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1.
Ann Glob Health ; 87(1): 51, 2021 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-34221904

RESUMO

Background: Nurses working in treating patients with COVID-19 are exposed to various stressors, such as fear of COVID-19, stress, and high workload, leading to burnout. Objectives: This study aimed to identify the level of burnout and its predictors in nurses working in hospitals for COVID-19 patients. Methods: Participants in this study were nurses working in 11 hospitals for COVID-19 patients in the Fars province of Iran. The Maslach burnout and the UK Health and Safety stress questionnaires were used to assess burnout and stress, respectively. Analysis, using multiple regression in the SPSS21 software, aimed to identify the factors affecting burnout. Findings: The mean level of burnout in the nurses at the COVID-19 hospitals was 57 out of 120, and burnout was affected by workload (ß = 0.69, p < 0.001), job stress (ß = 0.25, p < 0.001) and inadequate hospital resources for the prevention of COVID-19 (ß = -0.16, p < 0.001). These three variables explained 87% of the variance in burnout. Conclusions: The burnout of nurses directly exposed to COVID-19 patients is more than nurses in other wards, and workload is the most significant cause of burnout in them. Therefore, necessary measures such as hiring more nurses, reducing working hours and increasing rest periods are necessary to reduce workload. In addition, the job stress of these nurses should be managed and controlled, and the hospital resources needed to prevent this disease should be provided.


Assuntos
Esgotamento Profissional , COVID-19 , Enfermeiras e Enfermeiros , Estresse Ocupacional , Tolerância ao Trabalho Programado/psicologia , Carga de Trabalho , Adulto , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , COVID-19/enfermagem , COVID-19/psicologia , Medo/psicologia , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Controle de Infecções/métodos , Irã (Geográfico)/epidemiologia , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/provisão & distribuição , Estresse Ocupacional/complicações , Estresse Ocupacional/prevenção & controle , SARS-CoV-2 , Carga de Trabalho/psicologia , Carga de Trabalho/normas , Carga de Trabalho/estatística & dados numéricos
2.
PLoS One ; 16(7): e0254077, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34214122

RESUMO

BACKGROUND: Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. METHODS: In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. RESULTS: Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. CONCLUSIONS: Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants' experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.


Assuntos
COVID-19/enfermagem , Tomada de Decisão Clínica , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Pandemias , SARS-CoV-2 , Adulto , Idoso , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Avaliação em Enfermagem , Relações Profissional-Família , Pesquisa Qualitativa , Avaliação de Sintomas , Carga de Trabalho
3.
Nurs Leadersh (Tor Ont) ; 34(2): 1-4, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197285

RESUMO

It is time to acknowledge what has been hidden inside Canada's healthcare system for decades but has become more visible during the COVID-19 pandemic: widespread stress, mental health problems and burnout in the nursing workforce. For the past 20+ years, repeated concerns about the mental health of nurses in Canada have been raised within many national reports, yet the rates have continued to rise.


Assuntos
Liderança , Enfermeiras e Enfermeiros/psicologia , COVID-19/epidemiologia , Canadá/epidemiologia , Atenção à Saúde/organização & administração , Humanos , Pandemias , SARS-CoV-2
4.
Nurs Leadersh (Tor Ont) ; 34(2): 10-11, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197286

RESUMO

Unprecedented is one of the words that has been most frequently heard during the COVID-19 pandemic. We read daily about the ongoing challenges nurses and nurse leaders face in ways that one could not have imagined 15 months ago. With each wave of rising COVID-19 cases, we are reminded of the toll that this pandemic is having on nurses. Nurse leaders have described being scared of failing and not being able to guide or support their staff through the pandemic while recognizing the need to be a strong leader, resilient and adaptable to change every single day (Lapum et al. 2021). The uncertainty and complexity have been overwhelming, and throughout this crisis, nurse leaders have been continually asked to reach into their leadership toolboxes to find ways to support nurses within contexts that have rapidly changed over and over again.


