Current Issue : July - September Volume : 2014 Issue Number : 3 Articles : 6 Articles
Background. Persons living with dementia in the long-term care home (LTCH) setting have a number of unique needs, including\r\nthose related to planning for their futures. It is therefore important to understand the advance care planning (ACP) programs that\r\nhave been developed and their impact in order for LTCH settings to select a programthat best suits residentsââ?¬â?¢ needs. Methods. Four\r\nelectronic databases were searched from 1990 to 2013, for studies that evaluated the impact of advance care planning programs\r\nimplemented in the LTCH setting. Studies were critically reviewed according to rigour, impact, and the consideration of the values\r\nof residents with dementia and their family members according to the Dementia Policy Lens Toolkit. Results and Conclusion. Six\r\nACP programs were included in the review, five of which could be considered more ââ?¬Å?dementia friendly.ââ?¬ÂThe programs indicated a\r\nvariety of positive impacts in the planning and provision of end-of-life care for residents and their family members, most notably,\r\nincreased ACP discussion and documentation. In moving forward, it will be important to evaluate the incorporation of residents\r\nwith dementiaââ?¬â?¢s values when designing or implementing ACP interventions in the LTCH settings....
Background.Workplace turnover is destructive to nursing and patient outcomes as it leads to losing competent and qualified nurses.\r\nHowever, developments of coping strategies demand a clear understanding of workplace variables that either motivate nurses\r\nto remain employed or lead them to leave their current jobs. Objective. This study was designed toassess factors influencing job\r\nsatisfaction and intention to turnover among nurses in Sidama zone public health facilities, in Southern Ethiopia. Method. Crosssectional\r\nstudy design was carried out on 278 nurses using both qualitative and quantitative data collection methods from May\r\n12 to June 05, 2010. Result. A total of 242 nurses were interviewed giving a response rate of 87%. Nearly two-third (68.6%) of the\r\nparticipantswere female, and themeanagewas 28 (�±6.27) years for both sexes. All job satisfaction subscale except benefit and salary\r\nsubscale were significant predictors of overall job satisfaction. Satisfactions with work environment and group cohesion (AOR: 0.25\r\n[95% CI: 0.12, 0.51]), single cohesion (AOR: 2.56 [95% CI: 1.27, 5.13]), and working in hospital (AOR: 2.19 [95% CI: 1.12, 4.30]) were\r\nthe final significant predictors of anticipated turnover of Sidama zone nurses. Conclusions.More than any factors managers should\r\nconsider themodification of working environment and group cohesions rather than trying tomodify nurses to retain andmaintain\r\nmore experienced nurses for the organizations....
Research shows that living with illness can be a distressing experience for the family and may result in suffering and reduced\r\nhealth. Tomeet families� needs, family systems interventionmodels are developed and employed in clinical contexts. For successful\r\nrefinement and implementation it is important to understand how these models work. The aim of this study was therefore to\r\ndescribe the dialogue process and possible working mechanisms of one systems nursing intervention model, the Family Health\r\nConversationmodel. A descriptive evaluation design was applied and 15 transcribed conversations with five families were analyzed\r\nwithin a hermeneutic tradition. Two types of interrelated dialogue events were identified: narrating and exploring. There was a\r\nflow between these events, amovement that was generated by the interaction between the participants. Our theoretically grounded\r\ninterpretation showed that narrating, listening, and reconsidering in interaction may be understood as supporting family health by\r\noffering the families the opportunity to constitute self-identity and identity within the family, increasing the families� understanding\r\nof multiple ways of being and acting, to see new possibilities and to develop meaning and hope. Results from this study may\r\nhopefully contribute to the successful implementation of family systems interventions in education and clinical praxis....
Background. Organizing and performing patient transfers in the continuum of care is part of the work of nurses and other\r\nstaff of a multiprofessional healthcare team. An understanding of discharge practices is needed in order to ultimate patients�\r\ntransfers from high technological intensive care units (ICU) to general wards. Aim. To describe, as experienced by intensive\r\ncare and general ward staff, what strategies could be used when organizing patient�s care before, during, and after transfer from\r\nintensive care. Method. Interviews of 15 participants were conducted, audio-taped, transcribed verbatim, and analyzed using\r\nqualitative content analysis. Results. The results showed that the categories secure, encourage, and collaborate are strategies used\r\nin the three phases of the ICU transitional care process. The main category; a safe, interactive rehabilitation process, illustrated\r\nhow all strategies were characterized by an intention to create and maintain safety during the process. A three-way interaction\r\nwas described: between staff and patient/families, between team members and involved units, and between patient/family and\r\nenvironment.Discussion/Conclusions.The findings highlight that ICUtransitional care implies critical care rehabilitation. Discharge\r\nprocedures need to be safe and structured and involve collaboration, encouraging support, optimal timing, earlymobilization, and\r\na multidiscipline approach....
Background. McMaster University first introduced Problem Based Learning (PBL) in the mid 1960s. However, measuring the\r\nrelationship between PBL for undergraduate nursing programs and students test performance has not yet been assessed in the\r\nUSA. Purpose.Themain purpose of this paper is to describe the effectiveness of PBL on senior student test performance on content\r\nrelated to PBL in a BSN program. Diabetes mellitus and renal insufficiency were taught by traditional lecture format in the previous\r\nyears. This was the first year we taught this content by the problem based learning method. Method. Historical control group was\r\nused to compare the test performances between the PBL groups and the traditional group using Student�s t-test. Result.Themean of\r\ndiabetes mellitus related questions missed by the PBL group was less than the traditional group (?? = 4.51, and ?? = .00). The mean\r\nof renal insufficiency related questions missed by the PBL group was more than the traditional group (?? = -6.44, and ?? = .00).\r\nDiscussion.This study produced inconclusive findings. Factors that could be attributed to their performance will be discussed....
Background and Objectives. Awareness about the patients� needs and expectations is quite important in improving the quality of\r\nthe services they are provided with. Since meeting the needs and expectations of the patients is one of the basic issues in patient\r\ncare, the present study aimed to investigate the patients� expectations from nurses and nursing care. Methods. In this qualitative\r\nstudy, 20 hospitalized patients were interviewed. The data were gathered through deep, semistructured interviews. Then, all the\r\nrecorded interviews were transcribed, reviewed for several times, and analyzed using qualitative content analysis approach. Results.\r\nBy analyzing of data, threemain categorieswere extracted.Themain categories of the patients� expectations fromnurses and nursing\r\ncare were comprehensive care, ethical performance, and having proper individual characteristics. Discussion and Conclusion. The\r\nstudy results revealed that the patients expected comprehensive care fromthe nurses. In addition, the nurses were required to apply\r\nthe ethical principles in what they do as their duties. The findings of the study can be helpful in improving the patient care....
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