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Nursing orientation

David C Benton, Stephanie L Ferguson
We live and work in an increasingly connected global environment where actions in one part of the world can have consequences for all of us. This article examines, through the use of bibliometric analysis, the extent to which nursing scholars are engaged in the policy debate surrounding trade in services. Results demonstrate that, in comparison to medical colleagues, the nursing profession is more regionally orientated, focused on more operational-based themes and orientated to Mode 4: Mobility of the Profession...
January 2019: Nursing Administration Quarterly
Anton N Isaacs, Farhat Firdous
The purpose of the current article is to highlight the potential of a care coordination model in promoting interagency collaboration when designing recovery-oriented services. The authors argue the case using exemplars from the literature and lessons learned from Australia's Partners in Recovery initiative. Interagency collaboration is paramount when designing a recovery-oriented service system. A care coordination model has the potential to overcome most challenges that preclude implementation of service system integration...
December 3, 2018: Journal of Psychosocial Nursing and Mental Health Services
Gary Mitchell, Shauna Rooney, Colin Sheeran, Joanne Strain
Dementia care has evolved over the years, with a rise in person-centred non-pharmacological interventions such as reminiscence therapy, reality orientation and validation therapy. While these non-pharmacological interventions are an important facet of dementia care, nurses also require up-to-date knowledge of the medicines used to manage the symptoms of dementia, including antidepressants, cognitive enhancers and analgesics. Nurses should also understand the effects of behaviour-modifying medicines such as antipsychotics, anxiolytics and hypnotics, which are often overused or inappropriately prescribed in people with dementia...
December 3, 2018: Nursing Standard
Amy Ryan, Raheel Rizwan, Brenda Williams, Alexis Benscoter, David S Cooper, Ilias Iliopoulos
INTRODUCTION: In the current era of limited physician trainee work hours, limited nurse practitioner orientation times, and highly specialized care settings, frontline providers have limited opportunities for mentored resuscitation training in emergency situations. We aimed to evaluate the effectiveness of a pilot program to improve resuscitation team leadership skills of nurse practitioners using simulation-based training. METHODS: Seven nurse practitioners underwent a 4-hour simulation course in pediatric cardiac emergencies...
November 27, 2018: Journal of Pediatric Health Care
Asta B Petursdottir, Erna Haraldsdottir, Erla Kolbrun Svavarsdottir
RATIONALE: Healthcare providers' beliefs, attitudes, experiences and knowledge, which guide the care they deliver, are the key factors influencing the quality of palliative care. Education and coaching innovation are needed to translate research outcomes and adopt evidence-based nursing care into practice. OBJECTIVES: To evaluate the impact of an advanced educational and coaching programme in a family systems' nursing approach for palliative care nurses in a home-care setting...
November 29, 2018: Scandinavian Journal of Caring Sciences
Carolyn Finck, Susana Barradas, Markus Zenger, Andreas Hinz
Background/Objective : The purpose of this study was to examine quality of life (QoL) in breast cancer patients from Colombia and to explore the relationship between QoL, habitual optimism, and social support. Method : A sample of 95 breast cancer patients treated in a hospital in Bogotá were administered the QoL instrument EORTC QLQ-C30 and the Life Orientation Test LOT-R. Additionally, they were asked to indicate from whom (physicians, friends, nurses, etc.) they wished and received social support. Reference data for the EORTC QLQ-C30 and the LOT-R were taken from a representative sample of the general Colombian population...
January 2018: International Journal of Clinical and Health Psychology: IJCHP
Lynn F Reinke, Meghan Hendricksen, Joanne Lynn
Care plans guide and document achievement of short- and long-term goals. However, most care plans are discipline oriented, document medical problems, and lack person-centered information such as care preferences. The current authors' goal was to explore the status of comprehensive care plans and the future application of sharing data among health care providers and settings. Semi-structured interviews were conducted among a variety of professionals in six geographically diverse settings to learn the status and performance of care plans...
