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Torlone, Francesca. "Educators in prison. Identity and learning valences embedded in the policies and organizational practices and behaviors." Form@re - Open Journal per la formazione in rete 23, no. 2 (June 5, 2023): 286–95. http://dx.doi.org/10.36253/form-14708.
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Professional identity of the legal and pedagogical professionals in prison settings has been greatly affected by transformations that have occurred over time in the culture of the penal and penitentiary system. The transition towards a re-educating culture of the prison system after the Second World War has highlighted a new identity, a new role. This is not always accompanied by new awareness and educational practices and behaviours. This paper intends to reconstruct the professional identity of the legal and pedagogical professionals and their role while working through a short normative excursus that over time accompanied its definition. The ability of professionals to construct the meaning of their educational job and role in prison is affected by the values, ethics and knowledge of each single professional. It is also affected by the social and working system they belong to. The more each professional is able to autonomously construct the sense of his/her own work and professional role, the clearer and more conscious acted his/her identity is. Explicit rules do not necessarily impact on that. La professionalità rieducativa in carcere. Identità e valenze educative incorporate nelle policy, prassi e comportamenti organizzativi. Le trasformazioni occorse nel tempo nella cultura del sistema penale e penitenziario hanno inciso sull’ identità professionale dei professionisti della funzionalità giuridico-pedagogica. Il passaggio verso una cultura rieducante del sistema-carcere nel secondo dopo-guerra ha messo in luce una nuova identità, un nuovo ruolo cui non sempre si accompagnano nuove consapevolezze e pratiche educative. Il contributo intende ricostruire l’identità di ruolo del funzionario giuridico-pedagogico attraverso un breve excursus normativo che ne ha accompagnato la definizione. Sulla capacità di costruirsi il senso del lavoro educativo in carcere incidono valori, etica, conoscenze del singolo professionista ma anche i sistemi sociali e lavorativi di appartenenza. Quanto più il professionista è in grado di costruire in autonomia il senso del proprio lavoro e del proprio ruolo professionale tanto più chiara e consapevolmente agita è la sua identità. Non è detto importi la presenza di teorie dichiarate.
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Fernandes de Oliveira, Fabiano, and Adaiza Kelly Honorato. "Atividade lúdica e educativa para higienização das mãos em tempos de pandemia: relato de experiência." Nursing (São Paulo) 24, no. 275 (April 9, 2021): 5496–505. http://dx.doi.org/10.36489/nursing.2021v24i275p5496-5505.
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Objective: to describe the experience of a playful activity to reflect on the hand hygiene technique among nursing professionals regarding the care of patients with Coronavirus. Method: this is a study of a professional experience report about an educational activity carried out with 25 professionals who are on the front line of COVID-19. Result: the participants realized the flaws during the hand hygiene procedure and were clarified about the main doubts about the correct technique, friction time, amount of soap to be used, causing their practices to be put to the test. Conclusion: the permanent education is essential to encourage and carry out appropriate techniques, mainly those related to the barriers of exposure to the virus. The increasing in quality of hand hygiene requires investment in continuing education for health professionals and changes in the aspects related to the beliefs and culture of these professionals.
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Marinho, Monique Mendes, Vera Radünz, and Sayonara de Fátima Faria Barbosa. "Assessment of safety culture by surgical unit nursing teams." Texto & Contexto - Enfermagem 23, no. 3 (September 2014): 581–90. http://dx.doi.org/10.1590/0104-07072014002640012.
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The objective was to evaluate the patient safety culture from the perspective of the nursing teams at two surgical inpatient units of a university hospital, using the Safety Attitudes Questionnaire. Cross-sectional survey with quantitative approach, conducted at the two surgical inpatient units of the university hospital in Florianópolis, SC, Brazil. The Safety Attitudes Questionnaire was applied to 46 nursing professionals. Data analysis used descriptive and inferential statistics. The results show that all dimensions measured values scored lower than the minimum positive safety culture. The lower scores were found in the dimensions "perceptions of management" and "working conditions". Concerning the age of the professionals, young professionals stood out with higher scores. As for the professional categories, the higher scores were related to nursing assistants. The evaluation of the safety culture in the units studied demonstrates weakness in the six dimensions assessed.
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Batista, Josemar, Elaine Drehmer de Almeida Cruz, Francine Taporosky Alpendre, Danieli Parreira da Silva, Marilise Borges Brandão, and Carmen Silvia Gabriel. "Diferenças entre profissionais de enfermagem e medicina acerca da cultura de segurança do paciente cirúrgico." Enfermería Global 20, no. 3 (July 2, 2021): 86–126. http://dx.doi.org/10.6018/eglobal.441571.
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Objetivo: Investigar si la percepción de la cultura de la seguridad de los pacientes quirúrgicos difiere entre los profesionales de enfermería y medicina que trabajan en una institución educativa pública brasileña. Método: Survey, estudio transversal realizado en un hospital en el sur de Brasil. El cuestionario Hospital Survey on Patient Safety Culture fue aplicado a 158 profesionales entre mayo y septiembre de 2017. Las 12 dimensiones se analizaron mediante estadísticas descriptivas e inferenciales y pruebas de coherencia interna. Las dimensiones con índices del 75% se consideraron reforzadas. Resultados: Hubo fragilidad en la cultura de seguridad, con un índice más bajo en la dimensión “Respuesta no punitiva al error”, con 23,9% y 13,9%, respectivamente, entre la enfermería y la medicina. Las puntuaciones más positivas fueron consideradas por la enfermería en ocho dimensiones, con diferencia (p<0.05) en relación con los profesionales médicos. Conclusión: La cultura de seguridad difiere entre las dos categorías profesionales, con respuestas más positivas por la enfermería; sin embargo, son necesarias acciones para fortalecer la seguridad de los pacientes quirúrgicos en ambos grupos profesionales. Objective: To investigate whether the perception of the surgical patient safety culture differs between nursing and medical professionals working in a Brazilian public educational institution. Method: Survey and cross-sectional study conducted in a hospital in southern Brazil. The Hospital Survey on Patient Safety Culture questionnaire was applied to 158 professionals between May and September 2017. The 12 dimensions were analyzed by descriptive, inferential statistics and internal consistency test. Dimensions with indexes ≥75% were considered strengthened. Results: There was fragility in the safety culture, with a lower index in the dimension “Nonpunitive response to error”, with 23.9% and 13.9%, respectively, between nursing and medicine. More positive scores were considered by nursing in eight dimensions, with difference (p<0.05) in relation to medical professionals. Conclusion: The safety culture differs between the two professional categories, with more positive responses by nursing; however, actions are necessary to strengthen the surgical patient safety in both professional groups Objetivo: Investigar se a percepção da cultura de segurança do paciente cirúrgico difere entre profissionais de enfermagem e medicina atuantes em instituição pública de ensino brasileira. Método: Survey e transversal conduzido em hospital da região sul do Brasil. Foi aplicado o questionário Hospital Survey on Patient Safety Culture a 158 profissionais entre maio e setembro de 2017. As 12 dimensões foram analisadas por estatística descritiva, inferencial e teste da consistência interna. Dimensões com índices ≥75% foram consideradas fortalecidas.Resultados: Evidenciou-se fragilidade na cultura de segurança, com menor índice na dimensão “Resposta não punitiva ao erro”, com 23,9% e 13,9%, respectivamente, entre enfermagem e medicina. Escores mais positivos foram considerados pela enfermagem em oito dimensões, com diferença (p<0,05) em relação aos profissionais médicos. Conclusão: A cultura de segurança difere entre as duas categorias profissionais, com respostas mais positivas pela enfermagem; porém demanda ações promotoras para fortalecer a segurança do paciente cirúrgico em ambos os grupos profissionais.
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Verma, Medha Piplani, and Sandhya Gupta. "Competency in informatics for nursing professional in india: Imbibing the tech-culture among nursing professionals." International Journal of Nursing Education 11, no. 1 (2019): 67. http://dx.doi.org/10.5958/0974-9357.2019.00015.1.
