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1.
Enferm. clín. (Ed. impr.) ; 29(6): 365-369, nov.-dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184657

RESUMO

El/la enfermero/a de familia y comunitaria es el profesional que a través de una mirada integral y holística asume la misión de acompañar a las personas desde su nacimiento hasta la muerte para desarrollar su potencial de salud, promocionando los diferentes entornos familiares, laborales y sociales para facilitar dicho desarrollo. A lo largo de la historia, diversos organismos de ámbito internacional, europeo y nacional, han ido regulando la figura de estos profesionales de enfermería de familia y comunitaria, hasta la fecha actual, donde existe normativa que regula de pleno derecho sus funciones, atribuciones y desempeño profesional. El personal de enfermería de familia y comunitaria puede dar respuestas a las necesidades de una población cambiante, y que asume nuevas responsabilidades en la gestión y la investigación. Sus amplias competencias básicas y avanzadas recogidas en un riguroso programa formativo suponen una mejora para el sistema sanitario, la profesión enfermera y la ciudadanía y la comunidad en la que vive. Aún existen muchos retos para que cada Consejería de Salud de cada comunidad haga posible que esta especialidad desarrolle todo su potencial de mejora de los cuidados


It is the mission of the Community and Family Nurse through an integral and holistic approach to accompany people from cradle to death in developing their health potential, and promote different family, work and social environments to facilitate this development. Throughout history, various international, European and national organizations have regulated the figure of the Community and Family Nurse, and now their functions, powers and professional performance are fully regulated. The Community and Family Nurse can respond to the needs of a changing population and take on new responsibilities in management and research. Their extensive basic and advanced skills gathered under a rigorous training programme, benefit the health system, the nursing profession, citizenry and its communities. Many challenges remain for the Health Departments of each Autonomous Region to make it possible for this specialty to develop its full potential for improving care


Assuntos
Humanos , Enfermagem em Saúde Comunitária/tendências , Enfermagem Familiar/tendências , Atenção Primária à Saúde , Enfermagem Primária/organização & administração , Enfermagem Primária/tendências , Enfermagem Baseada em Evidências/métodos , Saúde Pública , Sistemas de Saúde/tendências
2.
J Clin Nurs ; 28(23-24): 4225-4235, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31410929

RESUMO

AIMS AND OBJECTIVES: To synthesise international research that relates to midwives' use of best available evidence in practice settings and identify key issues relating to the translation of latest evidence into everyday maternity care. BACKGROUND: Midwifery is a research-informed profession. However, a gap persists in the translation of best available evidence into practice settings, compromising gold standard maternity care and delaying the translation of new knowledge into everyday practice. DESIGN: A five-step integrative review approach, based on a series of articles published by the Joanna Briggs Institute (JBI) for conducting systematic reviews, was used to facilitate development of a search strategy, selection criteria and quality appraisal process, and the extraction and synthesis of data to inform an integrative review. METHODS: The databases CINAHL, MEDLINE, Web of Science, Implementation Science Journal and Scopus were searched for relevant articles. The screening and quality appraisal process complied with the PRISMA 2009 checklist. Narrative analysis was used to develop sub-categories and dimensions from the data, which were then synthesised to form two major categories that together answer the review question. RESULTS: The six articles reviewed report on midwives' use of best available evidence in Australia, the UK and Asia. Two major categories emerged that confirm that although midwifery values evidence-based practice (EBP), evidence-informed maternity care is not always employed in clinical settings. Additionally, closure of the evidence-to-practice gap in maternity care requires a multidimensional approach. CONCLUSION: Collaborative partnerships between midwives and researchers are necessary to initiate strategies that support midwives' efforts to facilitate the timely movement of best available evidence into practice. RELEVANCE TO CLINICAL PRACTICE: Understanding midwives' use of best available evidence in practice will direct future efforts towards the development of mechanisms that facilitate the timely uptake of latest evidence by all maternity care providers working in clinical settings.


