Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 9.479
Filtrar
1.
J Nurs Adm ; 50(12): 655-662, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181601

RESUMO

OBJECTIVE: The objective of this study was to determine whether an innovative program including psychoeducation grounded in positive psychology and awareness of cognitive biases, along with access to a dedicated relaxation environment, would lower burnout for nurses. BACKGROUND: Promoting well-being of nurses is an essential goal of healthcare leaders because of the negative effects of burnout out on nurses' health and patient outcomes. METHODS: A prospective cohort analysis was conducted to examine whether exposure to the OASIS (Opportunity to Achieve Staff Inspiration and Strength) education content and using the OASIS rooms were associated with improvements in quality of life or turnover intention among nurses. RESULTS: Nurses who reported receiving 3 to 6 education sessions and who used the OASIS room reported lower levels of burnout, on average, than nurses who did not receive any education sessions. CONCLUSION: The OASIS program has the potential to be an effective, easy-to-deliver education program that can integrate well-being into the workday of nursing professionals.


Assuntos
Esgotamento Profissional/terapia , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital , Local de Trabalho/psicologia , Adulto , Esgotamento Profissional/prevenção & controle , Feminino , Humanos , Intenção , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Reorganização de Recursos Humanos/tendências , Estudos Prospectivos , Qualidade de Vida , Inquéritos e Questionários
3.
Medicine (Baltimore) ; 99(36): e20976, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32898990

RESUMO

BACKGROUND: Adequate bowel preparation is essential for the detection of pathological lesions during colonoscopy. However, it has been found to be inadequate in approximately 20% to 30% of colonoscopy examinations. Educational interventions focused on health staff, such as physicians and nurses, may improve the patients' understanding of the bowel preparation instructions, and consequently, increase the quality of bowel preparation. OBJECTIVES: To investigate whether enhanced education of ward nurses could improve the bowel preparation quality in inpatients undergoing colonoscopy. DESIGN: This was a single-center randomized controlled study. METHODS: A total of 190 consecutive inpatients scheduled to undergo colonoscopy from March 2019 to March 2020 were randomized to the educated (nurses with enhanced education) or control group (nurses without enhanced education). We assessed the bowel preparation quality using the Boston bowel preparation scale. RESULTS: There were 89 patients in the educated group and 101 patients in the control group. The proportion of colonoscopies with adequate bowel preparation was 83.1% in the educated group and 69.3% in the control group. Patients' compliance with bowel preparation in the educated group was superior to that in the control group. Furthermore, significantly better sleep quality was found in the educated group. The multivariate logistic regression analysis identified the ward nurses-focused enhanced educational intervention as a risk factor for bowel preparation quality. CONCLUSIONS: The ward nurses-focused educational intervention improved the bowel preparation quality and reduced the adverse event rates in inpatients undergoing colonoscopy. TRIAL REGISTRATION: This study was registered in the Chinese Clinical Trial Registry under number ChiCTR2000030366.


Assuntos
Catárticos/uso terapêutico , Colonoscopia/normas , Recursos Humanos de Enfermagem no Hospital/educação , Cooperação do Paciente/estatística & dados numéricos , Idoso , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Período Pré-Operatório
6.
J Contin Educ Nurs ; 51(9): 399-401, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32833029

RESUMO

In light of the COVID-19 pandemic and uncertainties around risk of transmission, urgent hospital resuscitation (also known as "Code Blue") efforts are needed, pivoting to protect health care workers. This article provides teaching tips for "Protected Code Blues." [J Contin Educ Nurs. 2020;51(9):399-401.].


