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3.
Ann Glob Health ; 87(1): 1, 2021 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-33505860

RESUMO

Background: UC San Diego Health System (UCSDHS) is an academic medical center and integrated care network in the US-Mexico border area of California contiguous to the Mexican Northern Baja region. The COVID-19 pandemic deeply influenced UCSDHS activities as new public health challenges increasingly related to high population density, cross-border traffic, economic disparities, and interconnectedness between cross-border communities, which accelerated development of clinical collaborations between UCSDHS and several border community hospitals - one in the US, two in Mexico - as high volumes of severely ill patients overwhelmed hospitals. Objective: We describe the development, implementation, feasibility, and acceptance of a novel critical care support program in three community hospitals along the US-Mexico border. Methods: We created and instituted a hybrid critical care program involving: 1) in-person activities to perform needs assessments of equipment and supplies and hands-on training and education, and 2) creation of a telemedicine-based (Tele-ICU) service for direct patient management and/or consultative, education-based experiences. We collected performance metrics surrounding adherence to evidence-based practices and staff perceptions of critical care delivery. Findings: In-person intervention phase identified and filled gaps in equipment and supplies, and Tele-ICU program promoted adherence to evidence-based practices and improved staff confidence in caring for critically ill COVID-19 patients at each hospital. Conclusion: A collaborative, hybrid critical care program across academic and community centers is feasible and effective to address cross-cultural public health emergencies.


Assuntos
Centros Médicos Acadêmicos , Cuidados Críticos/métodos , Hospitais Comunitários , Comunicação Interdisciplinar , Telemedicina , Algoritmos , California , Cuidados Críticos/organização & administração , Equipamentos e Provisões Hospitalares , Medicina Baseada em Evidências , Pessoal de Saúde/educação , Humanos , Controle de Infecções/métodos , Unidades de Terapia Intensiva , Cooperação Internacional , México , Enfermagem/métodos , Autoeficácia
5.
Medicine (Baltimore) ; 99(45): e23018, 2020 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-33157950

RESUMO

BACKGROUND: This study will assess the effect of high-quality nursing (HQN) on alleviating depression and anxiety (DA) in patients with thyroid cancer (TC) during perioperative period (PPP). METHODS: We will search the following electronic databases (MEDLINE, EMBASE, PsycINFO, Cochrane Library, CINAHL, Web of Science, CBM, WANGFANG, and CNKI) from inception to the present and other literature sources without language limitation. All potential randomized controlled trials reporting on effect of HQN on DA in patients with TC during PPP will be considered for inclusion. Two researchers will separately carry out study selection, data extraction, and study quality evaluation. Any different opinion will be solved by a third author through discussion. All statistical analysis will be performed by RevMan 5.3 software. RESULTS: We will appraise the effect of HQN on DA in patients with TC during PPP through assessing outcomes of depression, anxiety, pressure, quality of life, and adverse events. CONCLUSION: This study will provide evidence to determine whether HQN is effective or not on DA in patients with TC during PPP. OSF REGISTRATION:: osf.io/sb5r8.


Assuntos
Enfermagem/métodos , Período Perioperatório/enfermagem , Neoplasias da Glândula Tireoide/enfermagem , Adulto , Ansiedade/etiologia , Depressão/etiologia , Feminino , Humanos , Masculino , Enfermagem/estatística & dados numéricos , Período Perioperatório/psicologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Neoplasias da Glândula Tireoide/complicações , Neoplasias da Glândula Tireoide/psicologia
6.
J Cardiothorac Surg ; 15(1): 168, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32650829

RESUMO

OBJECTIVE: To investigate the application and value of continuous nursing after coronary artery bypass grafting. METHODS: The clinical data of 62 patients after coronary artery bypass grafting from January 2016 to January 2018 were analyzed retrospectively. According to the nursing mode, the patients were divided into two groups: the continuous nursing group (n = 30) and the conventional nursing group (n = 32). All patients completed Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) at admission and 1 year after operation. All patients completed Seattle Angina Pectoris Questionnaire (SAQ) at discharge and 1 year after operation. RESULTS: All patients were followed up for more than one year. One year after operation, SAQ score in five items in continuous nursing group was significantly better than that in conventional nursing group.(P < 0.05) The continuous nursing group exhibited significantly decreased SAS and SDS scores 1 year after surgery compared to the preoperative SAS and SDS scores.(P < 0.05) The SAS and SDS scores of the continuous nursing group were significantly better than those of the conventional nursing group 1 year after surgery.(P < 0.05) Then incidence rate of chest tightness or chest pain and coronary restenosis in continuous nursing group were significantly less than that in conventional nursing group.(P < 0.05). CONCLUSION: Continuous nursing improved patient compliance with treatment and reduces the occurrence of complications. The patient also receives proper psychological evaluations, which relieve patient anxiety and depression and improve the quality of life.


