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1.
Front Public Health ; 12: 1340418, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38699421

RESUMO

Objective: To ensure the best possible care, the perspective of PHC nurse work experience during the COVID-19 pandemic should be considered when developing nursing care protocols for older patients who receive PHC services. Method: This exploratory qualitative study was conducted with 18 nurses working continuously in PHC between the first and fifth waves of the pandemic. Semi-structured thematic interviews were undertaken. Qualitative thematic content analysis was conducted to identify and group the themes that emerged from the discourse. Interviews were transcribed and analyzed using thematic analysis. Results: The first topic describes the nurses' experiences of physical and mental suffering in caring for older patients in response to the pandemic. The second topic covers the experience of reorganizing PHC work. The third topic focuses on the difficulties of caring for older patients. The final topic includes issues of support needs for nurses in PHC work. Conclusion: The experience and understanding of PHC nurses in caring for older people during the COVID pandemic should lead to significant changes in the system of nursing care for geriatric patients and in the cooperative role within geriatric care specialist teams. Drawing on the experience of COVID-19, it is necessary to work on the weak points of PHC exposed by the pandemic in order to improve the quality of care and life for geriatric patients.


Assuntos
COVID-19 , Pesquisa Qualitativa , Humanos , COVID-19/enfermagem , COVID-19/psicologia , Feminino , Masculino , Idoso , Adulto , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Enfermagem Geriátrica , Pandemias , SARS-CoV-2 , Entrevistas como Assunto
3.
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
4.
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
5.
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
6.
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
7.
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
8.
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
9.
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
10.
PLoS One ; 19(5): e0302525, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38722989

RESUMO

BACKGROUND: Patients with end stage kidney disease (ESKD) receiving haemodialysis experience multiple symptoms, which can present physical and emotional challenges for both patients and their informal caregivers. Caregivers can experience anxiety, depression, and social isolation negatively impacting their overall wellbeing and resulting in caregiver burden. The needs of this group of caregivers have been largely neglected, with little emphasis placed on supportive interventions that might assist and support them in their caring role. AIM: The aim of this study Is to explore the unmet needs and experiences of caregivers of patients with ESKD receiving haemodialysis, and to determine the components of a supportive intervention. DESIGN: A qualitative study using semi-structured interviews (n = 24) with informal caregivers. An interpretive qualitative framework was employed to generate a rich understanding of the unmet needs and experiences of caregivers. Data was analysed using thematic analysis. Interviews were transcribed verbatim and data management was assisted through NVIVO version 11. SETTING/PARTICIPANTS: Twenty-four informal caregivers were purposively recruited from two haemodialysis settings within Northern Ireland. RESULTS: Three themes were identified: (1) The negative impact of distress, anxiety, and isolation on caregivers due to their caregiving responsibilities (2) Inadequate information and knowledge about the complexities of renal care (3) The benefits of spiritual beliefs, stress management and peer support in relieving the caregiving burden. CONCLUSIONS: Caregivers of patients with ESKD receiving haemodialysis are at increased risk of physical and psychological distress and burden arising from their caregiving role. The unpredictable nature of ESKD and haemodialysis treatment negatively impacts the caregiver experience and adds to the challenges of the role. The information needs of caregivers are not always adequately met and they subsequently lack appropriate knowledge, skills, and guidance to assist them in their caregiving role. Supportive interventions are essential for caregivers to enhance their capability to deliver effective care and improve their quality of life.


Assuntos
Cuidadores , Falência Renal Crônica , Pesquisa Qualitativa , Diálise Renal , Humanos , Cuidadores/psicologia , Diálise Renal/psicologia , Masculino , Feminino , Falência Renal Crônica/terapia , Falência Renal Crônica/psicologia , Falência Renal Crônica/enfermagem , Pessoa de Meia-Idade , Idoso , Adulto , Ansiedade/psicologia , Apoio Social , Qualidade de Vida , Depressão/psicologia , Estresse Psicológico , Necessidades e Demandas de Serviços de Saúde
11.
BMJ Open ; 14(5): e083106, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38724057

