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1.
Br J Nurs ; 29(5): 284-289, 2020 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-32167806

RESUMEN

Caring for patients who are dying is both a challenging and demanding role. This is further intensified by the expectation that in addition to attending to physical issues, nurses are expected to manage the emotional and psychological aspects of the situation. The inconsistent nature of the care pathways between differing specialist services can often mean that open access to specialist services is not possible. As such, staff may find themselves inadvertently supplementing and often reinforcing interventions offered by specialist (psychological) services with little consideration given to capacity, experience and resources. As the most 'consistently present' professionals in such settings, it is important for nursing colleagues to be aware of the emotional and psychological themes common to patients who are dying. Thus, allowing patients access to supportive conversation with professionals as and when required, ameliorating unnecessary distress.


Asunto(s)
Actitud Frente a la Muerte , Comunicación , Personal de Enfermería en Hospital/psicología , Emociones , Humanos , Cuidado Terminal
2.
Nursing ; 50(3): 58-61, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32068709

RESUMEN

PURPOSE: To understand perceptions of compassion fatigue (CF), including compassion satisfaction, burnout, and work-related secondary traumatic stress in a random sampling of nurses from the authors' healthcare facility. METHODS: The Professional Quality-of-Life (ProQOL) nurse survey was used to measure the positive and negative aspects of caring and to identify elements of CF. Quantitative data were analyzed using descriptive statistics and statistical software, as well as a thematic analysis to identify themes in the interview transcripts. RESULTS: The level of compassion satisfaction was considered "average" by 76% of participants, suggesting that they were likely to derive pleasure from their work. Conversely, burnout and secondary traumatic stress were reported as average-to-low in more than 90% of the nurses. ProQOL scores reflected positive participant feelings about their ability to be effective in their work and indicated that they do not consider their work environment frightening. CONCLUSION: Providing nurses the tools, education, and support to implement self-care practices on the unit can help reduce CF.


Asunto(s)
Desgaste por Empatía/prevención & control , Desgaste por Empatía/psicología , Modelos de Enfermería , Personal de Enfermería en Hospital/psicología , Femenino , Humanos , Masculino , Personal de Enfermería en Hospital/estadística & datos numéricos , Encuestas y Cuestionarios
3.
Medicine (Baltimore) ; 99(6): e19049, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028420

RESUMEN

To assess the mental health of nurses and to find the post responsibility and psychological status of clinical nurses.A total of 447 nursing staff at different levels in a teaching hospital was assessed by nursing post responsibility scale and mental symptom checklist (SCL-90) then compared with each other. The study period was from April 1, 2018 to April 30, 2018.There was a positive correlation between the responsibility of post and interpersonal relationship (r = 0.11, P < .05), depression (r = 0.10, P < .05) and hostility (r = 0.10, P < .05). Post risk was negatively correlated with somatization (r = -0.10, P < .05), job involvement scope and communication ability were negatively correlated (r = -0.11, P < .05). Based on the multiple linear regression, knowledge and skills (ß = -0.20, P = .02) and risks of the post (ß=0.20, P < .01) both significantly related to SCL-90 total score.In conclusion, knowledge and skills and risks of the post associated with mental health of clinical nurses. The sustainable development of nursing post responsibility requires healthy physiological and mental health.


Asunto(s)
Trastornos Mentales/epidemiología , Personal de Enfermería en Hospital/psicología , China/epidemiología , Hospitales de Enseñanza/estadística & datos numéricos , Humanos , Trastornos Mentales/etiología , Personal de Enfermería en Hospital/estadística & datos numéricos , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/psicología , Escalas de Valoración Psiquiátrica , Factores de Riesgo
4.
Br J Nurs ; 29(4): 222-228, 2020 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-32105526

RESUMEN

BACKGROUND: A culture of patient safety is one of the cornerstones of good-quality healthcare, and its provision is one of the significant challenges in healthcare environments. AIM: The purpose of this study was to evaluate the effect of a surgical safety educational programme on the attitudes of nurses to patient safety in operating rooms (OR). DESIGN: An interventional one-group pre-/post-test design, which sought to measure changes in OR nurses' attitudes toward patient safety culture. METHODS: A simple random sampling technique was used to recruit 66 OR nurses working at six Royal Medical Service hospitals in Amman, Jordan. All participants took part in a 4-hour educational workshop. Pre-tests and post-tests were done. RESULTS: The results of this study showed that OR nurses' attitudes towards a culture of patient safety was originally negative; significant improvement after attending the programme was found (3.3 ± 0.20 versus 3.8 ± 0.30). There was a negative correlation between years of experience and nurses' attitudes towards patient safety. CONCLUSIONS: Incorporating courses about safety culture into continuing education programmes may improve nurses' attitudes towards patient safety. Nurses should be qualified to play an important role in creating a culture of patient safety.


