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https://www.readbyqxmd.com/read/28724373/changing-nutrition-care-practices-in-hospital-a-thematic-analysis-of-hospital-staff-perspectives
#1
Celia Laur, Renata Valaitis, Jack Bell, Heather Keller
BACKGROUND: Many patients are admitted to hospital and are already malnourished. Gaps in practice have identified that care processes for these patients can be improved. Hospital staff, including management, needs to work towards optimizing nutrition care in hospitals to improve the prevention, detection and treatment of malnutrition. The objective of this study was to understand how staff members perceived and described the necessary ingredients to support change efforts required to improve nutrition care in their hospital...
July 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28720612/translating-staff-experience-into-organisational-improvement-the-heads-up-stepped-wedge-cluster-controlled-non-randomised-trial
#2
Samuel Pannick, Thanos Athanasiou, Susannah J Long, Iain Beveridge, Nick Sevdalis
OBJECTIVES: Frontline insights into care delivery correlate with patients' clinical outcomes. These outcomes might be improved through near-real time identification and mitigation of staff concerns. We evaluated the effects of a prospective frontline surveillance system on patient and team outcomes. DESIGN: Prospective, stepped wedge, non-randomised, cluster controlled trial; prespecified per protocol analysis for high-fidelity intervention delivery. PARTICIPANTS: Seven interdisciplinary medical ward teams from two hospitals in the UK...
July 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28720237/work-engagement-social-support-and-job-satisfaction-in-portuguese-nursing-staff-a-winning-combination
#3
Alejandro Orgambídez-Ramos, Helena de Almeida
BACKGROUND: Job Demands-Resources model assumes the mediator role of work engagement between social support (job resource) and job satisfaction (organizational result). However, recent studies suggest that social support can be considered as a moderator variable in the relationship between engagement and job satisfaction in nursing staff. AIM: The aim of this study is to analyze the moderator role of social support, from supervisor and from co-workers, in the relationship between work engagement and job satisfaction in a Portuguese nursing sample...
August 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28720090/-we-and-the-nurses-are-now-working-with-one-voice-how-community-leaders-and-health-committee-members-describe-their-role-in-sierra-leone-s-ebola-response
#4
Shannon A McMahon, Lara S Ho, Kerry Scott, Hannah Brown, Laura Miller, Ruwan Ratnayake, Rashid Ansumana
BACKGROUND: Across low-income settings, community volunteers and health committee members support the formal health system - both routinely and amid emergencies - by engaging in health services such as referrals and health education. During the 2014-2015 Ebola epidemic, emerging reports suggest that community engagement was instrumental in interrupting transmission. Nevertheless, literature regarding community volunteers' roles during emergencies generally, and Ebola specifically, is scarce...
July 18, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28709455/barriers-and-facilitators-to-reducing-frequent-laboratory-testing-for-patients-who-are-stable-on-warfarin-a-mixed-methods-study-of-de-implementation-in-five-anticoagulation-clinics
#5
Geoffrey D Barnes, Sevan Misirliyan, Scott Kaatz, Elizabeth A Jackson, Brian Haymart, Eva Kline-Rogers, Jay Kozlowski, Gregory Krol, James B Froehlich, Anne Sales
BACKGROUND: Patients on chronic warfarin therapy require regular laboratory monitoring to safely manage warfarin. Recent studies have challenged the need for routine monthly blood draws in the most stable warfarin-treated patients, suggesting the safety of less frequent laboratory testing (up to every 12 weeks). De-implementation efforts aim to reduce the use of low-value clinical practices. To explore barriers and facilitators of a de-implementation effort to reduce the use of frequent laboratory tests for patients with stable warfarin management in nurse/pharmacist-run anticoagulation clinics, we performed a mixed-methods study conducted within a state-wide collaborative quality improvement collaborative...
July 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28707387/effects-of-nurses-personality-traits-and-their-environmental-characteristics-on-their-workplace-learning-and-nursing-competence
#6
Miyuki Takase, Masako Yamamoto, Yoko Sato
AIM: A good fit between an individual's personality traits and job characteristics motivates employees, and thus enhances their work behavior. However, how nurses' personality traits and their environmental characteristics relate to nurses' engagement in workplace learning, which improves their competence, has not been investigated. The aim of this study was to investigate how nurses' personality traits, environmental characteristics, and workplace learning were related to nursing competence...