Assuntos
Liderança , Enfermeiras e Enfermeiros/psicologia , COVID-19/epidemiologia , Humanos , Saúde Mental , Enfermeiras Administradoras/psicologia , Pandemias , SARS-CoV-2
5.
Nurs Leadersh (Tor Ont) ; 34(2): 31-34, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197291

RESUMO

As a clinical nurse specialist, I provide leadership and strategy for our primary care program where I lead clinical initiatives and develop practice tools and guidelines across our clinics. My portfolio encompasses five clinics, one perinatal program, an opioid agonist therapy (OAT) clinic and an intensive case management team, and in the past year I supported several teams that focus on COVID-19 testing and isolation support. Our clinics specialize in serving people who experience significant economic and social marginalization and those who are not well served by traditional health services. Our nurses, in particular, juggle many roles: providing both outreach- and clinic-based care and supporting our injectable OAT program, youth clinic and our transgender specialty care program. Our work has become increasingly complex as our clients navigate survival with competing syndemics - the opioid crisis, COVID-19, a Shigella outbreak and an ongoing housing crisis - among the many significant structural factors that impact our clients' health.


Assuntos
Liderança , Enfermeiras Clínicas/organização & administração , Enfermeiras e Enfermeiros/psicologia , Enfermagem de Atenção Primária/normas , COVID-19/epidemiologia , Humanos , Saúde Mental , Epidemia de Opioides , Pandemias , SARS-CoV-2
6.
Nurs Leadersh (Tor Ont) ; 34(2): 45-53, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197294

RESUMO

Absenteeism rates among nurses have increased across Canada over the last several years, with work environment challenges and staffing shortages being possible contributors. With the onset of the COVID-19 pandemic, nurses have worked under increasingly stressful conditions. Unsurprisingly, many nurses are facing mental health challenges. Digital tools to support and enhance access to mental health services are one strategy to support the mental health of nurses. This paper outlines the digital tools and virtual programs available to support the mental health of nurses, recognizing that there is no single solution to address the mental health challenges faced by Canadian nurses during these difficult times.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Grupos de Autoajuda , Rede Social , COVID-19/epidemiologia , COVID-19/enfermagem , Canadá , Humanos , Serviços de Saúde Mental/organização & administração , Aplicativos Móveis , Pandemias , SARS-CoV-2 , Tecnologia
7.
Afr J Prim Health Care Fam Med ; 13(1): e1-e6, 2021 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-34212743

RESUMO

BACKGROUND: Psychological well-being of nurses is crucial for them to effectively discharge their duties. However, coronavirus disease 2019 (COVID-19)-related anxiety can interfere with nurses' performance and reduce their self-efficacy. AIM: The primary aim of this study was to assess COVID-19-related anxiety and functional impairment amongst nurses in Malawi. The secondary aim of the study was to determine reliability and validity of the Coronavirus Anxiety Scale. SETTING: The study was conducted in Malawi. METHODS: This was a cross-sectional study that collected quantitative data from 102 nurses in Malawi online. Data were analysed using descriptive statistics and receiver operating curve analysis. RESULTS: This study found that 25.5% (26) of respondents had COVID-19-related anxiety and 48% (49) functional impairment. There were significant differences in the numbers of respondents who had functional impairment in relation to workplace (Χ2 = 8.7, p = 0.03), with many of those working in hospitals (58.6%, n = 34) having highest levels (mean = 20.6 ± 10.4). The Coronavirus Anxiety Scale proved to be an effective instrument (Sensitivity = 73.1%; Specificity = 60.5%; area under the curve = 0.73) for assessing COVID-19-related anxiety amongst nurses. CONCLUSION: It is necessary to screen nurses for COVID-19-related anxiety and functional impairment and provide them effective psychosocial interventions. Policymakers should place more emphasis on allocation of financial resources to mental health services and staff support programmes targeting nurses during pandemics. There is a need to conduct future research on mental health interventions that might be used to assist nurses with COVID-19-related anxiety and functional impairment.


Assuntos
Ansiedade/psicologia , COVID-19/psicologia , Depressão/psicologia , Enfermeiras e Enfermeiros/psicologia , Pandemias , Adulto , Ansiedade/etiologia , COVID-19/epidemiologia , Estudos Transversais , Depressão/etiologia , Feminino , Humanos , Malaui , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional , Reprodutibilidade dos Testes , SARS-CoV-2 , Inquéritos e Questionários , Local de Trabalho
8.
Eur. j. psychol. appl. legal context (Internet) ; 13(1): 21-28, ene.-jun. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-201545

