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J Nurs Adm ; 50(2): 59-60, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977941


The evolving healthcare environment has put a new emphasis on population health. Healthcare organizations, and the nurses who work in them, are in a unique position to reach beyond hospital walls to address unmet needs and improve the health and lives of the community they serve. This month's Magnet Perspectives column examines nurses' growing impact on population health through the lens of the 2019 Magnet Prize winner, OSF HealthCare Saint Francis Medical Center. Learn how OSF Saint Francis nurses developed an innovative program to address food insecurity among their community's most vulnerable residents and improve health outcomes. The column also explores how American Nurses Credentialing Center Magnet-recognized organizations promote strong external partnerships that extend nurses' influence from the traditional one-patient-at-a-time approach to broader, population-based outreach.

Enfermería en Salud Comunitaria/organización & administración , Rol de la Enfermera , Enfermeras de Salud Comunitaria , Salud Poblacional , Mejoramiento de la Calidad/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios de Casos Organizacionales , Estados Unidos
J Nurs Adm ; 50(2): 61-62, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977942


In this Inspiration Column, Pat Reid Ponte interviews Lisa J. Sundean, PhD, MHA, RN, associate professor, University of Massachusetts Boston. Dr Sundean has devoted her career to support the inclusion of nurses on boards.

Consejo Directivo/organización & administración , Rol de la Enfermera , Atención de Enfermería/organización & administración , Boston , Femenino , Historia del Siglo XX , Historia del Siglo XXI , Humanos
J Nurs Adm ; 50(2): 90-94, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977946


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.

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
J Nurs Adm ; 50(2): 95-103, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977947


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.

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
Mymensingh Med J ; 29(1): 86-91, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31915341


Among nurses due to inadequate pain management knowledge and practice skills, children's pain is often under treated. This study aimed to examine the level of knowledge and practice on pediatric pain management among nurses in Bangladesh. This was a descriptive survey study involving total 150 clinical pediatric nurses from two Medical College Hospital and a University hospital in Bangladesh. The data collection tool consisted of demographic data form, 32-items nurses' knowledge. There were 32 true and false questions related to nurses' knowledge on pediatric pain management in Bangladesh. The response formats to each item for correct answer was 1 and incorrect answer 0. The total scores were categorized into three levels including low (0-20), moderate (21-23) and high (24 and above). The data collection tool consisted of demographic data form, 19-item practice related questionnaire on pediatric pain management. Nurses' practice on pediatric pain management contained 19 items with 5-points Likert's scale ranging from 1=Never practice to 5=constantly practice. For each item, a score of 5 was accorded for constantly and 1 for never. The score ranged from 19-95. The total scores were categorized into three levels including low (19-38), moderate (39-76) and high (77-95). The results demonstrated that most of the nurses' knowledge score on pediatric pain management was at moderate level (mean=21.50, SD=2.35). Nurses' practice on pediatric pain management was also at moderate level (mean=75.45, SD=8.24). The relationship between nurses' knowledge and practice was not significant. In addition, nurses' knowledge and practice with demographic variables; there was significant relationship between nurse's knowledge and existence of pain management protocol, nurses' practice and their current position in unit and with reading nursing journal. This study showed moderate level of knowledge and practice indicating that they need to be enhanced the knowledge and practice skills in pediatric pain management.

Competencia Clínica , Conocimientos, Actitudes y Práctica en Salud , Manejo del Dolor/enfermería , Enfermería Pediátrica , Adulto , Bangladesh , Niño , Femenino , Humanos , Masculino , Rol de la Enfermera , Personal de Enfermería en Hospital , Dolor , Encuestas y Cuestionarios
Br J Nurs ; 29(2): S3, 2020 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-31972111
Br J Nurs ; 29(2): 96-97, 2020 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-31972117
Hu Li Za Zhi ; 67(1): 6-11, 2020 Feb.
Artículo en Chino | MEDLINE | ID: mdl-31960391


