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1.
Enferm. clín. (Ed. impr.) ; 29(6): 357-364, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184656

RESUMO

La instauración de las especialidades de Enfermería iniciada en 1953 ha contribuido de forma decisiva en la calidad de la atención sanitaria proporcionada en el Sistema Nacional de Salud. En la actualidad, un elevado número de enfermeras poseen un título oficial de especialista obtenido a través de las distintas modalidades de acceso que establece el Real Decreto sobre especialidades de Enfermería. Por otra parte, los programas formativos tienen que seguir desarrollándose para culminar el catálogo establecido en la mencionada normativa. Cabe destacar que muchos especialistas tienen dificultad para llevar a cabo un ejercicio profesional acorde a su formación y capacitación, debido a la escasa descripción de puestos de trabajo e identificación de competencias en los procesos de selección y acceso a los puestos de trabajo, necesarias para un buen desempeño profesional. Por ello, resulta imprescindible elaborar un catálogo de puestos de trabajo específico de cada una de las especialidades, para dar respuesta a las expectativas de las enfermeras y fortalecer el avance en la calidad de la atención de cuidados


The establishment of nursing specialties that started in 1953 has contributed decisively to the quality of the medical care provided by the National Health System. Nowadays, a large number of nurses have an official specialist qualification achieved through different means of access established by Royal Decree on nursing specialties. Furthermore, the training programmes must continue to develop in order to complete the catalogue established under the aforementioned regulation. It should be pointed out that many specialists face difficulties in carrying out professional practice according to their education and training, due to the lack of job descriptions and identification of competences during recruitment processes and access to job positions, needed for appropriate professional performance. Therefore, it is essential to create a catalogue for specific job positions for each of the specialties to meet the expectations of professional nursing and enhance progress in quality patient care


Assuntos
Humanos , Especialidades de Enfermagem/tendências , Prática Profissional/organização & administração , Prática Profissional/tendências , Competência Profissional , Especialidades de Enfermagem/legislação & jurisprudência
2.
Enferm. clín. (Ed. impr.) ; 29(6): 370-375, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184658

RESUMO

Los sistemas sanitarios tienen la responsabilidad de dar respuesta a las nuevas necesidades de salud de la población, que se caracterizan por factores como el envejecimiento, la cronicidad y/o las situaciones de dependencia y que requieren de cuidados de calidad, especializados y adaptados a diferentes ámbitos donde la atención se presta, cuidados ofertados por profesionales formados y cada vez más cualificados para mejorar los resultados en salud de las personas que cuidan. En el año 2016, en Andalucía se publica el marco normativo por el que se crea la categoría profesional estatutaria de enfermero/a especialista, entre las que se incluye la especialidad de Enfermería de Salud Mental en el Servicio Andaluz de Salud. En el ámbito de la Salud Mental, el desarrollo de este marco normativo y la definición y ocupación de puestos permitirá al sistema sanitario conjugar el papel de las enfermeras especialistas con el de las enfermeras que prestan cuidados generales, enfermeras de Grado, en pro de avanzar en la mejor respuesta a las necesidades de salud de la ciudadanía en este ámbito de atención. El desarrollo de la especialidad podrá suponer un valor añadido tanto para la mejora de los resultados en salud de las personas con problemas de salud mental como para mejorar la calidad asistencial, la eficiencia y la sostenibilidad de los sistemas sanitarios


Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems


Assuntos
Humanos , Especialidades de Enfermagem , Enfermagem Psiquiátrica/métodos , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Saúde Mental , Sistemas de Saúde/organização & administração
7.
J Nurses Prof Dev ; 35(5): 297-299, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31490905

RESUMO

Since its publication in 2016, the third edition of Nursing Professional Development: Scope and Standards of Practice has generated excitement for the specialty. The scope and standards has promoted uniformity of title, stimulated changes in position descriptions, fostered adherence to scope of practice, and served as a unifying framework for system-wide nursing professional development departments. However, continued action is required in the areas of advocacy, research, and engagement with the specialty organization.


Assuntos
Competência Clínica/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Especialidades de Enfermagem , Desenvolvimento de Pessoal , Humanos
9.
Surg Clin North Am ; 99(5): 885-898, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31446916

RESUMO

This article provides an overview of key palliative care considerations for management of patients with wounds and ostomies. Ostomy formation is indicated for a variety of intestinal conditions. Specifics of ostomy management, impact on quality of life, and patient perspectives can be complicated. Wound ostomy and continence nursing professionals play a central role in the successful management of this patient population.


