Thematische Bibliographien / Nursing care measures

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Auswahl der wissenschaftlichen Literatur zum Thema „Nursing care measures“

Autor: Grafiati

Veröffentlicht am 30. Juni 2021

Zuletzt aktualisiert am 17. Februar 2022

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Zeitschriftenartikel zum Thema "Nursing care measures"

Smith, David P., und Harmon S. Jordan. „Piloting Nursing-Sensitive Hospital Care Measures in Massachusetts“. Journal of Nursing Care Quality 23, Nr. 1 (Januar 2008): 23–33. http://dx.doi.org/10.1097/01.ncq.0000303802.30327.7f.

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Urzainqui-Laborda, Pilar. „Venous catheters: problems and measures in nursing care“. Diálisis y Trasplante 33, Nr. 4 (Oktober 2012): 134–41. http://dx.doi.org/10.1016/j.dialis.2012.06.011.

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Winston, Elaine R., Alexander Pelaez und B. Dawn Medlin. „Will Quality Measures Debunk Quality Care in the Nursing Home Industry?“ International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 5, Nr. 1 (Januar 2021): 18–28. http://dx.doi.org/10.4018/ijppphce.2021010102.

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This research analyzes publicly available information on the quality of services delivered by healthcare organizations. The accessibility and transparency of healthcare data is exponentially growing. Due to the complexity of different provider groups in healthcare, the focus is on the nursing home industry. A key objective of this research is to explore any association among the government-defined quality ratings, cost-effectiveness, and quality care provided by a nursing home. Quality and performance metrics for all nursing homes that receive reimbursements from CMS is in the public domain. The CMS purports that nursing homes with high overall star ratings provide excellent healthcare to their residents. A surprising result from this study found high-quality-rated nursing homes with more nurse hours per resident provided lower quality care than nursing homes, which had lower nursing hours per resident. The research also suggests that healthcare organizations, such as nursing homes, acquire business analytics (BA) capabilities for specific government metrics.

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Kearney, Nora, Ruth Brown und Margaret Rothman. „Utility measures in cancer care“. European Journal of Oncology Nursing 3, Nr. 3 (September 1999): 192–96. http://dx.doi.org/10.1016/s1462-3889(99)80897-7.

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Kroll, Christine, und Thomas Fisher. „The congressional mandate: standardised post-acute care quality measures“. International Journal of Therapy and Rehabilitation 26, Nr. 8 (02.08.2019): 1–10. http://dx.doi.org/10.12968/ijtr.2019.0028.

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Background/Aims This study describes the relationships between rehabilitation services intensity, post-acute care measures of Functional Performance Change, and length of stay for episodes of care provided in 93 skilled nursing facilities in the US. Methods The study used a secondary analysis of existing data on Medicare beneficiaries admitted to skilled nursing facilities from acute hospitals (n=518) who subsequently returned to the community. Data were selected from Minimum Data Set Section GG items reported by therapists. Results Statistically significant correlations were identified between rehabilitation services intensity and functional outcomes (P<0.001); and between rehabilitation intensity, medical condition, and length of stay (P<0.001) for rehabilitation patients in skilled nursing facilities. Conclusions The intensity of occupational and physical rehabilitation therapy services correlate with patients achieving higher functional outcomes, specifically improvement in self-care and mobility.

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Keenan, Gail M., Vi Barkauskas, Jan Lee, Julia Stocker, Marcy Treder und Evelyn Clingerman. „Evaluation of NOC Measures in Home Care Nursing Practice“. International Journal of Nursing Terminologies and Classifications 14, s4 (Oktober 2003): 50. http://dx.doi.org/10.1111/j.1744-618x.2003.050_1.x.

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Mahon, Pamela Young. „Review of Measures of Patient Satisfaction with Nursing Care“. Image: the Journal of Nursing Scholarship 29, Nr. 2 (Juni 1997): 196–97. http://dx.doi.org/10.1111/j.1547-5069.1997.tb01557.x.

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Simpson, Kathleen Rice. „Quality Measures for Perinatal Care“. MCN, The American Journal of Maternal/Child Nursing 35, Nr. 1 (Januar 2010): 64. http://dx.doi.org/10.1097/01.nmc.0000366816.90326.6b.

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Hartmann, Paul. „Bedsore — «heavy cross» of nursing care“. Medsestra (Nurse), Nr. 7 (01.07.2020): 26–34. http://dx.doi.org/10.33920/med-05-2007-05.

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Bedsores are still among the risks that most seriously impair the health of patients who need help and nursing care. Taking into account the existing knowledge about the possibilities of bedsore prevention, we can say that the goal of nursing care is to limit the development of bedsores as much as possible. At the same time, it is of great importance to ensure the continuity of preventive measures by specialized nursing staff. This includes, among other things, systematic risk assessment, training of patients and their relatives, encouraging them to exercise as much as possible, and, most importantly, taking measures to eliminate tissue compression. due to the increasing number of elderly people with multiple diseases considered to be the main risk group, the prevention and treatment of bedsores remains a priority among nursing care activities and requires effective management.

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Hemman, Eileen A. „Cultivating Quality: Meeting Effective Care Measures“. AJN, American Journal of Nursing 111, Nr. 12 (Dezember 2011): 54–60. http://dx.doi.org/10.1097/01.naj.0000408187.67511.f0.

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Dissertationen zum Thema "Nursing care measures"

Jao, Ying-Ling. „Apathy and care environments in dementia and measures of activity“. Diss., University of Iowa, 2014. https://ir.uiowa.edu/etd/1647.

