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professional boundaries in nursing

Mary Raleigh, Helen Allan
AIM: To explore multiple perspectives on the use of physical assessment skills by Advanced Nurse Practitioners in the UK BACKGROUND: Physical assessment skills practices are embedded in advanced nursing practice roles in the UK. There is little evidence on how these skills are used by Advanced Nurse Practitioners' on the community. DESIGN: Case study METHODOLOGY AND METHODS: A qualitative interpretative single-embedded case study of 22 participants from South of England...
October 7, 2016: Journal of Clinical Nursing
Ann Malley, Gary J Young
AIMS: To explore the issues and challenges of care transitions in the preoperative environment. BACKGROUND: Ineffective transitions play a role in a majority of serious medical errors. There is a paucity of research related to the preoperative arena and the multiple inherent transitions in care that occur there. DESIGN: Qualitative descriptive design was used. METHODS: Semi-structured interviews were conducted in a 975 bed academic medical center...
October 5, 2016: Journal of Clinical Nursing
Melanie Birks, Jenny Davis, John Smithson, Robyn Cant
The nursing profession comprises Australia's largest regulated health workforce yet its practice boundaries are poorly understood. The ambiguity surrounding the practice scope of nurses limits the profession's ability to fully respond to Australia's current and emerging health system challenges. The aim of this review is to explore the concept of scope of practice of registered nurses (RN) in Australia, as reflected in contemporary literature. An integrative review of literature relating to the scope of practice of the Australian registered nurse published between 2007 and 2014 was conducted...
October 13, 2016: Contemporary Nurse
Allyson Mary Davys, Michael O'Connell, Janet May, Beverley Burns
The evaluation of professional supervision has been a focus for discussion in the supervision literature over past decades. A review of the literature in this area, however, suggests that evaluation has been differently defined, variously addressed, and a range of outcomes reported. The present study reports the findings of the first stage of a three-stage study of evaluation in professional supervision in Aotearoa/New Zealand. Experienced practitioners from the four professions of counselling, mental health nursing, psychology, and social work were interviewed to explore how evaluation in professional supervision is understood and actioned in practice...
September 12, 2016: International Journal of Mental Health Nursing
Pamela J Wood
AIMS AND OBJECTIVES: To examine lay-professional nursing boundaries, using challenges to the New Zealand nursing profession following the 1918-19 influenza pandemic as the example BACKGROUND: The influenza pandemic of 1918-19 had an overwhelming international impact on communities and the nursing profession. After the pandemic, the expectation for communities to be able to nurse the sick reflects today's increasing reliance on families to care for people at home. It similarly raised questions about the profession's role and professional boundaries in relation to volunteer or lay nursing...
August 29, 2016: Journal of Clinical Nursing
Mandy Day-Calder
A trusting relationship is fundamental to effective nursing practice. Patients need to feel safe in your care and believe you will act in their best interest at all times.
August 17, 2016: Nursing Standard
Julie McGarry, Parveen Ali, Sharron Hinchliff
AIMS AND OBJECTIVES: The purpose of this meta-synthesis was to explore qualitative evidence in older women with a history of Intimate partner violence (IPV) and their accounts and experiences of mental health. BACKGROUND: Intimate partner violence significantly impacts the health and wellbeing of women who experience it. However, women who experience intimate partner violence do not form a homogenous group and the effect on older women has not been adequately distinguished...
August 3, 2016: Journal of Clinical Nursing
Marjolein M Iversen, Birgitte Espehaug, Marie F Hausken, Marit Graue, Truls Østbye, Svein Skeie, John G Cooper, Grethe S Tell, Bodo Erhardt Günther, Håvard Dale, Hilde Smith-Strøm, Beate-Christin H Kolltveit, Marit Kirkevold, Berit Rokne
BACKGROUND: This paper presents the protocol for an ongoing study to evaluate a telemedicine follow-up intervention for patients with diabetes-related foot ulcers. Diabetes-related foot ulcers represent challenges for patients and the health services. The large increase in the prevalence of diabetes, combined with the aging population, means that the absolute number of patients with diabetes-related foot ulcers is likely to continue to increase. Health care services therefore need to provide close clinical follow-up care for people with diabetes both in primary and specialist care...
2016: JMIR Research Protocols
Endang Lestari, Renée E Stalmeijer, Doni Widyandana, Albert Scherpbier
BACKGROUND: Healthcare is generally provided by various health professionals acting together. Unfortunately, poor communication and collaboration within such healthcare teams often prevent its members from actively engaging in collaborative decision-making. Interprofessional education (IPE) which prepares health professionals for their collaborative role in the healthcare system may partially address this problem. This study aimed to investigate: 1) students' readiness for IPE in an Asian context, 2) the most important factors influencing students' perceptions of IPE, 3) the reasons underlying such perceptions, and 4) the factors mitigating or promoting their sense of readiness...
2016: BMC Medical Education
Debbie Stayer, Joan Such Lockhart
BACKGROUND: Despite reported challenges encountered by nurses who provide palliative care to children, few researchers have examined this phenomenon from the perspective of nurses who care for children with life-threatening illnesses in pediatric intensive care units. OBJECTIVES: To describe and interpret the essence of the experiences of nurses in pediatric intensive care units who provide palliative care to children with life-threatening illnesses and the children's families...