RESUMO

Employees in the healthcare sector are the professionals who are the most exposed to violence. The severity of its consequences makes it necessary to inquire into its effects and associated factors. The objective of this study was to analyze the relationship between violence toward nursing staff and job satisfaction, and to find out the mediating role of social support in this relationship. The sample was made up of 1,357 nurses aged 22 to 58, who were administered the Negative Acts Questionnaire, Healthcare-Workers Aggressive Behaviour Scale-Users, Brief Perceived Social Support Questionnaire, and Overall Job Satisfaction. The results showed that violence and bullying by coworkers, users, family members, or other people accompanying the patient had a direct negative effect on internal and external job satisfaction, and this effect was mediated by perceived social support. These outcomes suggest the need to stimulate a firm healthcare support network to improve nurses' job satisfaction by buffering the adverse effects of workplace violence


Los trabajadores del sector sanitario son los más expuestos a situaciones de violencia laboral. La gravedad de sus consecuencias hace necesario indagar en sus efectos y los factores asociados. El objetivo del presente trabajo fue analizar la relación entre la violencia hacia el personal de enfermería y la satisfacción laboral, así como establecer el papel mediador del apoyo social en esta relación. La muestra estuvo formada por 1,357 profesionales de enfermería de entre 22 y 58 años, a quienes se les administró el Negative Acts Questionnaire, la Healthcare-Workers Aggressive Behaviour Scale-Users, el Brief Perceived Social Support Questionnaire y la Overall Job Satisfaction. Los resultados mostraron que la violencia y acoso por parte de compañeros, usuarios y acompañantes o familiares ejercía un efecto directo negativo sobre la satisfacción laboral interna y externa, siendo este efecto mediado por el apoyo social percibido. Estos resultados muestran la necesidad de estimular una red de apoyo firme en el sector sanitario para mejorar la satisfacción con el trabajo entre los profesionales de enfermería, amortiguando los efectos adversos de la violencia laboral


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Violência no Trabalho/psicologia , Exposição à Violência/psicologia , Enfermeiras e Enfermeiros/psicologia , Esgotamento Profissional/psicologia , Condições de Trabalho , Satisfação no Emprego , Apoio Social , Equipe de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
9.
Nurs Adm Q ; 45(3): 179-186, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34060500

RESUMO

Among the many lessons that have been reinforced by the SARS-COVID-19 pandemic is the failure of our current fee-for-service health care system to either adequately respond to patient needs or offer financial sustainability. This has enhanced bipartisan interest in moving forward with value-based payment reforms. Nurses have a rich history of innovative care models that speak to their potential centrality in delivery system reforms. However, deficits in terms of educational preparation, and in some cases resistance, to considering cost alongside quality, has hindered the profession's contribution to the conversation about value-based payments and their implications for system change. Addressing this deficit will allow nurses to more fully engage in redesigning health care to better serve the physical, emotional, and economic well-being of this nation. It also has the potential to unleash nurses from the tethers of a fee-for-service system where they have been relegated to a labor cost and firmly locate nurses in a value-generating role. Nurse administrators and educators bear the responsibility for preparing nurses for this next chapter of nursing.


Assuntos
COVID-19/economia , Enfermeiras e Enfermeiros/psicologia , Seguro de Saúde Baseado em Valor , COVID-19/prevenção & controle , Humanos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Pandemias/prevenção & controle
10.
J Am Assoc Nurse Pract ; 33(6): 416-418, 2021 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-34081655

RESUMO

COVID-19 has had a significant impact on the lives of nurses. To capture these experiences, the AANP history committee sponsored a writing contest. The stories, essays, and poems were heartfelt and ranged from personal experiences to future implications. One essay entitled "The Five Stages of COVID Grief: One Nurse Practitioner's Coronavirus Story," captured the essence of the time and is applicable to all nurses as we continue our journey and document our legacy. Using the framework of COVID Grief, this article seeks to outline the shared experience and range of emotions represented in the writing contest submissions. Through this lens, the Year of the Nurse and the toll of coronavirus can be framed by the emotions of disbelief, bitterness, guilt, fear and anxiety, and resilience.