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Tondo, Juliana Cristina Abbate, and Edinêis de Brito Guirardello. "Perception of nursing professionals on patient safety culture." Revista Brasileira de Enfermagem 70, no. 6 (December 2017): 1284–90. http://dx.doi.org/10.1590/0034-7167-2016-0010.
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ABSTRACT Objective: To evaluate nursing professionals’ perception on safety climate, to check if this perception differs between categories and if there is correlation between the Safety Attitude Questionaire (SAQ) domains and personal and professional variables. Method: Quantitative and transversal study held in a teaching hospital in the countryside of São Paulo, in Brazil. Data collection occurred in the period from April to July 2014, with the application of the SAQ. Results: 259 professionals participated in the study. The domain job satisfaction obtained scores above 75 for both categories. The perception of safety climate differed between the categories for most areas, except for the recognition of stress, and there is correlation between five SAQ domains and the variables time of experience and intention to leave the profession. Conclusion: Knowing the professionals’ perception on safety climate will contribute to a secure assistance.
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Ques, Ángel Alfredo Martínez, César Hueso Montoro, and María Gálvez González. "Strengths and threats regarding the patient’s safety: nursing professionals’ opinion." Revista Latino-Americana de Enfermagem 18, no. 3 (June 2010): 339–45. http://dx.doi.org/10.1590/s0104-11692010000300007.
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The aim of this research is to know the barriers and opportunities that nursing professionals detect in their clinical practice in order to develop the culture of patient safety and to identify future research lines. This qualitative study is based on the DELPHI method, with a group of 19 nursing professionals from education and care practice, involving both primary and specialized care. Weaknesses and threats revolve around five categories: profession, organization and infrastructure; indicators; communication and safety culture; and safety training. Opportunities to improve safety cover six categories: organizational change; promotion of the safety culture, professional training and development; relationship with the patients; research; and strategic planning. Work is needed to improve safety and nursing should be ready to assume this leadership.
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Fleischman, Rhonda K., Laura Meyer, and Christine Watson. "Best Practices in Creating a Culture of Certification." AACN Advanced Critical Care 22, no. 1 (January 1, 2011): 33–49. http://dx.doi.org/10.4037/nci.0b013e3182062c4e.
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Certification is the criterion standard of professional practice, distinguishing excellence in nursing care, mastery of knowledge, skills, and abilities beyond the scope of professional licensure. It is the validation of an individual nurse’s qualifications for practice in a defined area. Becoming certified is a personal and professional commitment that demonstrates the value that the individual nurse places on higher standards of practice and lifelong learning. The American Association of Critical-Care Nurses (AACN) Beacon Award for Excellence, Magnet Recognition Program, and Malcolm Baldrige National Quality Award all recognize certification as a key component of nursing excellence in specialty practice. Both the general public and nurse professionals increasingly recognize the need for practice on the basis of evidence to provide safe, quality patient care. In today’s rapidly changing and complex health care delivery system, certification is becoming the standard by which bedside practice and the impact of nursing care on patient outcomes are measured. This article will provide a review of current best practices in creating a culture of certification, including the journey of 3 hospitals selected as the 2010 Best Practice Roundtable presentations at the AACN National Teaching Institute.
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Al-Naemi, Ibrahim Ali. "Nursing Leadership Role in Healthcare Transformation – A Critical Overview." Saudi Journal of Nursing and Health Care 6, no. 09 (September 25, 2023): 310–12. http://dx.doi.org/10.36348/sjnhc.2023.v06i09.004.
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Nursing leaders play a critical role in guiding and directing nursing staff to guarantee high-quality healthcare delivery. The impact of nursing leadership on patient outcomes, quality of care, patient safety, collaboration with other healthcare professionals, and professional growth and mentoring is critically examined in this manuscript. The analysis highlights that nursing leadership had a significant impact on patient outcomes by encouraging evidence-based practices and increasing nursing staff engagement and job satisfaction. Furthermore, nursing leaders that prioritize patient satisfaction and hospital readmissions. Nursing leaders develop a culture of safety, enforce adherence to safety regulations, and support continual progress in terms of patient safety. Collaboration with other healthcare professionals is essential for nursing leaders to improve healthcare delivery, care coordination, and patient outcomes. Nursing leaders are also responsible for offering professional development opportunities and mentoring to nursing personnel, which improves staff engagement and retention. Regardless of the beneficial impact, nursing leaders confront problems such as insufficient personnel, restricted resources, and insufficient support from organizational leaders. It is the role of the leadership to mitigate risks and opportunities for safe patient care.
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Campelo, Cleber Lopes, Santana de Maria Alves De Sousa, Líscia Divana Carvalho Silva, Rosilda Silva Dias, Patrícia Ribeiro Azevedo, Flávia Danyelle Oliveira Nunes, and Sirliane De Sousa Paiva. "Cultura de segurança do paciente e cuidado cultural de enfermagem." Revista de Enfermagem UFPE on line 12, no. 9 (September 8, 2018): 2500. http://dx.doi.org/10.5205/1981-8963-v12i9a235048p2500-2506-2018.
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RESUMO Objetivo: compreender a cultura de segurança fundamentada nos conceitos discutidos na Teoria da Diversidade e Universalidade do Cuidado Cultural e no Modelo Conceitual do Cuidado de Enfermagem Transcultural. Método: estudo reflexivo a partir da Dissertação do Programa de Pós-Graduação em Enfermagem, da Universidade Federal do Maranhão, intitulada “Cultura de segurança do paciente em terapia intensiva na perspectiva de profissionais de Enfermagem”. Resultados: percebe-se a aproximação da Enfermagem transcultural na avaliação da cultura de segurança do paciente tendo em vista que ela deve ser baseada em uma comunicação eficaz e por práticas que envolvam as culturas dos gestores, organizações, profissionais de Enfermagem e pacientes sustentando o planejamento de ações e a necessidade de prevenção de erros e danos. Conclusão: os conceitos apresentados são perfeitamente apropriados no contexto da cultura de segurança por remeter à necessidade de considerar os aspectos culturais contribuindo, assim, para a prática do cuidado seguro. Descritores: Enfermagem; Teoria de Enfermagem; Cuidados de Enfermagem; Enfermagem Transcultural; Segurança do Paciente; Cultura Organizacional.ABSTRACTObjective: to understand the safety culture based on the concepts discussed in the Theory of Diversity and Universality of Cultural Care and in the Conceptual Model of Cross-Cultural Nursing Care. Method: a reflective study from the Dissertation of the Postgraduate Program in Nursing, Federal University of Maranhão / UFMA, entitled "The culture of patient safety in intensive care from the perspective of nursing professionals". Results: the approach of cross-cultural nursing in the assessment of the patient's safety culture is perceived, considering that it must be based on effective communication and practices involving the cultures of managers, organizations, nursing professionals and patients supporting the planning and the need to prevent errors and damages. Conclusion: the concepts presented are perfectly appropriate in the context of the safety culture because it refers to the need to consider cultural aspects, thus contributing to the practice of safe care. Descriptors: Nursing; Nursing Theory; Nursing care; Transcultural Nursing; Patient safety; Organizational culture.RESUMENObjetivo: comprender la cultura de seguridad fundamentada en los conceptos discutidos en la Teoría de la Diversidad y Universalidad del Cuidado Cultural y en el Modelo Conceptual del Cuidado de Enfermería Transcultural. Método: estudio reflexivo a partir de la Disertación del Programa de Post-Graduación en Enfermería, de la Universidad Federal de Maranhão / UFMA, titulada "Cultura de seguridad del paciente en terapia intensiva en la perspectiva de profesionales de Enfermería". Resultados: se percibe la aproximación de la Enfermería transcultural en la evaluación de la cultura de seguridad del paciente teniendo en vista que ella debe estar basada en una comunicación eficaz y por prácticas que involucran a las culturas de los gestores, organizaciones, profesionales de Enfermería y pacientes sosteniendo la planificación de acciones y la necesidad de prevención de errores y daños. Conclusión: los conceptos presentados son perfectamente apropiados en el contexto de la cultura de seguridad por referirse a la necesidad de considerar los aspectos culturales contribuyendo así a la práctica del cuidado seguro. Descriptores: Enfermería; Teoría de Enfermería; Atención de Enfermería; Enfermería Transcultural; Seguridad del Paciente; Cultura Organizacional.