Assuntos
Colostomia , Ileostomia , Humanos , Comunicação Interdisciplinar , Cuidados Paliativos , Medicina Paliativa , Qualidade de Vida , Especialidades de Enfermagem , Derivação Urinária
10.
J Nurses Prof Dev ; 35(5): 240-247, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31425311

RESUMO

Graduate nursing education programs' focus on preparation for academia results in many graduate nurses being unprepared to function as nursing professional development (NPD) practitioners in the practice environment. This article describes the development of an innovative collaborative partnership designation program and how a specialty organization, health system, and academia partnered to create an educational program to prepare NPD practitioners. The designation program provides a practical tool for use by NPD departments to advocate for the NPD specialty.


Assuntos
Currículo , Relações Interinstitucionais , Profissionais de Enfermagem/educação , Especialidades de Enfermagem , Desenvolvimento de Pessoal , Educação de Pós-Graduação em Enfermagem , Humanos
11.
Br J Community Nurs ; 24(8): 377-379, 2019 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-31369313

RESUMO

District nurses and their teams often work in isolation during domiciliary visits. As employers, providers of district nursing services have responsibility to ensure that appropriate policies and procedures are in place to keep district nursing teams safe. If the employer fails to do everything that was reasonable in the circumstances to keep the employee safe, the employer can be deemed to have breached their duty of care. Employees also have responsibility for their own health and wellbeing at work, and they are entitled by law to refuse to undertake work that is not safe, without fear of disciplinary action. Staff training in risk management, personal safety, handling aggressive behaviour, using safety devices such as mobile phone trackers, incident reporting and debriefing are essential for district nurses and their teams, as they face a steeply increased demand for their services and a severely compromised skill mix within their teams.


Assuntos
Enfermagem em Saúde Comunitária/normas , Emprego/normas , Guias como Assunto , Visita Domiciliar , Enfermeiras de Saúde Comunitária/normas , Gestão da Segurança/normas , Especialidades de Enfermagem/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reino Unido
12.
J Wound Ostomy Continence Nurs ; 46(4): 306-308, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31274860

RESUMO

Enterocutaneous fistulas (ECF) and enteroatmospheric fistulas (EAF) pose significant quality-of-life concerns for patients, and management challenges for the interprofessional healthcare team. In 2009, the Canadian Association for Enterostomal The developed best practice recommendations for the management of ECF. Over time, evidence and practice evolve, and the Nurses Specialized in Wound, Ostomy and Continence Canada performed a comprehensive review of the literature and revised the practice recommendation document. The revised recommendations provide evidence-based management guidance for ECF and EAF in the adult population whether in acute care, community/home care, or long-term/residential settings, and are specifically created for nurses. The revised recommendations include organizational support, assessment, nutrition, pharmaceutical management, education, and local fistula management. This article serves as an executive summary for this clinical resource; the full guideline is available at http://nswoc.ca/ecf-best-practices/.


Assuntos
Fístula Intestinal/terapia , Cicatrização/fisiologia , Humanos , Fístula Intestinal/enfermagem , Guias de Prática Clínica como Assunto , Higiene da Pele/enfermagem , Sociedades/tendências , Especialidades de Enfermagem/métodos , Especialidades de Enfermagem/tendências , Cicatrização/efeitos dos fármacos
13.
Prof Inferm ; 72(1): 34-41, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162041

RESUMO

BACKGROUND: Epilepsy is frequently accompanied by learning, behavioural and psychological difficulties, therefore the management of this pathology extends far beyond the use of antiepileptic drugs. The specialist-nurse-service provides a multifaceted management. This study adds new points of view on how epilepsy-specialist-nurses work, the benefits they produce and their feedback. OBJECTIVES: The study was conducted to analyse the role of the epilepsy-specialist-nurse, its competencies, its impact on patients and healthcare system and its relevance in patient and medical-staff perceptions, to give new suggestions on how it can be useful in epilepsy teams. METHOD: Literature review to analyse epilepsy-specialist-nurse role; a quantitative research with descriptive approach to examine patients' (11) perceptions using a novel-questionnaire; applied qualitative analysis of medical staff (4) perceptions through semi-structured interviews. RESULTS: The epilepsy-specialist-nurse has the competences to manage the epilepsy-related issues that extend beyond medications. Patients value the ability of specialist-nurses to answer their multifaceted needs, to dedicate them enough time to discuss the impact of epilepsy on everyday-life and their feelings, giving suggestions. Doctors collaborating with specialist-nurses recognize their valuable contribute. Doctors give more information on epilepsy and medication-issues: patients prefer to consult a doctor for these issues. CONCLUSION: The holistic way adopted by specialist-nurses in addressing patients' needs is fundamental to improve patients' health and well-being. Medical and nursing ability to address epilepsy-related issues in a very similar way - in the items analysed - may reveal that specialist-nurses can provide high-quality assistance while achieving cost-savings. It is needed to develop a structured pathway that allows the progression of specialist-nursing, to define a clear job description, and to obtain government recognition.


