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1.
Nephrol Nurs J ; 51(3): 221-224, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38949796

RESUMO

Nurse managers and medical directors play integral roles in ensuring the delivery of high-quality care. Nurse managers oversee day-to-day operations, coordinating staffing, patient care, and resource allocation. They are responsible for fostering a supportive environment for nursing staff while upholding standards of excellence in patient care. Medical directors bring their clinical expertise and leadership, guiding treatment protocols and ensuring adherence to best practices. Together, nurse managers and medical directors form a dynamic partnership in which collaboration is paramount. By synergizing their respective strengths, nurse managers and medical directors can optimize patient outcomes, streamline processes, and drive continuous improvement initiatives. Effective communication and mutual respect are foundational to this collaboration because they work hand-in-hand to navigate complex medical challenges and uphold standards of excellence. In this symbiotic relationship, the ultimate goal is to produce quality care that enhances patient well-being and satisfaction.


Assuntos
Enfermeiros Administradores , Diretores Médicos , Humanos , Enfermagem em Nefrologia/normas , Papel do Profissional de Enfermagem , Qualidade da Assistência à Saúde , Relações Interprofissionais , Liderança
2.
Nephrol Nurs J ; 51(3): 267-263, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38949801

RESUMO

Numerous nursing roles in a variety of work environments are available to nurses specializing in nephrology nursing. This article describes the various roles and work settings available to nurses new to nephrology and experienced nephrology nurses, intending to promote awareness of the specialty and increase the number of nurses working in nephrology. The information provided can be shared with those working within the specialty, and be included in nephrology nursing recruitment and retention strategies implemented to address the current and future anticipated nephrology nursing void.


Assuntos
Enfermagem em Nefrologia , Papel do Profissional de Enfermagem , Humanos , Estados Unidos , Nefrologia
3.
J Contin Educ Nurs ; 55(7): 328-330, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38959099

RESUMO

The knowledge domain of professional identity in nursing is the analysis and application of information derived from experiences, critical reflection, and scientific discovery from nursing and other disciplines. Knowledge guides role clarity, decision-making, and advocacy. Key concepts described in this column include mindset, innovation, clinical judgment, and reflection. [J Contin Educ Nurs. 2024;55(7):328-330].


Assuntos
Educação Continuada em Enfermagem , Humanos , Masculino , Adulto , Feminino , Pessoa de Meia-Idade , Educação Continuada em Enfermagem/organização & administração , Papel do Profissional de Enfermagem/psicologia , Identificação Social , Recursos Humanos de Enfermagem Hospitalar/psicologia , Currículo
4.
Rev Esc Enferm USP ; 58: e20240026, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-38949513

RESUMO

The aim is to conduct theoretical reflection on the inseparability among public health, planetary health and the nursing process in light of complexity thinking, with the aim of contributing to healthy and sustainable development. Study with a theoretical-reflexive approach that accessed bibliographical sources from contemporary authors who defend the inseparability between public health and planetary health and, at the same time, provide theoretical-systemic support to the nursing process, under an inductive critical bias. The nursing process is conceived as a complex phenomenon, which comprises interdependent dynamics, dialogical approaches, critical-reflective perception and prospective leadership. Theoretical reflection on the nursing process and sustainable development raises an expanded, contextualized and interdependent look at the role of nursing professionals in different health contexts, in order not to compromise well-being and environmental health.


Assuntos
Saúde Global , Processo de Enfermagem , Saúde Pública , Desenvolvimento Sustentável , Humanos , Processo de Enfermagem/organização & administração , Saúde Ambiental , Papel do Profissional de Enfermagem
5.
Br J Community Nurs ; 29(7): 352-353, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38963275

RESUMO

Chronic obstructive pulmonary disease (COPD) refers to a group of diseases that includes chronic bronchitis and emphysema, which is caused by damage to the airways or other parts of the lung that blocks airflow and eventually makes it difficult for the patient to breathe. As COPD is terminal, the primary goals of treatment are to control symptoms, improve quality of life and reduce exacerbations and mortality. Community nurses can play a vital role in maintaining patients' quality of life and daily functioning, but the ability to access further education in the domain of COPD treatment and allocate dedicated time to patient care is necessary to achieving good outcomes. Francesca Ramadan provides an overview of the mainstays of COPD care, as a foundation for further education.


