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2.
REME rev. min. enferm ; 24: e-1276, fev.2020.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1051268

RESUMEN

Introdução: a Escola de Enfermagem Wenceslau Braz (EEWB), criada em 1954 e situada em Itajubá-MG, é uma instituição de ensino privada, confessional católica, pertencente e mantida pela congregação das Irmãs da Providência de Gap. Objetivo: descrever o percurso individual e analisar a trajetória administrativa das diretoras religiosas da EEWB, no período de 1955 a 2016. Método: pesquisa qualitativa de abordagem histórica. Os dados foram obtidos de fontes documentais, bibliográficas e entrevistas. O pensamento de Michel Foucault foi o referencial utilizado na construção do estudo. Resultados: neste recorte histórico, a EEWB teve nove diretoras religiosas - sete enfermeiras e duas educadoras. Todas foram professoras da escola. A biografia das diretoras revela o conhecimento, trabalho, habilidade e competência de cada uma, o pioneirismo na implantação da Enfermagem profissional no sul de Minas e o protagonismo administrativo impulsionador do progresso da Escola. Conclusão: as diretoras religiosas da EEWB deixaram um legado cultural e científico para a Enfermagem brasileira, materializado na própria escola e no perfil profissional dos egressos. A herança deixada é o amor à educação e à Enfermagem, pois esse amor as fez acreditar no sonho e envidar todos os esforços para garantir a continuidade da escola, o que demandou somar forças, saberes e poderes.(AU)


Introduction: the Wenceslau Braz Nursing School (Escola de Enfermagem Wenceslau Braz -EEWB), created in 1954 and located in Itajubá - MG, is a private Catholic confessional teaching institution, owned and maintained by the congregation of the Sisters of Providence of Gap (Irmãs da Providência de Gap - IPGap). Objective: describe the individual path and analyze the administrative trajectory of the religious directors of EEWB, from 1955 to 2016. Method: qualitative research with a historical approach. Data were obtained from documentary, bibliographic and interview sources. Michel Foucault's thought was the reference used in the construction of the study. Results: in this historical context, EEWB had nine religious directors - seven nurses and two educators. All were teachers at the school. The directors' biography reveals the knowledge, work, skills and competences of each one, the pioneering spirit in the implementation of professional Nursing in the south of Minas Gerais and the administrative role that drives the progress of the School. Conclusion: the religious directors of EEWB left a cultural and scientific legacy for Brazilian Nursing, materialized in the school itself and in the professional profile of the graduates. The legacy left is the love of education and Nursing, as this love made them believe in the dream and make every effort to guarantee the continuity of the school, which required adding strengths, knowledge and powers. (AU)


Introducción: la Escuela de Enfermería Wenceslau Braz (EEWB), fundada en 1954 en Itajubá-MG, es una institución de enseñanza privada católica que pertenece a la Congregación de Hermanas de la Providencia de Gap. Objetivo: describir el camino individual y analizar la trayectoria administrativa de los directores religiosos de EEWB, de 1955 a 2016. Método: investigación cualitativa con enfoque histórico. Los datos se obtuvieron de fuentes documentales, bibliográficas y de entrevistas. El pensamiento de Michel Foucault fue la referencia utilizada en la construcción del estudio. Resultados: en este contexto histórico, EEWB tuvo nueve directoras religiosas: siete enfermeras y dos educadoras. Todas eran profesoras de la escuela. La biografía de las directoras revela el conocimiento, el trabajo, las habilidades y las competencias de cada una, el espíritu pionero en la implementación de la enfermería profesional en el sur de Minas Gerais y el papel administrativo que impulsa el progreso de la escuela. Conclusión: las directoras religiosas de EEWB dejaron un legado cultural y científico para la Enfermería brasileña, materializado en la propia escuela y en el perfil profesional de los graduados. El legado que dejan es el amor por la educación y la enfermería, ya que este amor las hizo creer en el sueño y hacer todo lo posible para garantizar la continuidad de la escuela, lo cual requería agregar fortalezas, conocimientos y poderes. (AU)


