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Nursing And Process

Elena V Fedorova, Natalja V Dorogova, Elena U Bolobolova, Svetlana A Fedorova, Dmitry A Karagodin, Anna A Ogienko, Asja S Khruscheva, Elina M Baricheva
Investigation of Drosophila oogenesis provides the opportunity to understand conservative genetic mechanisms underlying fertile female gamete development. In this work, we showed that the Drosophila DNA-binding protein GAGA factor (GAF) had a multifunctional role in oogenesis and it is involved in the regulation of this process genetic program. We studied the influence on Drosophila oogenesis of a number of mutations in the 5' region of the Trl gene that encodes GAF. We found that our originally generated Trl mutations lead to a decrease in transcriptional gene activity and levels of GAF expression in both germline and follicular cells...
December 10, 2018: Genesis: the Journal of Genetics and Development
Mariusz Panczyk, Mariusz Jaworski, Lucyna Iwanow, Ilona Cieślak, Joanna Gotlib
AIM: The purpose of the study was to adapt and evaluate the psychometric characteristics of the Polish language version of the Authentic Leadership Self-Assessment Questionnaire (ALSAQ) intended for use among registered nurses. DESIGN: A cross-sectional study where the ALSAQ was administered to a representative group of 3,299 Polish registered nurses was carried out between September and November 2017. METHODS: Linguistic-cultural adaptation of the ALSAQ was carried out according to the WHO guidelines...
December 10, 2018: Journal of Advanced Nursing
Pauline Joyce, Zena Eh Moore, Janice Christie
BACKGROUND: Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner-patient interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services...
December 9, 2018: Cochrane Database of Systematic Reviews
Johanna E Bellon, Andrew Bilderback, Namita S Ahuja-Yende, Cindy Wilson, Stefanie C Altieri Dunn, Deborah Brodine, Michael L Boninger
OBJECTIVES: To compare rates of 30- and 90-day hospital readmissions and observation or emergency department (ED) returns of older adults using the University of Pittsburgh Medical Center (UPMC) Health Plan Home Transitions (HT) with those of Medicare fee-for-service (FFS) controls without HT. DESIGN: Retrospective cohort study. SETTING: Analysis of home health and hospital records from 8 UPMC hospitals in Allegheny County, Pennsylvania, from July 1, 2015, to April 30, 2017...
December 8, 2018: Journal of the American Geriatrics Society
Hasibe Kadioglu, Sevil Albayrak, Ayse Ergun, Seher Yurt, Kamer Gur, Kader Mert, Saime Erol, Melek Nihal Esin
OBJECTIVE: The aim of this study was to construct a consensus on the undergraduate learning objectives and topics for public health nursing (PHN) in Turkey. DESIGN: A three-round e-mail-based Delphi study was conducted between May and July 2015 with a national sample. SAMPLE: Ninety-one academics from 54 universities were invited as experts to participate by e-mail. Fifty-nine academics from 43 universities participated in the study. MEASUREMENTS: Data were analyzed by computing the median, quartiles one and three, and the interquartile range for each learning outcome and topic...
December 10, 2018: Public Health Nursing
Aret Çerçi Özkan, Erdem Güven, Berna Toktaş, Uygar Kızanlık, Onnik Agbulut
INTRODUCTION: Formation of less periorbital ecchymosis in post-operative period of rhinoplasty is a popular trend. We present the use of instantly crystallizing supercooled serum physiologic solution for periorbital cooling. PHYSICS OF SUPERCOOLING: There are circumstances in which water temperature drops below its freezing point, but no phase transition happens while water remains in the liquid phase. This is called supercooling. Pure water can be supercooled below the freezing temperature without transforming into ice...
December 10, 2018: Aesthetic Plastic Surgery
Sean Shenghsiu Huang, John R Bowblis
Background and Objectives: To examine whether nursing homes (NHs) provide better quality when unemployment rates rise (countercyclical) and explore mechanisms contributing to the relationship between quality and unemployment rates. Research Design and Methods: The study uses the data on privately owned, freestanding NHs in the continental United States that span a period from 2001 through 2015. The empirical analysis relies on panel fixed-effect regressions with the key independent variable being the county-level unemployment rate...
