RESUMO
PURPOSE: The aim of this manuscript is to embolden nurses to engage in policy that promotes diversity, equity, inclusion, and belonging to advance health equity. BACKGROUND: It uses the Future of Nursing Report 2020-2030 to acknowledge the impact of structural racism and the need for a more equitable, just, and fair society. DISCUSSION: It also recognizes that nurses must harness their power and political will, to change and strengthen policies, so all nurses can practice to the full extent of their education and license. CONCLUSION: A case study of the response to COVID-19 in one underserved community is included to illustrate policy in action.
Assuntos
COVID-19 , Equidade em Saúde , Papel do Profissional de Enfermagem , Determinantes Sociais da Saúde , Racismo Sistêmico , Humanos , COVID-19/epidemiologia , Escolaridade , Políticas , Inclusão SocialRESUMO
PURPOSE: This purpose of this study was to determine whether consensus exists concerning the need to collect epidemiologic data about 2 forms of moisture-associated skin damage, incontinence-associated dermatitis (IAD) and intertriginous dermatitis (ITD), and whether these data should be part of data routinely collected as part of the National Database of Nursing Quality Indicators (NDNQI). DESIGN: Modified Delphi technique. SAMPLE AND SETTING: Questionnaires were sent via e-mail to 50 identified experts, with an initial response of 17. Thirteen clinical experts responded to the second round and 11 responded to a third round. METHODS: Items on the questionnaires were investigator-developed. Consensus was defined as 80% or more agreement. Three rounds of questionnaires were employed to attempt consensus. Descriptive statistics were performed using mean and standard deviation for continuous data and frequencies and percentages for categorical data. Qualitative data were analyzed question by question by the primary researcher using content analysis. RESULTS: Consensus was achieved indicating that individual facilities should regularly collect data about IAD prevalence or incidence. Consensus was not reached about the need to regularly collect data about ITD prevalence or incidence. Panelists also failed to reach consensus that IAD or ITD prevalence or incidence should be incorporated into the NDNQI indicators. CONCLUSION: Panelists did not reach consensus that IAD or ITD epidemiologic data should be incorporated on the NDNQI. Additional research is needed, particularly in the area of ITD, before benchmarks can be established regarding these data as nurse-sensitive indicators of quality care.
Assuntos
Dermatite/etiologia , Incontinência Fecal/complicações , Intertrigo/etiologia , Indicadores de Qualidade em Assistência à Saúde/tendências , Incontinência Urinária/complicações , Consenso , Técnica Delphi , Dermatite/epidemiologia , Incontinência Fecal/epidemiologia , Humanos , Incidência , Intertrigo/epidemiologia , Prevalência , Pesquisa Qualitativa , Higiene da Pele/métodos , Inquéritos e Questionários , Incontinência Urinária/epidemiologiaAssuntos
COVID-19 , Enfermeiros Clínicos , Estomia , Especialidades de Enfermagem , Humanos , SARS-CoV-2RESUMO
INTRODUCTION: Due to decades of prolonged combat operations, post-traumatic stress disorder (PTSD) is widely discussed and generally well conceptualized. The objective of this study was to determine if an educational program on the signs and symptoms of PTSD and an explanation of the current treatments utilized by the Veterans Administration is effective in increasing the knowledge levels of women service members and veterans, leading to seeking treatment. MATERIALS AND METHODS: The design of this study was a quantitative pretest/posttest interventional study. The educational program was conducted at a Senior Citizen Center. The population was a purposive sample of 44 women service members and veterans from a military base in New Jersey. A 25-item PTSD Knowledge Questionnaire developed for the earlier Web-Based Post-traumatic Stress Disorder Education for Military Family Members (2012) study was used as the pretest and posttest. RESULTS: The knowledge level of PTSD among women service members and veterans who participated in this study was significantly higher after completing the educational program with 43% indicating that they would seek mental health care. CONCLUSIONS: Women service members and veterans were ill-informed on the signs, symptoms, and treatment options of PTSD. If the results of this survey are an indicator of the knowledge level of women service members in broader populations, there is a need to restructure how those who are at risk of developing PTSD are educated. Through better educational programs, women and men could seek care with increasingly favorable long-term outcomes.
