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1.
J Nurs Adm ; 51(1): 43-48, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33278201

RESUMO

OBJECTIVE: To examine changes in registered nurse (RN) perceptions of electronic documentation over a 4-year period. BACKGROUND: The investigators previously reported differences in RN perceptions prior to and 1 year after adoption of a comprehensive electronic health record (EHR). METHODS: Investigators repeated the study 4 years after adoption, using the Nurses' Perceptions of Electronic Documentation tool and interviews with a subset of RNs. RESULTS: Nurses scored higher on ease of use domain and lower on concern about the EHR domain and showed no difference on the impacts of the EHR domain. Interviews revealed that 4 years later, some aspects of documentation were easier; the tool was comprehensive, but not without risk, and nurses remained ambivalent about the EHR. CONCLUSIONS: Use of EHR technology impacts nursing work. It is important to understand how nurses' perceptions change over time. This study gives nursing leaders insight into adoption and acceptance of an EHR.


Assuntos
Documentação/normas , Enfermeiras e Enfermeiros/psicologia , Percepção , Atitude Frente aos Computadores , Documentação/métodos , Documentação/tendências , Registros Eletrônicos de Saúde/instrumentação , Registros Eletrônicos de Saúde/normas , Registros Eletrônicos de Saúde/tendências , Humanos , Enfermeiras e Enfermeiros/normas , Enfermeiras e Enfermeiros/tendências , Inquéritos e Questionários
2.
J Nurs Adm ; 50(12): e14-e22, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181604

RESUMO

OBJECTIVE: The aim of this study was to assess the differences in patient complications as well as patient and staff satisfaction between a mixed-skill unit and an all-registered nurse (RN) unit. BACKGROUND: It is recognized that nursing care delivered by RNs results in better outcomes; however, more evidence is needed to support a change to an all-RN unit. METHODS: A mixed unit with RNs and unlicensed assistive personnel was compared with an all-RN unit. Each unit had similar resources. Patient complications and patient and staff satisfaction were measured. Patient complications were reported in terms of 1,000 patient days over the study period to minimize noise fluctuations; t test and χ compared means and frequencies, respectively. RESULTS: The all-RN unit had a lower prevalence of patient complications. Patients reported better pain management, and nurse explanation, and reported higher satisfaction on the all-RN unit. CONCLUSIONS: An all-RN unit provided superior outcomes compared with a mixed-skill unit without additional costs.


Assuntos
Enfermeiras e Enfermeiros/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/organização & administração , Satisfação do Paciente , Acidentes por Quedas/prevenção & controle , Acidentes por Quedas/estatística & dados numéricos , Hospitais , Humanos , Enfermeiras e Enfermeiros/normas , Assistentes de Enfermagem , Readmissão do Paciente/estatística & dados numéricos , Estudos Prospectivos
3.
Clin Ter ; 171(5): e399-e400, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32901781

RESUMO

COVID-19 pandemic affected the psychological health of nurses. Numerous nurses have been facing mental complications associated with quarantine such as psychological distress and fear. The gravity of COVID-19 pandemic is triggering further mental health challenges among nurses. The continuous stress nurses are facing, could trigger post-traumatic stress symptoms, poor service delivery, suicide ideation and suicide. Assessing and preserving the mental health of nurses and the health care workers in general is necessary for optimal disease control. Psychiatric interventions are needed to attend to the psychological need of nurses treating COVID-19 patients. Such interventions imply using E-learning and video platforms to educate nurses on communication skills, case handling skills and problem-solving tactics to deal with the possible psychological problems that might arise from treating COVID-19 patients.


Assuntos
Infecções por Coronavirus , Saúde Mental , Enfermeiras e Enfermeiros , Saúde do Trabalhador , Estresse Ocupacional/prevenção & controle , Pandemias , Pneumonia Viral , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/psicologia , Humanos , Controle de Infecções/organização & administração , Saúde Mental/normas , Saúde Mental/tendências , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Saúde do Trabalhador/normas , Saúde do Trabalhador/tendências , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Pneumonia Viral/psicologia , Desenvolvimento de Pessoal/métodos , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , Suicídio/prevenção & controle , Desempenho Profissional
4.
Diabetes Res Clin Pract ; 166: 108288, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32615277