Assuntos
Tocologia/organização & administração , Enfermeiras Obstétricas/organização & administração , Comportamento Cooperativo , Enfermagem Baseada em Evidências/métodos , Feminino , Humanos , Gravidez
3.
Rev Bras Enferm ; 72(3): 671-679, 2019 Jun 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269131

RESUMO

OBJECTIVE: to construct collectively with nursing professionals bundle for best practices of cold chain maintenance of immunobiological agents conservation at the local level. METHOD: a qualitative research of convergent care type. Bundle construction was guided by the Evidence-Based Practice criterion. Data collection was carried out from October to December 2016, through five workshops, with the participation of 21 professionals from 7 vaccination rooms of a municipality of Minas Gerais State. The framework developed by Morse and Field was adopted for data analysis. RESULTS: through bundle, care is taken regarding refrigeration equipment temperature monitoring, contingency plan performance, recyclable ice coil setting and chamber use as refrigeration equipment. FINAL CONSIDERATIONS: the chosen interventions began to guide the practice and promote a care based on safety and quality.


Assuntos
Pacotes de Assistência ao Paciente/métodos , Refrigeração/métodos , Vacinas/uso terapêutico , Adulto , Competência Clínica/normas , Enfermagem Baseada em Evidências/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Pesquisa Qualitativa , Refrigeração/normas
6.
MCN Am J Matern Child Nurs ; 44(3): 128-136, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30888987

RESUMO

OBJECTIVE: Develop a multidisciplinary, consensus-driven, evidence-based approach to oxytocin use, while adhering to national guidelines. DESIGN: This was a quality improvement project that used the Plan Do Study Act method to create cycles of change over several years. To initiate discussion, a survey was administered at a social event for providers from divergent community practices that addressed the controversial aspects of oxytocin use. Graphic feedback was provided showing divergences between answers and the evidence. The perinatal team directed design and implementation of this project with specific involvement of a nurse quality improvement coordinator and nurse educator. MEASURES: Process, outcome, and balancing measures were used to evaluate the program. Process measure: use of a standardized order-set. OUTCOME MEASURE: rate of adherence to the resultant protocol. Balancing measures: 1) maximum oxytocin dose, 2) time from oxytocin initiation to birth, 3) cesarean birth rates, and 4) Apgar scores. RESULTS: An initial increase in adherence to the protocol decreased with the loss of the "paper" order-set. Adherence improved when computerized physician order entry was adjusted: 2006: 73%, 2007: 95%; 2011: 57%, 2013: 100% (p = 0.007, 2006 vs. 2007) (p < 0.001, 2006 vs. 2013). Compliance with the protocol was associated with a decrease in maximum oxytocin dose and in time between oxytocin initiation and birth (p < 0.001). CONCLUSION: Consistency and safety in patient care can be accomplished using literature-based evidence and active consensus building among members of the perinatal team. A standardization process must be integrated into the electronic medical record to become a sustained part of a practice culture.


Assuntos
Enfermagem Baseada em Evidências/métodos , Ocitocina/uso terapêutico , Técnica Delfos , Guias como Assunto/normas , Humanos , Ocitocina/administração & dosagem , Melhoria de Qualidade , Inquéritos e Questionários
7.
J Nurs Educ ; 58(3): 182-184, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30835808

RESUMO

BACKGROUND: Nursing students often lack the skills and confidence to intervene in the care of a deteriorating patient as they transition into clinical practice. Exposure to these situations is limited during their academic career. Our team sought to address this by embedding American Heart Association (AHA) advanced cardiac life support (ACLS) content into the curriculum and offering certification to senior-level students. METHOD: The senior skills course was redesigned to include education on current AHA ACLS guidelines and skills. ACLS algorithms were introduced and reinforced by mock code labs utilizing rapid cycle deliberate practice and interprofessional simulation. After completion of the semester, students were given the option to be ACLS certified. RESULTS: Students and stakeholders reported positively on the ability to certify in ACLS at our institution prior to graduation and reported increased confidence in their ability to manage patients with cardiopulmonary arrest. CONCLUSION: Providing simulated experiences for these clinical situations can reportedly increase confidence and improve preparedness in senior-level BSN students. [J Nurs Educ. 2019;58(3):182-184.].


Assuntos
Suporte Vital Cardíaco Avançado/educação , Bacharelado em Enfermagem/métodos , Papel do Profissional de Enfermagem , Estudantes de Enfermagem/psicologia , Competência Clínica , Currículo , Enfermagem Baseada em Evidências/métodos , Humanos
8.
Nurs Womens Health ; 23(2): 98-104, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30853510

RESUMO

Human trafficking is a significant women's health issue in the United States. Clinicians who provide care to women are often unaware of the signs and symptoms of human trafficking and are unprepared to provide appropriate care. Nurses represent one of the few agents of change who women may encounter while they are in captivity; this places nurses at the forefront of their care. To provide safe and effective care, nurses can use the ABCD treatment model, which stands for assessment, buy-in, case management, and diversion programming. Any gaps between recognition of women's health care needs and the provision of appropriate care must be closed. Integrating evidence-based human trafficking education and skill building into nursing curricula, standard nursing orientation, and continuing education is an essential step to help nurses transform care and advocate on behalf of those who have been trafficked.