Assuntos
Epilepsia/enfermagem , Papel do Profissional de Enfermagem , Especialidades de Enfermagem , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Criança , Pesquisas sobre Serviços de Saúde , Humanos
14.
J Forensic Nurs ; 15(3): 163-171, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162289

RESUMO

In the United Kingdom, health and justice services nurses are a diverse group working across a range of contexts and settings such as police custody, sexual assault referral centers, young offenders' institutes, and prisons and probation. Recruitment and retention to the specialist field of health and justice services nursing, specifically prison nursing, is problematic in the United Kingdom. In this article, we consider the background to the current situation in prison nursing and summarize some of the existing literature and research relating to this specialty to raise, for discussion and debate, issues that are pertinent to the concept of professional identity and professionalism. Role definition, resilience and burnout, and education within prison nursing are identified in relation to the development of professional identity. It could be that professional identity is the missing link to recruitment and retention.


Assuntos
Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem , Prisões , Especialidades de Enfermagem , Esgotamento Profissional , Educação em Enfermagem , Humanos , Profissionalismo , Resiliência Psicológica , Reino Unido
15.
J Wound Ostomy Continence Nurs ; 46(3): 221-225, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31083065

RESUMO

The Wound, Ostomy and Continence Nurses Society believes the tri-specialty certified nurse (Certified Wound Ostomy Continence Nurse [CWOCN]) or advanced practice tri-specialty certified nurse (Certified Wound Ostomy Continence Nurse-Advanced Practice [CWOCN-AP]) possesses unique knowledge, expertise for assessment, and first-line management of incontinence as well as for prevention of incontinence. The CWOCN or CWOCN-AP provides care and consultation in the treatment of potential and actual skin complications through absorption, and containment, in persons with urinary, fecal, or dual incontinence. This executive summary describes the role of the CWOCN or CWOCN-AP in the delivery of continence care across care settings. The original statement is available at https://cdn.ymaws.com/www.wocn.org/resource/collection/6D79B935-1AA0-4791-886F-E361D29F152D/Role_of_Continence_Nurse__2018_.pdf.


Assuntos
Papel do Profissional de Enfermagem , Higiene da Pele/enfermagem , Especialidades de Enfermagem/tendências , Cicatrização , Incontinência Fecal/enfermagem , Humanos , Estomia/enfermagem , Lesão por Pressão/prevenção & controle , Higiene da Pele/tendências , Especialidades de Enfermagem/organização & administração , Incontinência Urinária/enfermagem
16.
J Forensic Nurs ; 15(3): 172-182, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30985543

RESUMO

BACKGROUND: Correctional nursing requires a strong knowledge base with access to continuing education (CE) to maintain and enhance competencies. Nurses working in provincial prisons have reported many challenges in accessing CE, with online learning being identified as a potential solution. Limited research was found, however, which examined the correctional context in the development and delivery of online learning for nurses. The purpose of this study was to develop an online educational intervention tailored to correctional nurses and determine the feasibility and acceptability of implementing the intervention in a provincial prison context. METHODS: A sequential mixed methods study was conducted. Participants included nurses from three correctional settings in the province of Ontario, Canada. Semistructured interviews examined contextual factors and educational needs. Delphi surveys determined the educational topic. Preintervention and postintervention questionnaires examined the context, educational content, and intervention's acceptability and feasibility. RESULTS: The online intervention focused on mental health and addictions with two 30-minute webinars delivered back-to-back over 15 weeks. Respondents expressed satisfaction with the convenience of online learning at work using short webinars, as well as the topics, relevance of information, and teaching materials, but dissatisfaction with presentation style. The feasibility of the intervention was limited by access to technology, time to attend, education space, and comfort with technology. DISCUSSION: The findings from this study provide insight to guide the future development of online CE for correctional nurses. If changes are made within correctional facilities in collaboration with nurses and managers, online learning holds the potential to facilitate access to ongoing professional development.


