Current Issue : July - September Volume : 2017 Issue Number : 3 Articles : 6 Articles
Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide\nthe best and more effective quality patient care. However, little studies are available across china on registered nurses� attitude,\nskills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which\nevidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The\naim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses\nworking at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess\nnurses� attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in\nfilling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version\n20. The cut point for level of statistical significance was set at < 0.05 and all tests were 2-sided. Result: Overall, registered\nnurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD =\n0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to\nsupport daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more\nhuman and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD =\n0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational\nsupport were needed to improve this gap through providing training, creating awareness, and enhancing nurses� abilities for\nutilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to\nidentify the influence of individual and organizational factors on implementation of evidence based nursing practice....
Background: Increases in ageing, chronic illness and complex co-morbidities in the Australian population are adding\npressure to the primary care nursing workforce. Initiatives to attract and retain nurses are needed to establish\na sustainable and skilled future primary care nursing workforce. We implemented a transition to professional\npractice program in general practice settings for graduate nurses and evaluated graduate nurse competency,\nthe graduate nurse experience and program satisfaction. This study aimed to determine whether a transition\nto professional practice program implemented in the general practice setting led to competent practice\nnurses in their first year post-graduation.\nMethods: A longitudinal, exploratory mixed-methods design was used to assess the pilot study. Data were\ncollected at three times points (3, 6, 12 months) with complete data sets from graduate nurses (n = 4) and\npreceptors (n = 7). We assessed perceptions of the graduates� nursing competency and confidence, satisfaction with\nthe preceptor/graduate relationship, and experiences and satisfaction with the program. Graduate nurse competency\nwas assessed using the National Competency Standards for Nurses in General Practice. Semi-structured interviews with\nparticipants at Time 3 sought information about barriers, enablers, and the perceived impact of the program.\nResults: Graduate nurses were found to be competent within their first year of clinical practice. Program perceptions\nfrom graduate nurses and preceptors were positive and the relationship between the graduate nurse and preceptor\nwas key to this development.\nConclusions: With appropriate support registered nurses can transition directly into primary care and are competent in\ntheir first year post-graduation. While wider implementation and research is needed, findings from this study\ndemonstrate the potential value of transition to professional practice programs within primary care as a nursing workforce\ndevelopment strategy....
Background: Not much is known about emergency care delivered in patients� homes or other out-of-hospital\nsettings. This study aims to describe out-of-hospital emergency staff�s experiences of encountering and counseling\npatients and their family members.\nMethods: A descriptive cross-sectional design was applied. Data were collected from a hospital district in Finland\nfrom emergency care staff via an electronic survey questionnaire specifically developed for this purpose (N = 142\nreponse rate 59%) and analyzed using descriptive statistics.\nResults: Respondents succeeded in encountering (up to 3.88/4) and counseling (up to 3.89/4) patients and family\nmembers. Challenges were related to introducing themselves to family members (3.20/4), to interacting with patients\nfrom different cultures (3.38/4) and to allowing family members to be present in care situations (2.29/4). Providing\nemotional support (2.56/4), especially to family members, and confirming (3.16/4) and ensuring continuity of care\ninstructions (3.00/4) were found to be challenging.\nConclusions: High-level counseling in acute out-of-hospital situations demands that care providers can put themselves\ninto the patient�s and family�s situation, ensure follow-up care and provide care instructions to both patients and\nfamilies. The presence and participation of family members is essential in acute care situations outside hospital contexts.\nEnsuring that these contents are included and practiced during basic and continuing emergency care education for\nnurses and other emergency staff is crucial for developing counseling practices....
Background: The rapid growth in the use of mobile technology in Australia has outpaced its governance,\nespecially in healthcare settings. Whilst some Australian professional bodies and organisations have developed\nstandards and guidelines to direct appropriate use of social media and mobile technology, clear governance\narrangements regarding when, where and how to use mobile technology at point of care in nursing are currently\nlacking.\nDiscussion: This paper analyses how the use of mobile technology by nurses at point of care is governed.\nIt highlights the existence of a mobile technology paradox: an identified inability of nurses to access mobile\ntechnology in a context where it is increasingly recognised that its use in situ can enhance nursing practice\nwhile contributing to mobile learning and continuing professional development. While the recent release of the\nRegistered Nurse Standards for Practice and accompanying Standard for Continuing Professional Development\nprovides some direction regarding professional standards to support the use of mobile technology for mobile\nlearning, we argue a more inclusive approach is required if emerging technologies are to be fully embraced.\nWe describe how an implementation framework, underpinned by more detailed standards, guidelines and codes,\ncould enable the nursing profession to be leaders in embedding mobile technology in healthcare environments\nnationally and globally.\nConclusion: The prevalence of mobile technology in Australia has outpaced its governance in healthcare\nenvironments. Its limited availability at point of care is hindering nursing practice, mobile learning and continuing\nprofessional development. We discuss the emergence of mobile technology and impediments for its use by nurses\nin situ. We analyse the professional codes governing nursing, outlining potential reforms to enable implementation\nof mobile technology at point of care by nurses....
