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2.
J Contin Educ Nurs ; 51(9): 399-401, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32833029

RESUMO

In light of the COVID-19 pandemic and uncertainties around risk of transmission, urgent hospital resuscitation (also known as "Code Blue") efforts are needed, pivoting to protect health care workers. This article provides teaching tips for "Protected Code Blues." [J Contin Educ Nurs. 2020;51(9):399-401.].


Assuntos
Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/enfermagem , Reanimação Cardiopulmonar/normas , Infecções por Coronavirus/enfermagem , Pessoal de Saúde/educação , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/enfermagem , Treinamento por Simulação/organização & administração , Adulto , Betacoronavirus , Currículo , Educação Continuada em Enfermagem/organização & administração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Guias de Prática Clínica como Assunto
3.
J Contin Educ Nurs ; 51(9): 402-411, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32833030

RESUMO

This article provides the most current guidelines for nurse educators and nurses to use systems thinking to manage COVID-19 in health systems. A working definition of systems thinking is offered, with a review of basic knowledge and care in the context of the system awareness model (SAM). Seven key messages assist nurse educators and nurses in the management of COVID-19 patients culminating in leadership of complex health care systems using systems thinking. [J Contin Educ Nurs. 2020;51(9):402-411.].


Assuntos
Infecções por Coronavirus/terapia , Enfermagem de Cuidados Críticos/educação , Enfermagem de Cuidados Críticos/normas , Assistência à Saúde/organização & administração , Assistência à Saúde/estatística & dados numéricos , Pessoal de Saúde/educação , Pneumonia Viral/terapia , Guias de Prática Clínica como Assunto , Adulto , Betacoronavirus , Currículo , Educação Continuada em Enfermagem/organização & administração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Análise de Sistemas
5.
Artigo em Inglês | PAHO-IRIS | ID: phr-52570

RESUMO

[ABSTRACT]. Objective. To describe and analyze the current nursing regulations across countries in the Region of the Americas. Methods. A country comparative analysis was carried out by gathering information from the ministries of health, nursing schools, councils, associations, and boards in 2018. The main categories evaluated were type of regulatory bodies, requirements for initial professional registration, and registration renewal. Results. All countries regulate the nursing profession through a regulatory body. Competency exams for initial registration are required in the United States, Canada, and most Caribbean countries. Registration renewal is required in 54.3% of the countries. Continuing education is required for professional registration renewal in the United States, Canada, and 53% of Caribbean countries. Labor hours are required in the United States and Canada. Conclusion. Regulations promote and protect professional integrity. The Pan American Health Organization/World Health Organization recommends that countries make efforts to evaluate competency and training, consider the use of competency exams for initial registration, and add continuing education as requirements for registration renewal.


[RESUMEN]. Objetivo. Describir y analizar la normativa reguladora vigente en materia de enfermería en los países de la Región de las Américas. Métodos. Se efectuó un análisis comparativo de los países reuniendo información de los ministerios de salud, escuelas de enfermería, consejos, asociaciones y comités profesionales en 2018. Las principales categorías evaluadas fueron los tipos de organismos reguladores, los requisitos para el registro profesional inicial y la renovación del registro. Resultados. Todos los países regulan la profesión de enfermería por medio de un organismo regulatorio. Los Estados Unidos, Canadá y la mayoría de los países del Caribe exigen exámenes de competencia para el registro inicial. En el 54,3% de los países se exige la renovación periódica del registro. En los Estados Unidos, Canadá y el 53% de los países del Caribe se requiere cumplimentar educación continua para renovar el registro profesional. En los Estados Unidos y Canadá se requiere acreditar horas de trabajo. Conclusión. Los mecanismos regulatorios promueven y protegen la integridad profesional. La Organización Panamericana de la Salud/Organización Mundial de la Salud recomienda que los países evalúen la competencia y la capacitación profesionales, consideren la posibilidad de utilizar exámenes de competencia para el registro inicial y requieran educación continua como requisito para renovar el registro profesional.


