RESUMO
This pilot study demonstrated the potential for virtual simulation in nursing education regarding chronic care management in community settings. Observations of faculty characteristics associated with the ability to effectively facilitate simulation experiences and debriefing sessions were consistent with prior studies.
Assuntos
Doença Crônica/enfermagem , Enfermagem em Saúde Comunitária/educação , Instrução por Computador/métodos , Currículo , Bacharelado em Enfermagem/métodos , Assistência de Longa Duração/métodos , Simulação de Paciente , Adulto , Competência Clínica , Feminino , Humanos , Masculino , Pesquisa em Educação em Enfermagem , Projetos Piloto , Estudantes de Enfermagem , Adulto JovemRESUMO
It is estimated that 1 in 10 older adults experience abuse, but only 1 in 5 to as little as 1 in 24 cases are reported. Elder abuse is expected to increase as the population ages. Nurses are in a prime position to identify, assess, manage, and prevent elder abuse. This article explores elder abuse and its prevalence, potential causes, and risk factors offering case studies, assessment tools, resources, and interventions.
Assuntos
Cristianismo , Abuso de Idosos/prevenção & controle , Enfermagem Geriátrica/métodos , Justiça Social , Idoso , Idoso de 80 Anos ou mais , Educação Continuada em Enfermagem , Abuso de Idosos/estatística & dados numéricos , Feminino , Humanos , Masculino , Prevalência , Fatores de RiscoRESUMO
OBJECTIVE: To develop a conceptual definition of quality of life (QoL) with a left ventricular assist device (LVAD). BACKGROUND: Conceptual and operational definitions of QoL with an LVAD are lacking. METHODS: A grounded theory method was used. Adult, outpatient LVAD recipients (n = 11) participated twice in individual or paired interviews. RESULTS: A conceptual definition of QoL while living with an LVAD was established as: "Being well enough to do and enjoy day-to-day activities that are important to me." Participants described 5 important life domains consistent with QoL literature: physical, emotional, social, cognitive, and spiritual/meaning. However, participants identified unique concerns not addressed by generic or heart failure disease specific measures typically used in the LVAD population. CONCLUSION: Existing generic and heart-failure specific QoL measures are not adequate for understanding QoL among LVAD patients. Cognition and spiritual/meaning domains were significant; these need inclusion for comprehensive QoL assessment in the LVAD population.
Assuntos
Coração Auxiliar , Qualidade de Vida , Atividades Cotidianas , Adulto , Idoso , Feminino , Insuficiência Cardíaca/terapia , Coração Auxiliar/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa QualitativaRESUMO
The Code of Ethics for Nurses gives a professional obligation to practice in a compassionate and respectful way that is unaffected by the attributes of the patient. This article explores the concept "made in the image of God" and the complexities inherent in caring for those perceived as exhibiting distorted images of God. While the Code provides a professional standard consistent with a biblical worldview, human nature impacts the ability to consistently act congruently with the Code. Strategies and nursing interventions that support development of practice from a biblical worldview and the Code of Ethics for Nurses are presented.