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Objective: This dissertation includes three projects that study care environments and apathy in dementia as well as measures of activity. Project 1 developed the Person-Environment Apathy Rating (PEAR) scale to measure environmental stimulation and apathy, and tested its psychometrics. Project 2 examined the association between care environments and apathy in persons with dementia. Project 3 tested the accuracy of ActiGraph and activPALTM activity monitors in measuring weight-bearing activities among persons with previous diabetic foot ulcers. Methods: The PEAR consists of environment (PEAR-Environment) and apathy (PEAR-Apathy) subscales. The validity and reliability of the PEAR was examined through video observation of 24 participants. Project 2 selected 40 participants with dementia in order to examine the association between apathy and environmental stimulation, ambiance, crowding, staff familiarity, and light and sound. Study procedures involved video observation and data extraction. Project 3 enrolled 31 participants to test the accuracy of ActiGraph and activPALTM in measuring number of steps taken and duration of walking, standing, sitting, and lying. Results: The PEAR-Environment subscale had significant but fair correlation with the Crowding Index (Ρ=.27, p<.01), suggesting fair validity. The PEAR-Apathy highly correlated with the Passivity in Dementia Scale (ρ=.81) and Neuropsychiatry Inventory (NPI)-Apathy subscale (ρ=.266), and moderately correlated with the NPI-Depression subscale (ρ=.46), indicating good convergent validity and moderate discriminate validity. The PEAR also demonstrated good internal consistency (Cronbach's Α= .84 -.85) and moderate to good inter-rater (Weighted Kappa=.47-.94) and intra-rater (Weighted Kappa=.47-.94) reliability. Project 2 revealed that stimulation clarity and strength were significantly associated with a low apathy level (p<.001). An increase of 1 point on stimulation clarity and strength corresponded to a decrease on apathy score of 1.3 and 1.9 points, respectively. Project 3 revealed that ActiGraph had widely varied accuracy in measuring duration of standing, walking, sitting, and lying (0-100%) and in measuring number of steps taken (43-81%). In contrast, activPALTM showed consistently high accuracy in measuring duration of standing, walking, sitting, and lying (97-100%) and in measuring number of steps of taken (91-99%). Discussion: The PEAR is a valid and reliable measure of care environment and apathy in long-term care residents with dementia. Care environments that contain clear and sufficiently strong environmental stimulation are significantly associated with lower apathy levels, providing a foundation for interventions targeting apathy. ActivPALTM is a valid tool to measure weight-bearing activity in persons with diabetes in order to examine the role of weight-bearing activity in foot ulceration. This monitor may also be useful as a supplemental measure for apathy in persons with dementia.

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Fjaestad, Stella, und Moa Lundgren. „PATIENTS’ EXPERIENCE OF CARE MEASURES IN VENOUS LEG“. Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24947.

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Syftet med denna systematiska litteraturstudie var att undersöka hur patienter upplever sitt venösa bensår och dess omvårdnadsåtgärder. Litteraturstudien grundades på metod av Forsberg & Wengström (2003). Tio vetenskapliga kvalitativa artiklar inkluderades i litteraturstudien. Resultatet visade på att patienters upplevelser av venösa bensår hade en negativ inverkan på livet. Hos patienterna fanns en ständig oro och rädsla för eventuella komplikationer, yttre våld mot såret samt känslor av hopplöshet gällande sårläkningen. Mer forskning krävs för att få en tydligare förståelse för dessa patienter och deras upplevelser av deras bensår samt upplevelser kring omvårdnadsbehandlingen vid venösa bensår.
The aim of this systematic literature review was to examine how patients perceived their risk of venous leg ulcers and its care measures. The literature study was based on a method of Forsberg & Wengström (2003). Ten scientific articles included in the literature study. The results showed that patients' perceptions of venous leg ulcers have a negative impact on their lives. Among the patients was a constant worry and fear of possible complications, external violence against the bone or the wound and feelings of hopelessness regarding the wound healing. More research is needed to reach a clearer understanding of these patients experience of their ulcers and the experiences of its care measures.

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Alrubaiy, Laith Kadhim Qassim. „Developing two new health outcome measures to support the care of patients with inflammatory bowel disease“. Thesis, Swansea University, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678275.

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Nikitin, Cecilia, und Ulrica Smeds. „Omvårdnadsåtgärder som stödjer patientens återhämtning : En kvalitativ intervjustudie med intensivvårdssjuksköterskor“. Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48375.

