Journal articles: 'Refreshed nurses'

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Fadiah, Elyana, Rismia Agustina, and Oski Illiandri. "Nurse Knowledge About High Quality Cardiopulmonary Resuscitation (CPR)." Indonesian Journal for Health Sciences 2, no. 2 (March 26, 2019): 71. http://dx.doi.org/10.24269/ijhs.v2i2.843.

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High quality CPR is administering CPR with the standarts already specified by the American Heart Association (AHA) 2015 which consists of 5 main components. Based on the data obtained, as many as 3 people nurses said forgot about the depth of CPR and 1 the same nurse said forgot about the frequency of CPR. Nursing knowledge of high quality CPR is essential, in order to improve the effectiveness of action implementation. This study aims to determine of nurse’s knowledge about high quality CPR at IGD RSUD Ulin Banjarmasin. This research is a descriptive with cross-sectional method and sample of 34 people taken with total sampling technique. Instrument used in the form of questionnaires knowledge about the procedure of giving CPR and high quality CPR. Nursing knowledge level about high quality of CPR is less 1 (2,9%), enough 6 (17,6%) and good 27 (79,4%). The nurse's knowledge of high quality CPR is good, but it needs to be refreshed on CPR in order to improve the service for the better.

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Sagherian, Knar, Michael E. Clinton, Huda Abu-Saad Huijer, and Jeanne Geiger-Brown. "Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurses." Workplace Health & Safety 65, no. 7 (November 23, 2016): 304–12. http://dx.doi.org/10.1177/2165079916665398.

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Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime. Nurses who worked during off days reported significantly higher chronic fatigue compared with those nurses who took time off. Nurses who reported feeling refreshed after sleep had significantly less chronic and acute fatigue and more intershift recovery. Nurses with acute and chronic fatigue perceived poorer physical performance. Also, nurses who reported chronic fatigue perceived they were less alert and less able to concentrate when providing patient care. Less effective communication was also associated with acute and chronic fatigue. In conclusion, fatigue has safety implications for nurses’ practice that should be monitored by nursing management.

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Brott, Shirley. "News of The Academy of Neonatal Nursing." Neonatal Network 26, no. 6 (November 2007): 385–88. http://dx.doi.org/10.1891/0730-0832.26.6.385.

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Through your generous donations, ANN’s contribution of $2,500 to the Council of International Neonatal Nurses (COINN) enabled two neonatal nurses to attend the 6th International Neonatal Nursing Conference in New Delhi, India, organized by the National Neonatal Forum of India. The recipients of the scholarships are Shobha Nepali and Shela Akbar Ali Hirani. Ms. Nepali is from Nepal and currently is the president of the Nepal Australia Maitri Sangh Association. Ms. Hirani is an instructor at the Aga Khan University School of Nursing in Karachi, Pakistan. According to Ms. Nepali, “I was so excited; it was my first trip to New Dehli, India. At the conference, there was a common feeling among neonatal nurses that their voices were not being heard and they have no influence on budget decisions. I can clearly see the discontent among nurses in developing countries who have advanced skills. Nonetheless, nurses from India have pursued recognition of their rights, as shown by the inauguration of the Indian Association of Neonatal Nurses. During the COINN conference we prioritized the following action points: (1) better nurse education and clinical training, (2) an exchange program for global unity, and (3) research focus on evidence. I am grateful to COINN for providing me with such a great opportunity to attend the 6th International Neonatal Nursing Conference 2007. I refreshed my knowledge and expertise, and I will try my best to share this among the people of Nepal.”

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M Hawley, Jennifer, and Barbara Jo Foley. "Being Refreshed: Evaluation of a Nurse Refresher Course." Journal of Continuing Education in Nursing 35, no. 2 (March 1, 2004): 84–88. http://dx.doi.org/10.3928/0022-0124-20040301-11.

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Shivalli, Siddharudha, and Vasudha Sanklapur. "Healthcare Waste Management: Qualitative and Quantitative Appraisal of Nurses in a Tertiary Care Hospital of India." Scientific World Journal 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/935101.

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Background.The nurse’s role in healthcare waste management is crucial.Objectives.(1) To appraise nurses quantitatively and qualitatively regarding healthcare waste management; (2) to elicit the determinants of knowledge and attitudes of healthcare waste management.Method.A cross-sectional study was undertaken at a tertiary care hospital of Mangalore, India. Self-administered pretested questionnaire and “nonparticipatory observation” were used for quantitative and qualitative appraisals. Percentage knowledge score was calculated based on their total knowledge score. Nurses’ knowledge was categorized as excellent (>70%), good (50–70%), and poor (<50%). Chi square test was applied to judge the association of study variables with their attitudes and knowledge.Results. Out of 100 nurses 47 had excellent knowledge (>70% score). Most (86%) expressed the need of refresher training. No study variable displayed significant association(P>0.05)with knowledge. Apt segregation practices were followed except in casualty. Patients and entourages misinterpreted the colored containers.Conclusion.Nurses’ knowledge and healthcare waste management practices were not satisfactory. There is a need of refresher trainings at optimum intervals to ensure sustainability and further improvement. Educating patients and their entourages and display of segregation information board in local language are recommended.

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Randolph, Pamela K. "Refresher Courses for Disciplined Nurses." Journal of Nursing Regulation 1, no. 4 (January 2011): 50–53. http://dx.doi.org/10.1016/s2155-8256(15)30319-7.

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Weeks, Sandra Kenney, Elaine Scherer, Shelley R. Green, Cheryl L. Davis, Donna S. Wadewitz, and Janice T. Farmer. "Way Finding: Precepting Refresher Nurses." Nurse Leader 10, no. 5 (October 2012): 54–56. http://dx.doi.org/10.1016/j.mnl.2012.03.011.

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Surface, Cheryl A. "A Nurse Refresher Course." Nursing Management (Springhouse) 23, no. 4 (April 1992): 96. http://dx.doi.org/10.1097/00006247-199204000-00034.

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Booth, Andrew. "Nursing Professionals Use and Value Information but Favour Work-based Sources and Colleagues in Preference to Libraries." Evidence Based Library and Information Practice 2, no. 4 (December 7, 2007): 92. http://dx.doi.org/10.18438/b8p01b.

