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1.
Medicine (Baltimore) ; 99(24): e20559, 2020 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-32541480

RESUMO

It is important to improve the training for nursing home staff in order to achieve better quality of life for the elderly.This study aimed to develop a systematic training program for nursing home staff based on the concept of combination of medicine and care.Thirty-four nursing staff from 2 representative nursing homes in Qiqihar City were selected as study subjects and divided into experimental and control groups. The subjects in both groups received routine training following "National Occupational Standards of Elderly Nursing Staff". In addition, the subjects in experimental groups received systematic training at three levels based on the concept of combination of medicine and care for 4 months.After the training, the competence scores of nursing staff in experimental group increased significantly compared to control group, the living quality of the elderly in nursing homes cared by nursing staff in experimental group was significantly improved, and the satisfaction of the elderly to nursing staff in experimental group improved significantly, compared to control group (P < .05).We develop systematic training program for nursing home staff based on the concept of combination of medicine and care, which can improve nursing care for the elderly in nursing home.


Assuntos
Instituição de Longa Permanência para Idosos , Casas de Saúde , Recursos Humanos de Enfermagem/educação , Adulto , Idoso , Competência Clínica/estatística & dados numéricos , Feminino , Humanos , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem/estatística & dados numéricos
2.
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
3.
Br J Nurs ; 29(3): 181, 2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32053445

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers the Government's promise of funding for continuing professional development, and calls for transparecy and further guidance.


Assuntos
Educação Continuada em Enfermagem/economia , Financiamento Governamental , Recursos Humanos de Enfermagem/educação , Desenvolvimento de Pessoal/economia , Inglaterra , Humanos , Recursos Humanos de Enfermagem/psicologia , Recursos Humanos de Enfermagem/provisão & distribução , Medicina Estatal/organização & administração
5.
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
6.
Res Nurs Health ; 43(1): 114-121, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31793045

RESUMO

In long-term care facilities (LTCFs), nurses are key healthcare providers for older residents who have depressive symptoms or depression; therefore, they need accurate knowledge of late-life depression, positive attitudes towards depression, and confidence in providing depression care. This cluster-randomized trial was designed to examine the effectiveness of multiple, face-to-face, brief training sessions in improving nurses' knowledge, attitudes, and confidence in providing late-life depression care in LTCFs. Nine LTCFs were included in the study. In total, 30 nurses from the four LTCFs assigned to the intervention group received three 30-min training sessions and 36 nurses in the five comparison group LTCFs did not. A self-report questionnaire was administered before and after the intervention. There were significant differences between groups concerning improvement in nurses' knowledge of late-life depression, attitudes towards depression, and confidence in providing depression care. The effect size (Cohen's d) was 1.55 for knowledge, 1.38 for attitudes, and 0.89 for confidence. This training program was effective in improving LTCF nurses' knowledge, attitudes, and confidence in providing depression care. On the basis of these findings, we recommend that nurse managers and directors implement similar training programs for nurses in LTCFs to enhance the care quality for older residents.


Assuntos
Atitude do Pessoal de Saúde , Transtorno Depressivo/enfermagem , Enfermagem Geriátrica/educação , Conhecimentos, Atitudes e Prática em Saúde , Assistência de Longa Duração/psicologia , Recursos Humanos de Enfermagem/educação , Recursos Humanos de Enfermagem/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Casas de Saúde , Inquéritos e Questionários
9.
Comput Inform Nurs ; 38(1): 36-44, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31850937

RESUMO

Electronic health record systems have been widely implemented throughout healthcare settings over the last few years, and nurses rely on these systems to obtain information about patients, make clinical decisions, and deliver safe and appropriate care. Health information technology systems have electronic health record downtime episodes both due to scheduled maintenance and unforeseen circumstances. The ability to deliver safe and effective care during electronic health record downtime episodes is important, yet training on electronic health record downtime is rarely included for nursing staff. This quality improvement project implemented an electronic health record downtime training course and administered it to 50 onboarding nurses within the hospital facility. The participants indicated a positive perception of electronic health record downtime preparedness after the course offering related to ability to find and follow downtime procedures. However, no precourse metrics were obtained, and therefore it is uncertain if this positive perception is a direct result of the electronic health record downtime training course. While initial results are promising, further investigation will need to be conducted to determine training course effectiveness.