Asunto(s)
Facultades de Enfermería , Investigación en Enfermería , Historia de la Enfermería , Organización y Administración , Cultura
3.
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
4.
BMJ ; 368: l6669, 2020 01 08.
Artículo en Inglés | MEDLINE | ID: mdl-31915124

RESUMEN

OBJECTIVE: To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases. DESIGN: Prospective cohort study. SETTING AND PARTICIPANTS: The Nurses' Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366). MAIN EXPOSURES: Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%). MAIN OUTCOME: Life expectancy free of diabetes, cardiovascular diseases, and cancer. RESULTS: The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smoked heavily (≥15 cigarettes/day) or obese men and women (body mass index ≥30), their disease-free life expectancies accounted for the lowest proportion (≤75%) of total life expectancy at age 50. CONCLUSION: Adherence to a healthy lifestyle at mid-life is associated with a longer life expectancy free of major chronic diseases.


Asunto(s)
Enfermedades Cardiovasculares , Diabetes Mellitus Tipo 2 , Estilo de Vida Saludable/fisiología , Esperanza de Vida , Neoplasias , Conducta de Reducción del Riesgo , Adulto , Consumo de Bebidas Alcohólicas , Índice de Masa Corporal , Enfermedades Cardiovasculares/prevención & control , Enfermedades Cardiovasculares/psicología , Diabetes Mellitus Tipo 2/prevención & control , Diabetes Mellitus Tipo 2/psicología , Ejercicio , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/prevención & control , Neoplasias/psicología , Investigación en Enfermería , Estudios Prospectivos , Fumar
5.
J Nurs Adm ; 50(1): 16-21, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31804409

RESUMEN

OBJECTIVES: This qualitative study was designed to describe the experiences of mentors for a nursing research fellowship at a southeastern US academic medical center. BACKGROUND: Mentoring is an important aspect of nursing and is a key strategy to develop nurse leaders and faculty. Research mentors have been identified as essential for novice researchers to be able to complete clinical studies. However, there has been limited research on the experience of nursing research mentors, despite the emphasis on the critical nature of this role. METHODS: Eight mentors for 23 studies over 8 years of a nursing research fellowship participated in a study outlining their experiences as research mentors. RESULTS: Common themes emerged from mentors' identification of key components in the research mentoring process and elements necessary for effective support of frontline nurse researchers. CONCLUSIONS: Recommendations for developing effective, confident research mentors are drawn from the analyses.


Asunto(s)
Tutoría , Enfermeras Administradoras , Investigación en Enfermería , Humanos , Entrevistas como Asunto
6.
Nurs Educ Perspect ; 41(1): 39-40, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31860485

RESUMEN

Prelicensure nursing student exposure to undergraduate research education may have a significant effect on their research skills and use of evidence-based practice. There are potential benefits to introducing Q methodology to prelicensure nursing research students. Utilizing Q methodology principles and techniques, a class on Q methodology was integrated into a prelicensure nursing research and evidence-based practice course. The interactive classroom format and active student engagement in the step-by-step mock study were positive aspects of the class.


Asunto(s)
Bachillerato en Enfermería , Investigación en Enfermería , Estudiantes de Enfermería , Práctica Clínica Basada en la Evidencia , Humanos , Enseñanza
10.
Nurs Res ; 68(6): 423-432, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693547

RESUMEN

BACKGROUND: Facebook (FB) has been widely used recently to recruit participants for adult health research. However, little is known about its effectiveness, cost, and the characteristics of participants recruited via FB when compared to other recruitment methods. OBJECTIVES: The purpose of this integrative review was to examine the published evidence concerning the use of FB in participant recruitment for adult health research, as compared to other social media, online, and traditional recruitment methods. METHODS: In this integrative review, we used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, CINAHL, SCOPUS, and Web of Science were the electronic databases used to identify the published articles. In regard to language, the search was limited. RESULTS: The efficacy and cost-effectiveness of using FB for recruitment in healthcare research as compared to more traditional forms of recruitment remain unclear. Reporting of recruitment strategies is inconsistent, and costs are often not included. FB is being used for recruitment frequently with other methods and, although often effective, can be costly. DISCUSSION: FB is used to recruit participants for a variety of studies, with researchers using both free and paid ads to reach potential participants. Reporting of recruitment methods needs to be more rigorous, streamlined, and standardized in scientific papers.


