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1.
Br J Nurs ; 29(2): 127, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972109

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers the problems with pensions, and the spectre of money problems generally facing nurses.


Assuntos
Enfermeiras e Enfermeiros/economia , Enfermeiras e Enfermeiros/psicologia , Pensões , Inglaterra , Humanos , Medicina Estatal
2.
Br J Nurs ; 29(2): 98-101, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972119

RESUMO

Many theories have been proposed for the decision-making conducted by nurses across all practices and disciplines. These theories are fundamental to consider when reflecting on our decision-making processes to inform future practice. In this article three of these theories are juxtaposed with a case study of a patient presenting with an ST-segment elevation myocardial infarction (STEMI). These theories are descriptive, normative and prescriptive, and will be used to analyse and interpret the process of decision-making within the context of patient assessment.


Assuntos
Tomada de Decisão Clínica , Enfermeiras e Enfermeiros/psicologia , Teoria de Enfermagem , Humanos
3.
Nursing ; 50(2): 61-63, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977808

RESUMO

Cultural competence is essential for establishing rapport with patients and for assessing patients' needs. This article discusses how self-awareness can help nurses provide culturally competent care to patients and their families.


Assuntos
Assistência à Saúde Culturalmente Competente , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Autoimagem , Humanos
4.
Nursing ; 50(1): 53-57, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31855989

RESUMO

As new nurse retention is a challenge for the nursing profession, nursing organizations must work to address the needs of these nurses, be a resource to meet their needs, and promote the importance of belonging to a professional organization. This article outlines one state nursing association's efforts to solicit feedback from new nurses in an online survey and describes the survey's findings and recommendations for future directions.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Sociedades de Enfermagem/organização & administração , Humanos , New Jersey , Inquéritos e Questionários
5.
Niger J Clin Pract ; 22(12): 1693-1697, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31793476

RESUMO

Objectives: This study aims to measure the level of knowledge of the nurses who collect blood cultures at our hospital, and after providing the necessary training, evaluate the distribution of microbial growth and rate of contamination in blood cultures that are referred to our laboratory during a 1-year term. Methods and Materials: A survey was conducted to assess the level of knowledge regarding blood culture acquisition with the participation of 99 nurses at our hospital in October 2017. Blood cultures sent to our laboratory during 2017 May-October were retrospectively evaluated in terms of their results, contamination rates, and number of bottles. Taking survey results into account, monthly trainings were provided to the nurses for 6 months starting from October 2017, and blood culture results and error rates were investigated prospectively. Results: It was determined from the survey results that the level of knowledge regarding the need to wipe the rubber septum of the blood culture bottle with alcohol prior to adding the blood sample (23.2%) and definition of a blood culture set (25.3%) were quite low. It was found that while the contamination rate prior to training was 6.4%, it fell to 3.7% after training, and although the rate of single-bottle cultures was 6.3% before training, it decreased by 2.0%. Conclusions: Standardizing blood culture acquisition with the provided training will produce maximal benefit for every laboratory in terms of cost and workload.


Assuntos
Hemocultura/normas , Coleta de Amostras Sanguíneas/normas , Sangue/microbiologia , Contaminação de Equipamentos/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras e Enfermeiros/psicologia , Adulto , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Estudos Retrospectivos , Inquéritos e Questionários
6.
Br J Nurs ; 28(22): 1478-1484, 2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31835941

RESUMO

BACKGROUND: the Nursing and Midwifery Council has emphasised that its recently introduced standards for student supervision and assessment aim to 'ensure that no one gets onto the register who shouldn't be there'. A key element in achieving this is the new practice assessor role, implemented to bolster practical assessment processes. AIM: to identify the key personal characteristics of robust practice assessors who are prepared to fail underperforming students. METHOD: a national study, using a grounded theory approach. Thirty-one nurses were interviewed about their experiences of failing students in practice-based assessments. FINDINGS: robust practical assessors have a 'core of steel', characterised as having five key features: solidarity, tenacity, audacity, integrity and dependability. CONCLUSION: organisations should base their selection of practice assessors on how strongly they exhibit these five characteristics. Designating all current mentors as new practice assessors, when it is known that often they are reluctant to fail, could perpetuate failure to fail.


Assuntos
Educação em Enfermagem/organização & administração , Avaliação Educacional/normas , Mentores/psicologia , Enfermeiras e Enfermeiros/psicologia , Estudantes de Enfermagem , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Qualitativa , Reino Unido
7.
Br J Nurs ; 28(22): 1499, 2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31835942

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers initiatives both at home and worldwide to develop the leadership potential of nurses at all levels, and why it matters.