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A review of: Urquhart, C., and R. Davies. ”EVINCE: The Value of Information in Developing Nursing Knowledge and Competence.” Health Libraries Review 14.2 (1997): 61-72. Objective – To examine the impact of information on the clinical knowledge and practice of nurses, midwives and health visitors. Design – Two surveys: a one-page critical incident questionnaire survey sent weekly over four weeks, and a questionnaire attached to information requests and searches, followed up by interviews. Setting – UK health information providers serving nurses (national information providers, National Health Service trust libraries, higher education funded library and information services, and a health promotion library). Subjects – A random sample of 210 nurses, midwives and health visitors were targeted in the critical incident survey, and 776 of those requesting information or searches at participating library and information centres received questionnaires for the second survey. Methods – Opinion leaders were consulted to inform a pilot study. A critical incident type questionnaire survey was then administered to a random sample of 210 nurses, midwives and health visitors. The same one-page questionnaire was sent weekly (for four weeks) to 10% of a randomly selected sample of staff at each site. Staff were asked to identify one occasion during that week when they needed information, the purpose of the information needed, the sources chosen to answer the query and how successful the quest was. The impact of the information provided by the library and information services on present and future professional practice was examined through a complementary survey. Responses were coded using three categories of competence: assessment, monitoring of care and evaluation of care. Follow-up interviews then explored the nature of the incident described or the quality of information provided. Main results – The response rate for the critical incident survey was 52% (434 out of 840 completed questionnaires returned) with 78% (163/210) of participants replying at least once. The total response rate for the second survey was 40% (311/776). Ninety percent of respondents stated that the information they obtained from the library or information service added to their knowledge, and 86% had been able to use some information immediately. Sixty-one percent reported that information had refreshed their memory, and 75% agreed that information substantiated what they had known or suspected. Seventy-six percent of respondents agreed that they needed to obtain more information on the topic, while 23% had expected to find something else. Eighty-eight percent of respondents indicated that they would share the information with colleagues. Ninety-six percent of respondents agreed that the information obtained would contribute to future practice. Seventy percent felt that the information would or did help in evaluation of practice outcomes, 68% for improved quality of life for patient and/or family and 61% in interpersonal relations with clients/patients. Other majority responses were for Audit or standards of care (57%), Monitoring of care (56%) and Legal or ethical issues (51%). Base or ward sources were used in 72% of patient care related incidents and colleagues in 56% of these incidents. Of 148 incidents involving use of a library, the primary purposes were personal updating (62%), coursework (54%), patient care – specific drug or therapy (44%), and teaching staff, students or colleagues (39%). Conclusion – The findings demonstrate the value of information to nursing professionals while acknowledging that the library is not necessarily a principal source of such information. Ward-based resources and information from colleagues continue to play a dominant part in information use. Rather than reducing uncertainty, the value of information may lie in encouraging uncertainty and reflective practice. Information professionals must seek a greater understanding of situations and methods of presentation by which they might encourage reflective practice.

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Jakubowski, Tami L., and Tracy Perron. "Asthma Assessment in the School Health Office: Can They Stay or Should They Go?" NASN School Nurse 34, no. 1 (October 1, 2018): 37–43. http://dx.doi.org/10.1177/1942602x18803336.

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The Assessment Refresher for School Nurses series will review the health assessment and interventions of common complaints of children in the school health setting, making it easier for school nurses to determine whether children should stay in school or be sent home. Initial topics to be covered include asthma and allergies, immunizations, bullying/depression, and diabetes.

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Cundall, Regina, Betty Emert, Donna Gowens, Cathy Hedrick, Marge Phillips, Beverly Schulze, and Darlene Darlene Sredl. "Designing a Nurse Refresher Course Curriculum." Journal of Continuing Education in Nursing 35, no. 4 (July 1, 2004): 164–75. http://dx.doi.org/10.3928/0022-0124-20040701-08.

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Alhassan, Afizu, Abdul-Ganiyu Fuseini, and Ajara Musah. "Knowledge of the Glasgow Coma Scale among Nurses in a Tertiary Hospital in Ghana." Nursing Research and Practice 2019 (June 24, 2019): 1–7. http://dx.doi.org/10.1155/2019/5829028.

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Background. Knowledge of the Glasgow Coma Scale (GCS) is recognized as an asset to all clinical nurses. However, many studies in different countries have reported low levels of knowledge of the GCS among nurses. Little is known about this subject in Ghana. Objectives. The aim of this study was to assess the knowledge of Ghanaian nurses about the Glasgow Coma Scale and identify factors associated with their knowledge. Method. This was a descriptive cross-sectional study involving a convenience sample of 115 nurses from a large teaching hospital in Ghana. We collected data using a structured questionnaire and analysed the data using descriptive statistics, Pearson’s correlation, independent samples t-test, and one-way ANOVA. Results. A little more than half of the participants (50.4%) had low knowledge of the GCS as a whole. However, with respect to basic theoretical concepts of the GCS, 62.6% of the participants had good knowledge about it, while only 5.2% demonstrated good knowledge on application of the basic knowledge in clinical scenarios. Working in Neurosurgical ward, female gender, and weekly performance of the GCS were associated with higher levels of knowledge. Academic qualification, years of experience as a nurse, and refresher training on GCS were not associated with knowledge. Conclusion. The findings from this study showed that nurses in Ghana have low levels of knowledge about the GCS. A more structured approach to teaching the GCS that is very thorough and done with demonstrations should be implemented to improve nurses’ knowledge on the GCS.

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Cotton, Rebecca, Richard Drew, Matthew Douma, Domhnall O'Dochartaigh, Candice Keddie, Karen Muncaster, and Christopher Picard. "An analysis of individual and department triage variances to identify, quantify, and improve markers of triage nurse accuracy." Canadian Journal of Emergency Nursing 44, no. 2 (July 20, 2021): 19–20. http://dx.doi.org/10.29173/cjen130.

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An analysis of individual and department triage variances to identify, quantify, and improve markers of nurse triage accuracy. Rebecca Cotton, Richard Drew, Matthew Douma, Domhnall O’Dochartaigh, Candice Keddie, Karen Muncaster, Christopher Picard Background: Canadian Emergency Departments (ED) use the five-point Canadian Triage Acuity Scale (CTAS) to sort and prioritize patients according to acuity. CTAS scores are used to make decisions on patient flow, staffing complement, and funding. Despite this, there is a paucity of literature describing how CTAS data can be audited, and how the data can inform quality improvement/assurance (QI/QA). Implementation: Triage data downloaded from Tableau were analyzed using Microsoft Excel and IBM SPSS 26. Staff were informed of the audit using email and social media, and invited to discuss the results with educators and administrators. Staff identified for intervention were approached individually with the administrative plan. Anonymized versions of the work plan were posted on the departmental audit board. Nurses triaging greater than 50% department average were offered the option to triage less frequently, while nurses triaging less than 50% the department average were preferentially placed in triage. Nurses triaging fewer than 100 patients per year were informed they would be relieved of triage responsibility unless their rates increased above threshold. Nurses “down-triaging” patients at rates greater than 2 SD were informed that if their practice remained outside 2 SD at repeat audit they would be relieved of triage responsibility until they voluntarily completed CTAS refresher training. Nurses with average assigned CTAS scores > 2 SD department average had 20 visits randomly audited per month for error/appropriateness. Evaluation Method: Computer-assisted analysis of complete triage records was conducted for August 2019 to August 2020 at the Misericordia Hospital Emergency. Complete triage entries of every patient triaged by all triage trained nurses in the department were examined. Nurse’s with practice variation two deviations from department mean were identified and received additional detailed audits. Items examined for error were: FTE adjusted triage frequency; average CTAS score assigned; triage score manual override “down/up-triage” rate; proportion of absent Numeric Pain Scores (NPS) for patients with primary presenting complaints of pain; and vital signs modifier error rates. Initial department averages were used for benchmarking individual nurses; zone averages were used to benchmark department performance. Nurses were interviewed, audit results and action plans were posted. Repeat audits were performed on a three-month basis and benchmarked to initial measures, and a staff awareness campaign was enacted to improve NPS scoring. Data were extracted using text-parsing algorithms programmed into Microsoft Excel and analyzed using IBM SPSS 26. Data were normally distributed and descriptive statistics were calculated using means and standard deviations. T-testing was used for comparisons, and all testing was two-tailed with a pre-defined significance set at 0.05. Results: After the 3rd quarterly audit and associated interventions, global improvements were appreciated in triage nurse practice. There was a 68% reduction in the need for administrative action (n=51, n=18) with reduced variance in individual nurse triage rates and a 50% reduction in nurses who triaged >50% more patients than their peers. 50% fewer nurses had a mean triage rate >.02 above or below department average, there was an 86% reduction in high risk vital sign error rates, a 78% reduction in ”down-triage” rates, and a 6.5% improvement in documentation of numerical pain scores. Advice and Lessons Learned:1) Triage data analytics can rapidly identify staff with significant deviations from the average,making auditing and QI/QA activities more efficient and effective. 2) Having a concrete performance management framework and dissemination plan in place areessential for auditing to have a significant impact on triage consistency and quality over time. 3) Future QI/QA work should consider expanding computer-assisted text parsing to identifypatients at risk for mis-triage for reasons other than vital sign derangement, which will allowfor broader ED rollout across the Edmonton Zone and beyond.

