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professional boundaries in nursing

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https://www.readbyqxmd.com/read/29301519/iterative-co-creation-for-improved-hand-hygiene-and-aseptic-techniques-in-the-operating-room-experiences-from-the-safe-hands-study
#1
Annette Erichsen Andersson, Maria Frödin, Lisen Dellenborg, Lars Wallin, Jesper Hök, Brigid M Gillespie, Ewa Wikström
BACKGROUND: Hand hygiene and aseptic techniques are essential preventives in combating hospital-acquired infections. However, implementation of these strategies in the operating room remains suboptimal. There is a paucity of intervention studies providing detailed information on effective methods for change. This study aimed to evaluate the process of implementing a theory-driven knowledge translation program for improved use of hand hygiene and aseptic techniques in the operating room...
January 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29235944/experience-of-touch-in-health-care-a-meta-ethnography-across-the-health-care-professions
#2
Martina Ann Kelly, Lara Nixon, Caitlin McClurg, Albert Scherpbier, Nigel King, Tim Dornan
Touch mediates health professionals' interactions with patients. Different professionals have reported their practices but what is currently lacking is a well-theorized, interprofessional synthesis. We systematically searched eight databases, identified 41 studies in seven professions-nursing (27), medicine (4), physiotherapy (5), osteopathy (1), counseling (2), psychotherapy (1), dentistry (1)-and completed a meta-ethnographic line-of-argument synthesis. This found that touch is caring, exercises power, and demands safe space...
January 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29171077/louisa-may-alcott-and-hospital-sketches-an-innovative-approach-to-gender-and-nursing-professionalization
#3
Ana Choperena Armendáriz, Julie Fairman
AIM: To show the development of an emerging nursing profession through the eyes of Louisa May Alcott and Hospital Sketches. BACKGROUND: In Hospital Sketches, Louisa May Alcott recounts her experiences when she worked as a nurse of injured soldiers during the American Civil War, in an autobiographically and masked-referential way, which allows her to negotiate between transgression and convention. Unlike other reviews, in this paper the relevance of nursing remains highlighted...
November 23, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29149499/being-there-and-reconnecting-midwives-perceptions-of-the-impact-of-mindfulness-training-on-their-practice
#4
Louise Hunter, Sarah Snow, Sian Warriner
OBJECTIVE: To ascertain how midwives perceived attending a mindfulness course impacted on their professional practice, particularly in regard to any stress they experienced at work. DESIGN: A qualitative study using Interpretive Phenomenological Analysis. Semi-structured interviews were conducted with nine midwives. SETTING: A large maternity Trust in the United Kingdom. INTERVENTION: An eight-week Mindfulness course, adapted from Mindfulness-based Cognitive Therapy...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29148326/understanding-professional-jurisdiction-changes-in-the-field-of-anesthesiology
#5
Scott Feyereisen, Joseph P Broschak, Beth Goodrick
We further our understanding of jurisdictional disputes between established professional groups through a 10-year longitudinal analysis of the differential adoption by U.S. states of policies expanding Certified Registered Nurse Anesthetists' (CRNAs) autonomy. In the United States, CRNAs are trained to deliver anesthetics to patients in the same way as physician anesthesiologists but have more restrictions in practice. Following a 2001 federal decision regarding Medicare reimbursement, states were permitted but not required to allow CRNAs to practice without physician supervision, potentially reducing health care costs...
January 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29084349/bridging-understanding-in-nursing-and-radiography-students-an-interprofessional-experience
#6
April L Mouser, Linda Wallace, Bridget Whitmore, Heidi Sebastian
Health professionals must improve interprofessional communication and collaboration to ensure quality patient care. Through socialization, simulation, and case-based learning, improved collaboration among health professions is possible. Students from two programs, nursing and radiography, were involved in interprofessional activities, including case studies, simulation, and debriefing. The students completed a pre- and postsurvey to assess attitudes and knowledge of each profession. Data were analyzed in SPSS using paired t tests...
October 30, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28969998/the-experiences-of-burmese-healthcare-interpreters-iam-in-maternity-services-in-thailand
#7
Titaree Phanwichatkul, Elaine Burns, Pranee Liamputtong, Virginia Schmied
BACKGROUND: Interpreters (lam in Thai) have been employed in maternity services in Thailand due to increasing numbers of Burmese women migrating to Thailand. Access to healthcare interpreters is crucial for health professionals and Burmese migrant women using Thai maternity services but no studies have examined the role of the lam. AIM: This paper explores the role and experiences of healthcare interpreters (lam) working in Thailand. The perspectives of nurse-midwives and migrant Burmese women regarding the role of the lam are also included...
