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Cassar, Maria. "Using the Internationally Recognized Frameworks of Nursing Competences to address the challenges of nurse refugees without documentation." Tuning Journal for Higher Education 8, no. 1 (November 26, 2020): 53–73. http://dx.doi.org/10.18543/tjhe-8(1)-2020pp53-73.
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Individuals seeking refuge in host countries is a global reality. Some of these individuals are qualified nurses. If, and when, the documents pertaining to a nurse qualification are not presented to the respective authorities of a host country, the challenges for these qualified nurses to secure registration and employment as nurses are numerous and often unsurmountable. Access to higher education opportunities is similarly compromised in the absence of relevant documents. This is happening against the backdrop of a widely reported global shortage of qualified nurses, and an extensive effort and investment to address this shortage in many countries. This paper explores the feasibility and appropriateness of applying internationally recognized frameworks of competences of nurses, to processes which seek to evaluate and verify the nurse training and qualification claimed by refugee nurses. The author seeks to determine whether such frameworks of nurse competences may effectively and efficiently contribute towards initiatives which are geared towards addressing the gap in (qualification) document availability, traceability, verification and reproduction of nurse refugees. A critical consideration of a few existent initiatives is presented in view of exploring, the identification of a tool which may enable a homogenous transnational approach which is consistent across salient parameters.
Received: 16 April 2020Accepted: 31 August 2020
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Maier, Claudia B., Julia Köppen, Joan Kleine, Matthew D. McHugh, Walter Sermeus, and Linda H. Aiken. "Recruiting and retaining bachelor qualified nurses in German hospitals (BSN4Hospital): protocol of a mixed-methods design." BMJ Open 13, no. 8 (August 2023): e073879. http://dx.doi.org/10.1136/bmjopen-2023-073879.
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IntroductionMany countries in Europe are facing a shortage of nurses and seek effective recruitment and retention strategies. The nursing workforce is increasingly diverse in its educational background, ranging from 3-year vocational training (diploma) to bachelor and master educated nurses. This study analyses recruitment and retention strategies for academically educated nurses (minimum bachelor), including intention to leave, job satisfaction and work engagement compared with diploma nurses in innovative German hospitals; it explores recruitment and retention challenges and opportunities, and identifies lessons on recruitment and retention taking an international perspective.Methods and analysisThe study will apply a convergent mixed-methods design, including qualitative and quantitative methods. The qualitative study will include semistructured interviews among hospital managers, nurses, students and stakeholders in Germany. In addition, expert interviews will be conducted internationally in countries with a higher proportion of bachelor/master nurses in hospitals. The quantitative, cross-sectional study will consist of a survey among professional nurses (bachelor/master, diploma nurses) in German hospitals. Study settings are hospitals with a higher-than-average proportion of bachelor nurses or relevant recruitment, work environment or retention strategies in place. Analyses will be conducted in several phases, first in parallel, then combined via triangulation: the parallel analysis technique will analyse the qualitative and quantitative data separately via content analyses (interviews) and descriptive, bivariate and multivariate analyses (survey). Subsequently, data sources will be collectively analysed via a triangulation matrix focusing on developing thematic exploratory clusters at three systemic levels: microlevel, mesolevel and macrolevel. The analyses will be relevant for generating lessons for clinical nursing, management and policy in Germany and internationally.Ethics and disseminationEthics approval was obtained by the Charité Ethics Committee.Several dissemination channels will be used, including publications and presentations, for the scientific community, nursing management, clinical nurses and the wider public in Germany and internationally.
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Chun Tie, Ylona, Melanie Birks, and Jane Mills. "The Experiences of Internationally Qualified Registered Nurses Working in the Australian Healthcare System: An Integrative Literature Review." Journal of Transcultural Nursing 29, no. 3 (August 21, 2017): 274–84. http://dx.doi.org/10.1177/1043659617723075.
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Introduction: International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system. Methodology: The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles ( n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in ( n = 16) articles in the final data set. Results: Three broad themes were identified: (a) Transitioning—Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts—How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice—when racial prejudice occurred. Discussion: Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.
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Cooper, Melissa, Philippa Rasmussen, and Judy Magarey. "Governance of skilled migration and registration of internationally qualified health practitioners: an Australian policy perspective." Australian Health Review 44, no. 2 (2020): 178. http://dx.doi.org/10.1071/ah19018.
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This paper presents a policy perspective on the topical issue of migration and registration of internationally qualified health practitioners (IQHPs), with a focus on international medical graduates and internationally qualified nurses and midwives. Current views, regulatory governance and recommendations affecting skilled migration and registration of IQHPs were examined, specifically whether current and proposed practices are transparent, consistent, equitable, robust, cost-effective and assist in ensuring IQHPs demonstrate the necessary qualifications and experience for protection of the Australian public. The complexity of the current regulatory and administrative application and approval processes for IQHPs seeking to live and work in the Australian healthcare setting provides significant opportunities for future research, particularly those areas of reform under consideration by the Health Ministers’ Advisory Council.
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Angus, Elizabeth, Kate Reid, Sigred Yamit, Gill Coe, Bridget Ryan, and Sharyn Crichton. "Experience of internationally qualified nurses providing palliative care in a New Zealand aged residential care facility." International Journal of Palliative Nursing 27, no. 10 (December 2, 2021): 515–23. http://dx.doi.org/10.12968/ijpn.2021.27.10.515.
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Background: New Zealand is reliant upon internationally qualified nurses (IQNs) working within aged residential care (ARC), despite the fact that many of these nurses have limited or no ARC or palliative care experience before arriving in the country. Aims: To understand the issues faced by IQNs providing palliative care to people in ARC. To understand how the palliative aged residential care (PARC) specialist nurse team can best support IQNs. Methods: A thematic analysis was undertaken from five focus group interviews with IQNs (n=24) from ARC facilities in the Christchurch and Canterbury regions. Findings: Unfamiliarity with New Zealand 's palliative care and ARC systems, cultural differences and communication barriers caused internal struggles. Transitioning to a New Zealand approach to palliative care highlighted participants' adaptability and resilience. Consistent approaches to training and support by the PARC team and additional cultural training within New Zealand Competence Assessment Programmes (CAP) are required. Conclusion: Ongoing education, support and role modelling to develop confidence and reduce internal struggles are required for IQNs providing palliative care in ARC.
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Kane, Annie, Carloyn Tait, and Kerri Arcus. "Internationally qualified nurses’ perceptions of the competencies that pertain to patient safety." Nurse Education in Practice 38 (July 2019): 105–11. http://dx.doi.org/10.1016/j.nepr.2019.06.001.
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Aggar, Christina, Lucy Shinners, Olivia Penman, Lydia Mainey, Chanchal Kurup, Jane Hallett, Frances Doran, and Sudha Raddi. "Evaluation of a digital application to support internationally qualified nurses' communication and leadership skills." Nurse Education Today 104 (September 2021): 104982. http://dx.doi.org/10.1016/j.nedt.2021.104982.
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Hoyle, Louise P., Richard G. Kyle, and Catherine Mahoney. "Nurses’ views on the impact of mass media on the public perception of nursing and nurse–service user interactions." Journal of Research in Nursing 22, no. 8 (November 15, 2017): 586–96. http://dx.doi.org/10.1177/1744987117736363.
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The aim of this study was to examine nurses’ views on the impact that mass media has on service users and how this affects nurse/service user interactions. Internationally, the mass media is an important source of health information for the public. Media framing therefore exerts considerable influence on the public’s perceptions of healthcare professionals and services. However, it is not known how the reporting of health stories by the media impacts the work of front-line nursing staff. This is a qualitative interpretivist study using a single case study design, and includes semi-structured interviews with qualified nursing staff ( n = 31) within a large hospital in the United Kingdom. There are three key themes: ‘scaremongering health stories’, ‘negative portrayal of the nursing profession’ and ‘informed service users’. Nurses perceived media framing of health and healthcare services as predominantly negative. Nurses need greater awareness of how service users receive and respond to health information and how health stories are reported. Closer engagement between health journalists and nurses through ‘journalist-in-residence’ programmes could enable nurses and journalists to gain greater appreciation of their respective sets of knowledge to support shared and informed decision-making between service users and professionals.
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Jenkins, Brittany, and Annette Huntington. "“WE ARE THE INTERNATIONAL NURSES”: AN EXPLORATION OF INTERNATIONALLY QUALIFIED NURSES’ EXPERIENCES OF TRANSITIONING TO NEW ZEALAND AND WORKING IN AGED CARE." Nursing Praxis in New Zealand 32, no. 2 (July 2016): 9–20. http://dx.doi.org/10.36951/ngpxnz.2016.006.
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Ryan, Nuala F., Elaine Berkery, Bernadette O’Malley, Claire O’Donnell, and Helen Purtill. "An evidenced-based approach to understanding and informing talent management practices for internationally trained nurses in healthcare: A systematic review protocol." PLOS ONE 17, no. 12 (December 1, 2022): e0278048. http://dx.doi.org/10.1371/journal.pone.0278048.
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This paper details a protocol for a systematic review that will be used to identify, critically appraise, and synthesize current academic evidence relating talent management practices for internationally trained nurses in healthcare organizations. Databases used in the search will include CINAHL with full text (EBSCOhost), PubMED, PsycINFO, Embase, Business Source Complete, Academic Source Complete, Web of Science, and Medline. Searches are limited to studies in English. Based on receiving funding approval in May this review will systematically search all materials in databases up until 2022, with predetermined search terms. All studies will be screened based on specific criteria and predetermined search terms using the Boolean terminology. Risk of any bias will be considered and assessed using the checklist provided by the National Institute of Health and Clinical excellence. Two assessors will review the findings using convergence and any disagreement will be settled by a third-party reviewer. The systematic review will produce a synthesis of the data related to talent management practices for internationally trained nurses in healthcare settings, as well as outlining areas for further research. The study will be the first of its type to systematically review and synthesize talent management practices for internationally trained nurses. In particular, the findings will provide the latest, validated evidence to narrate the development talent management practices specifically in relation to the strategically important cohort of internationally trained nurses in healthcare organizations. It will also help create a pipeline of suitably qualified candidates for future roles, as well as helping internationally trained nurses identify career trajectories. By systematically gathering and analyzing the relevant research, a stakeholder informed evidence-based approach to talent management for this cohort can be informed as a way of improving the quality and safety of care to the patient.