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F Huggins, Marilyn. "Registered Nurse Refresher Course as an Adjunct in Nurse Recruitment." Journal of Continuing Education in Nursing 36, no. 5 (September 1, 2005): 213–17. http://dx.doi.org/10.3928/0022-0124-20050901-07.

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White, Anne, Vanice W. Roberts, and Jane Brannan. "Returning Nurses to the Workforce: Developing an Online Refresher Course." Journal of Continuing Education in Nursing 34, no. 2 (March 1, 2003): 59–63. http://dx.doi.org/10.3928/0022-0124-20030301-05.

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Ali Hussein Al-Qalah, Talal, and Gamil Ghaleb Alrubaiee. "Intensive care nurses' knowledge of enteral nutrition at public hospitals in Sana'a, Yemen: a cross-sectional survey." F1000Research 9 (July 22, 2020): 759. http://dx.doi.org/10.12688/f1000research.25041.1.

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Background: Nurses have a pivotal role in initiating and managing enteral nutrition (EN) and monitoring any potential complications. Yet, it is unclear whether Yemeni nurses have adequate knowledge to deliver and manage enteral nutrition safely. Therefore, the aim of this study was to assess the level of ICU nurses’ knowledge regarding the management of EN. Methods: A descriptive cross-sectional study was conducted from February 2019 to March 2019. A probability sampling method was used to recruit 174 nurses from four public hospitals in the capital city of Yemen. A self-administered 17-item questionnaire related to ICU nurses' knowledge regarding EN intervention was used to collect the data. Results: Out of the 174 respondents, 60.9% were females, 48.9% were aged between 20 and 25 years and 66.1% had a 3-year nursing diploma. Most respondents (79.3%) had one to five years of working experience as nurses, while almost two-thirds (70.7%) had one to five years of working experience as an ICU nurse. Above half (59.2%) of the respondents had never attended training courses on EN management and 65.5% specified that the college or institute of nursing was the source for their knowledge about EN management. Only 10.9% of the respondents had an adequate level of knowledge, while (43.1%) of them had a moderate level of knowledge and 46.0% of them had an inadequate level of knowledge regarding the EN management. Significant associations between the level of ICU nurses' knowledge of EN management and their level of education and the sources of knowledge were detected. Conclusions: The significant gap in ICU nurses’ knowledge regarding EN management identified implies the need to upgrade and refresh of the ICU nurses' knowledge by implementing a regular training program concerning EN management.

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Tongtoyai, Jaray, Panutsaya Tientadakul, Wimol Chinswangwatanakul, and Nisarat Opartkiattikul. "Point-of-care glucose testing: on-site competency assessment." International Journal of Health Care Quality Assurance 27, no. 5 (June 3, 2014): 373–81. http://dx.doi.org/10.1108/ijhcqa-11-2012-0121.

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Purpose – The purpose of this pilot paper is to use on-site assessment to determine common non-compliance in point-of-care (POC) glucose testing, deficiencies that should be improved by the POC team or emphasized in further training. Design/methodology/approach – Assessment forms for POC site and staff competency were developed and used for direct observation in four POC sites. Nurses were sampled in these sites. Findings – The on-site assessment demonstrated that initial operator training was insufficient. Only three of 15 nurses achieved a satisfactory score on the first assessment. In all nine participants who had been assessed at least twice improved their performance. In total, 16 (30 percent) of 53 competency items were not achieved, so these should be addressed during refresher training. Improved compliance with the checklist was observed in two of four POC sites. Research limitations/implications – Medical students and residents also perform the test, so more representative samples are needed. Practical implications – The assessment of staff performance in the workplace with constructive input and POC site inspections to identify common deficiencies are recommended. Refresher trainings should be focussed on the deficiencies identified. Social implications – Assessing staff performance in the workplace with constructive input and POC site inspections to identify common deficiencies are recommended. Refresher trainings should focus on deficiencies. Originality/value – This study involved directly observing POC site staff during glucose testing. The assessment forms were based on ISO 22870:2006 technical requirements.

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Nishisaki, Akira, Aaron J. Donoghue, Shawn Colborn, Christine Watson, Andrew Meyer, Calvin A. Brown, Mark A. Helfaer, Ron M. Walls, and Vinay M. Nadkarni. "Effect of Just-in-time Simulation Training on Tracheal Intubation Procedure Safety in the Pediatric Intensive Care Unit." Anesthesiology 113, no. 1 (July 1, 2010): 214–23. http://dx.doi.org/10.1097/aln.0b013e3181e19bf2.

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Background Tracheal intubation-associated events (TIAEs) are common (20%) and life threatening (4%) in pediatric intensive care units. Physician trainees are required to learn tracheal intubation during intensive care unit rotations. The authors hypothesized that "just-in-time" simulation-based intubation refresher training would improve resident participation, success, and decrease TIAEs. Methods For 14 months, one of two on-call residents, nurses, and respiratory therapists received 20-min multidisciplinary simulation-based tracheal intubation training and 10-min resident skill refresher training at the beginning of their on-call period in addition to routine residency education. The rate of first attempt and overall success between refresher-trained and concurrent non-refresher-trained residents (controls) during the intervention phase was compared. The incidence of TIAEs between preintervention and intervention phase was also compared. Results Four hundred one consecutive primary orotracheal intubations were evaluated: 220 preintervention and 181 intervention. During intervention phase, neither first-attempt success nor overall success rate differed between refresher-trained residents versus concurrent non-refresher-trained residents: 20 of 40 (50%) versus 15 of 24 (62.5%), P = 0.44 and 23 of 40 (57.5%) versus 18 of 24 (75.0%), P = 0.19, respectively. The resident's first attempt and overall success rate did not differ between preintervention and intervention phases. The incidence of TIAE during preintervention and intervention phases was similar: 22.0% preintervention versus 19.9% intervention, P = 0.62, whereas resident participation increased from 20.9% preintervention to 35.4% intervention, P = 0.002. Resident participation continued to be associated with TIAE even after adjusting for the phase and difficult airway condition: odds ratio 2.22 (95% CI 1.28-3.87, P = 0.005). Conclusions Brief just-in-time multidisciplinary simulation-based intubation refresher training did not improve the resident's first attempt or overall tracheal intubation success.