Assuntos
Enfermagem Baseada em Evidências/métodos , Tráfico de Pessoas/psicologia , Adulto , Comportamento Criminoso , Enfermagem Baseada em Evidências/tendências , Feminino , Tráfico de Pessoas/tendências , Humanos , Estados Unidos , Saúde da Mulher/tendências
9.
Int J Nurs Educ Scholarsh ; 16(1)2019 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-30862759

RESUMO

To aim of this study was to explore undergraduate nursing student (n = 256) perceptions of clinical reasoning ability and learning transfer after participating in either a standard post simulation debriefing or a debriefing based on transfer of learning principles. BACKGROUND: It is assumed that students will transfer what they have learned from simulation to real world practice, however, some students are unable to identify the relevance of simulated learning experiences if scenarios are dissimilar to clinical placement settings. The nature and extent what is able to be transferred from simulated to real settings is unclear, particularly in relation to complex processes such as clinical reasoning. Transfer of learning to a new situation involves deliberate cognitive effort, including reflection and mindful abstraction of central attributes of a problem. As reflection is a key element in learning transfer, the debriefing element of simulation was seen to be a platform for this study. METHOD: A convergent parallel mixed methods design used a pre-test, post-test survey and focus group interviews. RESULTS: No statistically significant difference in post-test clinical reasoning scores between groups was found. There was a statistically significant improvement in 12 out of 15 criteria among the control group and in 8 of the criteria among the intervention group. Qualitative findings provided some evidence that learning had transferred to clinical settings. Evidence of "near" transfer was more evident than "far" transfer. CONCLUSION: Positive findings included that all students perceived they had transferred the skills of patient assessment and effective communication during episodes of patient care. The concept of a "framework" being verbalized by many of the intervention group during practice is a promising finding and may be a useful direction for further research focusing on the instructional demonstration of explicitly promoting a level of abstraction of problems and prompting participants to search for conceptual connections. This may indicate retained idea or concepts from the debriefing which may be useful in future practice.


Assuntos
Competência Clínica/normas , Avaliação em Enfermagem/organização & administração , Aprendizagem Baseada em Problemas/organização & administração , Estudantes de Enfermagem/psicologia , Adulto , Bacharelado em Enfermagem/métodos , Enfermagem Baseada em Evidências/métodos , Feminino , Grupos Focais , Humanos , Julgamento , Masculino , Pesquisa em Educação de Enfermagem , Resolução de Problemas , Adulto Jovem
10.
Worldviews Evid Based Nurs ; 16(1): 70-77, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30758133

RESUMO

BACKGROUND: The global acceptance and use of technology in health care has resulted in an abundance of mobile health (mHealth) applications (apps) available for use in the delivery and improvement of care. With so many apps available to patients and clinicians, it is important to understand how data from apps are being used to inform quality improvement in practice. AIM: The aim of this integrative review is to establish current knowledge of how mHealth apps are used to produce data to inform quality improvement in health care. METHODS: Scopus, Web of Science, CINAHL, and Medline Plus Full Text databases were searched for peer-reviewed papers written in English. The inclusion criteria comprised of full-text, empirical research studies relating to mobile health application use (not development) in clinical care. RESULTS: Nineteen studies met inclusion criteria. The functions of the apps outlined in the studies can be summarized into four different categories: communication, illness management, clinical management, and education/information. The types of data collected by the apps included numerical, textual, photographic, and graphical with several apps able to collect a variety of data types. Analysis of the studies showed that although data collection is rarely outlined as the explicit purpose of mHealth apps, data collected through such technology are and can be used to inform practice change both in real time and retrospectively. LINKING EVIDENCE TO ACTION: This review highlights while this is an emerging area, data obtained from mHealth apps can and are being used to inform quality improvement in health care. Further research is required in this area to adequately understand how data from mHealth apps can be used to produce quality improvement, specifically in relation to nursing. This review also highlights a need for the development of apps that aim to capture data to inform quality improvement, particularly from the patient perspective.


