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1.
J Nurs Adm ; 51(9): 424-429, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34411061

RESUMO

With the increased role of nurses in caring for patients with substance addiction, there was a clear need to develop the Addiction Nursing Competencies to guide and support the nursing workforce. A literature search revealed a lack of formal instruments to assess and guide nurses in caring for persons with substance use disorders. The Addiction Nursing Competencies were created using existing nursing education frameworks and addiction nurse care manager clinical guidelines.


Assuntos
Competência Clínica , Recursos Humanos de Enfermagem/normas , Transtornos Relacionados ao Uso de Substâncias/enfermagem , Acreditação , Humanos , Papel do Profissional de Enfermagem
7.
Nurs Outlook ; 69(3): 254-256, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33451808

RESUMO

A nimble and flexible regulatory response regarding the nursing workforce is essential to a fully integrated public health approach to national crises and pandemics. The COVID-19 pandemic has drawn many comparisons to the 1918 Flu Pandemic. Some of them are well-reasoned and grounded in evidence. Other are not. This study provides a historically contextualized analysis of how the 1918 flu pandemic helped shape Pennsylvania nursing's current regulatory apparatus. We conclude that the state-based solutions that nursing registration represents are inadequate to deal with pandemics and crises with national, if not global, reach. We need to move immediately toward the national COMPACT system, while mindful of how regulatory processes and procedures can reinforce structural inequities.


Assuntos
Licenciamento em Enfermagem , Recursos Humanos de Enfermagem/normas , Pandemias/história , COVID-19 , História do Século XX , História do Século XXI , Humanos , Licenciamento em Enfermagem/história , Licenciamento em Enfermagem/normas , Pennsylvania , Estados Unidos
8.
J Infus Nurs ; 43(6): 357-368, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33141797

RESUMO

To decrease infusion pump administration errors, time-consuming training is often initiated. The aims of this study were twofold: to develop minimum competency requirements for programming and operation of infusion pumps and to develop and validate a test for nurses based on those requirements. The test was completed by 226 nurses between May and December 2017. This study demonstrates that testing is a promising method to assess the competency of nurses in using medical devices. Moreover, test acceptability among nurses is high. Using competency requirements to develop a test offers the potential to tailor training needs and reduce training time.


Assuntos
Competência Clínica/normas , Terapia por Infusões no Domicílio , Bombas de Infusão , Erros de Medicação/prevenção & controle , Recursos Humanos de Enfermagem/normas , Humanos
9.
Int Emerg Nurs ; 52: 100896, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32763799

RESUMO

BACKGROUND: The Swedish ambulance service has undergone major changes in recent decades due to advancements being made in medical and technical resources, professional competence, and patient care. Registered and specialist nurses share the same role, accountabilities, and responsibilities in the ambulance service, and their professional competence has not yet been evaluated. OBJECTIVES: The aim of the study was to investigate and compare self-reported professional competence among nurses working in the ambulance service and to explore associations between potentially predictive background factors and self-reported professional competence. METHOD: A cross-sectional study with a digital questionnaire was used for collecting data from 34 registered nurses and 71 specialist nurses. The Ambulance Nurse Competence Scale and the Research Utilization Questionnaire were used for data collection. RESULTS: Significant differences were found among the nursing categories in terms of age, gender, education, and work experience. Prehospital emergency nurses reported the highest professional competence. Nurses with a master's degree did not report significantly higher professional competence than nurses with a bachelor's degree. CONCLUSIONS: The findings indicated that there are differences in the professional competence of registered nurses and specialist nurses. Length of work experience in the ambulance service is an important factor associated with higher professional competence.


Assuntos
Ambulâncias , Enfermagem em Emergência/normas , Recursos Humanos de Enfermagem/normas , Competência Profissional/normas , Adulto , Estudos Transversais , Escolaridade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autorrelato , Inquéritos e Questionários , Suécia
11.
PLoS One ; 15(6): e0234874, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32574200

