Current Issue : July - September Volume : 2017 Issue Number : 3 Articles : 6 Articles
Background. Additional physical activity including repetitive task practice can improve outcomes after stroke. The additional\npractice can be facilitated by therapists and family members or could also be delivered by nursing staff. Objective. To investigate\nthe feasibility of a nurse-led weekend exercise program after stroke. Participants. Individuals after stroke, who participated in a\nweekend exercise programduring their hospital admission. Methods.Aretrospective audit of the number of referrals to and amount\nof exercise repetitions achieved in a nurse-led weekend exercise program was undertaken. The weekend exercise program occurs\non each Saturday and Sunday for one hour.The repetitions of exercise completed during each class were documented by staff. An\naudit was conducted to ascertain the amount and type of exercise completed within the class. Results. During the study period 284\npeople were referred to the exercise program. The mean number of exercise repetitions completed per participant in each class was\n180.7 (SD 205.4). The number of exercise repetitions completed by participants was highly variable ranging from0 to 1190 per class.\nConclusion. The amount of average exercise repetitions completed in theWeekendWarrior program was large but with significant\nvariability. A nurse-led exercise class is a feasible method of delivering exercise opportunities to individuals in hospital after stroke....
Background: Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units.\nNevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to\nestablish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the\nestablishment of the working relationship. The aims of the study are to generate changes in how nurses establish\nthe therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the\neffectiveness of the implementation of evidence through this method.\nMethods/Design: The study will use a mixed method design. Qualitative methodology, through participative\naction research, will be employed to implement scientific evidence on the therapeutic relationship. A quasiexperimental,\none-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of\nthe implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in\nBarcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by\nconsecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative\ndata will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative\ndata will be analysed through the technique of content analysis and quantitative data through descriptive and\ninferential statistics.\nDiscussion: This study will help to understand the process of change in a nursing team working in an inpatient\npsychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to\nimplement change, as well as to assess whether the quality of the care they provide shows a qualitative\nimprovement....
Interprofessional collaboration and teamwork between nurses and physicians is essential for improving patient outcomes and\nquality of health services. This study examined the attitudes of nurses and physicians toward nurse-physician collaboration. A\ncross-sectional study was conducted among nurses and physicians (...
Introduction: Urinary incontinence is a common condition among elderly. It\naffects their daily life and quality of life. Toilet assistance may decrease urinary\nincontinence episodes among elderly. Many nursing home residents do not\nreceive the available evidence-based toilet assistance they need. Aim: The aim\nof the present study was to describe nursing staff members� experiences of\nproviding toilet assistance to elderly nursing home residents with urinary incontinence.\nDesign: A descriptive design with a qualitative content analysis\nmethod was used. Method: Four nurses and seven auxiliary nurses were interviewed\nin three homogenous focus groups. Data were collected during\nspring 2015. Results: The most essential opportunity factor for good toilet assistance\nwas the nursing staff�s attitude and behavior regarding the elderly�s\nneed to visit the lavatory. This resulted in individual toilet assistance in which\nthe elderly�s integrity and needs were cared for. Functioning routines and sufficient\nstaff availability were crucial in determining whether the elderly could\nvisit the lavatory. Other enabling factors for good toilet assistance were information\nand education of staff. The main obstructing factors for good toilet\nassistance were the elderly�s decreased cognitive ability, negative attitudes toward\nreceiving toilet assistance and lack of communication and co-operation\nbetween professionals with regard to prescribing and fastening individual incontinence\naids. Conclusion: Providing toilet assistance is a considerable\nnursing intervention for elderly to help them regain continence or contain\nincontinence, whenever possible. Person-centered incontinence care is important\nfor developing and adjusting toilet assistance based on each older\nperson�s individual needs....
Background: High levels of work-related stress, burnout, job dissatisfaction, and poor health are common within\nthe nursing profession. A comprehensive understanding of nursesââ?¬â?¢ psychosocial work environment is necessary to\nrespond to complex patientsââ?¬â?¢ needs. The aims of this study were threefold: (1) To retest and confirm two structural\nequation models exploring associations between practice environment and work characteristics as predictors of burnout\n(model 1) and engagement (model 2) as well as nurse-reported job outcome and quality of care; (2) To study staff nursesââ?¬â?¢\nand nurse managersââ?¬â?¢ perceptions and experiences of staff nursesââ?¬â?¢ workload; (3) To explain and interpret the two models\nby using the qualitative study findings.\nMethod: This mixed method study is based on an explanatory sequential study design. We first performed a crosssectional\nsurvey design in two large acute care university hospitals. Secondly, we conducted individual semi-structured\ninterviews with staff nurses and nurse managers assigned to medical or surgical units in one of the study hospitals. Study\ndata was collected between September 2014 and June 2015. Finally, qualitative study results assisted in explaining and\ninterpreting the findings of the two models.\nResults: The two models with burnout and engagement as mediating outcome variables fitted sufficiently to the data.\nNurse-reported job outcomes and quality of care explained variances between 52 and 62%. Nurse management at the\nunit level and workload had a direct impact on outcome variables with explained variances between 23 and 36% and\nbetween 12 and 17%, respectively. Personal accomplishment and depersonalization had an explained variance on job\noutcomes of 23% and vigor of 20%. Burnout and engagement had a less relevant direct impact on quality of care (ââ?°Â¤5%).\nThe qualitative study revealed various themes such as organisation of daily practice and work conditions; interdisciplinary\ncollaboration, communication and teamwork; staff nurse personal characteristics and competencies; patient centeredness,\nquality and patient safety. Respondentsââ?¬â?¢ statements corresponded closely to the modelsââ?¬â?¢ associations.\nConclusion: A deep understanding of various associations and impacts on studied outcome variables such as risk factors\nand protective factors was gained through the retested models and the interviews with the study participants. Besides\nthe softer work characteristics ââ?¬â? such as decision latitude, social capital and team cohesionââ?¬â? more insight and\nknowledge of the hard work characteristic workload is essential....
This study analyzed the relationship between self-care in subjects who received\na blood transfusion in a university hospital with their sociodemographic\nand health conditions. A descriptive and exploratory research with a\nqualitative approach was carried out in the Transfusion Ambulatory sector of\nthe University Hospital in Niter�³i, Rio de Janeiro from July to November of\n2014 with a sample size of 12 patients. Data were collected through a questionnaire\nof semi-structured questions; content analysis was based on the\nthematic approach. Sociodemographic data from subjects who received a\nblood transfusion were evaluated with respect to the education they received\nregarding self-care at home as well as their emotional balance in facing the\nhealth-disease process and their perspective on their quality of life. Educating\nsubjects who receive blood transfusions requires that the medical professionals\nhave an understanding of their patientâ��s socioeconomic and cultural condition.\nThis information will contribute to a better understanding of self-care\nwhen blood transfusion is necessary....
Loading....