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Beloff, Carol. "Increasing nurse's knowledge of neonatal pain assessment through inservice education program." FIU Digital Commons, 1994. http://digitalcommons.fiu.edu/etd/1485.
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Recognizing neonatal pain is a challenge for nurses working with newborns due to the complexity of the pain phenomenon. Pain is subjective, and infants lack the ability to communicate, and their pain is difficult to recognize. The purpose of this study is to determine the effectiveness of education on the NICU nurses' ability to assess neonatal pain. With a better understanding of pain theory and the effects of pain on the newborn the nurse will be better able to assess newborns with pain. Designed as a quasi-experimental one-group pretest and posttest study, the data was collected on a convenience sample of 49 registered nurses employed in the neonatal and special care nursery units at a Childrens Hospital in the Miami area. The nurses were surveyed on the assessment of neonatal pain using the General Information and Pain Sensitivity Questionnaire. After the initial survey, the nurses were inserviced on neonatal pain assessment using a one hour inservice education program. One week after the intervention the nurse was asked to complete the questionnaire again. Data analysis involved comparision of pre and post intervention findings using descriptive methods, t test, correlation coefficients, and ANOVA , where applicable. Findings revealed a significant ( p=.006) increase in nurse's knowledge of neonatal pain assessment after completing the educational inservice when comparing the pre-test and post-test results.
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Dirwayi, Nompumelelo Precious. "Mental illness in primary health care : a study to investigate nurse's knowledge of mental illness and attitudes of nurses toward the mentally ill." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/7930.
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Bibliography: leaves 124-177.It has been suggested that globally, psychiatric disorders are not only highly prevalent and associated with significant morbidity, but that they are often not detected by clinicians working in primary health care. Despite this, few studies have investigated the level of mental health literacy among nurses and their attitudes to the mentally ill in South Africa.
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Apolinario, Priscila Peruzzo 1986. "Adaptação cultural e validação do instrumento Nurse's Knowledge of High-Alert Medication para a cultura brasileira." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/283898.
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Orientador: Maria Helena de Melo LimaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Enfermagem
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Resumo: Medicamentos de Alta Vigilância apresentam estreito risco terapêutico e possuem um maior risco de causar dano significativo ao paciente em decorrência da falha de utilização, tornando-se os medicamentos de maior preocupação quando associados aos erros de medicação. Esta definição não indica que os erros associados a estes fármacos são mais frequentes, mas que as consequências para os pacientes de um erro associado a tais medicamentos são geralmente mais graves podendo provocar lesões permanentes ou fatais aos pacientes. O conhecimento insuficiente da enfermagem é considerado um dos fatores que contribuem para o erro na administração de medicamento. O instrumento Nurse¿s Knowledge of High-Alert Medication avalia o conhecimento de enfermeiros sobre os Medicamentos de Alta Vigilância, utilizando escala dicotômica, no qual o respondente informa verdadeiro ou falso para as afirmativas dos domínios: conhecimento dos enfermeiros sobre administração e regulamentação dos Medicamentos de Alta Vigilância. Deste modo, considerando a importância da mensuração do conhecimento dos enfermeiros sobre os Medicamentos de Alta Vigilância na oferta de serviços com qualidade e segurança ao paciente associado à inexistência no Brasil de um instrumento de medida válido com tal finalidade, o presente estudo teve por objetivo traduzir, adaptar e validar o instrumento Nurse¿s Knowledge of High-Alert Medication para a cultura brasileira e verificar a praticabilidade do instrumento traduzido e adaptado. Para desenvolver a adaptação do instrumento foi utilizado o referencial metodológico preconizado pela literatura, o qual envolve as etapas de tradução para o idioma alvo, síntese das traduções, retro-tradução, avaliação por um comitê de juízes e realização de pré-teste. Com relação às propriedades psicométricas, a confiabilidade da versão brasileira do questionário foi verificada por meio da consistência interna pelo coeficiente de confiabilidade de Kuder Richardson-20 (KR- 20) e a validade de constructo pela técnica de grupos conhecidos utilizando o teste não paramétrico de Mann-Whitney e o teste t de Student. O instrumento Nurse¿s Knowledge of High-Alert Medication traduzido e adaptado para a cultura brasileira foi considerado válido, apresentando validade de constructo discriminante (p< 0,001) e consistência interna aceitável (0,55 na parte A e 0,60 na parte B). Conclusão: A versão brasileira do instrumento Nurses¿ knowledge of high-alert medications encontrou resultados satisfatórios no processo tradução, adaptação e validação da escala, confirmando a sua adequação para estudos na área
Abstract: High-Alert Medication have narrow therapeutic risks and an increased risk of causing significant harm to the patient due to the use of failure, becoming the most concern medications when associated with the medication errors. This definition does not indicate that the errors associated with these drugs are more frequent, but the consequences for patients of an error associated with such drugs are usually more severe and it can cause permanent injury or death to patients. The insufficient knowledge of nursing is considered one of the factors contributing to the error in drug administration. The instrument Nurses 'Knowledge of High-Alert Medication evaluates the knowledge of nurses about the high-alert medication using dichotomous scale, in which the answerer states true or false to the assertions of the domains: nurses' knowledge of administration and regulation of high-alert medication. Thus, considering the importance of nurses' knowledge measurement about the High-Alert Medication in the provision of quality and safety services to the patient, associated with the lack in Brazil of a valid measurement instrument for such purpose, the present study had the aim to translate, adapt and validate the Nurse's Knowledge of High-Alert Medication instrument for Brazilian culture and verify the feasibility of the translated and adapted instrument. Order to develop this research, it was used the recommended methodological references in the literature, which includes the steps of: instrument translation into the target language, synthesis of translations, back-translation, evaluation by a committee of judges and implementation of pre-test. Regarding the psychometric properties, reliability of the Brazilian version of the questionnaire was verified using internal consistency by Kuder Richardson-20 reliability coefficient (KR- 20) and construct validity discriminant by the technique of known groups using the non-parametric test Mann-Whitney. The instrument Nurses' Knowledge of High-Alert Medication translated and adapted to the Brazilian culture was considered valid, with discriminant validity (p <0.001) and acceptable internal consistency (0.55 in Part A and 0.60 in Part B). Conclusion: The Brazilian version of the instrument Nurses' knowledge of high-alert medications has found satisfactory results in the process translation, adaptation and validation of the scale, confirming its suitability for studies in the area
Mestrado
Enfermagem e Trabalho
Mestra em Enfermagem
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Snyman, Johanna Hendrina. "Assessing the nurse's knowledge and opinions regarding the management of persons with physical disabilities in two healthcare settings in Kimberley." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6566.
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Thesis (MCur)- -University of Stellenbosch, 2011ENGLISH ABSTRACT: It generally is a problem for persons with disabilities to have barrier free access to buildings, which is their constitutional right. It is however, not only the physical facility that causes barriers for persons with disabilities but also the attitudes of the able-bodied persons. The aim of the study was to explore what opinions the nurses and persons with disabilities held in two healthcare settings in Kimberley with reference to the nursing care provided to persons with disabilities. To the researcher, it was important to gather the opinions of the nursing staff on how they saw persons with disabilities, but also to hear what they thought the problem areas in caring for persons with disabilities were. On the other hand, it was equally important to understand the persons with disabilities’ perceptions of the hospitals, nursing and what they saw as solutions to the problems. The objectives of the study were: • To determine what the opinions and knowledge of nurses working in two healthcare services in Kimberley are regarding the nursing management of persons with disabilities. • To determine what the opinions of persons with disabilities are in healthcare settings in Kimberley, with reference to the nursing care provided for persons with disabilities. Data was collected in two phases namely Phase 1 amongst the nursing staff in the private and state hospital in Kimberley and Phase 2 amongst the persons with disabilities. A list of staff members which was obtained from the Human Resource office in both the private and state hospitals were sent to the statistician Prof Kidd and who prepared a randomised list which was used for the participants in the study. The same process was followed when a list of all the people who are members of the Association for Persons with Disabilities (APD) and with the help of the statistician a randomised list was compiled from which the participants in the study were chosen. The design of this research is an explorative, descriptive non-experimental study with a quantitative approach, utilizing a structured questionnaire with closed and open ended questions. In this study it was found that the nursing staff was aware of the problems and barriers persons with disabilities encounter. The nurses, however, were aware of their own shortcomings. For example, the nurses identified the lack of training to equip them to assist the persons with disabilities during nursing care, while persons with disabilities also saw this as a problem. By addressing this shortcoming, nurses would be able to provide more holistic care. Recommendations were made based on the findings regarding the facility, perceptions, caregivers, procedures, doctors and the training of the nurses.