Assuntos
Mão de Obra em Saúde , Enfermagem em Saúde Comunitária , Legislação como Assunto , Educação em Enfermagem , Educação Continuada em Enfermagem , Papel do Profissional de Enfermagem , América , Mão de Obra em Saúde , Enfermagem em Saúde Comunitária , Legislação como Assunto , Educação Continuada em Enfermagem , Educação em Enfermagem , Papel do Profissional de Enfermagem , América
6.
J Contin Educ Nurs ; 51(8): 349-351, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32722810

RESUMO

From staffing and supply shortages to furloughs and layoffs, few expected-let alone had a plan for managing-the COVID-19 pandemic. The crisis allowed nursing professional development to demonstrate its value like never before. This article explores the impact of the pandemic on nursing professional development practice at the micro (unit), meso (organization), and macro (national) levels of our specialty. [J Contin Educ Nurs. 2020;51(8):349-351.].


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Educação Continuada em Enfermagem/organização & administração , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Prática Profissional , Desenvolvimento de Pessoal/organização & administração , Betacoronavirus , Competência Clínica , Avaliação Educacional , Humanos , Determinação de Necessidades de Cuidados de Saúde , Inovação Organizacional , Pandemias
7.
Otolaryngol Head Neck Surg ; 163(2): 271-274, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32482155

RESUMO

OBJECTIVE: To determine if rapid implementation of simulation training for the nasopharyngeal swab procedure can increase provider confidence regarding procedure competency. METHODS: A simulation training exercise was designed as a departmental initiative to improve competency performing nasopharyngeal swabs during the COVID-19 pandemic. Sixty-one health care workers attended teaching sessions led by the Department of Otorhinolaryngology on proper nasopharyngeal swab technique. After a brief lecture, participants practiced their swab technique using a high-fidelity airway simulation model. Pre- and postintervention self-evaluations were measured via standardized clinical competency questionnaires on a 5-point Likert scale ranging from "No knowledge, unable to perform" up to "Highly knowledgeable and confident, independent." RESULTS: Forty-six participants in this study submitted pre- and postintervention self-assessments. Postintervention scores improved on average 1.41 points (95% CI, 1.10-1.73) out of 5 from a mean score of 3.13 to 4.54 (P < .0001). This reflects a large effect size with a Glass's delta value of 1.3. DISCUSSION: Lecture coupled with simulation-based teaching can significantly improve health care workers' confidence in performing nasopharyngeal swabs. Proper training for frontline workers performing swabs for COVID-19 is essential to improving testing accuracy and can be achieved in a simple and timely manner. IMPLICATIONS FOR PRACTICE: To meet the testing needs of the growing pandemic, many health care workers who are unfamiliar with nasopharyngeal swabs have been asked to perform this test. Simulation-based teaching sessions may improve health care workers' confidence and help prevent false-negative results. This intervention is easily reproducible in any setting where frequent nasopharyngeal swab testing occurs. LEVEL OF EVIDENCE/STUDY DESIGN: Prospective cohort study.


Assuntos
Betacoronavirus/isolamento & purificação , Técnicas de Laboratório Clínico/métodos , Infecções por Coronavirus/diagnóstico , Nasofaringe/virologia , Recursos Humanos em Hospital/educação , Pneumonia Viral/diagnóstico , Treinamento por Simulação , Betacoronavirus/genética , Chicago , Infecções por Coronavirus/epidemiologia , Educação Continuada em Enfermagem , Humanos , Capacitação em Serviço/métodos , Pandemias , Pneumonia Viral/epidemiologia , Estudos Prospectivos , Centro Cirúrgico Hospitalar , Centros de Atenção Terciária
8.
J Contin Educ Nurs ; 51(7): 297-299, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32579222

RESUMO

The COVID-19 pandemic has created the need for rapid development and implementation of nursing continuing professional development (NCPD) to scale up nurses and other health care providers to meet a surge in critically ill patients. Through retooling and upskilling nurses and other health care providers, professional development is more important now than ever before. A heightened need for flexible professional development activity planning that is fully integrated into the professional environment is integral to prepare nurses to meet the challenges posed by this pandemic. This article addresses strategies to facilitate delivery of quality NCPD educational activities in real time. [J Contin Educ Nurs. 2020;51(7):297-299.].