Assuntos
Enfermagem Baseada em Evidências , Capacitação em Serviço/organização & administração , Recursos Humanos de Enfermagem/educação , Melhoria de Qualidade , Adulto , Registros Eletrônicos de Saúde , Feminino , Hospitais , Humanos , Masculino , Recursos Humanos de Enfermagem/organização & administração , Adulto Jovem
10.
Malawi Med J ; 31(3): 221-222, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31839892

RESUMO

Background: With an estimated prevalence of 183,200 cases, rheumatic heart disease (RHD) is a major public health problem in Malawi. However, patients in Malawi with advanced RHD are left with substantial and life-threatening disability because there are no surgical options available in our country at present. In order to tackle this epidemic, it is critical to provide appropriate education and attempt to diagnose the disease earlier. In this study, we aimed to pilot a RHD education program that could be subsequently adopted country-wide. Methods: We designed and piloted a RHD educational program targeting health providers at Kamuzu Central Hospital in Lilongwe, Malawi. This involved three half-day workshops. These workshops were facilitated by a paediatric cardiologist and a paediatric nurse. Tests were administered before and after the workshops; we also provided questionnaires and requested feedback evaluations. A total of sixty-five participants (51 nurses, 3 doctors, 9 clinical officers and 2 unspecified personnel) participated in our workshops. Results: Concerns were voiced and addressed relating to the safety of benzathine penicillin. Post-workshop questionnaires revealed that participants were much more comfortable prescribing or injecting benzathine penicillin after the workshop, as indicated by an improvement in the comfort level from 2.8 to 4.5 in nurses, and from 3.4 to 5 in clinicians (using a Likert scale of 1 to 5, p< 0.01). Pre-test knowledge scores improved from 43.8% to 78.5% (p< 0.01). Overall, the workshops received good feedback with an overall rating of 4.8 out of 5 (n=61, range 3-5). Conclusion: Our analysis showed that practical sessions relating to acute rheumatic fever and RHD in Malawi must address the safety and administration of penicillin. Our pilot workshops could serve as the educational backbone for a national RHD prevention program in Malawi.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/educação , Recursos Humanos de Enfermagem/educação , Médicos , Febre Reumática/prevenção & controle , Cardiopatia Reumática/prevenção & controle , Adulto , Avaliação Educacional , Feminino , Humanos , Malaui , Masculino , Pessoa de Meia-Idade
11.
Creat Nurs ; 25(4): e36-e43, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31796625

RESUMO

Professional practice models (PPMs) guide nursing practice, professional behaviors, and clinical leadership. Health care continues to evolve (e.g., through health system mergers), and nurses may need to adopt and understand new PPMs to confidently align their interventions and professional nursing practice accordingly. The purpose of this project was to create an educational module about a new PPM based on the model of relationship-based care (RBC), which was adopted following a health system merger. The module was presented to a sample of nursing staff and leaders, who subsequently evaluated how it changed their confidence in and understanding and application of RBC in their professional nursing practice. Quantitative data showed that the module was an effective method to increase nurses' understanding of, and confidence in providing care utilizing, the RBC model. Qualitative data analysis generated themes (team building, need for self-care, being present, lack of time and resources, and resistance to or fear of change) about how implementation of RBC as the organization's PPM would change professional nursing practice, and barriers related to its implementation.