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Introduktion: Patientens upplevelser från intensivvårdsavdelningen kan ge upphov till stress som orsakas av flera faktorer. Detta kan påverka patienten lång tid efter utskrivningen. Det är därför viktigt att veta vilka omvårdnadsåtgärder på intensivvårdsavdelningen som stödjer patientens återhämtning. Syfte: Studiens syfte var att beskriva intensivvårdssjuksköterskors uppfattningar av preventiva omvårdnadsåtgärder på intensivvårdsavdelningen som kan vara stödjande för patientens återhämtning. Metod: En kvalitativ metod valdes och datainsamling skedde i form av nio intervjuer med intensivvårdssjuksköterskor, med erfarenhet av uppföljningsarbete, på tre olika sjukhus. Analys av insamlat material, skedde med hjälp av kvalitativ innehållsanalys enligt Graneheim och Lundman. Huvudresultat: I resultatet framkom fyra huvudkategorier som beskriver områden för preventiva omvårdnadsåtgärder: Skapa meningsfullhet, Förklara omvärlden, Skapa trygghet och Förbered framtiden. Konklusion: Studiens resultat visar att kunskap om patientens historia kan användas som grund för att knyta an till patientens vardagsliv. Struktur, förklaringar och råd från personalen har uppfattats stödja patientens omvärldsuppfattning på IVA. Trygghet och närhet från personal och anhöriga anses viktigt för patienten. Framförallt har stöd till patientens inre resurser och anpassande av miljön genom nedtrappad övervakning, uppfattats kunna bidra till att patienten återfår sin självständighet och bättre kan hantera framtiden.
Introduction: A patient´s experiences during intensive care can lead to stress that is caused by several factors. This can affect the patient long after discharge. Therefore, it is essential to know which nursing interventions in the intensive care unit, that best support the patient's recovery. Aim: The aim of this study was to describe the intensive care nurses' perceptions of preventive care measures in the intensive care that can be supporting for the patient's recovery. Method: A qualitative method was chosen and the data collection was done by interviewing nine intensive care nurses with experience in monitoring work at three different hospitals. The collected material was analyzed in accordance with Graneheim and Lundman´s qualitative content analysis. Main Results: The results revealed four main categories in which preventive care measures are especially useful: Creating meaning, Explaining the environment, Creating safety and Preparing for the Future. Conclusion: By gaining knowledge about what is relevant to each particular patient it is possible to adapt care measures based on this. It seems that structure, detailed explanations and advice provided by the staff will help the patient to better assess his/her situation. Being close to staff and family is comforting for the patient. It is a great importance to help the patient regain independence in order to manage the future. It was perceived that this can be done by gradually decreasing the use of technology and supporting the patient´s inner strengths.

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Van, der Merwe Shani. „The psychometric properties of an emotional intelligence measure within a nursing environment / S. van der Merwe“. Thesis, North-West University, 2005. http://hdl.handle.net/10394/1061.

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Nurses' working environment, together with their patient relationships, can elicit emotions which they will need to manage in order to perform successfully in their daily work activities. It is for this reason that it is crucial that sound emotional intelligence measures should be developed which hospitals can utilise to identify emotionally intelligent individuals for emotionally laden jobs or even to identify their developmental needs within the area of emotional intelligence. The objective of this study was to investigate the psychometric properties of the Emotional Intelligence Scale (EIS) developed by Schutte and colleagues in 1998 within a nursing environment. A convenience random sample of 5 11 nurses was taken from hospitals located in the areas of Klerksdorp, Potchefstroom, Krugersdorp, Johannesburg and Pretoria. The EIS was used as a measuring instrument. Cronbach alpha coefficients, Pearson-product correlation coefficients and MANOVAS were used to analyse the data. The results showed a 5-factor solution for the EIS, which explained 50,04% of the total variance. All of the five dimensions had adequate internal consistencies, except for the Negative Emotions dimension. Lastly, group differences were identified between personnel area and emotional intelligence, as well as between race and emotional intelligence levels. Recommendations were made for future research.
Thesis (M.Com. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

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Rezene, Sem, und Tavga Taha. „Omvårdnadsåtgärder relaterad till diabetesfotsår : Av sjuksköterskor i primärvården“. Thesis, Röda Korsets Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-4072.

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Bakgrund: Diabetesfotsår är en av många komplikationer relaterade till diabetes mellitus typ I och II. Diabetesfotsår bidrar till en lägre livskvalité och funktionsnivå för individen samt medför höga vårdkostnader för samhället. Sjuksköterskan i primärvården har en central roll vid omvårdnad av denna patientgrupp. Primärvården fungerar som en första instans där initiala omvårdnadsåtgärder genomförs, dels som prevention men också i syfte att behandla. Syftet: Var att belysa sjuksköterskans omvårdnadsåtgärder relaterat till diabetesfotsår i primärvården. Metod: Litteraturstudien utfördes utifrån niostegsmodellen med en tematisk analys. Studier med kvantitativ och kvalitativ ansats inkluderades. Resultat: Ett huvudtema kunde identifieras, patientutbildning och egenvård, samt tre subteman. Resultatet visade att patientutbildning är en effektiv metod för att förbättra patientens egenvård relaterat till diabetesfotsår. Fler än tre utbildningstillfällen för patienter visades ge bäst resultat på egenvård. Adekvat egenvård minskar risken för diabetesfotsår. Slutsats: Patientutbildning är den omvårdnadsåtgärd sjuksköterskan i primärvården kan erbjuda patienten. Patientutbildning har som syfte att förbättra egenvården.
Background: Diabetic foot ulcers is one of many complications related to diabetes mellitus type I and II. Diabetic foot ulcers cause lower quality of life and disability for the individual, the healthcare cost is also significant for the society. Nurses in primary health care have a central role in the nursing in this group of patients. Aim: Bring light to nursing care measures related to the diabetic foot ulcer in a primary care setting. Method: The literature review was made with the “Nine step model” with a thematic analysis. Studies with both a quantitative and qualitative approaches were included. Results: One main theme could be identified, patient education and self-care, as well as three sub themes. The result indicate that patient education is an effective method for improving self-care related to diabetic foot ulcers. More than three occasions of education for patientsgave the best results on self-care. Adequate self-care lowers the risk of diabetic foot ulcers. Conclusion: Patient education is the nursing care measure that nurses in primary care can offer patients. Patient education has the purpose of improving self-care.

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Thacker, Lauren E. „Relationship-Based Care: Primary Nursing as a Practice and Outcomes to Evaluate Effectiveness“. The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1397642758.

