Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 4.025
Filtrar
2.
J Nurs Adm ; 50(7-8): 426-432, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32694441

RESUMO

OBJECTIVE: This quality improvement initiative sought to develop a proactive integrated system approach to advance care planning (ACP) through leadership and colleague engagement. BACKGROUND: Nurse leaders have the capacity to influence the professional competencies of care teams in ACP. Nurse leaders were educated on the importance of ACP, national quality metrics, resources for staff education, and ways to integrate ACP into workflows based on a population management model. METHODS: The project design is a prospective, mixed method design. RESULTS: Nurse leader participants demonstrated a significant increase in knowledge of the importance of ACP and evidence-based models to increase staff engagement and competency. CONCLUSIONS: Study supports nurse leader interventions, promoted engagement of proactive ACP to honor patient choice, and aligns with the mission and vision of one of the largest national Catholic healthcare organizations of being a trusted partner for life.


Assuntos
Planejamento Antecipado de Cuidados , Prestação Integrada de Cuidados de Saúde , Liderança , Enfermeiras Administradoras/educação , Melhoria de Qualidade , Planejamento Antecipado de Cuidados/organização & administração , Planejamento Antecipado de Cuidados/estatística & dados numéricos , Enfermagem Baseada em Evidências , Humanos , Competência Profissional , Estudos Prospectivos
3.
J Nurs Adm ; 50(7-8): 402-406, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32701645

RESUMO

An internal peer-reviewed journal was created to promote high-quality nursing practice, improve patient outcomes, and inspire nurses at an academic medical center. The goal of the journal was to increase nurses' utilization of evidence-based practice (EBP). The publication provides a platform that facilitates the dissemination of nursing research and supports the implementation of EBP across the organization.


Assuntos
Difusão de Inovações , Enfermagem Baseada em Evidências/organização & administração , Pesquisa em Enfermagem , Revisão por Pares , Publicações Periódicas como Assunto , Poder Psicológico , Competência Clínica , Humanos , Projetos de Pesquisa , Inquéritos e Questionários
5.
Nursing ; 50(7): 63-67, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32558794

RESUMO

PURPOSE: To define research utilization (RU) and identify barriers and facilitators to RU in nursing practice. METHODS: An international integrative review of 42 studies was conducted related to barriers and facilitators of RU. RESULTS: Following a review of the research that met the inclusion criteria, the author identifies common themes related to the implementation of research into clinical practice and the challenges surrounding RU. CONCLUSION: Despite consistently perceived barriers to research among nurses from different geographic, cultural, and clinical backgrounds, practice changes are typically out of their hands. Further research is necessary to gauge perception among the nursing associations, regulatory bodies, healthcare organizations, policy makers, and managers responsible for implementing these changes.


Assuntos
Enfermagem Baseada em Evidências/organização & administração , Internacionalidade , Pesquisa/estatística & dados numéricos , Humanos
7.
rev. cuid. (Bucaramanga. 2010) ; 11(2): e1260, 1 de Mayo de 2020.
Artigo em Português | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1118411

RESUMO

Objetivo: Relatar a experiência de uma estratégia implementada para aumentar a segurança na administração dos medicamentos potencialmente perigosos preconizados na intubação de sequência rápida dos pacientes com COVID-19. Materiais e Métodos: Estudo descritivo do tipo relato de experiência, ancorado nos princípios do Programa Nacional de Segurança do Paciente, que descreve uma adaptação na bandeja para administrar medicamentos potencialmente perigosos na intubação de sequência rápida, organizada por cores, separando os medicamentos de acordo com suas classes terapêuticas, conforme sequência de administração. A estratégia foi implementada com a equipe multiprofissional das unidades de terapia intensiva de um hospital público especializado em Cardiologia do Rio de Janeiro. Resultados: A bandeja organizada por cores, foi utilizada em três situações de intubação de sequência rápida e a partir dessa estratégia foi elaborado um quadro com as características farmacológicas e cuidados de enfermagem referente aos medicamentos potencialmente perigosos utilizados, disposto na sala de preparo de medicação para consulta. Discussão: O uso seguro de medicamentos faz parte do terceiro desafio global de segurança do paciente, proposto pela organização mundial de saúde. Dentre os fatores que contribuem para incidentes com danos está o uso de medicamentos potencialmente perigosos. Estima-se que a implementação de barreiras de segurança como a estratégia apresentada neste relato é necessária para prevenção de eventos adversos. Conclusões: O uso de da bandeja com identificação colorida adotada, consistiu em barreira para possível ocorrência de potenciais incidentes decorrentes do uso de medicamentos potencialmente perigosos na intubação de sequência rápida nos pacientes com COVID-19.