Background: Dyspnea (breathing discomfort) is a common and distressing symptom. Routine assessment and\ndocumentation can improve management and relieve suffering. A major barrier to routine dyspnea documentation\nis the concern that it will have a deleterious effect on nursing workflow and that it will not be readily accepted by\nnurses. Nurses at our institution recently began to assess and document dyspnea on all medical-surgical patients\nupon admission and once per shift throughout their hospitalization. A year after dyspnea measurement was\nimplemented we explored nursesââ?¬â?¢ approach to dyspnea assessment, their perception of patient response, and their\nperception of the utility and burden of dyspnea measurement.\nMethods: We obtained feedback from nurses using a three-part assessment of practice: 1) a series of recorded\nfocus group interviews with nurses, 2) a time-motion observation of nurses performing routine dyspnea and pain\nassessment, and 3) a randomized, anonymous on-line survey based, in part, on issues raised in focus groups.\nResults: Ninety-four percent of the nurses surveyed reported administering the dyspnea assessment is ââ?¬Å?easyââ?¬Â or\nââ?¬Å?very easyââ?¬Â. None of the nurses reported that assessing dyspnea negatively impacted workflow and many reported\nthat it positively improved their practice by increasing their awareness. Our time-motion data showed dyspnea\nassessment and documentation takes well less than a minute. Nurses endorsed the importance of routine\nmeasurement and agreed that most patients were able to provide a meaningful rating of their dyspnea. Nurses\nfound the patient report very useful, and used it in conjunction with observed signs to respond to changes in a\npatientââ?¬â?¢s condition.\nConclusions: In this study, we have demonstrated that routine dyspnea assessment and documentation was\nwidely accepted by the nurses at our institution. Our nurses fully incorporated routine dyspnea assessment and\ndocumentation into their practice and felt that it improved patient-centered care....
Introduction. HIV/AIDS-related stigma occurs in theworld towards people livingwith HIV/AIDS in a different form. Stigma among\nnurses in health care setting is one of the main challenges towards the prevention and management of HIV/AIDS in developing\ncountries. It is one of the main reasons keeping patients from seeking health care service. Therefore assessing the magnitude of\nstigma and associated factors towards people living on HIV/AIDS among nurses is of paramount importance for the quality of\nnursing care as well as service utilization. Methods. An institutional based cross-sectional study was conducted in March 2013.\nPretested and structured questionnaire via self-administration was used in the tool of HIV/AIDS Stigma Instrument-Nurse (HASIN).\nData were entered using EPI info version 3.5.3 and transferred to SPSS version 20 for further analysis. Descriptive statistics were\nconducted to summarize the sample characteristics. A backward stepwise logistic regression model was fitted and adjusted odds\nratio with 95% confidence interval was calculated to identify associated factors. Results. A total of 386 nurses participated yielding\na response rate of 97.2%. Nearly two-thirds (64.5%) of them have shown stigma towards people living with HIV/AIDS in the health\ninstitution. Qualification level of diploma or certificate, lack of training, experiences of <06 years, lowHIVpatient caseload seen in\nthe last six months, and the absence of guidelines/protocols about HIV/AIDS in their health institution were associated factors for\nstigma. Conclusions.The findings of this research showed high magnitude of stigma towards people living with HIV/AIDS among\nnurses. For stigma to be decreased nurses need to update their knowledge through training and experience sharing with senior staff.\nAnd it is crucial that the EthiopianMinistry of Health, Amhara Regional Health Bureau, and the two hospitals work for decreasing\nstigma by creating educational development, ensuring accessibility of guidelines about HIV/AIDS, and providing access to training....
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