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Developing the concept of caring in nursing education Caring is a value-based concept in the nursing field and in education. Exact understanding of caring in education and developing this concept in nursing will result in the evolution of the position of nursing science and profession.The aim of this study was to attempt to develop the concept of caring in nursing education.This qualitative study was conducted in 2016 using directed content analysis. Participants were thirteen subjects (6 (...) instructors and 7 senior and junior nursing students) who were selected using purposeful sampling method. Research environment was the Faculty of Nursing and Midwifery in Mashhad. Data collection method was semi-structured interviews for thirty to ninety minutes and sampling continued until data saturation. Interviews were conducted in Persian language and they were immediately transcribed and analyzed using MAXDA10 software. The text of interviews was reviewed several times. First, open codes were
Nurses views on accepting the creation of a nursesâ€™ health monitoring system Nurses' health is often accompanied by various dangers due to the nature of their career. Therefore, it is required to monitor their health. Based on designing any system, users' views should be investigated relative to the usefulness, necessity and acceptance of the system. Then, a designing and implementing process is conducted.To investigate nurses' views on accepting the creation of a Nurses' Health Monitoring (...) System.This cross-sectional study was conducted in 2015. Sample size was 586 nurses of Shahid Beheshti University of Medical Sciences. Sampling was conducted using multi-stage random sampling method. Research tool was a two-section researcher-made questionnaire. In the first section, demographic data were studied and in the second section, a twelve-item questionnaire was presented based on technology acceptance model. Five-item questions were regulated on perceived usefulness (PU) and perceived ease
Discriminative Accuracy of Physician and Nurse Predictions for Survival and Functional Outcomes 6 Months After an ICU Admission. Predictions of long-term survival and functional outcomes influence decision making for critically ill patients, yet little is known regarding their accuracy.To determine the discriminative accuracy of intensive care unit (ICU) physicians and nurses in predicting 6-month patient mortality and morbidity, including ambulation, toileting, and cognition.Prospective cohort (...) study conducted in 5 ICUs in 3 hospitals in Philadelphia, Pennsylvania, and enrolling patients who spent at least 3 days in the ICU from October 2013 until May 2014 and required mechanical ventilation, vasopressors, or both. These patients' attending physicians and bedside nurses were also enrolled. Follow-up was completed in December 2014.ICU physicians' and nurses' binary predictions of in-hospital mortality and 6-month outcomes, including mortality, return to original residence, ability to toilet
Othering in the nursing context: A concept analysis 'Othering' is described as a social process whereby a dominant group or person uses negative attributes to define and subordinate others. Literature suggests othering creates exclusive relationships and puts patients at risk for suboptimal care. A concept analysis delineating the properties of othering was conducted to develop knowledge to support inclusionary practices in nursing.Rodgers' Evolutionary Method for concept analysis guided (...) this study.The following databases were searched spanning the years 1999-2015: CINAHL, PUBMED, PsychINFO and Google. Search terms included "othering", "nurse", "other", "exclusion" and "patient".Twenty-eight papers were analyzed whereby definitions, related concepts and othering attributes were identified. Findings support that othering in nursing is a sequential process with a trajectory aimed at marginalization and exclusion, which in turn has a negative impact on patient care and professional
Assessing the Current Curriculum of the Nursing and Midwifery Informatics Course at All Nursing and Midwifery Institutions in Ghana The use of computers in the delivery of health care has significantly improved the way health service is delivered to clients and patients in the world. Despite the importance of computing to the delivery of health service, developing countries have not greatly benefited from it. Nursing informatics has been in existence and part of academic curriculum for the past (...) 2 decades in some advanced countries. The Ghana Nursing and Midwifery Council introduced the nursing and midwifery informatics course during the 2015/2016 academic year. This seeks to train student nurses on the relevance of computers to health care. Two separate workshops were organised to ascertain the preparedness of tutors (teachers at the nursing and midwifery training institutions) for teaching the new nursing and midwifery informatics course as well as to compare the curriculum with other
Breast Course for Nurses: Educating Health Care Workers to Perform Clinical Breast Screening 29094107 2018 11 13 2378-9506 3 5 2017 Oct Journal of global oncology J Glob Oncol Breast Course for Nurses: Educating Health Care Workers to Perform Clinical Breast Screening. 680-682 10.1200/JGO.2016.008128 Edge Jenny J and , Christiaan Barnard Memorial Hospital; and , Red Cross Children's Hospital, Cape Town, South Africa. Wegelin Lieske L and , Christiaan Barnard Memorial Hospital; and , Red Cross
