Current Issue : October - December Volume : 2012 Issue Number : 4 Articles : 6 Articles
Nursing effectiveness science includes primary, secondary, and translational, clinically focused research activities which aim to\r\nimprove patient or client outcomes. It is imperative, for the successful conduct of a program of nursing effectiveness science, that\r\na clinical bridge is established between academic and healthcare service facilities. An Australian example of the development of\r\na robust clinical bridge through the use of jointly funded positions at the professorial level is outlined. In addition, an analysis\r\nof the practical application of Lewin�s model of change management and the contribution of both servant and transformational\r\nleadership styles to the bridge building process is provided....
Access to oral health care is essential for promoting and maintaining overall health and well-being, yet oral health disparities\r\nexist among vulnerable and underserved populations. While nurses make up the largest portion of the health care work force,\r\neducational preparation to address oral health needs of elders and persons with disabilities is limited across nursing curricula. This\r\ndescriptive study reports on the interdisciplinary development, implementation, and testing of an oral health module that was\r\nincluded and infused into a graduate nursing curriculum in a three-phase plan. Phase 1 includes evaluation of a lecture presented\r\nto eight gerontological nurse practitioner (GNP) students. Phase 2 includes evaluation of GNP students� perceptions of learning,\r\nskills, and confidence following a one-time 8-hour practicum infused into 80 required practicum hours. The evaluation data\r\nshow promise in preparing nurse practitioner students to assess and address preventive oral health needs of persons aging with\r\ndisabilities such that further infusion and inclusion in a course for nurse practitioners across five specialties will implemented and\r\ntested in Phase 3....
There is an aging population not only in Portugal but also worldwide. The nursing homes provide its users services\r\nadjusted to their needs. Therefore, these institutions should have specialized human resources in health care, such as\r\nNurses. However in Portugal have a low presence of these professionals in nursing homes.\r\nObjective: To identify a sensitive nursing care set of quality indicators in nursing homes.\r\nMethodology: Using the method of a PICOD question, it was made a search in EBSCO (CINAHL Plus with Full\r\nText, MEDLINE with Full Text, British Nursing Index), resulting in hundred and thirty eight articles in total. There were\r\n \r\n \r\n\r\n \r\n \r\n \r\n \Z \Z\Z ! \r\nResults: \"#$ \r\n % \r\n'' \r\n * # \r\n \r\n \r\n\r\n # +\r\n % \r\nindicators: resources to the emergency room; number of days of hospitalization; total days of hospitalization in\r\nadvanced recovery units; number of medical procedures; sensory function; presence of urinary catheters; loss of\r\nfunction and activities of daily living; controlled use of drugs; use of nine or more different drugs; nutrition; control of\r\ninfection; pressure ulcers prevalence; pain control; prevalence of falls.\r\nConclusion: The nursing provide an important contribution in improving quality in the nursing homes. The results\r\nseems to show that the introduction of these professionals has direct impact in reducing of the use of health services\r\n(emergency and hospital days), reducing the falls, better pain management, in prevalence of the number of pressure\r\nulcers and increased functionality. This set of results has obtained from an international research and so, gives the\r\nopportunity to various nursing homes or students in very countries monitoring these indicators, to explore them with\r\nthe aim to verify its applicability and adapt them to the local needs...
Background: Although nursing students experience a high level of stress during their training, there has been\r\nlimited research on stress and its impact on the student�s physical responses, such as gastrointestinal symptoms.\r\nThe aims of this study are to assess the prevalence of GI symptoms in nursing students in Korea and to examine\r\nthe association between the perceived stress and GI symptoms.\r\nMethods: A cross-sectional descriptive study design was used. A total of 715 students of a three-year associate\r\ndegree nursing program in a Korean college participated. The Perceived Stress Scale and a GI Symptoms\r\nQuestionnaire were administered through a self-reported system. Chi-square tests, Fisher�s exact test, and logistic\r\nregression analysis were performed using SPSS 17.0.\r\nResults: Sixty-five percent of the nursing students experienced more than one GI symptom, with 31.1% of\r\nstudents reporting more than three GI symptoms. Most of the nursing students complained of upper dysmotility\r\nand bowel symptoms. In addition, students who reported higher perceived stress were significantly more likely to\r\ncomplain of GI symptoms. Compared to nursing students with the lowest perceived stress level, the adjusted odds\r\nratio (OR) for GI symptoms in students with the highest perceived stress level was 3.52 times higher (95% CI =\r\n2.05-6.06).\r\nConclusions: GI symptoms that are highly prevalent among nursing students are significantly associated with the\r\nperceived stress level. High perceived stress should be considered a risk factor for GI symptoms. To reduce\r\nperceived stress, stress management programs including cognitive reappraisal training are needed in nursing\r\ncurriculum....
Background: Although evidence-based guidelines are important for improving the quality of patient care,\r\nimplementation in practice is below expectations. With the recent focus on team care, guidelines are intended to\r\npromote the integration of care across multiple disciplines. We conducted an exploratory study to understand\r\noncology nursesââ?¬â?¢ perceptions of guideline implementation and to learn their views on how their experiences\r\naffected the implementation.\r\nMethods: A qualitative study was used with focus group interviews. We collected data from 11 nurses with more\r\nthan 5 years of oncology nursing experience in Japan. The data were analyzed using grounded theory.\r\nResults: Results of the analysis identified ââ?¬Å?preconditions for successful guideline implementationââ?¬Â as a core\r\ncategory. There were 4 categories (goal congruence, equal partnership, professional self-development and userfriendliness)\r\nand 11 subcategories related to organizational, multidisciplinary, individual, and guideline levels.\r\nConclusions: Although the guidelines were viewed as important, they were not fully implemented in practice.\r\nThere are preconditions at the organizational, multidisciplinary, individual, and guideline levels that must be met if\r\nan organization is to successfully implement the guideline in clinical settings. Prioritizing strategies by focusing on\r\nthese preconditions will help to facilitate successful guideline implementation...
Mentoring is important in the career development of novice and experienced nurses.With the anticipated shortage in nursing, it is\r\nimportant to explore factors such as mentoring that may contribute to career satisfaction and intent to stay in the profession. This\r\nstudy explored the effects of mentoring on career satisfaction and intent to stay in nursing, and the relationship between career\r\nsatisfaction and intent to stay in nursing. It was conducted through a mailed survey of RNs 55 years or younger currently in practice,\r\neducation, administration, or research. Career satisfaction was measured through the use of the newly developedMariani Nursing\r\nCareer Satisfaction Scale. Findings revealed no statistically significant effect of mentoring on career satisfaction and intent to stay\r\nin nursing. There was a statistically significant relationship between career satisfaction and intent to stay in nursing. The majority\r\nof nurses reported participating in a mentoring relationship. Although the findings related to mentoring, career satisfaction, and\r\nintent to stay were not statistically significant, there was a prevalence of mentoring in nursing, thus suggesting the need for future\r\nresearch to identify outcomes of mentoring. In addition, the study contributed a newly developed instrument to measure the\r\nconcept of career satisfaction in nursing....
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