December 7, 2018: Gerontologist
Elisabeth Bergdahl, Britt-Marie Ternestedt, Carina Berterö, Birgitta Andershed
Aims and objectives: The aim of this study was to test the theoretical conceptualization of the co-creative process in home care nursing encounters over time. Method and design: This was a multiple case study with a deductive analysis of qualitative data over time, using interviews and observations collected from three cases. Results: The co-creative process was complex and contained main, sub- and micro-processes. Time was important and valuable, giving the patient and relatives space to adjust the process to their own pace...
January 2019: Nursing Open
Trude Fløystad Eines, Elin Angelo, Solfrid Vatne
Background: Municipal healthcare organizations are facing increasing challenges to developing more cost-effective organizations and services, particularly in nursing homes. The background for this article is an attempt in this concern; implementing service design in a nursing home. Aim: The aim of the study is to explore nurses and nurse assistants' experiences using service design in a nursing home. Design: A qualitative design was applied...
January 2019: Nursing Open
Colin McNeill, Allen Erskine, Roger Ellis, Marian Traynor
Aim: To develop an instrument (Nurse Match: NM) for assessing a candidate's nursing values, their meaning, relative importance and emotional significance. Candidate's values to be scored against professionally preferred nursing values effectively and efficiently. Design: A case study-based qualitative process with quantified output. Perception of self and others in relevant contexts using bi-polar value dimensions. Methods: Respondents ( N  =   63) were first year nursing students completed the instrument and a feedback questionnaire...
January 2019: Nursing Open
Patricia Willis
PURPOSE: The purpose of this study was to describe the experience of caring for women with a perinatal loss from the perspective of the nurse and to determine the extent to which the response to perinatal loss reflects a process. STUDY DESIGN AND METHODS: A purposive study was conducted with nine labor and birth nurses with experience in caring for women with a perinatal loss. The nurses were from two acute care hospitals within one healthcare system in Southeastern Massachusetts...
January 2019: MCN. the American Journal of Maternal Child Nursing
Natasha Nurse-Clarke, Barbara DiCicco-Bloom, Rana Limbo
PURPOSE: The purpose of this study was to determine the extent to which labor and delivery nurses used the tenets of Swanson's middle-range theory to care for women whose babies were stillborn. STUDY DESIGN AND METHODS: A secondary analysis of qualitative in-depth interview data from 20 labor and delivery nurses obtained during a recent grounded theory study was conducted using the directed content analysis method. The five caring processes as described in Swanson's theory were used as a priori codes to conduct the analysis...
January 2019: MCN. the American Journal of Maternal Child Nursing
Tiffany A Moore Simas, Joanna M Cain, Robert J Milner, Martha E Meacham, Annika L Bannon, Leonard L Levin, Nili Amir, Katherine Leung, Judith K Ockene, Luanne E Thorndyke
INTRODUCTION: To describe Academic Health Center (AHC) faculty leadership development program characteristics and categorize leadership topics into thematic areas suggesting competency domains to guide programmatic curricular development. METHODS: A systematic literature review was conducted (PubMed/MEDLINE, Scopus, Cumulative Index of Nursing and Allied Health Literature [CINAHL], and Journal Storage [JSTOR databases]). Eligible studies described programs with leadership development intent for faculty in AHCs...
December 5, 2018: Journal of Continuing Education in the Health Professions
Kenrick D Cato, Carolyn Sun, Eileen J Carter, Jianfang Liu, Reynaldo Rivera, Elaine Larson
OBJECTIVES: The aim of this study is to describe and evaluate the impact of the Linking to Improve Nursing Care and Knowledge (LINK) project on increasing nurse-led clinical research. BACKGROUND: Nurse-generated research is the cornerstone of evidence-based practice and continues to be a marker of nursing excellence. However, the dearth of PhD-prepared nurses creates a challenge for creating an environment to promote clinical nursing research. We evaluated the LINK project, an academic-clinical partnership, to assess its impact and feasibility, for fostering nurse-led clinical research...
