Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 12.541
Filtrar
1.
J Nurs Adm ; 50(11): 562-564, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33105332

RESUMO

Professional practice model (PPM) is one of the initial steps toward nursing excellence and the main requirement to earn Magnet Recognition. This article will describe the process of development, implementation, and evaluation of a PPM for nursing in a specialized cancer center in Jordan.


Assuntos
Institutos de Câncer/organização & administração , Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Institutos de Câncer/normas , Humanos , Jordânia , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Qualidade da Assistência à Saúde
2.
J Nurs Adm ; 50(9): 468-473, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826516

RESUMO

Nurse leaders seek effective strategies to engage nurses in decision-making when striving for clinical excellence. When leaders cultivate safe environments, nurses are encouraged to discover new knowledge and innovations. In our institution, nurse leaders designed a systematic guide using Liberating Structures to empower nurses to develop a professional practice model.


Assuntos
Liderança , Modelos de Enfermagem , Enfermeiras Administradoras , Cultura Organizacional , Prática Profissional , Desenvolvimento de Pessoal/organização & administração , Competência Clínica , Humanos , Enfermeiras Administradoras/organização & administração , Enfermeiras Administradoras/psicologia
3.
J Nurs Adm ; 50(9): 489-494, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826518

RESUMO

OBJECTIVE: The aim of this study was to determine the relationship between clinical nurses' perception of the authentic nurse leadership of their manager and their perception of the work environment on their unit. BACKGROUND: Authentic leadership (AL) and healthy work environments contribute to staff engagement and improved patient outcomes. There is limited research linking these 2 variables. METHODS: Two hundred fifty-four clinical nurses at a national conference participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire and the Critical Elements of a Healthy Work Environment Survey. RESULTS: Overall, nurses rated the authentic nurse leadership of their manager as present most of the time and agreed their work environment was healthy. There was a moderate correlation between AL and healthy work environment. Background variables were not significantly related to nurses' perceptions of the authentic nurse leadership of their manager or their work environment. CONCLUSIONS: This is the 1st study using these authentic nurse leadership and healthy work environment frameworks. In this novel nursing model of AL, caring is an attribute that was valued by frontline nurses. This is a call to action for leadership development at every level using AL principles and for the improvement of lagging domains in nursing work environments, both critically needed during challenging healthcare times and for the ultimate purpose of improving patient and workforce outcomes.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Modelos de Enfermagem , Enfermeiras Administradoras/organização & administração , Inquéritos e Questionários , Local de Trabalho/organização & administração
5.
J Nurs Adm ; 50(9): 438-441, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32804703

RESUMO

This column discusses the establishment of a multidisciplinary model for care transition of COVID-19-positive patients from hospital to community. The pandemic has presented challenging issues for discharge transition. A tiered patient identification and clinical messaging referral system was developed. The use of the COVID-19 transition model provided support to patients and physicians during the 30-day discharge period and can serve as a model for emerging public health issues in the future.


Assuntos
Infecções por Coronavirus/enfermagem , Modelos de Enfermagem , Pandemias , Transferência de Pacientes/organização & administração , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia
6.
J Nurs Adm ; 50(7-8): 419-425, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32701647

RESUMO

Evaluation of the professional practice model is an expectation in Magnet-designated facilities. Few evaluations of practice models are theory driven. A multisite, theory-driven model evaluation was conducted that included input from a variety of sources resulting in a comprehensive revision of the model.


Assuntos
Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Teoria de Enfermagem , Prática Profissional , Técnica Delfos , Humanos , Papel do Profissional de Enfermagem , Objetivos Organizacionais , Assistência Centrada no Paciente/estatística & dados numéricos , Estudos Prospectivos
7.
Soins Psychiatr ; 41(326): 37-41, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718526

RESUMO

The nursepatient relationship is particularly challenging when the patient experiences psychosis and when he or she is placed in a context of coercion. Psychosis causes relational problems in the patient, which are further complicated in a context of coercion as this practice implies differences of understanding, status and power between the nurse and the patient. The Tidal Model, a care model focused on recovery, comprises ten principles of commitment for caregivers, which help to build a bridge between them and the person experiencing psychosis.