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Amidei, Christina M. „An Exploratory Study of Physiologic Responses to a Passive Exercise Intervention in Mechanically-ventilated Critically Ill Adults“. Doctoral diss., University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5102.

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Muscle weakness is the most common and persistent problem after a critical illness. Early mobilization of the critically ill patient, beginning with passive exercise and progressing to ambulation, may mitigate muscle effects of the critical illness. However, mobilization may produce adverse effects, especially early in the illness when risk for physiologic deterioration is common. If safe, introducing a mobility intervention early in the illness may facilitate ventilator weaning, shorten intensive care unit and hospitals stays, and improve functional status and quality of life for mechanically ventilated critically ill patients. The aim of this study was assess the cardiopulmonary and inflammatory responses to an early standardized passive exercise protocol (PEP) in mechanically ventilated critically ill patients. Using a quasi-experimental within-subjects repeated measures design, mechanically ventilated critically ill adults who were physiologically stable received a single standardized PEP within 72 hours of intubation. The PEP consisted of 20 minutes of bilateral passive leg movement delivered by continuous passive motion machines at a rate of 20 repetitions per minute, from 5-75 degrees, to simulate very slow walking. Physiologic parameters evaluated included heart rate (HR), mean blood pressure (MBP), oxygen saturation, and cytokine levels (IL-6 and IL-10), obtained before, during, and after the intervention. The Behavioral Pain Scale (BPS), administered before, during and after the intervention was used as a measure of participant comfort. The study sample was comprised of 18 (60%) males and 12 (40%) females, with a mean age of 56.5 years (SD 16.9 years), who were primarily Caucasian (N=18, 64%). Mean APACHE II scores for the sample were 23.8 (SD 6.2) with a mean predicted death rate of 48.8 (SD 19.8), indicating moderate mortality risk related to illness severity. Number of comorbidities ranged from 1-10 (X=4). All participants completed the intervention with no adverse events. Using repeated measures analysis of variance (rmANOVA), no significant differences were found in HR, MBP, or oxygen saturation at any of the four time points in comparison to baseline. BPS scores were significantly reduced (F(2.43, 70.42)=4.08, p=.02) at 5 and 10 minutes after the PEP was started, and were sustained at 20 minutes and for one hour after the PEP was completed. IL-6 was significantly reduced (F(1.60, 43.1)=4.351, p=.03) at the end of the intervention but not at the end of the final rest period. IL-10 values were not significantly different at any of the three time points, but IL-6 to IL-10 ratios did decrease significantly (F(1.61, 43.38)=3.42, p=.05) at the end of the PEP and again after a 60 minute rest period. Passive leg exercise was well tolerated by study participants. HR, MBP, and oxygen saturation were maintained within order set-specified ranges during and for one hour after activity, and patient comfort improved during and after the intervention. A downward trend in HR was noted in participants, which is contrary to usual HR response during exercise, and may represent clinical improvement in this population related to reduction in pain. Reduction of mean IL-6 values at the end of the PEP, but not after the rest period, suggests that the PEP was responsible for the initial IL-6 improvement. Improvement of IL-6 to IL-10 ratios from the end of the PEP to the end of the final rest period suggests that IL-10, although non-significant, may have had some effect, indicating that IL-10 increases may occur later than the time period of study. Passive exercise can be used as an approach to facilitating mobilization in mechanically ventilated critically ill adults until they are ready to participate in more active exercise. It could be that more frequent and aggressive exercise, such as passive cycling at faster rates, four times daily, will be tolerated in this population. While the understanding of clinical significance of cytokine profiles in critically ill patients is still evolving, cytokine levels may be useful in explaining benefits of mobilization in this population. Further study is required to replicate the impact of passive exercise on pain, and it may represent a novel approach to pain management in critically ill patients.
ID: 031001499; System requirements: World Wide Web browser and PDF reader.; Mode of access: World Wide Web.; Adviser: .; Title from PDF title page (viewed July 26, 2013).; Thesis (Ph.D.)--University of Central Florida, 2012.; Includes bibliographical references.
Ph.D.
Doctorate
Nursing
Nursing
Nursing

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Bergand, Annika, und Liselott Smith. „Gammal och förvirrad : Sjuksköterskans omvårdnadsåtgärder vid konfusion hos äldre“. Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2372.

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Konfusion är mycket vanligt förekommande hos äldre och skapar stort lidande, ger höga samhällskostnader och orsakar hög mortalitet. Syftet med studien var att belysa sjuksköterskans icke farmakologiska omvårdnadsåtgärder vid konfusion hos äldre patienter. Metoden var en litteraturstudie, vilken innefattade tio artiklar där relevanta omvårdnadsåtgärder framkom, dessa presenterades i resultatet under VIPS - modellens åtgärdssökord. Resultatet av studien visade att patienter med konfusion mindes och uppmärksammade vad som skedde med och runt omkring dem. Viktigt var att få information om sitt konfusionstillstånd för att förstå vad som hände och varför. Samspelet mellan sjuksköterska och patient var av stor vikt. Återorientering av patienten var vanligt och ansågs oftast ha positiv effekt. Att bekräfta patientens upplevelse, och att visa omtanke och förståelse var väl fungerande stöd. Kontinuitet av personal, att eliminera bakomliggande orsaker och att främja god sömn var av stor betydelse. Vanligt förekommande var tvångsåtgärder för att skydda patienten från att skada sig själv och andra. Musik och ljusterapi togs upp som omvårdnadsåtgärder. Även närstående hade en stor roll vid omvårdnaden av patienten med konfusion. Relativt lite forskning finns inom området konfusion, i synnerhet gällande omvårdnadsåtgärder i samband med konfusionstillståndet. Behov av ytterligare forskning föreligger inom området. //