Related studies in the literature indicate that over half (50-84%) of patients exhibit physiological variations 6 hours before experiencing cardiac arrest. Early warning systems improve the ability of medical teams to detect patient deterioration and then immediately treat sudden cardiac arrest during patient hospitalization. This article aims to strengthen general understanding among clinical medical staffs of the early warning system. Understanding the reasons and motivations for establishing this system is expected to help readers better distinguish the physiological monitoring indicators of this system and its importance in terms of improving patient safety. In particular, using the system to identify patients at risk levels of medium or higher will help facilitate their timely transfer to an intensive care unit for appropriate monitoring and care. This article further explores the application of early warning systems in nursing to help nurses understand their professional roles and responsibilities as members of the rapid-response team. Finally, information in this article teaches medical staffs how to avoid unanticipated cardiac arrest events, create a comprehensive patient safety environment, and improve the quality of medical care.

Deterioro Clínico , Diagnóstico Precoz , Paro Cardíaco/prevención & control , Equipo Hospitalario de Respuesta Rápida/organización & administración , Humanos , Rol de la Enfermera
J Clin Nurs ; 29(1-2): 60-74, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31495000


AIMS AND OBJECTIVES: To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic-assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic-assisted laparoscopic surgery (RALS). BACKGROUND: The rapid introduction of technological innovations into the healthcare system has created new challenges for perioperative nurses. RALS affects the physical and interpersonal context of the surgical team's work and subsequent patient outcomes. Despite significant changes to the workflow for perioperative nurses and CRNAs, there is little research focusing on the nurses' experience and their challenges with RALS. DESIGN: A qualitative descriptive study. METHOD: Semi-structured interview questions guided data collection. A total of seventeen participants including six preoperative and postoperative nurses, seven intraoperative nurses, and four CRNAs in the United States were interviewed. The interviews were conducted between 26 April-24 June 2018. Data were analysed using thematic analysis, and the COREQ checklist was used to report data collection, analysis and the results. RESULTS: Three major themes and two categories within each theme were identified: (a) surgical innovation: nurse perception and workflow; (b) interprofessional practice: teamwork and standards; and (c) outcome: patient outcomes and system outcomes. CONCLUSIONS: The findings indicate that RALS has the potential to improve patient outcomes when performed in a timely fashion by skilled surgeons, and efficient, well-trained surgical teams. For patients to experience full benefits of RALS, patient characteristics, the underlying reason for surgery, and cost must be considered. RELEVANCE TO CLINICAL PRACTICE: The results of this study highlight the necessity of promoting factors that improve the surgical team training and practice for RALS and will ultimately impact patient outcomes.

Enfermeras Anestesistas/psicología , Enfermería Perioperatoria/organización & administración , Procedimientos Quirúrgicos Robotizados/enfermería , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermeras Anestesistas/organización & administración , Rol de la Enfermera , Enfermería Perioperatoria/métodos , Investigación Cualitativa
Nurs Adm Q ; 44(1): 4-11, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31789734


A single career in nursing may encompass numerous and very different positions. Nurses are aware they can select from a variety of specialties, as they choose to learn additional skills or pursue new opportunities. Today's nurses use their intelligence, experience, and holistic concern for all people in more diverse arenas than ever before. This article is followed by a series of first-person accounts of jobs that may not, on first consideration, look like nursing roles. These professionals have not left nursing. They have carried their healing energy, grounding in the nursing process, as well as a desire to improve the well-being of others with them, because they are nurses.

Movilidad Laboral , Rol de la Enfermera , Humanos
Hu Li Za Zhi ; 66(6): 33-42, 2019 Dec.
Artículo en Chino | MEDLINE | ID: mdl-31802453


