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1.
Dimens Crit Care Nurs ; 40(3): 156-163, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33792274

RESUMEN

BACKGROUND: Previous research on nurses during pandemics has focused on nurses working in one facility or type of unit; this study focuses on nurses caring for COVID-19 patients in a variety of units in different sites across the United States. OBJECTIVE: The aim of this study was to understand the experiences of registered nurses working with hospitalized COVID-19 patients. METHODS: This study used a hermeneutic phenomenology design. Semistructured interviews via telephone were conducted and then transcribed verbatim. Colaizzi's method of analysis was used. Data saturation was achieved with 14 participants. RESULTS: Three major themes were evident. They were "the human connection," "the nursing burden," and "coping." Subthemes were identified under each major theme. DISCUSSION: This study depicted nurses who are caring, empathetic, and resilient. They had many recommendations for fellow nurses, the public, and health care organizations.


Asunto(s)
Adaptación Psicológica , /psicología , Personal de Enfermería en Hospital/psicología , Adulto , Actitud del Personal de Salud , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Estados Unidos/epidemiología
2.
Hu Li Za Zhi ; 68(2): 65-74, 2021 Apr.
Artículo en Chino | MEDLINE | ID: mdl-33792020

RESUMEN

BACKGROUND & PROBLEMS: In case of fire in the hemodialysis room, it is necessary to help patients get away from dialysis machines smoothly and safely and evacuate the room rapidly. Our unit is located on a higher floor. An investigation showed that the accuracy rate for fire response awareness among the staffs in our unit was only 57.9%, while the accuracy rate of fire response skill operations was only 57.4%. Moreover, 62.0% of the staffs were not clear about the task grouping and task content of fire response. Confusion in our unit regarding the definition of patient mobility led to staffs classifying patients based on subjective perceptions and standards. Moreover, the unit also lacked an audit system for fire emergency operations and fire-response-related learning materials. PURPOSE: To improve staff knowledge and skills related to fire emergency response in the hemodialysis room to 100%. RESOLUTION: The project team worked out solutions such as adding a self-defense fire-fighting group to the dialysis information system, producing fire emergency response learning materials, establishing a seed personnel system, organizing on-the-job education, organizing fire response simulation drills, and implementing an audit system. RESULTS: The awareness of fire emergency response and the accuracy of skill operation among the staff were both improved to 100%, and there were statistically significant differences between the pre-test and post-test paired t-test results. Furthermore, consistent implementation of these resolution measures maintained the staff`s fire emergency response skills at 100% between June 2019 and May 2020. CONCLUSIONS: Tabletop simulation, practice drills, and skill operation audits are effective tools for improving the ability of staff in the hemodialysis room to respond to fire emergencies. It is recommended that institutions produce tabletop simulation props and combine regular on-site drills to improve the readiness of their staffs to respond to fire emergencies, which will shorten the response time during incidents.


Asunto(s)
Urgencias Médicas , Fuego , Personal de Enfermería en Hospital , Diálisis Renal , Urgencias Médicas/enfermería , Fuego/prevención & control , Humanos , Personal de Enfermería en Hospital/psicología , Diálisis Renal/enfermería
3.
Rev Infirm ; 70(270): 43-45, 2021 Apr.
Artículo en Francés | MEDLINE | ID: mdl-33832731

RESUMEN

Clémence, Laura and Mathilde are graduates of the nursing training institute of Neuilly-sur-Marne (93) since July 2020. Approximately six months after taking up their position in the hospital sector, they share their thoughts and relate their first steps in the practice of this nursing profession which they have all three fully chosen.


Asunto(s)
Personal de Enfermería en Hospital , Estudiantes de Enfermería , Selección de Profesión , Francia , Humanos , Personal de Enfermería en Hospital/psicología , Facultades de Enfermería , Estudiantes de Enfermería/psicología
4.
Am J Nurs ; 121(5): 19-21, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33872253

RESUMEN

Recent surveys provide clues to the pandemic's effect on the profession.