Asunto(s)
Investigación sobre Servicios de Salud , Investigación en Enfermería , Selección de Paciente , Medios de Comunicación Sociales , Adulto , Humanos
11.
Nurs Res ; 68(6): 464-472, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693552

RESUMEN

BACKGROUND: Inadequate justification for using mixed-methods and inadequate data integration compromises the rigor of mixed-methods studies, and data integration remains a challenge for nurse researchers. OBJECTIVES: The aim of the study was to determine the 5-year prevalence of mixed-methods research in nursing journals and to determine the extent of integration of qualitative and quantitative findings. METHODS: Ten journals were hand-searched, and additional search was conducted within three databases. Prevalence was calculated by counting the number of published mixed-methods studies divided by the number of published studies over 5 years. Three reviewers independently performed methodological assessment using a checklist based on guidelines by expert methodologists. RESULTS: Prevalence of mixed-methods studies was 1.89%. Concerning methodological assessment, of 175 studies, 29% did not provide an explicit label of the study design and four studies incorrectly labeled the design. In total, 31% of the studies did not justify using mixed methods, 95% did not identify the research paradigm, and 78% did not state the weight given to individual phases. The extent of data integration was 73%, but 83% of studies integrated data using narrative summaries with integration occurring at the interpretation (69.8%). Few studies used joint displays (10.9%), transformation (3.1%), and triangulation (1.6%) for data integration. DISCUSSION: Mixed-methods research is still in its infancy in nursing, and researchers encounter challenges during its conduct, analysis, and reporting. There is a need to determine researchers' attitudes and challenges toward using mixed methods and educate them about advanced mixed methods. Emphasis should be placed on use of advanced data integration methods so that the rigor and quality of mixed research can be enhanced in nursing research.


Asunto(s)
Investigación en Enfermería , Investigación Cualitativa , Proyectos de Investigación , Humanos
12.
Nurs Res ; 68(6): 473-482, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693553

RESUMEN

BACKGROUND: For all our successes, many urgent health problems persist, and although some of these problems may be explored with established research methods, others remain uniquely challenging to investigate-maybe even impossible to study in the real world because of practical and pragmatic obstacles inherent to the nature of the research question. OBJECTIVES: The purpose of this review article is to introduce agent-based modeling (ABM) and simulation and demonstrate its value and potential as a novel research method applied in nursing science. METHODS: An introduction to ABM and simulation is described. Examples of current research literature on the subject are provided. A case study example of community nursing and opioid dependence is presented. RESULTS: The use of ABM and simulation in human health research has increased dramatically over the past decade, and meaningful research is now commonly found published widely in respected, peer-reviewed journals. Absent from this list is innovative ABM and simulation research published by nurse researchers in nursing-specific journals. DISCUSSION: ABM and simulation is a powerful method with tremendous potential in nursing research. It is vital that nursing embrace and adopt innovative and advanced research methods if we are to remain a progressive voice in health research, practice, and policy.


Asunto(s)
Investigación en Enfermería , Proyectos de Investigación , Análisis de Sistemas , Humanos
13.
Nurs Res ; 68(6): 483-487, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693554

RESUMEN

BACKGROUND: Limited guidelines to assist nurse researchers who use web-based interventions are available. Nurses must develop the supporting technology enabling participants to complete study activities and collected data while maintaining data security and participant confidentiality. OBJECTIVES: The aim of the study was to describe how the authors used advanced Research Electronic Data Capture (REDCap) functionality to support the data management infrastructure of an interactive, web-based therapeutic intervention. METHODS: The data management infrastructure for the WISER (Writing to Improve Self-in-Relationships) intervention pilot study consisted of two components: a website for presentation of the intervention and participant account management and a REDCap project for data capture and storage. The REDCap application programming interface connected these two components using HTML links and data exchanges. RESULTS: We completed an initial pilot study of WISER with 14 participants using the REDCap-based infrastructure. Minimal technical difficulties were encountered. DISCUSSION: REDCap is cost-effective, is readily available, and, through its advanced functionality, is able to facilitate confidential, secure interactions with participants, robust data management, and seamless participant progression in web-based intervention research.


