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1.
Nurs Open ; 8(3): 1005-1022, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34482649

RESUMO

AIM: To provide a systematic review of the literature from 1997 to 2017 on nursing-sensitive indicators. DESIGN: A qualitative design with a deductive approach was used. DATA SOURCES: Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature. REVIEW METHODS: Quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. RESULTS: A total of 3,633 articles were identified, and thirty-nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing-sensitive indicators. CONCLUSION: This review provides a comprehensive list of nursing-sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing-sensitive indicators. IMPACT: This review provides evidence-based results that health organizations can benefit from nursing care quality.


Assuntos
Cuidados de Enfermagem , Pesquisa em Enfermagem , Recursos Humanos de Enfermagem , Estudos Transversais , Humanos , MEDLINE
3.
J Adv Nurs ; 77(10): 4045-4054, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34462947

RESUMO

AIM: To provide a practical example of how a novel methodology and paradigm was applied to a mixed methods study exploring the healthcare experiences of Australian adults who frequently use emergency department services. DESIGN: Discussion Paper. DATA SOURCES: We explored published literature discussing philosophical and methodological issues related to mixed methods research. Literature searches were performed between July 2019 and February 2021. IMPLICATIONS FOR NURSING: Phenomenology is a powerful methodology to explore the lived experience of research participants, but it is not without limitations. Mixed methods phenomenology allows nurse researchers to bring further clarity to their research phenomena, however, including phenomenology in mixed methods studies may be seen to be philosophically incompatible. The philosophical metaparadigm of dialectical pluralism provides nurse researchers with a new coherent methodological and philosophical framework for combining participants' descriptions of lived experience with a variety of data collection methods. It is effective when working with transdisciplinary research teams, and stakeholders representing diverse values and disciplines. CONCLUSION: Complex healthcare environments require sophisticated, flexible research approaches. This paper presents mixed methods phenomenological research combined with the metaparadigm of dialectical pluralism providing a methodological framework that can support multifaceted nursing research. IMPACT: The combination of mixed methods phenomenology and dialectical pluralism represents a novel solution for nurse researchers to articulate a research methodology and philosophical paradigm reflecting the complexity embedded in everyday nursing practice. This methodology offers a unique approach to exploration of challenging clinical and patient scenarios with multifaceted elements, and overcomes theories of philosophical incompatibilities between divergent methods.


Assuntos
Pesquisa em Enfermagem , Austrália , Atenção à Saúde , Serviço Hospitalar de Emergência , Humanos , Projetos de Pesquisa
4.
Ann Palliat Med ; 10(7): 7551-7559, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34353043

RESUMO

BACKGROUND: A bibliometric analysis which are widely used to gauge the scholarly impact of any scientific publication was conducted to give a basic overview of research publications on multiple sclerosis nursing. METHODS: Publications on multiple sclerosis nursing were retrieved by using a bibliometric method based on the Web of Science database [1900-2018]. RESULTS: A total of 825 papers collected from 49 countries were retrieved in this study. The number of publications on multiple sclerosis nursing has increased steadily since 1999, and the top 12 research institutions publishing articles and nine of the ten most prolific authors were from the United States. Articles were most frequently published in the Journal of Neuroscience Nursing, and the key words of the top 10 highly cited papers changed from quality of life (QOL) and symptoms to terms including social support, psychological problems, rehabilitation treatment, cognitive impairment, and nursing intervention. While nursing practice and neuroscience nursing were the focus of research, other topics included QOL, functional rehabilitation, symptom management, nursing intervention, and support schemes. CONCLUSIONS: Research into multiple sclerosis nursing in China is at an early stage. Greater attention to the research focus and results of top institutions and core journals, and a focus on highly cited papers are needed to advance the field.


