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1.
Rev Infirm ; 68(255): 47-48, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31757333
2.
Medicine (Baltimore) ; 98(48): e18132, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31770247

RESUMO

BACKGROUND: This study will explore the effects of high-quality nursing care (HQNC) for patients with lung cancer (LC) during the perioperative period (PPP). METHODS: A literature search will be performed at Cochrane Library, MEDLINE, EMBASE, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure since its inception until October 1, 2019. All electronic databases will be searched with no restrictions of language and publication status. Two authors will perform study selection, data collection, and study quality assessment, respectively. We will use RevMan 5.3 software for statistical analysis. RESULTS: This study will summarize the latest evidence on assessing the depression, anxiety, quality of life, and adverse events of HQNC in patients with LC during PPP. CONCLUSION: The results of this study may provide helpful evidence of HQNC on psychological effects in patients with LC during PPP. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42019155982.


Assuntos
Neoplasias Pulmonares/enfermagem , Cuidados de Enfermagem/normas , Assistência Perioperatória/enfermagem , Assistência Perioperatória/psicologia , Qualidade da Assistência à Saúde , Ansiedade/etiologia , Depressão/etiologia , Humanos , Neoplasias Pulmonares/psicologia , Neoplasias Pulmonares/cirurgia , Cuidados de Enfermagem/métodos , Cuidados de Enfermagem/psicologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisão Sistemática como Assunto
3.
J Nurs Adm ; 49(11): 520-522, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651609

RESUMO

The American Nurses Credentialing Center's Magnet Recognition Program 2019 Magnet Application Manual "continue(s) to raise the bar as the gold standard for nursing" (p. IX). In this column, the authors, who are Magnet commissioners, provide background and guidance on the standards for nurse satisfaction and patient satisfaction.


Assuntos
Satisfação no Emprego , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/normas , Satisfação do Paciente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Estados Unidos
4.
J Nurs Adm ; 49(11): 531-537, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651612

RESUMO

OBJECTIVE: This study explored the relationships between nurse-sensitive structures, processes (work engagement [WE], frequency of fall risk discussion during report, and frequency of purposeful rounds), and patient falls. BACKGROUND: Strong WE is associated with better nurse-assessed quality of care, but previous research is limited by self-reported outcome measures. METHODS: We used a descriptive, cross-sectional, survey design with 41 nursing units from 7 hospitals. Nurses completed a survey including the Utrecht Work Engagement Scale. National Database of Nursing Quality Indicators reports provided falls data. RESULTS: WE was not related to patient falls, even after controlling for RN staffing and skill mix. The nursing units that had more nurses performing frequent purposeful rounds experienced greater falls with injury. Highly engaged nurses participated more in purposeful rounding and discussion of fall risk during bedside report than less engaged nurses. CONCLUSIONS: Further research is needed to understand the impact of WE on patient outcomes.


Assuntos
Acidentes por Quedas/prevenção & controle , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Guias de Prática Clínica como Assunto , Gestão da Segurança/normas , Local de Trabalho/normas , Adulto , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade
7.
Medicine (Baltimore) ; 98(41): e17351, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31593085

RESUMO

BACKGROUND: This study will assess the effects of high quality nursing care (HQNC) on psychological outcomes (PCO) in patients with chronic heart failure (CHF). METHODS: We will carry out a through search in 7 databases: PUBMED, EMBASE, Cochrane Library, Web of Science, Chinese Biomedical Literature Database, WANGFANG, and China National Knowledge Infrastructure. Eligibility criteria will be randomized controlled trials on assessing effects of HQNC on PCO in patients with CHF. Cochrane risk of bias evaluation will be utilized for methodological quality. RESULTS: This proposed study will summarize a rational synthesis of current evidence for HQNC on PCO in patients with CHF. CONCLUSION: The results of this study will provide convinced evidence for judging the effects of HQNC on PCO in patients with CHF.


Assuntos
Insuficiência Cardíaca/enfermagem , Insuficiência Cardíaca/psicologia , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/normas , Qualidade da Assistência à Saúde , Adulto , Idoso , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Projetos de Pesquisa , Revisão Sistemática como Assunto
8.
J Nurs Adm ; 49(10): 455-456, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517751

RESUMO

In this month's Magnet Perspectives column, the director of the Magnet Recognition Program highlights the program staff and leadership at ANCC responsible for the Magnet Program.


Assuntos
Competência Clínica/normas , Enfermeiras Administradoras/normas , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/normas , Adulto , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Estados Unidos
9.
J Nurs Adm ; 49(10): 503-508, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517758

RESUMO

OBJECTIVE: To examine changes in new nurses' competencies across the 1st year of practice. BACKGROUND: Competency assessment is a challenge for nurse residency programs and often focuses on skills checklists and confidence self-reports. The Appraisal of Nursing Practice, an observational rating based on Quality and Safety in Nursing Education standards, was developed to help evaluate an RN residency program. METHODS: Preceptors, nurse educators, and/or unit managers from various units rated new nurse residents. Ratings were compared for 353 nurses at 3 points: within the 1st month in the program (T1), at 5 months (T2), and at month 11 (T3). RESULTS: Competency ratings increased significantly for all subscales from T1 to T2. Ratings continued to increase significantly from T2 to T3, although at a slightly slower rate. Teamwork and evidence-based practice increased the most. CONCLUSIONS: Future studies should explore factors affecting the trajectory in developing nursing competencies within various settings.


