Thursday, 11 July 2019
Tracheostomy prevalence at Skilled Nursing Facilities
Abstract
The incidence of chronically ill subjects with prolonged mechanical ventilation has significantly increased over the last decade. Many patients get discharge to Skilled Nursing Facilities with an artificial airway, which do not have the means to properly progress on weaning. In Portugal this prevalence is unknown. Our aim was to establish the prevalence of tracheostomized patients at SNF in the North of Portugal, characterizing these units and its population, in a cross-sectional study, through an online questionnaire answered on the same day. Of the 75 SNF, 30 answered: 13 long-term, 2 medium-term, 2 short-term, 12 had beds of both medium and long-term and 1 had the three typologies. 33 had tracheostomy ventilation (prevalence 3.36%), all admitted at long-term units, the majority transferred from previous hospital admission (n = 27, 90%). Only one was under mechanical ventilation. The most frequent reason for tracheostomy placement was acute respiratory failure (n = 10, 33.3%). The most commonly presented cannula was the fenestrated non-cuffed (n = 17, 59%). Only 4 were performing occlusion training, 21 needed frequent secretion suctioning and 1 used the mechanical in-exsufflation. Regarding motor function, 16 (53.3%) were unable to achieve sitting balance and 20 (66.7%) had no orthostatic balance or walking ability. 14 (46.7%) had percutaneous endoscopic gastrostomy. Although low response rate may induce some bias, this study revealed a significant prevalence of tracheostomized patients at SNF. These facilities do not have the resources to safely and effectively progress on ventilatory weaning. It is essential to establish new referral criteria and create specialized weaning units.
Effect of ‘nursing terminologies and classifications’ course on nursing students' perception of nursing diagnosis
Abstract
Purpose
To determine nursing students' perception of nursing diagnosis and the effect of ‘nursing terminologies and classifications’ course on this perception.
Methods
This study was carried out as a quasi-experimental, two group design. Data were collected through the Nursing Diagnosis Survey.
Findings
The overall Perceptions of Nursing Diagnosis Survey score for this study was found 2.44 ± 0.44. Perceptions of Nursing Diagnosis Survey mean scores of nursing students who took ‘Nursing Terminologies and Classifications’ course were found more positive than the nursing students who did not take the course.
Adapting Sexual Configurations Theory to Nursing
Abstract
Lesbian, gay, bisexual, transgender, and queer/questioning people in the United States experience multiple health disparities related to sexual and reproductive health. Attempts to address these disparities have focused on sexual orientation and gender identity rather than on the specific aspects of sexuality that may be more relevant to an individual’s health outcomes. This focus is also incongruent with a holistic approach to health and wellness interventions. We propose an adaptation of sexual configurations theory, a psychological theory with which to accurately describe different aspects of sexuality, to better position nurses to address these important disparity issues. We position sexual configurations theory within a contextual framework that incorporates aspects of trauma theory as a new way to evaluate individual sexuality in a holistic nursing context.
What influences nursing safety event reporting among nursing interns?: Focus group study
Abstract
Background
Nursing safety events involving undergraduate nursing interns often occur but are under-reported. Only a few nursing schools have instituted formal reporting systems. The factors that affect reporting by undergraduate nursing interns are largely unknown.
Objective
The study aimed to explore the barriers and incentives to nursing safety event reporting by nursing interns.
Design
Focus groups were adopted to generate data for qualitative, thematic analyses.
Settings
Focus groups were held in intern dormitories during evenings or weekends.
Participants
Purposive sampling strategies were employed. The participants were undergraduate nursing interns from one medical university in Fuzhou, China.
Methods
A total of six focus groups were conducted. Semi-structured questions guided the groups.
Results
Thirty-eight undergraduate nursing interns attended the groups. Barriers to nursing safety event reporting had five major themes: “Lack of knowledge,” “Inconvenience of the reporting system,” “Feeling of uncertainty and dishonor,” “No benefit from reporting,” and “Social influence.” Incentives had three major themes: “Nursing safety event education,” “Optimization of the reporting system,” and “Anonymous reporting.” Specific and targeted suggestions were considered, such as education by QQ or WeChat and the use of mobile devices.