January 2019: Journal of Nursing Administration
Carol Boston-Fleischhauer
The pace and scope of change in the US healthcare industry has been relentless. Organizational and system responses include dramatic redesign of structures, processes, and services to support cross-continuum care. The education of nursing students must keep up with rapid delivery system change. Beyond significant curricular revision, innovation in undergraduate clinical rotations to better prepare students for cross-continuum practice will be key.
January 2019: Journal of Nursing Administration
Alessandra Mendes de Barros, Flávia Regina Souza Ramos, Priscila Orlandi Barth, Maria José Menezes Brito, Heloiza Maria Siqueira Rennó, Jéssica Mendes Rocha
STUDY AIM: To discover college nursing professors' deliberation and coping strategies in view of moral distress. DESIGN: Qualitative study with a descriptive and exploratory design. SETTING AND PARTICIPANTS: The participants were 12 college nursing professors who taught at three public universities in Brazil. METHODS: The adapted Delphi method was applied. The data were collected in three phases with concomitant data collection and analysis...
November 30, 2018: Nurse Education Today
Lisa A Wolf, Altair M Delao, Cydne Perhats, Paul R Clark, Michael D Moon, Kathleen Evanovich Zavotsky, Zoran Martinovich
INTRODUCTION: Injury from firearms is a significant problem in the United States, accounting for 73% of all homicides and 50% of all suicides that occurred among US residents. What is not known are the perceptions of emergency nurses regarding the impact of in-home access on the risk for firearm-related injury and death in their patient populations. The purpose of this study was to explore emergency nurses' perception of patient risk for firearm injury and in which ways that perception affected the process of ED patient screening, assessment, counseling, and discharge education...
October 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Denise Campbell, Katherine Dontje
INTRODUCTION: Handoff in the emergency department is considered a high-risk period for medical errors to occur. In response to concerns about the effectiveness of the nursing handoff in the emergency department of a Midwestern trauma center, a practice improvement project was implemented. The process change required nursing handoff at shift changes to be conducted at the bedside, using an adapted situation, background, assessment, recommendation (SBAR) communication tool. METHODS: For this project, the intervention effectiveness was measured using pre- and post-implementation scores on a nursing handoff questionnaire, selected items on the Hospital Survey on Patient Safety Culture, and handoff observations documented by nursing leadership...
October 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Sylvie Tarillon, Christelle Andrianne, Sandie Balcaen, Sarah Bole, Carole Genty, Sandrine Godin, Eva Lemarchand, Jérôme Mouchebeuf, Isabelle Mussot, Anne Wallart, Tamim Alsuliman, Yohann Desbrosses, Jean El Cheikh, Marie Agnès Guerout-Verite, John De Vos, Laure Tardieu, Ibrahim Yakoub-Agha, Sophie Porcheron
JACIE (Joint Accreditation Committee ISTC EBMT) regulations and standards impose a quality and safety requirement for graft reinjection by nurses. However, the standards do not provide a step-by-step graft reinjection procedure. Because of high medical team turnover, the opening of new transplant centers, and continual questions from colleagues trying to decipher the JACIE standards, the need for a specific procedure goes without saying. We collected graft reinjection procedures from each SFGM-TC center that participated in our survey, thus creating an inventory of the different steps that make up graft reinjection...
December 7, 2018: Bulletin du Cancer
Janice Gullick, Frances Lin, Debbie Massey, Lorraine Wilson, Melanie Greenwood, Katina Skylas, Mark Woodard, Agness C Tembo, Marion Mitchell, Fenella J Gill
OBJECTIVES: The objective of this study was to review and synthesise international literature to reveal the contemporary structures, processes, and outcomes of critical care nurse (CCN) education. METHOD: An integrative review on specialist critical care education was guided by Whittemore and Knafl's integrative review steps: problem identification; literature search; and data evaluation, analysis, and presentation. Donabedian's Quality Framework (Structure-Process-Outcome) provided a useful analytical lens and structure for the reporting of findings...
December 5, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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