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1.
PLoS One ; 16(10): e0258815, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34669741

RESUMO

Rigorous healthcare design research is critical to inform design decisions that improve human experience. Current limitations in the field include a lack of consistent and valid measures that provide feedback about the role of the built environment in producing desirable outcomes. Research findings about nurses' efficiency, quality of care, and satisfaction related to inpatient unit designs have been mixed, and there was previously no validated instrument available to quantitatively measure nurses' ability to work efficiently and effectively in their environment. The objective of this study was to develop, refine, and validate a survey instrument to measure affordance of the care environment to nurse practice, based on various aspects of their work in inpatient units. The HDR Clinical Activities Related to the Environment (CARE) Scale Inpatient Version was developed using item design, refinement, and reliability and validity testing. Psychometric methods from classical test theory and item response theory, along with statistical analyses involving correlations and factor analysis, and thematic summaries of qualitative data were conducted. The four-phase process included (1) an initial pilot study, (2) a content validation survey, (3) cognitive interviews, and (4) a final pilot study. Results from the first three phases of analysis were combined to inform survey scale revisions before the second pilot survey, such as a reduction in the number and rewording of response options, and refinement of scale items. The updated 9-item scale showed excellent internal consistency and improved response distribution and discrimination. The factor analysis revealed a unidimensional measure of nurse practice, as well as potential subscales related to integration, efficiency, and patient care. Within the healthcare design industry, this scale is much needed to generate quantitative and standardized data and will facilitate greater understanding about the aspects of an inpatient healthcare facility that best support nurses' ability to provide quality patient care.


Assuntos
Cuidados de Enfermagem/normas , Satisfação do Paciente/estatística & dados numéricos , Psicometria/métodos , Adulto , Análise Fatorial , Feminino , Instalações de Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Pacientes Internados , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Inquéritos e Questionários
4.
MCN Am J Matern Child Nurs ; 46(6): 346-351, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34334658

RESUMO

BACKGROUND: Feeding difficulty is the most common cause of delayed hospital discharge and readmission of late preterm infants. Frequent and adequate feedings from birth are protective against dehydration, hypoglycemia, and jaundice. The National Perinatal Association's feeding guidelines provide the foundation for late preterm infant standards of care. Feeding at least every 3 hours promotes nutritional status and neurologic development. One feeding assessment every 12 hours during the hospital stay can ensure quality of infant feeding. PROBLEM: At a large urban hospital, medical record reviews were completed to evaluate nursing care practices consistent with the hospital's late preterm infant care standard policy. Feeding frequency and nurse assessment of feeding effectiveness were far below acceptable targets. A quality improvement team was formed to address inconsistency with expected practice. METHODS: The project included an investigation using the define, design, implement, and sustain method of quality improvement. Parent education, nurse education, and visual cues were developed to sustain enhanced nursing practice. RESULTS: Late preterm infants who received feedings at least every 3 hours increased from 2.5% (1 of 40) to 27% (11 of 40); (M = 0.275, SD = 0.446), p = 0.001. Documented breastfeeding assessments increased from 2% (5 of 264) to 8% (10 of 126), p = 0.001. Documented bottle-feeding assessments increased from 15% (39 of 264) to 31% (53 of 172), p < 0.001. Intervention time was cut short due to reprioritization of efforts in response to the COVID-19 pandemic. CONCLUSION: Interventions and implementation of this process improvement is easy to replicate through attainable and sustainable goals directed toward improved outcomes for late preterm infants.


Assuntos
Aleitamento Materno , Métodos de Alimentação/efeitos adversos , Conhecimentos, Atitudes e Prática em Saúde , Cuidado do Lactente/métodos , Recém-Nascido Prematuro , Mães/educação , Cuidados de Enfermagem/normas , Melhoria de Qualidade , Feminino , Idade Gestacional , Hospitais , Humanos , Recém-Nascido , Pandemias
5.
J Correct Health Care ; 27(2): 89-102, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34232781

RESUMO

During a pandemic, basic public health precautions must be taken across settings and populations. However, confinement conditions change what can be done in correctional settings. Correctional nursing (CN) care, like all nursing care, needs to be named and encoded to be recognized and used to generate data that will advance the discipline and maintain standards of care. The Omaha System is a standardized interprofessional terminology that has been used since 1992 to guide and document care. In 2019, a collaboration between the newly formed American Correctional Nurses Association and the Omaha System Community of Practice began a joint effort with other stakeholders aimed at encoding evidence-based pandemic response interventions used in CN. The resulting guidelines are included and illustrated with examples from CN practice.