Assuntos
Coerção , Relações Enfermeiro-Paciente , Transtornos Psicóticos/enfermagem , Transtornos Psicóticos/psicologia , Feminino , Humanos , Masculino , Modelos de Enfermagem
8.
Nurs Outlook ; 68(4): 385-387, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32593461

RESUMO

Nurse practitioner (NP) employment in specialty practice areas, such as subspecialty ambulatory practices and inpatient units is growing substantially. The Consensus Model provides guidelines to help states aligning NP education and certification with specialty practice area. Despite expansion of the Consensus Model, significant misalignment exists between specialty NPs' education, certification, and practice location. Therefore, further implementation of the Consensus Model across states could have significant impact on health systems and NPs working in specialty settings. More than 10 years after its introduction, it is time to evaluate the policy and practice implications of the Consensus Model. Important next steps include examination of the impact of the Consensus Model and how to help health systems with alignment when and if the Model is more widely implemented.


Assuntos
Certificação/estatística & dados numéricos , Consenso , Emprego/estatística & dados numéricos , Profissionais de Enfermagem/educação , Profissionais de Enfermagem/normas , Padrões de Prática em Enfermagem/estatística & dados numéricos , Padrões de Prática em Enfermagem/normas , Adulto , Certificação/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , Estados Unidos
9.
Invest. educ. enferm ; 38(2): [e05], junio 30 2020. Table 1
Artigo em Inglês | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1103379

RESUMO

Objective. To describe the construction and validation process of a Model of professional practice of school nursing for Colombia. Methods. Study under the approach of "methodological research in nursing" carried out by the Colombian network of school nursing, with the participation of 26 nurses from different institutions in a research developed in three stages: revision of antecedents, identification and prioritizing of assumptions to construct the model, and validation of the preliminary proposal with the participants and with a group of experts. Results. The study presents the components that were part of the construction of the model of professional practice of school nursing for Colombia, which includes the four meta-paradigmatic elements of this professional discipline: the receptor of care, the context, nursing, and health, as well as the prioritized assumptions that indicate how these elements interact in achieving the student´s wellbeing and that of the education community. It includes the report from a focal validation group with the participants in which they summarize as education and health: a care bond, and the concept by experts on such. Conclusion. The Model of professional practice of school nursing for Colombia: education and health: a care bond, constructed in participative manner with nurses experts in the field and validated with theoretical experts complies with the international guides for the design of this type of theoretical construction and permits guiding the care goals of students, maintain the autonomy of the nurses and their interprofessional participation in this field.


Objetivo. Describir el proceso de construcción y validación de un Modelo de práctica profesional de enfermería escolar para Colombia. Métodos. Estudio bajo el abordaje de "investigación metodológica en enfermería" realizado por la Red Colombiana de Enfermería Escolar. Participaron 26 enfermeras de diferentes instituciones en una investigación desarrollada en tres etapas: revisión de antecedentes, identificación y priorización de supuestos para la construcción del modelo, y validación de la propuesta preliminar con los participantes y con un grupo de expertos. Resultados. Se presentan los componentes que hicieron parte de la construcción del Modelo de práctica profesional de enfermería escolar para Colombia, que incluyen los cuatro elementos meta-paradigmáticos de esta disciplina profesional: el receptor del cuidado, el contexto, la enfermería y la salud, así como los supuestos priorizados, que indican la forma en que estos elementos interactúan en el logro del bienestar del escolar y de la comunidad educativa. Se incluye el reporte de un grupo focal de validación con los participantes en el que lo resumen como educación y salud un vínculo de cuidado, y el concepto de expertos sobre el mismo. Conclusión. El Modelo de práctica profesional de enfermería escolar para Colombia: educación y salud un vínculo de cuidado, construido de forma participativa con enfermeras expertas en el campo y validado también con expertos teóricos cumple con las guías internacionales para el diseño de este tipo de construcción teórica y permite orientar las metas del cuidado del escolar, mantener la autonomía de las enfermeras y su participación interprofesional en este campo