AFRIKAANSE OPSOMMING: Om toegang te hê tot geboue wat hulle grondwetlike reg is, is vir die meeste mense met gestremdhede ‘n voortdurende stryd. Dit is egter dikwels nie net die fisiese ontoeganklikheid van die geboue wat dit vir die persone met gestremdhede onmoontlik maak om ‘n normale lewe te lei nie, maar die houding van verpleegpersoneel wat dikwels meer ontoeganklik is as die toegang tot die geboue. Die doel van die studie was om te bepaal wat die opinies die verpleegpersoneel sowel as persone met gestremdhede het ivm gesondheidsorg in die privaat en staatshospitale in Kimberley Dit was vir die navorser belangrik om te bepaal hoe die verpleegpersoneel mense met gestremdhede sien, maar ook om hulle opinies te hoor ivm die probleme wat hulle ondervind sowel as moontlike oplossings daarvoor. Aan die ander kant wou die navorser ook weet wat die opinie van mense met gestremdhede is van die hospitale wat hulle besoek. Doelwitte van die studie was: • Om die kennis van verpleegpersoneel in die staat sowel as privaathospitale te bepaal ivm die versorging van persone met gestremdhede.. • .Om die opinies van persone met gestremdhede te bepaal tov die verpleegsorg in die staat sowel as privaathospitale in Kimbelrey. Data is in twee fases versamel. In Fase 1 was die verpleegpersoneel in beide die staat sowel as die privaathospitaal ingesluit en in Fase 2 was die deelname van die persone met gestremdhede verkry. Nadat ‘n personeellys van die Menlike hullpbronafdeling van beide hospitale verkry is, is dit aan die statistikus, Prof Kidd gestuur is vir steekproefneming. .Die persone met gestremdhede is genader nadat ‘n lys van die Assosiasie vir persone met gestremdheide (APD) verkry is. Die lys is deur die statistikus herrangskik,en die personeel en persone met gestremdhede is gevra om deel te neem aan die studie na aanleiding van die orde op die lys, nadat hulle ingligting ontvang het en toestemming geteken het vir deelname aan die studie. Die studie is eksploratief, beskrywend en nie-eksperimenteel van aard met ‘n kwantitatiewe benadering. Gestruktureerde vraelyse wat oop en geslote –einde vrae bevat het, is gebruik.. In die studie is bevind dat die verpleegpersoneel bewus was van die leemtes in die versorging van persone met gestremdhede. Een van die leemtes wat geïdentifiseer is, was dat verpleegsters nie formele opleiding ontvang in die versorging van persone met gestremdhede nie. Die persone met gestremdhede het ook hierdie leemte identifiseer. Deur hierdie leemte aan te spreek behoort verpleegpersoneel ‘n meer holistiese versorging aan persone met gestremdhede te lewer. Aanbevelings wat gemaak is, is gebasseer op die bevindinge in die studie en sluit in: fasiliteitt, persepsies, versorgers, prosedures, dokters en die opleiding van verpleegsters.
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Tsung, Pui-kee Peggy. "Nurses' role in smoking cessation knowledge, attitudes and behaviours /." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B26294825.
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Davis, Geraldine. "Bioscience knowledge and the registered nurse : an exploratory study of nurses starting a Nurse Prescriber programme." Thesis, University of Leicester, 2009. http://hdl.handle.net/2381/4135.
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Registered nurses entering a Nurse Prescriber programme participated in a mixed methods case study to explore the extent of their bioscience knowledge and the confidence with which that knowledge was held. Forty two Nurse Prescriber students, aged 26 – 55 years, from a range of job roles were recruited. Using questionnaires and interviews, both quantitative and qualitative data were obtained. An examination of the Nurse Prescribers’ views of pre-registration nursing demonstrated that the knowledge gained had been related to practice but had been both superficial and lacking in breadth. The bioscience in pre-registration programmes had not sufficiently prepared the participants for their roles as registered nurses. The importance of experiences gained as a registered nurse in the practice setting in the learning of bioscience was strongly emphasised. Participants reported greater learning of bioscience by informal methods such as work experience, use of books and the Internet and discussion with colleagues than from experiences in the classroom. Interviewees placed particularly strong emphasis on the importance of learning from medical colleagues. The role of post-registration programmes emerged as important in learning bioscience because it related to the job role. Post-registration courses also emerged as significant in giving confidence to the registered nurse. Confidence increased not just in terms of the knowledge held, but also in terms of nurses’ ability to communicate with patients, relatives, and doctors, their ability to understand nursing skills, and their willingness to admit when something was not known.
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Lee, Kelly. "Nurses survey responses about knowledge of nurse practice councils at St. Paul’s Hospital." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/31253.
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This electronic survey study was designed to examine the perceptions, knowledge and commitment of nursing staff regarding shared governance (Nurse Practice Council) at St. Paul’s Hospital (SPH). A cross-sectional survey design was used in this study. The study was conducted in the summer of 2010 at St. Paul’s Hospital, a tertiary hospital in Vancouver, B.C. A 114 nurses participated in the survey who were eligible and agreed to participate in the study. An electronic standardized SG survey was used to collect data for this study. The survey used Likert-like questions to measure the nurses’ perception, knowledge and commitment to the Nurse Practice Council (NPC). Additionally a small number of open-ended questions were used to verify the data from the Likert-like responses. Descriptive statistics were used to measure the level of perception, knowledge and commitment of nurses toward the Nurse Practice Council.
Finally content analysis was employed to analyze the nurses’ responses to the open-ended questions.
The SG study findings suggest: (1) Staff at SPH supports NPC and has a positive perception of NPC; (2) Staff members do not have enough knowledge about the NPC; and (3) Staff is not sure if administration at SPH is committed to the work of the NPC.
The findings also indicate that staff believes the NPC has the potential to make a difference by increasing frontline nurse staff involvement, through education and awareness. Additionally leaders require education in order to increase administrative support and indirectly improve frontline attendance.
Results of the one-way ANOVA showed that knowledge of NPC was statistically significant and varied according to practice area. However, no significant results were identified when examining perceptions and commitment according to practice area.
In considering the literature that suggests perceptions, knowledge and commitment are essential in the implementation and sustainment of SG, it is surprising that the only significant result was knowledge. These findings indicated that more work is required to improve nurses’ perceptions of NPC, moreover improving the commitment level of staff to SG and the NPC.
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Price, Carly S. "Nurses' Knowledge of Eating Disorders." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/honors/319.