Monday, 8 July 2019
A Mixed Methods Review of Male Nursing Students' Challenges during Nursing Education and Strategies to Tackle these Challenges
Abstract
Background
Calls to action have been placed for recruitment of more men to address nursing shortage and to achieve a better balance and diversity in workforce. Studies also indicated patients' demand for male nurses. Despite this, male nursing students experience challenges during their education resulting in their attrition. No reviews have explored this research area. This review explored the challenges of male nursing students during their education and identified strategies used to tackle these challenges.
Methods
Literature was searched within three databases using indexed search phrases and 1 mixed-methods, six quantitative, and 36 qualitative studies (n = 43), published from December 1990 to May 2018, were reviewed. The qualitative and quantitative data were separately extracted and analyzed using thematic synthesis and narrative summaries, and then compared using joint displays.
Completing Reflective Practice Post Undergraduate Nursing Clinical Placements: A Literature Review1
Abstract
Reflective practice post clinical placement in nursing education is essential to integrate knowledge, skills, attitudes, and experiences. Many nursing programs in-cooperate reflective practice to permit the integration of core nursing education with clinical experiences to develop safe and component nurses. The purpose of this literature review is to examine the current trends in nursing education around reflective practice post clinical practice experiences.
Incivility in nursing education: A systematic literature review
Abstract
Incivility has been investigated worldwide in various settings including non-health and health care settings. However, it has become a growing concern in higher education including nurse education. This is particularly disconcerting since it is concerned with developing a caring profession. This systematic literature review aims to describe perceptions of students and members of faculty regarding incivility in #nursing education. It identifies and discusses gaps in the literature and the need for future studies. This review was part of a doctoral thesis to which more recent studies have been added. A systematic literature review was conducted using the following steps: identification of a research question, data searching, data selection and data analysis. The approach was conducted to provide clear systematic steps and accommodate varied methods. Four themes emerged from the analysis including: (i) perceived instances of incivility; (ii) factors related to incivility; (iii) the impact of incivility, and (iv) strategies for promoting civility in nursing education. The study also identifies the need for randomised-intervention studies that investigate the phenomena
Incivility has been investigated worldwide in various settings including non-health and health care settings. However, it has become a growing concern in higher education including nurse education. This is particularly disconcerting since it is concerned with developing a caring profession. This systematic literature review aims to describe perceptions of students and members of faculty regarding incivility in #nursing education. It identifies and discusses gaps in the literature and the need for future studies. This review was part of a doctoral thesis to which more recent studies have been added. A systematic literature review was conducted using the following steps: identification of a research question, data searching, data selection and data analysis. The approach was conducted to provide clear systematic steps and accommodate varied methods. Four themes emerged from the analysis including: (i) perceived instances of incivility; (ii) factors related to incivility; (iii) the impact of incivility, and (iv) strategies for promoting civility in nursing education. The study also identifies the need for randomised-intervention studies that investigate the phenomena
Reinterpreting the nursing record for an electronic context
Abstract
Background
This article seeks to facilitate the re-imagining of nursing records purposefully within an electronic context. It questions existing approaches to nursing documentation, critically examines existing nursing record systems and identifies new requirements.
Methods
A comprehensive literature review was conducted to identify themes, that might meaningfully contribute to a new approach to nursing record systems development, around four key interrelated areas – standards, decision making, abstraction and summarization, and documenting. Studies were analyzed using narrative synthesis to provide a critical analysis of the current ‘state of the art’, and recommendations for the future.
Results
Included studies collectively described aspects of current best practice, both in terms of nursing record systems themselves, and how nurses and other health professionals contribute to and engage with those systems. A number of cross-cutting themes identified more novel approaches taken by nurses to systems development: going back to basics in determining purpose; firming up informatics foundations; nuancing or tailoring to suit different requirements; and engagement, involvement and participation.