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Ayu, Rahadiani, Tuti Pahria, Aat Sriati, and Kusila Devi Rahayu. "Tingkat Culture Shock pada Mahasiswa Keperawatan Program Profesi Ners." Journal of Telenursing (JOTING) 6, no. 1 (March 10, 2024): 493–99. http://dx.doi.org/10.31539/joting.v6i1.8561.
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This research aims to determine the level of culture shock in nursing students in the professional nurse program at STIKes Dharma Husada Bandung. The research method used is a quantitative descriptive method. The research showed that 60 nursing students in the STIKes Dharma Husada Bandung professional nurse program experienced moderate culture shock (100%). In conclusion, the level of culture shock experienced by nursing students in the professional nurse program at STIKes Dharma Husada Bandung is in the medium category. Keywords: Culture Shock, Nursing Students, Professional Nurse Program
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Herak, Ivana, Marijana Neuberg, and Denis Grgurović. "Zdravstvena njega i njezin utjecaj na kulturu sigurnosti." Sestrinski glasnik 28, no. 2 (August 17, 2023): 96–104. http://dx.doi.org/10.11608/sgnj.28.2.4.
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Introduction: The World Health Organization defines patient safety as “a framework of organised activities that creates cultures, processes, procedures, behaviours, technologies, and environments in health care”. Patients have a right to expect that every effort is made to ensure their safety as users of all health services. The healthcare system today is facing major challenges, including a lack of human resources, an excessive workload of healthcare professionals, a large number of complex cases, the use of new technologies, and many others. Patient safety is an important component of health care, and it depends on several factors, such as the safety culture, organisation policy, competencies of personnel, and the way care is provided. Safety culture recognises high-risk activities; it is defined as a no-blame culture, and it seeks solutions to problems through an interdisciplinary approach. Objective: To investigate patient safety culture from the perspective of nurses/nursing technicians and the association between nursing care and patient safety in health institutions through a systematic literature review.Methods: A descriptive method was used, a review of scientific and professional literature in the field of nursing care, patient safety culture, patient safety, and adverse events.Results: Results show that patient safety culture characteristics are correlated with nurses’/nursing technicians' intention to report errors. A stronger safety culture along with a developed patient safety competency was found to be significantly associated with a lower incidence of adverse events and surgical site infections, indicating that nurses' competence could reduce the occurrence of adverse events and improve patient safety culture.Conclusion: Improved patient outcomes are associated with a safety culture characterised by shared attitudes among healthcare providers about the importance of patient safety, loyalty, communication transparency, and shared trust in the efficacy of safety measures.
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Choi, Yoon Saeng, and Su Hyun Kim. "The influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals: A cross-sectional study." Journal of Korean Gerontological Nursing 25, no. 2 (May 31, 2023): 116–27. http://dx.doi.org/10.17079/jkgn.2302.07001.
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Purpose: This study aimed to examine the influence of professional competency, professional commitment, and nursing organizational culture on the person-centered practice of nurses in long-term care hospitals. Methods: A total of 131 nurses in seven long-term care hospitals in Daegu city and Kyeongsang province participated in the study. Professional competency, professional commitment, nursing organizational culture, and person-centered practice were measured using the Nurse Professional Competence Short-Form, Professional Commitment Questionnaire, Nursing Organizational Culture scale, and Korean Measure of Person-Directed Care. Hierarchical multiple regression analysis was used to analyze the data. Results: Nurses in long-term care hospitals had mean scores of 4.77±0.84 for professional competency and 4.27±0.89 for professional commitment out of a 1~7 scale and 3.45±0.44 for person-centered practice out of a 1~5 scale. Regarding nursing organizational culture, nurses had the highest score in relation-oriented organizational culture and the lowest score in task-oriented culture. Nurses’ professional competency (β=.59, p<.001) and innovation-oriented culture (β=.36, p<.001) were the factors influencing person-centered practice, which explained the variance of 52.5%. Conclusion: To improve person-centered practice in long-term care hospitals, it is necessary to implement strategies for improving nurses’ professional competency and innovation-oriented nursing organizational culture.
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Hicks, C. "Barriers to Evidence-Based Care in Nursing: Historical Legacies and Conflicting Cultures." Health Services Management Research 11, no. 3 (August 1998): 137–47. http://dx.doi.org/10.1177/095148489801100301.
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The British National Health Service (NHS) has witnessed many fundamental changes over the last decade, one of the most significant of which is the imperative for health-care professionals to ensure that their clinical practice can be supported by research evidence. This move from intuition and historical ritual to scientific justification has not been fully successful in either the medical or non-medical professions, with the result that a great deal of research has been sponsored at both the national and local levels to investigate the reasons underlying the research/practice divide. Within nursing the problem has been particularly exacerbated by its ideological framework, the culture and tradition of the profession itself and the recent reforms that were intended to raise its professional status and autonomy. This paper considers the impact of nursing traditions and stereotypes and the bureaucratic structures of the NHS on the introduction of evidence-based nursing care. It is suggested that the essential nature of nursing, its legacy and philosophy, together with the health service's hidden agendas, have conspired to keep nursing in a subordinated, quasi-professional role as one means by which the workforce can be controlled. Because the nursing profession has colluded with this, albeit inadvertently, it now needs to re-establish its complementary functions, in order to salvage its position and truly establish nursing as a profession in its own right.
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Braithwaite, J., J. I. Westbrook, and J. L. Callen. "The Importance of Medical and Nursing Sub-cultures in the Implementation of Clinical Information Systems." Methods of Information in Medicine 48, no. 02 (2009): 196–202. http://dx.doi.org/10.3414/me9212.
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Summary Objective: To measure doctors’ and nurses’ perceptions of organisational culture and relate this to their attitudes to, and satisfaction with, a hospital-wide mandatory computerised provider order entry (CPOE) system in order to illuminate cultural compositions in CPOE use. Methods: A cross-sectional survey design was employed. Data were collected by administering an organisational culture survey (Organisational Culture Inventory, OCI) along with a user-satisfaction survey to a population of 103 doctors and nurses from two clinical units in an Australian metropolitan teaching hospital. Clinicians from the hospital had used the CPOE system since 1991 to order and view clinical laboratory and radiology tests electronically for all patients. The OCI provides a measure of culture in terms of three general styles which distinguish between: constructive; passive/defensive, and aggressive/defensive cultures. The cluster which best describes the overall culture is the one that has the highest percentile score when the percentile scores of the four cultural norms included in the cluster are averaged. The user satisfaction survey asked questions relating to satisfaction with, and attitudes to, the system. Results: We found identifiable sub-cultures based on professional divisions where doctors perceived an aggressive-defensive culture (mean percentile score = 43.8) while nurses perceived a constructive culture (mean percentile score = 61.5). There were significant differences between doctors and nurses on three of the attitude variables with nurses expressing more positive views towards CPOE than doctors. Conclusion: The manifestation of sub-cultures within hospitals and the impact this has on attitudes towards clinical information systems should be recognized and addressed when planning for system implementation. Identification and management of the cultural characteristics of different groups of health professionals may facilitate the successful implementation and use of clinical information systems.
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Oliveira, Isabelly Costa Lima de, Maria Lígia Silva Nunes Cavalcante, Samia Freitas Aires, Rodrigo Jácob Moreira de Freitas, Beatriz Viana da Silva, Daniela Maria Freire Marinho, and Rhanna Emanuela Fontenele Lima de Carvalho. "Safety culture: perception of health professionals in a mental hospital." Revista Brasileira de Enfermagem 71, suppl 5 (2018): 2316–22. http://dx.doi.org/10.1590/0034-7167-2018-0125.
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ABSTRACT Objective: To evaluate the culture of patient safety in a mental health service. Method: Cross-sectional study conducted with health professionals in a mental hospital, by applying the Safety Attitudes Questionnaire (SAQ). Descriptive and inferential analyses were performed. Results: One-hundred and three professionals participated in the study, with female predominance (64.1%) and time of performance equal to or greater than 21 years (32.4%). The nursing professionals of technical level and with statutory work regime were the most participative, 54.4% and 52% respectively. The total score was 69 points. The domain that reached the highest score was Job satisfaction (80 points) and the lowest was Working conditions (57 points). The statutory professionals and those with longer professional experience obtained better scores in the perception of safety culture. Conclusion: The result of safety culture was below the recommended, indicating the need for strengthening this construct in mental health hospitals.
