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2.
J Patient Exp ; 8: 23743735211065269, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34901412

RESUMO

Interdisciplinary rounding on hospital inpatients is an integral part of providing high-quality, safe patient care. As orthopedic groups have grown and geographic coverage increased, surgeons are challenged to make in-person rounds on their patients every day given time constraints and physical distances. Virtual technology is being used in multiple healthcare settings to provide patients with the opportunity to connect with health care professionals when in-person options are not available. The purpose of this study was to explore the patient experience of virtual inpatient rounding. Using digital communication technology, virtual rounds were conducted by having the surgeon connect via their mobile device or laptop to the nursing unit's communication tablet. Twenty-seven patient interviews were digitally recorded and qualitatively analyzed. Results demonstrated that virtual rounds provided a positive patient experience for many. Most patients felt that virtual rounds were a good alternative when in-person rounds are not possible. Dissatisfaction was related to feeling "rushed" by the surgeon. This feedback can be used to better prepare patients and providers for virtual rounds and to enhance virtual technologies.

3.
Clin Nurse Spec ; 35(6): 284-287, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34606206
5.
J Nurs Manag ; 29(7): 2243-2249, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34053149

RESUMO

AIM: To identify factors that facilitate participation in shared governance and attendance at unit meetings. BACKGROUND: Shared governance and unit meetings are crucial for education and communication. Current literature explores barriers to participation and attendance; however, removal of barriers may be insufficient to bring about behaviour change in nurses. METHOD: Secondary analysis of data from 511 clinical nurses, who worked at one of nine facilities within one large health care system in the Midwest United States, was used to address our aim. RESULTS: Shared governance participants and unit meeting attendees were most satisfied with nursing as a career and more likely to be optimistic that nurses could change things, than non-participants and non-attendees, and this difference was statistically significant (p < .05). The organizational variable most associated with participation and attendance dealt with paid time-off to attend meetings. Personal reasons for participation and attendance were the opportunity to express opinions and to hear opinions of others. CONCLUSION: Organizations should encourage nurses to express their opinions and ensure that nurses are paid for the time spent participating in meetings. IMPLICATIONS FOR NURSING MANAGEMENT: While some variables cannot be controlled by organizations, nursing leadership can provide opportunities for nurses to become more active and participate in decision-making.


Assuntos
Liderança , Enfermeiras e Enfermeiros , Comunicação , Atenção à Saúde , Humanos , Salários e Benefícios , Estados Unidos
7.
Complement Ther Clin Pract ; 43: 101327, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33550192

RESUMO

BACKGROUND AND PURPOSE: Use of CAT has increased in the past decade. However, it is unclear if this has impacted nursing practice. The purpose of this study was to explore CAT use and beliefs of academic and clinical nurses. MATERIALS AND METHODS: A cross-sectional design using an electronic survey was sent to 1000 clinical and academic nurses in the US. RESULTS: Academic and clinical nurses were more alike than different, and of the contextual factors that impacted CAT use, lack of knowledge was most cited. Faculty were most likely to teach that which they were knowledgeable about and nurses were most likely to use what was taught in school. CONCLUSIONS: There is a need for a standardized CAT curriculum for schools of nursing in the US to facilitate knowledge and use of CAT, but to also train nurse scientists who can develop the clinical research needed to support practice decisions.


Assuntos
Terapias Complementares , Currículo , Estudos Transversais , Escolaridade , Humanos , Inquéritos e Questionários
9.
15.
Appl Nurs Res ; 49: 1-4, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31495412

RESUMO

OBJECTIVE: To determine if enhancements developed to support the use of an electronic Early Warning System (EWS) resulted in quicker stabilization of clinical deterioration. BACKGROUND: Early Warning Systems are effective for alerting nurses to patient deterioration, but have not demonstrated positive clinical impact. An EWS embedded within an electronic medical record (EMR) was enhanced with tools to support nurses' ability to recognize and intervene in a timely manner for signs of deterioration. METHODS: A comparative design using retrospective EMR review evaluated time patients spent with higher risk EWS scores and time to reassessment after an EWS alert pre-and post-implementation of an enhanced EWS. RESULTS: There was a significant (p < .001) decrease in time patients spent with higher risk EWS scores and time to reassessment following an EWS alert after implementing an enhanced EWS. CONCLUSION: Technology can be leveraged to support nursing practice and clinical decision making around management of clinical deterioration.


Assuntos
Deterioração Clínica , Unidades Hospitalares , Invenções , Recursos Humanos de Enfermagem no Hospital/psicologia , Tomada de Decisões , Grupos Diagnósticos Relacionados , Escore de Alerta Precoce , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
18.
J Adv Nurs ; 74(5): 1150-1156, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29288498

RESUMO

AIM: To determine how an enhanced early warning system has an impact on nursing practice. BACKGROUND: Early warning systems score physiologic measures and alert nurses to subtle changes in patient condition. Critics of early warning systems have expressed concern that nurses would rely on a score rather than assessment skills and critical thinking to determine the need for intervention. Enhancing early warning systems with innovative technology is still in its infancy, so the impact of an enhanced early warning system on nursing behaviours or practice has not yet been studied. DESIGN: Phenomenological design. METHODS: Scripted, semistructured interviews were conducted in September 2015 with 25 medical/surgical nurses who used the enhanced early warning system. Data were analysed using thematic analysis techniques (coding and bracketing). Emerging themes were examined for relationships and a model describing the enhanced early warning system experience was developed. FINDINGS: Nurses identified awareness leading to investigation and ease of prioritization as the enhanced early warning system's most important impact on their nursing practice. There was also an impact on organizational culture, with nurses reporting improved communication, increased collaboration, increased accountability and proactive responses to early changes in patient condition. CONCLUSIONS: Rather than hinder critical thinking, as many early warning systems' critics claim, nurses in this study found that the enhanced early warning system increased their awareness of changes in a patient's condition, resulting in earlier response and reassessment times. It also had an impact on the organization by improving communication and collaboration and supporting a culture of proactive rather than reactive response to early signs of deterioration.


Assuntos
Atitude do Pessoal de Saúde , Alarmes Clínicos , Cuidados de Enfermagem/métodos , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Tomada de Decisões , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
20.
Am J Nurs ; 117(3): 48-54, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28230691

RESUMO

: Background: Nurses developing a poster presentation for the first time who look for guidance in the literature will find many articles offering recommendations on format and style, but these are based on opinion rather than evidence. PURPOSE: The purpose of this study was to identify the attributes of a poster that improved the chance that nursing conference attendees would read it. METHODS: A mixed-methods descriptive study employing survey methodology was used to assess the perceptions of nurses attending poster sessions at a two-day nursing conference. The survey consisted of basic demographic questions, 25 items asking respondents to identify and rate the importance of variables that influenced their decision to read a poster, and several open-ended questions. Both a qualitative and quantitative analysis of the responses was performed. RESULTS: The two major themes that emerged from the qualitative analysis were that poster-viewing decisions were based first on aesthetics and then on relevance. The quantitative analysis identified aesthetic characteristics that were most important to nurse viewers, including overall visual appeal, color, organization, and layout; viewers determined the relevance of a poster primarily by reading its title. CONCLUSIONS: To develop a poster that will attract an audience, nurse researchers should keep in mind the attributes that are important to their peers and colleagues. Conference attendees are more likely to read a poster if it's on a topic that interests them, is pleasing to the eye, and has a title that's easy to read.


Assuntos
Recursos Audiovisuais , Pesquisa em Enfermagem , Humanos , Pesquisa Qualitativa , Inquéritos e Questionários
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