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Ali, Emordi Nnenna. "Outcome of nursing intervention on knowledge and use of nursing process among nurses in zonal hospitals, rivers state, Nigeria." International Journal of Research in Medical Sciences 8, no. 11 (October 28, 2020): 3856. http://dx.doi.org/10.18203/2320-6012.ijrms20204870.

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Background: Nursing process if properly utilized help nurses to be accountable and responsible for the care given. With all of its benefits it has suffered poor implementation and utilization in developing countries, Nigeria inclusive. Hence, this study determined the outcome of nursing intervention on knowledge and use of nursing process among nurses in Zonal Hospitals in Rivers State.Methods: This study adopted a two group pretest-posttest quasi-experimental design. Purposive sampling technique was used to select 41 nurse participants who were working in in-patient management units from the 2 Zonal Hospitals. The instrument for data collection included a checklist and nursing process questionnaire. The reliability was determined with a Cronbach’s alpha index range of 0.77-0.91. Descriptive statistics of percentages, mean and standard deviation was used to answer six research questions.Results: The pre-intervention knowledge mean score of nursing process was below average for the two groups but became high in the experimental group at post-intervention. Also, pre-intervention use mean score of nursing process was below average in both groups but high after intervention in the experimental group.Conclusions: The study concluded that nursing intervention was effective in improving the knowledge and use of nursing process among the nurses. Thus, the outcome was positive as changes were noted. It is recommended that in-service educational program should be established to provide continuous education for nurses to refresh their knowledge and enhance their usage of nursing process.

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Meyers, A. L. "ABC’s of ABO-A refresher for blood and marrow transplant nurses." Biology of Blood and Marrow Transplantation 10 (February 2004): 95. http://dx.doi.org/10.1016/j.bbmt.2003.12.228.

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Fitzpatrick, Thomas B., and Jeffrey Bernhard. "Shelley's 77 skins: A refresher course for doctors, nurses and students." Journal of the American Academy of Dermatology 50, no. 4 (April 2004): 655. http://dx.doi.org/10.1016/j.jaad.2003.05.007.

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Kumar Tailor, Sunil, Shiv K Mudgal, Digpal Singh Chundawat, and Krishan Kumar Nehra. "NURSE KNOWLEDGE REGARDING INTRAVENOUS THERAPY IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY." International Journal of Advanced Research 8, no. 11 (November 30, 2020): 69–73. http://dx.doi.org/10.21474/ijar01/11978.

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Context: In hospital settings, most of the time intravenous fluids and drugs administered to patients and nurses are responsible for administration and care of intravenous therapy. However, patients may develop complications related to intravenous therapy due to inadequate competency and knowledge of nurses regarding intravenous therapy. Aims: The present study was conducted to ascertain the knowledge regarding administration and care of intravenous therapy among the staff nurses working at tertiary care hospitals. Methods: A Cross-Sectional research design was adopted to ascertain the nurses knowledge of intravenous therapy. A total of 400 nurses were selected through simple random sampling technique from a tertiary care hospital. A self-structured questionnaire was used to assess the nurses knowledge of IV therapy. The data were analyzed using descriptive and inferential statistic. Result: The finding of the study indicated that the overall mean knowledge score of nurses was 15.71Â±4.18. The demographic variables which influenced the level of nurses knowledge significantly were their professional education (p=0.003) and attended refresher courses on IV therapy (p=0.000). Conclusion: Nurses had an inadequate level of knowledge on administration and care of IV therapy. The administration of IV therapy could be improved by the provision of the in-service education programme.

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Ferris, Laurice, and Linda B. Brown. "A 10-Year Follow-Up Study: Nurse Refresher Program." Journal of Continuing Education in Nursing 23, no. 5 (September 1992): 220–23. http://dx.doi.org/10.3928/0022-0124-19920901-13.

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Bellack, Janis P. "Characteristics and Outcomes of a Statewide Nurse Refresher Project." Journal of Continuing Education in Nursing 26, no. 2 (March 1995): 60–66. http://dx.doi.org/10.3928/0022-0124-19950301-06.

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Worster, Andrew, Nicki Gilboy, Christopher M. Fernandes, David Eitel, Kevin Eva, Rose Geisler, and Paula Tanabe. "Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial." CJEM 6, no. 04 (July 2004): 240–45. http://dx.doi.org/10.1017/s1481803500009192.

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ABSTRACT Introduction: The Emergency Severity Index (ESI©) is an initial measure of patient assessment in the emergency department (ED). It rates patients based on acuity and predicted resource intensity from Level 1 (most ill) to Level 5 (least resource intensive). Already implemented and evaluated in several US hospitals, ESI has yet to be evaluated in a Canadian setting or compared with the fivelevel Canadian Emergency Department Triage and Acuity Scale (CTAS). Objective: To compare the inter-observer reliability of 2 five-level triage and acuity scales. Methods: Ten triage nurses, who had all been trained in the use of CTAS, from 4 urban, academic Canadian EDs were randomly assigned either to training in ESI version 3 (ESI v.3) or to refresher training in CTAS. They independently assigned triage scores to 200 emergency cases, unaware of the rating by the other nurses. Results: Number of years of nursing practice was the only significant demographic difference found between the 2 groups (p = 0.014). A quadratically weighted kappa to measure the inter-observer reliability of the CTAS group was 0.91 (0.90, 0.99) and not significantly different from that of the ESI group 0.89 (0.88, 0.99). An inter-test generalizability (G) study performed on the variance components derived from an analysis of variance (ANOVA) revealed G(5) = 0.90 (0.82, 0.99). Conclusions: After 3 hours of training, experienced triage nurses were able to perform triage assessments using ESI v.3 with the same inter-observer reliability as those with experience and refresher training in using the CTAS.

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Mohammed, Sohair Mabrouk, and Sanaa Moustafa Safan. "Implementing structured model of clinical handover (SHARED): Its influence on nurses’ satisfaction." Clinical Nursing Studies 7, no. 1 (November 19, 2018): 71. http://dx.doi.org/10.5430/cns.v7n1p71.

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Objective: Clinical handover is acting an important role which nurses are usually involved numerous times in daily working for providing patient care. In spite of the importance of clinical handover, there is no standardized handover practice in our healthcare settings. This study aimed to explore the effect of implementing a structured model of clinical handover (SHARED), and its influence on nurses’ satisfaction.Methods: Design: The quasi-experimental design was utilized. Settings: Conducted at Menoufia University Hospitals at inpatient departments/units. Subjects: A convenient sample of 167 staff nurses who had at least a year of experience and accept to participate in this study. Tools: Tool I, Handover Knowledge Questionnaire; Tool II: clinical handover questionnaire; and Tool III, nurses’ satisfaction questionnaire.Results: Nurses’ levels of total knowledge regarding practices of the current clinical handover were poor at pre-implementation and improved after implementation of the structured model as SHARED. Additionally, there was an improvement of clinical handover attitude after implementation of a SHARED framework among studied subjects and had a good level of attitude than pre-implementation phases.Conclusions: There was the highest level of nurses’ satisfaction regarding clinical handover practice at the post-implementation of SHARD model than pre-implementation.Recommendations: Ongoing educational sessions for nurses and periodic refresher training courses should be provided in order to keep nurses updating knowledge and practice regarding structured and standardized handover models.