Asunto(s)
Actitud del Personal de Salud , Personal de Enfermería en Hospital/psicología , Enfermería de Quirófano/educación , Seguridad del Paciente , Adulto , Femenino , Humanos , Jordania , Masculino , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/estadística & datos numéricos , Enfermería de Quirófano/organización & administración , Administración de la Seguridad , Adulto Joven
5.
Br J Nurs ; 29(4): 257, 2020 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-32105529

RESUMEN

Sam Foster, Chief Nurse, Oxford University Hospitals, considers how the complaints from patients and staff have changed over the years and how a decision-making tool has helped her consider the issues.


Asunto(s)
Personal de Enfermería en Hospital/psicología , Satisfacción del Paciente , Medicina Estatal/organización & administración , Técnicas de Apoyo para la Decisión , Inglaterra , Hospitales Universitarios , Humanos , Cultura Organizacional
6.
Nephrol Nurs J ; 47(1): 37-44, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32083435

RESUMEN

Chronic kidney disease (CKD) is a major health problem. The purpose of this qualitative study was to describe nephrology nurses' experiences in assessing and managing pain in patients who were receiving maintenance hemodialysis at outpatient units within a tertiary care institution. Semi-structured interviews were conducted with seven nurses, and a thematic analysis was used to analyze data. Themes emerged related to the complexity of pain assessment and management in these patients, who were often elderly. Nurses had to ascertain whether the pain was related to hemodialysis treatment, renal failure, or comorbidities. Nurses described managing pain within the context of the hemodialysis unit, and this required working as a team. Nurses also described the need for a palliative approach in patient care.


Asunto(s)
Enfermería en Nefrología , Personal de Enfermería en Hospital/psicología , Dimensión del Dolor/enfermería , Dolor/enfermería , Diálisis Renal/enfermería , Anciano , Unidades de Hemodiálisis en Hospital , Humanos , Dolor/etiología , Investigación Cualitativa , Diálisis Renal/efectos adversos , Insuficiencia Renal Crónica/terapia
7.
J Nurs Adm ; 50(2): 109-114, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31929346

RESUMEN

OBJECTIVE: Evaluate the use of the Innovation Studio on interprofessional collaboration and attitudes toward interprofessional learning, job satisfaction, and intent to stay. BACKGROUND: The healthcare workforce is experiencing high burnout rates, and providers are unsatisfied with their work. Evidence supports that interprofessional collaboration is a key strategy to increase job satisfaction and intent to stay in healthcare professionals. The Innovation Studio is a tool to engage healthcare providers in interprofessional collaboration. METHODS: A pretest/posttest evaluation of the Innovation Studio with 14 healthcare professionals was conducted with self-reported scores on job satisfaction, readiness for interprofessional learning, and intent to stay as outcomes. RESULTS: Positive effects were found on interprofessional learning and intent to stay, but not job satisfaction. Eleven interprofessional projects were developed. Responses to open-ended questions indicated satisfaction with the Innovation Studio. CONCLUSIONS: The Innovation Studio was successful in stimulating numerous interprofessional projects and had a positive effect on interprofessional learning and intent to stay.


Asunto(s)
Actitud del Personal de Salud , Agotamiento Profesional/psicología , Personal de Salud/psicología , Relaciones Interprofesionales , Satisfacción en el Trabajo , Personal de Enfermería en Hospital/psicología , Reorganización del Personal , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios
8.
J Nurs Adm ; 50(2): 78-84, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977944

RESUMEN

OBJECTIVE: To examine factors that influence nurses' perceptions of organizational compassion and their engagement with the organization. BACKGROUND: Despite agreement about the importance of compassionate healthcare, it is difficult for employees to consistently act compassionately when organizational leaders, managers, and systems of care fail to support compassion as a value. METHODS: The study used a cross-sectional design, and quantitative and qualitative data were collected through an online survey of nurses. RESULTS: Higher individual compassion and team compassion were associated with higher perceived organizational compassion, and higher organizational compassion was associated with greater engagement with the hospital. In contrast, high turnover rates and inadequate staffing were associated with lower perceived organizational compassion and lower engagement with one's organization. CONCLUSIONS: Adequate staffing, resource allocation, and practices that contribute to the sense that one is a supported member of a caring team focused on addressing patients' needs build the capacity for compassion within an organization.