Assuntos
Coleta de Dados/métodos , Enfermagem Baseada em Evidências/normas , Melhoria de Qualidade/tendências , Telemedicina/estatística & dados numéricos , Coleta de Dados/normas , Enfermagem Baseada em Evidências/métodos , Humanos , Estudos Retrospectivos , Telemedicina/métodos
11.
J Clin Nurs ; 28(13-14): 2517-2525, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30791154

RESUMO

AIMS: To facilitate evidence-based leg and foot ulcer management through implementation of the Champions for Skin Integrity model to education in primary health care in Australia. BACKGROUND: Leg and foot ulcers are frequently seen wounds in general practice and wound care the most frequently performed activity by practice nurses. The literature reports the lack of evidence-based leg and foot ulcer assessment, management and prevention strategies in this setting, and previous research in regard to confidence and knowledge has indicated that general practice health professionals have the greatest need for education in wound care. DESIGN: Pre-post, nonequivalent group research design. METHODS: The Champions for Skin Integrity model of evidence-based wound management utilised strategies including workshops, development of Champions and use of resources. Pre- and post-implementation health professional surveys and patient clinical audits were completed. Descriptive statistics were calculated for all variables. Paired t tests identified statistically significant differences between the pre/post staff survey data. STROBE guidelines for reporting were followed (See Appendix S1). RESULTS: One hundred nine general practice healthcare professional staff attended the workshops. Significant outcomes were noted in increased levels of confidence in ability to assess, manage and prevent all types of leg and foot ulcers, as well as to apply evidence-based practice and change management following workshops. Pre- and post-skin audits also indicated an increase in evidence-based practices. CONCLUSION: Implementation of Champions for Skin Integrity strategies in this sample of primary healthcare professionals in general practice fostered a positive change in evidence-based wound management, assessment and prevention. RELEVANCE TO CLINICAL PRACTICE: The Champions for Skin Integrity model has supported increases in evidence-based practices in treatment and management of wounds in primary healthcare professionals, similar to the positive outcomes gained in the aged care setting. This is likely to lead to positive outcomes for those with wounds in this setting.


Assuntos
Úlcera do Pé/enfermagem , Pessoal de Saúde/educação , Pele/lesões , Austrália , Enfermagem Baseada em Evidências/métodos , Úlcera do Pé/prevenção & controle , Humanos , Capacitação em Serviço/métodos , Enfermagem de Atenção Primária/métodos , Atenção Primária à Saúde/normas , Melhoria de Qualidade , Inquéritos e Questionários
12.
J Clin Nurs ; 28(9-10): 1990-1998, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30698311

RESUMO

AIMS: The aims of this paper are to (a) outline the design and implementation of an evidence-based assertiveness communication workshop for Japanese nursing students; and (b) report on the evaluation of nursing students' satisfaction with the workshop using the Satisfaction with Assertiveness Communication Training Program Survey. BACKGROUND: A body of research attests to the relationship between assertive communication and patient safety. This paper reports the design and evaluation of an assertiveness communication training programme designed to enhance students' ability to communicate safety in clinical practice. DESIGN: A culturally appropriate and evidence-based assertiveness communication workshop, informed by Gagne's instructional design principles, was implemented for third-year nursing students in two Japanese higher educational institutions in December 2017. A descriptive study design was used to evaluate the workshop. METHODS: Students' perceptions of the workshop were evaluated using the Satisfaction with Assertiveness Communication Training Program Survey, which includes ten items that are rated using a 5-point Likert scale from strongly disagree [1] to strongly agree [5]. Data were analysed using descriptive statistics. The Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0) guidelines were used in the reporting of this study. RESULTS: A total of 111 students from a population of 150 participated in the study giving a response rate of 74%. The overall mean satisfaction score was 4.12 indicating a high level of agreement with each of the survey items. With the exception of two items, the mean scores were above 4.0. "Confidence in using assertiveness communication skills" and "Utilising role-plays to practice learnt skills" received mean scores of 3.71 and 3.90, respectively. CONCLUSION: Given the compelling research about the importance of assertive communication in health care, the results from this study support continuing investment in assertiveness communication training programmes for nursing students. RELEVANCE TO CLINICAL PRACTICE: Assertive communication is an essential communication skill for safe nursing practice. Culturally appropriate assertiveness communication training programmes are of particular relevance in hierarchical healthcare contexts.