July 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Oshan Fernando, Natalie G Coburn, Avery B Nathens, Julie Hallet, Najma Ahmed, Lesley Gotlib Conn
Optimal interprofessional communication (IPC) is broadly viewed as a prerequisite to providing quality patient care. In this study, we explored the enablers and barriers to IPC between surgical trainees and ward nurses with a view towards improving IPC and the quality of surgical patient care. We conducted an ethnography in two academic centres in Canada totalling 126 hours of observations and 32 semi-structured interviews with trainees and nurses. Our findings revealed constraints on IPC between trainees and nurses derived from contested meanings of space and time...
September 2016: Journal of Interprofessional Care
Rebecca Barrow, Steve Mee, Alison Buckley, Louise Corless
This series exploring how narratives can be used to reflect on practice has focused on patient narratives. This sixth article uses nurse narratives to explore professional boundaries between patients and nurses. These can be difficult to negotiate and can depend on individual circumstances: what may be appropriate in one situation may be unacceptable in another.
April 20, 2016: Nursing Times
Dave Clarke
Theme: Nursing education, management and leadership.
May 9, 2016: Nursing Children and Young People
Joanna Smith, Veronica Swallow, Imelda Coyne
UNLABELLED: Theme: Complex health care and chronic disease management. INTRODUCTION: Health policy advocates that professionals involve parents in care and care decisions, yet models advocating involvement are not embedded into practice. AIM: Identify the shared antecedents and key attributes associated with embedding family-centred care (FCC) and partnership-in-care (PiC) into practice. METHODS: A concept synthesis was undertaken by searching three databases (Scopus, CINAHL, BNI 1999-2014); shared antecedents and attributes were extrapolated from the 30 studies that met defined inclusion criteria...
May 9, 2016: Nursing Children and Young People
Catriona Matheson, Helen D Robertson, Alison M Elliott, Lisa Iversen, Peter Murchie
BACKGROUND: The modern primary healthcare workforce needs to be resilient. Early research framed professional resilience as avoiding 'burnout'; however, more recent literature has introduced the concept of positive adaptation to professional challenges, which results in individuals thriving in their role. AIM: To explore what primary health professionals working in challenging environments consider to be characteristics of resilience and what promotes or challenges professional resilience...
July 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Quinn Grundy, Lisa A Bero, Ruth E Malone
BACKGROUND: The mainstay for addressing conflicts of interest in health care is disclosure of personal financial ties to industry. However, this approach fails to capture the complexity of industry interactions that are built into clinical practice. Further, the policy climate focuses on physicians and traditional pharmaceutical marketing. OBJECTIVE: To describe industry activities targeted at registered nurses. DESIGN: Qualitative, ethnographic study conducted from January 2012 to October 2014...
June 7, 2016: Annals of Internal Medicine
Peter R Worsley, Paul Clarkson, Dan L Bader, Lisette Schoonhoven
OBJECTIVES: To evaluate the barriers and facilitators for allied health professional's participation in pressure ulcer prevention. DESIGN: Mixed method cohort study. SETTING: Single centre study in an acute university hospital trust. PARTICIPANTS: Five physiotherapists and four occupational therapists were recruited from the hospital trust. Therapists had been working in the National Health Service (NHS) for a minimum of one year...
February 22, 2016: Physiotherapy
Helen Graves, Christopher Garrett, Stephanie A Amiel, Khalida Ismail, Kirsty Winkley
AIM: Evidence for the efficacy of psychological skills training as a method of supporting patients' self-management is growing, but there is a shortage of mental health providers with specialist diabetes knowledge to deliver them. Primary care nurses are now increasingly expected to learn and use these techniques. This study explores nurse experience of training in six psychological skills to support patients' self-management of type 2 diabetes. METHODS: Semi-structured interviews elicited themes relating to nurses' experiences of participating in a trial of a psychological intervention, the Diabetes-6 study (D-6)...
October 2016: Primary Care Diabetes
Pascale Veissier
Often underestimated, hospital auxiliary staff carry out on a daily basis a professional activity that may be difficult to define and/or recognize. What does their work consist in and what are the boundaries of the scope of their activity? Faced with a growing rate of absenteeism among these members of staff in a nursing home for elderly people attached to a hospital, an issue emerges: does the content of their professional activity have an impact on the causes and evolution of this phenomenon?
March 2016: Soins. Gérontologie
Victoria Arrowsmith, Margaret Lau-Walker, Ian Norman, Jill Maben
AIM: To understand nurses' perceptions and experiences of work role transitions. BACKGROUND: Globally an uncertain healthcare landscape exists and when changing work roles nurses experience periods of transition when they may not cope well. A greater understanding of work role transitions may help facilitate workforce retention and successful careers. DESIGN: Mixed methods systematic review. DATA SOURCES: Six data bases were searched for peer reviewed primary empirical research, published in English language between January 1990 and December 2014, supplemented by hand and citation searching...
August 2016: Journal of Advanced Nursing
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