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Kalnins, Irene, Sharon L. Phelps, and Walter Glauber. "Outcomes of Nurse (RN) Refresher Courses in a Midwestern City." Journal of Continuing Education in Nursing 25, no. 6 (November 1994): 268–71. http://dx.doi.org/10.3928/0022-0124-19941101-09.

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Romiko, Romiko. "ANALISIS KEPATUHAN PERAWAT TERHADAP PENCEGAHAN DAN PENGENDALIAN INFEKSI DI RUMAH SAKIT MUHAMMADIYAH PALEMBANG." Masker Medika 8, no. 1 (August 16, 2020): 201–15. http://dx.doi.org/10.52523/maskermedika.v8i1.396.

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Latar Belakang: Infeksi nosokomial sangat berpengaruh terhadap kondisi kesehatan pasien secara menyeluruh dan dapat meningkatkan morbiditas serta mortalitas. Kejadian infeksi nosokomial di Rumah Sakit Muhammadiyah Palembang masih banyak ditemukan, kepatuhan perawat dalam mencegah dan mengendalikan infeksi merupakan faktor yang sangat penting dalam pencegahan terjadinya infeksi nosokomial. Tujuan Penelitian: untuk menganalisis kepatuhan perawat terhadap pencegahan dan pengendalian infeksi di Rumah Sakit Muhammadiyah Palembang serta determinanya. Metode Penelitian: Jenispenelitian ini adalah penelitian kualitatif dengan pendekatan interaktif. Sumber informan sebanyak tiga orang perawat pelaksana, tiga orang kepala ruang, dan satu orang perawat PPIRS. Pengumpulan data melalui wawancara mendalam, studi dokumentasi dan observasi. Analisis diuraikan dalam bentuk deskriptif dan naratif. Hasil: hasil penelitian menunjukkan bahwa delapan kemampuan perawat dalam melakukan pencegahan dan pengendalian infeksi nosokomial belum sesuai dengan aturan menurut WHO. Determinan dalam pelaksanaannya antara lain pendidikan perawat, lama bekerja, tempat tugas, kebutuhan SDM dan alat pendukung, kenyamanan terhadap fasilitas pendukung, pelatihan/sosialisasi, monitoring dan evaluasi serta koordinasi antar unit. Kesimpulan: kemampuan perawat dalam pencegahan dan pengendalian infeksi nosokomial di RSMP masih belum optimal dan banyak hambatan dalam pelaksanaannya. Manajemen rumah sakit dan Tim PPI disarankan melakukan penyegaran kembali materi tentang PPI dan melakukan monitoring terhadap penerapan SPO PPI. Background: Nosocomial infection is very influential on a patient's overall health condition and can increase morbidity and mortality. The incidence of nosocomial infections in Muhammadiyah Hospital Palembang is still widely found, nurses' adherence in preventing and controlling infections is a very important factor in preventing nosocomial infections. Research Objectives: to analyze nurses' adherence to infection prevention and control at Palembang Muhammadiyah Hospital and its determinants. Research Methods: This type of research is a qualitative research with an interactive approach. Informants were as many as three associate nurses, three head nurses, and one Infection Prevention Control Nurse (IPCN). Data collection through in-depth interviews, documentation studies and observations. The analysis is described in descriptive and narrative form. Results: The results showed that eight nurses' ability to prevent and control nosocomial infections was not in accordance with WHO regulations. Determinants in its implementation include nurse education, length of work, place of assignment, human resource needs and supporting tools, comfort of supporting facilities, training, monitoring and evaluation as well as coordination among units. Conclusion: the ability of nurses in the prevention and control of nosocomial infections in RSMP is still not optimal and there are many obstacles in their implementation. Hospital management and the IPC Team are advised to re-refresh the material on IPC and to monitor the implementation of IPC standard operational procedures.

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Gonçalves, Márcia Beatriz Berzoti, Soraia Assad Nasbine Rabeh, and César Augusto Sangaletti Terçariol. "The contribution of distance learning to the knowledge of nursing lecturers regarding assessment of chronic wounds." Revista Latino-Americana de Enfermagem 23, no. 1 (February 2015): 122–29. http://dx.doi.org/10.1590/0104-1169.3606.2533.

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OBJECTIVE: to identify the contribution made by a refresher course on the assessment of chronic wounds, offered through the Moodle virtual learning environment (VLE), to the knowledge relating to this issue of nursing lecturers and nurses linked to higher education.METHOD: a prospective, quasi-experimental study, with data collection before and after the educational intervention. The study was undertaken in three stages using the Moodle VLE. The sample was made up of 28 participants who answered the pre-test on the knowledge, devised in accordance with international guidelines on chronic wounds. Afterwards, the refresher course was offered (intervention) and was accessed in accordance with individuals' schedules, during the established time period. At the end of the course, 26 participants answered the post-test. Those who did not participate in the post-tests were excluded from the study, as it is pairwise analysis of the sample.RESULT: the participants obtained, on average, 55.5% of correct answers in the pre-test on their knowledge, and 73.4% in the post-test, this difference being statistically significant. There was a negative correlation between the time of experience in lecturing and the performance in the test on their knowledge.CONCLUSION: the participation in the online refresher course contributed to improving the lecturers' performance in the test on their knowledge, in relation to the recommendations for assessing chronic wounds, based in scientific evidence.

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Ellington, Laura E., Rosario Becerra, Gabriela Mallma, José Tantaleán da Fieno, Deepthi Nair, Frankline Onchiri, and Katie R. Nielsen. "Knowledge acquisition and retention after a high flow training programme in Peru: a quasi-experimental single group pre–post design." BMJ Open 10, no. 6 (June 2020): e035125. http://dx.doi.org/10.1136/bmjopen-2019-035125.

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ObjectiveRespiratory infections remain the leading infectious cause of death in children under 5 and disproportionately affect children in resource-limited settings. Implementing non-invasive respiratory support can reduce respiratory-related mortality. However, maintaining competency after deployment can be difficult. Our objective was to evaluate the effectiveness of a comprehensive multidisciplinary high-flow training programme in a Peruvian paediatric intensive care unit (PICU).DesignQuasi-experimental single group pre–post intervention study design.SettingQuaternary care PICU in a resource-constrained setting in Lima, Peru.ParticipantsAttending physicians, fellows, paediatric residents, registered nurses, respiratory therapists and medical technicians working in the PICU were invited to participate.InterventionsConcurrent with initial high-flow deployment, we implemented a training programme consisting of lectures, case-based discussion and demonstrations with baseline, 3-month and 12-month training sessions. Pre-training and post-training assessment surveys were distributed surrounding all training sessions.Primary and secondary outcome measuresThe primary outcome was achieving minimum competency (median score of 80%) on the high flow training assessment tool. Secondary outcomes included knowledge acquisition (differences in pre-baseline and post-baseline training assessments), short-term retention (differences in post-baseline and pre-3-month refresher training assessments) and long-term retention (differences in post-3-month refresher and pre-12-month refresher training assessments).ResultsEighty participants (50% nurses, 15% ICU physicians and 34% other providers) completed the baseline assessment. Participants showed improvement in overall score and all subtopics except the clinical application of knowledge after baseline training (p<0.001). Participants failed to retain minimum competency at 3-month and 12-month follow-up assessments (70% (IQR: 57–74) and 70% (IQR: 65–74), respectively). After repeat training sessions, overall knowledge continued to improve, exceeding baseline performance (78% (IQR: 70–87), 83% (IQR: 74–87) and 87% (IQR: 83–91) at baseline, 3 and 12 months, respectively).ConclusionThis study suggests the need for repeat training sessions to achieve and maintain competency after the implementation of new technology.