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Porter-O’Grady, Tim, Kathy Malloch, and Kathy Scott. "Renewing the Nursing Culture." Nursing Administration Quarterly 48, no. 2 (March 29, 2024): 87–96. http://dx.doi.org/10.1097/naq.0000000000000639.
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Culture is the driving frame within which all human action takes form. This article explores the elements and characteristics of culture and applies them to the nursing professional community of practice. As it drills down to the work in the cultural context, it argues for the central role of the preceptor in evidencing the influence of culture. For onboarding nurses and the nursing community, the preceptor becomes the carrier of culture, demonstrating the impact of culture in a way that exhibits its influence and impact on nursing practice and patient care.
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Machen, Samantha, Yogini Jani, Simon Turner, Martin Marshall, and Naomi J. Fulop. "The role of organizational and professional cultures in medication safety: a scoping review of the literature." International Journal for Quality in Health Care 31, no. 10 (December 2019): G146—G157. http://dx.doi.org/10.1093/intqhc/mzz111.
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ABSTRACT Purpose This scoping review explores what is known about the role of organizational and professional cultures in medication safety. The aim is to increase our understanding of ‘cultures’ within medication safety and provide an evidence base to shape governance arrangements. Data sources Databases searched are ASSIA, CINAHL, EMBASE, HMIC, IPA, MEDLINE, PsycINFO and SCOPUS. Study selection Inclusion criteria were original research and grey literature articles written in English and reporting the role of culture in medication safety on either organizational or professional levels, with a focus on nursing, medical and pharmacy professions. Articles were excluded if they did not conceptualize what was meant by ‘culture’ or its impact was not discussed. Data extraction Data were extracted for the following characteristics: author(s), title, location, methods, medication safety focus, professional group and role of culture in medication safety. Results of data synthesis A total of 1272 citations were reviewed, of which, 42 full-text articles were included in the synthesis. Four key themes were identified which influenced medication safety: professional identity, fear of litigation and punishment, hierarchy and pressure to conform to established culture. At times, the term ‘culture’ was used in a non-specific and arbitrary way, for example, as a metaphor for improving medication safety, but with little focus on what this meant in practice. Conclusions Organizational and professional cultures influence aspects of medication safety. Understanding the role these cultures play can help shape both local governance arrangements and the development of interventions which take into account the impact of these aspects of culture.
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Veldhuizen, Jessica, Marieke Schuurmans, Misja Mikkers, and Nienke Bleijenberg. "Advancing District Nursing Care Through a Learning Healthcare System: A Viewpoint on Key Requirements." Healthcare 12, no. 24 (December 21, 2024): 2576. https://doi.org/10.3390/healthcare12242576.
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The increasing complexity of healthcare needs driven by an ageing population places pressure on district nursing care. Many vulnerable older adults prefer to remain at home, requiring care coordinated with general practitioners and other professionals. This demand for integrated care is further challenged by a shortage of nursing professionals and the lack of standardised approaches to measure care quality. This article identifies the key requirements for implementing a learning healthcare system in district nursing care, using patient outcome data to foster continuous improvement and create a more adaptive, evidence-based, and patient-centred approach. This paper synthesises findings from multiple studies conducted as part of a PhD thesis, utilising a multi-method approach. These methods include examining patient outcomes in district nursing care and evaluating necessary cultural, organisational, and financial changes. Four key requirements were identified: (1) standardising patient outcome measures; (2) fostering a data-driven culture and strengthening professional autonomy; (3) enhancing organisational support and integrated care; and (4) adopting financing models that incentivise continuous learning and quality improvement. Implementing a learning healthcare system with patient outcome data in district nursing care requires a transformative shift. Standardising outcome measures, investing in information systems, and promoting continuous learning are crucial. Aligning financial incentives with patient outcomes, strengthening professional autonomy, and enhancing organisational support can make district nursing more responsive and capable of meeting complex needs. The described requirements are essential for advancing district nursing care through a more adaptive, evidence-based, and patient-centred approach.
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Strouse, Susan M., and Carolyn J. Nickerson. "Professional culture brokers: Nursing faculty perceptions of nursing culture and their role in student formation." Nurse Education in Practice 18 (May 2016): 10–15. http://dx.doi.org/10.1016/j.nepr.2016.02.008.
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Drew, Dee. "Professional identity and the culture of community nursing." British Journal of Community Nursing 16, no. 3 (March 2011): 126–31. http://dx.doi.org/10.12968/bjcn.2011.16.3.126.
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Rocco, Gennaro, Dyanne D. Affonso, Linda J. Mayberry, Alessandro Stievano, Rosaria Alvaro, and Laura Sabatino. "The Evolution of Professional Nursing Culture in Italy." Global Qualitative Nursing Research 1 (May 8, 2014): 233339361454937. http://dx.doi.org/10.1177/2333393614549372.
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Kim, Su Hyun, and Yoon Saeng Choi. "PERSON-CENTERED PRACTICE OF NURSES IN LONG-TERM CARE HOSPITALS." Innovation in Aging 8, Supplement_1 (December 2024): 1077. https://doi.org/10.1093/geroni/igae098.3462.
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Abstract Objective This study investigates how professional competence, professional commitment, and nursing organizational culture influence the implementation of person-centered care by nurses in long-term care facilities. Method: A sample of 131 nurses from seven long-term care hospitals in South Korea participated in this research. Standardized measures were utilized to assess professional competence, professional commitment, nursing organizational culture, and person-centered care. Data analysis was conducted using hierarchical multiple regression analysis. Results Nurses in long-term care hospitals displayed average scores of 4.77±0.84 for professional competence and 4.27±0.89 for professional commitment on a scale of 1 to 7, and 3.45±0.44 for person-centered care on a scale of 1 to 5. Notably, nurses scored highest in relation-oriented culture and lowest in task-oriented culture. Professional competence (β=.59, p<.001) and innovation-oriented culture (β=.36, p<.001) significantly impacted person-centered care, explaining 52.5% of the variance. Conclusion Improving person-centered care in long-term care settings requires interventions aimed at enhancing nurses’ professional competence and cultivating an innovation-oriented nursing organizational culture.
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Valbuena-Durán, Luz Dalia, Myriam Ruiz Rodríguez, and Astrid Nathalia Páez Esteban. "Nursing Leadership, Associated Sociodemographic and Professional Factors: The Perception of Leaders and Evaluators." Aquichan 21, no. 2 (July 8, 2021): 1–15. http://dx.doi.org/10.5294/aqui.2021.21.2.5.
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Objective: To assess the leadership styles of the assistance Nursing professionals and their associated sociodemographic and professional factors. Materials and methods: An analytical and cross-sectional study. The sample comprised 75 Nursing professionals and 170 Nursing assistants selected for convenience. The Multifactorial Leadership Questionnaire was applied to assess leadership and the organizational result variables. Results: The predominant leadership styles were as follows: transformational (mean of 3.43) and transactional (3.40), which presented high correlation rates with satisfaction, efficacy and additional effort. The leadership style least perceived by the staff was corrective/avoidance (2.10). In transformational leadership, behavioral influence and inspirational motivation presented better scores in the leaders’ self-perception. Age, marital status and having children evidenced statistically significant differences with the transformational and transactional leadership styles; work experience was significant with transactional leadership. Conclusions: In their work, Nursing professionals denote encouraging practices that are inherent to transformational leadership, which is related to changes in the organizational culture, leads to motivating and inspiring the subordinates to transcend the routines and increases their satisfaction and commitment to their duties, thus being an important factor in health institutions.
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Yulia, Arini Dwi, Jebul Suroso, Etlidawati Etlidawati, and Kris Linggardini. "Factors Influencing Nurses Performance in Implementing the Professional Nursing Practice Model." Genius Journal 5, no. 2 (December 2, 2024): 193–201. https://doi.org/10.56359/gj.v5i2.402.