Assuntos
Educação em Enfermagem/organização & administração , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/educação , Recursos Humanos de Enfermagem/psicologia , Papel Profissional , Autoimagem , Adolescente , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Modelos de Enfermagem , Adulto Jovem
13.
Z Gerontol Geriatr ; 52(Suppl 4): 249-257, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31616977

RESUMO

BACKGROUND: The number of dementia training programs in hospital settings is steadily increasing. The way training sessions are designed influences the way the learning content is implemented in practice. To develop a successful training it is important to meet the needs of the target group; however, not much is known about staff preferences and expectations relevant to future dementia training programs in hospitals in Germany and Greece. OBJECTIVE: The aim of this survey was to explore staff training needs relevant to the topic of dementia, in general hospitals in Germany and Greece. This study analyzed the interests of staff members, preferences and expectations with respect to dementia training. MATERIAL AND METHODS: This was a descriptive survey based on a 54-item questionnaire conducted with 61 nursing staff, head nurses and physicians (Germany: n = 25, Greece: n = 36) recruited from 5 hospitals (Germany: n = 3, Greece: n = 2). Parts of the questionnaire explored participants' previous education regarding dementia and their expectations towards future dementia programs. RESULTS: Although staff attendance in educative programs was high in the last 5 years for both countries, participation in dementia training programs was low (Germany 24%, Greece 5.5%). Additionally, the great majority of participants were willing to be trained in future dementia training programs (Germany 96%, Greece 100%). Employees from both countries expect increased clinical skills as a result of participation in such training programs. In Greece, staff members hope for better handling of people with dementia, while in Germany, concrete practical advice is preferred. CONCLUSION: There seems to be a strong willingness to participate in further dementia training programs where not only theoretical knowledge is provided but also practical advice.


Assuntos
Atitude do Pessoal de Saúde , Demência , Pessoal de Saúde/psicologia , Recursos Humanos de Enfermagem/educação , Adolescente , Adulto , Idoso , Alemanha , Grécia , Hospitais Gerais , Humanos , Pessoa de Meia-Idade , Motivação , Médicos , Inquéritos e Questionários , Adulto Jovem
14.
Br J Nurs ; 28(18): 1207-1209, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31597066

RESUMO

Shortages in nursing are the single biggest and most urgent workforce issue that the NHS needs to address. This article sets out the early success of the Nurse Clinical Fellowship Programme established by The Royal Wolverhampton NHS Trust. The unique programme aims to attract and retain nurses by offering a staff nurse post with supported access to academia, fully funded by the NHS Trust. To date, the Trust has attracted 90 nurses (both UK and international registered nurses) to the programme. The programme is also offered internally and the Trust has a cohort of 10 internal nursing staff enrolled onto the programme completing either their BSc (top-up) or Masters, with a second cohort of 60 internal nurses due to start in September 2019. To support international registered nurses with demonstrating their competence to meet Nursing and Midwifery Council requirements the Trust has also established an objective structured clinical examination preparation course designed to embrace and enhance the existing knowledge and skills, while guiding staff in transferring these in line with UK and Trust policies and practices.


Assuntos
Bolsas de Estudo , Recursos Humanos de Enfermagem/educação , Recursos Humanos de Enfermagem/provisão & distribução , Medicina Estatal/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem , Reino Unido
15.
J Nurses Prof Dev ; 35(6): 330-336, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31651556

RESUMO

A rural community hospital provided a pilot patient deterioration simulation education for new graduate nurses in an attempt to advance the utilization of an existing rapid response team. Pre- and post-intervention self-confidence scores demonstrated a large effect size and a clinically significant eta squared value (.48). The participants successfully completed most of the simulation competencies. This pilot project supports further studies exploring new graduate nurses' self-confidence levels and competency performance with patient deterioration simulation education.


Assuntos
Competência Clínica/normas , Deterioração Clínica , Recursos Humanos de Enfermagem/educação , Simulação de Paciente , Autoimagem , Bacharelado em Enfermagem , Equipe de Respostas Rápidas de Hospitais/normas , Humanos , Projetos Piloto , Inquéritos e Questionários
17.
J Nurses Prof Dev ; 35(6): 305-316, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31609788

RESUMO

Wright's competency model is increasingly used by healthcare organizations around the globe. This article describes the implementation of Wright's model over a 4-year period. Creation of a steering group and decentralization of the effort were keys to success in achieving over 98% participation across all nursing areas and six other healthcare professions. Clinical and leadership staff were surveyed pre- and postimplementation on 11 measures. All levels of staff reported positive improvement in each measure.