Assuntos
Esclerose Múltipla , Pesquisa em Enfermagem , Bibliometria , Humanos , Publicações , Qualidade de Vida , Estados Unidos
5.
Rech Soins Infirm ; (145): 53-64, 2021 07.
Artigo em Francês | MEDLINE | ID: mdl-34372652

RESUMO

Introduction : Theoretical perspectives are essential for guiding clinical practice and nursing research.Context : The understanding of pain has evolved considerably, leading to new theoretical models integrating the different components of pain (sensory-discriminative, affective-motivational, and cognitive).Objective : To conduct a critical review of the different theoretical perspectives on children's procedural pain.Method : To identify relevant theoretical literature, a literature search on pediatric pain was conducted on PubMed, CINAHL, Embase, and Google Scholar.Results : Six theoretical perspectives for procedural pediatric pain were identified. These theoretical perspectives are described, and their strengths and limitations are explained.Conclusion : This critical review will help nurses to choose a theory that will guide a research project and their clinical practice.


Assuntos
Pesquisa em Enfermagem , Criança , Humanos , Dor/diagnóstico
6.
J Nurs Adm ; 51(7-8): 364-365, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405976

RESUMO

Nursing has been pandemic-slammed. Although 2020 will be forever entangled with the COVID-19 pandemic, we, as nurse leaders, must continue to move forward and beyond this endemic challenge. We cannot lose focus on generating new knowledge to continue nursing excellence and move our profession forward.


Assuntos
Liderança , Pesquisa em Enfermagem , COVID-19/enfermagem , Humanos , SARS-CoV-2
8.
Int J Nurs Stud ; 122: 103944, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34325358

RESUMO

BACKGROUND: There is ample evidence that modern nurses are under strain and that interventions to support the nursing workforce have not recognised the complexity inherent in nursing work. Creating a modern model of nursing work may assist nurses in developing workable solutions to professional problems. A new model may also foster cohesion among broad and diverse nursing roles. AIM: The aim of this meta-narrative review was to investigate how researchers, using different methods and theoretical approaches, have contributed to the understanding of nursing work. METHODS: A meta-narrative review was done to evaluate the trajectory of nursing work research, from 1953 to present. This review progressed through the stages of planning, searching, mapping, appraisal, and synthesis. FINDINGS: A total of 121 articles were included in this meta-narrative review. These articles revealed five narratives of nursing work, where work is conceptualised as labour. These narratives were physical labour (n = 14), emotional (n = 53), cognitive (n = 24), and organisational (n = 1), and combinations of more than one type of labour (n = 29 articles). The paradigms identified in the meta-narrative were the positivist, interpretive, critical, and evidence-based paradigms. Each article in the review corresponded with a paradigm and a labour narrative, creating a comprehensive model. CONCLUSIONS: Nursing work can be understood as a model of physical, emotional, cognitive, and organisational labour. These different types of labour may be hidden and taken for granted. Nurses can use this model to articulate what they do and how it supports patient safety. Nurses can also advocate for staffing allocations that consider all types of nursing labour. Tweetable abstract: Nursing work is complex and includes physical, emotional, cognitive, and organisational labour. Staffing needs to take all nursing labour into account.


Assuntos
Pesquisa em Enfermagem , Recursos Humanos de Enfermagem , Emoções , Humanos , Papel do Profissional de Enfermagem , Recursos Humanos
9.
J Neurosci Nurs ; 53(5): 193, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34310520
10.
J Adv Nurs ; 77(10): 4142-4155, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34227134

RESUMO

AIMS AND OBJECTIVES: To explore the experiences and perspectives of nurses' transition into entrepreneurship in a clinical and cultural nursing setting and the impact of entrepreneurship on the nurses' role and professional identity. BACKGROUND: Entrepreneurship is a relatively unknown phenomenon in international nursing research, and the prevalence of entrepreneurial nurses is only 0.5-1% of all working nurses globally. Unfortunately, several barriers occur within the healthcare system and existing nursing culture that may affect the potential of bringing entrepreneurship into the nursing profession. DESIGN: The qualitative study used a phenomenological-hermeneutical approach based on an interpretative phenomenological analysis and COREQ-guided reporting. METHODS: Nine individual, semi-structured interviews were conducted face to face (n = 6) and by telephone (n = 3) with Danish nurse entrepreneurs between February and March 2019. RESULTS: The analysis revealed four themes: (a) prejudice towards entrepreneurship; (b) to become an entrepreneur in a nursing culture; (c) rebellion against the traditional role as employee and (d) challenged professional identity and new professional roles. CONCLUSION: Nurse entrepreneurs are caught between traditional and new ways of viewing nursing identity, norms, values and roles, and they face a conflict of professional values and a stereotyped view of 'real' nursing. Our findings show that entrepreneurship entails a huge learning process that develops nurses' ability to think outside the box in a broader health perspective and challenge the existing nursing culture and role. However, nurse entrepreneurs' ability to engage in entrepreneurship is compromised by professional values, the duty to behave as a good nurse and their own prejudices towards entrepreneurs. IMPACT: Entrepreneurship and nurse entrepreneurs pose a huge potential development of the nursing role and identity, as they challenge the current view on the nursing profession. This development is important for patients and health professionals, as future health challenges call for new ways of thinking and acting.