Assuntos
Liderança , Enfermeiras e Enfermeiros/psicologia , Medicina Estatal/organização & administração , Inglaterra , Humanos
8.
Br J Nurs ; 28(22): S18-S25, 2019 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-31835943

RESUMO

Medical professionals follow evidence-based practice guidelines to achieve effective patient outcomes. Traditionally, to develop guidelines, a small group of experts examine evidence then agree on a set of statements, which are then published in journals. However, more than 7000 primary care journal articles are published monthly. This study examined a different way of drawing up practice guidelines, which involved large numbers of nurses from different countries directly in developing then disseminating the guidelines to speed up acceptance and the implementation of best practice. The results were consensus-based best practice guidelines for the treatment of patients with ostomies, which have received a high level of acceptance and enthusiasm from practitioners in 27 countries.


Assuntos
Consenso , Enfermeiras e Enfermeiros/psicologia , Estomia/enfermagem , Guias de Prática Clínica como Assunto , Humanos
10.
Rev Infirm ; 68(256): 33-34, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31870477

RESUMO

Emotional skills refer to the ability to identify, understand, express, use one's emotions and those of others. For caregivers, who are experiencing increasingly stressful work conditions and who are accompanying people going through painful moments in their lives, emotional skills are a valuable tool. They make it easier to take a step back from the professional and personal experience and thus promote a better quality of life at work. They concern health students in their initial training.


Assuntos
Cuidadores , Estresse Ocupacional , Local de Trabalho , Cuidadores/psicologia , Emoções , Humanos , Enfermeiras e Enfermeiros/psicologia , Qualidade de Vida
11.
Nursing ; 49(12): 53-56, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31764875

RESUMO

Health science librarianship may interest nurses inclined toward research, technology, and education. This article discusses the role of health science librarians as part of the clinical team.


Assuntos
Pesquisa Biomédica , Biblioteconomia , Enfermeiras e Enfermeiros/psicologia , Papel Profissional , Escolha da Profissão , Humanos , Descrição de Cargo , Satisfação no Emprego , Equipe de Assistência ao Paciente/organização & administração , Especialização
12.
BMC Complement Altern Med ; 19(1): 321, 2019 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-31752832

RESUMO

OBJECTIVES: This study aimed to develop and validate scales to assess attitudes towards patient' s use of TCM (APUTCM) and to measure a communicative competence in TCM (CCTCM) among nurses. METHODS: The instrument development process was conducted from Sep 2013 to Jul 2014, using the following steps: 1) item development; 2) internal review and refinement; 3) face and content validation; 4) instrument administration to a development sample; and 5) evaluation of validity and reliability. A convenience sample was used to recruit registered and advanced practice nurses who worked in different regions throughout Taiwan. A total of 755 respondents completed the online questionnaire. Statistical analyses were performed using the software of SPSS Version 21.0 and Analysis of Moment Structures (AMOS) version 24.0. RESULTS: The scale-level indexes (S-CVI) of content validity for both scales were over 80%. The reliabilities for the 13-item APUTCM scale and for the five-item CCTCM scale were 0.88 and 0.84, respectively. The model suitability for both scales was assessed, and the findings revealed suitable parameters for all indicators: GFI = 0.954, AGFI = 0.932, CFI = 0.959, RMSEA = 0.62, and chi-square/df = 3.891 for APUTCM; and GFI = 0.992, AGFI = 0.969, CFI = 0.992, RMSEA = 0.63, and chi-square/df = 4.04 for CCTCM. The convergent and divergent validity of scores on both scales provided evidence in the expected direction. CONCLUSION: This scale development study provides preliminary evidence that suggests that the 13-item APUTCM and the five-item CCTCM are reliable and valid scales for assessing attitudes toward patient's TCM use and communicative competence in TCM.


Assuntos
Atitude do Pessoal de Saúde , Terapias Complementares , Enfermeiras e Enfermeiros , Psicometria , Adulto , Feminino , Humanos , Análise de Classes Latentes , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Psicometria/métodos , Psicometria/normas , Reprodutibilidade dos Testes , Inquéritos e Questionários , Taiwan
13.
Pan Afr Med J ; 33: 217, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692790

RESUMO

Nurses have been identified as active workforce post-retirement. Little is known about nurses' intention to work post-retirement and their work ability and perceptions post-retirement. The aim of this scoping review is to identify studies that have investigated nurses' intention and recruitment strategies to work post-retirement and their work ability and perceptions post-retirement. PubMed, CINAHL, Web of Science, Nursing and Health Database and in addition Google scholar were searched using different keywords (retired nurses, retired RNs, work intention, work ability, work perceptions, and older nurses) and an independent reviewer cross-validated all the identified articles. Of the thirty-seven studies identified from the search, 26 papers were excluded based on exclusion criteria, with a total of 11 studies finally included in the study sample. The review found in two studies low and high intentions to work as nurses after retirement. Factors influencing both intentions and recruitment strategies to work as a nurse post-retirement focused on lighter and flexible work conditions, supportive environment, financial incentives and formal rehiring policies. Nurses working post-retirement reported benefits (intrinsic factors such as self-worth, overcoming social isolation) and barriers (such as job demands and reduced physical work ability). The review found low and high intentions to work as nurses after retirement and identified factors influencing both intentions and recruitment strategies to work as a nurse post-retirement and benefits and barriers of working as nurses post-retirement that can inform strategies to retain nurses post-retirement.


