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1.
Nurs Adm Q ; 45(1): 65-70, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33259373

RESUMO

The coronavirus-2019 (COVID-19) pandemic has resulted in turbulent times challenging nurse leaders to adopt, adapt, and develop new leadership competencies to navigate current and future challenges. In never-imagined approaches, nurse leaders have responded to a different type of crisis management. In this new era, nursing leadership will need competencies to reshape the future of nursing and nurses' role in caring for patients, families, and promotion of healthy communities along with a focus on reducing health disparities. The pandemic has drawn critical focus on the health and well-being needs of nurses. The American Organization for Nursing Leadership and the Association for Leadership Science in Nursing have offered insights of nursing leadership competencies critical for practice and education in shaping the future.


Assuntos
Liderança , Enfermagem/normas , Sociedades de Enfermagem/normas , /enfermagem , Competência Clínica/normas , Humanos , Pandemias
2.
J Nurs Adm ; 50(11): 555-556, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33074954

RESUMO

The coronavirus disease (COVID-19) pandemic has been a source of disruption, unexpected illness, stress, and adversity for people, worldwide. As the reality of the COVID-19 pandemic unfolded in early 2020, many healthcare organizations found themselves in the midst of their Magnet appraisals-just short of the 3rd appraisal phase, the Site Visit Phase. In response, the Magnet Recognition Program devised strategies to maintain the integrity of the appraisal process, despite the turbulence associated with the unexpected changes that healthcare organizations were confronting while contending with the impact of COVID-19. In this month's Magnet Perspectives column, we explore how the virtual site visit has provided healthcare organizations with the opportunity to complete this phase of their appraisal process while addressing the safety and well-being of the organization's staff as well as that of the Magnet appraisers.


Assuntos
Acreditação/métodos , Infecções por Coronavirus/epidemiologia , Enfermagem/normas , Pandemias , Pneumonia Viral/epidemiologia , Realidade Virtual , Humanos , Estados Unidos/epidemiologia
3.
Georgian Med News ; (299): 151-157, 2020 Feb.
Artigo em Russo | MEDLINE | ID: mdl-32242864

RESUMO

Key indicators of performance (KPI) can be used to show the contribution of each employee or department/department to productivity in areas where quality or effectiveness can be measured. Performance indicators are usually agreed at the national or local level. When choosing a performance indicator for a nursing service, an analysis of the recommendations for testing effectiveness was required. As part of the introduction of a new model of management of nursing services in the Republic of Kazakhstan in 2018, the working group developed key indicators of performance assessment of the nursing service in order to try to demonstrate the impact of nursing on the quality of care. In 2019, in order to monitor the activities of nursing specialists in pilot medical organizations, work was carried out to assess the performance indicators of nursing specialists. These indicators were aimed at assessing the structure of nursing services, nursing process and the results of activities of nursing specialists in organizations providing outpatient and inpatient care.


Assuntos
Competência Clínica , Assistência à Saúde/normas , Serviços de Enfermagem/normas , Enfermagem/normas , Eficiência Organizacional , Humanos , Cazaquistão , Serviços de Enfermagem/organização & administração , Controle de Qualidade , Indicadores de Qualidade em Assistência à Saúde
5.
Rev Bras Enferm ; 73(1): e20170727, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32049213

RESUMO

OBJECTIVE: This study intends to analyze how the human condition of the nurse is established in the context of Psychosocial Care Centers (Caps). METHOD: theoretical-reflexive study, anchored in three essential parts: 1) Theoretical and philosophical conception of the human condition from Hannah Arendt's perspective; 2) The nurse's work in the Caps; and 3) Human condition to think about the work of the nurse. RESULTS: in the context of the Caps, the work can be represented by the psychic significations; the work, through the production of nurses' practice of care; and the action by the relations established between worker and institution, worker and user. FINAL CONSIDERATIONS: the understanding of the vita activa allows to reflect on the human condition of the nurse in their work context and (re) considers a better understanding about the impact of the work on the life of these mental health workers in the contemporaneity.