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Introduction: Nursing performance plays a pivotal role in determining the quality of healthcare services, especially in the application of professional nursing models. Several factors, both internal and external, influence nursing performance, including job satisfaction, work culture, workload, supervision, and experience. Understanding these relationships is essential for improving the quality of care in healthcare facilities, particularly hospitals. Objective: To analyze the relationship between various factors, including job satisfaction, work culture, workload, supervision, and experience, with nurses' performance in implementing the Professional Nursing Practice Model. Methods: This study employed a quantitative descriptive approach with a cross-sectional design. The sample consisted of 30 inpatient nurses selected through total sampling. Data were collected using structured questionnaires and analyzed using the chi-square test. Results: Most respondents were female, held a D3 education level, and had five years of work experience. The chi-square test revealed significant relationships between job satisfaction (p = 0.004), work culture (p = 0.002), workload (p = 0.004), supervision (p = 0.001), experience (p = 0.007), and the implementation of the Professional Nursing Practice Model. Conclusion: There is a significant relationship between job satisfaction, work culture, workload, supervision, experience, and the application of the Professional Nursing Practice Model, as evidenced by p-values less than 0.05. Improving these factors can enhance nurse performance and overall quality of care in hospitals.
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Eason, Toni. "Lifelong Learning: Fostering a Culture of Curiosity." Creative Nursing 16, no. 4 (November 2010): 155–59. http://dx.doi.org/10.1891/1078-4535.16.4.155.
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Lifelong learning contributes to the development of knowledge and skill in nursing. A focus on continuous learning is necessary to remain current on trends, practices, and the newest treatments in the field of nursing. Creation of a culture where educational growth is supported and promoted is vital to advancement of the nursing profession. Nurses’ satisfaction with their professional role can be further enhanced by demonstrated expertise through lifelong learning. Expertise in nursing is solidly founded on evidence-based practice. Research, education, and experience in nursing practice are linked to evidence-based practice and lifelong learning; both are essential to remaining well versed in health care service delivery.
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Rissardo, Leidyani Karina, Aline Cardoso Machado Moliterno, Ana Carla Borghi, and Lígia Carreira. "Factors of the Kaingang culture which influence care for the older adult: the view of the health professional." Revista Latino-Americana de Enfermagem 21, no. 6 (December 2013): 1345–52. http://dx.doi.org/10.1590/0104-1169.3121.2373.
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OBJECTIVE: to describe the health professionals' perception in relation to the factors of the Kaingang culture which influence the undertaking of healthcare practices with the elders in this ethnic group. METHOD: descriptive research with a qualitative approach, grounded in the ethnographic method, undertaken with ten health professionals who work in the Indigenous Territory in Faxinal, in the Brazilian state of Paraná. The data was collected in the period November 2010 to February 2012 through interviews and participant observation, and was analyzed in the light of the Transcultural Nursing Theory. RESULTS: evidence was found that the Kaingang culture has a strong influence on the professional care for the older adult, principally due to the cultural strangeness of certain customs, aspects which limit the health care for such older adults being listed. CONCLUSION: knowledge of the influences on the care can contribute to the forming of a framework of information relevant to the professional in the provision of care for the Kaingang older adults.
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Verbeek, Frank H. O., Marleen H. Lovink, Miranda G. H. Laurant, and Anneke J. A. H. van Vught. "Developing an interprofessional learning and working culture to improve person-centred care in nursing homes: a realist action research protocol." BMJ Open 12, no. 3 (March 2022): e058319. http://dx.doi.org/10.1136/bmjopen-2021-058319.
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IntroductionHealthcare is changing due to the ageing of the general population, complex care demands and growing attention to person-centred care. To deal with these changes and provide the best possible person-centred care, the different professionals in nursing homes should all collaborate intensively. However, most professionals work within the field of their own expertise and share very little knowledge, experiences and insights. A lack of an interprofessional learning and working culture also prevents professionals with different expertise from working and learning intensively together to achieve high-quality person-centred care. There is a gap of knowledge about how to develop such a culture. Our aim is to provide insights into what actions, in what context and to what extent can contribute to an impactful development of an interprofessional learning and working culture.Methods and analysisThe realist action research design will be applied. It consists of three iterative steps: plan, act and observe, and reflect. First, we will formulate the theory about interprofessional learning and working culture and measure this culture by means of interviews, focus groups and questionnaires. Second, we will apply the nine principles of Practice Development to coach professionals from six Dutch nursing homes to improve their interprofessional learning and working culture. Finally, we will evaluate the impact of the changed attitudes and skills on healthcare practice.Ethics and disseminationApproval for the project was given by the Hogeschool van Arnhem en Nijmegen (HAN) Research Ethics Committee, the Netherlands, registration number EACO 164.12/19. All organisations, professionals and residents/family members will be informed verbally and by letter about the study and asked for informed consent. The results will be presented in peer-reviewed scientific journals, professional journals and at symposia and conferences. The findings will be transferred to an online toolbox and e-learning modules for graduated professionals and students.
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Hølge-Hazelton, Bibi, Thora Grothe Thomsen, Mette Kjerhol, and Elizabeth Rosted. "Implementing a vision of person-centredness across a new university hospital in Denmark." International Practice Development Journal 11, no. 1 (May 19, 2021): 1–3. http://dx.doi.org/10.19043/ipdj.111.013.
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The experience of a collaborative process to build a research and development culture at a new university hospital underlined that the Person-centred Practice Framework (McCance and McCormack, 2017) forms a solid and valuable foundation for ongoing work. The fact that the process has involved researchers, leaders at different levels, clinical nurse specialists and other healthcare professionals makes the framework’s focus on the whole care environment especially relevant. How work towards a nursing research culture developed into a person-centred strategy In 2010, the management at our hospital in Denmark established a director of nursing research position, with a remit to create, develop and support a research culture within the nursing and allied health professions. No guidance was offered on how this should be done and as a consequence the ideas and professional profile of the person hired were highly influential (Hølge-Hazelton, 2019). Having a solid background in action research and studies of vocational and professional education, the new director launched a collaborative process to identify the desired characteristics of the research culture. Those contributing included the networks of clinical development nurses and head nurses, and the executive director of nursing. The proposed vision that emerged was: Our research culture should be constructive, creative, inclusive and visible at all levels of the hospital. This vision was discussed and agreed among all head nurses at the hospital. The idea was that the culture should be everybody’s business and include all levels of nursing, and furthermore that these levels would be interdependent and dynamic. The strategy to achieve this was defined as ‘bottom up, top down and don’t forget the middle’, to signal that research and development are closely related and that they should be participatory, based on a broad understanding of evidence (Rycroft-Malone, 2010), clinically relevant, and supported by the hospital’s leadership. Within the first years of work towards realising the vision, two more nursing researchers were hired in clinical departments at the hospital. They also had a background in personal and organisational learning processes, organisational development and action research. Their task was to support the realisation of the strategy at departmental and unit level.
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Møller, Helle. "Culturally safe communication and the power of language in Arctic nursing." Études/Inuit/Studies 40, no. 1 (June 14, 2017): 85–104. http://dx.doi.org/10.7202/1040146ar.
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Nursing education and healthcare in Nunavut and Greenland have been developed, and to a large degree governed, by Danish and Euro-Canadian norms, culture, and language. Teachers and healthcare professionals are mostly Danish-speaking Danes in Greenland and English-speaking Euro-Canadians from southern Canada in Nunavut. This is not trivial for Greenlandic and Canadian Inuit nursing students or nurses, or for Canadian and Greenlandic Inuit healthcare recipients, the majority of whom speak Greenlandic or Inuktitut as their mother tongue. Drawing primarily on data from interviews with Canadian and Greenlandic Inuit nurses and nursing students between 2007 and 2010, I discuss the ways in which language as habitus may work to support or impede culturally safe care, workplaces, and education. I argue that the double-cultured Greenlandic and Canadian Inuit nurses and nursing students are invaluable to Arctic healthcare systems as culturally safe healthcare providers and habitus brokers. Furthermore, healthcare professionals from outside Greenland and Nunavut can advantageously learn from their Greenlandic and Canadian Inuit counterparts.