September 29, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28917155/crossing-the-gender-boundaries-the-gender-experiences-of-male-nursing-students-in-initial-nursing-clinical-practice-in-taiwan
#8
Hsing-Yuan Liu, Yun Ling Li
BACKGROUND: The initial nursing clinical practice is the necessary practicum required for nursing students. Because of the changing learning style, many of them are under great pressure for environmental change and therefore their daily routine is severe affected. Interacting directly with patients in a female-dominated occupation, along with the general gender stereotypes, the impact is especially significant to male nursing students than to female nursing students. PURPOSE: The purpose of this preliminary qualitative study is to explore the gendered experiences of male nursing students during their first initial nursing clinical practice...
September 1, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28882150/care-managers-professional-choices-ethical-dilemmas-and-conflicting-expectations
#9
Siri Tønnessen, Gøril Ursin, Berit Støre Brinchmann
BACKGROUND: Care-managers are responsible for the public administration of individual healthcare decisions and decide on the volume and content of community healthcare services given to a population. The purpose of this study was to investigate the conflicting expectations and ethical dilemmas these professionals encounter in their daily work with patients and to discuss the clinical implications of this. METHODS: The study had a qualitative design. The data consisted of verbatim transcripts from 12 ethical reflection group meetings held in 2012 at a purchaser unit in a Norwegian city...
September 7, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28877619/-that-was-a-good-shift
#10
Anya Johnson, Helena Nguyen, Sharon K Parker, Markus Groth, Steven Coote, Lin Perry, Bruce Way
Purpose The purpose of this paper is to investigate a boundary spanning, interprofessional collaboration between advanced practice nurses (APNs) and junior doctors to support junior doctors' learning and improve patient management during the overtime shift. Design/methodology/approach A mixed methods evaluation of an intervention in an adult tertiary referral hospital, to enhance interprofessional collaboration on overtime shifts. Phase 1 compared tasks and ward rounds on 86 intervention shifts with 106 "regular" shifts, and examined the effect on junior doctor patient management testing a model using regression techniques...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28802979/navigating-professional-and-prescribing-boundaries-implementing-nurse-prescribing-in-new-zealand
#11
Anecita Gigi Lim, Nicola North, John Shaw
Non-medical prescribing is now well established in a number of countries. Because prescribing has traditionally been viewed as a medical role, there are inevitable interprofessional boundary tensions when non-medical prescribing is introduced. In New Zealand, enabling legislation has allowed nurse practitioners to apply for prescriptive authority after undertaking appropriate educational preparation. This study explored the experiences and perspectives of one of the first cohorts of nurse prescribers and their strategies in establishing the role and negotiating the associated professional boundaries...
November 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28728768/maintaining-integrity-how-nurses-navigate-boundaries-in-pediatric-palliative-care
#12
Alyssa Erikson, Betty Davies
PURPOSE: To explore how nurses manage personal and professional boundaries in caring for seriously ill children and their families. DESIGN AND METHODS: Using a constructivist grounded theory approach, a convenience sample of 18 registered nurses from four practice sites was interviewed using a semi-structured interview guide. RESULTS: Nurses across the sites engaged in a process of maintaining integrity whereby they integrated two competing, yet essential, aspects of their nursing role - behaving professionally and connecting personally...
July 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28702089/diabetes-educator-role-boundaries-in-australia-a-documentary-analysis
#13
Olivia King, Susan Nancarrow, Sandra Grace, Alan Borthwick
BACKGROUND: Diabetes educators provide self-management education for people living with diabetes to promote optimal health and wellbeing. Their national association is the Australian Diabetes Educators Association (ADEA), established in 1981. In Australia the diabetes educator workforce is a diverse, interdisciplinary entity, with nurses, podiatrists, dietitians and several other health professional groups recognised by ADEA as providers of diabetes education. Historically nurses have filled the diabetes educator role and anecdotally, nurses are perceived to have wider scope of practice when undertaking the diabetes educator role than the other professions eligible to practise diabetes education...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28699452/use-social-media-to-motivate-patients
#14
Heather Henry
There are challenges and risks in using social media that are well documented in guidance from the Nursing and Midwifery Council, the RCN and online platforms such as WeCommunities. Confidentiality, boundaries, appropriate use by vulnerable groups, and responsible and sensitive communication are recurrent themes. The unintended consequence of this may be to deter some nurses from using social media in their professional lives.