Assuntos
Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/enfermagem , Reanimação Cardiopulmonar/normas , Infecções por Coronavirus/enfermagem , Pessoal de Saúde/educação , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/enfermagem , Treinamento por Simulação/organização & administração , Adulto , Betacoronavirus , Currículo , Educação Continuada em Enfermagem/organização & administração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Guias de Prática Clínica como Assunto
8.
Crit Care Nurs Q ; 43(4): 428-450, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32833779

RESUMO

COVID-19 created an environment that required rapid implementation of procedures and processes to minimize transmission. This led to an urgent response from the Department of Professional Practice and Education to implement education to a large number of personnel. This article describes strategies and methods employed to meet the training demands at a time when resources and supplies were limited. This study aims at developing and implementing education on infection prevention and management of patients with suspected or known COVID-19 for the nursing staff providing care. Following guidelines from the hospital's COVID-19 oversight committee, the Department of Professional Practice and Education rapidly initiated education on several key topics. This was accomplished by teamwork within the department to quickly identify priorities and suspend noncritical programs. Multiple training methods were deployed while a smaller group of educators developed additional training. Sixty to seventy percent of 1015 staff were trained within 6 days. Soon after, several additional educational topics were identified and training was concluded over a 3-week period. Training can be provided on an urgent basis with the use of multiple educational methods, suspension of noncritical programs, and teamwork. A smaller committee within the department allows for concentrated efforts in the design of additional training.


Assuntos
Infecções por Coronavirus/enfermagem , Educação em Enfermagem/organização & administração , Capacitação em Serviço/organização & administração , Determinação de Necessidades de Cuidados de Saúde , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia
9.
Hu Li Za Zhi ; 67(4): 72-80, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32748381

RESUMO

BACKGROUND & PROBLEMS: The most effective treatment currently available for perinatal asphyxia-induced hypoxic-ischemic encephalopathy is therapeutic hypothermia, which reduces the mortality rate and neurological disorders in newborns. The earlier this therapy is performed, the better the protective effects on the nerves of the patient. In our neonatal intensive care unit (NICU), we discovered that nurses lack experience caring for patients undergoing hypothermia therapy due to the limited number of cases. In addition, outdated guidelines, the disorganized placement of equipment, and the paucity of hands-on simulations exacerbate the unfamiliarity of the nurses with this therapy. PURPOSE: To expand the knowledge of nurses regarding therapeutic hypothermia in the NICU and to increase the rate of completion of the therapeutic hypothermia procedure. RESOLUTIONS: 1. Regular care training programs and scenario-based simulations were conducted to help nurses obtain related knowledge and become more familiar with therapeutic hypothermia. 2. In order to reduce the preparation time, a specific preparation kit and an instruction folder for therapeutic hypothermia was developed that included a material placement checklist. 3. The procedure guidance booklet for therapeutic hypothermia was revised and a monitoring system was established. RESULTS: The accuracy of nurses' knowledge regarding therapeutic hypothermia in the NICU improved from 82.0% to 94.5%. The completion rate for the therapeutic hypothermia procedure rose from 75.6% to 100.0%. CONCLUSIONS: This project successfully enhanced the accuracy of nurses' knowledge regarding therapeutic hypothermia and increased the rate of completion for this care procedure, resulting in a safer and more-standardized procedure for neonates undergoing therapeutic hypothermia.


Assuntos
Hipotermia Induzida/enfermagem , Hipotermia Induzida/estatística & dados numéricos , Unidades de Terapia Intensiva Neonatal , Recursos Humanos de Enfermagem no Hospital/educação , Competência Clínica/estatística & dados numéricos , Humanos , Recém-Nascido , Pesquisa em Avaliação de Enfermagem
10.
Hu Li Za Zhi ; 67(4): 81-88, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32748382

RESUMO

BACKGROUND & PROBLEMS: Medical adhesives are typically used to fix wound dressings and catheters in place. Medical adhesive-related skin injuries (MARSI) are frequently caused by repetitive or improper usage of these products. The incidence rate in this unit is as high as 12.5%, which increases the difficulty and cost of care. After analysis of the situation, we identified the main causes of MARSI in our unit as: (1) Inadequate use of medical-adhesive products, (2) Lack of relevant education and training to prevent MARSI, and (3) lack of a standardized skin-damage-care procedure. PURPOSE: To decrease the incidence of MARSI in the pediatric intensive care unit. RESOLUTIONS: A training program was enacted to teach proper medical-adhesive application and removal techniques to caregivers. Consensus on care procedures was reached and care standards were modified. A mechanism for quality control was established. RESULTS: After implementing the program, the incidence of MARSI dropped from 12.5% to 5.18%, which achieved the target of this project. CONCLUSIONS: Other caregivers at our institution remain unaware of MARSI prevention techniques and protocols. We plan to continue cooperating with other staff members to prevent MARSI and to continue to reduce related skin injuries to as close to nil as possible.