December 1, 2018: Journal of Gerontological Nursing
Suzanne Forsyth Herling, Ingrid E Greve, Eduard E Vasilevskis, Ingrid Egerod, Camilla Bekker Mortensen, Ann Merete Møller, Helle Svenningsen, Thordis Thomsen
BACKGROUND: Delirium is defined as a disturbance in attention, awareness and cognition with reduced ability to direct, focus, sustain and shift attention, and reduced orientation to the environment. Critically ill patients in the intensive care unit (ICU) frequently develop ICU delirium. It can profoundly affect both them and their families because it is associated with increased mortality, longer duration of mechanical ventilation, longer hospital and ICU stay and long-term cognitive impairment...
November 23, 2018: Cochrane Database of Systematic Reviews
Estelle Gillès de Pélichy, Karsten Ebbing, Alcina Matos Queiros, Cécile Hanon, Armin von Gunten, Zaia Sellah, Henk Verloo
Background / Aims: The advent of mobile old age psychiatry intervention teams supports policies maintaining older adults in their habitual living environments, even those who are very old and suffering from acute cognitive and psychiatric impairments. Analyzing sociodemographic data, clinical and health characteristics, reasons for crisis-oriented psychiatric consultations, and other therapeutic suggestions for supporting home- or nursing home-dwelling older adult patients suffering from an onset of a psychiatric crisis...
September 2018: Dementia and Geriatric Cognitive Disorders Extra
Eli Feiring, Astrid Eidesvik Lie
BACKGROUND: New approaches to control healthcare expenditures and increase access to quality care are required by decision-makers in high-income countries. One strategy is to reallocate tasks from doctors to nurses. Evidence suggests that quality, effectiveness and efficiency of task shifting are context sensitive and affected by implementation. However, little is known about implementability of task shifting in specialised healthcare. We aimed to identify factors perceived to influence implementation of doctor-to-nurse task shifting in a hospital setting and improve understanding of task shifting implementability by using theory-based frameworks for analysing behaviour...
November 27, 2018: BMC Health Services Research
Eydis Kristin Sveinbjarnardottir, Erla Kolbrun Svavarsdottir
PURPOSE: The aim of the narrative is to describe the therapeutic process and experience from a psychiatric nursing perspective, in therapeutic communication, with a father and his son in acute psychiatry. METHODS: In this case scenario, the Family Strength-Oriented Therapeutic Conversation Intervention (FAM-SOTC Intervention) was used. FINDINGS: The FAM-SOTC Intervention was found to be beneficial for the father-son relationship. PRACTICE IMPLICATION: It is encouraging for nurses in acute psychiatry to know that three short therapeutic conversations can make a difference within the family system...
November 26, 2018: Perspectives in Psychiatric Care
Andrea Baumann, Mary Crea-Arsenio, Mabel Hunsberger, Bonnie Fleming-Carroll, Maragaret Keatings
AIM: To determine how extended orientation enhances the work readiness of new graduate nurses as they transitioned to their professional role in a specialty care hospital. BACKGROUND: Given increased complexity of care and high patient acuity, there is concern about the work readiness of new graduate nurses in specialty areas. DESIGN: Qualitative exploratory study using an inductive approach. METHODS: An integrative literature review was conducted to abstract characteristics of work readiness among new graduate nurses...
November 27, 2018: Journal of Advanced Nursing
Ilenia Segatto, Mara De Marco Zompit, Francesca Citron, Sara D'Andrea, Gian Luca Rampioni Vinciguerra, Tiziana Perin, Stefania Berton, Giorgia Mungo, Monica Schiappacassi, Cristina Marchini, Augusto Amici, Andrea Vecchione, Gustavo Baldassarre, Barbara Belletti
Post-natal development of the mammary gland relies on the maintenance of oriented cell division and apico-basal polarity, both of which are often deregulated in cancer. The microtubule (MT) network contributes to control these processes, however very little is known about the impact of altered MT dynamics in the development of a complex organ and on the role played by MT-interacting proteins such as stathmin. In this study, we report that female stathmin knock-out (STM KO) mice are unable to nurse their litters due to frank impairment of mammary gland development...
