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Natalie Douglas, Jennifer Brush, Michelle Bourgeois
The current mandate for person-centered care throughout the health care system, and especially in the nursing home industry, requires that speech-language pathologists ensure that the services they provide to elders with dementia are skilled, person centered, and relevant to positive overall health outcomes. Guidelines developed by the Association Montessori International Advisory Board for Montessori for Aging and Dementia are one avenue toward such skilled and person-centered services. The purpose of this article is to provide clinicians with practical strategies for guiding their assessment, goal writing, and intervention plans to meet the expectations of a person-centered approach to services for elders with dementia, using the Montessori approach as a philosophical guide...
July 2018: Seminars in Speech and Language
Silvana Bastos Cogo, Valéria Lerch Lunardi, Alberto Manuel Quintana, Nara Marilene Oliveira Girardon-Perlini, Rosemary Silva da Silveira
To know the advantages related to the applicability of the advance directives of will in the hospital context from the perspective of nurses, doctors and family members. Qualitative, descriptive and exploratory study with semi structured interviews carried out from October to November 2014, with nurses, doctors and family members of patients in the final stage. Afterwards, a discursive textual analysis was carried out. Four categories emerged: respect for patient's autonomy; support in confrontation of conflicts with and from family members; reduction of conflicts in the team about treatments and conducts; disclosure and instrumentation for application of the Advance Directives of Will...
June 7, 2018: Revista Gaúcha de Enfermagem
Eduardo Motta de Vasconcelos, Milva Maria Figueiredo De Martino
OBJECTIVES: To identify the prevalence and analyse the existence of predictors of burnout syndrome in intensive care nurses. METHODS: The quantitative, descriptive, cross sectional study with 91 intensive care nurses. Two instruments were used to collect data in July 2014: a sociodemographic form and the Maslach Burnout Inventory - Human Services Survey. Pearson's Chi-Square test or Fisher's exact test were applied to verify the association between the occurrence of burnout and the categorical variables...
June 7, 2018: Revista Gaúcha de Enfermagem
Ana Cleide Silva Rabelo, Fabíola Vládia Feire Silva Souza, Lúcia de Fátima da Silva
OBJECTIVE: To know the contribution of Watson's theory to nursing care for cardiac patients in the postoperative period of cardiac surgery. METHODS: This is a qualitative study based on the research-care method conducted with ten patients who underwent cardiac surgery in a specialised hospital from June to August 2013, in the city of Fortaleza, Ceará, Brazil. Data were submitted to content analysis based on the Clinical Caritas Process. RESULTS: The results led to four thematic categories: Awareness of being cared for by another being, System of beliefs and subjectivity, Relation of support and trust, and Expression of feelings...
June 7, 2018: Revista Gaúcha de Enfermagem
Isolina Maria Alberto Fruet, Graziele de Lima Dalmolin, Edison Luiz Devos Barlem, Rosangela Marion da Silva, Rafaela Andolhe
OBJECTIVE: To verify the applicability of the adapted Moral Distress Scale in the nursing setting of the hemato-oncology sector of a university hospital. METHOD: Cross-sectional study conducted with 46 nursing workers of a university hospital in the southern region of Brazil with data collected between December 2014 and March 2015 by means of the adapted Moral Distress Scale. Factor analysis, Cronbach's alpha, and descriptive statistics were used to analyze the data...
June 7, 2018: Revista Gaúcha de Enfermagem
Elizabeth Fiske
BACKGROUND: Working in a neonatal intensive care unit (NICU) can be both rewarding and stressful. Stressors can outweigh satisfiers, leading to job dissatisfaction and turnover. Nurse retention remains a problem, particularly for nurses within the first year of employment. PURPOSE: The purpose of this study was to examine current nurse stressors, satisfiers, and coping processes in the NICU. METHODS: Seventy-two neonatal nurses from 3 Magnet facilities in North Carolina completed the ICU Stressors Survey, the Ways of Coping Scale, demographic data questions, and free-text questions in Qualtrics, a secure online survey system...
June 21, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Bethany A Matus, Kayla M Bridges, John V Logomarsino
BACKGROUND: Individualized feeding care plans and safe handling of milk (human or formula) are critical in promoting growth, immune function, and neurodevelopment in the preterm infant. Feeding errors and disruptions or limitations to feeding processes in the neonatal intensive care unit (NICU) are associated with negative safety events. Feeding errors include contamination of milk and delivery of incorrect or expired milk and may result in adverse gastrointestinal illnesses. PURPOSE: The purpose of this review was to evaluate the effect(s) of centralized milk preparation, use of trained technicians, use of bar code-scanning software, and collaboration between registered dietitians and registered nurses on feeding safety in the NICU...