Objetivo. Descrever o processo de construção e validação de um Modelo de estágio profissional de enfermagem escolar para Colômbia. Métodos. Estudo sob a abordagem de "investigação metodológica em enfermagem" realizado pela Rede Colombiana de Enfermagem Escolar. Participaram 26 enfermeiras de diferentes instituições em uma investigação desenvolvida em três etapas: revisão de antecedentes, identificação e priorização de supostos para a construção do modelo, e validação da proposta preliminar com os participantes e com um grupo de especialistas. Resultados. Se apresentam os componentes que fizeram parte da construção do Modelo de estágio profissional de enfermagem escolar para Colômbia, que incluíram os quatro elementos metaparadigmáticos desta disciplina profissional: o receptor do cuidado, o contexto, a enfermagem e a saúde, assim como os supostos priorizados, que indicam a forma em que estes elementos interagem na conquista do bem-estar do escolar e da comunidade educativa. Se inclui o relatório de um grupo focal de validação com os participantes no qual o resumo como educação e saúde um vínculo de cuidado, e o conceito de especialistas sobre o mesmo. Conclusão. O Modelo de estágio profissional de enfermagem escolar para Colômbia: educação e saúde um vínculo de cuidado, construído de forma participativa com enfermeiras especialistas no campo e validado também com especialistas teóricos que cumpre com os guias internacionais para o desenho deste tipo de construção teórica e permite orientar as metas do cuidado do escolar, manter a autonomia das enfermeiras e sua participação interprofissional neste campo


Assuntos
Humanos , Serviços de Enfermagem Escolar , Teoria de Enfermagem , Pesquisa Metodológica em Enfermagem , Modelos de Enfermagem
11.
Nurs Clin North Am ; 55(2): 203-208, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32389254

RESUMO

Have you noticed that evolving science, updated evidence-based practice care models, new best practices, and new surgical and insurance guidelines have changed the face of elective joint replacement forever? Recent changes in many insurances, to place total knee arthroplasty in the out-patient category, have put the orthopedic service line into a position of having to streamline the knee arthroplasty process. Your mother's total knee arthroplasty is forever gone!


Assuntos
Artroplastia do Joelho/enfermagem , Difusão de Inovações , Humanos , Modelos de Enfermagem , Satisfação do Paciente , Resultado do Tratamento
12.
Rev Gaucha Enferm ; 41(spe): e20190150, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32294687

RESUMO

OBJECTIVE: To develop a spiritual care model for patients and their relatives in illness. METHODOLOGY: A qualitative study that uses Symbolic Interactionism as theoretical framework, and the Grounded Theory designed by Charmaz as methodological framework. Semi-structured interviews were performed with 10 participants, and the Model was validated by an expertise group, from march to may 2016, at a University Hospital in the South of Brazil. When analyzing the data, the following codifications were made: initial, focalized, axial and theoretical. RESULTS: The categories that structured the Model were the following: Situating spirituality in their daily lives; Exercising spirituality in life; Perceiving the role of the nursing team in spiritual care; Identifying the manifestations of spiritual needs; Placing spirituality as a priority in care and Re- signifying the illness process. CONCLUSION: Developing the model has enabled us to achieve a conceptual understanding and interpretation of spiritual care in nursing and to draw up the connections among the nursing team, the patients and their relatives.


Assuntos
Teoria Fundamentada , Modelos de Enfermagem , Papel do Profissional de Enfermagem , Cuidados de Enfermagem , Espiritualidade , Adulto , Família , Humanos , Pessoa de Meia-Idade , Modelos Teóricos , Pacientes , Pesquisa Qualitativa , Interacionismo Simbólico
13.
Medicine (Baltimore) ; 99(11): e19543, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32176107