Asunto(s)
Actitud del Personal de Salud , Empatía , Personal de Enfermería en Hospital/organización & administración , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos
9.
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
10.
J Nurs Adm ; 50(2): 95-103, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977947

RESUMEN

OBJECTIVE: The study objective was to investigate a charge nurse pilot training program as an effective, evidence-based training modality to improve leadership style and resiliency. BACKGROUND: Leadership is inherent and necessary in the charge nurse role. Little published research about charge nurse leadership training programs exists. METHODS: A pre-post design, with intervention and comparison groups, was conducted at an integrated healthcare system. A random sample of charge nurses was selected to pilot a standardized charge nurse leadership training program including in-person learning to foster leadership skills and nurture resiliency. RESULTS: The sample included 19 control participants and 22 intervention participants. Significant improvement was noted in transformational, transactional, leadership outcomes, and resiliency from preintervention to postintervention for the all subjects. Of the 22 intervention participants, the training elicited higher satisfaction with leadership behavior, followed by effectiveness and their ability to motivate. Charge nurses who attended training had higher resiliency scores pre-post intervention. CONCLUSION: The charge nurse pilot training was an effective program that led to improved leadership style and resiliency.


Asunto(s)
Liderazgo , Enfermeras Administradoras/educación , Enfermeras Administradoras/psicología , Rol de la Enfermera/psicología , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Supervisión de Enfermería/organización & administración , Resiliencia Psicológica , Adulto , Humanos , Masculino , Persona de Mediana Edad , Sudeste de Estados Unidos , Encuestas y Cuestionarios
11.
Br J Nurs ; 29(1): 28-34, 2020 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-31917951

RESUMEN

A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in Oman. A cross-sectional predictive design was used. A sample of 270 critical care nurses from the two main hospitals in the country's capital participated, with a response rate of 90%. The negative correlation between fatigue and patient safety culture (r= -0.240) indicates that fatigue has a detrimental effect on nurses' perceptions of safety. There was also a significant relationship between work environment, emotional exhaustion, depersonalisation, personal accomplishment and organisational patient safety culture. Regression analysis showed that fatigue, work environment, emotional exhaustion, depersonalisation and personal accomplishment were predictors for overall patient safety among critical care nurses (R2=0.322, F=6.117, P<0.0001). Working to correct these predictors and identifying other factors that affect the patient safety culture are important for improving and upgrading the patient safety culture in Omani hospitals.


Asunto(s)
Actitud del Personal de Salud , Enfermería de Cuidados Críticos/organización & administración , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Seguridad del Paciente , Adulto , Agotamiento Profesional/epidemiología , Estudios Transversales , Fatiga/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital/estadística & datos numéricos , Omán/epidemiología , Carga de Trabajo , Lugar de Trabajo , Adulto Joven
12.
J Nurs Adm ; 50(2): 85-89, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977945

RESUMEN

OBJECTIVE: The aim of this study was to examine program effectiveness in changing Caritas leadership, self-caring behaviors, and perceptions of coworkers of participants who completed the Caritas Coach Education Program (CCEP). BACKGROUND: The CCEP has been a highly successful education program for individuals who wish to intellectually and experientially learn to teach, live, and practice human caring theory. METHODS: A pretest-posttest descriptive design was used to evaluate changes in perceptions of self-caring, caritas leadership, and coworker behaviors after completion of CCEP. RESULTS: The mean scores of all measures improved significantly. CONCLUSIONS: After completion of CCEP, participants demonstrated statistically significant changes in 3 caritas measures: leadership, coworker, and self-rating. Caritas Coach participants exhibited the greatest change in their self-caring scores.


Asunto(s)
Actitud del Personal de Salud , Educación en Enfermería/organización & administración , Empatía , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Filosofía en Enfermería , Adulto , Arizona , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud
13.
Int Nurs Rev ; 67(1): 68-75, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31898320