Assuntos
Betacoronavirus , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/enfermagem , Currículo , Educação Continuada em Enfermagem/organização & administração , Pessoal de Saúde/educação , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/diagnóstico , Pneumonia Viral/enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias
9.
Am J Nurs ; 120(7): 40-45, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32541336

RESUMO

The number of orthopedic surgeries performed in the United States has increased substantially over the past several years. The most recent data available from the Agency for Healthcare Research and Quality indicate that five of the 10 operative procedures most commonly performed during inpatient stays involve the musculoskeletal system. Cigarette smoking is one of the most prevalent and preventable risk factors for musculoskeletal disorders and orthopedic surgery complications. This article discusses the effects of smoking on bone health, the importance of smoking cessation among patients scheduled for or recovering from orthopedic surgery, and the vital role nurses play in supporting patient efforts to lead a tobacco-free life.


Assuntos
Osso e Ossos/fisiologia , Fumar/efeitos adversos , Densidade Óssea , Educação Continuada em Enfermagem , Humanos , Procedimentos Ortopédicos , Estados Unidos , Cicatrização
11.
J Contin Educ Nurs ; 51(6): 250-252, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: covidwho-401601

RESUMO

Crisis breeds innovation and creativity. The COVID-19 pandemic shows where policy-related gaps exist. Three policy exemplars linked to COVID-related changes faced by professional development educators and leaders are presented: broadband Internet availability for training and development, information technology infrastructure, and scope of practice expansion. [J Contin Educ Nurs. 2020;51(6):250-252.].


Assuntos
Betacoronavirus , Infecções por Coronavirus , Educação Continuada em Enfermagem/organização & administração , Pessoal de Saúde/educação , Pandemias , Pneumonia Viral , Política Pública , Desenvolvimento de Pessoal/organização & administração , Adulto , Currículo , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade
12.
J Contin Educ Nurs ; 51(6): 250-252, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32463897

RESUMO

Crisis breeds innovation and creativity. The COVID-19 pandemic shows where policy-related gaps exist. Three policy exemplars linked to COVID-related changes faced by professional development educators and leaders are presented: broadband Internet availability for training and development, information technology infrastructure, and scope of practice expansion. [J Contin Educ Nurs. 2020;51(6):250-252.].


Assuntos
Betacoronavirus , Infecções por Coronavirus , Educação Continuada em Enfermagem/organização & administração , Pessoal de Saúde/educação , Pandemias , Pneumonia Viral , Política Pública , Desenvolvimento de Pessoal/organização & administração , Adulto , Currículo , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade
14.
Stroke ; 51(6): 1879-1882, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32397932