Assuntos
Assertividade , Terapia Comportamental/métodos , Desenvolvimento de Programas , Estudantes de Enfermagem/psicologia , Educação em Enfermagem/métodos , Enfermagem Baseada em Evidências/métodos , Humanos , Relações Interprofissionais , Japão , Relações Enfermeiro-Paciente , Segurança do Paciente , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários
13.
PLoS One ; 14(1): e0210606, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30645609

RESUMO

BACKGROUND: Evidence-based nursing (EBN) has been an important training mechanism for improving the quality of clinical care. At present, the pedagogy focuses on the application of e-learning and team-based learning to enhance learners' engagement and learning effectiveness. OBJECTIVES: This study applied the flipped classroom approach to conduct evidence-based nursing (EBN) teaching. The aim of this study is to elevate the learning effectiveness of the flipped classroom group to the traditional teaching group in terms of knowledge and self-efficacy in practice. DESIGN: A pretest-posttest nonequivalent control group with a quasi-experimental quantitative design. METHODS: The study recruited 151 nurses, of whom 75 were in the control group and 76 were in the experimental group. During the EBN course, the control group received training via traditional pedagogy while the experimental group engaged the flipped classroom approach. The learning effectiveness of EBN knowledge and self-efficacy in practice were evaluated across the three time points: pre-course, post-course, and one month after the course. RESULTS: In both group the scores of the EBN knowledge and self-efficacy in practice improved after training. The scores of the experimental group increased significantly than in the control group. However, the scores declined in both groups one month after the course. Even so, the experimental group's score of self-efficacy in practice was still higher than that of the control group. CONCLUSION: The implementation of the flipped classroom approach and team-based learning effectively enhanced the learners EBN knowledge accumulation and self-efficacy in practice. The research results can be used as an important reference for improving clinical nursing teaching quality.


Assuntos
Currículo/estatística & dados numéricos , Enfermagem Baseada em Evidências/métodos , Docentes de Enfermagem/estatística & dados numéricos , Aprendizagem Baseada em Problemas/métodos , Adulto , Currículo/normas , Feminino , Humanos , Aprendizagem , Masculino , Autoeficácia , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Ensino/psicologia , Ensino/normas , Ensino/estatística & dados numéricos
14.
Int Wound J ; 16(2): 325-333, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30412652

RESUMO

The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high-risk nursing home population receiving evidence-based PU prevention. This study was part of a randomised controlled trial examining the (cost-)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non-blanchable erythema, Braden score ≤ 12 or Braden subscale "mobility" ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II-IV) was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU (category III-IV). PUs (category II-IV) were significantly associated with non-blanchable erythema, a lower Braden score, and pressure area-related pain in high-risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high-risk individuals.


Assuntos
Leitos , Enfermagem Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/estatística & dados numéricos , Casas de Saúde/estatística & dados numéricos , Lesão por Pressão/epidemiologia , Lesão por Pressão/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Bélgica , Estudos de Coortes , Feminino , Humanos , Incidência , Masculino , Medição de Risco , Fatores de Risco
15.
Int Wound J ; 16(2): 334-342, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30417528

RESUMO

Wound management in Australia suffers from a lack of adequate coordination and communication between sectors that impacts patient outcomes and costs. Wound Innovations is a specialist service comprising of a transdisciplinary team that aims to streamline and improve patient care and outcomes. We compared patient experiences and outcomes prior to accessing this specialist service, and the 3 months following their enrolment at the clinic. Information on patient experiences, wound history, and outcomes was collected through interviews and a review of medical records for the 12 months prior to enrolment at the clinic. Wound progress, quality of life (QoL) outcomes, and service use were tracked during the 3-month prospective phase. A sample of 29 participants was recruited. 40% healed completely by 3 months, with the average time to healing being 8 weeks. The average QoL score at baseline was 0.69 (from a score of 1, being best health imaginable). At 3 months, the average QoL score increased significantly to 0.84 (P ≤0.001). On average, participants attended the clinic 4.6 times. The average decrease in wound size was 85.4% (95% CI [75.7%, 95%]). Accessing wound care treatment at a specialist, multidisciplinary wound clinic leads to an increase in QoL and access to consistent evidence-based practices.