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Mereuta, Ion. "Constantin Țîbîrnă - Chairman of the Council of Experts of the Ministry of Health, promoter of the training of national scientific staff." Bulletin of the Academy of Sciences of Moldova. Medical Sciences, no. 2(73) (November 2022): 12–17. http://dx.doi.org/10.52692/1857-0011.2022.2-73.01.
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Constantin Țîbîrnă - notorious personality of medical science, founder of a local surgery, promoter of the training of highly qualified staff, Politician and State, Deputy, Pedagogue-Teacher, with a medical activity during 60 years (1950- 2010), creator of the School of Thoraco-abdominal Surgery, oro-maxillo-facial, oncological, infantile, Honorary Member of the Academy of Sciences of Moldova, one of the founders of the Academy of Medical Sciences of the Republic of Moldova, Promoter of International Science and Surgery internationally. He trained 30 doctors and habilitated doctors, coordinated the defense of doctoral theses in medical sciences in various specialties (about 200), founded the Țîbîrnă Dynasty of doctors - about 72 doctors and nurses.
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Aggar, Christina, Lucy Shinners, Tamsin Thomas, and Lynette Stockhausen. "Experiences of internationally qualified registered nurses enrolled in a bridging program in Australia: A pilot study." Collegian 27, no. 3 (June 2020): 298–303. http://dx.doi.org/10.1016/j.colegn.2019.09.003.
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Mowat , Rebecca, and Jarrod Haar. "Sacrifices, benefits and surprises of internationally qualified nurses migrating to New Zealand from India and the Philippines." Nursing Praxis in New Zealand 34, no. 3 (November 2018): 18–31. http://dx.doi.org/10.36951/ngpxnz.2018.011.
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Thirlwall, Alison, Dawn Kuzemski, Mahshid Baghestani, Margaret Brunton, and Sharon Brownie. "‘Every day is a challenge’: Expatriate acculturation in the United Arab Emirates." International Journal of Cross Cultural Management 21, no. 3 (December 2021): 430–51. http://dx.doi.org/10.1177/14705958211039071.
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The United Arab Emirates (UAE) has a very small population of national citizens, so it relies on foreign workers who bring a range of cultures with them, resulting in a unique multi-cultural context. Unlike Western countries, such as the UK, Canada and Australia, workers are unable to permanently migrate to the UAE, so instead they hold temporary, expatriate status. This exploratory study focuses on the experiences of internationally qualified, expatriate nurses in hospitals in Al Ain, gathered by qualitative interviews. Twenty-one registered nurses participated in this study. The nurses faced challenges associated with language requirements and differing cultural expectations, and displayed limited acculturation, which compromised their ability to provide appropriate care for patients. The temporary nature of the work, cultural expectations, language difficulties and potential improvements are discussed. The findings have important implications for organizations that employ large groups of staff from overseas in all sectors. This article contributes to knowledge of expatriates’ challenges in the UAE and highlights the difficulties of working in a diverse environment, leading to a range of actions being recommended for managers.
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Jenkins, Brittany Lauren, and Annette Huntington. "A missing piece of the workforce puzzle. The experiences of internationally qualified nurses in New Zealand: a literature review." Contemporary Nurse 51, no. 2-3 (November 2, 2015): 220–31. http://dx.doi.org/10.1080/10376178.2016.1158079.
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Hardcastle, Mary-Ann. "The importance of cultural fit in the success of internationally qualified nurses: A comment on Brunton & Cook (2018)." International Journal of Nursing Studies 87 (November 2018): 148. http://dx.doi.org/10.1016/j.ijnurstu.2018.08.001.
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Rykkje, Linda, Anne Lise Holm, and Marit Helene Hem. "Norwegian Nurses’ Reflections Upon Experiences of Ethical Challenges in Older People Care: A Qualitative Thematic Analysis." SAGE Open Nursing 7 (January 2021): 237796082110579. http://dx.doi.org/10.1177/23779608211057938.
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Introduction Internationally, aging populations have increased needs for health care services, and often specialized care is required. However, services for older people tend to be underfunded, resulting in lack of qualified staff and poor quality care. Resource shortages lead to ethical challenges and insufficient nursing care. Therefore, quality in daily care for older people also depends upon the nurses’ ability to make complex, ethical decisions in their practice. Objectives To explore ethical challenges experienced by nurses caring for older people in clinical practice, and to provide examples of management for the challenges. Methods The data collected were written reflection notes by Norwegian continuous education students in advanced gerontology. Forty two of 83 notes were included and a thematic analysis in six steps was utilized. Findings There are three main themes: (1) meeting vulnerability, discomfort, and suffering, (2) collaboration with relatives, and (3) struggling to perform professional care. Conclusion Nurses strive to “do what is in the patients’ best interest”, and this is fostered through collaboration, professionalism, care, and presence. Nurses’ ethical competencies may develop when reflecting upon their own care performance. Building ethical competencies should be a priority in both nursing education and clinical practice. However, to improve care quality, nurses also need professional knowledge about older people care and ethical awareness should be supported by the workplace.
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Callister, Paul, Juthika Badkar, and Robert Didham. "Doctors and romance: Not only of interest ot Mills and Boon readers." Journal of Primary Health Care 1, no. 2 (2009): 101. http://dx.doi.org/10.1071/hc09101.
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INTRODUCTION: Internationally there is a growing demand for health services. Skilled health workers, including doctors, have a high degree of international mobility and New Zealand (NZ) stands out internationally in terms of the significant flows of doctors in and out of the country. Through changes in training of doctors in NZ and migration flows, there have been major shifts in the composition of the medical workforce in NZ since the mid-1980s. AIM: Studies of the changing nature of the medical workforce often focus on gender and migration separately as well as only considering doctors as individuals. The aim of this exploratory study is to examine the living arrangements of doctors, the composition of migrant doctors who are coming to NZ, and to understand the educational and employment status of the partners of doctors. METHODS: This study is a descriptive analysis primarily using census data from 1986 through to 2006 and immigration data collected by the Department of Labour. RESULTS: Half of the female medical doctors approved for residence through the Skilled/Business stream migrated independently, while for male doctors less than a third came to NZ independently. Male migrant doctors were more likely to be partnered. Census data showed that people with medical backgrounds tend to partner with each other. However, these relationships are changing, as more women become doctors. In 1986 about 14% of male doctors had a nurse or midwife as a partner and nearly 9% had a doctor partner. By 2006 the proportion of partners of male doctors who were also doctors had risen to 16%, higher than the 9% who were nurses. For female doctors the changes are more dramatic. In 1986, 42% of female doctors in relationships had a doctor as a partner. By 2006, female doctors had increased substantially, but the percentage with a doctor partner had dropped to under a third. Well-qualified couples where one or both are doctors, have a greater propensity to live in main urban areas. DISCUSSION: Through official reports and extensive media coverage, the NZ public is well aware of local and national doctor shortages. There is also awareness, often through personal visits to a GP or hospital, of the significant rise in number of female and of foreign-born doctors. The choices doctors are making in living arrangements need to be taken into account when considering both national and international recruitment of medical staff. Researchers and policy makers may need to consider family migration issues more than they have in the past for doctors as well as for other migrant groups. KEYWORDS: Family practice; partners; emigration and immigration, female; manpower
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Teixeira, Gisela, Pedro Lucas, and Filomena Gaspar. "Impact of Nurse Manager’s Attributes on Multi-Cultural Nursing Teams: A Scoping Review." Nursing Reports 14, no. 3 (July 15, 2024): 1676–92. http://dx.doi.org/10.3390/nursrep14030125.
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Background: As global migration increases, nurse managers’ effectiveness in multi-cultural nursing work environments is crucial due to the rising cultural diversity within healthcare teams. Despite the increasing international recruitment of qualified nurses to address the worldwide nursing shortage, no studies have synthesised the impact of nurse managers’ attributes on nurses in multi-cultural nursing teams. Therefore, it was conducted a literature review aimed to synthesise the available literature on how nurse managers’ personality traits, competencies, behaviours, and leadership styles influence nurse outcomes in multi-cultural nursing teams. Methods: Scoping review conducted according to the Joanna Briggs Institute guidelines to map the relationship or influence of nurse managers’ personality traits, competencies, behaviours, and leadership styles on the outcomes of nurses in multi-cultural settings across various clinical environments. Searches were conducted across electronic databases such as CINAHL and MEDLINE, along with grey literature. Results: This review included 39 studies, highlighting 29 personality traits, 9 competencies, 115 behaviours, and 5 leadership styles that impact nurses’ outcomes. Key findings emphasise the importance of nurse managers being supportive, culturally competent, and effective communicators, with transformational leadership style being particularly beneficial. Conclusions: These findings provide insights for planning and developing training programmes to equip current and future nurse managers with skills to effectively lead in multi-cultural care settings.
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Brunton, Margaret, Catherine Cook, Dawn Kuzemski, Sharon Brownie, and Alison Thirlwall. "Internationally qualified nurse communication—A qualitative cross country study." Journal of Clinical Nursing 28, no. 19-20 (July 3, 2019): 3669–79. http://dx.doi.org/10.1111/jocn.14968.
