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1
Masigan, Peterson. "Competency-based assessment in clinical high-fidelity simulation : a survey of methods used in undergraduate nursing". Thesis, University of British Columbia, 2015. http://hdl.handle.net/2429/54980.
Testo completoAbstract (sommario):
This study aimed to describe the current use of competency-based assessment frameworks and tools in nursing programs in British Columbia (BC) who utilize HFS. High-Fidelity Simulation (HFS) is being adopted and used by nursing programs at an increasing rate. Competency-based assessment frameworks or tools offer an effective way to assess student learning and competence when utilizing HFS as part of teaching. However, current assessment methods used by nurse educators when utilizing HFS mostly involve assessing student’s self-reported competence measures, confidence, or satisfaction with the learning process. These instruments are typically designed within their institution and many have not been tested for validity or reliability. A survey study was designed to explore the frameworks and instruments currently used by nurse educators, trends related to specialized training in using HFS as a teaching tool for nurse educators, HFS utilization in nursing programs, and challenges experienced when using HFS. An online survey was used to collect data from nurse educators in British Columbia. Findings indicated inconsistent use of competency-based assessment frameworks and tools in various nursing programs in BC. Participants reported completing formative assessments after each HFS scenario, but a large majority of participants did not complete any summative assessments when utilizing HFS activities as part of their teaching. Lower range values were reported with regards to the number of specially trained nurse educators using HFS, as well as hours students were exposed to HFS in their programs. Challenges related to students’ attitudes towards realism of HFS scenarios, as well as nurse educators’ resistance to implementing best practices related to HFS use in education were also reported. Further research on developing validated and reliable competency-based assessment frameworks and tools, and implementation of consistent use of these tools in nursing programs is recommended.Applied Science, Faculty of
Nursing, School of
Graduate
2
Zeitz, Kathryn. "Post-operative observations, ritualised or vital in the detection of post-operative complications". Title page, contents and abstract only, 2003. http://web4.library.adelaide.edu.au/theses/09PH/09phz483.pdf.
Testo completoAbstract (sommario):
Copy of author's previously published work inserted. Includes bibliographical references (leaves 273-283). Aims to identify if the current practice of post-operative vital sign collection detects complications in the first 24 hours after the patient has returned to the general ward setting using a combination of methods within a triangulated approach to data collection.
3
Yimer, Endris Mekonnen, Firew Ayalew Desta, Kefyalew Muleta Akassa, Tadele Bogale Yitaferu, Mesfin Goji Abebe, Mebit Kebede Tariku e Hannah Gibson. "Assessment of Midwifery and Nursing Students’ Nutrition Competence in Ethiopia: A Cross Sectional Study". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/ijhse/vol4/iss2/2.
Testo completoAbstract (sommario):
Background: Malnutrition is a major public health problem in Ethiopia contributing to half of infant and child mortality. The 2014 mini Ethiopian Demographic and Health Survey revealed that four out of ten children under five are stunted, nearly one out of ten are wasted, and a quarter are underweight. One of the factors that contributed to the high stunting rate is the shortage of capable providers who are competent to provide nutrition services. The purpose of this study was to assess graduating midwifery and nursing students’ nutrition competence and explore the factors that influence their competence.
Methods: A cross-sectional survey was employed in June 2015. Students’ knowledge was assessed using objective written assessment questions; and their skills were assessed using a five-station objectively structured clinical examination. Students’ perception of the nutrition learning environment and their learning experience was obtained by administering a structured questionnaire using interviews. Bivariate and multivariable analysis, including Chi-square test and independent sample t-test, were used to detect statistically significant associations or differences.
Results: A total of 113 students from four public universities in Ethiopia participated in the study. Only 38.1% of students demonstrated adequate competency in nutrition. The mean percentage score for nutrition knowledge and skills were 63.8% and 46.6% respectively. There was no statistically significant difference between midwifery and nursing students’ nutrition competence (P>0.05). Both cadres scored a mean value above 50% in the knowledge assessment, except in the competency areas of nutrition and HIV. However, both showed lesser competence in performing basic nutrition skills such as anthropometry. Midwives scored higher than nurses on counseling mothers on optimal breast feeding (p=0.001). The majority (98.2%) of students reported that they had no access to nutrition skills laboratory when they took the nutrition course. In multivariable analysis, students who perceived the practice sites as conducive for nutrition skills learning achieved higher levels of competence.
