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1.
Br J Nurs ; 29(2): 124, 2020 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-31972116

RESUMO

John Fowler, Educational Consultant, explores how to survive your nursing career.


Assuntos
Consultores , Recursos Humanos de Enfermagem/economia , Salários e Benefícios , Consultores/psicologia , Humanos , Recursos Humanos de Enfermagem/psicologia , Medicina Estatal , Reino Unido
3.
Nursing ; 49(12): 60-63, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31764877

RESUMO

PURPOSE: This study explored nursing experiences using interpreters in primary healthcare settings. METHODS: Eight nurses in southern Sweden were subjected to semistructured interviews. The responses were divided into three categories using content analysis: interpreter influence, challenges, and strategies. RESULTS: Despite using an interpreter to minimize language barriers, nurses do not achieve the same level of person-centered care as those who speak the same language as their patients, but translation services remain a useful communication tool for patient care. CONCLUSION: Communication through an interpreter is an inevitability for healthcare professionals, and formal education is recommended to improve nurses' utilization of these services.


Assuntos
Atitude do Pessoal de Saúde , Barreiras de Comunicação , Recursos Humanos de Enfermagem/psicologia , Tradução , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/estatística & dados numéricos , Atenção Primária à Saúde , Pesquisa Qualitativa , Suécia
4.
Br J Nurs ; 28(21): 1394-1398, 2019 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-31778343

RESUMO

A coaching pilot was developed following the publication of a number of reports that recommended a review into how student nurses are taught in clinical practice. A bespoke version of the Collaborative Learning in Practice (CLiP) model was developed, which used both coaching and peer learning to encourage students to lead the delivery of care for a designated group of patients. A senior student led a team consisting of two junior students and they were given the responsibility of directing and coordinating the team in the manner expected of a registered nurse. A qualified nurse was responsible for the supervision of the students and used a coaching approach to teach. Findings from an evaluation revealed that the students benefitted from being able to work autonomously and were able to enhance their leadership and management skills.


Assuntos
Docentes de Enfermagem/psicologia , Relações Interprofissionais , Tutoria/métodos , Recursos Humanos de Enfermagem/psicologia , Estudantes de Enfermagem/psicologia , Grupos Focais , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem
5.
Afr Health Sci ; 19(2): 1849-1857, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31656467

RESUMO

Background: Emergency nurses' understanding and interpretation of intimate partner violence influence the care they provide to women exposed to intimate partner violence. Objectives: The aim of this study was to uncover discourses that may help understand emergency nurses' responses towards women exposed to intimate partner violence. Materials and methods: This study used a qualitative design to explore emergency nurses' discourses. Purposive sampling was used to select 15 participants working at an emergency unit in a public hospital in South Africa. Data were collected through three focus group discussions comprised of five emergency nurses each. Foucauldian discourse analysis was used to analyse the transcribed data. Results: Four themes emerged from the focus group discussions: (1) strong women subject themselves to societal expectations and endure intimate partner violence, (2) women are vulnerable and powerless against intimate partner violence, (3) intimate partner violence is a private and secret phenomenon, and (4) emergency nurses have limited scope to intervene when they encounter women exposed to intimate partner violence. Conclusion: Emergency nurses are in a position to intervene in intimate partner violence through portraying a non-judgmental approach that lay the foundation for disclosure, supporting women to change their intimate partner violence (IPV) situations, documentation, referral and safety planning.


Assuntos
Enfermagem em Emergência , Violência por Parceiro Íntimo , Papel do Profissional de Enfermagem/psicologia , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/psicologia , Adulto , Serviço Hospitalar de Emergência , Emoções , Feminino , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Percepção , Pesquisa Qualitativa , África do Sul
6.
Br J Nurs ; 28(18): 1220, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31597052

RESUMO

John Fowler, Educational Consultant, explores how to survive your nursing career.


Assuntos
Consultores/psicologia , Saúde Holística , Recursos Humanos de Enfermagem/psicologia , Equilíbrio Trabalho-Vida , Humanos
8.
Nursing ; 49(10): 53-56, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31568084

RESUMO

As baby boomers continue to retire and millennials become the leading generation in the nursing workforce, nurse leaders must promote professional development and leadership opportunities for millennials moving forward. This article describes challenges and opportunities across the multigenerational nursing workforce along with suggestions on how to remove barriers and align with millennial nurses to provide meaningful mentorship and promote understanding and a positive work environment.