RESUMO

BACKGROUND: The prevalence and incidence of Type 2 Diabetes mellitus (T2DM) are significantly increasing in Nigeria. Effective management of the condition, in clinical settings, can be achieved with a minimal financial cost, but this is often overlooked. It is crucial to understand organisational factors influencing non-pharmacological management of T2DM in Nigerian public hospitals for effective management of patients diagnosed with the condition. AIM: To examine healthcare delivery services influencing patient management and seek approaches to heighten optimisation of patient health outcomes. METHODS: Adopting a qualitative case study design, we used the Constant Comparative Method and semi-structured questions to interview17 nurses in public hospitals across Lagos. Using the five stages of the Framework Analysis process, the transcribed interviews were thematically analysed. RESULTS: Nurses suggested that a complex, multifaceted system constituted organisational factors influencing T2DM management in public hospitals across Lagos, Nigeria. Specific factors identified were levels of available information and knowledge, relationship, policy and decision-making management. These factors were, in turn, linked to political, infrastructural, health professional and the environments within which patients were given health services. CONCLUSIONS: The study revealed a significant gap in the organisation of care for individuals diagnosed with T2DM in public hospitals across Lagos. Timely and affordable strategies have been highlighted to secure effective care delivery to patients.


Assuntos
Assistência à Saúde/organização & administração , Diabetes Mellitus Tipo 2/terapia , Serviços de Saúde/normas , Hospitais Públicos/organização & administração , Enfermeiras e Enfermeiros , Percepção , Adulto , Atitude do Pessoal de Saúde , Tomada de Decisões Gerenciais , Assistência à Saúde/normas , Diabetes Mellitus Tipo 2/epidemiologia , Diabetes Mellitus Tipo 2/enfermagem , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Hospitais Públicos/normas , Hospitais Públicos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Enfermeiras e Enfermeiros/organização & administração , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Padrões de Prática em Enfermagem/organização & administração , Padrões de Prática em Enfermagem/normas , Padrões de Prática em Enfermagem/estatística & dados numéricos , Pesquisa Qualitativa , Fatores Socioeconômicos , Inquéritos e Questionários , Resultado do Tratamento
5.
PLoS One ; 15(7): e0236390, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32702007

RESUMO

BACKGROUND: Nurses have a primary role in providing palliative and end-of-life (EOL) care. Their knowledge of EOL care, attitudes toward care of the dying, and palliative care self-efficacy are important in care delivery. Little is known regarding palliative care preparedness among Mongolian nurses. This study examines palliative care knowledge, attitude towards death and dying, and self-efficacy among Mongolian nurses, and examines predictors of self-efficacy. METHODS: A cross-sectional descriptive study was conducted. Participants were 141 nurses employed at the National Cancer Center in Mongolia. Data was collected using a self-administered questionnaire. RESULTS: The median score for the knowledge of palliative care was 8.0/20. "Psychosocial and spiritual care" was the lowest score on the palliative care knowledge subscale. The mean score for attitude toward care of the dying was 69.1%, indicating positive attitudes. The mean score for the palliative care self-efficacy was 33.8/48. Nurses reported low self-efficacy toward communicating with dying patients and their families, and managing delirium. Palliative care knowledge and duration of experience as an oncology nurse significantly predicted self-efficacy toward palliative care, accounting for 14.0% of the variance. CONCLUSIONS: Palliative education for nurses should address the knowledge gaps in EOL care and focus in increasing palliative care self-efficacy. Considering palliative care knowledge and nursing experience as an oncology nurse were significant predictors of self-efficacy toward palliative care, more effort is needed to fill the knowledge gaps in EOL care among nurses, especially for less experienced nurses.


Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras e Enfermeiros/normas , Cuidados Paliativos/normas , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Oncologia/tendências , Pessoa de Meia-Idade , Mongólia/epidemiologia , Dor/epidemiologia , Dor/patologia , Pacientes , Autoeficácia , Inquéritos e Questionários , Assistência Terminal
6.
Enferm. clín. (Ed. impr.) ; 30(supl.5): 41-45, jun. 2020. graf, tab
Artigo em Inglês | IBECS | ID: ibc-196471

