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1.
Pan Afr Med J ; 33: 320, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692933

RESUMO

Introduction: Occupational stress is a recognized health problem among nurses. Globally, its prevalence varies between 9.2% and 68.0%. It detracts from nurses' quality of life and efficiency of job performance. In Ghana, we do not know the important contributory factors to this problem. Our study sought to identify the important predictors of occupational stress among nurses. Methods: In January 2016, we conducted an institutional-based survey among nurses of Salaga Government Hospital. They completed a five-point Likert type questionnaire adopted from the British Psychological Working Conditions Survey, and the Nurse Stress Index. Across 30 predictor variables, a mean score of 4.00 to 5.00 represented high to extreme occupational stress. We performed bivariate and multivariate analyses to identify important predictors of occupational stress at 95% confidence level. Results: Of 167 nurses, 58.1% (97) were females. Respondents who experienced high to extreme stress levels had a 2.3 times odds of reporting sickness absence (CI: 1.03-5.14). Sources of occupational stress included: manual lifting of patients and pieces of equipment (OR: 16.23; CI: 6.28 - 41.92), the risks of acquiring infections (OR: 14.67; CI 5.90 - 36.46), receiving feedback only upon unsatisfactory performance (OR: 28.00; CI: 9.72 - 80.64), and inadequate opportunities for continuous professional development (OR: 63.50; CI: 19.99 - 201.75). Conclusion: The working conditions of nurses were stressful. The most significant predictors of occupational stress were poor supportive supervision by superiors, lack of adequate skills to perform routine tasks, uncertainty about their job role, and the lack of adequate opportunities for career advancements.


Assuntos
Competência Clínica , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Licença Médica/estatística & dados numéricos , Adulto , Mobilidade Ocupacional , Feminino , Gana , Humanos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/normas , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
2.
J Nurs Adm ; 49(12): 591-595, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725058

RESUMO

OBJECTIVE: Describe clinical nurse involvement in antibiotic stewardship programs (ASPs). BACKGROUND: The extent to which clinical nurses are supported and integrated into ASPs is unknown. METHODS: Electronic survey of infection preventionists (IPs) working in acute care hospitals. RESULTS: A total of 207 IPs nationwide reported on clinical nurses' involvement in their hospital's ASP. Among respondents, 42% reported the presence of a designated nurse executive that championed nurses' involvement in ASPs; 33% reported that the hospital provides antibiotic stewardship education and training to clinical nurses, and only 14% believed that clinical nurses have adequate stewardship knowledge to participate in ASP activities. CONCLUSIONS: Study findings indicate the need for nurse leaders to improve the preparation and integration of clinical nurses in ASPs. While clinical nurses routinely perform activities that contribute to optimal antibiotic use, the knowledge and competency of clinical nurses in these activities and their formal integration in ASPs are minimal.


Assuntos
Gestão de Antimicrobianos/organização & administração , Profissionais Controladores de Infecções/estatística & dados numéricos , Liderança , Enfermeiras Administradoras , Enfermeiras Clínicas/educação , Enfermeiras Clínicas/estatística & dados numéricos , Papel do Profissional de Enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos
3.
J Nurs Adm ; 49(12): 586-590, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725518

RESUMO

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


Assuntos
Técnicos de Enfermagem/psicologia , Técnicos de Enfermagem/normas , Assistência de Longa Duração/normas , Papel do Profissional de Enfermagem , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/normas , Enfermagem Prática/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
4.
J Nurs Adm ; 49(12): 624-627, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725521

RESUMO

Magnet designation requires that nurses be actively involved in activities that lead to obtaining evidence through conducting research. Unfortunately, several barriers limit nurses' ability to engage in research activities, including insufficient resources. This article explains how a community-based hospital implemented a fellowship model to circumvent some of these barriers. Two fellowship positions are described, 1 in research and 1 in library sciences. The method, outcomes, and cost of the fellowship model are discussed.