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Griffiths, Margaret J., and Kathleen Czekanski. "Meeting the Needs of the Health System: A Refresher Course for Registered Nurses." Journal of Continuing Education in Nursing 34, no. 4 (July 1, 2003): 162–71. http://dx.doi.org/10.3928/0022-0124-20030701-08.

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Hammer, Victoria R., and Gloria P. Craig. "The Experiences of Inactive Nurses Returned to Nursing After Completing a Refresher Course." Journal of Continuing Education in Nursing 39, no. 8 (August 1, 2008): 358–67. http://dx.doi.org/10.3928/00220124-20080801-03.

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Singleton, Marcy N., Kimberly F. Allen, Zhongze Li, Kevin McNerney, Urs H. Naber, and Matthew S. Braga. "Rolling-refresher simulation improves performance and retention of paediatric intensive care unit nurse code cart management." BMJ Simulation and Technology Enhanced Learning 4, no. 2 (September 25, 2017): 77–82. http://dx.doi.org/10.1136/bmjstel-2017-000243.

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IntroductionPaediatric Intensive Care Unit Nurses (PICU RNs) manage the code cart during paediatric emergencies at the Children’s Hospital at Dartmouth-Hitchcock. These are low -frequency, high-stakes events.MethodsAn uncontrolled intervention study with 6-month follow-up. A collaboration of physician and nursing experts developed a rolling-refresher training programme consisting of five simulated scenarios, including 22 code cart skills, to establish nursing code cart competency. The cohort of PICU RNs underwent a competency assessment in training 1. To achieve competence, the participating RN received immediate feedback and instruction and repeated each task until mastery during training 1. The competencies were repeated 6 months later, designated training 2.ResultsThirty-two RNs participated in training 1. Sixteen RNs (50%) completed the second training. Our rolling-refresher training programme resulted in a 43% reduction in the odds of first attempt failures between training 1 and training 2 (p=0.01). Multivariate linear regression evaluating the difference in first attempt failure between training 1 and training 2 revealed that the following covariates were not significantly associated with this improvement: interval Paediatric Advanced Life Support training, interval use of the code cart or defibrillator (either real or simulated) and time between training sessions. Univariate analysis between the two trainings revealed a statistically significant reduction in first attempt failures for: preparing an epinephrine infusion (72% vs 41%, p=0.04) and providing bag-mask ventilation (28% vs 0%, p=0.02).ConclusionsOur rolling-refresher training programme demonstrated significant improvement in performance for low-frequency, high-risk skills required to manage a paediatric code cart with retention after initial training.

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Caines, Adeline. "The Best NICU in America 2002 Children’s Hospital Columbus, Ohio." Neonatal Network 21, no. 4 (June 2002): 5–7. http://dx.doi.org/10.1891/0730-0832.21.4.5.

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AFTER READING CHARLES RAIT’S EDITORIAL IN THE February issue of Neonatal Network,® I was prompted to write about my experience in the best NICU in America. I have been an NlCU nurse since 1975 and have worked as staff nurse, assistant manager, and clinical leader in various Level II and Level III NICUs in New York and Connecticut. In September 2000, my family and I relocated to Columbus, Ohio. In April 2001 I started working as the NICU Case Manager/Clinical Nurse Specialist in the regional Level III NICU at Columbus Children’s Hospital (CCH). The aura of excellence was apparent from the very first interview and throughout my orientation. Although I was an NICU nurse for 25 plus years, I had to attend a comprehensive NICU course. This course not only refreshed my knowledge, and skills, but oriented me to the Midwest and Children’s way of doing things. Columbus Children’s was eager for me to learn their ways and at the same time was anxious to learn about the way NICU care was managed on the East Coast.

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Hızel Bahçeci, Mine, and Ayda Çelebioğlu. "Impact of a Refresher Training on Pediatric Nurses’ Realization of Their Roles and Functions." Journal of Pediatric Research 4, no. 3 (September 20, 2017): 130–36. http://dx.doi.org/10.4274/jpr.42104.

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Canham, Daryl L., Laurie Bauer, Michelle Concepcion, June Luong, Jill Peters, and Claudia Wilde. "An Audit of Medication Administration: A Glimpse Into School Health Offices." Journal of School Nursing 23, no. 1 (February 2007): 21–27. http://dx.doi.org/10.1177/10598405070230010401.

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Many students require prescription and nonprescription medication to be administered during the school day for chronic and acute illnesses. School office staff members are typically delegated this task, yet these individuals are unlicensed assistive personnel without medical training. Five school nurses developed and participated in a medication audit providing a glimpse into the administration and management of medications in school health offices. The audit included 154 medications. Results of the audit showed a wide range of errors and discrepancies, including problems with transcription, physician orders or lack thereof, timing, documentation, and storage. Audit results highlight the importance of training in medication administration and management at schools. It also directs attention to view training not as a once-a-year event, but as a process. A process is needed to ensure and sustain the safe and accurate administration of medication. Towards this end, school nurses need to periodically evaluate school office staff, audit school medication records and documents, and conduct refresher classes throughout the school year.

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Tluczek, Audrey, Marie E. Twal, Laura Curr Beamer, Candace W. Burton, Leslie Darmofal, Mary Kracun, Karen L. Zanni, and Martha Turner. "How American Nurses Association Code of Ethics informs genetic/genomic nursing." Nursing Ethics 26, no. 5 (April 29, 2018): 1505–17. http://dx.doi.org/10.1177/0969733018767248.

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Members of the Ethics and Public Policy Committee of the International Society of Nurses in Genetics prepared this article to assist nurses in interpreting the American Nurses Association (2015) Code of Ethics for Nurses with Interpretive Statements (Code) within the context of genetics/genomics. The Code explicates the nursing profession’s norms and responsibilities in managing ethical issues. The nearly ubiquitous application of genetic/genomic technologies in healthcare poses unique ethical challenges for nursing. Therefore, authors conducted literature searches that drew from various professional resources to elucidate implications of the code in genetic/genomic nursing practice, education, research, and public policy. We contend that the revised Code coupled with the application of genomic technologies to healthcare creates moral obligations for nurses to continually refresh their knowledge and capacities to translate genetic/genomic research into evidence-based practice, assure the ethical conduct of scientific inquiry, and continually develop or revise national/international guidelines that protect the rights of individuals and populations within the context of genetics/genomics. Thus, nurses have an ethical responsibility to remain knowledgeable about advances in genetics/genomics and incorporate emergent evidence into their work.

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Saroshe, Rupali, Satish Saroshe, and Sanjay Dixit. "A cross sectional study to assess the operationalization of national tobacco control program in a tertiary level hospital of central India." International Journal Of Community Medicine And Public Health 6, no. 1 (December 24, 2018): 119. http://dx.doi.org/10.18203/2394-6040.ijcmph20185140.