An Integrative Review of Outcomes and Radiology Nursing
Abstract
The primary aim of this article is to present a broad overview and to describe and analyze the existing literature related to the effect of radiology nurses on health and health outcomes. Combinations of search terms related to the role of the radiology nurse and patient outcomes were used to search three electronic databases. Of the studies reviewed, 15 met inclusion criteria. This review concludes that further work must be completed to obtain an appropriate understanding of the effect of radiology nursing on patient outcomes. Given the lack of literature on this topic, there is significant opportunity to continue research on nursing in radiology.
The primary aim of this article is to present a broad overview and to describe and analyze the existing literature related to the effect of radiology nurses on health and health outcomes. Combinations of search terms related to the role of the radiology nurse and patient outcomes were used to search three electronic databases. Of the studies reviewed, 15 met inclusion criteria. This review concludes that further work must be completed to obtain an appropriate understanding of the effect of radiology nursing on patient outcomes. Given the lack of literature on this topic, there is significant opportunity to continue research on nursing in radiology.
Pedagogical Nursing Practice: Redefining nursing practice for the academic nurse educator
Abstract
The role of the nurse educator in the academy is one that is very complex in nature. It involves skills not only to be an effective educationalist, nurse researcher and active scholarly academic disseminating findings and new knowledge to enrich the healthcare arena, but still requires those skills that belong to that of an expert nurse. Academic nurse educators seem to have been distanced from the nursing discipline along the way. It is the author's intention to bring them back into the scope of the nursing profession, introduce and define her concept of Pedagogical Nursing Practice, and illustrate how much of a beacon the academic nurse educator truly is, in order for the profession to perpetuate and prosper.
The Future of Pediatric Nursing Science
The Future of #PediatricNursing Science
https://www.sciencedirect.com/science/article/abs/pii/S0029655418307486
Nursing colonialism in America: Implications for nursing leadership
Fundamentals of Nursing Practice and the Culturally Diverse ESL Nursing Students: The Students' Perspectives for Teaching and Learning in Nursing
Fundamentals of #NursingPractice and the Culturally Diverse ESL #NursingStudents: The Students' Perspectives for Teaching and Learning in #Nursing
https://www.sciencedirect.com/science/article/abs/pii/S1557308718301379
Abstract
English as-a-Second Language (ESL) nursing students who enroll in the Fundamentals of Nursing Practice course have been known to experience multiple challenges in nursing programs around the country. The central challenge ESL students experience is acclimating to the American education system, a system which differs from the education system in their countries of origin. This results in a high attrition rate, particularly in the Fundamentals of Nursing Practice course which is the entry-level course. This study explored the experiences and challenges of a group of culturally diverse ESL nursing students in an Associate Degree Nursing (ADN) program in the Northeastern United States, who passed the course. The purpose of the study was to uncover what helped the participants succeed. The goal was to utilize the participants' recommendations to improve the teaching and learning needs of ESL nursing students', and to reduce high attrition rates. A descriptive phenomenological approach utilizing bracketing was used to explore the challenges the participants experienced. The common challenges encountered by the participants were: language barriers, a lack of faculty support and mentorship, difficulty with teaching and learning styles, and a lack of critical thinking and application skills. Also, difficulty with concepts and applications in clinical practice, and racism and discrimination in the learning environment were contributors to their learning challenges. Findings showed that the language barrier was particularly detrimental when it came to the participants' reading, comprehension, and communication. Further findings encompassed the knowledge deficit about critical thinking, concepts, and application of concepts in clinical practice. Additional findings revealed that the participants struggled to balance school, work, and the challenges of being an immigrant, all of which effected their learning.
Director of Nursing Perceptions of Physicians' Roles in US Nursing Homes
Director of Nursing Perceptions of Physicians' Roles in US Nursing Homes
https://www.sciencedirect.com/science/article/pii/S1525861019304244
Friday, 27 July 2018
Why Do We Require #RegisteredNurses in #Nursing Homes? Using Longitudinal Hierarchical Linear Modeling
AIMS: To examine the relationship between #nurse staffing
and quality of care of #nursinghome residents, longitudinally.
BACKGROUND: Mixed results abound on the relationship between
nurse staffing and quality of care of residents in #nursing homes.