RESUMO

OBJECTIVES: To investigate the relationships among caregiver burden, family resilience, and caregiver capacity in the care of stroke survivors. We hypothesised that family resilience would mediate the relationship between caregiver burden and caregiver capacity. DESIGN: A cross-sectional study design was used. SETTING: The study was conducted in a tertiary care setting in Ningbo City, Zhejiang Province, China. PARTICIPANTS: The study involved 413 stroke survivors and their primary caregivers. OUTCOME MEASURES: The primary caregivers completed the Shortened Chinese Version of the Family Resilience Assessment Scale, Zarit Caregiver Burden Interview and Family Caregiver Task Inventor and provided their sociodemographic information. Stroke survivors were assessed for activities of daily living, and their sociodemographic information was provided. Data were analysed, controlling for sociodemographic variables and focusing on the mediating effect of family resilience. RESULTS: Caregiver burden was influenced by the activities of daily living of stroke survivors, caregiver age and caregiver health status (p<0.05). Higher caregiver burden was associated with lower family resilience (p<0.01). Lower caregiver capacity corresponded to heavier caregiver burden (p<0.01). Family resilience mediated the relationship between caregiver burden and caregiver capacity (b=0.1568; 95% CI: 0.1063 to 0.2385). CONCLUSIONS: Enhancing family resilience can reduce caregiver burden and improve caregiver capacity in stroke care. These findings underscore the importance of developing interventions focused on nursing skills and family resilience.


Assuntos
Atividades Cotidianas , Sobrecarga do Cuidador , Cuidadores , Resiliência Psicológica , Acidente Vascular Cerebral , Sobreviventes , Humanos , Estudos Transversais , Masculino , Feminino , Pessoa de Meia-Idade , Acidente Vascular Cerebral/psicologia , Acidente Vascular Cerebral/enfermagem , China , Cuidadores/psicologia , Idoso , Sobreviventes/psicologia , Sobrecarga do Cuidador/psicologia , Adulto , Família/psicologia , Adaptação Psicológica
12.
JAMA Health Forum ; 5(5): e240825, 2024 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-38728021

RESUMO

Importance: Nursing home residents with Alzheimer disease and related dementias (ADRD) often receive burdensome care at the end of life. Nurse practitioners (NPs) provide an increasing share of primary care in nursing homes, but how NP care is associated with end-of-life outcomes for this population is unknown. Objectives: To examine the association of NP care with end-of-life outcomes for nursing home residents with ADRD and assess whether these associations differ according to state-level NP scope of practice regulations. Design, Setting, and Participants: This cohort study using fee-for-service Medicare claims included 334 618 US nursing home residents with ADRD who died between January 1, 2016, and December 31, 2018. Data were analyzed from April 6, 2015, to December 31, 2018. Exposures: Share of nursing home primary care visits by NPs, classified as minimal (<10% of visits), moderate (10%-50% of visits), and extensive (>50% of visits). State NP scope of practice regulations were classified as full vs restrictive in 2 domains: practice authority (authorization to practice and prescribe independently) and do-not-resuscitate (DNR) authority (authorization to sign DNR orders). Main Outcomes and Measures: Hospitalization within the last 30 days of life and death with hospice. Linear probability models with hospital referral region fixed effects controlling for resident characteristics, visit volume, and geographic factors were used to estimate whether the associations between NP care and outcomes varied across states with different scope of practice regulations. Results: Among 334 618 nursing home decedents (mean [SD] age at death, 86.6 [8.2] years; 69.3% female), 40.5% received minimal NP care, 21.4% received moderate NP care, and 38.0% received extensive NP care. Adjusted hospitalization rates were lower for residents with extensive NP care (31.6% [95% CI, 31.4%-31.9%]) vs minimal NP care (32.3% [95% CI, 32.1%-32.6%]), whereas adjusted hospice rates were higher for residents with extensive (55.6% [95% CI, 55.3%-55.9%]) vs minimal (53.6% [95% CI, 53.3%-53.8%]) NP care. However, there was significant variation by state scope of practice. For example, in full practice authority states, adjusted hospice rates were 2.88 percentage points higher (95% CI, 1.99-3.77; P < .001) for residents with extensive vs minimal NP care, but the difference between these same groups was 1.77 percentage points (95% CI, 1.32-2.23; P < .001) in restricted practice states. Hospitalization rates were 1.76 percentage points lower (95% CI, -2.52 to -1.00; P < .001) for decedents with extensive vs minimal NP care in full practice authority states, but the difference between these same groups in restricted practice states was only 0.43 percentage points (95% CI, -0.84 to -0.01; P < .04). Similar patterns were observed in analyses focused on DNR authority. Conclusions and Relevance: The findings of this cohort study suggest that NPs appear to be important care providers during the end-of-life period for many nursing home residents with ADRD and that regulations governing NP scope of practice may have implications for end-of-life hospitalizations and hospice use in this population.