RESUMO

Pressure ulcer has been recognized as one of the major causes of morbidity, mortality and a burden to healthcare. Our aim is to compare the level of knowledge regarding pressure ulcer prevention among final year nursing students in one of the Health Campus in Kelantan. This is a cross-sectional study aimed to determine and compare the knowledge of pressure ulcer prevention among the nursing students. The total sample for this study is 108 students. The sampling methods used are purposive sampling methods, i.e. the sample was chosen based on the potentially knowledge about the phenomena studied. Self-administered questionnaire is used to measure the characteristic and knowledge level of sample towards pressure ulcer prevention. Data including descriptive statistic and statistical tests was analyzed using the SPSS version 22.0. Finding of this study was significant with p < 0.001 (significant at p < 0.05). This indicates the significant differences of pressure ulcer knowledge between both programmes. The degree students have higher knowledge than the diploma students. Therefore, it is evident from this study that higher the level of education, the higher is the knowledge regarding pressure ulcer


No disponible


Assuntos
Humanos , Atitude do Pessoal de Saúde , Lesão por Pressão/enfermagem , Lesão por Pressão/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Estudantes de Enfermagem/estatística & dados numéricos , Fatores de Risco , Competência Clínica/normas , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Estudos Transversais , Inquéritos e Questionários , Educação em Enfermagem/normas
8.
Comput Inform Nurs ; 38(7): 358-366, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32427611

RESUMO

Cerebrovascular accident is a serious public health problem and requires the attention of professionals who can detect, diagnose, and provide care in a timely fashion. A quantitative quasi-experimental study was conducted using a mobile app called mSmartAVC for clinical evaluation of nursing care at the bedside. The study aimed at measuring the knowledge of nurses and nursing students in the detection and care of cerebrovascular accident. In this study, a total of 115 nurses from health services in the South of Brazil and 35 nursing students of a community university participated. The stages focused on development, modeling of clinical cases, problem-based learning, pretest (before) app use, and posttest (after) use of the app. The results of the pretest and posttest corrections showed a substantial statistical difference (P < .001), indicating a significant knowledge gain after the use of the app, particularly in terms of the detection scales and interpretation of the imaging tests. The mSmartAVC app used at the bedside supported decision-making for detection and nursing care. It was possible to confirm that the use of mobile apps plays an essential role as a learning tool for nurses and nursing students.


Assuntos
Educação Continuada em Enfermagem/métodos , Aprendizagem , Aplicativos Móveis/normas , Acidente Vascular Cerebral/enfermagem , Adulto , Brasil , Competência Clínica/normas , Competência Clínica/estatística & dados numéricos , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Masculino , Aplicativos Móveis/estatística & dados numéricos , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos
10.
Support Care Cancer ; 28(9): 4019-4029, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32307659

RESUMO

BACKGROUND: Medication-related osteonecrosis of the jaw (MRONJ) is an infrequent, but potentially serious, adverse event that can occur after exposure to bone-modifying agents (BMAs; e.g., bisphosphonates, denosumab, and antiangiogenic therapies). BMAs are typically used at higher doses to prevent skeletal-related events in cancer patients and at lower doses for osteoporosis/bone loss. MRONJ can cause significant pain, reduce quality of life, and can be difficult to treat, requiring a multiprofessional approach to care. METHODS: We reviewed the literature and guidelines to summarize a practical guide on MRONJ for nurses and other allied healthcare professionals. RESULTS: While there is a risk of MRONJ with BMAs, this should be considered in relation to the benefits of treatment. Nurses and other allied healthcare professionals can play a key role alongside physicians and dentists in assessing MRONJ risk, identifying MRONJ, counseling the patient on the benefit-risk of BMA treatment, preventing MRONJ, and managing the care pathway of these patients. Assessing patients for MRONJ risk factors before starting BMA treatment can guide preventative measures to reduce the risk of MRONJ. Nurses can play a pivotal role in facilitating multiprofessional management of MRONJ by communicating with patients to ensure compliance with preventative measures, and with patients' physicians and dentists to ensure early detection and referral for prompt treatment of MRONJ. CONCLUSIONS: This review summarizes current evidence on MRONJ and provides practical guidance for nurses, from before BMA treatment is started through to approaches that can be taken to prevent and manage MRONJ in patients receiving BMAs.