Assuntos
Atitude do Pessoal de Saúde , Enfermeiras e Enfermeiros/psicologia , Enfermagem/normas , Carga de Trabalho/normas , Humanos , Papel do Profissional de Enfermagem , Enfermeiras e Enfermeiros/normas , Enfermagem/tendências , Carga de Trabalho/psicologia
6.
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
7.
Plast Surg Nurs ; 40(1): 20-24, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32102075

RESUMO

Stereotypes of older adults and assumptions of old age as a time of dependency and vulnerability affect not only how older adults are perceived and treated by society, but how they are treated by members of the nursing profession as well. When nurses display ageist attitudes, it can be harmful to older patients both physically and emotionally. In this review article the author describes some of the literature related to ageism in nursing, discusses how ageism can affect the quality of the care that is provided to older adult patients, and explains theories that may help explain ageism in nursing.


Assuntos
Ageismo/psicologia , Atitude do Pessoal de Saúde , Enfermagem/normas , Humanos , Enfermagem/tendências , Teoria Social
8.
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
9.
Am J Nurs ; 120(2): 10, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31977393
10.
Am J Nurs ; 120(2): 10, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31977394
11.
Ciênc. Saúde Colet ; 25(1): 293-302, jan. 2020. graf
Artigo em Francês | LILACS | ID: biblio-1055767

RESUMO

Résumé Cet article concerne le Système de Santé en France. Il souligne que dans ce pays il est essentiel de former des professionnels insérés dans un «savoir-faire¼, et également préparés aux mutations actuelles et à venir de la profession infirmière. Ainsi, une revue de la littérature a été réalisée à partir de la classification et de l'analyse des textes et des documents recherchés, nous avons essayé de comprendre le Système de Santé Français et de soins infirmiers. Cela a permis la construction de deux catégories thématiques. La première est le Service Sanitaire réalisé par les étudiants des formations en santé qui traduit la volonté du Gouvernement de placer la prévention au cœur de son action. Et la deuxième aborde la Formation des infirmiers qui est un référentiel basé sur la compétence. La démographie des infirmières en France est également abordée, ce qui met en évidence l'augmentation du nombre d'infirmières de 2010 à 2018.


Abstract This paper concerns the French Health Care System that revolutionized the rationale of the existing social protection. It emphasizes that, in this country, it is essential to train professionals integrated into a "know-how", and also prepared for the current and future changes in the nursing profession. A literature review was carried out based on the classification and analysis of the texts and documents researched, and we tried to understand the French Health and Nursing System. This allowed the construction of two thematic categories. The first one is the "Health Service" that addresses health training courses for prevention, while the second one deals with Nursing Education, which is a competency-based framework. The demography of nurses in France is also discussed, which highlights the increased number of nurses from 2010 to 2018.


Assuntos
Enfermagem/normas , Enfermagem/estatística & dados numéricos , Assistência à Saúde , Educação em Enfermagem/normas , Competência Clínica , Assistência Centrada no Paciente , França
12.
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
13.
Cien Saude Colet ; 25(1): 293-302, 2020 Jan.
Artigo em Francês, Inglês | MEDLINE | ID: mdl-31859877

RESUMO

This paper concerns the French Health Care System that revolutionized the rationale of the existing social protection. It emphasizes that, in this country, it is essential to train professionals integrated into a "know-how", and also prepared for the current and future changes in the nursing profession. A literature review was carried out based on the classification and analysis of the texts and documents researched, and we tried to understand the French Health and Nursing System. This allowed the construction of two thematic categories. The first one is the "Health Service" that addresses health training courses for prevention, while the second one deals with Nursing Education, which is a competency-based framework. The demography of nurses in France is also discussed, which highlights the increased number of nurses from 2010 to 2018.