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Eating Disorders are a range of disorders marked by abnormal eating habits. These habits can often have a detrimental effect on the body and have the potential to complicate acute medical problems if they are a pre-existing condition. Due to this, it is important that members of the healthcare team be aware of the nature of these disorders from both a physical and mental health perspective in order to provide the best, most holistic care. In this study, individuals with nursing experience in acute medical and acute psychiatric care were asked 11 questions concerning the assessment and knowledge of eating disorders along with demographic information such as age, area of practice and years of experience. The results of this study showed the average score of the questions involving treatment (7-11) were higher than that of the assessment questions (1-6) and that years of practice experience had no correlation, positive or negative, to overall score. These findings are consistent with the literature that suggests that nurses could potentially benefit from additional education regarding their disorders and their unique presentation, as it can be inferred that years of practice alone does not determine competency in the area especially, according to this study, in terms of assessment and identification.
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McDaniel, James Trone. "Improving Nurses' Knowledge of Stroke." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2497.
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Stroke is a devastating disease. Stroke care has advanced greatly in the past 20 years with innovations in radiologic imaging, development of tissue plasminogen activator (tPA), organized systems of care, telestroke, and best practice guidelines via Get with the Guidelines Stroke (GWTGS). However, stroke remains the 5th leading cause of death in the United States. To provide current and quality care for stroke patients, nurses need ongoing stroke education. Additionally, stroke centers must provide a sustainable stoke education program to their nurses to keep their knowledge current. Guided by Rosswurm and Larrabee's model, this quality improvement project addressed whether an educational program based on evidence in GWTGS could increase nursing knowledge of stroke. A convenience sample of 50 medical-surgical nurses from a stroke telemetry unit participated in this program. Nursing knowledge was assessed by using a student-developed tool based on the GWTGS best practice evidence to evaluate for increased knowledge regarding stroke and stroke management. Using simple descriptive statistics, the percent difference from pretest to posttest was calculated. The results revealed a 16.79% increase in nurses' knowledge. The practicum organization therefore adopted the program. Implications for nursing practice and social change include organizations adopting the educational program as a sustainable learning opportunity for nurses in regards to stroke care.
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France, Wanda F. "Psychiatric Nurses' Knowledge of Suicide Prevention." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7226.
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Suicide is a major health concern worldwide. Nurse practitioners must possess suicide assessment skills and treatment knowledge to ensure appropriate identification of persons with suicidal ideation. The purpose of this project was to assess psychiatric nurse practitioners' knowledge of suicide prevention in rural Kentucky. The conceptual framework was Orlando's nursing process theory, which emphasizes the importance of nurse-patient interaction. A 13-item survey of suicide-related knowledge and skills was administered to 10 psychiatric nurse practitioners in rural Kentucky. Only 3 participants responded correctly to a question related to suicidality in persons with borderline personality disorder. Regarding competency and support for assessing suicide, 100% of participants reported that they were comfortable asking direct and open-ended questions regarding suicide. Nine of the 10 respondents assessed their knowledge and skills as sufficient to engage effectively with patients contemplating suicide, which indicates that psychiatric nurse practitioners may overestimate their ability to identify and treat persons with suicidal ideation. Healthcare providers in all specialties can benefit from this project by improving competencies and guiding continuing education to bridge any gaps in knowledge for adequately assessing suicide. Further education is needed for psychiatric nurse practitioners to promote positive social change for suicidal persons, their families, and their communities.
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Mbonifor, Patience Sirri. "Improving Breastfeeding Knowledge of Staff Nurses." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4231.
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The World Health Organization advocates that newborn babies require exclusive breastfeeding until 6 months of age to attain a desired level of growth. Despite this recommendation, exclusive breastfeeding rates continue to be at low levels globally. The purpose of this DNP project was to examine best practices for increasing the breastfeeding knowledge of health care workers, and to understand how breastfeeding is promoted in different healthcare systems. The Critical Appraisal Checklist and the Cochrane Handbook for Systematic Reviews framed this systematic literature review. Additionally, Melnyk's levels of evidence was used to evaluate each article. Articles for inclusion were limited to adults over the age of 18, nurses as providers, and literature published in English between 2012 and 2017. Keywords used in the literature search included breastfeeding promotion, breastfeeding support, breastfeeding outcomes, and breastfeeding education. The search identified 159 articles, of which 40 were selected for the final review. Twenty-two articles met the criteria for levels V-VI (qualitative), 11 met the criteria for levels III-IV (case control or cohort), 1 met the criteria for level II (randomized control trials), and 6 were level 1 (systematic review). The analysis of evidence demonstrated the importance of exclusive breastfeeding and led to the development of breastfeeding education recommendations. The recommendations will be presented to the organization and will provide nurses with the tools to support breastfeeding education. Application of the findings may lead to social change because new mothers will receive enhanced breastfeeding information, which will result in higher rates of breastfeeding of newborns and increased benefits for both infants and mothers.
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Demitropoulos, Stacy M. "The extent of knowledge on the death and dying process as perceived by senior nursing students /." abstract and full text PDF (UNR users only), 2007. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1451073.
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Thesis (M.S.)--University of Nevada, Reno, 2007."December 2007." Includes bibliographical references (leaves 24-25). Library also has microfilm. Ann Arbor, Mich. : ProQuest Information and Learning Company, [2008]. 1 microfilm reel ; 35 mm. Online version available on the World Wide Web.
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Alcorn, Patricia A. "Nurses' knowledge and perceptions related to computerization." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/692.
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Will, Constance Irene. "Portraits of nursing knowledge, contemplating nurses' lives." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ58909.pdf.
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Barker, Janet H. "The nature of mental health nurses' knowledge." Thesis, University of Nottingham, 2002. http://eprints.nottingham.ac.uk/12339/.
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There is a need to develop a clear understanding of the knowledge used by mental health nurses in day to day practice. Knowledge relating to holistic/therapeutic activities form the basis of mental health nurse education, however various studies have consistently shown the majority of mental health nurses activity relates to administrative and routine tasks and containment. This disparity between the knowledge bases prescribed, those described and the inability of education reforms to resolve such inconsistencies suggests other influences are at work. Concepts of power and knowledge figure largely in the evolution of nursing per se and mental health nursing in particular. Michel Foucault proposes that power forms knowledge and produces discourses. A body of knowledge is not formed by a `subject who knows' but rather through the processes and struggles that transverse that subject. Thus mental health nurses do not produce a regime of knowledge but rather power relations inscribe on the nurse and sustain forms/domains of knowledge. To gain access to these inscribed knowledges two approaches are adopted and integrated - Genealogy and Q-methodology. Genealogy provides a detailed account of the power relations surrounding mental health nursing and the knowledge bases programmed by these. These power relations are evident in the discourses concerning mental health nursing generated by psychiatrists, `nursing in general', and society. The Qmethodology facilitates the identification of subjectivities in relation to the knowledges inscribed on mental health nurses. The knowledges programmed by the power relations and evident within the subjectivities relate to mental health nurses' regimes of practice as `doctors' assistants', `controller of patients, environment and self, and `therapeutic activities'. It is proposed that mental health nurses' knowledge is task orientated, related to `knowing how' to do things rather than the `knowing that' of evidence based practice.
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John, Suja Merin. "Assessing Knowledge of Evidence-BasedPractice among Nurses." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2090.