Assuntos
Competência Clínica/normas , Avaliação de Desempenho Profissional/normas , Guias como Assunto , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Estados Unidos
10.
Shanghai Kou Qiang Yi Xue ; 28(3): 325-329, 2019 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-31489425

RESUMO

PURPOSE: To study the effect of quality control circle activity on improving nursing quality of patients with periodontitis. METHODS: One hundred and twenty patients with periodontitis admitted to our hospital from January 2016 to December 2017 were selected and divided into experimental group and control group according to the principle of random control, with 60 patients in each group. Patients in both groups received supragingival scaling, subgingival scaling and related symptomatic treatment, patients in the experimental group conducted nursing under the guidance of quality control circle, while patients in the control group received routine nursing. Satisfaction degree, therapeutic effect and gingival index, probe depth, gingival sulcus bleeding index, plaque index and periodontal attachment levels were recorded and compared between the two groups using SPSS 19.0 software package. RESULTS: After quality control circle to guide nursing, the patients' satisfaction (P=0.003) and the total effective rate of treatment was significantly higher than the control group(P=0.002), the incidence of oral health problems in the experimental group was significantly lower than the control group(P=0.037), PD, GI, SBI, PLI and AL levels in the experimental group were significantly lower than the control group(P=0.000). In addition to the tangible achievements,intangible results, such as quality control circles harmonious degree of nursing, sense of responsibility, communication, and problem solving ability, cohesion and quality control methods are improved distinctly in the experimental group. CONCLUSIONS: Quality control circle activity can improve nursing quality of patients with periodontitis.


Assuntos
Cuidados de Enfermagem , Periodontite , Controle de Qualidade , Índice de Placa Dentária , Raspagem Dentária , Humanos , Cuidados de Enfermagem/normas , Índice Periodontal , Periodontite/enfermagem
11.
Rev Esc Enferm USP ; 53: e03470, 2019 Aug 19.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31433012

RESUMO

OBJECTIVE: To evaluate the frequency and reasons for missed nursing care and to verify whether the reasons for omission differ between professional categories. METHOD: A quantitative and cross-sectional study carried out in the adult hospitalization units of a public hospital of a teaching institution. Data collection was performed from February to April 2017, through a personal and professional characterization form and the MISSCARE-BRASIL instrument. RESULTS: Fifty-eight (58) nursing professionals responsible for direct patient care participated in the study, of which 74.1% reported at least one missed nursing care activity during the work shift. The main reasons attributed to missed care situations were an inadequate amount of professionals, urgent situations with the patients during the work shift, and the non-availability of medicine, materials or equipment when necessary. CONCLUSION: Most care was "always" or "often" performed, and the reasons given for missed care are related to work resources, materials, and management style. Nurses differ from the technicians as to the reasons for not performing care.


Assuntos
Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/normas , Qualidade da Assistência à Saúde , Adulto , Brasil , Estudos Transversais , Feminino , Hospitais Públicos , Humanos , Masculino
12.
J Clin Nurs ; 28(21-22): 3734-3746, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31342576

RESUMO

AIM: To describe the nature of care received by patients measured through the Caring Behaviours Inventory. BACKGROUND: Professional nursing practice combines two dimensions of caring: instrumental care and expressive care. Instrumental care focuses on physical health needs, in terms of efficiency and employs interventions based on evidence. Expressive care is patient-centred and based on the interpersonal relationship. It requires caring attitudes that include respect, kindness, sensitivity and patience. The Caring Behaviours Inventory is a tool designed to assess the care expressed through the behaviours nurses perform, contextualised within the Jean Watson's Theory of Human Caring. METHODS: A systematic review following PRISMA recommendations. Scopus, PubMed and CINAHL databases were consulted using the keywords "Caring Behaviours Inventory" AND "Nursing". The Joanna Briggs Institute tool was used for the quality appraisal. A conceptual analysis and a thematic synthesis were performed for data extraction. RESULTS: 11 articles were selected. Three categories were identified: nature of caring, congruence between perceived care by patients and nurses, and factors associated with the expression of care. DISCUSSION: An emphasis on care of an instrumental nature was identified. The perception of patients differs from that of nurses, patients perceive a lower level of expressive caring than the one nurses believe to deliver. Caring behaviours are affected by the working environment, nurses' emotional intelligence and coping skills, and socio-demographic characteristics. CONCLUSION: This paper described the findings of previous research regarding the nature of care that is transmitted and received in clinical practice. Results highlight an emphasis on the instrumental aspect of the nursing care according to the patients' perception. RELEVANCE TO CLINICAL PRACTICE: Findings summarised in this review could contribute to a better understanding of the nursing care. Results reported in this paper could also help to improve the quality of care delivered by nurses as well as patient-centeredness.


