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2.
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
3.
Rev Lat Am Enfermagem ; 27: e3172, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596408

RESUMO

OBJECTIVE: to relate nonspecific low back pain within the nursing work context with their workloads, attrition processes and the risks of illness. METHOD: a cross-sectional study with 301 workers from a general hospital in the south of the country. The Nordic Musculoskeletal Questionnaire and the Work Context Assessment Scale composed of three dimensions were used: working conditions, work organization and socio-professional relations. The association of variables with low back pain was tested using bivariate and multivariate analyzes. The measure of association used was the Odds Ratio and its respective intervals with 95% confidence. The data collected were discussed under the theoretical framework of the work process within the marxist conception and the theory of social determination of the health-disease process. RESULTS: there was a statistically significant association between the dimensions of work organization and working conditions with low back pain and they obtained a critical classification meaning moderate risks to the professional illness. CONCLUSION: the study allowed a better understanding of the nursing work process and its relation with nonspecific low back pain and signaled that changes in the organization and working conditions should occur in order to reduce the risks of nursing workers' illness.


Assuntos
Dor Lombar/terapia , Processo de Enfermagem/organização & administração , Equipe de Enfermagem/organização & administração , Enfermagem/normas , Doenças Profissionais/terapia , Adulto , Estudos Transversais , Feminino , Humanos , Dor Lombar/classificação , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros , Inquéritos e Questionários , Carga de Trabalho , Local de Trabalho , Adulto Jovem
4.
Rev Esc Enferm USP ; 53: e03489, 2019 Aug 19.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31433019

RESUMO

OBJECTIVE: To identify work process-related causes associated with nursing errors reported in newspapers. METHOD: This was a documentary and qualitative study based on the work process theory and hermeneutic analysis that examined 112 news articles published between 2012 and 2016 in 21 high-circulation Brazilian newspapers, organized and codified using Atlas.ti software. RESULTS: The causes associated with the reported errors were associated with workforce (lack of professionals and training, turnover, work overload, lack of information, recklessness, negligence, and distraction); work instruments (similar labels or packages, storage, lack of product identification and information, and medical prescriptions); and the object of nursing work (overcrowding and specific characteristics of patient). CONCLUSION: Analysis of the possible causes of reported errors identified the negative outcomes of nursing work, while also identifying elements of the work process that influenced these results. The findings emphasize the importance of understanding these errors so they can be avoided and of reviewing nursing work conditions to guarantee quality and safety of care.


Assuntos
Erros Médicos/estatística & dados numéricos , Processo de Enfermagem/organização & administração , Enfermagem/organização & administração , Brasil , Hermenêutica , Humanos , Enfermagem/normas , Processo de Enfermagem/normas , Pesquisa Qualitativa
5.
Stud Health Technol Inform ; 264: 1720-1721, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438310

RESUMO

This study was designed to develop a wearable learning support system that enables novices to learn the skill for blood withdrawal while imitating its images displayed in front of them. For them to master "tacit knowledge," such as "proficient art" and "knacks," in intravenous injection and blood drawing techniques. This paper outlines a learning support system incorporating augmented reality (AR), which we have developed based on earlier studies.


Assuntos
Conhecimento , Aprendizagem , Enfermagem , Competência Clínica , Enfermagem/normas
7.
PLoS One ; 14(5): e0215371, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31059504

RESUMO

BACKGROUND: Home visiting programs are implemented in high income countries to improve outcomes for families with young children. Significant resources are invested in such programs and high quality evaluations are important. In the context of research trials, implementation quality is often poorly reported and, when reported, is variable. This paper presents the quality of implementation of the right@home program, a sustained nurse home visiting intervention trialled in Australia, and delivered in a 'real world' context through usual child and family health services. right@home is structured around the core Maternal Early Childhood Sustained Home-visiting (MECSH) program, which is a salutogenic, child focused prevention model. METHOD: At each visit right@home practitioners completed a checklist detailing the client unique identifier, date of contact and activities undertaken. These checklists were collated to provide data on intervention dose, retention to program completion at child age 2 years, and visit content, which were compared with the program schedule. Quality of family-provider relationship was measured using the Session Rating Scale. Exploratory factor analysis was conducted to identify clusters of activities and allow qualitative assessment of concordance between program aims and program delivery. RESULTS: Of 363 intervention families offered the program, 352 (97·0%) commenced the program and 304 (87·3%) completed the program to child age 2 years. 253 of 352 (71·9%) families who commenced the program received more than 75 percent of scheduled visits including at least one antenatal visit. Families rated the participant-practitioner relationship highly (mean 39.4/40). The factor analysis identified six antenatal and six postnatal components which were concordant with the program aims. CONCLUSIONS: The right@home program was delivered with higher adherence to program dose, schedule and content, and retention than usually reported in other home visiting research. Program compliance may have resulted from program design (visit schedule, dose, content and delivery flexibility) that was consistent with family aims.