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Handor, Rachida, Anke Persoon, Famke van Lieshout, Marleen Lovink, and Hester Vermeulen. "The Required Competencies of Bachelor- and Master-Educated Nurses in Facilitating the Development of an Effective Workplace Culture in Nursing Homes: An Integrative Review." International Journal of Environmental Research and Public Health 19, no. 19 (September 28, 2022): 12324. http://dx.doi.org/10.3390/ijerph191912324.
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Background: Nursing home care is undergoing significant changes. This requires innovative teams operating in an effective workplace culture characterized by person-centeredness and offering evidence-based care. A pivotal role for bachelor- and master-educated nurses (BNs/MNs) is foreseen to facilitate such cultures; however, there is currently no comprehensive overview of what competencies this requires. Objectives: To identify what competencies are required from BNs/MNs in facilitating the development of an effective workplace culture in nursing homes. Methods and design: We conducted an integrative review (IR) using Whittemore and Knafl’s method. We searched the PubMed, CINAHL, and PsycINFO databases for studies published between January 2010 and December 2021 in English. Two independent reviewers determined whether studies met inclusion: bachelor- or master-educated nurse; nursing home; professional competencies; and mixed methods or qualitative and qualitative studies. We applied the CASP appraisal tool and analyzed the data by applying content analysis. Results: Sixteen articles were included. Five themes were identified representing required competencies for BNs/MNs facilitating: (1) learning cultures in nursing practice; (2) effective work relationships within teams; (3) leadership capability within teams; (4) implementation of guidelines, standards, and protocols; (5) a work environment acknowledging grief and loss of residents within teams. Conclusions: It shows that the BN/MN applies five competencies associated with a facilitator role to promote the development of an effective workplace culture to achieve a safe, high-level quality of care, satisfaction, and well-being. An overarching leadership as a change champion will support teams to achieve a quality that should guide the transformation in nursing care.
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Pappa, Despoina, and Chrysoula Dafogianni. "Association of Occupational Burnout and Nursing Errors With Patient Safety." International Journal of Reliable and Quality E-Healthcare 9, no. 4 (October 2020): 18–29. http://dx.doi.org/10.4018/ijrqeh.2020100104.
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During the daily nursing practice, dangerous situations might appear that, if not recognized and treated early, can lead to fatigue and professional burnout, causing detrimental consequences for the patient's safety and the adequacy of the healthcare quality of the provider. This article aims to synthesize existing research investigating the association between burnout in healthcare professionals with the safety of patient care in the last decade. The authors herein examined specific nurse surveys that involve burnout assessment and association with clinical errors throughout nurse provided care. Results from this search indicate that patient safety culture must be cultivated towards nursing errors and burnout reduction. The prompt recognition of burnout signs is the critical parameter for nursing errors prevention and patient safety, in the long term. Nursing error management is oriented towards investigation of the burnout symptoms and exists as an integral and essential issue for nursing administration to ensure excellent and qualitative patient care.
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Paulikienė, Simona. "PRAKTINIO MOKYMO IR MENTORYSTĖS VAIDMUO UGDANT PACIENTŲ SAUGOS GEBĖJIMUS: SLAUGOS STUDIJŲ ATVEJIS." Visuomenės sveikata 23, no. 2 (May 3, 2013): 126–33. http://dx.doi.org/10.5200/sm-hs.2013.058.
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Patient safety represents a global public health problem. WHO Patient Safety estimates that millions of patients worldwide suffer disabling injuries or death every year due to unsafe medical practices and care. Patient safety competencies are important in professional practice, so true to install and integrate the patient safety in curriculum training of health care professionals. Mentoring and practical training is also particularly relevant to patient safety education. Research aim - expose role of practical training in developing patient safety competencies of nursing students’. The study involved general practice nursing degree program students (N = 276) of two Lithuanian colleges. The study was conducted using a questionnaire of Health Professional Education in Patient Safety Survey and questionnaire prepared by researcher of this study. Nursing students evaluated obtained competencies of patient safety during the theoretical lessons and practice, expressed their views about the activities of the mentor. The results revealed that the nursing students in practical training in comparison with theoretical lessons acquire fewer patient safety competencies of risk management, communication with patients, understanding of environmental factors, culture of safety, working in teams. During practical training students insufficiently acquire competencies of patient safety. Mentoring is important in developing patient safety competencies of nursing students’ during practical training.
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Malinski, Violet. "The Importance of a Nursing Theoretical Framework for Nursing Practice: Rogers’ Science of Unitary Human Beings and Barrett’s Theory of Knowing Participation in Change as Exemplars." Cultura del cuidado 15, no. 2 (December 1, 2018): 6–13. http://dx.doi.org/10.18041/1794-5232/cultrua.2018v15n2.5108.
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Martha E. Rogers (1970, 1990, 1992) was one of the first to maintain that nursing is both a science and an art, a learned profession based on an organized body of nursing-specific knowledge. Indeed, as early as 1963, she wrote, “Instruction in the theoretical basis of nursing practice is the hard core of baccalaureate education in nursing…professional nursing services cannot be provided unless the theoretical base is present” (1963, p. 61). Rogers saw the unique focus of nursing as irreducible human beings and environment, both identified as energy fields, with the purpose of nursing as promoting well-being and health throughout the life process, including dying. Nurses help people participate knowingly in the life process, actualizing potentials deemed commensurate with personal wellbeing. Together, nurses and clients participate mutually and knowledgeably to optimize potentials. Building on these assumptions, Elizabeth E. A. M. Barrett (1988, 2010, 2015) derived her theory of power as knowing participation in change and a tool to measure it while working with Rogers as a student in the doctoral program at New York University. The author provides a brief overview of both Rogers’ Science of Unitary Human Beings and Barrett’s theory of power as knowing participation in change and discusses their relevance to practice.
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Ardiana, Anisah. "Ethnography and Phenomenology Studies: Its’ Use in Nursing Research as Qualitative Methods." Jurnal Kesehatan Komunitas Indonesia 3, no. 1 (April 29, 2023): 126–38. http://dx.doi.org/10.58545/jkki.v3i1.110.
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Ethnography and phenomenological research in nursing could make a worthwhile contribution to nursing science and practice. Ethnography and phenomenology study should be considered as an alternative research approach in nursing study. Both Ethnography and phenomenology methods are useful to reveal lived experiences of patients and nurses in health care services. A nursing researcher might utilise an ethnographic approach to explicate the ways of living of people in particular cultures, emphasizing the role of culture in shaping experience rather than the meaning of the experience and exploring the beliefs, language, behaviours and social dynamics of a particular cultural group. The use of phenomenological research in nursing could make a worthwhile contribution to nursing science and practice. Nursing is principally a human relationship including interactions between nurses and patients, nurses and families, nurses and nurses, or nurses and other professionals without necessarily connecting to a particular cultural identity. There are several aspects affect the use of Ethnography and phenomenology methods in nursing research.
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Yismaw, Worke. "Factors Affecting Patient Safety Culture among Health Professionals in Ilu Aba-Bora Zone, South West Ethiopia: A Mixed Method Study." Annals of Nursing and Practice 10, no. 1 (April 29, 2023): 1–6. http://dx.doi.org/10.47739/2379-9501.nursing.1133.
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Introduction: Unsafe medical care is a major source of morbidity and mortality throughout the world. In Ethiopian health system, the information about patient safety culture is limited in scope. The aim of this study is to assess patient safety culture and associated factors among Health professionals in public health facilities of Ilu Aba-bare zone, southwest Ethiopia.
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Haas, Luana Elaine, Mari Ângela Gaedke, and José Augustinho Mendes Santos. "SAFETY CULTURE IN HIGH COMPLEXITY SERVICES IN THE CONTEXT OF THE COVID-19 PANDEMIC." Cogitare Enfermagem, no. 27 (November 18, 2022): 1–14. http://dx.doi.org/10.5380/ce.v27i0.87865.
