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1.
PLoS One ; 19(5): e0301010, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38718027

RESUMO

BACKGROUND: Evidence regarding the impact of nurse staffing on the health outcomes of older adult patients with cancer is scarce. Therefore, this study aimed to evaluate the impact of nurse staffing on long-term and short-term mortality in elderly lung cancer patients. METHODS: This study analyzed data from 5,832 patients with lung cancer in Korea from 2008 to 2018. Nursing grade was considered to assess the effect of nursing staff on mortality in older adult patients with lung cancer. The Cox proportional hazards model was used to evaluate the effect of the initial treatment hospital's nursing grade on one- and five-year mortality. Additionally, economic status and treatment type of patients were analyzed. RESULTS: Approximately 31% of older adult patients with lung cancer died within one year post-diagnosis. Patients in hospitals with superior nursing grades (lower nurse-to-bed ratios) exhibited lower mortality rates. Hospitals with nursing grades 2 and 3 exhibited approximately 1.242-1.289 times higher mortality than grade 1 hospitals. Further, the lower the nursing grade (higher nurse-to-bed ratio), the higher the five-year mortality rate. CONCLUSION: Both short- and long-term mortality rates for older adult patients with lung cancer increased at inferior nursing grades. Treatment in hospitals having inferior nursing grades, upon initial hospitalization, may yield better outcomes. This study provides valuable insight into the quality of adequate staffing to improve the quality of care for elderly cancer patients.


Assuntos
Neoplasias Pulmonares , Humanos , República da Coreia/epidemiologia , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/enfermagem , Idoso , Masculino , Feminino , Idoso de 80 Anos ou mais , Recursos Humanos de Enfermagem Hospitalar , Doença Crônica , Modelos de Riscos Proporcionais , Admissão e Escalonamento de Pessoal
2.
Br J Nurs ; 33(9): 418-423, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38722014

RESUMO

Arthritis is the leading cause of disability in Ireland with knee osteoarthritis the most common presentation. One in five women and one in 10 men over the age of 60 in Ireland are diagnosed with osteoarthritis. The causative factors are multifactorial, but the increasing incidence of obesity is contributing greatly to the occurrence of osteoarthritis of the weight-bearing joints. The rheumatology advanced nurse practitioner is an autonomous clinical practitioner and potential solution to the growing numbers of people needing interventions for osteoarthritis, due to their ability to assess, diagnose, treat, and discharge these patients who ordinarily would be assessed from a medical waiting list. As obesity is becoming increasingly prevalent, it is important to address this with the patient cohort to try to reduce the burden of disease and treat not only the symptomatic knee osteoarthritis but the causative factors and provide patient-centred care.


Assuntos
Profissionais de Enfermagem , Papel do Profissional de Enfermagem , Obesidade , Osteoartrite do Joelho , Humanos , Osteoartrite do Joelho/enfermagem , Irlanda/epidemiologia , Obesidade/complicações , Obesidade/enfermagem , Obesidade/epidemiologia , Reumatologia , Masculino , Feminino , Pessoa de Meia-Idade , Prática Avançada de Enfermagem
3.
Rev Esc Enferm USP ; 58: e20230124, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-38743954

RESUMO

OBJECTIVES: To build a specialized nursing terminology for the care of people with respiratory diseases and Covid-19 or who have respiratory diseases after Covid-19, based on ICNP®. METHOD: Methodological study developed in two stages: (1) identification of the relevant concepts for the health priority chosen from the literature; (2) cross-mapping of the identified concepts with the concepts contained in ICNP® version 2019/2020. RESULTS: 9460 terms were extracted from the literature, of which 4065 terms were excluded because they were not related to the object of study and 5395 were submitted to the mapping technique, resulting in 290 constant terms in the ICNP® and 5134 non-constant terms. The constant terms were classified into the following axes: 120 in the Focus axis, 13 in Judgment, 48 in Action, 23 in Location, 38 in Means, eight in Time and one in Client. In addition, 36 nursing diagnoses/outcomes and three nursing interventions were mapped. CONCLUSION: The terminology will support the quality of care provided by the nursing team and the manual and electronic recording of patient data.