Assuntos
Instrução por Computador , Internet , Recursos Humanos de Enfermagem , Prisões , Desenvolvimento de Pessoal , Técnica Delfos , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Ontário , Especialidades de Enfermagem
18.
Cochrane Database Syst Rev ; 4: CD007019, 2019 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-31012954

RESUMO

BACKGROUND: Nurses comprise the largest component of the health workforce worldwide and numerous models of workforce allocation and profile have been implemented. These include changes in skill mix, grade mix or qualification mix, staff-allocation models, staffing levels, nursing shifts, or nurses' work patterns. This is the first update of our review published in 2011. OBJECTIVES: The purpose of this review was to explore the effect of hospital nurse-staffing models on patient and staff-related outcomes in the hospital setting, specifically to identify which staffing model(s) are associated with: 1) better outcomes for patients, 2) better staff-related outcomes, and, 3) the impact of staffing model(s) on cost outcomes. SEARCH METHODS: CENTRAL, MEDLINE, Embase, two other databases and two trials registers were searched on 22 March 2018 together with reference checking, citation searching and contact with study authors to identify additional studies. SELECTION CRITERIA: We included randomised trials, non-randomised trials, controlled before-after studies and interrupted-time-series or repeated-measures studies of interventions relating to hospital nurse-staffing models. Participants were patients and nursing staff working in hospital settings. We included any objective reported measure of patient-, staff-related, or economic outcome. The most important outcomes included in this review were: nursing-staff turnover, patient mortality, patient readmissions, patient attendances at the emergency department (ED), length of stay, patients with pressure ulcers, and costs. DATA COLLECTION AND ANALYSIS: We worked independently in pairs to extract data from each potentially relevant study and to assess risk of bias and the certainty of the evidence. MAIN RESULTS: We included 19 studies, 17 of which were included in the analysis and eight of which we identified for this update. We identified four types of interventions relating to hospital nurse-staffing models:- introduction of advanced or specialist nurses to the nursing workforce;- introduction of nursing assistive personnel to the hospital workforce;- primary nursing; and- staffing models.The studies were conducted in the USA, the Netherlands, UK, Australia, and Canada and included patients with cancer, asthma, diabetes and chronic illness, on medical, acute care, intensive care and long-stay psychiatric units. The risk of bias across studies was high, with limitations mainly related to blinding of patients and personnel, allocation concealment, sequence generation, and blinding of outcome assessment.The addition of advanced or specialist nurses to hospital nurse staffing may lead to little or no difference in patient mortality (3 studies, 1358 participants). It is uncertain whether this intervention reduces patient readmissions (7 studies, 2995 participants), patient attendances at the ED (6 studies, 2274 participants), length of stay (3 studies, 907 participants), number of patients with pressure ulcers (1 study, 753 participants), or costs (3 studies, 617 participants), as we assessed the evidence for these outcomes as being of very low certainty. It is uncertain whether adding nursing assistive personnel to the hospital workforce reduces costs (1 study, 6769 participants), as we assessed the evidence for this outcome to be of very low certainty. It is uncertain whether primary nursing (3 studies, > 464 participants) or staffing models (1 study, 647 participants) reduces nursing-staff turnover, or if primary nursing (2 studies, > 138 participants) reduces costs, as we assessed the evidence for these outcomes to be of very low certainty. AUTHORS' CONCLUSIONS: The findings of this review should be treated with caution due to the limited amount and quality of the published research that was included. We have most confidence in our finding that the introduction of advanced or specialist nurses may lead to little or no difference in one patient outcome (i.e. mortality) with greater uncertainty about other patient outcomes (i.e. readmissions, ED attendance, length of stay and pressure ulcer rates). The evidence is of insufficient certainty to draw conclusions about the effectiveness of other types of interventions, including new nurse-staffing models and introduction of nursing assistive personnel, on patient, staff and cost outcomes. Although it has been seven years since the original review was published, the certainty of the evidence about hospital nurse staffing still remains very low.


Assuntos
Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Qualidade da Assistência à Saúde , Mortalidade Hospitalar , Humanos , Readmissão do Paciente , Admissão e Escalonamento de Pessoal , Especialidades de Enfermagem , Recursos Humanos
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