Assuntos
COVID-19/psicologia , Medo/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Adaptação Psicológica , Anedotas como Assunto , Ansiedade/psicologia , COVID-19/enfermagem , Humanos , Enfermeiras e Enfermeiros/psicologia , Resiliência Psicológica , Redação
11.
Rev Esp Salud Publica ; 952021 Jun 02.
Artigo em Espanhol | MEDLINE | ID: mdl-34075016

RESUMO

OBJECTIVE: Breast cancer is a commonly diagnosed disease in nurses that, from recent years, has been linked to shift work and night work. Also, different components of work stress have such an impact on the nurses' health and work, family and social conciliation. The objective of this research was to analyze the family and working characteristics of Spanish nurses who perform shift work (including night shifts) in search of possible associations with manifestations of psychosomatic stress and the risk of breast cancer. METHODS: A cross-sectional descriptive study was conducted through a virtual questionnaire in a sample of 966 Registered Nurses in Spain between December 2019 and November 2020. A descriptive analysis of sociodemographic and occupational variables was performed, and statistically significant differences and associations were contrasted by estimating risks and confidence intervals. RESULTS: The number of night shifts throughout life and the number of years worked were statistically significant for the association with breast cancer. In addition, other psychosomatic manifestations such as insomnia, palpitations or extreme tiredness were highlighted. Among the most appreciated aspects to generate job satisfaction, co-worker's relationship was underlined. CONCLUSIONS: Rotating shift work can cause multiple clinical alterations that could lead to problems related to family conciliation, self-care or employment wellness. It is important to control the physical, psychological and emotional overload of nurses.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Família/psicologia , Enfermeiras e Enfermeiros/psicologia , Trabalho/psicologia , Adulto , Neoplasias da Mama/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Enfermeiras e Enfermeiros/estatística & dados numéricos , Jornada de Trabalho em Turnos , Espanha/epidemiologia , Inquéritos e Questionários
12.
J Med Life ; 14(2): 262-270, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34104251

RESUMO

Sense of humor constitutes a part of everyday life and work and an indispensable part of healthcare. However, the relationship between sense of humor and nursing occupational health and stress is yet to be studied in Iran. This study aimed to analyze the interplay of demographic factors, occupational stress, sense of humor, and health status of nurses working at the hospitals affiliated with the Ahvaz Jundishapur University of Medical Sciences, Iran. In this descriptive-analytical study, the statistical population consisted of 203 nurses. Occupational stress was assessed using the Iranian version of the Effort-Reward-Imbalance (ERI) Questionnaire. The Sense of Humor Questionnaire (SHQ) and the Iranian version of the 12-item General Health Questionnaire (GHQ-12) were employed to assess the sense of humor and physio-psychological health, respectively. Data collected were analyzed using the Statistical Package for the Social Sciences (SPSS) software. 81% (n=164) of the participants had an "external effort" (E) and "reward" (R) ratio greater than 1, indicating very high occupational stress. 39% (n=79) nurses with high occupational stress displayed their commitment to the workplace. Approximately 42% (n=85) of nurses were suffering from health problems. The mean humor score of participants was 2.90±0.41. Major life events over the past 3 months (p<0.01), weekly working hours (p<0.01), high occupational stress (p<0.01), and sense of humor (p<0.01) were determined to be significant predictors of nurses' health problems. Decision-makers are recommended to reduce nursing working hours through work shift management in order to maintain nurses' health status and reduce their occupational stress. In addition, hospital directors should promote a sense of humor in hospital environments with the help of culture-building practices, comedy books, music CDs, and training courses.


Assuntos
Nível de Saúde , Hospitais , Enfermeiras e Enfermeiros/psicologia , Estresse Ocupacional/epidemiologia , Senso de Humor e Humor como Assunto/psicologia , Adulto , Estudos Transversais , Humanos , Irã (Geográfico) , Masculino , Estresse Ocupacional/psicologia , Apoio Social , Inquéritos e Questionários , Local de Trabalho/psicologia
13.
Nursing ; 51(7): 24-32, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34156997

RESUMO

ABSTRACT: Basic guidelines are necessary for international networking in nursing. This article outlines the benefits of and strategies for networking, highlights the social and behavioral considerations of social networking, and presents potential guidelines for further discourse.


Assuntos
Guias como Assunto , Cooperação Internacional , Enfermeiras e Enfermeiros/psicologia , Rede Social , Humanos
14.
Nursing ; 51(7): 52-56, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34157003

RESUMO

ABSTRACT: Little is known about the psychological impact of trauma from pandemics such as the COVID-19 pandemic. This article explores a descriptive study on the impact of COVID-19 and the prevalence of posttraumatic stress disorder among RNs caring for patients with COVID-19.


