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Parreira, Pedro, Paulo Santos-Costa, Manoel Neri, António Marques, Paulo Queirós y Anabela Salgueiro-Oliveira. "Work Methods for Nursing Care Delivery". International Journal of Environmental Research and Public Health 18, n.º 4 (21 de febrero de 2021): 2088. http://dx.doi.org/10.3390/ijerph18042088.
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This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.
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Milecka, Dorota, Henryka Homętowska y Stanisław Manulik. "The rationing of nursing care phenomenon in the light of scientific reports – definitions, system solutions, assessment methods – PART I". Journal of Education, Health and Sport 13, n.º 4 (1 de marzo de 2023): 281–91. http://dx.doi.org/10.12775/jehs.2023.13.04.033.
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Rationing of nursing care is a widespread and growing phenomenon whose causes are multifaceted and whose consequences are serious. Nursing rationing is defined as withholding or failing to perform necessary nursing tasks due to insufficient time, staffing, and/or inadequate skills. Nursing rationing is also defined as omission, delay, or failure to complete, which qualifies as an error of omission. Unfinished nursing care has many negative consequences for patients, nurses, and organizations. The presented series of three papers aims to show many important aspects related to care rationing. This first part of the series of rationing of nursing care phenomenon will address definitions and concepts of rationing of nursing care, rationing of nursing care in the context of health care rationing, rationing of care versus omission of care or medical error, methods for assessing the rationing and the quality of nursing care, and main reasons for rationing of nursing care.
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Jasińska, Joanna. "Patient Safety in Nursing Care". Journal of Clinical Peadiatrics and Care 1, n.º 1 (13 de marzo de 2023): 01–03. http://dx.doi.org/10.58489/2836-8630/005.
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Background. Patient safetyis an undeniable important aspectin the context of improvingthe quality of the entire health system. Improving patient’s safety should be comprehensive and includetwo dimensions of safety – technical and functional. One source of information aboutthe level of patient’s safety are medical staff, but there is a gap here, which is no central system that would collect, analyze and draw conclusions from a sufficiently large number of problems reported by stakeholders. Objectives. The aim of this study was to evaluate the patient’s safety on the basis of the declaration of nurses. Material and Methods. The study involved 160 professionally active nurses. The study was performed by the authors questionnaire based on the questionnaire “Hospital Survey on Patient Safety Culture” developed by the Agency for Healthcare Research and Quality. The selection of the sample was based on the availability of respondents. The study was performed in January 2021. More than ¾ of respondents indicated the hospital as a placeof employment. Results. Nearly 40% of respondents said that their boss rarely and very rarely takes into account the suggestions of employees for the improvement of patient’s safety. Over 40% of respondents said that their workplace is often and very often trying to do too many tasks and too fast. Conclusions. It is necessary to create a culture of safety by improving communication between doctors and nurses or line managerand nurses. There is a need for greater involvement of line manager in solving problems reported by nurses in terms of providing safe care to patients (Piel. Zdr. Publ.2021, 5, 1, 33–39).
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Nuela Masaquiza, Catalina Fernanda, Adriana del Rocío Lascano Sánchez, Anderson José Sangacha Yugsi, Cinthya Anabel Ortiz Martinez, Diana Nathalie Navarrete Tinajero y Gissel Katherine Carvajal Chango. "Nursing care management in primary health care". Sapienza: International Journal of Interdisciplinary Studies 5, n.º 1 (24 de enero de 2024): e24004. http://dx.doi.org/10.51798/sijis.v5i1.722.
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Background: Nursing management in PHC is essential to achieve quality care and patient satisfaction. Objective: Analyze the management of nursing care in Primary Health Care. Methods: Qualitative and descriptive approach, semi-structured interviews were carried out with a group of male and female nurses who work at the PHC level. The interviews focused on exploring their perceptions and experiences in relation to nursing management. The data obtained were analyzed using content analysis to identify emerging themes and patterns. Results: They revealed several interesting perspectives on nursing management in the context of PHC, solid cognitive and attitudinal competencies to face the challenges of work, and highlighted the need to practice compassion as an integral part of nursing care in this environment. Conclusions: It is vitally important to strengthen and support nursing staff in the management of primary health care, emphasizing the need to promote training and professional development in these areas to improve the quality of care and outcomes. health in the Primary Health Care.
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Verkaik, Renate, Paulien van Antwerpen-Hoogenraad, Anke de Veer, Anneke Francke y Judith Huis in het Veld. "Self-management-support in dementia care: A mixed methods study among nursing staff". Dementia 16, n.º 8 (22 de febrero de 2016): 1032–44. http://dx.doi.org/10.1177/1471301216632416.
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Background Self-management in patients and family caregivers confronted with dementia is not self-evident. Self-management skills may be limited because of the progressive cognitive decline of the patient and because family caregivers are often also very aged. Self-management support by nursing staff is therefore of paramount importance. Objectives To gain insight into how nursing staff perceive their self-management support tasks, and how they put them into practice. Research questions are: ‘What are the opinions and experiences of Dutch nursing staff working in home care or residential elderly care regarding self-management support for people with dementia and their family caregivers?' and ‘Do nursing staff feel sufficiently trained and skilled for self-management support?’. Methods A mixed methods approach was used, combining cross-sectional quantitative survey data from 206 Dutch nursing professionals with qualitative interviews among 12 nursing staff working in home care or residential elderly care in The Netherlands. Results Nursing staff working in home care experienced self-management support of people with dementia as a part of their job and as an attractive task. They consider ‘helping people with dementia to maintain control over their lives by involving them in decisions in daily care’ the essence of self-management support. Nursing staff saw family caregivers as their main partners in providing self-management support to the patient. They were less aware that family caregivers themselves might also need self-management support. Nursing staff often felt insufficiently trained to give adequate self-management support. RN’s and CNA’s did not differ in their opinions, experiences and training needs. Conclusions Nursing staff in home care do consider self-management support an important and attractive task in dementia care. Their skills for providing self-management support to patients with dementia and family caregivers need improvement. Recommendations Nursing staff need sufficient training to enable the proper provision of self-management support for people with dementia. More attention should also be given to the support of self-management for family caregivers.
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Pereira, Jessika Lopes Figueiredo, Cecília Danielle Bezerra Oliveira y Inacia Sátiro Xavier De França. "Systematization of nursing care in intensive care unit". Journal of Nursing Education and Practice 8, n.º 1 (26 de septiembre de 2017): 114. http://dx.doi.org/10.5430/jnep.v8n1p114.
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Objective: To evaluate the systematization of nursing care in intensive care unit (ICU).Methods: This is an integrative review of the literature carried out through the VHL, SCIELO and LILACS databases with articles published between 2009 and 2014.Results: Five articles were selected, where it was possible to observe that the lack of applicability of the systematization of nursing assistance in the ICU is more reality found, however, when held, this process provided a registry organized and directed the data and execution and evaluation of the nursing care.Conclusions: The instruments need to be fairly discussed and proposed nursing professionals to become empowered.
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Ventura-Silva, J. M., M. M. Martins, L. L. Trindade, A. C. Faria, S. C. Barros, R. M. Melo, I. J. Oliveira, S. F. Castro y O. M. Ribeiro. "Nurses’ Work Methods Assessment Scale: A Construct Validation". Nursing Forum 2023 (11 de septiembre de 2023): 1–7. http://dx.doi.org/10.1155/2023/8884183.