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Oliveira, João Lucas Campos de, Beatriz Rosana Gonçalves de Oliveira Toso, and Laura Misue Matsuda. "Advanced practices for care management: reflections on the Brazilian Nursing." Revista Brasileira de Enfermagem 71, no. 4 (August 2018): 2060–65. http://dx.doi.org/10.1590/0034-7167-2017-0115.
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ABSTRACT Objective: to explain about the Advanced Nursing Practice and to discuss the possibilities of the Advanced Practice for the management of nursing care in Brazil. Method: this is a theoretical-reflexive trial, based on the international literature on advanced practices in nursing and analysis relevant to the profession and to the Brazilian context. Results: the object of the study was described in the following driving axes: Advanced Practice Nurse: international examples and Brazilian reality; Reflections on the care management by the Advanced Practice Nurse in Brazil. Autonomy, qualified training, leadership and performance based on scientific evidences as the foundation of the best care management by the Advanced Nursing Practice, stand out. Final considerations: while early and challenging, the work of Brazilian nursing towards advanced professional practice seems to be interesting, since the possibilities of managing the care of this modality of nurses' performance are evident.
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Cavite, France Allan, Phoebe Lynn Calungsod, and Janet Alexis De los Santos. "Feasibility of Offering MS Nursing Program at Visayas State University." Malaysian Journal of Nursing 14, no. 03 (2023): 34–45. http://dx.doi.org/10.31674/mjn.2023.v14i03.005.
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Background: All academic institutions strive to provide competent programs and produce highly qualified graduates who can eventually compete in the local and international arenas. A feasibility study examines the viability of a project to check its success rate and make sure that the program meets the needs of its stakeholders. Objective: The objective of the study is to assess the practicality of offering a master’s degree program for nurses in the region and to evaluate the potential of the proposed program to respond to the needs of those pursuing graduate studies. Methods: A quantitative research design that was supplemented by qualitative responses was employed. The data was gathered using a convenience sampling technique, and the primary focus was on registered nurses in the healthcare industry. Descriptive statistics were utilised in the data processing and analysis of the results. Results: The intention to open a graduate program is relevant to the needs of working professionals. The results revealed that VSU meets the demand for nurses across regions, and this will potentially help nurse researchers develop, carry out, and support educational initiatives for graduate schools. Conclusion: The study shows that a significant number of nurses are interested in enrolling in a graduate program and they express their determination to achieve this goal, which shows that VSU meets the need.
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Hao, Peng, Linda Wu, and Yanfei Liu. "A survey on work status and competencies of Clinical Research Nurses in China." Journal of Research in Nursing 27, no. 1-2 (March 2022): 82–98. http://dx.doi.org/10.1177/17449871211067963.
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Background The clinical trials industry in China has enjoyed robust growth; the demand for qualified personnel to conduct clinical trials with higher quality has increased. The Clinical Research Nurse has emerged as a new workforce in China. Aims This study aimed to examine the current work status of Clinical Research Nurses in China and to investigate their competencies in knowledge and behavior associated with this profession. Methods An online survey was analyzed. The current work status of Clinical Research Nurses in China was characterized. In addition, their competencies were self-assessed across nine competency categories and the “contribution to science” domain, based on the International Association of Clinical Research Nurses Scope and Standards of Practice. Results A total of 638 eligible questionnaires were included in the final analysis. Of whom, 98.28% (627/638) were females. The mean age was 35 years (range: 22–64 years). Over 80% of whom were working at the largest Chinese cities and the majority (78.2%) held a Bachelor’s degree in nursing. The average time of clinical research experience was 5.67 years. Three quarters of the 638 had an annual income of <150,000 Yuan RMB. The average weekly working time was 45.46 h; clinical trial-related work accounted for 62.68% of their workload. There were some gaps between the Clinical Research Nurses’ self-assessed competencies in knowledge and behavior, with the widest gaps along the ethical principles, leadership and professional development, protocol compliance, and document management categories. Conclusion This is the first large-scale survey of Clinical Research Nurses in China. Our results profile this emerging workforce as a population of young, moderately trained/experienced, predominantly female nurses working in the largest Chinese cities. They performed well on most knowledge/behavior parameters; still, gaps exist. Therefore, there is a pressing need to enhance professional education and training for Clinical Research Nurses in China.
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Dzvairo, Tawanda. "Unpacking the Effects of High Staff Turnover in Zimbabwean Government Hospitals." American Journal of Multidisciplinary Research and Innovation 2, no. 2 (March 25, 2023): 51–57. http://dx.doi.org/10.54536/ajmri.v2i2.1242.
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Economic factors in the international scene have attracted trained and qualified health personnel in other countries. The mass exodus has been happening at an alarming rate, resulting in disadvantaged countries losing effective hospital staff. Staff turnover has been witnessed in Government administered hospitals in Zimbabwe. Both low and high staff turnover has proven to affect the healthcare system. This is evident in the poor health service that is being delivered after qualified and experienced doctors, nurses and other related personnel have left their work places in search of better opportunities and greener pastures. The study gathered findings from related literature and distributed questionnaires around selected hospitals in an attempt to evaluate and assess the effects of high staff turnover in Zimbabwean hospitals. Thus, a survey on the results of being short staffed due voluntary hospital staff turnover has shown the negative effects of staff turnover in Zimbabwean hospitals. The study included four government hospitals (GH) as case studies, these are; Chivhu, Sadza, Kotwa and Marondera Hospitals. The study reviewed that 95% of the respondents indicated that there was a record of staff turnover at their respective hospitals. The research results showed that nurses constituted the most staff members leaving government hospitals, making up 29.49% of the total turnover in the four GH involved in the study. The destination for those nurses and other medical practitioners was regarded as ‘g mainly regarded as ‘greener pastures’ in the United Kingdome effects of staff turnover was the shortage of qualified and experienced staff members in hospitals in Zimbabwe which affected the quality-of-service delivery. This article gives in detail the objectives, results and recommendations for the topic in question.
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Soltani, Yasaman, Zahra Moosazadeh, Aryan Alipour, and Shaqayeq Esmaeili. "Effective interventions for improvement of moral sensitivity among nurses: A systematic review." Journal of Nursing Reports in Clinical Practice 1, no. 1 (April 1, 2023): 30–37. http://dx.doi.org/10.32598/jnrcp.23.20.
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This study was conducted to assess the characteristics and effectiveness of interventions for the improvement of moral sensitivity among nurses. A systematic search was conducted on international databases including PubMed, Web of Science, and Scopus, as well as Persian databases including Magiran, Iranmedex, and Scientific Information Database using keywords including moral sensitivity, ethical sensitivity, nurses, and registered nurses from the inception to December 18, 2021. Experimental studies published in Persian and English focusing on effective interventions for the improvement of moral sensitivity among nurses were included. The standard of the studies that qualified for inclusion was assessed using the Joanna Briggs Institute critical assessment criteria. A total of 520 nurses were enrolled in eight studies. Of the nurses, 78.37% were female and 55% were in the intervention group. The mean age of participants was 34.74 (SD=5.65) years. Mean study duration, intervention, and follow-up were 10.38, 5.59, and 7.20 weeks, respectively. Seven educational interventions including "nursing ethics workshop" (two studies), "nursing ethics workshop using narration and lecture", "Moral sensitivity workshop", "ethical motivational educational program”, "virtual narrative ethics workshop", and "empowerment educational program", improved moral sensitivity in nurses. However, the "nursing ethics workshop using seminar" was not effective in the management of moral sensitivity in nurses. The evidence for the positive effects of educational interventions on nurses' moral sensitivity was sparse but encouraging. However, there is a need for further studies to confirm the effectiveness of these interventions on nurses' moral sensitivity.
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于素英, 于素英, and 林慧萍 林慧萍. "從國外角度分析國內家庭專科護理師的課程規劃及困境." 台灣專科護理師學刊 11, no. 1 (August 2024): 005–13. http://dx.doi.org/10.53106/2410325x2024081101001.
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<p>從國外對進階護理專業人才的培育模式和核心能力的角度來看，美國的護理教育系統確實展現了一套有效的模式。該模式包括由專業組織制定專業角色和功能，標準化課程，以及相關的評估標準。這樣的制度培育出具有一致水準及持續性發展的專業人才。反觀國內家庭專科護理師的課程規劃面臨著一些挑戰，包括課程內容與國際標準存在差距、教育和臨床師資的人力短缺、缺乏合適的臨床實習場域等現況。這些都影響教學品質及學生臨床實踐能力的發展和應對能力的培養。面對這些挑戰，政府行政部門、教育機構和相關專業組織需要共同努力，以制定更有效的培育模式和解決方案。</p> <p> </p><p>Examining the models and core competencies for cultivating advanced nursing professionals, the United States’ nursing education system serves as a benchmark of effective practice. This system, characterized by the formulation of professional roles and functions by specialized organizations, standardized curricula, and corresponding assessment criteria, ensures the consistent development of competent professionals. In contrast, domestic challenges in curriculum planning for family nurse practitioners include discrepancies with international standards, misalignment of curriculum content, shortages of qualified educational and clinical faculty, and limited opportunities for clinical practi-cum. Such constraints adversely affect the quality of instruction and hinder the development of clini-cal proficiency and adaptive skills among students. To address these challenges, collaborative efforts are required among governmental agencies, educational institutions, and relevant professional bodies. By designing effective educational models and practical solutions, these stakeholders can enhance the quality of nursing education and cultivate proficient and adaptable nursing professionals, thereby en-riching the overall healthcare landscape</p> <p> </p>
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Tosun, Hale, Ayşe Tosun, Birgül Ödül Özkaya, and Asiye Gül. "The Most Commonly Determined Nursing Diagnoses According to NANDA-I Taxonomy and Difficulties Using the Nursing Process in COVID-19 Outbreak." Clinical Nursing Research 31, no. 3 (October 11, 2021): 395–403. http://dx.doi.org/10.1177/10547738211051565.