Assuntos
Enfermagem em Saúde Comunitária , Doença Pulmonar Obstrutiva Crônica , Humanos , Doença Pulmonar Obstrutiva Crônica/enfermagem , Doença Pulmonar Obstrutiva Crônica/terapia , Qualidade de Vida , Papel do Profissional de Enfermagem
6.
Br J Community Nurs ; 29(7): 335-339, 2024 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-38963269

RESUMO

Falls among older individuals pose a significant public health challenge globally, impacting both individual wellbeing and healthcare systems. This article examines the importance of falls prevention in older people and the pivotal role of nursing in this domain. It presents statistics indicating the high prevalence of falls among older adults, highlighting their substantial impact on morbidity, mortality and healthcare costs. Furthermore, it discusses the multifactorial nature of fall risk factors, including age-related changes, chronic health conditions, medication use, impaired mobility, sensory deficits and environmental hazards. Nursing interventions encompass comprehensive assessments, personalised care plans, patient education and advocacy efforts aimed at reducing fall risks and enhancing safety. By addressing intrinsic and extrinsic factors contributing to falls, nurses contribute significantly to improving the quality of life for older adults and reducing the economic burden associated with fall-related injuries.


Assuntos
Acidentes por Quedas , Papel do Profissional de Enfermagem , Humanos , Acidentes por Quedas/prevenção & controle , Idoso , Fatores de Risco , Enfermagem em Saúde Comunitária , Idoso de 80 Anos ou mais
7.
Health Res Policy Syst ; 22(1): 77, 2024 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-38965522

RESUMO

BACKGROUND: In Latin America, interventions aimed at adolescents' health suffer from a shortfall of investment and lack of sustainability. Nurses, as an integral part of health services and systems, can lead the implementation and development of public health policies to improve adolescent health. OBJECTIVE: To identify and analyze the role of nurses in the development and implementation of public policies and in the provision of health care to adolescents in Colombia, Ecuador, and Peru. METHODS: The research was carried out in three phases: a documentary analysis, an online survey, and semi-structured focus groups. A total of 48 documents were analyzed, 288 nurses participated in the survey, and 29 nurses participated in the focus groups. RESULTS: State policies aim to guarantee rights, with special protection for children and adolescents. It is an incremental process, with greater involvement of civil society and governments. Participants reported a lack of synergy between law and practice, as well as differences in regulatory compliance in rural areas and in populations of different ethnicities and cultures. Their perception was that the protection of adolescents is not specifically enshrined in the legal bases and regulatory structures of the countries, meaning that there are both protective factors and tensions in the regulatory framework. While nurses are highly committed to different actions aimed at adolescents, their participation in policy development and implementation is low, with barriers related to a lack of specialized training and working conditions. CONCLUSIONS: Given nurses' involvement in different actions aimed at adolescents, they could play a fundamental role in the development of policies for adolescents and ensure their effective implementation. Policymakers should consider revising the budget to make compliance viable, incorporating and using monitoring indicators, and increasing the involvement of educational institutions and the community.


Assuntos
Saúde do Adolescente , Política de Saúde , Papel do Profissional de Enfermagem , Política Pública , Humanos , Adolescente , Colômbia , Peru , Equador , Masculino , Grupos Focais , Feminino , Formulação de Políticas , Enfermeiras e Enfermeiros , Inquéritos e Questionários , Atenção à Saúde , Adulto , Criança
9.
J Nurses Prof Dev ; 40(4): 184-189, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38949971

RESUMO

Assessment of initial nursing competency is essential to safe nursing practice yet often focuses on psychomotor skill acquisition. A multistate health system created a competency strategy based on a comprehensive conceptualization of competency using the American Nursing Association scope and standards of nursing practice. This approach allows for the broad application of a standard competency assessment tool across diverse nursing specialties and provides a framework for nursing professional development practitioners to implement in their organizations.