Assuntos
Competência Clínica/estatística & dados numéricos , Implementação de Plano de Saúde , Liderança , Recursos Humanos de Enfermagem/educação , Participação dos Interessados , Hospitais , Humanos , Desenvolvimento de Pessoal , Inquéritos e Questionários
18.
Artigo em Inglês | MEDLINE | ID: mdl-31569382

RESUMO

Background: Workplace violence in the health care sector has become a growing global problem. Research has shown that although caregivers comprise a high-risk group exposed to workplace violence, most of them lacked the skills and countermeasures against workplace violence. Therefore, through a quasi-experimental design, this study aimed to investigate the effectiveness of situational simulation training on the nursing staffs' concept and self-confidence in coping with workplace violence. Methods: Workplace violence simulation trainings were applied based on the systematic literature review and the conclusions from focus group interviews with nursing staff. Data were obtained from structured questionnaires including: (1) baseline characteristics; (2) perception of aggression scale (POAS); and (3) confidence in coping with patient aggression. Results: The results revealed that training course intervention significantly improved the nursing staffs' self-perception and confidence against workplace violence (p < 0.001). Conclusions: The "simulation education on workplace violence training" as the intervention significantly improved the workplace violence perception and confidence among nursing staffs in coping with aggression events.


Assuntos
Recursos Humanos de Enfermagem/educação , Treinamento por Simulação , Violência no Trabalho , Adaptação Psicológica , Adulto , Agressão , Feminino , Humanos , Masculino , Inquéritos e Questionários , Revisões Sistemáticas como Assunto , Adulto Jovem
19.
J Nurses Prof Dev ; 35(5): 248-254, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31425310

RESUMO

Effective communication in health care is a mainstay of patient safety and staff perception of a healthy work environment. A quasi-experimental study was conducted to assess the impact of a course on staff perceptions of communication. A Wilcoxon signed-ranks test indicated a statistically significant difference between pre and post scores for the self-assessment component of the Heathy Work Environment Instrument (p = .0005); coworker assessments revealed borderline statistical significance (p = .056).


Assuntos
Comunicação , Currículo , Recursos Humanos de Enfermagem/educação , Local de Trabalho/psicologia , Avaliação Educacional , Humanos , Recursos Humanos de Enfermagem/psicologia , Segurança do Paciente , Autoavaliação , Inquéritos e Questionários
20.
Artigo em Inglês | MEDLINE | ID: mdl-31443355

RESUMO

Background: Patient safety is a priority of any healthcare system, and one of the most effective measures is hand hygiene. For this, it is important that health staff have correct adherence and perform the technique properly. Otherwise, the incidence of nosocomial infections can increase, with consequent complications. The aim here was to analyze hand hygiene training and the effectiveness of different methods and educational strategies among nurses and whether they maintained correct adherence over time. Methods: A systematic review was conducted in the sources CINAHL (Cumulative Index to Nursing and Allied Health Literature), Dialnet, Lilacs (Latin American and Caribbean Health Sciences Literature), ProQuest (Proquest Health and Medical Complete), Medline, SciELO (Scientific Electronic Library Online), and Scopus. The search equation with Medical Subject Headings (MeSH) descriptors was "Nurs* AND (handwashing OR hand hygiene) AND clinical trial". The review was performed following the recommendations of the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results: n = 17 clinical trials were included, with a total of 5747 nurses and nursing students. Strategies such as reminder sounds, practical simulations, videos, and audiovisual media improved handwashing compliance. Adherence overtime increased by up to 60%. The greatest effectiveness was related to the use of povidone-iodine, which reduced colony formation compared Hand hygiene teaching strategies among nursing staff: a systematic review to soap. Conclusions: The strategies that go beyond teaching techniques such as lectures may be more effective at increasing hand hygiene compliance. Combined approaches to learning/instruction improve user satisfaction by enabling self-management, flexibility, and repetition.


Assuntos
Educação em Enfermagem/estatística & dados numéricos , Higiene das Mãos , Recursos Humanos de Enfermagem/educação , Estudantes de Enfermagem , Desinfecção das Mãos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Estudantes de Enfermagem/estatística & dados numéricos
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