Готові списки джерел за темами / Nursing practice

Добірка наукової літератури з теми "Nursing practice"

Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 25 лютого 2023

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Статті в журналах з теми "Nursing practice":

Allen, Davina. "Nursing, Knowledge and Practice." Journal of Health Services Research & Policy 2, no. 3 (July 1997): 190–93. http://dx.doi.org/10.1177/135581969700200311.

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Recent commentators have suggested that academic knowledge is irrelevant to nursing practice and may actually undermine nursing's traditional caring ethos. Furthermore, by making nursing more academic, it is claimed that ‘natural’ but non-academic carers are prevented from pursuing a career in nursing. Debates about the relationship between nursing, knowledge and practice have a long history and have to be understood in terms of wider political and economic issues relating to nursing, its status within society and the changing role of nurses within the health services division of labour. One crucial issue is nursing's status as women's work. Critics of developments in nurse education draw an ideological equation between nursing work and the traditional female role. From this perspective the qualities that make a good nurse cannot be taught, rather they are founded on ‘natural’ feminine skills. Irrespective of whether caring is ‘natural’ or not, it is questionable as to whether, for today's nurses, being caring is sufficient. The shape of nursing jurisdiction is a long way removed from its origins in the Victorian middle-class household. In addition to their traditional caring role, contemporary nurses may also have complex clinical, management and research responsibilities, as well as being crucial co-ordinators of service provision. It is suggested that these and future developments in health services make the need for an educated nursing workforce even more pressing. In order to adequately prepare nurses for practice, however, it is vital that nurse education reflects the reality of service provision.

Vold, Lindsey, and Megan Meszaros. "Rhizomatic Assemblages: Connecting Climate Change to Nursing Action." Witness: The Canadian Journal of Critical Nursing Discourse 3, no. 2 (December 18, 2021): 18–35. http://dx.doi.org/10.25071/2291-5796.113.

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Calls for nursing action to address climate change are resounding throughout the nursing community, yet many nurses feel ill-prepared to engage in climate action. As a collective practice discipline, we argue that nursings’ internalized a rigid view of what nursing is and, through self-disciplining practices, actively police our knowledge and practice to conform within a bounded domain that fails to view global issues, such as climate change, as being within the scope of nursing. To build nurses’ climate action capacity, we draw on Deleuze and Guarttari’s (1987) concept of rhizomatic assemblages to make an explicit connection between health and climate change, but also how climate action is a moral imperative in the scope of nursing education and practice. Using examples in the four domains of nursing - education, practice, research, and policy, we present how nurses can engage in coordinated and collaborative efforts both within and outside of ‘traditional’ nursing practice to address the connecting and complicated pathways of a changing climate.

Cohen, Helen A. "Nursing Practice." Business and Professional Ethics Journal 4, no. 1 (1985): 77–78. http://dx.doi.org/10.5840/bpej19854151.

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Grugan, Arthur A. "Nursing Practice." Business and Professional Ethics Journal 4, no. 1 (1985): 79–81. http://dx.doi.org/10.5840/bpej19854152.

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Summers, Jim W. "Nursing Practice." Business and Professional Ethics Journal 4, no. 1 (1985): 83–87. http://dx.doi.org/10.5840/bpej19854153.

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Fortunato, Nancy M. "Nursing Practice." AORN Journal 50, no. 3 (September 1989): 656. http://dx.doi.org/10.1016/s0001-2092(07)62139-5.

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Cade, D., and G. Dunn. "Practice nursing." BMJ 308, no. 6938 (May 7, 1994): 1241. http://dx.doi.org/10.1136/bmj.308.6938.1241a.

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Woodman, J. "Practice nursing." BMJ 309, no. 6952 (August 13, 1994): 477. http://dx.doi.org/10.1136/bmj.309.6952.477c.

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Owen, Charlotte H. "Nursing Practice." AORN Journal 55, no. 6 (June 1992): 1581. http://dx.doi.org/10.1016/s0001-2092(07)66599-5.

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ROBINSON, CAROL A. "NURSING PRACTICE." AORN Journal 54, no. 2 (August 1991): 364–66. http://dx.doi.org/10.1016/s0001-2092(07)69304-1.

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Дисертації з теми "Nursing practice":

Tao, Yuexian. "Nursings students' attitudes towards rural nursing practice." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9827.

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Background: Nursing shortage is a worldwide phenomenon; in rural areas, this shortage is exacerbated by geographical imbalances. Reducing the inequality of health outcomes between rural and urban areas requires improvement in the rural nursing workforce. Thus far, little research has been conducted on the recruitment of nursing students to rural nursing in China. Aim: This study aimed to explore nursing students’ perspectives of rural nursing practice and their intentions to work rurally after graduation, and to identify factors contributing to those intentions. Methods: Exploratory interviews were conducted with eleven nursing students to obtain their perspectives of rural nursing practice. This was followed by a hand distributed and collected self-completion questionnaire survey that involved 445 final year nursing students in six nursing schools in one province in China. The questionnaire measured students’ rural career intentions and their perceptions of rural nursing practice. The survey data were collected between December 2011 and March 2012. The response rate for the questionnaire survey was 89%. Results: The results indicated that the majority of final year nursing students did not intend to work rurally. The most frequently cited barriers deterring them from considering a rural job were the perceived fewer opportunities for skills development and learning, potentially lower financial rewards, and family members’ disapproval of rural working. Regression analysis showed that the length of time living rurally and educational level were the most important predictors of nursing students’ intentions to take a rural job immediately following graduation. The logistic regression illustrated that rural identification, degree, and rural placement experiences were significant predictors for nursing students’ intentions to work rurally in their future nursing career. Conclusion: Nursing students with high intentions to work rurally were rare in China. Rural background had a positive impact on students’ intentions to work rurally. Students with a degree were less likely to work rurally.

McGarry, Jon. "Exploring perioperative nursing practice." Thesis, University of Southampton, 2015. https://eprints.soton.ac.uk/384348/.

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This qualitative study sought to examine perioperative nursing from the perspective of its practitioners. It was undertaken in two operating theatre sites within NHS Trusts in England. The study used the ethnographic approaches of non-participant observation and semi-structured interviews, with ten observation sessions totalling 85 hours undertaken and eight interviews conducted. Thematic data analysis was undertaken supported by the NVivo qualitative data analysis software program. Two main themes emerged as being core components of perioperative nursing work. The first, ‘Managing Momentum’, related to the work that the nurses undertook to ensure that the operating lists went smoothly and progressed throughout the day. The second, ‘Accounting for Safety’, focussed on the need to ensure that patients were kept safe from harm at all points of their perioperative journey. Three different perioperative nursing roles were identified (anaesthetic, scrub and recovery nurses) and these different types of perioperative nurse undertook managing momentum and accounting for safety work, but each enacted them differently. There was tension between the two components of the work that these nurses had to resolve. The study concludes that perioperative nursing is not a homogenous entity. Nonetheless, perioperative nursing centres on balancing momentum and risk. This insight provides a new understanding of this ‘hidden’ or backstage type of nursing practice. This work will inform perioperative nurses’ understandings of their work, and can also feed into formal definitions of perioperative nursing, recruitment and professional development.

Scott, Sharon Jean. "Doctor of Nursing Practice." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2102.

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Evidence demonstrates the health benefits of early breastfeeding for mothers as well as infants. The World Health Organization states, "Breast milk should be given within the first hour of life." This purpose of this project was to develop a breastfeeding educational toolkit to promote breastfeeding in the hospital environment. The question that guided this project was, "Will the development of a breastfeeding education toolkit, designed to serve as a learning tool to support the breastfeeding mothers, be found to be useful and valid by professional staff and lay end-users?" The goals of the project were to provide an educational toolkit aimed at supporting new mothers, and to validate the toolkit with stakeholders from the Mother/Baby unit. The benefits of breastfeeding and breastfeeding research were established through an evidence-based search of peer-reviewed journals. The developed toolkit was reviewed by10 stakeholders from the Mother/Baby unit: 1 physician, 3- lactation consultants, 5 nursing professionals, and 1 layperson of childbearing age. To assess the quality of the guidelines, the Logic Model and the 4 domains of the AGREE II Instrument were used. The descriptive data analysis from the AGREE II instrument led to the recommendations for the toolkit. All reviewers acknowledged the need for the toolkit as a support for the mothers and their babies. The stakeholders provided their support for the developed toolkit. The breastfeeding education toolkit has the potential to support positive social change by improving the health of the mothers and babies through improved breast-feeding knowledge.

Paxton, Fiona M. "Practice nursing : a time of change : a study of nursing in general practice." Thesis, University of Edinburgh, 1998. http://hdl.handle.net/1842/22550.

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The view is offered within this thesis that nursing is essentially a practice-based discipline and therefore any theory of nursing must reflect what happens in practice. By analysing research material from a study of practice employed and attached nurses, the nurses' pattern of work was described within the context of the primary health care. Both delegated and more autonomous roles were examined, and the implications of these and their relationship with holistic care and experiential learning were described in view of the continued expansion of the role. The objectives were: a) to examine the process of care and identify any changes in workload or differences in working patterns of practice employed and attached nurses as a result of the introduction of the New GP Contract in April 1999; b) to measure patient satisfaction with nurse consultations and ascertain their views on the changing role of community nurses; and c) to determine the opinions and attitudes of community nurses and general practitioners to future developments and educational opportunities for primary care nursing. Thirty four nurses participated in 1990 with a total of 6675 consultations; 33 nurses in 1991 with a total of 6050 consultations. The largest proportion of patients seen by both groups of nurses during both periods of recording was by general practitioner referral. Practice employed nurses initiated more of their own appointments in the second year and saw fewer general practitioner referrals. This tend was reversed for attached nurses. By the second recording period both attached and practice employed nurses had experienced a reduction in the time spent on routine treatment room work and an increase in clinic activity. Practice employed nurses reported a higher level of therapeutic listening than the attached nurses both years. It was found that 39% of all nurse consultations in 1990 and 27% in 1991 had an interruption either before or during surgery sessions.

Henry, Deborah. "Rediscovering the Art of Nursing for Nursing Practice." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3470.

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The art of nursing is discussed throughout nursing literature but research on the topic is lacking. The purpose of this research was to reveal experiences of the art of nursing. Nurses were asked to describe experiences about the art of nursing from their own nursing practice. This study was qualitative in nature and used a phenomenological approach to answer the research question, “What is the experience of the art of nursing in nursing practice?” The study was guided by the philosophical stance of Merleau-Ponty and the research strategies of Thomas and Pollio. Participants included nurses who had experience using the art of nursing to provide patient care and a willingness to articulate these experiences. With IRB approval, eleven nurses participated in the interview process. Participants had between twenty-one and over thirty years of nursing experience and a range of clinical experiences that included hospice, acute care, nurse management, pediatrics, labor and delivery, medical/surgical, mother/baby, intensive care, progressive care, outpatient day surgery, free standing clinic, cardiac surgical step down, outpatient hemodialysis, nursing instructor, neonatal intensive care, prison nurse, telemetry, school nursing, emergency room, hospital nursing education, orthopedics, post-op, chemotherapy, behavioral health, long term care, code team, and one had been a family nurse practitioner in a rural setting. Results demonstrate the art of nursing in nursing practice includes showing up, staying, and helping patients, connecting to patients, intuitive caring, and making a difference in the lives of both patients and nurses. Findings from this study confirm the art of nursing as an essence of nursing with implications for nursing practice, nursing education, and future research.

Finnell, Deborah S., Elizabeth L. Thomas, Wendy M. Nehring, Kris A. McLoughlin, and Carol J. Bickford. "Best Practices for Developing Specialty Nursing Scope and Standards of Practice." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6707.

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Nursing specialization involves focusing on nursing practice in an identified specific area within the entire field of professional nursing. A defined specialty scope of practice statement and standards of professional practice, with accompanying competencies, are unique to each nursing specialty. These documents help assure continued understanding and recognition of nursing’s diverse professional contributions. The purpose of this article is to demystify the process for specialty nurses who are creating or revising their specialty nursing scope and standards of practice. We provide best practices for the developmental process based on our recently published scope and standards of specialty nursing practice. The conclusion provides strategies to disseminate scope and standards documents to appropriate stakeholders.

Yeung, Kit-ting. "Spiritual care in nursing practice /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38295775.

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Yeung, Kit-ting, and 楊潔婷. "Spiritual care in nursing practice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B45012192.

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Allison, Robert W. "Transcultural awareness in nursing practice." Honors in the Major Thesis, University of Central Florida, 1998. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/18.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Health and Public Affairs
Nursing

Marsden, Janet Elizabeth. "Aspects of advanced nursing practice." Thesis, Manchester Metropolitan University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.548209.

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This PhD by publication brings together several pieces of research undertaken in order to explore issues in advanced practice in a number of different settings. The focus of the programme of work has been to gain a better understanding and widen available knowledge of the drivers and essential elements of advanced practice nursing roles. The whole body of the work is based on my continuing academic and professional role embracing clinical practice and education as well as research. It is my strongly held belief that these three components are intrinsically linked and that one without the others, for professionals in practice, is incomplete and inherently flawed as an underpinning to the work of health care professionals. The work on this thesis began because of concerns and issues around personal practice and has grown to involve national and international perspectives on a number of clinical areas. This programme of work with each new study considering different aspects of advanced practise while building on the results and conclusions of the preceding works, leads to a consideration of some of the implications for future practice, education and research in this important area of nursing. The opportunities for research were, in the main, on a small scale and unfunded. Qualitative techniques were chosen in order to explore the ideas and experience of the participants, rather than those preconceived ideas held by the researcher(s). The demographic and quantitative data collected in the surveys was represented by descriptive statistics only as no inferences (in a statistical sense) could possibly have been drawn from such data. The publications associated with the planned areas of enquiry add to the evidence base for advanced nursing practice and seek to promote discussion and debate and promote change around an essential element of healthcare provision. The studies consider aspects of advanced practice including: " Decision making and safety: Decision making reflects expertise and has been shown, in the work here as well as in many other areas, to be safe and effective. 9 Acceptability of roles: There is a huge volume of research available that shows overwhelmingly that patients like these advanced practice roles. Research undertaken here showed the acceptability of the role to the multidisciplinary team and the importance of the whole team to role functioning. " The organisation of advanced practice: Some issues identified in the study relating to aspects of role development such as prescribing, have subsequently been successfully addressed. Others, such as the rigidity of job descriptions and the lack of support for risk taking, still prove problematic, " The process of role development is, as has been highlighted in other literature, often ad hoc, local, ill thought through and without the infrastructure to support it. Nevertheless, roles are evidently successful. " Regulation of advanced practice: What has become clear throughout the process and the time span of the programme of research is that whether regulation is in place or not, nursing responds to the needs of the service and while regulation of one part of nursing ensures that the particular advanced practice role is protected, others evolve outside the framework as easier (and cheaper) options. " Policy as a driver of roles: It is clear that policy, whether local or national drives the areas in which advanced practice flourishes. Where there are gaps in service, nurses and now other health professionals undertaking such roles, move in to address the service imperatives. The nature of healthcare is about to change quite fundamentally in the UK, and if we are to be able to know what is going on and the effect it is having, research on advanced practice roles must continue. My intentions are to build on this work in the future and include replication studies as well as studies employing sequential explanatory designs to widen the scope of the research presented here. Other areas of potential research include outcomes for patients in acute care settings as well as issues such as value for money which, at present are very difficult to quantify. As nurses move into even more complex roles, it will also be important to keep an eye on the educational underpinnings of such roles. The private sector is playing an increasing part in the UK's health provision and, with a diverse range of organisations involved, little is known about advanced practice roles in these organisations. This gap in the original research, coupled with the much wider role of such providers in the future, also opens up future research possibilities.

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Книги з теми "Nursing practice":

Parker, Marilyn E., and Marlaine C. Smith. Nursing theories & nursing practice. Philadelphia, PA: F.A. Davis Company, 2015.

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Holm, Karyn. Nursing research for nursing practice. Philadelphia: Saunders, 1986.

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E, Parker Marilyn, ed. Nursing theories and nursing practice. Philadelphia: F.A. Davis, 2001.

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Parker, Marilyn E. Nursing theories and nursing practice. 3rd ed. Philadelphia: F.A. Davis Co., 2010.

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E, Parker Marilyn, and Smith Marlaine Cappelli, eds. Nursing theories and nursing practice. 3rd ed. Philadelphia: F.A. Davis Co., 2010.

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Lesley, Baillie, ed. Developing practical nursing skills. 3rd ed. London: Hodder Arnold, 2009.

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M, Kleinpell Ruth, ed. Advanced practice nursing. Philadelphia: Saunders, 2002.

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Oermann, Marilyn H. Professional nursing practice. Stamford, Conn: Appleton & Lange, 1997.

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Blair, Kathryn A., and Michaelene P. Jansen, eds. Advanced Practice Nursing. New York, NY: Springer Publishing Company, 2015. http://dx.doi.org/10.1891/9780826172525.

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G, Wright S., ed. Changing nursing practice. 2nd ed. London: Arnold, 1998.

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Частини книг з теми "Nursing practice":

Jeffree, Pauline. "Nursing models." In The Practice Nurse, 24–38. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-6874-6_5.

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Jeffree, Pauline. "Nursing models." In The Practice Nurse, 59–68. Boston, MA: Springer US, 1990. http://dx.doi.org/10.1007/978-1-4899-6876-0_6.

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Mattocks, Sarah. "General Practice Nursing." In Mentorship in Community Nursing: Challenges and Opportunities, 111–17. Oxford, UK: Blackwell Science Ltd, 2008. http://dx.doi.org/10.1002/9780470690536.ch10.

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Halcomb, Elizabeth J. "General practice nursing." In Nursing in Australia, 254–60. Milton Park, Abingdon, Oxon; New York, NY: Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9781003120698-33.

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Parahoo, Kader. "Eviaence-based Practice." In Nursing Research, 389–403. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-28127-2_22.

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Chadwick, Ruth, and Win Tadd. "Nursing adults." In Ethics and Nursing Practice, 65–79. London: Macmillan Education UK, 1992. http://dx.doi.org/10.1007/978-1-349-11388-0_5.

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Chadwick, Ruth, and Ann Gallagher. "Nursing Adults." In Ethics and Nursing Practice, 74–89. London: Macmillan Education UK, 2016. http://dx.doi.org/10.1057/978-1-349-93299-3_6.

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Parahoo, Kader. "Research and Nursing Practice." In Nursing Research, 7–24. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-28127-2_2.

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Parahoo, Kader. "Research and nursing practice." In Nursing Research, 4–30. London: Macmillan Education UK, 1997. http://dx.doi.org/10.1007/978-1-349-14559-1_2.

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Chielli, Deborah, Caroline Trapp, Cody Stubbe, Tammy Robertson, and Gia Merlo. "Nutrition and Nursing Practice." In Lifestyle Nursing, 11–34. New York: CRC Press, 2022. http://dx.doi.org/10.1201/9781003178330-3.

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Тези доповідей конференцій з теми "Nursing practice":

Levers, Merry-jo. "Changing Nursing Practice." In Qatar Foundation Annual Research Conference Proceedings. Hamad bin Khalifa University Press (HBKU Press), 2014. http://dx.doi.org/10.5339/qfarc.2014.hbpp0722.

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Endrawes, Gihane. "Cultural Sensitive Care in Nursing Practice." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.82.

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Martins, Rosa. "Reiki Complementary Therapy In Nursing Practice." In International Conference on Sport, Education & Psychology. Cognitive-crcs, 2017. http://dx.doi.org/10.15405/epsbs.2017.06.11.

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Isted, Aaron, and Steven Colfar. "Optimizing Interprofessional Learning In Practice: A innovative booking model." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.55.

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Si, Xuyan. "The Practice of Intensive Nursing Skill Training in Clinical Nursing Teaching." In 2017 International Conference on Innovations in Economic Management and Social Science (IEMSS 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/iemss-17.2017.54.

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Kaur, Baljit. "Challenges and Opportunities of Advance Practice Nursing in Hong Kong." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.96.

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Kim, Myung Hae, Gum Jung Kim, and Muyeong Seak Yang. "Attitude of the Student Nurses about Euthanasia after Clinical Practice." In Healthcare and Nursing 2016. Science & Engineering Research Support soCiety, 2016. http://dx.doi.org/10.14257/astl.2016.128.37.

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Boyde, Mary, Leanne Jiggins, Jane Witt, and Mary Boyde. "Changing Nursing Practice: Implementing evidence-based nursing handover in a Cardiology Unit." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.20.

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Velasco – Ferrer, Doruthy, and Alita R. Conde. "Nurse Practice Environment and Quality of Care in a Multigenerational Workforce." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.106.

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LEE, Siu Yin, and Karen Wei Ling KOH. "Development of the Advanced Practice Nurse in Singapore: The NUH Experience." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.146.

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Звіти організацій з теми "Nursing practice":

Patrician, Patricia A. Workload Intensity, The Nursing Practice Environment, and Adverse Events. Fort Belvoir, VA: Defense Technical Information Center, January 2014. http://dx.doi.org/10.21236/ada616404.

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Hopkins-Chadwick, Denise L. Analysis of Military Nursing Practice Study Data Collected in Iraq. Fort Belvoir, VA: Defense Technical Information Center, October 2011. http://dx.doi.org/10.21236/ada627687.

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Cruchinho, Paulo, Gisela Teixeira, Pedro Lucas, and Filomena Gaspar. Influencing Factors of Nurses’ Practice during the Bedside Handover: A Qualitative Evidence Synthesis Protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0013.

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Review question / Objective: Nurses could have inconsistent practice during the Nursing Bedside Handover (NBH) implementation (Clari et al., 2021; Malfait et al., 2019; Whitty et al., 2017). During almost two decades, this inconsistency in nurses' practices has been explained by the strategy of implementation followed at the wards and the resistance behaviors of nurses (Burston et al., 2015; Evans et al., 2012; Kassean & Jagoo, 2005; Malfait et al., 2020; Sand-Jecklin & Sherman, 2013, 2014). Recently, this explanation has come to consider the possibility of nurses' practices be a practice individualized, flexible, and adaptive (McCloskey et al., 2019; Schirm et al., 2018; Tobiano et al., 2018). Based on these supplementary explanations, we formulated the following review question: - What are the factors perceived by nurses that influence inconsistency of practice during NBH? The purpose of this synthesis of the qualitative evidence is to review and synthesize nurses’ perceptions and experiences about the factors that, in their perspective, influence the practice of NBH.

Saavedra, Lissette M., Antonio A. Morgan-Lopez, Anna C. Yaros, Alex Buben, and James V. Trudeau. Provider Resistance to Evidence-Based Practice in Schools: Why It Happens and How to Plan for It in Evaluations. RTI Press, May 2019. http://dx.doi.org/10.3768/rtipress.2019.rb.0020.1905.

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Evidence-based practice is often encouraged in most service delivery settings, yet a substantial body of research indicates that service providers often show resistance or limited adherence to such practices. Resistance to the uptake of evidence-based treatments and programs is well-documented in several fields, including nursing, dentistry, counseling, and other mental health services. This research brief discusses the reasons behind provider resistance, with a contextual focus on mental health service provision in school settings. Recommendations are to attend to resistance in the preplanning proposal stage, during early implementation training stages, and in cases in which insufficient adherence or low fidelity related to resistance leads to implementation failure. Directions for future research include not only attending to resistance but also moving toward client-centered approaches grounded in the evidence base.

Johnson, C. An assessment of a training program designed to teach staff nurses in an acute care facility to transfer nursing process theory to practice. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.417.

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Epeneter, Beverly. Intuition in the Undergraduate Nursing Curriculum: Faculty Attitudes, Practices and Preparation. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5282.

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Zhou, Yujun, Qing Wang, Lin Lv, Hongyan Zhang, Dongli She, Long Ge, and Lin Han. Predictors of pressure injury in patients with hip fracture: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0028.

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Review question / Objective: The purpose of this study was to investigate the predictors of pressure injury in patients with hip fracture in order to provide a reference for clinical practice. Condition being studied: Hip fracture has become a major public health issue of common concern in both developed and developing countries. and its incidence is estimated to rise to 6.26 million by 2050. Hip fracture patients are prone to various complications during treatment and rehabilitation, and pressure injury (PI) is one of the common complications of hip fracture. Studies have reported that the incidence of pressure injury in patients with hip fracture is 3.4%-59.8%. In addition, pressure injury may occur at any time when patients with hip fracture are hospitalized, which not only greatly aggregates the pain of patients, but also increases the difficulty of treatment and nursing, and seriously threatens the safety of patients. Clarifying the influencing factors of pressure injury after hip fracture will help medical staff quickly identify high-risk patients and strengthen preventive measures. However, previous studies have only discussed the influence of individual factors on the occurrence of pressure injury in patients with hip fracture from the perspectives of diabetes and early surgery, and there is still a lack of systematic analysis on the influencing factors of pressure injury in patients with hip fracture.

Schwieger, Alexandra, Kaelee Shrewsbury, and Paul Shaver. Dexmedetomidine vs Fentanyl in Attenuating the Sympathetic Surge During Endotracheal Intubation: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0007.

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Purpose/Background Direct laryngoscopy and endotracheal intubation after induction of anesthesia can cause a reflex sympathetic surge of catecholamines caused by airway stimulation. This may cause hypertension, tachycardia, and arrhythmias. This reflex can be detrimental in patients with poor cardiac reserve and can be poorly tolerated and lead to adverse events such as myocardial ischemia. Fentanyl, a potent opioid, with a rapid onset and short duration of action is given during induction to block the sympathetic response. With a rise in the opioid crisis and finding ways to change the practice in medicine to use less opioids, dexmedetomidine, an alpha 2 adrenergic agonist, can decrease the release of norepinephrine, has analgesic properties, and can lower the heart rate. Methods In this scoping review, studies published between 2009 and 2021 that compared fentanyl and dexmedetomidine during general anesthesia induction and endotracheal intubation of surgical patients over the age of 18 were included. Full text, peer-reviewed studies in English were included with no limit on country of study. The outcomes included post-operative reviews of decrease in pain medication usage and hemodynamic stability. Studies that were included focused on hemodynamic variables such as systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and use of opioids post-surgery. Result Of 2,114 results from our search, 10 articles were selected based on multiple eligibility criteria of age greater than 18, patients undergoing endotracheal intubation after induction of general anesthesia, and required either a dose of dexmedetomidine or fentanyl to be given prior to intubation. Dexmedetomidine was shown to effectively attenuate the sympathetic surge during intubation over fentanyl. Dexmedetomidine showed a greater reduction in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure than fentanyl, causing better hemodynamic stability in patients undergoing elective surgery.Implications for Nursing Practice Findings during this scoping review indicate that dexmedetomidine is a safe and effective alternative to fentanyl during induction of general anesthesia and endotracheal intubation in attenuating the hemodynamic response. It is also a safe choice for opioid-free anesthesia.

James-Scott, Alisha, Rachel Savoy, Donna Lynch-Smith, and tracy McClinton. Impact of Central Line Bundle Care on Reduction of Central Line Associated-Infections: A Scoping Review. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0014.

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Purpose/Background Central venous catheters (CVC) are typical for critically ill patients in the intensive care unit (ICU). Due to the invasiveness of this procedure, there is a high risk for central line-associated bloodstream infection (CLABSI). These infections have been known to increase mortality and morbidity, medical costs, and reduce hospital reimbursements. Evidenced-based interventions were grouped to assemble a central line bundle to decrease the number of CLABSIs and improve patient outcomes. This scoping review will evaluate the literature and examine the association between reduced CLABSI rates and central line bundle care implementation or current use. Methods A literature review was completed of nine critically appraised articles from the years 2010-2021. The association of the use of central line bundles and CLABSI rates was examined. These relationships were investigated to determine if the adherence to a central line bundle directly reduced the number of CLABSI rates in critically ill adult patients. A summary evaluation table was composed to determine the associations related to the implementation or current central line bundle care use. Results Of the study sample (N=9), all but one demonstrated a significant decrease in CLABSI rates when a central line bundle was in place. A trend towards reducing CLABSI was noted in the remaining article, a randomized controlled study, but the results were not significantly different. In all the other studies, a meta-analysis, randomized controlled trial, control trial, cohort or case-control studies, and quality improvement project, there was a significant improvement in CLABSI rates when utilizing a central line bundle. The extensive use of different levels of evidence provided an excellent synopsis that implementing a central line bundle care would directly affect decreasing CLABSI rates. Implications for Nursing Practice Results provided in this scoping review afforded the authors a diverse level of evidence that using a central line bundle has a direct outcome on reducing CLABSI rates. This practice can be implemented within the hospital setting as suggested by the literature review to prevent or reduce CLABSI rates. Implementing a standard central line bundle care hospital-wide helps avoid this hospital-acquired infection.

Harris, Gregory, Brooke Hatchell, Davelin Woodard, and Dwayne Accardo. Intraoperative Dexmedetomidine for Reduction of Postoperative Delirium in the Elderly: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0010.

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Background/Purpose: Post-operative delirium leads to significant morbidity in elderly patients, yet there is no regimen to prevent POD. Opioid use in the elderly surgical population is of the most significant risk factors for developing POD. The purpose of this scoping review is to recognize that Dexmedetomidine mitigates cognitive dysfunction secondary to acute pain and the use of narcotic analgesia by decreasing the amount of norepinephrine (an excitatory neurotransmitter) released during times of stress. This mechanism of action also provides analgesia through decreased perception and modulation of pain. Methods: The authors developed eligibility criteria for inclusion of articles and performed a systematic search of several databases. Each of the authors initially selected five articles for inclusion in the scoping review. We created annotated literature tables for easy screening by co-authors. After reviewing the annotated literature table four articles were excluded, leaving 11 articles for inclusion in the scoping review. There were six level I meta-analysis/systematic reviews, four level II randomized clinical trials, and one level IV qualitative research article. Next, we created a data-charting form on Microsoft Word for extraction of data items and synthesis of results. Results: Two of the studies found no significant difference in POD between dexmedetomidine groups and control groups. The nine remaining studies noted decreases in the rate, duration, and risk of POD in the groups receiving dexmedetomidine either intraoperatively or postoperatively. Multiple studies found secondary benefits in addition to decreased POD, such as a reduction of tachycardia, hypertension, stroke, hypoxemia, and narcotic use. One study, however, found that the incidence of hypotension and bradycardia were increased among the elderly population. Implications for Nursing Practice: Surgery is a tremendous stressor in any age group, but especially the elderly population. It has been shown postoperative delirium occurs in 17-61% of major surgery procedures with 30-40% of the cases assumed to be preventable. Opioid administration in the elderly surgical population is one of the most significant risk factors for developing POD. With anesthesia practice already leaning towards opioid-free and opioid-limited anesthetic, the incorporation of dexmedetomidine could prove to be a valuable resource in both reducing opioid use and POD in the elderly surgical population. Although more research is needed, the current evidence is promising.