Assuntos
COVID-19 , Terminologia Padronizada em Enfermagem , Humanos , COVID-19/enfermagem , Doenças Respiratórias/enfermagem , Doenças Respiratórias/terapia , Diagnóstico de Enfermagem , Terminologia como Assunto
4.
J Infus Nurs ; 47(3): 182-189, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38744243

RESUMO

This study aimed to determine the practices of nurses working in pediatric and adult oncology clinics regarding totally implantable venous access device (TIVAD) care. The descriptive study was conducted with 227 oncology nurse members of the Oncology Nursing Association. The data were collected online with a survey form, which included questions about the participants' sociodemographic characteristics, professional experience, and TIVAD implementation practices. Descriptive statistics and ꭓ2 tests were used for the analysis of the data. It was determined that 44.1% of the nurses used 0.9% NaCl for active TIVAD flushing; 15.9% of them used a positive-pressure 0.9% NaCl-filled syringe; 12.3% used antireflux connectors; 85.5% used manual positive pressure technique; and 53.7% used the pulsatile technique. A statistical difference was found between nurses' training on TIVAD care and TIVAD occlusion rate in the clinic, TIVAD infection rate, following the guidelines, and using the pulsatile technique (P < .05). This study revealed that there are differences in the practices for TIVAD care and that the recommendations in the literature/guidelines are not implemented at the desired level to ensure continuity and prevent complications.


Assuntos
Enfermagem Oncológica , Humanos , Adulto , Feminino , Masculino , Inquéritos e Questionários , Pessoa de Meia-Idade , Cateterismo Venoso Central/enfermagem , Criança , Cateteres de Demora , Guias de Prática Clínica como Assunto
5.
Br J Community Nurs ; 29(Sup5): S42-S46, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728158

RESUMO

Francesca Ramadan reviews the mechanisms, benefits and limitations of the most common peristomal skin complication treatments, empowering stoma care practitioners to provide more effective and personalised solutions for their patients.


Assuntos
Higiene da Pele , Estomas Cirúrgicos , Humanos , Higiene da Pele/enfermagem
6.
Br J Community Nurs ; 29(Sup5): S8-S14, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728161

RESUMO

Dementia and incontinence are both prevalent in older age; yet, neither are an inevitable or normal part of ageing. It has been recognised that there is a skills and knowledge gap in professionals assessing and managing incontinence for people living with dementia. All too often, assumptions are made that incontinence is a symptom of dementia and that nothing can be done if a person living with dementia experiences episodes of incontinence. While dementia may impact on a person's ability to remain continent, it may not be the sole cause, and there may be treatments and strategies that can reduce the incidence in those affected. Therefore, a person-centred continence assessment should be undertaken to promote continence and reduce the impact of incontinence for people living with dementia and those who care for them. This paper will highlight some of the issues that are important for health and social care professionals to explore and identify, assess and manage incontinence to improve outcomes for families affected by dementia.


Assuntos
Demência , Incontinência Fecal , Incontinência Urinária , Humanos , Incontinência Urinária/complicações , Demência/complicações , Incontinência Fecal/complicações , Incontinência Fecal/enfermagem , Idoso
7.
Br J Community Nurs ; 29(Sup5): S24-S28, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728162

RESUMO

The Association for Continence Professionals first published their guidance for the provision of absorbent products for adult incontinence in 2017. This consensus document is targeted towards commissioning leads, NHS Trust Boards, Bladder and Bowel leads, among others, and has been updated over the years to ensure that all adults who suffer with continence issues undergo a comprehensive assessment and have access to an equitable service. This article provides an overview of the latest guidelines which were published in February 2023.


Assuntos
Incontinência Fecal , Incontinência Urinária , Humanos , Incontinência Urinária/enfermagem , Incontinência Fecal/enfermagem , Reino Unido , Adulto , Guias de Prática Clínica como Assunto , Medicina Estatal , Absorventes Higiênicos , Tampões Absorventes para a Incontinência Urinária , Feminino
8.
Br J Community Nurs ; 29(Sup5): S34-S36, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728164

RESUMO

Incontinence-associated dermatitis, previously and sometimes still referred to as moisture lesions or moisture damage, is a commonly seen contact dermatitis that is a reactive response of the skin to chronic contact to urine and faecal matter. Understanding the etiology is fundamental to creating a skin care plan and successfully prevention. Systemic reviews and studies have shown that the continued variability in management results from a combination of knowledge base, observation, diagnosis, and product selection. This article aims to improve clinicians' understanding of incontinence-associated dermatitis and its management.