Assuntos
Adesivos/efeitos adversos , Unidades de Terapia Intensiva Pediátrica , Recursos Humanos de Enfermagem no Hospital/educação , Higiene da Pele/enfermagem , Pele/lesões , Criança , Humanos , Incidência , Pesquisa em Avaliação de Enfermagem
11.
J Nurses Prof Dev ; 36(4): 253-255, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32618801

RESUMO

The novel coronavirus 2019-nCoV (COVID-19) has disrupted and altered the way health care is delivered in the United States and across the world. Patient care guidelines and isolation recommendations continue to hastily change, demonstrating the key role of nursing professional development practitioners in educating and preparing frontline staff to provide safe patient care during the COVID-19 pandemic. This article describes a community hospital's strategic educational response to a highly contagious respiratory pandemic. Initiatives to increase staff education and conserve personal protective equipment are discussed.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Hospitais Comunitários/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Humanos , Recursos Humanos de Enfermagem no Hospital/educação , Equipamento de Proteção Individual/provisão & distribução , Recursos Humanos em Hospital/educação , Estados Unidos/epidemiologia
12.
J Clin Nurs ; 29(17-18): 3183-3200, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32558091

RESUMO

AIMS AND OBJECTIVES: To describe the characteristics of interventions for reducing physical restraints in general hospital settings. BACKGROUND: Physical restraints, such as bedrails and belts in beds and chairs, are commonly used in general hospital settings. However, there is no clear evidence on their effectiveness but some evidence on potential risks for harm. DESIGN: Scoping review. METHODS: We conducted a systematic database search (MEDLINE via PubMed, CINAHL, Cochrane Library; March 2020) and snowballing techniques. We included both interventional studies and quality improvement projects conducted in general hospital settings and published in English or German language. Two reviewers independently performed the study selection and data extraction. The Scoping Reviews (PRISMA-ScR) Checklist was used. RESULTS: We included 31 articles (published between 1989 and 2018), 15 quality improvement projects and 16 intervention studies. Only five studies used a controlled design. Most studies and quality improvement projects investigated multicomponent interventions including education (predominantly for nursing staff) and additional components (e.g. case conferences). Three studies examined simple educational programmes without additional components. CONCLUSIONS: A large number of multicomponent interventions for preventing and reducing physical restraints in general hospital settings have been developed. The interventions differed widely regarding the components, contents and settings. Well-designed evaluation studies investigating the effects of such interventions are lacking. RELEVANCE TO CLINICAL PRACTICE: Multicomponent educational interventions might be one approach to change clinical practice, but only insufficient information is available about potential effects of these approaches.


Assuntos
Hospitais Gerais/organização & administração , Restrição Física/métodos , Hospitalização , Humanos , Recursos Humanos de Enfermagem no Hospital/educação , Melhoria de Qualidade , Restrição Física/efeitos adversos
13.
J Contin Educ Nurs ; 51(7): 297-299, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32579222

RESUMO

The COVID-19 pandemic has created the need for rapid development and implementation of nursing continuing professional development (NCPD) to scale up nurses and other health care providers to meet a surge in critically ill patients. Through retooling and upskilling nurses and other health care providers, professional development is more important now than ever before. A heightened need for flexible professional development activity planning that is fully integrated into the professional environment is integral to prepare nurses to meet the challenges posed by this pandemic. This article addresses strategies to facilitate delivery of quality NCPD educational activities in real time. [J Contin Educ Nurs. 2020;51(7):297-299.].