Assuntos
Enfermagem/normas , Cuidado Pré-Natal/normas , Garantia da Qualidade dos Cuidados de Saúde/métodos , Austrália , Lista de Checagem , Pré-Escolar , Análise Fatorial , Feminino , Visita Domiciliar , Humanos , Masculino , Poder Familiar , Gravidez , Avaliação de Programas e Projetos de Saúde , Qualidade da Assistência à Saúde
8.
Nurs Educ Perspect ; 40(3): 133-138, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31008884

RESUMO

BACKGROUND: Incivility in health care settings was first identified in 1976. The Institute of Medicine has called for a safer health care environment, and the Joint Commission emphasizes that disruptive behavior compromises patient safety. Incivility in nursing is a topic of interest, yet it had not been explored as a social process. AIM: The purpose of this study was to acquire an understanding and develop a theory to address incivility in nursing. METHOD: Twenty-nine RNs were interviewed based on Charmaz's constructionist grounded theory. RESULTS: Four categories emerged (neglecting, alienating, relinquishing, and finding oneself) that developed into the theory of self-positioning. CONCLUSION: To understand incivility in nursing, one must, immersed within the institution, profession, and society, find and position the self. It is only then that we can address the health and well-being of RNs, provide quality care, and ensure patient safety.


Assuntos
Teoria Fundamentada , Incivilidade , Enfermagem , Educação em Enfermagem , Humanos , Enfermagem/normas
9.
Br J Nurs ; 28(8): 528-529, 2019 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-31002543

RESUMO

Emeritus Professor Alan Glasper, University of Southampton, discusses the new processes used by the Nursing and Midwifery Council to ensure that all programmes leading to registration are fit for purpose and award.


Assuntos
Educação Técnica em Enfermagem/normas , Tocologia/educação , Enfermagem/normas , Humanos , Tocologia/normas , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Sociedades de Enfermagem , Reino Unido
10.
J Clin Nurs ; 28(17-18): 3177-3188, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30938908

RESUMO

BACKGROUND: Pressure ulcers (PUs) represent a current issue for healthcare delivery. Nurse self-efficacy in managing PUs could predict patients' outcome, being a proxy assessment of their overall competency to managing PUs. However, a valid and reliable scale of this task-specific self-efficacy has not yet been developed. OBJECTIVES: To develop a valid and reliable scale to assess nurses' self-efficacy in managing PUs, that is, the pressure ulcer management self-efficacy scale for nurses (PUM-SES). METHODS: This study had a multi-method and multi-phase design, where study reporting was supported by the STROBE checklist (File S1). Phase 1 referred to the scale development, consisting in the items' generation, mainly based on themes emerged from the literature and discussed within a panel of experts. Phase 2 focused on a three-step validation process: the first step aimed to assess face and content validity of the pool of items previously generated (initial version of the PUM-SES); the second aimed to assess psychometrics properties through exploratory factorial analysis; the third step assessed construct validity through confirmative factorial analysis, while concurrent validity was evaluated describing the relationships between PUM-SES and an established general self-efficacy measurement. Reliability was assessed through the evaluation of stability and internal consistency. RESULTS: PUM-SES showed evidence of face and content validity, adequate construct and concurrent validity, internal consistency and stability. Specifically, PUM-SES had four domains, labelled as follows: assessment, planning, supervision and decision-making. These domains were predicted by the same second-order factor, labelled as PU management self-efficacy. CONCLUSION: PUM-SES is a 10-item scale to measure nurses' self-efficacy in PU management. A standardised 0-100 scoring is suggested for computing each domain and the overall scale. PUM-SES might be used in clinical and educational research. RELEVANCE TO CLINICAL PRACTICE: Optimising nurses' self-efficacy in PU management might enhance clinical assessment, determining better outcomes in patients with PUs.


Assuntos
Enfermagem/normas , Lesão por Pressão/enfermagem , Autoeficácia , Inquéritos e Questionários/normas , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Autogestão
11.
Rev Bras Enferm ; 72(suppl 1): 189-196, 2019 Feb.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30942362

RESUMO

OBJECTIVE: To analyze the nursing errors reported by the journalistic media and interpret the main implications of this communication for the visibility of this problem. METHOD: Documental research, qualitative, descriptive and exploratory, with data collected in news reports from Brazil and Portugal, analyzed through hermeneutics with resources of Atlas Software. RESULTS: We analyzed 112 news items published between 2012 and 2016 that resulted in six categories: Year - highest occurrence in 2012; Age group of the patient - children; Professional category - nurses; Type of error - medication; Outcome - death; Possible attributed cause - occupational conditions. FINAL CONSIDERATIONS: Nursing mistakes are a challenge for the profession, and the way they are communicated by the media is not very explanatory, contributing to a negative visibility of the profession, and to making society insecure. Improving the way they are served in the media contributes to the visibility of the problem without affecting the professional image.