Challenges experienced by nurses in the implementation of a healthcare reform plan in Iran The Healthcare Reform Plan is counted as a plan for improving healthcare services in Iran. Undoubtedly pros and cons can be seen either in plan or implementation. This study was conducted to describe nurses' challenges in implementing healthcare reform in Iran.A qualitative method centered upon conventional content analysis was applied. We used purposive sampling and data saturation was obtained by 30 (...) participants. Data were analyzed using MAXQDA software.Challenges experienced by nurses in the implementation of this reform include; unsuitable infrastructure, unfavorable vision, a complicated challenge, the necessity of monitoring, control plan outcomes, the impact on nurses, people's misconceptions and solutions.The Healthcare Reform Plan in Iran is a solution to establish equality in the health system, however, to eliminate these challenges, revision and appropriate foundation of infrastructures
Investigation of marital satisfaction and its relationship with job stress and general health of nurses in Qazvin, Iran Pressures in nursing can affect family life and marital problems, disrupt common social problems, increase work-family conflicts and endanger people's general health.To determine marital satisfaction and its relationship with job stress and general health of nurses.This descriptive and cross-sectional study was done in 2015 in medical educational centers of Qazvin by using (...) an ENRICH marital satisfaction scale and General Health and Job Stress questionnaires completed by 123 nurses. Analysis was done by SPSS version 19 using descriptive and analytical statistics (Pearson correlation, t-test, ANOVA, Chi-square, regression line, multiple regression analysis).The findings showed that 64.4% of nurses had marital satisfaction. There was significant relationship between age (p=0.03), job experience (p=0.01), age of spouse (p=0.01) and marital satisfaction. The results showed
Effects of a Multicomponent Restraint Reduction Program for Korean Nursing Home Staff. Physical restraints are used frequently in Korea, suggesting a growing need for access to programs focused on reduction. The aim of this study was to evaluate the effects of a multicomponent restraint reduction program (MRRP) for nursing staff in Korean nursing homes.A cluster-randomized, single-blind, controlled pretest-posttest design was used. A total of 122 nursing staff (nurses and geriatric care (...) assistants) in two Korean nursing homes participated in this study: 62 in the experimental group (EG) and 60 in the control group (CG).Nursing staff in the EG home received the MRRP comprising three educational sessions (two classroom-based and one web-based) and two unit-based consultations. Three instruments were used to measure nursing staff's knowledge, perceptions, and attitudes regarding physical restraints. Data were collected immediately before and after the intervention, and again 1 and 3 months
Design of a multicentre randomized controlled trial to assess the safety and efficacy of dose titration by specialized nurses in patients with heart failure. ETIFIC study protocol Heart failure (HF) is associated with many hospital admissions and relatively high mortality, rates decreasing with administration of beta-blockers (BBs), angiotensin-converting-enzyme inhibitors, angiotensin II receptor blockers, and mineralocorticoid receptor antagonists. The effect is dose dependent, suboptimal (...) doses being common in clinical practice. The 2012 European guidelines recommend close monitoring and dose titration by HF nurses. Our main aim is to compare BB doses achieved by patients after 4 months in intervention (HF nurse-managed) and control (cardiologist-managed) groups. Secondary aims include comparing doses of the other aforementioned drugs achieved after 4 months, adverse events, and outcomes at 6 months in the two groups.We have designed a multicentre (20 hospitals) non-inferiority
Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning Score levels not reaching this point.Dutch-early-nurse-worry-indicator-score comprises nine (...) indicators underlying nurses' 'worry' about a patient's condition. All indicators independently show significant association with unplanned intensive care/high dependency unit admission or unexpected mortality. Prediction of this outcome improved by adding the dutch-early-nurse-worry-indicator-score indicators to an Early Warning Score based on vital signs.An observational cohort study was conducted on three surgical wards in a tertiary university-affiliated teaching hospital.Included were surgical
Translation and psychometric properties of the â€œethical conflict in nursing questionnaire: critical care versionâ€ in Iran Ethical conflict is one of ICU nurses' main problems, which rise for several reasons that must be measured. Unfortunately, there is no native instrument for measuring ethical conflicts for ICU nurses in Iran. One of the more suitable and new tools for the measurement of ethical conflict is called the "Ethical Conflict in Nursing Questionnaire: Critical Care Version (...) ethical conflicts in Iranian ICU nurses.