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Background. A nursing work method is the base for the organization and implementation of nursing care to patients based on nurses’ skills. Nurses’ work methods are consensually organized into two groups: task-oriented work methods (functional method) and client-centered work methods (teamwork method, individual work method, and work method per reference nurse). As for the impact of the work method on clients, we highlight the interference in the quality of care provided and, regarding nurses, the impact on workload and job satisfaction. Therefore, the existence of tools that allow identifying the organizational methodologies of nursing care is relevant. Aim. The aim of the study is to test the validity and reliability of the nurses work methods assessment scale (NWMAS). Methods. The methodological study followed the recommendations of the EQUATOR network. The NWMAS was previously developed as a self-completion questionnaire. To determine construct validity, exploratory and confirmatory factor analyses were performed. Results. 325 participants were enrolled in this study. In exploratory factor analysis, the 25 items comprising NWMAS were distributed in five dimensions, contemplating the work methods. Cronbach’s alpha of the total scale was 0.846. The confirmatory factor analysis revealed a good fit. Conclusion. The NWMAS is a valid and reliable tool. Implications for Nursing Practice. The NWMAS identifies the work methods adopted by nurses in hospital settings, is a valuable tool for nursing management, and contributes to the definition of strategies that promote the quality of nursing care and the safety of patients.
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Suwardianto, Heru y Vitaria Wahyu Astuti. "Competency In Critical Care Nursing With Approach Methods Journal Sharing of Critical Care (JSCC) In Nursing Profession Students". STRADA Jurnal Ilmiah Kesehatan 9, n.º 2 (1 de noviembre de 2020): 686–93. http://dx.doi.org/10.30994/sjik.v9i2.361.
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The results showed that most respondents had good critical nursing competency scores including primary assessment: airway assessment (53.8%); breathing assessment (56.4%); Circulation assessment (61.5%); Disability assessment (56.4%); and Exposure assessment (59%), professionalism (56.4%), critical nursing care competencies (79.5%), Clinical reasoning process (71.8%), Patient safety (61.5%) and critical care exam score (46.2%). The result of statistical test with Pearson test obtained that the primary assessment: airway assessment (ρ = 0.038); circulation assessment (ρ = 0.029); Exposure assessment (ρ = 0.023), competence of critical nursing care (ρ = 0.049), clinical reasoning process (ρ = 0.028) and patient safety (ρ = 0.001) have a significant relationship to the critical care exam score.
The implementation of learning methods for journal sharing of critical care has a positive impact on competencies and results in good student competencies.
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Ren, Xueqiong, Jianing Jin, Yaer Chen y Jing Jin. "Research on the Effect of Nursing Methods for Gestational Diabetes Mellitus Based on Comprehensive Nursing Intervention". Computational and Mathematical Methods in Medicine 2022 (14 de julio de 2022): 1–10. http://dx.doi.org/10.1155/2022/2396658.
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In order to explore the effective way of gestational diabetes care, this paper applies comprehensive nursing to gestational diabetes care. In terms of nursing intervention for pregnant women with gestational diabetes mellitus, combining the phased changes of pregnant women’s physiological and psychological needs during pregnancy, this paper comprehensively implements health education, diet intervention, exercise intervention, pregnancy monitoring, psychological intervention, infection prevention, and perinatal monitoring and other nursing interventions in a selective and focused manner. This makes the intervention measures at each stage focused, intersecting, interpenetrating, and continuing to play a role, which can effectively improve the implementation effect of the intervention measures and better promote the effective improvement of pregnancy outcomes. In addition, this paper studies the effect of gestational diabetes care based on comprehensive nursing intervention through a controlled trial, and the study verifies that comprehensive nursing has a good effect in gestational diabetes care.
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Czwikla, Jonas, Maike Schulz, Franziska Heinze, Thomas Kalwitzki, Daniel Gand, Annika Schmidt, Chrysanthi Tsiasioti et al. "Needs-based provision of medical care to nursing home residents: protocol for a mixed-methods study". BMJ Open 9, n.º 8 (agosto de 2019): e025614. http://dx.doi.org/10.1136/bmjopen-2018-025614.
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IntroductionNursing home residents typically have greater needs for medical care than community-dwelling elderly. However, restricted cognitive abilities and limited mobility may impede their access to general practitioners and medical specialists. The provision of medical care in nursing homes may therefore be inappropriate in some areas of medical care. The purpose of this mixed-methods study is to systematically assess, evaluate and explain met and unmet medical care needs in German nursing homes and to develop solutions where medical care is found to be inappropriate.Methods and analysisFirst, statutory health insurance claims data are analysed to identify differences in the utilisation of medical care between nursing home residents and community-dwelling elderly with and without need for long-term care. Second, the health status and medical care of 500 nursing home residents are assessed and evaluated to quantify met and unmet medical care needs. Third, qualitative expert interviews and case conferences and, fourth, quantitative analyses of linked data are used to provide structural, case-specific and generalisable explanations of inappropriate medical care among nursing home residents. Fifth, a modified Delphi study is employed to develop pilot projects aiming to improve medical care in nursing homes.Ethics and disseminationThis study was approved by the Ethics Committee of the University of Bremen on 23 November 2017. Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals.Trial registration numberDRKS00012383.
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Horrocks, Sue, Katherine Pollard, Lorna Duncan, Christina Petsoulas, Emma Gibbard, Jane Cook, Ruth McDonald et al. "Measuring quality in community nursing: a mixed-methods study". Health Services and Delivery Research 6, n.º 18 (abril de 2018): 1–132. http://dx.doi.org/10.3310/hsdr06180.
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Background High-quality nursing care is crucial for patients with complex conditions and comorbidities living at home, but such care is largely invisible to health planners and managers. Nursing care quality in acute settings is typically measured using a range of different quality measures; however, little is known about how service quality is measured in community nursing. Objective To establish which quality indicators (QIs) are selected for community nursing; how these are selected and applied; and their usefulness to service users (patients and/or carers), commissioners and provider staff. Design A mixed-methods study comprising three phases. (1) A national survey was undertaken of ‘Commissioning for Quality and Innovation’ indicators applied to community nursing care in 2014/15. The data were analysed descriptively using IBM SPSS Statistics 20.0 (IBM Corporation, Armonk, NY, USA). (2) An in-depth case study was conducted in five sites. Qualitative data were collected through observations, interviews, focus groups and documents. A thematic analysis was conducted using QSR NVivo 10 (QSR International, Warrington, UK). The findings from the first two phases were synthesised using a theoretical framework to examine how local and distal contexts affecting care provision impacted on the selection and application of QIs for community nursing. (3) Validity testing the findings and associated draft good practice guidance through a series of stakeholder engagement events held in venues across England. Setting The national survey was conducted by telephone and e-mail. Each case study site comprised a Clinical Commissioning Group (CCG) and its associated provider of community nursing services. Participants Survey – 145 (68.7%) CCGs across England. Case study NHS England national and regional quality leads (n = 5), commissioners (n = 19), provider managers (n = 32), registered community nurses (n = 45); and adult patients (n = 14) receiving care in their own homes and/or carers (n = 7). Findings A wide range of indicators was used nationally, with a major focus on organisational processes. Lack of nurse and service user involvement in indicator selection processes had a negative impact on their application and perceived usefulness. Indicator data collection was hampered by problematic information technology (IT) software and connectivity and interorganisational system incompatibility. Front-line staff considered indicators designed for acute settings inappropriate for use in community settings. Indicators did not reflect aspects of care, such as time spent, kindness and respect, that were highly valued by front-line staff and service user participants. Workshop delegates (commissioners, provider managers, front-line staff and service users, n = 242) endorsed the findings and drafted good practice guidance. Limitations Ongoing service reorganisation during the study period affected access to participants in some sites. The limited available data precluded an in-depth documentary analysis. Conclusions The current QIs for community nursing are of limited use. Indicators will be enhanced by involving service users and front-line staff in identification of suitable measures. Resolution of connectivity and compatibility challenges should assist implementation of new IT packages into practice. Modifications are likely to be required to ensure that indicators developed for acute settings are suitable for community. A mix of qualitative and quantitative methods will better represent community nursing service quality. Future work Future research should investigate the appropriate modifications and associated costs of administering QI schemes in integrated care settings. Funding The National Institute for Health Research Health Services and Delivery Research programme.
