Current Issue : January - March Volume : 2015 Issue Number : 1 Articles : 6 Articles
Background: Shortcomings in elderly care have been reported in many parts of the world, including Sweden.\nHowever, national guidelines for elderly care have been introduced in Sweden, which contain core values and local\nguarantees of dignity. These highlight the need for dignity and well-being, and organising the older person�s daily\nlife so that they perceive it as meaningful. Therefore, the aim of the present study was to describe older persons�\nexperience and knowledge about obstacles, opportunities and solutions to developing a meaningful daily life for\nthose living in nursing homes.\nMethods: This study combined the Participatory Appreciative Action Reflection (PAAR) and hermeneutic\napproaches. Twenty-five older persons participated and persons with dementia or cognitive impairments were\nincluded. Repeated interviews were carried out as reflective conversations, leaving 50 interviews in total, wherein\nthe older persons provided their analyses and reflections on a meaningful daily life. Finally, an analysis of the data\nwas completed based on a life-world hermeneutic approach.\nResults: We identified five tentative interpretations that describe obstacles, opportunities and solutions for a\nmeaningful daily life. Themes 2 and 4 outline obstacles for a meaningful daily life, and Themes 1, 3 and 5 describe\nopportunities and solutions for a meaningful daily life: (1) Having space to be yourself; (2) No space to be yourself;\n(3) Belonging and security; (4) A feeling of insecurity; and (5) Longing for something to happen. In the main\ninterpretation, we found that the five tentative interpretations are related to Tuan�s concepts of space and place,\nwhere place can be described as security and stableness, and space as freedom and openness.\nConclusions: The reciprocal relationship is a solution for a meaningful daily life and occurs in the interaction\nbetween staff and older persons in nursing homes. It is the balance of power, and constitutes a place of shelter\nand a space of freedom for a meaningful daily life. The older person must have balance between shelter and\nfreedom to have a meaningful daily life....
Background: The role of self-management is often ambiguous, yet, it is an important area in clinical practice for\npalliative nurses. A clear conceptual understanding, however, of what it represents is lacking.\nMethod: This paper reports an analysis of the concept of self-management support in palliative nursing.\nAvant and Walkerââ?¬â?¢s method was used to guide this concept analysis.\nA search of electronic databases (1990ââ?¬â??2013), use of internet search engines and supplementary hand searching\nproduced an international data set of reviews, empirical research, editorials, protocols and guidelines.\nResults: Based on the analysis self-management support in palliative nursing has been defined as assessing,\nplanning, and implementing appropriate care to enable the patient to live until they die and supporting the\npatient to be given the means to master or deal with their illness or their effects of their illness themselves.\nConclusions: Clarity with the concept of self-management support and palliative nursing could enable nurses to\nprovide more patient and family centred care to people facing life threatening illnesses....
Background: Sweden has undertaken many national, regional, and local initiatives to improve patient safety since\nthe mid-2000s, but solid evidence of effectiveness for many solutions is often lacking. Nurses play a vital role in\npatient safety, constituting 71% of the workforce in Swedish health care. This interview study aimed to explore\nperceived facilitators and barriers influencing patient safety among nurses involved in the direct provision of\ncare. Considering the importance of nurses with regard to patient safety, this knowledge could facilitate the\ndevelopment and implementation of better solutions.\nMethods: A qualitative study with semi-structured individual interviews was carried out. The study population consisted\nof 12 registered nurses at general hospitals in Sweden. Data were analyzed using qualitative content analysis.\nResults: The nurses identified 22 factors that influenced patient safety within seven categories: ââ?¬Ë?patient factorsââ?¬â?¢,\nââ?¬Ë?individual staff factorsââ?¬â?¢, ââ?¬Ë?team factorsââ?¬â?¢, ââ?¬Ë?task and technology factorsââ?¬â?¢, ââ?¬Ë?work environment factorsââ?¬â?¢, ââ?¬Ë?organizational and\nmanagement factorsââ?¬â?¢, and ââ?¬Ë?institutional context factorsââ?¬â?¢. Twelve of the 22 factors functioned as both facilitators and\nbarriers, six factors were perceived only as barriers, and four only as facilitators. There were no specific patterns showing\nthat barriers or facilitators were more common in any category.\nConclusion: A broad range of factors are important for patient safety according to registered nurses working in general\nhospitals in Sweden. The nurses identified facilitators and barriers to improved patient safety at multiple system levels,\nindicating that complex multifaceted initiatives are required to address patient safety issues. This study encourages\nfurther research to achieve a more explicit understanding of the problems and solutions to patient safety...