November 26, 2018: Cancer Research
Hege Kristin Aslaksen Kaldheim, Ådel Bergland, Mia Alexandra Ølnes, Kristin Hofsø, Alfhild Dihle, Johan Creutzfeldt, Chao Zhang, Simen Alexander Steindal
OBJECTIVES: Simulation-based learning has been extensively explored, especially in baccalaureate nursing programmes. Recently, simulation-based learning has been introduced in perioperative nursing. The aim of this scoping review is to investigate work published on the use of simulation-based learning in the field of perioperative nursing. DESIGN AND DATA SOURCES: A scoping review was conducted using the methodological framework of Arksey and O'Malley to identify a broad range of relevant literature, regardless of study design...
September 21, 2018: Nurse Education Today
Rafic Hussein, Yenna Salamonson, Wendy Hu, Bronwyn Everett
INTRODUCTION: Clinical supervision and transitional support programs are important in supporting the successful transition and retention of new graduate nurses and their intention to work in specialty settings. However, little is known about which elements of support programs influence this intention. This study aimed to examine new graduate nurses' perceptions of clinical supervision and the practice environment, and how these influenced their intention to stay in critical and non-critical care areas following their transitional support program...
November 21, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Yoichi Ohno, Tsuneo Takenaka, Hiromichi Suzuki
OBJECTIVE: This simulation study attempted to infer the systolic blood pressure (SBP) levels at which subjects with hypertension, health nurses, and primary physicians should switch their preference of their treatment policies from lifestyle modifications to antihypertensive medications in virtual Japanese sample populations. METHODS: We assumed that SBP levels were normally distributed and that the incidence rate of cardiovascular disease (IRCVD , events/year) increased exponentially according to SBP...
November 22, 2018: Clinical and Experimental Hypertension: CHE
Shiney Franz, Jürgen Muser, Ulrike Thielhorn, Claus W Wallesch, Johann Behrens
BACKGROUND: Neurological early rehabilitation aims at regaining cooperativity and acquiring rehabilitation capability with brain-injured patients, most of whom are transferred from Intensive Care Units, most of whom still require intensive care and suffer from disorders of consciousness. In neurological early rehabilitation, therapeutic nursing is an integral part of the therapeutic team. Other than the specialized therapists, nurses are present on the ward 24/7, which gives them a closer perspective on the patient...
November 20, 2018: Disability and Rehabilitation
Thierry Bautrant, Michel Grino, Corinne Peloso, Frédéric Schiettecatte, Magali Planelles, Charles Oliver, Caroline Franqui
OBJECTIVES: To determine whether environmental rearrangements of the long-term care nursing home can affect disruptive behavioral and psychological symptoms of dementia (BPSD) in residents with dementia. DESIGN: Prospective 6-month study. SETTING: The study was conducted before (phase 1) and after (phase 2) environmental rearrangements [skylike ceiling tiles in part of the shared premises, progressive decrease of the illuminance at night together with soothing streaming music, reinforcement of the illuminance during the day, walls painted in light beige, oversized clocks in corridors, and night team clothes color (dark blue) different from that of the day team (sky blue)]...
November 16, 2018: Journal of the American Medical Directors Association
Karen Jenkins, Elizabeth Anne Kinsella, Sandra DeLuca
The concept of phronesis is venerable and is experiencing a resurgence in contemporary discourses on professional life. Aristotle's notion of phronesis involves reasoning and action based on ethical ideals oriented towards the human good. For Aristotle, humans possess the desire to do what is best for human flourishing, and to do so according to the application of virtues. Within health care, the pervasiveness of economic agendas, technological approaches and managerialism create conditions in which human relationships and moral reasoning are becoming increasingly de-valued...
November 18, 2018: Nursing Philosophy: An International Journal for Healthcare Professionals
Jean Morrissey, Agnes Higgins
AIMS AND OBJECTIVES: To develop a grounded theory to explain mental health nurses' responses to clients with suicidal behaviour BACKGROUND: Mental health nurses are an integral part of the multi-disciplinary teams supporting people who experience suicidal behaviour, yet limited research is available that explores how nurses respond to the needs of people at risk of suicide and what factors influence their responses and actions. METHODS: Grounded theory was the methodology for this study...
November 15, 2018: Journal of Clinical Nursing
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