Assuntos
Ponte de Artéria Coronária/enfermagem , Doença das Coronárias/cirurgia , Enfermagem/métodos , Adulto , Idoso , Angina Pectoris/etiologia , Ansiedade/etiologia , Ponte de Artéria Coronária/psicologia , Doença das Coronárias/complicações , Depressão/etiologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente , Escalas de Graduação Psiquiátrica , Qualidade de Vida , Recidiva , Estudos Retrospectivos
7.
Assist Inferm Ric ; 39(2): 66-108, 2020.
Artigo em Italiano | MEDLINE | ID: mdl-32686776

RESUMO

. The covid-19 emergency in the words of the nurses . This special issue of AIR is dedicated to the direct professional experiences and personal testimonies of a sample of the nursing personnel during the most dramatic phase of the covid-19 pandemia in the most severely affected regions of Northern Italy (Lombardy, Piedmont, Veneto, Friuli, Trentino, Emilia Romagna Regions). The decision to adopt a research strategy aimed to give visibility and voice to colleagues representing some of the key hospitals of the regions obliged to a radical reorganisation of their structures and organisation of care, was adopted to catch from inside the crisis scenarios the expected mix of intense emotions (from anxiety, to fatigue, to personal and professional uncertainty, to the burden of impotence), and of needed technical creativity and efficiency which were requested to face a totally unexpected situation where guidelines could hardly be of help. The interview/diaries/focus groups were carefully planned not so much in terms of the contents, but with attention to the acceptance of the interviewed to enter in a free dialogue, with no Q&A, to be recorded, and to last for the time felt to be by both sides appropriate. The texts which are reported in this dossier are fragments of the recordings (overall more then 30 hours), without adjustments. It has been agreed that while all the names of the participants are provided as 'authors', the individual contributions are anonymous (not out of privacy consideration!) as they are part of a collective narrative, which reflects the great variability of the languages and of the perceived-expressed experiences and memories. The material has been organised in sections which are conceived as 'verbal snapshots' taken from the networks of care settings, but at the same time of the places and houses where the colleagues were literally full-time living, to assure unaccountable overtime working hours, and the requested 'safety distances' and lockdowns. The titles of the 8 sections coincide somehow with the principal components of the chain of activities and challenges which had to be faced: The changes in everyday's care, How to be prepared to the emergency, The teamwork, The loneliness and the isolation of the patients, The loneliness of the nurses, The difficult choices, The organization of the work and of the wards, change after covid-19. The core of the dossier is framed by boxes which provide also a minimum background of the administrative and epidemiological data on the pandemia in the regions of interest (it is interesting to remind that the central-southern areas of Italy have been far less affected), and a brief concluding reflection on reflection on the post-pandemia from the nursing point of view.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Infecções por Coronavirus , Enfermeiras e Enfermeiros/psicologia , Pandemias , Pneumonia Viral , Tomada de Decisão Clínica , Emergências , Administração Hospitalar , Humanos , Itália , Solidão , Enfermagem/métodos , Enfermagem/organização & administração , Equipe de Enfermagem , Isolamento de Pacientes
9.
Br J Nurs ; 29(11): 653, 2020 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-32516045

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers how different ways of working during the COVID-19 emergency have led nurses to reflect on and change the way they nurse.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Enfermagem/métodos , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Inglaterra/epidemiologia , Humanos , Pandemias , Medicina Estatal
10.
J Med Internet Res ; 22(4): e18604, 2020 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-32329743