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The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.
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Storaker, Anne, Dagfinn Nåden, and Berit Sæteren. "From painful busyness to emotional immunization: Nurses’ experiences of ethical challenges." Nursing Ethics 24, no. 5 (January 24, 2016): 556–68. http://dx.doi.org/10.1177/0969733015620938.
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Background: The professional values presented in ethical guidelines of the Norwegian Nurses Organisation and International Council of Nurses describe nurses’ professional ethics and the obligations that pertain to good nursing practice. The foundation of all nursing shall be respect for life and the inherent dignity of the individual. Research proposes that nurses lack insight in ethical competence and that ethical issues are rarely discussed on the wards. Furthermore, research has for some time confirmed that nurses experience moral distress in their daily work and that this has become a major problem for the nursing profession. Objectives: The purpose of this article is to obtain a deeper understanding of the ethical challenges that nurses face in daily practice. The chosen research questions are “What ethical challenges do nurses experience in their daily practice?” Research design: We conducted a qualitative interview study using a hermeneutical approach to analyzing data describing nurses’ experiences. Ethical considerations: The Norwegian Social Science Data services approved the study. Furthermore, the head of the hospital gave permission to conduct the investigation. The requirement of anonymity and proper data storage in accordance with the World Medical Association Declaration of Helsinki was met. Method and results: The context for the study comprised three different clinical wards at a university hospital in Norway. Nine qualified nurses were interviewed. The results were obtained through a systematic development beginning with the discovery of busyness as a painful phenomenon that can lead to conflicts in terms of ethical values. Furthermore, the consequences compromising professional principles in nursing care emerged and ended in moral blindness and emotional immunization of the healthcare providers. Emotional immunization occurred as a new dimension involving moral blindness and immunity in relation to being emotionally touched.
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Karamaliani, Rozina, Shirin Rahim, and Syed Aamir Hameed. "Human Resource Management: Challenges And Strategies For Retaining Nurses At A Private University Hospital In Karachi, Pakistan." Pakistan Journal of Gender Studies 12, no. 1 (March 8, 2016): 127–40. http://dx.doi.org/10.46568/pjgs.v12i1.204.
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Human resource for health, especially nurses, is the greatest challenge worldwide for most of the countries. This shortage has compelled hospital’s management and leadership to identify its causes and strategize interventions to overcome the deficit in order to improve and sustain quality health care for patients. This paper identifies issues affecting nurses’ retention and suggests recommendations for creating job enrichment and enhancing retention at a private university hospital in Karachi Pakistan. A contextual secondary data analysis of M.Sc. Nursing thesis, exit interviews and external evaluators’ report (2004) of a private university hospital in Karachi Pakistan along with review national and international studies published during 2001- 2013 on the factors affecting and strategies to improve nurses’ retention, attrition and job satisfaction. The contextual secondary analysis identifies the 5Ms including “management, migration, marriage, money and mother in law” to be the reasons of resignations identified among nurses. Whereas global literature highlighted two sets of reasons one is related to work life including higher education opportunities for career advancement, personal reasons, marriage, family commitment, and relocation for better prospects. The other set of reasons are work environment including overwork, lack of collegiality with co-workers, and lack of recognition from management. Moreover a model for nurses’ retention was developed to suggest ways to protect health human capital investment in a private university hospital. With prevailing country security situation in Pakistan, high cost impact of retention, sponsorship and escalating overseas demand, turnover will continue to remain a constant challenge. Healthcare organizations are strongly advised to invest in talent management practices that will have the greatest value for ensuring a steady workforce of qualified and engaged nurses.
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Povoli, A., G. Simonetta, P. D'Agaro, S. Marangone, M. Marino, and D. Berretti. "N22 Inflammatory bowel disease nursing in Italy: the experience of the Academic Hospital of Udine." Journal of Crohn's and Colitis 17, Supplement_1 (January 30, 2023): i1051—i1052. http://dx.doi.org/10.1093/ecco-jcc/jjac190.1081.
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Abstract Background Inflammatory bowel diseases (IBDs) are a group of conditions characterized by a chronic inflammation of the digestive tract. IBDs can lead to extraintestinal manifestations that concern articulations, skin, liver, kidneys and eyes. Given the complexity of the diseases, patient affected by IBD are monitored by a multi-disciplinary team whose IBD nurse becomes one of the main figure. In 2018, the University of Udine fostered the post-graduate IBD nurse education programme called “IBD nurse case manager”, with the aims to a) promote high standards of clinical practice and research initiatives; and b) educate active members of the multi-disciplinary professional network both at national and international level. Methods A retrospective observational study has been conducted in 2022. All patients who attended the IBD clinic for administration of biological therapy, gastroenterological visits, training for subcutaneous therapy administration, follow-up for clinical studies (also via calls and/or emails) were included. Descriptive statistic has been used to describe the activity of the IBD clinic from 2018 to 2021 Results From the 1st of January 2018 to the 31st of December 2021, a total of 1,114 patients (47% females; average age of 45 years) were admitted to the IBD clinic. Outpatient visits were 701 in 2018 and 679 in 2019, while 639 during the COVID-19 pandemic in 2020 and 708 in 2021; from 2020 to 2021 there was an increase of 11% of activities. The number of drug administrations increased by 35% from 2018 (n=353) to 2019 (n=475); also, these endovenous therapies were not modified in 2020 (n=487, +3%) and in 2021 (n=476, -3%). The number of education sessions for subcutaneous therapy decreased by 15% from 2018 (n=30) to 2019 (n=26); then, the number increased by 34% from 2019 to 2020 (n=35) and by 135% from 2020 to 2021 (n=83). Follow-up appointments for clinical studies decreased by 60% from 2018 (n=26) to 2019 (n=11), then, the number increased by 100% from 2019 to 2020 (n=22) and decreased by 20% during 2021 (n=17). In 2020, virtual visits were implemented, with an increase of 458% of phone calls in 2021 (n=1,329) compared to 2020 (n=290). Conclusion Data show that qualified nurses may improve IBD pathways and increase the IBD clinic activities with high quality standards of care. In addition, motivation, satisfaction and willingness to continue education training were perceived among nurses. The collaboration between the University of Udine and the Hospital of Udine showed encouraging results that can be replicated in similar contexts.
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Mukantwari, Joselyne, Lilian Omondi, and David Ryamukuru. "Perioperative Nursing Training in Rwanda in Partnership with American Universities: The Journey So Far." Rwanda Journal of Medicine and Health Sciences 4, no. 1 (April 8, 2021): 185–96. http://dx.doi.org/10.4314/rjmhs.v4i1.13.
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Nurses within a surgical team play such a fundamental role in the success of a surgery that they require specific training for the purpose. However, in Rwanda, there has been a severe scarcity of perioperative nurses. This article describes the collaborative effort for perioperative nursing training by the University of Rwanda (UR) and the Ministry of Health (MOH) with the Human Resources for Health (HRH) Program and a consortium of American Universities. The goal of the HRH program has been to build up the capacities of health professionals both in academia and clinical settings so as to address the shortage of qualified staff. In that regard, the UR in 2015 started a Masters program in nursing in eight specialties, of which one was perioperative nursing. The aim of this paper is to highlight the training process, success, and challenges of perioperative nursing training in Rwanda.
The training has so far been successful, with the 19 nurses who completed the program working now in academic and clinical teaching institutions. Students in the program have also increased their number of research publications in peer-reviewed journals and international conference presentations. The UR and its partners are investing in the sustainability and excellence of this program. Using the import-of-experts approach to train Rwandans within their country, the program addresses the scarcity of specialists in various disciplines within the nursing profession. As a consequence, countries where the lack of specialized nurses poses challenges may adopt this partnership strategy.
Rwanda J Med Health Sci 2021;4(1):185-196
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Alkhaqani, Ahmed Lateef. "Clinical skills for newly graduated nurses: Theory-Practice gap." Atlantic Journal of Medical Science and Research 2, no. 4 (December 28, 2022): 91–93. http://dx.doi.org/10.55358/atjmed.2022.11.017.
