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
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