Assuntos
Educação de Pós-Graduação em Enfermagem/organização & administração , Bolsas de Estudo/organização & administração , Hospitais Comunitários/organização & administração , Papel do Profissional de Enfermagem , Pesquisa em Enfermagem/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos de Casos Organizacionais , Sudeste dos Estados Unidos
5.
J Nurs Adm ; 49(12): 628-630, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725522

RESUMO

Despite the availability of the political process, it has not been used optimally by nurses to improve negative issues facing the profession. This study indicates that nurses are generally not astute regarding the political process and are not significantly involved. Nurse leaders have an opportunity to educate and motivate nurses to be formidable participants in the political process, champion the healthcare agenda, and propound policy efforts to improve patient care and the nursing profession.


Assuntos
Política de Saúde , Liderança , Papel do Profissional de Enfermagem , Política , Engajamento no Trabalho , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
6.
Nurs Clin North Am ; 54(4): 533-539, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703778

RESUMO

This article offers an alternative conceptualization from which a health care provider can consider and respond to client-based suicidal ideation and behavior. Pragmatically explored through the prism of locus of control, Rogerian psychotherapy principles, Peplau's theory of interpersonal relations, and the work of Kay Redfield Jamison, the Concordant Actions in Suicide Assessment (CASA) model frames clinical decision making along a continuum defined by concordant and state-based action. Therein, cognitive reframes are offered to illustrate how to apply the CASA model in clinical practice.


Assuntos
Controle Interno-Externo , Modelos Psicológicos , Avaliação em Enfermagem , Suicídio/prevenção & controle , Humanos , Papel do Profissional de Enfermagem , Ideação Suicida
7.
Nurs Clin North Am ; 54(4): 541-550, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703779

RESUMO

Delirium superimposed on dementia is an acute medical illness that is difficult to diagnose because of the similarities of the symptoms to dementia. Delirium can contribute to the suffering of the patient as well as the family and caregiver. An initial holistic assessment of the patient is critical in establishing the cognitive baseline symptoms of delirium. Prevention of delirium can be assisted by ongoing reassessment of the patient for symptoms of delirium. The goal of treatment is to treat the underlying cause of the delirium.


Assuntos
Delírio/diagnóstico , Delírio/terapia , Demência/complicações , Papel do Profissional de Enfermagem , Avaliação em Enfermagem , Idoso , Humanos
8.
Nurs Clin North Am ; 54(4): 561-567, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703781

RESUMO

Postpartum depression (PPD) affects10% to 20% of women within the first year after birth and 25% beyond the first year. PPD, despite advances in diagnosis and treatment, remains underdiagnosed and misunderstood. Women do not always display signs of PPD while in care for delivery of the infant and may not discuss mood changes to their primary care provider at discharge and first post-delivery appointment. Identifying screening and treatment options for non-mental health providers was the purpose of this article.


Assuntos
Depressão Pós-Parto/diagnóstico , Depressão Pós-Parto/terapia , Programas de Rastreamento , Papel do Profissional de Enfermagem/psicologia , Depressão Pós-Parto/epidemiologia , Tratamento Farmacológico , Feminino , Humanos , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Fatores de Risco
9.
Nurs Clin North Am ; 54(4): 595-608, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703784

RESUMO

Antipsychotics can be life changing, but like all medications, they can also have unwanted effects, including drug-induced movement disorders such as tardive dyskinesia (TD). More patients are receiving antipsychotic treatment from non-psychiatry health care providers, including primary care and general practitioners. Despite misconceptions to the contrary, recent analyses suggest that the risk of drug-induced movement disorders such as TD has not been eliminated. Nurses across all care settings will increasingly encounter patients treated with antipsychotics. Nurses are critical for ensuring that patients exposed to antipsychotics receive screening and monitoring, care, and education.


Assuntos
Antipsicóticos/efeitos adversos , Papel do Profissional de Enfermagem , Discinesia Tardia/induzido quimicamente , Discinesia Tardia/diagnóstico , Antipsicóticos/uso terapêutico , Humanos
10.
Gan To Kagaku Ryoho ; 46(11): 1691-1694, 2019 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-31748474

RESUMO

Chemotherapy-induced nausea and vomiting(CINV)has been one of the most significant side effect, which needs symptom management.Nurses should enough knowledgeable to take roles of antiemetic administration, assessment, patient education, self-care.Therefore nursing contribute to improve patients' quality of life to minimize occurrence of CINV.The time of patients receiving anti-cancer drug therapy become longer, and more patients take medical care at home care setting or community based hospitals.These change CINV management with new aspects which include continuity, economy community. Nurses need to expand their roles to improve their knowledge, assessment, quality of nursing intervention.