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Background: To implement the Anti- Tobacco laws and to sensitize all stakeholders, The National Tobacco Control Programme (NTCP) was launched by the Ministry of Health and Family Welfare (MoHFW), Government of India in 2007- 08, during the 11th five year plan. This study aims to identify the level of the awareness of ill health effects of tobacco, the basic tenets of NTCP and COTPA among the hospital staff of the tertiary level medical college hospital (M.Y Hospital Indore) involved in the process.Methods: An analytical study. Was carried out in tertiary level medical college hospital among service providers involved in anti-tobacco cell using inter-personal interview of the service providers (Medical Officers, Staff Nurses, Health Care Personnel) using pre-designed pretested semi structured questionnaire based on the salient features of NTCP and provisions of COTPA- cigarettes and other tobacco products act, 2003.Results: Regarding the ill health effects of tobacco doctors had slightly better knowledge awareness than nurses. However, it was ironical that nurses had a slightly better awareness when it comes to NTCP. Doctors were better aware of new COTPA guidelines as compared to nurses. Thus, nurses had less knowledge about ill effects of tobacco consumption and new COTPA guidelines as compared to doctors.Conclusions: Although most of the health care personnel involved in operationalization of NTCP are aware of the basic tenets of NTCP, COTPA and ill health effects of tobacco there is a dire need of the refresher training of both the doctors and the nurses. Also this type of the present study should be contemplated on multi-centric basis on a larger scale for better data results.

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W Roberts, Vanice, Jane D Brannan, and Anne White. "Outcomes-Based Research: Evaluating the Effectiveness of an Online Nurse Refresher Course." Journal of Continuing Education in Nursing 36, no. 5 (September 1, 2005): 200–204. http://dx.doi.org/10.3928/0022-0124-20050901-05.

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Kankindi, Felicite, Alice Muhayimana, Patricie Mujawimana, Ruth Dusabe, Richard Nsengiyumva, and Madeleine Mukeshimana. "Retention of Helping Babies Breathe Training among Midwives and Nurses at Four Rwandan Health Centers." Rwanda Journal of Medicine and Health Sciences 3, no. 2 (September 7, 2020): 250–60. http://dx.doi.org/10.4314/rjmhs.v3i2.14.

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Background Worldwide, neonatal mortality remains a significant burden. One substantial cause of mortality is asphyxia, where neonates fail to breathe on their own at birth and need some form of assistance to initiate or maintain breathing. The Helping Babies Breathe (HBB) training program has proven to be helpful in the reduction of asphyxia-related neonatal mortality in developing countries. Objective To assess the HBB knowledge and skills retention at two-days and six-weeks post HBB training among midwives and nurses working in selected health centers in Kigali, Rwanda. Methods A quasi-experimental design with a pre-test, post-test, and intervention using HBB (2nd Edition) program was used. Sixty midwives and nurses were purposively selected from the four study sites. Knowledge and skills retention of HBB was evaluated at two-days and six-weeks post-training. Results The majority of participants were nurses (90%), females (70%), and had advanced diploma (63%). Knowledge overall mean scores improved from pre-test (8.75) to post-test (16.90). Skills mean scores slightly dropped from 21.77 at day two to 19.73). Conclusion Our results indicated that there was retention of knowledge and skills among the midwives and nurses at day two and six-weeks post HBB training. Refresher training programs are needed to keep providers skilled for resuscitation in order to lower neonatal mortality in Rwanda. Rwanda J Med Health Sci 2020;3(2):250-260

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De Regge, Melissa, Paul A. Calle, Peter De Paepe, and Koenraad G. Monsieurs. "Basic life support refresher training of nurses: Individual training and group training are equally effective." Resuscitation 79, no. 2 (November 2008): 283–87. http://dx.doi.org/10.1016/j.resuscitation.2008.06.015.

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Phukubye, Thabo Arthur, Masenyani Oupa Mbombi, and Tebogo Maria Mothiba. "Strategies to Enhance Knowledge and Practical Skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa." International Journal of Environmental Research and Public Health 18, no. 9 (April 23, 2021): 4471. http://dx.doi.org/10.3390/ijerph18094471.

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Purpose: Lack of knowledge and practical skills on triage remains a global problem, especially within rural hospitals, and very little is known about enhancing the knowledge and skills of emergency nursing staff in rural hospitals of South Africa. The objective was to describe the perceived strategies for enhancing knowledge and practices of triage among nurses working in the emergency departments (EDs) of rural hospitals in South Africa. Research methods: A descriptive qualitative research design was applied to achieve the research objective. A non-probability sampling method was applied to select 17 professional nurses from rural hospitals. An unstructured face-to-face interview method was used to collect data. Data collected were analyzed using Tesch’s method of data analysis. Results: The study findings highlighted the academic needs of nurses working in the ED of rural hospitals. Two themes emerged from this study; (1) The consistent description of the importance of triage training for emergency unit staff, and (2) The description of measures to enhance triage practices amongst emergency unit staff. Findings indicated that triage knowledge and practice remains a challenge, but with formulated strategies like continuous training by workshops, refresher courses, and offering a training module on triage, evaluation of developed guidelines and benchmarks is often enhanced. Conclusions: The study describes the strategies to enhance the conversion of knowledge and practice of triage amongst nurses working in the ED of rural hospitals. The paper argues that the knowledge and practical skills of nurses working in ED are enhanced through the provision of continuous training as workshops, triage module, evaluating the developed guidelines to implement triage, and benchmarking with other hospitals.

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Schuler, Mary E., and Jennie M. Wagner. "An Evaluation Process to Redesign the North Carolina AHEC Registered Nurse Refresher Program." Journal of Nursing Regulation 10, no. 2 (July 2019): 38–44. http://dx.doi.org/10.1016/s2155-8256(19)30114-0.

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Sumon, Md Shariful Amin, Shahana Parveen, Md Zakiul Hassan, Md Reaj Khan Babar, Kanij Fatima Chanda, and Mahmudur Rahman. "866. Assessment of Infection Control Training among Healthcare Workers in Three Tertiary Care Public Hospitals, Bangladesh, 2015-17." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S471—S472. http://dx.doi.org/10.1093/ofid/ofaa439.1055.