July 13, 2017: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/28679931/professional-values-among-female-nursing-students-in-saudi-arabia
#7
Rabia S Allari, Samantha Ismaile, Mowafa Househ
Professional values are essential to nursing practice because they guide standards for working, provide a structure for evaluating behavior, and influence decisions making. The purpose of this study is to explore the perception of Saudi female nursing students on professional values and to assess the correlation between their perception of professional values in relation to their year of academic studies. We used a cross-sectional descriptive study where a survey was administered to 150 Saudi female nurses living in Riyadh...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28675925/registered-nurses-experiences-of-patient-participation-in-hospital-care-supporting-and-hindering-factors-patient-participation-in-care
#8
Lena Oxelmark, Kerstin Ulin, Wendy Chaboyer, Tracey Bucknall, Mona Ringdal
BACKGROUND: Promoting patient participation in care is an international priority identified by the World Health Organization and various national bodies around the world and an important aspect of person-centred care. AIM: The aim of this study was to describe Registered Nurses' experiences with patient participation in nursing care including their barriers and facilitators for participation. METHOD: The study setting was a University Hospital in Sweden...
July 4, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28661011/visual-methods-in-health-dialogues-a-qualitative-study-of-public-health-nurse-practice-in-schools
#9
Hilde Laholt, Marilys Guillemin, Kim McLeod, Randi Elisabeth Olsen, Geir Fagerjord Lorem
AIMS: We aimed to explore how using visual methods might improve or complicate the dynamics of the health dialogue between public health nurses (PHNs) and school pupils. This was done from the perspective of PHNs, specifically examining how they understood their role and practice as a PHN and the application of visual methods in this practice. BACKGROUND: The health dialogue is a method used by PHNs in school nursing in Norway. In this practice, there can be communicative barriers between pupils and PHNs...
June 29, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28648956/emotional-displays-nurse-educators-engaging-and-reflecting-on-their-own-emotional-displays-in-preparing-nursing-students-for-the-emotional-complexities-of-nursing-practice
#10
Laurence Leonard
In everyday practice nurses including student nurses, face many situations which can trigger a range of their own emotions, but they also deal with a variety of emotions in patients, patients' relatives and colleagues. There is a need for nurses and those involved in nurse education to understand how emotions impact on professional practice. Yet, while nursing practice involves working often in emotional circumstances, there has been little attention by educational institutions and employers on developing the ability of nurses to understand and manage the emotional demands inherent in their role...
June 9, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28641867/motivational-pathways-of-occupational-and-organizational-turnover-intention-among-newly-registered-nurses-in-canada
#11
Claude Fernet, Sarah-Geneviève Trépanier, Mireille Demers, Stéphanie Austin
BACKGROUND: Staff turnover is a major issue for health care systems. In a time of labor shortage, it is critical to understand the motivational factors that underlie turnover intention in newly licensed nurses. PURPOSE: To examine whether different forms of motivation (the reasons for which nurses engage in their work) predict intention to quit the occupation and organization through distinct forms (affective and continuance) and targets (occupation and organization) of commitment...
May 26, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28641599/association-between-level-of-exposure-to-death-and-dying-and-professional-quality-of-life-among-palliative-care-workers
#12
Tali Samson, Pesach Shvartzman
BACKGROUND: Exposure to the death and dying of others is an anxiety-provoking condition that can contribute to psychological stress. However, the results of empirical studies that evaluated work-related outcomes among physicians and nurses with repeated exposure to dying patients are not consistent. OBJECTIVE: Our aim was to evaluate whether a high level of exposure to death and dying (LED) can increase the risk for poor professional quality of life (ProQoL) in most healthcare workers, but it can also improve ProQoL in a subset of healthcare workers with specific characteristics...
June 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28639330/listening-for-commissioning-a-participatory-study-exploring-young-people-s-experiences-views-and-preferences-of-school-based-sexual-health-and-school-nursing
#13
Kay Aranda, Lester Coleman, N S Sherriff, Chris Cocking, Laetitia Zeeman, Liz Cunningham
AIMS AND OBJECTIVES: To explore the experiences, views and preferences of young people aged 11-19 years old regarding school-based sexual health and school nursing to inform commissioning for one local authority area in England during 2015. BACKGROUND: Promoting sexual health for young people remains a challenging, even controversial, but important public health issue. Concerns regarding accessibility, acceptability and efficacy in school-based sexual health and school nursing are evident in the literature...
June 21, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28637290/a-bright-side-to-the-work-family-interface-husbands-support-as-a-resource-in-double-and-triple-duty-caregiving-wives-work-lives
#14
Nicole DePasquale, Courtney A Polenick, Kelly D Davis, Lisa F Berkman, Thomas D Cabot
Purpose of the Study: This study examined how women who combine long-term care employment with unpaid, informal caregiving roles for children (double-duty-child caregivers), older adults (double-duty-elder caregivers), and both children and older adults (triple-duty caregivers) differed from their workplace-only caregiving counterparts on workplace factors related to job retention (i.e., job satisfaction and turnover intentions) and performance (i.e., perceived obligation to work while sick and emotional exhaustion)...