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Evidence-based practice (EBP) is used worldwide to improve the quality of patient care to provide cost-effective care. EBP is a mandate for nursing practice combining individual clinical judgment with available expertise to generate a positive outcome for the patient. Investigators have documented that nurses have varying degrees of confidence and knowledge about EBP. The purpose of this project was to improve knowledge of EBP among registered nurses (RNs). The ACE Star Model of Knowledge transformation was used as the conceptual model. The key project question was to assess the level of knowledge and confidence about EBP among RNs in a cardio-thoracic (CT) intensive care unit (ICU) before and after viewing a computer-based EBP educational module. The quasi-experimental project used a 1 group pretest-posttest design. In the pretest, a convenience sample (n = 29) completed ACE-ERI competencies to self-assess confidence in EBP and an EBP Knowledge Test. The participants then viewed an EBP educational module based on major steps in EBP practice. Afterward, they repeated both tests. As a group, the paired t test showed a significant increase in scores for the ACE-ERI competencies between pretest and posttest scores. Using the Wilcoxon Signed Rank Test, knowledge scores increased but were not statistically significant. These findings suggested that there was improvement in both confidence and knowledge supporting the use of the educational module. In order to effectively implement EBP, nurses require knowledge to assess the quality and evidence for improved patient outcome. These results can guide administrators and educators to enhance RN EBP by the use of educational modules to improve the quality of patient care creating positive social change.
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Davis, Janie. "Attitudes and Knowledge of Nurses Regarding Herbal Medications." TopSCHOLAR®, 2002. http://digitalcommons.wku.edu/theses/651.
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Much information has been published regarding herbal medication use. However, information is limited on how nurses incorporate this information into their practice, communicate information to the client, or collaborate with physicians to prevent drug/herbal interactions. The purpose of this study is to explore the attitudes and knowledge of nurses regarding the use of herbal remedies at various levels of practice. According to Henderson's Theory of Basic Care Components, the nurse has a responsibility to assess client needs, help clients meet health needs, and provide a safe environment for the client to perform activities unaided. These interventions help the client become complete, whole and independent. These skills are blended when teaching about herbal/drug interactions. A convenience sample of RNs and LPNs (n=51) from a southern Kentucky hospital was used in this study. After informed consent was obtained, a researcher developed questionnaire with 15 knowledge-based, multiple choice questions and 10 attitude-based, Likert scaled questions were given. The study was conducted using a preand posttest design with an educational in-service intervention. Sample demographic data revealed 96% to be female, with a mean age of 39.2 years, 53% hold an ADN, 16% a BSN, and 4% a MSN. Average years of experience were nine years. Chi-squared tests showed no significance as a function of age, gender, education, years of experience or area of practice in baseline knowledge. T-tests for related samples revealed a change in mean score from 9.0 on the pre-test to 12.0 on the post-test. (T=8.63) (p=0.001). Further research in this field is needed before generalization can be made. Consumers use herbal medications to reduce health care costs. Knowledge of herbal medications can prevent dangerous interactions with prescription medications.
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Wong, Michelle. "Medical nurses' knowledge and attitudes regarding pain management." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/43786.
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Unrelieved pain is one of the most common complaints by medical patients and can greatly affect their health outcomes and quality of life. Medical patients account for a large portion of hospitalized older patients and pain is widespread among this population. Nurses spend the most time with patients and are well placed to assess and effectively manage the patient’s pain, however nurses’ poor knowledge and attitudes regarding pain management can significantly hindered patients’ pain management outcomes.
This study explored nurses’ knowledge and attitudes regarding pain management on the medical units in a hospital located in Vancouver, BC. There were 75 nurses who completed the “Pain Questionnaire.” The study revealed moderate (69.04%) knowledge and attitudes about pain management from the knowledge and attitudes survey regarding pain. Registered nurses and bachelors prepared nurses were found to have statistically significant higher pain knowledge levels and attitudes. Knowledge deficits were found in the areas of underestimation of pain, pharmacology, addiction, withdrawal, substance abuse, and cancer related pain. Nurses have been shown to attribute less pain to patients suffering from chronic conditions than to those suffering from acute conditions. Pain associated with diabetes and renal diseases, chronic conditions often found in aging adults, were viewed the most negatively. A focus on changing the culture of care, and towards evolving the nursing practice to one of more accountability for pain management, will enhance nurses’ knowledge and attitudes regarding pain, and most importantly will reduce patient pain and improve quality of care.
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Miller, Amie Jacqueline. "Hospice Nurses- Attitudes and Knowledge about Pain Management." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4165.
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It has been well established that many people will suffer with pain at the end of life, and untreated pain contributes to reduced quality of life. Many barriers contribute to this issue including a lack of knowledge in nurses who care for dying patients. Many nurses in general practice settings do not possess adequate knowledge about basic pain management principles; and the same may be true about hospice nurses despite the assumption that hospice nurses are more adept at pain management. Contributing to this problem may be the attitudes that nurses, including hospice nurses, have regarding pain and its management. This study sought to identify the knowledge levels of hospice nurses. Because attitudes may affect the delivery of effective pain management, the study also sought to determine attitudes of hospice nurses regarding pain and its management. Thirty-five hospice nurses completed two instruments: The Pain Management Principles Assessment Test measured levels of knowledge and the Nurses Pain Management Attitude Survey determined attitudes. Data was analyzed using means, standard deviations, frequencies and percentages. A correlation between knowledge level and attitude was also calculated, along with a correlation between knowledge level and certification status. The overall mean knowledge score for the nurses studied was 21.74 (72.3%), which falls below accepted standards. The mean attitude score found was 82.34, which demonstrates only slightly positive attitudes. These findings support the idea that knowledge and attitude are not synonymous and that a nurse may have a positive attitude about the management of pain, without sufficient knowledge to effectively alleviate pain. It is often said that hospice nursing is a calling, and these are the nurses who are at the forefront of pain management. This study demonstrates that slightly more positive attitudes may indicate that this group of nurses is motivated to gain a better knowledge base. This should motivate hospices and other education institutions to incorporate more specific instruction regarding pain management into their curricula. Despite some common misconceptions pain does not have to be an unavoidable part of life, and with a better knowledge base hospice nurses could more effectively deliver compassionate, expert care.
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Addison, Camilla. "Nurses' knowledge of SUPC and Safe Newborn Positioning." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1554989784669556.
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Berquist, Melissa Renee. "Uncaring Nurses: Violence in Academia." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35693.
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Workplace violence is an area of increasing concern worldwide. Issues of violence are well documented in nursing. To address this, a better understanding of the culture of nursing academia is required. Problems of incivility are reported between students, between students and faculty, and between faculty and faculty. The purpose of this study is to increase understanding of faculty to faculty violence in nursing academia. Guided by a theoretical framework incorporating the perspectives of Mason and Foucault and specifically on the concepts of violence, power, knowledge, difference and resistance, this study focuses on aspects of the social and cultural work environment, and organizational policies and procedures influencing workplace violence between faculty members. Using principles from critical ethnography, the research was conducted within three schools of nursing at universities in eastern Canada. Data collection included 29 semi-structured interviews with nursing faculty, key informants (including representation from management, human resources, support staff and human rights office) and mute document review. Three major themes emerged: the academic apparatus, experiencing academia, and coping mechanisms. Nursing academic culture is divergent, exhibiting fierce competitiveness and elitism, intertwined with pockets of support and resilience. Faculty identified diverse personal and professional strategies employed to withstand the challenges. Need for change was expressed by some faculty and managers. These findings may inform the efforts of faculty and management seeking transformation to a less competitive and elitist culture.
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Kam, Yuen-ching. "Medical Nurses' knowledge, attitudes and barriers in pain management /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38295830.
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Knopp, Anna Marie. "Nurses' knowledge of heart failure education guidelines in a Western Montana hospital." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2009/knopp/KnoppA0509.pdf.
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叢珮琪 and Pui-kee Peggy Tsung. "Nurses' role in smoking cessation: knowledge,attitudes and behaviours." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B26294825.
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Al, Shidi Amal. "Pressure ulcer management in Oman : nurses' knowledge and views." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7635/.