Assuntos
Betacoronavirus , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/enfermagem , Currículo , Educação Continuada em Enfermagem/organização & administração , Pessoal de Saúde/educação , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/diagnóstico , Pneumonia Viral/enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias
14.
J Clin Nurs ; 29(15-16): 3082-3088, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32441851

RESUMO

AIMS AND OBJECTIVES: To assess the impact of orientation programmes on new graduate nurses' transition periods. BACKGROUND: The transition of graduate nurses from students to the practising professional nurse is often found to be stressful. DESIGN: The study has employed a descriptive correlational design. METHODS: The data were collected from 95 participants who were working as registered nurses in public hospitals in Al-Bahah region. Questionnaire was used for collecting data which was based on the Casey-Fink graduate nurse experience survey. SPSS software was used to analyse the results. The methods of this study are in line with the STROBE checklist. RESULTS: The findings indicated statistically significant relationship between preceptor's support and communication leadership, professional satisfaction and job satisfaction, whereas an insignificant relationship was observed between preceptor's support and organising patient safety. The results also indicated that new graduate nurses were uncomfortable while performing different procedures/skills independently. CONCLUSION: The study implied instigation of the structured orientation programme to overcome the challenges faced by the new graduate nurses in their transition period. RELEVANCE TO CLINICAL PRACTICE: The upsurge in the nurses' demand across Saudi Arabia makes this study highly relevant. It helps in optimising the transition experience of the nurses who are required to provide service in the acute sector.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/educação , Arábia Saudita , Inquéritos e Questionários
15.
Telemed J E Health ; 26(8): 985-991, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32357086

RESUMO

Objective: To analyze the application of Kirkpatrick's model in the nurse training program among the emergency surgery department based on clinical demand during the COVID-19 (coronavirus disease-2019). To provide reference for the training of emergency surgical nurses during the outbreak of COVID-19. Design: Guided by Kirkpatrick's model, 35 nurses in the emergency surgery department were trained according to a program that resulted from the clinical demand during the pandemic. The trainees were observed in terms of their performance at reaction level and learning level. Results: At reaction level, the degree of satisfaction scored by nurses was relatively high, with its total score achieving (18.77 ± 3.09). At learning level, the differences between theoretical and operational scores of tested nurses before and after training proved to be statistically significant (p < 0.001). Conclusion: The application of Kirkpatrick's model based on clinical demand during the COVID-19 confirms to be effective for the training program of nurses in the emergency surgery department. It is also beneficial to improve nurses' knowledge and skills during the pandemic, which serves as a positive influence for clinical reference.


Assuntos
Infecções por Coronavirus/epidemiologia , Recursos Humanos de Enfermagem no Hospital/educação , Pneumonia Viral/epidemiologia , Adulto , Betacoronavirus , Comportamento do Consumidor , Serviço Hospitalar de Emergência , Feminino , Humanos , Capacitação em Serviço , Pessoa de Meia-Idade , Pandemias
16.
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
17.
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
18.
J Nurs Adm ; 50(4): 209-215, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32175936

RESUMO

Workplace violence is highly prevalent for nurses, often going unreported. Regrettably, the very patients and visitors being cared for often perpetrate the majority of violence. This article's purpose is to describe how an institution implemented a workplace violence prevention training program designed to increase nurses' perception and confidence with aggressive and violent events. Evaluation of this quality improvement program posttraining was positive, suggesting this approach may influence nurses' abilities to prevent and manage these events.


Assuntos
Agressão , Capacitação em Serviço , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Violência no Trabalho/prevenção & controle , Local de Trabalho/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/psicologia
19.
Soins Gerontol ; 25(141): 38-40, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32200989

RESUMO

How can we respond differently to the demographic challenge of the growing population of seniors with cognitive-behavioural problems? The gerontology pole of the University Hospital Centre of Nîmes has installed a simulation room through a call for projects that has made it possible to develop nursing skills to improve care.


Assuntos
Competência Clínica , Terapia Cognitivo-Comportamental , Enfermagem Geriátrica , Idoso , Pesquisa Biomédica , França , Hospitais Universitários , Humanos , Recursos Humanos de Enfermagem no Hospital/educação , Dinâmica Populacional , Treinamento por Simulação
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA