were made worse by the epidemic. This paper analyzes the investment plans in Liberia, Sierra Leone, and Guinea to strengthen their health workforces and assesses their potential contribution to the re-establishment and strengthening of their health systems. The analysis calculates the plans' costs and compares those to likely fiscal space, to assess feasibility. METHODS: Public sector payroll data from 2015 from each country was used for the workforce analysis and does not include the private sector. Data were coded into the major cadres defined by the International Standard Classification of Occupations (ISCO-88). We estimated health worker training numbers and costs to meet international health worker density targets in the future and used sensitivity analysis to model hypothetical alternate estimates of attrition, drop-outs, and employment rates. RESULTS: Health worker-to-population density targets per 1000 population for doctors, nurses, and midwives are only specified in Liberia (1.12) and Guinea's (0.78) investment plans and fall far short of the regional average for Africa (1.33) or international benchmarks of 2.5 per 1000 population and 4.45 for universal health coverage. Even these modest targets translate into substantial scaling-up requirements with Liberia having to almost double, Guinea quadruple, and Sierra Leone having to increase its workforce by seven to tenfold to achieve Liberia and Guinea's targets. Costs per capita to meet the 2.5 per 1000 population density targets with 5% attrition, 10% drop-out, and 75% employment rate range from US$4.2 in Guinea to US$7.9 in Liberia in 2029, with projected fiscal space being adequate to accommodate the proposed scaling-up targets in both countries. CONCLUSIONS: Achieving even a modest scale-up of health workforce will require a steady growth in health budgets, a long-term horizon and substantial scale-up of current training institution capacity. Increasing value-for-money in health workforce investments will require more efficient geographical distribution of the health workforce and more consideration to the mix of cadres to be scaled-up.


Asunto(s)
Financiación Gubernamental , Planificación en Salud , Fuerza Laboral en Salud , Financiación de la Atención de la Salud , Fiebre Hemorrágica Ebola , Enfermeras y Enfermeros/provisión & distribución , Médicos/provisión & distribución , Prestación de Atención de Salud , Brotes de Enfermedades , Educación Profesional , Empleo , Femenino , Guinea , Costos de la Atención en Salud , Accesibilidad a los Servicios de Salud , Fiebre Hemorrágica Ebola/epidemiología , Humanos , Liberia , Partería , Densidad de Población , Embarazo , Salud Pública , Sector Público , Sierra Leona
16.
J Nurs Manag ; 27(5): 1011-1019, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30844102

RESUMEN

AIM: The objective of this study was to investigate both individual and organizational factors influencing the falls of patients in hospitals. BACKGROUND: Falls and fall-related injuries, which cause health problems and increase the economic burden to patients, are a critical issue for patient safety. METHODS: This study retrospectively reviewed patient data and analysed factors influencing patient falls using a mixed-effect model. RESULTS: The total number of patients in the study was 60,049, and the characteristics of the patients showed statistically significant differences according to the type of hospital where the fall occurred. The average rate of falls was 0.92 per 1,000 days. The rate of falls in general hospitals was the highest among all hospitals. Age, mobility impairment and hours per patient day for care delivered by registered nurses were factors influencing patients' falls. CONCLUSION: Since the number of patient falls in an acute-care setting might increase in the future because of the growing elderly population, we should consider these risk factors for falls and construct preventative programs accordingly. IMPLICATIONS FOR NURSING MANAGEMENT: An adequate level of nursing staff is an essential factor in the number of patient falls.