Confusion is quite common among elderly and creates great suffering, high cost for social services and high mortality. The purpose of this study was to highlight the non-pharmacological actions in care provided by nurses to elderly with confusion. The method was a literature study, based on ten articles containing relevant care measures where the result is presented in the VIPS-model’s keywords. The result of the study showed that patients with confusion remembered and registered what was happening around them. It was important for the patient to obtain proper information regarding the state of confusion to understand what is happening. The teamwork between nurse and patient is of great importance. Re-orientation of patient was common and mostly considered to have a positive effect. Important support by the nurse is to confirm the patient’s perception by showing concern and understanding. Other key concepts where continuity of staff, eliminate underlying causes, facilitate good sleep. It was common with supervision and constrainer to protect the patients from harming themselves and others. Music and light therapy were mentioned as care measures. Relatives also played an important part in treating a patient with confusion. There is relatively little research regarding confusion especially with focus on suitable care actions. There is a need of further studies in this matter.

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Goude, Isabelle, und Zara Svedberg. „Att vårda någon med tvång : En deskriptiv litteraturstudie om sjuksköterskors upplevelser och erfarenheter av tvångsvård inom psykiatrin“. Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-31282.

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Bakgrund I Sverige vårdas årligen ca 12 000 män och kvinnor med tvångsvård. Tvångsvård regleras av lagar och får endast ges till personer som anses vara en fara för sig själv eller sin omgivning. Denna vårdform syftar till att upprätthålla säkerhet för både patient och dess omgivning, målet är att patienten ska ta emot frivillig vård. Att vårda någon med tvång är komplext och kan leda till svåra situationer för sjuksköterskor, vården ska därför utföras så hänsynsfullt som möjligt för att främja patienters autonomi och delaktighet. Syfte Att beskriva sjuksköterskors upplevelser och erfarenheter av tvångsvård inom psykiatrin. Metod Litteraturstudien genomfördes med en deskriptiv design. Artiklar söktes i databaserna PubMed, Cinahl och PsychINFO. Totalt tio kvalitativa artiklar och en kvantitativ artikel användes i studiens resultat. Artiklarna har analyserats där teman och subteman har urskilts. Resultat Resultatet visade att sjuksköterskor saknar alternativ till tvångsåtgärder och detta har lett till etiska dilemman och negativa känslor. Trots detta fanns förståelse hos sjuksköterskor för syftet med tvångsåtgärderna och det sågs som en del av arbetet. Tvångsvård beskrevs ha en negativ påverkan på vårdrelationerna och därmed beskrevs även vikten av en god och tillitsfull relation mellan sjuksköterska och patient. Resultatet beskrevs i tre teman och fyra subteman. Slutsats Utifrån resultatet till föreliggande litteraturstudie har författarna kommit fram till att det råder delade meningar om synen på tvångsvård hos sjuksköterskor. Sammanfattningsvis dras slutsatsen att det fanns en önskan om möjliga alternativ till tvångsåtgärder och det behövs mer forskning i ämnet. Nyckelord Tvångsvård, tvångsåtgärder, sjuksköterska
Background In Sweden approximately 12 000 men and women are treated with forced care annually. Forced care is regulated by laws and may only be given to persons who are considered a danger to themselves or their surroundings. This form of care aims to maintain safety for both the patient and the surroundings, the goal is always for the patient to receive voluntary care. Caring for someone with coercion is complex and can lead to difficult situations for nurses, therefore care should be performed as careful as possible to promote patient autonomy and participation. Aim To describe the experiences of nurses working with involuntary treatment in psychiatric care. Method The study was conducted with a descriptive design. The articles were searched in the databases PubMed, Cinahl och PsychINFO. Ten qualitative articles and one quantitative article were used the study’s result. The articles have been analyzed and then themes and subthemes have been distinguished. Results The result showed that nurses lack alternatives to coercive measures and this has led to ethical dilemmas and negative emotions. Despite this, nurses understood the purpose of the coercive measures and it was seen as a part of the work. Compulsive care was descibed as having a negative impact on health care relationships, and thus the importance of a good and trusting relationship between nurse and patient was also described. The results were descibed in three themes and four subthemes. Conclusions Based on the results of the present literature study, the authors have concluded that there are shared opinions about the view of forced care in nurses. In summary the authors conclude that there was a desire for possible alternatives to coercive measures and more research is needed on the subject. Keywords Compulsory care, Coercive measures, Nurse

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Bücher zum Thema "Nursing care measures"

Shephard, Rena R. Nursing facility enhanced quality measures: Strategies for successful performance. 2. Aufl. [Miamisburg, OH]: MED-PASS, 2004.

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Shephard, Rena R. Quality measures documentation tool kit. [Miamisburg, OH]: MED-PASS, 2004.

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Alexandra, John, und Petheram Brian, Hrsg. Therapy outcome measures manual: Physiotherapy, occupational therapy, rehabilitation nursing. San Diego: Singular Pub. Group, 1998.

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In the hands of strangers: Are nursing home safeguards working? : hearing before the Subcommittee on Oversight and Investigations of the Committee on Energy and Commerce, House of Representatives, One Hundred Tenth Congress, second session, May 15, 2008. Washington: U.S. G.P.O., 2008.

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Enderby, Pamela M. Therapy Outcome Measures for Rehabilitation Professionals. New York: John Wiley & Sons, Ltd., 2006.