Assuntos
Papel do Profissional de Enfermagem , Pesquisa em Enfermagem , Empreendedorismo , Humanos , Pesquisa Qualitativa , Identificação Social
11.
Am J Respir Crit Care Med ; 204(2): e3-e23, 2021 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-34283696

RESUMO

Background: In the past two decades, many advances have been made to our understanding of interstitial lung disease (ILD) and the way we approach its treatment. Despite this, many questions remain unanswered, particularly those related to how the disease and its therapies impact outcomes that are most important to patients. There is currently a lack of guidance on how to best define and incorporate these patient-centered outcomes in ILD research. Objectives: To summarize the current state of patient-centered outcomes research in ILD, identify gaps in knowledge and research, and highlight opportunities and methods for future patient-centered research agendas in ILD. Methods: An international interdisciplinary group of experts was assembled. The group identified top patient-centered outcomes in ILD, reviewed available literature for each outcome, highlighted important discoveries and knowledge gaps, and formulated research recommendations. Results: The committee identified seven themes around patient-centered outcomes as the focus of the statement. After a review of the literature and expert committee discussion, we developed 28 research recommendations. Conclusions: Patient-centered outcomes are key to ascertaining whether and how ILD and interventions used to treat it affect the way patients feel and function in their daily lives. Ample opportunities exist to conduct additional work dedicated to elevating and incorporating patient-centered outcomes in ILD research.


Assuntos
Doenças Pulmonares Intersticiais/enfermagem , Pesquisa em Enfermagem/organização & administração , Objetivos Organizacionais , Avaliação de Resultados da Assistência ao Paciente , Satisfação do Paciente , Assistência Centrada no Paciente/organização & administração , Qualidade de Vida/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
12.
Res Nurs Health ; 44(5): 758-766, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34287981

RESUMO

With the recent impact by the COVID-19 pandemic, nursing research has gone through unexpected changes across the globe. The purpose of this special report is to present the commonalities in the impact of the COVID-19 pandemic on nursing research across four countries, including the United States, South Korea, Japan, and Taiwan, and one region, that is, Hong Kong, and to make recommendations for future nursing research during the immediate postpandemic period and future pandemic situations. To identify the commonalities, seven researchers/leaders from the five countries/regions had discussions through 3 days of an international workshop. The content for this discussion paper derived from: (a) the exemplars/cases of the COVID-19 impact on the research process, (b) researchers/leaders' presentations on the COVID-19 impact, and (c) memos from the workshop. The materials were analyzed using a simple content analysis. The commonalities included: (a) "a heavy emphasis on teaching and fluctuating productivity," (b) "increased funding opportunities and governmental support," (c) "gendered experience complicated by professional differences," (d) "delays and changes/modifications in research process," (e) "limited research settings and difficulties in getting access," and (f) "increased online dissemination activities with positive changes in the image of nursing." With all collective wisdom that nurse researchers have obtained during the COVID-19 pandemic, nursing research will evolve again for the successful future of the nursing discipline.