RESUMO

BACKGROUND: It is estimated that millions of patients are affected by healthcare associated infections (HAIs) each year. In Ghana, high prevalence of HAIs in relation to non-surgical (also called contaminated wounds) and surgical wounds (also called sterile wounds) is largely attributed to poor adherence to policy protocols for wound management by frontline clinical staff especially nurses. OBJECTIVE: Investigate the extent to which nursing staff adhere to the policy protocol for management of non-surgical and surgical wounds in selected public health facilities in Ghana. METHODOLOGY: This is an analytic case study among nursing staff (n = 140) in three government facilities in the Volta region of Ghana. Subjective and objective performance scores of staff on adherence proxies were compared using the Wilcoxon Signed-rank test, and univariate ordered logistic regression analysis used to predict staff likelihood of adherence to policy protocols on non-surgical and surgical wound management. FINDINGS: Overall, staff self-rated themselves higher on subjective performance proxies relative to their objective scores (p<0.05). Staff with more years of work experience did not translate into a higher likelihood of adhering to standard protocol on wound management (Coef. = -0.49, CI = -0.93-0.05, p = 0.036). Being a senior nursing officer relative to lower nursing ranks increased staff likelihood of complying particularly with standard policy protocol for management of non-surgical wounds (Coef. 5.27, CI = 0.59 9.95, p = 0.027). CONCLUSION: There is the need for accelerated in-service training for staff on standard protocols for wound management coupled with supportive supervisions. Staff adherence to standard quality care protocols should be a pre-requisite for licensing of health facilities by regulatory bodies like Health Facilities Regulatory Agency and National Health Insurance Authority.


Assuntos
Infecção Hospitalar/terapia , Implementação de Plano de Saúde , Hospitais Públicos/organização & administração , Recursos Humanos de Enfermagem/organização & administração , Ferimentos e Lesões/terapia , Adulto , Protocolos Clínicos/normas , Infecção Hospitalar/epidemiologia , Feminino , Gana/epidemiologia , Fidelidade a Diretrizes , Política de Saúde , Humanos , Masculino , Programas Nacionais de Saúde/normas , Recursos Humanos de Enfermagem/normas , Recursos Humanos de Enfermagem/estatística & dados numéricos , Prevalência , Qualidade da Assistência à Saúde , Inquéritos e Questionários/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Adulto Jovem
13.
Nurs Outlook ; 68(4): 468-475, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32359777

RESUMO

BACKGROUND: In 2018 a nursing 'sympathy strike' occurred. Although unionized nurses were directed to participate, many expressed questions about what a strike or sympathy strike was. Literature revealed no seminal article to define the term. A concept analysis for the nursing workforce was created. METHOD: The Hybrid Method of Concept Analysis, (theoretical literature analysis, qualitative stakeholder interviews; applicability) was used. 33 articles and 7 books were reviewed. Nine interviews took place. RESULTS: The literature and interviews agreed on the definition, antecedents, and consequences of a nursing strike. Strikes in the United States were defined as "a last resort effort, after significant bargaining on the issue between nurses and management has not allowed for agreement, where a work stoppage occurs and nurses leave the bedside." Interviews alone introduced the concept of duty to patients. A model case, contrary case and borderline case are offered. CONCLUSION: This study contains recommendations for practice.


Assuntos
Sindicatos , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem/psicologia , Recursos Humanos de Enfermagem/normas , Guias de Prática Clínica como Assunto , Greve , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
14.
Nurs Outlook ; 68(4): 484-493, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32359922

RESUMO

BACKGROUND: Definitions of nursing certification are lacking in the research literature and research on certification in nursing is remarkably limited. METHODS: A six-stage scoping review framework was used to identify the nature, extent, and range of certification within the nursing literature. FINDINGS: Thirty-six articles were included in this scoping review. Most originated in the United States (89%), were classified as research articles (56%), and used a quantitative approach (90%). The majority focused on initial certification (50%), and written examination was the most prevalent approach to certification (39%). Missing and incomplete data were prevalent. DISCUSSION: The overall lack of nursing certification origin, focus, methodological rigor, and clear certification mastery criteria have hindered meaningful study of the relationship between nursing certification and patient outcomes. Common data elements, reporting standards, and observational studies linking common data elements and patient outcomes could guide future research and improve the transparency of certification processes and reporting.


Assuntos
Certificação/estatística & dados numéricos , Certificação/normas , Competência Clínica/estatística & dados numéricos , Competência Clínica/normas , Guias como Assunto , Recursos Humanos de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem/normas , Adulto , Canadá , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
15.
NASN Sch Nurse ; 35(3): 140-142, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32238098

RESUMO

Nurses in the 21st-century are expected to be data and information literate and proficient in data management. Nurses graduating from baccalaureate programs must be able to use computers and information systems and apply data and evidence to inform practice. Those competencies are also essential for the entire nursing workforce. That puts the onus on school nurses, school nurse supervisors, school districts, and state affiliates to take responsibility for comprehensive data and information literacy professional development. Fortunately, the National Association of School Nurses (NASN) has anticipated the needs of the membership. NASN included data and information capacity building as a part of The National School Health Data Set: Every Student Counts!, a national standardized data set and data collection initiative.