RESUMO

OBJECTIVE: To explore the effect of continuous nursing care based on the Information, Knowledge, Attitude, and Practice (IKAP) theory on the quality of life of patients with chronic obstructive pulmonary disease (COPD). METHODS: This study is a randomized control trial. COPD patients attending the Affiliated Hospital of Inner Mongolia Medical University, China between July 1 and October 31, 2017 were eligible. Following random assignment of participants to either the intervention group or control group, 70 patients (35 in each group) were included in the final sample. The intervention group received nursing care based on the Information, Knowledge, Attitude, and Practice theory, while the control group received standard nursing care. Data were collected before the intervention, 1 month after the intervention, and three months after the intervention. The St. George's Respiratory Questionnaire (SGRQ) was used to measure quality of life. RESULTS: Three months after the intervention, there were significant differences in the total SGRQ score (20.29 ±â€Š10.03 vs 30.14 ±â€Š12.52) and in the three SGRQ dimensions between the intervention group and the control group (P < .05). A repeated-measures analysis of variance showed that the total SGRQ score and the scores for impact and symptoms had a significant time effect (P < .001), that the total SGRQ score and the score for symptoms had a significant interaction effect (P < .05), and that the impact dimension had a significant group effect (P = .042). Pairwise comparisons of the data for the intervention group showed that there were significant differences between the pre-intervention and 1 month after intervention scores as well as between pre-intervention and three months after intervention, for the total SGRQ scores and the scores for impact and symptoms(P < .001). In terms of the impact dimension, there was a significant difference in the intervention group between 1 month after intervention and 3 months after intervention (P = .016). CONCLUSION: Continuous nursing care based on Information, Knowledge, Attitude, and Practice theory improved quality of scores at 3 months after intervention among COPD patients. Given limitations of the study, future large-scale studies are needed to validate our results.


Assuntos
Modelos de Enfermagem , Padrões de Prática em Enfermagem , Doença Pulmonar Obstrutiva Crônica/psicologia , Qualidade de Vida , Idoso , Feminino , Humanos , Masculino , Doença Pulmonar Obstrutiva Crônica/enfermagem , Resultado do Tratamento
15.
Nurs Outlook ; 68(4): 396-405, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32138975

RESUMO

Nursing research involves much planning and attention to details, yet novice and seasoned nurse researchers often overlook the day-to-day operations required to conduct research studies. Project management is a set of iterative steps that can facilitate the process of conducting nursing research. In this paper we aim to provide an overview of project management and identify ways in which its specific principles and strategies may be applied to facilitate nursing research. Here we give an overview of our current longitudinal study using a Solomon four-group design and illustrate how we applied strategies and tools from the project management literature. In addition, we offer descriptions and illustrations of several other project management tools that could have been used in specific phases of this research project. We encourage nurse educators and researchers to familiarize themselves with the principles of project management and consider using them in future studies.


Assuntos
Papel do Profissional de Enfermagem/psicologia , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/psicologia , Pesquisa em Enfermagem/organização & administração , Recursos Humanos de Enfermagem/psicologia , Projetos de Pesquisa , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
16.
Nursing ; 50(3): 58-61, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32068709

RESUMO

PURPOSE: To understand perceptions of compassion fatigue (CF), including compassion satisfaction, burnout, and work-related secondary traumatic stress in a random sampling of nurses from the authors' healthcare facility. METHODS: The Professional Quality-of-Life (ProQOL) nurse survey was used to measure the positive and negative aspects of caring and to identify elements of CF. Quantitative data were analyzed using descriptive statistics and statistical software, as well as a thematic analysis to identify themes in the interview transcripts. RESULTS: The level of compassion satisfaction was considered "average" by 76% of participants, suggesting that they were likely to derive pleasure from their work. Conversely, burnout and secondary traumatic stress were reported as average-to-low in more than 90% of the nurses. ProQOL scores reflected positive participant feelings about their ability to be effective in their work and indicated that they do not consider their work environment frightening. CONCLUSION: Providing nurses the tools, education, and support to implement self-care practices on the unit can help reduce CF.


Assuntos
Fadiga por Compaixão/prevenção & controle , Fadiga por Compaixão/psicologia , Modelos de Enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Inquéritos e Questionários
17.
Nurs Clin North Am ; 55(1): 29-37, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32005363

RESUMO

The complexity and rapidly changing environment of health care places significant pressure on nurses. How nurses make decisions within this environment has been an area of inquiry in the literature. Clinical decision making is the application of distinct thinking patterns and analysis of data at hand used to make judgements about patient care. Models of clinical decision making provide a foundation for understanding how nurses make decisions. Key factors associated with clinical decision making include experience, intuition, use of information and sources, and environment. Further work is needed to increase understanding of the processes by which nurses make clinical decisions.