Assuntos
Incontinência Fecal , Higiene da Pele , Incontinência Urinária , Humanos , Incontinência Urinária/complicações , Incontinência Fecal/complicações , Higiene da Pele/enfermagem , Dermatite de Contato/etiologia , Feminino , Dermatite/etiologia , Dermatite/enfermagem
9.
Br J Community Nurs ; 29(Sup5): S38-S40, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728167

RESUMO

Urinary leakage is prevalent in men. To contain and manage this leakage, men are often advised about urinary devices. However, sometimes this advice does not include penile sheaths. Penile sheaths are a good way of managing urinary leakage if an individual is suitable for sheaths. This article will explore this suitability, advantages to using a sheath, reasons why sheaths may not be suitable, and will discuss optimum fitting to ensure the sheath is a secure drainage device.


Assuntos
Incontinência Urinária , Humanos , Masculino , Incontinência Urinária/enfermagem , Incontinência Urinária/terapia , Cateterismo Urinário/enfermagem , Cateterismo Urinário/instrumentação , Cateterismo Urinário/efeitos adversos , Pênis , Cateteres Urinários/efeitos adversos
10.
Br J Community Nurs ; 29(Sup5): S29-S32, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728165

RESUMO

Conor Hamilton examines the key components healthcare practitioners should consider when using transanal irrigation.


Assuntos
Canal Anal , Irrigação Terapêutica , Humanos , Irrigação Terapêutica/enfermagem
11.
Br J Community Nurs ; 29(Sup5): S16-S22, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728166

RESUMO

When an individual has voiding difficulties, the person may require a urinary catheter. Enabling the person to choose an appropriate method of catheterisation and supporting them can have an enormous impact on the individual's health and wellbeing. Indwelling urethral catheters are suitable for some people but for others they can affect a person's lifestyle and lead to depression. Intermittent catheterisation can work well for some people. Intermittent self-catheterisation has been used to manage urinary retention for over 3500 years. It remains the 'gold standard' in terms of bladder drainage, but it is under-used and indwelling catheters remain more common. This article examines the history of intermittent catheterisation, indications for self-catheterisation and how to support people to use self-catheterisation.


Assuntos
Cateterismo Uretral Intermitente , Autocuidado , Cateterismo Urinário , Retenção Urinária , Humanos , Retenção Urinária/terapia , Retenção Urinária/enfermagem , Cateterismo Urinário/enfermagem , Cateteres de Demora , Cateteres Urinários , Masculino
12.
J Nurs Educ ; 63(5): 292-297, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38729138

RESUMO

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic created profound effects in nursing education. Using a robust academic-practice partnership, a college of nursing and a health care organization collaborated to launch Jefferson Capstone Experience (JCE), an education delivery model that included a one-to-one, 108-hour clinical preceptorship between an experienced RN and an undergraduate nursing student. METHOD: The expedited design, implementation, and evaluation of JCE is described. The mixed-method program evaluation included surveys, interviews, and focus groups with students, faculty, and preceptors. RESULTS: Students and preceptors reported high levels of satisfaction with JCE. All parties emphasized the importance of clear and timely communication, academic practice collaboration, and organization. A significant number of capstone graduates accepted a position with a capstone clinical partner. CONCLUSION: Although the logistics of planning and implementation were challenging, an immersive and largely positive experience was created for undergraduate students, which created a robust hiring pipeline of new-to-practice nurses. [J Nurs Educ. 2024;63(5):292-297.].