Assuntos
Pessoal Técnico de Saúde/normas , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/etiologia , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/prevenção & controle , Enfermeiras e Enfermeiros/normas , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/diagnóstico , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Fatores de Risco
11.
J Prof Nurs ; 36(2): 77-82, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32204865

RESUMO

This paper highlights questions about Canadian nurse regulators' adoption of the U.S.-based NCLEX-RN examination, effective 2015, as the only route to initial registered nurse licensure in all jurisdictions, excluding Quebec. The decision for this change was made by the Canadian Council of Registered Nurses Regulators (CCRNR), an umbrella association of CEO's of provincial regulatory bodies in collaboration with the National Council of State Boards of Nursing (NCSBN). Adoption and implementation of this new policy was accomplished by the Council of each provincial regulatory body. This change, representing the first international adoption of NCLEX-RN, was deemed successful by CCRNR and NCSBN. However, the Canadian Association of Schools of Nursing (CASN) described the decision as unilateral and unwise, questioning the applicability of NCLEX-RN in the Canadian context, citing significant French language translation issues and unacceptable pass rates. Both authors have had extensive academic nursing experience in U.S. and Canada. Both had many conversations with Canadian colleagues who described the impact on nursing education as disastrous. Most of our American colleagues knew nothing about this change, but once informed, expressed some concerns similar to those of their Canadian counterparts. We suggest that international adoption of a US-based examination for initial licensure merits wider discussion by nursing faculty here and abroad.


Assuntos
Avaliação Educacional/estatística & dados numéricos , Docentes de Enfermagem/psicologia , Licenciamento em Enfermagem/normas , Enfermeiras e Enfermeiros/normas , Canadá , Comunicação , Bacharelado em Enfermagem , Avaliação Educacional/normas , Humanos , Estados Unidos
12.
Intensive Crit Care Nurs ; 59: 102827, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32151484

RESUMO

OBJECTIVE: To explore Australian intensive care nurses' knowledge of ventilator-associated pneumonia and self-reported adherence to evidence-based guidelines for the prevention of ventilator-associated events. DESIGN: A quantitative cross-sectional online survey was used. SETTING: The study was conducted in two Australia intensive care units, in large health services in Victoria and an Australia-wide nurses' professional association (Australian College of Critical Care Nurses). MAIN OUTCOME MEASURES: Participants' knowledge and self-reported adherence to evidence-based guidelines. RESULTS: The median knowledge score was 6/10 (IQR: 5-7). There was a significant positive association between completion of post graduate qualification and their overall knowledge score p = 0.014). However, there was no association (p = 0.674) between participants' years of experience in intensive care nursing and their overall score. The median self-reported adherence was 8/10 (IQR: 6-8). The most adhered to procedures were performing oral care on mechanically ventilated patients (n = 259, 90.9%) and semi-fowlers positioning of the patient (n = 241, 84.6%). There was no relationship between participants' knowledge and adherence to evidence-based guidelines (p = 0.144). CONCLUSION: Participants lack knowledge of evidence-based guidelines for the prevention of ventilator-associated pneumonia. Specific education on ventilator-associated events may improve awareness and guideline adherence.


Assuntos
Competência Clínica/normas , Fidelidade a Diretrizes/normas , Enfermeiras e Enfermeiros/psicologia , Pneumonia Associada à Ventilação Mecânica/prevenção & controle , Adulto , Austrália , Competência Clínica/estatística & dados numéricos , Estudos Transversais , Feminino , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Pneumonia Associada à Ventilação Mecânica/etiologia , Pneumonia Associada à Ventilação Mecânica/fisiopatologia , Autorrelato , Inquéritos e Questionários
13.
PLoS One ; 15(3): e0229923, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32155182

RESUMO

AIM: The aims of this literature review were to better understand the current literature about person-centred care (PCC) and identify a clear definition of the term PCC relevant to nursing practice. METHOD/DATA SOURCES: An integrative literature review was undertaken using The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline, Scopus and Pubmed databases. The limitations were English language, full text articles published between 1998 and 2018 within Australian, New Zealand, Canada, USA, Europe, Ireland and UK were included. The international context off PCC is then specifically related to the Australian context. REVIEW METHODS: The review adopted a thematic analysis to categorise and summarise themes with reference to the concept of PCC. The review process also adhered to the Preferred Reporting System for Meta-Analysis (PRISMA) and applied the Critical Appraisal Skills Programme (CASP) tools to ensure the quality of the papers included for deeper analysis. RESULTS: While definitions of PCC do exist, there is no universally used definition within the nursing profession. This review has found three core themes which contribute to how PCC is understood and practiced, these are People, Practice and Power. This review uncovered a malalignment between the concept of PCC and the operationalisation of the term; this misalignment was discovered at both the practice level, and at the micro, meso and micro levels of the healthcare service. CONCLUSION: The concept of PCC is well known to nurses, yet ill-defined and operationalised into practice. PCC is potentially hindered by its apparent rhetorical nature, and further investigation of how PCC is valued and operationalised through its measurement and reported outcomes is needed. Investigation of the literature found many definitions of PCC, but no one universally accepted and used definition. Subsequently, PCC remains conceptional in nature, leading to disparity between how it is interpreted and operationalised within the healthcare system and within nursing services.