Assuntos
COVID-19/enfermagem , Estabelecimentos Correcionais/normas , Documentação/normas , Enfermeiras e Enfermeiros/normas , COVID-19/epidemiologia , Humanos , Enfermeiras e Enfermeiros/organização & administração , Cuidados de Enfermagem/normas , Guias de Prática Clínica como Assunto , SARS-CoV-2 , Estados Unidos/epidemiologia
7.
Rev Gaucha Enferm ; 42(spe): e20200391, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34161547

RESUMO

OBJECTIVE: To build and validate the contents of a bundle for the care of newborn children of mothers with suspected or confirmed diagnosis of COVID-19 in the delivery room and in the rooming-in care. METHOD: Methodological research, developed in 2020 in three stages: bibliographic survey, construction of the instrument in Google Forms® and content validation by seven judges. The initial instrument consisted of seven nursing care. The content validity index above 80% was used to assess the agreement between the judges. RESULTS: All items in the bundle reached agreement among judges above 80% after the third round of evaluation. The final version consisted of six items. CONCLUSION: This study allowed the construction and content validation of the proposed bundle. The content proved to be valid and may contribute to the quality of nursing care in the face of the care of these newborns.


Assuntos
COVID-19/diagnóstico , Cuidado do Lactente/métodos , Mães , Cuidados de Enfermagem/métodos , Pacotes de Assistência ao Paciente/métodos , Complicações Infecciosas na Gravidez/diagnóstico , Feminino , Humanos , Cuidado do Lactente/normas , Recém-Nascido , Cuidados de Enfermagem/normas , Parto , Pacotes de Assistência ao Paciente/normas , Gravidez
8.
Indian J Med Ethics ; VI(1): 1-6, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34081001

RESUMO

The Covid-19 pandemic has dominated people's lives since late 2019, for more than nine months now. Healthcare resources and medicine have been completely consumed by the Covid 19 illness globally. This is a particularly difficult time for health systems because of the onerous responsibility to care for large numbers of sick people, protecting populations from contracting the infection by effective quarantine, isolation, and containment measures. In addition to this burden of work, healthcare providers are also overcome by fear of contracting the infection and transmitting it to their loved ones. It is during such difficult times that the integrity of healthcare providers is challenged. In this paper I will describe some challenges that a healthcare provider in a typical low resource setting faces during this pandemic time, and will propose the idea of "flexible adamancy" to address these challenges to the health system's integrity.


Assuntos
COVID-19/enfermagem , COVID-19/psicologia , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Obrigações Morais , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/normas , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Pandemias/ética , Pandemias/prevenção & controle , Guias de Prática Clínica como Assunto , Quarentena/ética , SARS-CoV-2
10.
Nurs Adm Q ; 45(3): 234-242, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34060506

RESUMO

The COVID-19 pandemic hit southeast Michigan hard and a rapid influx of patients forced Beaumont Health to shift rapidly into an emergency management model with a laser focus on transforming clinical care and administrative processes to meet complex patient care needs. Navigating this landscape required agility, surge planning, strong interprofessional teams, transformational leadership, nurse-led innovations, support, and transparency to manage the ever-changing environment. This article explains nursing's response and nurse-led innovations that were implemented to meet the needs of the community, patients, and staff, as well as lessons learned to ensure preparedness for any potential future surge.