Asunto(s)
Recolección de Datos , Gestión de la Información en Salud , Investigación sobre Servicios de Salud , Internet , Investigación en Enfermería , Programas Informáticos , Bases de Datos Factuales , Humanos , Proyectos Piloto , Encuestas y Cuestionarios
14.
Nurs Res ; 68(6): 488-493, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693555

RESUMEN

BACKGROUND: Certain research principles, framed within an indigenous context, are helpful guideposts to practice ethical, relevant, and sensitive inquiries. It is essential to further adapt research approaches based on the unique geographical, sociopolitical, and cultural attributes of partnering tribal communities. These adaptations are largely shaped by trial and error. OBJECTIVES: The purpose of this article is to offer the prospective novice nurse researcher lessons that we learned when entering Indian country to conduct research for the first time. As indigenous and nonindigenous researchers, we are not seeking to set down a methodology but rather offer a list of processes, environments, timelines, and barriers that we never learned in didactic, seminar, clinical, practicum, or any other academic setting. METHODS: We organized a set of memories and thoughts through a series of semistructured iterative sessions specific to our first encounters as researchers in Indian country. We compiled our written responses and field notes from our dialogue, interpreted these data, and organized them into themes. We have reported what we felt would be the most surprising, frequent, or important information to note. RESULTS: We identified three overarching themes in our collective experience: orientation and negotiation, situating ourselves and our work, and navigating our way. Subthemes included perceiving ourselves as outsiders, negotiating distance and time realities, relying on the goodness of gatekeepers, shaping research questions per community priorities, honing our cross-cultural and intercultural communication skills, discovering the many layers of tribal approval processes, and developing sensibilities and intuition. DISCUSSION: Our previous experiences as novices leading research projects in Indian country have produced unique sensibilities that may serve to guide nurse researchers who seek to partner with tribal communities.


Asunto(s)
Investigación sobre Servicios de Salud/organización & administración , Indios Norteamericanos , Investigación en Enfermería/organización & administración , Nativos de Alaska , Humanos
15.
Nurs Res ; 68(6): E1-E7, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693557

RESUMEN

BACKGROUND: Intermittent fetal monitoring (IFM) is a recommended strategy for intrapartum fetal heart rate assessment in low-risk pregnancies; however, this "high touch, low tech" approach is underutilized. OBJECTIVE: The aim of the study was to examine the relationships between labor and delivery nurses' intellectual capital and their perceptions of barriers to research utilization in the work setting. METHODS: A cross-sectional correlational design using data derived from a larger study of labor and delivery nurses (N = 248) was used. Covell's theory of nursing intellectual capital was used as the conceptual and analytic framework to examine labor and delivery nurses' intellectual capital and their perceived barriers to research utilization. RESULTS: Nurses who receive paid time off from their employer to attend conferences (p < .01) and nurses who do not report nurse-to-patient ratios as a problem in providing IFM (p < .01) perceive fewer barriers to research utilization. DISCUSSION: Time, especially available time, has an effect on labor and delivery nurses' attitude toward IFM and their perceptions of barriers to research utilization.


