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1.
Nursing ; 50(5): 54-60, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32332507

RESUMO

Oncology nurses are at increased risk for compassion fatigue compared with those in other specialties. This article describes a quality improvement project to create self-compassion tool kits by incorporating the input and opinions of the frontline staff.


Assuntos
Fadiga por Compaixão/prevenção & controle , Neoplasias/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Oncológica , Melhoria de Qualidade/organização & administração , Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/psicologia , Unidades Hospitalares/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem , Medição de Risco , Autocuidado , Inquéritos e Questionários
2.
Nursing ; 50(5): 66-69, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32332510

RESUMO

PURPOSE: To understand nursing perceptions of hospital requirements for routine resiting of short peripheral catheters (SPCs). METHODS: This exploratory research project at the authors' medium-sized regional referral and trauma center utilized an online survey to assess the perceived efficacy and patient disruption related to SPC resiting among acute care nurses. RESULTS: Out of 203 eligible nurses, 81 participated. The survey results support the perception that SPC insertions and resiting can be time-consuming and disruptive to the flow of care. The strongest correlation occurred between patients who had requested no SPC resiting and the reported disruption from SPC resiting. CONCLUSION: Based on the survey results, a formal recommendation was made within the hospital system to amend the existing policy and remove the requirement for SPC resiting after 96 hours in favor of the nurses' best clinical judgment.


Assuntos
Atitude do Pessoal de Saúde , Cateterismo Periférico/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Padrões de Prática em Enfermagem/estatística & dados numéricos , Adulto , Pesquisas sobre Serviços de Saúde , Administração Hospitalar , Humanos , Pessoa de Meia-Idade , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Política Organizacional , Fluxo de Trabalho
3.
Clin Nurse Spec ; 34(3): 116-123, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32250993

RESUMO

PURPOSE: This article describes the implementation of a clinical nurse specialist-led emergency department overdose education and naloxone distribution program. The program's purpose is to increase naloxone availability to reduce opiate overdose mortality rates within the local community. DESCRIPTION OF PROGRAM: The program distributes naloxone kits to patients in the emergency department after an opioid overdose. The kits are designed to help recipients prevent, recognize, and respond to an opioid overdose. OUTCOME: The program, which includes naloxone take-home kits and clinical guidelines outlining a standard of care for naloxone distribution and coprescribing, was successfully implemented across 11 emergency departments within an integrated health system. More than 250 kits were dispensed within the first year of program implementation along with an online patient education video that received more than 1600 views. In 2017, the county reported an opioid-related overdose death rate of 16.5 (per 100 000 residents). From January 2018 to June 2019, the opioid-related death rate per 100 000 residents was reported at 9.6. CONCLUSION: Although emergency department naloxone distribution programs are feasible in the acute care setting, it was critical for clinical nurse specialists to enlist an interdisciplinary team and engage executive leadership to ensure program success. For others considering such a program, early consideration should be given to determining financial support and evaluating the compliance and regulatory aspects of dispensing medications from emergency settings.


Assuntos
Overdose de Drogas/prevenção & controle , Serviço Hospitalar de Emergência/organização & administração , Naloxona/uso terapêutico , Enfermeiras Clínicas , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Padrões de Prática em Enfermagem , Overdose de Drogas/mortalidade , Redução do Dano , Humanos , Pesquisa em Avaliação de Enfermagem , Transtornos Relacionados ao Uso de Opioides/mortalidade , Educação de Pacientes como Assunto , Desenvolvimento de Programas , Melhoria de Qualidade
4.
Clin Nurse Spec ; 34(3): 124-131, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32250994

RESUMO

BACKGROUND: The emergence of big data and data science offers unprecedented opportunities for accelerating scientific advances in nursing, yet current nursing curricula are not adequate to prepare students to leverage those opportunities. PURPOSE: The purpose of this review was to describe current strategies that can be used to educate graduate nurses about data science methods as well as facilitators and challenges to adopting those strategies. METHOD: We conducted a critical literature review of papers addressing data science and graduate nursing education. RESULTS: Ten articles were included in this review. The most common strategy was the integration of data science methods into existing courses throughout the graduate nursing curricula. A major facilitator was interdisciplinary collaboration between nursing faculty and colleagues in other disciplines. CONCLUSION: The findings provide strategies that can be used to prepare graduate nurses to work in data science teams to shape big data research and optimize patient outcomes.