June 21, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Mahnaz Jabraeili, Hadi Hassankhani, Reza Negarandeh, Mohammad Abbaszadeh, Lisa M Cleveland
BACKGROUND: Each year, 5% to 8% of Iranian newborns require care in a neonatal unit (NU). Reasons for admission include prematurity, infection, and congenital anomalies. Little research has been conducted on the culture of Iranian NUs and the impact this has on mothers' emotional caregiving experiences. PURPOSE: To explore the emotional caregiving experiences of mothers in an Iranian NU. METHODS: Focused ethnography was used for this study...
June 21, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Elizabeth A Gazza, Teresa Shellenbarger, Diane F Hunker
AIM: This study explored master of science in nursing students' self-assessed use of the evidence-based knowledge, skills, and attitudes (KSAs) of scholarly writing. BACKGROUND: Understanding MSN students' self-assessed use of the KSAs of writing can help faculty better prepare MSN graduates to advance the science of nursing through scholarly writing. METHOD: A descriptive correlational design was used to determine how a national sample of 76 MSN students assessed their ability to demonstrate the KSAs of scholarly writing and to determine associations between select demographic variables and the self-assessment results...
June 21, 2018: Nursing Education Perspectives
Kimberly A Link, Kara S Haughtigan, Dawn Garrett-Wright
Simulation exercises can be used to provide poverty-related content that might be lacking in traditional clinical settings. A descriptive qualitative study design was used to examine the use of a poverty simulation in mental health nursing. Thematic analysis of reflective journals indicated students viewed the poverty simulation as a positive, realistic, and informative learning experience; had a better understanding of how poverty impacts health; and expressed changes in attitudes toward providing care. Results from this study suggest poverty simulations can be used to illustrate key concepts taught in mental health nursing, including empathy, advocacy, and refrainment from judging patients...
June 21, 2018: Nursing Education Perspectives
Jennifer Gunberg Ross, Brittany Beckmann, Christina Goumas
The millennial generation shows a strong preference for informatics and technology-rich educational environments. The purpose of this descriptive, qualitative study was to understand baccalaureate nursing students' perceptions of the use of Facebook as a platform to present patient case study data. After following a simulated patient on Facebook and developing a teaching plan based on data collected from the patient's Facebook page, undergraduate nursing students completed a survey to determine their perceptions of this teaching strategy...
June 21, 2018: Nursing Education Perspectives
Linda Moody, Cynthia Teel, Jill Peltzer
AIM: This project developed a comprehensive set of bachelor of science in nursing (BSN) completion messaging materials that associate degree in nursing (ADN) faculty can use to advise and encourage students to complete the BSN. BACKGROUND: The Future of Nursing report calls for increasing the proportion of baccalaureate-prepared nurses to 80 percent by 2020. Faculty who teach in ADN programs have opportunities to advise students in advancing their nursing education yet often lack information to guide these conversations...
June 21, 2018: Nursing Education Perspectives
Fatma Uslu-Sahan, Fusun Terzioglu, Gulten Koc
BACKGROUND: Gynecologic cancer can create hopelessness and death anxiety and alter the lifestyle of the affected women and their caregivers. Perceived social support may facilitate coping with this illness. OBJECTIVE: The aim of this study was to determine whether hospitalized patients with gynecologic cancer and their caregivers differ in feelings of hopelessness and death anxiety and how those conditions may be related to their social support. METHODS: Two hundred patients with gynecologic cancer and their 200 caregivers from 1 university hospital were enrolled in this descriptive correlational study...
June 22, 2018: Cancer Nursing
Zhiping Hu, Xiaoling Zhou, Weiwei Duan, Wenge Lei, Min Zhang, Lingxia Zeng
BACKGROUND: Maintenance of good functional status and improvement of quality of life (QOL) in patients with head and neck cancer help to determine the efficacy of anticancer therapies. OBJECTIVE: The aims of this study were to describe the profile of QOL changing over time and evaluate the correlation between anxiety, pain severity, and shoulder and neck function with QOL in patients. METHODS: A prospective cohort study was conducted. Quality of life, neck and shoulder function, anxiety, and pain were assessed at the time of presurgery, 1 week, and 3 and 6 months postsurgery...
