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Nursing And Process

Carolina Puchi, Tatiana Paravic-Klijn, Alide Salazar
The comfort theory was applied in the development of a nursing process for the clinical case of an older adult with pneumonia treated under hospital at home. It was observed that the theory is easy to apply in the domiciliary context and that it allows the implementation of a holistic care plan.
September 2018: Holistic Nursing Practice
Jiehui Jiang, Po Bao, Deqiang Zhao, Zhuangzhi Yan
With the advent of social aging, the development of intelligent multifunctional nursing beds that are suitable for hospitals, nursing homes, homes and the like has a wide range of applications, this paper presents an intelligent nursing bed design based on Internet of Things technology. The design uses STM32F103 as the central processor. The design is divided into nursing bed module based on tri-fold structure, central control module based on data processing, weight scale module based on weight detection, power supply module based on system power supply and host computer module based on user operation...
July 30, 2018: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
Deepa Jeevanantham, Venkadesan Rajendran, Line Tremblay, Céline Larivière, Andrew Knight
BACKGROUND: Patients with multiple myeloma (MM) are often treated with chemotherapy, radiation, and, if indicated, autologous stem cell transplant. In addition to side effects of the treatment, patients with MM often have bone pain, pathological fractures, spinal cord compressions, fatigue, and muscle weakness, which negatively impact functional performance and quality of life. Currently, there are no related guidelines for safe and effective physiotherapy (PT) management. Accordingly, the aim of the present study is to develop guidelines for effective physiotherapy management of patients with MM by systematically reviewing and evaluating the available evidence followed by a consensus process to specifically describe the research questions as detailed below...
August 16, 2018: Systematic Reviews
Desirée Mena-Tudela, Víctor Manuel González-Chordá, Agueda Cervera-Gasch, María Loreto Maciá-Soler, María Isabel Orts-Cortés
OBJECTIVES: to evaluate the effectiveness of an educational intervention on the knowledge, skills and attitudes of evidence-based practice among second-year nursing students. METHOD: a quasi-experimental before-and-after study. The study population consisted of 120 students enrolled in the Nursing Care in Healthcare Processes course. The educational intervention was based on theoretical and practical classes about the evidence-based practice process and the use of the critical incident technique during the clinical clerkship...
August 9, 2018: Revista Latino-americana de Enfermagem
Mònica Castellà-Creus, Pilar DELGado-Hito, Isabel Andrés-Martínez, Maria-Eulàlia Juvé-Udina
AIM: To understand the individualization process of the standardized care plan that nurses design for hospitalized patients. BACKGROUND: To apply the nursing process, it is advisable to use standardized care plans to standardize the diagnosis, planning and assessment stages. However, the fundamental element of this methodology is the individualization of the care plan. DESIGN: A qualitative study, framed within the constructivist paradigm and applying the Grounded Theory method, in accordance with Strauss and Corbin's approach...
August 14, 2018: Journal of Advanced Nursing
M C Hill, D Salmon, L M Aitken
AIM: To ascertain the beliefs and perceptions of practice nurses' influence about the uptake of the Measles, Mumps and Rubella vaccine. BACKGROUND: Immunisation decision making for parents is a complex process. Principle health professionals involved in immunisation programmes are health visitors, general practitioners and practice nurses. There is evidence that health visitors and general practitioners influence parental immunisation decision making. However, there is a lack of evidence about the influence of the practice nurse despite their well-documented role in immunisation...
August 14, 2018: Journal of Advanced Nursing
Katherine Smiley, Love Ofori, Cindy Spangler, Rebecca Acquaah-Arhin, Deborah Deh, Juliana Enos, Stephen Manortey, Frank Baiden, Samuel Finlayson, Raymond Price, Marta McCrum
BACKGROUND: The Volta River Authority Hospital (VRAH) is a district hospital associated with a large public works project in Akosombo, Ghana, that has developed a reputation for high-quality care. We hypothesized that this stems from a culture of safety and standardized processes typical of high-risk engineering environments. To investigate this, we evaluated staff and patient perceptions of safety and quality, as well as perioperative process variability. MATERIALS AND METHODS: The Safety Attitudes Questionnaire (SAQ) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys were used to evaluate staff and patient perceptions of safety...