Assuntos
Meios de Comunicação de Massa/tendências , Erros Médicos/enfermagem , Segurança do Paciente/normas , Brasil , Hermenêutica , Humanos , Enfermagem/normas , Enfermagem/tendências , Portugal , Pesquisa Qualitativa , Estudos Retrospectivos
12.
Nurse Educ Pract ; 36: 82-84, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30889468

RESUMO

Fundamental care has come under increased scrutiny due to high-profile reports globally of poor nursing care. The reasons for these documented care failures are widely debated, with some scholars identifying issues with how fundamental care is valued within healthcare systems and by nurses. During focus groups designed to evaluate a fundamental care education intervention, we identified a perception commonly held by first-year pre-registration (pre-licensure) students that appeared indicative of a de-valuing of fundamental care: students routinely described fundamental care as 'common sense' and doubted that such care should form a key part of their education. In this paper, we explore this perception and its potential consequences for nursing education, clinical practice, and research. We argue that a perception of fundamental care as 'common sense' is a myth; it undermines the inherent complexity of providing such care to a consistently high standard and has negative implications for nursing education and continuing professional development, patient experiences and outcomes, and the advancement of nursing science. It is a perception that must be challenged.


Assuntos
Currículo/tendências , Enfermagem/normas , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem/métodos , Grupos Focais/métodos , Humanos , Enfermagem/métodos
13.
Nurse Educ Pract ; 36: 76-81, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30884419

RESUMO

Research in nursing education demonstrates that the fundamentals of care are paid less attention in this field resulting in negative consequences for students' learning outcomes. The aim of this qualitative study was to explore nursing students' perceptions towards being taught the fundamentals of care by clinical nurses within a simulated learning environment. The study has a qualitative explorative design. Data was collected through participant observation and focus group interviews and analysed using qualitative content analysis. The analysis revealed two main categories indicating how the students gained knowledge in the research setting: 'Getting the best of both worlds', and 'Having it in many ways'. The findings are discussed against Vygotsky's theory of cognitive development suggesting that the students were content with being taught the fundamentals of care by clinical nurses within an simulated learning environment.


Assuntos
Enfermagem/métodos , Percepção , Treinamento por Simulação/normas , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/normas , Grupos Focais/métodos , Humanos , Aprendizagem , Enfermagem/normas , Pesquisa Qualitativa , Treinamento por Simulação/métodos
17.
Nurs Philos ; 20(2): e12238, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30821910

RESUMO

Based on a Lived Experience Description written by an experienced nurse in Denmark, this article offers an ontological and existential-phenomenological exploration of aesthetic dimensions of excellence in nursing. In the research of Patricia Benner and colleagues, excellence in nursing is described as a matter of intuitive pattern recognition based on clinical experience and narrative understanding. In this article, and based on phenomenological reflections and philosophical inspirations from the Danish philosopher Dorthe Jørgensen and the French philosopher Maurice Merleau-Ponty, I suggest an extended understanding of excellence in nursing, and I argue that the work and research of Benner seem to overlook ontological and aesthetic aspects of excellence in nursing. This article argues that aesthetic aspects of excellence in nursing can be comprehended as moments where nurses sense a surplus of meaning and moments where the nurse and the patient share and are subjected to communal and unfolding life phenomena. Aesthetic dimensions of being in nursing can, from an ontological approach, best be described as similar to the way human beings listen to a piece of music or to how artists try to give a voice to the world: as a resonant way of being and becoming within the moment.


Assuntos
Estética/psicologia , Enfermagem/normas , Dinamarca , Existencialismo , Humanos , Enfermagem/tendências
18.
Enferm. clín. (Ed. impr.) ; 29(supl.1): 78-80, mar. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-184777

RESUMO

Objective: The present study aimed to identify e-leader preferences among nurses based on several attributes namely: style, trait, and characteristics. Method: Conjoint analysis via card sort was employed to capture the responses of 174 purposively selected nurses in the Philippines with prior interaction with a virtual nursing leader. Ten (10) orthogonal combination cards grounded from literature reviews were used as study tools. Data was collected online for about two months and was analyzed using SPSS version 21. Results: The study surfaces that transformational leadership (0.237), authentic and artistic leadership (0.167) and physique (0.201) attributes were the most preferred style, trait and characteristics, respectively. Conclusion: The study promotes prior notions that leaders, even at virtual spaces, are being acknowledged as an essential figure in leader-subordinate interaction


No disponible


Assuntos
Internet , Enfermagem/normas , Liderança , Enfermeiras e Enfermeiros/psicologia
19.
Enferm Clin ; 29 Suppl 1: 78-80, 2019 03.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30718204

RESUMO

OBJECTIVE: The present study aimed to identify e-leader preferences among nurses based on several attributes namely: style, trait, and characteristics. METHOD: Conjoint analysis via card sort was employed to capture the responses of 174 purposively selected nurses in the Philippines with prior interaction with a virtual nursing leader. Ten (10) orthogonal combination cards grounded from literature reviews were used as study tools. Data was collected online for about two months and was analyzed using SPSS version 21. RESULTS: The study surfaces that transformational leadership (0.237), authentic and artistic leadership (0.167) and physique (0.201) attributes were the most preferred style, trait and characteristics, respectively. CONCLUSION: The study promotes prior notions that leaders, even at virtual spaces, are being acknowledged as an essential figure in leader-subordinate interaction.


Assuntos
Internet , Liderança , Enfermagem/normas , Enfermeiras e Enfermeiros/psicologia
20.
Nurs Adm Q ; 43(1): 1-2, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30516698
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