Introducing a new nursing care model for patients with chronic conditions According to a world health organization (WHO) report, chronic diseases annually kill over 35 million people worldwide, and 80% of those chronic disease related deaths occur in low and middle income countries. Increased incidence of chronic disease in Iran is a cause of re-hospitalizations and economic burden. Using a new nursing care model for patients with chronic disease is a strategy to reduce re-hospitalization (...) of these patients, increase patient satisfaction and improve the outcome for patients with specific conditions. The aim of this study was to review and introduce a transitional care model (TCM) as a new nursing care model for management of patients with chronic conditions. Innovations relating to the nursing practice and delivery of care as a transitional care model for patients with chronic conditions are being implemented in many countries, to produce new forms of health care models. The aim of these new care
Quantitative optimization of emergency departmentâ€™s nurses of an educational hospital: a case study Nurses account for the majority of human resources in hospitals, as such that 62% of the workforce and 36% of hospital expenditures are related to nurses. Considering its vital role in offering round-the-clock emergency healthcare services, an Emergency Department (ED) requires adequate nurses. Therefore, this study was conducted to optimize the number of nurses in ED.This was an applied study (...) conducted using a Linear Programming (LP) model in 2015. The study population were selected by census who were all ED nurses (n=84) and patients referred to ED (n=3342). To obtain the statistics related to the number of patients and nurses, the hospital information system and human resources database were employed respectively. To determine the optimum number of nurses per shift, LP model was created via literature review and expert advice, and it was executed in WinQSB software.Before implementing
The National Competency Framework for Registered Nurses in Adult Critical Care: An overview In the years following the abolition of the English National Board for Nursing, Midwifery and Health Visiting in 2002, concerns were raised within the Critical Care nursing community about a lack of consistency in post-registration education programmes. In response to this, the Critical Care Network National Nurse Leads (CC3N) formed a sub-group, the Critical Care Nurse Education Review Forum (CCNERF (...) ) to address these concerns. A review of UK course provision confirmed marked inconsistency in the length, content and associated academic award. The CCNERF commenced a two-phase project, first developing national standards for critical care nurse education such as length of course and academic credit level, followed by the development of a national competency framework. Following significant review and revision, version two of the National Competency Framework for Registered Nurses in Adult Critical Care
Pathology of apprenticeships for masters of nursing critical care The increasing complexity of patient care conditions in intensive care units, along with the development of these units, has increased the need for qualified nurses and health professionals. Therefore, due to recent changes and in response to the shortage of capable nurses, a master's major in intensive care nursing has been created. One of the main challenges of this curriculum is to ensure that graduates have the required (...) competencies. The current study aimed to explain the pathology of apprenticeships for a masters in nursing critical care.This qualitative study was conducted for masters in nursing critical care students of Tehran University of Medical Sciences in 2014-2015. The sampling was purposeful. Data were collected through face-to-face interviews with 15 students. Conventional content analysis was used to analyze the data.Three categories "ineffective management, unfavorable context for achieving skills, and lack
Relationship between time management skills and anxiety and academic motivation of nursing students in Tehran Time management skills are essential for nursing students' success, and development of clinical competence. The purpose of this study was to determine the relationship between time management skills and anxiety and academic motivation of nursing students in Tehran medical sciences universities in 2015.This cross-sectional study was carried out on 441 nursing students in three medical (...) time management skills in order to enhance academic motivation and reduce anxiety rates among nursing students.
Lessons Learned From a Practice-Based, Multisite Intervention Study With Nurse Participants. To identify challenges and solutions to the efficient conduct of a multisite, practice-based randomized controlled trial to improve nurses' adherence to personal protective equipment use in ambulatory oncology settings.The Drug Exposure Feedback and Education for Nurses' Safety (DEFENS) study is a clustered, randomized, controlled trial. Participating sites are randomized to Web-based feedback (...) for nursing-led research, and information technology variation. Successful strategies included scheduled Web conferences, site-based study champions, site visits by the principal investigator, and centrally based document preparation. Strategies to improve efficiency in future studies include early and continued engagement with contract personnel in sites, and proposed changes to the common rule concerning human subjects. The DEFENS study successfully recruited 393 nurses across 12 sites. To date, 369
Use of Play Therapy in Nursing Process: A Prospective Randomized Controlled Study. Play therapy is a nursing intervention employed in multidisciplinary approaches to develop the social, emotional, and behavioral skills of children. In this study, we aim to determine the effects of play therapy on the social, emotional, and behavioral skills of pre-school children through the nursing process.A single-blind, prospective, randomized controlled study was undertaken. The design, conduct (...) , and reporting of this study adhere to the Consolidated Standards of Reporting Trials (CONSORT) guidelines.The participants included 4- to 5-year-old kindergarten children with no oral or aural disabilities and parents who agreed to participate in the study. The Pre-school Child and Family Identification Form and Social Competence and the Behavior Evaluation Scale were used to gather data. Games in the play therapy literature about nursing diagnoses (fear, social disturbance, impaired social interactions
Are side effects reduced if practice nurses administer the intramuscular (IM) contraceptive injection via the ventrogluteal site compared to the dorsogluteal site? Getting Evidence in Clinical Practice: General Practice Nurse Evidence Based Practice (CAT group) Date: May 2017 CAT Lead: Gwenllian Wynne-Jones and Katherine Gatensbury Date CAT completed: May 2017 Email: firstname.lastname@example.org Date CAT to be reviewed: May 2018 Clinical bottom line There is no evidence regarding side effects (...) ? The use of intramuscular injections is very common in nursing practice, and is the standard method for the administration of the contraceptive injection. However, there is little guidance relating to the most appropriate intramuscular injection site and debate on whether the dorsogluteal or ventrogluteal site is associated with fewer side effects. Search timeframe From each databases inception to March 2017. Inclusion criteria Description Search terms Population and setting Adult women wanting to use