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Dear Editor, Nursing education consists of classroom and clinical training to demonstrate clinical competence based on theoretical concepts learned. However, there is a lack of clinical abilities demonstrated and theoretical knowledge gained from pre-qualified nursing education and the preparation of new graduates. Furthermore, graduates often believe that the lessons learned do not reflect the actualities faced in clinical fields. This discrepancy is known as the theory-practice gap among graduate nurses who are theoretically but not practically equipped to apply theory and knowledge to practice in the clinical environment. Graduate nurses working in high-risk fields can struggle to integrate theoretical concepts into the clinical environment, leading to patient safety risks and potential adverse outcomes. Furthermore, the new graduates experience a deficit that contributed to decreased job satisfaction, increased job turnover rates, and patient care mistakes. This paper aims to address the gap between nursing education and practice in the nursing profession. The nurse’s role has grown substantially in recent years due to the shift in patients’ medical needs. Nurses are no longer just the “bedside healers” who hand you your medication and make sure your bedpan is clean, and they are also critical components of your healthcare team. The shift in inpatient medical needs requires more than just bedside healers. Nurses want to work on the skills needed for clinicians. Nurses need to take any opportunity they can get to stand out more than ever (1). Over the past 30 years, nurses’ education has been shifted from hospitals to universities. The theory part has begun to gain greater popularity in nursing education. Literature shows a clear gap between classroom teaching and student nurses’ experiences in clinical areas (2). Nurses are essential to excellent health care at all levels and provide complex patient services in different facilities. These services are only provided if the nursing profession has excellent clinical knowledge of nursing and can meet the needs of many different public health services. In view of the needs of the general public, new graduate nurses must be educated and equipped to use the clinical skills needed after nursing school with confidence. However, clinical competence is only part of providing excellent health care, and new graduate nurses must make the best clinical judgment for patients (3). Nursing is a holistic approach involving caring for people with compassion, but it has changed because patients expect to be treated quickly and transferred to the next. In addition, nurses face challenges because they are challenged in clinical fields and do not have the necessary capacity to cope with daily situations (4). Therefore, this article aims to review the gap between theory and practice in the workplace nursing profession. It is important to think about the differences between theories and practices. As defined by dictionaries, a theory is a set of statements or principles devised to explain a group of facts or phenomena, especially one that has been repeatedly tested or is widely accepted and can be used to make predictions about natural phenomena. Practice is defined as the act or the process of doing something, performance, or action. In definition, these terms appear to be at odds with each other, but when considered in terms of professional setup, they have to enable the application of ‘applying the theory into practice’(5). New graduate nurses face challenges transitioning from school to clinical training, affecting their performance. These challenges include knowledge level, physical demands, social acceptance stress from colleagues, and adaptation to new working environment culture. Concern about nurses’ competence stems from the rise in-hospital mortality rates in the United States. New and experienced nurses are highly expected to provide effective and safe patient care. There is still no clear answer to whether the new graduate nurses lack the appropriate education or if there is excessive pressure on the schools to quickly graduate a larger number of nurses to fill the increasing need for nurses in the clinical environment. The transition from nursing student to nurse work has proven to be a difficult transition that many researchers have studied. Some studies show that new graduate nurses lack the necessary skills to play the role of nurses without clinical experience. New graduate nurses are faced with many different challenges and intense pressures to meet the expectations of their profession. The nursing education programme encourages professional nurses to integrate theory and practice to provide high-quality nursing care in practice. Practical learning allows nurses to provide nursing care based on their knowledge. Nursing is an important field where knowledge is applied after education to practical skills. The distinction between theory and practice is one of the many topics of nursing discussion issues, such as the unresolved threads of a long time (6). Though nurses have been required to do more than ever before, the way they prepare for and embark on this career path has remained unchanged. According to a survey, 83% of new graduate nurses did not receive any formal training in their profession before starting work. A survey has found that 80% of nurses believe that this is a problem in their workplace (7). 90% have expressed the intention to work one or more additional days as they describe as ‘clinical application’ days. A gap has been found between the educational experience and the level of competence required by the clinical setting. Nursing students need to be prepared for various clinical settings where they will be called on to use a wide range of skills and techniques (8). The nursing programs lack clinical skills, but the issue stems from what is being taught to the students. For example, nurses are not learning how to keep infections out of hospitals by washing their hands properly. Students have not gained the necessary knowledge because they are being taught about theory rather than clinical practice. Another issue is that teachers have difficulty keeping up with the fast-paced changes in nursing because they were trained before many of these changes occurred (9). The new generation of nurses lacks adequate on-the-job training due to the uncertainty of getting a job offer after finishing their course. Nurses are also not given enough time on-site with patients during their graduate studies for practical experience (10). This is because patients are generally only admitted for short periods during their stay at hospitals or nursing homes. There is a considerable gap between the skills required from a nursing student to provide clinical skills. A nursing student needs to know pre-hospital, hospital, home care, treatments, associated procedures, and first aid. This gap could be due to insufficient preparation for clinical scenarios or not nursing educators practicing these skills. The solution should provide sufficient clinical skills preparations for nursing students, engage teachers to practice these skills, and engage clinical professionals to participate in the education of the students (11). In this regard, organizations such as the International Laboure Organization (ILO) endorsed articulation arrangements allowing post-secondary students across countries to access top traditional higher education. However, though other academic institutions offer certificates or diplomas in nursing assistant studies, not all of them have been recognized by ILO. Others push to improve the training opportunities by increasing the hours of accommodation visits, block releases, and summer programs to see long-lasting changes. Nurses should start preparing for the workplace before they graduate. That way, they can be more prepared for these future challenges. Primarily focus on supporting collaboration between academics and clinicians, establishing a research culture in a clinical environment, and improving access to research. In order to do so, practitioners need access to current information, learning resources, and opportunities for continuous education. The theory-practice gap, it would seem, is a multifaceted problem. The most common reasons included that the theory was about building a knowledge base while practice was about learning nursing skills. Education is an essential element of the preparation of nurses for real situations. However, education must include theory and nursing practice, and the teaching of excellent teachers in these two areas is linked (12). New graduate nurses must be confident and prepared to take on a role that will life-changing environment. Nurses are stressed because nurses know that the health of patients is dependent on good care. Research in this field is essential to ensure the workforce is equipped with the best-qualified nurses. Thus, overall, it is quite evident that the gap exists and has areas that can be improved. Strategies for solving this problem include re-examining the curriculum and liaising between education and practice. In education and clinical environments, leaders and followers will create operational plans for this proposed model and link it to benefits to make nursing professionals beneficial at large.
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Gathara, David, George Serem, Georgina A. V. Murphy, Nancy Abuya, Rose Kuria, Edna Tallam, and Mike English. "Quantifying nursing care delivered in Kenyan newborn units: protocol for a cross-sectional direct observational study." BMJ Open 8, no. 7 (July 2018): e022020. http://dx.doi.org/10.1136/bmjopen-2018-022020.
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IntroductionIn many African countries, including Kenya, a major barrier to achieving child survival goals is the slow decline in neonatal mortality that now represents 45% of the under-5 mortality. In newborn care, nurses are the primary caregivers in newborn settings and are essential in the delivery of safe and effective care. However, due to high patient workloads and limited resources, nurses may often consciously or unconsciously prioritise the care they provide resulting in some tasks being left undone or partially done (missed care). Missed care has been associated with poor patient outcomes in high-income countries. However, missed care, examined by direct observation, has not previously been the subject of research in low/middle-income countries.Methods and analysisThe aim of this study is to quantify essential neonatal nursing care provided to newborns within newborn units. We will undertake a cross-sectional study using direct observational methods within newborn units in six health facilities in Nairobi City County across the public, private-for-profit and private-not-for-profit sectors. A total of 216 newborns will be observed between 1 September 2017 and 30 May 2018. Stratified random sampling will be used to select random 12-hour observation periods while purposive sampling will be used to identify newborns for direct observation. We will report the overall prevalence of care left undone, the common tasks that are left undone and describe any sharing of tasks with people not formally qualified to provide care.Ethics and disseminationEthical approval for this study has been granted by the Kenya Medical Research Institute Scientific and Ethics Review Unit. Written informed consent will be sought from mothers and nurses. Findings from this work will be shared with the participating hospitals, an expert advisory group that comprises members involved in policy-making and more widely to the international community through conferences and peer-reviewed journals.
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Souza, Maurício Caxias de, Grayce Alencar Albuquerque, Patrícia Moita Garcia Kawakame, Desire Garcia Kawakame, Antônio Kawakame Neto, Aurilene Josefa Cartaxo de Arruda Cavalcanti, Daiana Beatriz de Lira e. Silva, Gustavo Carvalho de Lima Queiroz, Raquel Carvalho dos Santos, and Hudson Avelar Caminha Leal. "Advanced Nursing Practices, Primary Health Care and Leprosy in Brazil (BR)." Research, Society and Development 11, no. 5 (April 8, 2022): e41311528751. http://dx.doi.org/10.33448/rsd-v11i5.28751.
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The objective was to relate, through the theoretical-scientific reference, the Advanced Practice of Nursing, Primary Health Care and Leprosy in Brazil. Descriptive study, integrative review, with theoretical-scientific survey carried out by crossing the Health Sciences Descriptors: Advanced Practice Nursing, Primary Health Care and Leprosy; Boolean operators applied AND and OR. By the VHL, in the SciELO Virtual Library and in the LILACS Database, data collection date: march 2022. After applying the inclusion and exclusion criteria, 16 studies remained to be analyzed in the research. The discussion on the incorporation of Advanced Practice Nurses in Brazil and Latin America began in 2013 with the launch by the Pan American Health Organization of the resolution Human Resources for Health, expanding access to qualified health professionals in health systems based on Primary Health Care, for this research focusing on leprosy. This study achieved its objective, relating through the theoretical-scientific framework the Advanced Practice of Nursing, Primary Health Care (PHC) and Leprosy in Brazil, demonstrating that international experiences have irrevocable potential to improve the population's access to health services.
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Cranmer, Hilarie, Miriam Aschkenasy, Ryan Wildes, Stephanie Kayden, David Bangsberg, Michelle Niescierenko, Katie Kemen, et al. "Academic Institutions’ Critical Guidelines for Health Care Workers Who Deploy to West Africa for the Ebola Response and Future Crises." Disaster Medicine and Public Health Preparedness 9, no. 5 (August 14, 2015): 586–90. http://dx.doi.org/10.1017/dmp.2015.79.
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AbstractThe unprecedented Ebola Virus Disease (EVD) outbreak in West Africa, with its first cases documented in March 2014, has claimed the lives of thousands of people, and it has devastated the health care infrastructure and workforce in affected countries. Throughout this outbreak, there has been a critical lack of health care workers (HCW), including physicians, nurses, and other essential non-clinical staff, who have been needed, in most of the affected countries, to support the medical response to EVD, to attend to the health care needs of the population overall, and to be trained effectively in infection protection and control. This lack of sufficient and qualified HCW is due in large part to three factors: 1) limited HCW staff prior to the outbreak, 2) disproportionate illness and death among HCWs caused by EVD directly, and 3) valid concerns about personal safety among international HCWs who are considering responding to the affected areas. These guidelines are meant to inform institutions who deploy professional HCWs. (Disaster Med Public Health Preparedness. 2015;9:586–590)
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Coleman, Phil, and Gillian Vance. "A Critical Realist Review of Pre-Registration Nursing Student Stress." International Journal of Studies in Nursing 5, no. 2 (June 28, 2020): 28. http://dx.doi.org/10.20849/ijsn.v5i2.748.