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Background: Pressure ulcers (PrUs) have a significant impact on health system expenditure and patient’s quality of life. It is a global problem. Many studies were undertaken in regard to PrU prevention and management. In Oman, no studies have been conducted to investigate nurses’ knowledge on prevention and management of PrUs. The purpose of this descriptive sequential explanatory mixed-method study was to explore the nurses’ level of knowledge in relation to prevention and management of PrUs in Oman. Methods: A mixed method design was used and the study was conducted over two Phases. In Phase I, a questionnaire was developed to explore nurses’ knowledge on PrU, policy, and resources. The main section of the questionnaire was the Pieper-Zulkowski Pressure Ulcer knowledge test (PZ-PUKT) which tests the knowledge on PrU. Another two sections were developed including questions about wound policy and resources available for PrU prevention and management in Oman. The questionnaire was distributed to nurses who were working in surgical, medical, orthopaedic, CCU, and ICU wards/units in seven hospitals. In Phase II study, semi-structured qualitative interviews were conducted with 16 of the questionnaire respondents. Interviews took approximately 30 minutes, were recorded and transcribed verbatim. Qualitative data were analysed using the Knowledge, Attitudes and Practice (KAP) model as the a priori framework. Results: In Phase I, 478 questionnaires were analysed. The knowledge test results showed the overall mean percent score for correctly answered questions was 51% suggesting a low level of knowledge. There was a significant relationship between nurses’ knowledge and age (P=0.001) and between knowledge and years of experience (P=0.001) with knowledge increasing with age and years of experience. In Phase II, four themes were identified from the interviews: knowledge, attitude, and practice (framework themes) and perception of role. Findings indicated positive and negative attitudes towards the care of PrUs. Some nurses stated feeling rewarded when they see wounds improving while others said they could not work with patients independently because they lacked the knowledge and the skills needed. There was variation in the management of PrU between hospitals. Both studies indicated that the wound management policy did not include enough information to guide nurses. Conclusion: Overall the nurses’ level of knowledge on PrU was relatively low. Most nurses were not familiar with wound management policy or different PrU prevention and management strategies. Nurses are aware of the risk of PrUs and try their best to manage them with the available resources however more training is required.
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Kam, Yuen-ching, and 金琬瀞. "Medical Nurses' knowledge, attitudes and barriers in pain management." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B45012088.
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Slyne, Holly. "Enhancing nurses' knowledge and application of infection prevention practices." Thesis, University of Northampton, 2012. http://nectar.northampton.ac.uk/8885/.
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Chen, Mei-Yuh 1963. "Taiwanese nurses' knowledge and attitudes toward persons with AIDS." Thesis, The University of Arizona, 1993. http://hdl.handle.net/10150/278276.
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The purpose of this descriptive study was to describe Taiwanese nurses' knowledge about and attitudes toward persons with AIDS (PWAs). One hundred and two subjects were recruited from three large medical centers in Taiwan during December, 1992 and January, 1993. A backtranslated Chinese version AIDS Vulnerability Survey (AVS) was used to measure Taiwanese nurses' knowledge of AIDS and attitudes toward persons with AIDS. Findings of this study indicated that Taiwanese nurses lack knowledge of AIDS, have negative attitudes toward PWAs, and perceived themselves highly vulnerable to AIDS. A positive relationship was found between attitudes toward PWAs and length of work experience (r = -.28, p ≤ .05). Significant differences were found between marital status and attitudes toward PWAs (t = -2.58, p ≤ .05), indicating that married nurses had more positive attitudes toward PWAs than single nurses.
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Cooper, Misty. "Improving Nurses' Knowledge of Central Line-Associated Bloodstream Infection." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6190.
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Central line-associated bloodstream infections (CLABSI) are usually attributable to suboptimal line insertion, care, or maintenance and are associated with poor patient outcomes. Nursing plays a pivotal role in preventing CLABSI, because nurses are generally responsible for the routine care and maintenance of central lines. The purpose of this project was to determine if CLABSI nursing education and demonstration-based competency could improve nurses' knowledge on a neurology unit as compared to current practice of an annual e-learning module as the sole source of nurse education. This project was informed by Lewin's planned change theory and involved changing behaviors, attitudes, and practices of nurses via a conducive approach consisting of three phases: unfreezing, movement, and refreezing. To have a foundation in evidence, expert literature supports the project. Participating nurses attended an educational session consisting of a presentation and demonstration-based competency of central line dressing change technique. A pre- and post-test were administered; the mean pretest score was 72.1% and the mean posttest score was 94.1%. Comparison of pre- and post-test scores reflect a 22% increase in test scores, therefore, this program increased knowledge. This project can contribute to positive social change by improving nursing practice through increasing nurses' knowledge of proper care and maintenance of central lines, which can translate into evidence-based practice changes and improve patient outcomes.
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McLaughlin, Marie Anne. "Knowledge and attitudes of paediatric nurses related to breastfeeding." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/46121/1/Marie_McLaughlin_Thesis.pdf.
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Introduction: Almost 90% of Australian mothers are exclusively breastfeeding when they discharge from maternity hospitals but by six months of age breastfeeding infants have reduced to 32% nationally and 19% in Queensland, far below the national target of 80%. Many factors influence the choice to breastfeed, including health care provision, therefore the knowledge and attitudes of paediatric nurses have the potential to affect breastfeeding duration.
Aims: To assess current breastfeeding knowledge and attitudes of paediatric nurses in metropolitan and regional Queensland settings.
Method: The study used a cross-sectional survey design. The tool was developed from several documented health professional questionnaires about breastfeeding, with permission from authors. Survey items relating breastfeeding physiology, factors relating to breastfeeding success, and local, national and international policies were also included. Ethics approval was granted from the appropriate Ethics Committees to conduct the survey through tertiary metropolitan and regional hospital settings.
Results: A total of 241 surveys were returned, achieving a response rate of 53%. Nurses acknowledged breastmilk as the best source of nutrition for infants (99%, n=238) and that mothers should be encouraged to breastfeed (92%, n=221). However, many respondents considered infant formula a nutritional equivalent (44%, n=105) and (47%, n=113) were unaware that supplemental formulas interfered with successful breastfeeding. Most nurses recognised that stress (e.g. infant hospitalisation) impacts on the success of breastfeeding (90%, n=216). Knowledge of breastfeeding anatomy and physiology was poor and a substantial number of nurses did not identify correct attachment in response to two diagrammatic representations (76%, n=183 and 45%, n=109). Survey results demonstrated deficiencies in knowledge that would impact on support provided to breastfeeding mothers. Knowledge deficits were also identified relating to local, national and international policies and protocols concerning breastfeeding and breastmilk substitutes.
Conclusion: Breastfeeding knowledge and attitudes were exceptional in areas related to general breastfeeding knowledge. However, in areas directly related to nursing practice, considerable deficits in paediatric nurses' knowledge and attitudes were identified. Lack of appropriate skills, knowledge and varying attitudes amongst paediatric nurses has the potential to negatively impact on the education, advice and support provided to breastfeeding mothers and their families whilst their infant is in hospital. These study findings will guide future research and strategies to improve knowledge and policy statements to assist paediatric nurses in fulfilling their role.
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Hughes, Lynn Janine. "Nursing Faculty Attitudes, Knowledge and Practice of Therapeutic Touch." Thesis, Montana State University, 2005. http://etd.lib.montana.edu/etd/2005/hughes/HughesL0805.pdf.
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Therapeutic touch is increasingly recognized as a nursing intervention that complements traditional medical care. Few studies specifically address nursing faculty perspectives on therapeutic touch and whether faculty include therapeutic touch theory or skills content in courses they teach. The purpose of this study was to describe nursing faculty attitudes, knowledge and practice of therapeutic touch. In addition, barriers to practicing or teaching therapeutic touch were identified. A survey (n=23) of nursing faculty teaching undergraduate students was conducted in a university-based nursing program. Faculty were in agreement about incorporating content on the theory of therapeutic touch into nursing curricula. Over 85% of faculty thought that patients could benefit from therapeutic touch and that therapeutic touch holds promise for treatment of disease. Nearly 74% of faculty thought that clinical nursing care should integrate the use of therapeutic touch. Few (30%) had received formal therapeutic touch education. Over half (56.5%) desired more education about therapeutic touch but primarily for the purposes of personal knowledge and teaching nursing students rather than for practicing therapeutic touch. The primary barrier to using therapeutic touch in practice was identified as lack of staff training. The most important perceived barrier to incorporating therapeutic touch practice into nursing curricula was lack of faculty training. Current faculty knowledge of therapeutic touch, in this sample, lingers behind interest, suggesting an environment ready for change. Identifying faculty attitudes, knowledge and practice of therapeutic touch could have an impact on inclusion of therapeutic touch in future nursing curricula. Understanding faculty desire for therapeutic touch education could help in faculty development critical to integrating therapeutic touch in curricula and practice. A nursing college that incorporates therapeutic touch demonstrates commitment to a holistic nursing environment.
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Maglanque, Maria Jannette. "Cardiac nurses' knowledge, assessment practices and management of postoperative pain." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/63761.
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Background: Pain is an important stressor for postoperative patients and remains an issue this present day. Postoperative patients continue to report moderate to severe postoperative pain following cardiac surgery. Acute postoperative pain that is not treated appropriately could potentially progress into postsurgical chronic pain which would significantly impact an individual’s overall quality of life. Nurses are at the frontlines providing direct patient care and play a major role in pain assessment and pain management, however, barriers exist that prevent postoperative patients from receiving effective pain relief. Purpose: To understand cardiac nurse’ postoperative pain knowledge, pain assessment practices and pain management in the context of cardiac surgical patients. Sample/Methods: This was a mixed methods design that was conducted on two cardiac surgical units in a tertiary hospital located in British Columbia. There were 63 nurses who accessed the online survey. Results: The findings revealed nurses have moderate pain knowledge with scores ranging from 56.1% to 91.1%. Nurses education level, experience level and age had no impact on their knowledge scores. Conclusions: A majority of nurses reported adequate pain knowledge in assessment and management, however, knowledge gaps exist in terms of pain assessment, neuropathic pain and chronic pain.Applied Science, Faculty of
Nursing, School of
Graduate
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Stokes, Yehudis. "Exploring Nurses' Knowledge and Experiences Related to Trauma-Informed Care." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/35223.
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Background:
Recognition of the significance of psychological trauma and its impact on individuals, families, communities, and society at large has greatly expanded over the past 20 years, calling for the need to develop both trauma-sensitive and trauma–responsive services. Nurses, as direct care providers who work within a holistic perspective, are positioned to play an integral role in the advancement of ‘trauma-informed care’ within healthcare services.
Objectives:
The specific objectives of this thesis were: a) to describe the use of social media (Facebook and LinkedIn) in the recruitment of Registered Nurses for an online survey, and b) to explore and describe the understandings and experiences related to trauma and trauma-informed care among nurses that scored the highest on this scale.
Method:
This was a two-phase study design using mixed methods. Phase One consisted of an online quantitative self-report survey. Participants were recruited via social media with the aim of examining nurses’ attitudes related to trauma-informed care. Phase Two consisted of a qualitative study exploring nurses’ knowledge and experiences related to trauma-informed care. The studies were conducted using a sequential approach; that is, the target sample for Phase Two (qualitative study) was identified based on the results of the survey (Phase One).
Findings:
From the first phase of this research, I proposed that social media, and specifically Facebook and LinkedIn, offer suitable platforms for recruiting a diverse sample of Registered Nurses to complete an online survey. Associated advantages and challenges as well as specific differences between Facebook and LinkedIn as recruitment platforms should be considered when incorporating these strategies. Four main categories emerged from the second phase of the research: “(Not)Knowing Trauma-Informed Care”, “Conceptualizing Trauma and Trauma- Informed Care”, “Nursing Care in the Context of Trauma”, and “Dynamics of the Nurse-Patient Relationship in the Face of Trauma”. These findings highlight important considerations for trauma including, the complex dynamics of trauma that affect care, the importance of both knowing trauma as a concept, but also knowing how to act in response to trauma knowledge, the need to facilitate trauma-informed care beyond mental healthcare, and the parallels between nursing and trauma-informed care.
Conclusion: This Master’s thesis has explored the use of a novel survey recruitment strategy as well as emphasized the need for nurses and organizations to incorporate trauma-informed principles in the services they provide, and in their cultures as a whole. This research reinforces that the discipline of nursing is aptly situated to apply tenets of trauma-informed care and that we must further the progression of trauma-informed care in practice, policy, education, and research.
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Yeung, Mei-chung, and 楊美忠. "Nurses' knowledge, attitudes and roles regarding advance directives inHong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B39724980.
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Capps, Patricia A. "Assessing Lyme disease knowledge of Indiana local health department nurses." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1048370.
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Lyme disease is a multisystemic, infectious disease caused by the tick-borne spirochete Borrelia burgdorferi. The CDC designated LD as a reportable disease in 1990 and evidence suggests underreporting of the disease in Indiana. Local health department nurses have a major role in the areas of disease recognition, reporting, and education about LD. The present study assessed local health department nurses' knowledge of LD to determine their competence as LD educators.The study consisted of 428 nurses in 92 counties and three cities with independent health departments who were mailed a questionnaire containing 30 multiple-choice and/or true/false questions. Twenty-four nurses participated in a pilot study to establish the reliability of the instrument.The results were: (1) nurses did not differ in knowledge regardless of their duties, (2) urban and rural counties did not differ in knowledge, (3) experience did not make a difference in knowledge, and (4) less educated nurses were more knowledgeable. The nurses were least knowledgeable about LD reporting criteria, late stage symptoms, and and description of EM and most knowledgeable about prevention. The following are some of the recommendations suggested: more research with nurses on vector- borne diseases, better dissemination of information from CDC and ISDH, inservice programs for nursing personnel, and educational materials to distribute to the public.School of Nursing
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Jönsson, Amanda, and Erica Engman. "Pressure ulcer prevention in Ghana : What is the nurses´knowledge?" Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-68.
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Background Although Pressure ulcer is common in high and middle income countries it is rarely researched in low income countries. Evidence based interventions of pressure ulcer prevention are developed but the gap between the evidence and the clinical practice is wide. Aim Describe the nurses‟ knowledge about pressure ulcer prevention at a provincial hospital in Ghana. Design An empirical qualitative approached was used and semi-structured interviews were made with nurses at the Kwahu Governmental Hospital in Atibie, Ghana. A content analysis and a deductive content analysis were used to analyze the material. The evidence based interventions suggested by the North American Nurses Association (NANDA) was used as a theoretical framework. Result / Conclusion The themes Pressure ulcer prevention and Nurses‟ knowledge were found. Most of the evidence based interventions were mentioned by the participants. However, the participants explained massage as a preventive intervention although the evidence advice against massage. The participants did not mention any interventions considering documentation and nutrition. Further the nurses explained that they achieved their knowledge in school by practical demonstrations and examinations. The nurses‟ opinion was that their knowledge is enough to prevent pressure ulcers.Röda Korsets sjuksköterskeförening stipendium 2011
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Hays, Katherine. "Advanced Practice Nurses Knowledge and Use of Fall Prevention Guidelines." Otterbein University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1428416895.