Assuntos
Assistência à Saúde , Educação em Enfermagem , Enfermagem , Competência Clínica , Educação em Enfermagem/normas , França , Enfermagem/normas , Enfermagem/estatística & dados numéricos , Assistência Centrada no Paciente
14.
Nurs Philos ; 21(1): e12274, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31332915

RESUMO

Care left undone, interchangeably referred to as missed care, unfinished nursing care and task incompletion, is pervasive in contemporary healthcare systems. Care left undone can result in adverse outcomes for the patient, nurse and organization. The rhetoric that surrounds care left undone infers it is a contemporary nursing phenomenon; however, a seventeenth-century Spanish nursing treatise, Instruccion de Enfermeros (Instructions for Nurses), challenges this assumption. Instruccion de Enfermeros was an instructional guide that was written for members of the Congregation of Bernardino de Obregon who worked as nurses at the Madrid General Hospital. The treatise provides a historical commentary on the daily roles, responsibilities and working conditions of the Obregonian nurses. Its content and context suggest the Obregonian nursing resource was consistently time poor due to a confluence of internal and external stressors. Consequently, the Obregonians were under considerable role strain resulting in inferior patient care. This article explores the antecedents of care left undone through a historical lens using exemplars from the 1625 edition of Instruccion de Enfermeros. Factors contributing to care left undone in Obregonian nursing will then be examined to offer insights into the similarities between what a nurse suffered 400 years ago and what exists in contemporary nursing practice.


Assuntos
História da Enfermagem , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Enfermagem/normas , História do Século XVII , Humanos , Espanha
15.
Artigo em Inglês | LILACS | ID: biblio-1128099

RESUMO

AIMS: to present a reflection on the clinic of patients infected by COVID-19 and to propose the main nursing diagnoses based on International Classification for Nursing Practice (ICNP©). METHOD: this is a reflection study, in which the selection criteria used were articles indexed in the MEDLINE, LILACS and BDENF databases published between December 2019 and April 2020, in English and Portuguese. RESULTS: 10 scientific articles were part of the study, which made it possible to know the symptomatologic profile of the disease, with emphasis on the classic triad of COVID-19, which is cough, shortness of breath and fever. It revealed that the basic human need most affected in this patient profile is oxygenation in view of hypoxemia being the main complication, for which the clinical outcome was negative, especially in elderly patients. CONCLUSION: there was a shortage and studies related to nursing in the face of this pandemic, but it was possible to conclude that ICNP© is one of the taxonomies that can be used to implement nursing diagnoses and intervention, the most frequent nursing diagnoses are related to the basic human and social need for oxygenation and vascular regulation.


OBJETIVO: apresentar uma reflexão sobre a clínica dos pacientes contaminados pela COVID-19 e propor os principais diagnósticos de enfermagem baseados na Classificação Internacional para a Prática de Enfermagem (CIPE®). MÉTODO: trata-se de um estudo de reflexão, na qual utilizaram-se como critérios de seleção, artigos indexados nas bases de dados MEDLINE, LILACS e BDENF publicados entre dezembro de 2019 a abril de 2020, no idioma inglês e português. RESULTADOS: fizeram parte do estudo 10 artigos científicos o que possibilitou conhecer o perfil sintomatológico da doença, com destaque para a tríade clássica da COVID-19 que é tosse, falta de ar e febre. Revelou que a necessidade humana básica mais afetada nesse perfil de paciente é a oxigenação tendo em vista hipoxemia ser a principal complicação, para as quais o desfecho clínico foi negativo, principalmente, em pacientes idosos. CONCLUSÃO: evidenciou-se a carência e estudos relativos à enfermagem frente a essa pandemia, porém foi possível concluir que a CIPE® é uma das taxonomias que pode ser utilizada para implementar os diagnósticos e intervenção de enfermagem, os diagnósticos de enfermagem mais frequentes estão relacionados a necessidade humana básica de oxigenação e regulação vascular.


Assuntos
Humanos , Infecções por Coronavirus/prevenção & controle , Pneumonia Viral/prevenção & controle , Enfermagem/normas , Técnicas e Procedimentos Diagnósticos , Pandemias
16.
Temperamentum (Granada) ; 16: e13196-e13196, 2020.
Artigo em Espanhol | IBECS | ID: ibc-197658