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Salihu, K. S. "Nursing care for diabetes mellitus". INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine) 19, n.º 7 (30 de noviembre de 2023): 485–91. http://dx.doi.org/10.22141/2224-0721.19.7.2023.1324.
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Background. Due to the global rise in diabetes patients, nurses of all specialties and positions are increasingly caring for these individuals on a daily basis. The purpose of this study was to examine the latest recommendations and individual studies on diabetes management and to determine the place of nurses in a multidisciplinary team. Materials and methods. The article used descriptive methods and methods of comparative analysis to determine the characteristics of nursing practice in the management of patients with diabetes. Results. From the information studied, it became clear that nurses should be prepared to receive quality education associated with ongoing support and care in the community, primary health care institutions or in hospitals for such patients. Education in self-management and psychosocial problem solving are key elements of diabetes care and nursing. The Diabetes Self-Management Education and Support program is a crucial tool for patient-nurse communication, involving ongoing psychological support through educational techniques to address questions and concerns from individuals with diabetes and their families. Conclusions. Trained nurses can also perform screening for mental disorders and diabetes complications in order to timely diagnose or prevent their development. Regardless of new technologies or treatments, nurses must never lose their role as advocates for patients’ rights.
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Gastmans, Chris. "Dignity-enhancing nursing care". Nursing Ethics 20, n.º 2 (marzo de 2013): 142–49. http://dx.doi.org/10.1177/0969733012473772.
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Starting from two observations regarding nursing ethics research in the past two decades, namely, the dominant influence of both the empirical methods and the principles approach, we present the cornerstones of a foundational argument-based nursing ethics framework. First, we briefly outline the general philosophical–ethical background from which we develop our framework. This is based on three aspects: lived experience, interpretative dialogue, and normative standard. Against this background, we identify and explore three key concepts—vulnerability, care, and dignity—that must be observed in an ethical approach to nursing. Based on these concepts, we argue that the ethical essence of nursing is the provision of care in response to the vulnerability of a human being in order to maintain, protect, and promote his or her dignity as much as possible.
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Wysokiński, Mariusz, Anna Ksykiewicz-Dorota y Wiesław Fidecki. "Scope of Nursing Care in Polish Intensive Care Units". BioMed Research International 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/463153.
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Introduction. The TISS-28 scale, which may be used for nursing staff scheduling in ICU, does not reflect the complete scope of nursing resulting from varied cultural and organizational conditions of individual systems of health care.Aim. The objective of the study was an attempt to provide an answer to the question what scope of nursing care provided by Polish nurses in ICU does the TISS-28 scale reflect?Material and Methods. The methods of working time measurement were used in the study. For the needs of the study, 252 hours of continuous observation (day-long observation) and 3.697 time-schedule measurements were carried out.Results. The total nursing time was 4125.79 min. (68.76 hours), that is, 60.15% of the total working time of Polish nurses during the period analyzed. Based on the median test, the difference was observed on the level ofχ2=16945.8, P<0.001between the nurses’ workload resulting from performance of activities qualified into the TISS-28 scale and load resulting from performance of interventions within the scopes of care not considered in this scale in Polish ICUs.Conclusions. The original version of the TISS-28 scale does not fully reflect the workload among Polish nurses employed in ICUs.
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Hasibuan, EvaKartika, Masri Saragih, AdventyRiangBevy Gulo y Henny Syapitri. "RELATIONSHIP OF PROFESSIONAL NURSING CARE METHODS (MAKP) TEAM WITH NURSE SATISFACTION". JINTAN: Jurnal Ilmu Keperawatan 1, n.º 2 (21 de septiembre de 2021): 151–66. http://dx.doi.org/10.51771/jintan.v1i2.99.
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Hospital health services cannot be separated from nursing services which have a role in improving the health status of patients. The team method is the organization of nursing services using a team consisting of groups of clients and nurses. Nurse performance is a measure of the quality of service in a hospital. Performance is influenced by individual variables, psychological variables and organizational variables. This study aims to determine the relationship between professional nursing care management (MAKP) TEAM and nurse satisfaction in the hospital. The type of research used is descriptive analytic research with a "cross sectional" approach. Population of 60 people and sample of 60 people, the sampling technique was used with total sampling. MAKP TEAM data collection with nurse satisfaction through questionnaires. The statistical test used the chi-square test. The results of the bivariate analysis of the relationship between the Professional Nursing Care Method (MAKP) TEAM and the Satisfaction of Nurses in the Inpatient Room of the Sari Mutiara Lubuk Pakam Hospital from the results of the chi square test obtained a value of p = 0.000 <0.05, where Ha is accepted, which means there is a relationship between professional nursing care methods ( MAKP) Team with Nurse satisfaction.So from the results of the research conducted there was a relationship between the TEAM Professional Nursing Care Method (MAKP) and the Satisfaction of Nurses in the Inpatient Room of the Sari Mutiara Lubuk Pakam Hospital. It is hoped that the head of the room will increase his role in aspects of the management function. It is hoped that the hospital will increase teamwork in the application of the team method in the inpatient room so as to produce nurse satisfaction and produce perceived job satisfaction among nurses. It is hoped that the next researchers will be able to conduct more in-depth research on nurses who work in the hospital.
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Cresci, Mary K. "Evaluation in Nursing Staff Development Methods and Models". Dimensions of Critical Care Nursing 4, n.º 4 (julio de 1985): 255. http://dx.doi.org/10.1097/00003465-198507000-00024.
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Bail, Kasia, Rachel Davey, Marian Currie, Jo Gibson, Eamon Merrick y Bernice Redley. "Implementation pilot of a novel electronic bedside nursing chart: a mixed-methods case study". Australian Health Review 44, n.º 5 (2020): 672. http://dx.doi.org/10.1071/ah18231.