Assuntos
COVID-19/enfermagem , Enfermeiras e Enfermeiros/psicologia , Pandemias , Transtornos de Estresse Pós-Traumáticos/epidemiologia , COVID-19/epidemiologia , COVID-19/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Enfermeiras e Enfermeiros/estatística & dados numéricos , Prevalência , Autorrelato
15.
Arch Psychiatr Nurs ; 35(4): 358-363, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34176576

RESUMO

AIMS: The study was to explore the experience of frontline nurses four months after COVID-19 rescue task. BACKGROUND: Frontline medical staff are prone to follow-up mental health problems and different feeling after COVID-19 rescue task. However, the experience of frontline nurses after COVID-19 rescue task has not been well described. METHODS: The study used a qualitative study design with semi-structured interview guide. Individual semi-structured face-to-face interviews were conducted with 15 frontline nurses who were involved COVID-19 rescue task from two tertiary-A hospitals in Hefei, China from July 10, to August 28, 2020. We followed the consolidated criteria for reporting qualitative research (COREQ) checklist. RESULTS: Four main themes emerged from the interviews: recurring involuntary memories about the experience, feeling guilty and depressed, cultivation of occupational ability, increased professional pride and happiness. CONCLUSION: The study demonstrated that frontline nurses had both positive and negative experiences four months after COVID-19 rescue task. It is necessary to long-term follow up and attention to the experience of the frontline nurses after COVID-19 rescue task. These insights provide a specific direction for the psychological reconstruction of frontline nurses and the construction of nursing team. RELEVANCE TO CLINICAL PRACTICE: Nursing managers should formulate psychological reconstruction plan according to the experience of frontline nurses after COVID-19 rescue task, so as to relieve the psychological stress and promote the mental health of nurses. At the same time, we should strengthen the disaster rescue ability training of nurses should be strengthened to better respond to future rescue task.


Assuntos
COVID-19/psicologia , Enfermeiras e Enfermeiros/psicologia , Angústia Psicológica , Estresse Psicológico , COVID-19/epidemiologia , China , Depressão , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pandemias , Pesquisa Qualitativa , SARS-CoV-2
16.
Arch Psychiatr Nurs ; 35(4): 401-406, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34176581

RESUMO

Psychiatric nursing providers and their unique challenges in the face of the COVID-19 pandemic are not well-represented in the literature. Therefore, this study sought to describe mental well-being of psychiatric nurses, and sought to elucidate factors related to mental wellness during the COVID-19 pandemic. This study utilized cross-sectional survey methodology to evaluate burnout, mental wellness, COVID-related anxiety, professional fulfillment, depressive symptoms, and anxiety symptoms among psychiatric nurses. There was a total of 151 respondents. A linear regression model was employed to identify predictors of mental wellness. The final regression model included the following predictors: depressive symptoms, burnout, professional fulfillment, and educational status. These predictors together accounted for 73% of the variance for the outcome variable of mental well-being.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/psicologia , Saúde Mental , Enfermeiras e Enfermeiros/psicologia , Adulto , Esgotamento Profissional/epidemiologia , COVID-19/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pandemias , Enfermagem Psiquiátrica , SARS-CoV-2
17.
J Wound Ostomy Continence Nurs ; 48(4): 319-324, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34186550

RESUMO

PURPOSE: The purpose of this study was to determine nursing preferences regarding catheter type (transurethral indwelling catheters vs intermittent catheterization vs suprapubic tube drainage) when caring for patients in hospital after pelvic organ prolapse surgery. DESIGN: Cross-sectional survey study. SUBJECTS AND SETTING: Registered nurses practicing in academic and community hospitals across North America (the United States and Canada). METHODS: Three hundred fifty-four RNs who routinely care for patients after pelvic organ prolapse surgery from centers across North America were sent an electronic survey between February 2018 and March 2019. The survey comprised 24 questions that collected information on the participants' demographics and their experience with using different catheters in a hospital setting, along with knowledge of and preference for the different catheter types. Descriptive statistics were used to determine catheter preferences of respondents in addition to their catheter rankings according to catheter-related outcomes. RESULTS: One hundred sixty nurses completed the survey, representing a 45% response rate. More than half (63.1%, n = 101) of respondents stated a preference for transurethral indwelling catheters, 23.1% (n = 37) preferred suprapubic tubes, and 10.6% (n = 17) preferred intermittent catheterization. Transurethral indwelling catheters were ranked by nurses as the best catheter type for ease of use and pain/discomfort for patients. Intermittent catheterization was ranked by nurses as the best for lowest malfunction rates and return of bladder function. Suprapubic tubes were ranked by nurses as best for lowest infection rates. CONCLUSIONS: This study has demonstrated that nurses practicing in inpatient care units have a strong preference for transurethral indwelling catheters over intermittent catheterization and suprapubic tubes when caring for patients after pelvic organ prolapse surgery.