Asunto(s)
Agotamiento Profesional/psicología , Rol de la Enfermera/psicología , Personal de Enfermería en Hospital/psicología , /epidemiología , Humanos , Salud Mental
5.
Am J Nurs ; 121(5): 38-45, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33872262

RESUMEN

ABSTRACT: Care for the Caregiver is a peer-to-peer program that provides support and guidance to clinicians who have experienced an unexpected and emotionally distressing event. Its development was preceded by communication and resolution programs that were endorsed by the Joint Commission in 2001, subsequently introduced at several U.S. medical centers, and in 2009 were incorporated within demonstration projects funded by the Agency for Healthcare Research and Quality. In August 2014, the authors introduced the Care for the Caregiver program across the MedStar Health System, which includes seven hospitals in Maryland and three in the District of Columbia. Here, they describe how the program was initially conceived and structured-and how it evolved in response to the current pandemic.


Asunto(s)
/prevención & control , Rol de la Enfermera/psicología , Personal de Enfermería en Hospital/psicología , Grupos de Autoayuda/organización & administración , Apoyo Social , Adaptación Psicológica , Cuidadores , Cuidados Críticos/psicología , District of Columbia , Humanos , Relaciones Interprofesionales , Maryland
6.
J Nurs Adm ; 51(5): 257-263, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33882553

RESUMEN

OBJECTIVE: The aim of this study was to determine the pandemic impact on the relationship between nurses' perception of the authentic nurse leadership (ANL) of their manager and their perception of the work environment. BACKGROUND: Both ANL and healthy work environment (HWE) contribute to staff and patient outcomes. Our 1st study of these 2 variables revealed a positive relationship. Will this be upheld in a pandemic year? METHODS: More than 5000 nurses from a national sample participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire, the Critical Elements of a Healthy Work Environment Scale, and a pandemic impact on practice question. RESULTS: Overall, nurses perceived ANL and HWE were present despite a high level of pandemic impact; however, when clinical nurses were separated from managers/directors, HWE was not present for frontline nurses. The moderate correlation of ANL and HWE was replicated in this larger study. CONCLUSIONS: This is the 2nd study of the positive relationship between ANL and HWE using these models, supporting ANL as an essential standard of a HWE. ANL was present for clinical nurses in a pandemic year signaling that nurse leaders rose to meet frontline leadership needs. HWE was present overall, but not for clinical nurses. Leadership is essential to work environments and outcomes especially in times of crisis and significant change.


Asunto(s)
Liderazgo , Enfermeras Administradoras/psicología , Rol de la Enfermera/psicología , Personal de Enfermería en Hospital/psicología , /epidemiología , Estudios Transversales , Humanos , Satisfacción en el Trabajo , Autoeficacia , Lugar de Trabajo/psicología
7.
J Nurs Adm ; 51(5): 279-286, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33882556

RESUMEN

OBJECTIVE: The aim of this study was to describe the structure and processes implemented by nursing research councils to conduct a nurse-led research study at an urban community teaching hospital. BACKGROUND: We assessed nurses' knowledge, skills, and attitudes toward evidence-based practice (EBP) to inform development plans. METHODS: This is an institutional review board-approved single-site cross-sectional anonymous online survey (Evidence-Based Practice Questionnaire [EBPQ]) emailed to 850 participants. Data were analyzed using SPSS v25 (Armonk, New York). RESULTS: Initial response rate was 11%. Deployment of new strategies achieved an overall response rate of 57.5%. EBPQ subscale scores were highest for "attitude," followed by "knowledge/skills," and "practice." Lowest-scoring items included critical appraisal of literature, converting information needs into a question, time for new evidence, information technology, and research skills. CONCLUSIONS: Our EBPQ scores were consistent with prior findings. Our strategies provide a framework for other institutions in similar stages of implementing EBP and nurse-led research initiatives.


Asunto(s)
Enfermería Basada en la Evidencia/normas , Conocimientos, Actitudes y Práctica en Salud , Personal de Enfermería en Hospital/psicología , Estudios Transversales , Humanos , New York , Autoinforme , Encuestas y Cuestionarios
8.
Clin J Oncol Nurs ; 25(2): 210-214, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33739348

RESUMEN

Staff stress, burnout, and compassion fatigue related to increasing demands of oncology care have been further compounded by the impact of the COVID-19 pandemic. Ambulatory oncology nursing care, with a central focus on the collaborative partnership with patients and families, requires cultivation of the caring and healing environment. The relationships that the oncology nurse has with self, colleagues, and the community support safe, high-quality, and patient- and family-centered oncology care. To foster a caring environment, Take-a-Break, a well-being intervention for oncology clinic nurses, was designed, implemented, and promoted by an oncology clinic nurse and an ambulatory oncology mental health advanced practice RN.