Conclusions: The target students were deficient in nutrition competencies. The study suggests revision of midwifery and nursing curricula for adequacy and relevance of nutrition contents, learning and assessment techniques. Nutrition skills learning both in skills lab and at clinical and practical settings need to be strengthened.
4
Black, Julie Black. "An Integrative Review Focusing on Accuracy and Reliability of Clinical Thermometers". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2342.
Testo completoAbstract (sommario):
Technological advances in clinical thermometers have resulted in a variety of minimally invasive devices that give rapid results but may not have the accuracy necessary for use in acutely ill adults. Inaccurate temperatures can result in missed opportunities for the early identification and treatment of infection and sepsis. Following the methodology outlined by Whittemore and Knafl, the purpose of this project was to conduct an integrative review of the research on the accuracy of clinical thermometers used for acutely ill adults. The evidence was categorized using the Hierarchy of Evidence for Interventional Studies, and the quality of the studies was appraised using the indicators described by Hooper and Andrews. Forty-seven studies met the inclusion criteria; the findings on device accuracy were contradictory. Device accuracy was found in 10 (n = 27) studies on the tympanic (TM), 2 (n = 8) on the chemical dot (CH), 7 (n = 19) on the temporal artery (TAT), and 3 (n = 13) on the axillary (AX) thermometers. Two of 2 studies found the no-touch (NT) device clinically inaccurate. Diagnostic accuracy was found in 3 (n = 8) and 0 (n = 5) studies on the TM and TAT, respectively. Only 22 studies had an acceptable quality grade of A or B, limiting the validity of the evidence. The evidence did not support the use of the NT and TAT thermometers or the AX route for acutely ill adults. The CH device should be use with caution, and abnormal temperatures should be validated with a more reliable device. For thermometers in use, appropriate training and technique are essential for the most accurate results. Closing the knowledge-to-practice gap on clinical thermometers can change the culture of nursing practice, improve early sepsis identification, and increase the quality of patient care.
5
Beischel, Kelly. "Anxiety as a Mediating Variable to Learning Outcomes in a Human Patient Simulation Experience: A Mixed Methods Study". University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1283285145.
Testo completo
6
Murdock, Jacqueline. "Preparation of Associate Degree Nurses in the Domain of Informatics". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1480070006389545.
Testo completo
7
Cook, Jennifer D. M. "The relationship between reading comprehension skill assessment methods and academic success for first semester students in a selected Bachelor of Science in Nursing program in Texas". Texas A&M University, 2006. http://hdl.handle.net/1969.1/4728.
Testo completoAbstract (sommario):
This retrospective descriptive study addressed the relationship between reading
comprehension skills as measured by the Nelson-Denny Reading Test and the Nurse
Entrance Test and indices of academic success (i.e., grade point average of prerequisite
science courses and overall grade point average) prior to admission for students in a
Bachelor of Science in Nursing program with student success in the first semester of
nursing coursework. Overall, there has been a continual decline in average reading
ability of college-aged students. Reading is a basic skill for learning and academic
success. To successfully complete an academic program of study in preparation to
become professional nurses, students must be able to read and apply material from
textbooks and journals. With the well-documented nursing shortage, any attrition from a
nursing program contributes to the professional dilemma.
Correlational and descriptive methods were used to determine the relationships
among the variables for 179 students in this selected Bachelor of Science in Nursing (BSN) program. A comparative approach was used to investigate possible cause and
effect relationships between measures of academic success of students and reading
comprehension abilities. Data were obtained from official academic records and test
results for the Nelson-Denny Reading Test and the Nurse Entrance Test. Statistical
procedures used to understand and interpret the interactions among and between the
variables and included frequency distributions, descriptive statistics, correlational
analysis, and a regression model.