Assuntos
Família Militar , Militares , Transtornos de Estresse Pós-Traumáticos , Veteranos , Masculino , Humanos , Feminino , Veteranos/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos de Estresse Pós-Traumáticos/diagnóstico , New JerseyRESUMO
Pressure ulcers were designated as a priority for quality care initiatives at the University of Pennsylvania Health System. The Penn Medicine Pressure Ulcer Collaborative was developed to address the complex issues of pressure ulcers. The Collaborative used a systematic approach to analyze, plan, and implement a health system-wide pressure ulcer program. As a result, the entire health system had a decrease in hospital-acquired pressure ulcer prevalence rates of 37%. This article describes the Collaborative's innovative approach to quality improvement.
Assuntos
Hospitalização , Úlcera por Pressão/prevenção & controle , Desenvolvimento de Programas , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Centros Médicos Acadêmicos/organização & administração , Humanos , Pennsylvania , Philadelphia , Avaliação de Programas e Projetos de SaúdeRESUMO
The concept of palliative wound care is in its infancy, with relevant literature emerging in the 1980s. Palliative wound care has evolved over time as new research and practice initiatives continue to explore its usefulness. We applied Rodgers' evolutionary concept analysis to a conceptual exploration of palliative wound care. The findings of this analysis identified reoccurring themes that were grouped into the concept's antecedents, attributes, and consequences. We found that palliative wound care is a holistic integrated approach to care that addresses symptom management and psychosocial well-being, is multidisciplinary, is driven by patient/family goals, and is integrated into wound healing principles and everyday practice. The integration of palliative wound care into the continuum of wound care, not just at the end of life, is the logical conclusion.
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Cuidados Paliativos , Ferimentos e Lesões/enfermagem , Humanos , Qualidade de Vida , Medição de RiscoRESUMO
PURPOSE: To provide the wound care practitioner with a review of the assessment, prevention, and management of pressure ulcers in pediatric patients with spinal cord injury. TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES: After reading this article and taking this test, the reader should be able to:
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Úlcera por Pressão/etiologia , Úlcera por Pressão/terapia , Traumatismos da Medula Espinal/complicações , Curativos Hidrocoloides , Humanos , Hidrogéis/uso terapêutico , Incidência , Pennsylvania/epidemiologia , Úlcera por Pressão/diagnóstico , Úlcera por Pressão/epidemiologia , Prevalência , Fatores de Risco , Compostos de Prata/uso terapêutico , Traumatismos da Medula Espinal/epidemiologiaRESUMO
Home care nursing occurs in a complex care environment. Nurses working in this setting care for a wide array of individuals who often are sicker and more complex than ever before. The high prevalence of wounds among these individuals requires that home care nurses have a certain level of knowledge to provide excellent care. Many times, individuals with wounds do not have the capacity to heal or are burdened with numerous symptoms affecting quality of life. In these cases, the home care nurse must understand concepts of palliative wound care to alleviate symptoms with the goal of improving quality of life.
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Enfermagem Domiciliar/métodos , Cuidados Paliativos/organização & administração , Qualidade de Vida , Ferimentos e Lesões/enfermagem , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Assistência de Longa Duração/métodos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Índice de Gravidade de Doença , Infecção da Ferida Cirúrgica/diagnóstico , Infecção da Ferida Cirúrgica/mortalidade , Infecção da Ferida Cirúrgica/enfermagem , Taxa de Sobrevida , Resultado do Tratamento , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/mortalidadeRESUMO
In part 1 of this 2-part series, we discussed principles of palliative care to help understand the goals of treatment in developing a plan of care. This article, Part 2, aims to provide knowledge of practical topical wound management by common wound etiologies and symptoms among persons who would benefit from palliative wound care.