RESUMO

La enfermería es una disciplina que ha experimentado diversos cambios a lo largo de su historia. No obstante, las nuevas transformaciones en la forma de hacer sanidad pueden cambiar la idea de lo que hoy es esta profesión. Para intentar afrontar este futuro hemos optado por potenciar la labor de la filosofía de la enfermería, tratando de reflexionar sobre la razón de ser de esta: los cuidados. De este modo, nos hemos apoyado en el libro "El futuro del cuidado. Comprensión de la ética del cuidado y práctica enfermera" de Carmen Domínguez Alcón, Helen Kohlen y Joan Tronto, así como de otros libros y artículos de diferentes autores de interés. Este recorrido nos ayudará a comprender cómo los cuidados pueden ser una herramienta útil para situar a la enfermería en el rumbo de los nuevos cambios del presente


Nursing is a discipline that has undergone several changes along its story. Nevertheless, the new transformations in the way of doing health service can change the idea of what profession is today. With the purpose of facing this future we have opted to strengthen the task of the nursing's philosophy, trying to ponder on its reason to be: care. In this way, we have supported our ideas in the book "El futuro del cuidado. Comprensión de la ética del cuidado y práctica enfermera" by Carmen Domínguez Alcón, Helen Kohlen and Joan Tronto, as well as other books and articles of different authors of interest. This journey will help us to comprehend how the care can be an useful tool to place nursing into the course of the new changes of the present


Assuntos
Humanos , Desejabilidade Social , Avaliação em Enfermagem , História da Enfermagem , Enfermagem/normas , Teoria de Enfermagem , Cuidados de Enfermagem/normas , Liderança , Serviços de Enfermagem/história , Serviços de Enfermagem/normas , Equipe de Enfermagem
18.
Syst Rev ; 8(1): 305, 2019 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-31806051

RESUMO

BACKGROUND: Practitioner-level implementation interventions such as audit and feedback, communities of practice, and local opinion leaders have shown potential to change nurses' behaviour in clinical practice and improve patients' health. However, their effectiveness remains unclear. Moreover, we have a paucity of data regarding the use of theory in implementation studies with nurses, the causal processes-i.e. mechanisms of action-targeted by interventions to change nurses' behaviour in clinical practice, and the constituent components-i.e. behaviour change techniques-included in interventions. Thus, our objectives are threefold: (1) to examine the effectiveness of practitioner-level implementation interventions in changing nurses' behaviour in clinical practice; (2) to identify, in included studies, the type and degree of theory use, the mechanisms of action targeted by interventions and the behaviour change techniques constituting interventions and (3) to examine whether intervention effectiveness is associated with the use of theory or with specific mechanisms of action and behaviour change techniques. METHODS: We will conduct a systematic review based on the Cochrane Effective Practice and Organization of Care (EPOC) Group guidelines. We will search six databases (CINAHL, EMBASE, ERIC, PsycINFO, PubMed and Web of Science) with no time limitation for experimental and quasi-experimental studies that evaluated practitioner-level implementation interventions aiming to change nurses' behaviour in clinical practice. We will also hand-search reference lists of included studies. We will perform screening, full-text review, risk of bias assessment, and data extraction independently with the Covidence systematic review software. We will assess the quality of evidence using the GRADEpro software. We will code included studies independently for theory use (Theory Coding Scheme), mechanisms of action (coding guidelines from Michie) and behaviour change techniques (Behaviour Change Technique Taxonomy v1) with QSR International's NVivo qualitative data analysis software. Meta-analyses will be performed using the Review Manager (RevMan) software. Meta-regression analyses will be performed with IBM SPSS Statistics software. DISCUSSION: This review will inform knowledge users and researchers interested in designing, developing and evaluating implementation interventions to support nurses' behaviour change in clinical practice. Results will provide key insights regarding which causal processes-i.e. mechanisms of action-should be targeted by these interventions, and which constituent components-i.e. behaviour change techniques-should be included in these interventions to increase their effectiveness. SYSTEMATIC REVIEW REGISTRATION: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42019130446).


Assuntos
Comportamento , Metanálise como Assunto , Processo de Enfermagem , Enfermagem/normas , Projetos de Pesquisa , Revisões Sistemáticas como Assunto
20.
Br J Nurs ; 28(21): 1433, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778340

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, describes a global programme to promote a nursing excellence framework to create a positive working environment for nurses.


Assuntos
Enfermagem/normas , Medicina Estatal/organização & administração , Inglaterra , Humanos
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