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First line nurse managersâ€™ experiences of opportunities and obstacles to support evidenceâ€based nursing The aim was to explore first line nurse managers' experiences of opportunities and obstacles to support evidence-based nursing.A qualitative study with a phenomenographical approach.Data were collected through focus group interviews with 15 first line nurse managers' in four settings.The results are presented in four categories of description headed: Manage the everyday work vs. evidence (...) -based nursing; Uncertainties about evidence-based nursing and nursing research; Time as a reality, as an approach; and Shaping awareness-towards an active approach to evidence-based nursing. The overarching category of description has been formulated as follows: The internal relation-how active leadership influences evidence-based nursing. The outcome space is presented as: The individual path-how to make vision and reality become a working entity around evidence-based nursing.
Factors affecting recruitment and retention of nurses who deliver clinical research: A qualitative study To provide a better understanding of the factors affecting recruitment and retention of clinical research nurses.Qualitative exploratory design.An on-line questionnaire comprising open-ended and fixed-choice questions was completed by 121 clinical research nurses. Seven focus groups were held with a subgroup of 26 participants. Data were analysed using inductive thematic (...) analysis.Participants were attracted to a research nurse post by an interest in research itself, a desire for a change or to achieve personal objectives. The majority expected to continue in a research post for the next 5 years, while others expected to move on to research management, a clinical post or retirement; few had ambitions to become an independent researcher. Factors identified in focus groups as leading to intentions to leave research included desire for further change, concern about loss of clinical
Nurse-led versus doctor-led care for bronchiectasis. Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills (...) , within the context of bronchiectasis management in subacute, ambulatory, and/or community care.To compare the effectiveness of nurse-led care versus doctor-led care in the management of stable bronchiectasis.We searched the Cochrane Airways Group Specialised Register and bibliographies of selected papers in addition to grey literature such as electronic clinical trials registries. Searches were current as of March 2018.Randomised controlled trials were eligible for inclusion in the review.Two
Exploring NursEs lived Experience of Discussions about Sexual health, with kidney patients in Devon (NEEDS) The aim of the study is to gain a better understanding about the complexities of discussing sexuality with patients.The study will explore how nurses understand the phenomenon by using an Interpretive Phenomenological Approach; the technique encourages deep reflection and rich descriptions about lived experience.Six nurses will be interviewed using iterative, open-ended questions (...) with prompts to illicit rich data.Understand the support required to enable nurses to engage in deeper, more fulfilling conversations with patients about sexuality.
Health insurance coverage with or without a nurse-led task shifting strategy for hypertension control: A pragmatic cluster randomized trial in Ghana Poor access to care and physician shortage are major barriers to hypertension control in sub-Saharan Africa. Implementation of evidence-based systems-level strategies targeted at these barriers are lacking. We conducted a study to evaluate the comparative effectiveness of provision of health insurance coverage (HIC) alone versus a nurse-led task (...) received health insurance coverage plus scheduled nurse visits, while TASSH + HIC comprised cardiovascular risk assessment, lifestyle counseling, and initiation/titration of antihypertensive medications for 12 months, delivered by trained nurses within the healthcare system. The primary outcome was change in SBP from baseline to 12 months. Secondary outcomes included lifestyle behaviors and blood pressure control at 12 months and sustainability of SBP reduction at 24 months. Of the 757 patients (389
A qualitative study of assistant nurses' experiences of palliative care in residential care To explore assistant nurses' experiences and perceptions of both positive and negative aspects of providing palliative care for older people in residential care facilities.A qualitative explorative study.Critical incidents were collected through semi-structured face-to-face interviews and analysed by performing a qualitative content analysis.A total of 40 critical incidents from daily work was described (...) by assistant nurses. The results showed that close cooperation between unlicensed and licensed professionals was crucial to provide good care but was sometimes negatively affected by the organizational structure. The availability of professionals was identified as a critical factor in providing good care at the end of life in a consultative organization. The most prominent findings were those that indicated that, especially in a consultative organization, there seems to be a need for clear roles
Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study Telehealth nursing, or the delivery, management, and coordination of nursing care services provided via telecommunications technology, is one of the methods of delivering health care to patients in the United States. It is important to assess the service quality of the involved health professionals as well as the telehealth nursing process. The focus of this study is the innovative model of telehealth care (...) delivery by nurses for managing patients with chronic disease while they are living in their own residence.The primary objective of this pilot study was to examine whether telehealth technology impacts the perceived level of internal service quality delivered by nurses within a telehealth organization. To address this research goal, the notion of telehealth nursing service quality (TNSQ) is empirically tested and validated with a survey instrument.Data were collected from nurses belonging to a home