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This Critical Realist review recognises the transitional challenge faced by all undergraduates on their path to becoming qualified practitioners but draws attention to the particularly high levels of student stress associated with the experience of learners who enrol on pre-registration nursing programmes. It also examines international evidence of factors which contribute to such stress. Professional opinion, reports, qualitative, quantitative and mixed methods research is thematically presented to indicate the wide range of educational, social, environmental, intrapersonal and interpersonal variables that contribute to pre-registration nursing student stress. Congruent with the principles of Critical Realism, the paper also identifies several emerging fields associated with student nurse stressors that are worthy of further investigation due to an apparent paucity of published work. Finally, the authors briefly highlight their own research activity currently underway to extend the body of knowledge in these areas and in so doing seek to help address student retention issues within nursing.
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Bošnjaković, Aleksandar. "The contribution of nursing to health care seen through the "White heart" symbol." Education and Research in Health Sciences 1, no. 2 (2022): 75–79. http://dx.doi.org/10.5937/erhs1-36535.
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"The white heart" as an international symbol of nursing care is a symbol that connects and unites all nurses in the world. Denoting care, tenderness, humanity, which are synonymous with the spirituality of nursing care, it represents the only vocation that seeks the most beautiful thing in a human being, and that is dedication to work and humanity in action. In the earliest periods of human society, the care for the sick was known, and drawings on the walls of caves have been preserved as witnesses, and it is mentioned in the oldest written historical documents. The beginnings of nursing are related to people of different professions, self-taught or partially qualified for the job, and health care existed only as a practice. This review paper will talk about the history, origins and modern nursing care, more precisely, theoretically, from Florence Nightingale, when professional nursing began to modern nursing today. Modern nursing care implies adequate education of staff and harmonization of education is widely present at the world level. It is the result of well-laid foundations for the development of nursing. Modern nursing practice is burdened with problems that can affect the quality of care provided, the safety of patients and the safety of nurses in the workplace. The health care system of a country in the organizational sense is the most complex system which, with its adequate functioning should provide physically, geographically and economically accessible, integrated and efficient health care. As a profession, nursing has developed through many developmental processes, always trying to adequately respond to the formulated problems of the profession, following the latest achievements and demands of community.
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Holovchak, Mariia, and Nataliia Dub. "Dual education in nurse training: international practice and implementation prospects in Ukraine." Democratic governance 30, no. 2 (December 31, 2022): 86–97. http://dx.doi.org/10.23939/dg2022.02.086.
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Problem statement. A lack of professional practicing in the course of studies was identified by nursing students, educators, practitioners and other stakeholders as one of the main challenges in higher and continuous nursing education. Quite often, graduates of nursing colleges, institutes and academies come to work without stable practical skills. After all, nursing curriculum focuses mostly on teaching in a speculative, abstract manner. As of February 24, 2022, in connection with the full-scale invasion of the Russian Federation on the territory of Ukraine, nursing students are actually deprived of the opportunity to work at the patient’s bedside, develop practical skills in a real environment. The inconsistency of the education content and educational paradigm in Ukraine with the most recent world trends in nursing and current health care needs is a concern to be addressed. The solution of the stated problem can be achieved through introducing a system of dual nursing education based on equal and responsible partnership between nursing educators and practitioners. Analysis of the latest literature on the issue raised in the article shows a strong interest of Ukrainian scientific community in many dual education concepts, including nursing. The problem of introduction and peculiarities of dual education is addressed in the papers of G.G. Oleskova, M.A. Azhazhi, Y.O. Dovgenko, L.I. Yaremenko, Y.V. Yare- menko, O.L. Kravchenko, L. V. Martsenyuk and O. V. Gruzdev. However, despite a significant number of research papers highlighting various problematic aspects of the dual education system, the research of dual education during the training of nurses has been covered inadequately. Presenting main material. The term of «dual system» comes from the Latin «dualis», double. This system, which provides for the coordinated interaction of the educational and industrial spheres in the training of qualified personnel of a certain profile within the framework of organizationally different forms of training was developed in the mid-60s of the last century in the Federal Republic of Germany (FRG). Subsequently, this system was adopted by Canada, Austria, Switzerland, and other countries. The development of the dual education system in Ukraine was commenced in 2015. Since the very beginning, dual education has been considered effective for applied specialties related to production. Nursing care can be interpreted as the production of a certain list of services by nursing staff, and therefore the dual education system can be applied to the training of nurses. The first step in introducing the dual form of nursing education should be a joint decision made by the educational institution and the employer. Next, it is required to monitor the labor market potential, determine the list of specialties (professions) for which educational programs of the dual form of education will be developed, approve their list, adopt relevant internal documents, and conclude relevant agreements. The implementation of the dual educational process involves the development of an educational program meeting professional standards and requirements for the competencies of future nursing professionals. Conclusions and prospects for further research. The introduction of a dual education system in nursing will improve the practical training of nursing staff, align the same with the practical medicine standards and the labor market requirements, contribute to the updating of academic content, increase the competitiveness of graduates of nursing educational institutions, as well as encourage students to study. In response to the challenges of nursing development, to promote the introduction of a dual education system in the training of nurses, it is advisable to hold more conferences and round tables, as well as create platforms for interaction between all stakeholders who care about nursing.
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Worsley, Aidan, Sarah Shorrock, and Kenneth McLaughlin. "Protecting the Public? An Analysis of Professional Regulation—Comparing Outcomes in Fitness to Practice Proceedings for Social Workers, Nurses and Doctors." British Journal of Social Work 50, no. 6 (August 21, 2020): 1871–89. http://dx.doi.org/10.1093/bjsw/bcaa079.
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Abstract The regulation of professional activity in the Health and Social Care sector in the UK is carried out by a number of statutory bodies that hold legal mandates to manage the risks of professional malpractice. The prime method used to perform this duty, and thereby protect the public, is the construction of a register of the suitability qualified—and creation of appropriate professional standards to establish a benchmark for practice. When registrant’s performance or conduct is felt not to meet these standards, they are placed within a fitness to practice process administered by the regulatory body. This article examines the publicly available data on fitness to practice cases from UK regulatory bodies relating to the professions of social workers, nurses, midwives and doctors. Examining nearly 1,000 cases, the authors run a statistical analysis of the data to establish whether any differences are found amongst and between these professional groupings. We find there are several areas where significant differences arise, namely gender, attendance and representation. Most of these regulatory bodies are, in turn, regulated in the UK by the Professional Standards Authority (PSA), and the article concludes by suggesting ways forward for the PSA in addressing or further examining apparent inequalities. The analysis is placed within a wide range of literature, with an emphasis on the international transferability of the approach to professional regulation.
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Meo, Sultan A., Abdelazeem A. Eldawlatly, and Tehreem Sultan. "Impact of unstable environment on the brain drain of highly skilled professionals, healthcare workers, researchers, and research productivity in Pakistan." Saudi Journal of Anaesthesia 18, no. 1 (2024): 48–54. http://dx.doi.org/10.4103/sja.sja_549_23.
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Background: The geo-strategic position of Pakistan on the world map is incredibly important and idyllic as the country is considered the gateway to central Asia. Pakistan has faced political instability for the last three decades, causing a brain drain and adversely affecting socioeconomic growth. This study aims to investigate the impact of an unstable environment on the brain drain of highly skilled professionals, healthcare workers, researchers, and research productivity in Pakistan from January 2000 to December 2022. Material and Methods: The data were recorded from the World Bank, the Higher Education Commission (HEC) Pakistan, the Pakistan Medical and Dental Council (PMDC), the Bureau of Emigration and Overseas Employment (BEOS), Pakistan, Academic Ranking of World Universities (ARWU), and Web of Science Clarivate Analytics. Initially, 32 documents were selected in this study, and finally, eight fact sheets, official government websites, and international organizations were included. Results: The result revealed that due to political instability, in 2022 about 832,339 highly qualified and accomplished experts headed abroad, among them 17976 (2.15%) were highly qualified and 20865 (2.50%) were highly competent professionals. These include accountants 7197 (0.86%), engineers 6,093 (0.73%), agricultural experts 3,110 (0.37%), doctors 2,464 (0.29%), computer experts 2,147 (0.25%), nurses and paramedics 1768 (0.21%), technicians 23347 (2.80%), electricians 20322 (2.44%), and schools and university faculty 1004 (0.12%). Pakistan has a total of 380 Higher Education Commission-indexed academic journals, among them 11 (2.89%) academic journals were indexed in the Web of Science and 23 journals were placed in the Web of Science emerging indexing. Among these journals, only one journal surpassed the impact factor of more than 2.0. The quartile ranking of Pakistani journals is 01 journal in Q2; 02 in Q3; and the remaining 08 journals in Q4. From August 1947 to December 2022, Pakistan produced a total of 259249 research articles, and from January 2000 to December 2022, the number of articles published was 248457 (95.83%). Since the last 22 years, the trend of research publications was continuously increased; however, the rising trend decreased in 2022 with a declined rate of 1263 (3.42%). Conclusion: The unstable sociopolitical environment in Pakistan caused a brain drain of highly qualified and skilled professionals and impaired the global standing of universities, academic journals, and research productivity in Pakistan. Pakistan must resolve the instability and establish sustainable policies to minimize the brain drain of highly qualified and skilled experts and convalesce their academic institutes and their research productivity for the development of the nation.