July 12, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28677200/the-nature-of-the-therapeutic-alliance-between-nurses-and-consumers-with-anorexia-nervosa-in-the-inpatient-setting-a%C3%A2-mixed-methods-study
#15
Joel S Zugai, Jane Stein-Parbury, Michael Roche
AIMS AND OBJECTIVES: To develop a greater understanding of the nature of the inpatient therapeutic alliance between nurses and consumers with Anorexia Nervosa (AN). BACKGROUND: Consumers with AN value interpersonal relationships with nurses, finding these relationships meaningful and therapeutic. It is established that the therapeutic alliance enhances outcomes for consumers with AN. However, establishing the therapeutic alliance in the inpatient setting is considered challenging...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28651552/understanding-factors-affecting-collaboration-between-midwives-and-other-health-care-professionals-in-a-birth-center-and-its-affiliated-quebec-hospital-a-case-study
#16
Roxana Behruzi, Stephanie Klam, Marleen Dehertog, Vania Jimenez, Marie Hatem
BACKGROUND: A better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this research was to explore the barriers and facilitators of the interprofessional and interorganizational collaboration between midwives in birthing centers and other health care professionals in hospitals in Quebec...
June 26, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28457775/experiences-of-rural-and-remote-nurses-assisting-with-disasters
#17
Judith C Kulig, Kelly Penz, Chandima Karunanayake, Martha L P MacLeod, Sharleen Jahner, Mary Ellen Andrews
BACKGROUND: Globally, disasters are on the rise. Nurses play a significant role in responding to such events but little is known about rural and remote nurses' experiences. METHODS: A national cross-sectional survey of regulated nurses (registered nurses, registered psychiatric nurses, licensed practical nurses and nurse practitioners) in rural and remote Canada provided the data (n=2465) for the logistic regression of predictors of assisting with a disaster event within the last five years...
May 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28440589/prime-movers-advanced-practice-professionals-in-the-role-of-stroke-coordinator
#18
Nicholas A Rattray, Teresa M Damush, Cherie Luckhurst, Catherine J Bauer-Martinez, Barbara J Homoya, Edward J Miech
BACKGROUND AND PURPOSE: Following a stroke quality improvement clustered randomized trial and a national acute ischemic stroke (AIS) directive in the Veterans Health Administration in 2011, this comparative case study examined the role of advanced practice professionals (APPs) in quality improvement activities among stroke teams. METHODS: Semistructured interviews were conducted at 11 Veterans Affairs medical centers annually over a 3-year period. A multidisciplinary team analyzed interviews from clinical providers through a mixed-methods, data matrix approach linking APPs (nurse practitioners and physician assistants) with Consolidated Framework for Implementation Research constructs and a group organization measure...
July 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28423478/a-qualitative-study-of-community-nurses-decision-making-around-the-anticipatory-prescribing-of-end-of-life-medications
#19
Ben Bowers, Sarah A Redsell
AIMS: The aim of this study was to explore community nurses' decision-making processes around the prescribing of anticipatory medications for people who are dying. BACKGROUND: Community nurses frequently initiate the prescribing of anticipatory medications to help control symptoms in those who are dying. However, little is known about their decision-making processes in relation to when they instigate anticipatory prescribing and their discussions with families and General Practitioners...
April 19, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28423216/tokenistic-or-genuinely-effective-exploring-the-views-of-voluntary-sector-staff-regarding-the-emerging-peer-support-worker-role-in-mental-health
#20
Emma Kilpatrick, Sinead Keeney, Claire-Odile McCauley
WHAT IS KNOWN ON THE SUBJECT: The introduction of PSWs within mental health services has grown substantially both internationally and locally; however, no recognized studies have focused on the evolvement of this role within a Northern Ireland (NI) context. Research is increasingly focusing on service users' and PSWs perspectives on mental health service provision. Despite this, few studies exist which exclusively report staff views in relation to the PSW role. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: Results of the current study identified varying perspectives on the peer role...
April 19, 2017: Journal of Psychiatric and Mental Health Nursing
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