RESUMEN

AIM: To present and discuss the main themes that were revealed following an analysis of the qualitative research findings that were extracted from a national survey regarding the causes and effects of moral distress amongst New Zealand nurses. BACKGROUND/INTRODUCTION: Moral distress continues to be a major concern amongst nurses around the world. In New Zealand, a country where nurses have just been on strike over their working conditions and the deteriorating state of their roles within the health services, it remains a major issue. METHOD: In the original research project, large numbers of nurses supplied not only quantitative data that revealed the extent and impact of moral distress on their practices, but also extensive notes that more specifically explained the causes and effects of their moral distress. This material has since been thematically analysed and is now presented. FINDINGS/RESULTS: The data strongly suggested that New Zealand nurses experienced and attempted to respond to several major issues; that is, they were not properly supported by 'the system', frequently experienced problems with managers and bullying, witnessing poor care practices and collegial incompetence, and suffered from ongoing problems caused by moral residue. CONCLUSION: Under current working conditions, nurses are struggling under an increasing weight of moral residue to maintain their ethical standards within an increasingly difficult ethical climate. IMPLICATIONS FOR NURSING AND HEALTH POLICY: This research suggests that although nurses clearly seek out and use various ways to cope with moral distress in their practices, there is a continuing need for moral courage and strengthening of moral resilience that involves greater input from not just nurses themselves, but nurse managers, educators and other health services representatives.


Asunto(s)
Adaptación Psicológica , Actitud del Personal de Salud , Principios Morales , Personal de Enfermería en Hospital , Estrés Psicológico , Agotamiento Profesional , Ética en Enfermería , Humanos , Nueva Zelanda , Personal de Enfermería en Hospital/psicología , Cultura Organizacional , Investigación Cualitativa , Encuestas y Cuestionarios
14.
Medicine (Baltimore) ; 99(4): e18822, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977875

RESUMEN

Chronic sleep deprivation may worsen many medical and mental health conditions, causing difficulty in the ability to function at work. Job stress may be a factor that directly correlates with the poorer sleep quality of nurses from different departments in a general hospital. However, epidemiological evaluations of sleep problems among community nurses in China are scarce, and an association between sleep problems and occupational stress has not been investigated. This study investigated the association between nurses' job stress and sleep quality in a community hospital in China. This cross-sectional study was conducted from September to November 2017 and involved 180 nurses who had worked for more than 1 year in 12 community hospitals. The Job Stress Questionnaire was administered to evaluate occupational stress. The Pittsburgh Sleep Quality Index was used to evaluate sleep disorder status. Logistic regression was performed to investigate the association between job stress and sleep disorder among these community nurses in China. For the 155 nurses who completed the study, the job stress score was 58 ±â€Š18, and 72 nurses (46%) had a Pittsburgh Sleep Quality Index (PSQI > 7). The type of nurse contract and total job stress scores were related to sleep disturbances within the previous month. The job stress scores were negatively associated with sleep quality; in other words, the higher the job stress scores were, the worse the quality of sleep. The logistic regression analysis showed that the type of nurse contract and self-reported job stress were significant factors affecting sleep quality. Sleep disturbances in nurses were highly associated with job difficulty factor, doctor-patient relationships, psychosomatic state, environment or events, promotion or competition and total pressure scores. Sleep problems were prevalent among clinical nurses in community hospitals in China. Occupational stress negatively affects sleep quality in Chinese community nurses; the higher the stress is, the worse the sleep quality.


Asunto(s)
Personal de Enfermería en Hospital/psicología , Estrés Laboral/psicología , Trastornos del Sueño-Vigilia/epidemiología , Adulto , Estudios de Casos y Controles , China , Estudios Transversales , Hospitales Comunitarios , Humanos , Persona de Mediana Edad , Personal de Enfermería en Hospital/estadística & datos numéricos , Estrés Laboral/epidemiología , Prevalencia , Investigación Cualitativa , Trastornos del Sueño-Vigilia/psicología , Encuestas y Cuestionarios
15.
Br J Nurs ; 29(2): S18-S23, 2020 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-31972104

RESUMEN

BACKGROUND: Intravenous therapy is an integral part of professional nursing practice. Nurses have a responsibility to recognise risk factors for phlebitis. AIMS: To investigate nurses' perceptions of risk factors for phlebitis in a tertiary teaching hospital in north-east Peninsular Malaysia. METHODS: A cross-sectional study of 199 randomly selected nurses were surveyed for their perceptions of risk factors for phlebitis using a self-administered questionnaire. FINDINGS: More than half of the nurses (56.8%) had a good perception levels of risk factors for phlebitis. There was a significant association between the clinical area and nurses' perceptions of risk factors for phlebitis (p=0.04). Nurses working in medical, orthopaedic, and surgical areas had slightly better perceptions than nurses working in multidisciplinary and oncology areas. CONCLUSION: These findings suggest that nurses need to continually improve their knowledge about risk factors for phlebitis to ensure safer nursing practice.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Personal de Enfermería en Hospital/psicología , Flebitis/enfermería , Adulto , Estudios Transversales , Femenino , Hospitales de Enseñanza , Humanos , Malasia , Masculino , Persona de Mediana Edad , Personal de Enfermería en Hospital/estadística & datos numéricos , Factores de Riesgo , Encuestas y Cuestionarios , Centros de Atención Terciaria , Adulto Joven
16.
Hu Li Za Zhi ; 67(1): 81-88, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-31960399