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Attard, Melanie, Alexa McArthur, Dagmara Riitano, Edoardo Aromataris, Chris Bollen, and Alan Pearson. "Improving communication between health-care professionals and patients with limited English proficiency in the general practice setting." Australian Journal of Primary Health 21, no. 1 (2015): 96. http://dx.doi.org/10.1071/py13095.
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Quality service provision and patient safety and satisfaction in encounters with health-care professionals relies on effective communication between the practitioner and patient. This study aimed to identify effective practices for improving communication between clinical staff in general practice and patients with limited English proficiency, and to promote their implementation in general practice. Effective interventions and strategies were identified from a review of international research. Experiences with their use in practice were explored via focus group discussions with general practitioners and practice nurses. The results suggest that, wherever possible, communication in the patient’s primary language is preferable; use of a qualified medical interpreter should be promoted, and practices should have a standardised and documented procedure for accessing interpreter services. General practice staff must increase their awareness about services that are available to facilitate communication with patients with limited English proficiency, and also develop attitudes, both individual and organisational, that will maximise the effectiveness of these strategies. These findings were used to develop brief, evidence-based practice guidelines that were disseminated to focus group participants for evaluation of utility and general feedback. This evidence-based guidance is now available to assist clinical and administrative general practice staff across regional and metropolitan South Australia.
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Del Fabbro, Egidio, and Antonio A. L. Vigano. "A preliminary study of attitudes toward the assessment and management of cancer cachexia among medical oncologists and nurses." Journal of Clinical Oncology 32, no. 31_suppl (November 1, 2014): 44. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.44.
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44 Background: A recent international consensus on the definition and classification of the cancer anorexia / cachexia syndrome (CACS) will facilitate clinical trial design, development of practice guidelines, and routine clinical management. Non-pharmacological interventions such as dietary counseling and promising new drugs have demonstrated improved outcomes in preliminary trials. Management of nutritional impact symptoms such as severe pain, depression, early satiety and chronic nausea also produce weight gain. These important advances contrast with the apparent low priority given to this condition by oncological societies worldwide. Our objective was to evaluate the attitudes of medical oncologists and nurses in the assessment and management of CACS in non-small cell lung cancer. Methods: Surveys were administered electronically to US-based, community medical oncologists (n=76 respondents) and oncology nurses (n=25), members of the Sermo research database which includes over 275,000 active healthcare providers, pre-qualified through telephone or online screening. A proprietary MedPulse tool achieved random geographic distribution of respondents through a staged query–response process. Results: 67% of medical oncologists selected weight loss as the most important criterion for diagnosing CACS in their daily practice, consistent with the consensus definition. However, only 4% of respondents described CACS as inevitable or very likely to develop in patients maintaining good performance status through first-line therapy. Community providers identified the management of symptoms that affect appetite as very important (58.8%), important (31.4%) or somewhat important (7.8%), but only 9.8% indicated they currently use a formal tool to evaluate these symptoms. 72% would consider using a brief assessment tool in clinical practice. Conclusions: Our surveys suggest community oncologists recognize the core criteria for the diagnosis of CACS, although there may be under-recognition of the condition’s prevalence. There is considerable interest in adopting a brief symptom assessment tool for screening, management and referral of affected or at-risk patients.
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Mahboob Ali, Muhammad, and Anita Medhekar. "Globalization, medical travel and healthcare management in Bangladesh." Problems and Perspectives in Management 14, no. 2 (June 13, 2016): 360–75. http://dx.doi.org/10.21511/ppm.14(2-2).2016.12.
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There is an increasing evidence of people from Bangladesh travelling to neighboring countries of Asia, such as India, Thailand, Malaysia and Singapore for medical treatment due to poor quality of healthcare services, high cost, and non-availability of speciality medical treatment and facilities. Medical travel is a practise where patients travel to other countries for diagnostic, pathological and complex invasive surgeries due to various push factors in their home country which prevents them for getting affordable, accessible and accredited quality of medical treatment in a timely manner, due to high cost of surgery, uninsured, long waiting period, non-availability of treatment, lack of medical facilities and proper care, lack of trained doctors and nurses, ethical and regulatory reasons, corruption and inadequate public or private medical facilities. This study is based on qualitative and quantitative analysis to examine why people are travelling from Bangladesh to India for medical treatment. Quantitative data were randomly collected from six divisional cities of Bangladesh: Dhaka, Chittagong, Sylhet, Rajshai, Barisal and Khulna and two districts Comilla and Bogra. A total of 1282 participants, out of 1450 returned the questionnaires. Data were analyzed using regression analysis. The results concluded that the pull factors that motivated Bangladeshis to travel to India for medical treatment were: low cost of surgery, qualified experienced doctors, quality of nursing care, non-availability of treatment in Bangladesh, and state of the art medical facilities and treatment in India, which concurs with the literature
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Lundberg, L., and P. Ortenwall. "(A39) Civil-Military Collaboration in Trauma Training." Prehospital and Disaster Medicine 26, S1 (May 2011): s11—s12. http://dx.doi.org/10.1017/s1049023x11000513.
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In the present Swedish military medical organisation all medical personnel, including surgeons, have to be recruited from civilian hospitals. Even if there are many civilian surgeons well qualified to perform trauma surgery, the injury patterns seen in e.g. Afghanistan are quite different compared to what is generally seen in trauma patients arriving to the ED at a civilian hospital. In order to upgrade the major trauma skills of the civilian surgeons recruited to and trained for participating in international missions, the (extended) military version of the Definitive Surgical Trauma Care (DSTC) Course has been implemented. DSTC is given with the intention not to duplicate ATLS, nor to provide an in depth course in surgery, but rather to teach those techniques particularly applicable to the patient who requires surgery and intensive care for major trauma, in a setting where such care is not commonly practised or even necessarily available. The course, made up by a mix of lectures, case discussions and skill stations has been given at the Swedish Armed Forces Centre for Defence Medicine in Gothenburg since 2007. It has gradually evolved to incorporate also anaesthesiologists and nursing staff into an integrated team. The faculty during these courses has been made up by a mix of international and Swedish instructors. Course candidates have primarily been military health staff, but vacant slots have been offered clinicians working in civilian hospitals in the western part of Sweden. During the last course in September 2010 17/20 (85%) of the physicians and 13/17 (76%) of the nurses rated the course as very beneficial or indispensible. The Swedish Armed Forces Centre for Defence Medicine will continue to run the military version of the DSTC course. Due to a certain over-capacity, course participation can be offered the civilian health care system.
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Adamu-Adedipe, Foyekemi Oyebola, O. A. Onasoga, Lydia Olubukola Odesanya, Abigail Adebisi Abioye, and Olajumoke Dele-Alonge. "Uterine Balloon Tamponade: An Effective Tool for Managing Postpartum Haemorrhage." nternational Journal of Public Health Pharmacy and Pharmacology 9, no. 1 (January 15, 2024): 27–38. http://dx.doi.org/10.37745/ijphpp.2013/vol9n12738.
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This article explores the crucial subject of Uterine Balloon Tamponade (UBT) as a very efficient method for controlling postpartum haemorrhage (PPH). Maternal mortality continues to be a pressing issue in global health, with postpartum haemorrhage playing a prominent role in this troubling pattern. This study investigates the versatile operational processes of UBT devices, with a particular focus on their capacity to stimulate uterine receptors, initiate contractions, and exert hydrostatic pressure to halt bleeding sinuses. The research highlights the crucial importance of healthcare workers, namely nurses, in promptly identifying and skillfully implementing UBT to achieve hemostasis. This resource offers a comprehensive examination of the many factors that contribute to postpartum haemorrhage (PPH), including uterine atony and retained placental fragments. It emphasises the need of implementing focused therapies to address these causes. The article highlights the worldwide inequalities in maternal healthcare and proposes comprehensive measures to tackle shortcomings in healthcare facilities, improve accessibility, and invest in highly qualified healthcare professionals. Evidence-based procedures, including UBT, are promoted for wider application, needing intensive instructional programs for healthcare practitioners. It is recommended that policymakers give high importance to maternal health on the international agenda, promoting cooperation across different fields of study and involving the community. In conclusion, the abstract highlights the need of taking proactive steps and working together to include UBT as a primary intervention in the management of PPH, with the main objective of decreasing global maternal death rates.
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Chen, Tzen-Wen, Szu-Yuan Li, Jinn-Yang Chen, and Wu-Chang Yang. "Training of Peritoneal Dialysis Patients—Taiwan's Experiences." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 28, no. 3_suppl (June 2008): 72–75. http://dx.doi.org/10.1177/089686080802803s15.
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In Taiwan, peritoneal dialysis (PD) was launched in 1984. Since then, the Taiwan Society of Nephrology (TSN) has taken the responsibility for supervising PD programs. All PD programs are required to pass evaluations from the TSN before inception. Every new PD patient receives individual training from a qualified PD nurse. The training, accompanied by a review test, is usually provided in the hospital during the week right after catheter implantation. To evaluate the effect of the patient training program on PD outcomes, we designed a retrospective observation study and reviewed the post-training tests of 100 new PD patients. The post-training test has 10 parts: anatomy and physiology, overview of chronic kidney disease, overview of PD, complications of peritonitis and exit-site infection, diet control, cardiovascular complications, PD skills and procedures, aseptic techniques, management of peritonitis, and routine tasks. The relationship between the post-training test scores and peritonitis was analyzed. Results showed that risk of peritonitis is not related to the post-training test score. However, based on our experiences, we believe that PD patient training should be lengthened and repeated periodically as suggested by the International Survey of Peritoneal Dialysis Training Programs. Training on certain issues such as the signs and symptoms of peritonitis should be especially enhanced.