RESUMO

Background and Purpose- A distinguishing feature of our Stroke Network is telestroke nurses who remotely facilitate evaluations. To enable expeditious transfer of large vessel occlusion (LVO) acute ischemic stroke patients presenting to nonthrombectomy centers, the telestroke nurses must immediately identify color thresholded computerized tomography perfusion (CTP) patterns consistent with internal carotid artery (ICA), middle cerebral artery (MCA) segment 1(M1), and MCA segment 2 (M2) LVO acute ischemic stroke. Methods- We developed a 6-month series of tutorials and tests for 16 telestroke nurses, focusing on CTP pattern recognition consistent with ICA, M1, or M2 LVO acute ischemic stroke. We simultaneously conducted a prospective cohort study to evaluate the impact of this intervention. Results- Telestroke nurses demonstrated good accuracy in detecting ICA, M1, or M2 LVO during the first 3 months of teaching (83%-94% accurate). This significantly improved during the last 3 months (99%-100%), during which the likelihood of correctly identifying the presence of any one of these LVOs exceeded that of the first 3 months (P<0.001). There was a higher probability of correctly identifying any CTP pattern as consistent with either an ICA, M1, or M2 occlusion versus other types of occlusions or nonocclusions (odds ratio, 5.22 [95% CI, 3.2-8.5]). Over time, confidence for recognizing CTP patterns consistent with an ICA, M1, or M2 LVO did not differ significantly. Conclusions- A series of tutorials and tests significantly increased the likelihood of telestroke nurses correctly identifying CTP patterns consistent with ICA, M1, or M2 LVOs, with the benefit of these tutorials and test reviews peaking and plateauing at 4 months.


Assuntos
Artéria Carótida Interna/diagnóstico por imagem , Angiografia Cerebral , Educação Continuada em Enfermagem , Artéria Cerebral Média/diagnóstico por imagem , Enfermeiras e Enfermeiros , Acidente Vascular Cerebral/diagnóstico por imagem , Telemedicina , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos
15.
Infect Dis Health ; 25(3): 216-218, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32402779

RESUMO

The COVID-19 pandemic has an overwhelming impact on the nursing profession. Nurses play a vital role before and during pandemics, with nurse leaders taking the lead in preparation for outbreaks. In response to an outbreak, early recognition and preparation for the increasing threat, managing staffing challenges together with the well-being of nurses are of utmost importance. Strategies to promote physical distancing while not compromising continuing nursing education and patient care are also essential. With prompt actions and coordinated efforts, risk of spreading the virus within the healthcare sector can be kept at the minimum. As nurses are in the frontline of healthcare, their confidence in being well-supported by the hospital should be maintained. This case report describes the preparation and response of the nurses in Singapore General Hospital to the COVID-19 outbreak in Singapore.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/epidemiologia , Surtos de Doenças , Educação Continuada em Enfermagem , Humanos , Enfermeiras e Enfermeiros , Pneumonia Viral/epidemiologia , Singapura/epidemiologia , Distância Social
16.
Tunis Med ; 98(2): 116-122, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32395800

RESUMO

BACKGROUND:   Nurses play a key role in cardiac arrest management, especially those assigned to cardiac intensive care units, where they are often actively involved in cardiopulmonary resuscitation. AIM: To evaluate the effect of simulation training in in continuing professional development of nurses in this setting. METHODS: A comparative study using paired samples (where the candidate was his own control with repeated measures before and after intervention), was conducted among nurses working in the cardiology and cardiovascular surgery division of our institution. The primary endpoint was the change in skills judged on the basis of competency score of 20 assessed before and after simulation training. RESULTS: 32 nurses participated in the training session. Despite a median job seniority of 8.5 years [4.0 - 12.5], only 44% of nurses had already participated in a simulation session. Although most of the candidates (84%) had previously performed chest compressions, only 34% had delivered an electrical defibrillation during their exercise. We showed a significant increase in overall scores from 8.0 [5.0 - 9.8] to 17.5 [17.0 - 19.0] after the simulation training session (p<0.0001). All the criteria judged in the evaluation grid (basic life support, manual electrical defibrillation) were significantly improved and the most positive effect was observed in the manual defibrillation where the prior experience of the participants was limited. CONCLUSIONS: Simulation learning had a major positive impact on the development of nurses' skills in terms of cardiopulmonary resuscitation.