RESUMEN

BACKGROUND & PROBLEMS: Early rehabilitation after stroke is important for the recovery of bodily functions in stroke patients. However, the percentage of completion of early limb rehabilitation among stroke patients is only 16%. PURPOSE: Raise the early rehabilitation intervention rate to 88% for patients with stroke within 24 hours of hospitalization. RESOLUTION: We developed an education course on post-stroke rehabilitation and a related e-Learning course as well as organized an 'alliance for recovery' team. In addition, we established a standard for post-stroke relay rehabilitation and designed rehabilitation relay cards, Xbox rehabilitation games, and nine squares challenge for brain stroke care. RESULTS: The accuracy of the knowledge of nursing staff related to physical rehabilitation improved from 72.4% to 100%; the accuracy of their perceptions regarding early limb rehabilitation increased from 16% to 100%; and patient satisfaction increased from 68% to 98%. CONCLUSIONS: We deployed diverse and innovative strategies to assist limb rehabilitation in patients with stroke. Patients and caregivers should be encouraged to participate in early rehabilitation and related programs and should apply the skills and rehabilitation activities learned to daily life.


Asunto(s)
Extremidades/fisiopatología , Rehabilitación de Accidente Cerebrovascular/métodos , Rehabilitación de Accidente Cerebrovascular/enfermería , Accidente Cerebrovascular/fisiopatología , Difusión de Innovaciones , Conocimientos, Actitudes y Práctica en Salud , Humanos , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Satisfacción del Paciente/estadística & datos numéricos , Desarrollo de Programa
17.
Hu Li Za Zhi ; 67(1): 89-97, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-31960400

RESUMEN

BACKGROUND & PROBLEMS: Dermatitis associated with incontinence was the cause of 55% of the total of 386 skin lesion cases in our unit between July and December 2016 and 40.3% of the skin lesion cases in our unit during March and April 2017, indicating the importance of this issue. Our survey showed that the nurses in our unit scored an average of 78.9% on knowledge related to the prevention of incontinence-associated dermatitis and only 58.2% on knowledge related to incontinence-associated dermatitis care. The main reasons for the high incidence of incontinence-associated dermatitis included: incorrect implementation of care, no discussion with the medical team, no incontinence care standards, no continue education, lack of related equipment for preventing incontinence-associated dermatitis, unit patient characteristics, and drugs used. PURPOSE: To reduce the incidence of incontinence-associated dermatitis from 40.3% to 32.0%. RESOLUTION: A care-bundle in treating incontinence-associated dermatitis was implemented by designing an assessment flow chart for evaluating incontinence-associated dermatitis, by setting standard guidelines for incontinence-associated dermatitis care, by distributing reminder cards, special toolboxes, and by changing how the little diapers were wrapped. In-service education lessons, inter-professional collaborative practice, and regular internal audit were also executed. RESULTS: After project implementation, the knowledge score of nurses increased from 78.9% to 95.7%; the correctness of care score, as retested in November 2017, increased from 58.2% to 91.5%; and the incidence of incontinence-associated dermatitis dropped to 18.5%. These improvements achieved the goals of this project. Furthermore, the sustained effect of the project measures was confirmed, with the incidence of incontinence-associated dermatitis determined as 17.9% at three months after completion of the project. CONCLUSIONS: Formulating care procedures and cooperating with medical team personnel to provide creative care measures were shown to effectively decrease the incidence of incontinence-associated dermatitis and improve overall quality of care. The findings of this project support the revision by hospitals of regulations and procedures related to adult incontinence-associated dermatitis to provide caregivers with basis-of-care standards and uniform care procedures and standards in support of effective patient skin care regimens.