The ability to obtain, appraise and understand health information among undergraduate nursing students in a medical university in Chongqing, China The aim of this study was to survey the ability of nursing students to obtain, appraise and understand health information and its influencing factors among undergraduate nursing students in a medical university in Chongqing, China.A cross-sectional survey.The sample was obtained using stratified sampling methods. We used the internationally validated (...) Health Literacy Questionnaire. Six hundred and fifteen (76.88%) of 800 nursing students completed participated anonymous questionnaires that measured their ability to obtain, appraise and understand health information.Mean scores of nursing students to obtain, appraise and understand health information were 17.13, 13.07 and 17.78 respectively. Academic level, parental educational level and socioeconomic status were significantly associated with scores in obtaining, appraising and understanding health
Reliability and validity of the practice environment scale of the nursing work index for Japanese hospital nurses The aim of this study was to examine the reliability and validity of the Practice Environment Scale of the Nursing Work Index (PES-NWI) for hospital nurses in Japan.A cross-sectional mail survey.Participants in this study were 1,219 full-time ward nurses from 27 hospitals in Japan, using 31 items of the Japanese version of the PES-NWI questionnaire, from December 2008-March 2009 (...) . Construct validity, criterion-related validity and internal consistency of the PES-NWI were tested.The PES-NWI showed reliable internal consistency. The five-factor structure was supported by confirmatory factor analysis. The PES-NWI correlated significantly with job satisfaction, burnout and the nurses' intention to stay on the job, supporting criterion-related validity.
Perceived images and expected roles of Indonesian nurses The aim of this study was to explore how non-nurses and nurses differ regarding the perceived images and expected roles of Indonesian nurses.A cross-sectional survey study.An online tool shared via email was used to collect data in March 2014, from a convenient sample of 1,228 employees of a private university located in Karawaci, Indonesia. An English/Indonesian version of the survey was developed: 19 perception items and 19 expectation (...) items using a 5-point Likert scale. Independent sample t tests were used to compare groups.One hundred and forty-three people completed the survey; a response rate of 11.6%. Thirteen were nurses and 130 were non-nurses. Compared with nurses, non-nurses were less likely to agree with statements that Indonesian nurses are self-sacrificing, provide help to others, are devoted to caring, perform housekeeping duties and are knowledgeable. Monitoring nurses' image on a regular basis is essential. A public
WITHDRAWN: Nursing record systems: effects on nursing practice and healthcare outcomes. A nursing record system is the record of care that was planned or given to individual patients and clients by qualified nurses or other caregivers under the direction of a qualified nurse. Nursing record systems may be an effective way of influencing nurse practice.To assess the effects of nursing record systems on nursing practice and patient outcomes.For the original version of this review in 2000 (...) , and updates in 2003 and 2008, we searched: the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register; MEDLINE, EMBASE, CINAHL, BNI, ISI Web of Knowledge, and ASLIB Index of Theses. We also handsearched: Computers, Informatics, Nursing (Computers in Nursing); Information Technology in Nursing; and the Journal of Nursing Administration. For this update, searches can be considered complete until the end of 2007. We checked reference lists of retrieved articles and other
Exploration of nursesâ€™ perception about professionalism in home care nursing in Iran: a qualitative study Professionalism is one of the basic concepts of home care nursing, as a growing model of community-based nursing. This phenomenon results from the nurse-patient interaction in home and community environments with multiple dimensions.The purpose of this study was to explore the professional experiences of home care nurses in Iran.In this study, the qualitative content analysis method (...) was used based on the 2004 Graneheim & Lundman approach. The study was conducted between September 2016 and September 2017 in Khorasan Razavi province, Iran. Participants were selected by Purposeful Sampling. The main method of data collection was semi-structured interviews with 21 nurses who had home-based care experience. Eventually, after reaching saturation, the data were analyzed in-depth.In total, 3 main categories and 11 subcategories were extracted. Generally, nurses considered the concept
Nurse-directed discontinuation of continuous ECG monitoring among non-ICY inpatients Nurse-directed discontinuation of continuous ECG monitoring among non-ICY inpatients Nurse-directed discontinuation of continuous ECG monitoring among non-ICY inpatients Lavenberg JG, Holland S, Ballinghoff J, Mull N, Williams, K. Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation Lavenberg JG, Holland S, Ballinghoff J, Mull N, Williams, K.. Nurse-directed discontinuation of continuous ECG monitoring among non-ICY inpatients. Philadelphia: Center for Evidence-based Practice (CEP). 2018 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Electrocardiography; Electrocardiography, Ambulatory; Humans; Inpatients Language Published English Country of organisation United States English summary An English language summary is available