Asunto(s)
Actitud del Personal de Salud , Competencia Clínica , Enfermería Basada en la Evidencia , Investigación en Enfermería , Enfermería Obstétrica , Pautas de la Práctica en Enfermería , Estudios Transversales , Monitoreo Fetal , Humanos , Encuestas y Cuestionarios
16.
Res Nurs Health ; 42(6): 436-445, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31674676

RESUMEN

Both physical abuse and poor sleep quality are public health concerns among adolescents, particularly in mainland China, but examining any causal effect of physical abuse on adolescents' sleep quality using a randomized controlled trial is not possible for obvious ethical reasons. Researchers have proposed the use of propensity score matching with doses to minimize overt bias and estimate the effect of multidose treatments or varying degrees of risk exposure in observational studies. In this paper, we demonstrate the propensity score methods with a focus on matching with doses in an examination of the relationship between physical abuse levels (frequency and number of perpetrators) and self-reported sleep quality among adolescents. Secondary analyses were conducted using data from the China Jintan Child Cohort. The sample comprised 707 adolescents (13.16 ± 0.90 years old) who had complete data on physical abuse, sleep, and covariates. Propensity scores were computed from eight covariates and used to carry out pair matching, matching with the frequency of abusive experience, and matching with the number of perpetrators. The standardized differences of covariates suggested an acceptable balance between groups after matching. The results derived from matching sets consistently indicated that adolescents being physically abused by parent(s) have worse sleep quality. Despite its inherent limitations, propensity score matching with doses provides a useful tool for nurse researchers analyzing observational data.


Asunto(s)
Maltrato a los Niños/estadística & datos numéricos , Puntaje de Propensión , Higiene del Sueño/fisiología , Adolescente , Maltrato a los Niños/psicología , China , Estudios de Cohortes , Femenino , Humanos , Masculino , Investigación en Enfermería , Encuestas y Cuestionarios
17.
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
18.
J Nurs Adm ; 49(12): 617-623, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31725520

RESUMEN

In healthcare, timely communication of critical information is imperative among workforce members. Nurse leaders struggle with how to reach clinical staff effectively when informing them of program updates, practice changes, or available resources. This article provides a review of the marketing and communication literature sharing best practices for improving visibility and program uptake for infrastructure supporting the conduct of inquiry projects among hospital employees using an evidence-based practice approach.


Asunto(s)
Comunicación , Enfermería Basada en la Evidencia/organización & administración , Difusión de la Información/métodos , Investigación en Enfermería/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad
19.
J Nurs Adm ; 49(12): 624-627, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31725521

RESUMEN

Magnet designation requires that nurses be actively involved in activities that lead to obtaining evidence through conducting research. Unfortunately, several barriers limit nurses' ability to engage in research activities, including insufficient resources. This article explains how a community-based hospital implemented a fellowship model to circumvent some of these barriers. Two fellowship positions are described, 1 in research and 1 in library sciences. The method, outcomes, and cost of the fellowship model are discussed.


Asunto(s)
Educación de Postgrado en Enfermería/organización & administración , Becas/organización & administración , Hospitales Comunitarios/organización & administración , Rol de la Enfermera , Investigación en Enfermería/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios de Casos Organizacionales , Sudeste de Estados Unidos
20.
J Forensic Nurs ; 15(4): 199-205, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31764523

RESUMEN

Initial conceptualizations of violence and trauma in forensic nursing have remained relatively narrowly defined since the specialty's inception. The advent of trauma-informed care has been important but has limitations that obfuscate social and structural determinants of health, equity, and social justice. As forensic nursing practice becomes more complex, narrow definitions of violence and trauma limit the effectiveness of trauma-informed care in its current incarnation. In keeping with the nursing model of holistic care, we need ways to teach, practice, and conduct research that can accommodate these increasing levels of complexity, including expanding our conceptualizations of violence and trauma to advance health equity and social justice. The objective of this article is to introduce the concepts of structural violence and trauma- and violence-informed care as equity-oriented critical paradigms to embrace the increasing complexity and health inequities facing forensic nursing practice.


Asunto(s)
Enfermería Forense , Equidad en Salud , Trauma Psicológico/enfermería , Justicia Social , Víctimas de Crimen , Curriculum , Educación en Enfermería , Política de Salud , Disparidades en el Estado de Salud , Humanos , Investigación en Enfermería
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