August 14, 2018: World Journal of Surgery
Angela Byrnes, Adrienne Young, Alison Mudge, Merrilyn Banks, Judy Bauer
BACKGROUND/OBJECTIVES: Aligning care with best practice-such as Enhanced Recovery After Surgery (ERAS) guidelines-may improve patient outcomes. However, translating research into practice is challenging and implementation science literature emphasises the importance of understanding barriers and enablers specific to the local context and clinicians. This study aimed to explore staff perceptions about barriers and enablers to practice change aligning with nutrition-related recommendations from ERAS guidelines...
August 14, 2018: European Journal of Clinical Nutrition
Anja Siegle, Matthias Villalobos, Jasmin Bossert, Katja Krug, Laura Hagelskamp, Johannes Krisam, Violet Handtke, Nicole Deis, Jana Jünger, Michel Wensing, Michael Thomas
BACKGROUND: The care needs of patients with a limited prognosis (<12 months median) are complex and dynamic. Patients and caregivers must cope with many challenges, including physical symptoms and disabilities, uncertainty. and compromised self-efficacy. Healthcare is often characterized by disruptions in the transition between healthcare providers. The Milestones Communication Approach (MCA) is a structured, proactive, interprofessional concept that involves physicians and nurses and is aimed at providing coherent care across the disease trajectory...
August 14, 2018: Trials
Gregory Moore, Jessica Reszel, Thierry Daboval, Brigitte Lemyre, Conor Barker, Sandra Dunn
BACKGROUND AND OBJECTIVES: The decision to attempt resuscitation or provide palliative care at birth for extremely preterm infants between 22-25 weeks remains complex. The purpose of this study was to identify facilitators and barriers to implementation of a clinical practice guideline developed to support shared decision-making for these cases. METHODS: A purposeful sample of healthcare providers, involved in the care of one of five cases of anticipated extremely preterm birth, was recruited for interviews...
August 14, 2018: Journal of Maternal-fetal & Neonatal Medicine
Wesley D Frey, Kaustubh Sharma, Terri L Cain, Katsuhiko Nishimori, Ryoichi Teruyama, Joomyeong Kim
Mouse Peg3 encodes a DNA-binding protein involved in the milk letdown process. In the current study, we tested whether PEG3 controls the expression of the oxytocin receptor gene. According to the results, PEG3 directly binds to a genomic region within the 3rd exon of Oxtr, which contains a DNA-binding motif for PEG3. In nursing female mice, removal of PEG3 resulted in the increased expression of Oxtr in mammary epithelial cells and also in the hypothalamus. This suggests a repressor role of PEG3 in the expression of Oxtr in these tissues...
2018: PloS One
Trygve Johannes Lereim Sævareid, Lillian Lillemoen, Lisbeth Thoresen, Reidun Førde, Elisabeth Gjerberg, Reidar Pedersen
BACKGROUND: Close to half of all deaths in Norway occur in nursing homes, which signals a need for good communication on end-of-life care. Advance care planning (ACP) is one means to that end, but in Norwegian nursing homes, ACP is not common. This paper describes the protocol of a project evaluating an ACP-intervention in Norwegian nursing homes. The aims of this research project were to promote the possibility for conversations about the end of life with patients and relatives; promote patient autonomy; create a better foundation for important decisions in the case of medical emergencies and at the end of life; and gain experiences in order to find out what characterizes good ACP and good implementation strategies...
August 13, 2018: BMC Geriatrics
Mehmet Top, Sabahattin Tekingunduz
PURPOSE: The primary purpose of this study was to explore the relationships among distributive justice, procedural justice, interactional justice, job stress, cognition-based trust, and affect-based trust; the secondary purpose was to determine the effect of distributive justice, procedural justice, interactional justice, cognition-based trust, and affect-based trust on job stress in hospital organizations. METHOD: Data were collected using scales of job stress, organizational justice, and organizational trust...