Assuntos
Criatividade , Cuidados de Enfermagem/tendências , Pandemias/prevenção & controle , Prática Avançada de Enfermagem/estatística & dados numéricos , Humanos , Enfermeiras Administradoras/tendências , Cuidados de Enfermagem/métodos , Cuidados de Enfermagem/normas , Administração de Recursos Humanos/métodos , Administração de Recursos Humanos/estatística & dados numéricos
12.
Nurs Manag (Harrow) ; 28(3): 28-33, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33829713

RESUMO

Nursing-sensitive indicators (NSIs) are the criteria for changes in a person's health status that nursing care can directly affect, and they form the foundation for monitoring the quality of nursing care. For example, they can assist in establishing a common ground for benchmarking and in providing evidence of the cost-effectiveness of nursing care. However, despite the considerable influence of nursing interventions on the quality of healthcare, measuring the quality of nursing care and its effects on patient outcomes and healthcare systems remains challenging. There is also little consensus on what constitutes an NSI, resulting in inconsistent conceptualisations for measuring the quality of nursing care and the use of several different terms to describe indicators that are sensitive to nursing interventions. This article describes a literature review and concept analysis, which enabled the authors to develop a concept model for NSIs, with the intention of improving the concept of NSIs.


Assuntos
Cuidados de Enfermagem/normas , Indicadores de Qualidade em Assistência à Saúde/normas , Formação de Conceito , Humanos
13.
Enferm. glob ; 20(62): 129-175, abr. 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-202230

RESUMO

INTRODUCCIÓN: La satisfacción con los cuidados de enfermería en el ámbito del niño hospitalizado está poco estudiada. La investigación se ha centrado en predictores y componentes de la satisfacción, y es fundamental identificar estrategias que la promuevan. MATERIALES Y MÉTODO: Se realizó un estudio transversal, observacional y exploratorio-descriptivo. Tiene como objetivo identificar las estrategias descritas por las enfermeras que contribuyan a incrementar la satisfacción de los niños en edad escolar y sus padres con la hospitalización. El panel delphi se utilizó como técnica de recolección de datos, y como técnicas de análisis de datos análisis de contenido (en la ronda 1) y estadística descriptiva (ronda 2). El estudio se aplicó entre noviembre de 2018 y febrero de 2019 a una muestra de 90 enfermeras pertenecientes a 6 instituciones de salud, después de obtener una validación positiva de los respectivos comités de ética. RESULTADOS: Se obtuvo una tasa de respuesta del 52% (n = 47) en la ronda 1 y del 47% (n = 42) en la ronda 2. Se identificaron, en la ronda 1, en consenso en la ronda 2, 13 estrategias en relación con los niños que se dirigen principalmente a la transmisión de información, la participación familiar, el juego y el alivio del dolor. En cuanto a los padres, se identificaron 12 estrategias por consenso en la ronda 2. DISCUSIÓN: La implicación familiar y la transmisión de información son áreas de intervención identificadas en ambos grupos. CONCLUSIÓN: Fue posible investigar intervenciones de enfermería que pudieran promover un aumento en la satisfacción de niños y padres, enfocadas principalmente en la información y el apoyo y la participación familiar


INTRODUCTION: Satisfaction with nursing care in the area of hospitalized children is poorly studied. The investigation has been focused on satisfaction predictors and components therefore it is essential to identify strategies that promote satisfaction. MATERIALS AND METHOD: A cross-sectional, observational and exploratory-descriptive study was carried out. It aims to identify the strategies described by nurses that contribute to increasing the satisfaction of school aged children and their parents with hospitalization. The delphi panel was used as a data collection technique and, as data analysis techniques, content analysis (in round 1) and descriptive statistics (round 2) were used. The study was applied between November 2018 and February 2019 to a sample of 90 nurses from 6 health institutions, after obtaining a positive feedback from the respective ethics commissions. RESULTS: A response rate of 52% (n = 47) was obtained in round 1 and 47% (n = 42) in round 2. In round 1, 13 strategies were identified in relation to children, which reached consensus in round 2, being mainly directed to the transmission of information, family involvement, play and pain relief. Regarding parents, 12 strategies were identified by consensus in round 2. DISCUSSION: Family involvement and the transmission of information are areas of intervention that have been identified in both groups. CONCLUSION: It was possible to determine nursing interventions that could promote an increase in the satisfaction of children and parents, focused primarily on information and family support and involvement