Assuntos
Ciência de Dados/educação , Educação de Pós-Graduação em Enfermagem/organização & administração , Currículo , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem
5.
Clin Nurse Spec ; 34(3): 132-136, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32250995

RESUMO

PURPOSE/AIMS: This study explored the feasibility of educating nurses on an emotionally sensitive topic using video. The aim was to educate nurses on how to assist individuals who have had an amputation of a limb in viewing themselves in the mirror. DESIGN: One-group repeated-measures design with 2 time points (pretest and posttest at 1 month). METHODS: Nurses viewed a video in which 8 amputee actors described how and why nurses should support individuals' viewing of self in the mirror following amputation. RESULTS: This video-based education was feasible, and recommendations were made for future research. Participants were engaged and shared insight into how this knowledge would change their nursing practice. CONCLUSIONS: A larger educational research study to test the effect of this education on improving nursing confidence and offering the mirror is recommended.


Assuntos
Amputação/psicologia , Imagem Corporal/psicologia , Educação em Enfermagem/métodos , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/educação , Adulto , Idoso , Amputação/enfermagem , Extremidades/cirurgia , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Projetos Piloto , Gravação de Videoteipe , Adulto Jovem
6.
Br J Nurs ; 29(7): 406-413, 2020 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-32279555

RESUMO

BACKGROUND: 'Hours per patient day' (HPPD) is an internationally recognised resourcing metric used to measure direct nursing care hours. However, hospitals often underestimate indirect time (unavailability) and specify unrealistic targets for planned unavailability ('headroom'). AIMS: To investigate the disparities between planned unavailability ('headroom') and actual staff unavailability. METHODS: Data were collected from the e-rostering systems of 87 NHS trusts. This was compared with published data from 35 roster policies. RESULTS: Many hospitals use headroom as a key performance indicator (KPI) and set targets for its components in their roster policies. This research highlights large variations in unavailability (15.8% to 33.6%) and lower variations in headroom (16-26%). CONCLUSION: Hospitals operationalise headroom around an idealised 'target' value. This may be detrimental. Compelling a unit with unavailability of between 28% and 30% to adopt an institution-wide headroom of 22% (for example) may, at best, increase spending on bank/agency staff, or, at worse, jeopardise patient safety.


Assuntos
Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/provisão & distribução , Segurança do Paciente , Admissão e Escalonamento de Pessoal/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem , Medicina Estatal/organização & administração , Reino Unido
7.
Nurse Educ Pract ; 44: 102775, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32247200

RESUMO

Prior to the Covid-19 global pandemic, we reviewed literature and identified comprehensive evidence of the efficacy of blended learning for pre-registration nursing students who learn across distances and/or via satellite campuses. Following a methodological framework, a scoping literature review was undertaken. We searched six databases (EBSCOHOST (CINHAL plus; Education research Complete; Australia/New Zealand Reference Centre); Google Scholar; EMBASE (Ovid) [ERIC (Ovid); Medline (Ovid)]; PubMed: ProQuest Education Journals & ProQuest Nursing & Allied Health Source) for the period 2005-December 2015. Critical appraisal for critiquing qualitative and quantitative studies was undertaken, as was a thematic analysis. Twenty-eight articles were included for review, which reported nursing research (n = 23) and student experiences of blended learning in higher education (n = 5). Four key themes were identified in the literature: active learning, technological barriers, support, and communication. The results suggest that when delivered purposefully, blended learning can positively influence and impact on the achievements of students, especially when utilised to manage and support distance education. Further research is needed about satellite campuses with student nurses, to assist with the development of future educational practice.


Assuntos
Educação a Distância , Bacharelado em Enfermagem/organização & administração , Aprendizagem , Estudantes de Enfermagem/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
8.
Br J Community Nurs ; 25(4): 193-195, 2020 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-32267764

RESUMO

This article reports the implementation of a new procedure for screening and treatment of malnutrition in a community NHS trust in England. The barriers and facilitators to implementation were assessed with staff from Integrated Community and Older People's Mental Health teams. Data from interviews and surveys were collected at baseline, 2 months after initial training and 16 months after initial training as well as following deployment of a nutrition lead to embed new developments for nutritional care. The adoption of the procedure made screening and treatment of malnutrition simpler and more likely to be actioned. The benefit of a nutrition lead and local nutrition champions to support and empower staff (avoiding reliance on training alone) was shown to drive change for nutritional care across the community. Prioritisation and commitment of leadership at the organisational level are needed to embed and sustain malnutrition screening and treatment in routine practice.


Assuntos
Enfermagem em Saúde Comunitária , Desnutrição/enfermagem , Programas de Rastreamento/métodos , Programas de Rastreamento/enfermagem , Idoso , Competência Clínica , Enfermagem em Saúde Comunitária/educação , Inglaterra , Humanos , Vida Independente , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem , Medicina Estatal
10.
Nursing ; 50(4): 63-69, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32195880

RESUMO

Accurate BP measurements are vital for determining appropriate medication and treatment regimens. This article describes a quality improvement project to increase compliance with the American Heart Association's guidelines for BP measurement.