Assuntos
Currículo , Análise de Dados , Bacharelado em Enfermagem/organização & administração , Competência em Informação , Recursos Humanos de Enfermagem/normas , Competência Profissional/normas , Serviços de Enfermagem Escolar/educação , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
16.
Postgrad Med ; 132(5): 479-484, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32276565

RESUMO

OBJECTIVES: This study compares two methods of providing CVD risk score on the percentage of appropriate statin therapy for primary prevention of CVD in family medicine clinics, according to the American Heart Association guidelines. METHODS: Participants were non-diabetic patients aged 40 to 75 with a recently ordered low-density lipoprotein (LDL) level, not on statin therapy and free of CVD. The first intervention is passive with a display of the score on the EMR in the vital signs section and lasted for three months. The second intervention is collaborative where the nurses calculate the risk score and displayed it to the physician along with therapy recommendations. Electronic health records were reviewed to randomly select medical charts of eligible patients. RESULTS: 162 charts were randomly selected out of 547 eligible charts and included in the analysis, including 60 charts for the baseline group. Among moderate-risk patients, the percentage of appropriate statin initiation was 0% at baseline and after intervention 1; yet it increased to (33.3% [7.5-70.1, 95% CI]) after intervention 2. Among high risk patients, percentage of appropriate statin initiation was 9.1% [0.1-41.3, 95% CI], 11.1% [1.4, 34.7, 95% CI] and 28.6% [8.4, 58.1, 95% CI] during baseline, intervention 1 and intervention 2, respectively. CONCLUSION: The provision of the CVD risk score alone as clinical decision support is not enough to improve statin initiation for primary prevention. The nurse collaboration can improve guideline-concordant statin initiation.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Tomada de Decisão Clínica/métodos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Recursos Humanos de Enfermagem/organização & administração , Melhoria de Qualidade/organização & administração , Adulto , Idoso , LDL-Colesterol/sangue , Feminino , Hemoglobina A Glicada , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/administração & dosagem , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem/normas , Guias de Prática Clínica como Assunto , Prevenção Primária , Melhoria de Qualidade/normas , Medição de Risco , Fatores de Risco , Índice de Gravidade de Doença
19.
J Adv Nurs ; 76(5): 1273-1281, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32027387

RESUMO

AIM: To develop a validated tool to measure nursing and midwifery documentation burden. BACKGROUND: While an important record of care, documentation can be burdensome for nurses and midwives and may remove them from direct patient care, resulting in decreased job satisfaction, associated with decreased patient satisfaction. The amount of documentation is increasing at a time where staff rationalisation results in decreasing numbers of clinicians at the bedside. No instrument is available to measure staff perceptions of the burden of clinical documentation. DESIGN: Survey development, followed by rwo rounds of content validation (April and May 2019). METHODS: Based on the literature a 28 item survey, with items in 6 subscales, representing key areas of documentation burden was developed. Item (I-CVI), subscale (S-CVI/Ave by subscale) and overall content validity indexes (S-CVI/Ave) were calculated following two review rounds by an expert panel of clinical and academic nurses and midwives. RESULTS: Level of agreement for the first iteration of the survey was low, with many items failing to reach the critical I-CVI threshold of 0.78. No subscale reached a S-CVI/Ave above 0.8 and the overall scale only achieved a S-CVI/Ave score of 0.67. Thirteen items were removed, seven were edited and five new items added, based on the expert panel feedback, substantially improving the content validity. All individual items achieved an I-CVI ≥0.78, the S-CVI/Ave was above 0.85 for all subscales and the total S-CVI/Ave was 0.94. CONCLUSION: The Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey can be considered as content valid, according to the content validity analysis by an expert panel. IMPACT: The BurDoNsaM survey may be used by nurse leaders and researchers to measure the burden of documentation, providing the opportunity to review practice and implement strategies to decrease documentation burden, potentially improving patient satisfaction with the care received.


Assuntos
Certificação/normas , Credenciamento/normas , Documentação/normas , Tocologia/normas , Enfermeiras Obstétricas/normas , Recursos Humanos de Enfermagem/normas , Psicometria/normas , Adulto , Certificação/estatística & dados numéricos , Credenciamento/estatística & dados numéricos , Documentação/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tocologia/estatística & dados numéricos , Enfermeiras Obstétricas/estatística & dados numéricos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Gravidez , Reprodutibilidade dos Testes , Inquéritos e Questionários
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