Assuntos
Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/organização & administração , Serviços de Enfermagem/organização & administração , Assistência Centrada no Paciente/normas , História do Século XX , História do Século XXI , Humanos , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Serviços de Enfermagem/história , Serviços de Enfermagem/normas , Assistência Centrada no Paciente/história , Assistência Centrada no Paciente/organização & administração
14.
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
15.
J Oncol Pharm Pract ; 26(5): 1282-1284, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32050851

RESUMO

Monoclonal antibodies were introduced to clinical practice in 1980s and play a vital role in a variety of diseases and clinical interventions including cancer, inflammatory disease, and ophthalmologic disease. There is a lack of substantial research or evidence on the effect of occupational exposure on staff, leading many staff to have significant concerns about what is a safe level of exposure, especially given their increasing availability and use. This report describes a case in which a nurse became sensitised to monoclonal antibodies as a result of preparing and administering them in a clinical area, and the subsequent actions taken in response to the incident to reduce the risk to staff.


Assuntos
Anticorpos Monoclonais/efeitos adversos , Hipersensibilidade a Drogas/diagnóstico , Enfermeiras e Enfermeiros/normas , Exposição Ocupacional/efeitos adversos , Local de Trabalho , Anticorpos Monoclonais/imunologia , Antineoplásicos Imunológicos/efeitos adversos , Hipersensibilidade a Drogas/etiologia , Hipersensibilidade a Drogas/terapia , Feminino , Humanos , Oncologia/normas , Local de Trabalho/normas , Adulto Jovem
16.
J Nurses Prof Dev ; 36(2): 88-93, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32004184

RESUMO

Assessing new graduate nurses' competency is an important outcome of the orientation and evaluation process. Nurse managers and nurse preceptors act as key stakeholders in the transition of new graduate nurses to professional practice and are often charged with the responsibility of assessing the competency of new graduate nurses. This article provides insight in regard to the perception of postorientation competency levels of new graduate nurses.


Assuntos
Competência Clínica/normas , Capacitação em Serviço , Enfermeiras Administradoras , Enfermeiras e Enfermeiros/normas , Percepção , Preceptoria , Comunicação , Bacharelado em Enfermagem , Feminino , Humanos , Masculino , Inquéritos e Questionários
17.
Nurs Clin North Am ; 55(1): 51-60, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32005365

RESUMO

Mental illness is one of the leading causes of disability in the United States. Delays in outpatient treatment result in visits to emergency rooms and unnecessary inpatient hospitalizations, which cause an increase in overall medical costs. Nurses come in contact with individuals who struggle with mental illness on a regular basis, and the profession must intervene. This article introduces the mental health outpatient nurses in interprofessional teams model that could have a positive impact on the quality and accessibility of care of outpatient services for individuals struggling with mental illness.


Assuntos
Assistência Ambulatorial/normas , Relações Interprofissionais , Transtornos Mentais/enfermagem , Modelos de Enfermagem , Enfermeiras e Enfermeiros/normas , Guias de Prática Clínica como Assunto , Enfermagem Psiquiátrica/normas , Feminino , Humanos , Masculino , Estados Unidos
18.
Intensive Crit Care Nurs ; 58: 102801, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32035804