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Herman, Julie L. "Nurses' pain management knowledge and patient outcomes related to pain." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/464.
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Adams, Sharon L. "Nurses Knowledge, Skills, and Attitude Toward Electronic Health Records (EHR)." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/875.
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Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was designed to assess whether simulation training on a generic electronic health record (EHR) system would improve the knowledge, skill, and attitude of nurses with little or no experience with EHR. A convenience sample of nurses (n = 13) unfamiliar with EHR was obtained by posting flyers in long-term care or home health agencies. The nurses completed the P.A.T.C.H. assessment scale v. 3 (2011) before and after participating in the one-time simulation training on EHR. Scores on the P.A.T.C.H. were calculated according to the established scoring system and revealed a positive increase nurses' attitude and self-efficacy toward the EHR system. Posttest scores yielded an increase ranging from 0.5 to 5 points from pretest scores, with an average pretest score of 54.23 on a scale of 0-100. The results of this project are consistent with the literature and current research and illustrate the importance of addressing the need for interactive training. This project contributes to social change in practice by enhancing the awareness of EHR in nurses who are new users of IT and promoting the adoption of technology in healthcare.
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Winbush, Deborah. "Correctional Nurses' Knowledge and Perceptions of Methicillin-Resistant Staphylococcus aureus." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/366.
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Since 1999, Methicillin-resistant Staphylococcus aureus (MRSA) outbreaks have occurred in many correctional facilities. Even after the Federal Bureau of Prisons developed clinical practice guidelines on the management of MRSA within correctional facilities, the prevalence of MRSA decreased only insignificantly. Other researchers suggested infection control compliance was equally as important as developing clinical practice guidelines in reducing the incidence of MRSA. Several studies identified the healthcare professionals' nonadherence and inconsistencies to clinical practice guidelines as contributors to MRSA transmission. Accordingly, this project was designed to develop evidence-based recommendations for improving nurse professionals' adherence to MRSA practice guidelines in correctional settings. Using the health belief model as the theoretical framework, this project examined the nurse professionals' perceptions as well as their level of knowledge regarding MRSA by using an original instrument, Knowledge and Health Beliefs Regarding MRSA Questionnaire. The study employed a quantitative design with a purposeful sample of 36 participants using social media. Through descriptive statistical analysis, it was determined that MRSA training and education were the greatest barriers among the nurse professionals in taking MRSA preventive action (64%, n = 23). Based on the findings, assessing the educational needs of the nurse professionals must become the priority when designing infection control programs. This study contributes to social change by recognizing the potential health impact of MRSA and cautions that if public health officials do not control MRSA within correctional settings, such behavior can affect the transmission of MRSA both nationally and globally.
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Nwaise, Ngozi Doreen. "Empowering Nurses through Knowledge and Technology to Decrease Fall Rates." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4662.
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Falls are nurse-sensitive outcome which reflect the quality of nursing care. Nurses, therefore, have a major role to play in efforts to decrease fall rates. The objective of this project is to increase nurses' knowledge on the proper use of the CVVM as an attempt to effectively decrease fall rates. Pretest, post test, and course evaluation data were collected from 30 nurses. A descriptive analysis of the data was performed. Overall, the pretest evaluation showed that nurses had an average score of 43% in the combined assessment of their knowledge on fall prevention strategies, their use of the CVVM, and their knowledge about the hospital's policy on patient monitoring. The nurses' post test average score in the combined assessment of these measures increased to 89% after the educational training which included presentations, hands-on-training, and provision of reference materials and cheat cards on fall prevention strategies and the use of the CVVM surveillance system. Inadequate training, lack of knowledge on the utilization of CVVM surveillance, inadequate use of system resources, and noncompliance with hospital policies were the primary drivers of fall rates in this hospital. Main recommendations include training and periodic retraining of staff on fall prevention strategies; leadership involvement to ensure nurses' compliance with the use of CVVM technology and hospital policy on patient monitoring; provision of CVVM reference materials; and nursing responsibilities in patient monitoring. Social change implications of this project include that nurses are better equipped through training to prevent falls, therefore, lowering patient morbidity and mortality rates.
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Rebelo, Natalie P. "Improving Compassion Fatigue and Vicarious Trauma Knowledge for Psychiatric Nurses." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7252.
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Nurses are exposed to traumatic patients and high stress regularly; this repeated exposure can increase rates of compassion fatigue and vicarious trauma. When nurses are not properly educated about compassion fatigue and vicarious trauma, it can impact their ability to provide effective patient care and result in harmful effects including insecurity, altered cognitive functioning, loss of empathy and diminished self-esteem. This project focused on educating psychiatric nurses regarding compassion fatigue and vicarious trauma. The theory guiding the project was the Neuman's system model. Fifty-six psychiatric nurses were administered a pretest consisting of 10 multiple choice test questions. They were educated on the concepts of vicarious trauma and compassion fatigue using a presentation and handouts. After the education was completed, participants were administered a posttest with the same 10 multiple choice questions. An evaluation tool consisting of Likert-scale questions to evaluate the presentation was also completed after the posttest. The pretest and posttest scores were analyzed using a learning-scores-gained formula. The results showed that the mean pretest score was 89.2% while the posttest score was 97.1%. The aggregate score difference was 7.9, indicating a group knowledge gain of 7.3 %. The majority scores for the educational presentation evaluation were outstanding and all feedback was positive. This project would benefit nurses by increasing their knowledge on compassion fatigue and vicarious trauma leading to positive social change by improving their workplace environment and reducing nursing turnover.
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McCrow, Judy Maree. "The impact of a model of nurse education to improve knowledge and recognition of delirium in older persons by registered nurses." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/55161/1/Judy_Maree_McCrow_Thesis.pdf.
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Introduction: Delirium is a serious issue associated with high morbidity and mortality in older hospitalised people. Early recognition enables diagnosis and treatment of underlying cause/s, which can lead to improved patient outcomes. However, research shows knowledge and accurate nurse recognition of delirium and is poor and lack of education appears to be a key issue related to this problem. Thus, the purpose of this randomised controlled trial (RCT) was to evaluate, in a sample of registered nurses, the usability and effectiveness of a web-based learning site, designed using constructivist learning principles, to improve acute care nurse knowledge and recognition of delirium. Prior to undertaking the RCT preliminary phases involving; validation of vignettes, video-taping five of the validated vignettes, website development and pilot testing were completed.
Methods: The cluster RCT involved consenting registered nurse participants (N = 175) from twelve clinical areas within three acute health care facilities in Queensland, Australia. Data were collected through a variety of measures and instruments. Primary outcomes were improved ability of nurses to recognise delirium using written validated vignettes and improved knowledge of delirium using a delirium knowledge questionnaire. The secondary outcomes were aimed at determining nurse satisfaction and usability of the website.
Primary outcome measures were taken at baseline (T1), directly after the intervention (T2) and two months later (T3). The secondary outcomes were measured at T2 by participants in the intervention group.
Following baseline data collection remaining participants were assigned to either the intervention (n=75) or control (n=72) group. Participants in the intervention group were given access to the learning intervention while the control group continued to work in their clinical area and at that time, did not receive access to the learning intervention. Data from the primary outcome measures were examined in mixed model analyses.
Results: Overall, the effect of the online learning intervention over time comparing the intervention group and the control group were positive. The intervention groups‘ scores were higher and the change over time results were statistically significant [T3 and T1 (t=3.78 p=<0.001) and T2 and T1 baseline (t=5.83 p=<0.001)]. Statistically significant improvements were also seen for delirium recognition when comparing T2 and T1 results (t=2.58 p=0.012) between the control and intervention group but not for changes in delirium recognition scores between the two groups from T3 and T1 (t=1.80 p=0.074).