Results of the study, limited to the students in this BSN program, indicated that
reading comprehension, as measured by the Nelson-Denny Reading Test, was better in
identifying student risk for academic failure. There was a positive relationship between
the grade point average (GPA) for prerequisite science courses, overall cumulative
GPA, and GPA for the first semester nursing courses. Early determination of reading
comprehension ability provides needed information to direct intervention activities to
improve individual reading comprehension abilities and, thus, promote successful
academic performance in the first semester of this nursing program and thereafter.
8
Seago, Trena. "A DEBRIEFING TECHNIQUE IN HIGH-FIDELITY PATIENT SIMULATION AND COMPETENT DECISION-MAKING ABILITIES AMONG NURSING STUDENTS". UKnowledge, 2016. https://uknowledge.uky.edu/edc_etds/18.
Testo completoAbstract (sommario):
Nursing faculty are utilizing high-fidelity patient simulation (HPS) with debriefing to help engage nursing students in making competent clinical decisions. This quasi-experimental study examined the use of HPS with debriefing and students’ ability to make nursing care decisions using standardized exams. The experimental group received debriefing after HPS and the control group did not receive debriefing after HPS. The pre- and post-test assessed participants’ ability to make clinical care decisions. The analysis of the pre-test and post-test HESI scores showed that there was no significant difference between the two groups.
9
Barkley, Zenesha R. "An Educational Intervention to Increase Fruit and Vegetable Consumption in Parents of Obese and Overweight Children". UNF Digital Commons, 2012. http://digitalcommons.unf.edu/etd/394.
Testo completoAbstract (sommario):
The incidence and prevalence of overweight and obese children in the United States is a serious health concern since the complications of childhood obesity can have serious and long-term effects: cardiovascular disease, sleep apnea, type 2 diabetes, neurological disease, and pulmonary disease. Parental modeling and nutritional education focusing on the obese/overweight child’s parents has been shown as an effective strategy for improving nutritional outcomes of the recommended servings of fruits and vegetables in children from five to ten years of age. Outcomes of this study and targeted nutritional modeling included increasing vegetable and fruit consumption of the parent by at least one fruit and vegetable serving per day post-intervention through nutritional education. The project purpose was to measure the impact of a parent-focused nutritional educational intervention that increases fruit and vegetable consumption in the parents of obese and overweight children. While the study indirectly measured a nutrition education intervention aimed at children via their parents, no children were included in this project. Parents (N = 93) of obese/overweight children were provided nutritional and modeling education over three months. A participation rate of 14% (N = 13) was achieved. The majority of the parents were single African American mothers between 18 and 25 years old with one or two children living in the household, an average income less than $10,000 per year, and some college or technical education. This project used a pre-and post-test design to measure the effectiveness of a nutritional educational intervention. A descriptive analysis of the participants was computed. Differences in the pre-and post-test scores on the parental dietary modeling questionnaire and the food frequency questionnaire were analyzed. Results showed a significant increase in fruit and vegetable consumption (p < .05). The majority of the increase was due to improved fruit consumption. There was also an increase in parental modeling awareness. Parents’ understanding of the importance of parental modeling had an impact on nutritional selection of their own fruit and vegetable intake.
10
Paul, Michaelynn R. "Medical Floor Confusion Assessment Method: Implementation and Assessment of Risk Factors". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4243.
Testo completoAbstract (sommario):
An estimated 50% of older hospitalized patients experience delirium. This has created significant complications costing an estimated $164 billion or more per year worldwide. The ability to identify patients developing delirium would allow the implementation of specific interventions to decrease or eliminate the adverse effects of delirium. The purpose of this quality improvement project was to provide high quality delirium education to determine if medical unit nursing staff could successful implement the Confusion Assessment Method (CAM) screening tool to identify patients experiencing delirium as the first phase of an overall plan. Implementation of the project followed Roger's diffusion of innovations theory. Patients were additionally screened for 5 potential risk factors of delirium from the multifactorial model of delirium to determine if delirium could be identified in the local population admitted to a single hospital. With a high quality education intervention, the staff nurses on the medical unit successfully implemented the CAM into their nursing practice and accurately identified delirium. Nurses identified delirium and subsyndromal delirium in 25% of the 208 patients in the study population. Consistent with the literature, patients who had a urinary catheter and experienced an iatrogenic event were predictors of delirium. An additional predictor of delirium, not included in the multifactorial model of delirium, included patients receiving benzodiazepines. This quality improvement project suggests that quality delirium education combined with the use of an accurate delirium detection tool could predict delirium accurately in the medical floor population. This has the potential to reduce the impact of delirium on patients, hospital staff, and reduce hospital expenditures.