Assuntos
Competência Clínica/normas , Tomada de Decisão Clínica , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/normas , Sistemas Automatizados de Assistência Junto ao Leito/normas , Guias de Prática Clínica como Assunto , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
18.
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
19.
Metas enferm ; 23(1): 59-64, feb. 2020. graf
Artigo em Espanhol | IBECS | ID: ibc-189188

RESUMO

Ocultar información al paciente para omitir el diagnóstico o pronóstico de enfermedad es un fenómeno presente que se produce por diferentes situaciones, siendo la más destacable la expresa petición de la familia, lo cual puede derivar en consecuencias negativas para todos los actores del proceso: paciente, familia y profesionales. En estas circunstancias tan complejas no queda claro el rol de las enfermeras respecto al proceso de comunicar malas noticias o al uso de estrategias de comunicación empleadas. A partir de un caso en el que una paciente de edad avanzada diagnosticada de mieloma múltiple cuyo diagnóstico y pronóstico conocía la familia, pero los cuales ella desconocía, se planteó la necesidad de describir las estrategias de comunicación que pueden ayudar a los profesionales en situaciones similares. Es necesario fomentar un aprendizaje didáctico y práctico, con estrategias de comunicación claras, dentro de un marco de colaboración entre el equipo multidisciplinar donde queden delimitados los roles de los miembros que lo integran


Hiding information from the patient in order to omit their disease diagnosis or prognosis is a current phenomenon; this is caused by different situations, and the express request by relatives stands out among these. This can lead to negative consequences for all those involved in the process: the patient, the family and the professionals. In these highly complex circumstances, the role of nurses is not clear in terms of communicating bad news or using the adequate communication strategies. The case of an advanced-age female patient diagnosed with multiple myeloma, with diagnosis and prognosis known by the family but unknown to her, was the basis for considering the need to describe the communication strategies that might be helpful for professionals in similar situations. It is necessary to encourage educational and practical learning, with clear communication strategies, within a frame of collaboration between the multidisciplinary team, clearly determining the roles of the members involved


Assuntos
Humanos , Comunicação em Saúde/ética , Papel do Profissional de Enfermagem/psicologia , Revelação da Verdade , Cuidados de Enfermagem/psicologia , Modelos de Enfermagem , Relações Médico-Paciente , Estratégias , Cuidados de Enfermagem/psicologia , Educação em Enfermagem
20.
Metas enferm ; 23(1): 65-71, feb. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-189189

RESUMO

Para la mayoría de las lesiones medulares no hay ningún tratamiento curativo, y dado el gran impacto que ocasiona en la calidad de vida de estas personas, las intervenciones van orientadas, entre otras, a la adaptación del nuevo estado de salud y a la obtención de la mayor independencia y autonomía posible en las necesidades del individuo. Además, después de la lesión se experimenta ansiedad y preocupación extrema que impide el manejo adecuado de las emociones, por lo que será necesario un seguimiento adecuado del proceso de duelo para la pronta recuperación psicológica. Dada la relevancia del abordaje adecuado en el proceso de duelo en el paciente lesionado medular se propone la exposición de un caso clínico de un paciente joven con dicha situación y experiencia, que pueda ayudar a otros profesionales. Para ello se elabora un plan de atención enfermero siguiendo el modelo teórico de Virginia Henderson y la taxonomía NANDA, NOC y NIC


There is no curative treatment for the majority of spinal cord injuries, and given their major impact on the quality of life of these patients, interventions are targeted, among other things, to adaptation to their new health status and achieving the highest independency and autonomy possible for their individual needs. Besides, patients will experience anxiety and extreme concern after the injury, which prevents an adequate management of emotions; therefore, an adequate follow-up will be required for the grieving process, in order to achieve an early psychological recovery. Given the relevance of an adequate approach for the grieving process in a patient with spinal injury, we hereby present the case record of a young patient with said situation and experience, which can be helpful for other professionals. To this aim, a nursing care plan was prepared, following the theoretical model by Virginia Henderson, and the NANDA, NOC and NIC taxonomy


Assuntos
Humanos , Masculino , Adulto , Traumatismos da Medula Espinal/enfermagem , Avaliação em Enfermagem/métodos , Cuidados de Enfermagem/organização & administração , Diagnóstico de Enfermagem , Modelos de Enfermagem , Traumatismos da Medula Espinal/etiologia , Adaptação Psicológica , Terminologia Padronizada em Enfermagem , Enfermagem Holística/organização & administração
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA