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Advanced Health Assessment in Nurse Practitioner Programs.
Responses from 140 nursing schools indicated that most taught health assessment to nurse practitioners as a separate course; public institutions were more involved in computer-assisted instruction. Faculty cited scarce resources and limited time to develop new teaching strategies. Most agreed that graduate courses should focus on differential…
Kelley, Frances J.; Kopac, Catharine
Assessment of head nurses' mental health
Aim: To investigate mental health of head nurses in internal medicine and surgery departments of Athens and province. Material and methods: 79 head nurses and nurse supervisors in internal medicine and surgery departments of secondary health care hospitals in Athens and one provincial town filled in the General Health Questionnaire (GHQ)-28. Results: Mean age of the sample was 40.19±5.30 years old.10% of head nurses and nurse supervisors exhibited considerable mental health burden, while no ...
Gesouli-Voltyraki E.; Marneras Ch; Charisi E.; Kostopoulou S.; Alverti V.; Chatzitheodorou S.; Mantzorou M.
Perceptions of health assessment, treatment and care by community nurses
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Full Text Available The aim of this study was to explore and describe whether primary health care nurses are equipped with the skills they require in health assessment, treatment and care.
Die doel van hierdie navorsing was om te verken en te beskryfofdie primere gesondheidsorgverpleegkundiges met die nodige vaardighede toegerus is, ten einde in staat te wees om kwaliteit pasientsorg deur gesondheidsberaming, behandeling en verpleegsorg, te verleen.
*Please note: This is a reduced version of the abstract. Please refer to PDF for full text.
S S Monamodi
Directory of Open Access Journals (Sweden)
Full Text Available Occupational health nurses (OHNs are qualified registered nurses with a postgraduate qualification in occupational health nursing. An important activity of OHNs is to identify and assess health risks in the workplace. Health risk assessments (HRAs are conducted by OHNs to determine all the occupational health stressors, for example noise, vibration and chemical substances. The authors conducted legal compliance occupational health audits and observed that 85% (n = 23 of OHNs in different settings conduct HRAs only to a limited extent. The following objective was formulated for the study: To explore and describe the extent to which OHNs conduct HRAs as it is a legal requirement for compliance; and the possible reasons for not adhering to the regulation and conduct them only to a limited extent. A quantitative, descriptive design was used in this study. A sampling frame was developed from a list of all the members of the South African Society of Occupational Health Nursing Practitioners (SASOHN in Gauteng. From the target population of OHNs in Gauteng, a systematic cluster sampling method was used. A self-developed questionnaire was distributed by mail and e-mail, and authors sent respondents reminders. The authors ensured that validity, reliability and ethical standards were adhered to. The findings revealed that OHNs are mature, experienced, predominately female practitioners who operate on behalf of a disproportionately large number of workers. Four factors influencing these nurses in conducting an HRA to a limited extent were identified: competence, ignorance about the role of the OHN, workload and attitude.
Nicolene de Jager
Clinical education is critically important because competency in practice ultimately will determine the future of advanced practice nursing. Skills taught in Health Assessment, the first in a series of clinical courses, exposed students to tools that form the basis on which other competencies are built. The availability of standardized patients, people who participate in enacting a simulated but seemingly "real life" clinical encounter in a realistic clinical setting for the benefit of student learning and/or evaluation, made this instructional development project possible. The underlying assumption of this project was that clinical advanced practice nursing student education is enhanced by using an authentic clinical environment, known as a simulation center, with standardized patients and by using one or more evaluation techniques with multiple evaluators (i.e., peer, self, faculty, standardized patient). The student clinical experience was expected to improve and overall learning to increase by this method. This improvement was reflected at the end-of-course evaluations and in the quality of the final videotaped physical examination, which was superior to previous years. Student and faculty satisfaction with this teaching-learning process exceeded all expectations. PMID:12025865
Gibbons, Susanne W; Adamo, Graceanne; Padden, Diane; Ricciardi, Richard; Graziano, Marjorie; Levine, Eugene; Hawkins, Richard
Undergraduate nurses' experience of the family health assessment as a learning opportunity
The practice of community health nursing (CHN) may enhance the life experiences of families and communities, particularly amongst the poor and socially marginalised. CHN provides for a deeper understanding of the health status of families living within communities, for example, where and how they live, their cultural context and their ability to identify resources available to assist with their health care (Allender, Rector & Warner 2010:17).This qualitative phenomenological study reflects on...
Willemse, Juliana J.; Kortenbout, Elma W.
Undergraduate nurses' experience of the family health assessment as a learning opportunity
Scientific Electronic Library Online (English)
Full Text Available SciELO South Africa | Language: English Abstract in english The practice of community health nursing (CHN) may enhance the life experiences of families and communities, particularly amongst the poor and socially marginalised. CHN provides for a deeper understanding of the health status of families living within communities, for example, where and how they li [...] ve, their cultural context and their ability to identify resources available to assist with their health care (Allender, Rector & Warner 2010:17). This qualitative phenomenological study reflects on the self-reported lived experiences of undergraduate CHN students at the University of the Western Cape in the City of Cape Town, South Africa. These students conducted a family health assessment (FHA) learning task at the homes of families within communities. Purposive and convenience sampling was used by students who had conducted an FHA. Fourteen students agreed to participate in the study, of whom nine were interviewed, two withdrew and the remaining three were not interviewed since no new data were emerging during interviews, indicating that saturation had been reached. During in-depth interviews with seven female and two male students, data for the exploration of the lived experiences was gathered through the following question: 'How did you experience the FHA?' Field notes were taken and used to capture non-verbal communication of participants. The focus of the study was to explore the lived experiences of students and not those of the family on whom the FHA was completed. Data collected were categorised into themes, guided by the systematic data analysis process of Tesch (1990) cited in Cresswell (2003:192). Four themes emerged: challenges of family selection, challenges of safety, socio-cultural challenges and academic challenges experienced by the participants. This study will inform future research and curriculum planning for CHN education in a multifaceted context.
Juliana J., Willemse; Elma W., Kortenbout.
PURPOSE: The purpose of this study was to evaluate the association between the federally mandated Minimum Data Set (MDS) Vision Patterns assessment for nursing home residents in the United States and an assessment of their vision-targeted quality of life as assessed by certified nursing assistants (CNAs). METHODS: Participants were 371 residents over the age of 55 from 17 nursing homes in the Birmingham, Alabama metropolitan area and the CNAs directly assigned to their care. CNAs assessed the vision-targeted quality of life of residents in their charge using the Nursing Home Vision-Targeted Health-Related Quality of Life (NHVQoL) questionnaire. MDS assessment categories assigned to each resident by the MDS nurse coordinator ("adequate", "impaired", "moderately impaired", "highly impaired", "severely impaired") were obtained from the medical record. Visual acuity was measured using logMAR charts by trained research staff. RESULTS: CNA rated NHVQoL subscale scores decreased as the MDS rating indicated more vision impairment (all P's for trend < 0.05). Almost all mean scores were in the 80s and 90s for those in the adequate, impaired, and moderately impaired categories. For those with MDS ratings of severely or highly impaired, NHVQoL subscale scores (except ocular symptoms) were dramatically lower (P ? 0.001) than those rated as moderately impaired. CONCLUSIONS: Ratings by CNAs on the vision-targeted quality of life of nursing home residents under their care is in general agreement with the MDS category assigned by the nurse coordinator. However, CNA ratings are largely homogeneous in the adequate vision to moderately impaired categories. PMID:21331148
Swanson, Mark W; McGwin, Gerald; Elliott, Amanda F; Owsley, Cynthia
Nursing, Midwifery and Allied Health
Intute's Nursing, Midwifery, and Health professional pages is a free online resource that provides information skills for nurses, midwives, and health visitors, allowing them to make practical use of the Internet in their work. The site contains key Internet resources to support the study, teaching, and/or research for nurses, midwives, and health visitors. For those completely unfamiliar with the Web world, the site also contains a glossary to help demystify some Internet terminology.
[Nurses' practice in health audit].
The objective of this investigation was to identify nurses' practice in heath audit. The hermeneutic-dialectic method was used for the analysis. The study was performed in three loci: the internal audit service of a hospital; the external audit service of a private health service buyer, and the state audit service of the public health system (SUS, acronym in Portuguese for Sistema Unico de Saúde-Unique Health System), in Bahia. Nine audit nurses were interviewed. In the SUS audit, the nurses report being fulfilled with their practice and with the valorization of their professional role. In the private audit--both inside and outside of health organizations--the nurses' activities are focused on meeting the interests of their contractors, and do not get much involved with the care delivered by the nursing team and with the needs of service users. PMID:20964043
Pinto, Karina Araújo; de Melo, Cristina Maria Meira
[Public health nursing in Greece].
Nursing is considered, as the main profession that covers the need for primary health care services, in cooperation with physicians and other health and social care professions. In Greece, public or community health nursing as a concept exists since the beginning of professional nursing in the seconf half og the 19 century. There are three professions in Greece that are mainly involved in the provision of community nursing services. These are general nurses, health visitors, and midwives. General nurses are educated at degree level in the university or polytechnics. Health visitors and midwives are separate professions, also educated at degree level in polytechnics. Although all general nurses are prepared to work at any level of health care provision, they are not considered adequately educated to perform their full role in the community, with just their existing knowledge and experience. It is therefore essencial that further education or specialization is needed, in order that they could practice independently or as members of the primary health care teams effectively, and be able to respond to public health needs of the population PMID:14754555
Sourtzi, P; Kalokerinou, A
In the UK, over 20 contemporaneous reports have shown that between one-quarter and one-half of National Health Service (NHS) staff report significant personal distress (Weinberg & Creed 2000). There exists a substantial body of evidence to suggest that high levels of stress are endemic throughout the NHS (Anderson et al. 1996), and that many of these stressors may be unique to health care (Payne & Firth-Cozens 1987, Calboun & Calboun 1993). Historically, responsibility for stress management has often been placed at the feet of the employee (Sutherland & Cooper, 2000). This individual orientation has lead to the development of practices designed to treat those exhibiting symptoms of stress, and a relative paucity of interventions oriented to the prevention and the management of workplace stressors. It can also serve to deter scrutiny of injurious workplace conditions, practices and procedures. This small-scale study examines stress and job satisfaction in community mental health nurses in a semirural area of North Wales. Based on self-report questionnaire feedback, focused interventions are described to enhance work satisfaction and help ameliorate occupational stressors. Interventions are described at the level of the individual, the team and the organization as a whole. PMID:11882121
Cottrell, S
Recent developments in public health nursing in the Americas.
This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Americas. There are significant regional differences in the levels and types of training of nurses working in public health areas and an increasing number of nurses are pursuing training in public health at the master's and doctoral levels. Many nurses carry out some or all of the essential functions of public health, but are not considered to be public health nurses. Generally, auxiliary and technical nurses have a broader presence in public health areas than professional nurses. In the future, regional health systems reforms should support increased recruitment and training of public health nurses, as well as stronger roles in public health research and health care at the individual, community, and population levels. PMID:20617000
Nigenda, Gustavo; Magańa-Valladares, Laura; Cooper, Kelly; Ruiz-Larios, Jose Arturo
Recent Developments in Public Health Nursing in the Americas
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Full Text Available This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Americas. There are significant regional differences in the levels and types of training of nurses working in public health areas and an increasing number of nurses are pursuing training in public health at the master's and doctoral levels. Many nurses carry out some or all of the essential functions of public health, but are not considered to be public health nurses. Generally, auxiliary and technical nurses have a broader presence in public health areas than professional nurses. In the future, regional health systems reforms should support increased recruitment and training of public health nurses, as well as stronger roles in public health research and health care at the individual, community, and population levels.
Jose Arturo Ruiz-Larios
Recent Developments in Public Health Nursing in the Americas
This study presents an assessment of the participation and training of nurses in public health areas in the Americas. Information was gathered through a literature review and interviews with key informants from Mexico, Colombia, and Paraguay. Results demonstrate that there is significant variation in definitions of public health nursing across the region and current systematized data about the workforce profile of public health nursing personnel is not available for many countries in the Amer...
Jose Arturo Ruiz-Larios; Kelly Cooper; Laura Magańa-Valladares; Gustavo Nigenda
Designing authentic assessment: strategies for nurse educators.
Increased emphasis on health care safety requires renewed attention to teaching and learning processes for future health care professionals. When presented with problems situated in a clinical context, learners have rich opportunities to demonstrate integration of concepts. Authentic assessment is an approach to evaluation of learning through which students can demonstrate acquired knowledge, skills, and attitudes in the context of real-world or realistic nursing practice activities. This article describes features, approaches, and examples of authentic assessment processes in the context of classroom, clinical, and online nursing education. PMID:25358115
Poindexter, Kathleen; Hagler, Debra; Lindell, Deborah
[The assessment of nursing workload].
The measurement of nursing workload first began in the 1970s, because of the need for determining severity of illness and cost-effectiveness in the intensive care unit. In the following decades, the need for more specific tools for assessing nursing workload brought to the development of scoring systems more focused on nursing activities. We will briefly review the scoring systems validated since 1974. TISS-Therapeutic Intervention Scoring System elaborated by Cullen in 1974 is based on 57 therapeutic procedures and was designed to assess the severity of illness in the ICU. Each intervention scores 1 to 4. Patients are grouped in 5 classes. It was not sufficiently validated and was abandoned. However it first introduced the idea of "patient point managed per nurse". TISS update was elaborated by Keene in 1983. The therapeutic procedures were increased to 76. It was assumed that a single nurse can manage 40/50 points per day. Though not validated, it became the most used tool to assess complexity of treatment and nurse/patient ratio. However many of these items are obsolete and frequently related to the severity of illness rather than to specific nursing interventions. PRN-Project Research of Nursing was elaborated by EROS during 1980-1987. Points are assigned to each nursing activity according to their frequency, duration, need for more than one nurse, etc. It results quite time consuming, thus unsuitable for routine use. OMEGA elaborated in 1986 describes 86 therapeutic interventions, grouped in 3 categories, measured at the end of ICU stay, thus representing a measure of global workload and use of resources. TOSS-Time Oriented Score System was elaborated by GIRTI in 1991. This score was studied and tested in Italy. It represents a direct temporal evaluation of nursing workload. The score is expressed in minutes. It is reliable and relatively simple, and has been validated on over 2 700 ICU patients. TISS 28 was elaborated by Miranda in 1996. It represents a simplified and updated version of the original TISS, proposed to assess the nursing workload. The authors stated that a nurse can deal with 46 points over the 24 hours. NEMS-Nine Equivalents of nursing Manpower use Score was elaborated by Miranda in 1997. It was derived from TISS and TISS28. Only 9 items, related to specific organ support, nursing and diagnostic/therapeutic interventions inside or outside the ICU, are considered. These items were weighted by multivariate analysis, obtaining a score comparable to the TISS28 score. Each nurse can deal with 45/50 points per day. NAS-Nursing Activity Score was elaborated by Miranda in 2003. It was derived from TISS28, aiming at the description of nursing activities not necessarily correlated to the severity of illness. It describes 81% of the nursing time, compared to 43% of TISS 28. In conclusion, many scoring systems have been proposed to describe nursing workload, both directly (as with TOSS and PRN) or through severity and complexity of treatment (TISS, TISS 28, NAS and NEMS). These scores represent the instruments to assess the correct use of ICU resources. PMID:15181424
Guccione, A; Morena, A; Pezzi, A; Iapichino, G
Nursing students' attitudes about psychiatric mental health nursing.
The purpose of this study was to describe Masters entry nursing students' attitudes about psychiatric mental health clinical experiences; preparedness to care for persons with mental illness; students' perceived stigmas and stereotypes; and plans to choose mental health nursing as a career. A 31-item survey was administered to pre-licensure graduate nursing students who were recruited from a Masters entry nursing program from a university in a large city in the Midwestern US. Results indicated that clinical experiences provide valuable experiences for nursing practice, however, fewer students think that these experiences prepare them to work as a psychiatric mental health nurse and none plan to pursue careers as psychiatric mental health nurses. The findings support conclusions from other studies that increasing the amount of time in the clinical setting and adding specific content to the curriculum, particularly content related to the importance of psychiatric mental health nursing and the effects of stigma, may assist the profession's efforts to recruit and retain psychiatric mental health nurses. Further research is needed to determine the effectiveness of these strategies and to identify the best ways to implement them. PMID:25397970
Hunter, Lauren; Weber, Tayler; Shattell, Mona; Harris, Barbara A
The Interest Pattern of Public Health Nurses.
The purpose of this study was to determine if the interest of nurses in a specialty such as public health nursing could be identified through their interest pa tern on the Strong Vocational Interest Blank. The subjects were 226 public health nurses who volunteered, qualified according to the criteria, and completed the Strong Vocational Interest…
Carmody, Constance E.
Quantifying Community Health Nursing: The Control is with the Nurse
This paper describes the formation, benefits, and implication to nursing practice of an automated nursing information system in a community health agency based on a service provided framework. The design of the service provided coding system is described. Benefits and future implications to the community health agency are discussed.
Miller, Judith L.; Sienkiewicz, Josephine I.
Public health nursing research priorities: a collaborative Delphi study.
The purpose of this study was to identify research questions and priorities in public health nursing based on the perceived needs of practicing public health nurses, and to assess whether the respondents believed that the profession should provide leadership in the study of the identified questions. Using a modified Delphi survey, 76 research priorities were ranked and produced three factors or categories of questions during the two rounds: outcomes in maternal-child and family planning, outcomes in home health services, and public health nurse recruitment, retention, job satisfaction, and image. Forty-seven (62%) of the 76 priorities were deemed appropriate for nursing to assume leadership in seeking answers. Results reveal a consensus of research priorities generated by front-line nurses consistent with year 2000 health objectives for the nation. PMID:8029183
Misener, T R; Watkins, J G; Ossege, J
Professional activities of experienced occupational health nurses.
Occupational health nurses have diverse backgrounds and their practices require the ability to perform unique professional tasks. This study empirically evaluated their activities and skills using a web-based log system to describe activities at 15 specific sampled times. A national sample of 128 occupational health nurses provided 1,893 activity logs revealing occupational health nurses use both clinical and management skills on a regular basis; indirect client care is as common as direct "hands-on" client care. Most occupational health nurses are directly paid by their employer and activities serve to benefit both individual workers and their employers. Occupational health nurses have specific knowledge and skills in addition to general nursing competencies. Understanding the actual work of occupational health nurses is necessary to align training, certification, and competency maintenance systems such as continuing education with the unique skills used in actual practice activities. PMID:24971818
Harber, Philip; Alongi, Gabriela; Su, Jing
Predictors of married female nurses' health.
Excessive workload from employment and household duties may negatively affect married female nurses' health. This study explored job stress, family stress, social support, and health status among married female nurses to identify predictors of nurses' health status. Using a cross-sectional design, 233 married female nurses were recruited from two regional teaching hospitals. The results showed that working hours per week, job stress, and overcommitment to their jobs were significant determinants of health status. Based on study findings, nursing supervisors should avoid scheduling nurses to work more than 48 hours per week. Job stress adjustment courses could enable nurses to relax after work, avoiding overcommitment. [Workplace Health Saf 2014;62(11):447-452.]. PMID:25102479
Fang, Li; Hung, Chich-Hsiu
Assessment of the interdependence between work environment and health condition among nurses
Occupational diseases are a significant issue worldwide. These diseases cause major economic and social problems and influence statistics representing sick-leave periods, disabilities, and even deaths. In the developed countries, work within the health care system is considered among the jobs that are associated with highest risk of developing occupational skin diseases, diseases caused by biological materials as well as illnesses of musculoskeletal systems. In the European Union, approxi...
Janus?kevic?ius, Vidmantas
Investigating student nurses' constructions of health promotion in nursing education.
This article describes student nurses' constructions of health promotion and the change of these constructions during their nursing education in two Finnish polytechnics. The data consisted of essays written by the 19 student nurses before they began their nursing education in 1997 and of stimulated recall interviews with the same students during the second year of their education in 1998. The data were analyzed by using thematic analysis. During the first study year, 13 students' constructions of health promotion changed. Six students had initially broad constructions of health promotion and their constructions remained unchanged. Four basic changes were found in the students' constructions: (1) the emphasis shifted from physical to multidimensional health promotion, (2) health promotion became more concrete and contextual, (3) the conception of perfect health became more permissive and relative, and (4) the interpretation of health promotion shifted from performing towards being there for the patient. These results may indicate that student nurses in Finnish polytechnics were attempting to adopt the empowerment approach to health promotion for their constructions. Moreover, the results represent a major challenge concerning nursing education and health promotion learning from the constructivistic approach to knowledge building. PMID:11252282
Liimatainen, L; Poskiparta, M; Sjögren, A; Kettunen, T; Karhila, P
Oral Health Nursing Education and Practice Program
Millions of Americans have unmet oral healthcare needs and profound oral health disparities persist in vulnerable and underserved populations, especially poor children, older adults, and racial and ethnic minorities. Nurses can play a significant role in improving the quality of oral health including access to care with appropriate education and training. The purpose of this paper is to describe New York University College of Nursing's response to this challenge. The Oral Health Nursing Educa...
Donna Shelley; Judith Haber; Dolce, Maria C.
Occupational Health Hazards in ICU Nursing Staff
This study analyzed occupational health hazards for Intensive Care Unit (ICU) nurses and nursing technicians, comparing differences in the number and types of hazards which occur at the beginning and end of their careers. A descriptive cross-sectional study was carried out with 26 nurses and 96 nursing technicians from a public hospital in the Federal District, Brazil. A Likert-type work-related symptom scale (WRSS) was used to evaluate the presence of physical, psychological, and social risk...
Anadergh Barbosa Branco; Edgar Merchán-Hamann; Djalma Ticiani Couto; Helena Eri Shimizu
The Nursing and Health Outcomes Project.
Increasingly, administrative databases are playing major roles in decisions regarding the effectiveness and funding of the health-care system. These databases contain information taken from patients' charts after their discharge and include their age, gender, diagnoses, medical interventions and length of stay Although nurses are the largest health-care provider group in all sectors of the Canadian health-care system, the nature and effectiveness of their contributions to patient care are not captured on administrative databases because no information about nurses' contribution to care is abstracted from charts. The Nursing and Health Outcomes Project (NHOP) was established by the Ontario Ministry of Health and Long-Term Care to identify nursing-sensitive patient outcomes and their attendant nursing inputs and processes that could be housed on databases. This article describes the background to this project and reports on the progress to date. The implications of having this information on databases will be examined. PMID:16350735
White, Peggy; Pringle, Dorothy; Doran, Diane; Hall, Linda McGillis
...Services Administration Nursing Workforce Diversity Invitational Summit--``Nursing in 3D: Workforce Diversity, Health Disparities, and Social Determinants...summit that focuses on Nursing Workforce Diversity (NWD), Health Disparities, and...
Are premenstrual symptoms associated with health anxiety in nursing graduates?
Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 using the Premenstrual Assessment Form (PAF). A total of 571 women completed the survey in 1991, along with items relating to their physical and mental health. The latter included depression, anxiety, and panic attacks. Health anxiety was also as...
Yinghui Xu; Russell Noyes; Hartz, Arthur J.; Levy, Barcey T.; Daly, Jeanette M.; Johnson, Susan R.
Challenges in mental health nursing: current opinion
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Full Text Available Donna Sabella, Theresa Fay-Hillier College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA Abstract: The current mental health care system in the US continues to struggle with providing adequate care and services to all that require it due to limited resources, biases from both other professions and the public, and the complexities of treatment of many of those individuals or populations that suffer from mental illness. Mental health nurses, also referred to as psychiatric nurses, are impacted by those same biases, limited resources, and complexities in their role. This paper provides a brief history of mental health nursing and a discussion of the current challenges faced within the profession. It will also include how the public's perception of both those who have mental illness and those who treat it is based on the sensationalism of those who are violent, and misunderstanding of current treatments. It is imperative that mental health nurses continue to define and educate other health care professionals as well as the general public of the role of the mental health nurse and those who suffer from mental illness. Unfortunately, some of the same bias that was present in the 1930s remains today, but perhaps with perseverance and education it will not continue into the future. Keywords: mental health, psychiatric nursing, pre- licensure, post-licensure challenges, professional obstacles, public perception
Sabella D
Health Communications: Nursing Education for Increased Visibility and Effectiveness.
To improve the visibility of nurses in mass media, health communications content should be integrated into nursing education. Nurses equipped with advanced communication skills, media expertise and teaching strategies can empower the profession to influence the health care environment. (SK)
Chaffee, Mary
Occupational health among Iranian nursing personnel
Background: There is increasing global evidence that today's work environment results in a higher risk of adverse health among nursing staff than among many other professions. Since nurses constitute the largest group in the healthcare workforce and have a crucial role in providing care services, their impaired health might have an adverse effect on the quality of healthcare. The overall aim of this thesis was to explore work-related health and associated factors. A further aim was to descr...
Arsalani, Narges
Around 25% of people with schizophrenia have no specialist contact, but are looked after entirely in general practice. We aimed to determine the involvement of practice nurses in administering depot neuroleptics, and their needs for training in patient assessment. Methods included a postal survey of all practice nurses in one health authority, and interviews with practice nurses and expert nurse advisers, to explore attitudes and knowledge. Of 140 practices, 93 employed 194 practice nurses be...
Kendrick, T.; Millar, E.; Burns, T.; Ross, F.
People with serious mental illness experience premature death due to higher rates of cardiometabolic conditions (e.g. cardiovascular disease, diabetes) than the general population. Mental health services often do not provide sufficient cardiometabolic clinical care to address these risks. The cardiometabolic health nurse (CHN) role has been suggested as a strategy for ensuring integrated care is provided and sustained. The views of nurses in mental health would be essential in informing the viability and development for this initiative. This paper presents the findings of open-ended comments from a cross-sectional online survey of nurses working in mental health in Australia (n = 643) eliciting views about the possible introduction of the cardiometabolic nurse. Thematic analysis was undertaken, of 133 open comments on this topic. The findings suggest that nurses see the specialist role as suitable and valuable for mental health services. Some nurses voiced concern about specialisation leading to fragmentation (e.g. in responsibilities for physical health, division of mental and physical health care, and less emphasis on equipping all nurses with comprehensive care skills), especially for settings where generalist nursing was seen as already available. The findings suggest this role is viewed favourably by nurses, provided that it is consistent with holistic and comprehensive care. Empirical research is needed to see whether this role increases holism (as valued by consumers and nurses) and cardiometabolic outcomes. PMID:25397354
Happell, Brenda; Platania-Phung, Chris; Stanton, Robert; Millar, Freyja
Relationship between nurses' spiritual intelligence with hardiness and general health
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Full Text Available Background: Nursing is one of the stressful jobs that affect nurse's general health. The aim of this study was assessment relationship between Spiritual intelligence, Hardiness and General health among nurses in the hospital of Bushehr in 1388. Methods: Cross- sectional study designed and 125 nurses who have been working in different wards of the hospital enrolled in the study. Data was collected using Spiritual intelligence, Hardiness, General health and characteristics demographic questionnaires. Correlation, t-test, ANOVA, Tukey and regression analysis was applied using SPSS-16 soft ware. Results: The results showed there was significant relationship between spiritual intelligence and hardiness (P<0.005, spiritual intelligence and General health (P<0.005, hardiness and General health (P<0.001. Among the demographic characteristics including age, gender, working section, marital status, job experiences, and education only working section showed significantly correlated with patience (P<0.005. Conclusion: Improvement of spiritual intelligence and reinforcement of hardiness could help to increase the general health of nurses.
Fatemeh Akbarizadeh
Mixed methods research in mental health nursing.
Mixed methods research is becoming more widely used in order to answer research questions and to investigate research problems in mental health and psychiatric nursing. However, two separate literature searches, one in Scotland and one in the USA, revealed that few mental health nursing studies identified mixed methods research in their titles. Many studies used the term 'embedded' but few studies identified in the literature were mixed methods embedded studies. The history, philosophical underpinnings, definition, types of mixed methods research and associated pragmatism are discussed, as well as the need for mixed methods research. Examples of mental health nursing mixed methods research are used to illustrate the different types of mixed methods: convergent parallel, embedded, explanatory and exploratory in their sequential and concurrent combinations. Implementing mixed methods research is also discussed briefly and the problem of identifying mixed methods research in mental and psychiatric nursing are discussed with some possible solutions to the problem proposed. PMID:21749560
Kettles, A M; Creswell, J W; Zhang, W
Priorities and challenges of health system chief nursing executives: insights for nursing educators.
The health system chief nursing executive (CNE) is responsible for providing high-quality, service-oriented nursing care; delivering such care with disciplined cost management; leading and developing a group of nursing executives and managers at the facility level to establish nursing professional development programs and to build and maintain an effective supply of nurses; and advocating nurses and patients. This article provides insight into the strategies and priorities of large health system CNEs in balancing their obligations to their health systems, to patients and their families, and to the nurses they lead. It is hoped that these insights will provide perspectives that will support the ability of nursing educators to meet their own obligations to their schools of nursing, the faculty and students they represent, and to the profession. These insights will also set a context for further dialogue between two very important groups of nursing leaders-nursing executives and nursing educators. PMID:16873043
Arnold, Lauren; Campbell, Ann; Dubree, Marilyn; Fuchs, Mary Ann; Davis, Nancy; Hertzler, Barbara; Talarek, Diane; Wessman, Joan
Decolonizing sexual health nursing with Aboriginal women.
Nurses striving to provide quality health care for and with Indigenous individuals and communities in Australia face particular challenges. Past and present discriminatory or non-responsive health-care practices and policies have caused many Aboriginal women and their families to mistrust health-care professionals and practices. It is vital that nurses develop culturally safe and respectful ways of working in partnership with Aboriginal colleagues and clients. The author discusses how nurses in both Canada and Australia have drawn on critical and postcolonial feminist theories, Indigenous epistemologies and methodologies, and models of cultural safety to develop a more responsive, decolonizing approach to health care and training. Two practice examples from the Australian context highlight both the challenges and the benefits of incorporating decolonizing approaches into practice. The similarities in and differences between situations reveal a clear need for responsive and flexible decolonizing approaches. PMID:24236371
Kelly, Janet
[Institution of nurse's leadership in health matters].
The subject matter in focus in this research was the fact of nurses begin to work in the management leadership at the Municipal Health Foundation of Niterói (FMS). The Institutional Analysis, René Lourau trend, was the method used for analyzing the relationships established by 10 nurses acting as health managers. The "theoretical base" was constructed by oral activity of the agents, through an oriented interview, limiting three categories: "The Challenge of Being a Manager", "The Challenge of Being a Leader" and "The Challenge of Decision Making". Among the knowledge constructed one can points out the CHALLENGES that the nurse has to face in the health management, which are: to organize the work of other professionals and to take charge in fact of the leader role in the health system. PMID:16613388
Christovam, Barbara; Santos, Iraci
Conceptualizations of health in nursing practice.
There are many ways of living health as individuals describe it from unique perspectives. With the intent of serving others, healthcare professionals rely on a specific conceptualization of health consistent with a practice methodology. Hence, for the advancement of innovative scientific knowledge health can be viewed from distinct paradigmatic perspectives and must be founded on a congruent ontological-epistemological-methodological link in professional practice. The purpose of this column is to describe conceptualizations of health with congruent practice methodologies from three distinct nursing paradigmatic perspectives. The authors consider that these distinct paradigmatic nursing perspectives offer diverse disciplinary knowledge of social utility to nursing professional practice for the betterment of the ones being served. PMID:24740946
Doucet, Thomas J; Merlin, Marjolaine Dionne
Mitochondrial health – essential information for nurses
One of the most important organelles in the body is the mitochondria. It is crucial for generating energy and producing freeradicals. Mitochondrial health is essential to the prevention and treatment of diseases. However, cellular or molecularmechanisms such as mitochondrial dysfunction are not adequately addressed in the current essentials of the AmericanAssociation of Colleges of Nursing (AACN) for all nursing programs. Thus, mitochondrial function content should beincorporated into all ...
Qiuhua Shen; Elaina Knowles; Hiebert, John B.; Pierce, Janet D.
Health Information Technology and Nursing Homes
Nursing homes are considered lagging behind in adopting health information technology (HIT). Many studies have highlighted the use of HIT as a means of improving health care quality. However, these studies overwhelmingly do not provide empirical information proving that HIT can actually achieve these improvements. The main research goal of this…
Liu, Darren
Value reflected health education : competence development among school health nurses
DEFF Research Database (Denmark)
This article examines the impact of a value-reflected approach in health education by demonstrating the nature of professional competence development connected to this approach. It is based on findings from two three-year health educational development projects carried out by school health nurses and researchers at primary schools in Denmark from 2004-2009. We argue for the importance of reflecting on values in school health nursing in order to navigate between human values and values deriving from medicine. Our studies demonstrate that value clarification, peer observation and reflective spaces at work develop pedagogical competences in health education improving school childrens' health.
Wistoft, Karen; Nordentoft, Helle Merete
Chronic Health Conditions Managed by School Nurses. Position Statement. Revised
It is the position of the National Association of School Nurses that students with chronic health conditions have access to a full-time registered professional school nurse (hereinafter referred to as school nurse). School districts should include school nurse positions in their full-time instructional support personnel to provide health services…
Morgitan, Judith; Bushmiaer, Margo; DeSisto, Marie C.; Duff, Carolyn; Lambert, C. Patrice; Murphy, M. Kathleen; Roland, Sharon; Selser, Kendra; Wyckoff, Leah; White, Kelly
Getting eHealth into basic nursing education: report of the RCN information in nursing project.
This paper reports the results of a project undertaken in 2008 by the Royal College of Nursing's Information in Nursing Forum. The project, undertaken by the RCN IN Forum in association with the RCN Education Forum and the RCN Association of Nursing Students, was in two parts. The first part consisted of an on-line survey of nursing students to discover their "readiness" for working in an electronic environment. The second part consisted of a workshop for invited stakeholders - organisations responsible for commissioning and providing basic nursing education, regulators, nurse teachers, and nursing students themselves - the objective of which was to consider the results of the survey and other information, in order to develop a consensus on how best to incorporate eHealth issues into basic nursing education. The survey was undertaken during April 2008 via the RCN website. Students were asked how well they felt their nursing education had prepared them for competencies set out in a previously published model curriculum. 1,120 students responded. 565 students who had used electronic patient records during their most recent clinical placement were asked about their experience. Students rated their basic computer skills much higher than their understanding of eHealth. While they felt competent to document assessments and care plans using paper records, few felt competent to do so using electronic records. Few know anything about telehealth (remote diagnosis and delivery of healthcare) or telecare (assistive technology in people's homes). Among those who had used computers in their most recent clinical placement there were clear breaches of the protocols designed to ensure security and confidentiality. Twenty seven invited participants attended the workshop held in October 2008, plus 12 members of the participating Forums and relevant RCN staff. Following presentation and discussion of the findings of the survey, participants worked in three groups to identify and discuss issues arising from the survey, and to identify barriers using a Force Field Analysis. All participants agreed eHealth should be an integral part of nursing education and not an "add-on", and that the responsibility for "Getting eHealth into basic nursing education" had to be shared by university based educators, placement supervisors, and regulators. PMID:19592900
Clark, June; Baker, Bernice; Baker, David
Florence Nightingale: nurse and public health pioneer.
August 2010 marks the centenary of the death of Florence Nightingale, who must be, without doubt, the most famous name in nursing. Most people, even those in the health professions, think of her as 'The Lady with the Lamp'; the heroine of the Crimean War, who tended the sick and wounded soldiers at Scutari. Important though this was, her main contribution, which continued long after Crimea, was in the organization of nursing training, in hospital planning, public and military health, and in effective collection of medical statistics. PMID:20081644
Ellis, Harold
Mitochondrial health – essential information for nurses
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Full Text Available One of the most important organelles in the body is the mitochondria. It is crucial for generating energy and producing freeradicals. Mitochondrial health is essential to the prevention and treatment of diseases. However, cellular or molecularmechanisms such as mitochondrial dysfunction are not adequately addressed in the current essentials of the AmericanAssociation of Colleges of Nursing (AACN for all nursing programs. Thus, mitochondrial function content should beincorporated into all nursing curricula that are practice-based. In this article, we will review the anatomy and physiology ofthe mitochondria (i.e., coenzyme Q10, and the need to include mitochondrial health as a concept in nursing. We willpresent various diseases/conditions that are affected by mitochondrial dysfunction such as coronary artery disease,diabetes, and aging. In the future, with the expanding advances in the biological sciences, nurses need to learn more aboutcellular function particularly the mitochondria. Consequently, there should be a new emphasis on mitochondrial health bynurses in education and practice.
Qiuhua Shen
Assessment of quality of life of Iranian nurses
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Full Text Available
Nurses' Quality Of Life (QOL may be affected by many different factors which can in turn influence their competency in their job. The aim of this study is to assess the QOL of Iranian nurses to provide evidence for policy makers to take necessary strides needed to make improvements.
Materials and methods
Using a cross-sectional study design, we evaluated the QOL of Iranian nurses by the assessment of four indicators, namely, physical health, psychological health, social health and environmental health. A total number of 850 nurses from 17 different provinces of Iran were recruited by random sampling. They were requested to complete the WHO QOL-BREF questionnaire. The data were then analyzed using the SPSS version 16.
The results indicated that half of the nurses scored in the moderate range, suggesting that they had a reasonably good QOL. They scored considerably high in terms of physical health indicators and achieved significantly low scores regarding environmental health issues. Although the chi-square test did not show any significant association between the QOL indicators and different factors such as work experience, gender, job position and patients group. We found a significant association between the subject's position at work in hospitals shift pattern and their overall QOL score.
The results of our study showed that more half of the nurses evaluated their QOL at a moderate level. The results from this study can be used by policy makers to contribute to the improvement of the QOL of nurses which may lead to the enhancement of the quality of care they deliver to their patients. It seems imperative to conduct future research encompassing a group of nurses from the whole country, so that a more representative cohort can be studied. It would also pave the way for the establishment of a QOL database for nurses in Iran that could monitor changes in the nursing population
Sedighe Salemi
Nurses' Competencies in Disaster Nursing: Implications for Curriculum Development and Public Health
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Full Text Available The purpose of this study was to explore Hong Kong nurses' perceptions of competencies required for disaster nursing. Focus group interviews and written inquiry were adopted to solicit nurses' perceived required competencies for disaster care. A total of 15 nurses were interviewed and 30 nurses completed the written inquiry on their perceived competencies related to disaster nursing. The International Council for Nurses' (ICN framework of disaster nursing competencies, consisting of four themes and ten domains, was used to tabulate the perceived competencies for disaster nursing reported by nurses. The most mentioned required competencies were related to disaster response; with the ethical and legal competencies for disaster nursing were mostly neglected by nurses in Hong Kong. With the complexity nature of disasters, special competencies are required if nurses are to deal with adverse happenings in their serving community. Nurses' perceived disaster nursing competencies reported by nurses were grossly inadequate, demonstrating the needs to develop a comprehensive curriculum for public health. The establishment of a set of tailor-made disaster nursing core competencies for the community they served is the first step in preparing nurses to deal with disastrous situations for the health of the public.
Alice Yuen Loke
Computer applications for community health nursing educators.
Community health nursing clinical practicums present unique problems for the clinical teacher. Using a laptop computer and an integrated word processing, database management, and spreadsheet program enhanced the productivity of this clinical teacher and, consequently, the quality of clinical instruction. PMID:2268803
Frachel, R R
Exploring nurses' confirmed expectations regarding health IT: a phenomenological study.
Health information technology (IT) benefits both patients and providers with respect to health care quality and perceived usefulness. Although existing research provides a preliminary understanding of nurses' perception of health IT, perceptions do not guide actions. This phenomenological study explored nurses' perceptions regarding electronic health records and bar code medication administration four months post implementation on a medical-surgical unit in an academic medical center. Ten staff nurses (8 females and 2 males) participated. We categorized the results into five themes from personal-level to organizational-level confirmed expectations: (1) nurses' interaction with computer, (2) nursing performance regarding task accomplishment, (3) unit-specific teamwork, (4) interdisciplinary teamwork, and (5) quality of care. We discovered that effective health IT must be congruent with nursing expectations. IT professionals, nursing and organizational leaders may use findings to structure an environment supportive of effective health IT in nursing practice. PMID:24321515
Zadvinskis, Inga M; Chipps, Esther; Yen, Po-Yin
Profile of an excellent nurse manager: identifying and developing health care team leaders.
The purpose of this research was to identify the profile of an excellent nurse manager who can lead effective health care teams. Leadership attributes and competencies that characterize an excellent nurse manager and tools to identify them are lacking in the literature but are required to efficiently and effectively address the growing shortage of registered nurses (RNs) in health care team leadership roles and the critical linkage of these roles to patient outcomes. A profile of an excellent nurse manager was developed on the basis of the responses of nurse managers across the United States who had been identified as excellent or competent by chief nurse executive assessment or/and the Nurse Manager Ability, Leadership, and Support of Nurses staff survey to the Kouzes and Posner Leadership Practices Inventory: Self Instrument. Statistically significant distinctions exist between nurse managers who are excellent and those who are competent as assessed by the Five Practices of Exemplary Leadership, which together comprise the profile of an excellent nurse manager. The Kouzes and Posner Leadership Practices Inventory: Self Instrument can be used to identify, recruit, and develop RNs in the nurse manager role as excellent leaders of effective health care teams. PMID:24896579
Kallas, Kathryn D
Australian nursing curricula and mental health recruitment.
Debate about nursing curricula has been on the forefront of industry and academia in Australia particularly since the shift from the 'apprenticeship style' of training for nurses to a university-based, comprehensive, bachelor's degree. There is the suggestion that university-based courses are rather inflexible and take for granted that the provision of mental health nursing across what is an essentially general course will ultimately attract the numbers of quality staff members required to fill speciality positions in mental health. Recent literature advocates for a direct entry undergraduate mental health programme in Australia, similar to that in the UK. This is suggested as one of many strategies to address the growing disparity between the demand and the supply for effective mental health treatment and care. The support of preceptor staff in the clinical field in terms of workloads, supervision and professional development are also identified as areas for attention. Another strategy that this paper addresses is the increased support of student preceptors in the areas of workload, supervision and professional development, whereas they forge organizational links between the tertiary sector and industry to facilitate enhanced communication channels between the theoretical curriculum (the theory) and the clinical sites (the practice). Additionally, increasing the mental health content in current curricula to a level that reflects hospital-based and community mental health needs is also required. PMID:19703040
Warelow, Philip; Edward, Karen-Leigh
Informatics: essential infrastructure for quality assessment and improvement in nursing.
In recent decades there have been major advances in the creation and implementation of information technologies and in the development of measures of health care quality. The premise of this article is that informatics provides essential infrastructure for quality assessment and improvement in nursing. In this context, the term quality assessment and improvement comprises both short-term processes such as continuous quality improvement (CQI) and long-term outcomes management. This premise is ...
Henry, S. B.
Lifestyle practices and the health promoting environment of hospital nurses.
LENUS (Irish Health Repository)
Lifestyle practices and the health promoting environment of hospital nurses This paper examined the lifestyle practices of hospital nurses and the impact of specific interventions in the hospital environment. The perception of nurse as health promoter and as carer of AIDS patients was also examined. A self-administered questionnaire was used to collect data at two different time periods. The sample represented 729 nurses (at pre- and post-time periods), both qualified and student nurses. Qualified nurses reported the highest stress levels while student nurses reported more negative lifestyle practices such as smoking, alcohol consumption and drug use. A greater number of current smokers (29%) consumed alcohol and used drugs than non-smokers. The impact of intervention strategies around compliance with smoking policy and work-site walk routes reduced exposure to passive smoking at work for qualified nurses and increased exercise participation for both groups of nurses. Workplace was identified as the main source of stress which included relationships at work and demands of the job. Hospital nurses experiencing high work stress were more likely to use professional support and personal coping (discuss problems with friends\\/family, have a good cry and eat more) than others. Nurses believed in the importance of health promotion as part of their work; however, qualified nurses felt more confident and gave more health related information than student nurses. Student nurses perceived a lower risk of contacting AIDS through work and a higher concern\\/worry in caring for AIDS patients than qualified nurses.
Hope, A
Inductions buffer nurses' job stress, health and organizational commitment.
Abstract Nurses suffer disproportionate levels of stress and are at risk of sickness-absence and turnover intentions but there is a lack of research clarifying preventions. This study investigated the impact of inductions (job preparation courses) about mental health for nurses' job stress, general health and organizational commitment. Data from 6,656 nurses were analyzed using structural equation modeling (SEM), showing that mental health inductions increase nurses' job satisfaction, which reduces their occupational stress and improves their health. SEM showed that these occupational health benefits increase the nurses' commitment to the organization. Job satisfaction (feeling valued, rewarded) also had a direct effect on nurses' intentions to continue working for the organization. Mental health inductions are therefore beneficial beyond job performance: they increase occupational health in the nursing profession. PMID:24971576
Kamau, Caroline; Medisauskaite, Asta; Lopes, Barbara
Assessment Of Working Environment And Work-Related Back Pain In Nursing Personnel
Aim of the research – to assess working environment and work-related back pain in nursing personnel Goals of the research. 1. To assess work environment of nurses associated with the risk of back pain; 2. To evaluate work-related back pain; 3. To identify relationship between working environment and experienced back pain in nursing personnel; Methodology. Research was performed in 13 conservative (CMP) and 16 surgery (SMP) medicine departments of Lithuanian University of Health Sciences Hos...
Gec?iauskaite?, Juste?
mHealth: Technology for nursing practice, education, and research
Mobile health (mHealth) is a rapidly growing field providing the potential to enhance patient education, prevent disease, enhance diagnostics, improve treatment, lower health care costs and increase access to health care services, and advance evidence-based research. For the field of nursing the potential capabilities of mHealth are not only for patient care but for delivery of nursing education to our future practicing nurses, providing a means of communication between healthcare professio...
Willa Marlene Doswell; Betty Braxter; Annette DeVito Dabbs; Wendy Nilsen; Mary Lou Klem
Health and safety risks in nursing
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Full Text Available Introduction: professional hazards create insecurity and frustration to nurses during their clinical work. Aim of this review is to present and analyze daily risks and aggravating factors during the clinical work of nurses. Method: a systematic evaluation of the International and Greek literature findings was undertaken, according to Rogers' model of analysis. Results: the frame of analysis showed five categories of risks which include: Biological/contagious risks, Chemical factors, Environmental/mechanical risks, Physical dangers, Psychosocial risks. Discussion: biological dangers can be dealt with by using suitable equipment for trauma avoidance and careful execution of nursing tasks. Chemical risks, including exposure to chemotherapeutic medicines, can be prevented by using protective measures such as gloves, masks, goggles and special appliances for preparing medication. The mechanical strain of the musculaskeletical system should be limited by ergonomic equipment and education, while the physical factors such as noise requires depends also on the personal sensitivity of workers. Conclusions: many preventative measures are based simply on the modification and adoption of a new behaviour and do not demand financial resources or special equipment. The strong-will for protecting the health status of nursing staff and promoting the profession are the two main drives in improving nursing working like conditions and the administration of safe care.
Fountouki A.
In modern health-care , nursing managers play a strategic role in improving the quality of care and the skills of carers, since management and leadership strategies are known to be decisive in the deployment of resources and professional development. The aim of this study is to present the opinions and expectations of nursing coordinators regarding their managerial role. During the creation of a nursing service unifying the management of 3 local health authorities in Northern Italy, with different organizational and professional features, nursing coordinators were asked to fill in a questionnaire. Results showed that a priority aspect of the managerial role is to assess the appropriateness of care and the use of resources Their answers showed that they hoped for a style of management founded on aspects related to clinical government. For the style of leadership, they emphasized dedication to work, participation of staff in decision-making, group information and providing support in areas needing improvement. Although the study was territorial , it confirmed international guide-lines regarding the policies which give value to investments in the quality of organization and can be considered a point of reference for planning and creating future nursing services. PMID:22304727
Curti, Tiziana; Scaffidi, Maria Carmela; Basso, Anna Maddalena; Garrino, Lorenza
The Health Promoting Prison (HPP) and its imperative for nursing.
The World Health Organisation's (WHO) Ottawa Charter for Health Promotion in 1986 provided the catalyst from which the Health Promoting Prison (HPP) movement emerged. Here, an extensive review of the available prison-related health literature provides the basis for critical discussion and recommendations for nursing services and prison-related health care. The findings suggest that current prison-based nursing services are seriously neglected and woefully lacking in structure and resources. This article recommends strategies for reform that includes nurses who practice in all settings, and not just prison-based nurses. If nurses wish to be at the forefront of future HPP strategies, they must first embrace the radical health promotion reforms that are emerging from the current literature. Building sustainable group capacity into prison-based health care, through developing social interaction, cohesion, participation and political action can only benefit the community at large and further emphasise the health promotion role of nursing. PMID:16326167
Whitehead, Dean
Preparing nurses to use standardized nursing language in the electronic health record.
Research demonstrated nurses' education needs to be able to document nursing diagnoses, interventions and patient outcomes in the EHR. The aim of this study is to investigate the effect of Guided Clinical Reasoning, a learning method to foster nurses' abilities in using standardized language. In a cluster randomized experimental study, nurses from 3 wards received Guided Clinical Reasoning (GCR), a learning method to foster nurses in stating nursing diagnoses, related interventions and outcomes. Three wards, receiving Classic Case Discussions, functioned as control group. The learning effect was measured by assessing the quality of 225 nursing documentations by applying 18 Likert-type items with a 0-4 scale of the measurement instrument "Quality of Nursing Diagnoses, Interventions and Outcomes" (Q-DIO). T-tests were applied to analyze pre-post intervention scores. GCR led to significantly higher quality of nursing diagnosis documentation; to etiology-specific nursing interventions and to enhanced nursing-sensitive patient outcomes. Before GCR, the pre-intervention mean in quality of nursing documentation was = 2.69 (post-intervention = 3.70; poutcomes. In the control group, the quality remained unchanged. GCR supported nurses' abilities to state accurate nursing diagnoses, to select effective nursing interventions and to reach enhanced patient outcomes. Nursing diagnoses (NANDA-I) with related interventions and patient outcomes provide a knowledgebase for nurses to use standardized language in the EHR. PMID:19592861
Müller-Staub, Maria
Nursing services: an imperative to health care marketing
Nurses comprise a significant portion of the work force in any health care organization. This work force is one having the maximum exposure to patients. Further, they work hand in hand with the various departments of the organization. Though an unintended consequence of nursing care, nurses form a potential marketing tool for any health care organization. In that marketing tool role, however, there are hindrances that nurses face. These may result in an unhappy work environment a...
Montoya, Isaac D.; Kimball, Olive M.
Making the case for nurses as managers of health services.
Her experience with the restructuring of the health service in the UK as general manager of Waltham Forest Health Authority places Christine Hancock in an ideal position to demonstrate nurses' efficiency in the health service and the necessity of putting them in charge. Below, she follows the evolution of the UK's National Health Service and British nursing to prove her point. PMID:2767914
Hancock, C
Diabetes: increasing the knowledge base of mental health nurses.
Physical health assessment for people with a serious mental illness (SMI) has been a neglected issue, with all the evidence showing that mental health nurses (MHNs) and associated practitioners need to develop such skills. The University of Huddersfield and South West Yorkshire Partnership Foundation Trust collaborated in a Physical Skills Project with the aim of facilitating knowledge and skills for MHNs. The development of the education and training workshop is presented. The results of a pre- and post-test evaluation of diabetes, evaluation of the workshop and, finally, implications for practice with regard to transferable knowledge and skill, are discussed. PMID:24067307
Hemingway, Steve; Trotter, Fiona; Stephenson, John; Holdich, Phillip
The role of the community nurse on health committees
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Full Text Available With the changes in health care occurring in South Africa, new functions concerning the community nurse are being presented. The goal of the study was to explore and describe the role of the community nurse in health committees. An explorative, descriptive design was used and the empirical part was undertaken within the context of a metropolitan local authority. After conducting a literature study, six major roles of the community nurse on health committees were identified. After that a questionnaire was presented to community nurses to explore and describe their perceptions about the role of the community nurse on health committees. An interview schedule based on the literature study was drafted for presentation to selected members of health committees. Lastly guidelines describing the role of the community nurse on health committees were developed based on the findings of the study.
V M Taylor
Identifying mental health nursing research priorities: A Delphi study.
Abstract Engaging in research and using evidence based practice are essential for mental health nurses to provide quality nursing care to consumers and families. This paper reports on a Delphi study that identified the top 10 mental health nursing research priorities at one area health service in Australia servicing a population of 840,000 people. Initially 390 research questions were identified by nurses and these were then reduced to 56 broader questions. Finally, the top 10 questions were ranked in order of importance. The priority questions were clinically and professionally focussed and included research into the delivery and organisation of mental health services and the need to design and evaluate new practice paradigms for nurses in the primary care setting. The mental health knowledge and skill set of graduates from Australian comprehensive nursing programmes along with improved recruitment and retention of graduates in mental health were also identified priority areas for research. PMID:25267123
Wynaden, Dianne; Heslop, Karen; Omari, Omar Al; Nelson, Deborah; Osmond, Bernadette; Taylor, Monica; Gee, Trevor
Mental Health of Chinese Nurses in Hong Kong: The Roles of Nursing Stresses and Coping Strategies
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Full Text Available This study examined the sources of stress and mental health of nurses in Hong Kong. It also attempted to explore the functions of coping strategies in determining the stress and mental health of nurses. Results showed that more than one-third of the nurses could be considered as having poor mental health. While supervisory role produced the highest level of stress, organizational environment also created a substantial amount of stress for nurses. The most frequently used coping strategies were positive ones, including direct action coping and positive thinking. This study confirmed the hypotheses that nurses who adopted more positive and fewer negative coping strategies had better mental health, but failed to substantiate the moderating effects of coping on stress and mental health of nurses. Changes in the hospital care delivery system and socio-cultural factors in Hong Kong were put forward to explain the results. Implications of the findings and limitations of the study were discussed.
Wong, D
Health Promoting Behaviors in Nursing Students
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Full Text Available Objective: This descriptive study was planned to determine the behavior of a healthy lifestyle in nursing students who assume the role of nursing care services and education in their future lives. Material-Method: The research was conducted in Hitit University School of Health in November-December 2011. All of the 262 students who were studying in the Department of Nursing were included in the study. The survey was applied to 234 students whom can be accessed. A questionnaire included descriptive items and health perceptions of students with the 48-item scale consists of healthy lifestyle behaviors (HPLP was used as a tool for collecting the data. Results: The mean age of students who participated in this study was 20.40±1.96. The 72.6% of students were female and 27.4% were male, 67.1% of declared that their levels of economic status was moderate, 14.1% of currently smoked, and 70.1% of general health situation was good. It was seen that the average scale scores of HPLP was 121.57±19, 65. The total mean score is 2.53 ± 0:11 according to four scale of likert. The lowest mean score obtained from the subscales was exercise and the highest scores were interpersonal support and self-realization. Total scores of female students taken from the scale of healthy lifestyle behaviors were lower than the male students, but no significant difference was found between the groups. Exercise and stress management scores were higher in male students and the difference between the groups was statistically significant (p<0.05. Health responsibility subscale was highest in second year students. The average scores of self-realization and nutrition sub-groups were high in students whose perception of general health as "good". Conclusion: We determined that student' scores taken from healthy lifestyle behaviors scale was moderate level. The issues about health protection and health promotion should be more take place in nursing school curricula. [TAF Prev Med Bull 2013; 12(3.000: 261-270
Gulay Yilmazel
Nursing services: an imperative to health care marketing
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Full Text Available Nurses comprise a significant portion of the work force in any health care organization. This work force is one having the maximum exposure to patients. Further, they work hand in hand with the various departments of the organization. Though an unintended consequence of nursing care, nurses form a potential marketing tool for any health care organization. In that marketing tool role, however, there are hindrances that nurses face. These may result in an unhappy work environment and potentially impact the overall image of the organization. Added to this, nurses may not always be equipped with the knowledge and expertise they need to meet current demands of their position and thus not promote the best nursing role for marketing purposes. Interestingly, good nursing care goes hand-in-hand with good marketing efforts in spite of this being an unintended consequence. The promotion of a strong and highly capable nursing image is an important strategy in marketing of health care services. The evolution of professional organizations and accreditation agencies has resulted in setting specific standards of practice for nursing graduates. These standards help to ensure delivery of patient care of some predetermined quality. Indirectly this offers marketability to the organization by promotion of the nursing image. At the executive level, nurse leaders can play an important role in development of nursing strategy formulation and at the same time influence strategic marketing design. This paper provides an overview of the role nurses may play in certain aspects of marketing.
Isaac D. Montoya
Leadership attributes identified by practicing occupational health nurses.
This study examined which theoretical approaches to leadership occupational health nurses perceive as most desirable. The trait approach dominates in North American research literature, with occupational health nurses favoring the more traditional leadership attributes of "visionary," "intellectually creative," and "strong linguistic ability." Australian occupational health nurses identified the managerial character traits of "being well informed," "good communication skills," and "objective decision maker" as most appropriate traits of good leaders. Occupational health nurses need to develop alternative leadership approaches to acquire effective political and organizational strategies in today's competitive environment. PMID:1463549
Murray, M B; Hill, J
Occupational Health and Safety Issues Among Nurses in the Philippines
Nursing is a hazardous occupation in the United States, but little is known about workplace health and safety issues facing the nursing work force in the Philippines. In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting be...
Castro, A. B.; Cabrera, Suzanne L.; Gee, Gilbert C.; Fujishiro, Kaori; Tagalog, Eularito A.
Mental Health of Muslim Nursing Students in Thailand
The purpose of this research was to explore the mental health and well-being of Muslim nursing students in Thailand. Specifically, the study investigated the factors that impact anxiety and depression among Muslim nursing students. This cross-sectional research was conducted with a half sampling method of Muslim undergraduate students who were studying at a public nursing college in Thailand. From the 220 self-identified Muslim nursing students, 110 were sampled for this study, representing 1...
Paul Ratanasiripong
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Full Text Available Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals and private sectors (two hospitals were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment. Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels. A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.
Mahmoud Al Kalaldeh
Role of community health nurse in earthquake affected areas.
The role of Community Health Nurses (CHNs) outside the traditional hospital setting is meant to provide and promote the health care needs of the community. Such nurses can play a substantial role in the community setting including emergencies like disasters. This became evident after the earthquake of October 8, 2005 in Pakistan. The objective was to address the issues, faced by primary healthcare providers working in earthquake-affected areas focusing on participatory approach. The experience of the interventions done by CHN by a guided frame work (assessment, planning, implementation and evaluation components) is described. Issues identified by CHN included: lack of training of health care providers, lack of collaboration, communication between the medical and management staff due to poor infrastructure of the healthcare facilities. The interventions were carried out, utilizing existing resources. Efforts were directed to build capacity of health care providers at grass root level to fill in gaps of health care delivery system for sustainable change. Overall, working in the earthquake affected areas is challenging. Health leadership should foresee role of CHN in emergencies where quality healthcare interventions are essential. PMID:23866452
Gulzar, Saleema Aziz; Faheem, Zahid Ali; Somani, Rozina Karim
[Taiwan occupational health nursing: practices, policies and future trends].
The steady evolution of domestic industries and the continued expansion of the workforce have outdated Taiwan's traditional model of occupational health nursing, which focuses on preventing work-related diseases and ensuring workplace safety. Professional-competency evaluations, now widely used within the medical and other professional communities to confirm that individuals have mastered relevant knowledge and skills, are a fixture in service quality management and related strategies. Occupational health nurses have a critical role in promoting and ensuring the quality of occupational-health related services. A multifaceted strategy is needed to update the domestic model of occupational health nursing. This strategy should include: 1) Set professional standards and create standard teaching materials for national occupational health nurses; 2) Enhance the professional efficacy of nurses in this field; 3) Survey the relevant role functions and education/training needs of occupational health nurses; 4) Develop relevant elective courses; and 5) Format courses/curricula for e-learning and for multimedia platforms. Furthermore, after implementation of this strategy, the model should be evaluated in terms of the knowledge and skills acquired by occupational health nurses. It is hoped that by reflecting local needs and experiences this new model will update the field of occupational health nursing to meet the needs of the current and future workplace in Taiwan and increase nursing knowledge and skills in order to foster and sustain healthy workplace environments. PMID:24899556
Chang, Pei-Jen
Mobilizing nursing leadership in primary health care research.
Noting the dearth of nurses with doctorates, the author calls for more practical and faster ways of preparing nurses to conduct research, especially primary health care research. The author explains that there is a need for information on how to apply primary health care to local conditions, and that nurses are in the best position to conduct this type of research. But not only do nurses seldom conduct research, most of the research they do conduct is hospital rather than community-based. Establishing a doctoral program for nurses would mean a wait of 5-10 years before any results can have an impact on public health policy. But as the experiences of the College of Nursing of Saint Louis University (SLU) in Baguio City, Philippines indicate, doctoral training is not necessary when it comes to conducting primary health research. In 1979, SLU launched a Mobile Nursing Clinic, a primarily staffed by nurses. SLU then proceeded to study the effectiveness of the MNC model in providing primary health care. While the study has not yet influenced national health policy, the research team (composed mostly of baccalaureate nursing graduates with only one introductory course in research) believes that it has positively affected the perception of the nurse's role in the community. In order to meet the need for nursing research, the author recommends that countries pull their resources together and conduct intensive research training workshops for nurses. In the Philippines, the Association of Dean of Colleges of Nursing has revised its programs to support nursing research. The curriculum is now more community-oriented and community-based, and it includes courses in other disciplines. Furthermore, students are encouraged to conduct action research in the community. PMID:2093188
Lara, J B
mHealth: Technology for nursing practice, education, and research
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Full Text Available Mobile health (mHealth is a rapidly growing field providing the potential to enhance patient education, prevent disease, enhance diagnostics, improve treatment, lower health care costs and increase access to health care services, and advance evidence-based research. For the field of nursing the potential capabilities of mHealth are not only for patient care but for delivery of nursing education to our future practicing nurses, providing a means of communication between healthcare professionals located close and at greater geographic distances, and provides access to information and personal monitoring for geographically isolated clients. Although mHealth capabilities' value appears significant for training, and practice, there remains a significant need for research and evaluation of the devices that now appearing in the health care marketplace. The National Institute of Nursing Research's strategic plan includes supporting research to develop and test the flood of health apps to assist clients in the management of their health. The purposes of this paper are to: 1 discuss the importance of mHealth in nursing practice, education, and research, and 2 describe the mHealth initiatives underway at the University of Pittsburgh School of Nursing as exemplars to stimulate mHealth research and promote nursing role in providing health care to patients in this age of information technology.
Willa Marlene Doswell
This study was aimed to analyze and assess the use and perception of electronic health records (EHRs) by nurses. The study sample included 113 nurses from different shifts of primary health facilities in Catalonia, Spain, devoted to adult as well as pediatric outpatients using EHRs throughout the year 2010. A majority of the sample (87.5%) were women and 12.5% were men. The average age was 44.27 years and the average time working in primary healthcare was 47.15 months. A majority (80.4%) rece...
Galimany Masclans, Jordi; Garrido Aguilar, Eva; Girbau I Garci?a, M. Rosa; Lluch Canut, Ma Teresa; Fabrellas I Padre?s, Nu?ria
Emergency preparedness training for public health nurses: a pilot study
The Columbia Center for Public Health Preparedness, in partnership with the New York City Department of Health, recently developed an emergency preparedness training program for public health workers. A pilot training program was conducted for a group of school health nurses and evaluated using a pre/posttest design. A surprising finding was that 90% of the nurses reported at least one barrier to their ability to report to duty in the event of a public health emergency. The most frequently ci...
Qureshi, Kristine A.; Merrill, Jacqueline A.; Gershon, Robyn R. M.; Calero-breckheimer, Ayxa
Collaborative learning and competence development in school health nursing
DEFF Research Database (Denmark)
Purpose The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper explores how peer collaboration influences the school nurses' collaborative learning and competence development. Design/methodology/approach The article is based on data from a three-year health educational development project at primary schools in Denmark. These data are a) Observations from 12 reflective workshops with school nurses b) Two questionnaire surveys c) 5 focus group interviews with 5 of the 6 subprojects after the project was over. In the workshops, the questionnaire surveys and the focus group interviews the school nurses were asked to reflect on the developmental process, their collaboration, own and mutual pedagogical competence development. Findings Systematic peer collaboration between school nurses' qualify a) their learning and ability to reflect on practice b) their communication with colleagues and children c) the development of new and innovative approaches to school health nursing. The introduction of peer collaboration, however, takes time and energy and it can be challenge to introduce peer collaboration in a working culture in which school nurses traditionally work alone under a prominent work and time pressure. Research limitations/implications The study is explorative. Further research may explore the connection between collaborative learning among school nurses and the development of their competences in school health nursing. Practical implications The paper outlines how and why collaboration among school nurses should be introduced in a more systematic way in school health nursing. Originality/value The paper investigates the connection between informal educational activities for SNs and possible learning outcomes for practice. Specifically the paper looks into different ways SNs collaborate and the findings contribute to new understandings of how SNs practice can be organisedin order to stimulate the nurses' participation and collaborative learning and increase the quality of school health nursing.
Nordentoft, Helle Merete; Wistoft, Karen
Toward an Unambiguous Profession: A Review of Nursing. Health Administration Perspectives No. A6.
National data on nurses and nursing are organized into the following sections: (1) The Nursing Profession and Society, (2) The Structure and Nature of the Nursing Profession, with subsections on nursing in the general hospital and related facilities, nursing in the mental hospital and related facilities, community nursing, occupational health…
Anderson, Odin W.
This paper documents the relationships between pedagogy and e-assessment in two nursing courses offered at the University of Southern Queensland, Australia. The courses are designed to build the academic, numeracy and technological attributes student nurses need if they are to succeed at the university and in the nursing profession. The paper…
Lawrence, Jill; Loch, Birgit; Galligan, Linda
Are premenstrual symptoms associated with health anxiety in nursing graduates?
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Full Text Available Objective: This study examined retrospectively the relationship between premenstrual symptoms and health anxiety. Methods: Premenstrual symptoms of nursing school graduates were assessed in 1985 and again in 1991 using the Premenstrual Assessment Form (PAF. A total of 571 women completed the survey in 1991, along with items relating to their physical and mental health. The latter included depression, anxiety, and panic attacks. Health anxiety was also assessed using the Whiteley Index (WI. After women who were amenorrheic for any reason were excluded, a final sample of 410 women aged 25 to 52 years was obtained. Factor analyses yielded 57 items that were useful for calculating a total PAF score. A stepwise multivariate linear regression model was used to find the association of PAF scores with various participant characteristics. Results: Thirty-kone of the 410 (7.6% women had WI scores of ?5 and were considered to have significant health-related anxiety. The PAF score had statistically significant associations with health anxiety, as well as depression and anxiety. Conclusions: Our results suggest that the premenstrual symptoms often coexist with health anxiety as well as other psychological symptoms. Clinicians should be alert to the fact that PMS may be associated with treatable psychiatric conditions.
Yinghui Xu
Psychiatric mental health nursing: Why 2011 brings a pivotal moment
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Full Text Available Psychiatric nurses in the United States (US stand at the edge of a changing mental health care landscape. Federal initiatives are moving into place; ones that aim to increase access to care, place a greater emphasis on prevention and wellness, and position recovery as the focus of mental health treatment. The Psychiatric Mental Health (PMH specialty is at a pivotal moment of choice: it can organize around a future vision of PMH nursing or can silently acquiesce to a marginalized position. At this pivotal time, PMH nurses must build a greater presence in national workforce dialogue and convey the need for nursing in mental health care service delivery; a policy message build on the PMH nurses ability to provide access to safe and quality mental health care and substance use services. This paper discusses how to put these strategies into place via workforce development, strategic alliances, and critical conceptual shifts.
Kathleen R. Delaney
Community nurses' child protection role: views of public health nurses in Ireland.
LENUS (Irish Health Repository)
Public health nurses in Ireland are generalist practitioners with a wide range of roles that address the needs of clients in the community across their lifespan. Child protection is one of many of the roles of Irish public health nurses. However, with increasing caseloads, birth rates and aging populations, their child protection role is becoming more difficult to define and practise safely. This paper presents a key finding of a qualitative study that explored the views of a group of public health nurses (n = 10) regarding their role with pre-school children. A significant theme following analysis of the interviews were the nurses\\' expressed concerns on their role in child protection. There is a need to define the role practised by public health nurses in child protection and to achieve a standard for this nationally.
Kent, Susan
Incorporating Environmental Health into Pediatric Medical and Nursing Education
Pediatric medical and nursing education currently lacks the environmental health content necessary to appropriately prepare pediatric health care professionals to prevent, recognize, manage, and treat environmental-exposure–related disease. Leading health institutions have recognized the need for improvements in health professionals' environmental health education. Parents are seeking answers about the impact of environmental toxicants on their children. Given the biologic, psychological,...
Mccurdy, Leyla Erk; Roberts, James; Rogers, Bonnie; Love, Rebecca; Etzel, Ruth; Paulson, Jerome; Witherspoon, Nsedu Obot; Dearry, Allen
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Full Text Available Robert ?lusarz,1 Monika Biercewicz,2 Ewa Barczykowska,3 Beata Haor,4 Mariola G?owacka5 1Neurological and Neurosurgical Nursing Department, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, 2Clinic of Geriatrics, 3Nursing Department, Collegium Medicum, Nicolaus Copernicus University, Torun, 4Faculty of Health Science, University of Humanities and Economics in Wloclawek, Wloclawek, 5Institute of Health Sciences, State School of Higher Professional Education in Plock, Plock, Poland Background: One of the elements influencing the assessment of nursing care quality is the assessment of the nurse's functions that determine the nurse's particular tasks. The aim of this work was to assess selected tasks involved in the nurse's caring function, which influence nursing care quality on neurosurgical wards, on the basis of patients' and nursing staff's opinions.Materials and methods: The research was carried out on neurosurgical wards in Poland on a group of 455 patients and 75 nurses. In order to assess nursing care quality, an author's original questionnaire (Questionnaire – Patient Satisfaction was used.Results: Statistically significant differences concerned particular groups (both patients and nurses in the assessment of selected issues: providing information about performed activities and operations (P=0.000 and P=0.040, respecting personal dignity and assuring discretion during the operations (P=0.000 and P=0.001, speed of response to patient's requests (P=0.000 and P=0.000, time availability of nurses for the patient (P=0.000 and P=0.000, providing information about further self-care at home (P=0.032, P=0.008, and nurses' attitude (kindness, courtesy, tenderness, care to patients (patient's assessment only P=0.000.Conclusion: Selected tasks in the field of the caring function of nurses were assessed differently by particular groups. There were no statistically significant differences in the assessment of particular tasks in the opinions of patients and nurses, which means that both examined groups similarly assessed tasks involved in the nurse's caring function, which influence nursing care quality. Keywords: care quality, caring function, nurse, neurosurgery
?lusarz R
Standardizing nursing information in Canada for inclusion in electronic health records: C-HOBIC.
The Canadian Health Outcomes for Better Information and Care (C-HOBIC) project introduced systematic use of standardized clinical nursing terminology for patient assessments. Implemented so far in three Canadian provinces, C-HOBIC comprises an innovative model for large-scale capture of standardized nursing-sensitive clinical outcomes data within electronic health records (EHRs). To support this activity, nursing assessment and outcomes concepts were mapped to the International Classification for Nursing Practice (ICNP(R)). By comparing serial data on a patient across multiple time points, the C-HOBIC model can generate nursing-sensitive patient outcome reports. A principle benefit of the C-HOBIC model is that it provides nurses with information critical to planning for and evaluating patient care. Inclusion of nursing information in either provincial databases or EHRs in three Canadian provinces promotes continuity of patient care across sectors of the healthcare systems in those provinces and also facilitates aggregation and analysis by administrators and policy makers. The C-HOBIC model provides standardized, consistent, interoperable clinical information that reflects nursing practice throughout the Canadian healthcare System. PMID:19261936
Hannah, Kathryn J; White, Peggy A; Nagle, Lynn M; Pringle, Dorothy M
School Nurses' Perceptions and Practices of Assisting Students in Obtaining Public Health Insurance
Background: From January through June 2009, 6.1 million children were uninsured in the United States. On average, students with health insurance are healthier and as a result are more likely to be academically successful. Some schools help students obtain health insurance with the help of school nurses. Methods: This study assessed public school…
Rickard, Megan L.; Hendershot, Candace; Khubchandani, Jagdish; Price, James H.; Thompson, Amy
Nurse's action in the wait-room: a question of health's promotion
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Full Text Available Objective: to search in specific nursing literature productions that highlights the performing of waiting room with elderly people. Methodology the approach used was descriptive about the waiting room next to the elderly. For the development of this research was used as a source for the survey of scientific production, the Virtual Health Library (VHL. We selected three databases for the search of studies: LILACS BEDENF, SCIELO. The operationalization of the survey was used keywords, since the term waiting room is not understood as a descriptor. Thus, we used the following words: waiting room and Nursing, with "booleadores" and in free form. Results: the study allowed to point that the literature about this subject is short. Conclusion: productions are not focusing the witting room as an activity for the elderly one, although it may serve as a space for experience exchange, a stimulus for the exercise of citizenship and health promotion.
Maíra Muniz Assis, Selma Petra Chaves Sá, Acácia Vidon, Vilma Duarte Câmara, Giselle Evangelista, Marcelle Nolasco, Wilayne Atanázio dos Santos
Safeguarding the Public's Health: Ethical Nursing.
With the landmark 2010 Future of Nursing report by the Institute of Medicine largely silent about the ethical foundation of nursing and with growing concerns about the prominence of ethical issues that arise for individuals across all roles within nursing, it is clearly time for the profession to pause and consider its ethical foundations anew. In August 2014, fifty nursing leaders participated in the national summit Nursing Ethics for the 21st Century, sponsored by The Johns Hopkins University School of Nursing and Berman Institute of Bioethics. Together, we and our colleagues identified priorities and created a blueprint for the future.. PMID:25600390
Rushton, Cynda Hylton; Broome, Marion E
Organizational Variables on Nurses' Job Performance in Turkey: Nursing Assessments
Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence.Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variable...
Mehmet Top
Developing nursing capacity for health systems and services research in Cuba, 2008-2011
Scientific Electronic Library Online (English)
Full Text Available SciELO Public Health | Language: English Abstract in english INTRODUCTION: Health systems and services research by nursing personnel could inform decisionmaking and nursing care, providing evidence concerning quality of and patient satisfaction. Such studies are rather uncommon in Cuban research institutes, where clinical research predominates. OBJECTIVE: Ass [...] ess the results of a strategy implemented between 2008 and 2011 to develop nursing capacity for health systems and services research in 14 national research institutes based in Havana. METHODS: The study comprised four stages: description of approaches to health systems and services research by nurses worldwide and in Cuba; analysis of current capacities for such research in Cuba; intervention design and implementation; and evaluation. Various techniques were used including: literature review, bibliometric analysis, questionnaire survey, consultation with experts, focus groups, and workshops for participant orientation and design and followup of research projects. Qualitative information reduction and quantitative information summary methods were used. Initially, 32 nursing managers participated; a further 105 nurses from the institutes were involved in research teams formed during intervention implementation. RESULTS: Of all published nursing research articles retrieved, 8.9% (185 of 2081) concerned health systems and services research, of which 26.5% (49 of 185) dealt with quality assessment. At baseline, 75% of Cuban nurses surveyed had poor knowledge of health systems and services research. Orientation, design and followup workshops for all institute teams developed individual and institutional capacity for health systems and services research. Post-intervention, 84.7% (27) of nurses reached good knowledge and 14.3% (5) fair; institutional research teams were formed and maintained in 9 institutes, and 13 projects designed and implemented (11 institutional, 2 addressing ministerial-level priorities) to research nursing issues at selected centers. CONCLUSIONS: A systematic strategy to build nursing capacity for health systems and services research can be effective in involving nurses in such research and in developing institutional support for it, fostering compliance with Cuban and international professional development priorities for nursing, as well as contributing to quality of patient services.
MPH, Nelcy Martínez.
The availability of allied health care in Dutch nursing homes.
Purpose. To determine the availability of allied health care in nursing homes in the Netherlands, and its dependency on characteristics of the nursing home. Methods. Structured surveys by telephone were carried out in a sample of 100 from a country total of 286 somatic (for somatic patients only) and combined (with units for both somatic and psychogeriatric patients) nursing homes. Multiple linear regression analyses were performed to determine relationships between the availability of care a...
Boer, M. E.; Leemrijse, C. J.; Ende, C. H. M. Den; Ribbe, M. W.; Dekker, J.
Creating a brand image for public health nursing.
Public health nurses (PHNs) have declined as a proportion of both the nursing and the public health workforces in the past 2 decades. This decline comes as 30 states report public health nursing as the sector most affected in the overall public health shortage. Taken together, these data point to a need for renewed recruitment efforts. However, the current public images of nurses are primarily those of professionals employed in hospital settings. Therefore, this paper describes the development of a marketable image aimed at increasing the visibility and public awareness of PHNs and their work. Such a brand image was seen as a precursor to increasing applications for PHN positions. A multimethod qualitative sequential approach guided the branding endeavor. From the thoughts of public health nursing students, faculty, and practitioners came artists' renditions of four award-winning posters. These posters portray public health nursing-incorporating its image, location of practice, and levels of protection afforded the community. Since their initial unveiling, these posters have been distributed by request throughout the United States and Canada. The overwhelming response serves to underline the previous void of current professional images of public health nursing and the need for brand images to aid with recruitment. PMID:21198816
Baldwin, Kathleen A; Lyons, Roberta L; Issel, L Michele
Introducing human rights and health into a nursing curriculum
An important component of nursing programmes in South Africa has been teaching of the principles of ethical practice and relevant ethical codes. A number of factors have contributed to the need to include human rights as an integral component of nursing curricula in South Africa. These include the Bill of Rights in the Constitution of South Africa and the implications thereof for health care delivery, the primary health care approach in the delivery of health care in South Africa, the develop...
Mayers, P.
Psychiatric mental health nursing: Why 2011 brings a pivotal moment
Psychiatric nurses in the United States (US) stand at the edge of a changing mental health care landscape. Federal initiatives are moving into place; ones that aim to increase access to care, place a greater emphasis on prevention and wellness, and position recovery as the focus of mental health treatment. The Psychiatric Mental Health (PMH) specialty is at a pivotal moment of choice: it can organize around a future vision of PMH nursing or can silently acquiesce to a marginalized positi...
Delaney, Kathleen R.
Learning styles of nursing and allied health students in Semnan university of medical sciences
Introduction: Several factors as learning styles can influence the learning process. The aim of thisstudy was to determine learning styles, which are used by nursing and allied health students in SemnanUniversity of Medical Sciences.Materials and Methods: This cross-sectional study was performed on 199 nursing and allied healthstudents of Semnan university of medical sciences (2007, Iran). Students were selected using a simplesampling method. The assessment instrument was the last version of ...
Fatemeh Ahadi; Jila Abedsaidi; Farrokh Arshadi; Raheb Ghorbani
Organizational Variables on Nurses Job Performance in Turkey: Nursing Assessments
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Full Text Available Background: The purpose of this study was to describe the influence of organizational variables on hospital staff nurses' job performance as reported by staff nurses in two cities in Turkey. Hospital ownership status, employment status were examined for their effect on this influence.Methods: The reported influence of organizational variables on job performance was measured by a questionnaire developed for this study. Nurses were asked to evaluate the influence of 28 organizational variables on their job performance using a five-point Likert-type scale (1- Never effective, 5- Very effective. The study used comparative and descriptive study design. The staff nurses who were included in this study were 831 hospital staff nurses. Descriptive statistics, frequencies, t-test, ANOVA and factor analysis were used for data analysis.Results: The study showed the relative importance of the 28 organizational variables in influencing nurses' job performance. Nurses in this study reported that workload and technological support are the most influential organizational variables on their job performance. Factor analysis yielded a five-factor model that explained 53.99% of total variance.Conclusion: Administratively controllable influence job organizational variables influence job performance of nurses in different magnitude.
Mehmet Top
The health-related behaviors and attitudes of student nurses
Nurses are an important component of primary medical care, and patient education is a common and important role of most nurses. Patient education and positive role modeling by nurses have the potential to influence patients' life style choices and the serious diseases that may be affected by those choices. A greater understanding of the ways nurses think about their own health could help facilitate healthier choices for them and in their patients. The purpose of this inquiry was to examine the experiences, attitudes and beliefs of student nurses related to their personal health, and to investigate those experiences, attitudes and beliefs as they relate to their education, relationships, values and career choice. The purpose was achieved through phenomenological interviews with eleven senior nursing students, nine females and two males, encouraging them to provide in as much detail as possible their attitudes and values about their personal health. The interviews were tape recorded, transcribed verbatim, and phenomenologically analyzed. A thematic structure emerged such that the nursing students experiences were represented by the four interrelated themes of caring for myself/caring for others ; I control my health/my world controls my health; I have energy/I'm tired; and feeling good/looking good. The contextual grounds for the themes that emerged during the analysis were the Body and Time. This structure was presented in terms of its relationship to health education, other research and to current theory.
Vowell, Maribeth
Bibliometric Analysis of Nursing Articles Focused on Health Education
This study aimed to analyze the references of articles with the approach to Health Education, published in Brazilian journals of nursing classified as Qualis Nursing A1 and A2. Descriptive study. Setting: SciELO library. We analyzed the references of 113 articles
Carla Monique Mourao; Ana Izabel Nicolau; Marília Marques; Ana Fátima Fernandes; Maria Josefina Silva; Ana Karina Pinheiro; Francisca Elisangela Lima; Thelma Araújo; Camila Moreira 2014-01-01
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Full Text Available O objetivo deste estudo foi analisar a produçăo científica acerca da atuaçăo do enfermeiro na saúde nutricional da criança. Estudo bibliográfico realizado entre abril e maio de 2008, nas bases de dados online, com descritores: avaliaçăo nutricional, antropometria, crescimento, criança. Critérios de inclusăo: saúde infantil na avaliaçăo nutricional, enfermeiro/autor e artigos publicados entre 2000 e 2007. Encontraram-se 15 artigos nos seguintes anos: 2000 (1, 2001 (1, 2002 (2, 2003 (4, 2005 (1, 2006 (3 e 2007 (3. Periódicos inscritos nas áreas: enfermagem (1, nutriçăo (1, saúde pública (3 e médica (1. Tipo de estudo: epidemiológicos (1, descritivos (5, transversais (7, longitudinal (1, estudo de caso (1, revisăo de literatura (1 e relato de experięncia (1. Unidades temáticas: avaliaçăo nutricional mediante acompanhamento do crescimento e desenvolvimento infantil; fatores determinantes da nutriçăo infantil e avaliaçăo nutricional como cuidado de enfermagem. Ressalta-se que o enfermeiro tem buscado fundamentaçăo teórica e prática para cuidar da criança com déficit nutricional.Analizar la producción científica que existe sobre el papel que desempeńa el enfermero en la salud nutricional del nińo. Estudio bibliográfico desarrollado entre abril y mayo/2008 usando bases de datos en línea, a través de los siguientes descriptores: evaluación nutricional, antropometría, crecimiento, nińo. Se aplicaron los siguientes criterios de inclusión: salud infantil en la evaluación nutricional, enfermero/autor y artículos publicados entre 2000 y 2007. Se encontraron 15 artículos en los ańos: 2000 (1, 2001 (1, 2002 (2, 2003 (4, 2005 (1, 2006 (3 e 2007 (3. Periódicos inscriptos en las áreas: enfermería (1, nutrición (1, salud pública (3 y médica (1. Tipo de estudio: epidemiológicos (1, descriptivos (5, transversales (7, longitudinales (1, estudio de caso (1, revisión de literatura (1 y relato de experiencia (1. Unidades temáticas: evaluación nutricional mediante acompańamiento del crecimiento y desarrollo infantil; factores determinantes de la nutrición infantil y evaluación nutricional como cuidado de la enfermería. Descata el hecho que el enfermero ha buscado desarrollar una fundamentación teórico/práctica para cuidar del nińo con déficit nutricional.To examine the scientific production about the role of nurses in the nutritional health of child. Bibliographic study, held between April and May 2008 in on line databases, with descriptors: nutritional assessment, anthropometry, growth, child. Criteria for inclusion: child health in nutrition assessment, nurse / author and articles published between 2000 and 2007. Meeting 15 articles in the years: 2000 (1, 2001 (1, 2002 (2, 2003 (4, 2005 (1, 2006 (3 e 2007 (3. Regular subscribers in the areas: nursing (1, nutrition (1, health (3 and medical (1. Type of study: epidemiological (1, descriptive (5, Cross (7, longitudinal (1, the case study (1, review of literature (1 and report of experience (1. Thematic units: nutritional assessment by the monitoring of growth and child development by nurses; determinants of children's nutrition and nutritional assessment and nursing care. It is emphasized that the nurse has sought theoretical and practical reasons to take care of children with nutritional deficiency.
Flávia Paula Magalhăes Monteiro
Establishing a Nursing Student Learning Center for Women's Reproductive Health in Nepal
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Full Text Available The goal of this paper is to describe the establishment of a self-sustaining Student Learning Center (SLC employing humanistic anatomical models to aid in the teaching of family planning and reproductive health clinical skills to nursing students in Nepal. In response to a local needs assessment a plan was developed to implement more thorough training of nursing students in family planning clinical skills. Nepalese nursing leaders worked together with a U.S. Non-Governmental Organization (NGO to implement this project. This paper details the need for the SLCs, the content and structure of the SLCs, and the process of establishing an SLC at Tribhuvan University, Maharjgunj Nursing Campus in Kathmandu, the largest of all nursing campuses in Nepal.
Knecht, S.I
Nursing staff members' assessments of pain in cognitively impaired nursing home residents.
Our aim was to assess the reliability and validity of nursing staff members' assessments of pain in cognitively impaired nursing home residents. Participants were 57 cognitively impaired nursing home residents and 52 nursing staff members. Twenty-eight residents had mild/moderate cognitive impairment and 29 were severely impaired. Nursing staff members were asked to evaluate their patients' pain using 2 scales: the Nurse Global Scale of pain (NGS) and the Present Pain Inventory (PPI). Independent measures of pain were obtained from patient interviews, physician assessments, and from the Minimum Data Set (MDS) items; these were used to measure validity of the nursing staff's perception of pain. Test-retest and inter-rater reliabilities were also computed. Significant correlations were obtained between most of the physician-derived measures and the PPI for the moderately impaired group, but not for the severely impaired group. Both measures of nursing assistants' pain assessments correlated significantly with MDS-based measures; these correlations were higher for the less cognitively impaired group. Finally, the PPI correlated significantly and positively with resident-derived measures for those with moderate rather than severe cognitive impairment. Nursing staff members' ratings of pain were correlated with residents' level of cognitive functioning and with intake of pain medication. The results underscore the difficulty in assessing pain in those with severe cognitive impairment. PMID:15970920
Cohen-Mansfield, Jiska
Communication has been identified as an important attribute of clinical leadership in nursing. However, there is a paucity of research on its relevance in mental health nursing. This article presents the findings of a grounded theory informed study exploring the attributes and characteristics required for effective clinical leadership in mental health nursing, specifically the views of nurses working in mental health about the importance of effective communication in day to day clinical leadership. In-depth interviews were conducted to gain insight into the participants' experiences and views on clinical leadership in mental health nursing. The data that emerged from these interviews were constantly compared and reviewed, ensuring that any themes that emerged were based on the participants' own experiences and views. Participants recognized that effective communication was one of the attributes of effective clinical leadership and they considered communication as essential for successful working relationships and improved learning experiences for junior staff and students in mental health nursing. Four main themes emerged: choice of language; relationships; nonverbal communication, and listening and relevance. Participants identified that clinical leadership in mental health nursing requires effective communication skills, which enables the development of effective working relationships with others that allows them to contribute to the retention of staff, improved outcomes for clients, and the development of the profession. PMID:24131413
Ennis, Gary; Happell, Brenda; Broadbent, Marc; Reid-Searl, Kerry
The training of nurses for the family health strategy
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Full Text Available Objective: to think about the formation of the nursing senior student having family health strategy as a base. Methodology: this paper describes a bibliographic research done based on Virtual Health Library (BVS - Biblioteca Virtual em Saúde on the site Scientific Electronic Library on-line (Scielo and Latin-America and Caribbean Literature in Health Science (Lilacs, along the period of 2002 to 2009 in Portuguese. For the selection of the articles were the following keywords: national health care system, family health, education, nursing. The selection was made using an instrument constructed for this purpose. After the analysis, which were performed independently by three researchers were selected from 13 publications that had relation with the theme. Result: the Family Health Strategy demand a special profile from the professionals who must change the individual /illness/ cure approach to a holistic assistance promoting health in a integrated way. Under these perspectives it´s necessary a reformulation in the nursing graduation curriculum having projects centered in the student working together theory and practice and adapting to the epidemiology profile in which it is inserted. Although there have been changes for the graduating students, there are still some gaps and challenges to be overcome. Conclusion: the importance of an early introduction of ESF subject is emphasize in order to promote the nurse formation making him/her able to work bearing this interdisciplinary perspective in mind at SUS matching with this new demand of health profile. Descriptors: single health system; health family; education; nursing.
Alyne Gonçalves, Eid Lara de Araújo Reis, Natalia C. A. Araujo, Cristiane Aparecida Silveira
Health 2.0 and implications for nursing education.
Over the last 20 years the evolution of web browsers providing easy access to the Internet has initiated a revolution in access to healthcare related information for both healthcare providers and patients. This access has changed both the process used to deliver education and the content of the nursing education curriculum worldwide. Our amazing ability to access information around the world is referred as to Web 1.0. Web 2.0 moves beyond access to a world where users are interactively creating information. With the advent of Health 2.0 we are confronting a second revolution that is challenging all aspects of healthcare including all aspects of nursing. This paper explores the concept of Health 2.0, discusses a conceptual framework approach for integrating Health 2.0 content into the nursing curriculum, outlines examples of key concepts required in today's nursing curriculum and identifies selected issues arising from the impact of Health 2.0. PMID:24199108
Nelson, Ramona
Scientific Electronic Library Online (English)
Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O objetivo deste estudo foi analisar a produçăo científica acerca da atuaçăo do enfermeiro na saúde nutricional da criança. Estudo bibliográfico realizado entre abril e maio de 2008, nas bases de dados online, com descritores: avaliaçăo nutricional, antropometria, crescimento, criança. Critérios de [...] inclusăo: saúde infantil na avaliaçăo nutricional, enfermeiro/autor e artigos publicados entre 2000 e 2007. Encontraram-se 15 artigos nos seguintes anos: 2000 (1), 2001 (1), 2002 (2), 2003 (4), 2005 (1), 2006 (3) e 2007 (3). Periódicos inscritos nas áreas: enfermagem (1), nutriçăo (1), saúde pública (3) e médica (1). Tipo de estudo: epidemiológicos (1), descritivos (5), transversais (7), longitudinal (1), estudo de caso (1), revisăo de literatura (1) e relato de experięncia (1). Unidades temáticas: avaliaçăo nutricional mediante acompanhamento do crescimento e desenvolvimento infantil; fatores determinantes da nutriçăo infantil e avaliaçăo nutricional como cuidado de enfermagem. Ressalta-se que o enfermeiro tem buscado fundamentaçăo teórica e prática para cuidar da criança com déficit nutricional. Abstract in spanish Analizar la producción científica que existe sobre el papel que desempeńa el enfermero en la salud nutricional del nińo. Estudio bibliográfico desarrollado entre abril y mayo/2008 usando bases de datos en línea, a través de los siguientes descriptores: evaluación nutricional, antropometría, crecimie [...] nto, nińo. Se aplicaron los siguientes criterios de inclusión: salud infantil en la evaluación nutricional, enfermero/autor y artículos publicados entre 2000 y 2007. Se encontraron 15 artículos en los ańos: 2000 (1), 2001 (1), 2002 (2), 2003 (4), 2005 (1), 2006 (3) e 2007 (3). Periódicos inscriptos en las áreas: enfermería (1), nutrición (1), salud pública (3) y médica (1). Tipo de estudio: epidemiológicos (1), descriptivos (5), transversales (7), longitudinales (1), estudio de caso (1), revisión de literatura (1) y relato de experiencia (1). Unidades temáticas: evaluación nutricional mediante acompańamiento del crecimiento y desarrollo infantil; factores determinantes de la nutrición infantil y evaluación nutricional como cuidado de la enfermería. Descata el hecho que el enfermero ha buscado desarrollar una fundamentación teórico/práctica para cuidar del nińo con déficit nutricional. Abstract in english To examine the scientific production about the role of nurses in the nutritional health of child. Bibliographic study, held between April and May 2008 in on line databases, with descriptors: nutritional assessment, anthropometry, growth, child. Criteria for inclusion: child health in nutrition asses [...] sment, nurse / author and articles published between 2000 and 2007. Meeting 15 articles in the years: 2000 (1), 2001 (1), 2002 (2), 2003 (4), 2005 (1), 2006 (3) e 2007 (3). Regular subscribers in the areas: nursing (1), nutrition (1), health (3) and medical (1). Type of study: epidemiological (1), descriptive (5), Cross (7), longitudinal (1), the case study (1), review of literature (1) and report of experience (1). Thematic units: nutritional assessment by the monitoring of growth and child development by nurses; determinants of children's nutrition and nutritional assessment and nursing care. It is emphasized that the nurse has sought theoretical and practical reasons to take care of children with nutritional deficiency.
Flávia Paula Magalhăes, Monteiro; Joselany Áfio, Caetano; Thelma Leite de, Araujo.
Nurse-client processes in mental health: recipients' perspectives.
An ethnonursing method was selected to explore and describe nursing support relationships, from the perspectives of recipients, within the mental health subculture. Data sources consisted of three semi-structured client interviews (n = 14) and field notes. When nurses were described as nice and friendly, and validated the client as a person by listening, three overlapping phases of development emerged from the data. These included: a glimmer of help, exploring and problem solving, and saying goodbye. When clients had negative experiences with nurses, they felt a lack of trust towards nurses and felt that their feelings were left unexplored. As a result, the relationships deteriorated. Deterioration began immediately in the first phase called withholding, and continued through the phases of avoiding and ignoring, and struggling with and making sense of. These findings raise healthcare providers' awareness about developing and deteriorating nurse-client relationships, and support the value of the therapeutic relationship as an instrument to restore and promote clients' health. PMID:16737502
Coatsworth-Puspoky, R; Forchuk, C; Ward-Griffin, C
The educational preparation of registered nurses is presumed to reflect a holistic approach with emphasis on the bio-psycho-social model of care. The broader literature suggests this goal is not always realised. The aim of this study is to present the views, experiences, and perceptions of undergraduate nursing students who were taught by an academic with a lived experience of mental health service use. In particular, we wanted to look at the expected impact of this approach to learning on their nursing practice. A qualitative, exploratory approach was used, involving in-depth individual interviews with 12 undergraduate nursing students completing the course, "recovery for mental health nursing practice," as part of a major in mental health nursing in a university in Queensland, Australia. Students were asked to reflect upon and discuss their experiences of being taught by a person with lived experience of mental health service use. Data were analysed following Colaizzi's steps to identify the main themes. The three main themes were (1) recovery--bringing holistic nursing to life; (2) influencing practice; and (3) gaining self-awareness through course assessment: challenge and opportunity. These themes suggest an appreciation for holistic nursing and an increased capacity for reflective understanding. The responses from participants suggest the Recovery course had a significant impact on their attitudes to nursing and that their nursing practice would be positively enhanced as a consequence. PMID:23566189
Byrne, Louise; Happell, Brenda; Welch, Anthony; Moxham, Lorna
Faith Community Nursing: Supporting Mental Health during Life Transitions
Faith Community Nurses consider community cultural practices an essential component in understanding how to effectively support an individual's mental health during important life transitions. Additionally, as part of their practice, Faith Community Nurses seek to understand how religious beliefs and life transitions such as marriage, divorce, birth, death, and illness impact on spiritual and mental health care. The emotional tolls of family separations due to wars, unexpected life events, ...
Anaebere, Ann Kiki; Delilly, Carol Rose
The relationship between burnout and mental health among nurses
Background: Burnout is one of the most important factors in reduced productivity in organizations and involves physical and mental signs, especially in the human service professions. The role of nurses in the healthcare system is vital and motivation to ensure health security is extremely important. We carried out this research to examine the relationship between burnout and mental health in the nursing staff of educational hospitals of Tehran University of Medical Sciences.Methods: A descrip...
Abdi masooleh F; Kaviani H; Khaghanizade M; Momeni Araghi A.
Access to oral health care is essential for promoting and maintaining overall health and well-being, yet oral health disparities exist among vulnerable and underserved populations. While nurses make up the largest portion of the health care work force, educational preparation to address oral health needs of elders and persons with disabilities is limited across nursing curricula. This descriptive study reports on the interdisciplinary development, implementation, and testing of an oral health...
Nancy Guenther; Paul Glassman; Young Kee Markham; Leah FitzGerald; Joan Earle Hahn
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Full Text Available Background: Health literacy is the ability to obtain, process, and understand health information in order to take appropriate health actions. Low health literacy is associated with poor health knowledge and self-management of chronic disease, inadequate utilization of preventive services, and increased hospital admissions. The American Association of Colleges of Nursing recommends that nursing schools incorporate health literacy into curricula. Little, however, has been reported about what nursing students have learned and done about health literacy in clinical. This study explored undergraduate nursing students' experiences in caring for patients with low health literacy. Methods: A qualitative content analysis method was used to analyze 59 narratives written by undergraduate nursing students. Results: Three themes were uncovered: sensing low health literacy by behavioral cues, promoting health literacy with multiple strategies, and closing the health information loop with positive and negative feelings. Noncompliance, knowledge deficits, anxiety/concerns, and language barriers were behavioral cues indicating low health literacy, and these cues triggered the students' information support actions. Students promoted patient understanding and utilization of information by using many interventions: simplifying information, reinforcing information, giving written information, and demonstration/teach-back. Many students felt good about being able to help increase knowledge and self-care skills of their patients. Some were frustrated because they were unable to promote lifestyle modifications of the patients with complicated chronic diseases. Students, however, did not employ standardized tools to assess the health literacy of the patient or the patient's knowledge of specific diseases, nor did they assess readability of patient education materials or provide patient empowerment interventions to encourage active information-seeking and participation in self-care. Conclusions: Nursing students could identify behavioral cues suggestive of low health literacy and provide solutions to increase the patient's health literacy. To enhance student practice, nursing curricula, however, can integrate relevant health literacy assessment tools and empowerment interventions.
Carol Shieh
To assess role of staffing in nursing productivity: a qualitative research
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Full Text Available Background & Aim: Nurses have the major role at care continuity and health promotion. They frequently affect total productivity in a organization. However, the nurses believe that due to several barriers they have not desire productivity, therefore the health care have been left at level of quality. The aim of this research are assessing nurses' view about productivity and role of human resource on it. Methods & Materials: This study has been done based on grounded theory method. Open interviews has been used for gathering of data. Sampling was purposive in beginning study but so that study was proceeding and categories were completed, it changes to theoretic sampling. Constant comparative analysis was method of data analyses. Results: Essential themes emerged from the data in human resource category. These are: systemic calculating number of staff, accurate staff select and use criteria for them, provide adequate staff from various categories in total year's day, accept patient when as coordinate to in charge nurse and well communication. These make necessary groundwork for productivity. Then accidents that emerged from inappropriate quantity and quality of human resource will be decreased. These enhance nursing productivity the biggest group of health care services. Model of Productivity and human resource effects on it's, from nurses' view, has concluded of this research. Conclusion: In nurses' view that participates in this research, human resource can affect on productivity process and improve it, then it lead to develop quality care- health care vision and goal.
Dehghan nayeri N
Shift work a reality in life and health nurses
The need to provide care 24 hours of the day, 365 days of the year, means for nurses, compulsory work in a system of rotating shifts, including the realization of nights. This system has repercussions on the life, health and well-being of nurses.In order to identify evidence on the relationship between the work to shift and/or night the health and well-being of nurses and develop recommendations to improve the adaptation to the system of rotating shifts and/or night, have carried out a review...
MŞ, Mercedes Gago Lo?pez; Alicia Lorenza Bouzada Rodríguez; Antonia Otero López; Carmen Otero López; José Calvo Alonso; Rosa Carracedo Martín
Psychiatric-mental health nurses and the sex trafficking pandemic.
Nurses are in a unique position to treat survivors of human trafficking and are most likely to encounter patients who have been involved in the sex trade. In particular, psychiatric-mental health nurses can be effective because they are educated to think of clients holistically and can provide both short-term medical intervention and long-term psychotherapy. Additionally, they can recognize and refer these individuals for medical treatment. The purpose of this article is to present an overview of sex trafficking and what psychiatric-mental health nurses can do to treat survivors. PMID:24274246
de Chesnay, Mary
New roles for nurses as approved mental health professionals in England and Wales.
This paper critically discusses the challenges mental health nurses face in trying to achieve a balance between fulfilling biomedical and social roles. We suggest that dilemmas exist for nurses in attempting to combine both approaches in their practice. We present a specific example of these as occasioned by the advent of the approved mental health professional role in England and Wales. This statutory role requires the adoption of an independent social perspective as a counterbalance to the biomedical perspective brought by psychiatrists. Using the idea of occupational jurisdictions we discuss how nurses embarking on this new role are effectively crossing into territories previously occupied by the profession of social work. We also reveal the tensions for nurses who fulfil the approved mental health professional role whilst simultaneously carrying out work in other areas which demands a more overtly biomedical approach. We review critical accounts of the validity of bio-psycho-social models and concerns about maintaining positive therapeutic alliances alongside making applications for compulsory detention, assessment and treatment. We argue that the new role may become part of the professional project of mental health nursing, but also present challenges in helping redefine nursing's identity and practice. PMID:23522939
Coffey, Michael; Hannigan, Ben
The African Health Profession Regulatory Collaborative for Nurses and Midwives
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Full Text Available Abstract Background More than thirty-five sub-Saharan African countries have severe health workforce shortages. Many also struggle with a mismatch between the knowledge and competencies of health professionals and the needs of the populations they serve. Addressing these workforce challenges requires collaboration among health and education stakeholders and reform of health worker regulations. Health professional regulatory bodies, such as nursing and midwifery councils, have the mandate to reform regulations yet often do not have the resources or expertise to do so. In 2011, the United States of America Centers for Disease Control and Prevention began a four-year initiative to increase the collaboration among national stakeholders and help strengthen the capacity of health professional regulatory bodies to reform national regulatory frameworks. The initiative is called the African Health Regulatory Collaborative for Nurses and Midwives. This article describes the African Health Regulatory Collaborative for Nurses and Midwives and discusses its importance in implementing and sustaining national, regional, and global workforce initiatives. Discussion The African Health Profession Regulatory Collaborative for Nurses and Midwives convenes leaders responsible for regulation from 14 countries in East, Central and Southern Africa. It provides a high profile, south-to-south collaboration to assist countries in implementing joint approaches to problems affecting the health workforce. Implemented in partnership with Emory University, the Commonwealth Secretariat, and the East, Central and Southern African College of Nursing, this initiative also supports four to five countries per year in implementing locally-designed regulation improvement projects. Over time, the African Health Regulatory Collaborative for Nurses and Midwives will help to increase the regulatory capacity of health professional organizations and ultimately improve regulation and professional standards in this region of Africa. The African Health Regulatory Collaborative for Nurses and Midwives will measure the progress of country projects and conduct an annual evaluation of the initiative's regional impact, thereby contributing to the global evidence base of health workforce interventions. Conclusion The African Health Regulatory Collaborative for Nurses and Midwives is designed to address priority needs in health workforce development and improve regulation of the health workforce. This model may assist others countries and regions facing similar workforce challenges.
McCarthy Carey F
Occupational stress among staff nurses: Controlling the risk to health
Introduction: Nursing has been identified as an occupation that has high levels of stress. Job stress brought about hazardous impacts not only on nurses' health but also on their abilities to cope with job demands. Objectives: This study aimed at finding out the degree of work-related stress among the staff nurses and various determinants, which have a impact on it. Materials and Methods: Institutional-based cross-sectional study conducted on GNM qualified nurses. Predesigned and pre-tested questionnaire covering their sociodemographic variables in part I and professional life stress scale by David Fontana in part II. Analysis used was Chi-square test and logistic regression for various factors. Results: Risk for professional stress due to poor and satisfactory doctor's attitude was found about 3 and 4 times more than with excellent attitude of doctors toward the staff nurses. A statistically significant association (P stress. Nurses reported that they had no time for rest, of whom 42% were suffering from moderate-to-severe stress. The nurses who felt that the job was not tiring were found to be less stressed as those who perceived job as tiring (OR = 0.43). Conclusion: The main nurses' occupational stressors were poor doctor's attitude, posting in busy departments (emergency/ICU), inadequate pay, too much work, and so on. Thus, hospital managers should initiate strategies to reduce the amount of occupational stress and should provide more support to the nurses to deal with the stress.
Sharma, Parul; Davey, Anuradha; Davey, Sanjeev; Shukla, Arvind; Shrivastava, Kajal; Bansal, Rahul
Improving oral health in women: nurses' call to action.
The purpose of this article is to discuss the most significant oral health and related problems experienced by women, and to provide a Nurse's Plan of Action to respond to these largely preventable diseases. Oral health is integral to women's overall health and well-being, with poor oral health being associated with cancer, heart disease, diabetes, depression, and the birth of preterm, low-birthweight babies. Poor nutrition and lifestyle, principally tobacco and heavy alcohol use, can further increase the risk for oral diseases. Disparities are evident in women's reported poor access of regular dental care related to lack of dental insurance and low income. These facts are disturbing because most oral diseases are preventable. The Surgeon General's report on oral health in America (U.S. Department of Health and Human Services, 2000) and, more recently, the "National Call to Action to Promote Oral Health" (U.S. Department of Health and Human Services, 2003) emphasized the need for partnerships of key stakeholders, including nurses, to get involved in oral disease prevention. Nurses are in an ideal position to provide health promotion education and screening across the multitude of settings in which they work regarding oral health and risk factors for oral disease. Nursing interventions aimed at promoting healthy outcomes and preventing disease should include a focus on oral health. PMID:18158520
Clemmens, Donna A; Kerr, A Ross
Writing place: a comparison of nursing research and health geography.
The concept of 'place', and general references to 'geographies of ...' are making gradual incursions into nursing literature. Although the idea of place in nursing is not new, this recent spatial turn seems to be influenced by the increasing profile of the discipline of health geography, and the broadening of its scope to incorporate smaller and more intimate spatial scales. A wider emphasis within the social sciences on place from a social and cultural perspective, and a wider turn to 'place' across disciplines are probably equally important factors. This trend is raising some interesting questions for nurses, but at the same time contributes some confusion with regard to imputed meanings of 'place'. While it is clear that most nurse clinicians and researchers certainly understand that place of care matters to their practices and patients, many diverse uses of 'place' are found within nursing literature, and contemporary understandings of the term 'place' within nursing are not immediately clear. It is in this context that this article plans to advance the discussion of place. More specifically, the aims of this paper are threefold: to critique 'place' as it appears in nursing literature, to explore the use of 'place' within health geography, whence notions of place and 'geographies of' have originated and, finally, to compare and contrast the use of 'place' in both disciplines. This critique intends to address a deficit in the literature, in this era of growing spatialization in nursing research. The specific questions of interest here are: 'what is "place" in nursing?' and 'how do concepts of place in nursing compare to concepts of place in health geography?' PMID:16918788
Carolan, Mary; Andrews, Gavin J; Hodnett, Ellen
78 FR 63993 - ``Low-Income Levels'' Used for Various Health Professions and Nursing Programs
...from low-income families. SUPPLEMENTARY...professions and nursing grant and cooperative...podiatric medicine, nursing, chiropractic...and mental health practice, and other public...professions and nursing schools. Some programs...low-income...
The health systems of former Soviet Union countries are undergoing reform away from the highly centralised, resource-intensive, specialised and hierarchical Soviet system, towards a more generalist, efficient health service with greater focus on primary health care. Family Health Nursing is a new model designed by WHO Europe in which skilled generalist community nurses deliver primary health care to local communities. This paper presents a qualitative evaluation of the implementation of Famil...
Parfitt, Barbara Ann; Cornish, Flora
Mental Health Survey on Shift Work Nurses in Shiraz Province, Iran
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Full Text Available Background and Aim: There are no occupational health data concerning the prevalence of mental disorders in Iranian hospital nurses. Such information may be a prerequisite for efficient occupational mental health interventions. The aim of this study was to determine mental health status among shift work hospital nurses.Materials and Methods: This paper reports the findings of a cross-sectional survey that was part of a larger quasi-experimental study. We selected and evaluated 1195 nurses in 12 general hospitals in Shiraz (capital of Fars Province, using the 28-item version of the General Health Questionnaire (GHQ. We used structured observations in accordance with an occupational health checklist to assess working environment during the work period.Results: Results indicated that 28.7% of nurses were in poor mental health. Mental disease was more common among females than males (p<0.05. Prevalence rates for anxiety and somatic symptoms were 42.2% and 35.5% respectively. The prevalence of depression was 11.9% and social dysfunction, 79.5%. There was a significant relationship between shift work and anxiety as well as sleep disorders (p< 0.05. Associations were also found between marital status and depression and between gender and social dysfunction (p< 0.001. Conclusion: Prevalence figures for mental disorders are similar to those from nationwide surveys but it seems that social dysfunction and anxiety disorders are more common in nurses compared to the general population aged 15 and over. More attention must be paid to the health of shift work nurses (especially female staff. This can take the form of shift work health education programs, occupational health counseling, and periodic examinations.
H Kakooei
Examination of cultural knowledge and provider sensitivity in nurse managed health centers.
It is important to examine empirical evidence of cultural competence among health care providers and to understand how it is assessed from an organizational context. There is a dearth of information about these concepts. Given its relevance to caring for diverse patient populations, the purpose of this paper is to present findings from a mixed method study which conducted a general cultural assessment survey of Nurse Managed Health Centers (NMHCs) that were affiliates of the National Nursing Centers Consortium. Findings enabled the authors to formulate recommendations that could strengthen the cultural competence of staff Organizational leadership and advanced practice nurses would benefit from more intentional efforts to increase proficiency of NMHC staff members in their cultural knowledge and sensitivity skills when delivering care to the populations they serve. PMID:25011210
Waite, Roberta; Nardi, Deena; Killian, Priscilla
Assessing the attitudes and perceptions towards nursing profession among nursing students.
Nursing education is a challenge in a developing country like India. This cross sectional study assessed the attitudes and perceptions of nursing professionals and their desired future practices. The study was conducted using a modified version of Beliefs, Attitudes and Perceived Practice questionnaire among 129 students who were undergoing undergraduate nursing programme at a selected college of nursing in Bangalore. Data was analysed and interpreted by using descriptive and inferential statistics. Forty-four (34.1%) of the subjects agreed that they were enrolled of their own interest; 43 (33.3%) of them reported that they enrolled in nursing out of their own interest and also to improve their financial situations. Only 4 (3.1%) stated that they have to protect the rights and dignity of the patients. 45 (34.9%) of the subjects indicated that the nurse-patient relationship should be both professional and a relation of sympathy. Upon graduation 69 (53.5%) of the subjects preferred to pursue the nursing career, 36 (27.9%) in academics, 12 (9.30%) wanted to change the profession. Nearly 63 (48.8%) of the subjects agreed that social prejudice has a great influence on nursing students in choosing nursing profession as their career. An urgent need is seen in the area of educating nursing students regarding patient's rights. There is also a need to improve the image of nurses in the society to attract more number of students into this noble profession. Counselling and introduction to nursing course should be introduced by all the universities, to develop positive attitudes towards nursing profession. PMID:23534180
Poreddi, Vijayalakshmi; Ramachandra; Konduru, Reddemma; Math, Suresh Bada
The role of the Nurse Specialist in the highly specialized field of Mental Health and Deafness.
This opinion paper considers the need for enhanced clinical skills and knowledge to fulfil the role of a Specialist Nurse in the field of Mental Health & Deafness and informs professionals of a new group called the Mental Health & Deafness National Nurse Specialist Forum. Their knowledge and skills enable therapeutic interventions to be accessible and meaningful for Deaf people. A case study illustrates the complex nature of assessment and treatment in Mental Health & Deafness and highlights the potential devastating consequences that may occur if a Deaf person is misdiagnosed and does not access appropriate services. An increased awareness of the field and forum aims to increase the interest of nurses outside of the field and support a developing evidence base for Deaf sensitive interventions and opportunities for further pioneering work. PMID:20529187
Horne, N; Pennington, J
Motivating nurses and health technicians and rewarding system
The problem that we wanted to explore is the motivation of nursing personnel. Purpose of this graduate paper was to make a theoretical overview of motivation and rewarding, and to determine whether the existing system of rewarding and motivating of nursing personnel in the Health Centre Ravne is effective and whether the employees are motivated to pursue the organizational goals. In the theoretical part of the paper, we explained the concept of motivation and made a summary of leading motivat...
Pec?nik, Mateja
Standardized Mapping of Nursing Assessments across 59 U.S. Military Treatment Facilities
OBJECTIVE: Create an interoperable set of nursing flowsheet assessment measures within military treatment facility electronic health records using the 3M Healthcare Data Dictionary (HDD). DESIGN: The project comprised three phases: 1) discovery included an in-depth analysis of the Essentris data to be mapped in the HDD; 2) mapping encompassed the creation of standard operating procedures, mapping heuristics, and the development of mapping tools; and 3) quality assurance incorporated validation of mappings using inter-rater agreement. RESULTS: Of 569,073 flowsheet concepts, 92% were mapped to the HDD. Of these, 31.5% represented LOINC concepts, 15% represented SNOMED CT and 1% represented both. 52.5% were mapped to HDD concepts with no standardized terminology representations. CONCLUSIONS: Nursing flowsheet data can be mapped to standard terminologies but there is not the breadth of coverage necessary to represent nursing assessments. Future work is necessary to develop a standard information model for the nursing process. PMID:23304303
Harman, Tiffany L.; Seeley, Rachael A.; Oliveira, Ivete M.; Sheide, Amy; Kartchner, Tosh; Woolstenhulme, R. Dean; Wilson, Patricia S.; Lau, Lee Min; Matney, Susan A.
Thoughts about Conceptual Models of Nursing and Health Policies.
In this essay, we present a conceptual framework for analysis and evaluation of sexuality education health policies based on the conceptual model of nursing and health policy and the Neuman systems model. The framework is intended to facilitate understanding of sexuality education policies promulgated by the governments of any country in the world. PMID:25520471
Aronowitz, Teri; Fawcett, Jacqueline
Practical implications of pre-employment nurse assessments.
Hiring nurses is a difficult task that can have serious repercussions for medical facilities. If nurses without proper skills are hired, patients can suffer from insufficient quality of care and potentially life-threatening conditions. Nurse applicants' technical knowledge is extremely important to avoid negative outcomes; however, there are soft skills that factor into their success, such as bedside manner, personality, communication, and decision making. In order for medical facilities to select and maintain high-performing nurse staff, hiring managers must incorporate evaluations for these types of skills in their hiring process. The current study focused on using content/criterion-related validation design to create assessments by which nurse applicants can be evaluated for both technical knowledge/skills and soft skills. The study included participation of more than 876 nursing staff members. To rank applicants on divergent skills, 3 assessment types were investigated, resulting in the creation of an assessment with 3 components. The clinical, situational, and behavioral components that were created measure applicants' job knowledge, interpersonal competency in medical facility-related situations, and aspects of personality and behavior, respectively. Results indicate that using the assessment can predict 45% of a nurse applicant's future job performance. Practical implications include hiring and maintaining a higher quality of nurses and decreased hiring costs. PMID:23629042
Kuthy, James E; Ramon, Cheree; Gonzalez, Ronald; Biddle, Dan A
Reflecting about the health education in the nursing graduation
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Full Text Available Objective: to identify the nursing academic's knowledge about the education in health. Methods: this is about a descriptive and exploratory study from qualitative approach that had as subjects ten nursing students from 3rd to 8th period of the nursing course of a private university in Niterói, Rio de Janeiro, Brazil. The choice was random and for the fact of the same ones have already lived the theoretical-practical teaching, where they had the opportunity to develop educational activities in health in the practical field. It was used as instrument for data collection an interview itinerary composed by open questions. The collection of data closed up after the saturation of the speeches and the interpretation of the same ones was accomplished through the Thematic Analysis. Results: after analysis of the data, two categories emerged: The nursing academics and the education in health; The approach of the education in health in the graduation. Conclusion: this study showed us that the education in health needs to be analyzed continually, discussed and understood in the graduation as an important practice in the nurse's assistance performance.
Barbara Soares Avanci, Fernanda Garcia Bezerra Góes, Luciana Rangel Marins, Luciana da Silva Viana, Renata Loureiro Laborne Borges
Patients' needs assessment documentation in multidisciplinary electronic health records.
The purpose of this study is to describe and discuss physicians' and nurses' documentation of the patient's needs assessment in electronic health records (EHR) in the neurological care setting. Both physicians and nurses collect, record and interpret data during patient care episodes. Assessment of patient's need for care and treatment is an important part of the care process. Planning, implementation and outcome assessment of the care process are based on needs assessment data. The data of this study consist of 48 neurological medical narratives and nursing care plans. The data were analyzed using descriptive statistics and content analysis. Physician's medical narratives include referrals to physiotherapy and consultations in other care specialties in which they have recorded the reason for the care, anamnesis and status praesens data. Nurses have documented patient's needs assessment in nursing care plans using Finnish Classification of Nursing Diagnoses (FiCND) and additional narrative text. Physicians' and nurses' patient needs assessment documentation complement each other. Nursing documentation includes more detailed information about patients' needs for care due the use of FiCND in documentation. The use of standardised documentation improves quality documentation and retrieval of data from EHR. PMID:20841691
Häyrinen, Kristiina; Saranto, Kaija
Impact of cataract surgery on health?related quality of life in nursing home residents
Aim To assess the impact of cataract surgery in nursing home residents on health?related quality of life, as compared to those who have cataracts but who do not undergo surgery. Methods A prospective cohort study enrolled 30 nursing home residents (?60 years old) who had cataracts and underwent cataract surgery, and evaluated vision?targeted and generic health?related quality of life and depressive symptoms before and approximately 4?months after surgery. This cataract surgery group was compared to 15 nursing home residents who had cataracts but who did not have surgery, over the same timeframe. Results Visual acuity for near and distance and contrast sensitivity improved following cataract surgery (p<0.001). Adjusting for age differences in the two groups, the cataract surgery group exhibited significant score improvement in the general vision (p?=?0.005), reading (p?=?0.001), psychological distress (p?=?0.015), and social interaction (p?=?0.033) subscales of the Nursing Home Vision?targeted Health?Related Quality of Life Questionnaire and the VF?14 (p?=?0.004). There were no group differences in the SF?36, Geriatric Depression Scale or the Cataract Symptom Score. Conclusion Nursing home residents who underwent cataract surgery because of functional problems experienced significant improvements in their vision?targeted health?related quality of life, in addition to dramatically improved vision. PMID:17522143
Owsley, Cynthia; McGwin, Gerald; Scilley, Kay; Meek, G Christine; Seker, Deidre; Dyer, Allison
This article describes a model of teaching community health nursing that evolved from a long-term partnership with a community with limited existing health programs. The partnership supported RN-BSN students' integration in the community and resulted in reciprocal gains for faculty, students and community members. Community clients accessed public health services as a result of the partnership. A blended learning approach that combines face-to-face interactions, service learning and online activities was utilized to enhance students' learning. Following classroom sessions, students actively participated in community-based educational process through comprehensive health needs assessments, planning and implementation of disease prevention and health promotion activities for community clients. Such active involvement in an underserved community deepened students' awareness of the fundamentals of community health practice. Students were challenged to view public health from a broader perspective while analyzing the impacts of social determinants of health on underserved populations. Through asynchronous online interactions, students synthesized classroom and community activities through critical thinking. This paper describes a model for teaching community health nursing that informs students' learning through blended learning, and meets the demands for community health nursing services delivery. PMID:24720659
Ezeonwu, Mabel; Berkowitz, Bobbie; Vlasses, Frances R
[Reflections on the development of maternal and child health in public health nursing in Taiwan].
Continued global economic difficulties and Taiwan's health insurance scheme have focused the domestic healthcare system excessively on medical treatments and made this system overly market-oriented. The NHI (national health insurance) Reimbursement Policy lacks adequate flexibility to adjust to current health needs. The situation constrains the medical service budget and causes nursing shortages in hospitals, which in turn marginalizes the public health nurses working at health centers. It is important for the government and professional associations to establish a public healthcare model that adequately meets the needs of the community. In addition to strengthening the role and function of public health nurses, a service model must be developed and piloted. This paper analyzes the situation and problem of maternal and child healthcare in Taiwan, studies the successful experiences of maternal and child healthcare from other counties, and then provides recommendations for the future development of public health nursing in Taiwan. PMID:24899555
Chen, Miao-Ching
In Australia and Norway final examinations to determine eligibility for registration as a nurse were discontinued during the period when nurse education moved into the higher education sector. In response to recent calls for the reintroduction of final examinations we explore the range of knowledge needs for the practice of nursing. These various forms of knowledge demand different forms of mediation and acquisition as well as assessment. There are numerous problems identified in the literature about the shortcomings of examinations as the foundation of assessing clinically based professions. There is a need to develop systems of appropriate assessment to ensure that graduates of nursing demonstrate adequate knowledge and competence to enter their profession. PMID:16740344
Wellard, Sally J; Bethune, Elizabeth; Heggen, Kristin
Examining Pre-migration Health Among Filipino Nurses.
The healthy immigrant hypothesis asserts that immigrants arrive in the receiving country healthier than same race/ethnic counterparts born there. Contemporary research, however, has not evaluated pre-migration health among migrants, nor has explicitly considered comparisons with non-migrants in the country of origin. Pre-migration health was examined among 621 Filipino nurses, including self-reported physical health, mental health, health behaviors, and social stress. Measures were compared by intention to migrate and also tested as predictors of actual migration using time-to-event analysis. Nurses intending to migrate had higher proportion of depression and reported higher general perceived stress compared to those not. Predictors of actual migration included age, mentally unhealthy days, social strain, and social support. Physical health and health behavior measures had no association with migration intention or actual migration. Findings suggest that, relative to those not intending to migrate, nurses intending to migrate have worse mental health status and social stress; and, do not have a physical health advantage. Future research must span the pre- to post-migration continuum to better understand the impact of moving from one country to another on health and well-being. PMID:25385090
de Castro, A B; Gee, Gilbert; Fujishiro, Kaori; Rue, Tessa
Healthcare accreditation models generally include indicators related to healthcare employees' perceptions (e.g. satisfaction, career development, and health safety). During the accreditation process, organizations are asked to demonstrate the methods with which assessments are made. However, none of the models provide standardized systems for the assessment of employees. In this study, we analyzed the psychometric properties of an instrument for the assessment of nurses' perceptions as indica...
Yepes I Baldo?, Montserrat; Romeo Delgado, Marina; Berger, Rita
Representing nursing judgements in the electronic health record.
The naming of nursing phenomena and representing the phenomena in a standardized manner suitable for encoding in computer-based systems is a challenge for the nursing profession at the national and the international level. Considerable progress has been made in the development of classification systems for nursing practice. The focus of this article is on language systems developed to represent nursing judgements in computer-based systems, in particular the electronic health record. A review of two current systems and their proposed revisions (North American Nursing Diagnosis Association, NANDA, Taxonomies I and II, and the International Classification for Nursing Practice, ICNP, Alpha and Beta versions), according to the features suggested by the Computer-based Patient Record Institute (CPRI) for classification systems appropriate for implementation in computer-based systems, suggests that the evolving versions extend the current versions in terms of sufficient granularity (depth and level of detail) and atomic and compositional character. However, it is not clear from the literature available to date whether the characteristics that are most closely related to definition of a formal terminology (i.e. clear and non-redundant representation of concepts, syntax and grammar for logical constructions of compositional terms, synonyms and language independence) will be part of the evolving vocabularies. Formal terminology models and related tools have the potential to complement, extend, and refine existing nursing classification systems. PMID:10520114
Moen, A; Henry, S B; Warren, J J
Background: Local public health nurses (PHNs) have been recognized as the main health service providers in communities in Japan. The Fukushima nuclear disaster in 2011 has, however, created a major challenge for them in responding to mothers' concerns. This was in part due to difficulties in assessing, understanding and communicating health risks on low-dose radiation exposure. In order to guide the development of risk communication plans, this study sought to investigate mothers' primary...
Goto, Aya; Rudd, Rima E.; Lai, Alden Y.; Yoshida, Kazuki; Suzuki, Yuu; Halstead, Donald D.; Yoshida-komiya, Hiromi; Reich, Michael R.
Purpose: Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education. Methods...
Sadhu Sakshi; Salins Naveen; Kamath Asha
The training of nurses for the family health strategy
Objective: to think about the formation of the nursing senior student having family health strategy as a base. Methodology: this paper describes a bibliographic research done based on Virtual Health Library (BVS - Biblioteca Virtual em Saúde) on the site Scientific Electronic Library on-line (Scielo) and Latin-America and Caribbean Literature in Health Science (Lilacs), along the period of 2002 to 2009 in Portuguese. For the selection of the articles were the following keywords: national hea...
Alyne Gonc?alves, Eid Lara Arau?jo Reis
A I M S : To explore the perceptions of nursing staff, medical doctors, health care students and patients on whethernurses are expected to play an educational role in health issues, as well as to explore the factors that affect theseperceptions. An additional aim is to evaluate the patient education offered by nurses.M E T H O D O L O G Y : The sample consists of nurses, nursing assistants, medical doctors, and patients from 4hospitals of the Central Macedonia region of Greece, and of nursing...
Krepia V.; Konstantinidou-Straykou A.; Psychogiou M.; Lavdaniti M,; Sapountzi-Krepia D.; Dimitriadou A.; Benos A.
In Canada, as well as internationally, efficiency-focused organizational restructuring in healthcare has resulted in stressful job change for nurses, although nurses continue to work in a system that values technology-based, physician-provided services. Employed nurses have had to participate in organizational activities that undermine their professional values and goals. Nursing entrepreneurship presents an opportunity to explore nursing's professional potential in nursing practice that is uniquely independent. In this study, a focused ethnographic approach was used to explore the experiences of self-employed nurses, who see themselves as leaders in advancing the profession of nursing and its contribution to healthcare. Key themes in the findings include the responses of self-employed nurses to health system change, expanded roles for nurses, the consequences of this non-traditional approach to nursing work and the possibilities for change that arise from nursing entrepreneurship. This research has implications for healthcare policy, professional advocacy and nursing education. PMID:23809640
Wall, Sarah
Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to...
Mchugh, Matthew D.; Kutney-lee, Ann; Cimiotti, Jeannie P.; Sloane, Douglas M.; Aiken, Linda H.
The Legal Aspects of College Health Nursing
Discusses do's and dont's of profession, emphasizing protective measures nurses can take to guard against legal action by students, including continuing education and malpractice insurance. Presented at General Conference of Seventh Day Adventists, Andrews University, Berrien Springs, Michigan, August 1968. (CJ)
Dutton, Ruth C.
Experiences of community health nurses regarding father participation in child health care
Traditionally child health care (CHC) has been an arena where mothers and nurses meet, but in recent years fathers are entering CHC with increasing frequency. The aim of this study was to describe nurses' experiences of fathers' participation in CHC. Nine Swedish nurses working in CHC were interviewed and asked to give a description of their experiences from meetings with fathers in CHC. Phenomenology according to Giorgi was used for the analysis and the essence of the findings was that f...
Alehagen, Siw; Ha?gg, Monica; Kale?n-enterlo?v, Maria; Johansson, Annakarin
Aim To examine whether the relationship between vision impairment and health-related quality of life (HRQoL) in nursing home residents is impacted by co-existing cognitive impairment. Methods This cross-sectional study involved a total of 382 English-speaking older adults (>55 years of age) with ?13 on the Mini Mental State Exam (MMSE) from seventeen nursing homes in Birmingham, AL. Assessments were taken of visual acuity (Lighthouse Near Visual Acuity Test), cognition (MMSE), and health-related quality of life (Nursing Home Vision-Targeted Health-Related Quality of Life Questionnaire, VF-14, and the SF-36). Results A greater portion of participants had both vision and cognitive impairments (38.5%) as compared to those with neither impairment (21.5%), vision impairment alone (13.4%), and cognitive impairment alone (26.7%). Cognitive impairment did not modify the impact of vision impairment on HRQoL. The reduction in HRQoL associated with vision impairment was similar for those with and without cognitive impairment. Conclusion The deleterious impact of vision impairment on HRQoL in nursing home residents was not exacerbated by the co-occurrence of cognitive impairment. Aging-related visual impairment in nursing home residents is often reversible through treatment leading to improved HRQoL, and thus it is clinically important to know that cognitive impairment is unlikely to interfere with this benefit. PMID:18971236
Elliott, Amanda F.; McGwin, Gerald; Owsley, Cynthia
[International classification of Nursing Practices in Collective Health-CIPESC].
The project International Classification of the Nursing Practices in Collective Health-CIPESC was the Brazilian contribution for the incorporation of the notion of collectiveness in the International Classification of Nursing Practice-ICNP. This article aims at analyzing the bibliographical production concerning nursing classifications available in the virtual library in health database since 1990. This is a bibliographical survey of nursing practice classification systems and is part of a larger research that intends to identify the collective face of the CIPESC instrument in the municipal health network of the city of Curitiba, in the State of Parana. The result shows that the majority of the texts are based on the clinical-individual model, and those that emphasize the social-epidemiologic model are still a minority. In addition, most studies focused on the collective were disseminated through the publications of the Brazilian Nursing Association, which has the hegemony in the diffusion of the knowledge about the collective face of classification systems. PMID:18450164
Cubas, Marcia Regina; Egry, Emiko Yoshikawa
Shift work a reality in life and health nurses
Directory of Open Access Journals (Sweden)
Full Text Available The need to provide care 24 hours of the day, 365 days of the year, means for nurses, compulsory work in a system of rotating shifts, including the realization of nights. This system has repercussions on the life, health and well-being of nurses.In order to identify evidence on the relationship between the work to shift and/or night the health and well-being of nurses and develop recommendations to improve the adaptation to the system of rotating shifts and/or night, have carried out a review of the literature.After detailed analysis of the literature, we can conclude that the quality of the care provided is in direct relation to the health and well-being of the nursing professional. Implement measures to reduce the physical, psychic, social and family wear must be priority, being necessary to educate professionals, families, society and business. Among the recommendations highlight, those directed to the company; set realistic goals, to reduce workloads in the night shift adapting them to the actual number of nurses, flexible schedules and recommendations addressed to the professional related: diet, sleep, exercise, family life and social hygiene. The implementation of these measures will mean: increase satisfaction, reduce absenteeism, increase productivity, reduce the number of errors and decrease spending.
MŞ Mercedes Gago López
Health-Promoting Behaviours of University Nursing Students in Jordan
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Full Text Available The purpose of this study was to determine health-promoting behaviours of university nursing students in Jordan. This descriptive cross-sectional study used convenient sampling technique to recruit 167 undergraduate nursing students in Jordan. Data were collected by using an Arabic version of Health-Promoting Lifestyle Profile II. The study results revealed that the mean item score for total Health-Promoting Lifestyle Profile II was (127.24 ± 21.03. The students obtained highest scores in spiritual growth (25.04 ± 4.70 and lowest in physical activity subscales (16.27 ± 5.21. Significant difference was found between Health-Promoting Lifestyle Profile II subscales (stress management, health responsibility, and interpersonal relations and students' age and gender.
Omayyah S. Nassar
The relationship between burnout and mental health among nurses
Directory of Open Access Journals (Sweden)
Full Text Available Background: Burnout is one of the most important factors in reduced productivity in organizations and involves physical and mental signs, especially in the human service professions. The role of nurses in the healthcare system is vital and motivation to ensure health security is extremely important. We carried out this research to examine the relationship between burnout and mental health in the nursing staff of educational hospitals of Tehran University of Medical Sciences.Methods: A descriptive cross-sectional survey was conducted among 200 nurses selected via probable multistage sampling. We used three instruments in this study: 1 demographic questionnaire 2 General Health Questionnaire-28 (GHQ-28 and 3 Maslach Burnout Inventory (MBI.Results: On the whole, using the MBI subscale, we found low levels of emotional exhaustion and depersonalization and high levels of reduced sense of personal accomplishment, both in frequency and intensity. The prevalence of symptomatic samples in the GHQ-28 was 43%, and two variables, burnout and poor mental health, were related (p<0.001. Burnout was to be related to gender, age and years of work. The correlation between poor mental health and years of work as well as hours of work in a week were significant. Conclusions: Our results suggest that there is a strong correlation between poor mental health and burnout. Furthermore, the prevalence of symptomatic samples detected in our study using the GHQ-28 was much higher than that reported in studies of the general population. The high prevalence of symptomatic samples and high prevalence of burnout in the dimension of self accomplishment, especially in younger nurses, combined with the strong correlation between poor mental health and burnout all show that care should be taken to improve the stressful conditions that nurses face.
Abdi masooleh F
[Continuous nursing education to improve the quality of health care].
Health care and today's medical and technical achievements and approved standards of treatment provide comprehensive quality, safety and traceability of medical procedures respecting the principles of health protection. Continuous education improves the quality of nursing health care and increases the effectiveness of patient care, consequently maintaining and enhancing patient safety. Patient health problems impose the need of appropriate, planned and timely nursing care and treatment. In providing quality nursing care, attention is focused on the patient and his/her needs in order to maintain and increase their safety, satisfaction, independence and recovery or peaceful death, so the health and nursing practices must be systematized, planned and based on knowledge and experience. Health and nursing care of patients at risk of developing acute and chronic wounds or already suffering from some form of this imply preventive measures that are provided through patient education, motivation, monitoring, early recognition of risk factors and causes, and reducing or removing them through the prescribed necessary medical treatment which is safe depending on the patient health status. Except for preventive measures, nursing care of patients who already suffer from some form of acute or chronic wounds is focused on the care and treatment of damaged tissue by providing appropriate and timely diagnosis, timely and proper evaluation of the wound and patient general status, knowledge and understanding of the wide range of local, oral and parenteral therapy and treatment, aiming to increase patient safety by preventing progression of the patient general condition and local wound status and reducing the possibility of developing infection or other complications of the underlying disease. In the overall patient management, through nursing process, medical interventions are implemented and aimed to maintain and optimize health status, prevent complications of existing diseases and conditions, provide appropriate wound treatment, increase satisfaction, reduce pain, increase mobility, reduce and eliminate aggravating factors, and achieve a satisfactory functional and aesthetic outcome. Many scientific researches and knowledge about the pathophysiological processes of wound formation and healing are currently available. Modern achievements can accelerate independence, reduce pain and encourage faster wound healing, thus it is important to continuously develop awareness, knowledge and experience, along with the treatment to achieve, maintain and enhance the quality of health care and patient safety. PMID:25326985
Fumi?, Nera; Marinovi?, Marin; Brajan, Dolores
Health promotion in nursing and cost-effectiveness.
Close examination of the different healthcare systems and the present economic crisis worldwide suggests that all health organizations should re-evaluate the concept of health promotion and its relationship to cost-effectiveness. When choosing the most efficient and cost-effective system, each nation's healthcare system must seriously start to implement strategies for the change. Health professions, including nursing, must change their vision of education both in academic and practice settings, to focus on health promotion and illness prevention. The key principle underlying this paper is to illustrate the importance of health promotion and cost-effectiveness being adopted by all health organizations worldwide, as well as to observe the experiences of selected counties in developing a health policy related to education in primary healthcare. The paper will include a plan adopted by the General Nursing Directorate (GND) in the Kingdom of Saudi Arabia (SA), which contains a health promotion policy for the nursing administrations in all governmental primary healthcare centers in Saudi Arabia. PMID:22924205
Jadelhack, Raja
42 CFR 413.85 - Cost of approved nursing and allied health education activities.
...incurs costs for a nursing or allied health...cost payment for those nursing and allied health...lead to the ability to practice and begin employment in a nursing or allied health specialty...patient or patient's family in the use of...
Health Reform: the health knowledge printed in the annals of Brazilian Nursing (1977-1980
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Full Text Available The study has as object in nursing knowledge built during the Brazilian Sanitary Reform Movement, printed in the Annals of the Brazilian Nursing for the period 1977-1980. Objective: To analyze the content relating to this national health policy in the annals of the Brazilian Congress of Nursing in force from 1977 to 1980. This is a social-historical study, exploratory analysis that used the documentary as a research technique. We analyzed the Annals of the Brazilian Nursing the period 1977-1980, and categorization of selected themes in the corpus. The nurses, as actors engaged in national health system, they made a scientific output that showed signs of incorporation of political and social reality, building a knowledge in public health in line with the ideals sanitarians.
Érica Toledo de Mendonça
Nursing Assessment and Intervention to Geriatric Patients Discharged from Emergency Departments
DEFF Research Database (Denmark)
Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80% of geriatric patients have complex and often unresolved caring needs. Objective: To investigate a structured nursing intervention's impact on geriatric patients' unresolved problems and their use of help from the community health centre. Method: We conducted a prospective descriptive study of selected geriatric patients with nursing intervention at discharge and 1 and 6 months follow-up. Included were geriatric patients 70+ years discharged to their home October 2006-June 2008. Intervention: After detecting the geriatric patients planned to be discharged, the geriatric nurse in the ED did a brief standardised nursing assessment developed by McCusker et al. comprising a checklist of physical, mental, medical and social problems. Focus was on unresolved problems that required medical intervention, new/different home care services or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: 150 geriatric patients participated, mean age 81.7 (70-99). At discharge they had in mean 2 164 (0-9) unresolved problems, after 1 month 0.8 (0-5), and after 6 months 0.5 (0-4). Before baseline ED visit 85 % of the patients received home care services, 1 and 6 months after discharge it was 96 %. Relevance to clinical practice: Structured nursing assessment and intervention in the ED could be a way of discovering geriatric patients' unresolved problems and preventing further functional decline and readmission. To confirm the effect a randomized controlled trial including 270 patients is carried out as part of my PhD study at University of Southern Denmark. Data is collected from Copenhagen University Hospital Amager.
Rosted, Elizabeth Emilie; Poulsen, Ingrid
Nursing Assessment and Intervention to Geriatric Patients Discharged From Emergency Department
DEFF Research Database (Denmark)
Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80 % of geriatric patients have complex and often unresolved caring needs. Objective: To examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective, randomized, controlled trial with follow-up at one and six months. Included were patients >70 at increased risk of readmission and functional decline (had an ISAR 1 score of 2-6 points) and discharged home in the period 16th of February 2009 to 31st of January 2011, N=271. Intervention: A nurse did a brief nursing assessment comprising a checklist of 10 physical, mental, medical and social items. The focus was on unresolved problems which require medical intervention, new or different home care services, or comprehensive geriatric assessment. Following this the nurses made relevant referrals to the geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: Primary endpoints will be presented as unplanned readmission to ED; admission to nursing home; and death. Secondary endpoints will be presented as physical function; depressive symptoms; health related quality of life; and hours of help received from the community. Conclusion: The presentation at the conference will include results collected at one and six months follow-up, this will show if a two-stage intervention consisting of screening with the ISAR 1 tool followed by structured nursing assessment and intervention in the ED could be a way of discovering geriatric patients' unresolved problems and preventing further functional decline and readmission.
Rosted, Elizabeth Emilie; Poulsen, Ingrid
Objective: to identify the practices of nurses' performance during the prenatal low risk in the Basic Health Method: a descriptive exploratory qualitative approach with the type of literature review, held in the Virtual Health Library (VHL), the bases LILACS, BDENF and SCIELO. After the data collection took place an exploratory reading, selective, analytical and interpretive. Results: selected to be two categories: the nursing consultation in favor of a proposed new nursing work and education...
Geilsa Soraia Cavalcanti Valente, Maira Muniz Assis
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Full Text Available Abstract Background Intimate partner violence (IPV has a deep impact on women's health. Nurses working in primary health care need to be prepared to identify victims and offer appropriate interventions, since IPV is often seen in primary health care. The aim of the study was to assess nurses' preparedness to identify and provide nursing care to women exposed to IPV who attend primary health care. Method Data was collected using a questionnaire to nurses at the primary health care centres. The response rate was 69.3%. Logistic regression analysis was used to test relationships among variables. Results Shortcomings were found regarding preparedness among nurses. They lacked organisational support e.g. guidelines, collaboration with others and knowledge regarding the extensiveness of IPV. Only half of them always asked women about violence and mostly when a woman was physically injured. They felt difficulties to know how to ask and if they identified violence they mostly offered the women a doctor's appointment. Feeling prepared was connected to obtaining knowledge by themselves and also to identifying women exposed to IPV. Conclusion The majority of the nurses were found to be quiet unprepared to provide nursing care to women exposed to IPV. Consequences might be treatment of symptoms but unidentified abuse and more and unnecessary suffering for these women. Improvements are needed on both at the level of the organisation and individual.
Sundborg Eva M
Geriatric Nursing Assessment and Intervention in an Emergency Department – a Pilot Study
DEFF Research Database (Denmark)
Aim To describe and test a model for structured nursing assessment and intervention to older people discharged from Emergency Department (ED). Background Older people recently discharged from hospital are at high risk of readmission. This risk may increase when they are discharged straight home from an ED as time pressure requires staff to focus on the presenting problem although many have complex, unresolved, care needs. Method A prospective descriptive study was conducted. Older people aged 70 and over and at risk of adverse health and functional outcome were included. Intervention: At discharge, and at 1 and 6 month follow-up, a brief standardised nursing assessment (ISAR 2) developed by McCusker et al. was carried out. The focus was on unresolved problems that required medical or nursing intervention, new or different home care services or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to the geriatric outpatient clinic, community health centre, general practitioner or made arrangements with next-of-kin. Results One hundred and fifty people participated, mean age was 81.7. At discharge they had a mean of 1.9 unresolved problems, after 1 month 0.8, and after 6 months 0.4. Older people receiving home care services increased from 79% at discharge to 89% at 1 month and 90% at 6 month follow-up. Conclusion ISAR 2 works well in a Danish ED setting and intercepts older peoples' problems. It seems that unresolved problems decrease when a nurse assesses and intervenes at discharge from ED, and at follow-up. However a randomized controlled test should be carried out to confirm this. Relevance to clinical practice Nursing assessment and intervention should be implemented in the ED to reduce older peoples' unrevealed problems.
Rosted, Elizabeth Emilie; Wagner, Lis
Geriatric nursing assessment and intervention in an emergency department : a pilot study
DEFF Research Database (Denmark)
To describe and test a model for structured nursing assessment and intervention to older people discharged from emergency department (ED). Background. Older people recently discharged from hospital are at high risk of readmission. This risk may increase when they are discharged straight home from an ED as time pressure requires staff to focus on the presenting problem although many have complex, unresolved, care needs. Method. A prospective descriptive pilot study was conducted. Older people aged 70 and over and at risk of adverse health and functional outcome were included. Intervention: At discharge, and at 1 and 6 months follow-up, a brief standardised nursing assessment (ISAR 2) developed by McCusker et al. was carried out. The focus was on unresolved problems that required medical or nursing intervention, new or different home care services or comprehensive geriatric assessment. After assessment, the nurse made relevant referrals to the geriatric outpatient clinic, community health centre, general practitioner or made arrangements with next of kin. Results. One hundred and fifty people participated, mean age was 81.7. At discharge, they had a mean of 1.9 unresolved problems, after 1 month 0.8, and after 6 months 0.4. Older people receiving home care services increased from 79% at discharge to 89% at 1 month and 90% at 6 months follow-up. Conclusion. ISAR 2 works well in a Danish ED setting and intercepts older peoples' problems. It seems that unresolved problems decrease when a nurse assesses and intervenes at discharge from ED, and at follow-up. However, a randomised controlled test should be carried out to confirm this. Implications for practice. Nursing assessment and intervention should be implemented in the ED to reduce older peoples' unrevealed problems.
Rosted, Elizabeth Emilie; Wagner, Lis
International School Children's Health Needs: School Nurses' Views in Europe
Rapid globalization and the integration of national economies have contributed to the sharp rise in enrollment in international schools. How does this global nomadism affect international school children and their individual health needs? This study attempts to find an answer by interviewing 10 school nurses, with varying degrees of experience in…
Hansson, Annika; Clausson, Eva; Janlov, Ann-Christin
Increasing the rate of recruitment of nursing students into mental health nursing (MHN) is vital to long-term sustainability of health care system support for people diagnosed with mental illness. However MHN is not a popular career path; this raises questions about what attitudes and beliefs may divert or attract students to this specialisation. The current research involved a survey of undergraduate nursing students at a regional university in Australia to clarify the nature of relationships between attitudes (e.g., the value of mental health nursing, stereotypes of people with mental illness) and how they may be antecedents to considering MHN as a career path. Through a structural equation model, it was ascertained that anxiety surrounding mental illness leads to less interest in MHN as a future career and suggests that anxiety is (a) partly due to negative stereotypes, and (b) countered by preparedness for a MHN role. Beliefs on how MHN can make a valuable contribution to people's well-being did not affect interest in pursuing MHN. These findings reconfirm the need to reduce anxiety about mental illness by educational approaches that effectively prepare students for MHN, combined with challenging negative stereotypes. PMID:24350751
Happell, Brenda; Platania-Phung, Chris; Harris, Scott; Bradshaw, Julie
Environmental Health Risk Assessment
It's always great to learn about an interesting new resource for teaching college students about environmental health, and this one is quite handy. Created as part of the Science Education Resource Center at Carleton College, the Environmental Health Risk Assessment site helps instructors and students "locate and use some of the numerous health-related tools and databases that can be found on the web." Here visitors can look over the Tutorial, which is designed to give interested parties a step-by-step example of how to perform an environmental health risk inventory. Also, the site includes an activity that can be used in the classroom, along with a list of vetted mapping tools available across the Web. The site is rounded out by four external links to related resources, including one that looks at the relationship between geology and human health.
The health needs of gay men: a discussion of the literature and implications for nursing.
Although there is a general dearth of nursing literature on health issues specific to gay (homosexual) men, the literature reviewed shows that gay men have particular concerns related to anti-homosexual feelings anticipated and experienced from health professionals. The effects of homophobia in wider society may cause high levels of emotional distress in some gay men, which is associated with a higher incidence of substance misuse, parasuicide, bipolar psychiatric disorders and depression. Gay men also have specific needs with regard to general medical problems, including hepatitis, HIV infection and some other sexually transmitted diseases. Gay men may also present to health services for a wide range of general medical, surgical and mental health problems. Some specific health needs are discussed: general health, sexual health and bereavement counselling. These issues may affect individuals differently through various stages in the lifespan, and nurses should be cognizant of them during their assessment of client needs. Minimum counselling skills, together with appropriate training about gay issues, are required if nurses are to deal effectively with clients' needs. PMID:7963065
Taylor, I; Robertson, A
Geriatric Nursing Resources for Care of Older Adults: Assessment Tools
For nurses interested in keeping up to date with developments in geriatric treatment, this set of resources created by expert practitioners will be quite a find. The entire site was developed as part of the Nurse Competence in Aging initiative created by the American Nurses Association. Here, visitors can read over twenty-five two-page assessment tools that include such helpful titles as â??Assessing Nutrition in Older Adultsâ?ť, â??Predicting Pressure Ulcer Riskâ?ť, and â??Immunizations for the Older Adultâ?ť. Written in clear and direct language, these resources will also be of assistance for nursing educators and those who are responsible for professional development workshops. It is also worth mentioning that these short tools are designed as screening tools, and are not for diagnosis.
Musculoskeletal Load Assessment in Hospital Nurses with Patient Transfer Activity
Manual patient handling is known to be the major source ofmusculoskeletal load among hospital nurses. The objectives of the present study were determination of frequency ofmusculoskeletal disorders (MSDs) and its associatedfactors together with assessment of musculoskeletal loaddue to patient transfer by PTAI method in hospitalnursing staff of Shiraz University of Medical Sciences (SUMS), Iran. In this cross-sectional study, 400 randomlyselected nurses of SUMS hospital participated. Data were...
Roghayeh Abedini; Alireza Choobineh; Jafar Hasanzadeh
To assess the knowledge of cardiopulmonary resuscitation (CPR) among the nurses ( n= 302) of community-based health services in Hainan province of China, a survey was made by randomized stratified cluster sampling using self-designed questionnaires. The passing rate for qualification of the knowledge of CPR was found to be very low in Hainan province (23.18 %). A significant difference of regions and different educational level among the nurses were also noticed (P<0.01). It may be concluded...
Chen, Xiu-zhen
Using learning outcome measures to assess doctoral nursing education.
Education programs at all levels must be able to demonstrate successful program outcomes. Grades alone do not represent a comprehensive measurement methodology for assessing student learning outcomes at either the course or program level. The development and application of assessment rubrics provides an unequivocal measurement methodology to ensure a quality learning experience by providing a foundation for improvement based on qualitative and quantitatively measurable, aggregate course and program outcomes. Learning outcomes are the embodiment of the total learning experience and should incorporate assessment of both qualitative and quantitative program outcomes. The assessment of qualitative measures represents a challenge for educators in any level of a learning program. Nursing provides a unique challenge and opportunity as it is the application of science through the art of caring. Quantification of desired student learning outcomes may be enhanced through the development of assessment rubrics designed to measure quantitative and qualitative aspects of the nursing education and learning process. They provide a mechanism for uniform assessment by nursing faculty of concepts and constructs that are otherwise difficult to describe and measure. A protocol is presented and applied to a doctoral nursing education program with recommendations for application and transformation of the assessment rubric to other education programs. Through application of these specially designed rubrics, all aspects of an education program can be adequately assessed to provide information for program assessment that facilitates the closure of the gap between desired and actual student learning outcomes for any desired educational competency. PMID:20567217
Raup, Glenn H; King, Jeff; Hughes, Romana J; Faidley, Natasha
Health promotion in Family Health Strategy: the perception of the nursing staff Crato - CE
Objective: To evaluate the perception of the nursing staff of the Family Health Strategy (FHS) on health promotion. Methods: This was a qualitative and descriptive study, which occurred in nine FHS of the city of Crato-CE in the period October-December 2010. The subjects were nine nurses and eight of the nursing technicians with service time of three to eight years at FHS investigated. Randomly chosen and electing the criterion of saturation data, we used semi-structured interview, which was ...
Danielle Lopes de Alencar; Anna Laryssa Ribeiro de Oliveira Brito; Kenya Waléria de Siqueira Coelho Lisboa
Florence Nightingale: creator of modern nursing and public health pioneer.
In starting this series of articles on distinguished women in nursing, medicine and the related healthcare professions, the choice of the first name is obvious. Florence Nightingale is, I suggest, the most famous female in the long history of medicine and is a name that is known and revered throughout the world. Most people--even those in 'the trade'--think of her as 'the lady with the lamp', the heroine who went out to the Crimean War and nursed the sick and wounded at Scutari. Important though this was, her main contribution was her continued work, long after the war, in nursing organisation and training, hospital planning, public and military health and her pioneering work in the efficient gathering of medical statistics. PMID:18828456
Ellis, Harold
[An existential health care approach in hospital psychiatric nursing].
The focus of Mental Health Care in Brazil has been on community psychiatric care services that replace the asylum model. However, individuals with mental disorders continue to shift between community services and psychiatric hospitals, besides becoming a target of the disciplinarization and violence that question the quality of the nursing care being delivered. The objective of this study is to understand the ontology of nursing care in psychiatric hospitalization. Participants were four individuals with mental disorders who attended a center for psychosocial care, who agreed to talk about their psychiatric hospitalization experience by means of a semi-directed interview. The subjects remembered about their psychiatric hospitalization and assigned meanings to it. Heidegger's Existential Analysis was used, and thus generated the Meaning Unit: Being-in-the-world cared with impersonality; which allowed to unveil the phenomenon through Dasein's structure, and thus made it possible to outline the ontological care in nursing in psychiatric hospitals. PMID:21655789
Furlan, Marcela Martins; Ribeiro, Cléa Regina de Oliveira
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Full Text Available In today's dynamic health systems, technology plays an important role in education and nursing work. So it seems necessary to study the role of nurses and highlight the need for appropriate information technology educational programs to integrate with the ever-increasing pace of technology. A review accompanied by an extensive literature search in databases and a library search focused on the keywords were used. The criteria used for selecting studies primarily focused on nursing informatics and the importance of expertise in the effective use of information technology in all aspects of the nursing profession. In a critical assessment of emerging technologies, the key elements of nursing informatics implementation were considered as healthcare promotion, advanced systems, internet and network. In view of the nature and the development of the information age, it is required to receive necessary IT training for all categories of nurses. Due to the fast development of technology, in order to effectively take advantage of information technology in nursing outcome and quality of health care and to empower nurses; educational arrangement is recommended to set short-term and long-term specialized courses focusing on four target groups: studying, working, graduate, senior undergraduate, and graduate doctoral. The result of this study is expected to assist educational providers with program development.
Asieh Darvish
Mental health knowledge and skills of general hospital nursing staff: an exploratory study.
The psychiatric knowledge and skills of forty six nurses working in a general hospital in Bangalore, India were evaluated objectively using Multiple Choice Questionnaire (MCQ) and case vignettes. The results revealed that these general nurses had less than satisfactory mental health knowledge and skills. The findings highlighted the need for systematic in-service training for nursing staff in mental health problems. PMID:1783506
Keshavan, K; Sriram, T G; Kaliaperumal, V G; Subramanya, K R
The Role of the School Nurse and School Based Health Centers. Position Statement. Revised
The National Association of School Nurses holds the position that a combination of school nursing services and school-based health centers (SBHCs) can facilitate positive health outcomes for students. SBHC services complement the work of the school nurses, who are responsible for the entire population of students, by providing a referral site for…
Bannister, Ann; Kelts, Susan
The Nurse Consultant: an Innovative Role in the Greek Health Care System?
Introduction: Nursing has gone through phases of being a static profession in many countries withdifficulty in breaking this mold in order to escalate its full potential. In countries where innovative rolesand new posts for nursing flourish i.e. nurse consultant, clinical nurse specialist and others, nursesenjoy advanced professional independence, greater respect from other health care professionals andhold higher prestige within the extended society. The nursing profession in Greece requires...
Dimitrios Theofanidis; Ourania Pediaditaki; Antigoni Fountouki
[The state of health of oncology nurses characterized by genetic and immunotoxicologic biomarkers].
Statistical data indicate a chronic shortage of work-force due to overwork, ill health state and increased risk of chronic noninfectious diseases in Hungarian health care personnel, which needs investigations in order to decrease the risk. Nurses of oncology units, often exposed to carcinogens when preparing and handling cytostatic drugs, are especially at high risk. In the present publication we report a complex clinical, geno- and immunotoxicology risk assessment of altogether 500 nurses, performed during the last 10 years at various oncology units in Hungary. The obtained results indicate that the health status of nurses at oncology units is better than the Hungarian average, especially of hypertonia and type II diabetes. However, the prevalence of iron deficiency anemia and different thyroid gland diseases is significantly higher than those of the controls matched for sex and age. The results suggest that iron deficiency can potentiate the resistance to insulin, i.e. the persistence of iron deficiency may increase the serum glucose levels and thus the risk of diabetes. Among the studied geno- and immunotoxicology biomarkers, the frequency of chromosome aberrations, sister chromatid exchange and B lymphocytes was significantly increased compared to the matched controls. The obtained alterations demonstrate the occupational exposure of the nurses to cytostatic drugs, thus the introduction of more strict hygienic controls and compliance with the European Union chemical safety regulations is necessary. PMID:16888679
Tompa, Anna; Magyar, Balázs; Tóth, Ferenc; Biró, Anna; Fodor, Zoltán; Jakab, Mátyás; Major, Jenô
Designing of Electronic Health Record Software in the Nursing and Midwifery Faculty of Tabriz
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Full Text Available Introduction: much effort was conducted to support the use of electronic record systems in nursing process. Some of the most important reasons for its application are efficiency, security and the quality of the patients' data registration. The purpose of this study is to present electronic registration software of patients, health assessment and to determine the attitude of nurses towards it. Methods: this is a R&D leading to construction of the patient's health assessment software. In the beginning, Gordon Model and the daily charts of the patients were prepared to paper. During the next 8 months these charts were converted into the software programs. The databases were implemented using "the SQL server" and "C#Net" programming language. Results: the software used in this study included 4 parts; the first one contained information of Gordon health assessment model in 11 items, the second contained charts of the study, the third part consisted of Lund-Browder table and dummy data table for 4 age groups, and the fourth one was image infor-mation storage part for burn wounds pictures. Conclusion: despite barriers, electronic systems could lead to confidential information, increase the quality of nursing records, and also reduce the amount of expenses.
Vahid Azizi
Psychiatric and mental health nursing practice continues to be strongly influenced by tradition, unsystematic trial and error, and authority. Yet the need for quality care that is based on the best and most current empirical research is well documented. Achieving evidence-based practice in the psychiatric nursing specialty will require that qualified nurse researchers conduct research relevant for practice and appropriately disseminate that research to those who can best use it, practicing nu...
Zauszniewski, J.
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Full Text Available Psychiatric and mental health nursing practice continues to be strongly influenced by tradition, unsystematic trial and error, and authority. Yet the need for quality care that is based on the best and most current empirical research is well documented. Achieving evidence-based practice in the psychiatric nursing specialty will require that qualified nurse researchers conduct research relevant for practice and appropriately disseminate that research to those who can best use it, practicing nurses. This State of the Evidence Review analyzed the 227 data-based studies published in the five most commonly read American psychiatric nursing journals from January 2000 through December 2002. Five major research foci were found: global perspectives, psychiatric nurses as subjects, studies of family caregivers, research with clients across the life span, and testing of nursing interventions. About 88% of the studies were conducted in the United States; 63% involved recipients of mental health care services; but only 11% tested psychiatric nursing interventions. Promoting evidence-based practice in psychiatric nursing will require increasing the numbers of psychiatric nurse researchers, enriching the research process (i.e., increasing relevance and appropriate dissemination, and implementing changes in practice that are based on the best and most currently available evidence, rather than on the equivalents of "Old Wives' Tales."
Zauszniewski, J., Suresky, J
77 FR 60128 - Noncompetitive Supplements to Nursing Assistant and Home Health Aide Program Grantees
...training. SUPPLEMENTARY INFORMATION: Grantees of record...TTUHSC) School of Nursing, 302 Pine Street...process. FOR FURTHER INFORMATION CONTACT: Kirk Koyama, Health...Administration, Division of Nursing, 5600 Fishers...
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Full Text Available Introduction: Anecdotes abound about obesity and obese person being ridiculed and society attitudes about obese persons are clearly negative and many of health care workers, also believes these myths. This study was performed to determine the attitudes of nursing students of Semnan University of medical sciences about obesity myths. Materials and Methods: This research was a descriptive-analytic study and was performed on 115 of the nursing students of the Semnan University of Medical Sciences in May 2006. Data was collected with researcher-made questionnaire, which it was composed of demographic data and 25 common myths about obesity. The myths were selected from the internet using key word "Obesity myths". We used 5-point Likert scale for the assessment of nursing student's attitude. Statistical analysis was performed by SPSS program using chi-square and spearman correlation test. Results: The result of study showed that nursing students have anti-fat bias towards obese individuals and some of their attitudes need corrections, however, 59/1% of the students have positive attitudes about obesity myths (disagreement with obesity myths. Conclusion: Nurses are at first line of confrontation with clients and patients. Beliefs and attitudes of nurses can contribute to providing care of obese individuals. More education about obesity concept is necessary.
N. Raees Dana
Integrating oral health into professional nursing practice: an interprofessional faculty tool kit.
Millions of children and adults in the United States have unmet oral health care needs, and professional nurses can play a central role in reducing oral health disparities and expanding access to care. Interprofessional education is requisite to improving oral health care outcomes. Baccalaureate nursing programs need to prepare collaborative practice-ready professional nurses to improve oral health care especially for vulnerable and underserved individuals, communities, and populations. This article presents an interprofessional faculty tool kit that builds upon The Essentials of Baccalaureate Education for Professional Nursing Practice as a framework for preparing professional nurses with basic knowledge, skills, and attitudes in oral health promotion and disease and injury prevention across the life cycle. Expectations for professional nursing practice are described within the context of The Essentials and contemporary oral health care issues. Exemplars of interprofessional teaching-learning strategies are provided to assist nurse faculty with integrating oral health into baccalaureate nursing curriculum. Nurse educators are called to prioritize oral health as an essential component of overall health and well-being, increase the visibility of evidence-based oral health promotion and disease and injury prevention in baccalaureate nursing curricula, and support interprofessional oral health education and collaborative care. PMID:24503317
Dolce, Maria C
Assessing Health Risks from Pesticides
Assessing Health Risks from Pesticides Este Web page está disponible en espańol Questions on Pesticides? Contact the National Pesticide Information Center ( ... of Toxicity Tests EPA Requires for Human Health Risk Assessments EPA evaluates studies conducted over different periods ...
Objectives: Nursing is an occupation needed renunciation, patience and physical endurance. Nurses have to prevent their physical and mental health, because they can be more beneficial to patients. A cross-sectional study was conducted on AIBU Duzce Medical School Nurses to determine health problems and nutritional habits. Materials and Methods: The questionnaires forms filled by 79 nurses(%86) and analysed the data using an statistical package programme. Results: Mean age of the study group w...
Deniz, Fatih; Alcelik, Aytekin; Yesildal, Nuray; Mayda, Atilla Senih; Ayakta Serifi, Berna
This study focused on the nurses' experiences with multicultural clients in sexual and reproductive health care in Kokkola. The purpose of the study was to describe nurses' experiences when facing multicultural clients in sexual and reproductive health care. The goal of the study was to gain information for the development of the nursing practice and education in the field of multicultural nursing. The research was conducted by combining both qualitative and quantitative research met...
Kattilakoski, Outi
The Use of Competency Models to Assess Leadership in Nursing
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Full Text Available Background: The efficiency of the health care system is significantly dependent on the appropriate leadership and guidance of employees. One of the most frequently used new approaches in human resources management is the study of competencies and competency models. The aim of this research is to develop a competency model for leaders in nursing, and to compare it with the leadership competency model for state administration.Methods: A survey was conducted among 141 nurse leaders in Slovenia. The respondents were asked to complete questionnaire with 95 leadership behaviours that form the leadership competency model for leaders in nursing. The data were analysed by ANOVA and Tukey's honestly significant differences test.Results: The levels of competencies set for themselves by leaders at the third leadership level in nursing (leaders of small units and teams are significantly lower than those set by all other leaders, both in nursing and in state administration. Statistically significant differences were apparent in the majority of areas.Conclusion: Within the context of the comparison of competency models, the greatest need for training can be observed at the third level of leadership in nursing. A comparison of models formulated in this way enables the exchange of good practices among leaders from various professional groups and easier identification of the training needs of individual groups of leaders in public administration. The proposed concept is designed to significantly simplify and unify the building of competency-based leadership models in public sector.
Andreja Kvas
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Full Text Available Current developments towards a German electronic Health Card raise the question whether the card is capable of improving care also for persons with special nursing needs including short-term as well as long-term care patients. The aging of the population - also in Germany - is coupled with an increase in the number of long-term care patients. They are patients who need medical as well as nursing care and who often need care provided by changing care settings (ambulatory care/home care vs. hospital during the course of their illness. Nursing Science has been recognizing the importance of an uninterrupted way of providing patient care (continuity of care as a central issue and has been developing concepts and instruments for case management and discharge management. Both approaches provide mechanisms proven under real life conditions for transferring patients safely from one to another setting. Although nursing telematics covers a wide range of topics, from semantic interoperability to telecare solutions, its primary applications, namely case management and discharge management, are only poorly supported by information and communication technology. It is therefore not surprising, that the electronic Health Card in Germany was planned without making any reference to case management and discharge management. Current concepts for the applications of the card simply ignore the scenario of transferring patients with special nursing needs between care settings. Though adjustments of the legal foundations of the electronic Health Card had been made recently, nurses will still not be able to exchange nursing summaries electronically by means of the card because nurses working in nursing homes and for ambulatory nursing services have no access rights for the data on the card. The full exploitation of the card and its potential for innovation does not only depend, however, on granting access rights to all nurses but also on issuing electronic Health Professional Cards (eHPC to nurses similar to the ones of physicians and pharmacists. As the eHPC is a basic prerequisite for using the electronic Health Card its implementation for nurses is required within a short time frame. In conclusion, only when the electronic health card and its applications are available to professional nursing care the growing number of patients with special nursing needs will benefit from its introduction.
Hübner, Ursula
[Education and health regarding citizenship: a nurses' group practice].
This study was run in a community committee of Nossa Senhora da Aparecida, a surrounding city of Joao Pessoa, Paraiba. It aimed at characterizing nursing practice there and discussing its occurrence. The analysis was run based on eight inhabitants and four nurses speeches through semistructured interviews whose data were collected qualitatively. It focused on the discussion which evolved from questions regarding to education and health from the perspective of exercising citizenship. In the participants of the study representations, education seemed dynamic and implied awareness ... a question of life. Health is comprehended under 3 points of view: the one of welfare, the one of suffering and the one of biological balance. The perspective of citizenship exercise reveals itself sometimes as conformism, through silence or resignation and sometimes as resistance, through the ideal manifestation and courage for fighting for better life condition. PMID:10765333
de Lima, C B; Baptista, S de S
Microcomputer Based Data Management System for Nursing Assessment of the Diabetic Patient
The use of computers in facilitating nursing practice has been greatly underutilized. A microcomputer system has been developed to assist the nurse in the capture, storage and retrieval of nursing assessment data for the patient with diabetes mellitus. Presently feedback on practice involves a time-consuming and expensive chart-auditing process. By using a computerized assessment, the nurse can efficiently be given feedback on performance and the quality of nursing data can be monitored and r...
Jacobowitz, Kurt; Strodtman, Linda; Lomas, Timothy; Truax, Terry
Evaluation of the implementation of advanced nursing competencies in the Basque health care system
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Full Text Available In 2011 advanced competences in nursing were defined and pilot tested in the Basque Healthcare System, in order to meet the needs of chronic patients. It is assumed that nursing professionals, in a functional sense, can fulfil a liaison role both within the health system and with external stakeholders. Integration between levels of care, the mobilisation of resources and case management are fundamental factors in achieving this objective. Background: In 2010, an overall strategy for tackling the challenge of chronicity was launched in the Basque Country. Its main objective was to drive the Basque Health Service (Osakidetza towards improving care for patients with chronic illnesses (Department of Health and Consumer Affairs, Basque Government and Osakidetza, 2010. Under this strategy, there was a commitment to develop and implement advanced competencies in nursing, with the objective of introducing nursing roles to better meet the needs of chronic patients. Methods: To achieve this objective, a one-group pre-test and post-test pre-experimental design was adopted for this study. We used the SATISFAD questionnaire to assess the satisfaction of patients and caregivers, and the SF-12 and Barthel Index to measure quality of life and level of independence respectively. Results: The experience of introducing the new nursing competencies has been rated as very positive by the participating patients and those around them (their caregivers and families as it is perceived to have resulted in care that is more personalised, better planned and focused on the patient than traditional healthcare. Nevertheless, the process was not found to have significantly improved patient perception of quality of life and level of independence.Conclusions: The implementation of advanced competencies in the Basque Country has shown that case management leads to improvements in social and health care for patients, and their caregivers and families, compared to traditional care.
Galder Abos-Mendizabal
Clinical Skills of Nurses in Mobile Health Services
The purpose of this study is to explore and describe the acceptability of the clinical skills of community nurses in mobile health services. An explorative, descriptive design was employed. After a literature study, interviews were conducted with patients, and analysed, the results were verified by means of observation of the mobile services. The clinical skills were described as favourable and not favourable by patients some of which were confirmed during the observation phase. Guidelines fo...
Db, Mofukeng
Access to occupational health services for primary prevention and control of work-related injuries and illnesses by the global workforce is limited (World Health Organization [WHO], 2013). From the WHO survey of 121 (61%) participating countries, only one-third of the responding countries provided occupational health services to more than 30% of their workers (2013). How services are provided in these countries is dependent on legal requirements and regulations, population, workforce characteristics, and culture, as well as an understanding of the impact of workplace hazards and worker health needs. Around the world, many occupational health services are provided by occupational health nurses independently or in collaboration with other disciplines' professionals. These services may be health protection, health promotion, or both, and are designed to reduce health risks, support productivity, improve workers' quality of life, and be cost-effective. Rantanen (2004) stated that basic occupational health services must increase rather than decline, especially as work becomes more complex; workforces become more dynamic and mobile, creating new models of work-places; and jobs become more precarious and temporary. To better understand occupational health services provided by occupational health nurses globally and how decisions are made to provide these services, this study examined the scope of services provided by a sample of participating occupational health nurses from various countries. PMID:25000546
Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie
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Full Text Available The prevalence of dementia is predicted to increase significantly as the population ages and with no foreseeable cure options the burden of dementia will continue to grow. Early diagnosis provides many benefits, including timely access to appropriate support services and provision of tailored therapeutic interventions for people with dementia and their carers. Memory clinics are a key response to the need for specialist assessment and diagnosis of dementia. Multidisciplinary team memory clinics are considered the "gold standard"; however, such resource intensive clinics are likely unsustainable. The nurse-led memory clinic format may provide a primary care focused, diagnostic service for dementia that does not have the cost implications of multidisciplinary memory clinics but there is limited research using nurse practitioners. This study is exploring the potential of a nurse-led memory clinic as a primary health care approach to health promotion (brain health awareness, disease prevention (risk factor reduction and early intervention (diagnosis and management of dementia. A realistic evaluation of a nurse practitioner-led memory clinic is described. Realistic evaluation is concerned not only with the outcomes of an intervention but also with the context and mechanisms of the intervention. We are using a mixed methods case study design to describe and evaluate the impact of the nurse practitioner-led memory clinic. The nurse practitioner in this study is an advanced practice aged care nurse who focuses on mental health, and dementia diagnosis, management and risk factor reduction. This study seeks to inform the development of an expanded scope role for nurse practitioners in assessment and referrals for dementia diagnosis. The heterogeneity of clients attending the nurse-led memory clinic will allow us to evaluate what works in the memory clinic, for whom, and under what circumstances, in what respects, and to what extent.
Michael Bentley
Team-based learning (TBL) is an active learning approach that is becoming increasingly more popular in nursing education. When nurse educators flip the classroom and use methods such as TBL, students are often more engaged and are active participants in their own learning. This article outlines how a teaching team in an undergraduate nursing program used a modified TBL method to teach about community health nursing. The traditional method of TBL is described, as well as limitations of this approach and recommendations for future teaching. PMID:25350043
Elliott, Shannon
Human rights and health: challenges for training nurses in South Africa
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Full Text Available The need for health professionals to address their human rights obligations has emerged in the last decade both internationally as well as nationally following the findings of South Africa's Truth and Reconciliation Commission. Support for human rights norms has become a priority for institutions as well as practitioners within the health sector. Training plays a crucial role in shaping health professional practice. In addition to creating a clear understanding of the linkages between human rights and health, educators can role-model how health professionals should act to support human rights. This article explores human rights derived from the South African Constitution in relation to the obligation on health professionals to respect, protect, promote and fulfill human rights. The implications of this commitment to human rights training of nurses are discussed, drawing on the authors' nine years of experience in running courses for South African health professional educators. Themes include: developing core competencies for human rights in health professional curricula, identifying appropriate instructional methodologies and assessment tools suited to the content and context of human rights, and engaging the institutional environment for human rights teaching, at both the level of institutional culture and strategic implementation. At a time when there are increasing demands on the nursing profession to assume greater responsibility and develop versatility in its scope of practice, key challenges are posed for teaching and realising human rights.
L London
Community health nurses confront the health effects of public policies on a daily basis, particularly with respect to low-income populations. Despite this, the effects of public policies are often attributed to problems that are more proximal in the environment than the broad-ranging scope of "public policy." This article argues the need for a broader perspective of environment that encompasses public policies, and provides an example of how specific aspects (time limits and the Medicaid eligibility process) of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 may have harmful consequences for the health of low-income women. Finally, implications for community health nursing practice and the need for further nursing research are reviewed. PMID:10846292
Kneipp, S
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Full Text Available Background: Nurses are responsible and accountable for their nursing practice and there is a need to be culturally and linguistically competent in all of their encounters. To be culturally competent community nurses should have the appropriate transcultural education. It is therefore important to assess the level of cultural competence of the community nurses, within their everyday practice.Aim: The aim of the article was the cultural adaptation of the cultural competence assessment tool based on Papadopoulos,Tilki and Taylor Model in a sample of Cypriot community nurses.Methodology: To explore the psychometric properties of the Cultural Competence Assessment Tool that has been distributed in a sample of 28 community nurses. Also, a pre and post-measurement has been applied as to assess the test-retest reliability of the tool.Results: The analysis has shown that the Cultural Competence Assessment Tool has good psychometric properties and it iseasy to understand by the community healthcare professionals. Results showed that 60.7% disagreed that there is the samelevel of cultural competency with other European countries and 89.3% reported that assessment of their cultural competence is needed. Using the special analysis software for this tool, the pilot study showed that Cypriot community nurses have some degree of cultural awareness.Conclusion: Culturally competent care is both a legal and a moral requirement for health and social care professionals.Valuing diversity in health and social care enhances the delivery and effectiveness of care for all people, whether they are members of a minority or a majority cultural group. Using an appropriate tool for assessing cultural competence is very important and useful for health professionals to be culturally competence.
Marios Vasiliou
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Full Text Available A I M S : To explore the perceptions of nursing staff, medical doctors, health care students and patients on whethernurses are expected to play an educational role in health issues, as well as to explore the factors that affect theseperceptions. An additional aim is to evaluate the patient education offered by nurses.M E T H O D O L O G Y : The sample consists of nurses, nursing assistants, medical doctors, and patients from 4hospitals of the Central Macedonia region of Greece, and of nursing students, nursing assistant students and medicalstudents. The data were collected with the help of a questionnaire designed especially for this study. The patients didnot complete the questionnaires by themselves; instead the questionnaires were completed by a researcher whileinterviewing them.R E S U L T S : The majority of the participants (80%, n=756 believe that nurses are expected to play an educationalrole. This belief was most common among patients (88.7%, n=181 and least common among medical doctors (60.3%,n=70. The factors that influence the perceptions about the nurses' educational role include: the perception about theprofession, the perception about the work load (P=0.000, age (P= 0.002, work position (P= 0.000, post-graduateeducation (P= 0.002, and the level of undergraduate education of nurses and nursing assistants (P= 0.027.The appreciation of the patient education offered by nurses is significantly different among different groups (P=0.000.Nursing staff evaluates it more positively (56.4%, n=193 while the majority of patients evaluate it negatively (56.2%,n=118. The patients' evaluation is influenced by the severity of their health problem (P=0.038 and is associated withtheir attitude towards the entire nursing care (P=0.011.C O N C L U S I O N S : The present study revealed that even though there is a predominant perception thatnurses are expected to play an educational role, the current patient education offered by nurses is evaluated positivelyonly by nurses, nursing assistants, and nursing students.
Krepia V.
Empowering Nurses by Making Electronic Health Records Collaboratively Available
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The paper demonstrates a participatory, real-life experimentation-based design approach comprising design as well as organizational implementation of large IT systems. Evaluations within a series of sustained iterative cycles are supported by ethnographically inspired observations to identify and analyze changes to work practices that emerge from using the IT system. The approach might empower users by identifying and turning selected emergent changes into planned interventions and opportunity-based change in the following iteration. A large-scale experiment was conducted where an advanced prototype of an Electronic Health Record (EHR) system was configured in collaboration with clinicians and subsequently exposed to real-life use at an acute neurological stroke unit. The system replaced all paper records. The clinicians used the system 24 hours a day throughout one week. The observations focused on the nurses' use of a large shared EHR display during highly collaborative situations. An ethnographic analysis of emergent changes to the nurses' work reveals (a) a change from oral presentation to collective reading of patient records, (b) initiation of collective investigations of patient records, and (c) that nurses' observations became a prominent part of the shared agenda during interdisciplinary team conferences (attended by all clinicians). The presentation will present video excerpts and audio transcripts from the observations and demonstrate (1) the empowerment experienced by the nurses during the experiment, and (2) the implications with regard to design
Simonsen, Jesper
Nursing-sensitive outcomes provide common information across sectors, thus eliminating duplication that frequently occurs as individuals move across settings. These outcomes also facilitate increased trust among colleagues and support common understandings of patient care needs, thus enhancing continuity of care. Outcomes-oriented information is also likely to increase patient safety and improve overall quality of care. Shared standards and data support consistent decision-making, as nursing decisions can be tracked back over time to assess patient care outcomes. Consequently, nurses will have the means to determine the impact of their interventions on patient outcomes. At the same time, adoption of common approaches to patient assessment leads to greater professional accountability and moves nursing care from a task orientation to an outcomes focus. For administrators, such improvements in monitoring and evaluating patient outcomes translate into improvements in efficiencies and effectiveness, thus providing a return on investment in implementing these outcomes within their agency. For nurses, integration and utilization of outcomes information increases the visibility and significance of their decision-making and patient care. Together with patients, nurses can utilize the outcomes information to make evidence-based decisions and advocate for appropriate care. At an aggregate level, the use of outcomes information creates a continuous feedback loop that is essential to ensuring evidence-based care and the best possible patient outcomes, not only for individuals, but also for families, communities and populations. Outcomes-oriented care provides a gateway for transforming the way we care for patients; puts safe, ethical, high-quality care for patients first; embodies the principles of evidence-based practice; ensures that the value of nursing is clearly understood within the larger system; and ensures that the requirements for measurability and accountability can be achieved. This journey is continuous and is being expanded to engage all other health disciplines in understanding and documenting their contributions to patient care, both as individual practitioners and as members of a healthcare team. Preparing nursing students in an outcomes approach will facilitate systemwide adoption of HOBIC patient outcomes over time and provide a means to determine the impact of nursing care on our patients. PMID:17039994
Orchard, Carole; Reid-Haughian, Cheryl; Vanderlee, Rick
Developing a manual for strengthening mental health nurses' clinical supervision
DEFF Research Database (Denmark)
In this article, we report findings from a study aimed at developing the content and implementation of a manual for a research-based intervention on clinical supervision of mental health nursing staff. The intervention was designed to strengthen already existing supervision practices through educational preparation for supervision and systematic reflection on supervision. The intervention consists of three sessions and was implemented on two groups of mental health hospital staff. We present an outline of the manual and explain how the trial sessions made us adjust the preliminary manual. The effects of implementing the manual will subsequently be analysed in an independent randomised controlled trial.
Buus, Niels; Cassedy, Paul
[Genotoxic risk assessment of nurses handling antineoplastic drugs].
The aim of this study is to assess the genotoxic effect of occupational exposure to antineoplastic drugs on oncology nurses in order to propose a strategy for adequate safety. The study included 20 oncology nurses from the Farhat Hached university hospital-Sousse (Tunisia) exposed to antineoplastic drugs compared to 20 controls. The two groups were paired according to sex, age, and smoking habits. The genotoxic risk assessment was carried out by the micronucleus test and chromosomal abnormalities. The search for the clinical effects of cytostatic drugs was based on a questionnaire. Determination of the level of the exposure to cytostatic was performed by calculation of the index of the exposure to these drugs. The median age of nurses was 36 years. A female prevalence (80%) was noted. The exposed period to cytostatic was 6.1 years. The middle index of cytostatic contact calculated for the whole of the nurses, was of 1.5. However this index becomes higher (>3) in nurses working at day care. A significant increase in frequencies rates for both micronucleus (9.40‰ vs 4.35‰) and chromosome abnormalities (1.85% vs 0.30%) were noted in exposed group more than controls. In conclusion, application of genotoxic tests may be useful to detect cytogenetic damage related to occupational exposure to a potentially cancerogenic environment. Results of the present biomonitoring study emphasize the need for developing safety programs. PMID:20870576
Boughattas, Aďcha Brahem; Bouraoui, Sana; Debbabi, Faten; El Ghazel, Hatem; Saad, Ali; Mrizak, Néjib
Musculoskeletal Load Assessment in Hospital Nurses with Patient Transfer Activity
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Full Text Available Manual patient handling is known to be the major source ofmusculoskeletal load among hospital nurses. The objectives of the present study were determination of frequency ofmusculoskeletal disorders (MSDs and its associatedfactors together with assessment of musculoskeletal loaddue to patient transfer by PTAI method in hospitalnursing staff of Shiraz University of Medical Sciences (SUMS, Iran. In this cross-sectional study, 400 randomlyselected nurses of SUMS hospital participated. Data were collected by anonymousdemographic and Nordic Musculoskeletal Disorders Questionnaires together with PTAI index checklist. Statistical analyses wereundertaken using SPSS, version 16. Age and job tenure means of participantswere 30.76±6.44 and 6.92±5.75 years, respectively. 88.2% of the nursing staffreported some forms of musculoskeletal symptoms during the 12 months prior tothe study. The results of PTAI index assessment demonstrated that in 4%, 8.5% and87.5% of the subjects, musculoskeletal load were at levels 1, 2 and 3,respectively. The results revealed that PTAI index score was significantlyassociated with musculoskeletal disorders occurrence (p<0.001.Musculoskeletal load was high among nurses with patient transfer activity. Age, nurse to bed ratio, marital status, shiftwork and PTAI score were associated risk factors for MSDs in the studiednursing staff.
Roghayeh Abedini
...low-income'' families. SUPPLEMENTARY...professions and nursing grant and cooperative...podiatric medicine, nursing, chiropractic...and mental health practice, and other public...professions and nursing schools. Some programs...low-income...
...low-income'' families. SUPPLEMENTARY...professions and nursing grant and cooperative...podiatric medicine, nursing, chiropractic...and mental health practice, and other public...professions and nursing schools. Some programs...low-income family'' for...
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Full Text Available Background: Nurses are vulnerable to various sleep disorders because of the nature of their job. If nurses do not experience a good general health, they will not be able to do their job (patient care well. Materials and Method: We conducted a descriptive-comparative study in 180 nurses that were selected with the stratified sampling method who have been working in different work shift hours in teaching hospitals. We used PSQI and GHQ-28 questionnaire for collecting data.Results: The study results showed a statistically significant difference in sleep quality and general health of nurses based on two questionnaires (p=0.01; p=0.05 respectively. Conclusion: According to our findings we suggest fixed working shifts versus rotating one for nurses to reduce the side effects
Mahnaz Ghaljeh
Electronic health records use and barriers and benefits to use in skilled nursing facilities.
The purpose of this study was to determine the levels of automation for 21 clinical functions and the benefits and barriers to electronic health records use in skilled nursing facilities in one of the Midwestern states in the US. A cross-sectional design was implemented. Data were collected from nursing home administrators using a mail and online survey approach. A total of 156 usable questionnaires of 397 distributed were returned, for a 39.30% response rate. While many facilities reported fully automated Minimum Data Set assessments, licensed nurse clinical notes, and care plans, there remained a predominant reliance on paper for functions, such as diagnostic tests and consults. Although many facilities had advanced toward using automation to produce quality reports, they were lagging behind in the use of automated clinical decision support and summary reports. The top two barriers included the amount of capital needed and the cost for hardware and infrastructure. Facilities with paper records were more likely to identify those barriers for functions, such as clinical notes and assessments. The top three benefits were quality patient care monitoring, management control of performance, and anywhere/anytime easier access to clinical data. The study concludes with recommendations to nursing home leaders and other stakeholders. PMID:23774447
Filipova, Anna A
Introduction and Objectives. Nurses, as behavioral models, play a key role in health promotion, and their attitudes towards health promotion highly influence their health and performance. The aim of this study is to explore nursing students' perception of studies in nursing discipline as a situational influence on health promotion. Materials and Methods. This study was conducted using directed content analysis, by means of 20 deep semistructured interviews with nursing students. The participants were selected on purposive sampling. Data was analyzed by the qualitative content analysis method. All interviews were recorded, transcribed, and reviewed, and all codes were extracted and summarized. The codes were subcategorized on the basis of centralization and were categorized after review of subcategories, and finally, a theme was determined. Findings. The theme of nursing discipline's situational influence on nursing students' health promotion was revealed. This theme consisted of "choosing the field," "unfavorable environmental factors," "negative impacts of studies in nursing discipline on health," "positive effects of studies in nursing discipline on health", "needs," "attractiveness (aesthetics)," and "coping with negative situational influences in nursing discipline." Conclusion. The perception of studies in nursing discipline as a health-promoting behavior is under influence of social environment. Considering the importance of the students' positive perception of the existing situation, it is essential to pay attention to their attitudes and perceptions so that they can provide better services to patients. PMID:24078880
Hosseini, Meimanat; Ashk Torab, Tahereh; Taghdisi, Mohammad Hossein; Esmaeili Vardanjani, Safar Ali
Genetic and Genomic Public Health Strategies: Imperatives for Neonatal Nursing Genetic Competency
Genetics and genomics are emerging as the central science for 21st century health care. Proficient nursing care incorporates this central science. Nursing genetic competency includes anticipating future demands spurred by knowledge advancement. Three emerging public health areas that call for future neonatal nursing genetic competency development will be discussed here: increasing emphasis on neonatal family health histories, population genetic biobanking, and family genetic advocacy. Neonata...
Williams, Pamela S. Holtzclaw
A survey of sexuality-related nursing practices was completed by 130 maternal/child and women's health nurses. A disparity was found between their agreement on nurses' role in sexuality-related practices and their actual practice; 46.5% felt only somewhat knowledgeable about sexuality. (SK)
Propst, Maureen G.; Phillips, Billie Rhea; Andrew, Michael E.
42 CFR 413.85 - Cost of approved nursing and allied health education activities.
...nursing and allied health education programs. CMS will...nursing and allied health education program if the program...recognized national professional organization for the...Accreditation of Allied Health Education Programs, the National...furnish basic academic courses required for...
Master's Degree Nursing Education and Health Care Reform: Preparing for the Future.
Current and anticipated changes in health care require changes in master's-level nursing education, especially in preparation for health promotion, primary health care, and case management. Questions must be resolved about core knowledge, research preparation, and an appropriate title for advanced practice nurses. (SK)
Long, Kathleen Ann
Role of Health Beliefs, Somatization Tendency and Mental Health on Low Back Pain among Nurses
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Full Text Available Introduction: Low back pain is one of the widespread problems among nurses which can cause disability, absenteeism, work restriction, and negative economic impacts. This study aimed at determining the role of health beliefs, somatization tendency and mental health on back pain among nurses. Methods: The present research was a cross sectional study among 246 nursing personnel (all nurses and nurse aids working in Shahrood hospitals in 2008. CPUID questionnaire was used to collect data. Chi-square test, multiple logistic regressions and Mann Whitney test for analysis were performed. Results: The mean age of participants was 33.7 ± 0.2 yrs, and the mean work hours per day were 47.5 ± 8 hours. 69% of them had more than 5 years work experience. 59% (n=145 of the study population reported back pain in previous 12 months. Significant relationships were found between work experience, working with hands above shoulder height, Familiarity with people suffering from back pain outside of work environment, somatisation tendency, health beliefs P>0.05.Conclusion: Results indicated that in addition to physical work related risk factors, health beliefs and somatisation tendency can be risk factors for back pain which confirms results of similar studies in other countries.
Farideh Sadeghian
Work in health: the way of acting in dialictic nursing
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Full Text Available Objective: to contribute to the discussion about the practice of dyalisis, trying to know the working process in the field. Methods: this is a theoretical study, a bibliographic research of database articles of the SciELO was made, books and thesis that helped the working process of nursin in nefrogy and its tendencies in the last 10 years. Results: in a preliminar analysis, we observed that the acting of nursing in nefrogy has widely been discussed and modified after the Caruaru city tragedy, when the Health Ministry established the Technical Rules to the dialisys services. Conclusion: otherwise, reflecting the impact of these changes, aiming to care, value and emancipate each other, it is required an urgent mobilization of the nurses, along with the class groups. Aiming to acomplish the necessary changes in the legislation, based on the permanent care and in the meeting of the chronic kidney patient and his citizenship.
Lucilane Maria Sales da Silva
Partnering to lead change: nurses' role in the redesign of health care.
Health care has a long-held perception of perioperative nurses as providers who advocate for patients and who carry out physician orders. According to the Institute of Medicine's 2010 report on the future of nursing, not only must that view evolve, but nurses also must play a leading role, in partnership with physicians and other health care colleagues, if health care reform is to succeed. Several factors will prepare nurses for this new role of partnering to advance health, including advancing their formal education, developing leadership as a core competency, acquiring leadership skills, and being active in new models of leadership (ie, mentorship, volunteering, advocacy). PMID:23978176
Strech, Scott; Wyatt, David A
Whistleblower protection for nurses and other health care professionals.
Because most employees in the United States, including health care professionals, are employed "at will" (which means their employment can be terminated for any reason or no reason, as long as the reason isn't illegal), retaliatory actions by employers toward employees who speak out (i.e., blow the whistle) are not uncommon. Additionally, the law protecting whistleblowing employees varies greatly depending on the state where the employee works or if he or she works for the federal government. This article examines when and under what conditions a nurse or other health care professional may be protected from having an adverse employment action taken against him or her for reporting such issues as patient safety violations or health care fraud. The authors offer issues a nurse or other health care professional should consider before making the decision to blow the whistle. Finally, the authors also discuss the remedies such as reinstatement, back pay, or other compensatory mechanisms that may be available to employees terminated for reporting wrongdoing. PMID:16317841
Drew, Melinda; Garrahan, Katherine
An attempt is made to explain the nurses' role: what the nurse is, what the nurse does, how the nurse is viewed by society, why nurses suffer burnout, nursing costs, and health care system reform. (CT)
Diers, Donna
Updating the definition and role of public health nursing to advance and guide the specialty.
National changes in the context for public health services are influencing the nature of public health nursing practice. Despite this, the document that defines public health nursing as a specialty-The Definition and Role of Public Health Nursing-has remained in wide use since its publication in 1996 without a review or update. With support from the American Public Health Association (APHA) Public Health Nursing Section, a national Task Force, was formed in November 2012 to update the definition of public health nursing, using processes that reflected deliberative democratic principles. A yearlong process was employed that included a modified Delphi technique and various modes of engagement such as online discussion boards, questionnaires, and public comment to review. The resulting 2013 document consisted of a reaffirmation of the one-sentence 1996 definition, while updating supporting documentation to align with the current social, economic, political, and health care context. The 2013 document was strongly endorsed by vote of the APHA Public Health Nursing Section elected leadership. The 2013 definition and document affirm the relevance of a population-focused definition of public health nursing to complex systems addressed in current practice and articulate critical roles of public health nurses (PHN) in these settings. PMID:25284433
Bekemeier, Betty; Walker Linderman, Tessa; Kneipp, Shawn; Zahner, Susan J
Extent of East-African Nurse Leaders' Participation in Health Policy Development
This paper reports part of a bigger study whose aim was to develop an empowerment model that could be used to enhance nurse leaders' participation in health policy development. A Delphi survey was applied which included the following criteria: expert panelists, iterative rounds, statistical analysis, and consensus building. The expert panelists were purposively selected and included national nurse leaders in leadership positions at the nursing professional associations, nursing regulatory bod...
Shariff, N.; Potgieter, E.
Solid waste management in health services: overview of nurses and technicians
Objective: to analyze how the team describes the Nursing Management of Solid Waste in Health. Methodology: consisted of an exploratory, descriptive, from quantitative approach. The study was conducted with 20 members of Nursing group, 10 nurses and 10 technicians Nursing hospitalization units of a public hospital in Petrolina / PE. The data was collected through a questionnaire with open and closed in november 2009 and data analysis took place with the help of EPI INFO 3.5.1 (august/2008). Re...
Adriana Gonc?alves Barros, Adriana Maria Pereira Da Silva
Nurse migration: a challenge for the profession and health-care systems
Abstract Introduction and questions of exploration In a first step this paper outlines the global context of and international influences on nurse migration. Liberalization of health markets is identified as a trigger point steering movements of nurses globally. Facts and figures concerning nurse migration are highlighted in a second section focusing on developments in the USA and UK, which are recruiting nurses from Europe and overseas on a large scale, ...
Habermann, Monika; Stagge, Maya
Integration of the primary health care approach into a community nursing science curriculum
The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994:155). Respondents i...
Ss, Vilakazi; Mm, Chabeli; Sd, Roos
Influence of the stress in the occupational nurses' health who works in hospital emergency
Objectives: to describe the influences patterns of work of nurses in the hospital emergency on their mental health, identifying the types of nurses' perceptions of the risks of illness in their work and to discuss strategies for self-care performed by nurses of the emergency. Methodology: this is a qualitative, exploratory and descriptive study. Interviews were conducted with seven nurses, who agreed to participate in the study in accordance with Resolution 196/96 of CONEP whose project was a...
Carla Castilho Martins, Geilsa Soraia Cavalcanti Valente
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Full Text Available Abstract Background There is variation in the decisions made by telephone assessment nurses using computerised decision support software (CDSS. Variation in nurses' attitudes to risk has been identified as a possible explanatory factor. This study was undertaken to explore the effect of nurses' attitudes to risk on the decisions they make when using CDSS. The setting was NHS 24 which is a nationwide telephone assessment service in Scotland in which nurses assess health problems, mainly on behalf of out-of-hours general practice, and triage calls to self care, a service at a later date, or immediate contact with a service. Methods All NHS 24 nurses were asked to complete a questionnaire about their background and attitudes to risk. Routine data on the decisions made by these nurses was obtained for a six month period in 2005. Multilevel modelling was used to measure the effect of nurses' risk attitudes on the proportion of calls they sent to self care rather than to services. Results The response rate to the questionnaire was 57% (265/464. 231,112 calls were matched to 211 of these nurses. 16% (36,342/231,112 of calls were sent to self care, varying three fold between the top and bottom deciles of nurses. Fifteen risk attitude variables were tested, including items on attitudes to risk in clinical decision-making. Attitudes to risk varied greatly between nurses, for example 27% (71/262 of nurses strongly agreed that an NHS 24 nurse "must not take any risks with physical illness" while 17% (45/262 disagreed. After case-mix adjustment, there was some evidence that nurses' attitudes to risk affected decisions but this was inconsistent and unconvincing. Conclusion Much of the variation in decision-making by nurses using CDSS remained unexplained. There was no convincing evidence that nurses' attitudes to risk affected the decisions made. This may have been due to the limitations of the instrument used to measure risk attitude.
O'Donnell Catherine
Physical fitness of the American worker is a core element of personal good health and a key factor in corporate cost containment. The Centers for Disease Control and Prevention specifically notes that health professionals should be physically active not only to benefit their own health but also to make more credible their endorsement of an active lifestyle. Guided by Pender's Health Promotion Model, this study gives a profile of the current status of exercise behaviors, physical self efficacy, and perceived health control among a sample of occupational health nurses. Surveys were mailed to a random sample of 300 female members from a midwestern state association of the American Association of Occupational Health Nurses. The mean exercise score was 30.7 MET hours per week, with walking the activity most often selected. Physical self efficacy was a significant positive predictor of exercise practice, while age exerted a significant inverse effect on exercise. The study findings may be used to stimulate discussion among occupational health nurses about how their own physical self efficacy and perceived health control may influence their exercise behaviors, and how in turn these beliefs and exercise practices may influence their decisions about promoting exercise programs at their workplaces. PMID:11760269
Piazza, J; Conrad, K; Wilbur, J
The need to include obstetric nurses in prenatal care visits in the public health system
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Full Text Available Objective: To investigate, with a qualitative approach, the role of Obstetric Nurses at the primary level of care given to women's health as a vital component of the multidisciplinary team, which today is fundamental for providing care, prevention as well as health education and promotion, especially in programs whose activities are geared towards primary care of pregnant, parturient, and puerpera women. Methods: Brazilian laws and the determinations of Nursing Councils in reference to the activities of the obstetric nurse were researched, including the nurse's responsibilities and limits. The bibliographic search was conducted in health-related journals, lay publications, and the Internet. Results: The conflicts between professional physicians and nurses were discussed. Conclusions: It was concluded that the activities of the nurse, conducting low-risk prenatal clinical visits in the basic healthcare network, has legal and ethical support and provides true benefit to the clients.
Selma Aparecida Lagrosa Garcia
This investigation aims to explore the area of change and knowledge translation in professional practice by using a case study to investigate the integration of a health policy into clinical mental health nursing (MHN) practice. It will address the research question of 'What factors influenced the integration of Choosing Health (2006) and the Well-being Support Programme (WBSP) at the Trust' by exploring how mental health nurses and managers of mental health services constructed and opera...
Ryan-allen, Patricia Joesphine
Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62–0.83, P Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing reeducation for the nurses by IP personnel helped drive these results. PMID:24548456
Sopirala, Madhuri M.; Yahle-Dunbar, Lisa; Smyer, Justin; Wellington, Linda; Dickman, Jeanne; Zikri, Nancy; Martin, Jennifer; Kulich, Pat; Taylor, David; Mekhjian, Hagop; Nash, Mary; Mansfield, Jerry; Pancholi, Preeti; Howard, Mary; Chase, Linda; Brown, Susan; Kipp, Kristopher; Lefeld, Kristen; Myers, Amber; Pan, Xueliang; Mangino, Julie E.
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Full Text Available Abstract Background The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school. Methods This study was based on an extended version of the theory of planned behaviour (TPB. A total of 251 respondents (response rate of 70% from 42 school health programs across the Province of Québec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action. Results A total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (? = 0.36, moral norm (? = 0.27, attitude (? = 0.24, and subjective norm (? = 0.21 (ps Conclusions Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources.
Godin Gaston
Clinical Skills of Nurses in Mobile Health Services
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Full Text Available The purpose of this study is to explore and describe the acceptability of the clinical skills of community nurses in mobile health services. An explorative, descriptive design was employed. After a literature study, interviews were conducted with patients, and analysed, the results were verified by means of observation of the mobile services. The clinical skills were described as favourable and not favourable by patients some of which were confirmed during the observation phase. Guidelines for a more user friendly service were written.
DB Mofukeng
Work Related Stress, Burnout, Job Satisfaction and General Health of Nurses
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Full Text Available Gaps in research focusing on work related stress, burnout, job satisfaction and general health of nurses is evident within developing contexts like South Africa. This study identified the relationship between work related stress, burnout, job satisfaction and general health of nurses. A total of 1200 nurses from four hospitals were invited to participate in this cross-sectional study (75% response rate. Participants completed five questionnaires and multiple linear regression analysis was used to determine significant relationships between variables. Staff issues are best associated with burnout as well as job satisfaction. Burnout explained the highest amount of variance in mental health of nurses. These are known to compromise productivity and performance, as well as affect the quality of patient care. Issues, such as security risks in the workplace, affect job satisfaction and health of nurses. Although this is more salient to developing contexts it is important in developing strategies and intervention programs towards improving nurse and patient related outcomes.
Natasha Khamisa
Work related stress, burnout, job satisfaction and general health of nurses.
Gaps in research focusing on work related stress, burnout, job satisfaction and general health of nurses is evident within developing contexts like South Africa. This study identified the relationship between work related stress, burnout, job satisfaction and general health of nurses. A total of 1200 nurses from four hospitals were invited to participate in this cross-sectional study (75% response rate). Participants completed five questionnaires and multiple linear regression analysis was used to determine significant relationships between variables. Staff issues are best associated with burnout as well as job satisfaction. Burnout explained the highest amount of variance in mental health of nurses. These are known to compromise productivity and performance, as well as affect the quality of patient care. Issues, such as security risks in the workplace, affect job satisfaction and health of nurses. Although this is more salient to developing contexts it is important in developing strategies and intervention programs towards improving nurse and patient related outcomes. PMID:25588157
Khamisa, Natasha; Oldenburg, Brian; Peltzer, Karl; Ilic, Dragan
Undertaking a health-related course at university can facilitate an awareness of health-promoting lifestyles. We carried out a descriptive and cross-sectional study with 1616 university students in Istanbul, Turkey. Students from the nursing schools were compared to those from the schools of social sciences using a Turkish version of the Health-promoting Lifestyle Profile (HPLP) II after a validation study. The nursing students had more positive health-promoting lifestyles than those of the non-nursing students. Furthermore, fourth-year nursing students had higher scores in most of the subscales of the HPLP II than did the students from the lower years; conversely, the fourth-year non-nursing students had lower scores. The sociodemographic variables, self-perceived health status, relations with family and friends, and self-perceived academic performance were associated with the HPLP. The implications are discussed for the curricula and on-campus facilities that focus on health promotion activities. PMID:19128303
Can, Gulbeyaz; Ozdilli, Kursat; Erol, Ozgul; Unsar, Serap; Tulek, Zeliha; Savaser, Sevim; Ozcan, Seyda; Durna, Zehra
Enfermería como profesión / Nursing assessed as a profession
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Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Este artículo pretende presentar a enfermería desde el concepto de profesión, con el propósito de argumentar si cumple con los criterios para ser considerada en propiedad como tal. Para ello es necesario considerar la evolución histórica del concepto profesión en enfermería, asociado a los cuidados [...] de salud y la instrucción formal impartida a partir de Florence Nightingale. El análisis de enfermería como profesión es realizado según las características seńaladas por Ellis y Hartley, las que consideran aspectos tales como; conocimientos, metodología, nivel educacional, autonomía, ética, contribución social y compensación. Se puede concluir que enfermería es una profesión joven, y que existen fundamentados elementos para argumentar, que se dispone de las herramientas necesarias para seguir desarrollándose. Abstract in english This article aims to introduce the concept of nursing as a profession in order to argue whether it meets the criteria to be considered as such. It is therefore necessary to take into account the historical evolution of the professional concept in nursing, which is associated with health care and the [...] formal instruction that has been taught since the time of Florence Nightingale. Nursing as a profession is analyzed according to the characteristics identified by Ellis and Hartley, including issues such as: knowledge, methodology, education level, autonomy, ethics, social contribution, and compensation. It can be concluded that nursing is a young profession and there are grounds to argue that there are tools available to further develop this occupation.
Mónica, Burgos Moreno; Tatiana, Paravic Klijn.
Determinants of the use of specialist mental health services by nursing home residents.
OBJECTIVE. This study examines the effects of resident and facility characteristics on the probability of nursing home residents receiving treatment by mental health professionals. DATA SOURCES/STUDY SETTING. The study uses data from the Institutional Population Component of the 1987 National Medical Expenditure Survey, a secondary data source containing data on 3,350 nursing home residents living in 810 nursing homes as of January 1, 1987. STUDY DESIGN. Andersen's health services use model (...
Shea, D. G.; Streit, A.; Smyer, M. A.
Scientific Electronic Library Online (English)
Full Text Available SciELO Brazil | Language: English Abstract in portuguese OBJETIVO: analisar quais modelos de enfermagem e estruturas de avaliaçăo de enfermagem tęm sido utilizados na implementaçăo do processo de enfermagem, nos centros públicos e privados da área de saúde de Gipuzkoa (País Basco). MÉTODO: foi realizado um estudo retrospectivo, baseado na análise do [...] s registros de enfermagem que utilizaram os 158 centros estudados. RESULTADOS: o modelo de Henderson, a estrutura bifocal de Carpenito, a estrutura de avaliaçăo de Gordon e a estrutura Resident Asessment Instrument Home 2.0 foram os modelos e estruturas de avaliaçăo de enfermagem utilizados na implementaçăo do processo de enfermagem. Em alguns centros, o modelo ou estrutura de avaliaçăo escolhido mudou ao longo do tempo. CONCLUSĂO: foi concluído que o modelo de Henderson foi o mais utilizado na implementaçăo do processo de enfermagem. Além disso, foi observada a tendęncia de complementar ou substituir o modelo de Henderson com estruturas de avaliaçăo de enfermagem. Abstract in spanish OBJETIVO: analizar qué modelos de enfermería y estructuras de valoración de enfermería se han utilizado a la hora de implantar el proceso de enfermería en los centros públicos y privados del área de salud de Gipuzkoa (País Vasco). MÉTODO: se realizó un estudio retrospectivo, basado en el análi [...] sis de los registros de enfermería que han utilizado los 158 centros estudiados. RESULTADOS: el modelo de Henderson, la estructura bifocal de Carpenito, la estructura de valoración de Gordon y la estructura Resident Assessment Instrument Nursing Home 2.0 han sido los modelos y estructuras de valoración de enfermería utilizados a la hora de implantar el proceso de enfermería. En algunos centros el modelo o estructura de valoración elegido ha ido variando con el paso del tiempo. CONCLUSIÓN: se concluye que el modelo de Henderson ha sido el más utilizado a la hora de implantar el proceso de enfermería. Asimismo, se observa la tendencia de complementar o sustituir el modelo de Henderson con estructuras de valoración de enfermería. Abstract in english OBJECTIVE: to analyze what nursing models and nursing assessment structures have been used in the implementation of the nursing process at the public and private centers in the health area Gipuzkoa (Basque Country). METHOD: a retrospective study was undertaken, based on the analysis of the nur [...] sing records used at the 158 centers studied. RESULTS: the Henderson model, Carpenito's bifocal structure, Gordon's assessment structure and the Resident Assessment Instrument Nursing Home 2.0 have been used as nursing models and assessment structures to implement the nursing process. At some centers, the selected model or assessment structure has varied over time. CONCLUSION: Henderson's model has been the most used to implement the nursing process. Furthermore, the trend is observed to complement or replace Henderson's model by nursing assessment structures.
Joseba Xabier, Huitzi-Egilegor; Maria Isabel, Elorza-Puyadena; Jose Maria, Urkia-Etxabe; Carmen, Asurabarrena-Iraola.
... nurses work in home healthcare, managed care organizations, nursing schools, outpatient surgery centers and clinics. What Critical Care Nurses Do Critical care nurses practice in settings where patients require complex assessment, ... nursing vigilance. Critical care nurses rely upon a specialized ...
42 CFR 413.85 - Cost of approved nursing and allied health education activities.
...nursing and allied health education activities. (2...of graduate medical education (that is, approved...topic or subject in a class that meets at regular...nursing or allied health education or a medical school...stipends, compensation of teachers, and other...
Training of Home Health Aides and Nurse Aides: Findings from National Data
Training and satisfaction with training were examined using data from nationally representative samples of 2,897 certified nursing assistants (CNAs) from the National Nursing Assistant Survey and 3,377 home health aides (HHAs) from the National Home Health Aide Survey conducted in 2004 and 2007, respectively. This article focuses on the…
Sengupta, Manisha; Ejaz, Farida K.; Harris-Kojetin, Lauren D.
South Africa is called "the rainbow nation" because it has so many different cultures. These have an impact on the provision of primary health care. The purpose of this research is to foster good relationships between community health nurses and traditional healers and to explore, identify and describe the attitude of community health nurses towards the integration of traditional healers into primary health care. A non-experimental, explorative and descriptive research strategy was design...
Md, Peu; Troskie, R.; Sp, Hattingh
In 2005, Pinnacle Health System, Zynx Health, and Siemens Medical Solutions developed a partnership to conduct a study to explore the opportunities and challenges associated with the integration of evidence-based knowledge within the EHR with the goal of creating repeatable methodologies for integrating nursing knowledge within the EHR. The two-phase study involved access to referential evidence-based content, as well as integration of customized evidence-based plans of care within the docume...
Matter, Sheri; Brown, Cindy; Button, Patricia S.; Kennedy, Rosemary
Integration of the primary health care approach into a community nursing science curriculum
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Full Text Available The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994:155. Respondents in both groups held similar perceptions regarding integration of primary health care approach into a Community Nursing Science Curriculum. Five categories, which are in line with the curriculum cycle, were identified as follows: situation analysis, selection and organisation of objectives/ goals, content, teaching methods and evaluation. Guidelines and recommendations for the integration of the primary health care approach into a Community Nursing Science Curriculum were described.
SS Vilakazi
The Impact of the Health Care System Reform on the Romanian Nurses Professionalization Process
The Romanian health sector went through a process of reform began in 2000 which entered into a final adjustment phase in 2010 when the economic crisis, the health professionals accelerated trend of labour migration, the precarious health of the population brought new challenges to the unsolved existing problems. Nurses are numerically the most important category of health professionals. Since 1994 they experienced a convergent movement of professionalization in the interior of the nurse profe...
Popovici, Silvia
Enabling legislation in diagnosis and prescribing of medicine by nurses/health practitioners
The South African health system has undergone major changes over the last 5 - 1 0 years. These rapid changes have not only significantly increased the visibility of the nurse practitioner in South Africa, but are also posing challenges to the profession and health care services that need to be addressed. In its Health Policies the Government has indicated that the nursing/midwifery profession, as the biggest group of health care professionals, should be the practitioners to provide prim...
Geyer, N.
Nurses view of preceptor ship in health care
The preceptor is a key person in the students development to professional nurses. The purpose with this study was to examine and describe how nurses thinking of the preceptor ship for nurse students. Focus group interviews were chosen as method. Nineteen nurses participated in the interviews. The interviews were analysed. Two main categories were developed: Characteristics and Competence with a comprehensive theme regarding the nurses understanding of the quality of preceptor ship. The result...
Swahn, Inger; Forsum, Anneli
Impact of the Mental Health Nurse Incentive Programme on patient functioning.
The Mental Health Nurse Incentive Programme (MHNIP) was established across Australia during 2007. The programme enables mental health nurses to work alongside general practitioners (GPs) and other health professionals to assist in the assessment and treatment of people with mental illnesses. This paper reports on the outcomes for 309 patients referred by GPs to the programme in one region of Queensland. Standardized measures were completed pre- and post-treatment to evaluate changes in symptoms and general functioning between baseline and follow up. Patient contact with the programme ranged from 3 weeks to 38 weeks, and the study group (n?=?84) demonstrated significant improvement on all of the self-report and clinician-rated measures employed. Effect sizes ranged from 0.59 to 0.74. The findings suggest that the MHNIP is making a positive contribution, with a medium-to-large impact on the mental health and general functioning of individuals supported through the programme. Further evaluation work is required to determine if the findings from this study can be generalized more broadly. PMID:25389012
Meehan, Tom; Robertson, Samantha
Background Canadian Community health nurses (CHNs) work in diverse urban, rural, and remote settings such as: public health units/departments, home health, community health facilities, family practices, and other community-based settings. Research into specific learning needs of practicing CHNs is sparsely reported. This paper examines Canadian CHNs learning needs in relation to the 2008 Canadian Community Health Nursing Standards of Practice (CCHN Standards). It answers: What are the learning needs of CHNs in Canada in relation to the CCHN Standards? What are differences in CHNs' learning needs by: province and territory in Canada, work setting (home health, public health and other community health settings) and years of nursing practice? Methods Between late 2008 and early 2009 a national survey was conducted to identify learning needs of CHNs based on the CCHN Standards using a validated tool. Results Results indicated that CHNs had learning needs on 25 of 88 items (28.4%), suggesting CHNs have confidence in most CCHN Standards. Three items had the highest learning needs with mean scores > 0.60: two related to epidemiology (means 0.62 and 0.75); and one to informatics (application of information and communication technology) (mean = 0.73). Public health nurses had a greater need to know about "…evaluating population health promotion programs systematically" compared to home health nurses (mean 0.66 vs. 0.39, p Jakarta Declaration, and the Population Health Promotion Model) in practice. Conclusions CHN educators and practice leaders need to consider these results in determining where to strengthen content in graduate and undergraduate nursing programs, as well as professional development programs. For practicing CHNs educational content should be tailored based on learner's years of experience in the community and their employment sector. PMID:25349531
The independent, complex role of a school nurse requires accurate documentation of assessments, interventions, and outcomes. Consistent documentation by all school nurses is crucial to study the impact of nursing interventions on children's health and success in school. While standardized nursing languages are available, the actual use of…
Yearous, Sharon Kay Guthrie
The CIPESC® is a tool that informs the work of nurses in Public Health and assists in prioritizing their care in practice, management and research. It is also a powerful pedagogical instrument for the qualification of nurses within the Brazilian healthcare system. In the teaching of infectious diseases, using the CIPESC® assists in analyzing the interventions by encouraging clinical and epidemiological thinking regarding the health-illness process. With the purpose in mind of developing resources for teaching undergraduate nursing students and encouraging reflection regarding the process of nursing work, this article presents an experimental application of CIPESC®, using meningococcal meningitis as an example. PMID:22773501
Nichiata, Lúcia Yasuko Izumi; Padoveze, Maria Clara; Ciosak, Suely Itsuko; Gryschek, Anna Luiza de Fátima Pinho Lins; Costa, Angela Aparecida; Takahashi, Renata Ferreira; Bertolozzi, Maria Rita; de Araújo, Núbia Virgínia D'Ávila Limeira; Pereira, Erica Gomes; Dias, Vânia Ferreira Gomes; Cubas, Marcia Regina
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Full Text Available Abstract Background Previous studies on self-rated health among nurses have indicated an association of low job satisfaction and stress in relation to poor self-rated health. The relationship between self rated health and the specific work characteristics and health related behaviours of nurses to our knowledge have not been adequately studied. Objective To investigate the health profile of nurses working in hospitals in North West Greece and to examine the associations between self rated health (SRH and health related behaviours and work characteristics in this group of hospital employees. Methods A self-administered questionnaire was distributed to a random sample of 443 nurses working in all the hospitals in North West Greece. Regression analysis was used to examine the relationship of health related behaviours and work characteristics with self rated health among the nurses. Results A total of 353 responded to the questionnaire (response rate 80% of which 311 (88% were female and 42 (12% male. The mean age (standard deviation of the respondents was 36 years (5.6 and their mean years of working as nurses were 13.5 years (5.9. Almost half of the nurses' smoked, and about one third were overweight or obese. About 58% (206 of the nurses reported having poor health while 42% (147 reported having good health. Self-rated health was independently associated with gender, effort to avoid fatty foods and physical activity, according to multiple logistic regression analysis. Conclusion The population studied presented a relatively poor health profile, and a high proportion of poor SRH. Though female gender and effort to avoid fatty foods were associated with poor SRH, and exercise and white meat consumption with good SRH, specific work characteristics were not associated with SRH.
Dimoliatis Ioannis DK
Swedish Child Health Care nurses conceptions of overweight in children: a qualitative study
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Full Text Available Abstract Background Registered Sick Children's Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives childhood obesity. The aim of this study was to elucidate the conceptions of childhood overweight, including obesity, among nurses working in Child Health Care. Method A qualitative study using a phenomenographic approach, based on open-ended interviews with 18 Child Health Care nurses (CHC-nurses strategically selected from 17 Child Health Care Centres in the southern part of Sweden. Results Four categories of description emerged from the data: Perception of childhood overweight changes, Overweight in younger children a neglected concern, Overweight a delicate issue and Importance of family lifestyle. The participating CHC-nurses conceived overweight in children, primarily obesity in children to be an extensive and serious problem which affects children, families and the surrounding society. Overweight in children was further perceived as a consequence of their parent's lifestyle and their awareness of the problem, which was considered by the CHC-nurses as a sensitive and a provoking issue. It was also perceived that overweight in children is not taken seriously during the pre-school period and that concerns regarding overweight in younger children were mainly about the appearance and not the health of the child. The CHC-nurses perceived that the proportion of overweight children has increased, which Swedish society and the CHC-nurses have adapted to. This adaptation makes it difficult for CHC-nurses to define those children who are overweight. Conclusion CHC-nurses provide a comprehensive and complex picture of childhood overweight, which includes several difficulties dealing with this issue. Attention to CHC-nurse's conceptions of overweight in children is important since it can affect the parent-nurse relationship and thereby the nurse's, as well as the parent's efforts to influence the children's weight. It is suggested that CHC- nurses should work with person centered counseling and empowerment concerning parent to child relations in cases involving overweight.
Isma Gabriella E
...require the Advanced Practice Registered Nurse...and mental health nursing with a minimum of...psychosocial assessment, nursing interventions...a collaborative practice agreement with a...Provides psychiatric nursing services. (ix...x) Provides family counseling...
Solid waste management in health services: overview of nurses and technicians
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Full Text Available Objective: to analyze how the team describes the Nursing Management of Solid Waste in Health. Methodology: consisted of an exploratory, descriptive, from quantitative approach. The study was conducted with 20 members of Nursing group, 10 nurses and 10 technicians Nursing hospitalization units of a public hospital in Petrolina / PE. The data was collected through a questionnaire with open and closed in november 2009 and data analysis took place with the help of EPI INFO 3.5.1 (august/2008. Results: most health professionals have a distorted view of what is the waste of health services and how to classify them. Conclusion: after data analysis, it is necessary to conduct training with a view to raising awareness among professionals about the proper handling of solid waste, and thus prevent accidents and improve the quality of life of the team and its clients. Descriptors: waste of health services; nursing team; solid residues
Adriana Gonçalves de Barros, Adriana Maria Pereira da Silva, Luiz Carlos Gomes Costa Júnior, Viviane Euzébia Pereira Santos, Caroline Araújo Fonseca
Worldwide, many countries have moved towards incorporating nurse education into the higher education sector and this inevitably has implications for the relationship between nurse education providers and local health service providers. This study explores the changes to the relationship in the UK between nurse education providers and the UK National Health Service over the past 20 years and demonstrates how two political ideologies have been central to those changes. The two ideologies of interest are the introduction of internal markets to the National Health Service by the Conservative government at the end of the 1980s and the New Labour response to the fragmentation of public services caused by Conservative neoliberal policy, which was to introduce the notion of 'partnership working'. This study reviews the wider debate around partnership policy and applies that debate to evaluate the way that nurse education providers and the National Health Service are working in partnership to provide clinical practice placements for nursing students. PMID:20712658
Gillett, Karen
Precautions used by occupational health nursing students during clinical placements
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Full Text Available Protection of health care workers including students from being infected when caring for high risk patients is a major cause for concern to all promoting occupational health. Safety of every employee is mandatory. Furthermore, universal guidelines for precautions must be used by all interacting with high risk patients and clients to protect themselves and prevent the spread of infection. The aim of this paper was to ascertain the availability of universal guidelines for precautions against the spread of infection in clinical settings and determine the precautions used by OHN students during their clinical placements. To realise these objectives, a quantitative and descriptive design was followed. A purposive sampling method was used to select 45 Occupational health nursing students who participated in the study.Data was collected with the use of a structured questionnaire and the results revealed that: most units where OHN students were placed for clinical experience had guidelines for universal precautions although these were not always accessible to them; regarding compliance to universal precautions, OHN students were reportedly aware of the hazards of failure to comply although in some emergencies and where personal protective material was not available, they had to provide care without using protective equipments. Recommendations made include that employers and staff at all occupational settings must ensure that updated guidelines for universal precautions are available and accessible to every body interacting with high risk patients; health care providers and students must be fully informed about and should always adhere to universal precautions.
T.M.M. Maja
Nursing informatics is a specialty whose activities center around information management and processing for the nursing profession. The Division of Nursing of the U.S. Department of Health and Human Services and the National Advisory Council on Nurse Education and Practice (NACNEP) recognized a need to identify initiatives that would more…
National Advisory Council on Nurse Education and Practice, Rockville, MD.
Patterns of race and gender representation in health assessment textbooks.
With growing diversity in the nursing profession and in society, nursing educators face the challenge of selecting textbooks that promote cultural competence. A content analysis of photographs in nine health assessment textbooks was conducted in order to determine: 1) how accurately nurses and patients are presented in terms of race and gender; 2) how race and gender representations have changed over the last decade; and 3) how gender representations vary across different types of chapters within the texts. Although some recently published textbooks included a substantial proportion of photos of minority nurses, males and racial minorities were generally under-represented as nurses. Women and most ethnic minorities were consistently under-represented as patients. Female patients were also under-represented in cardiovascular and respiratory chapters and over-represented in chapters on reproduction. Nursing educators should screen visual images in textbooks for evidence of race and gender bias and inform publishers of the need for non-biased teaching materials. PMID:11902018
Curry, M D
Health impact assessment in Korea
International Nuclear Information System (INIS)
Recently, Health Impact Assessment has gained great attention in Korea. First, the Ministry of Environment introduced HIA within existing Environment Impact Assessment. Second, the Korea Institute for Health and Social Affairs began an HIA program in 2008 in alliance with Healthy Cities. In this short report, these two different efforts are introduced and their opportunities and challenges discussed. We believe these two approaches complement each other and both need to be strengthened. We also believe that both can contribute to the development of health in policy and project development and ultimately to improvements in the Korean population's health.
This study aimed to understand the nurses' contributions in the network of relationships and interactions of community health workers (CHW) in a city located in the south of the country. The Grounded Theory was used and twenty individuals were interviewed, among health professionals and users of the health center, divided into three sample groups. The nurse is recognized as a key element in the network of relationships and interactions of the CHW with the community, being viewed as a leader. Although showing signs of an authoritarian leadership, the nurse promotes dialogue and acts as a facilitator of teamwork in health promotion. It was concluded that the nurses of the Family Health Strategy have a significant role in the health team, providing clinical support to organize the care, and management, to foster good relations, direct the activities and conduct the flow of information. PMID:24008710
Lanzoni, Gabriela Marcellino de Melo; Meirelles, Betina Hörner Schlindwein
Scientific Electronic Library Online (English)
Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Fundamento: Los rasgos que deben poseer los docentes asistenciales que forman al especialista en Enfermería Materno Infantil son esenciales para trasmitir y formar modos de actuación en la docencia. Objetivo: Determinar las características del docente asistencial que forma al especialista de Enferme [...] ría Materno Infantil. Métodos: Se realizó un estudio exploratorio que abarca los ańos 2007-2008 en el Hospital General Universitario ?Gustavo Aldereguía Lima? de Cienfuegos, se aplicó la teoría de la decisión, para la selección de los criterios que fueron tomados en el modelo multicriterial, mediante la aplicación de una variante del método Delphi. El universo estuvo constituido por los coordinadores y metodólogos que atienden la especialidad Enfermería Materno infantil a nivel nacional, para la obtención de la muestra se realizó un muestreo no probabilístico (muestreo de expertos). Resultados: Se precisan 23 criterios que son superiores al punto de corte PC4 correspondiente a la categoría de mucho que vincula el modelo del profesional con las exigencias sociales para conocer, relacionar y aplicar el contenido de la enfermería utilizando los recursos materiales que relacionan lo concreto con lo abstracto para promover la continuidad asistencial del cuidado y la utilización de las potencialidades de la asistencia en la formación del especialista donde quedó demostrado el comportamiento del profesional. Conclusiones: Se evidencia a través de los criterios identificados que la asistencia es el sustento de la formación docente que necesita el profesional para organizar los procesos docentes a partir de los problemas asistenciales que le permita cumplir con el encargo social de formador en salud. Abstract in english Backgrounds: The features of the Mother and Child Health Nursing specialist?s teaching care training are paramount to form appropriate teaching behaviors. Aim: To determine the features of the medical care teacher who trains the Mother and Child Health Nursing specialist. Methods: An exploratory res [...] earch was carried out during the years 2008-2009 in the ?Gustavo Aldereguía Lima? General University Hospital of Cienfuegos, Decision Theory was applied to select the criteria taken into account in the Multicriterial model, by means of a variation of the Delphi Method. The universe was made up by the coordinators and methodologists who run the Mother and Child Health Nursing specialty on a national level, and a non-probabilistic sampling was conducted to obtain the Sample (Experts Sampling). Results: 23 criteria exceeding the PC4 cutoff point corresponding to the ?much? category are needed, which links the professional model to the social demands to know, relate and apply the contents of nursing using the material resources that connect the concrete to the abstract to promote the continuity of medical care and the use of the potential of assistance in the training the specialists in which the professional?s behavior was demonstrated. Conclusions: By means of the stated criteria, it is evidenced that medical care is the basis for the kind of teaching training our professional needs to organize the teaching process, starting from medical care issues. That training allows them to accomplish their social task as health trainers.
Norma, Mur Villar; Miriam, Iglesias León; Manuel, Cortés Cortés; María, Aguilar Cordero.
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Full Text Available Backgrounds: The features of the Mother and Child Health Nursing specialist's teaching care training are paramount to form appropriate teaching behaviors. Aim: To determine the features of the medical care teacher who trains the Mother and Child Health Nursing specialist. Methods: An exploratory research was carried out during the years 2008-2009 in the "Gustavo Aldereguía Lima" General University Hospital of Cienfuegos, Decision Theory was applied to select the criteria taken into account in the Multicriterial model, by means of a variation of the Delphi Method. The universe was made up by the coordinators and methodologists who run the Mother and Child Health Nursing specialty on a national level, and a non-probabilistic sampling was conducted to obtain the Sample (Experts Sampling. Results: 23 criteria exceeding the PC4 cutoff point corresponding to the "much" category are needed, which links the professional model to the social demands to know, relate and apply the contents of nursing using the material resources that connect the concrete to the abstract to promote the continuity of medical care and the use of the potential of assistance in the training the specialists in which the professional's behavior was demonstrated. Conclusions: By means of the stated criteria, it is evidenced that medical care is the basis for the kind of teaching training our professional needs to organize the teaching process, starting from medical care issues. That training allows them to accomplish their social task as health trainers.Fundamento: Los rasgos que deben poseer los docentes asistenciales que forman al especialista en Enfermería Materno Infantil son esenciales para trasmitir y formar modos de actuación en la docencia. Objetivo: Determinar las características del docente asistencial que forma al especialista de Enfermería Materno Infantil. Métodos: Se realizó un estudio exploratorio que abarca los ańos 2007-2008 en el Hospital General Universitario "Gustavo Aldereguía Lima" de Cienfuegos, se aplicó la teoría de la decisión, para la selección de los criterios que fueron tomados en el modelo multicriterial, mediante la aplicación de una variante del método Delphi. El universo estuvo constituido por los coordinadores y metodólogos que atienden la especialidad Enfermería Materno infantil a nivel nacional, para la obtención de la muestra se realizó un muestreo no probabilístico (muestreo de expertos. Resultados: Se precisan 23 criterios que son superiores al punto de corte PC4 correspondiente a la categoría de mucho que vincula el modelo del profesional con las exigencias sociales para conocer, relacionar y aplicar el contenido de la enfermería utilizando los recursos materiales que relacionan lo concreto con lo abstracto para promover la continuidad asistencial del cuidado y la utilización de las potencialidades de la asistencia en la formación del especialista donde quedó demostrado el comportamiento del profesional. Conclusiones: Se evidencia a través de los criterios identificados que la asistencia es el sustento de la formación docente que necesita el profesional para organizar los procesos docentes a partir de los problemas asistenciales que le permita cumplir con el encargo social de formador en salud.
María José Aguilar Cordero
Role of community nurses in the prevention of tuberculosis in the Tshwane Health District of Gauteng
The objectives of this study were to identify the role of community nurses in the prevention of tuberculosis (TB) and to identify problems experienced by them when fulfilling this role in the Tshwane Health District of Gauteng. A non-experimental, descriptive, quantitative research design method was used to collect data from community nurses. The sample included 59 registered nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data and quantitative d...
Mnisi, Siphiwe D.; Peu, Mmapheko D.; Meyer, Salome? M.
Re-envisioning paediatric nurse training in a re-engineered health care system
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Full Text Available Background: South African's infant and child mortality rates remain high and at the current rate of decline will not meet the Millennium Development Goals of a two thirds decrease by 2015. At the latest available count, there were fewer than 1500 qualified paediatric nurses on the National South African Nursing Council register, with only about 100 nurses graduating with this qualification from South African nursing schools annually. It is not clear, however, if current paediatric nurse training programmes adequately equip nurses to make a real impact on reducing the under-5 mortality rate. In their 2011 interim report, the Ministerial Committee on Morbidity and Mortality in Children under 5 years recommended strengthening paediatric nurses' training as a strategy to reduce the under-5 mortality rate. Method: In response to the Committee on Morbidity and Mortality in Children recommendation, a colloquium was convened as a national forum for schools of nursing, departments of health, health care facilities, clinicians and regulatory bodies to advance children's nursing in South Africa. Objectives: The goals of the colloquium were to thoroughly investigate the situation in South Africa's paediatric nurse training, plot ways to strengthen and expand postgraduate paediatric programmes to meet priority child health needs, and to build relationships between the various schools and stakeholders. Results: Outcomes included the clarification and strengthening of a 'stakeholder grid' in nurse training, recognition of the need for more active teaching and learning strategies in curricula linked to national child health priorities, as well as the need to develop and support clinical nursing practice in facilities.
Minette Coetzee
Talking the talk: a discourse analysis of mental health nurses talking about their practice.
Mental Health nursing exists as a discipline in the UK within the wider contemporary health care establishment. Throughout its history it has attempted to define itself in ways that differentiate mental health nursing practice from other health care professions and fields of nursing. However, it is not surprising in this climate of contemporary healthcare for individual professional identities to become 'lost' in the melange of interdisciplinary practice. This research presents a discourse analysis of individual mental health nurses' rhetorical constructions of their professional role(s) as they emerge in their talk with each other in focus group discussions. In particular, the focus in this paper is their discursive repertoires related to the historical legacy of mental health nursing and how this sits with what they consider to be a 'custodial and controlling' element of their role. The particular discourse analytic approach adopted in this study illustrates how individuals use language in a particular way to make justifications and explanations of mental health nursing identities. This analytic approach is ensconced within the domain of social psychology and lies at the interface of ethno-methodology and conversation analysis. It is concerned with structural units of discourse, beyond the level of the sentence, that emerge as the nurse participants engage in talking about their practice (Potter and Wetherell, 1987 p.53). PMID:15468606
Leishman, June L
Literature suggests that nurses at all levels remain unprepared to make use of full use of technologies required for current practice. Specifically, nurses lack sufficient background to engage with information systems, electronic records, and unit-level and aggregated data that could support understanding of the contributions of nursing services to care and the development of best practice guidelines. Given that nursing leadership is needed in this area, the authors conducted a review of graduate nursing curricula preparing nurses to take on leadership, management and executive roles. Findings revealed that only 12 out of 36 graduate nursing programs on the west coast of the US and Canada required any content in informatics, and five more offered elective opportunities. Implications for education and practice are discussed. PMID:25676991
Oakes, Mary; Frisch, Noreen; Potter, Pamela; Borycki, Elizabeth
The relationship between electronic nursing care reminders and missed nursing care.
The purpose of the study was to explore relationships between nurses' perceptions of the impact of health information technology on their clinical practice in the acute care setting, their use of electronic nursing care reminders, and episodes of missed nursing care. The study aims were accomplished with a descriptive design using adjusted correlations. A convenience sample (N = 165) of medical and/or surgical, intensive care, and intermediate care RNs working on acute care hospital units participated in the study. Nurses from 19 eligible nursing units were invited to participate. Adjusted relationships using hierarchical multiple regression analyses indicated significant negative relationships between missed nursing care and nursing care reminders and perceptions of health information technology. The adjusted correlations support the hypotheses that there is a relationship between nursing care reminder usage and missed nursing care and a relationship between health information technology and missed nursing care. The relationships are negative, indicating that nurses who rate higher levels of reminder usage and health information technology have decreased reports of missed nursing care. The study found a significant relationship between nursing care reminders usage and decreased amounts of missed nursing care. The findings can be used in a variety of improvement endeavors, such as encouraging nurses to utilize nursing care reminders, aid information system designers when designing nursing care reminders, and assist healthcare organizations in assessing the impact of technology on nursing practice. PMID:25119428
Piscotty, Ronald J; Kalisch, Beatrice
Influence of the stress in the occupational nurses' health who works in hospital emergency
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Full Text Available Objectives: to describe the influences patterns of work of nurses in the hospital emergency on their mental health, identifying the types of nurses' perceptions of the risks of illness in their work and to discuss strategies for self-care performed by nurses of the emergency. Methodology: this is a qualitative, exploratory and descriptive study. Interviews were conducted with seven nurses, who agreed to participate in the study in accordance with Resolution 196/96 of CONEP whose project was approved by the research ethics under the HUAP record n. 001/2009. Data were transcribed and later analyzed from the thematic content analysis. Results: influences patterns of work of nurses in the emergency room for their mental health forms of perception nurse about the risks of illness in their work, and strategies of self-care performed by nurses of the hospital emergency. Conclusion: the symptoms and signs that are provided by the nursing professionals are related to the triggering factors of burn-out, and a pressing need for nursing professionals to pay attention to prevention of stress as a factor protecting their own health.
Carla Castilho Martins, Geilsa Soraia Cavalcanti Valente
The document represents a brief, quantitatively oriented scientific summary of health effects data. It was developed by the Environmental Criteria and Assessment Office to assist the Office of Emergency and Remedial Response in establishing chemical-specific health-related goals ...
The document represents a brief, quantitatively oriented scientific summary of health effects data. It was developed by the Environmental Criteria and Assessment Office to assist the Office of Emergency and Remedial Response in establishing chemical-specific health-related goals ...
Assessment of students' learning is a crucial question when great changes occur in the higher education sector. One such educational reform is the Bologna declaration, the requirements of which have resulted in significant modifications in documents as assessment forms for clinical education. The aim of this study was to investigate students' and preceptors' perceptions of using the revised version of an assessment form, the AssCE form. Using convenience sampling, a questionnaire survey was completed by 192 nursing students and 101 preceptors. Most of the participants found that the revised AssCE form was possible to use during different years of the programme, and factors in the AssCE form were possible to combine with learning outcomes in the course syllabus. Most participants perceived that the scale added to each factor facilitated the assessment dialogue and offered possibilities to illustrate the students' development during clinical periods. Findings also showed that students were most often prepared with self-assessment before the assessment discussions. More information about the use of the AssCE form, also in combination with learning outcomes in the course syllabus, may further support the use of the form and contribute to students' development during clinical practice. PMID:24140366
Löfmark, Anna; Thorell-Ekstrand, Ingrid
Student nurses in a transatlantic exchange program explored the role of registered nurses in five countries' public health systems. The Ottawa Charter provided a framework for students to examine the nurse's responsibilities in public health. Students took practice placements in geographically rural a reason another continent and explored inequalities in health care. If nurses are to understand their role in the health care system then they must be taught the scope of their practice including their role in health promotion,public health practice and community development. For this project nursing instructors developed an assignment relevant to the aims and suitable for students in all five nursing programs. Only three of 48 students offered an assignment which focused on building healthy public policy. Nurse educators need to explore this further to ensure nurses of the future are aware of their role and responsibilities in this area and have skills to work effectively to influence and build healthy policy. The international student exchange supported the students' developing understanding of the breadth of initiatives around the globe where nurses are actively engaged in addressing inequalities of health. Findings from an analysis of their assignments are presented in this evaluative report. PMID:20556881
Aarts, C; Nordstrom, P M; Koskinen, L; Juhansoo, T; Mitchell, M P; Marquis, F; Chassé, F; Critchley, K; Campbell, B; Hemingway, A
Utilisation and costs of nursing agencies in the South African public health sector, 2005–2010
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Full Text Available Background: Globally, insufficient information exists on the costs of nursing agencies, which are temporary employment service providers that supply nurses to health establishments and/or private individuals. Objective: The aim of the study was to determine the utilisation and direct costs of nursing agencies in the South African public health sector. Design: A survey of all nine provincial health departments was conducted to determine utilisation and management of nursing agencies. The costs of nursing agencies were assumed to be equivalent to expenditure. Provincial health expenditure was obtained for five financial years (2005/6–2009/10 from the national Basic Accounting System database, and analysed using Microsoft Excel. Each of the 166,466 expenditure line items was coded. The total personnel and nursing agency expenditure was calculated for each financial year and for each province. Nursing agency expenditure as a percentage of the total personnel expenditure was then calculated. The nursing agency expenditure for South Africa is the total of all provincial expenditure. The 2009/10 annual government salary scales for different categories of nurses were used to calculate the number of permanent nurses who could have been employed in lieu of agency expenditure. All expenditure is expressed in South African rands (R; US$1 ? R7, 2010 prices. Results: Only five provinces reported utilisation of nursing agencies, but all provinces showed agency expenditure. In the 2009/10 financial year, R1.49 billion (US$212.64 million was spent on nursing agencies in the public health sector. In the same year, agency expenditure ranged from a low of R36.45 million (US$5.20 million in Mpumalanga Province (mixed urban-rural to a high of R356.43 million (US$50.92 million in the Eastern Cape Province (mixed urban-rural. Agency expenditure as a percentage of personnel expenditure ranged from 0.96% in KwaZulu-Natal Province (mixed urban-rural to 11.96% in the Northern Cape Province (rural. In that financial year, a total of 5369 registered nurses could have been employed in lieu of nursing agency expenditure. Conclusions: The study findings should inform workforce planning in South Africa. There is a need for uniform policies and improved management of commercial nursing agencies in the public health sector.
Laetitia C. Rispel
Lesbian, gay, bisexual, and transgender (LGBT) patients experience barriers to health care that include fear of discrimination, as well as insensitivity and lack of knowledge about LGBT-specific health needs among providers. This study examined the effectiveness of an educational intervention designed to improve knowledge and attitudes of baccalaureate nursing students regarding LGBT patient care. Education focused on key terminology, health disparities, medical needs of transgender patients, and culturally sensitive communication skills for competent LGBT patient care. Knowledge level and attitudes were evaluated before and after the intervention using a survey based on a modified Attitudes Toward Lesbians and Gay Men Scale and two assessment tools developed for this study. A statistically significant increase in positive attitudes and knowledge level was found immediately after the intervention. Findings from this study support the inclusion of education related to LGBT patient health care in undergraduate nursing curricula to promote cultural competence and sensitivity. [J Nurs Educ. 2015;54(1):45-49.]. PMID:25535762
Strong, Kristy L; Folse, Victoria N
Evaluation of the implementation of advanced nursing competencies in the Basque health care system
In 2011 advanced competences in nursing were defined and pilot tested in the Basque Healthcare System, in order to meet the needs of chronic patients. It is assumed that nursing professionals, in a functional sense, can fulfil a liaison role both within the health system and with external stakeholders. Integration between levels of care, the mobilisation of resources and case management are fundamental factors ...
Galder Abos-Mendizabal; Roberto Nuńo-Solinis; Leticia San Martin-Rodriguez
Job Analysis for Nurses and Related Health Care Professionals: A Task Inventory Approach.
This handbook is designed as a guide for nursing supervisors and hospital administrators to help them decrease unnecessary overlap and increase efficiency of nursing staff and related allied health professionals through job analysis. Three chapters and five appendixes are included. Chapter I deals with the meaning of job analysis, qualitative…
Van Cleve, Roy R.
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Full Text Available AIM: This study is carried out descriptively with the aim of determining occupational risks the nurses working in dialysis units and nephrology services. METHOD: 47 nurses working in dialysis and nephrology units of the hospitals in Erzurum were included in the study content. In the collection of the data, questionnaire form prepared in the light of literature and including the preventions taken by nurses themselves or their organizations against the professional risks they faced, or personal problems the nurses experienced, professional risk or professional-personal features was used. RESULTS: In the result of the study, it was detected that 48.9% of the nurses was at 28-32 age group, and that 38.3% of the nurses graduated from nursing higher school, and that 72.3% of the nurses worked in dialysis unit. It was found out that while practicing their professions, the nurses expressed that infection risk (97.9%, stress (83%, verbal abuse (80.9%, psychiatric trauma (66%, allergic substance (63.8%, the noise (36.2%, and physical abuse (23.4% were the risk factors they raced in working medium .In the health problem seen in the nurses, in the first row is lumbago. CONCLUSION: In the result of the study, it was found out that while practicing their professions, the nurses expressed that infection risk was the highest rate among the risk factors they raced in working medium and, in the health problem seen in the nurses, in the first row is lumbago and that the nurses and organizations' attempts which will reduce the risks were not sufficient. [TAF Prev Med Bull 2009; 8(4.000: 339-344
Mehtap Curcani
Community-based child health nurses: an exploration of current practice.
The purpose of this research was to define, the practice domain of community-based child health nursing in light of widespread political, economic and social changes in Western Australia. The project was conducted by a group of nurse researchers with experience in child health nursing from the School of Nursing and Midwifery at Curtin University and the Child and Adolescent Community Health Division at the Department of Health, Western Australia. The overall aim of the project was to map the scope of nursing practice in the community child health setting in Western Australia and to identify the decision making framework that underpins this nursing specialty. Given the widespread social, economic and health service management changes, it was important for nurses involved with, or contemplating a career in, community-based child health to have the role accurately defined. In addition, consumer expectations of the service needed to be explored within the current climate. A descriptive qualitative study was used for this project. A purposive sample of 60 participants was drawn from the pool of child health nurses in the South Metropolitan Community Health Service, North Metropolitan Health Service and Western Australian Country Health Service. Following ethical approval data was collected via participants keeping a 2-week work diary. The data was coded and thematic analysis was applied. Several themes emerged from the analysis which were validated by follow up focus group interviews with participants. This clearly demonstrated common, recurring issues. The results identified that the community-based child health nurses are currently undertaking a more complex and expanded child health service role for an increasingly diverse client population, over their traditional practices which are still maintained. Excessive workloads and lack of human and non human resources also presented challenges. There are increasing requirements for child health nurses to engage in community development and capacity building, often through a multidisciplinary partnership, which requires them to have sound brokerage and facilitation skills to enable community inclusion and inter-agency collaboration at the local level. The study has highlighted the importance and multifaceted nature of the role of the community-based child health nurse. To enable them to function optimally, the following suggestions/recommendations are offered. These being: More physical resources be allocated to community-based child health nursing More resources allocated to assist community-based child health nurses to support culturally and linguistically diverse families Mapping of child health nurses' workloads The development of community health client dependency rating criteria reflecting the social determinants of health in order for health service refinement of staffing allocations based on an acuity scale Specific staff development opportunities to reflect the increased workload complexity Managerial support for the implementation of formal clinical (reflective) supervision Additional clerical assistance with non-nursing duties. PMID:22545907
Borrow, Stephanie; Munns, Ailsa; Henderson, Saras
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Full Text Available South Africa is called "the rainbow nation" because it has so many different cultures. These have an impact on the provision of primary health care. The purpose of this research is to foster good relationships between community health nurses and traditional healers and to explore, identify and describe the attitude of community health nurses towards the integration of traditional healers into primary health care. A non-experimental, explorative and descriptive research strategy was designed to explore the working relationship between community health nurses and traditional healers. Data was collected using a structured questionnaire. Quantitative as well as qualitative data analysis techniques were adopted to interpret the findings. The results indicated that respondents demonstrated positive attitudes towards working with traditional healers, especially in the provision of primary health care. Positive opinions, ideas and views were provided about the integration of traditional healers into primary health care. Respect, recognition and sensitivity were emphasized by respondents.
MD Peu
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Full Text Available Late in 2011, the Royal Australian Air Force (RAAF deployed a Role One enhanced health facility in support of Exercise Precision Support. The Role One health facility was deployed to the Shoalwater Bay military training area and tasked with providing 24 hour care during the pre-deployment exercise for Australian forces headed to operations overseas. The Precision Support exercise integrates with air operations, large scale logistic movements and austere base establishment elements, to aid in the preparation, training and sustainment of service personnel for operational roles, both in a conflict environment as well as humanitarian aid roles. The Role One provided this medical support with 2 Emergency Nurse Practitioners (ENPs, Registered Nurses (RNs, Medical Assistants (MAs and Radiographers. The ENPs took on the role of the senior clinicians during this exercise, competently managing all of the health complaints that presented during the exercise period. This article will discuss and review the role of the Nurse Practitioner (NP within a Role One, deployed Defence health facility, build on international evidence whilst supporting the utilisation of NPs in the RAAF Health Service and subsequently more widely in the greater Australian Defence Force (ADF. This article will provide some practical evidence enabling health commanders to recognise, deploy and fully utilise NPs, in order to support current and future ADF operations.
Danny O'Neill
The Role of Bright Light during Night Work on Stress and Health Status of Shift Work Nurses
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Full Text Available Research has shown that shift work, in particular night work, can have negative effects on the health, safety and well-being of workers. Our study assessed, in a hospital setting, the effects of bright light (BL on general health and psychological problems during night shift work. In an experimental design, 15 female nurses at a general hospital that located in Tehran were exposed to moderate bright light (2000 lx during night work. The evaluation of general health status, job stress, and burnout syndrome conditions was done as follows: The 28-item General Health Questionnaire (GHQ-28 was used as a screening tool for the detection of general health status; for assessing the level of stress, perception stress scale (PSS was filled; and for burnout syndrome conditions, burnout self-report questionnaire (BSR was completed. T-test and paired t-test analysis were used to assess the association between BL exposure for a total of 30 min during each night shift and changes in general health status, job stress and burnout syndrome. This study clearly shows that BL administration could not reduce anxiety symptoms, somatic symptoms, severe depression and improved social dysfunction significantly during night shift. However, BL exposure significantly decreased the perception stress (P=0.008 and burnout syndrome (P=0.06 during night permanent shift. These results suggest that BL might have provoked changes in perception stress and burnout syndrome of nurses working night permanent shift.
Mostafa Hosseini
The Nurse Consultant: an Innovative Role in the Greek Health Care System?
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Full Text Available Introduction: Nursing has gone through phases of being a static profession in many countries withdifficulty in breaking this mold in order to escalate its full potential. In countries where innovative rolesand new posts for nursing flourish i.e. nurse consultant, clinical nurse specialist and others, nursesenjoy advanced professional independence, greater respect from other health care professionals andhold higher prestige within the extended society. The nursing profession in Greece requires innovativeways to raise the expertise and profile of its members.Aim: This paper presents the merits of introducing a consultant nurse training programme and postsinto the Greek National Health Care System in order actively to address the many problems facing theprofession.Discussion and Conclusions: The introduction of the nurse consultant post in Greece would provideaccess for continual professional development of the nursing staff, open specialist career opportunitiesand would raise the morale and standing of nurses. As this requires change, a brief overview of thetheory of change is also presented.
Dimitrios Theofanidis
Current developments towards a German electronic Health Card raise the question whether the card is capable of improving care also for persons with special nursing needs including short-term as well as long-term care patients. The aging of the population - also in Germany - is coupled with an increase in the number of long-term care patients. They are patients who need medical as well as nursing care and who often need care provided by changing care settings (ambulatory care/home care vs. hos...
Hu?bner, Ursula
At least three decades after primary health care (PHC) took nursing by storm it is time to re-examine the philosophical shift to a PHC framework in pre-registration nursing curricula and overview factors which may hinder or promote full integration of PHC as a course philosophy and a contemporary approach to professional practice. Whilst nurse education has traditionally focused on preparing graduates for practice in the acute care setting, there is continuing emphasis on preparing nurses for community based primary health roles, with a focus on illness prevention and health promotion. This is driven by growing evidence that health systems are not responding adequately to the needs and challenges of diverse populations, as well as economic imperatives to reduce the burden of disease associated with the growth of chronic and complex diseases and to reduce the costs associated with the provision of health care. Nursing pre-registration programs in Australia and internationally have philosophically adopted PHC as a curriculum model for preparing graduates with the necessary competencies to function effectively across a range of settings. Anecdotal evidence, however, suggests that when adopted as a program philosophy PHC is not always well integrated across the curriculum. In order to develop a strong and resilient contemporary nursing workforce prepared for practice in both acute and community settings, pre-registration nursing programs need to comprehensively consider and address the factors impacting on the curricula integration of PHC philosophy. PMID:24099228
Mackey, Sandra; Hatcher, Deborah; Happell, Brenda; Cleary, Michelle
This paper is a report of a study exploring mental health service users' (MHSUs') experiences of diabetes care. Diabetes is a growing clinical concern in mental health nursing practice. However, little is known about MHSUs' experience of diabetes care. This is a descriptive qualitative study. Semi-structured telephone interviews were held between June and October 2011, with seven MHSUs who had diabetes. Participants reported experiences of stigma and diagnostic overshadowing (DO) when reporting symptoms of diabetes or when feeling unwell. Participants also encountered a split between their mental health and diabetes care needs, which resulted in a lack of holistic or integrated care. All participants mentioned experiencing complications of diabetes even to the extent of diabetic ketoacidosis. Mental health nurses (MHNs) must critically reflect on their attitudes towards service users that report physical symptoms to ensure that stigma and DO do not constitute barriers to appropriate screening and treatment. The complex relationship that exists between mental illness and diabetes requires MHNs to ensure physical and mental health care are wholly integrated and not split. Education needs are apparent so that symptoms and complications can be recognized and treated accordingly. PMID:24548452
Nash, M
Health complaints among nurses working near MRI scanners-A descriptive pilot study
International Nuclear Information System (INIS)
A questionnaire-based descriptive pilot study was conducted among all nurses routinely working with MRI in the Northern part of Sweden to provide an indication of the self-reported prevalence of health complaints related to working with MRI systems. Fifty-nine nurses (88% response rate), with on average 8 (±6) years experience with MRI scanning procedures, returned the questionnaire. In total, 9 nurses (15%) reported regularly experiencing at least one of the health complaints (1-5% for specific health complaints) attributed to arise or be aggravated by their presence in the MRI scanning room. Stratification of the results indicated that reporting of adverse symptoms was not related to the level of occupational workload/stress. However, reporting of health complaints was related to the strength of the magnet(s) the nurses worked with, with 57% of symptoms reported by those nurses working with the strongest systems (both 1.5 and 3 T scanners in this population). Although this descriptive study did not include a control population and was based on self-reporting of health complaints, these data indicate that the prevalence of reported health complaints is not related to perceived work load or occupational stress, but does confirm data from other occupational sectors and indicates that the prevalence of adverse health complaints increases with the strength of the MRI system for nurses as well.
Health complaints among nurses working near MRI scanners-A descriptive pilot study
Energy Technology Data Exchange (ETDEWEB)
A questionnaire-based descriptive pilot study was conducted among all nurses routinely working with MRI in the Northern part of Sweden to provide an indication of the self-reported prevalence of health complaints related to working with MRI systems. Fifty-nine nurses (88% response rate), with on average 8 ({+-}6) years experience with MRI scanning procedures, returned the questionnaire. In total, 9 nurses (15%) reported regularly experiencing at least one of the health complaints (1-5% for specific health complaints) attributed to arise or be aggravated by their presence in the MRI scanning room. Stratification of the results indicated that reporting of adverse symptoms was not related to the level of occupational workload/stress. However, reporting of health complaints was related to the strength of the magnet(s) the nurses worked with, with 57% of symptoms reported by those nurses working with the strongest systems (both 1.5 and 3 T scanners in this population). Although this descriptive study did not include a control population and was based on self-reporting of health complaints, these data indicate that the prevalence of reported health complaints is not related to perceived work load or occupational stress, but does confirm data from other occupational sectors and indicates that the prevalence of adverse health complaints increases with the strength of the MRI system for nurses as well.
Wilen, Jonna, E-mail: firstname.lastname@example.com [Department of Radiation Sciences, Umea University, S-901 87 Umea (Sweden); Vocht, Frank de, E-mail: firstname.lastname@example.com [Centre for Occupational and Environmental Health, School of Community Based Medicine, Manchester Academic Health Sciences Centre, University of Manchester, Oxford Road, Manchester, M13 9PL (United Kingdom)
42 CFR 413.85 - Cost of approved nursing and allied health education activities.
...receives a grade. Clinical training costs means costs of training for the acquisition and...skills of a nursing or allied health profession or trade in the actual...upon graduation. Clinical training may involve...
Integration of end-of-life education into a community health nursing course.
Student nurses and novice nurses report that they received little in their nursing education to adequately prepare them for the death of a patient. The American Association of Colleges of Nursing's (AACN) competencies for end-of-life care assert the need for competent nursing care at the time of death. To prepare students to care for dying patients and their families, a hospice clinical experience in a community health nursing course was designed to facilitate the development of competence in caring for adults and children at the end of life. At the end of the semester, the students were able to demonstrate principles of pain and symptom management and to communicate the goals and philosophy of hospice care to dying patients and their families. The students also demonstrated the ability to advocate for individuals at the end of life through the provision of information about hospice care, especially the benefits for timely referral to hospice and palliative care. The incorporation of a clinical experience into a community health nursing course that focuses on end-of-life care is an effective approach to teaching both community health concepts and care of dying patients. Such an approach incorporates essential content without adding to already extensive nursing curricula. PMID:24000920
Pullis, Bridgette Crotwell
The current health care environment has heightened the importance of achieving positive patient outcomes and excellent customer satisfaction. To remain competitive, health care organizations must adapt quickly to changing regulatory requirements, quality improvement initiatives, and customer expectations. To ensure nursing practice at the Saint Clare's Health System in Northwest New Jersey is at the forefront of leading change, the nursing staff has embraced the Institute of Medicine report The Future of Nursing: Leading Change. The empowered nursing team has applied Benner's Novice to Expert model and McCauley's Careful Nursing Theory as the foundation for nursing practice. The ability to apply evidence-based nursing research and cultivate professional development at the bedside has resulted in retention of expert nurses at the bedside. Engaging the nursing team has resulted in increased patient satisfaction and improved clinical outcomes. Advanced practice nurses play an important role to mentor the nursing staff and promote an interdisciplinary, collaborative relationship between all health care disciplines and community support programs. Nurses are recognized for their accomplishments and encouraged to obtain specialty certification, advanced degrees, and earn state and national recognition through professional organizations. The professional nurses at the Saint Clare's Health System are prepared to work in whatever environment the new normal creates. PMID:22677961
Ellerbe, Suellyn; Regen, Debra
With the advent of profit maximization in health care came an increased focus on defining quality through outcomes achieved. The article describes an analysis of the nursing literature from 1974 to 1996 using Donabedian's structure-process-outcome framework and the specific indicators identified by the American Nurses Association report card, the Institute of Medicine, and the nursing-sensitive outcomes classification. Although evidence exists documenting nursing's positive impact on patient outcomes, this analysis suggests a real need to integrate our clinical and administrative studies and to employ a more comprehensive, longitudinal, multifacility approach if we are to answer the scientific question regarding which nursing structures and processes truly produce the best health outcomes. PMID:9097521
Pierce, S F
[Knowledge of nurses of the Family Health Strategy on health services waste].
The study addresses the problem involving the solid waste from health service and the nurses attitude towards aspects related to the management and environmental awareness. Participants were ten professionals working in the Family Health Strategy, from the municipalities of Araputanga, Mirassol D'west and Săo José dos Quatro Marcos. Data were collected through questionnaires, and analyzed using the software Origin®. It was observed the level of knowledge regarding the current law, management steps taken at the municipal and staff training, and also about the ability of the professionals to diagnose situations and occupational risk to public health. Despite the existence of a significant knowledge on the subject, there is still need to work on awareness and development of appropriate management practices on the health services waste. PMID:23258685
dos Santos, Maíra Azevedo; Souza, Anderson de Oliveira
Quality of Life, Anxiety and Depression in Nurses Working at Primary Health Care and Hospitals
Aim: to compare anxiety, depression, quality of life, some socio-demographiccharacteristics affecting those in nurses working at primary health care centers andTraining and Research Hospitals.Method: The study encountered female nurses working in Primary Health Carecenters and Trabzon Numune Training and Research Hospital, assigning into twogroups. Between December 2008 and January 2009, a total of 100 subjects, covering50 subjects from each group was planned to encounter (n1=50, n2=50). Data...
Et Al, Mus?lu C.
The community health clinics as a learning context for student nurses
The purpose of the research study was to describe guidelines to improve the community health clinics as a learning context conducive to learning. The objectives of the study commenced by getting the perception of student nurses from a nursing college in Gauteng; community sisters from ten community health clinics in the Southern Metropolitan Local Council and college tutors from a college in Gauteng. The research design and method used, consisting of a qualitative, exploratory, descriptive an...
Mb, Makupu; Botes, A.
Nurses' health, age and the wish to leave the profession--findings from the European NEXT-Study
DEFF Research Database (Denmark)
In many industrialised countries the number of workers with low health is expected to increase in the nursing profession. This will have implications for occupational health work in health care. The European NEXT-Study (www. next-study. net, funded by EU) investigates working conditions of nurses in ten European countries and provides the opportunity to evaluate the role of health with respect to age and the consideration of leaving nursing.
Hasselhorn, H M; Tackenberg, P
Do healthier nurses make better health promotors? A review of the literature.
This discussion paper draws on a review of the literature to explore factors that might promote or inhibit healthier nursing practice. The term healthier nursing practice, used here, refers to the way commitment to health promoting practices at organisational, professional and personal levels is demonstrated and achieved. Health promotion is a holistic concept that calls for the creation of empowered relationships between self, others, and the environment to improve wellness. Nurses have often struggled to achieve this within their patient encounters and even more so within their own personal and professional life experiences. Two factors were identified in the literature review that appear to significantly impact on this situation, the organisational environment within which nurses practice and their educational exposure to health promoting opportunities. There are a number of parallel processes identified that illustrate the difficulties nurses have in their experiences of working with patients and with themselves in promoting healthier lives. Action learning is advocated as an effective way for nurses to address what are sometimes perceived as being insurmountable barriers to developing health promoting opportunities for patients and the individual nurse. PMID:17070623
Carlson, Glenna D; Warne, Tony
Abstract Background: Local health services expressed interest in supporting a nurse practitioner program specifically designed for rural practice environments. Aim: To develop and deliver a generalist nurse practitioner program that prepares candidates for practice in rural contexts. Methods: The Master of Clinical Nursing (Nurse Practitioner) program was designed with an understanding of the burden of disease impacting on rural Australians, application of the national health priorities, the Australian Government's refocus on preventative health care and rural health workforce shortages. Results: This program offers nurses who work in rural and remote settings an opportunity to advance their careers. Increasing the numbers of rural nurse practitioners will improve rural populations access to healthcare and potentially improve health outcomes. Conclusion: This program will equip those seeking endorsement as a nurse practitioner to effectively work in rural contexts. PMID:25429988
Francis, Karen; Boyd, Michal; Latham, Heather; Anderson, Judith; Bradley, Angela; Manners, Jan
Continued ambiguity about the scope of mental health nursing is harmful to the discipline's identity and to patients' interests. Using a Delphi survey design, consensus was achieved on a set of 70 items representing core elements of mental health nursing among a sample of 150 mental health nurses working in Ireland. Items achieving consensus in Round 3 of the survey were composed of 28 clinical phenomena (framed as client problems), 18 direct and 12 indirect nursing interventions, and 12 nursing-sensitive outcomes of care. Mental health nurses accepted responsibility across a broad range of outcomes apart from those linked to physical care, the one domain of care rejected by participants. The findings portray mental health nursing as a psychosocial enterprise, encompassing both phenomenological and diagnosis-related elements. PMID:20851325
MacNeela, Pádraig; Morris, Roisin; Scott, Anne; Treacy, Margaret P; Hyde, Abbey
Globalization and information and communication technology (ICT) continue to change us and the world we live in. Nursing stands at an opportunity intersection where challenging global health issues, an international workforce shortage, and massive growth of ICT combine to create a very unique space for nursing leadership and nursing intervention. Learning from prior successes in the field can assist nurse leaders in planning and advancing strategies for global health using ICT. Attention to lessons learned will assist in combating the technological apartheid that is already present in many areas of the globe and will highlight opportunities for innovative applications in health. ICT has opened new channels of communication, creating the beginnings of a global information society that will facilitate access to isolated areas where health needs are extreme and where nursing can contribute significantly to the achievement of "Health for All." The purpose of this article is to discuss the relationships between globalization, health, and ICT, and to illuminate opportunities for nursing in this flattening and increasingly interconnected world. PMID:18922277
Abbott, Patricia A; Coenen, Amy
Background: Emotion and how people manage it is an important part of personality that would immensely affect their health. Investigations showed that emotional intelligence is significantly related to and can predict psychological health.Objective: To determine the effect of teaching emotional intelligence to intensive care unit nurses on their general health.Methods: This randomized clinical trial (registered as IRCT20120802...
Ghadakpoor, S.; Mansoori, P.; Keshavarzi, S.; Rezaie, S.; Sharif, F.
Arthritis Research and Education in Nursing and Allied Health: A Forum.
A summary of proceedings of the Forum on Arthritis Research and Education in Nursing and Allied Health is presented. The keynote address, "The Burden of Arthritis," by Dorothy P. Rice, provides data collected by the National Center for Health Statistics on the prevalence of arthritis, the burden it imposes, and the volume, type, and cost of health…
Public Health Service (DHHS), Rockville, MD.
ABSTRACT Background: Memory clinics, typically led by multidisciplinary teams and requiring health professional referral, are one means of providing diagnosis and care coordination for dementia. Nurse-led clinics may provide an effective and alternative means to dementia diagnosis, and open referral policies may minimize existing barriers to accessing a diagnosis, but evidence is needed. Methods: Patients attending a one-day per week nurse-led memory clinic over a 25-month period during 2011-2013 (n = 106) completed comprehensive cognitive assessments and were diagnosed by an aged care nurse practitioner. Descriptive statistics detail the demographics, assessment scores, and diagnostic profiles of patients. Comparable data from published literature was identified, and the differences were analyzed qualitatively. Results: One hundred and six patients were assessed with the key differences from other data sets being history of falls more common, higher mean Mini-Mental State Examination scores, and fewer dementia diagnoses. Sixty-four patients (60%) were self-referred to the nurse-led memory clinic, of which 19 (30%) were diagnosed with mild cognitive impairment (MCI) or dementia. Overall, forty-eight patients (45%) received diagnoses of MCI or dementia. Conclusions: An open referral policy led to a high proportion of patients being self-referred, and nearly a third of these were diagnosed with cognitive impairment or dementia. Open referral policies and nurse-led services may overcome some of the barriers to early diagnosis that are currently experienced. Considering an aging population worldwide and the associated increases in cognitive impairment, which benefits from early identification and intervention, this paper provides an alternative model of nurse-led assessment. PMID:25483359
Minstrell, Melinda; Bentley, Michael; Bucher, Hazel; Morrissey, Martin; Higgs, Carl; Robinson, Andrew; Stirling, Christine
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Full Text Available Abstract Background Health professionals working in primary care and public health have opportunities to address body weight status issues with their patients through face-to-face contact. The objectives of this all-Ireland project are: 1. to assess the attitudes, current practices/behaviours and knowledge of key health professional groups on body weight status; 2. to assess the health professional groups' ability to identify body weight status in both adults and children. The health professional groups are: (a community related public health nurses; (b school public health nurses; (c GPs and practice nurses (primary care; and (d occupational health nurses (workplace from both Northern Ireland and the Republic of Ireland. Methods/Design This all-Ireland multi-disciplinary project follows a mixed methods approach using both quantitative and qualitative methodologies, and consists of four components: 1. Literature review - to explore the role of health professionals in managing obesity through spontaneous intervention in a variety of health promotion settings. 2. Telephone interviews and focus groups - to gain an in-depth insight into the views of health professionals in assessing body weight status. 3. Survey (primarily online but also paper-based - to determine the attitudes, current practices/behaviours and knowledge of health professionals in assessing body weight status. 4. Online evaluation study - an online interactive programme will be developed to assess health professionals' ability to identify the body weight status of adults and children. Discussion This project will assess and report the attitudes, current practices/behaviours and knowledge of key health professional groups within Northern Ireland and the Republic of Ireland on body weight status, and their ability to identify body weight status in both adults and children. The results of this project will generate recommendations for clinical practice in managing obesity, which may inform policy guidelines.
Murphy Kathy
LENUS (Irish Health Repository)
Abstract Background Health professionals working in primary care and public health have opportunities to address body weight status issues with their patients through face-to-face contact. The objectives of this all-Ireland project are: 1. to assess the attitudes, current practices\\/behaviours and knowledge of key health professional groups on body weight status; 2. to assess the health professional groups\\' ability to identify body weight status in both adults and children. The health professional groups are: (a) community related public health nurses; (b) school public health nurses; (c) GPs and practice nurses (primary care); and (d) occupational health nurses (workplace) from both Northern Ireland and the Republic of Ireland. Methods\\/Design This all-Ireland multi-disciplinary project follows a mixed methods approach using both quantitative and qualitative methodologies, and consists of four components: 1. Literature review - to explore the role of health professionals in managing obesity through spontaneous intervention in a variety of health promotion settings. 2. Telephone interviews and focus groups - to gain an in-depth insight into the views of health professionals in assessing body weight status. 3. Survey (primarily online but also paper-based) - to determine the attitudes, current practices\\/behaviours and knowledge of health professionals in assessing body weight status. 4. Online evaluation study - an online interactive programme will be developed to assess health professionals\\' ability to identify the body weight status of adults and children. Discussion This project will assess and report the attitudes, current practices\\/behaviours and knowledge of key health professional groups within Northern Ireland and the Republic of Ireland on body weight status, and their ability to identify body weight status in both adults and children. The results of this project will generate recommendations for clinical practice in managing obesity, which may inform policy guidelines.
Moorhead, Anne
Nurses work with diverse populations, but the nursing literature lacks research, theoretical frameworks, or practice guidelines regarding lesbian, gay, bisexual, and transgender (LGBT) health. Through diverse teaching strategies, students explored issues related to LGBT patients, families, and nurses using a cultural humility lens. Diverse teaching strategies included readings, a 2-hour presentation on LGBT health issues, and an assignment to conduct a scripted interview with two nurse key informants, based on the Health Care Equality Index (HEI). Students completed an online LGBT awareness preinterview survey, completed interviews, and completed a postinterview survey. Students showed a significant increase in knowledge about sexual orientation and gender identity and research and interview methods from pretest to posttest. The diverse teaching strategies involved in this assignment can enhance student knowledge, attitudes, and skills related to LGBT health care needs and increase appreciation of nursing research. [J Nurs Educ. 2015;54(1):50-53.]. PMID:25545145
Carabez, Rebecca; Pellegrini, Marion; Mankovitz, Andrea; Eliason, Michele J; Dariotis, Wei Ming
A lesson in vigilance? Mental health nursing training in Western Australia, 1903–1958.
Researching examples of historical hospital-based training can provide some measure of the improvements in mental health nursing education which have taken place over time. Claremont Hospital for the Insane was the only major stand-alone psychiatric institution in Western Australia, and recent research into its mental health nursing training program between 1903 and 1958 provides an example of how nursing training could suffer in the hospital setting. There is much to learn from Claremont's experience: Not just to measure how far mental health nursing has progressed since that time, but also as a reminder of why and how accountability, supervision, and independent auditing all help to ensure quality delivery of training. PMID:20936894
Martyr, Philippa
Factors affecting nurses' intent to assess for depression in heart failure patients.
The association between depression and cardiovascular disease has been well established and has been shown to decrease patients' quality of life and increase the risk of mortality, frequency and duration of hospitalization, and health care costs. The inpatient setting provides a potentially valuable opportunity to assess and treat depression among patients with acute cardiac illness, allowing for daily monitoring of treatment side effects. Although systematic depression screening appears to be feasible, efficient, and well accepted on inpatient cardiac units, the current lack of consistent inpatient assessment for depression in heart failure patients suggests the presence of barriers influencing the effective diagnosis and treatment of depression among inpatients with heart failure. The theory of planned behavior describes the cognitive mechanism by which behavioral intent is formed, giving some insight into how nurses' attitudes and beliefs affect their performance of routine depression screening. In addition, application of this cognitive theory suggests that nurses may be influenced to adopt more positive attitudes and beliefs about depression through educational intervention, leading to greater likelihood of routine assessment for depression, ultimately leading to more timely diagnosis and treatment and improved patient outcomes. PMID:25280199
Lea, Patricia
Modelling district nurse expertise.
As changes in society and health provision mean that one in four people over the age of 75 will require nursing care at home, pre-registration adult nurse education increasingly prepares student nurses for a future career within the community. District nurses undertake complex, multidimensional health and social assessments and care in a non-clinical setting and work in partnership with patients and their significant others to promote practical and psychological coping mechanisms and self-care. The district nurse's first assessment visit is key to developing a therapeutic partnership and it is often during this visit that expertise in district nursing practice emerges. The holistic, contextual and dynamic aspects of nursing in the home setting can make district nursing expertise difficult to illustrate and demonstrate within the classroom setting. This article explores the ways in which an understanding of expertise development theory can enable the tacit expertise that occurs within the first assessment visit to be made visible to student nurses, using simulation and expert narrative as a pedagogical strategy. PMID:25475676
Burke, Michelle
Analysis of the nurses' work process in the attendance at health basic units
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Full Text Available In the Single Health System the nurses have each time more functions, responsibilities and challenges to be faced, over all as for the work in the Health Basic Units. At time of transformation of the models assistencials, it's important to know the nurses' work process, for contributing with the discussions that will go to reorient the practical assistencials. This is about an exploratory and descriptive study, from qualitative nature, carried through at Porto Velho city, Rondônia, Brazil, with 17 nurses, aiming at analyzing the nurses' work process at Health Basic Units. It was lead from Malinowski, the informations analysis was carried through from the Collective Representations of Durkheim. As result, it was defined the empirical categories ? that the programming is a rule of nursing practical, breaking up the assistance and, the following representations: interfaces of the programming, mimicry with the doctors; who it is the power of: from nurses or doctors? As conclusion, the work process of the nurses still is centered in the breaking up the assistance with origin of the biomedical model; in the practical doctor; in the dispute for the power. It is necessary that knows the representations that disclose to the way as the work process is developed, so that new orientations can be elaborated.
Wilma Suely Batista Pereira
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Full Text Available T he researcher, being a nursing lecturer, questioned the method of selection of learning opportunities for student nurses in two training hospitals in the Northern part of Namibia.
The study therefore focused on the following objective: To identify the factors that influence the selection of learning opportunities for primary health care in hospital units. A qualitative research design utilising focus group discussions were used. The population consisted of conveniently selected lecturers, student nurses and registered nurses. The same initial question was asked in each focus group to initiate the discussions. The data were analysed according to Tesch's method.
The results indicated that there is positive commitment from the lecturers and registered nurses to be involved in selecting appropriate learning opportunities. The student nurses also demonstrated a willingness to learn and to be exposed to learning opportunities in primary health care. There were however certain constraints that emerged as themes, namely:
• Managerial constraints • Educational constraints
Under the theme "managerial constraints" categories such as workload, nursing staff shortages and communication problems were identified. Under the theme "educational constraints" categories such as a lack of guidance, and the correlation of theory and practice emerged.
Recommendations based on this research report include improvement of in-service education on managerial and educational aspects to facilitate the primary health care approach in hospitals.
L F Small
Home health nursing care agenda based on health policy in Korea.
Home health nursing care (HHNC) in Korea has taken on an important role under the mandate of the national health care system since 2000. This program was developed to verify the possibility of early discharge of hospitalized patients and cost containment through a research and development project that was conducted with the government from 1994 to 1999. The process of development of HHNC provided an opportunity to realize the advancement and changes in the system into a consumer-focused structure. This is an important turning point for the Korean health care system that suggests certain possibilities for building a foundation for further changes in the service delivery structure. The structure, which had been limited to a supplier-oriented model, is moving to a consumer-oriented structure. Accordingly, the major function and role of nursing policy makers in Korea is to develop an agenda and alternatives for policy-making in a systematic manner and to present implementation strategies clearly. PMID:15877685
Ryu, Hosihn; An, Jiyoung; Koabyashi, Mia
The process of transformation in the South African Military Health Services, has influenced the nursing service managers' level of motivation and the following research question is applicable: what are the perceptions of the nursing service managers within the South African Military Health Services on their level of motivation? The purpose with this study was to explore and describe the perceptions of nursing service managers on their level of motivation within these health services. A qualitative research design was utilized and four focus group interviews were conducted with 33 nursing service managers country wide. The transcribed interviews were exposed to a content analysis. The results confirm that the level of motivation amongst these nursing service managers is low. The demotivators relate mainly to the following: inadequate acknowledgement, job insecurity in relation to the future, problems with the process of integration, transformation and rationalization, problems with management, many labour related issues, poor/inadequate communication, inadequate support, increased work load, poor physical environment, negative publicity and poor self motivation. Although there were a few motivators identified, they were of less importance. These results were interpreted within Herzberg's motivation theory to identify the hygiene/maintenance factors and to assess whether the important motivators were in place. During any process of change, and/or when the level of motivation amongst employees is low, it is important to adequately manage the environment (hygiene/maintenance factors within the Herzberg theory). But it is even more important to ensure that the motivators are in place or to intensify them. It is therefore recommended that a motivation strategy, based on the Herzberg theory as well as the Hackman-Oldham job enrichment model, be developed, implemented and evaluated. PMID:11949294
Fischer, A; Muller, M
Using scenarios to assess the future supply of NHS nursing staff in England
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Full Text Available Abstract This paper examines issues related to the future supply of registered nursing staff, midwives and health visitors in the National Health Service (NHS in England at a time when there are major public sector funding constraints and as more of these staff are reaching retirement age. Based on available workforce data, the paper reviews different possible scenarios for the supply of NHS nurses over a ten year period, assessing the impact of different numbers of new staff being trained and of varying retirement patterns from the ageing profession. The government in England has more policy levers available than is the case in many other countries. It determines the number of pre-registration training places that are commissioned and funded, it is the major employer, and it also controls the inflow of nurses from other countries through migration policies. Scenario models provide a picture of what the future might look like under various assumptions. These outcomes can be quantified and the results used to assess the risks and opportunities of alternate policy decisions. The approach used in this paper is that of the aggregate deterministic supply model. As part of this exercise, eight scenarios were selected and modelled. These were: A. "No change"- current inflows and outflows B. "Redundancies" - current inflow with higher outflow C. "Improved retention" - current inflow with lower outflow D. "Reduced training intakes A" - lower inflows with lower outflow E. "Reduced training intakes B" - lower inflow with higher outflows F. "Pension time-bomb"- current inflow with a higher rate of retirement G. "Pension delayed"- current inflow with a lower rate of retirement H. "Worst case" - lower inflow and higher outflow including higher retirement Most of the scenarios indicate that a reduction in the supply of nursing staff to NHS England is possible over the next ten years. Small changes in assumptions can make a substantial difference to outcomes and therefore emphasize the point that it is unwise to base policy decisions on a single projection. It is important that different scenarios are considered that may be regarded as possible futures, based on a realistic assessment of the available workforce data, policies and broader labour market and funding outlook.
Buchan James
Teaching Job Survival Skills in Nursing: A Look at Occupational Health Nursing.
Most nursing assistant programs place emphasis primarily on the cognitive and psychomotor aspects of the student's education. The school must focus on career exploration to meet fully its responsibility for helping students prepare for work. (JOW)
Henderson, S. Lee
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Full Text Available This study assessed the impact of caring for AIDS sufferers on the mental health of nurses. This assessment was measured against the level of burnout, stress and depression among 174 nurses caring for people living with HIV and AIDS in Limpopo Province, South Africa. A structured questionnaire was used for data collection. The questionnaire incorporated the AIDS Impact Scale (AIS, Maslach Burnout Inventory (MBI, Beck Depression Inventory (BDI and the participants' demographic and professional profiles. Participants were conveniently selected from five selected hospitals in Limpopo Province. The study participants' valuation using the AIS showed that nurses tended to develop strong bonds and relationships with the patients; felt frustrated by their inability to help the terminally ill AIDS sufferers and were subsequently affected by the death of their patients. Personal accomplishments of the nurses remained high and the levels of emotional exhaustion and depersonalization levels were low. The BDI showed that over 3 out of 4 nurses were experiencing between mild mood disturbance and extreme depression. Higher average scores were noted for items of the depression scale like sadness, dissatisfaction, fatigue and low level of energy. The findings highlight the need to develop psychological support programmes for nurses caring for AIDS patients and promote the provision of social incentives and recognition of the role of nurses in AIDS care.
M Davhana-Maselesele
In New Zealand, concern has been expressed regarding the variable quality of second opinions given by health professionals assisting judicial decisions on the use of compulsory assessment and treatment under mental health legislation. This second opinion is mostly given by registered mental health nurses. An innovative education programme based on experiential learning and adult learning principles was developed to assist health professionals to effectively undertake this role. A mixed method pre-post test intervention research design was developed to evaluate the effectiveness of the programme in assisting health professionals to feel more competent in undertaking the role. Data from the participants (n= 112) was subjected to descriptive statistical analysis and a thematic analysis of open-ended questions. The findings suggested gains in all competencies following the education programme, although there was room for further improvement. These changes were sustained over time at the next occasion when the health professionals undertook the role. There is a need to nationally disseminate such educational innovations to assist more mental health nurses to maximize their input into judicial decisions, which have a marked impact on the lives of those service users involved. PMID:21749562
McKenna, B G; O'Brien, A J; O'Shea, M
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Full Text Available Abstract Background Employees in health care service are at high risk for developing mental health complaints. The effects of mental health complaints on work can have serious consequences for the quality of care provided by these workers. To help health service workers remain healthy and productive, preventive actions are necessary. A Workers' Health Surveillance (WHS mental module may be an effective strategy to monitor and promote good (mental health and work performance. The objective of this paper is to describe the design of a three arm cluster randomized controlled trial on the effectiveness of a WHS mental module for nurses and allied health professionals. Two strategies for this WHS mental module will be compared along with data from a control group. Additionally, the cost effectiveness of the approaches will be evaluated from a societal perspective. Methods The study is designed as a cluster randomized controlled trial consisting of three arms (two intervention groups, 1 control group with randomization at ward level. The study population consists of 86 departments in one Dutch academic medical center with a total of 1731 nurses and allied health professionals. At baseline, after three months and after six months of follow-up, outcomes will be assessed by online questionnaires. In both intervention arms, participants will complete a screening to detect problems in mental health and work functioning and receive feedback on their screening results. In cases of impairments in mental health or work functioning in the first intervention arm, a consultation with an occupational physician will be offered. The second intervention arm offers a choice of self-help e-mental health interventions, which will be tailored based on each individual's mental health state and work functioning. The primary outcomes will be help-seeking behavior and work functioning. Secondary outcomes will be mental health and wellbeing. Furthermore, cost-effectiveness in both intervention arms will be assessed, and a process evaluation will be performed. Discussion When it is proven effective compared to a control group, a WHS mental module for nurses and allied health professionals could be implemented and used on a regular basis by occupational health services in hospitals to improve employees' mental health and work functioning. Trial Registration NTR2786
van Dijk Frank JH
An assessment of bioterrorism competencies among health practitioners in Australia
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Full Text Available
Public health and medical professionals are expected to be well-prepared for emergencies since they assume an integral role in any response. They need to be aware of planning issues, be able to identify their roles in emergency situations, and show functional competence. However, media perceptions and non-empirical publications often lack an evidence base when addressing this topic. This study attempted to assess the competencies of various health professionals by obtaining quantitative data on the state of bioterrorism preparedness and response competencies in Australia using an extensive set of competencies developed by Kristine Gebbie from the Columbia University School of Nursing Center for Health Policy with funding from the US Centres for Disease Control and Prevention. These competencies reflect the knowledge, capabilities and skills that are necessary for the here and now in public health. Sufficient data were collected to enable comparison between public health leaders, communicable disease specialists, clinicians (with and without medical degrees and environmental health professionals. All health professionals performed well. However, the primary finding of this study was that clinicians consistently self-assessed themselves as lower in competence and clinicians with medical degrees self-assessed themselves as the lowest in bioterrorism competence. This has important implications for health professional training, national benchmarks, standards and competencies for the public health workforce.
Deon Canyon
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Full Text Available Nursing is a profession providing services directly to people through interpersonal relationships. Using emotional intelligence and communication skills, nurses, while taking care, could detect more accurately the needs of patients and create a positive impact on patients by providing effective care. Emotional intelligence and communication skills should get involved and developed in the nursing education process. The purpose of this study is to evaluate nursing students' levels of emotional intelligence and communication skills and to determine the relationship between them. The data were obtained from 195 students studying in Harran University Nursing Department of School of Health through Personal Information Form, Emotional Intelligence Evaluation Scale and Communication Skills Evaluation Scale. To analyze the data t-test, variance analysis and Pearson's correlation analysis were used. As a result, a significant positive relationship was found between students' emotional intelligence and communication skills.
Gülsün Erigüç
The powerful and complex mandates arising from reports such as "The Future of Nursing: Leading Change, Advancing Health" and "Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World" challenge colleges and universities to reconsider how they deliver nursing…
Campbell, Suzanne Hetzel; Crabtree, Robbin D.; Kelly, Patrick
A society that values mental health and helps people live enjoyable and meaningful lives is a clear aspiration echoed throughout our Canadian health care system. The Mental Health Commission of Canada has put forth a framework for a mental health strategy with goals that reflect the virtue of optimal mental health for all Canadians (Mental Health Commission Canada, 2009). Canadian nurses, the largest group of health care workers, have a vital role in achieving these goals. In Canada, two-thir...
Mary Smith; Nazilla Khanlou
An exploration of deaf women's access to mental health nurse education in the United Kingdom.
Historically deaf people have been denied access to professional nurse education due to a range of language, communication and ideological barriers. The following study was set in the North of England and draws upon the Western experience and knowledge base of deaf people's experience of access to professional education. The aim of this study was to understand the experiences of the first British Sign Language using deaf qualified nurses before they entered the Pre-registration Diploma in Nursing Programme, during the programme and after the programme as they progressed into professional nursing roles. The purpose of the study was to gather the nurses' thoughts and feelings about their experiences and to analyse these using thematic analysis within a narrative interpretive tradition against a backdrop of Jurgen Habermas' critical theory and Paulo Freire's critical pedagogy. By drawing out significant themes to structure a deeper understanding of the nurses' unique positions, they offer a model for inclusive education practice that would support deaf people and people from minority groups into nursing and other health care professions. The signed narratives were video recorded and interpreted into written English transcripts which were then analysed to discover the underlying themes using Boyatzis' (1998) thematic analysis. The findings are set against an historical and contemporary setting of deaf people in Western society, their experiences of education, health and employment. These unique findings illustrate the significance of an accessible language environment for the nurses, the role of the organisation in ensuring access for the nurses and the impact of barriers to education and the clinical environment. The implications for education and practice supports the need to analyse the workforce required in deaf services, to scrutinize the access provided, to develop cultural competence skills, enhance the use of additional support mechanisms, generate accessible communities of practice and to draw upon the deaf nurses' own ideas and perspectives to develop accessible provision. PMID:23159007
Sharples, Naomi
This essay discusses the role of Brazilian nursing as a socially committed practice, in the political and pedagogic plan. The concepts of popular participation, representative and participatory democracy, and education in health are recovered, enlightened by the recent history of the constitution of social network of practices and reflections called Popular Education and Health. The construction process and the ethical-political principles of a National Policy of Popular Education in Health are presented, discussing the participation of nursing in the changes of educational practices, in spaces of political representation and formulation of public policies, with a perspective of achieving a fair and equal social order. PMID:22751727
David, Helena Maria Scherlowski Leal; Bonetti, Osvaldo Peralta; da Silva, Maria Rocineide Ferreira
The aim of this descriptive survey was to do a job analysis of different categories of nurses in a District Health System in order to clarify job expectations, describe current practice of nurses in hospitals and clinics and to make recommendations about skills mix in district services. This article deals with the clinics only.
Mbambo, S.
Assessment on nursing serviceat hospital external consulting rooms
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Full Text Available The social needs and requests change constantly, so that health care is evolving to a more focused on the users, in order to meet users´ needs and expectations of those who are going to get our assistance. Aim: We have developed a research to evaluate the quality of the assistance received by the patientst in their first encounter in the hospital external consulting rooms of traumathology at Santa Bárbara Hospital, letting us know about the patient´s satisfaction after the consulting has finished. Material and method: A transverse descriptive study on the traumathology consulting room of Santa Bárbara Hospital in Puertollano was developed for two months. The research is formed by the patients who attend this consulting room for their first time. A self made multiple choice questionnaire, which was designe by experts, and patients were asked to answer it once their first consulting at traumathology service had finished. Results: 95.6% of the patients considered as good or very good the nursing kindness (confidence/reliabitity when seeing them; 93.5% of them considered as good or very good the information given to them and 90.6% of them considered as good or very good the medical explanations they got. We also noticed a significant statistical difference among nursing kindness (confidence/reliabitity, enough consultation time and explanations received, with regard to the variant high resolution. Conclusions: The study reveals that more than 90% of the interviewed people considered as good or very good the clinical assistance and service given. The research has allowed us to know the areas that we can work on and improve.
MŞ Dolores Poyatos Ruiz
A Valid and Reliable Tool to Assess Nursing Students` Clinical Performance
Background: The necessity of a valid and reliable assessment tool is one of the most repeated issues in nursing students` clinical evaluation. But it is believed that present tools are not mostly valid and can not assess students` performance properly.Objectives: This study was conducted to design a valid and reliable assessment tool for evaluating nursing students` performance in clinical education.Methods: In this methodolo...
Mehrnoosh Pazargadi; Tahereh Ashktorab; Sharareh Khosravi; Hamid Alavi majd
In fall 1990, a study was conducted to assess the attitudes of nursing students who were attending Riverside Community College (RCC), in California, toward exposure to Acquired Immune Deficiency Syndrome/Human Immunodeficiency Virus (AIDS/HIV) positive patients in a hospital setting. All students enrolled in RCC's associate degree nursing program…
Kross, Carolyn Sue
Nursing Assessment and Intevention for Older People after Acute Medical Admission
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Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. The risk increases when they are discharged directly from Emergency Department (ED). Time pressure there often requires focus on the presenting problem, although 80 % of geriatric patients have complex and often unresolved caring needs. To ensure seamless transition from the ED to the patients' home, assessment and intervention carried out by an aged care nursing specialist is suggested as a model for assessing unresolved caring needs. Thus, the aim of this thesis was to examine the use and effect of a two-stage model for structured nursing assessment and problem solving intervention, ISAR II, carried out immediately following discharge from ED and again after 30 days and 180 days in order to assess older peoples' unresolved problems. This thesis comprises two separate studies. Study A presents a prospective and descriptive pilot study covering 30 days and 180 days follow-ups in which the ISAR II model for structured nursing assessment and problem solving intervention was tested; 154 older persons, 70 years and over participated, their mean age was 82 (SD 7.0) and 113 (73%) were female. Study B presents a randomised controlled study where it was investigated whether the ISAR II model is effective in preventing acute hospital readmissions, permanent admission to nursing home or mortality; 271 older persons 70 years and over were included. Their mean age was 82 (SD 6.6), 180 (66%) were female and 128 (32%) refused to participate. To identify the older persons who were in greatest need of assistance a screening instrument was used, ISAR I. ISAR I comprise six questions and when scoring 2 or more the older person was considered at increased risk of readmission to hospital or functional decline and thus offered to participate in our study. Intervention: After detecting the older people at risk who were planned to be discharged, the research nurse assessed physical, emotional, and cognitive functional status and did a brief standardised nursing assessment and intervention, ISAR II, developed by McCusker et al.. ISAR II comprises a checklist of physical, mental, medical and social problems. Focus was on unresolved problems that required medical intervention, new/different community assistant services, or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to geriatric outpatient clinic, community health centre, primary physician, or arrangements with next-of-kin. The assessments and ISAR II were repeated at follow-up home visits 30 days and 180 days after discharge. In Study A, it was found that the rate of readmission to hospital was 22% after 30 days and 32% after 180 days. A decrease in participants' unresolved problems was found from 2 at baseline to 0.5 at 180 days follow-up and an increase of 13% in participants receiving community service assistance from baseline to 30 days follow-up. The ISAR II model worked well in the ED and thus it should be investigated further in a randomised controlled study. In Study B no effect was found on acute readmission to hospital, permanent admission to nursing home, or death. Though, a tendency toward earlier readmission to hospital was found in the intervention group. Effect was found in emotional wellbeing as participants in the intervention group were less likely to be at risk of depression after 180 days measured by GDS5 (P=0.05). Also a significant difference was found in participants' tiredness scores. While fewer reported they felt not tiered, more reported they felt tiered in four to six items in the control group (p<0.0001). Participants in both groups maintained their level of physical function. In the intervention group participants' unresolved problems diminished from 2 to 0.6 at 180 days follow-up though no significant differences in assistance provided either by the community nurse or by home help was found. A subgroup analyses of participants with an ISAR I score of 2 showed that the intervention group had li
Rosted, Elizabeth Emilie
A workshop for nurse and health educators involved in the development of distance education study materials, methods, and delivery systems was held in February 1987 at the Center for Distance Learning at Gippsland Institute. Goals were: (1) to explore distance education approaches to meet nursing education needs; (2) to develop skills to plan,…
Parer, Michael S., Ed.
Theatre and Pedagogy: Using Drama in Mental Health Nurse Education.
Describes how psychodrama, forum theatre, and other forms of drama can facilitate active learning, develop empathy and reflective skills, and foster emotional intelligence in nursing education. Contains 21 references. (SK)
Wasylko, Yolanda; Stickley, Theodore
The experience of maternal and child health nurses responding to women with postpartum depression.
Previous studies have shown that maternal and child health nurses (MCH nurses) are in a unique position to help mothers with postpartum depression (PPD), but little has been done to understand the MCH nurses' day-to-day experience. This Australian study addresses that issue by analyzing the results of eight in-depth interviews with MCH nurses. The data obtained from these interviews was analyzed using the phenomenological method described by Creswell, adapted from Moustakas. From this analysis five themes emerge: how MCH nurses recognize symptoms of PPD; the importance of having treatment options available; the role of rapport; the limits of MCH nurses in responding to PPD; and how MCH nurses respond when recognizing new cases of PPD. The results of the study reveal several areas for policy review, most significantly the need for more MCH nurse training to recognize the symptoms of PPD and identify the appropriate treatment option. In addition, a review of staff retention and mobility policies is recommended to improve rapport with mothers and maintain and grow knowledge of local treatment options. PMID:20924660
Rush, Penelope
Sexual Health for Older Women: Implications for nurses and other healthcare providers
This article presents findings from a review of the evidence regarding sexual health for older women from MEDLINE, SCOPUS and the Cumulative Index to Nursing and Allied Health (CINHAL) databases. A total of 10 articles based on primary studies, reporting about the sexuality or sexual health of older women (and older people), and published between 2002–2012, were deemed suitable. The major themes that emerged from the available literature suggest that the sexual health of older people is aff...
Muliira, Joshua K.; Muliira, Rhoda S.
Background. Workplace turnover is destructive to nursing and patient outcomes as it leads to losing competent and qualified nurses. However, developments of coping strategies demand a clear understanding of workplace variables that either motivate nurses to remain employed or lead them to leave their current jobs. Objective. This study was designed toassess factors influencing job satisfaction and intention to turnover among nurses in Sidama zone public health facilities, in Southern Ethiopia...
Agezegn Asegid; Tefera Belachew; Ebrahim Yimam
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Full Text Available The actions assigned to each professional member of the Family Health team are proposed by the Ministry of Health. Guidelines developed by the Municipal Health Departments seek to support the providers according to the specific context of each township. This project aims to characterize the activities of the nurses in relation to the techniques and care within this program in Cachoeiro de Itapemirim, Espírito Santo, southeastern Brazil. It is a qualitative research using participatory observations and semi-structured interviews with these providers. Its aims to address issues related to their identity, the social representation of nursing, and the need to verify their knowledge about the guidelines and how is observed in the working process. It will possibly contribute for the reflection about the nursing practice under the public health scope.
haldria vale
The purpose of this paper is to examine the impact of demographic variables, organizational commitment levels, perception of health and quality of work on turnover intentions. A self-reported cross-sectional survey design was used to collect data from Jordanian registered nurses who were working between June 2011 and November 2011. The findings showed strong effects of the quality of work, perception of health and normative organizational commitments on turnover intentions. This study sheds the light on the important work outcomes in health-care organizations. Increasing nursing quality of work and normative organizational commitment are good strategies for reducing turnover intentions. PMID:24580978
Al-Hussami, Mahmoud; Darawad, Muhammad; Saleh, Ali; Hayajneh, Ferial Ahmed
Job Stress and Coping Mechanisms among Nursing Staff in Public Health Services
The main purpose of this study is to investigate the prominent causes and effects of job stress and coping mechanism among nurses in public health services. The research methodology included qualitative and quantitative survey. The results indicated that the major contributor of job stress among nurses is the job itself. Heavy workload, repetitive work, and poor working environment were among the stressors identified in the category of job itself. Respondents identified that inconsiderate and...
Loo-See Beh; Leap-Han Loo
The value of direct care nurses with new health care strategies.
Direct care nurses have multiple opportunities to influence quality and safety across the health care continuum. High-quality organizations recognize the value of frontline providers and drive programs to improve care and outcomes. Teamwork, communication, enhanced technology and patient- and family-centered care initiatives will support these processes, which drive the delivery of quality care. Nurses can be leaders in culture change by supporting these processes. PMID:23253577
Sherman, Marilyn
Carrying out Electronic Nursing Documentation : Use and Development in Primary Health Care
Communication of care is essential in the multidisciplinary health care system and the patient record is an important tool for communication. The electronic patient record was introduced to facilitate the documentation of care, as well as the communication and evaluation of care. District nurses met the patient independently of other caregivers at the surgery or in the patient's home. Documentation by district nurses is assumed to contribute to the view of the patient so that safe care can ...
To?rnvall, Eva
Health status, ability, and motivation infl uenced district hospital nurse performance
Aim: To investigate the infl uence of health status, ability and motivation of nurses' performances in a district hospital.Methods: A survey was conducted during May 2009 in a district hospital in West Java, Indonesia. Nurses in the inpatient and outpatient unit and fulfi lled inclusion and exclusion criteria were randomly chosen as the unit of analysis. A questionnaire of 18-23 questions was used to measure the indicator of the four variables. Th...
Hafizurrachman Hafizurrachman
Knowledge and attitudes of nurses in community health centres about electronic medical records
Background: Nurses in primary healthcare record data for the monitoring and evaluation of diseases and services. Information and communications technology (ICT) can improve quality in healthcare by providing quality medical records. However, worldwide, the majority of health ICT projects have failed. Individual user acceptance is a crucial factor in successful ICT implementation.Objectives: The aim of this study is to explore nurses' knowledge...
Don O'Mahony; Graham Wright; Parimalarani Yogeswaran; Frederick Govere
Measuring the contribution of nursing to quality, patient safety, and health care outcomes.
In 2004, the National Quality Forum (NQF) endorsed a set of voluntary consensus standards for nursing-sensitive care that quantifies nursing's contribution to patient safety, health care outcomes, and a professional work environment. Since endorsement, these consensus standards have been the basis for research, quality improvement, and policy setting. This article provides a summary of NQF's consensus development process and various efforts that have cascaded from the endorsement of these consensus standards. PMID:17470769
Kurtzman, Ellen T; Corrigan, Janet M
Health Promotion Practices and Attitudes among Nurses in Special Education Schools in Greece
Published research concerning health promotion in Greek schools is limited. The aim of the study was to evaluate special education school nurses' involvement in health promotion activities, examine their attitudes toward it, and to explore the factors influencing their practices. A cross-sectional survey was carried out in 2005 by mailed…
Alexandropoulou, Marianthi; Sourtzi, Panayota; Kalokerinou, Athena
A Critical-Holistic Analysis of Nursing Faculty and Student Interest in International Health.
Responses from 211 undergraduate and 23 graduate nursing students and 38 faculty revealed substantial interest in international health. Faculty had numerous international experiences; many students had traveled abroad and one-third considered international health a career priority. The need for a broad interdisciplinary framework rather than…
Wright, Maria da Gloria Miotto; Korniewicz, Denise M.; Zerbe, Melissa
Recommendations for the School Health Nurse in Addressing HIV/AIDS with Adolescents.
The school is a defined setting where health issues can be addressed. School nurses providing health care to adolescents who are infected or affected by HIV/AIDS need strong policies and good training to make their efforts effective. the goal of these recommendations is to strengthen adolescent HIV programs in schools and to improve standards of…
Uris, Patricia
Vaccine Risk/Benefit Communication: Effect of an Educational Package for Public Health Nurses
The purpose of this study was to determine whether an in-service for public health nurses (PHNs) and accompanying educational materials could improve vaccine risk/benefit communication. The content and timing of vaccine communication were recorded during 246 pre-and 217 post-intervention visits in two public health immunization clinics.…
Davis, Terry C.; Fredrickson, Doren D.; Kennen, Estela M.; Humiston, Sharon G.; Arnold, Connie L.; Quinlin, Mackey S.; Bocchini, Joseph A., Jr.
Teachers' and Pupils' Perceptions of the School Nurse in Relation to Sexual Health Education
The current government in the United Kingdom has made a commitment to reducing the high rates of teenage conceptions and sexually transmitted infections by implementing various sexual health strategies. It emphasises an increased public health role for school nurses by identifying that they have access to the school-age population and the…
Westwood, Jo; Mullan, Barbara
Health technology assessment in Portugal.