Asunto(s)
Enfermería Oncológica , /epidemiología , Promoción de la Salud , Humanos , Satisfacción en el Trabajo , Personal de Enfermería en Hospital/psicología , Pandemias , /aislamiento & purificación
9.
Soins ; 66(853): 55-57, 2021 Mar.
Artículo en Francés | MEDLINE | ID: mdl-33775306

RESUMEN

Numerous studies show the risk of a breakdown in the continuity of care when a patient leaves hospital. A study was carried out of hospital-based nurses, to find out their representations with regard to their role in the hospital-home transition. The results enable areas of improvement to be identified.


Asunto(s)
Personal de Enfermería en Hospital , Alta del Paciente , Humanos , Rol de la Enfermera/psicología , Personal de Enfermería en Hospital/psicología , Cuidado de Transición/organización & administración
10.
Soins ; 66(852): 32-34, 2021.
Artículo en Francés | MEDLINE | ID: mdl-33750555

RESUMEN

For newly qualified nurses, their first post in a hospital is always a challenge. Their initial training prepares them to be autonomous, but they must quickly learn to prioritise, collaborate, coordinate and communicate effectively. To develop their career, continuing training, participating in departmental projects and being adaptable and mobile will help them achieve their professional aspirations.


Asunto(s)
Personal de Enfermería en Hospital , Humanos , Personal de Enfermería en Hospital/psicología
11.
Arch Psychiatr Nurs ; 35(2): 189-194, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33781399

RESUMEN

BACKGROUND: Burnout rates among nurses have detrimental impact on job satisfaction, teamwork, and patient care. This costs millions of dollars in the healthcare system and challenges nurse leaders to address in order to keep up with the healthcare demands. Furthermore, burnout is especially relevant in our current healthcare climate, as frontline nurses have increased workload and multiple psychosocial stressors during the coronavirus disease (COVID-19) pandemic (Sultana, Sharma, Hossain, Bhattacharya, & Purohit, 2019). Literature also suggests that mindful self-care practices need to be reinforced in order to impact burnout long term (Chamorro-Premuzic & Lusk, 2017). Project7 Mindfulness Pledge© is an accessible and voluntary mindfulness tool that nurses can utilize in their individual practice to reduce burnout and does not require significant time commitment. OBJECTIVE: To evaluate the effectiveness of intentional self-care practices on nurse burnout and workplace environment by measuring job satisfaction and teamwork among nurses. METHODS: Comparisons between inpatient units on data from the National Database of Nursing Quality Indicators (NDNQI) with the Practice Environment Scale (PES), specifically on job enjoyment and teamwork, were done utilizing ANOVA. RESULTS: Results show that nurses in an inpatient unit that implemented Project7 has significantly higher job satisfaction as compared to units that did not implement Project7. CONCLUSIONS: This suggests that this tool provides an effective and accessible mindfulness framework managers and directors can utilize to improve job satisfaction, teamwork, and thereby reduce burnout to create healthier work environments.


Asunto(s)
Agotamiento Profesional/prevención & control , Atención Plena/métodos , Enfermeras y Enfermeros/psicología , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Autocuidado/psicología , /psicología , Estudios Transversales , Femenino , Humanos , Análisis de Series de Tiempo Interrumpido , Satisfacción en el Trabajo , Masculino , Estudios Retrospectivos , Lugar de Trabajo
16.
Am J Nurs ; 121(4): 57-60, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33755632

RESUMEN

This is the last of three articles exploring ways in which frontline nurses may be affected by recommendations of the forthcoming National Academy of Medicine Future of Nursing 2020-2030 study. For this third article, interviews were conducted with nurse leaders from diverse practice areas to see how their thinking about the future had shifted as 2020 drew to a close.