Assuntos
COVID-19/enfermagem , Pesquisa em Enfermagem/tendências , Hong Kong , Humanos , Japão , República da Coreia , Taiwan , Estados Unidos
13.
Rev Esc Enferm USP ; 55: e03776, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34287487

RESUMO

This is a theoretical analysis of Constructivist Grounded Theory and its application in nursing research. It is organized in three topics: Characteristics of Grounded Theory; Philosophical basis of the constructivist strand; and Constructivist Grounded Theory data analysis particularities. The unique characteristics of Grounded Theory that set it apart from other approaches are simultaneous data collection and analyses, theoretical sampling, constant comparison at each stage of analysis, development of memos for reflexive and comparative analysis, and a coding system with an initial and a focused stage that is flexible and guides the analytical process of building a theory. Before embarking on a Constructivist Grounded Theory study, the literature is reviewed to hone the research question. The philosophical assumptions of symbolic interactionism and social constructivism influence the entire process. Constructivist Grounded Theory emphasizes the construction and interpretation of data recognizing social contexts, interaction, the point of view of participants, and their understandings according to the investigation time, place and situation.


Assuntos
Pesquisa em Enfermagem , Teoria Fundamentada , Humanos , Teoria de Enfermagem
14.
Nurs Sci Q ; 34(3): 234, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34212804

RESUMO

Consideration of the idea of diversity of knowledge is the subject of this column since it is meant as an introduction to the article about recruitment strategies in minority populations during Covid-19.


Assuntos
Diversidade Cultural , Conhecimento , Humanos , Pesquisa em Enfermagem
15.
Rev Lat Am Enfermagem ; 29: e3445, 2021.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-34287543

RESUMO

OBJECTIVE: to analyze the managerial competences of researchers from research groups linked to a Graduate Program in Nursing. METHOD: a cross-sectional study with researchers from Nursing research groups, which analyzed the managerial competences by means of a Scale of Managerial Competences in Research Groups containing 50 items related to people management and research results (Factor 1) and resource provisioning and people management (Factor 2), with answers 4 and 5 considered as sufficient dexterity for each competence analyzed. For data analysis, logistic regression was used. RESULTS: of the 219 participants evaluated, the prevalence was 48.86% of sufficient dexterity for factor 1 and 32.88% of sufficient dexterity for factor 2; with 41.21% of sufficient dexterity for Managerial Competences in research groups. A significant difference was identified in the proportions of the managerial competences for schooling, age group and performance in the group (p≤0.001). There were differences in mean age, time of experience with research and participation in the research group (p≤0.001), between the participants with sufficient and insufficient dexterity for the managerial competences. CONCLUSION: the results obtained in this study emphasize the potential of the research groups for the development of managerial competences of Nursing researchers, especially for people management.


Assuntos
Competência Clínica , Pesquisa em Enfermagem , Estudos Transversais , Humanos
16.
Artigo em Inglês | MEDLINE | ID: mdl-34203191

RESUMO

BACKGROUND: Many countries around the world are currently threatened by the COVID-19 pandemic, and nurses are facing increasing responsibilities and work demands related to infection control. To establish a developmental strategy for infection control, it is important to analyze, understand, or visualize the accumulated data gathered from research in the field of nursing. METHODS: A total of 4854 articles published between 1978 and 2017 were retrieved from the Web of Science. Abstracts from these articles were extracted, and network analysis was conducted using the semantic network module. RESULTS: 'wound', 'injury', 'breast', "dressing", 'temperature', 'drainage', 'diabetes', 'abscess', and 'cleaning' were identified as the keywords with high values of degree centrality, betweenness centrality, and closeness centrality; hence, they were determined to be influential in the network. The major topics were 'PLWH' (people living with HIV), 'pregnancy', and 'STI' (sexually transmitted infection). CONCLUSIONS: Diverse infection research has been conducted on the topics of blood-borne infections, sexually transmitted infections, respiratory infections, urinary tract infections, and bacterial infections. STIs (including HIV), pregnancy, and bacterial infections have been the focus of particularly intense research by nursing researchers. More research on viral infections, urinary tract infections, immune topic, and hospital-acquired infections will be needed.