BACKGROUND: The gap between the expectation and the development of role competency is a dilemma that nurse practitioners (NPs) face in clinical settings. PURPOSE: This study was designed to explore the perceived importance and actual practice of the role competencies of NPs and to compare the differences between the ideal and practical domains as well as related factors. METHODS: This cross-sectional design study used Q-sort to collect data. A 56-item "Nurse Practitioner Role Capacity Questionnaire" was used as the research tool. Two questionnaires: Perceptions of Important Role Competencies and Actual Execution of Role Competencies were distributed to NPs twice, at times that were 2 weeks apart. A total of 40 participants were recruited, including 21(52.5%) internal medicine NPs and 19 (47.5%) surgical medicine NPs. RESULTS: The significant differences that were identified in this study between the perceived importance and actual practice of role competencies were, by domain: medical assistance (t = -5.62, p < .001), clinical research (t = 4.14, p < .001), professional consultation (t = 2.29, p = .027), and direct care (t = 2.21, p = .033). The correlative factors for these differences were: education level (t = -2.17, p = .036) and membership in the Nurse Practitioner Association (t = -2.36, p = .017). NPs with higher levels of education and with membership in the Nurse Practitioner Association earned higher scores for self-expectation in important clinical competency. CONCLUSIONS: NPs face discrepancies in their role expectations, in important part due to their role as providers of medical assistance in clinical practical settings. NPs need to learn and demonstrate the roles and functions of advanced nursing practice to enhance nursing professionalism profoundly.

Competencia Clínica , Enfermeras Practicantes/psicología , Rol de la Enfermera/psicología , Estudios Transversales , Humanos , Q-Sort , Encuestas y Cuestionarios
Soins Psychiatr ; 40(325): 29-32, 2019 Dec.
Artículo en Francés | MEDLINE | ID: mdl-31836067


Nurses will soon be able to develop advanced practice in mental health through a state certified diploma. This new role will see caregivers acquire other competencies, such as prescribing, and marks a development of the profession through the growth of nursing sciences. The evolution of practices and the clinical approach in care would gain from collaboration between advanced practice nurses undergoing training and qualified clinical nurse specialists. Based on feedback from nurses in the field, perspectives for collaboration and organisation are assessed in terms of the health challenges facing our society.

Enfermería de Práctica Avanzada , Salud Mental , Enfermeras Clínicas , Humanos , Rol de la Enfermera
Enferm. clín. (Ed. impr.) ; 29(6): 328-335, nov.-dic. 2019. graf, tab
Artículo en Español | IBECS | ID: ibc-184652


Objetivo: Analizar la distribución de competencias avanzadas en enfermeras especialistas y enfermeras de práctica avanzada y evaluar su asociación con algunas características de su perfil profesional. Método: Estudio transversal analítico multicéntrico. Se incluyeron enfermeras que ejercían como Enfermeras de Práctica Avanzada y enfermeras Especialistas. Se midió su nivel de competencias avanzadas percibidas, así como variables de caracterización profesional. Resultados: Doscientas setenta y siete enfermeras participaron (149 ejercían práctica avanzada y 128 especialistas), con una media de 13,88 (11,05) años como especialista y 10,48 (5,32) años como Enfermera de Práctica Avanzada. Un 28,8% tenía nivel de máster o doctorado. El 50,2% ejercía en atención primaria, el 24,9% en hospitales y el 22,7% en salud mental. El nivel global autopercibido fue elevado en las distintas competencias, siendo las dimensiones más bajas las de investigación, práctica basada en la evidencia, gestión de la calidad y seguridad y liderazgo y consultoría. Las Enfermeras de Práctica Avanzada obtuvieron mayor nivel competencial de forma global y en las dimensiones de liderazgo y consultoría, relaciones interprofesionales, gestión de cuidados y promoción de salud. No hubo diferencias en función de la experiencia o la posesión de nivel de máster o de doctorado. En las Enfermeras de Práctica Avanzada el contexto de práctica no influía en los niveles competenciales, aunque en las enfermeras especialistas sí, a favor de las que ejercían en salud mental. Conclusiones: Las enfermeras especialistas y de práctica avanzada tienen competencias distintas que deberían ser gestionadas adecuadamente para el desarrollo de los servicios enfermeros avanzados y especializados