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The aim of this study was to investigate the implementation of a novel electronic bedside nursing chart in an acute hospital setting. The case study used multiple data sources captured within a real-life clinical ward context. Quantitative findings included significant reductions in nurse-reported missed care (P<0.05) and increased mean time spent at the bedside (from 21 to 28min h−1; P<0.0001); reductions in patient-reported missed care and nurses’ walking distances were not significant. Qualitative themes included: (1) inconsistent expectations (perceptions about potential vs actual functionality and benefits of the technology); (2) decisional conflict between managers and end-user nurses (discordance between governance decisions and clinical operations; 30% of beds were closed and six of the eight trained nurse ‘super-users’ were moved from the pilot ward); and (3) workflow effects (ergonomic set-up of the digital interface). This study highlights the complex challenges of implementing and examining the effects of technology to support nursing care. Shared understanding of the technology goals and project scope in relation to nursing care and flexible and adaptive project and contingency planning are fundamental considerations. Complexity, unpredictability and uncertainty of ‘usual business’ are common confounders in acute hospital settings. What is known about the topic?Although much has been written about the implementation of electronic records into hospital systems, there is little research evaluating the effect of information technology systems that support the complex clinical decision making and documentation required to meet nurse and patient needs at the point of care. What does this paper add?This study highlights the potential to reduce missed care through better nursing workflow. Contributing factors to low nurse adoption of new technology have been identified, including inconsistent expectations and goals for the design of systems to support quality nursing care, incongruous decision making in design, adaptation and implementation processes and constrained physical workability in relation to nursing workflow. What are the implications for practitioners?The design of information systems to support nursing work requires a shared understanding of ‘good practice’ for high-quality nursing care that is consistent with theories of nursing practice, best evidence and professional practice standards. Recognition of effective and ineffective sociotechnical interactions that occur during complex nursing processes can help avoid ‘disruption without benefit’ and ‘amplification of errors already in the system’ during acute care technology implementation. Ongoing dynamic input from individuals and groups with different expertise and perspectives, as well as iterative, generative processes for moving towards a shared goal, are critical for effective and efficient implementation.
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Młynarska, Agnieszka, Anna Krawuczka, Ewelina Kolarczyk y Izabella Uchmanowicz. "Rationing of Nursing Care in Intensive Care Units". International Journal of Environmental Research and Public Health 17, n.º 19 (23 de septiembre de 2020): 6944. http://dx.doi.org/10.3390/ijerph17196944.
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The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.
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Padden-Denmead, Mary L., Mark Adelung, Jacqueline Arnone, Lia Ludan, Larider Ruffin y Rose M. Scaffidi. "Nursing Students' Perceptions of Racism in Nursing and Health Care". Journal of Nursing Education 62, n.º 10 (octubre de 2023): 563–69. http://dx.doi.org/10.3928/01484834-20230815-07.
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Background: Due to the dearth of literature regarding teaching racism in health care and the commitment of nursing organizations to address racism in health care, this project examined nursing students' perceptions of racism in nursing and health care to identify effective teaching strategies for addressing racism in curricula. Method: This study used a mixed-methods pre- and postintervention design to examine multiple methods of teaching nursing students about racism in health care. Frequencies, descriptive statistics, and content analysis were used to analyze data. Results: Sixty-six graduate and undergraduate students participated in the study. Mean responses on a postintervention survey increased for all but one item. Content analysis of student-guided reflective journal entries yielded four themes: uncomfortable topic yet necessary to discuss, new awareness, courage to advocate, and application to practice. Conclusion: Effective teaching methods to address this issue include open discussions, storytelling, and case studies. [ J Nurs Educ . 2023;62(10):563–569.]
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Kalhori, Reza Pourmirza, Sohrab Ehsani, Farid Daneshgar, Hossein Ashtarian y Mansour Rezaei. "Different Nursing Care Methods for Prevention of Keratopathy Among Intensive Care Unit Patients". Global Journal of Health Science 8, n.º 7 (18 de diciembre de 2015): 212. http://dx.doi.org/10.5539/gjhs.v8n7p212.
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<p><strong>BACKGROUND:</strong> Patients with reduced consciousness level suffer from eye protection disorder and Keratopathy. This study was conducted to compare effect of three eye care techniques in prevention of keratopathy in the patients hospitalized in intensive care unit of Kermanshah. <strong> </strong></p><p><strong>METHODS: </strong>This clinical trial was conducted in 2013 with sample size of 96 persons in three random groups. Routine care included washing of eyes with normal saline and three eye care methods were conducted with poly<em> </em>ethylene cover, liposic ointment, and artificial tear drop randomly on one eye of each sample and a comparison was made with the opposite eye as the control. Eyes were controlled for 5 days in terms of keratopathy. Data collection instrument was keratopathy severity index. Data statistical analysis was performed with SPSS-16 software and chi-squared test, Fisher’s exact test, ANOVA and Kruskal<strong>–</strong>Wallis<strong> </strong>one-way analysis of variance.</p><p><strong>FINDINGS: </strong>The use of poly<em> </em>ethylene cover (0.59<strong>±</strong>0.665) was significantly more effective in prevention of keratopathy than other methods (P=0.001). There was no statistically significant difference between two care interventions of liposic ointment and artificial tear drop (P=0.844) but the results indicated the more effective liposic ointment (1.13<strong>±</strong>0.751) than the artificial tear drop (1.59<strong>±</strong>0.875) in prevention of corneal abrasion (P<strong>></strong>0.001).</p><p><strong>CONCLUSION:</strong> Results of the study suggest the use of poly<em> </em>ethylene cover as a non-aggressive and non-pharmaceutical nursing and therapeutic method for prevention of keratopathy in the patient hospitalized in intensive care unit.</p>
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Peruselli, Carlo, Elena Camporesi, A. Maria Colombo, Monica Cucci, P. G. Sironi, Marco Bellodi, Romana Cirillo, Elsa Love y Rita Mariano. "Nursing Care Planning for Terminally Ill Cancer Patients Receiving Home Care". Journal of Palliative Care 8, n.º 4 (diciembre de 1992): 4–7. http://dx.doi.org/10.1177/082585979200800402.
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Nursing home care for terminally ill cancer patients was organized according to nursing care plans that were based on diagnoses as recommended by the North American Nursing Diagnosis Association (NANDA). This study was carried out among a sample of 40 patients receiving home health care for a period of 1 to 19 weeks. More than 697 nursing diagnoses were identified in the study. The most frequently recorded nursing diagnoses were anxiety, constipation, and diminished food intake. Fifteen of the 40 patients in the study were able to complete a weekly self-report of their symptoms. The patients’ own descriptions of their symptoms were then compared with their symptoms as identified by nursing staff. There was a congruence in 63% of reported instances. Although nurses’ assessments were not always in agreement with the symptoms reported by the patients, agreement was more frequently found with somatic symptoms than with psychological ones. One conclusion is that nursing plans should incorporate multidimensional methods for assessing patients’ real needs.
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Lilik Pranata, Legiran, Vincencius Surani, Keristina ajul, Ketut Suryani y Aniska Indah Fari. "UNDERSTANDING OF RESEARCH METHODS BASED ON EVIDENCE-BASED PRACTICE IN NURSING FOR NURSING STUDENTS". Jurnal Kesehatan dan Pembangunan 13, n.º 26 (24 de julio de 2023): 174–78. http://dx.doi.org/10.52047/jkp.v13i26.247.
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Evidence-based practice in nursing is a method used to combine research results with clinical experience and values believed by patients and their families in nursing actions that aim to improve the results of nursing care for patients. Students should also be able to apply and have good knowledge of the concept of Evidence-based Practice in nursing in providing comprehensive nursing care, in order to accelerate the patient's healing process. The aim is to determine the understanding of research methods based on evidence-based practice in nursing in nursing students. This research is a descriptive survey research. The research was conducted in May 2023 and the sample in the study was nursing profession students in one of the health education in Palembang city, with a total sample of 41 active students who served in the hospital. the results showed that students' understanding of Evidence-based Practice In nursing with a good categorical as many as 2 people (5%), enough 17 people (42%) and less 22 people (51%). Conclusion, the results indicate the need for assistance to students so that students understand about Evidence-based Practice In nursing. Suggestions for health education institutions provide intensive assistance to students who are committed to applying Evidence-based Practice in nursing.