Assuntos
Relação entre Gerações , Liderança , Tutoria , Recursos Humanos de Enfermagem/psicologia , Enfermagem/organização & administração , Previsões , Humanos , Enfermagem/tendências
9.
J Nurs Adm ; 49(10): 480-486, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517755

RESUMO

OBJECTIVES: To determine the work values of Generation Z nurses, a new generation in the current workforce. BACKGROUND: A new generation of nurses is now part of the nursing workforce. Generation Z nurses, born in 1995 (aged ≤24 years), will bring new expectations and ideals about life and work into healthcare work settings. METHODS: A descriptive, cross-sectional survey design was used to assess the work values of traditional baccalaureate Generation Z nursing students using the Lyons Work Values Survey. RESULTS: The work value component ranked most important by participants was social/altruistic, followed by instrumental/extrinsic, cognitive/intrinsic, and prestige. CONCLUSION: Helping people and having a job that is interesting and engaging while also offering job security and good benefits were the most important future Generation Z nurse work values.


Assuntos
Atitude do Pessoal de Saúde , Satisfação no Emprego , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/ética , Recursos Humanos de Enfermagem/psicologia , Local de Trabalho/psicologia , Adulto , Fatores Etários , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
10.
Br J Nurs ; 28(15): 1001-1007, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31393760

RESUMO

The objective of this study was to explore nurses' perceptions of end-of-life care following the withdrawal of the Liverpool Care Pathway (LCP). Thirteen semi-structured interviews were conducted with nurses working in palliative care. Data were analysed using thematic analysis. Three themes emerged: perceptions of the LCP, prevailing issues, and patients' and families' experiences. This study suggested that the removal of the pathway has not remedied the issues attributed to it. Further, the way in which the LCP was removed indicates that the non-expert media can play a negative role in how palliative care is perceived, which inhibits the care process. In this respect it is important that 'insider' voices are also heard, in order to educate and also redress disinformation. Similarly, broader, persisting, contextual challenges facing staff need addressing in order to prevent a repeat of the issues leading to the removal of the LCP.


Assuntos
Atitude do Pessoal de Saúde , Procedimentos Clínicos , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/organização & administração , Recursos Humanos de Enfermagem/psicologia , Adulto , Inglaterra , Feminino , Humanos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Pesquisa Qualitativa
11.
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
12.
J Forensic Nurs ; 15(3): 133-142, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31436681

RESUMO

Moral distress has been widely addressed across the nursing profession and within other disciplines. Forensic nurses are a vital part of the nursing profession as they care for complex patients who may suffer physically and psychologically. However, forensic nurses' moral distress in the context of caring for victims of violence has not been addressed. This integrative review of the literature reveals the consequences of moral distress on the nursing workforce particularly regarding nurses' burnout and intentions to leave their jobs. Turnover contributes to the country's critical shortage of nurses, which affects the quality of care patients receive and increases the costs for healthcare institutions.


Assuntos
Esgotamento Profissional/psicologia , Princípios Morais , Recursos Humanos de Enfermagem/psicologia , Reorganização de Recursos Humanos , Humanos , Inventário de Personalidade
13.
Eur J Oncol Nurs ; 42: 69-75, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31446266