Assuntos
Competência Clínica , Papel do Profissional de Enfermagem , Humanos , Competência Clínica/normas , Desenvolvimento de Pessoal/métodos , Estados Unidos , Avaliação Educacional/métodos , Avaliação Educacional/normas
10.
Nurs Adm Q ; 48(3): 237-247, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38848486

RESUMO

Nursing research provides knowledge that advances nursing science, practice, and health care with the vision to optimize the health and well-being of the population. In a medical center setting or health care organization, nurse scientists are needed to demonstrate new knowledge, innovation, and scholarship. Nursing research in health care organizations or medical centers are led mainly by nurse leaders with a Doctorate in Philosophy (PhD) or a Doctorate in Nursing Practice (DNP). The purpose of this report is to provide examples of the role nurse scientists and nursing research plays nationally in Kaiser Permanente, an integrated health care system. In addition, this report will: (1) define the term "research" in the clinical setting and the role of the nurse research scientist in an integrated health care system and impact on the Magnet® Designation journey, and (2) discuss strategies for a successful role as a nurse research scientist in an integrated healthcare system.


Assuntos
Prestação Integrada de Cuidados de Saúde , Papel do Profissional de Enfermagem , Pesquisa em Enfermagem , Humanos , Prestação Integrada de Cuidados de Saúde/tendências , Pesquisa em Enfermagem/tendências , Estados Unidos , Liderança
12.
BMC Prim Care ; 25(1): 218, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38879472

RESUMO

BACKGROUND: Child maltreatment is a global problem that puts children at risk of mental illness, substance abuse, and premature death. Interdisciplinary collaboration is important in preventing and detecting child maltreatment. In Norway, children undergo universal preventive health assessments and receive complimentary follow-up care from specialized public health nurses in child and family health clinics. These nurses conduct regular check-ups and home visits to monitor children for signs of maltreatment. OBJECTIVE: The objective of this study is to describe how public health nurses at child and family health clinics follow the National Clinical Guidelines to prevent and detect child maltreatment, with a particular focus on clinical procedures and interdisciplinary collaboration. Furthermore, we aim to determine factors that are associated with identification of child maltreatment. DESIGN: A cross-sectional online survey was conducted among public health nurses working in primary care between October 24th and December 31st, 2022. Public health nurses who worked with children aged 0-5 years and had consultations with families were eligible to participate, resulting in 554 responses. The study employed descriptive analysis, including frequency, percentage and mean, as well as a two-step logistic regression analysis. The study was approved by the relevant authority, and informed consent was obtained through questionnaire completion. RESULTS: The public health nurses in this study displayed strong adherence to the guidelines and utilized various comprehensive assessment procedures to monitor child well-being, growth, and development. However, there was limited and infrequent collaboration with other professionals, such as child protection services, general practitioners, and hospitals. Most public health nurses reported occasional suspicion of child maltreatment, with age and years of experience in child and family clinics influencing these suspicions. Older public health nurses were more likely to suspect physical violence, while those with less than two years of experience reported less experience in suspecting maltreatment. Additional education increased the probability of suspecting sexual violence. CONCLUSIONS: This study provides insights into the practices of public health nurses in Norway regarding the detection and prevention of child maltreatment in child and family clinics. While adherence to guidelines is strong, suspicion of maltreatment is relatively rare. Collaboration across agencies is crucial in addressing child maltreatment. Age and experience may influence the detection of maltreatment. Improved collaboration, targeted guidelines, and ongoing professional development are needed to enhance child protection.