Background: Health policies impact on nursing profession and health care. Nurses' involvement in health policy\ndevelopment ensures that health care is safe, of a high quality, accessible and affordable. Numerous factors\ninfluence nurse leaders' ability to be politically active in influencing health policy development. These factors can\nbe facilitators or barriers to their participation. There is scant research evidence from Eastern African region that\ndraws attention to this topic. This paper reports part of the larger study. The objectives reported in this paper were\nthose aimed to: build consensus on factors that act as facilitators and barriers to nurse leaders' participation in\nhealth policy development in Kenya, Uganda and Tanzania.\nMethods: A Delphi survey was applied which included: expert panelists, iterative rounds, statistical analysis, and\nconsensus building. The expert panelists were purposively selected and included national nurse leaders in\nleadership positions in East Africa. Data collection was done, in three iterative rounds, and utilized a questionnaire\nwith open and closed ended questions. 78 expert panelists were invited to participate in the study; the response\nrate was 47% of these 64.8% participated in the second round and of those 100% participated in the third round.\nData analysis was done by examining the data for the most commonly occurring categories for the open ended\nquestions and descriptive statistics for structured questions.\nResults: The findings of the study indicate that both facilitators and barriers exist. The former include: being\ninvolved in health policy development, having knowledge and skills, enhancing the image of nursing and enabling\nstructures and processes. The latter include: lack of involvement, negative image of nursing and structures and\nprocesses which exclude them....
Background: Nurses are essential to the health care delivery system especially to meet the health related\nmillennium development goals. However, despite the significant shortage of nurses in Ethiopia, research in the\ncountry regarding nurses� intent to stay in their profession is lacking. This study assessed intent to stay in the\nnursing profession and associated factors among nurses working in referral hospitals, Amhara Regional State,\nEthiopia.\nMethods: Institution-based cross-sectional study was conducted among 389 nurses from April 8 to May 5, 2013.\nStratified random sampling technique was used to select the study participants from five referral hospitals. Data\nwere collected using pretested and structured self-administered questionnaires. Descriptive statistics were\nconducted to summarize the sample characteristics. Backward stepwise logistic regression model was fitted and\nadjusted odds ratio with 95% confidence interval was calculated to identify associated factors.\nResults: The proportion of nurses who reported intent to stay in the nursing profession was 39.8%. Age 40 to 49\n(AOR [95% CI] 4.5 [1.6-12.8]), being married (AOR [95% CI] 2.0 [1.0-3.8]), having a bachelor degree in nursing (AOR\n[95% CI] 2.2 [1.2-4.1]), satisfaction with: autonomy and professional opportunities (AOR [95% CI] 2.6 [1.2-5.9]),\nscheduling (AOR [95% CI] 3.4 [1.6-7.5]), and pay and benefits (AOR [95% CI] 8.8 [4.5-17.1]); high continuance\ncommitment (AOR [95% CI] 2.4 [1.3-4.8]) and high normative commitment (AOR [95% CI] 3.7 [1.9-7.2]) were the\nsignificant predictors of intent to stay in the nursing profession.\nConclusions: Intent to stay in the nursing profession was low among nurses working in Amhara Regional State\nreferral hospitals. Interventions aimed at increasing the professional autonomy of nurses and revising the current\nsalary and other duty payments are vital....
Background: The Minimal Eating Observation and Nutrition form ââ?¬â?? version II (MEONF ââ?¬â?? II) is a recently developed\nnursing nutritional screening tool. However, its inter- and intrarater reliability has not been assessed.\nMethods: Inpatients (n = 24; median age, 69 years; 11 women) were assessed by eight nurses (interrater reliability,\ntwo nurses scored each patient independently) using the MEONF-II on two consecutive days (intrarater reliability,\neach patient was scored by the same nurse day 1 and day 2).\nResults: Six patients were at moderate/high undernutrition risk. Inter- and intrarater reliabilities (Gwetââ?¬â?¢s agreement\ncoefficient) for the MEONF-II 2-category classification (no/low risk versus moderate/high risk) were 0.93 and 0.81; for\nthe 3-category classification (no/low ââ?¬â?? moderate ââ?¬â?? high risk) reliabilities (Gwetââ?¬â?¢s weighted agreement coefficient)\nwere 0.98 and 0.88; and total score inter- and intrarater reliabilities (intraclass correlation) were 0.92 and 0.84.\nConclusion: Reliability of MEONF-II nurse assessments among adult hospital inpatients was supported and the tool\ncan be used in research and clinical practice....
Loading....