RESUMO

PURPOSE: Burnout in nursing is a global phenomenon. Caring for dying patients could increase nurses' death anxiety. However, minimal information about oncology nurses' burnout and attitudes towards death in Chinese culture has been reported. This study aims to assess Chinese oncology nurses' burnout, and its relationship with attitudes towards death. METHOD: A cross-sectional design was used. A total of 279 oncology nurses from a cancer hospital in northern China were recruited using convenience sampling, and completed a survey containing a demographic form, the Death Attitudes Profile Scale and the Maslach Burnout Inventory. Descriptive statistics, independent t-test and one-way ANOVA, Pearson correlation analysis and multiple regression analysis were conducted to analyze data. RESULTS: An average of 73.1%-86.9% of oncology nurses reported moderate to high levels of burnout. Specifically, 48.7%, 45.4% and 65.1% of oncology nurses reported high levels of emotional exhaustion, depersonalization and personal accomplishment, respectively. Multiple regression analysis showed that fear of death, escape acceptance, younger age and participation of death education/training were significantly associated with emotional exhaustion (p < 0.01), accounting for 22.0% of the variance; fear of death, escape acceptance, and neutral acceptance in total explained 17.8% of depersonalization; fear of death, escape acceptance and neutral acceptance accounted for 8.5% of personal accomplishment. CONCLUSIONS: Oncology nurses with more positive attitudes towards death experience less burnout. Death education and death related training including discussion of personal attitudes towards death should be part of nursing education programs, which would in turn prevent oncology nurses from burnout.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Morte , Esgotamento Profissional/epidemiologia , Recursos Humanos de Enfermagem/psicologia , Enfermagem Oncológica , Adulto , Análise de Variância , Esgotamento Profissional/psicologia , China , Estudos Transversais , Despersonalização , Emoções , Empatia , Medo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Prevalência , Análise de Regressão , Inquéritos e Questionários
14.
Nurs Manag (Harrow) ; 26(1): 26-33, 2019 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-31468752

RESUMO

The NHS in England is working to reduce variation and waste in the use of clinical products, which requires collaboration between those directly involved in procurement and clinical staff. The procurement process is becoming centralised and standardised, and the involvement of, and consultation with, clinical staff is vital to avoid compromising patient care and safety. This article reports the results of a survey of clinical staff and clinical procurement specialist nurses undertaken as part of a master's degree. Its aim was to capture staff experiences and perceptions of changes to clinical products.


Assuntos
Atitude do Pessoal de Saúde , Recursos Humanos de Enfermagem/psicologia , Medicina Estatal/organização & administração , Inglaterra , Humanos , Inquéritos e Questionários
15.
Nurs Older People ; 31(2): 18-24, 2019 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-31468780

RESUMO

AIM: To investigate the quality of life (QoL) and well-being of people living with advanced dementia in care homes. METHOD: A mixed-methods approach was taken combining participant observations, interviews with the participants' families and carers, and quantitative measurements. The quantitative measures included AwareCare assessments, QoL in Late-Stage Dementia scale ratings and semi-structured interviews with relatives and staff members. Ryff's psychological well-being framework, the Fairness, Respect, Equality, Identity, Dignity, Autonomy principles, and Kitwood's indicators of well-being, were examined to attempt to identify contributors to QoL for people living with advanced dementia. RESULTS: Participants had limited verbal abilities, but used non-vocal behaviours to communicate. These behaviours influenced their QoL and well-being. CONCLUSION: The indicators of well-being in Kitwood's personhood model were helpful in describing how relatives and staff perceived the QoL of the person with dementia.


Assuntos
Demência/enfermagem , Família/psicologia , Recursos Humanos de Enfermagem/psicologia , Qualidade de Vida/psicologia , Idoso , Humanos , Modelos Psicológicos , Casas de Saúde , Pessoalidade , Pesquisa Qualitativa
16.
Nurs Manag (Harrow) ; 26(4): 36-43, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31468828

RESUMO

As any nurse working in the NHS knows, teamwork can be powerful. Successful teamwork can make a huge workload of unmanageable tasks manageable. However, unsuccessful teamwork can leave people struggling to cope. This article explores readers' knowledge and skills related to teamwork and provides them with new skills and techniques to improve practice.


Assuntos
Relações Interprofissionais , Recursos Humanos de Enfermagem/psicologia , Equipe de Enfermagem/organização & administração , Humanos , Pesquisa em Avaliação de Enfermagem , Medicina Estatal , Reino Unido
17.
Nurs Manag (Harrow) ; 26(3): 27-35, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31468839

RESUMO

Digital healthcare provision in England has been driven mainly by a 'top-down' approach and a focus on digital infrastructure rather than front-line delivery. This has laid the foundation, but digital care delivery still has a long way to go. This article describes an action learning programme to create digitally ready nurses. The programme, which underpins action six of NHS England's ten-point plan for general practice nursing, shows that a 'ground-up' approach to upskill and empower front-line clinicians is central to embedding technology-enabled care services (TECS). Following completion of the action learning sets (ALSs), 24 general practice nursing digital champions across Staffordshire have used TECS to deliver a range of benefits for their practice teams. This has informed the introduction and extension of the programme, with national funding for a further 12 regional pilot ALSs across England in 2018-19. Importantly, the active learning individualised approach provides a digitally ready workforce with the ability and support to adopt TECS in areas of clinical need. This ability is central to the next stage in the digital transformation of healthcare.