Assuntos
Doença Crônica/terapia , Enfermagem Baseada em Evidências/métodos , Equipe de Enfermagem/métodos , Assistência Centrada no Paciente/métodos , Terapias em Estudo/métodos , Cicatrização/fisiologia , Ferimentos e Lesões/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Queensland
16.
J Pediatr Nurs ; 45: 20-25, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30594888

RESUMO

PURPOSE: The purpose of this study was to examine nursing students' performance in providing family-centered care and empathic communication in a pediatric simulation. This study was considered an innovative approach within our undergraduate program because the use of standardized actors (SAs) was new to the program and had only previously been used in our graduate program. METHOD: This study used a mixed method design of descriptive comparative data and content analysis to examine nursing students' performance in providing family-centered care and empathic communication in a pediatric simulation. RESULTS: There were 146 students who participated in this study. Thematic analysis indicated that empathy needs to extend beyond the patient to the family. A comparison of the standardize actors' and peer assessment of student empathy was significant. CONCLUSIONS: Nurse educators can use standardized actors as caregivers in simulation as an effective teaching strategy to connect theory and the philosophy of family-centered care to its application in pediatric nursing practice. PRACTICE IMPLICATIONS: Family-centered care is a key philosophy in pediatric nursing. Students report that there is a significant gap between family-centered care theory and its application to practice. Few baccalaureate nursing students receive experience in family interactions during their clinical time. Therefore, this research supports the need for incorporating family-centered care simulation practices in nursing education to increase student nurses' readiness to practice in specialty settings such as pediatrics.


Assuntos
Competência Clínica/normas , Bacharelado em Enfermagem/métodos , Enfermagem Pediátrica/educação , Estudantes de Enfermagem/psicologia , Empatia , Enfermagem Baseada em Evidências/métodos , Feminino , Humanos , Masculino , Simulação de Paciente , Estudantes de Enfermagem/estatística & dados numéricos
17.
Neonatal Netw ; 37(6): 372-377, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30567887

RESUMO

The vast majority of infants in the NICU receive peripheral intravenous (PIV) therapy for administration of fluids, nutrition, medications, and blood products. The potential complications of infiltration and extravasation are common in this population. Consequences of inf.ltration and extravasation may be prevented or mitigated by early detection and prompt treatment. In addition, innovative therapies for wound care are constantly evolving. In order to improve outcomes, a practice guideline for intravenous (IV) infiltration prevention, management, and treatment is presented based on literature review and consultation with wound care experts. The guideline includes preventive measures, standardized IV assessment, staging, an algorithm outlining injury, and wound care recommendations.


Assuntos
Enfermagem Baseada em Evidências/normas , Extravasamento de Materiais Terapêuticos e Diagnósticos/enfermagem , Extravasamento de Materiais Terapêuticos e Diagnósticos/prevenção & controle , Infusões Intravenosas/efeitos adversos , Terapia Intensiva Neonatal/normas , Guias de Prática Clínica como Assunto , Enfermagem Baseada em Evidências/métodos , Feminino , Humanos , Lactente , Recém-Nascido , Terapia Intensiva Neonatal/métodos , Masculino
20.
Worldviews Evid Based Nurs ; 15(6): 424-431, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30320956

RESUMO

BACKGROUND: The most common barriers to evidence-based nursing (EBN) are related to nurse leadership and to organizational characteristics. Scientific evidence is needed regarding interventions that support nurse leadership. AIMS: The aim was to gather, assess, and synthesize the current empirical evidence regarding interventions for enhancing nursing leadership in EBN implementation. METHODS: We conducted an integrative review of interventions that enhance the roles of nurse leaders in EBN implementation using reporting guidance according to the PRISMA statement. RESULTS: The search identified five studies, which described two intervention types: interventions improving nurse leaders' capabilities for EBN implementation and supporting the activities for EBN implementing. The interventions focused on strategic, teamwork, and individual levels. All interventions produced positive outcomes on primary outcomes, however all not statistically significant. LINKING EVIDENCE TO ACTION: The studies mainly had descriptive designs and short follow-up times, so it was not possible to propose evidence-based recommendations for effective interventions. The certainty of evidence was very low due to the study designs and the risk of bias. Structured clinical education might promote new innovations in evidence-based leadership in nursing. Conclusions about the impact of the interventions must be drawn with caution. They might be useful for promoting the abilities of nurse leaders to implement EBN, but further studies are needed to provide more reliable recommendations.


Assuntos
Enfermagem Baseada em Evidências/métodos , Liderança , Cuidados de Enfermagem/métodos , Humanos , Cultura Organizacional
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