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Caetano, Joselany Áfio y Lorita Marlena Freitag Pagliuca. "Self-care and HIV/aids patients: nursing care systematization". Revista Latino-Americana de Enfermagem 14, n.º 3 (junio de 2006): 336–45. http://dx.doi.org/10.1590/s0104-11692006000300006.
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This research aimed at systematizing nursing care to HIV/aids patients in view of Orem's Self-care Deficit Nursing Theory, using the convergent-care method and the Self-Care Nursing Process. Subjects were thirteen HIV/AIDS patients attended at a non-governmental organization in Fortaleza/CE, Brazil. We used interview techniques, physical examination, observation and information records, with a structured instrument, addressing requisites related to universal self-care, development and health alterations. Self-care deficits corresponded to nineteen nursing diagnoses, named according to NANDA's Taxonomy II, ten of which were based on the requisites for universal self-care, five on the requisites for self-care related to development and four on the requisites for self-care related to health deviations. In care planning, goals were established and the system and health methods were selected, prioritizing support-education actions in order to engage HIV/aids patients in self-care.
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Cordeiro, Raquel Alves y Roberta Costa. "Non-pharmacological methods for relief of discomfort and pain in newborns: a collective nursing construction". Texto & Contexto - Enfermagem 23, n.º 1 (marzo de 2014): 185–92. http://dx.doi.org/10.1590/s0104-07072014000100022.
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This is a convergent care study with the aim to build, together with the nursing staff, a proposal for care protocol based on non-pharmacological methods for discomfort and pain management in newborns admitted to a neonatal intensive care unit. The study was carried out in a neonatal intensive care unit of a university hospital with 16 nursing staff professionals. Data were collected in two stages: first, a reflective-educational process was performed and, afterwards, a participant observation during the different work shifts of the nursing staff. The care protocol proposal will enable the standardization of care strategies for pain management in newborns using non-pharmacological methods. Furthermore, it will contribute to provide better care in the neonatal unit, reducing pain and discomfort experienced during hospitalization, as well as resulting in fewer consequences and better quality of life for the newborns and their families.
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Su, Jing Jing, Golden Mwakibo Masika, Jenniffer Torralba Paguio y Sharon R. Redding. "Defining compassionate nursing care". Nursing Ethics 27, n.º 2 (8 de julio de 2019): 480–93. http://dx.doi.org/10.1177/0969733019851546.
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Background: Compassion has long been advocated as a fundamental element in nursing practice and education. However, defining and translating compassion into caring practice by nursing students who are new to the clinical practice environment as part of their educational journey remain unclear. Objectives: The aim of this study was to explore how Chinese baccalaureate nursing students define and characterize compassionate care as they participate in their clinical practice. Methods: A descriptive qualitative study design was used involving a semi-structured in-depth interview method and qualitative content analysis. Twenty senior year baccalaureate nursing students were interviewed during their clinical practicum experience at four teaching hospitals. Ethical considerations: Permission to conduct the study was received from the Institutional Review Boards and the participating hospitals. Results: Baccalaureate nursing students defined and characterized compassionate care as a union of “empathy” related to a nurse’s desire to “alleviate patients’ suffering,” “address individualized care needs,” “use therapeutic communication,” and “promote mutual benefits with patients.” Students recognized that the “practice environment” was characterized by nurse leaders’ interpersonal relations, role modeling by nurses and workloads which influenced the practice of compassionate care by nursing personnel. Conclusion: Compassionate care is crucial for patients, nurses, and students in their professional development as well as the development of the nursing profession. In order to provide compassionate care, a positive practice environment promoted by hospital administrators is needed. This also includes having an adequate workforce of nurses who can role model compassionate care to students in their preceptor role while meeting the needs of their patients.
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Sutherland, Judith A. "Selected Complementary Methods and Nursing Care of the Hypertensive Client". Holistic Nursing Practice 15, n.º 4 (julio de 2001): 4–11. http://dx.doi.org/10.1097/00004650-200107000-00004.
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Chen, Xin. "Analysis of the Effect of Nursing Intervention for Thyroid Diseases Based on Family Nursing Methods". Computational and Mathematical Methods in Medicine 2022 (21 de febrero de 2022): 1–8. http://dx.doi.org/10.1155/2022/1766544.
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Patients with thyroid disease must take long-term antithyroid drugs and go to the outpatient clinic for regular check-ups. This requires patients to have good compliance behaviors in order to better control their thyroid hormone levels. In order to improve patients’ compliance behavior and seek effective family care interventions, this paper combines family care methods to evaluate the nursing effect of thyroid disease and combines investigation and analysis and experimental methods to verify the effectiveness of the method proposed in this paper. In addition, this paper compares family nursing methods with conventional methods under the guidance of family philosophy and objectively analyzes and evaluates the application value of accelerated rehabilitation surgery concepts and methods in thyroid surgery. Finally, this paper sets up a control group and a test group to carry out the nursing effect of home nursing in thyroid diseases. Through comparative experiments, it can be seen that the nursing intervention for thyroid diseases based on home nursing in this paper has a good nursing effect.
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Merbawani, Raras y Asef Wildan Munfadlila. "Systematic Review: Implementation of Primary Team Professional Nursing Practice Methods in Hospital". Journal for Quality in Public Health 5, n.º 1 (15 de noviembre de 2021): 261–71. http://dx.doi.org/10.30994/jqph.v5i1.240.
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The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals. The purpose of this study was to determine the application of MPKP in hospitals. This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP). The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses must make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model.
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Tolotti, Angela, Loris Bonetti, Corina Elena Luca, Michele Villa, Sarah Jayne Liptrott, Laura Maria Steiner, Colette Balice-Bourgois, Annette Biegger y Dario Valcarenghi. "Nurses Response to the Physical and Psycho-Social Care Needs of Patients with COVID-19: A Mixed-Methods Study". Healthcare 12, n.º 1 (3 de enero de 2024): 114. http://dx.doi.org/10.3390/healthcare12010114.
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The COVID-19 pandemic heavily impacted nursing care. This study aimed to understand which nursing interventions were instrumental in responding to COVID-19 patients’ needs by exploring the experiences of patients and nurses. In this mixed-method study with an explanatory sequential design, we involved nurses caring for COVID-19 patients in intensive and sub-intensive care units and patients. In the first phase, we collected data through a survey that assessed patients’ needs from the perspective of nurses and patients, as well as patient satisfaction. In the second phase, qualitative data were collected through interviews with patients and nurses. In the third phase, we extracted quantitative data from patients’ records. Our sample included 100 nurses, 59 patients, 15 patient records, and 31 interviews (15 patients, 16 nurses). The results from the first phase showed patients and nurses agreed on the most important difficulties: “breathing”, “sleep/rest”, and “communication”. Nursing care was rated positively by 90% of the patients. In the second phase, four themes were identified through the patients’ interviews: “my problems”, “my emotions”, “helpful factors”, and “nursing care”. Five themes were identified through the nurses’ interviews: “the context”, “nurses’ experiences and emotions”, “facilitators and barriers to patient care”, “nursing care”, and “the professional role”. From the third phase, the analysis of the clinical documentation, it was not possible to understand the nursing care model used by the nurses. In conclusion, nurses adopted a reactive-adaptive approach, based on experience/knowledge, pursuing generalized objectives, and adapting their response to the clinical evolution. In difficult contexts, nursing care requires a constant competent technical-relational presence at the patient’s bedside.
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Raines, Deborah A. "Research Paradigms and Methods". Neonatal Network 32, n.º 6 (2013): 425–28. http://dx.doi.org/10.1891/0730-0832.32.6.425.
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A research paradigm or research tradition is a set of practices and beliefs. Whether one approaches the study of a phenomenon of concern to nursing using an inductive or deductive approach is determined by the research paradigm guiding the design of the study. This column introduces and describes characteristics of research designs in both a qualitative and a quantitative research paradigm.
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Farzanehfar, Mohammad, Sajjad Amiri Bonyad, Vahid Yousofvand, Arezou Karampourian y Salman Khazaei. "Relationship between nursing stress and forgotten nursing care in the COVID-19 pandemic". Journal of Multidisciplinary Care 12, n.º 3 (29 de septiembre de 2023): 117–21. http://dx.doi.org/10.34172/jmdc.1212.
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Background and aims: Long-term stress can lead to forgetfulness of nursing care and reduce the quality of nursing care. Therefore, this study aimed to determine the relationship between nursing stresses and missed nursing care during the COVID-19 pandemic. Methods: The present study was a cross-sectional study. This study included 268 nurses from various hospitals in 2022. Sampling was done by stratified quota method. Kalish and Williams’ Forgotten Nursing Care and French’s nursing stress questionnaires were used to collect data. Data were analyzed using Stata 14 at a significance level of 0.05. Results: The study showed a significant relationship between the expression of nursing stress and forgotten nursing care (P≤0.001). Average stress scores for nursing care and forgotten nursing care were obtained as 137.90±36.70 and 32.71±8.72, respectively. Conclusion: Most nurses reported much stress. Considering the positive correlation between nursing stress and forgotten nursing care, nursing managers are suggested to reduce missed nursing care with stress reduction workshops.
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Aarts, Sil, Coen Hacking, Hilde Verbeek, Jan Hamers y Katya Sion. "Text-Mining in Long-Term Care: Exploring the Usefulness of Computer-Aided Analyzing Methods". Innovation in Aging 5, Supplement_1 (1 de diciembre de 2021): 515. http://dx.doi.org/10.1093/geroni/igab046.1993.
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Abstract In nursing homes, narrative data are collected to evaluate quality of care as perceived by residents or their family members. This results in a large amount of textual data which exceeds the capability of humans to analyse it. This study aims to explore the usefulness of text-mining approaches regarding narrative data gathered in a nursing home setting. Data has been collected as part of the project ‘Connecting Conversations’: assessing experienced quality of care by conducting individual interviews (n=125) with residents of nursing homes, family members and care professionals. Several pre-processing steps were applied to the textual data. Finally, a variety of text-mining analyses were conducted: individual and bigram word frequencies, correlation analysis and sentiment analysis. A survey was conducted to establish a sentiment analysis model tailored to text collected in long-term care for older adults. Residents, family members and care professionals uttered respectively 285, 362 and 549 words per interview. Word frequency analysis showed that words that occurred most frequently in the interviews are often positive. Although there are some differences in wording such as the use of ‘mother’ and ‘breakfast’, correlation analysis displayed that similar words are used by all three groups to describe quality of care. The majority of interviews displayed a neutral sentiment. Care professionals are more diverse in their sentiment than residents and family members: while some express a more positive sentiment, others express more negativity. This study demonstrates the usefulness of text-mining to extend our knowledge regarding quality of care in a nursing home setting.
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Kasimovskaya, Nataliya A., Diana V. Nevzorova y Natalya S. Geraskina. "Current state and prospects for nursing care in the palliative care system". Medical Journal of the Russian Federation 28, n.º 1 (26 de julio de 2022): 17–28. http://dx.doi.org/10.17816/medjrf108903.
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BACKGROUND: The demographic trends of the 21st century increase the need for long-term care and challenge the volume and quality of palliative and nursing care. Nursing homes and units are created to increase the availability of palliative care (PC) to patients in need of 24-h nursing care who do not have medical indications for permanent medical supervision. The availability of PC and effectiveness in nursing care beds require further analysis.
AIM: This study aimed to examine the current PC state in nursing care beds and determine the need for further development of this area for patients requiring PC in the Russian Federation.
MATERIALS AND METHODS: Data analysis of PC provision in automated medical statistics monitoring system (asmms.mednet.ru) was conducted using descriptive statistics. The sociological method was used to determine the conditions/diseases of patients requiring PC and nursing care.
RESULTS: Patients beyond the working age need PC in nursing care beds. The structural subdivisions of medical organizations and facilities that provide PC in nursing care beds are unevenly distributed throughout the Russian Federation. The availability of nursing care beds and the average bed-days differ among constituent entities of the Russian Federation.
CONCLUSIONS: A positive increase in PC beds has been observed since 2012. For Q1 2021, the average bed-days in a nursing care bed and PC bed were 28.2 and 22.3, respectively. For adult patients receiving PC in inpatient settings, individuals beyond the working age with reduced functional activity, insufficient independent care, and in need of 24-h nursing supervision and care prevailed.
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Habermann, Monika, Renate Stemmer y Riitta Suhonen. "Missed nursing care as experienced by undergraduate nursing students". Pflege 35, n.º 1 (febrero de 2022): 15–21. http://dx.doi.org/10.1024/1012-5302/a000849.
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Abstract. Background: In clinical settings where missed nursing care prevails, nursing students’ instructions, supervision and the joint reflection on clinical practice with mentors are also affected and nursing students become involved in dealing with missed nursing care. Aim: To explore the experience of missed nursing care in clinical placements, its meaning for nursing students, and actions they considered or took. Methods: Qualitative study based on a content analysis of nursing students’ written reports. Nursing students in three universities in Germany with experience of at least one clinical practice placement were invited to participate. Online, they answered three open questions concerning missed nursing care focusing on: (1) experiences of the phenomenon, (2) its meaning and (3) actions that had been considered or taken when dealing with missed nursing care. A content analysis was performed. Results: The recruitment criteria were met by 69 nursing students. Four main themes and 20 sub-themes were identified. The reports covered all forms of missed nursing care. Becoming involved led to intrapersonal conflicts and, feelings of powerlessness but also to learning opportunities. It challenged professional and ethical standards. Students identified a broad spectrum of actions to answer the challenge. Conclusion: Dealing with missed nursing care creates opportunities and challenges for nursing students. To build up a well-trained and sustainable nursing workforce, learning environments for nursing students must reflect the challenges and counteract deficits.
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Iqbal, Imran, Saima Kouser, Sadia Samreen y Gideon Victor. "Factors Affecting the Implementation of Nursing Care Plans in Patient Care". National Journal of Health Sciences 8, n.º 4 (28 de diciembre de 2023): 189–94. http://dx.doi.org/10.21089/njhs.84.0189.
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Abstract: Background: Nursing Care Plan (NCP) is used in practice as a systematic and scientific problem-solving method to determining the care needs of individuals. There is lack of research on factors affecting regarding utilization of nursing care plan in patient care. Objective: The objective of this study were to evaluate the implementation of the nursing process and to determine the factors that may influence the implementation of the nursing process. Materials and Methods: A cross-sectional survey was conducted at a private hospital during February to June, 2023. The study protocol was reviewed and approved. Permission from institutional heads was sought. Informed consent was obtained before data collection. Simple random sampling method was employed. The data were collected with structured questionnaires whose responses were rated on Likert scale. Data were coded and analyzed using SPSS v25.0. Result: A total 108 nurses participated in the study. Study findings revealed 89% of the nurses were female nurses and 82% possessed diploma in nursing. The knowledge 50.5%, confidence 50.9% and willingness 54.2%, were at borderline good level. Whereas, assessment and diagnosis, planning, implementation, evaluation, and nurses’ views about nursing care planning implementation were at < 50% as poor. There was a moderate positive correlation between knowledge and implementation R-Value 0.312 and confidence and evaluation R-Value 0.246. Barrier to implement nursing process included uncooperative patients, lack of awareness about nursing process, lack of preparedness, low satisfaction level, lack of in-service training, lack of time, and high patient flow. Conclusion: Study’s findings revealed knowledge, confidence and willingness of the nurses determine the use of nursing process in their nursing practice.
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Sumampow, Meylly, Enie Novieastari, Shanti Farida Rachmi, Aat Yatnikasari y Hajjul Kamil. "Optimalisasi Implementasi Asuhan Keperawatan Primer". Journal of Telenursing (JOTING) 5, n.º 2 (10 de diciembre de 2023): 3615–23. http://dx.doi.org/10.31539/joting.v5i2.7901.
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This research aims to optimize the application of primary nursing care methods, which positively impact nursing care services for patients and nurses. This research method uses a case study approach with interviews, observations, document reviews, and surveys and uses fishbone analysis for problem analysis. The research results show that the implementation of primary nursing care methods in hospitals can be optimized by increasing human resources (all nursing staff) in terms of understanding and increasing knowledge, which is updated regularly, improving the organizing, monitoring, and evaluating functions of room heads and increasing the role of primary nurses as preceptors. In conclusion, increasing nursing human resources in understanding and expanding regularly updated knowledge can maximize the application of direct nursing care.
Keywords: Analysis, Nursing Care, Primary Nursing Model, Nurse Manager, Hospital
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Merbawani, Raras y Asef Wildan Munfadlila. "Implementation of Primary Team Professional Nursing Practice Methods In Hospital: A Systematic Review". Journal Of Nursing Practice 5, n.º 1 (1 de octubre de 2021): 55–64. http://dx.doi.org/10.30994/jnp.v5i1.145.
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Background: The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals.Purpose: The purpose of this study was to determine the application of MPKP in hospitals.Methods: This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP). Results: The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses have to make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model. Conclusion: The better the implementation of the Professional Nursing Practice Method (MPKP) is carried out, the better the services provided by the hospital to patients
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Ji, Hui. "Construction of Nursing Staff Training Program for Hospice Nursing Specialists in China". International Journal of Education and Humanities 2, n.º 3 (12 de mayo de 2022): 89–94. http://dx.doi.org/10.54097/ijeh.v2i3.368.
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Based on the analysis of existing responsibilities, the formation of specialist nurse hospice care ability framework, develop the items of hospice care course knowledge system, using literature research method, and through the depth interview of hospice care related experts and patients' families, understand the specialist nurse hospice care knowledge level and learning needs, build the hospice care course knowledge system, form a talent training plan. The specific content includes the training objectives, content, methods and the corresponding assessment mechanism.
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Zeraati, Mashaalah y Negin Masoudi Alavi. "Designing and Validity Evaluation of Quality of Nursing Care Scale in Intensive Care Units". Journal of Nursing Measurement 22, n.º 3 (2014): 461–71. http://dx.doi.org/10.1891/1061-3749.22.3.461.
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Background and Purpose: Quality of nursing care measurement is essential in critical care units. The aim of this study was to develop a scale to measure the quality of nursing care in intensive care units (ICUs). Methods: The 68 items of nursing care standards in critical care settings were explored in a literature review. Then, 30 experts evaluated the items’ content validity index (CVI) and content validity ratio (CVR). Items with a low CVI score (<0.78) and low CVR score (<0.33) were removed from the scale. Results: The 50 items remained in the scale. The Scale level-CVI and Scale level-CVR were 0.898 and 0.725, respectively. Conclusion: The nursing care scale in ICU (Quality of Nursing Care Scale-ICU) that was developed in this research had acceptable CVI and CVR.
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Hao, Tianyuan. "Thoughts on the Construction of Humanistic Care in Neurology Nursing". Journal of Nursing 9, n.º 4 (20 de febrero de 2021): 79. http://dx.doi.org/10.18686/jn.v9i4.188.
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<p>In the nursing work of neurology, we must always follow the concept of humanistic care, and actively explore and continuously improve the humanistic care methods suitable for neurology. Starting from the basics, build a nursing culture of “quality nursing, humanity first”, and attach importance to nursing work. In addition, according to the specific conditions of the departments and patients, a warm hospitalization environment and personalized service methods are created. Attention should also be paid to extend humanistic care to patients’ families and nurses, and to continuously improve the level of humanistic care in neurology nursing.</p>
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Gilbert, Julia, Louise Ward y Karleen Gwinner. "Quality nursing care in dementia specific care units: A scoping review". Dementia 18, n.º 6 (30 de noviembre de 2017): 2140–57. http://dx.doi.org/10.1177/1471301217743815.
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Background The concept of quality nursing care in a dementia specific unit is perceived as being subject to the interpretation of individuals, nurses and healthcare organisations. As the number of dementia diagnoses increases, understanding what constitutes quality nursing care within dementia specific care units is vital to inform policy makers and healthcare organisations globally. Efforts to identify quality nursing care and improve dementia care within dementia specific care units, may significantly reduce the financial and emotional burden of care-giving and improve the quality of life for individuals living with dementia. This scoping review aimed to examine current literature to gain an understanding of what constitutes quality nursing care in a dementia specific care unit. Design and methods Five electronic databases (CINAHL, MEDLINE, ProQuest, Social Sciences Citation Index and Ovid) were used to search for articles published in English between 2011 and 2016 focusing on a definition of quality nursing care within dementia specific care units. Findings: Twenty journal articles were identified. From these articles, two content themes were identified: Challenges in the provision of quality nursing care in dementia specific care units, and Standardised approach to quality nursing care in a dementia specific care unit. The articles contained the following research designs, controlled pre-test and post-test design ( n = 1), focus group interviews ( n = 1), cross sectional survey ( n = 6), semi structured interviews ( n = 3), narrative review ( n = 1), survey ( n = 2), literature review ( n = 3), systematic review ( n = 1), and prospective longitudinal cohort study ( n = 2). Conclusions The concept of quality nursing care in a dementia specific unit remains subject to the interpretation of individuals, nurses and healthcare organisations, with current literature unable to provide a clear definition. Further research into what constitutes quality nursing care in dementia specific care units is recommended.
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Johnson, Marsha. "Statistical Methods for Health Care Research". Gastroenterology Nursing 19, n.º 4 (julio de 1996): 153. http://dx.doi.org/10.1097/00001610-199607000-00010.
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Veldhuizen, Jessica D., Sandra Zwakhalen, Bianca M. Buurman y Nienke Bleijenberg. "The Impact of COVID-19 from the Perspectives of Dutch District Nurses: A Mixed-Methods Study". International Journal of Environmental Research and Public Health 18, n.º 24 (16 de diciembre de 2021): 13266. http://dx.doi.org/10.3390/ijerph182413266.
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Little is known about how COVID-19 affects older patients living at home or how it affects district nursing teams providing care to these patients. This study aims to (1) explore, from the perspectives of Dutch district nurses, COVID-19′s impact on patients receiving district nursing care, district nursing teams, and their organisations during the first outbreak in March 2020 as well as one year later; and (2) identify the needs of district nurses regarding future outbreaks. A mixed-methods, two-phase, sequential exploratory design was followed. In total, 36 district nurses were interviewed during the first outbreak (March 2020), of which 18 participated in the follow-up questionnaire in April 2021. Thirteen themes emerged, which showed that the COVID pandemic has substantially impacted patient care and district nursing teams. During the first outbreak, nurses played a crucial role in organising care differently and worked under high pressure, leading to exhaustion, tiredness, and psychosocial problems, including fear of infection. A year later, nurses were better prepared to provide COVID care, but problems regarding work pressure and mental complaints remained. The identified needs focus on a sustainable implementation of leadership roles for district nurses. At the organisational and national levels, more support and appreciation are needed in terms of trust and appropriate policies.
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Li, Xiu-Rong y Qing-Lian Luo. "Effects of high-quality neurosurgical nursing care on improving clinical nursing quality". World Journal of Clinical Cases 12, n.º 22 (6 de agosto de 2024): 4999–5007. http://dx.doi.org/10.12998/wjcc.v12.i22.4999.
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BACKGROUND With continuous advancements in medical technology, neurosurgical nursing is constantly developing and improving to provide higher- quality nursing services. AIM To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing. METHODS Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups. The study group comprised 40 patients who received 4 different types of high-quality nursing care, whereas the control group comprised 40 patients who received conventional nursing care. After a specific period, nursing satisfaction levels and adverse event and complication rates were compared between the two groups. RESULTS Satisfaction with high-quality care was higher than that with conventional care, and high-quality health services and regional services showed the highest satisfaction levels, with an average score of 12 on the Glasgow scale. The satisfaction levels of the study and control groups were 75% and 57%, respectively, with a statistically significant difference (t = 7.314, P < 0.05). During the nursing period, the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery (40.02% and 85.93%, respectively), and the difference was statistically significant. CONCLUSION In neurosurgical nursing, employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients, thereby improving the quality of nursing care and increasing clinical nursing value.
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Pawłowski, Piotr, Renata Markiewicz y Beata Dobrowolska. "Nursing care provided to a patient diagnosed with schizophrenia, using the International Classification for Nursing Practice (ICNP®)". Pielegniarstwo XXI wieku / Nursing in the 21st Century 21, n.º 1 (1 de marzo de 2022): 56–59. http://dx.doi.org/10.2478/pielxxiw-2022-0001.
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Abstract Introduction. Schizophrenia spectrum disorders are a major challenge for modern psychiatry. Epidemiological data indicate an increasing trend in the prevalence of such disorders, as well as other disorders from the schizophrenia spectrum. In a long-term perspective, this means that highly specialised (both nursing and medical) care, broadly understood community care, and innovative rehabilitation methods able to reduce cognitive and executive deficits will be necessary. Aim. The aim of this paper is to propose the use of the International Classification for Nursing Practice (ICNP®) in the process of diagnosing and planning care for patients with schizophrenia. Material and method. The paper is based on the individual case study method and for the analysis of the obtained data the following research techniques were used: interview, observation, measurement, documentation analysis. The research tools: Individual Nursing Care Card, Mental Health Assessment Card, SAD PERSONS Scale for Suicide Risk Assessment, Beck Depression Inventory (BDI), Global Assessment of Functioning (GAF), Hospital Anxiety and Depression Scale (HADS), and C-HOBIC Fatigue Assessment Scale. Results. The collected data allow the formulation of 15 diagnoses in accordance with ICNP®. For the three selected diagnoses, a nursing care plan was drawn up, which included, depending on the patient’s needs, nursing interventions. Conclusions. ICNP® as a classification of nursing diagnoses allows the drafting of nursing diagnoses related to the mental state of the subject of care; various interventions provide a large selection of them.
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Warnecke, Maren, Daniela Holle y Anja Burmann. "Enabling Data-Driven Nursing Innovations: User-centered Development of a Nursing Data Module". Current Directions in Biomedical Engineering 9, n.º 1 (1 de septiembre de 2023): 339–42. http://dx.doi.org/10.1515/cdbme-2023-1085.
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Abstract The documentation landscape for nursing care data in Germany is predominantly heterogeneous and unstructured. Therefore, insightful methods such as Artificial Intelligence (AI) are difficult to implement. We propose a stepwiseapproach that identifies relevant information from nursing theory and practice and maps it to a standardized nursing core data set to enable data-based improvement of nursing care. This can be used for various use-cases in care, such as risk detection and prevention in diverse care contexts. Many care processes can benefit of a cross-facility and standardized repository and associated applications. We propose an approach that enables the use of AI while leveraging consensus and evidenced-based expert knowledge from nursing science.
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Yuan, Yi y Zhonglu Huang. "Analysis of the Effect of Comfort Care in The Perioperative Care of Patients with Uterine Myomectomy and its Influence on Self-Care Ability". Journal of Clinical and Nursing Research 8, n.º 4 (30 de abril de 2024): 119–21. http://dx.doi.org/10.26689/jcnr.v8i4.6681.
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Objective: To analyze the effect of perioperative comfort care for patients with hysteromyomectomy (HYS). Methods: Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A (control group, 35 cases, conventional care) and Group B (observation group 35 cases, comfort care). The effects of the two groups before and after nursing care were compared. Results: The self-rating anxiety (SAS) scores, exercise of self-care agency (ESCA) scores, and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care (P < 0.05). Conclusion: Perioperative comfort care for HYS patients improved the patient’s adverse emotions, self-care ability, and nursing satisfaction.
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Leland, Natalie, Felicia Chew y Jenny Martínez. "Stakeholder-Driven Methods Can Enhance Care Delivery for Nursing Home Residents With Dementia". Innovation in Aging 5, Supplement_1 (1 de diciembre de 2021): 547. http://dx.doi.org/10.1093/geroni/igab046.2100.
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Abstract The ongoing COVID-19 pandemic has underscored the need to optimize care for one of the most affected sectors: older adults in nursing homes and more specifically highly vulnerable populations such as residents with dementia. Research developed in collaboration with stakeholders can optimize impact, relevance, and trustworthiness of study findings thereby informing advances in care. Yet, evidence on stakeholder driven research for enhancing dementia care is limited. This symposium will provide examples of stakeholder-driven research questions that were addressed with stakeholder engagement. First, we will present current evidence about the perspectives of caregivers, including those from communities of color. The second presentation will discuss the perspective of clinical training stakeholders responsible for supporting system-wide clinical program implementation and their experiences with early and later adopter nursing homes within the context of a clinical trial. The third presentation will address the perspective of policy makers and payers via the effect of state-mandated dementia training on resident outcomes. The fourth and final present the findings from a study that examined how nursing home stakeholders responded to a payor requirements for pharmacy services and the relationship between that response and patient outcomes. We will conclude the session with a discussion of stakeholder-engagement methods and recommendations for future nursing home research, which champions stakeholder collaboration.
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Block, Lorraine J., Sabrina T. Wong, Shannon Handfield, Rosa Hart y Leanne M. Currie. "Comparison of terminology mapping methods for nursing wound care knowledge representation". International Journal of Medical Informatics 153 (septiembre de 2021): 104539. http://dx.doi.org/10.1016/j.ijmedinf.2021.104539.
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Jecker, Nancy S. "Principles and Methods of Ethical Decision Making in Critical Care Nursing". Critical Care Nursing Clinics of North America 9, n.º 1 (marzo de 1997): 29–33. http://dx.doi.org/10.1016/s0899-5885(18)30288-0.
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