INTRODUÇÃO: A satisfação com cuidados de enfermagem, na área da criança hospitalizada, é pouco estudada. A investigação centra-se nos preditores e componentes da satisfação sendo essencial a identificação de estratégias que a promovam. Materiais e método: Efetivou-se um estudo de tipo transversal, observacional e exploratório-descritivo. Tem como objetivo identificar as estratégias descritas pelos enfermeiros que contribuem para o aumento da satisfação da criança em idade escolar e dos seus pais com a hospitalização. Utilizou-se enquanto técnica de recolha de dados o painel delphi e, como técnica de analise de dados, a análise de conteúdo (na ronda 1) e a estatística descritiva (ronda 2). O estudo foi aplicado entre novembro de 2018 e fevereiro de 2019 a uma amostra de 90 enfermeiros pertencentes a 6 instituições de saúde, após obtenção de parecer positivo das respetivas comissões de ética. RESULTADOS: Obteve-se uma taxa de reposta de 52% (n=47) na ronda 1 e de 47% (n=42) na ronda 2. Foram identificadas, na ronda 1, e que obtiveram consenso na ronda 2, 13 estratégias em relação às crianças sendo principalmente direcionadas à transmissão de informação, envolvimento familiar, brincar e alívio da dor. Em relação aos pais foram identificadas com consenso 12 estratégias na ronda 2. DISCUSSÃO: O envolvimento familiar e a transmissão da informação são áreas de intervenção que foram identificadas em ambos os grupos. CONCLUSÃO: Foi possível apurar intervenções de enfermagem passíveis de promover um aumento da satisfação das crianças e pais, focadas fundamentalmente na informação e no suporte e envolvimento familiar


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Cuidados de Enfermagem/normas , Criança Hospitalizada/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Criança Hospitalizada/psicologia , Estudos Transversais , Técnica Delfos , Consenso , Apoio Social
14.
J Wound Ostomy Continence Nurs ; 48(2): 137-147, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33690248

RESUMO

PURPOSE: This article is an executive summary of Italian guidelines for nursing management of enteral and urinary ostomies in adults. METHODS: Scoping review and generation of evidence and consensus-based clinical guidelines. SEARCH STRATEGY: The Multidisciplinary Italian Study group for STOmas (MISSTO) was founded in 2018. This group created guidelines for management of enteral and urinary ostomies in adults based on a scoping review of the literature. The research included previous guidelines, systematic reviews, meta-analyses, randomized clinical trials, cohort studies, and case reports. Five main topics were identified: "stoma preparation," "stoma creation," "stoma complications," "stoma care," and "stoma reversal" (for enteral stomas)." All the studies were evaluated according to the GRADE system and AGREE II tool. Recommendations were elaborated in the form of statements, with an established grade of recommendation for each statement. For low levels of scientific evidence statements, a consensus conference composed of expert members of the major Italian scientific societies in the field of stoma management and care discussed, corrected, validated, or eliminated the statements. A final version of the guidelines with definitive recommendations was elaborated and prepared for publication. FINDINGS/CONCLUSIONS: This document represents the first Italian guidelines on enteral and urinary stoma management to assist nurses caring for persons with an enteral or urinary ostomy.


Assuntos
Colostomia , Ileostomia , Cuidados de Enfermagem/normas , Estomia , Guias de Prática Clínica como Assunto , Estomas Cirúrgicos , Adulto , Colostomia/enfermagem , Consenso , Humanos , Ileostomia/enfermagem , Itália , Estomia/enfermagem
15.
J Environ Public Health ; 2021: 1315734, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33777150

RESUMO

Background: Nursing managers have a critical role at the hospitals. The current study aims to investigate different experiences of nursing managers. Method: This is a qualitative study that investigates the experiences of 11 nursing managers in Shiraz, Iran. Semistructured interviews and thematic analysis were, respectively, applied for data collection and analysis. Results: It could be found from the current investigation that nursing managers have a critical role at the hospitals, and their creativities have more impacts on procedures compared to organizational orders. There are four major challenges faced by nursing managers including nursing shortage, structural deficiencies, lack of authorities, and burnout. Although shortage is considered as the most important challenge, there are more emphasizes on the improvement of their controlling power in order to prevent their fatigue and burnout. Conclusion: This study showed that creativity of nursing managers is the most important factor of system management; also, shortage and deficiencies are recognized as the most significant challenges faced by them. According to the current study, the shortage of nursing staff is the central issue that has to be considered.