Cross-sectional designs may underpin bias because the relationship between
staffing and quality emerges over time, with latent unobserved variables. To
offset this limitation, I used a longitudinal design in this study
School Health #NursingProgram: prevention and control of #overweight/#obesity in #adolescents
OBJECTIVE: To describe the construction process of an
intervention in the form of a #NursingCare program to #Adolescents aimed at
preventing and controlling #overweight/#obesity in the school environment.
METHOD: A methodological study developed through
Intervention Mapping in Natal/RN, Brazil, between October of 2015 and September
of 2016, with the participation of #adolescents, public school teachers and #nurses
in #PrimaryHealthCare. Data sources were focus groups, interviews and an
integrative review. The Collective Subject Discourse was used for analysis
Theoretical frameworks and instruments for evaluation of critical thinking in #nursingeducation
OBJECTIVE: To identify theoretical frameworks and
instruments for the evaluation of critical thinking to base studies in #nursing
and education.
METHOD: Integrative review, with a selection of scientific
articles in Portuguese, English and Spanish, in the LILACS, SCIELO, IBECS,
MEDLINE/PubMed and SCOPUS databases, using the descriptors "thought",
"teaching" and "#nursing" in Portuguese and English. The
search resulted in 3,147 articles, and 23 papers published between 2010 and 2015
were selected.
RESULTS: Fourteen (60.2%) studies used the Facione framework
and eight (34.4%) resorted to different critical thinking assessment tools
applied in #nursing and education
Willingness to Use a #NursingHome in Asian Americans
Abstract
This study
explores factors associated with willingness to use a #nursing home in #Asian #Americans.
Focus is given to demographic variables (age, gender, ethnicity, marital
status, and education), health-related variables (chronic medical condition and
self-rated health), immigration-related variables (time in the U.S. and
acculturation), and family-related variables (family network and family
solidarity)
#Nursing Home Chain Affiliation and Its Impact on Specialty Service Designation for #AlzheimerDisease
Abstract
Specialty care
units (SCUs) in #nursinghomes (NHs) grew in popularity during the 1990s to
attract residents while national policies and treatment paradigms changed. #Alzheimersdisease
has consistently been the dominant form of SCU. This study explored the extent
to which chain affiliation, which is common among NHs, affected SCU bed
designation. Using data from the Online Survey Certification and Reporting
(OSCAR) from 1996 through 2010 with 207 431 NH-year observations, we described
trends and compared chain-affiliated NHs with independent NHs
Is Variation in Resident-Centered Care and Quality Performance Related to #HealthSystem Factors in Veterans Health Administration #Nursing Homes?
Abstract
The purpose of this research was to explore and compare
common health system factors for 5 Community Living Centers (ie Veterans Health
Administration #nursinghomes) with high performance on both resident-centered
care and clinical quality and for 5 Community Living Centers (CLC) with low
performance on both resident-centered care and quality. In particular, we were
interested in "how" and "why" some Community Living Centers
were able to deliver high levels of resident-centered care and high quality of
care, whereas others did not demonstrate this ability
NursingPractice and Particulate Matter Exposure
Abstract
: Environmental factors underlie more than one-fifth of
deaths and disability worldwide. Globally, both indoor and outdoor particulate
matter pollution are leading risk factors for reduced quality of life and
death. #Nurses are in a key position to assess particulate matter exposure and
to intervene, providing population, #community, #family, and individual risk
reduction and care.
Computer-based simulation: Effective tool or hindrance for undergraduate #nursing students?
BACKGROUND: Undergraduate #nursing programs continuously
strive to improve student learning outcomes within the simulation lab
experience. As a result, simulation labs are evaluating computer-based
simulation programs to engage the millennial student learner.
OBJECTIVE: Examine undergraduate #nursing student
perceptions and experiences when given a computer-based simulation program as a
preparation prior to their simulated lab experience.