June 22, 2018: Cancer Nursing
Catherine Paterson, Charlotte Primeau, Irene Pullar, Ghulam Nabi
BACKGROUND: An important question revolves around when the most opportune time is to introduce recovery-optimizing behaviors for men opting for radical prostatectomy (RP) for localized prostate cancer (PCa). An emerging field of research describes the role of preoperative strategies to improve treatment tolerance and overall physical and psychological recovery. OBJECTIVE: The aim of this study was to explore the perceptions of a multimodal prehabilitation intervention for men and their partners before RP for localized PCa...
June 22, 2018: Cancer Nursing
Pierre Lemarie, Solenne Husser Vidal, Soizic Gergaud, Xavier Verger, Emmanuel Rineau, Jerome Berton, Elsa Parot-Schinkel, Jean-François Hamel, Sigismond Lasocki
BACKGROUND: Although continuous renal replacement therapy (CRRT) is common, unplanned interruptions (UI) often limit its usefulness. In many units, nurses are responsible for CRRT management. We hypothesized that a nurse training program based on high-fidelity simulation would reduce the rate of interrupted sessions. METHODS: We performed a 2-phase (training and evaluation), randomized, single-center, open study: During the training phase, intensive care unit nurses underwent a 6-hour training program and were randomized to receive (intervention) or not (control) an additional high-fidelity simulation training (6 hours)...
June 20, 2018: Anesthesia and Analgesia
Anna Holm, Pia Dreyer
The use of light and no sedation is gaining currency in the intensive care unit, resulting in more conscious patients. Due to mechanical ventilation, patients are unable to communicate verbally, and may feel frustration. Communication tools may help; however, they are not used systematically in clinical practice. Based on "complex interventions" and a qualitative approach, a communication tool was modified, tested, and evaluated in this study. The tools consisted of a tablet with communication software and a laminated "communication book" with identical structure...
June 22, 2018: Computers, Informatics, Nursing: CIN
Shenshen Li, James A Blumenthal, Chuan Shi, Danielle Millican, Xian Li, Xin Du, Anushka Patel, Pei Gao, Elizabeth Delong, Pallab K Maulik, Runlin Gao, Xin Yu, Yangfeng Wu
Depression and acute coronary syndromes (ACS) are both common public health challenges. Patients with ACS often develop depression, which in turn adversely affects prognosis. Low-cost, sustainable, and effective service models that integrate depression care into the management of ACS patients to reduce depression and improve ACS outcomes are critically needed. Integrating Depression Care in ACS patients in Low Resource Hospitals in China (I-CARE) is a multicenter, randomized controlled trial to evaluate the efficacy of an 11-month integrated care (IC) intervention compared to usual care (UC) in management of ACS patients...
May 21, 2018: American Heart Journal
Masamichi Sato, Akira Horiuchi, Michio Tamaki, Yasuyuki Ichise, Masashi Kajiyama, Yuta Yamamoto, Naoki Tanaka
BACKGROUND & AIMS: Esophagogastroduodenoscopy (EGD) and colonoscopy are common outpatient gastrointestinal endoscopic procedures that frequently use sedation. We aimed to identify a protocol that combines safety with cost effectiveness. METHODS: We collected data from consecutive outpatients (20-98 years old) who underwent diagnostic EGD (n=117,661) or colonoscopy (n=32,550) with propofol sedation from January 2006 through December 2016. Propofol was administered by a nurse via bolus injection using an age-adjusted standard protocol, up to a total of 200 mg...
June 19, 2018: Clinical Gastroenterology and Hepatology
V Zanni, L Değirmenci, D Annoscia, R Scheiner, F Nazzi
The parasitic mite Varroa destructor is regarded as the most important parasite of honey bees and plays a fundamental role in the decline of bee colonies observed in the last decade in the Northern hemisphere. Parasitization has a number of detrimental effects on bees, including reduced nursing, which can have important impacts on colony balance. In this work we investigated at the individual level the causes of this abnormal behavior and found that the reduced nursing activity in mite-infested workers is associated with impaired learning performance and a series of physiological traits that are typical of foragers, including reduced response to brood pheromone, limited development of hypopharyngeal glands and higher juvenile hormone titre in the haemolymph...
June 19, 2018: Journal of Insect Physiology
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