Assuntos
COVID-19 , Bacharelado em Enfermagem , Preceptoria , Humanos , COVID-19/epidemiologia , COVID-19/enfermagem , Preceptoria/organização & administração , Bacharelado em Enfermagem/organização & administração , Estudantes de Enfermagem/psicologia , Avaliação de Programas e Projetos de Saúde , Pesquisa em Educação em Enfermagem
13.
J Nurs Educ ; 63(5): 282-291, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38729139

RESUMO

BACKGROUND: Policy, societal, and system changes are prompting nursing programs to expand population health content in curricula. This study examined the current state of community, public, and population health (CPPH) education in nursing curricula throughout the United States. METHOD: This descriptive study examined CPPH education in nursing programs nationally. A survey was developed and distributed to nursing programs from January to May 2021. RESULTS: CPPH content integration occurred across all program levels, and the majority of the participants were involved in the development of CPPH-specific curriculum. Programs experienced reductions in CPPH curriculum due to coronavirus disease 2019 (COVID-19), lack of experienced faculty, budget constraints, and an emphasis on acute care. CONCLUSION: The continuation of CPPH education in current nursing curricula is critical. National and academic nursing organizations must continue to monitor CPPH content in nursing curricula to assure a competent CPPH nursing workforce. [J Nurs Educ. 2024;63(5):282-291.].


Assuntos
Currículo , Saúde da População , Humanos , Estados Unidos , COVID-19/epidemiologia , COVID-19/enfermagem , Inquéritos e Questionários , Pesquisa em Educação em Enfermagem , Bacharelado em Enfermagem/organização & administração , Enfermagem em Saúde Comunitária/educação
14.
Arch Psychiatr Nurs ; 49: 126-132, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38734448

RESUMO

BACKGROUND: The Covid-19 pandemic has represented one of the most stressful events of recent times and has placed enormous psychological pressure on doctors and nurses. AIMS: The objective of this work is to evaluate the psychological impact of the Covid-19 outbreak on Spanish nurses and doctors, and to identify factors related to their mental health. METHODS: The study is a descriptive study and examined 812 doctors and 768 nurses. The dependent variables were health-related quality of life, anxiety, depression, perceived stress and insomnia. Participants completed the Health-related Quality of Life-Questionnaire, the Generalized Anxiety Disorder 7-item-Scale, the Patient Health Questionnaire-9, the Impact Event Scale-Revised, and the Insomnia Severity Index. Sociodemographic and Covid-related data were also recorded. Descriptive statistics, univariable analysis and multivariable linear regression models were used. RESULTS: A greater proportion of nurses than doctors suffered clinical anxiety, depression and insomnia (56.84 % vs 45.81 p-value<0.0001, 64.67 % vs 53.39 p-value<0.0001, and 23.04 % vs 18.02 p-value 0.01, respectively). Although in our study nurses were more likely to suffer clinical anxiety, stress and insomnia than doctors, our results nevertheless showed that there were no differences in terms of quality of life. Different factors related to mental health were identified for doctors and nurses. Nurses working in care homes or geriatric services (OR = 4.13, IC95% 1.71-9.99, p-value 0.002), and in services with greatest contact with Covid-19 patients (OR = 1.71,IC95% 1.10-2.68, p-value 0.02) were more likely to suffer depression. CONCLUSIONS: Our study confirms that doctors and nurses are at high risk of clinical anxiety, depression, stress or insomnia during the Covid-19 pandemic.


Assuntos
Ansiedade , COVID-19 , Depressão , Médicos , Qualidade de Vida , Distúrbios do Início e da Manutenção do Sono , Humanos , COVID-19/psicologia , COVID-19/enfermagem , Qualidade de Vida/psicologia , Masculino , Feminino , Adulto , Espanha/epidemiologia , Inquéritos e Questionários , Depressão/psicologia , Depressão/epidemiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Ansiedade/psicologia , Ansiedade/epidemiologia , Médicos/psicologia , Pessoa de Meia-Idade , Estresse Psicológico/psicologia , SARS-CoV-2 , Pandemias
15.
Arch Psychiatr Nurs ; 49: 56-66, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38734456

