Current Issue : July - September Volume : 2017 Issue Number : 3 Articles : 6 Articles
Background and Aim. Reflection is known as a skill that is central to nursing students� professional development. Due to the\nimportance and the role of reflection in clinical areas of nursing, it is important to knowhowto achieve it.However, nursing trainers\nface the challenge of how to help their students to improve reflection in clinical settings. The aimof this study was to investigate the\nnursing students� experiences of facilitating reflection during clinical practice. This qualitative study was conducted by qualitative\ncontent analysis approach. Twenty nursing students during the second to eighth semester of their educational programwere selected\nfor participation using purposive sampling. Data were collected through in-depth semistructured interviews. The interview was\ntranscribed verbatim, and qualitative content analysis was used to analyze the data. From the data analysis, four main themes were\nextracted.Motivation to reflect, complex experiences, efficient trainer, and effective relations were four main themes obtained from\nstudy that, in interaction with each other, had facilitating roles in students� reflective process on experiences. The findings revealed\nthat the nursing students� reflection in clinical settings is effective in personal and professional level. Reflection of nursing students\ndepends on motivational and educational factors and these factors increase the quality of care in patients. Furthermore, nursing\neducators need to create nurturing climate as well as supporting reflective behaviors of nursing students....
Background: Older patients in hospital may be unable to maintain hydration by drinking, leading to intravenous\nfluid replacement, complications and a longer length of stay. We undertook a systematic review to describe clinical\nassessment tools which identify patients at risk of insufficient oral fluid intake and the impact of simple interventions to\npromote drinking, in hospital and care home settings.\nMethod: MEDLINE, CINAHL, and EMBASE databases and two internet search engines (Google and Google Scholar)\nwere examined. Articles were included when the main focus was use of a hydration/dehydration risk assessment in an\nadult population with/without a care intervention to promote oral hydration in hospitals or care homes. Reviews which\nused findings to develop new assessments were also included. Single case reports, laboratory results only, single\ntechnology assessments or non-oral fluid replacement in patients who were already dehydrated were excluded.\nInterventions where nutritional intake was the primary focus with a hydration component were also excluded. Identified\narticles were screened for relevance and quality before a narrative synthesis. No statistical analysis was planned.\nResults: From 3973 citations, 23 articles were included. Rather than prevention of poor oral intake, most focused upon\nidentification of patients already in negative fluid balance using information from the history, patient inspection and\nurinalysis. Nine formal hydration assessments were identified, five of which had an accompanying intervention/ care\nprotocol, and there were no RCT or large observational studies. Interventions to provide extra opportunities to drink\nsuch as prompts, preference elicitation and routine beverage carts appeared to support hydration maintenance, further\nresearch is required. Despite a lack of knowledge of fluid requirements and dehydration risk factors amongst staff, there\nwas no strong evidence that increasing awareness alone would be beneficial for patients.\nConclusion: Despite descriptions of features associated with dehydration, there is insufficient evidence to recommend a\nspecific clinical assessment which could identify older persons at risk of poor oral fluid intake; however there is evidence\nto support simple care interventions which promote drinking particularly for individuals with cognitive impairment...
The aim of the study was to evaluate nurse specialist students� views of clinical\nsupervision (CS) and its influence on their professional competence development.\nAn additional aim was to interpret the results and link them to nontechnical\nskills and Patient Safety (PS) topics. The research question was:\nWhat are the benefits of clinical supervision focusing on non-technical skills\nin the area of PS? A cross-sectional study of 46 nurse specialist students was\nconducted by means of questionnaires and exploratory factor analysis. Factors\nthat influenced the nurse specialist students� competencies were: interpersonal,\nprofessional and communication skills in addition to awareness of ethical\nskills, the importance of teamwork and the benefit of involving patients and\ntheir family members in safe care. The results were linked to non-technical\nskills and PS competencies. Clinical supervision is crucial for the development\nof non-technical skills and PS competencies among nurse specialist students.\nHowever, finding time to reflect and learn from the supervision was reported\nto be a problem. Over half of the students stated they did not have enough\ntime for supervision. Thus, there is a potential for quality improvement. We\nrecommend that universities should provide formal educational programmes\nfor supervisors focusing on the professional development of students, especially\nin the area of non-technical skills. In conclusion, CS should be prioritised\nby management and clinical leaders as it enhances PS....
Background: Guidelines on urinary incontinence recommend that absorbent products are only used as a coping\nstrategy pending definitive treatment, as an adjunct to ongoing therapy, or for long-term management after all\ntreatment options have been explored. However, these criteria are rarely met and a significant share of long-term\nproduct users could still benefit from therapeutic interventions recommended in guidelines for urinary incontinence.\nBetter implementation of these guidelines can potentially result in both health benefits for women and long-term\ncost savings for society. The aim of the COCON study is to evaluate the (cost-)effectiveness of a nurse-led intervention\nto optimise implementation of guideline-concordant continence care in comparison with usual care for urinary\nincontinent women aged 55 years and over who use absorbent products.\nMethods: This randomised clinical trial compares usual care with a nurse-led intervention to optimise implementation\nof guideline-concordant continence care. Women (anticipated N = 160) are recruited in 12 community pharmacies in\nthree Dutch regions, and are eligible for trial entry when they are 55 years and over, community-dwelling and longterm\nusers of absorbent products (�4 months) reimbursed by health insurance. Measurements are administered at\nbaseline, 3, 6 and 12 months. Primary outcome is severity of urinary incontinence (ICIQ-UI SF); other outcomes include\nhealth related quality of life (EQ-5D-5 L), use of absorbent products (in accordance with the recommended criteria in\nguidelines) (yes/no), and societal costs. Mixed model analysis will be performed to compare (the course) of outcomes\nbetween groups. The economic evaluation will be performed from a societal perspective. The implementation process\nis investigated using the Tailored Implementation for Chronic Diseases (TICD) framework.\nDiscussion: Results will add to current knowledge of the (cost-)effectiveness of nurse-led primary healthcare to\nimprove guideline-concordant care for older women with urinary incontinence. In addition, the results will provide\nmore insight into care needs and health service utilization of this group of women, as well as into use of absorbent\nproducts in accordance with the recommended criteria in guidelines. Finally, results will increase our understanding\nof the intervention�s uptake and could provide useful insights for future dissemination and sustenance....
Purpose: Nursing profession is considered as a stressful and demanding job.\nThe purpose of this research was to determine stressors types and degrees\nover two data collection periods in 2015-2016. Methods: This is a quantitative\ndescriptive research study. A purposive sample of 55 female nursing students\n(complete 4th year cohort) from Princess Nourah University took part in this\nstudy. Results: The results highlight that the most influential cause of stress\nwere factors related to taking care of patients, teachers and nursing staff.\nMoreover, nursing students reported increased level of stress comparing them\nin two different time periods. Conclusions: To overcome these clinical stressors,\nit requires students to be equipped with competent knowledge, skills and\nexperience in dealing with the changing needs of patients� condition. Future\nresearch should explore nursing students� beliefs and causes of stress and how\nit can be avoided by conducting a qualitative research study....
Background: Today, nurses are required to have knowledge and awareness concerning professional values as\nstandards to provide safe and high-quality ethical care. Nursesââ?¬â?¢ perspective on professional values affects decisionmaking\nand patient care. Therefore, the present study aimed to investigate the importance of professional values\nfrom clinical nursesââ?¬â?¢ perspective.\nMethods: The present cross-sectional study was conducted in 2016 in four educational hospitals of Kerman\nUniversity of Medical Sciences, Iran. Data were collected via the Persian version of Nursing Professional Values\nScale-Revised (NPVS-R) by Weis and Schank. Sampling was conducted through the use of stratified random\nsampling method and 250 clinical nurses participated in the study.\nResults: Results indicated that the total score of the nursesââ?¬â?¢ professional values was high. (102.57 Ã?± 11.94). From\nnursesââ?¬â?¢ perspective items such as ââ?¬Å?Maintaining confidentiality of patientsââ?¬Â and ââ?¬Å?Safeguarding patientsââ?¬â?¢ right to\nprivacyââ?¬Â had more importance; however, ââ?¬Å?Recognizing role of professional nursing associations in shaping\nhealthcare policyââ?¬Â and ââ?¬Å?Participating in nursing research and/or implementing research findings appropriate to\npractice had less importance. A statistically significant relationship was observed between NPVS-R mean scores\nand nursesââ?¬â?¢ age, work experience as well as participation in professional ethical training (P < 0.05).\nConclusions: Although the total score related to the clinical nursesââ?¬â?¢ perspective on professional values was high,\nthe importance of certain values was at a lower level. Owing to the emerging ethical challenges, it is indispensable\nto design educational programs in order to improve nursesââ?¬â?¢ awareness and understanding of the comprehensive\nimportance of professional values. Furthermore, it is recommended that mixed methods studies should be conducted\nin order to design an instrument to evaluate the use of values in nursing practice....
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