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Abstract Background Hospital-acquired infections (HAI) are a rising global public health concern that disproportionately affects low and middle-income countries. Healthcare workers (HCWs) are the frontline work-stream against HAIs in healthcare settings. As part of a pilot infection prevention and control (IPC) program, we assessed the acceptability of infection control training in practice among HCWs in three public hospitals in Bangladesh to better mitigate HAI risks and occupational exposures. Methods We piloted an IPC intervention, as a part of the emergency preparedness, from 2015 to 2017 and IPC training was one of the key components. Trained IPC staff conducted a half-day training session for each three different level HCW groups, doctors, nurses and support staff. The training comprised of instructive method on standard and transmission-based precautions with infection control techniques. A practical demonstration was held followed by hands-on training on hand hygiene steps and mask, gloves use. The participants’ attitudes and practices on infection control measures were obtained through structured observation and qualitative interviews. Training on Infection Control And Prevention with Healthcare workers (Nurses) Training on Infection Control And Prevention with Healthcare workers (Doctors) Results A total of 1562 HCW’s participated in the training: 804 doctors, 445 nurses and 313 support staff in 26 training sessions. Majority of the participants (85%) did not receive any formal training earlier on infection control and often provided incorrect responses on basic IPC during interactive session. None of the hospitals had an IPC committee. After the training, we found a significant increase from 0% at baseline to 24% (p< 0.001) in hand hygiene including 43% (p< 0.001) and 45% (p< 0.001) in mask and gloves use respectively. All respondents (n=84) from the qualitative assessment, reported the training as highly effective which reinforce their learning in action in the hospitals. Participants from all three groups urged to arrange refresher training more frequently and in small groups to uphold the practices. Conclusion This pilot program demonstrated HCWs lack basic IPC principals and tailored IPC training sessions can significantly improve HCWs IPC practice. Formation of active IPC committee could enable arranging periodic refresher and in-service training updates for HCWs with the reallocation of resources to adopt regular IPC practices. Disclosures All Authors: No reported disclosures

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Han, Mi Ra, and Smi Choi-Kwon. "Effects of a Refresher Program for Inactive Nurses on Nursing Professionalism and Nursing Clinical Self-Efficacy." Journal of Korean Academy of Nursing Administration 17, no. 1 (2011): 44. http://dx.doi.org/10.11111/jkana.2011.17.1.44.

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Obonyo, Happiness, Edith A. M. Tarimo, Fatina Ramadhan, and Secilia Ng’weshemi Kapalata. "A cross-sectional study on knowledge and implementation of the nursing process among nurses at Muhimbili National Hospital-Tanzania." Tanzania Journal of Health Research 21, no. 2 (September 4, 2020): 1–9. http://dx.doi.org/10.4314/thrb.v21i2.3.

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Background: The nursing process involves a series of actions that begin with assessing the patient, identifying problems, setting goals with expected outcomes, implementing care to achieve those goals, and finally evaluating the effectiveness of the care given. Utilization of the nursing process to guide nursing care enhances the quality of patient care and outcomes for both the patient and family members. The purpose of this study was to assess the knowledge and implementation of the nursing process among nurses working at Muhimbili National Hospital, Dar es Salaam, Tanzania. Methods: We conducted a descriptive cross-sectional study design. A convenient sample of 102 registered nurses (RN) completed a self-administered questionnaire in April 2016. Descriptive statistics and non-parametric tests were used to assess the significance levels of associated variables. Results: Of 102 respondents, only 16 (15.7%) had high knowledge of the nursing process. Similarly, a few (11, 10.8%) respondents had a high level of practice. The majority of RN (94, 92.2%) were aware of the role of the nurses in providing care to admitted patients. However, only a few (32, 31.4%) were aware of the purpose of the nursing process. Respondents were more likely to have high knowledge in the nursing process if they had a diploma in nursing education (95% CI 0.000-0.029, p < 0.01). The small number of nurses in the ward and inadequate motivational strategies were reported to deprive the implementation of the nursing process. Conclusion: Overall, low knowledge of the nursing process, understaffing and workload have contributed to the ineffective implementation of the nursing process. On-the-job refresher courses are a short-term strategy that may improve the nurses’ knowledge and motivation to implement the nursing process. This study underscores the need for policymakers to advocate for the employment of a sufficient number of nurses to enable implementation of the nursing process to all admitted patients.

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Lekenit, Anna Saretin, Ruth G. Gatere, and Agnes K. Mutinda. "BARRIERS TO IMPLEMENTATION OF NURSING PROCESS AMONG NURSES WORKING IN NAROK COUNTY REFERRAL HOSPITAL." Journal of Health, Medicine and Nursing 5, no. 4 (October 1, 2020): 15. http://dx.doi.org/10.47604/jhmn.1145.

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Purpose of the study: This study therefore assessed barriers of nursing process implementation by Narok County Referral Hospital nurses. Methodology: A descriptive cross sectional study design was used to collect data from 102 randomly sampled nurses in NCRH. The study instruments used were self-administered questionnaires and key informant interview. SPSS version 20.0 was used to analyze quantitative data and sample characteristics were analyzed using mean and median. Themes were used to analyze qualitative data and narratively presented. Association between the study variables was calculated using chi square at 95% level of significance while statistical significance of results obtained was calculated using p values of 0.05. Data analysis was presented using tables and graphs. Approval was sought from relevant authorities. Results: The study results revealed that female participants were the majority at (70.6%). Most participants (71.6%) had attained diploma level of education and among them, 92.2% had received training in nursing process. Majority 95 (93.2%) were observed not to implement nursing process and of those who implemented, only 1 (1%) correctly outlined all the steps, a sign of poor nursing process implementation. NP implementation was of statistical significance with age of nurses as 18 out of 29 of younger nurses aged 21-30 years were found to actively practice it (p =0.001, work experience (p = 0.001), training (p > 0.05): institutional factors (p = 0.001). Unique contribution to theory, practice and policy: Nursing process mainstreaming interventions such as regular staff refresher courses and mentorship On NP in the hospitals, availability of relevant resources: human resource and supplies can highly mitigate these barriers.

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Singleton, Marcy, Kimberly Allen, Urs Naber, Zhongze Li, Sholeen Nett, and Matthew Braga. "314: ROLLING REFRESHER SIMULATION IMPROVES PERFORMANCE AND RETENTION OF PICU NURSE CODE CART MANAGEMENT." Critical Care Medicine 44, no. 12 (December 2016): 155. http://dx.doi.org/10.1097/01.ccm.0000508993.83573.96.

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Dewi, Nani Asna. "Optimizing the Implementation of Nursing Round and Nursing Handover in Fatmawati Hospital Jakarta." International Journal of Nursing and Health Services (IJNHS) 2, no. 1 (April 2, 2019): 48–54. http://dx.doi.org/10.35654/ijnhs.v2i1.65.

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Nursing is an integral part of medical services in a hospital, and its mission is to provide the continuum of care based services throughout the life cycle. Nursing round and nursing handover are substantial elements in providing nursing services and ensure patients’ safety. Optimizing the implementation of the nursing round and nursing handover aims to refresh, renew, and optimize required instruments. Therefore, renewing nurses’ knowledge and commitment is required to adopt a better change as mentioned in the hospital’s vision and mission, i.e. continuum of care. This research employed an analysis study with Fishbone analysis. The results reveal that the nurses’ knowledge of nursing round management increases by 49.25%, and their experience of conducting nursing round increases by 39.13%. It indicates a fine enhancement and proves that the implementation of nursing round and handover is effective to enhance the nurses’ knowledge of nursing round management because, in this round, nursing handover is directed and monitored. The commitment of top management plays a significant role in optimizing this program. Therefore, the current issue of patient centre care is well accommodated. Keywords: Optimization, service management, care management, handover, round

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Alexander, Karen E. "Relaunching Nurses to the Forefront of the COVID-19 Pandemic: Heeding the Call Through an RN Refresher Program." Journal of Continuing Education in Nursing 52, no. 2 (February 2021): 67–71. http://dx.doi.org/10.3928/00220124-20210114-05.

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Journal articles on the topic 'Refreshed nurses'

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