RESUMO

BACKGROUND: Pupillary abnormalities are a common and reliable finding of brain herniation, ischaemia, and acute brain injury in critically ill patients. Reliable pupil assessment is a vital evaluation in diagnostic and therapeutic procedures for neurocritical patients. AIM: To evaluate inter-rater reliability of pupillary assessment among intensive care. METHODS: In this prospective, blind observational study, intensive care nurses and two researchers evaluated the pupil size, reactivity and symmetry of 200 patients with neurosurgery or neurological diseases. A total of 200 pupillary measurement sets were completed independently and blindly. RESULTS: Three observers -two researchers and the nurse- found fair-to-good and excellent agreements in initial pupil size evaluations of right and left pupils, respectively (ICC = 0.70, 95%; ICC = 0.75, 95%). In patients with pupil size ≥4 mm, the observers found fair-to-good agreements in both right and left pupil initial size measurements (ICC = 0.52; ICC = 0.65). Agreement in pupil symmetry was moderated (K = 0.58), and reactivity was near perfect (K = 0.89) between the three observers. CONCLUSION: Although the two researchers found near perfect agreement in pupil size, symmetry and reactivity assessment, two researchers and the nurse found moderate agreement in pupil symmetry and fair-to-good agreement in pre- and post-light stimulation pupil size.


Assuntos
Exame Neurológico/normas , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Pupila/fisiologia , Adulto , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Exame Neurológico/instrumentação , Exame Neurológico/métodos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estudos Prospectivos , Reprodutibilidade dos Testes
19.
Intensive Crit Care Nurs ; 58: 102814, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32089417

RESUMO

BACKGROUND: Empathy is a fundamental component of nursing practice impacting positively on the therapeutic process. Understanding the concepts of empathy and empathic care in the context of Intensive Care Units is essential for providing better care in high challenging environments. However, research on empathy in the ICU is scarce and mostly quantitative. OBJECTIVES: To explore how ICU nurses perceive the concepts of empathy and empathic care. DESIGN AND SETTING: A descriptive qualitative research design was applied using an inductive content analysis approach. Semi-structured interviews were conducted with nineteen ICU nurses in two hospitals in Greece. FINDINGS: Data analysis revealed three main themes namely: "To become one of them", "Empathic Care" and "Integration of empathic care in practice". Findings corroborated the affective, cognitive and behavioral components of empathy. Nurses underlined that understaffing, increased workload and professional burnout impeded empathic care. CONCLUSION: Empathy and empathic care in the ICU were perceived as closely related to patients' outcomes and quality care. Empathic care was arduous due to organisational issues. Despite that, ICU nurses appeared to promote empathic care in practice and sought ways to enhance it.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Percepção , Adulto , Atitude do Pessoal de Saúde , Empatia , Feminino , Grécia , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Entrevistas como Assunto/métodos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem/psicologia , Enfermeiras e Enfermeiros/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Relações Profissional-Família , Pesquisa Qualitativa
20.
J Clin Nurs ; 29(9-10): 1635-1642, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32092210

RESUMO

AIM AND OBJECTIVES: To compare the self-reported level of professionalism among nurses in Poland and Belarus and to indicate the areas in which differences in professional behaviours of nurses in both countries exist. BACKGROUND: Nurses constitute the largest group of healthcare providers, and the term professionalism is closely related to nursing profession. DESIGN: This investigation is a comparative survey and descriptive analysis of professional behaviours among nurses in Poland (n = 205) and Belarus (n = 236). The study was reported according to the STROBE checklist. METHODS: The Professionalism in Nursing Behaviors' Inventory Image Survey adapted from Adams and Miller (2001) was used to collect the data. The questionnaire contains 46 questions addressing the following behavioural categories: educational preparation, publications, research, professional organisation, community service, competence, code for nurses, theory and autonomy. RESULTS: The mean total score of professionalism was significantly different between the two countries (p < .0001). Significant differences, with higher scores in the group of respondents from Belarus, were also revealed in the following subscales of professionalism: "Professional organisation," "Community service," "Competence" and "Publication." Nurses from Poland had higher levels of "Educational preparation" and "Use of theory." No statistically significant differences were indicated in the "Autonomy" and "Research" subscales. CONCLUSION: Differences in the professionalism level of nurse practitioners in Poland and Belarus are related to nurses' professional position and the context in which they practice. RELEVANCE TO CLINICAL PRACTICE: The results of the present study can help the healthcare management and nursing leaders to support the professional development of nurses and strive for a higher level of professionalism.


Assuntos
Enfermeiras e Enfermeiros/normas , Profissionalismo , Adulto , Competência Clínica , Feminino , Humanos , Masculino , Polônia , República de Belarus , Autorrelato
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