Assuntos
Antieméticos/uso terapêutico , Neoplasias , Antineoplásicos , Humanos , Náusea/tratamento farmacológico , Papel do Profissional de Enfermagem , Qualidade de Vida , Vômito/tratamento farmacológico
12.
Rev Lat Am Enfermagem ; 27: e3208, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31664415

RESUMO

OBJECTIVE: The objective of this study was to establish the factors that induce nursing professionals to present engagement with their work environment. METHOD: Qualitative study, using the communicative methodology, with nursing professionals from public and private centers in the city of Huesca. The statements were collected through communicative stories and discussion groups. RESULT: The methodology used has allowed the establishment of a set of engagement promotion measures in the studied environment. These measures are framed in the three main categories analyzed: the systemic or structural variables, the subject-oriented variables, and those that refer to the relationships between the subjects. CONCLUSION: Knowledge of the situation regarding engagement among professionals, and the issues that encourage or hinder its appearance, is essential in establishing measures that contribute to its development. The use of qualitative techniques has allowed for the discovery of situations that would have gone unnoticed. After analyzing the interviews and the discussion groups, the following were present: an important lack of recognition that the participants experience, and that contribute, in their opinion, to the appearance of burnout syndrome, and, the lack of cohesion as a collective.


Assuntos
Esgotamento Psicológico/psicologia , Engajamento no Trabalho , Feminino , Humanos , Satisfação no Emprego , Masculino , Papel do Profissional de Enfermagem , Cuidados de Enfermagem
13.
J Nurs Adm ; 49(11): 517-519, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651608

RESUMO

Nurses who aspire to lead a professional nursing organization can significantly influence the future of the nursing profession. This article describes 4 essential responsibilities required in a board leadership position as identified by a group of nurse leaders who have each served as the board president of a national or international professional nursing organization.


Assuntos
Liderança , Enfermeiras Administradoras/organização & administração , Papel do Profissional de Enfermagem , Sociedades de Enfermagem/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
14.
J Nurs Adm ; 49(11): 520-522, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651609

RESUMO

The American Nurses Credentialing Center's Magnet Recognition Program 2019 Magnet Application Manual "continue(s) to raise the bar as the gold standard for nursing" (p. IX). In this column, the authors, who are Magnet commissioners, provide background and guidance on the standards for nurse satisfaction and patient satisfaction.


Assuntos
Satisfação no Emprego , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/normas , Satisfação do Paciente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Estados Unidos
15.
J Nurs Adm ; 49(11): 543-548, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651614

RESUMO

Nursing leadership can play an essential role in the development of nursing informatics solutions by virtue of their broad understanding and oversight of nursing care. We describe a systems-level method for creating nursing informatics solutions with clearly defined structure and leadership from nursing executives. Based on the guiding principles of clear lines of responsibility, respect for expertise, and commitment to project aims, this allows nursing executive leadership to organize, set up, and own the development of nursing informatics solutions.


Assuntos
Liderança , Enfermeiras Administradoras/normas , Papel do Profissional de Enfermagem , Informática em Enfermagem/organização & administração , Assistência Centrada no Paciente/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reino Unido , Estados Unidos
16.
J Nurs Adm ; 49(11): 549-555, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651615

RESUMO

OBJECTIVE: This study aims to investigate the role of nurse managers in supporting point-of-care nurses' health information technology (IT) use and identify strategies employed by nurse managers to improve adoption, while also gathering point-of-care nurses' perceptions of these strategies. BACKGROUND: Nurse managers are essential in facilitating point-of-care nurses' use of health IT; however, the underlying phenomenon for this facilitation remains unreported. METHODS: A qualitative descriptive study was conducted with 10 nurse managers and 14 point-of-care nurses recruited from a mental health hospital environment in Ontario, Canada. Inductive and deductive content analyses were used to analyze the semistructured interviews. RESULTS: Nurse managers adopt the role of advocate, educator, and connector, using the following strategies: communicating system updates, demonstrating use of health IT, linking staff to resources, facilitating education, and providing IT oversight. CONCLUSIONS: Nurse managers use a variety of strategies to support nurses' use of health IT. Future research should focus on the effectiveness of these strategies.