METHODS: A mixed method strategy was used to evaluate the
data. Eighty-two senior undergraduate #nursing students voluntarily
participated in the study and completed the preparation program prior to the
students' simulated lab experience. Measures included a retrospective/pretest
survey of past simulated experience and posttest survey with focus groups,
after the first and last simulation debriefing of the semester. Quantitative
and qualitative data were collected and evaluated as separate perspectives and
then merged
Thursday, 26 July 2018
Representation of #domesticviolence against #women: comparison among #nursing students
OBJECTIVES: To identify and compare the structure and
content of representations of domestic violence against women among students in
the initial and final grades of a #nursing undergraduate course.
METHODS: A qualitative study was carried out between
August/November 2014, in Rio Grande/RS, with 132 #nursingstudents, 71 of the
initial grades and 61 of the final grades. The data has been collected through
evocations and interviews; for the treatment, the EVOC software and content
analysis have been used.
Exploring the State of the Science of the #Nursing Hand-off Communication
Abstract
Miscommunication that occurs during the exchange of
information between #healthcare providers accounts for approximately 80% of
adverse #events in the healthcare setting. #Nurses devote 10% to 15% of the
workday to the #nurse-to-nurse hand-off communication. The hand-off itself has
remained virtually unchanged for the past 20 years, although the process is
prone to errors. The introduction of the electronic health record and mandates
to decrease errors and improve #patient outcomes has led to an influx of
research on the #nurse-to-nurse hand-off communication
Monday, 16 July 2018
Enhancing culturally competent #nursingcare in #saudiarabia
Enhancing culturally competent #nursingcare in #saudiarabia
What Characteristics of #Nursing Homes Are Most Valued by Consumers? A Discrete Choice Experiment with Residents and #Family Members
What Characteristics of #Nursing Homes Are Most Valued by
Consumers? A Discrete Choice Experiment with Residents and #Family Members
Care in #patients with# epidermalnecrolysis in burn units. A #nursing perspective
Care in #patients with# epidermalnecrolysis in
burn units. A #nursing perspective
Exploring #nursing students' experiences of a drop-in support-centre: A mixed-methods study
Exploring #nursing students' experiences of a drop-in
support-centre: A mixed-methods study
#Nursing students' knowledge, attitude and practices of #infectionprevention and control #guidelines at a tertiary institution in the Western Cape: A #crosssectionalstudy
#Nursing students' knowledge, attitude and practices of #infectionprevention
and control #guidelines at a tertiary institution in the Western Cape: A #crosssectionalstudy
Nursing students' knowledge, attitude and practices of infection prevention and control guidelines at a tertiary institution in the Western Cape: A cross sectional study
Nursing students' knowledge, attitude and practices of infection
prevention and control guidelines at a tertiary institution in the Western
Cape: A cross sectional study
Unique experiences of direct entry BSN/BS-PhD nursing students: A Delphi study
Unique experiences of direct entry BSN/BS-PhD nursing
students: A Delphi study
The impact of burnout on doctorate nursing faculty's intent to leave their academic position: A descriptive survey research design
The impact of burnout on doctorate nursing
faculty's intent to leave their academic position: A descriptive survey
research design
The impact of burnout on doctorate nursing faculty's intent to leave their academic position: A descriptive survey research design
The impact of burnout on doctorate nursing
faculty's intent to leave their academic position: A descriptive survey
research design
Intellectual disability content within pre-registration nursing curriculum: How is it taught?
Intellectual disability content within pre-registration nursing
curriculum: How is it taught?
Increasing nursing capacity in genomics: Overview of existing global genomics resources
Increasing nursing capacity in genomics:
Overview of existing global genomics resources
Saturday, 2 June 2018
Corrigendum to 'Interventions for compassionate #nursingcare: A systematic review' International Journal of #NursingStudies (2016) 137-155
Corrigendum to 'Interventions for compassionate #nursingcare: A systematic review' International Journal of #NursingStudies (2016) 137-155
#Dental and #periodontal problems of #elderlypeople in #Vietnamese #nursinghomes.
#Dental and #periodontal problems of #elderlypeople in #Vietnamese #nursinghomes.
Effect of '#nursing terminologies and classifications' course on #nursing students' perception of #nursingdiagnosis.
Effect of '#nursing terminologies and classifications' course on #nursing students' perception of #nursingdiagnosis.
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