Asunto(s)
Accidentes por Caídas/estadística & datos numéricos , Admisión y Programación de Personal/normas , Análisis de Varianza , Distribución de Chi-Cuadrado , Hospitales/normas , Hospitales/estadística & datos numéricos , Humanos , Enfermeras y Enfermeros/estadística & datos numéricos , Enfermeras y Enfermeros/provisión & distribución , Admisión y Programación de Personal/estadística & datos numéricos , Indicadores de Calidad de la Atención de Salud/estadística & datos numéricos , República de Corea , Estudios Retrospectivos
17.
J Nurs Manag ; 27(5): 971-980, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30739381

RESUMEN

AIM: A novel nurse-focused discrete event simulation modelling approach was tested to predict nurse workload and care quality. BACKGROUND: It can be challenging for hospital managers to quantify the impact of changing operational policy and technical design such as nurse-patient ratios on nurse workload and care quality. Planning tools are needed-discrete event simulation is a potential solution. METHOD: Using discrete event simulation, a demonstrator "Simulated Care Delivery Unit" model was created to predict the effects of varying nurse-patient ratios. Modelling inputs included the following: patient care data (GRASP systems data), inpatient unit floor plan and operating logic. Model outputs included the following: nurse workload in terms of task-in-queue, cumulative distance walked and Care quality in terms of task in queue time, missed care. RESULTS: The model demonstrated that as NPR increases, care quality deteriorated (120% missed care; 20% task-in-queue time) and nursing workload increased (120% task-in-queue; 110% cumulative walking distance). CONCLUSIONS: DES has the potential to be used to inform operational policy and technical design decisions, in terms of impacts on nurse workload and care quality. IMPLICATIONS FOR NURSING MANAGEMENT: This research offers the ability to quantify the impacts of proposed policy changes and technical design decisions, and provide a more cost-effective and safe alternative to the current trial and error methodologies.


Asunto(s)
Enfermeras y Enfermeros/provisión & distribución , Admisión y Programación de Personal/normas , Calidad de la Atención de Salud/normas , Carga de Trabajo/normas , Simulación por Computador , Humanos , Relaciones Enfermero-Paciente , Enfermeras y Enfermeros/normas , Política Organizacional , Calidad de la Atención de Salud/estadística & datos numéricos , Carga de Trabajo/psicología , Carga de Trabajo/estadística & datos numéricos
18.
Br J Nurs ; 28(3): 208, 2019 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-30746982
19.
Hum Resour Health ; 17(1): 9, 2019 01 24.
Artículo en Inglés | MEDLINE | ID: mdl-30678690

RESUMEN

BACKGROUND: The United Arab Emirates (UAE) is a rapidly developing high-income country that was formed from the union of seven emirates in 1971. The UAE has experienced unprecedented population growth coupled with increased rates of chronic diseases over the past few decades. Healthcare workers are the core foundation of the health system, especially for chronic care conditions, and the UAE health workforce needs to be fully prepared for the increased rates of chronic diseases in the adult population. Abu Dhabi is the largest emirate in terms of land mass and population size, and the purpose of this paper was to assess how the health system has been using the Chronic Care Model to improve its capacity to reach out to all patients in the population. CASE PRESENTATION: The Abu Dhabi health workforce has twice the number of doctors (52.4 vs. 23.2 per 10 000 population) and nurses (134.7 vs. 50.4 per 10 000 population) compared to the entire UAE health workforce. In addition to an overreliance on expatriate workers, there is an excess of some specializations such as general medicine and gynecology and a severe undersupply of other specialties including trauma and injury, and medical oncology. The digital infrastructure and skills of the health workforce need to be improved to minimize the proportion of the appointment time required to complete administrative tasks for a health insurance system and maximize the doctor-patient face-to-face interaction time for consultation and lifestyle counseling. CONCLUSIONS: A greater emphasis needs to be placed on developing self-management support strategies using a combination of nurse health educators and community-based patient-led health programs. The UAE Vision 2021 includes developing a world-class healthcare system, and full implementation of the Chronic Care Model seems to facilitate the detailed planning and preparation of healthcare services and workers required to achieve this goal.


Asunto(s)
Creación de Capacidad , Prestación de Atención de Salud , Países en Desarrollo , Personal de Salud , Planificación en Salud , Fuerza Laboral en Salud , Renta , Adulto , Niño , Enfermedad Crónica , Médicos Graduados Extranjeros , Accesibilidad a los Servicios de Salud , Humanos , Enfermeras y Enfermeros/provisión & distribución , Administración de Personal , Médicos/provisión & distribución , Especialización , Emiratos Árabes Unidos
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