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Hard choices for loving people: CPR, artificial feeding, comfort measures only, and the elderly patient. 5. Aufl. Lansdowne, VA: A & A Pub.,Inc., 2009.

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McDonald, Kathryn M. Measures of patient safety based on hospital administrative data-- the patient safety indicators. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Agency for Healthcare Research and Quality, 2002.

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Alexandra, John, Petheram Brian und Enderby Pamela M. 1949-, Hrsg. Therapy outcome measures for the rehabilitation professions: Speech and language therapy, physiotherapy, occupational therapy, rehabilitation nursing, hearing therapists. 2. Aufl. Chichester, West Sussex, England: Whurr, 2006.

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Kopec, David Alan. Designs that protect culturally sensitive design for long-term care facilities. Washington, D.C: National Council for Interior Design Qualification, 2007.

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Dunn, Hank. Hard choices for loving people: CPR, artificial feeding, comfort measures only, and the elderly patient. 3. Aufl. Herndon, VA: A & A Pub.,Inc., 1993.

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Buchteile zum Thema "Nursing care measures"

Jones, Terry, Anat Drach-Zahavy, Walter Sermeus, Eileen Willis und Renata Zelenikova. „Understanding Missed Care: Definitions, Measures, Conceptualizations, Evidence, Prevalence, and Challenges“. In Impacts of Rationing and Missed Nursing Care: Challenges and Solutions, 9–47. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71073-6_2.

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Luijkx, Katrien, Meriam Janssen, Annerieke Stoop, Leonieke van Boekel und Marjolein Verbiest. „Involve Residents to Ensure Person-Centered Nursing Home Care During Crises Like the COVID-19 Outbreak“. In The New Common, 145–51. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-65355-2_21.

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AbstractNursing homes aim to provide person-centered care and recognize residents as unique individuals with their own histories, life goals, and preferences. The life expectancy of nursing home residents is rather limited. Nursing homes have been hit hard by COVID-19 because of an increased risk of death and a total nursing home lockdown from March 19 until the end of May 2020. Although social relationships are a basic human need and the fulfillment of social needs is essential for both physical and mental health, nursing home residents were no longer allowed to meet their loved ones. This decision was taken without involving residents and their loved ones and without considering the psychosocial impact of such measures for residents and their loved ones. When visitors were again allowed in the nursing homes, this was valued highly. To enable decent decision-making, we call both the government and nursing homes to involve residents and their families in decision-making. It is essential to know how residents weigh the risk of a COVID-19 infection and the possible implication of them opposing social isolation. We have to adapt to a new common and need to stop talking about residents and their loved ones and start talking with them.

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Milholland, D. Kathy. „Information Systems in Critical Care: A Measure of Their Effectiveness“. In Nursing and Computers, 282–86. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-2182-1_36.

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Wykpisz, E. M., N. S. Redeker, D. J. Mason und B. Glica. „Using the Actigraph to Measure Activity-Rest in the Acute Care Setting“. In Nursing and Computers, 297–303. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-2182-1_38.

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Burke, Angeline. „Complaints as a Measure of Harm - Lessons from Community Health Councils“. In Limiting Harm in Health Care: A Nursing Perspective, 149–70. Oxford, UK: Blackwell Science Ltd, 2008. http://dx.doi.org/10.1002/9780470774502.ch8.

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Moksnes, Unni Karin. „Sense of Coherence“. In Health Promotion in Health Care – Vital Theories and Research, 35–46. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_4.

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AbstractThis chapter introduces the concept of sense of coherence which is a core concept in the salutogenic model defined by Aron Antonovsky. The salutogenic model posits that sense of coherence is a global orientation, where life is understood as more or less comprehensible, meaningful, and manageable. A strong sense of coherence helps the individual to mobilize resources to cope with stressors and manage tension successfully with the help of identification and use of generalized and specific resistance resources. Through this mechanism, the sense of coherence helps determine one’s movement on the health ease/dis-ease continuum. Antonovsky developed an instrument named Orientation to Life Questionnaire to measure the sense of coherence which exists in two original versions: a 29-item and a 13-item version. This chapter presents the measurement of the sense of coherence and the validity and reliability of the 13-item scale. It gives a brief overview of empirical research of the role of sense of coherence in association with mental health and quality of life and also on sense of coherence in different patient groups including nursing home residents, patients with coronary heart disease, diabetes, cancer, and mental health problems. It also briefly discusses the implications of using salutogenesis in health care services and the importance of implementing this perspective in meeting with different patient groups. The salutogenic approach may promote a healthy orientation toward helping the patient to cope with everyday stressors and integrate the effort regarding how to help the patient manage to live with disease and illness and promote quality of life.

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Pini, Riccardo, Maria Luisa Ralli und Saravanakumar Shanmugam. „Emergency Department Clinical Risk“. In Textbook of Patient Safety and Clinical Risk Management, 189–203. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_15.

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AbstractThe emergency department of any institution is an entry point for a significant number of patients to any health care organization. The department caters to various trauma and medical emergencies in both adults and in children round the clock and is adequately staffed with emergency physicians, and nursing to handle such emergencies at all times and days. The department also oversees operations of the prehospital emergency medical services (ambulance) and coordinates their services.The emergency department (ED) is considered particularly high risk for adverse events (AE): 60% of ED patients experienced Medication Error (Patanwala et al., Ann Emerg Med 55:522–526, 2010). From a systematically review about AE related to ED, appears that the prevalence of AE among hospitalized patients ranging from 2.9% to 16.6%, with 36.9% to 51% of events considered preventable (Stang et al., PLoS One 8:e74214, 2013).Maintaining quality and developing error-free systems have been the focus of engineering over the last few decades.Consider the degree of variability of every individual human being compared to machine and also wisdoms from engineering field, for error-free system that guarantees good quality assistance should be defined a program reasonably simple, locally relevant, easily implementable, not be resource intense and have tangible outcomes which can be measured.