RESUMO

BACKGROUND: Psychiatric mental health nurse practitioners have rapidly adopted and implemented tele-mental health in their practice; however it is unclear how this modality of care affects the experiential quality of therapeutic alliance, simply defined as the interpersonal working bond between provider and patient. OBJECTIVE: This study is the first to explore how psychiatric mental health nurse practitioners experience therapeutic alliance while using tele-mental health. DESIGN: Husserlian phenomenological qualitative study. PARTICIPANTS: A purposive, convenience sample of 17 American psychiatric mental health nurse practitioners who engaged in tele-mental health care were recruited online and interviewed. METHODS: Phenomenological interview transcripts recorded and later thematically coded in the qualitative software MaxQDA. RESULTS: From 1426 individual codes, five major themes and 16 subthemes were discovered. Overall, themes illuminated that psychiatric mental health nurse practitioners could build therapeutic alliance over tele-mental health using inherent interpersonal skills that had to be adapted to the technology. Adaptions included working with patient environmental factors, individual patient considerations, provider ambivalence, and technological observation shifting awareness and communication patterns. CONCLUSIONS: When adapting for the tele-mental health environment, psychiatric mental health nurse practitioners experienced building and sustaining therapeutic alliance with most patients. Unparalleled aspects of tele-mental health allowed for a fuller clinical picture and logistical convenience to see patients more often with ease for both the provider and patient. However, experiential aspects of therapeutic alliance created during in-person care could not be replaced with tele-mental health. In conclusion, participants concluded that a hybrid care model would enhance therapeutic alliance for most patients.


Assuntos
Profissionais de Enfermagem , Enfermagem Psiquiátrica , Pesquisa Qualitativa , Telemedicina , Aliança Terapêutica , Humanos , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Transtornos Mentais/terapia , Transtornos Mentais/enfermagem , Serviços de Saúde Mental
16.
NASN Sch Nurse ; 39(3): 114, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38693684
17.
JMIR Aging ; 7: e53019, 2024 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-38722219

RESUMO

Background: Artificial intelligence (AI) such as ChatGPT by OpenAI holds great promise to improve the quality of life of patients with dementia and their caregivers by providing high-quality responses to their questions about typical dementia behaviors. So far, however, evidence on the quality of such ChatGPT responses is limited. A few recent publications have investigated the quality of ChatGPT responses in other health conditions. Our study is the first to assess ChatGPT using real-world questions asked by dementia caregivers themselves. objectives: This pilot study examines the potential of ChatGPT-3.5 to provide high-quality information that may enhance dementia care and patient-caregiver education. Methods: Our interprofessional team used a formal rating scale (scoring range: 0-5; the higher the score, the better the quality) to evaluate ChatGPT responses to real-world questions posed by dementia caregivers. We selected 60 posts by dementia caregivers from Reddit, a popular social media platform. These posts were verified by 3 interdisciplinary dementia clinicians as representing dementia caregivers' desire for information in the areas of memory loss and confusion, aggression, and driving. Word count for posts in the memory loss and confusion category ranged from 71 to 531 (mean 218; median 188), aggression posts ranged from 58 to 602 words (mean 254; median 200), and driving posts ranged from 93 to 550 words (mean 272; median 276). Results: ChatGPT's response quality scores ranged from 3 to 5. Of the 60 responses, 26 (43%) received 5 points, 21 (35%) received 4 points, and 13 (22%) received 3 points, suggesting high quality. ChatGPT obtained consistently high scores in synthesizing information to provide follow-up recommendations (n=58, 96%), with the lowest scores in the area of comprehensiveness (n=38, 63%). Conclusions: ChatGPT provided high-quality responses to complex questions posted by dementia caregivers, but it did have limitations. ChatGPT was unable to anticipate future problems that a human professional might recognize and address in a clinical encounter. At other times, ChatGPT recommended a strategy that the caregiver had already explicitly tried. This pilot study indicates the potential of AI to provide high-quality information to enhance dementia care and patient-caregiver education in tandem with information provided by licensed health care professionals. Evaluating the quality of responses is necessary to ensure that caregivers can make informed decisions. ChatGPT has the potential to transform health care practice by shaping how caregivers receive health information.