Assuntos
Determinação da Pressão Arterial/enfermagem , Fidelidade a Diretrizes/estatística & dados numéricos , Guias de Prática Clínica como Assunto , Melhoria de Qualidade/organização & administração , American Heart Association , Humanos , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Reprodutibilidade dos Testes , Estados Unidos
11.
Br J Nurs ; 29(6): 364-372, 2020 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-32207646

RESUMO

BACKGROUND: Students can find interacting within a healthcare team challenging. It is important for students to understand their role and respect those of other healthcare team members. Interprofessional education (IPE) is a strategy for exploring the roles of self and others within the team. AIM: The purpose of this study was to evaluate nursing students' perceptions of roles and responsibilities following an IPE experience. METHODS: Students in an undergraduate baccalaureate degree nursing programme participated in a two-day IPE event with students in the physician's assistant's (PA) programme, pharmacy programme, and physical therapy (PT) programme. FINDINGS: Self-perception and the perception of others were two main themes that emerged. The results suggested that roles and responsibilities are often misunderstood. CONCLUSION: Educators must be committed to educating our future healthcare workforce on role expectations and responsibilities within an individual's own profession and that of others. This education should start in the foundation stages of each discipline's educational curricula.


Assuntos
Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração , Papel Profissional/psicologia , Estudantes de Ciências da Saúde/psicologia , Estudantes de Enfermagem/psicologia , Currículo , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/organização & administração , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem
12.
Br J Nurs ; 29(4): 222-228, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105526

RESUMO

BACKGROUND: A culture of patient safety is one of the cornerstones of good-quality healthcare, and its provision is one of the significant challenges in healthcare environments. AIM: The purpose of this study was to evaluate the effect of a surgical safety educational programme on the attitudes of nurses to patient safety in operating rooms (OR). DESIGN: An interventional one-group pre-/post-test design, which sought to measure changes in OR nurses' attitudes toward patient safety culture. METHODS: A simple random sampling technique was used to recruit 66 OR nurses working at six Royal Medical Service hospitals in Amman, Jordan. All participants took part in a 4-hour educational workshop. Pre-tests and post-tests were done. RESULTS: The results of this study showed that OR nurses' attitudes towards a culture of patient safety was originally negative; significant improvement after attending the programme was found (3.3 ± 0.20 versus 3.8 ± 0.30). There was a negative correlation between years of experience and nurses' attitudes towards patient safety. CONCLUSIONS: Incorporating courses about safety culture into continuing education programmes may improve nurses' attitudes towards patient safety. Nurses should be qualified to play an important role in creating a culture of patient safety.


Assuntos
Atitude do Pessoal de Saúde , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem de Centro Cirúrgico/educação , Segurança do Paciente , Adulto , Feminino , Humanos , Jordânia , Masculino , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Enfermagem de Centro Cirúrgico/organização & administração , Gestão da Segurança , Adulto Jovem
15.
Br J Nurs ; 29(4): 230-235, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105537

RESUMO

BACKGROUND: Young people with mental illness are at high risk of physical health complications. Physical healthcare on a general adolescent inpatient unit is complex. AIM: To establish a wellbeing clinic to improve efficiency and quality of the physical healthcare offered and increase health promotion. METHODS: Plan, Do, Study, Act (PDSA) cycles were used to drive this quality-improvement project. The authors audited 12 records before establishing the clinic and 12 at three further time points (6, 18 and 30 months post-intervention) to guide changes. RESULTS: Results progressively improved over PDSA cycles. Time taken for initial investigations dropped. Compliance with medication monitoring and management of important physical health domains rose from zero in some cases to 100% in all but one area. CONCLUSIONS: Establishing a dedicated physical health clinic in this setting is feasible and leads to improved performance against local and national standards. Mental health teams need to ensure physical health is prioritised.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Unidades Hospitalares/organização & administração , Padrões de Prática em Enfermagem , Adolescente , Humanos , Transtornos Mentais/enfermagem , Pesquisa em Avaliação de Enfermagem
16.
Br J Nurs ; 29(4): 190-198, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105542

RESUMO

BACKGROUND: Patients with lymphoedema referred to a lymphoedema service from care homes in one health board area in Wales were often complex cases, with repeated cellulitis, a history of falls and other complications. A pilot project was initiated to develop education and raise awareness of lymphoedema among care home staff. AIMS: To enable care staff to identify residents with lymphoedema, promote prompt referrals, raise the importance of skin care and exercise in the management of lymphoedema and estimate the likely costs from complications associated with lymphoedema. METHODS: An education tool was developed and 47 care homes were asked to participate. A lymphoedema therapist carried out a scoping review of the residents. RESULTS: Forty-four care homes agreed to participate in the project with 1216 education packs being issued to care home staff. Initial findings suggest that of the 960 residents reviewed, 262 had lymphoedema (27%); 4% suffered with frequent falls, 1% had wounds and 3% had recurrent cellulitis. Only 13% (35/262) of residents with lymphoedema were known to the local lymphoedema service. Of the 31 residents reporting cellulitis, 81% had lymphoedema; of the 11 residents identified with a wound, 100% had lymphoedema and of the 40 residents reporting falls, 70% had lymphoedema. CONCLUSION: This educational project has identified the value of raising awareness of lymphoedema within care homes.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Instituição de Longa Permanência para Idosos/organização & administração , Linfedema/enfermagem , Casas de Saúde/organização & administração , Recursos Humanos de Enfermagem/educação , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa em Avaliação de Enfermagem , Projetos Piloto , País de Gales
17.
Br J Nurs ; 29(3): 152-158, 2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32053431