August 12, 2018: Journal of Nursing Scholarship
Angelika Hausemann, Miriam Grünewald, Ulla Otto, Ursel Heudorf
The cleaning and disinfection of surfaces in hospitals is becoming increasingly important in the multi-barrier approach for preventing infection, in addition to hand hygiene and proper reprocessing of medical devices. Therefore, in 2014, the quality of structure, process and outcome of surface preparation was checked in all hospitals in Frankfurt/Main, Germany. Because of great need for improvements, this monitoring was repeated in 2016. The data are presented in comparison to those in 2014. Methods: All 16 hospitals provided information on the quality of structure...
2018: GMS Hygiene and Infection Control
Jennifer Meddings, Ted A Skolarus, Karen E Fowler, Steven J Bernstein, Justin B Dimick, Jason D Mann, Sanjay Saint
BACKGROUND: Indwelling urinary catheters are commonly used for patients undergoing general and orthopaedic surgery. Despite infectious and non-infectious harms of urinary catheters, there is limited guidance available to surgery teams regarding appropriate perioperative catheter use. OBJECTIVE: Using the RAND Corporation/University of California Los Angeles (RAND/UCLA) Appropriateness Method, we assessed the appropriateness of indwelling urinary catheter placement and different timings of catheter removal for routine general and orthopaedic surgery procedures...
August 12, 2018: BMJ Quality & Safety
Lina Nilsson, Cecilia Fagerström
BACKGROUND: This study focuses on a decision support system (DSS) for home healthcare and the implementation of it. AIM: To describe home healthcare nurses' experiences of the implementation and use of a new DSS, with a focus on how it influences decision making in everyday work practice. DESIGN: A qualitative research design. METHODS: Data was collected through three focus group interviews with six home healthcare nurses...
August 12, 2018: Contemporary Nurse
Carey Candrian, Alexandra Tsantes, Dan D Matlock, Channing Tate, Jean S Kutner
OBJECTIVE: The objective of this paper is to understand patient, caregiver and hospice admission nurses needs during the hospice admission conversation so patients and their caregivers can make informed decisions about hospice. METHODS: Resulting data set from this qualitative study included 60 h of observation and a total of 30 interviews with caregivers, patients and hospice admission nurses. Participants were from a large non-profit hospice; observation settings included: home, hospital and skilled nursing facility...
August 4, 2018: Patient Education and Counseling
C Browne, P Wall, S Batt, R Bennett
Developing a professional identity is an essential transition for nursing students as they move through their undergraduate degree. Professional identity is described as a person's perception of themselves within a profession or the collective identity of the profession. The formation of a professional identity is an evolving process, shaped by the media, educational experiences and role modelling. The aim of this study was to develop a greater understanding of the perceptions that students, about to embark on their undergraduate nursing degree, had of the nursing profession...
July 10, 2018: Nurse Education in Practice
K Currie, C King, K McAloney-Kocaman, N J Roberts, J MacDonald, A Dickson, S Cairns, N Khanna, P Flowers, J Reilly, L Price
BACKGROUND: To reduce the risk of transmission of meticillin resistant Staphylococcus aureus (MRSA), international guidelines recommend admission screening to identify hospital patients at risk of colonisation. However, routine monitoring indicates that optimum screening compliance levels are not always achieved. In order to enhance compliance, we must better understand those factors which influence staff screening behaviours. AIM: To identify factors which influence staff compliance with hospital MRSA screening policies...
August 8, 2018: Journal of Hospital Infection
Marie E VanderKooi, Dianne M Conrad, Sandra L Spoelstra
Doctor of nursing practice (DNP) projects are summative evaluations of enactment of the DNP Essentials. However, information about structure, process, and outcomes of DNP projects is scarce. Guided by an enhanced actualized DNP model, this study tested the effect of a PhD-DNP-site mentor model to guide DNP projects. Time-to-complete assignments, defense, and graduation improved; high satisfaction for students, mentors, and faculty were found; and a strengthened academic-practice partnership occurred, leading to additional student placements...
September 2018: Nursing Education Perspectives
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