RESUMO

BACKGROUND: Clinical nursing education provides opportunities for students to learn in multiple patient care settings, receive appropriate guidance, and foster the development of clinical competence and professionalism. Nurse preceptors guide students to integrate theory into practice, teach clinical skills, assess clinical competencies, and enhance problem-solving and critical thinking skills. Previous research has indicated that the teaching competencies of nurse preceptors can be transferred to students' clinical learning to enhance their clinical competencies. OBJECTIVE: This study aimed to develop a clinical teaching blended learning (CTBL) program with the aid of web-based clinical pedagogy (WCP) and case-based learning for nurse preceptors and to examine the effectiveness of the CTBL program on nurse preceptors' clinical teaching competencies, self-efficacies, attitudes toward web-based learning, and blended learning outcomes. METHODS: A quasi-experimental single-group pretest and posttest design was adopted. A total of 150 nurse preceptors participated in the CTBL program, which was conducted from September 2019 to December 2019. A set of questionnaires, including the clinical teaching competence inventory, preceptor self-efficacy questionnaire, attitudes toward web-based continuing learning survey, and e-learning experience questionnaire, was used to assess the outcomes before and after the CTBL program. RESULTS: Compared with the baseline, the participants had significantly higher total mean scores and subdomain scores for clinical teaching competence (mean 129.95, SD 16.38; P<.001), self-efficacy (mean 70.40, SD 9.35; P<.001), attitudes toward web-based continuing learning (mean 84.68, SD 14.76; P<.001), and blended learning outcomes (mean 122.13, SD 14.86; P<.001) after the CTBL program. CONCLUSIONS: The CTBL program provides a comprehensive coverage of clinical teaching pedagogy and assessment strategies. The combination of the WCP and case-based approach provides a variety of learning modes to fit into the diverse learning needs of the preceptors. The CTBL program allows the preceptors to receive direct feedback from the facilitators during face-to-face sessions. Preceptors also gave feedback that the web-based workload is manageable. This study provides evidence that the CTBL program increases the clinical teaching competencies and self-efficacies of the preceptors and promotes positive attitudes toward web-based learning and better blended learning outcomes. The health care organization can consider the integration of flexible learning and intellect platforms for preceptorship education.


Assuntos
Competência Clínica/normas , Aprendizagem/fisiologia , Enfermagem/métodos , Preceptoria/organização & administração , Adulto , Feminino , Humanos , Masculino
12.
Nurs Adm Q ; 44(2): 142-148, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32134873

RESUMO

As Doctor of Nursing Practice (DNP) students and graduates begin to apply new knowledge in real-life situations, they are transforming their organizations. The impact of DNP projects is noted by measurable outcomes in diverse settings. This article presents 4 unique clinical/organizational examples of DNP projects. The authors have identified an application of complexity science and leadership theory in their practice changes. In addition, they share their thoughts and feelings as emerging leaders.


Assuntos
Liderança , Enfermagem/métodos , Educação de Pós-Graduação em Enfermagem/métodos , Humanos , Enfermagem/organização & administração
13.
Rev Bras Enferm ; 73(1): e20170910, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32049220

RESUMO

OBJECTIVE: to assess the effects of an intervention based on the Theater of the Oppressed in reducing school bullying. METHOD: a quasi-experimental study with 232 first-year high school students from two public schools in the city of Cuiabá, Mato Grosso State, Brazil. An intervention was performed with the Theater of the Oppressed, a theatrical methodology created by Augusto Boal and inspired by Paulo Freire's "Pedagogy of the Oppressed", in which one school composed the intervention group, and another school, the comparison group. Both groups were assessed for involvement in bullying situations before and after intervention. For data analysis, Poisson Regression models with random effect were used. RESULTS: intervention group presented a significant decrease in direct victimization (physical and verbal aggression). CONCLUSION: the Theater of the Oppressed represents an important strategy in reducing bullying victimization among school adolescents.


Assuntos
Saúde do Adolescente/normas , Bullying/psicologia , Enfermagem/normas , Serviços de Enfermagem Escolar/normas , Adolescente , Saúde do Adolescente/estatística & dados numéricos , Brasil , Bullying/prevenção & controle , Bullying/estatística & dados numéricos , Criança , Vítimas de Crime/psicologia , Vítimas de Crime/estatística & dados numéricos , Feminino , Humanos , Masculino , Enfermagem/métodos , Enfermagem/estatística & dados numéricos , Serviços de Enfermagem Escolar/métodos , Serviços de Enfermagem Escolar/estatística & dados numéricos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Adulto Jovem
14.
Artigo em Inglês | MEDLINE | ID: mdl-31936751

RESUMO

Communicating bad news (CBN) is a fundamental skill in nursing; nevertheless, few instruments exist for its evaluation. This study presents a questionnaire designed to measure nurses' knowledge and ability of CBN, as well as the analysis of its psychometric properties. Based on a literature search, the initial dimensions of CBN were identified to construct the questionnaires' items, which were evaluated by experts for the validity of the items' contents. Construct validity and reliability of the resulting questionnaire was carried out in a sample of 71 nurses of an Andalusian university hospital. A questionnaire with 25 items was constructed with a high internal consistency (Cronbach's alpha 0.816). The content validity was evaluated via a literature review and additionally by the assessment of seven experts. The Kaiser-Meyer-Olkin test (KMO) obtained a score of 0.683, and the Bartlett test of sphericity a value of p < 0.001. The principal component analysis supported a construct of four dimensions. This questionnaire was found to be a valid and reliable instrument with a high internal consistency for the evaluation of CBN knowledge and skills of nursing professionals.