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Objective: to evaluate the patient safety culture in high complexity units of a teaching hospital in times of pandemic. Method: cross-sectional design, carried out in emergency and intensive care units in 2021. We used the self-administered instrument Hospital Survey on Patient Safety Culture with 103 professionals from the multi-professional team. Descriptive analyses and instrument consistency were performed. Results: the strongest areas for patient safety culture were the dimensions teamwork in the unit (79.5%) and expectations and actions of the supervisor/leadership to promote patient safety (73.6%). While the dimensions non-punitive response to error (37.9%) and internal transfers and shift change (31.8%) stood out in the weak areas. A predominance of adverse events underreporting was observed (53.5%). Conclusion: critical sectors, even during the pandemic, showed strengthened areas, although fear of punishment and problems regarding information transfers were highlighted by professionals.
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Jost, Sandra G., and Victoria L. Rich. "Transformation of a Nursing Culture Through Actualization of a Nursing Professional Practice Model." Nursing Administration Quarterly 34, no. 1 (January 2010): 30–40. http://dx.doi.org/10.1097/naq.0b013e3181c95ee8.
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Muhaeriwati, Titiek, Rr Tutik Sri Hariyati, and Dewi Gayatri. "Hubungan Konsistensi Budaya Organisasi Dengan Kelengkapan Dokumentasi Keperawatan: Manajemen Nyeri Di Rumah Sakit." JOURNAL EDUCATIONAL OF NURSING(JEN) 1, no. 1 (December 24, 2018): 58–72. http://dx.doi.org/10.37430/jen.v1i1.65.
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Complete documentation of pain management is the proof of implementation of the professional nurse and competency in administering nursing care of pain management in accordance with the standard. The purpose of the research is to identify the correlation of consistency of organizational culture which is perceived by the acting nurse with complete nursing documentation of pain management. This research applies the method of cross sectional which is measured by questionnaire and observation of nursing documentation in retrospective manner. The result of research indicate that the acting nurse perceive the consistency of organizational culture of 64.8%. Total complete nursing documentation of pain management is
72.51% and, the sub variable of pain assessment indicate the average of 7.07
(47.13%). The characteristic of acting nurse in sex, marital status and level of education is significant with complete nursing documentation of pain management. The consistency of organizational culture in the coordination and integration is significant with complete nursing documentation of pain management in the aspect of assessment p=0.037 (p=0.05), but the consistency of organizational culture in the aspect of core value and consensus is not significant. The conclusion proves that there is no significant correlation between the consistency of organizational culture with the complete nursing documentation of pain management. However, the consistency of organizational culture is significant with the complete nursing documentation of pain management only in the aspect of assessment p=0.036. The expectation of hospital is to prioritize the improvement of human resources of formal education to become professional nurse and competency as responsibility, and have critical thought in the complete nursing documentation, specifically the nursing documentation of pain management.
Keywords: Consistency Of Organizational Culture; Pain Management And Nursing Process
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Rohisha, I. K., and Juliet Sylvia. "Exploring emotional intelligence-implications for professional nursing practice." International Journal of Recent Innovations in Medicine and Clinical Research 6, no. 1 (July 15, 2024): 1–6. http://dx.doi.org/10.18231/j.ijrimcr.2024.038.
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Emotional intelligence (EI) is a valuable set of ideas that can be used in the workplace and in the home as a parent, teacher, or manager. According to the World Health Organization (WHO), health professionals play a central and critical role in improving access to and providing quality health care for the population. Mechanisms for optimizing the strengths and skills of health professionals will be essential to achieving the aims of health care. The working environment of health care professionals provides stress, adjustment problems, and mental health issues both in the professional and personal life and can directly or indirectly influence the quality of care provided to the consumers or clients. The statistics and findings from research studies suggest that healthcare professionals are at high risk of having psychological problems and burnout syndromes, and the job culture also provides a stressful environment, as explained in many studies. While the emotional aspects of clients are cared for, it is necessary that the health professionals themselves should be mentally and emotionally healthy to ensure better quality client care. Developing EI among nurses is very important as they are more concerned with a holistic care approach to the client and family. So, emotions, emotional behavior, and emotional literacy play a very important role in the nursing field. The implications of EI for nurses are applied in clinical practice, research, administration, and education.
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Cusveller, Bart. "A Calvinist account of nursing ethics." Nursing Ethics 20, no. 7 (March 6, 2013): 762–70. http://dx.doi.org/10.1177/0969733012473010.
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A relatively small but intellectually robust strand in the Christian religion is the Reformed tradition. Especially, its Calvinist sensibilities inform this Protestant stance towards human culture in general and vocations in particular. Correspondingly, there are some small but robust contributions to academic discourse in nursing ethics. So far there has been no attempt to bring those together as a distinct approach. This article suggests such a Reformed Christian, especially Calvinist, account of nursing ethics. Central to the Reformed perspective is the notion that God is sovereign over all of creation and culture and hence that there can be no religiously or morally neutral area in human life. Consequently, nursing is not seen as professional to the extent it is based on research evidence or theoretical models, but to the extent it serves the ultimate purpose of the practice of care. In the Reformed view, this purpose is fostering the well-being of human beings in need as intrinsically valuable. Nurses are professionals who accept this responsibility, that is, the whole of expectations holding for personal qualities, conduct and outcomes, required to serve the purpose of care. As this is a moral purpose, succeeding or failing to live up to these expectations is the source of moral issues in nursing.
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Silva, Luiz Henrique Ferreira da, Fátima Helena do Espírito Santo, Carla Lube de Pinho Chibante, and Eny Dórea Paiva. "Permanent Education in a neonatal unit from Culture Circles." Revista Brasileira de Enfermagem 71, suppl 3 (2018): 1328–33. http://dx.doi.org/10.1590/0034-7167-2016-0587.
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ABSTRACT Objective: to identify the factors that hinder and facilitate the work of the nursing team in a neonatal unit and to know the demands of Permanent Education described by the nursing team, emerging from the daily care. Method: qualitative study that followed the steps recommended by the “Paulo Freire's Method” carried out with 29 professionals of the nursing team of a neonatal unit of a university hospital. Three Culture Circles were carried out to identify the generating themes. Results: The themes generated were organized according to the issues covered in the interviews and during the Culture Circles, with four themes being highlighted: lack of routines; training; improvement of coexistence of the team and improvement of management process. Final considerations: The study made it possible to know the factors that hinder and facilitate the routine practice of nursing professionals by identifying the emergent themes of the Culture Circles that favored the critical reflection of the group, generating subsidies for the collective elaboration of the Permanent Education program in neonatal unit.
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Williams,, Leonie Mosel. "Defining Professionat Nurse Caring: Against a Backdrop of 200 Years of Neglect." International Journal of Human Caring 2, no. 1 (February 1998): 10–16. http://dx.doi.org/10.20467/1091-5710.2.1.10.
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More than five generations of nurses have been educated and have practiced as caring professionals in Australia’s recent history. Nursing education has evolved from the cultures of those who migrated to Australia over the last 200 years with very little attention being paid to the culture which developed and thrived on the continent since time began. Few of the five generations of nurses know or have sought to know about Aboriginal peoples, the original inhabitants of Australia. Contemporary education is endeavoring to address this omission, however it is attempting to do so against 200 years of institutionalized racism.
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Wilde, Matt. "Culture: A determinant of breastfeeding in SCPHN practice." British Journal of Child Health 4, no. 6 (December 2, 2023): 277–81. http://dx.doi.org/10.12968/chhe.2023.4.6.277.
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The health benefits of breastfeeding are well researched and are recognised by professional bodies both nationally and globally, yet breastfeeding rates for many countries globally fall short of their respective national targets. Efforts have been made within both maternity services and Specialist Community Public Health Nursing (SCPHN) practice to provide training for professionals to improve breastfeeding rates, yet in many areas there remains a focus on the biological factors more than cultural beliefs, despite culture being widely accepted as an integral aspect of needs assessment in the field of SCPHN practice. This article explores the literature to identify cultural beliefs surrounding breastfeeding from both positive and negative perspectives, which further highlighted how SCPHNs can improve their practice in sensitively approaching this subject with new and expecting mothers. The purpose of this review was to identify the significance of culture as a determinant of breastfeeding and highlight potential methods for improving SCPHN practice in this area.