The majority of the participants rated the website highly on the visual, functional and content elements. Additionally, nearly 80% of the participants liked the overall website features and there were self-reported improvements in delirium knowledge and recognition by the registered nurses in the intervention group.
Discussion: Findings from this study support the concept that online learning is an effective and satisfying method of information delivery.
Embedded within a constructivist learning environment the site produced a high level of satisfaction and usability for the registered nurse end-users.
Additionally, the results showed that the website significantly improved delirium knowledge & recognition scores and the improvement in delirium knowledge was retained at a two month follow-up. Given the strong effect of the intervention the online delirium intervention should be utilised as a way of providing information to registered nurses. It is envisaged that this knowledge would lead to improved recognition of delirium as well as improvement in patient outcomes however; translation of this knowledge attainment into clinical practice was outside the scope of this study. A critical next step is demonstrating the effect of the intervention in changing clinical behaviour, and improving patient health outcomes.
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Wahlgren, Elin, and Emma Karlsson. "Sjuksköterskans kunskap i vården av patienter med HIV. : En litteraturöversikt om sjuksköterskans kunskap och dess betydelse i vården av patienter med HIV-smitta." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-8942.
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Bakgrund: HIV är ett globalt problem med cirka 30-36 miljoner människor som har sjukdomen. Generellt har människor med HIV-smitta sämre hälsa och känsla av sammanhang, behovet av information har hälsorelaterad påverkan på patienter. Syfte: Syftet är att beskriva sjuksköterskans kunskap och dess betydelse i vården av patienter med HIV-smitta. Metod: Studien består av en litteraturöversikt innehållande tretton artiklar med såväl kvantitativ som kvalitativ ansats. Resultat: Sjuksköterskor har viljan och anser att de behöver lära sig mer om sjukdomen. Positiva attityder gentemot patienter hör samman med bättre kunskap. Utbildning om HIV minskar rädsla och ger sjuksköterskor större förståelse för diskriminering och stigmatisering. Slutsats: Kunskapen hos sjuksköterskor har betydelse i vården av patienter med HIV-smitta, den visar sig i attityder och ställningstaganden samt rädsla och stigma. Kunskapen minskar rädslan hos sjuksköterskor, vilket leder till en god vård för patienterna. Sjuksköterskors medvetenhet om att beteenden påverkar stigmatisering gör att hälsan sannolikt ökar hos patienterna.Background: HIV is a global problem, about 30-36 million people have the disease. Generally, people with HIV infection have worse health and sense of coherence, the need for information has health-related effects on patients. Purpose: The purpose is to describe nurses' knowledge and its importance in the care of patients with HIV infection. Method: The study consists of a literature review with thirteen articles of both quantitative and qualitative approach. Results: Nurses have the will and believe they need to learn more about the disease. Positive attitudes towards patients are associated with better knowledge. Education about HIV reduces fear and gives nurses greater understanding of discrimination and stigmatization. Conclusion: The knowledge of nurses is important in the care of patients with HIV infection; it manifests itself in attitudes and positions, as well as fear and stigma. Knowledge reduces the fear of nurses, leading to good health care for patients. The nurse's awareness that behavior affects stigma means that health is likely to increase in the patients.
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Obeso, Ida Selena, and Ida Selena Obeso. "Assessing Knowledge of Heart Failure Education in Nurses and Nurse Practitioners Throughout the Transition of Care Period in the Rural Health Setting." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621820.
Full textAbstract:
Heart failure (HF) is a chronic condition affecting older adults. It is estimated over 5.8 million Americans are currently diagnosed with HF, with an anticipated increase to seven million by 2030. HF patients are faced not only with the physical symptoms, but also with emotional tolls, and socioeconomic burdens related to HF. Low income and rural facilities, which lack financial resources, are at greater risk for closure if there are concerns of loss of reimbursement. Hospitals are now challenged to prevent readmissions and to avoid penalties associated with HF admission within the 30-day window. Incorporating various interventions have shown improvements in readmission rates. Nurse practitioners and registered nurses can serve as patient educators regarding topics such as diagnoses, procedures, disease monitoring, medications, and medication side effects. In most hospitals, RNs at patients' bedside are at the forefront of providing HF patients discharge instructions and education, which should include symptom recognition and management. The aim of this project inquiry was to assess the knowledge of HF education and perceived barriers to providing HF education by nurses and nurse practitioners, such that improved transition of care for patients in the rural health setting can occur.
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Lo, Ka-yee. "Childhood injury prevention the attitudes, knowledge and practices of emergency nurses /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972962.
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Yeung, Mei-chung. "Nurses' knowledge, attitudes and roles regarding advance directives in Hong Kong." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36887031.
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Lo, Ka-yee, and 盧嘉儀. "Childhood injury prevention: the attitudes, knowledge and practices of emergency nurses." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972962.
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Nichol, Kathryn. "Knowledge Translation Tools for Cancer Symptom Management by Home Care Nurses." Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31016.
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Objective: To explore adult cancer symptom management by home care nurses.
Scoping review: A scoping review was conducted to describe interventions used by nurses for cancer symptom management in the home care setting. Five included studies revealed that home care nursing contributed to positive client- and system-level outcomes.
Study: A mixed-methods descriptive study explored usability of a set of 13 cancer treatment-related symptom management protocols for nurses in the home care setting. Thirty-eight nurses in home care participated. Qualitative and quantitative data indicated the protocols were highly usable. Several barriers suggested they would be better used as resources to support and train nurses rather than documentation tools.
Conclusions: Few studies have evaluated interventions for cancer symptom management by home care nurses. This set of protocols was well-received, but further research is required to determine their effectiveness and interventions for implementing with home care nurses providing cancer symptom management.
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Carrier, Judith. "The social organisation of practice nurses' knowledge utilisation : an ethnographic study." Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/62839/.
Full textAbstract:
In the study reported in this thesis a conceptual framework drawing on a range of social, organisational and educational theories was used to underpin an investigation into the social organisation of practice nurses’ knowledge utilisation. Particular attention was paid to the concept of ‘clinical mindlines’. Changes in healthcare delivery, particularly in primary care, have resulted in changes to practice nurses’ roles. Macro level policy has focused increasingly on standardisation of care within the primary care environment, specifically in relation to management of chronic/long term conditions. Practice nurses have additionally taken on roles that include diagnostic and treatment elements for which they were not prepared for in their initial training. Set against this background ethnographic data were generated relating to meso level organisation of knowledge utilisation in two study sites. Interviews, observation and documentary analysis of available knowledge sources including guidelines and protocols were used to generate data relating to how knowledge is accessed and subsequently used at the micro level of the clinical patient encounter. Findings illustrated that a mixture of organisational and individual factors impacted on knowledge utilisation. Practice nurses used a combination of knowledge which they applied within the context of the individual patient encounter. This was accessed partly through their ‘mindlines’ developed from education, clinical experience and social learning and partly through accessing a ‘bricolage’ of knowledge which included seeking advice from a variety of sources. Specific elements of note were enthusiasm towards evidence based practice, both amongst the nurses and at practice level and a supportive organisational culture towards continuing education and sharing of knowledge. Standardisation embedded into computer templates that guided the chronic disease management consultations had both a positive and negative influence, positive in its focus on improving evidence based care, whilst negative in promoting template driven care that takes little account of individual patient need. Organisational elements constraining effective knowledge dissemination and use included information being disseminated to the practice nurses through vertical rather than horizontal networking; professional training that had not prepared nurses to deal with uncertainty; the part time nature of the practice nurse role; limitations in accessing evidence in ‘real time’ and lack of applicability of evidence to all patient scenarios.