The Portuguese healthcare system is often portrayed as a National Health Service (NHS) model, characterized by universal coverage, comprehensive benefits, nearly free services, national tax financing, and public ownership or control of the factors of production. However, in reality the system fails to accomplish these features in a complete way. There coexist a number of occupation-related health insurance schemes that were originally intended to be integrated into the NHS. In addition, in key areas the NHS does not provide the wide range of services it promises. The public sector has a predominant role in the provision of hospital stays and general practitioner consultations, but the private sector provides a major portion of specialist consultations, dental consultations, and diagnostic services. Major problems in the system led to health reforms in the 1990s. New reform proposals include some specific steps concerning health technology, including standards for medical equipment based on quality, geographic distribution, sustainability, and cost-effectiveness. A new National Plan of Health Equipment was completed in 1998, aimed at improving the distribution of equipment. Despite reforms, healthcare expenditures continue to rise. There is general agreement that gains in efficiency could be made. This situation is beginning to encourage interest in health technology assessment (HTA) in Portugal, although these activities are not yet very developed. Recently, legislation requiring presentation of economic evaluations for new pharmaceutical products was enacted. Present plans also call for the creation in the future of a national agency for HTA. PMID:10932422
Pinto, M M; Ramos, F; Pereira, J
Assessment the nursing needs of larynx cancer patients
The topic of the study is to asses the larynx cancer patients needs from the viewpoint of the patient, his or her family and nursing personnel, using quantitative and qualitative research methodology. The significance of the reseaarch. The needs and difficulties of larynx patients are very significant in clinical practice. It is important to evaluate if the nursing needs are equally and adequately understood by the patient, family and the nursing personnel. It is a common practice to use the ...
Morku?naite?, Snieguole?
Assessment of a post-basic nursing education programme
A post-basic nursing education programme was introduced by the School of Nursing, University of the Free State, in 1999. The main aim o f the programme is to offe r vocationally directed specialisation and continuing educational opportunities to registered nurses. Qualifications, exit possibilities, the learning programme and the teaching- learning methods are described. A year after the programme was introduced student evaluation of the programme took place by means of questionnaires. The su...
Du Rand, P.; Viljoen, M. J.
...Assessment Tool for State Nursing Homes Receiving Per...gov. FOR FURTHER INFORMATION CONTACT: Nancy Quest, Chief...number). SUPPLEMENTARY INFORMATION: On April, 2009...State homes providing nursing home care to...
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Full Text Available America's experience on September 11, 2001, forms the backdrop of this review of the public health nursing role in bioterrorism preparedness. The risks and challenges to the public health infrastructure are reviewed in order to place bioterrorism preparedness in a public health context. A review of the literature provides background material on the extent to which public health has evolved in planning for a bioterrorism event. The skills and competencies that will prepare public health nurses in their planning for and response to threats of bioterrorism are addressed. Anthrax is used as an example to illustrate how public health nursing can assist in a bioterrorism response.
Berkowitz, B
Nurses and Teachers: Partnerships for Green Health Promotion
Background: The term "green health promotion" is given to health promotion underpinned by the principles of ecological health and sustainability. Green health promotion is supported philosophically by global health promotion documents such as the 1986 Ottawa Charter for Health Promotion and the ecological public health movement. Green…
Sendall, Marguerite C.; Lidstone, John; Fleming, MaryLou; Domocol, Michelle
Background: Nurses are responsible and accountable for their nursing practice and there is a need to be culturally and linguistically competent in all of their encounters. To be culturally competent community nurses should have the appropriate transcultural education. It is therefore important to assess the level of cultural competence of the community nurses, within their everyday practice.Aim: The aim of the article was the cultural adaptation of the cultural competence assessment tool base...
Marios Vasiliou; Christiana Kouta; Vasilios Raftopoulos
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Full Text Available Brett Williams,1 Ted Brown,2 Malcolm Boyle,1 Lisa McKenna,3 Claire Palermo,4 Jamie Etherington1 1Department of Community Emergency Health and Paramedic Practice, 2Department of Occupational Therapy, 3School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University–Peninsula Campus, Frankston, 4Department of Nutrition and Dietetics, Faculty of Medicine, Nursing and Health Sciences, Monash University–Berwick Campus, Berwick, Vic, Australia Purpose: This research examines the extent and nature of empathy among emergency health (paramedic, nursing, and midwifery students at one Australian university and investigates the longitudinal changes in empathy levels across the course of study. Methods: First-, second-, and third-year students at Monash University completed the Jefferson Scale of Empathy–Health Professional (JSE-HP in 2008, 2009, and 2010, and the resulting mean empathy scores were analyzed by course, year of course, year of study, age, and sex. Results: Midwifery students were found to have higher empathy levels than nursing and emergency health students. Second- and third-year students scored higher than their counterparts in the first year. Empathy levels dipped in 2009 and rose in 2010. Students aged 26–30 years and 31–35 years recorded higher scores than their younger colleagues, and female students were found to be more empathic than their male counterparts. Conclusion: The finding that empathy levels are relatively stable over the term of study contributes to the understanding of how empathy evolves over the course of study and offers insights into the importance of incorporating and promoting empathy in health care curricula. Keywords: empathy, nursing, paramedics, midwifery, undergraduates
Williams B
Communal child-rearing: The role of nurses in school health
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Full Text Available Background: Child-rearing remains a concern within our communities, especially because families of today lack primary parents due to multifaceted challenges such as working mothers, diseases and violence. Health-promoting school initiatives are necessary because they allow a multifaceted approach to child-rearing. They further provide a conducive environment for continued schoolchild-rearing moving from home to school. Objectives: This study promotes an integrated approach to school care using the African concept of Ubuntu – solidarity and sense of community – as a point of departure. The socio-ecological model was used, which includes the work of the school healthcare nurse in contributing to holistic health services. Method: An integrative review was conducted in January 2013, which included methodology studies, a theory review and a variety of studies related to school health. The studies were categorised according to school health, Ubuntu and the socio-ecological model. Findings: The role of school healthcare nurses entails acting as a liaison officer between a variety of stakeholders who work together to shape the future of children. Conclusion: Ubuntu, together with the socio-ecological model, can assist us to involve an entire community to raise children. This knowledge serves as a background to the planning of a school health programme. The role of the nurse in school health can also assist in collaborative efforts to formulate the programme and develop the competencies that will inform school health nurse training curricula.
Fhumulani M. Mulaudzi
Public health nursing is a core practice of primary health care. Public health nurses (PHNs) in Taiwan act both as individual/family-based primary care providers and as population-based community care providers. Previous studies in Western countries have shown the role preference of PHNs to be highly influenced by the structure of the healthcare system, policies and major programs, and health insurance reimbursement mechanisms. Thus, the impact of the health transition and related changes in the abovementioned systems should be taken into consideration when adjusting the roles and functions of PHNs. The rising prevalence of chronic diseases and the multiple burdens caused by diseases is making healthcare delivery increasingly complicated. With PHNs no longer able to provide "catch-all" services due to manpower shortages, several potential specialty areas have opened up to participation and development by community nursing. These include psychiatric care, long-term care and palliative care, school/workplace health promotion, and disease management in hospitals. It will be essential that community nurses bridge the gap in service left by PHNs so that PHNs may refocus their job role on the health needs of the community as a whole. PHNs should continue to build partnerships with primary care settings and perform the key functions of demonstration, support, collaboration, service, and surveillance in the community. PMID:24899553
Yeh, Yen-Po
Issues in health technology assessment
International Nuclear Information System (INIS)
Full text: In general, the main justification for the provision of health services is to improve the health of individuals and populations. Some experts focus on other goals for the health care systems, such as promoting health care innovation and increasing employment. Information on the efficacy of a diagnostic or therapeutic procedure has become more widely available during the last 25 years, both through increased research and increased availability of data based on, e.g. the Cochrane Collaboration and the Health Technology Assessment Database (INAHTA). At the same time, the most relevant information is often in proprietary hands, that is, in private organizations such as the manufacturing industry or in organizations that collect health information. The American Food and Drug Administration routinely assesses efficacy of devices and makes this information openly accessible. Unfortunately, the European Union focuses on trade issues, including innovation, and does not have a strong focus on public health. Competition for health care resources is a major concern even in segments of the population living in the richest countries. The problem of limited resources is, of course, much more pronounced in poor countries, in particular in the poorest countries. Although cost effectiveness of health care is very important conceptually, data are often not available. Cost effectiveness is often developed within the context of national needs and is very difficult to transfer t needs and is very difficult to transfer to other jurisdictions. In addition, data on cost effectiveness are often not available to compare different options in health care. There is thus enormous scope for such studies in the future. Broader issues, such as health care organization and morals and ethics are also important. For example, is it ethical to promote advanced technology in poor countries that cannot provide even basic health care services? Is it ethical for researchers to overlook the basic needs of poor countries when working on new technological systems? The problems for developing countries include the relative lack of information, but also other issues, for example: 1) Equipment is often purchased by donors, which often requires the purchase of the national product of the donning country in the case of bilateral aid. This makes it difficult to develop effective international equipment policies. 2) Industry plays a key role in promoting equipment and furnishing information. International industry is relatively good at furnishing technical information and purchasers can make contracts that also require reasonable support to ensure continued operation of the equipment. However, industry does not often furnish information that helps to determine if the equipment is actually useful in the particular context of limited resources or poor countries. 3) Developing countries rarely have a policy structure that encourages comparisons between different options. Frequently, policy-makers in developing countries point out that they feel they must accept what is offered or be left with little or nothing. 4) R and D focuses on the market in industrialized countries, paying little attention to the specific needs of poorer countries, which may result in a general lack of appropriate technology. In the 1970s, the WHO defined a basic radiology system for developing countries, which was marketed by companies such as General Electric and Siemens. Although this effort failed due to various reasons, in general, such attempts by industry to design products for developing countries are rare. So what is to be done? From the standpoint of those working in industrialized countries, the key point is probably to develop and help develop better information on equipment and its efficacy in providing health benefits. From the standpoint of those working in developing countries, there is an urgent need to develop policy structures. A key point is that developing countries must be prepared to say 'no, thank you,' in order to have ownership of their health care systems. Essential
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Full Text Available Background: Job satisfaction, quality of work environment and morale of health practitioners is beginning to receive attention worldwide.Objectives: This study examined the nature of the work environment of community health nurses, and determined the level of job satisfaction among these nurses. It further explored the relationship between work environment and job satisfaction of these nurses, and perceived factors in the work environment that would increase their job satisfaction. Methods: A descriptive cross-sectional design was employed. The study was conducted in public primary health care facilities in Ekiti State, Nigeria. All the 216 nurses in these facilities were recruited but only 161 nurses responded to the instrument administered. A 58- item semi-structured questionnaire was used to survey nurses currently practicing in the above health setting. Data analysis was done using descriptive and inferential statistics.Results: Findings from the study revealed the mean score of nurses' perception of their work environment to be 64.65±19.77. Forty four percent (44% of the nurses perceived their WE as of an average quality while 31% reported high quality WE. A majority (67.1% of the nurses had low degree of job satisfaction while only few nurses (3.1% reported high degree of satisfaction with job. A significant positive strong correlation was found between overall work environment and the general job satisfaction of the nurses(r = 0.55, p = < 0.01. "Provisions of modern equipment for work" and "increment/prompt payment of salary" were the most prominent factors in work environment that the nurses perceived as capable of increasing their job satisfaction (54.7% and 49.7% respectively. The least reported factor was "recommendation when one does a good job" (1.9%.Conclusion: The study concluded that a healthy work environment for nurses in the primary health care settings is an important factor in improving work satisfaction, reducing turnover intention and improving nursing care outcomes.
Sunday Joseph Ayamolowo
Intimate Partner Violence (IPV), physical and/or sexual assault of a spouse or intimate partner, has been highly associated with severe health problems such as chronic pain, recurring central nervous system symptoms, injuries, chronic disabilities, gastrointestinal disorders, sexually transmitted diseases, gynecological disorders, unintended pregnancies, depression, substance abuse, and post traumatic stress disorder. Statistically, 40-50% of women in IPV experience both physical and sexual assault. IPV is also associated with 3-13% of pregnancies, posing a threat to health and risk of death for the mother or fetus or both from trauma. Further, 40-60% of female murders in North America are committed by intimate partners. Oklahoma ranks 13th in the nation for women murdered by men in single victim, single offender incidents. IPV associated mortality also includes suicide of women with chronic depression related to violence. Women involved with IPV utilize health care providers and the health care system 3 times more frequently than non-battered women' and generate 92% more health plan costs per year as compared to non-battered women. There is sufficient research concurrence to demonstrate a significant number of women in Oklahoma, the nation and world have severe short and long term physical and mental health effects from IPV. Some victims of IPV may turn to health care professionals for help while other victims are fearful of asking for such assistance. Therefore, it is critical that nurses, as the largest group of health care providers and often the first to come in contact with a victim of IPV, do not miss an opportunity for accurate assessment, appropriate intervention and documentation of IPV in order to provide for a safe, timely and healthy resolution. PMID:16372459
The aim of this study was to investigate the validity and reliability of the Irish Nursing Minimum Data Set for mental health to determine its usability in the clinical setting. A secondary aim of this study was to explore the ability of the tool to capture nursing sensitive outcomes of care, conceptualised and defined according to change in the patient's condition mediated by nursing interventions. The research methodology was guided by a measurement error concept map. The validity of the...
Morris, Roisin
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Full Text Available Objectives: Nursing is an occupation needed renunciation, patience and physical endurance. Nurses have to prevent their physical and mental health, because they can be more beneficial to patients. A cross-sectional study was conducted on AIBU Duzce Medical School Nurses to determine health problems and nutritional habits. Materials and Methods: The questionnaires forms filled by 79 nurses(%86 and analysed the data using an statistical package programme. Results: Mean age of the study group was 23.5 ± 0.2(Standard Erroryears. The answer to 'Do you satisfied in your life?'question was reported 'fair' in 39.7% of the group. 65.7% reported no physical activity. Skipped meals were 80.9%. The most frequent health problems were reported as low back pain (52.9%, back pain (48.5%, stomach pain (48.5%, shoulder pain (38.2% and neck pain (38.2%. Twenty-six and half percent of the group were not immunized against to Hepatitis B. Conclusion: Occupational health and safety unit must be established in workplace. Training about occupational risks and stress management must be given to nurses. [TAF Prev Med Bull 2005; 4(2.000: 55-65
Fatih DENIZ
Children's growth and development process is influenced by different factors and the family is considered as its primary context. This descriptive study aims at describing the elaboration and use of a tool in basic health care, aimed at observing, interviewing and registering data of children and families in nursing practice. Study participants were 10 families with children between 0 and 24 months of age. Data were collected by consulting patient records, interviews and observation. Based on a previous bibliographic review, an instrument was constructed and applied, which revealed possibilities for the systematization of nursing care, information organization and better health interventions. PMID:17175712
Pina, Juliana Coelho; de Mello, Débora Faleiros; Lunardelo, Simone Renata
[Adoption of health promotion behaviors in first-year baccalaureate nursing students: pilot study].
The goal of this pilot study was to test the usefulness of Pender's (1987) theoretical model in predicting the adoption of health-promotion behaviours in 176 first-year undergraduate nursing students. Hierarchical regression analysis indicated that the perception of self-efficacy, perception of one's state of health, the influence of professors, and place of birth are predictive variables of health-promoting behaviours in this group. The results of this study suggest, among other things, that it is important for professors to use strategies that foster and support students' confidence in their ability to commit to health-promoting behaviours. A longitudinal study currently in progress will examine whether a health-oriented program significantly influences the adoption of health-promotion behaviours in nursing students during their university education. PMID:8697268
Clément, M; Bouchard, L; Jankowski, L W; Perreault, M
[Health and education: alternative courses for the development of nursing personnel].
To promote therapeutic educational activities for nursing personnel in order to decrease stress, to improve interpersonal relations and the search for self-knowledge are the objectives of the courses promoted by the Departament of Nursing of FCM and by The Continued Education Nursing Service of the University Hospital of UNICAMP. Respiration, relaxation, body sensibilization and awareness, and theater interpretation techniques were taught in the following courses: The Hospital and Human Relations, Dance and Creativity, Yoga and Mental Relaxation. The estrategy employed was "group experience", with the participation of nurse's aides, nurses technicians, practical nurses, and registered nurses during working hours in 15 to 20 meetings per course. "Individual statements" written by the participants were used as a research tool, and the method employed was content analysis. The evaluation demonstrated that the "experience" facilitated relations among the members of the work team, opened the space for effective communication, favored self-knowledge, and helped with the problem solving. The analysis demonstrated the importance of the continuity of alternative courses to help employes improve their relations with themselves, with others and with their work, and to properly value their health/learning. PMID:8920407
Guimarăes Madeira, C; Jorge, S A; Kakehashi, S; de Oliveira, I
Mental and behavioral disorders are common, affecting more than 25% of all people at some time during their lives. Mental disorders and their burden on society have increased dramatically. This scenario can be an opportunity for psychiatric/mental health (P/MH) nurses. Some literature shows gratifying experiences of care delivered by P/MH nurses, but that can also be a threat if, in a world with an economic dominance such as ours, we are not able to clarify our identity and effectiveness. One implication of this is that we need to identify the contribution of nursing to patient outcomes through nurses' independent, dependent, and interdependent roles. The authors stressed the importance of improving our accountability and fighting against invisibility to policy makers to prioritize the nurse-client relationship and identify our effectiveness. Based on some literature, the authors argue that clinical nurse specialists are in a better position than nurse practitioners to produce nursing-sensitive outcomes. PMID:21978801
Santos, José Carlos; Amaral, António Fernando Salgueiro
Host and guest: an applied hermeneutic study of mental health nurses' practices on inpatient units.
The metaphor of host and guest has value for exploring the practice and role identity of nurses on inpatient mental health units. Two complementary texts, one from the ancient Zen record of Lin-chi, and the other from the contemporary hermeneutic philosopher Richard Kearney, are used to elaborate meanings of host and guest that can be applied to the situation of mental health nurses. In a doctoral study with a hermeneutic design, I addressed the topic of nurse-patient relationship using an interpretive framework that included sources from Buddhist thought. The positions of host and guest emerged from interviews with nurses as one interpretive theme to open up new understanding of the topic. The two texts, originally distant in era and culture, both employ the host and guest metaphor. They are applied to extracts from interviews to open up discussions of hierarchy, status, patients' perspectives, otherness and resistances as features of nurses' complex experience. These provide insights into understanding practice and suggest implications for how institutional environments shape practice. An intercultural reading of texts can provide a source of new understanding of nurse-patient relationships. PMID:24602194
McCaffrey, Graham
Nurses' knowledge of the postgraduate program in family's health on dental avulsion
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Full Text Available Objectives: to investigate the knowledge, the attitudes and practices of the nurses students' in the specialization in Family Health, of the Institute of Continuous Education in PUC Sete Lagoas city, Belo Horizonte, Brasil. Methods: transversal, descriptive, study developed with 17 nurses, students of the Family Health Specialization, with volunteered to participate in the study. It was conducted toward the application of modified questionnaire with the thematic dental avulsion. The data were analyzed by descriptive statistical methods. Results: most of the nurses (71% never heard before the term "dental avulsion". Five nurses (29% would not know which providences is necessary in case of dental avulsion, six (35% would store the tooth and conduct the person to the dentist, three (18% just direct the person to the dentist, one nurse (6% would conduct the person to do the restoration, the other (6% would store the tooth in milk and would give the tooth to the rescuer, and only one (6% of them would make the replantation immediately. Conclusions: we can affirm that the analyzed nurses present inadequately knowledge when they were questioned about different aspects of urgency procedures in cases of dental avulsion.
Ana Cristina Viana Campos, Daniela Carla Medeiros-Silva, Flávia Fonseca de Toledo, Patrícia Maria Pereira de Araújo Zarzar, Júlio César Batista Santana, Eduardo Augusto dos Santos Moreira-Silva
Objective: to assess health and functional capacity of older people with a functional dependence, for self care, as the elements to guide nursing care and family care at home. Methodology: transversal descriptive study in 40 people of 65 years of age and older with a functional dependence, looked after by relatives in Envigado Colombia; convenience sampling. Assessment of the functional capacity using the Katz index and Lawton and Brody's scale, adjusted as per the Neurosciences G...
Clara Ine?s, Giraldo M.
Lived experience in teaching mental health nursing: Issues of fear and power.
Australian mental health policy clearly articulates recovery focus as the underpinning of mental health services. Barriers to achieving a recovery focus are identified in the literature, with negative attitudes of health professionals receiving particular attention. The involvement of people with lived experience of significant mental health challenges and mental health service use is essential to enhancing more positive attitudes. Lived-experience involvement in the education of nurses is evident; however, it is generally limited and implemented on an ad hoc basis. Overall, there is a paucity of literature on this topic. A qualitative exploratory study was undertaken to elicit the views and perceptions of nurse academics and lived-experience educators about the inclusion of lived experience in mental health nursing education. One major theme to emerge from the research was issues of fear and power, which included three subthemes: facing fear, demystifying mental illness, and issues of power. Lived-experience involvement has an important role to play in the education of nurses in addressing fear and demystifying the experience of mental illness. The power that lived-experience educators exercised in their roles varied considerably, and for many, was limited. Therefore, the effectiveness of lived-experience involvement requires a more equitable distribution of power. PMID:25366907
Happell, Brenda; Bennetts, Wanda; Harris, Scott; Platania-Phung, Chris; Tohotoa, Jenny; Byrne, Louise; Wynaden, Dianne
Analysis of the publications about child health in journals of nursing from 2000 to 2005
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Full Text Available Publications of research in child health have been increasing every year. This study's objective was to analyze the content of articles about health child from abstracts published in Brazilians journals of nursing classified on "Qualis CAPES" as International B and C, in the period between 2000 and 2005. Descriptive and documentary study, which the sample consisted of 202 abstracts which had as focus child health in their titles. They were consulted on BVS/BIREME site, universities' libraries and personal collection of the authors. After that, they were photocopied, read and examined from March to May, 2006. The data about the name of journal, year of publication, title of the article, authors, city, theme, objective and type of research were noted in a specific instrument. The findings revealed that the themes most investigated were nursing care (16.0% and nutrition (12.3%; the themes least researched were domestic accidents (2.0%, HIV (2.0%, and pain (1.2%. In relation to year of publication, 2004 had the highest number of articles/abstracts (23.3%. The Southeast Region published 53.6% of the abstracts and the North 0.6%. Nursing have been doing studies about child health, but it is necessary to stimulate and support continuing these researches, on a broader variety of topics about child health, especially in regions like North and Central-West of Brazil.Keywords: Nursing, child health, periodicals.
Maria Vera Lúcia Moreira Leităo Cardoso
Analysis of the publications about child health in journals of nursing from 2000 to 2005
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Full Text Available Publications of research in child health have been increasing every year. This study's objective was to analyze the content of articles about health child from abstracts published in Brazilians journals of nursing classified on "Qualis CAPES" as International B and C, in the period between 2000 and 2005. Descriptive and documentary study, which the sample consisted of 202 abstracts which had as focus child health in their titles. They were consulted on BVS/BIREME site, universities' libraries and personal collection of the authors. After that, they were photocopied, read and examined from March to May, 2006. The data about the name of journal, year of publication, title of the article, authors, city, theme, objective and type of research were noted in a specific instrument. The findings revealed that the themes most investigated were nursing care (16.0% and nutrition (12.3%; the themes least researched were domestic accidents (2.0%, HIV (2.0%, and pain (1.2%. In relation to year of publication, 2004 had the highest number of articles/abstracts (23.3%. The Southeast Region published 53.6% of the abstracts and the North 0.6%. Nursing have been doing studies about child health, but it is necessary to stimulate and support continuing these researches, on a broader variety of topics about child health, especially in regions like North and Central-West of Brazil. Keywords: Nursing, child health, periodicals.
Maria Vera Lúcia Moreira Leităo Cardoso
The actions assigned to each professional member of the Family Health team are proposed by the Ministry of Health. Guidelines developed by the Municipal Health Departments seek to support the providers according to the specific context of each township. This project aims to characterize the activities of the nurses in relation to the techniques and care within this program in Cachoeiro de Itapemirim, Espírito Santo, southeastern Brazil. It is a qualitative research using participatory observ...
haldria vale; Jaqueline Teresinha Ferreira
Health IT-enabled Care for Underserved Rural Populations: The Role of Nursing
This white paper explains the strong roles that nursing can play in using information technology (IT) to improve healthcare delivery in rural areas. The authors describe current challenges to providing care in rural areas, and how technology innovations can help rural communities to improve their health and health care. To maximize benefits, rural stakeholders (as individuals and groups) must collaborate to effect change. Because nonphysician providers deliver much of the health care in rural...
Effken, Judith A.; Abbott, Patricia
Documenting nursing and health care history in the mid-Atlantic region.
The records of health care institutions can be of great value to library patrons. Yet, librarians rarely provide these unique resources because records must be collected, arranged, and described before they can be useful to patrons. The University of Pennsylvania's Center for the Study of the History of Nursing conducted a survey of health care agencies in the mid-Atlantic region to locate records created by area health care institutions. The goals of this project were to develop a database o...
Weinberg, D. M.
Turning electronic health record data into meaningful information using SQL and nursing informatics.
The combination of nursing informatics knowledge with SQL code writing in an electronic health record is a powerful partnership to obtain meaningful information and improve healthcare. The purpose of this project is to use SQL and nursing informatics to identify the underpinnings and scope of present-on-patient-admission pressure ulcer documentation incongruence within the inpatient medical-surgical unit of a rural hospital. Project results reveal a 76% incidence rate of incongruent nurse and physician documentation of pressure ulcers as present on admission. However, the scope of such incongruence affects only 3% for the inpatient population. The high incidence rate of nurse-documented present-on-admission pressure ulcers without a physician diagnoses indicates a potential for lost rural hospital reimbursement and risk to patient care. PMID:25010052
Moerbe, Miriam; Kelemen, Arpad
[Colective process of knowledge production in health: an overview in hospital nursing practice].
The article presents some reflections based on the authors'participation in a workshop when the subject: colective processes of knowledge production in health was discussed. Based on other authors' ideas such as Michel Focault and Norbert Elias, the author's discussion concerns some dimensions over that process in a particular knowledge considering the hospital setting and also the position of specific nursing know-how in the context of professional practice (nursing records), with central focus in the work, the disease, and the sick body. In that direction the text is structured around three inter-related/dependent central questions: which knowledge configure nursing know how in hospital context? Which registered knowledge reinforce, legitimate and feed-back the nursing know how? How does this process occur, what and for who are those effects? PMID:16915737
Meyer, Dagmar Elisabeth Estermann
Health visiting and district nursing in Victorian Manchester; divergent and convergent vocations.
Community nursing and public health work provided many Victorian and Edwardian women in Britain with the opportunity of a career and professional training. Such work created contradictions, not least the tension between 'inherent' female skills and the role of learnt professionalism. This article discusses Manchester's neglected district nurses alongside the city's more well-studied health visiting scheme. Comparing these occupations in one city highlights continuities in origins and practice, but a clear divergence in terms of class and purpose. These differences provide historians with opportunities to reconsider the inherent tensions and varied identities of employed women in Victorian and Edwardian Britain. PMID:22026033
Heggie, Vanessa
Physiotherapy students' mental health assessment
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Full Text Available Introduction: Educational environment has a serious impact on students' mental health. Few data are available on mental health of Physiotherapy students. Aim: The purpose of this study was to assess the mental heath of students in a tertiary Physiotherapy Department during the 3rd years of studies. Material and methods: 80 males and females physiotherapy students of the 5th and 6th semester of a tertiary Physiotherapy Department filled in the GHQ-28 questionnaire. Comparisons between groups were performed using the non parametric Mann-Whitney-U test at significance level of p=0.05. Results: Physiotherapy students' mean age was 21.77±2.42 years old. The majority of the sample were women (47 participants, 58.7%. 50% of students had a total GHQ -28 score >5, indicating high levels of distress, with anxiety and insomnia being major problems. No statistically significant differences were traced between men and women, although women had a higher total score in comparison with men (median values: 5 vs 3 respectively. Conclusions: Physiotherapy students' mental health and especially female physiotherapy students' mental health appears substantially burdened. Anxiety and insomnia are major problem for students of Physiotherapy.
Gesouli-Voltyraki –E.
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Full Text Available Aims: The aims of this study were threefold: 1 to explore nursing students perceptions of knowledge development after participating in an actual research project; 2 to explore undernutrition and its relationship to other clinical factors; 3 to explore the user-friendliness of the Minimal Eating Observation and Nutrition Form (MEONF-II in relation to dependency in Activities of Daily Living (ADL. Methods: A pilot study (Study 1, S1 was conducted in October 2010, including 281 patients. After extending the research protocol a second data collection (S2 was conducted in March 2011, including 236 patients (total n=517. First and third year nursing students (n=188 collected the data, during one day of their clinical practice courses by assessing three patients each in hospitals or nursing homes. Students answered questions about their experiences from participating in the study. Patient related assessments included: MEONF-II; ADL dependency (S1 and S2; insomnia; low-spiritedness; and subjective health (S2. In addition, questions about the user-friendliness of MEONF-II were included (S1 and S2. Results: Among the nursing students, 51% experienced that their knowledge about nutrition increased and 67% that their understanding for research increased by participating in the project. Out of the patients, 57% were women, 50% were almost independent, 27% had some dependency, 23% were almost totally dependent in ADL, and 48% were at moderate/ high undernutrition risk. In S2, 32% of patients had insomnia, and 46% experienced low-spiritedness. Dependency in 5-6 and 3-4 ADLs (OR, 2.439 and 2.057, respectively, compared to dependency in 0-2 ADLs, were the strongest predictors for undernutrition risk, followed by insomnia (OR 2.124. Nursing students experienced the MEONF-II as easy to understand (93%, easy to answer (94% and relevant (94%, and the suggestions for measures to take in case of risk as relevant (95%, independent of the patients' ADL status. Conclusions: By participating in an actual research project nursing students gets an understanding for research and tools for working with quality improvements in their future role as professional nurses. Undernutrition, mental and physical factors constitute coexisting problems in need for further investigation. Nursing students perceive the MEONF-II as user-friendly, independent of patient ADL dependency.
Albert Westergren
[Health, death, illness, and nursing care concepts in Malagasi Antemoro Tribe].
A collaboration experience with the Fondation Médical d'Ampasimanjeva nurses, in an international cooperation project,permits to analyse the basic nursing concepts, starting from the local cultural approach. Research main outcome is to describe health, death, illness, and nursing care concepts in the Malgasi Antemoro tribe. Closing to the ethnographic research, work has been developed in three different moments: a first job organization starting from a spread literature analysis, the follow work on field about collecting data, and the last data elaboration and discussion Collecting data tool was the focus group which has done with the complete hospital nursing staff, divided by ward places. A fourth one was addressed to a twenty medical patients group. Focus group questions came from the Rising Sun Model guide, by Madeleine Leininger, adapted to the research own needs. Outcomes show an important traditional medicine influence, explained by the way people conceive health, illness, and even life, all elements directly affected the nursing care. It stands out a strong belief that health depends by the ability of person to work. The death concept is saw as a passage's phase to the Razana's spiritual condition. This is the reason supporting fatalism as approach to the death, that appear as an inevitable event managed by God. Disease's concept is related to traditional healers; as a matter of facts, it exists a strong belief that diseases find origin from magician. PMID:20943096
Gradellini, Martina; Fiaccadori, Cianzia
The role of nurse practitioners in health sector reform in Iran (2011)
Background: Most countries use educated nurses called "nurse practitioners" (NPs) besides the family physicians for diagnosis, treatment, and specifically health education of the family. The main goal of this study was to redefine the role of NPs for better use of their capabilities in the so-called "family physician reform" in Iran. Materials and Methods: This is a qualitative and comparative study carried out in three stages (triangulation method) in 2011. In the first stage, we conducted a literature review to design a conceptual framework. The second stage was a comparative study on four countries. In this study, we focused on the role of NPs, which in turn helped to redefine this role in the health sector reform of Iran. In the third stage, two expert panels were involved and the suggested roles were confirmed. Results: In the United States, NPs are licensed by the state in which they practice and have a national board certification. In Canada, nurses involved in clinics should participate in specific training course of diagnosis and management of health care after registration. In Austria, nurses in Nursing homes and maternity do some of the medical procedures under the supervision of the physicians. In the United Kingdom, NPs increasingly substitute for GPs in the care of minor illness and routine management of chronic diseases. Conclusions: There is still debate in nursing and medical circles about what the focus of the NP roles should be. In Iran, whereas a noticeable reform toward "family physician" is ongoing, redefining the nurses' role is essential. They can perform more active roles in associating with GPs in the clinics of family physicians, both in urban and rural areas, even with higher degrees of autonomy. PMID:24403938
Vatankhah, Soudabe; Khalesi, Nader; Ebadifardazar, Farbod; Ferdousi, Masoud; Naji, Homayon; Farahabadi, Seyed Mohammad Ehsaan
The health-promoting lifestyles of undergraduate nurses in Hong Kong.
Based on Pender's health promotion model in 1987, this descriptive study of 169 undergraduate nurses in Hong Kong was undertaken to determine any differences in their health-promoting lifestyles, as measured by the Health Promoting Lifestyle Profile II (HPLP II) among different age groups, gender, income, employment status, and levels in undergraduate nursing education. The student nurses performed best in interpersonal relations but worst in physical activity. There were significant differences among the various classes in stress management and spiritual growth, with senior classes (Years 3 and 4) reporting worse in both areas. This was particularly remarkable among the students of the final year, who would soon be graduating as staff nurses and were expected to inspire patients to practice health-promotive behaviors by their example. The older age group also had lower scores in stress management and exercise practice. Because most of the students in the senior classes were older, the findings further reinforce the earlier results. It was also identified that more than half of the students were supported on low parental income with many of them working a part-time job. These outcomes were explored with future recommendations made to improve the weaknesses in the students' health-promoting lifestyles. PMID:11977008
Hui, Wai-Hing Choi
Components of Equity-Oriented Health Care System: Perspective of Iranian Nurses
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Full Text Available Equity in health is one of key objectives in health care systems world wide. This study aimed to explain the perspective of Iranian nurses about equity in the health care system. A qualitative exploratory design with thematic analysis approach was used to collect and analyze data. Using a purposeful sampling helped the researchers to recruit 16 eligible participants. Data were collected via in-depth semi-structured interviews. Five main categories were extracted through data analysis process including (1 inequity against the nurse, (2 the recommended patient, (3 no claim for equity-oriented care in health system, (4 physicians' dominancy system; and (5 the need to define criteria to measure equity-oriented care. All health care systems around the world struggle to establish equity-oriented care. In perspective of Iranian nurses, the reform of structures in the health system is possible through providing the context of equitable care for caregivers and care recipients. Health system should commit the flow of equity at all of its levels. It should utilize policies to claim equity and consider the interests of all beneficiaries. Furthermore, certain criteria should be defined for equity-oriented care in the health care system, and also provides the possibility to measure and monitor it.
Zahra Rooddehghan
Enabling legislation in diagnosis and prescribing of medicine by nurses/health practitioners
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Full Text Available The South African health system has undergone major changes over the last 5 - 1 0 years. These rapid changes have not only significantly increased the visibility of the nurse practitioner in South Africa, but are also posing challenges to the profession and health care services that need to be addressed. In its Health Policies the Government has indicated that the nursing/midwifery profession, as the biggest group of health care professionals, should be the practitioners to provide primary health care services to the communities. But to do this, they require enabling legislation. The "permit system" has been in place for non-pharmacists and institutions other than hospitals and pharmacies to acquire, possess, use and supply medication for a number of years. This system has been fraught with problems mainly due to a lack of clarity on exactly how the system works and the system has been abused. The purpose of this article is to explore the current situation with the aim to analyze the legal framework that exists within which the primary health care services, and specifically the diagnosing and prescribing of medication, could be performed. The conclusion is made that health legislation has not kept up with the rapid changes in service delivery and are not adequate to empower the nurse to deliver health services. Some recommendations are made for the way forward.
N Geyer
Social perception of nursing professional assessed by different scales.
The purpose of this experiment was to scale the social perception of nurses through the methods of magnitude estimation, category estimation and cross-modality matching (line lengths). The study participants were high school and undergraduate students, active and retired medicine, psychology, nursing and dentistry professionals. Results revealed that: (1) the characteristics neat, responsible, clean, careful and efficacious occupied the first positions in terms of nurses' social perceptions, while useless, shameful, dishonest, irresponsible and hateful occupied the last positions on all scales obtained by the different direct psychophysics methods; (2) the scale of nurses' social perception is valid, stable and consistent and (3) the rankings resulting from the three methods produce highly concordant positions of perception for the different adjectives. PMID:17294018
Faleiros Sousa, Fátima Aparecida Emm; Hortense, Priscilla
Using a modified electronic health record to develop nursing process skills.
In our study, we described the experiences and behaviors of beginning nursing students learning the nursing process using a modified electronic health record. Eight students led by an experienced nursing instructor from a midwestern university comprised the criterion purposive sample. Data were obtained from observations of the group, interviews with students and the teacher, and evaluation of care plans that were generated using the technology. Two foundational themes were identified through qualitative content analysis: Techno-Savvy Students and Teacher, Simulated Technology, and Data-Rich Case Studies--a valuable hybrid "SEED" for learning. Seeing, Hearing, and Doing--a catalyst for application and spontaneous interaction. The concluding theme emerged: Honing the Data Gatherer and Data User Roles with a Modified Electronic Health Record--an authentic, learner-centered experience. Further study is needed to measure learning outcomes with similar technology-based, learner-centered activities. PMID:19260402
Kennedy, Diane; Pallikkathayil, Leonie; Warren, Judith J
This is a qualitative, descriptive and exploratory research, aiming to describe the set of ideas and knowledge that guide the use of complementary and integrative health practices (CIHP) by nurses, and analyze the challenges facing the applicability of these therapies by nurses in the hospital setting. The subjects were nurses in public hospital institutions of Rio de Janeiro. Data collection was done through semi-structured interviews and a technique of creativity and sensibility called Almanac. The results showed that the hegemony of the biomedical model in the formation and performance of health professionals hinders implementation of CIHP in hospital. However, as this model does not account for the complexity of the human being emerges the possibility of sharing with CIHP in care aiming, therefore, at comprehensiveness of the human being. PMID:24488454
Melo, Suzane Cristina Costa; de Santana, Raíra Gomes; Dos Santos, Déborah Cardozo; Alvim, Neide Aparecida Titonelli
The effect of social interaction on mental health nurse student learning.
This article describes a phenomenological research study exploring the effect of social interaction upon mental health nurse student learning. Central to this study are ideas about Communities of Practice as described by Wenger et al. (2011). The researcher conducted two focus groups and four semi-structured interviews with mental health nurse students at various stages of their training. The study found that students understand personal progress by comparison with others and that there is a relationship between peer group membership and learning outcomes. Students interpret academic studies and theoretical knowledge in a dynamic relationship with clinical practice where successful learning depends upon careful negotiation of social boundaries. Whilst acknowledging limitations this paper concludes by tentatively suggesting some implications for future nurse education practice which recognises the socially mediated nature of learning. PMID:25481983
Walsh, Andrew
The affordable care act 2010: educational needs of bedside nurses.
The Patient Protection and Affordable Care Act of 2010 (ACA) significantly impacts bedside nurses who must participate in organizational change and provide resources to patients. A health reform educational needs assessment was distributed to nurses from a midsized community hospital located in an elevated-need and medically underserved area in New England. Many nurses indicated that more knowledge was needed and they lacked information about the educational incentives. Health policy professional development opportunities are required to inform bedside nursing practice. PMID:25203419
Hynds, Robin L; Hatch, Jessica L; Samuels, Joanne G
Nurses have a great deal of interaction with patients. Given this, nurses play a vital role in conveying to patients knowledge of their privacy, security, and confidentiality of patient health information rights under the Health Insurance Portability and Accountability Act (HIPAA). Nurses also can be "at the head of the table" in their own organization and professional organizations in regard to facilitating the implementation of the HIPAA and making access to patient information more "consumer friendly." This article discusses the role that nurses can develop into concerning HIPAA implementation in an ever-burgeoning arena of consumer advocacy and consumer information. PMID:25627858
Kiel, Joan M
Nursing, as a humanitarian science, offers its services, on the comprehensive care of patients. Each nurse handling, involves the possibility of error. Meurier appointed nursing error as "any act, any decision or omission by a nurse, assessed as incorrect, by more experienced colleagues, and have adverse consequences for patients". Medication errors are the most common category of nursing errors. They affect health, patient safety and also have a high economic impact to health systems of each...
Theodore Kapadohos; Martha Kelesi; Dimitrios Mitsis
Using standardized patients to assess communication skills in medical and nursing Students
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Full Text Available Abstract Background A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS. Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS using professionally trained Standardized Patients Educators (SPE's in Ireland. This study was designed to test the content, process and acceptability of a screening programme in CCS with Irish medical and nursing students using trained SPE's and a previously validated global rating scale for CCS. Methods Eight tutors from the Schools of Nursing and Medicine at University College Cork were trained in the use of a validated communication skills and attitudes holistic assessment tool. A total of forty six medical students (Year 2 of 5 and sixty four nursing students (Year 2/3 of 4 were selected to under go individual CCS assessment by the tutors via an SPE led scenario. Immediate formative feedback was provided by the SPE's for the students. Students who did not pass the assessment were referred for remediation CCS learning. Results Almost three quarters of medical students (33/46; 72% and 81% of nursing students (56/64 passed the CCS assessment in both communication and attitudes categories. All nursing students had English as their first language. Nine of thirteen medical students referred for enhanced learning in CCS did not have English as their first language. Conclusions A significant proportion of both medical and nursing students required referral for enhanced training in CCS. Medical students requiring enhanced training were more likely not to have English as a first language.
Burgoyne Louise
Overweight children's response to an annual health dialogue with the school nurse
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The objective of this study was to compare overweight and normal weight pupils' perceived outcome of the health dialogue with the school nurse. A random sample of schools in Denmark, where pupils age 11.6, 13.6 and 15.6 years old, answered a questionnaire (response rate 88%, n = 5205). The independent variable weight group was measured by self-reported height and weight and calculated as body mass index. Perceived outcome of the dialogue was measured as: (i) reflected on the dialogue; (ii) discussed the content with parents; (iii) followed the advice of the nurse; and (iv) visited the nurse again. Overweight boys reflected (odds ratio (OR) = 1.73), discussed the dialogue with at least one parent (OR = 1.38), followed the nurse's advice (OR = 1.42) and visited the nurse again (OR = 2.68). There was a significant statistical link between age group and perceived outcome among the boys, but not girls. The 11-year-old overweight boys perceived more positive effects from the dialogue with the school nurse.
Borup, Ina K; Holstein, BjŘrn Evald
Physical assessment ability of nurses and midwives on maternal care in Mongolia
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Full Text Available This study examined the physical assessment ability of Mongolian nurses and midwives engaged in maternal care and the factors that could influence this ability. We found that nurses and midwives from prefectural hospitals had higher scores than those from national and district (soum hospitals. The latter group could not perform more than half of the 28 tested procedures on their own, even though most had over 10 years' experience. Therefore, to decrease the Mongolian maternal mortality ratio, we argue that in-service training for nurses and midwives in both the capital city and peripheral areas is needed.
Michiyo Higuchi