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Haugan, Gørill, und Jessie Dezutter. „Meaning-in-Life: A Vital Salutogenic Resource for Health“. In Health Promotion in Health Care – Vital Theories and Research, 85–101. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_8.

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AbstractBased on evidence and theory, we state that facilitating and supporting people’s meaning-making processes are health promoting. Hence, meaning-in-life is a salutogenic concept.Authors from various disciplines such as nursing, medicine, psychology, philosophy, religion, and arts argue that the human search for meaning is a primary force in life and one of the most fundamental challenges an individual faces. Research demonstrates that meaning is of great importance for mental as well as physical well-being and crucial for health and quality of life. Studies have shown significant correlations between meaning-in-life and physical health measured by lower mortality for all causes of death; meaning is correlated with less cardiovascular disease, less hypertension, better immune function, less depression, and better coping and recovery from illness. Studies have shown that cancer patients who experience a high degree of meaning have a greater ability to tolerate bodily ailments than those who do not find meaning-in-life. Those who, despite pain and fatigue, experience meaning report better quality-of-life than those with low meaning. Hence, if the individual finds meaning despite illness, ailments, and imminent death, well-being, health, and quality-of-life will increase in the current situation. However, when affected by illness and reduced functionality, finding meaning-in-life might prove more difficult. A will to search for meaning is required, as well as health professionals who help patients and their families not only to cope with illness and suffering but also to find meaning amid these experiences. Accordingly, meaning-in-life is considered a vital salutogenic resource and concept.The psychiatrist Viktor Emil Frankl’s theory of “Will to Meaning” forms the basis for modern health science research on meaning; Frankl’s premise was that man has enough to live by, but too little to live for. According to Frankl, logotherapy ventures into the spiritual dimension of human life. The Greek word “logos” means not only meaning but also spirit. However, Frankl highlighted that in a logotherapeutic context, spirituality is not primarily about religiosity—although religiosity can be a part of it—but refers to a specific human dimension that makes us human. Frankl based his theory on three concepts: meaning, freedom to choose and suffering, stating that the latter has no point. People should not look for an inherent meaning in the negative events happening to them, or in their suffering, because the meaning is not there. The meaning is in the attitude people choose while suffering from illness, crises, etc.

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Gnanadurai, Angela. „Standard Safety Measures in Caring for Patients“. In Clinical Neurosciences and Critical Care Nursing, 384. Jaypee Brothers Medical Publishers (P) Ltd., 2014. http://dx.doi.org/10.5005/jp/books/12229_29.

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„Assessment tools and outcome measures“. In Oxford Handbook of Musculoskeletal Nursing, herausgegeben von Susan M. Oliver und Susan M. Oliver, 595–612. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198831426.003.0020.

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The use of tools to measure important components of the patient’s disease, functional ability, psychological issues, or self-efficacy are now considered an integral part of healthcare. Such tools must be well researched and demonstrate that they are valid and reliable. This chapter first gives an overview of assessment and outcome tools, followed by considerations in selecting the right tool for the job. A section then follows on validity. In addition, various tools used in musculoskeletal care are described briefly including examples of tools measuring clinical indicators, domain- and disease-specific measures, and tools measuring psychological aspects, as well as pointers to selecting the right tool.

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Konferenzberichte zum Thema "Nursing care measures"

B.D. Magobe, Nomasonto, Prof M. Poggenpoel und Prof C. P. H. Myburgh. „The experiences of primary clinical nurse practitioners in educating patients with hypertension on health-promoting lifestyle measures at primary health care clinics in Soweto“. In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.24.

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Li, Weili, und Wenwen Liu. „The Clinical Infection Trend, Drug Resistance and Nursing Intervention Measures of Acinetobacter Baumannii in Pediatric Intensive Care Unit“. In 2016 7th International Conference on Mechatronics, Control and Materials (ICMCM 2016). Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/icmcm-16.2016.45.

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Tak, Young Ran, Hae Young Woo, Ji Hye Kim und Sun Young You. „Development of instrument to measure perception of healing environment in hospital“. In Health Care and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.88.20.

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Ettema, Roelof, Goran Gumze, Katja Heikkinen und Kirsty Marshall. „European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs“. In CARPE Conference 2019: Horizon Europe and beyond. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10175.