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Narváez Eraso, Carmen Ofelia, and Norma Viviana Moreno Montenegro. "Current status and trends in the training process of critical care nurses." Enfermería Global 23, no. 1 (January 1, 2024): 593–626. http://dx.doi.org/10.6018/eglobal.574951.
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Introduction: International Organizations recognize that, for the health professions, the development of their specialties is transcendental since it allows them to deepen knowledge and skills for a more qualified professional practice that allows improving the quality of care.Objective: To explore the state of the art, application of nursing models and theories in intensive care units and trends in the training of nursing specialists for critically ill patients.Method: Documentary research whose object of study were 17 research articles related to the subject, the articles were captured in international databases Scielo, Elsevier, ScienceDirect, published between 2011-2021. A matrix for the selection of investigations and the Investigation Analytical Sheet were used as information collection instruments. The analysis was oriented based on the evolution of the training process, theoretical-disciplinary approaches and training trends and challengesResults: Articles from documentary reviews were found and, to a lesser extent, from qualitative or quantitative research studies.Conclusions: The study allowed us to recognize the progress of the training process and the evolution of teaching-learning strategies typical of traditional educational models to others that stimulate reflective and critical thinking. The literature that accounts for the application of nursing models and theories in critical care units is scarce; novel perspectives related to nursing training for critical care were found. Introducción: Las Organizaciones Internacionales reconocen que, para las profesiones de la salud, es trascendental el desarrollo de sus especialidades dado que les permite profundizar conocimientos y habilidades para una práctica profesional más cualificada que permita mejorar la calidad de atención.Objetivo: Explorar el estado del arte, aplicación de modelos y teorías de enfermería en unidades de cuidado intensivo y las tendencias en la formación en la formación del especialista en enfermería del paciente en estado crítico.Método: Investigación documental cuyo objeto de estudio fueron 17 artículos de investigaciones relacionadas con el tema, los artículos fueron capturados en bases de datos internacionales Scielo, Elsevier, ScienceDirect, publicados entre los años 2011-2021. Se utilizó como instrumentos de recolección de información una matriz para la selección de investigaciones y la Ficha Analítica de Investigación. El análisis se orientó con base a la evolución del proceso formativo, enfoques teóricos-disciplinares y tendencias y retos de la formación.Resultados: Se encontró artículos provenientes de revisiones documentales y en menor proporción de estudios de investigación cualitativa o cuantitativa. Conclusiones: El estudio permitió reconocer los avances del proceso formativo y la evolución de estrategias de enseñanza aprendizaje propias de modelos educativos tradicionales a otras que estimulan el pensamiento reflexivo y crítico. Es escasa la literatura que da cuenta de la aplicación de modelos y teorías de enfermería en las unidades de cuidado crítico, se encontró perspectivas novedosas relacionadas con la formación en enfermería para el cuidado crítico. Introdução: As Organizações Internacionais e os sistemas de saúde reconhecem que, para as profissões de saúde, o desenvolvimento das suas especialidades é transcendental uma vez que lhes permite aprofundar, alargar conhecimentos e competências que conduzam a uma prática profissional mais qualificada que permita melhorar a qualidade dos cuidados de saúde.
Objetivo: Explorar o estado da arte em treinamento de especialistas em enfermagem para o cuidado de pacientes críticos, aplicação de modelos e teorias de enfermagem em unidades de terapia intensiva e tendências e desafios no treinamento.
Método: Pesquisa documental cujo objeto de estudo foram 17 artigos de pesquisa relacionados ao tema, os artigos foram captados nas bases de dados internacionais Scielo, Elsevier, ScienceDirect, publicados entre os anos de 2011 a 2021. Como instrumentos de coleta de informações, foram utilizados a Matriz de Seleção das Investigações e a Ficha Analítica da Investigação. A análise foi orientada com base na evolução do processo formativo, abordagens teórico-disciplinares e tendências e desafios formativos.
Resultados: Foram encontrados artigos provenientes de revisões documentais e, em menor escala, de pesquisas qualitativas ou quantitativas.
Conclusões: O estudo permitiu reconhecer a evolução do processo formativo e a evolução das estratégias de ensino-aprendizagem típicas dos modelos educativos tradicionais para outras que estimulem o pensamento reflexivo e crítico. A literatura que explica a aplicação de modelos e teorias de enfermagem em unidades de terapia intensiva ainda é escassa, e novas perspectivas relacionadas ao treinamento de enfermagem para cuidados intensivos foram encontradas
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Wang, Jianmiao, Yuanyuan Chen, Yuping Zhang, Mei Li, and Jingfen Jin. "Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial." BMJ Open 10, no. 9 (September 2020): e037391. http://dx.doi.org/10.1136/bmjopen-2020-037391.
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IntroductionStroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for the effectiveness of rehabilitation nursing, however, is limited. Thus, this study seeks to explore whether rehabilitation nursing is not inferior to usual rehabilitation for motor functional recovery in patients with acute ischaemic stroke.Methods and analysisWe will conduct an assessor-blinded parallel randomised controlled trial of patients who meet the inclusion criteria after stratification by weighted corticospinal tract lesion load. The experimental group will receive rehabilitation nursing by trained and qualified nurses (seven consecutive days, two sessions per day, 30 min each session). The control group will receive usual rehabilitation provided by therapists (seven consecutive days, two sessions per day, 30 min each session). The primary outcome measures are the Motor Assessment Scale, the Fugl-Meyer Assessment and the Action Research Arm Test. The secondary outcome measures are the modified Rankin Scale, the modified Barthel Index and the National Institute of Health Stroke Scale. Primary and secondary outcome assessment will be performed before and after the intervention, and secondary outcome be assessed at 4 and 12 weeks follow-up. We will recruit 224 patients within a period of 12–18 months from a hospital in southeastern China.Ethics and disseminationThe study was approved by the Human Research Ethics Committee from the corresponding author’s hospital (approval Number is Ethical Review Study No. 2018 - 112). Peer-reviewed journals and presentations at national and international conferences will be used to disseminate the results.Trial registration numberNCT03702452.
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Riley, Jeffrey B., Mark T. Lucas, Keith A. Samolyk, James A. Reagor, Joseph G. Timpa, Christopher N. Pierce, Thomas J. Preston, et al. "Development of the Adult ECMO Specialist Certification Examination." Journal of ExtraCorporeal Technology 52, no. 2 (June 2020): 96–102. http://dx.doi.org/10.1051/ject/202052096.
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The American Society of Extracorporeal Technology Board of Directors, consistent with the American Society of Extracorporeal Technology’s safe patient care improvement mission, charged the International Board of Blood Management to write a knowledge and skill certification examination for healthcare personnel employed as adult extracorporeal membrane oxygenation (ECMO) specialists. Nineteen nationally recognized ECMO subject-matter experts were selected to complete the examination development. A job analysis was performed, yielding a job description and examination plan focused on 16 job categories. Multiple-choice test items were created and validated. Qualified ECMO specialists were identified to complete a pilot examination and both pre- and post-examination surveys. The examination item difficulty and candidate performance were ranked and matched using Rasch methodology. Candidates’ examination scores were compared with their profession, training, and experience as ECMO specialists. The 120-item pilot examination form ranked 76 ECMO specialist candidates consistent with their licensure, ECMO training, and clinical experience. Forty-three registered nurses, 28 registered respiratory therapists, four certified clinical perfusionists, and one physician assistant completed the pilot examination process. Rasch statistics revealed examination reliability coefficients of .83 for candidates and .88 for test items. Candidates ranked the appropriateness for examination items consistent with the item content, difficulty, and their personal examination score. The pilot examination pass rate was 80%. The completed examination product scheduled for enrollment in March 2020 includes 100 verified test items with an expected pass rate of 84% at a cut score of 67%. The online certification examination based on a verified job analysis provides an extramural assessment that ranks minimally prepared ECMO specialists’ knowledge, skills, and abilities (KSA) consistent with safe ECMO patient care and circuit management. It is anticipated that ECMO facilities and ECMO service providers will incorporate the certification examination as part of their process improvement, safety, and quality assurance plans.
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Jia, Mengmeng, Jie Tang, Sumei Xie, Xiaokuo He, Yingmin Wang, Ting Liu, Tiebin Yan, and Kun Li. "Using a Mobile App-Based International Classification of Functioning, Disability, and Health Set to Assess the Functioning of Spinal Cord Injury Patients: Rasch Analysis." JMIR mHealth and uHealth 8, no. 11 (November 11, 2020): e20723. http://dx.doi.org/10.2196/20723.
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Background The International Classification of Functioning, Disability, and Health (ICF) is a unified system of functioning terminology that has been used to develop electronic health records and assessment instruments. Its application has been limited, however, by its complex terminology, numerous categories, uncertain operationalization, and the training required to use it well. Together is a mobile health app designed to extend medical support to the families of spinal cord injury (SCI) patients in China. The app’s core framework is a set of only 31 ICF categories. The app also provides rating guidelines and automatically transforms routine assessment results to the terms of the ICF qualifiers. Objective The goal of the research is to examine the suitability of the ICF set used in the app Together for use as an instrument for assessing the functioning of SCI patients. Methods A cross-sectional study was conducted including 112 SCI patients recruited before discharge from four rehabilitation centers in China between May 2018 and October 2019. Nurses used the app to assess patient functioning in face-to-face interviews. The resulting data were then subjected to Rasch analysis. Results After deleting two categories (family relationships and socializing) and one personal factor (knowledge about spinal cord injury) that did not fit the Rasch model, the body functions and body structures, activities and participation, and contextual factors components of the ICF exhibited adequate fit to the Rasch model. All three demonstrated acceptable person separation indices. The 28 categories retained in the set were free of differential item functioning by gender, age, education level, or etiology. Conclusions Together overcomes some of the obstacles to practical application of the ICF. The app is a reliable assessment tool for assessing functioning after spinal cord injury.