Assuntos
COVID-19 , Infecções por HIV , Pesquisa em Enfermagem , Doenças Sexualmente Transmissíveis , Feminino , Infecções por HIV/epidemiologia , Humanos , Pandemias , Gravidez , SARS-CoV-2 , Web Semântica , Doenças Sexualmente Transmissíveis/epidemiologia
17.
Artigo em Inglês | MEDLINE | ID: mdl-34201000

RESUMO

Using social media is one important strategy to communicate research and public health guidelines to the scientific community and general public. Empirical evidence about which communication strategies are effective around breastfeeding messaging is scarce. To fill this gap, we aimed to identify influencers in the largest available Twitter database using social network analysis (n = 10,694 users), inductively analyze tweets, and explore communication strategies, motivations, and challenges via semi-structured interviews. Influencers had diverse backgrounds within and beyond the scientific health community (SHC; 42.7%): 54.7% were from the general public and 3% were companies. SHC contributed to most of the tweets (n = 798 tweets), disseminating guidelines and research findings more frequently than others (p < 0.001). Influencers from the general community mostly tweeted opinions regarding the current state of breastfeeding research and advocacy. Interviewees provided practical strategies (e.g., preferred visuals, tone, and writing style) to achieve personal and societal goals including career opportunities, community support, and improved breastfeeding practices. Complex challenges that need to be addressed were identified. Ideological differences regarding infant feeding may be hampering constructive communication, including differences in influencers' interpretation of the WHO International Code of Marketing of Breast-milk Substitutes and in perspectives regarding which social media interactions encompass conflict of interest.


Assuntos
Pesquisa em Enfermagem , Mídias Sociais , Aleitamento Materno , Comunicação , Feminino , Humanos , Análise de Rede Social
18.
Rev. urug. enferm ; 16(2): 1-10, jul. 2021.
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1284534

RESUMO

El objetivo es analizar el aporte de enfermería en la investigación en salud, para el cuidado de la vida en el contexto de la pandemia por COVID 19. Se presenta una recopilación, acerca de la importancia de la investigación en salud para el cuidado de la vida y cómo la enfermería hace aportes a este tema tan crucial para la humanidad durante la pandemia por COVID-19. Este escrito está dirigido a los estudiantes de las ciencias de la salud y toda persona que este incursionando en la investigación en salud, busca motivar la reflexión de aspectos tales como: de dónde surge la investigación, cómo se integra el cuidado y el proceso salud enfermedad de las comunidades, por qué es importante la investigación en salud, cómo la investigación en salud en general y de enfermería en concreto hacen aportes durante la pandemia por COVID-19 y cómo la disciplina hace su aporte a la investigación en salud, para poder ejercer su misión de cuidado de la vida.


The objective is to analyze the contribution of nursing in health research, for life care in the context of the COVID 19 pandemic. A compilation is presented about the importance of health research for life care and how nursing contributes to this crucial issue for humanity during the COVID-19 pandemic. This writing is aimed at students of health sciences and anyone who is venturing into health research, seeks to motivate reflection on aspects such as: where does the research come from, how care and the health-disease process are integrated communities, why health research is important, how health research in general and nursing in particular make contributions during the COVID-19 pandemic and how the discipline makes its contribution to health research, in order to exercise his mission of caring for life.


O objetivo é analisar a contribuição da enfermagem na pesquisa em saúde para o cuidado da vida no contexto da pandemia COVID 19. É apresentada uma compilação sobre a importância da pesquisa em saúde para o cuidado da vida e como a enfermagem contribui para essa questão crucial para a humanidade durante o COVID 19 pandemia. Esta redação é dirigida a estudantes de ciências da saúde e a todos que se aventuram na pesquisa em saúde, busca motivar a reflexão sobre aspectos como: de onde vem a pesquisa, como o cuidado e o processo saúde-doença são comunidades integradas, por que a pesquisa em saúde É importante, como a pesquisa em saúde em geral e a enfermagem em particular contribuem durante a pandemia COVID-19 e como a disciplina dá sua contribuição para a pesquisa em saúde, a fi m de exercer sua missão de cuidar da vida.


Assuntos
Humanos , Pesquisa em Enfermagem , Enfermagem , Pandemias , COVID-19
19.
J Perianesth Nurs ; 36(3): 317-318, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34112366
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