Objetive: To describe the experience regarding the strategy implemented to enhance safety during the administration of hazardous drugs recommended for rapid sequence intubation in patients with COVID-19. Materials and Methods: A descriptive experience-reporting study was conducted based on the principles of the National Patient Safety Policy, which describe the adequacy of color-coded trays for administering hazardous drugs during the rapid sequence intubation. According to the sequence of drug administration, drugs are classified into their therapeutic class in color-coded trays. The strategy was implemented in partnership with the ICU multidisciplinary team from a public cardiovascular hospital in Rio de Janeiro. Results: Color-coded trays were used three times during the rapid sequence intubation. A table was prepared based on this strategy which contained pharmacological and nursing care characteristics of hazardous drugs available in the medication preparation room for consultations. Medication Without Harm is included in the third WHO Global Patient Safety Challenge. Among the factors that contribute to the incidence of adverse effects is the use of hazardous drugs. The application of safety barriers is the strategy outlined in this report, which is necessary for the prevention of adverse effects. Conclusions: The use of color-coded trays set up barriers to the occurrence of possible incidents derived from the use of hazardous drugs during the rapid sequence intubation in patients with COVID-19.


Objetivo: Describir la experiencia de la estrategia implementada para reforzar la seguridad durante la administración de medicamentos potencialmente peligrosos recomendados para la intubación de secuencia rápida en pacientes con COVID-19. Materiales y métodos: Estudio descriptivo tipo relato de experiencias con base en los principios del Programa Nacional de Seguridad del Paciente, en los que se describe la adecuación de la bandeja de administración de medicamentos potencialmente peligrosos durante la intubación de secuencia rápida. La bandeja se codifica por colores y por clases terapéuticas de acuerdo con la secuencia de administración de medicamentos. La estrategia se implementó en conjunto con el equipo multidisciplinar de las unidades de cuidados intensivos de un hospital público cardiovascular en Río de Janeiro. Resultados: Las bandejas con código de color se utilizaron en tres ocasiones durante la intubación de secuencia rápida. Con base en esta estrategia, se elaboró una tabla con las características farmacológicas y de cuidado de enfermería de los medicamentos potencialmente peligrosos disponibles en la sala de preparación de medicamentos para consulta. Discusión: El uso seguro de medicamentos hace parte del tercer reto mundial por la seguridad del paciente propuesto por la Organización Mundial de la Salud. Uno de los factores que contribuye a la incidencia de acontecimientos adversos es el uso de medicamentos potencialmente peligrosos. La aplicación de barreras de seguridad es la estrategia planteada en este relato que se hace necesaria para la prevención de eventos adversos. Conclusiones: La adopción del uso de bandejas codificadas por colores constituyó una barrera frente a la ocurrencia de posibles incidentes derivados del uso de medicamentos potencialmente peligrosos durante la intubación de secuencia rápida en pacientes con COVID-19.


Assuntos
Humanos , Masculino , Feminino , Infecções por Coronavirus , Indução e Intubação de Sequência Rápida , Enfermagem Baseada em Evidências , Segurança do Paciente , Lista de Medicamentos Potencialmente Inapropriados
8.
Ontario; Registered Nurses Association of Ontario (RNAO); May 2020. 144 p.
Monografia em Inglês | BIGG | ID: biblio-1116696

RESUMO

BPGs promote consistency and excellence in clinical care, administrative policies, procedures and education, with the aim of achieving optimal health outcomes for people, communities and the health system as a whole. This BPG replaces the RNAO BPG Oral Health: Nursing Assessment and Intervention, which was released in 2008. The purpose of this BPG is to provide nurses, the interprofessional team and caregivers with evidence-based recommendations for the provision of oral care for adults (18 years of age and older) that will: promote an interprofessional approach to providing oral care, enhance the delivery of oral care interventions, and ultimately lead to positive oral healthG outcomes for persons. This BPG recognizes that a person- and familycentredG approach to care is essential for providing oral care (or providing assistance with oral care) to adults across the continuum of care. This BPG also recognizes that when providing any form of oral care, infection control practices should be followed.


Assuntos
Humanos , Adulto , Inquéritos de Saúde Bucal/instrumentação , Saúde Bucal , Pessoal de Saúde/organização & administração , Doenças da Boca/enfermagem , Doenças da Boca/reabilitação , Sistemas de Saúde/organização & administração , Pessoal de Saúde/educação , Enfermagem Baseada em Evidências/métodos
9.
J Nurs Adm ; 50(5): 243-244, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32317564

RESUMO

Innovations in patient care, nursing, and the practice environment are hallmarks of organizations receiving American Nurses Credentialing Center (ANCC) Magnet Recognition. In this month's "Magnet Perspectives" column, the chair and vice-chair of ANCC's Commission on Magnet Recognition examine the growing importance of nursing research on patient care and outcomes and the role of Magnet hospitals as research pacesetters for the nursing profession. The authors discuss the critical difference between research and evidence-based practice, why both are important, and how organizations can develop the structures and processes to inspire and advance a robust culture of clinical inquiry.