Assuntos
Cuidadores , Demência , Humanos , Cuidadores/psicologia , Demência/enfermagem , Demência/psicologia , Projetos Piloto , Pesquisa Qualitativa , Masculino , Qualidade de Vida/psicologia , Feminino , Inteligência Artificial , Idoso , Mídias Sociais , Inquéritos e Questionários , Pessoa de Meia-Idade
18.
Adv Skin Wound Care ; 37(6): 304-310, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38767422

RESUMO

BACKGROUND: Undergraduate nursing students experience significant differences between practice with models, manikins, or simulation applications and real patients in a clinical setting. Students' experiences applying their theoretical knowledge to real patient-care practices are little understood. OBJECTIVE: To determine the experiences of nursing students in providing skin, chronic wound, and ostomy care to real patients for the first time in a clinical setting within the content of the Ostomy and Wound Care Nursing Track Program (OWCNTP) and to define factors affecting this program. METHODS: The research was conducted qualitatively using the individual critical incident technique, and 17 senior undergraduate nursing students enrolled in the Nursing OWCNTP were selected using a simple random sampling method. In the classroom setting, individual face-to-face interviews were conducted using the critical incident technique. Data were analyzed with inductive content analysis. RESULTS: The research found that students experience genuine caregiving in putting their experiences from the Track Program into practice with real patients in a clinical setting. Three main themes were identified: experiencing real patient care in a clinical setting, being a competent student, and being a novice student. CONCLUSIONS: The study found that nursing students enrolled in the OWCNTP could apply their theoretical knowledge to care for real patients in clinical settings. Therefore, it is recommended that these programs be integrated into nursing curricula.


Assuntos
Bacharelado em Enfermagem , Estomia , Pesquisa Qualitativa , Estudantes de Enfermagem , Humanos , Estudantes de Enfermagem/psicologia , Estomia/enfermagem , Feminino , Bacharelado em Enfermagem/métodos , Masculino , Competência Clínica , Adulto , Ferimentos e Lesões/enfermagem
19.
J Med Invest ; 71(1.2): 162-168, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38735714

RESUMO

The "construction of a community-based comprehensive care system for mental disorders" has been promoted in Japan. However, nurses in psychiatric hospitals do not intervene with community resources and support networks in Japan. This study aimed to determine the care information required by home visit nurses from psychiatric hospital nurses. A qualitative descriptive research design was employed. Semi-structured interviews were conducted with nine psychiatric home-visiting nurses, and content analysis was performed to analyze the data. Findings revealed 319 narratives about the information that psychiatric home-visiting nurses seek from psychiatric hospital nurses, which were classified into six main categories. Information needed for home-visiting nurses to provide care includes the following : 1) to build trust with home-visiting service users, 2) to help home-visiting service users live according to their wishes, 3) to help home-visiting service users continue treatment in the community, 4) to perform symptom management, 5) to provide family care, and 6) to protect the safety of home visiting nurses during home visits. Nurses in psychiatric hospitals should communicate this information to nurses who provide psychiatric home care. This will improve the quality of continuing care for home care users and support their recovery in community living. J. Med. Invest. 71 : 162-168, February, 2024.


Assuntos
Hospitais Psiquiátricos , Humanos , Enfermagem Psiquiátrica , Feminino , Adulto , Visita Domiciliar , Serviços de Assistência Domiciliar , Japão , Masculino , Atitude do Pessoal de Saúde , Pessoa de Meia-Idade , Transtornos Mentais/terapia , Transtornos Mentais/enfermagem
20.
Nephrol Nurs J ; 51(2): 173-179, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38727593

RESUMO

The development of nursing evidence within hemodialysis is challenged by the vast numbers of specialized tasks clinicians undertake. Developing an evidence base is complex and multi-faceted, requiring a collaborative and well-defined process. Commonly, a process of quality improvement is initially undertaken, whereby nurses develop a plan, undertake action, study outcomes, and review results. However, when reviewing current processes to identify and develop evidence-based practices across various health services, a more detailed and planned methodology is required. This article provides nurses with knowledge to apply a well-defined framework (the Iowa Model-Revised of Evidence-Based Practice to Promote Excel lence in Health Care) to transform a quality improvement project into the development of evidence-based practice.


Assuntos
Diálise Renal , Diálise Renal/enfermagem , Humanos , Enfermagem Baseada em Evidências , Modelos de Enfermagem , Enfermagem em Nefrologia , Prática Clínica Baseada em Evidências , Melhoria de Qualidade
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