Current Issue : January - March Volume : 2016 Issue Number : 1 Articles : 5 Articles
This study aimed to determine the barriers to implementation of EBP among nurses. This cross-sectional study was conducted in\nZahedan City, South East of Iran, in 2014. The questionnaire of barriers to implementation of EBP consists of 27 statements which\nwas distributed among 280 nurses. More than half of the participants agreed that 56% and 57% of barriers to implementation\nof evidence based practice are related to organizational and individual aspects, respectively. Participants identified barriers at\norganizational level included the lack of human resources (78.3%), lack of internet access at work (72.2%), and heavy workload\n(70.0%). Barrier at individual level included lack of time to read literature (83.7%), lack of ability to work with computer (68.8%), and\ninsufficient proficiency in English language (62.0%). Age, educational level, job experience, and employment status were associated\nwith organizational barriers to implementation of EBP. At the individual level only education was associated with barriers to\nimplementation of EBP. Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of\nquality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of\nbarriers will help health care system and policy makers to provide a culture of EBP....
Being healthcare professionals in the complex field of forensic psychiatry care (FPC) seems particularly challenging. Historically,\nfamilies have almost been invisible in FPC. The aimof this study was to uncover beliefs among healthcare professionals concerning\nfamilies of patients admitted for FPC. Using a hermeneutical approach inspired by Gadamer�s philosophy, group interviews with\nhealthcare professionals in four Swedish forensic psychiatric clinics were analyzed. Analysis resulted in seven key beliefs. There\nwere three beliefs about families: family belongingness is a resource for the patient; most families are broken and not possible to\ntrust; and most families get in the way of the patient�s care. Four beliefs concerned encounters with families: it is important to\nachieve a balance and control over the family; it is essential to set aside one�s own values and morals; family-oriented work is an\nimpossible mission; and family oriented work requires welcoming the families. Despite ethical dilemmas of working with families\nin FPC, healthcare professionals showed a willingness and desire to work in a more family-oriented manner. More knowledge,\nunderstanding, and caring tools are needed in order to meet the needs of the family as well as support the family�s resources....
Despite an increasing literature on professional nurses� job satisfaction, job satisfaction by nonprofessional nursing care providers\nand, in particular, in residential long-term care facilities, is sparsely described.The purpose of this study was to systematically review\nthe evidence on which factors (individual and organizational) are associated with job satisfaction among care aides, nurse aides, and\nnursing assistants, who provide the majority of direct resident care, in residential long-term care facilities. Nine online databases\nwere searched. Two authors independently screened, and extracted data and assessed the included publications for methodological\nquality. Decision rules were developed a priori to draw conclusions on which factors are important to care aide job satisfaction.\nForty-two publications were included. Individual factors found to be important were empowerment and autonomy. Six additional\nindividual factors were found to be not important: age, ethnicity, gender, education level, attending specialized training, and years of\nexperience. Organizational factors found to be important were facility resources and workload. Two additional factors were found\nto be not important: satisfaction with salary/benefits and job performance. Factors important to care aide job satisfaction differ\nfrom those reported among hospital nurses, supporting the need for different strategies to improve care aide job satisfaction in\nresidential long-term care....
Nursing staff spend more time with patients with pain than any other health staff member. For this reason, the nurse must\npossess the basic knowledge to identify the presence of pain in patients, to measure its intensity and make the steps necessary for\ntreatment. Therefore, a prospective, descriptive, analytical, and cross-sectional study was conducted to investigate the knowledge\nand attitudes regarding pediatric pain in two different populations.The questionnaire, Pediatric Nurses Knowledge and Attitudes\nSurvey Regarding Pain (PKNAS), was applied to 111 hospital pediatric nurses and 300 university nursing students. The final scores\nfor pediatric nurses and nursing students were 40.1 �± 7.9 and 40.3 �± 7.5, respectively. None of the sociodemographic variables\npredicted the scores obtained by the participants (...
Introduction. Success in the licensure examination is the only legal prerequisite to practice as a nurse in Ghana. However, a\nlarge percentage of nursing students who sit fail this examination for the first time. This study sought to unravel whether prior\neducation, sociodemographic characteristics, and nursing Cumulative Grade Point Average (CGPA) could predict performance\nin the licensure examinations. Methods. The study was a descriptive cross-sectional survey conducted from November 2014 to\nApril 2015 in the Kumasi metropolis, Ghana on 176 past nursing students. Data was collected using questionnaires and analyzed\nusing SPSS version 22. A logistic regression model was fitted to look at the influence of the explanatory variables on the odds\nof passing the licensure examinations. All statistical significances were tested at p value of <0.05. Results. Majority, 56.3%, were\nfemales and 86.4% were between the ages of 25 and 31 years. Most of the students (88.6%) entered the nursing training colleges\nwith a WASSCE qualification and 38% read general science. 73.9% passed the licensure examinations and the mean CGPA of the\nstudents was 2.89 (SD = 0.37). Sociodemographic characteristics and previous education had no influence on performance in the\nlicensure examinations. CGPA had strong positive relationship with performance in licensure examinations (AOR = 15.27; 95% CI\n= 6.28, 27.11). Conclusion. Students CGPA could be a good predictor of their performance in the licensure examinations. On the\nother hand, students� sociodemographic and previous educational characteristics might not be important factors to consider in\nadmitting students into the nursing training programme....
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