11
Andrews, Yvette Nicola. "Development and assessment of a method to estimate meal intake of nursing home residents". FIU Digital Commons, 2001. http://digitalcommons.fiu.edu/etd/1289.
Testo completoAbstract (sommario):
The objective was to develop and validate a method for estimating food intake of nursing home residents. The study was conducted with certified nursing assistants (CNAs) at a 180-bed nursing facility. CNAs assisted in the development of the new method by providing feedback on existing estimation methods. Four simulated resident trays were used to estimate both food intake and overall meal intake. Twelve CNAs' intake estimates for 34 simulated food items (n=384 estimates) were compared to weighed values. Eightyfive percent of the 384 intake estimates for the simulated food items were correct; Cohen's kappa was 0.80, p
12
Beckwith, J. S. "Uncovering complexity in everyday practice : a post modern study of community nursing assessment". Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/4757.
Testo completoAbstract (sommario):
Much skilled nursing practice is described by words which at face value appear low-tech and self-explanatory. Despite being acknowledged as intrinsic to practice “nursing assessment” has few operational definitions. This thesis critiques and reviews the methodological assumptions that underpin research and the frameworks commonly used to facilitate Concept Analysis (CA). Despite the apparent plethora of approaches to CA, the majority of them used (or adapted without justification or critique) the work of one author, and this was found to be simplistic and ontologically flawed. A review of the contemporary nursing literature was undertaken to identify uses of the term assessment. The subsequent Glasarian Grounded Theory Analysis revealed the Judicial as the core of seven overlapping categories. Evidence of the everyday use of the term assessment was obtained through observation and audio recording of nursing assessment practice. Following Foucault, Critical Discourse Analysis of the data recorded in the study’s field work phase was undertaken. This revealed social power and dominance facilitated through subject/object conflations and the discourses of discrimination, surveillance, repression, natural science, resistance and institutional power, and in contrast, examples of empowering practice. This thesis will argue that the process of nursing asssessment is skilled and complex, and that in order to measure and demonstrate the quality of nursing practice within an arena dominated by the hegemonic power of medicine, it requires articulation and understanding. Nurses use a matrix of approaches to build rapport and assess patients during all interactions. Their work involves integrating intuitive, predictive and logical reasoning within an empathetic and authentic communication with patients and their carers. Hierarchies of nursing practice, government policies, inter-professional agendas and dissonaces between the policy rhetoric of placing patients at the heart of assessment and actual everyday practice, produce barriers to meaningful assessments.
13
Schneider, Moritz [Verfasser]. "Das frühe postoperative Delirium : Vergleich des Nursing Delirium Screening Scale und der Confusion Assessment Method / Moritz Schneider". Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2009. http://d-nb.info/1027813674/34.
Testo completo
14
Bernheisel, Susan E. "The Relationship Between Education and Leadership Behaviors in New Graduate Baccalaureate Educated Nurses and New Graduate Associate Degree Educated Nurses". Bowling Green State University / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1182515408.
Testo completo
15
Campbell, Bruce G. "Diffusion of Innovations of Videoconference Technology: An Instrumental Case Study Concerning Undergraduate Degree-Seeking Nontraditional Learners". Thesis, NSUWorks, 2015. https://nsuworks.nova.edu/fse_etd/5.
Testo completoAbstract (sommario):
This applied dissertation is an instrumental case study based on diffusion of innovations theory designed to gather student opinions regarding videoconference (VC) technology use in facilitating courses to undergraduate degree-seeking nursing students. The author of diffusion of innovations theory, Rogers (2003), recommended that more qualitative studies be conducted in education. Rogers and Jain (1968) recommended these studies should be conducted from the aspect of “receivers of innovation diffusion” (p.1) to provide feedback instrumental to implementation of technological innovations in academe. Further, Rogers stated that multiple data points should be used during the process of trialing an innovation. Therefore, a current VC course was selected from the nursing curriculum of a public state college hosting one of the largest nursing programs in the southeastern United States in which to conduct the study.
A total of 32 students participated divided equally between two sites: Main campus and Regional campus. Further divided, 22 personal interviews were conducted and two focus groups; one for each campus consisting 5 students each. Additionally, included in the data corpus were 40 hours of classroom observation plus, college provided end of course (EOC) summary statements. These data were triangulated to determine whether students would accept VC technology unchanged, accept with modifications, or reject VC technology based on first time exposure to the innovation during the 16-week semester. Student innovation decisions were: 6 students accepted unchanged, 14 students accepted with modifications, and 12 students rejected the innovation. Students who rejected the innovation were exclusively from the regional campus, which was the receiving site the majority of the semester.
First and second-cycle analyses yielded 67 codes resulting in 5 categories, which further developed into 3 emerging themes: (a) Interaction with instructors, materials, and distant students are key elements affecting adoption decisions of students regarding VC technology; (b) Student adoption decisions are influenced by faculty members in their use of VC technology; and (c) Student opinions indicate that reinvention is necessary for VC technology to be fully adopted into the present nursing program. The five categories: Interaction, equipment, teaching methodology, instructor technology training, and student orientation provided ample detail from which to inform practice regarding recommendations for reinvention (modification) of VC technology during the implementation stage of Rogers’ five stages of the innovation-decision model. These modifications could assist the college in gaining parity between the two nursing sites, which reported an 18.53 percentage point difference in first time pass rates on the NCLEX-RN exam reported by the Florida Department of Health (Florida Health, 2015).
16
Zetterberg, Malin, e Nina Ulander. "Barnsjuksköterskors erfarenheter av att bedöma smärta hos barn i åldern 2-7 år". Thesis, Mittuniversitetet, Institutionen för ekonomi, geografi, juridik och turism, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-36326.
Testo completoAbstract (sommario):
Bakgrund: Vårdandets mål är att lindra eller förhindra lidande. Barn som vistas på sjukhus utsätts många gånger för onödigt lidande. Som barnsjuksköterska har man en viktig roll i mötet med barnet, där barnets perspektiv alltid ska vara i fokus. Syfte: Syftet med studien var att belysa barnsjuksköterskors erfarenheter av att bedöma smärta hos barn i åldern två till sju år. Metod: Semistrukturerade intervjuer med 8 barnsjuksköterskor vid en barnklinik i norra Sverige. Materialet analyserades med kvalitativ innehållsanalys. Resultat: Resultatet visade på ett ökat behov av utbildning och tydligare rutiner/riktlinjer. Samtliga barnsjuksköterskor ansågs använda den kliniska blicken i bedömningen av barnets smärta dock var det få som skattade smärta enligt smärtskattningsskala. Slusats: Mer utbildning efterfrågas om barn och smärta, samt i vilken omfattning smärtskattningsinstrument bör användas.Background: The aim of the caregiver is to alleviate or prevent suffering. Children who are hospitalized are often subjected to unnecessary suffering. As a child nurse, one has an important role in the meeting with the child, where the child's perspective should always be in focus. Purpose: The purpose of the study was to highlight the nurses' experiences of assessing pain in children aged two to seven years. Methods: Semi-structured interviews were conducted with 8 child nurses’ at a children's clinic in the north of Sweden. The material was analyzed with qualitative content analysis. Results: The result showed an increased need for education and clearer routines / guidelines. All child nurses were considered to use the clinical look in the assessment of the child's pain, however, there were few who estimated pain according to the pain estimation scale. Conclusion: More education is required about children and pain, and to what extent pain assessment instruments should be used
Betyg E, 190603.
17
Paula, Adriana Pereira de. "Aderência à terapêutica com antimicrobianos administrados por via oral em adultos com osteomielite". Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/5/5140/tde-09102013-163716/.
Testo completoAbstract (sommario):
A osteomielite possui elevada prevalência e morbidade. O tratamento depende de apropriada terapia antimicrobiana por tempo prolongado e frequentemente requer cirurgia para remoção de tecidos necróticos. A aderência dos pacientes com osteomielite à prescrição do antibiótico, embora fundamental para o sucesso terapêutico, tem sido pouco estudada. O objetivo deste estudo foi mensurar a aderência à terapia antimicrobiana oral em pacientes adultos com osteomielite; identificar se alguns fatores relacionados na literatura estavam associados com a não aderência; estabelecer o valor preditivo dos fatores associados a não aderência ao tratamento em pacientes com osteomielite. Foi realizado um estudo transversal, fundamentado na avaliação por meio de métodos indiretos da aderência para 83 pacientes. Foram considerados pelo menos 30 dias de uso do antimicrobiano à entrevista e os pacientes foram classificados como aderentes de acordo com o questionário de Morisky, que é constituído por 4 questões com respostas dicotômicas para avaliar a aderência. Os pacientes com < 2 pontos foram considerados de baixa aderência e os que obtiverem > 3 pontos, de alta aderência. O presente estudo identificou uma prevalência de alta aderência de 83,1% (n=63). O ajuste dos modelos de regressão logística múltipla não resultou em variáveis conjuntas influenciando a aderência ao tratamento, porém pacientes do gênero masculino sugeriram apresentar maior frequência de baixa aderência ao tratamento em relação aos pacientes do gênero feminino (p = 0,053). Com relação à idade, a análise dos dados mostrou que os pacientes com idade entre 31 e 59 anos possuíam probabilidade de baixa aderência 68% menor que pacientes com idade entre 18 e 30 anos. A aderência observada foi semelhante à encontrada na literatura. Os fatores sociodemográficos podem interferir na aderência de pacientes em uso de antibióticos orais para tratamento de osteomieliteOsteomyelitis is a highly prevalent disease and a major cause of morbidity. Clinical treatment is based on appropriate antimicrobial therapy. Adherence of patients with osteomyelitis to the prescribed treatment, although critical for successful treatment, has been little studied. The aim of the study was: to measure the adherence to oral antimicrobial therapy in adult patients with osteomyelitis; to identify whether some of the factors listed in health literature were associated with non-adherence; to establish the predictive values associated with non-adherence to antimicrobial therapy in patients with osteomyelitis. We conducted a cross-sectional study, based on evaluation through indirect methods of adherence for 83 patients. We included patients receiving at least 30 days of antimicrobial use. Patients were interviewed and classified as adherent according to the Morisky questionnaire, that consists of 4 questions with dichotomous responses to assess adherence. Patients with 3 points, with high adherence. This study identified a prevalence of high adherence of 83.1% (n = 63). The multivariate logistic regression analysis did not result in multiple variables influencing adherence to treatment. Gender was the only variable with an suggested association with low adherence, male gender was more associated with low adherence than female (p = 0,053). Regarding age, data analysis showed that patients aged between 31 and 59 years had low adherence probability 68% lower than patients aged between 18 and 30 years. The high adherence observed in this study was similar than previous reported in the literature. Social and demographic factors may interfere in the adherence with patients using oral antibiotics for the treatment of osteomyelitis
18
Bartlett, Ellis Rebecca J. "In vitro comparison of gastric aspirate methods and feeding tube properties on the quantity and reliability of obtained aspirate volume". Thesis, 2013. http://hdl.handle.net/1805/3690.
Testo completoAbstract (sommario):
Indiana University-Purdue University Indianapolis (IUPUI)Gastric residual volume (GRV) is a clinical assessment to evaluate gastric emptying and enteral feeding tolerance. Factors such as the tube size, tube material, tube port configuration, placement of the tube in the gastric fluid, the amount of fluid and person completing the assessment may influence the accuracy of residual volume assessment. Little attention has been paid to assessing the accuracy of GRV measurement when the actual volume being aspirated is known, and no studies have compared the accuracy in obtaining RV using the three different techniques reported in the literature that are used to obtain aspirate in practice (syringe, suction, and gravity drainage). This in vitro study evaluated three different methods for aspirating feeding formula through two different tube sizes (10 Fr [small] and 18 Fr [large]), tube materials (polyvinyl chloride and polyurethane), using four levels of nursing experience (student, novice, experienced and expert) blinded to the five fixed fluid volumes of feeding formula in a simulated stomach, to determine if the RV can be accurately obtained. The study design consisted of a 3x2x2x4x5 completely randomized factorial ANOVA (with a total of 240 cells) and 479 RV assessments were made by the four nurse participants. All three methods (syringe, suction and gravity) used to aspirate RV did not perform substantially well in aspirating fluid, and on average, the methods were able to aspirate about 50% of the volume available. The syringe and suction techniques were comparable and produced higher proportions of RVs, although the interrater reliability of RV assessment was better with the syringe method. The gravity technique generally performed poorly. Overall, the polyvinyl chloride material and smaller tubes were associated with higher RV assessments. RV assessment is a variable assessment and the three methods did not perform well in this in vitro study. These findings should be further explored and confirmed using larger samples. This knowledge will be important in establishing the best technique for assessing RV to maximize EN delivery in practice and will contribute to future research to test strategies to optimize EN intake in critically ill patients.
19
Ashley, L. J., R. Dexter, F. Marshall, B. McKenzie, M. Ryan e Gerry R. Armitage. "Improving the safety of chemotherapy administration: an oncology nurse-led failure mode and effects analysis". 2011. http://hdl.handle.net/10454/6792.
Testo completoAbstract (sommario):
noPURPOSE/OBJECTIVES: To assess and improve the safety of hospital-based adult chemotherapy administration. DESIGN: Prospective, systems-focused clinical risk assessment. SETTING: An adult inpatient and outpatient oncology unit in a large urban hospital in the United Kingdom. SAMPLE: 8-person nurse-led multidisciplinary team, which included managerial staff and patient safety researchers. METHODS: Failure mode and effects analysis (FMEA), a prospective, systems-focused risk assessment methodology, was undertaken in biweekly team meetings and included mapping the chemotherapy administration process, identifying and numerically prioritizing potential errors (failure modes) for each process step, and generating remedial strategies to counteract them. MAIN RESEARCH VARIABLES: The analysis aimed to identify chemotherapy administration failure modes and to generate remedial strategies to address them. User feedback on the FMEA process also was collected. FINDINGS: Several specific chemotherapy failure modes were identified, the majority of which had not previously been recognized, and several novel strategies to counteract them were generated. Many of the strategies were specific, environment-focused actions, which are simple, quick, and inexpensive to implement; however, more substantive, longer-term initiatives also were generated. User feedback generally was very positive, and the process of undertaking the analysis improved multidisciplinary teamwork and communication. CONCLUSIONS: Although time and resource intensive, FMEA is a useful safety improvement tool. IMPLICATIONS FOR NURSING: Nurses should be aware of and informed about FMEA as a tool they can use in partnership with management and other disciplines to proactively and collectively improve the safety of high-risk oncology procedures such as chemotherapy administration.
20
Mathunjwa, Murmly D. "A continuing education programme for family nurse practitioners in Swaziland". Thesis, 2000. http://hdl.handle.net/10500/18167.
Testo completoAbstract (sommario):
Text in EnglishIn Swaziland, family nurse practitioners (FNPs) are professional nurses who have undergone preparation as general nurse, midwife and FNP. These nurses play an important role in the delivery of primary health care (PHC). Family nurse practice is an evolving concept introduced in Swaziland in 1979. It is a means of exploring nursing roles and primary health care services for deployment in under-served areas and to enable nurses to serve as the primary providers of health care services in clinics, health centres and in the outpatient departments of hospitals. Changing responsibilities within the health care setting require different skills and more knowledge. The expansion and extension of the nurses' role, including the techniques of diagnosing and treating, was a priority of the Ministry of Health and Social Welfare (MOH&SW) in Swaziland's five-year development plan for 1978-1983. It was regarded as a necessary component for raising the quality and effectiveness of PHC services. Some of the major and urgent challenges that confront FNPs today are the advent of the human immune virus/acquired immuno-deficiency syndrome (HIV/AIDS) scourge and the re-emergence of the tuberculosis epidemic. Both these health problems require proficient diagnosis and case management skills as well as new approaches. If FNPs are to remain relevant and to continue to provide quality services in spite of prevailing challenges, they have to engage in continuing education (CE). The main aim of this study was to investigate the perceptions of the FNP role, CE needs and issues relevant to the current practice of FNPs in Swaziland. A further aim was to establish a structure or framework for a CE programme that would contribute to the strengthening of CE for FNPs and identify enabling factors and barriers in the practice and education ofFNPs. Both quantitative and qualitative research methods were used for data collection. A survey was conducted to collect data from 5 7 FNPs and 11 nurse managers and nurse educators. The transcript from the questionnaires was subjected to quantitative-based content analysis. A total of thirty nurse managers, nurse educators and MOH&SW nurse executives participated in the focus group interviews. The collected data was subjected to qualitativebased content analysis. The findings identified the role of the FNP as manager, clinical practitioner, educator and researcher. The analyses highlighted the CE needs of FNPs, and the question of updating and upgrading the skills of practising FNPs. The identified enabling factors and barriers, although perceived as issues that are peripheral and auxiliary to the curriculum, appeared to have a strong bearing on programme planning. The findings from this study have implications for a structured CE programme for FNPs at the University of Swaziland.
Health Studies
D. Litt et Phil. (Nursing Sciences)
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Schust, Sabine [Verfasser]. "Das postoperative Delirium : Vergleich der Nursing Delirium Screening Scale und der Confusion Assessment Method im Screening auf der peripheren chirurgischen Station / von Sabine Schust". 2011. http://d-nb.info/1012826341/34.
Testo completo
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VRZALOVÁ, Monika. "Role sestry ve screeningu deprese u seniorů". Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-260905.
Testo completoAbstract (sommario):
The diploma thesis deals with problems of depression in older people. Mainly the work is focused on identifying and analyzing the role of nurses in screening for depression in older people in primary care, acute care, long-term care and home care. This thesis was focused on theoretical direction and was used the method of design and demonstration. In this thesis was set one main goals with five research questions. The main goal was to identify and analyze the role of nurses in screening for depression in the elderly. RQ 1: What is the role of the nurse in screening for depression in the elderly? RQ 2: What is the role of the nurse in the primary care in screening for depression in the elderly? RQ 3: What is the role of the nurse in screening for depression in hospitalized patients in acute care? RQ 4: What is the role of the nurse in screening for depression in seniors in long-term and home care? RQ 5: What rating scales and methods are used in screening for depression in the elderly? The thesis introduce the concept of depression. The following are specified the causes of and the important factors that affect depression in the elderly. It also deals the differences in the clinical symptomatology of depression in old age. It explains possibilities and various barriers in the diagnosis of depression. Another chapter introduces complete geriatric examination, diagnostic classification systems, possible screening methods and scales for detection of depression in the elderly population. It also deals methods of pharmacological and non-pharmacological treatment and its possible complications associated with older age. By reason of increased suicide rate caused by depressive disorder the issue of suicidal behavior in the elderly is introduced. The next chapter deals with the nursing process, which is used by nurses in practice. It consists of the evaluation of the patient's health condition, making nursing diagnosis, creating nursing plan and subsequent implementation and evaluation. The nursing process is also needy for providing quality care. The nursing process in the stage of nursing diagnosis, introduces possible nursing diagnosis for a patient suffering from depression, which are based on the latest classification. Finally is described the role of nurses in screening for depression in the elderly in different health facilities and their contribution to the timely evaluation of depression in the elderly. This chapter introduces the role of nurses, nursing screening and collaboration with a physician. The role of nurses in screening for depression in different medical facilities is based on the first phase of the nursing process of assessment. On the basis of objective and subjective information, the nurse will assess the overall health and mental condition of the patient. Primarily, it was investigated what is the role of the nurse in screening for depression. On the basis of content analysis and synthesis it was necessary to used and processed domestic and foreign literature. A number of relevant sources are the results of various studies and Meta-analyzes, mostly from abroad, but also from the Czech Republic. The thesis can serve as a basis for nurses. The result of this thesis is to create e-learning material available for students in the Faculty of Health and Social Sciences of South Bohemia in Ceske Budejovice in the tutorial called Moodle.