Assuntos
Maus-Tratos Infantis , Atenção Primária à Saúde , Humanos , Maus-Tratos Infantis/prevenção & controle , Maus-Tratos Infantis/diagnóstico , Estudos Transversais , Noruega/epidemiologia , Feminino , Masculino , Pré-Escolar , Adulto , Lactente , Papel do Profissional de Enfermagem , Pessoa de Meia-Idade , Fidelidade a Diretrizes/estatística & dados numéricos , Inquéritos e Questionários , Recém-Nascido , Enfermagem em Saúde Pública , Enfermeiros de Saúde Pública
16.
Br J Nurs ; 33(12): 552-558, 2024 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-38900652

RESUMO

BACKGROUND: Most UK nursing research into spirituality overlooks its daily application in certain specialties, notably learning disability nursing. AIMS: Tz explore spirituality over the lifespans of people with learning disabilities and how spiritual care affects their quality of life. To provide practical examples for nurses on how to apply spiritual care in their daily practice. METHODS: A literature review conducted between January 2002 and July 2022) following recommendations from the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Thomas and Harden's (2008) approach to thematic synthesis was used to structure 10 full-text articles into three key themes. FINDINGS: The three key themes were: the role of the nurse, the impacts on the individual, and family/carer perspectives. CONCLUSION: The nursing role in using spiritual care encompasses care planning an individual's spiritual activities, facilitating time alone, nurturing values such as self-acceptance, building therapeutic relationships, and advocating for progression in existing social structures and legislation.


Assuntos
Deficiências da Aprendizagem , Espiritualidade , Humanos , Deficiências da Aprendizagem/enfermagem , Papel do Profissional de Enfermagem , Reino Unido , Qualidade de Vida , Família/psicologia
17.
Nursing ; 54(7): 42-50, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38913927

RESUMO

ABSTRACT: Prehabilitation, or "prehab," helps patients optimize strength, function, and nutrition before surgery. This evidence-based practice project presents strategies for implementing a prehab program to prepare patients for spinal surgery. Nurses play an integral role in educating patients preoperatively about the myriad lifestyle changes associated with spinal surgery.


Assuntos
Exercício Pré-Operatório , Humanos , Educação de Pacientes como Assunto , Coluna Vertebral/cirurgia , Cuidados Pré-Operatórios/enfermagem , Cuidados Pré-Operatórios/métodos , Papel do Profissional de Enfermagem
18.
J Nurses Prof Dev ; 40(4): 195-200, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38842449

RESUMO

Nurse preceptors are key to the successful transition of graduate nurses to practice and experienced nurses to a new organization. Providing ongoing preceptor development is essential to support nurses in this vital role. The evidence-based R2C2 (relationship, reaction, content, coach) feedback and coaching model was implemented to facilitate the delivery of constructive feedback from nurse preceptors to their orientees. Post-intervention survey results suggest an overall positive response to the use of the feedback model in practice.


Assuntos
Preceptoria , Preceptoria/métodos , Humanos , Inquéritos e Questionários , Retroalimentação , Papel do Profissional de Enfermagem , Tutoria/métodos , Desenvolvimento de Pessoal/métodos
19.
J Christ Nurs ; 41(3): 160-165, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38853314

RESUMO

ABSTRACT: Faith community nurses (FCNs) are well positioned to serve individuals needing community-based healthcare within local healthcare systems, large church denominations, or through the support and resources of nonprofit faith community nursing organizations. This article briefly outlines development of the specialty of faith community nursing and proposes areas of research needed to grow the impact of this nursing specialty. Examples of FCNs working in and collaborating with healthcare systems, educational institutions, and congregations illustrate the value and diversity of FCN services for impacting community-based care. An exhaustive list of national, denominational, and regional organizations supporting FCN practice is included.


Assuntos
Cristianismo , Enfermagem Paroquial , Humanos , Enfermagem Paroquial/organização & administração , Enfermagem em Saúde Comunitária/organização & administração , Papel do Profissional de Enfermagem , Estados Unidos , Feminino
20.
Clin J Oncol Nurs ; 28(3): 329-334, 2024 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-38830259

RESUMO

Despite comprising almost 8% of the population of the United States, sexual and gender minority (SGM) patients with cancer experience health inequities with poorer outcomes than non-SGM patients. Although sex-based guidelines.


Assuntos
Equidade em Saúde , Neoplasias , Papel do Profissional de Enfermagem , Enfermagem Oncológica , Minorias Sexuais e de Gênero , Humanos , Minorias Sexuais e de Gênero/estatística & dados numéricos , Masculino , Feminino , Estados Unidos , Pessoa de Meia-Idade , Adulto
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