Assuntos
Medicina Geral/organização & administração , Recursos Humanos de Enfermagem/educação , Telemedicina/organização & administração , Inglaterra , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem/psicologia , Aprendizagem Baseada em Problemas , Medicina Estatal
18.
Nurs Manag (Harrow) ; 26(3): 36-41, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31468840

RESUMO

Action learning (AL) is a process that supports problem-solving by applying a questioning formula to challenge issues and prompt actions. Initially developed to support organisational change, AL is now recognised as a motivating and influencing process for team development, individual goal setting, change initiatives, quality improvement and leadership development. Learning from observation and practice is central to its approach, which lends itself to healthcare settings. It is especially useful to managers seeking to implement change, enhance quality and promote teamwork in multidisciplinary settings.


Assuntos
Liderança , Recursos Humanos de Enfermagem/psicologia , Inovação Organizacional , Equipe de Assistência ao Paciente/organização & administração , Aprendizagem Baseada em Problemas , Desenvolvimento de Pessoal , Medicina Estatal/organização & administração , Humanos , Escócia
19.
Nurs Older People ; 31(4): 22-27, 2019 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-31468876

RESUMO

There is a need for professional development opportunities for registered nurses undertaking leadership roles in care homes. This article examines the learning outcomes from a pilot career development programme for care home nurses, which was designed and delivered as part of a Florence Nightingale Foundation leadership scholarship. The six-month programme, consisting of one-day workshops, focused on four key competencies, one of which was to identify and consider potential pathways for career development in the sector. Fifteen nurses took part in the development programme. They contributed to the session discussions and activities by drawing on their professional experience. On completion, the nurses reported that they believed attending the programme would improve their practice and contribute towards any future career development. The findings indicate an increased confidence among some of the nurses who attended. The programme also had a positive effect on their professional self-image, with some reporting that it made them feel more like 'real nurses', who are proud to care for a vulnerable group in society.


Assuntos
Casas de Saúde , Recursos Humanos de Enfermagem/psicologia , Desenvolvimento de Pessoal , Humanos , Liderança , Aprendizagem , Londres , Pesquisa em Avaliação de Enfermagem , Projetos Piloto
20.
Hu Li Za Zhi ; 66(4): 79-86, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342504

RESUMO

Influenza vaccinations may decrease the risk of contracting influenza and its complications significantly in pregnant women and effectively help infants less than six months of age avoid hospitalization. Based on scientific evidence supporting the safety and benefits of the influenza vaccination for pregnant women and fetuses, the epidemic prevention policy of both the World Health Organization and Taiwan's Ministry of Health and Welfare recommend that pregnant women receive the influenza vaccination. However, low acceptance of the influenza vaccine among pregnant women is an ongoing concern in Taiwan. Nursing staffs play a key role in implementing the influenza vaccination program for pregnant women. Therefore, strengthening the professional competency and service effectiveness of nursing staffs may be expected to significantly improve the vaccination coverage rate. This article offers practical methods for achieving this, including promoting nursing staffs' professional knowledge and positive attitudes regarding influenza vaccinations for pregnant women, improving nursing staffs' related education and skills in communication with pregnant women and their families, and improving the implementation of the notification mechanism for disseminating accurate information regarding the vaccine and vaccine adverse events. Our ultimate goal is to enhance the confidence and willingness of pregnant women with regard to receiving influenza vaccinations in order to promote the health of mothers and their fetuses.


Assuntos
Adaptação Psicológica , Vacinas contra Influenza/administração & dosagem , Influenza Humana/prevenção & controle , Recursos Humanos de Enfermagem/psicologia , Complicações Infecciosas na Gravidez/prevenção & controle , Gestantes/psicologia , Feminino , Humanos , Lactente , Pesquisa em Avaliação de Enfermagem , Gravidez , Taiwan
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