Objective: To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of their professional profile. Method: Multicentre analytical cross-sectional study. Nurses who worked as advanced practice nurses and specialist nurses were included. Their level of perceived advanced competences was measured, as well as sociodemographic and professional characterization variables. Results: A total of 277 nurses participated (149 practised as advanced practice nurses and 128 as specialists), with an average of 13.88 (11.05) years as a specialist and 10.48 (5.32) years as an advanced practice nurse. In the sample, 28.8% had a master's or doctorate level qualification, 50.2% worked in Primary Care, 24.9% in hospitals and 22.7% in Mental Health. The self-perceived global level was high in the different competences, the lowest dimensions being research, evidence-based practice, quality and safety management and leadership and consulting. The advanced practice nurses obtained a higher level of competence globally and in the dimensions of leadership and consulting, interprofessional relations, care management, and health promotion. There were no differences based on experience or possession of a master's degree or doctorate. In the advanced practice nurses, the practice context did not influence competence levels, although in the specialist nurses it did, in favour of those practicing in Mental Health. Conclusions: Specialist and advanced practice nurses have different competences that should be adequately managed for the development of advanced and specialist nursing services

Humanos , Competencia Profesional , Rol de la Enfermera , Enfermeras Clínicas/organización & administración , Liderazgo , Enfermeras Clínicas/normas , Estudios Transversales
Enferm. clín. (Ed. impr.) ; 29(6): 344-351, nov.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-184654


Objetivo: Conocer a través de las narraciones de las matronas de Atención Primaria los factores que obstaculizan o contribuyen a la detección y el abordaje de la violencia de género durante el embarazo, así como sus propuestas de mejora para tal fin. Método: Estudio cualitativo con un enfoque fenomenológico interpretativo. Se hicieron entrevistas semiestructuradas a las 12 matronas que trabajan en los centros de Atención Primaria de L’Hospitalet de Llobregat (Barcelona). Resultados: Las dificultades en la detección se relacionan con el sistema de visitas, el contexto de las mujeres y barreras del propio profesional como el miedo. Destacan como factores facilitadores el seguimiento en el control del embarazo y la relación de confianza con la matrona. Las propuestas de mejora se relacionan con la formación y el uso de procedimientos seguros y fiables. Conclusiones: Sería deseable poner en marcha acciones de mejora, tales como ampliar la formación y consensuar un circuito interno de trabajo que incluya instrumentos objetivos de ayuda de la detección, la coordinación con otros servicios y la forma ética, y legalmente adecuada de registro en la historia clínica

Aim: To use the reflections of primary care midwives to find out the barriers and facilitators for detecting IPV during pregnancy. The second aim is to determine proposals for measures to improve detection of IPV. Method: Qualitative methodology with a interpretative phenomenological approach. In-depth interviews were conducted with 12 midwives, working in the sexual and reproductive health care centres of Hospitalet de Llobregat (Barcelona). Results: The difficulties in detection relate to the system of visits, the situation of women and barriers of practitioners themselves, such as fear. Follow-up of pregnancy and the relationship of trust with the midwife stand out as facilitators. The proposals for improvement were to increase training and use safe and reliable health care procedures. Conclusions: The complexity of IPV makes it likely that IPV during pregnancy is undetected. It would be desirable to implement actions such as expanding training and agreeing on an internal work circuit that includes objective instruments to detect IPV, coordination with other services and ethical and legally appropriate way of recording in the clinical record

Humanos , Femenino , Adulto , Persona de Mediana Edad , Enfermeras Obstetrices , Enfermería Primaria/métodos , Violencia de Género/estadística & datos numéricos , Rol de la Enfermera/psicología , Análisis Cualitativo
Enferm. clín. (Ed. impr.) ; 29(6): 381-384, nov.-dic. 2019.
Artículo en Español | IBECS | ID: ibc-184660