Asunto(s)
Dermatitis/prevención & control , Incontinencia Fecal/complicaciones , Relaciones Interprofesionales , Personal de Enfermería en Hospital/psicología , Cuidados de la Piel/enfermería , Incontinencia Urinaria/complicaciones , Adulto , Dermatitis/epidemiología , Incontinencia Fecal/enfermería , Conocimientos, Actitudes y Práctica en Salud , Humanos , Incidencia , Investigación en Evaluación de Enfermería , Incontinencia Urinaria/enfermería
18.
J Nurs Adm ; 50(2): 72-77, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31929345

RESUMEN

OBJECTIVE: To examine whether end-of-life care quality is superior in Magnet hospitals, a recognition designating nursing excellence. BACKGROUND: Considerable research shows better patient outcomes in hospitals with excellent nurse work environments, but end-of-life care quality has not been studied in Magnet hospitals. METHODS: An analysis of cross-sectional data was completed using surveys of nurses and hospitals. Multivariate logistic regression models were used to determine the association between Magnet hospitals and measures of end-of-life care quality. RESULTS: Overall, nurses report poor quality of end-of-life care in US hospitals. In Magnet hospitals, nurses were significantly less likely to give their hospital an unfavorable rating on end-of-life care. CONCLUSIONS: Hospital Magnet status may signal better quality in end-of-life care. Administrators looking to improve the quality of end-of-life care may consider improving aspects of nursing that distinguish Magnet hospitals.


Asunto(s)
Hospitales/estadística & datos numéricos , Personal de Enfermería en Hospital/psicología , Personal de Enfermería en Hospital/normas , Calidad de la Atención de Salud/estadística & datos numéricos , Calidad de la Atención de Salud/normas , Cuidado Terminal/psicología , Cuidado Terminal/normas , Adulto , Actitud del Personal de Salud , Estudios Transversales , Femenino , Encuestas de Atención de la Salud , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Cultura Organizacional , Cuidado Terminal/estadística & datos numéricos , Estados Unidos
19.
J Clin Nurs ; 29(1-2): 53-59, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31241794

RESUMEN

AIMS AND OBJECTIVES: To examine the association between registered nurses' (referred to as "nurses" for brevity) shifts of 12 hr or more and presence of continuing educational programmes; ability to discuss patient care with other nurses; assignments that foster continuity of care; and patient care information being lost during handovers. BACKGROUND: The introduction of long shifts (i.e., shifts of 12 hr or more) remains controversial. While there are claims of efficiency, studies have shown long shifts to be associated with adverse effects on quality of care. Efficiency claims are predicated on the assumption that long shifts reduce overlaps between shifts; these overlaps are believed to be unproductive and dangerous. However, there are potentially valuable educational and communication activities that occur during these overlaps. DESIGN: Cross-sectional survey of 31,627 nurses within 487 hospitals in 12 European countries. METHODS: The associations were measured through generalised linear mixed models. The study methods were compliant with the STROBE checklist. RESULTS: When nurses worked shifts of 12 hr or more, they were less likely to report having continuing educational programmes; and time to discuss patient care with other nurses, compared to nurses working 8 hr or less. Nurses working shifts of 12 hr or more were less likely to report assignments that foster continuity of care, albeit the association was not significant. Similarly, working long shifts was associated with reports of patient care information being lost during handovers, although association was not significant. CONCLUSION: Working shifts of 12 hr or more is associated with reduced educational activities and fewer opportunities to discuss patient care, with potential negative consequences for safe and effective care. RELEVANCE TO CLINICAL PRACTICE: Implementation of long shifts should be questioned, as reduced opportunity to discuss care or participate in educational activities may jeopardise the quality and safety of care for patients.


Asunto(s)
Continuidad de la Atención al Paciente/normas , Personal de Enfermería en Hospital/estadística & datos numéricos , Horario de Trabajo por Turnos/estadística & datos numéricos , Estudios Transversales , Educación Continua/estadística & datos numéricos , Europa (Continente) , Femenino , Hospitales , Humanos , Relaciones Interprofesionales , Masculino , Personal de Enfermería en Hospital/organización & administración , Personal de Enfermería en Hospital/psicología , Horario de Trabajo por Turnos/psicología , Encuestas y Cuestionarios
20.
Nurs Adm Q ; 44(1): 78-86, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31789752

RESUMEN

Patient perception of caregiver empathy has been studied internationally for decades. Although leadership empathy has been described as having a critical influence on staff retention, this subject is less evident in the literature. This article described a study undertaken to gain a baseline understanding of nurses' perceptions of leader empathy from those they identify as their managers. A baseline for nurses' perception of leader empathy has been established that may be used to benchmark future interventions to assess and improve nurses' perception of their leaders' empathy in the work setting.


Asunto(s)
Actitud del Personal de Salud , Empatía , Enfermeras Administradoras , Personal de Enfermería en Hospital/psicología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Estados Unidos , Adulto Joven
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