Assuntos
Enfermagem/métodos , Psicometria , Inquéritos e Questionários/normas , Adulto , Feminino , Hospitais Universitários , Humanos , Masculino , Enfermagem/normas , Projetos Piloto , Reprodutibilidade dos Testes
17.
Nurse Educ Pract ; 42: 102682, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31816581

RESUMO

While there has been some growth in the body of literature on threshold concepts in health science disciplines, the nature of this discourse and which approaches have proved successful remains unclear. This paper illustrates one of the primary issues facing the development of threshold concepts in nursing education literature specifically - a lack of transparent and rigorous processes for their identification. The paper briefly examines the methods that have been utilised to identify threshold concepts in the nursing education literature, and what issues using these approaches raise. It then considers how the field might further develop in order to best engage the benefits that threshold concept analysis and identification may have for curriculum development and teaching in nursing.


Assuntos
Formação de Conceito , Bacharelado em Enfermagem/métodos , Enfermagem/tendências , Currículo/normas , Currículo/tendências , Bacharelado em Enfermagem/normas , Bacharelado em Enfermagem/tendências , Humanos , Aprendizagem , Enfermagem/métodos
18.
Nurs Adm Q ; 44(1): 3, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31789733
19.
Nurs Philos ; 21(2): e12289, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31729125

RESUMO

In this article, the nursing health history is revisited with a hermeneutic lens to uncover means by which this tool can better serve nursing practice. It is argued that further distanciation from the developmental and medical model is necessary to accurately uncover health and history in the nurse-client encounter. Based on the works of prominent hermeneutic philosophers, such as Heidegger, Gadamer, Merleau-Ponty, Ricoeur, and Taylor, four orientations to health history and nursing are explored: orientation to caring, orientation to narrative, orientation to time, and orientation to the body. The nursing health history is used as a vehicle for illuminating the usefulness of a hermeneutic perspective in everyday nursing practice. This article reveals views of health, history, and health history that are already known to nurses and the nursing milieu but are concealed by more dominant outlooks. The hermeneutical perspective presented in this article can help to reveal the important dimensions of everyday nursing practice and foster a richer attunement with the complex health experiences of individuals.


Assuntos
Hermenêutica , Anamnese/métodos , Enfermagem/métodos , Humanos , Anamnese/estatística & dados numéricos , Enfermagem/tendências
20.
Nurse Educ Today ; 85: 104301, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31785571

RESUMO

BACKGROUND: In Taiwan's hospitals, English medical discourse underpins nursing and medical practice. Much patient care work is done through language work, by both text and talk. This means that when nurses start their nursing careers in the hospital context, where English medical discourse is shared to produce knowledge and engage in practice, knowledge of medical discourse and the ability to use it are prerequisites. In the process of learning and using such specialist language, the formation of professional identities is assumed. OBJECTIVES: This study aimed to explore nurses' learning journeys relating to medical discourse and the development of their professional identities. METHODS: This research adopted a qualitative approach, using data from 10 nurses working in different hospitals in Taiwan. RESULTS: The findings revealed that English medical discourse was employed in Taiwan's hospitals not only for fulfilling professional purposes but also for socialising nurses into the healthcare community. Nurses acquired it through interactions, small talk, relationships, discussions, and nursing tasks. Their professional identities were formed through engaging in meaningful nursing practice based on English medical discourse. However, in the learning process, they encountered difficulties in the areas of listening, speaking, and reading, which raised concerns about patient safety. CONCLUSION: Sufficient support is needed to ease nurses' difficulties in learning. We propose having primary and secondary preceptors, establishing a mentorship policy, and creating a learning environment that is supportive of nurses' learning experiences.


Assuntos
Desenvolvimento da Linguagem , Aprendizagem , Enfermeiras e Enfermeiros/psicologia , Identificação Social , Humanos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Enfermagem/métodos , Enfermagem/normas , Enfermagem/estatística & dados numéricos , Pesquisa Qualitativa , Taiwan , Local de Trabalho/psicologia
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