Assuntos
Cateteres de Demora , Enfermeiras e Enfermeiros/psicologia , Prolapso de Órgão Pélvico/cirurgia , Cateterismo Urinário , Adulto , Idoso , Canadá , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
18.
J Wound Ostomy Continence Nurs ; 48(4): 332-337, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34186552

RESUMO

PURPOSE: The purpose of this study was to determine whether clinical inertia exists in the care of patients with urinary incontinence and to test the effects of an educational intervention designed to alleviate inertia related to care of urinary incontinence. DESIGN: Single-group, pretest/posttest design. SUBJECTS AND SETTING: The sample comprised 132 participants practicing in 6 medical-surgical inpatient care units at an urban hospital in Almería, Spain; 66 (50%) were RNs, and all other participants were unlicensed assistive personnel. Most participants (87.9%) were female; their average age was 43.99 years (SD = 7.85 years). METHODS: An educational intervention (online course) was provided. The main objective of the course was application of evidence-based knowledge for prevention and management of urinary incontinence in hospitalized patients. The course program comprised 3 didactic units: (1) introduction and evaluation of the patient with urinary incontinence, (2) care plans, and (3) instructions and rational use of absorbent products. Data collection included demographic and professional characteristics of respondents, desired results when caring for patients with incontinence, a medical record checklist, an occupational environment and satisfaction scale, and an assessment record of knowledge/skills and training activity satisfaction. RESULTS: After comparing the pre- and posttest scores of knowledge on urinary incontinence, significant differences were found before and after the intervention (z = -14.113, P = .000). Specifically, analysis revealed differences in caring actions related to urinary incontinence (z = -14.248, P = .000) and differences in direct observation of urinary incontinence practice following the intervention (z = -14.326, P = .000). CONCLUSIONS: Our findings indicate existence of inertia in nursing care for hospitalized patients with urinary incontinence. The educational intervention improved knowledge, observable nursing care activities related to incontinence management, and improved documentation of care.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem , Incontinência Urinária , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Espanha
20.
Prof Inferm ; 74(1): 31-40, 2021.
Artigo em Italiano | MEDLINE | ID: mdl-34089639

RESUMO

BACKGROUND: Media play a key part in shaping nurses' social perception. Newspapers were chosen as the subject of this content analysis, as they are the main resource that Italians use to inform themselves. For this reason, ne wspapers are an appropriate resource to analyse the image of the nurse that, as found in literature, is seen as a dynamic phenomenon that changes according to different scenarios. Given the media focus on nurses during COVID- 19 it seems reasonable to analyse what nurse image was emerged. METHOD: A Content Analysis with an inductive process was conducted. The analysis' objective was to evaluate the image of the nurse in national and local newspapers, published between the 30th of January and the 18th of May 2020. A triangulation methodology was used between the two researchers to ensure data quality. R ESULTS: Five themes were identified. The risks for the nurse's psycho-physic wellbeing. Taking responsibility and human relations despite barriers. The acknowledgment of professional attributes. Uncertainty on the continuity of the nurses' social role emerged from the media. Nurses only wish to be appreciated for what they do. The agreement between the researchers on the themes has a Krippendor ff 's alpha between =0.713 and =0.985. CONCLUSIONS: The media's interest highlighted the nurses' competence in assisting patients with COVID-19. However, there isn't in-depth analysis, of the contemporar y image of the nurse, specifically in relation to leadership. Positive and negative tropes are recalled. The superficiality and fragility of the mediatic phenomena emerged, as opposed to a real positive strengthening of the nurse's social perception.


Assuntos
COVID-19 , Jornais como Assunto , Enfermeiras e Enfermeiros/psicologia , Opinião Pública , Humanos , Itália , Liderança , Papel do Profissional de Enfermagem , Enfermeiras e Enfermeiros/organização & administração , Percepção Social
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