Assuntos
Pesquisa em Enfermagem , Credenciamento , Enfermagem Baseada em Evidências , Humanos , Sociedades de Enfermagem , Estados Unidos
10.
J Nurs Adm ; 50(5): 245-247, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32317565

RESUMO

Healthcare organizations seeking to achieve or maintain Magnet or Pathway to Excellence designation are increasingly challenged to demonstrate how nurses are leading or are engaged in research and evidence-based practice. This article describes common barriers to and effective strategies for developing a culture of research and evidence-based practice, with recommendations for Magnet- and Pathway-seeking organizations.


Assuntos
Enfermagem Baseada em Evidências , Pesquisa em Enfermagem , Credenciamento , Difusão de Inovações , Estados Unidos
11.
J Nurs Adm ; 50(5): 248-250, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32317566

RESUMO

The adoption of evidence-based decision-making and practice in healthcare has been slow. This article discusses the critical role of leaders in steering this transformative work.


Assuntos
Assistência à Saúde/organização & administração , Enfermagem Baseada em Evidências , Liderança , Inovação Organizacional , Tomada de Decisões Gerenciais , Humanos
12.
J Nurs Adm ; 50(5): 281-286, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32317569

RESUMO

OBJECTIVE: The aim of this study was to determine the effect of an evidence-based practice (EBP) education and mentoring program on the knowledge, practice, and attitudes toward EBP among staff nurses and clinicians in a rural critical access hospital. BACKGROUND: While rural nurses value EBP, they often have more limited resources to engage in EBP activities compared with urban-based nurses. METHODS: Direct care nurses and clinicians participated in a 5-month EBP education and mentoring program following the Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. The Evidence-Based Practice Questionnaire was used to assess pretest-posttest knowledge, practice, and attitudes toward EBP. RESULTS: Knowledge and practice of EBP increased significantly (P = .008 and P = .015, respectively) after the EBP education and mentoring intervention. Attitudes toward EBP also increased, although the increase was not statistically significant (P = .106). CONCLUSIONS: Education and mentoring of healthcare clinicians in rural settings are crucial to the translation of evidence-based research into practice to improve patient outcomes.


Assuntos
Cuidados Críticos , Enfermagem Baseada em Evidências , Conhecimentos, Atitudes e Prática em Saúde , Hospitais Rurais/organização & administração , Tutoria , Adulto , Competência Clínica , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
13.
Br J Nurs ; 29(8): S3, 2020 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-32324458
14.
Medicine (Baltimore) ; 99(11): e19183, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32176044

RESUMO

To investigate the effect of evidence-based nursing (EBN) intervention on upper limb function in postoperative breast cancer patients undergoing radiotherapy.A total of 126 breast cancer patients who had received postoperative radiotherapy in the Union Hospital affiliated with Tongji Medical College, Huazhong University of Science and Technology from September 2017 to September 2018 were randomly divided into 2 groups, namely, experimental and control groups, with 63 cases in each group. Both the control and experimental groups received routine postoperative radiotherapy followed by traditional and EBN interventions, respectively. All patients were followed up for 6 months and differences in the upper limb function after nursing intervention were compared between the 2 groups.The scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), and short form-36 survey (SF-36) in the 2 groups had no statistical significance before intervention. After the EBN intervention, the SAS and self-rating depression scale scores of patients in the experimental group were lower than that of those in the control group. In the experimental group, 90.67% of the patients had an excellent score for the University of California, Los Angeles shoulder score, which was higher than that of the control group (73.92%). The Mayo Elbow Performance Score of the experimental group (95.01) was higher than that of the control group (91.33). The total length of the sum of arm circumference in the experimental group was (128.39 cm) lower than that of the control group (143.66 cm). The scores of SF-36 in the overall health, physical pain, mental health, and physiological functions of the patients in the experimental group were higher than those of the control group. All of these parameters' differences between the 2 groups were of statistical significance (P < .05).EBN can positively influence the negative emotional state of breast cancer patients after radiotherapy. At the same time, it is helpful in reducing the degree of lymph node edema on the affected side of the upper limb, thereby improving the function of the shoulder joint, which has a positive effect on the upper limb function.