Management structures for hospital nursing Management structures for hospital nursing Management structures for hospital nursing Mitchell MD, Williams K Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Mitchell MD, Williams K. Management structures for hospital nursing. Philadelphia: Center for Evidence-based Practice (CEP). 2018 Final (...) publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; Nursing Staff, Hospital; Surveys and Questionnaires Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market St. Suite 50, Philadelphia PA 19104 Email: Cep2@uphs.upenn.edu AccessionNumber 32018000152 Date abstract record published 16/04/2018 Health
Pilot Randomized Controlled Trial to Reduce Readmission for Heart Failure Using Novel Tablet and Nurse Practitioner Education Heart failure education programs are not standardized. The best form of education is unclear. We evaluated whether addition of a novel tablet application to nurse practitioner (NP) education was superior to NP education alone in reducing 30-day readmission after heart failure hospitalization.From February 2015-March 2016, patients admitted to a quaternary academic center
Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study The aim of this study is to explore advanced practice nurses' perceptions of their leadership capabilities.A qualitative descriptive methodology informed by a well-established leadership framework was used to explore advanced practice nurses' perceptions of their leadership.Purposive sampling of advanced practice nurses working in tertiary acute care facilities in Eastern Canada was employed (...) . Data sources included face-to-face interviews and document analysis. Fourteen advanced practice nurses participated in two audio-taped semi-structured interviews from March 2013-January 2014. Data were transcribed and analysed using NVIVO 10 software and content analysis.Two main themes were identified: "Patient-focused leadership" and "organization and system-focused leadership". These two themes are further described through leadership domains and capabilities that clearly articulate advanced
The impact of environmental and demographic factors on nursing job satisfaction This study aims to evaluate all aspects of job satisfaction in registered nurses working in different hospitals in Shiraz, Iran.This cross-sectional study was performed during February to August 2015 in Shiraz, Iran. It comprised of 371 registered nurses working in government and private hospitals using multi-stage cluster sampling. Job satisfaction was evaluated using 5 items of the Job Descriptive Index (JDI (...) association was observed between environmental aspects such as work rotation (fixed versus rotating) nurse's status (staff vs. supervisors), type of hospitals (governmental vs. private) and work (p<0.01), promotion (p<0.02) and pay (p<0.01) items respectively; however, type of hospital was deemed exempt regarding promotion. Also regarding the number of shifts per week, nurses with more than eight shifts present a lower mean score of satisfaction about pay significantly (p=0.03).The results concerning
A quasiâ€experimental study of the effect of teaching Orem's selfâ€care model on nursing studentsâ€™ clinical performance and patient satisfaction This study aims to determine the effect of teaching Orem's self-care model on nursing students' clinical performance and patient satisfaction.The study was a quasi-experimental, non-randomized, two-group design with posttest.In this quasi-experimental study, 66 nursing students were selected via convenience sampling method. The intervention group (...) was trained based on Orem's self-care model and the control group based on the routine nursing process method. Both groups cared patients for a week. Students' performance was evaluated during the clinical course by performance observation checklist and patient satisfaction was assessed at the end of clinical course using patient satisfaction form. Data were analysed in SPSS software using chi-squared, Fisher Exact test, Mann-Whitney, t test and two-way ANOVA.Clinical performance evaluation mean score
Anaesthetizing childrenâ€”From a nurse anaesthetist's perspectiveâ€”A qualitative study The aim of this study was to describe nurse anaesthetists' experiences of encountering and caring for children in connection to anaesthesia.Qualitative design.Sixteen written narratives based on eight nurse anaesthetists' experiences of meeting children was analysed using qualitative content analysis.The overarching theme was: "anaesthetizing children is a complex caring situation, including interactions (...) with the child and parents as well as ensuring patient safety, affected by the perioperative team and organizational prerequisites". The nurses stated that in their interaction with the family, their goal was to ensure that children and parents felt secure and calm. "Striving to work in confidence" underlined the team and organizational influences. Encountering children involves more than knowledge about technical equipment, procedures and drugs. Knowledge about children's development and fears and parents
Research priorities for respiratory nursing: a UK-wide Delphi study Respiratory nurses make a significant contribution to the delivery of respiratory healthcare, but there is a dearth of nurse-led, practice-focused, published research. Using a modified three-round Delphi, this study sought to identify research priorities for respiratory nursing to inform a national research strategy. Study information and the survey link were sent electronically to members of UK professional respiratory (...) of asthma control"; 2) "The clinical and cost-effectiveness of respiratory nurse interventions"; 3) "The impact of nurse-led clinics on patient care"; 4) "Inhaler technique"; and 5) two topics jointly scored: "Prevention of exacerbations" and "Symptom management". With potential international significance, this is the first UK study to identify research priorities for respiratory nursing, providing direction for those planning or undertaking research.