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Moura, Josely Pinto de, Fabiana Cristina Pimenta, Miyeko Hayashida, Elaine Drehmer de Almeida Cruz, Silvia Rita Marin da Silva Canini, and Elucir Gir. "Colonization of nursing professionals by Staphylococcus aureus." Revista Latino-Americana de Enfermagem 19, no. 2 (April 2011): 325–31. http://dx.doi.org/10.1590/s0104-11692011000200014.
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This cross-sectional study aimed to investigate the presence of Staphylococcus aureus in the saliva of the nursing team of a teaching hospital in the interior of São Paulo State. Three saliva samples were collected from 351 individuals with an interval of two months between each collection. All ethical aspects were considered. In 867 (82.3%) cultures there was no identification of Staphylococcus aureus in the saliva, in 88 (17.7%) cultures Staphylococcus aureus was isolated, 26 (2.5%) of which were resistant to methicillin. The prevalence of professionals colonized by Staphylococcus aureus was 41.0% (144/351), of which 7.1% (25/351) were characterized as methicillin-resistant Staphylococcus aureus. Transient carriers represented 81.2% and persistent carriers 18.8%. Resistance to mupirocin was 73.1% of MRSA and 9.3% of MSSA. The results demonstrate that it is the nurse and nursing technician that are the professional categories most susceptible to MRSA. Broader discussion on the thematic and interventions are needed.
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Di Gesaro, Antonella. "Evidencing best practice for teaching empathy skills to healthcare professionals: literature review." Gastrointestinal Nursing 21, no. 2 (March 2, 2023): 22–33. http://dx.doi.org/10.12968/gasn.2023.21.2.22.
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Introduction: Research into patients’ perception of empathy has revealed that patients with stomas feel unsupported by healthcare professionals, who can lack an understanding of how it feels to live life with a stoma. A literature review was undertaken to explore what is the evidence for best practice for teaching empathy skills to healthcare professionals and how this can be applied to caring for people with a stoma. Search strategy: Included studies were required to explore teaching empathy or measuring levels of empathy in pre- and post-graduate nurses and in healthcare professionals caring for patients with a stoma. Excluded studies were those involving paediatric and mental health nursing, as these domains of nursing were considered to differ in clinical specialism and any other healthcare professional discipline outside the nursing profession such as doctors or allied healthcare professionals. Results: Given the number of articles reporting that empathy is lacking in stoma care, it is remarkable that so little original research has been carried out in this area, specifically the lack of qualitative research. A variety of interventions were used to assess empathy in pre- and post-graduate nurses, from multiple nations with diverse cultures. Conclusions: Results from the data revealed several themes for the best practice of teaching empathy skills to healthcare professionals, including essential nurse attributes, innate nurse characteristics, nurse experience and the contribution of experiential learning.
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Brommelsiek, Margaret, Jane A. Peterson, and Sarah Knopf Amelung. "Improving Cultural Competency: A Patient-Centered Approach to Interprofessional Education and Practice in a Veterans Healthcare Facility." International Journal of Higher Education 7, no. 4 (August 15, 2018): 157. http://dx.doi.org/10.5430/ijhe.v7n4p157.
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Background/Objective: Competency in health professions education when separated from culture is a ‘detached mastery’ of a discreet skill; there are no values considered, no human behind the understanding. This can result in an uneven understanding, proficiency, and commitment concerning individuals’ cultural differences. To increase cultural competency and improve care delivery to veterans, health professional students, participated in an interprofessional education immersion with clinical practicum at a Veteran’s Administration primary care clinic.Methods: Fifty-four graduate students from nursing, clinical psychology, pharmacy and social work participated in an interprofessional education course on military culture. Students’ knowledge and attitudes concerning veterans were evaluated at the start and end of the 8-week immersion course.Results: In both the Knowledge Assessment, a 10-item survey covering the core aspects of the course content, and Health Professionals’ Attitudes Toward Veterans Scale, student knowledge and attitudes improved relating to veterans care.Conclusions: Veterans seeking care in veterans’ and civilian facilities require a culturally competent health professional workforce. Interprofessional education coursework specifically focused on veterans and military culture has shown promise in increasing knowledge and compassion in health professional students working with veteran patients.
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Ahmed, Salina, Hilary Pinnock, and Liz Steed. "Exploring the perspectives of healthcare professionals on providing supported asthma self-management for Bangladeshi and Pakistani people in the UK." PLOS ONE 19, no. 6 (June 10, 2024): e0302357. http://dx.doi.org/10.1371/journal.pone.0302357.
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Background Self-management support improves asthma outcomes and is widely recommended in guidelines, yet it is poorly implemented in routine practice. There may be additional challenges in the context of ethnic minority groups, where making sense of culture may be necessary. This study aimed to explore the perspectives of healthcare professionals on supporting UK Bangladeshi and Pakistani patients to self-manage their asthma. Methods One-to-one semi-structured interviews with professionals (primary and secondary care; medical and nursing) who routinely provide asthma care to Bangladeshi or Pakistani patients. Topics addressed included perceptions of professionals in supporting patients with asthma self-management and ideas for improving culturally competent care. Data were analysed thematically. Results Nine professionals, from a range of ethnic backgrounds, with considerable experience of treating patients from these communities were interviewed. Despite organisational restrictions (language and time/resources) and expressed gaps in cultural knowledge and training, all interviewees reported attempting to tailor support according to culture. They used their perception of the patient’s culture (e.g., big families and family involvement), integrated with their perception of patients’ ability to self-manage (e.g., degree of responsibility taken for asthma), to formulate theories about how to culturally adapt their approach to supported self-management, e.g., supporting barriers in understanding asthma. There was consensus that gaps in cultural knowledge of professionals needed to be addressed through training or information. Interventions recommended for patients included basic education, group meetings, and culturally relevant action plans. Conclusion In the absence of formal training and constrained by organisational limitations, self-management support was adapted based on personal and professional perception of culture. These ideas were based on experience and formulated a chain of reasoning. Professionals recognised the limitations of this approach and potential to overgeneralise their perceptions of culture and adaptations of supported self-management. Interventions were desired and need to address professional training in cultural competence and the provision of culturally relevant materials.
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Donohue-Porter, Patricia. "Creating a Culture of Shared Governance Begins With Developing the Nurse as Scholar." Creative Nursing 18, no. 4 (2012): 160–67. http://dx.doi.org/10.1891/1078-4535.18.4.160.
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The relationship between shared governance and nursing scholarship is investigated with an emphasis on the connection between stages of scholarly development and nursing action in the evolution of professional practice models. The scholarly image of nursing is described and four critical stages of scholarship (scholarly inquiry, conscious reflection, persistent critique, and intellectual creation) are presented. The development of nursing scholars is described with emphasis on intellectual virtues as described by philosophers and values as described by nursing theorists that are foundational to this process. Shared governance is viewed holistically as a true scholarly process when these elements are in place and are used by nurses.
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Kim, Myoung Soo, Young Ok Cho, and Jiwon Park. "Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study." Nursing Reports 12, no. 4 (November 15, 2022): 861–72. http://dx.doi.org/10.3390/nursrep12040083.
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Perceived safety culture and nursing work environment are considered important prerequisites for a patient safety activity. Patient safety is also associated with person-centered care; however, few studies apply the person-centered care framework which includes staff attributes and care environment. This study aimed to examine the canonical correlations of person-centered care factors, including professional self-concept, patient safety culture, nursing work environment, and patient safety activities of nurses working in small–medium-sized hospitals. A cross-sectional survey was used. Participants included 171 nurses from seven small–medium-sized hospitals in Busan metropolitan city, in Korea. Data were analyzed using descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson’s correlation coefficients, and canonical correlations. Two significant canonical variates were found. First, better professional self-concept, a positive patient safety culture, and better nursing work environment were associated with better patient safety care activities. Second, a negative patient safety culture and healthy nursing work environment were associated with a lack of communication between medical staff. Person-centered framework factors such as staff attributes and care environment were positively associated with patient safety activities. Based on the results, nurses in small–medium-sized hospitals should be highly aware of their professional self-concept. Moreover, nurses should be equipped with psychological safety and a healthy work environment to enhance patient safety activities.