Assuntos
Atitude do Pessoal de Saúde , Enfermeiras e Enfermeiros/estatística & dados numéricos , Aposentadoria/estatística & dados numéricos , Humanos , Intenção , Enfermeiras e Enfermeiros/psicologia , Seleção de Pessoal/estatística & dados numéricos , Avaliação da Capacidade de Trabalho
14.
J Nurs Adm ; 49(12): 586-590, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725518

RESUMO

OBJECTIVE: The aim of this study was to describe the transition-to-practice experience of new-graduate nurses (NGNs) in long-term-care (LTC) settings. BACKGROUND: Transitioning to professional practice is a challenging time for an NGN. This experience is scarcely described for RNs outside of acute care settings and not described for the LPN. METHODS: A qualitative case study was used to explore the described transition-to-practice experience of new-graduate RNs and LPNs in LTC. RESULTS: This study revealed that the transition-to-practice experience of new-graduate LPNs was similar to the experience described by RNs. Differences in experience were related to leadership roles in the setting. CONCLUSIONS: Findings contribute to new understanding of the experience of the NGN in LTC settings. This study reinforces the need for greater support for nursing graduates in this setting.


Assuntos
Técnicos de Enfermagem/psicologia , Técnicos de Enfermagem/normas , Assistência de Longa Duração/normas , Papel do Profissional de Enfermagem , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Enfermagem Prática/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
15.
Afr Health Sci ; 19(2): 1849-1857, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31656467

RESUMO

Background: Emergency nurses' understanding and interpretation of intimate partner violence influence the care they provide to women exposed to intimate partner violence. Objectives: The aim of this study was to uncover discourses that may help understand emergency nurses' responses towards women exposed to intimate partner violence. Materials and methods: This study used a qualitative design to explore emergency nurses' discourses. Purposive sampling was used to select 15 participants working at an emergency unit in a public hospital in South Africa. Data were collected through three focus group discussions comprised of five emergency nurses each. Foucauldian discourse analysis was used to analyse the transcribed data. Results: Four themes emerged from the focus group discussions: (1) strong women subject themselves to societal expectations and endure intimate partner violence, (2) women are vulnerable and powerless against intimate partner violence, (3) intimate partner violence is a private and secret phenomenon, and (4) emergency nurses have limited scope to intervene when they encounter women exposed to intimate partner violence. Conclusion: Emergency nurses are in a position to intervene in intimate partner violence through portraying a non-judgmental approach that lay the foundation for disclosure, supporting women to change their intimate partner violence (IPV) situations, documentation, referral and safety planning.


Assuntos
Enfermagem em Emergência , Violência por Parceiro Íntimo , Papel do Profissional de Enfermagem/psicologia , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/psicologia , Adulto , Serviço Hospitalar de Emergência , Emoções , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Percepção , Pesquisa Qualitativa , África do Sul
19.
Ann Agric Environ Med ; 26(3): 450-455, 2019 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-31559802

RESUMO

INTRODUCTION AND OBJECTIVE: Working at night and in shifts, as well as an unhealthy lifestyle, may increase the risk of breast cancer in nurses who therefore should frequently perform breast self-examination (BSE). The aim of the study was to investigate the performance of BSE among Polish nurses, its accuracy, sources of knowledge and skills, self-assessment of own competences and preparation to educate women about BSE. MATERIAL AND METHODS: A descriptive, cross-sectional study was conducted in a group of female nurses (N=1,242). An anonymous, self-administrated questionnaire was used for data collection. To properly assess the BSE a four-item scale was made of the type single best answer multiple choice question. Each item referred to one agreed principle of performing BSE. RESULTS: Regularly BSE was performed by 56.1% nurses, 67.3% pre-menopause nurses 2-3 days after cessation of menstruation and 30.4% post-menopause women on a chosen day of the month. About 98% examined visually and by palpation; 58.9% did so in two positions. In the accuracy scale of BSE, the average number of points was 2.8 out of 4. All (4 points) or almost all (3 points) recommendations of accurate BSE were met by 61.4% of the nurses. Self-assessment of knowledge and BSE practical skills were considered as good or very good by 93.5% and 88.8% nurses, respectively. The self-evaluation of nurses' knowledge and BSE skills was significantly correlated with the result on the accuracy scale or this BSE. CONCLUSIONS: Many deficiencies concerning frequency, times and BSE techniques were revealed among Polish nurses. There is a discrepancy between the high self-assessment of competences and the accurate practice of BSE. Nurses' preparation in Poland in BSE is insufficient and requires improvement.


Assuntos
Neoplasias da Mama/psicologia , Autoexame de Mama , Enfermeiras e Enfermeiros/psicologia , Adulto , Neoplasias da Mama/diagnóstico , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Polônia , Inquéritos e Questionários , Adulto Jovem
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