Assuntos
Cardiologia/educação , Reanimação Cardiopulmonar/educação , Procedimentos Cirúrgicos Cardiovasculares/educação , Procedimentos Cirúrgicos Cardiovasculares/enfermagem , Educação Continuada em Enfermagem/métodos , Treinamento por Simulação , Reanimação Cardiopulmonar/normas , Estudos de Casos e Controles , Competência Clínica , Avaliação Educacional , Humanos , Aprendizagem , Pesquisa em Avaliação de Enfermagem , Treinamento por Simulação/métodos , Treinamento por Simulação/normas
17.
Nurs Adm Q ; 44(2): 159-167, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32134875

RESUMO

It is challenging to implement a hospital discharge process that effectively prepares patients for success at home, especially when self-care needs are immense. This article describes a disruptive model that leverages nurse autonomy on an acute care medical-surgical hospital unit. The integration of an education resource nurse within existing resources is showing positive gains in 30-day readmission rates and specific patient experience metrics. The continued success of this newly created role is dependent on an adaptive capacity to leverage principles of complexity leadership and to grow the role within the ever-changing health care environment.


Assuntos
Relações Enfermeiro-Paciente , Alta do Paciente/normas , Satisfação do Paciente , Educação Continuada em Enfermagem/métodos , Humanos , Alta do Paciente/tendências , Melhoria de Qualidade
18.
Nurse Educ Today ; 88: 104385, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32193070

RESUMO

BACKGROUND: The cultural competence education programme for health professionals aimed to ensure that all people receive effective health care, particularly those from culturally diverse backgrounds. OBJECTIVES: The purpose of this study was to investigate the effect of a cultural competence educational course on nurses' self-assessment of their cultural competence. DESIGN: A single-blind, randomised control trial design was employed. PARTICIPANTS AND SETTINGS: Eligible nurses were recruited from a northern Taiwan medical centre with 2089 beds. METHODS: A permuted block of four was used to randomly assign participants to the experimental (n = 47) and control groups (n = 50). The educational course comprised four units and was conducted once weekly for four weeks, with each session lasting 3 h. RESULTS: A significant group-time interaction was identified regarding self-learning cultural ability, verifying the education intervention's effect on self-learning cultural ability after a two-month intervention. In addition, a significant main effect over time was discovered for total cultural competence; there was no significant interaction effect. CONCLUSIONS: The study provided evidence that an educational programme effectively improved cultural competence in clinical nurses. The results provide a reference for health care providers to design in-service cultural competence education for improving quality of care.


Assuntos
Competência Cultural/educação , Educação Continuada em Enfermagem/estatística & dados numéricos , Adulto , Fatores Etários , Humanos , Aprendizagem , Pessoa de Meia-Idade , Método Simples-Cego , Fatores Socioeconômicos , Taiwan
20.
J Am Assoc Nurse Pract ; 32(3): 187-189, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32132455

RESUMO

Academic and health care institutions are charged with improving quality-of-care outcomes by creating culturally educated health care professionals to practice in a global health care environment. International short-term service learning experiences provide nurse practitioner students an opportunity to meet clinical competency skills aligned with course curricula. Faculty can directly observe students' clinical practice, and students broaden diagnostic reasoning skills while earning credit for clinical hours. As project and research ideas are formulated, students develop system-level thinking to implement evidence-based practices and disseminate their knowledge and experience of caring for the underserved. Students who participate in service-learning opportunities foster their awareness of cultural humility, easing transition into practice. Some academic institutions established short-term service-learning opportunities for students, and evidence supports faculty and students' sense of well-being after participation. We describe an example of a short-term, international service-learning opportunity in Haiti where students work with an interprofessional team and experience the effect of social determinants of health on delivering quality care.


Assuntos
Competência Cultural/psicologia , Educação Continuada em Enfermagem/métodos , Internacionalidade , Profissionais de Enfermagem/educação , Estudantes de Enfermagem/psicologia , Humanos , Profissionais de Enfermagem/psicologia , Profissionais de Enfermagem/estatística & dados numéricos , Estudantes de Enfermagem/estatística & dados numéricos , Ensino/psicologia , Ensino/normas
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