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BackgroundCare recipients in care and welfare are increasingly presenting themselves with complex needs (Huber et al., 2016). An answer to this is the integrated organization of care and welfare in a way that personalized care is the measure (Topol, 2016). The reality, however, is that care and welfare are still mainly offered in a standardized, specialized and fragmented way. This imbalance between the need for care and the supply of care not only leads to under-treatment and over-treatment and thus to less (experienced) quality, but also entails the risk of mis-treatment, which means that patient safety is at stake (Berwick, 2005). It also leads to a reduction in the functioning of citizens and unnecessary healthcare cost (Olsson et al, 2009).Integrated CareIntegrated care is the by fellow human beings experienced smooth process of effective help, care and service provided by various disciplines in the zero line, the first line, the second line and the third line in healthcare and welfare, as close as possible (Ettema et al, 2018; Goodwin et al, 2015). Integrated care starts with an extensive assessment with the care recipient. Then the required care and services in the zero line, the first line, the second line and / or the third line are coordinated between different care providers. The care is then delivered to the person (fellow human) at home or as close as possible (Bruce and Parry, 2015; Evers and Paulus, 2015; Lewis, 2015; Spicer, 2015; Cringles, 2002).AimSupport societal participation, quality of live and reduce care demand and costs in people with complex care demands, through integration of healthcare and welfare servicesMethods (overview)1. Create best healthcare and welfare practices in Slovenia, Poland, Austria, Norway, UK, Finland, The Netherlands: three integrated best care practices per involved country 2. Get insight in working mechanisms of favourable outcomes (by studying the contexts, mechanisms and outcomes) to enable personalised integrated care for meeting the complex care demand of people focussed on societal participation in all integrated care best practices.3. Disclose program design features and requirements regarding finance, governance, accountability and management for European policymakers, national policy makers, regional policymakers, national umbrella organisations for healthcare and welfare, funding organisations, and managers of healthcare and welfare organisations.4. Identify needs of healthcare and welfare deliverers for creating and supporting dynamic partnerships for integrating these care services for meeting complex care demands in a personalised way for the client.5. Studying desired behaviours of healthcare and welfare professionals, managers of healthcare and welfare organisations, members of involved funding organisations and national umbrella organisations for healthcare and welfare, regional policymakers, national policy makers and European policymakersInvolved partiesAlma Mater Europaea Maribor Slovenia, Jagiellonian University Krakow Poland, University Graz Austria, Kristiania University Oslo Norway, Salford University Manchester UK, University of Applied Sciences Turku Finland, University of Applied Sciences Utrecht The Netherlands (secretary), Rotterdam Stroke Service The Netherlands, Vilans National Centre of Expertise for Long-term Care The Netherlands, NIVEL Netherlands Institute for Health Services Research, International Foundation of Integrated Care IFIC.References1. Berwick DM. The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Serv Res. 2005 Apr; 40(2): 317–336.2. Bruce D, Parry B. Integrated care: a Scottish perspective. London J Prim Care (Abingdon). 2015; 7(3): 44–48.3. Cringles MC. Developing an integrated care pathway to manage cancer pain across primary, secondary and tertiary care. International Journal of Palliative Nursing. 2002 May 8;247279.4. Ettema RGA, Eastwood JG, Schrijvers G. Towards Evidence Based Integrated Care. International journal of integrated care 2018;18(s2):293. DOI: 10.5334/ijic.s22935. Evers SM, Paulus AT. Health economics and integrated care: a growing and challenging relationship. Int J Integr Care. 2015 Jun 17;15:e024.6. Goodwin N, Dixon A, Anderson G, Wodchis W. Providing integrated care for older people with complex needs: lessons from seven international case studies. King’s Fund London; 2014.7. Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, Knottnerus JA. Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016 Jan 12;6(1):e010091. doi: 10.1136/bmjopen-2015-0100918. Lewis M. Integrated care in Wales: a summary position. London J Prim Care (Abingdon). 2015; 7(3): 49–54.9. Olsson EL, Hansson E, Ekman I, Karlsson J. A cost-effectiveness study of a patient-centred integrated care pathway. 2009 65;1626–1635.10. Spicer J. Integrated care in the UK: variations on a theme? London J Prim Care (Abingdon). 2015; 7(3): 41–43.11. Topol E. (2016) The Patient Will See You Now. The Future of Medicine Is in Your Hands. New York: Basic Books.

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Sui, Xin, Yifan Yu und Liu Huhui. „Measurement of spatial equity : a case study of nursing institution“. In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/bgdi1793.

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Equity and justice have always been important norms in the field of urban planning. With the gradual deepening of understanding of residential environment, the research context of equity and justice related to location is becoming more and more sophisticated. Recently, varieties of subjects Including Public Health and Geography focus on the inequity of public resources in spatial distribution and how to measure the degree of this gap. In general, the mainstream measurement methods can be summarized into two categories: (1) The description of phenomenon caused by the spatial inequities, and accessibility is a typical method of this type. (2) the direct quantification of inequity, such as Gink Coefficient which is originated from the economics field and introduced into the measurement of health equity, and Getis-Ord General G, together with Moran’ index is the most commonly method used into the general spatial autocorrelation. In this paper, based on the overall literature review of the concept of equity in the study using these methods and a summary of their specific context of the measurement using, nursing institution in Shanghai, China are regarded as a typical case to practice these methods and compare the differences in using. Meantime, the impact of the politics and planning related to this special facility is also been considered. Results show that, accessibility of nursing institution among elderly groups is much different under different research distance, and the overall trend seems like the research units in suburb appears higher accessibility than those in highly urbanized area. And Gink Coefficient helps us determine the proportion of the elderly population in different reachable areas in Shanghai is within a reasonable range. However, Global Moran’ index provide reliable evidence that the existence of the aggregation combined by the high-value units. It indicates that there are inequities among the distribution of aged-nursing resources, and Local Moran I （LISA）help us to find the specific boundaries of these areas. In general, in the study of the equity related to location, accessibility can only reflect the differences phenomenon in distribution, but it is not clear to describe this gap to what extent, and it’s difficult to achieve the possibility of comparison among different periods and different subjects. The Gini coefficient often focuses on the unfairness of the distribution of people, but ignored the aggregation characteristics of the spatial dimension, which the analysis of spatial autocorrelation can make up. All these methods proved that it’s necessary to consider both the spatial distribution of supply and demand. And the discussion about equity related to location should be strictly qualified in study.

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