El envejecimiento unido a la multimorbilidad, la polimedicación y a diversos factores sociales se conforma como uno de los determinantes que conducen a aumentar la complejidad de la atención en las personas mayores y a dificultar, por tanto, el aportar respuestas eficaces desde los sistemas sanitarios a sus necesidades. Para afrontar este nuevo y creciente escenario del cuidado a la persona mayor, es necesario que los sistemas formales de atención, sanitario y social, definan puestos de trabajo específicos para que las especialistas en enfermería geriátrica, formadas para abordar las necesidades de las personas mayores desde una perspectiva de la atención integral, tanto en el envejecimiento saludable como en los diferentes problemas de salud de este grupo poblacional, caracterizado por las propias consecuencias del envejecimiento y la cronicidad hacia la dependencia, desarrollen las competencias que la ley establece en el marco de un equipo interdisciplinar, para las que han sido formadas y acreditadas, sumando así valor en la respuesta que los sistemas sanitario y social han de aportar a este creciente problema de la tríada «envejecimiento-cronicidad-dependencia»

Aging together with multimorbidity, polymedication and various social factors are some of the determinants that lead to increasing complexity of care in the elderly, thus making it difficult for health systems to meet their needs. To approach this new and growing scenario of care for the elderly, the formal health and social care systems must define specific jobs for geriatric nursing specialists trained to address the needs of older people from a perspective of comprehensive care, both for healthy aging, and for the different health problems of this population group, characterized by the consequences of aging and chronicity, towards dependence, and develop the powers established by law in the framework of an interdisciplinary team, for those who have been trained and accredited, thus adding value to the response that health systems have to provide for this growing problem of the 'aging-chronicity-dependence' triad

Humanos , Enfermería Geriátrica/métodos , Rol de la Enfermera , Servicios de Salud para Ancianos , Enfermería Geriátrica/organización & administración , Anciano Frágil
Metas enferm ; 22(10): 5-13, dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-185326


Objetivo: identificar las competencias necesarias para desempeñar el rol de gestora enfermera en España en cada uno de los niveles funcionales. Metodología: partiendo de la realización de una revisión bibliográfica de la literatura especializada se diseñó un estudio Delphi estructurado en cuatro rondas para consensuar las competencias necesarias para la gestora enfermera. Resultados: se obtuvo el consenso de 51 competencias, distribuidas en seis dominios. El nivel de experto se alcanza mediante estudios de máster y doctorado. La gestora enfermera tiene que desarrollar sus competencias al nivel de competente, muy competente y experto. El 96% de los integrantes del panel manifestó que para alcanzar el nivel de experto es necesario desarrollar estudios de máster o doctorado. El 60,78% de las competencias de la gestora enfermera de alta dirección debe ser desarrollada al nivel de experto mediante el desarrollo de estudios de máster, experto universitario y especialización universitaria, frente al 9,8% de la dirección logística y al 21,57% de las competencias requeridas para la dirección operativa. Para el nivel de competente serán necesarios estudios de experto, especialista universitario y formación continuada. Conclusiones: el modelo de competencias para la gestora enfermera en España se compone de 51 competencias, de las cuales ocho son básicas. De los resultados se evidencia el grado de desarrollo para cada competencia, y la formación requerida para alcanzar este grado

Objective: to identify the skills needed to play the role of Nurse Manager in Spain at each function level. Methodology: based on a bibliographic review conducted in specialized literature, a Delphi study was designed, structured into four rounds, in order to reach a consensus about the skills needed by the Nurse Manager. Results: a consensus was reached about 51 skills, classified into six domains. The level expert is achieved through master and doctorate courses. Nurse Managers must develop their skills at the following levels: Competent, Very Competent and Expert. Out of the panel members, 96% declared that in order to reach the expert level it is necessary to acquire master or doctorate degrees; 60.78% of the skills of the High Management Nurse Manager must be developed at Expert level, through Master, University Expert and University Specialty degrees, vs. 9.8% of logistical management and 21.57% of skills required for operational management. The Competent level requires Expert, University Specialist and Continuous Education degrees. Conclusions: the competency model for the Nurse Manager in Spain consists of 51 skills, including eight basic skills. The level of development for each skill is shown in results, as well as the training required to achieve said degree

Humanos , Rol de la Enfermera , Enfermeras Administradoras , Educación Continua en Enfermería/tendencias , Supervisión de Enfermería , Técnica Delfos , Consenso , Administración Sanitaria