Assuntos
Neoplasias da Mama/radioterapia , Neoplasias da Mama/cirurgia , Enfermagem Baseada em Evidências/métodos , Linfedema/enfermagem , Extremidade Superior/fisiopatologia , Adulto , Idoso , Neoplasias da Mama/patologia , China , Feminino , Humanos , Linfedema/etiologia , Mastectomia/efeitos adversos , Mastectomia/métodos , Pessoa de Meia-Idade , Medição da Dor , Prognóstico , Radioterapia Adjuvante , Valores de Referência , Índice de Gravidade de Doença , Resultado do Tratamento
18.
Int Nurs Rev ; 67(1): 52-60, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31898317

RESUMO

AIM: This study explores how scholarship relating to meta-analytical studies and systematic and integrative reviews can inform nursing's contribution to universal health coverage. INTRODUCTION: As nursing globally embraces the 200th anniversary of the birth of Florence Nightingale, the Nursing Now social movement has called for the profession to improve universal health coverage through increasing nursing's policy voice. METHODS: In determining how the Nursing Now social movement could pursue the aim of this study, researchers undertook a comparative bibliometric analysis of scholarship relating to the systematic curation of evidence. This study uses a mixed-method analysis of the bibliometric data available through extracting and synthesizing information from one of the commercially produced indexing and citation databases. RESULTS: Generally, medicine has contributed far more synthesized contributions than nursing, except in the case of integrative reviews. Co-occurrence analysis of nursing literature through examination of key terms yielded a complex visualization of 11 specific clusters of scholarship (Care of the Older Person, Nurse Education, Emergency and Critical Care, Occupational Health and Safety, Rural Services, Anxiety and Depression, Measurement, Newborn and Post-natal Health, Cardiovascular Disease, Preventative Health and Cancer Care). DISCUSSION AND CONCLUSIONS: Bibliometric analysis of curated evidence demonstrates that there is ample nursing-relevant material to inform evidence-based policy change directed towards the attainment of universal health coverage and several of the Sustainable Development Goals. IMPLICATIONS FOR POLICY: Nursing literature is available to support policy change directed towards the pursuit of universal health coverage and sustainable development goals. Leveraging existing networks of research collaboration to increase research capacity through communities of scholarship or by twinning experienced and neophyte contributors is possible. Further work is needed to equip nurses with the competencies to navigate the policy environment and develop and deliver impactful policy messaging.


Assuntos
Metanálise como Assunto , Papel do Profissional de Enfermagem , Revisões Sistemáticas como Assunto , Assistência de Saúde Universal , Enfermagem Baseada em Evidências , Política de Saúde , Humanos
19.
Int Nurs Rev ; 67(1): 61-67, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31944309

RESUMO

AIM: To provide a framework for the production of policy briefs, and offer a practical example of how evidence can be turned into a succinct document to inform policy and bring about change targeted at delivering universal health coverage. INTRODUCTION: Policymakers are too busy, or do not have the necessary expertise, to read and comprehend complex scientific papers. As a result, policy briefs that capture and present the essential points are needed if evidence-informed policy is to be developed and implemented. METHOD: A two-page example of how evidence from meta-analytical and systematic reviews can be presented to identify options and recommendations to address a major global disease burden. RESULTS: The example uses a simple, seven-section template for developing a policy brief. The essential characteristics of each section are provided. The briefing, targeted at the global level, provides information on the major challenges associated with the treatment of individuals with diabetes. DISCUSSION AND CONCLUSIONS: This paper demonstrates how to use existing research evidence to address the pursuit of UHC relevant to a wide range of geographies, settings or disadvantaged groups. IMPLICATIONS FOR POLICY: Gaps in universal health coverage and major disease burdens such as diabetes can be pursued through entities such as country-based Nursing Now groups. In addition, ongoing opportunities exist through the International Council of Nurses annual International Nurses Day and WHO's regular regional meetings to inform and influence policy discussions at national and subnational levels. By focusing on a small number of global topics each year, measurable changes in addressing the burden of disease can be achieved while simultaneously keeping the nursing profession's contribution centre stage.


Assuntos
Política de Saúde , Formulação de Políticas , Assistência de Saúde Universal , Assistência à Saúde , Enfermagem Baseada em Evidências , Saúde Global , Humanos
20.
J Nurs Adm ; 50(2): 63-65, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977943

RESUMO

The 2019 Association for Leadership Science in Nursing International Conference, Disruptive Innovation, was held in Los Angeles, California, with attendees from 30 US states, Canada, Brazil, and China. Presenters discussed the need for nurse leaders to advocate for health equity, lead evidence-based innovation, how robots and other technology are generating disruptive innovations in healthcare, and building strong academic-practice partnerships to address nursing workforce challenges. This article will report on these important insights.


Assuntos
Enfermagem Baseada em Evidências/organização & administração , Equidade em Saúde/organização & administração , Invenções , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem/organização & administração , Inovação Organizacional , Brasil , Canadá , China , Humanos , Liderança , Estados Unidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA