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Psychometric properties of the Persian version of the Intensive and Critical Care Nursing Competence Scale version-1 (ICCN-CS-1) Nursing competence is highly related to patient outcomes and patient safety issues, especially in intensive care units. Competence assessment tools are needed specifically for intensive care nursing.This study was performed to determine psychometric properties of the Intensive and Critical Care Nursing Competence Scale version-1 between Iranian Nurses.The present (...) study was a methodological research in which 289 nurses of Intensive Care Units from nine hospitals in Shahid Beheshti University of Medical Sciences in Tehran were selected between 2015 and 2016. The original version of the scale was translated into Persian and back-translated into English, and the comments of the developer were applied. The validity of the scale was the determined quality (content validity and face validity) and quantity (confirmatory factor analysis). Reliability of the scale
Developing and Sustaining a Career as a Transdisciplinary Nurse Scientist The purpose of this article is to provide an overview of strategies to build and sustain a career as a nurse scientist. This article examines how to integrate technologies and precision approaches into clinical practice, research, and education of the next generation of nursing scholars.This article presents information for shaping a sustainable transdisciplinary career. Programs of research that utilize self-management (...) to improve quality of life are discussed throughout the article. The ongoing National Institute of Nursing Research-funded (R01 grant) iPhone Helping Evaluate Atrial Fibrillation Rhythm through Technology (iHEART) study is the first prospective, randomized controlled trial to evaluate whether electrocardiographic monitoring with the AliveCor™ device in the real-world setting will improve the time to detection and treatment of recurrent atrial fibrillation over a 6-month period as compared to usual
Nurses as First Responders in Rural and Remote Locations: Clinical Evidence and Guidelines Nurses as First Responders in Rural and Remote Locations: Clinical Evidence and Guidelines | CADTH.ca Find the information you need Nurses as First Responders in Rural and Remote Locations: Clinical Evidence and Guidelines Nurses as First Responders in Rural and Remote Locations: Clinical Evidence and Guidelines Published on: November 10, 2017 Project Number: RB1161-000 Product Line: Research Type (...) : Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical evidence regarding nurses acting as first responders in rural or remote settings? What are the evidence-based guidelines regarding nurses asking as first responders in rural or remote settings? Key Message No relevant literature was identified regarding nurses acting as first responders in rural or remote settings. Tags emergency medicine, emergency medical services, emergency nursing, emergency
Health app: ChatHealth communication platform in school nursing services Health app: ChatHealth communication platform Health app: ChatHealth communication platform in school nursing services in school nursing services Medtech innovation briefing Published: 9 November 2017 nice.org.uk/guidance/mib130 pathways Summary Summary About this app ChatHealth is a 2-way communication platform that allows direct contact between patients and healthcare professionals. Currently, its main use is enabling (...) young people (aged 11 to 19) to ask a nurse questions through anonymous SMS text messages. A web-based message management application allows teams of school nurses to reply to the messages confidentially. Costs depend on the size of the nursing team. For example, making ChatHealth available in a school nursing service involving up to 10 nurses would cost £6,000 per year. Ongoing licensing costs are £55.60 per staff user per month, for up to 4 nurses. Evidence summary Clinical effectiv Clinical
Effects of nurse-led home-based exercise & cognitive behavioral therapy on reducing cancer-related fatigue in patients with ovarian cancer during and after chemotherapy: A randomized controlled trial High levels of fatigue have been documented in ovarian cancer patients. However, increased levels of fatigue are positively associated with a high risk of sleep disturbance and depression.To investigate the feasibility of a nurse-led home-based exercise and cognitive behavioral therapy (E&CBT (...) and cognitive behavioral therapy. Five nurses with nursing master degree were trained to deliver this intervention. Patients received online interventions each week in the patient's place of residence or in the nurse-led clinic, as requested. Home visits, coupled with telephone-based motivational interviews twice a week were available with the permission of the participants. comparison group participants received services as usual.The primary outcome was measured by the Chinese version of the Piper Fatigue
International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review To identify and summarize the common clinical settings, interventions, and outcomes of nurse practitioner care specific to older people.Scoping review of the international published and grey literature.A structured literature search was conducted of CINAHL, EMBASE, MEDLINE, Google Scholar, and Cochrane Collaboration and Joanna Briggs Institute databases.Following the Arksey (...) and O'Malley framework, randomized controlled and quasi-experimental studies of Masters-prepared nurse practitioners providing care for patients over 65 years were included. Studies were reviewed independently by two investigators. Data were extracted, collated by setting, summarized in tables and synthesized for analysis.In total, 56 primary research studies from four countries and 23 systematic reviews were identified. Primary studies were conducted in primary care (n=13), home care (n=14), long-term
Nurse practitioner led pain management the day after caesarean section: A randomised controlled trial and follow-up study Pain on the day after caesarean section is often treated with controlled-release oxycodone to supplement the decline in analgesia from intrathecal opioids. Evidence suggests that caesarean birth is a biopsychosocial experience where a comprehensive approach is needed that promotes control and participation in pain management.This study compared immediate-release oxycodone (...) of chronic pain, opioid tolerance, or substance abuse. A total of 131 participants were recruited and randomised out of 298 eligible participants.Group allocation was undertaken using sequentially numbered opaque sealed envelopes. The nurse practitioner intervention commenced on the day after surgery with immediate-release oxycodone alongside supportive strategies. The control group received scheduled doses of controlled-release oxycodone. All participants could request additional oxycodone or tramadol
Effect of electronic report writing on the quality of nursing report recording Recording performed nursery actions is one of the main chores of nurses. The findings have shown that recorded reports are not qualitatively valid. Since electronic reports can be regarded as a base to write reports, this study aims at determining the effect of utilizing electronic nursing reports on the quality of the records.This quasi-experimental study was conducted with the aim of applying an electronic system (...) of nursing recording in the heart department of Shahid Rahimi Medical Center, Lorestan University of Medical Science. The samples were nursing reports on the hospitalized patients in the heart department, the basis of complete enumeration (census) during the fall of 2014. The subjects were sixteen employed nurses. To do the study, the software of nursing records was set based on the Clinical Care Classification system (CCC). The research's tool was the checklist of the Standards of Nursing
Jobâ€related stress in psychiatric assistant nurses We aimed to clarify how stress among psychiatric assistant nurses (PANs) differed from Registered Nurses (PRNs).Cross-sectional survey study was conducted with PRNs and PANs working in six psychiatric hospitals in Japan.The Psychiatric Nurse Job Stressor Scale (PNJSS) and the job stressor and stress reaction subscales of the Brief Job Stress Questionnaire measured stress in 68 PANs and 140 PRNs. The results were statistically (...) analysed.Psychiatric assistant nurses had significantly higher scores than PRNs on the job stressor subscales in psychiatric nursing ability, interpersonal relations and in the stress reaction subscales of irritability and somatic symptoms. "Psychiatric nursing ability," "Communication" and "Use of techniques" were associated with almost all stress reactions in PANs than in PRNs.
A nationwide survey of patient problem occurrence across different nursing healthcare sectors The aim of this study was to determine the patient problems that nurses encounter in different clinical settings and the extent to which they report being able to influence those patient problems.Exploratory online survey research.Data were collected through an online questionnaire. We prepared a 2 × 2 matrix to compare the rate of occurrence against the average level of reported influence. Descriptive (...) statistics were used for the data analysis.A total of 440 nurses working in different settings completed the questionnaire. Nurses report having the most influence on patient problems related to self-care, mobility and functions of the skin. Nurses experience less influence on problems with voice/speech and the tasks required for participation in work/employment.
Discontinuing Inappropriate Medication Use in Nursing Home Residents: A Cluster Randomized Controlled Trial. Inappropriate prescribing is a well-known clinical problem in nursing home residents, but few interventions have focused on reducing inappropriate medication use.To examine successful discontinuation of inappropriate medication use and to improve prescribing in nursing home residents.Pragmatic cluster randomized controlled trial, with clustering by elder care physicians and their wards (...) . (ClinicalTrials.gov: NCT01876095).59 Dutch nursing home wards for long-term care.Residents with a life expectancy greater than 4 weeks who consented to treatment with medication.Multidisciplinary Multistep Medication Review (3MR) consisting of an assessment of the patient perspective, medical history, critical appraisal of medications, a meeting between the treating elder care physician and the pharmacist, and implementation of medication changes.Successful discontinuation of use of at least 1 inappropriate drug
The effect of group integrative reminiscence therapy on mental health among older women living in Iranian nursing homes The present study aimed to determine the impact of group integrative reminiscence therapy on mental health of older women living in Iranian nursing home in 2016.A quasi-experimental design pre- and post-test was used in the present study. Purposive sampling was used to recruit participants who met the study criteria.The statistical population included 60 older women living (...) in nursing home, among whom 46 having the inclusion criteria were selected as the sample. After completing the Goldberg's General Health Questionnaire, the older people were divided into intervention (N = 23) and control (N = 23) group by using block randomization method. The intervention groups were trained by integrative reminiscence therapy for 60-90 min 10 sessions, twice a week. Descriptive statistics and ANOVA were used for data analysis by SPSS software.The results indicated that group integrative
Classic cases revisited â€“ Death of a nurse and the anatomy of error The tragic case of Mayra Cabrera who died as a result of wrong route drug administration is notable as it was the first time a verdict of unlawful killing was recorded against an NHS Trust. Error within medicine is a significant cause of patient morbidity and mortality. We explore the costs of error, the dynamics of error causation, the role of both the individual and institution in accountability for error, as well
Exploring the perception of nursing students about consequences of reflection in clinical settings Reflection on practical experiences is a key element that enables students to recognize their own strengths and weaknesses and develop nursing skills. Whilst reflection may enhance students' learning in practice, there is little evidence about nursing students' perception of the consequences of reflection in clinical settings.This study aimed to explore Iranian nursing students' perception (...) regarding the consequences of reflection during clinical practices.This qualitative study was conducted by a conventional content analysis approach in two nursing schools at Shiraz and Fasa Universities of Medical Sciences in Iran. Data were collected through in-depth semi-structured interviews during 2015-2016, from 20 students selected by purposive sampling. All the interviews were tape-recorded, transcribed verbatim, and analyzed by content analysis method. Rigor of this study was approved by member
Mental challenges of nurses in the face of unlearning situations in hospitals: A qualitative study The unlearning process is complex and sometimes painful in nature. This process usually occurs in social interactions and is very dependent on social contexts and the work environment.To explore the concerns and mental challenges in facing unlearning situations in nurses.This qualitative study using content analysis was conducted in 2013-2015. Participants were 25 people, and research environment (...) and 3 themes. Our themes were discouraging/encouraging situation, double-edged sword colleagues, and organizational policies paradox, that the central theme of progressive and suppressor organizational climate paradox were derived from them.Exposure to unlearning situations is a complex process of which its adoption and implementation is difficult and challenging. This suggests that supporting nurses and attention to their mental concerns and providing favorable learning conditions is required.
Preventing physical abuse of nursing home residentsâ€ as seen from the nursing staff's perspective This study aims to capture first-hand information from nursing home staff's own understanding regarding what they think and have experienced about prevention of physical abuse of nursing home residents and what measures they consider useful to implement in their daily work.The design is qualitative.A convenient sample of staff in three nursing homes was used and data were collected during three (...) focus group interviews. The total number of informants was 14. Thematic content analysis was used. The data collection period was from December 2015-February 2016.According to the staff, several factors contribute to the prevention of physical abuse of residents in nursing homes. There is a requirement for increased competence among staff about the concept of abuse and known risk factors. Good communication skills and trusting relationships are important factors, as well as a culture that fosters
Informed Strangers: Witnessing and Responding to Unethical Care as Student NursesNursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their "visiting status" in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses (...) and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning. Using a qualitative descriptive approach in which 27 nursing student papers and three follow-up in-depth interviews were analyzed, three main themes emerged: Good employee, poor nurse; damaged care; and negotiating the gap. The analysis of the ethical situations in these papers suggests
Apathy: Risk Factor for Mortality in Nursing Home Patients To determine the prognostic value of apathy for mortality in patients of somatic (SC) and dementia special care (DSC) nursing home (NH) units.Longitudinal design, secondary analyses of a 2-year, cluster-randomized trial with six measurements, approximately 4 months in between.SC and DSC-units of Dutch NHs.NH-patients of seventeen SC-units (n = 342) and sixteen DCS-units (n = 371).Data were available for 713 NH-patients, 266 of whom died
Therapeutic communication in nursing students: A Walker & Avant concept analysis Therapeutic communication, the fundamental component of nursing, is a complex concept. Furthermore, the poor encounters between nursing student and patient demonstrate the necessity of instruction regarding therapeutic communication. The aim of this study was to define and clarify this important concept for including this subject in the nursing curriculum with more emphasis.A literature search was conducted using (...) keywords such as "nursing student", "patient" and "therapeutic communication" and Persian-equivalent words in Persian databases (including Magiran and Medlib) and English databases (including PubMed, ScienceDirect, Scopus and ProQuest) without time limitation. After extracting concept definitions and determining characteristic features, therapeutic communication in nursing students was defined. Then, sample cases, antecedents, consequences and empirical referents of concept were determined.After
Oral versus written feedback delivery to nursing students in clinical education: A randomized controlled trial Feedback delivery is deemed as a key element during a students' clinical education. It keeps students on track to meet their goal and increase students' motivation and confidence.The aim of this study was to compare the quality of feedback delivery in oral versus written feedback delivery to nursing students in clinical education.A randomized controlled trial was conducted between (...) February and August 2012 in the city of Bojnurd in Iran. Using purposive sampling, last semester's nursing students (n=44) had been randomly assigned to oral and written feedback delivery groups. Three Instructors received orientation and training on methods of feedback delivery before study initiation. Then, they gave necessary oral and written feedback to the students. Clinical settings of the study included coronary care, surgical, and neonatal units of hospitals. Data collection tools were quality