Assuntos
Atitude do Pessoal de Saúde , Liderança , Informática Médica/organização & administração , Enfermeiras Administradoras/psicologia , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Papel Profissional , Feminino , Humanos , Ontário , Pesquisa Qualitativa
17.
Afr Health Sci ; 19(2): 1849-1857, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31656467

RESUMO

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


Assuntos
Enfermagem em Emergência , Violência por Parceiro Íntimo , Papel do Profissional de Enfermagem/psicologia , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/psicologia , Adulto , Serviço Hospitalar de Emergência , Emoções , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Percepção , Pesquisa Qualitativa , África do Sul
18.
Wiad Lek ; 72(9 cz 1): 1616-1620, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31586973

RESUMO

OBJECTIVE: Introduction: There is the increasing number of elderly patients with motion disabilities who require help and infatuations from nursing stuff. According to the Central Statistic Department (GUS), 25,4% people in Poland is over 60. In 2050 this number will increase to 40%(39,9%). This is very important topic because when the number of old people will increase the geriatric care will be more important. Especially because this is partially covered by nursing team. They should be satisfied and content of the job they do, and they should fulfill the aim they had when they started this profession. The aim: Analysis of nurse's work with patients, nursing procedures evaluation, how this procedure is scored by the nurse, what is the nurse's role in the rehabilitation process. PATIENTS AND METHODS: Material and methods: There were nursing process with geriatric patients analyzed in this article. There were nursing procedures investigated with the opinion of the person who performed this procedure. Role of the nurse in rehabilitation process was and the satisfaction from typical work load was analyzed. RESULTS: Results: Analyzed results showed that there is a deficit in the nurse's knowledge and the lack of the complex care in elderly patient with disabilities. There is lack of the preparation and education program to perform holistic patient care. This includes monitoring, examination and elderly needs. CONCLUSION: Conclusions: The nurse is the first link that helps the patient to understand his disease. The nurse develops therapeutic contact that helps the patient to feel safe and positively react for the introduced treatment.


Assuntos
Enfermagem Geriátrica , Doenças Musculoesqueléticas/enfermagem , Doenças Musculoesqueléticas/reabilitação , Papel do Profissional de Enfermagem , Idoso , Humanos , Sistema Musculoesquelético/fisiopatologia , Polônia
19.
Bull Cancer ; 106(10): 847-859, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31521255

RESUMO

INTRODUCTION: The Cancer Observatory, from the OMEDITs (Observatory for Medicines and Medical Devices and Treatment Innovations) of Bretagne and Pays de la Loire areas has conducted a survey aiming to know and map the current practices of management of patients by Oral Anti-cancer Drug (OAD) in inter-region. METHODS: Forty eight cancer centers received by e-mail in July and October 2016 a questionnaire concerning the management of OADs : from prescription by the specialist of oncology, to the intervention of the pharmacist (analysis and pharmaceutical consulting), to follow-up by nurse, as well as the financing of this activity and the feelings of the actors about this organizational set up. RESULTS: Fifty-seven professionals from 31 centers, including the most important ones, responded to the survey. As a result, half of the establishments carry out a pharmaceutical analysis for some or all of the OAD prescriptions and only 30% carry out a pharmaceutical consulting. The nurse consultation is, on the other hand, more largely implanted (74% of the centers) as well as the telephone follow-up (6%). More than 90% of professionals believe that the organizational set up could be improved and more secure by, at least, the stronger involvement of pharmacists, the development of tools for nurse (for monitoring, therapeutic education…) and by improving the city-hospital link. CONCLUSION: This survey shows the variability in the management of patients under OAD because of the lack of resources to ensure the fairness and sustainability of the organizational set up. The hospital/city link could still be optimized to secure patient care.


Assuntos
Antineoplásicos/administração & dosagem , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Neoplasias/tratamento farmacológico , Administração Oral , Institutos de Câncer/estatística & dados numéricos , Continuidade da Assistência ao Paciente/estatística & dados numéricos , Prescrições de Medicamentos , França , Humanos , Papel do Profissional de Enfermagem , Objetivos Organizacionais , Satisfação do Paciente , Farmacêuticos , Padrões de Prática em Enfermagem/estatística & dados numéricos , Telefone
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