Current Issue : January - March Volume : 2013 Issue Number : 1 Articles : 7 Articles
Until quite recently, many intensive care units (ICU) in Quebec�s hospitals provided a very attractive practice\r\noption for nurses. Now, however, the retention rate for both experienced and inexperienced nurses in these units\r\nis very low. Major recruitment efforts based on various approaches have been attempted but have failed to fill the\r\nvacancies. Starting from the standpoint of the psychodynamics of work, this article discusses the relevant literature\r\non the problem of attracting nurses to ICU....
Having enough staff to provide high-quality care to cancer patients will become a growing issue across Canada over the next\r\ndecades. Statistical predictions indicate that both the number of new diagnoses and the prevalence of cancer will increase\r\ndramatically in the next two decades. When combining these trends with the simultaneous trend toward health human resource\r\nshortage in Canada, the urgency of assuring we have adequate staff to deliver cancer care becomes clear. This research study focuses\r\ndirectly on oncology nurses. Guided by the grounded theory methodology, this research study aims to formulate a strategic,\r\nproactive peer preceptorship program through a four-phased research process. The goal of this research is to develop a program\r\nthat will support experienced staff members to fully implement their role as a preceptor to new staff, to facilitate effective knowledge\r\ntransfer between experienced staff to the new staff members, and to assure new staff members are carefully transitioned and\r\nintegrated into the complex ambulatory cancer care workplaces. In this article, the data from the first phase of the research project\r\nwill be explored specifically as it relates to establishing the foundation for the development of a provincial ambulatory oncology\r\nnursing peer preceptorship program....
The purpose of this study was to develop and test a standardized primary health assessment instrument (SPHAI)\r\nthat can be used to assess the health problems and care needs of home-bound clients at the primary level. For this,\r\nthe preeminent experts in the field were identified and, after an intensive literature review, a preliminary instrument\r\nwas established. The 25 panelists then participated in a three-round Delphi survey method to identify those items that\r\nhad a content validity index of 0.8 and over. This led to an instrument composed of 5domains, 19 components, and\r\n43items. This instrument was then reviewed from 316 homecare nurses working for three types of home health care\r\nprograms in Korea. The nurses assessed the tool in terms of item variation and redundancy, and to determine its\r\ninternal consistency and reliability. The responses suggested that the SPHAI is suitable for use in all three programs in\r\nterms of identifying homebound clients, developing guidelines for evidence-based care, and improving documentation.\r\nHowever, the present study should be regarded as an exploratory study: the feasibility of the SPHAI should be tested\r\nby nation-wide empirical studies that are funded by the Korean government....
Aim. We regard consultations as cocreated communicatively by the parties involved. In this paper on verbal communication\r\nin midwife-led consultations, we consequently focus on the actual conversation taking place between the midwife and the\r\npregnant woman with diabetes, especially on those sequences where the pregnant woman initiated a topic of concern in the\r\nconversation. Methods. This paper was undertaken in four hospital outpatient clinics in Norway. Ten antenatal consultations\r\nbetween midwives and pregnant women were audiotaped, transcribed to text, and analyzed using theme-oriented discourse\r\nanalysis. Two communicative patterns were revealed: an expert�s frame and a shared experts� frame. Within each frame, different\r\ncommunicative variations are presented. The topics women initiated in the conversations were (i) delivery, time and mode; (ii)\r\nprevious birth experience; (iii) labor pain; and (iv) breast feeding, diabetes management, and fetal weight. Conclusion. Different\r\nways of communicating seem to create different opportunities for the parties to share each other�s perspectives. Adequate responses\r\nand a listening attitude as well as an ambiguous way of talking seem to open up for the pregnant women�s perspectives. Further\r\nstudies are needed to investigate the obstacles to, and premises for, providing midwifery care in a specialist outpatient setting....
Millions of Americans have unmet oral healthcare needs and profound oral health disparities persist in vulnerable and underserved\r\npopulations, especially poor children, older adults, and racial and ethnic minorities. Nurses can play a significant role in improving\r\nthe quality of oral health including access to care with appropriate education and training. The purpose of this paper is to describe\r\nNew York University College of Nursing�s response to this challenge. The Oral Health Nursing Education and Practice (OHNEP)\r\nprogram is a national initiative aimed at preparing a nursing workforce with the competencies to prioritize oral disease prevention\r\nand health promotion, provide evidence-based oral healthcare in a variety of practice settings, and collaborate in interprofessional\r\nteams across the healthcare system. The overarching goal of this national initiative is to create an educational infrastructure for the\r\nnursing profession that advances nursing�s contribution to reducing oral health disparities across the lifespan....
Objective. To investigate the prevalence and nature of lumbo-pelvic pain (LPP), that is experienced by women in the lumbar and/or\r\nsacro-iliac area and/or symphysis pubis during pregnancy. Design. Cross-sectional, descriptive study. Setting. An Australian public\r\nhospital antenatal clinic. Sample population: Women in their third trimester of pregnancy. Method. Women were recruited to the\r\nstudy as they presented for their antenatal appointment. A survey collected demographic data and was used to self report LPP. A\r\npain diagram differentiated low back, pelvic girdle or combined pain. Closed and open ended questions explored the experiences\r\nof the women.Main OutcomeMeasures. The Visual Analogue Scale and the Oswestry Disability Index (Version 2.1a). Results. There\r\nwas a high prevalence of self reported LPP during the pregnancy (71%). An association was found between the reporting of LPP,\r\nmultiparity, and a previous history of LPP. The mean intensity score for usual pain was 6/10 and four out of five women reported\r\ndisability associated with the condition.Most women (71%) had reported their symptoms to their maternity carer however only a\r\nsmall proportion of these women received intervention. Conclusion. LPP is a potentially significant health issue during pregnancy....
This paper describes the development of the Kuopio University Hospital Job Satisfaction Scale (KUHJSS) and the results of the\r\nsurvey. The scale was developed through a systematic literature review, and its validity and reliability were assessed using several\r\npsychometric properties including expert evaluation (n = 5), a pilot survey (n = 172), and exploratory factor analysis. The\r\nfinal version of KUHJSS included 37 items. A large sample psychometric evaluation was made by nursing staff (n = 2708). The\r\nexploratory factor analysis revealed seven factors with modest internal consistency (0.64ââ?¬â??0.92). The staff reported relatively high\r\njob satisfaction. The greatest satisfaction was derived from motivating factors associated with the work; the least, from the jobââ?¬â?¢s\r\ndemands. Respondents who considered their working units to provide an excellent quality of care reported the highest job\r\nsatisfaction in every subarea (P < .0001). The KUHJSS proved to be a reliable and valid tool for measuring job satisfaction in hospital\r\ncare....
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