June 16, 2017: Gerontologist
https://www.readbyqxmd.com/read/28622379/end-of-life-care-for-people-with-dementia-the-views-of-health-professionals-social-care-service-managers-and-frontline-staff-on-key-requirements-for-good-practice
#15
Richard Philip Lee, Claire Bamford, Marie Poole, Emma McLellan, Catherine Exley, Louise Robinson
BACKGROUND: Evidence consistently shows that people with advanced dementia experience suboptimal end of life care compared to those with cancer; with increased hospitalisation, inadequate pain control and fewer palliative care interventions. Understanding the views of those service managers and frontline staff who organise and provide care is crucial in order to develop better end of life care for people with dementia. METHODS AND FINDINGS: Qualitative interviews and focus groups were conducted from 2013 to 2015 with 33 service managers and 54 staff involved in frontline care, including doctors, nurses, nursing and care home managers, service development leads, senior managers/directors, care assistants and senior care assistants/team leads...
2017: PloS One
https://www.readbyqxmd.com/read/28618072/to-break-the-weight-gain-a-qualitative-study-on-the-experience-of-school-nurses-working-with-overweight-children-in-elementary-school
#16
Stina Thorstensson, Carola Blomgren, Annelie J Sundler, Margaretha Larsson
AIMS AND OBJECTIVES: This article describes the experiences of school nurses working with overweight school children. BACKGROUND: School nurses play an important role in health promotion of overweight children. Lifestyle changes and interventions to address being overweight can improve health outcomes and decrease the risk for future health problems. DESIGN: A descriptive and qualitative design with a phenomenological approach was used. Data were gathered through interviews with school nurses working with overweight school children in Swedish elementary school; the data were subsequently analysed for meanings...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28612407/pre-registration-interprofessional-clinical-education-in-the-workplace-a-realist-review
#17
Fiona Kent, Jacinta Hayes, Sharon Glass, Charlotte E Rees
CONTEXT: The inclusion of interprofessional education opportunities in clinical placements for pre-registration learners has recently been proposed as a strategy to enhance graduates' skills in collaborative practice. OBJECTIVES: A realist review was undertaken to ascertain the contexts, mechanisms and outcomes of formal interprofessional clinical workplace learning. METHODS: Initial scoping was carried out, after which Ovid MEDLINE, CINAHL and EMBASE were searched from 2005 to April 2016 to identify formal interprofessional workplace educational interventions involving pre-registration learners...
June 14, 2017: Medical Education
https://www.readbyqxmd.com/read/28601266/emergency-physician-use-of-cognitive-strategies-to-manage-interruptions
#18
Raj M Ratwani, Allan Fong, Josh S Puthumana, Aaron Z Hettinger
STUDY OBJECTIVE: The purpose of this study is to examine whether emergency physicians use strategies to manage interruptions during clinical work. Interruption management strategies include immediately engaging the interruption by discontinuing the current task and starting the interruption, continuing the current task while engaging the interruption, rejecting the interruption, or delaying the interruption. METHODS: An observational time and motion study was conducted in 3 different urban, academic emergency departments with 18 attending emergency physicians...
June 7, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28592746/examining-occupational-health-nurse-competencies-when-collaborating-with-public-health-services
#19
Yuko Mitsuhashi, Noriko Nishikido
OBJECTIVES: The purpose of this study was to examine the competencies of occupational health nurses who collaborate with public health services. METHODS: Ten occupational health nurses who work for companies that collaborate with public health services were the subjects. They were the finalists selected from among those occupational health nurses who participated in a preparatory survey and phone interviews that inquired about their collaborative activity experiences with public health services; they were selected because of their greater experience with these collaborations...
June 7, 2017: Sangyō Eiseigaku Zasshi, Journal of Occupational Health
https://www.readbyqxmd.com/read/28592476/factors-influencing-active-family-engagement-in-care-among-critical-care-nurses
#20
Breanna Hetland, Ronald Hickman, Natalie McAndrew, Barbara Daly
Critical care nurses are vital to promoting family engagement in the intensive care unit. However, nurses have varying perceptions about how much family members should be involved. The Questionnaire on Factors That Influence Family Engagement was given to a national sample of 433 critical care nurses. This correlational study explored the impact of nurse and organizational characteristics on barriers and facilitators to family engagement. Study results indicate that (1) nurses were most likely to invite family caregivers to provide simple daily care; (2) age, degree earned, critical care experience, hospital location, unit type, and staffing ratios influenced the scores; and (3) nursing work-flow partially mediated the relationships between the intensive care unit environment and nurses' attitudes and between patient acuity and nurses' attitudes...
2017: AACN Advanced Critical Care
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