Assuntos
Demência , Medicare , Profissionais de Enfermagem , Casas de Saúde , Assistência Terminal , Humanos , Casas de Saúde/estatística & dados numéricos , Feminino , Estados Unidos , Masculino , Profissionais de Enfermagem/estatística & dados numéricos , Assistência Terminal/estatística & dados numéricos , Demência/enfermagem , Demência/terapia , Idoso de 80 Anos ou mais , Idoso , Estudos de Coortes
13.
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
14.
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
15.
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
16.
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
18.
J Gerontol Nurs ; 50(5): 43-49, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38691116

RESUMO

PURPOSE: To explore care requirements of older adults with urinary incontinence (UI) and contributing factors. METHOD: This cross-sectional study used the Older Adults Urinary Incontinence Care Needs Inventory to survey participants with UI in three large-scale tertiary hospitals located in Guangzhou City, China, from January 2023 to November 2023. Statistical analyses, including analysis of variance, t tests, correlation analyses, and linear regression models, were conducted to assess factors influencing participants' care needs. RESULTS: A total of 530 older adults with UI participated in the survey and mean standardized score for overall care needs was 78.65 (SD = 5.01), with mean scores for each dimension ranging from 70.88 (SD = 10.55) for social participation needs to 82.45 (SD = 7.11) for health education needs. Factors that were found to influence incontinence care needs in older adults included age, literacy level, number of leaks, and type of disease (F = 37.07, adjusted R2 = 0.290, p < 0.001). CONCLUSION: Comprehensive care for older adults with UI, encompassing physiological, psychological, and social aspects, is crucial. It is essential to tailor care to individual needs and characteristics, taking into account factors, such as age and education, to ensure effective care. [Journal of Gerontological Nursing, 50(5), 43-49.].


Assuntos
Incontinência Urinária , Humanos , Incontinência Urinária/enfermagem , Estudos Transversais , Idoso , Feminino , Masculino , Idoso de 80 Anos ou mais , China , Pessoa de Meia-Idade , Inquéritos e Questionários , Avaliação das Necessidades , Necessidades e Demandas de Serviços de Saúde
19.
Rev Bras Enferm ; 77(1): e20220738, 2024.
Artigo em Inglês, Português | MEDLINE | ID: mdl-38747745

RESUMO

OBJECTIVES: to analyze the technologies used by the nursing team in the treatment of skin lesions caused by burns in patients under intensive care. METHODS: this is a scope review conducted on the LILACS, Medline, PubMed, and CINAHL databases without temporal or language restrictions. RESULTS: the highlighted technologies included the use of specialized dressings, biological agents such as probiotics and cyanobacteria, as well as negative pressure therapies and enzymes such as papain and collagenase. Some technologies, such as nanocrystalline silver, demonstrated efficacy in infection control. FINAL CONSIDERATIONS: the study identified essential technologies in burn care, emphasizing the need for further research on "soft" technologies. The findings support the promotion of evidence-based nursing care for burn patients in intensive care and enhance knowledge about effective treatments.


Assuntos
Queimaduras , Cuidados Críticos , Humanos , Queimaduras/terapia , Queimaduras/enfermagem , Queimaduras/complicações , Cuidados Críticos/métodos
20.
J Trauma Nurs ; 31(3): 129-135, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38742719

RESUMO

BACKGROUND: The care of patients undergoing low-volume, high-risk emergency procedures such as bedside laparotomy (BSL) remains a challenge for surgical trauma critical care nurses. OBJECTIVES: This study evaluates simulation and microlearning on trauma nurse role ambiguity, knowledge, and confidence in caring for patients during emergency BSL. METHODS: The study is a single-center, prospective pretest-posttest design conducted from September to November 2022 at a Level I trauma center in the Mid-Atlantic United States using simulation and microlearning to evaluate role clarity, knowledge, and confidence among surgical trauma intensive care unit (STICU) nurses. Participants, nurses from a voluntary convenience sample within a STICU, attended a simulation and received three weekly microlearning modules. Instruments measuring role ambiguity, knowledge, and confidence were administered before the simulation, after, and again at 30 days. RESULTS: From the pretest to the initial posttest, the median (interquartile range [IQR]) Role Ambiguity scores increased by 1.0 (1.13) (p < .001), and at the 30-day posttest, improved by 1.33 (1.5) (p < .001). The median (IQR) knowledge scores at initial posttest improved by 4.0 (2.0) (p < .001) and at the 30-day posttest improved by 3.0 (1.75) (p< .001). The median (IQR) confidence scores at initial posttest increased by 0.08 (0.33) (p = .009) and at the 30-day posttest improved by 0.33 (0.54) (p = .01). CONCLUSIONS: We found that simulation and microlearning improved trauma nurse role clarity, knowledge, and confidence in caring for patients undergoing emergency BSL.


Assuntos
Competência Clínica , Laparotomia , Enfermagem em Ortopedia e Traumatologia , Humanos , Laparotomia/enfermagem , Feminino , Masculino , Estudos Prospectivos , Adulto , Enfermagem em Ortopedia e Traumatologia/educação , Papel do Profissional de Enfermagem , Treinamento por Simulação/métodos , Pessoa de Meia-Idade , Centros de Traumatologia , Enfermagem de Cuidados Críticos/educação
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