Asunto(s)
Actitud del Personal de Salud , Liderazgo , Enfermeras Administradoras/psicología , Rol de la Enfermera/psicología , Atención de Enfermería/tendencias , Personal de Enfermería en Hospital/psicología , Predicción , Humanos , Estados Unidos
18.
J Nurs Adm ; 51(4): 200-205, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734179

RESUMEN

OBJECTIVE: The aim of this study was to examine the factors influencing job satisfaction of nurses, physicians, and advanced practice providers in ambulatory oncology settings. BACKGROUND: Job satisfaction is essential to clinician well-being and quality of care. METHODS: In 2017, clinicians from 29 ambulatory medical oncology practices completed anonymous paper questionnaires that examined job satisfaction, clinician-to-clinician communication, and perceptions of patient safety. Linear regression, adjusted for clustered observations, examined the relationship between job satisfaction, clinician communication, and patient safety perceptions. RESULTS: Of 280 respondents (response rate of 68%), 85% reported that they were satisfied or very satisfied with their current position. Patient safety and accuracy of clinician communication were positively and significantly associated with job satisfaction. CONCLUSIONS: Although most surveyed clinicians were satisfied, 15% were dissatisfied and reported communication and safety concerns. Leadership efforts to strengthen clinician communication actions and develop positive safety cultures are promising strategies to promote clinician well-being and high-quality cancer care.


Asunto(s)
Satisfacción en el Trabajo , Oncología Médica/organización & administración , Cuerpo Médico de Hospitales/psicología , Personal de Enfermería en Hospital/psicología , Grupo de Atención al Paciente/organización & administración , Adulto , Actitud del Personal de Salud , Femenino , Humanos , Relaciones Interprofesionales , Masculino , Persona de Mediana Edad , Seguridad del Paciente/estadística & datos numéricos , Calidad de la Atención de Salud
19.
J Nurs Adm ; 51(4): 212-219, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734181

RESUMEN

OBJECTIVE: To highlight the development, implementation, and initial findings of a brief healthcare professional support program called "GRACE." BACKGROUND: Healthcare professionals face significant work-related stressors that when left unmanaged can negatively affect their overall well-being and contribute to burnout. METHODS: Over a 2-year period, the GRACE program was delivered to 8 clinical units at a midsized southwestern hospital. Questionnaires were administered at baseline and 1 month. RESULTS: Program participants were 36 years old on average, female (81%), and White (68%) and mostly employed as nurses (66%). Attendees reported increased knowledge, understanding, and confidence and found the program to be acceptable. One month after training, participants demonstrated significant improvements in self-compassion. Medical units that received GRACE training saw significantly greater increases in patient satisfaction scores compared with units that did not receive training. CONCLUSIONS: The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported.


Asunto(s)
Agotamiento Profesional/prevención & control , Desgaste por Empatía/prevención & control , Atención Plena/métodos , Personal de Enfermería en Hospital/psicología , Lugar de Trabajo/psicología , Adulto , Agotamiento Profesional/psicología , Desgaste por Empatía/psicología , Empatía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Laboral/prevención & control , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
20.
J Nurs Adm ; 51(4): 220-226, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734182

RESUMEN

OBJECTIVE: To synthesize literature exploring the expectations of millennial nurses and factors that influence their retention. BACKGROUND: Long-anticipated nursing shortages are happening nationwide in part from boomer retirements. These supply issues are expected to worsen because of an aging population who will require complex healthcare going forward. Millennial nurse turnovers, however, represent the biggest threat to supply. METHODS: This extensive literature review was conducted following published guidelines. Thirteen publications regarding millennials' expectations of work were analyzed. RESULTS: Millennials expect strong leadership, advancement opportunities, alignment of organizational and personal values, good coworker relationships, healthy work-life balance, recognition, and cutting-edge technology. CONCLUSIONS: Millennials have specific expectations for work, and they will leave if these go unmet. Findings from this review provide valuable insight into this generation of nurses to help leaders create appropriate retention strategies. The limited literature on this topic highlights the need for more research.


Asunto(s)
Relaciones Intergeneracionales , Satisfacción en el Trabajo , Liderazgo , Personal de Enfermería en Hospital/estadística & datos numéricos , Reorganización del Personal/estadística & datos numéricos , Anciano , Humanos , Intención , Motivación , Personal de Enfermería en Hospital/psicología , Equilibrio entre Vida Personal y Laboral/estadística & datos numéricos
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