Assuntos
Atitude do Pessoal de Saúde , Cuidados de Enfermagem/normas , Competência Clínica , Empatia , Feminino , Humanos , Masculino , Pesquisa Metodológica em Enfermagem/métodos , Assistência Centrada no Paciente/métodos
14.
J Nurs Adm ; 49(7-8): 384-388, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318729

RESUMO

The nursing peer-review process is an effective and underutilized method to enhance nurse accountability and ownership of patient care and nursing practice. This article describes how 1 hospital created a clinical nurse-driven, nonpunitive, peer case review structure and mentorship processes. This innovative structure provides a framework to support nurses through shared governance and supports organizational efforts including Magnet® and Just Culture initiatives.


Assuntos
Tutoria , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/organização & administração , Revisão por Pares , Responsabilidade Social , Humanos , Papel do Profissional de Enfermagem , Cultura Organizacional , Inovação Organizacional
16.
Rev Bras Enferm ; 72(3): 663-670, 2019 06 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269130

RESUMO

OBJECTIVE: to analyze the self-reported knowledge of professors in the use of feedback in the teaching of nursing practice; train professors to use this process; and evaluate the results of this training. METHOD: a qualitative study of research-action type. The focus group technique was used with seven collaborators of a nursing technical school. For content analysis, the Bardin framework was used and, for intervention, the Problematization Methodology supported by Pendleton's Rules. RESULTS: most present in their curricula training to teach. It is pointed out that feedback is a simple and essential assessment tool, although universal discourse does not express the exact dimension of feedback potentialities. The intervention was effective to solidify feedback. FINAL CONSIDERATION: this study shows that feedback should be disseminated and consolidated among the teaching staff of nursing technical education [corrected].


Assuntos
Retroalimentação , Cuidados de Enfermagem/normas , Adulto , Feminino , Grupos Focais/métodos , Humanos , Cuidados de Enfermagem/métodos , Psicometria/instrumentação , Psicometria/métodos , Pesquisa Qualitativa , Inquéritos e Questionários
17.
J Addict Nurs ; 30(2): 101-107, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162213

RESUMO

The experience and meaning attributed to care by nurses and received by nine persons who inject drugs during a healthcare encounter in the acute care medical setting was examined. A descriptive case study approach using an interpersonal nursing model served as the theoretic framework. Four overarching themes were discovered: marginalization, defensiveness, repeated victimization, and understanding addiction. Findings suggest that role support, application of an interpersonal nursing theory, and implementations of addiction-trained healthcare teams were missing from the hospital experience of persons who inject drugs. However, when the nurse connected with the patient who injects drugs on an interpersonal level, positive outcomes followed.


Assuntos
Atitude Frente a Saúde , Cuidados de Enfermagem/psicologia , Abuso de Substâncias por Via Intravenosa/psicologia , Adulto , Vítimas de Crime/psicologia , Mecanismos de Defesa , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/normas , Satisfação do Paciente , Percepção , Autocuidado , Autoimagem , Marginalização Social/psicologia , Estereotipagem , Abuso de Substâncias por Via Intravenosa/enfermagem , Tempo para o Tratamento , Confiança , Adulto Jovem
19.
Am J Nurs ; 119(7): 64-67, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31232783

RESUMO

Nurses have a duty of reasonable care for patients they care for-and in other circumstances, too.


Assuntos
Imperícia/legislação & jurisprudência , Cuidados de Enfermagem/normas , Relações Profissional-Paciente , Humanos , Papel do Profissional de Enfermagem
20.
Am J Nurs ; 119(6): 26-35, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31135428

RESUMO

: Sickle cell disease (SCD) is an autosomal recessive genetic condition that alters the shape and function of the hemoglobin molecule in red blood cells. While the overall survival rate among children with SCD has improved in recent years, pediatric rates of hospitalization, ED use, and mortality from complications of SCD remain high. Among patients ages 18 and older, hospital admission and ED usage are even greater-and the median age at death of people with SCD is considerably lower than that of the general population. Nurses who care for patients with SCD have an opportunity to improve health outcomes and quality of life for these patients by recognizing the major SCD-associated complications and providing patients and their caregivers with appropriate educational information. The authors discuss the genetic, hematologic, and clinical features of SCD and describe the major associated health complications. In addition, they review the nursing implications of each complication and provide online links to resources for clinicians, patients, and caregivers.


Assuntos
Anemia Falciforme/complicações , Anemia Falciforme/enfermagem , Anemia Falciforme/fisiopatologia , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/educação , Guias de Prática Clínica como Assunto , Adulto , Currículo , Educação Continuada em Enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
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