Assuntos
Enfermeiras Administradoras/normas , Enfermagem/organização & administração , Hospitais/estatística & dados numéricos , Humanos , Irã (Geográfico) , Enfermeiras Administradoras/estatística & dados numéricos , Enfermagem/normas , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/normas , Pesquisa Qualitativa
17.
Am J Nurs ; 121(4): 22, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33755619

RESUMO

Ansuvimab-zykl (Ebanga), a human monoclonal antibody, has been approved to treat Zaire ebolavirus (Ebolavirus) infection.The most common adverse effects of the drug are fever, tachycardia, diarrhea, vomiting, hypotension, tachypnea, and chills; these are also common symptoms of Ebolavirus infection.


Assuntos
Anticorpos Monoclonais Humanizados/uso terapêutico , Aprovação de Drogas , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/enfermagem , Ebolavirus/efeitos dos fármacos , Doença pelo Vírus Ebola/tratamento farmacológico , Fatores Imunológicos/uso terapêutico , Cuidados de Enfermagem/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Estados Unidos , United States Food and Drug Administration
18.
Am J Nurs ; 121(4): 65-68, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33755634

RESUMO

This article is one in a series in which contributing authors discuss how the United Nations (UN) Sustainable Development Goals (SDGs) are linked to everyday clinical issues; national public health emergencies; and other nursing issues, such as leadership, shared governance, and advocacy. The 2030 Agenda for Sustainable Development, a 15-year plan of action to achieve the goals, was unanimously adopted by all UN member states in September 2015 and took effect on January 1, 2016. The Agenda consists of 17 SDGs addressing social, economic, and environmental determinants of health and 169 associated targets focused on five themes: people, planet, peace, prosperity, and partnership. The SDGs build on the work of the UN Millennium Development Goals, which were in effect from 2000 to 2015. The current article highlights SDGs 5 (gender equality), 8 (decent work and economic growth), and 17 (partnerships for the goals), along with the advocacy of these goals by Sigma Theta Tau International Honor Society of Nursing in the UN system.


Assuntos
Equidade de Gênero , Saúde Global/normas , Guias como Assunto , Cuidados de Enfermagem/normas , Objetivos Organizacionais , Saúde Pública/normas , Desenvolvimento Sustentável , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nações Unidas
19.
Rev Bras Enferm ; 74Suppl 5(Suppl 5): e20190694, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33759944

RESUMO

OBJECTIVES: Validate script and storyboard of a video for educational intervention on nursing care for the prevention and management of syphilis. METHODS: Methodological design study, with quantitative analysis approach. The content and appearance of the educational video script and storyboard was validated by a committee of experts on the subject and video. They were considered validated from the agreement of 78%, calculated by means of the Content Validity Index. RESULTS: There were suggestions, which were analyzed; and, where relevant, the script and storyboard were changed. The degree of agreement among the expert judges on the subject obtained a Content Validity Index (CVI) of 100%, while, with the technical experts in video, all the questions in the educational material obtained the percentage above the recommended minimum of 78%. CONCLUSION: The validated video is an important technological production and could be used in the context of health care.


Assuntos
Educação Continuada em Enfermagem/métodos , Tecnologia Educacional , Cuidados de Enfermagem/normas , Sífilis/prevenção & controle , Gravação em Vídeo/normas , Humanos , Reprodutibilidade dos Testes
20.
Holist Nurs Pract ; 35(3): 115-122, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33741757

RESUMO

Achieving error-free health care is critically vital and includes freedom from the occurrence of medication errors, which, as yet, is an unrealized goal in the United States. The purpose of this study was to minimize or potentially eliminate medication errors by adding training in mindfulness thinking to the current system protocol. The goal of this quantitative, quasi-experimental study was to determine whether training nurses in mindfulness thinking founded on the Dossey Integral Theory changed the frequency and severity of medication administration errors. Data analysis included the following steps: recording of data using the NCC MERP (National Coordinating Council for Medication Error Reporting) instrument, statistical analysis using paired t test, and a logistical interpretation of descriptive statistics. An error reduction of 73.3% between pre- and posttraining mean for the experimental group was observed. This study may add to the limited body of research related to mindfulness and the resultant reduction in medication errors.


Assuntos
Erros de Medicação/prevenção & controle , Atenção Plena/métodos , Cuidados de Enfermagem/normas , Humanos , Erros de Medicação/psicologia , Cuidados de Enfermagem/psicologia , Estados Unidos
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