RESUMO

BACKGROUND: Cultural competence, an important part of patient-centred care, has been on the nursing agenda for many years. AIM: The aim of this study was to measure the intercultural effectiveness level of paediatric nurses, and to explore relationships between the level of intercultural effectiveness and some sociodemographic variables in paediatric nurses. METHOD: The study was conducted at Izmir Tepecik Training and Research Hospital's children's clinics in Turkey. A convenience sample of 98 paediatric registered nurses practising at the hospital was evaluated. To collect the study data, a sociodemographic characteristics questionnaire, a Cultural Approach in Nursing Care form and the Intercultural Effectiveness Scale (IES) were used. RESULTS: The participating paediatric nurses' intercultural effectiveness levels were moderate, the problem they experienced most was the language problem and although many of them had not received adequate training in cultural care, based on their experiences, they regarded themselves as culturally competent. CONCLUSION: Cultural competence is vital in multi-ethnic and multicultural societies. Cultural competence training should be provided to nurses during nurse education, or in-service training during their professional life.


Assuntos
Competência Cultural , Enfermeiras Pediátricas , Criança , Feminino , Hospitais , Humanos , Masculino , Enfermeiras Pediátricas/estatística & dados numéricos , Pesquisa em Avaliação de Enfermagem , Inquéritos e Questionários , Turquia
18.
Clin Nurse Spec ; 34(2): 50-62, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32068633

RESUMO

Clinical alarm systems safety is a national healthcare concern in the United States. Physiologic monitors are the medical devices associated with the highest number of false and clinically insignificant alarms, producing alarm fatigue and a challenge to meet the national clinical alarm systems safety goal. Modern physiologic monitors are high-tech complex devices with multimeasurement modalities and high sensitivity for alarms. This complexity hinders safe operation of the monitors by nurses and appropriate management of associated alarms. Nurses need to integrate cognitive knowledge, psychomotor skills, and critical thinking to safely operate the monitors and support clinical decisions. Limited resources are available to support clinical education for nurses on physiologic monitor use and alarm management. This toolkit presents an educational framework for physiologic monitor use and alarm safety guided by adult learning principles. The components of the program are (1) knowledge, skills, and attitude of physiologic monitor use; (2) scenario-based learning model to support the knowledge, skills, and attitude necessary for safe monitor use; and (3) a framework for evaluating the educational program. Education should be ongoing and customized per facility to ensure safe use of complex technology and to decrease alarm fatigue, the leading cause of alarm-related sentinel events.


Assuntos
Alarmes Clínicos , Monitorização Fisiológica/enfermagem , Recursos Humanos de Enfermagem/educação , Gestão da Segurança/organização & administração , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem
19.
Clin Nurse Spec ; 34(2): 70-74, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32068635

RESUMO

BACKGROUND: Night-shift nurses care for complex and acutely ill patients but are frequently more junior compared with day shift. They often have less access to support resources such as educators and clinical nurse specialists (CNSs). This article describes the addition of night CNS positions, their roles, and associated outcomes. INTERVENTION: The night CNSs were implemented to perform a highly flexible set of activities including proactive rounding on high-risk patients and medications; code/rapid response support; education; nursing practice/policy reinforcement; providing psychosocial support to nurses, patients, and families; and responding to consults. To capture work effort at night and truly define the role of the night CNS, a shared consultation log was created. OUTCOMES: Between October 2017 to April 2019, 6053 CNS encounters were captured in 24 different categories. The top 5 reasons for consultation included policy/procedure education or change, education/in-service, nursing practice review/reinforcement, medication/blood administration, and clinical assist. Five hundred sixty-nine rapid response/codes have been responded to. There was also a 17% increase in event reporting on the night shift. Outcomes have continued to support additional budgeted positions for the nights and weekends. IMPLICATIONS: Night CNS expertise and knowledge are vital to offsetting novice nurse deficits in advanced assessment, which is paramount to patient outcomes. They provide support with on-the-spot education and empower individual development. Organizations should strongly consider implementation of this role or, if that is not possible, consider flexible scheduling into evening hours to support night staff.


Assuntos
Enfermeiras Clínicas , Jornada de Trabalho em Turnos , Humanos , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem
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