804 resultados para Education. Nursing. Associate. Nurses Aides. Patient care planning. Nursing process
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Limportance du rle de linfirmire dans le systme de sant autant au niveau de laccessibilit que la qualit et la scurit des soins et services donns la population est reconnue. Pour tre en mesure dexercer pleinement ce rle, les infirmires doivent tre en mesure dexercer leur pleine tendue de pratique. Les infirmires uvrant dans le domaine de la sant mentale ny font pas exception. Or, les recherches dmontrent que les infirmires ne parviennent pas mettre en oeuvre lensemble des activits pour lesquelles elles dtiennent la formation et lexprience. Cette recherche vise mesurer ltendue de pratique effective des infirmires oeuvrant en sant mentale ainsi qu identifier linfluence du niveau de formation sur cette tendue de pratique. Cette tude prend appui sur le SCOP model de Dry et al. (2015) qui mentionne que certaines caractristiques de lenvironnement et individuelles, telles que le niveau de formation, peuvent influencer ltendue effective de la pratique des infirmires. Le dploiement de cette tendue de pratique a le potentiel dinfluencer son tour la satisfaction professionnelle des infirmires (Dry et al., 2013), la qualit des soins aux patients ainsi que dautres variables organisationnelles telles que laccessibilit, les dures moyennes de sjours et les cots. Un devis corrlationnel descriptif a t retenu pour cette tude. Un questionnaire de type Likert a t complt par les infirmires (n=80) dun Institut universitaire en sant mentale du Qubec. Des analyses de la variance ont t utilises pour comparer les moyennes dtendue de pratique selon les ni-veaux de formation. Les rsultats dmontrent un dploiement sous-optimal de ltendue de la pratique des infirmires (4,24/6; E.T.= 0,63). Cette tendue de pratique est tout de mme suprieure ltendue de pratique des infirmires dautres milieux qui a t mesure laide du questionnaire de ltendue de la pratique infirmire (QPI). Les analyses effectues concernant linfluence du niveau de formation sur ltendue de pratique nont rvles aucune diffrence significative entre les niveaux de formation F (3, 77) = 0,707, p = 0,551. Le niveau de formation des infirmires, la prsence dun biais de reprsentation, le manque de puissance statistique et certaines caractristiques de lemploi peuvent expliquer ces rsultats. Les rsultats de cette tude semblent constituer une recherche empirique initiale puisqu'il sagit ce jour de lunique recherche avoir mesur ltendue de pratique des infirmires uvrant en sant mentale laide du QPI et avoir tent de connatre linfluence que pouvait avoir le niveau de formation sur ltendue de leur pratique.
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Spirituality is considered a dimension of nursing care, which is often recognized as being neglected, mainly due to a lack of education. Several studies have addressed nursing students perceptions and skills for providing spiritual care, but there is little evidence on how spirituality is addressed in undergraduate nursing curricula. This study comprised Portuguese and Brazilian nursing schools (from So Paulo) and describes how spirituality is addressed in undergraduate nursing curricula. It is descriptive and the survey research was performed in 20142015. The questionnaire was composed of closed and open-ended questions and was sent by e-mail. A total of 129 answers were obtained, mostly from Portugal. Results indicated that several curricular units include spirituality, although having different contents. The learning outcomes are consistent with improving nursing students integral education, developing the clinical reasoning regarding spirituality, and improving the assessment of the patient across the life span. Nevertheless, it seems that spirituality is poorly addressed in clinical practice. Few nursing schools have courses or curricular units specifically dealing with spirituality, but they do provide some form of teaching on the subject. No standard curriculum exists, but teachers believe that it is a very important subject that should be included in the courses taught.
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Aim: The purpose of this study was to define nursing interventions for patients with venous, arterial or mixed leg ulcers. Methodology: A survey was conducted in EBSCO (CINAHL Plus with Full Text, MEDLINE with Full Text), MedicLatina, Academic Search Complete, with full text articles, published between 2008/01/01 and 2015/01/31, with the following keywords: [(MM "leg ulcer") OR (wound care) OR (wound healing)] AND [(nursing) OR (nursing assessment) OR (nursing intervention)]. Results: The different leg ulcer etiologies require different therapeutic approach to prevention and treatment. Predictive factors were identified associated with healing: patient-centred care, interpersonal relationship, pain control, control of the exudate, education for health self-management, self-care, therapeutic compliance, implementation of guidelines, auditing and feedback on the practices. Conclusion: Evidence-based practice helps to improve efficiency, safety and quality of nursing care directed to people with leg ulcers or at risk of developing this type of wounds.
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Nursing is at the same time a vocation, a profession and a job. By nature, nursing is a moral endeavor, and being a `good nurse` is an issue and an aspiration for professionals. The aim of our qualitative research project carried out with 18 nurse teachers at a university nursing school in Brazil was to identify the ethical image of nursing. In semistructured interviews the participants were asked to choose one of several pictures, to justify their choice and explain what they meant by an ethical nurse. Five different perspectives were revealed: good nurses fulfill their duties correctly; they are proactive patient advocates; they are prepared and available to welcome others as persons; they are talented, competent, and carry out professional duties excellently; and they combine authority with power sharing in patient care. The results point to a transition phase from a historical introjection of religious values of obedience and service to a new sense of a secular, proactive, scientific and professional identity.
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The first two chapters of Best practice for the care of patients with tuberculosis: a guide for low-income countries include an introduction and guidance regarding implementation of best practice. The background to how the guide was developed is significant, as it was developed in collaboration with nurses and other health workers working in the most challenging settings. It therefore provides realistic and practical guidance for best practice where patient loads are large and resources are stretched. Guidance regarding standard setting and clinical audit is an important part of enabling people to recognise the strengths that already exist in their practice and approach those areas that require change in a systematic and practical way. The guide itself consists of a series of standards covering different aspects of patient care, from the moment they seek health care with symptoms to their diagnosis to early stages of treatment, directly observed treatment, the continuation phase and transfer of treatment. There are also standards relating specifically to HIV testing and the care of patients co-infected with tuberculosis and HIV. The standards themselves will appear in full in the subsequent chapters of this series.
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The diagnosis and subsequent treatment of prostate cancer is followed by a range of significant disease specific and iatrogenic sequelae. However, the supportive care needs of men with prostate cancer are not well described in the literature. The present study assesses the supportive care needs of men with prostate cancer who are members of prostate cancer self-help groups in Queensland, Australia. In all, 206 men aged between 48 and 85 years (mean = 68) completed the Supportive Care Needs Survey (SCNS) (62% response). The SCNS is a validated measure assessing perceived need in the domains of psychological needs, health system and information needs, physical and daily living needs, patient care and support, and sexuality. Items assessing need for access to services and resources were also included. One third of the sample reported a moderate to high need for help for multiple items in the sexuality, psychological and health system and information domains. Younger men reported greater need in the sexuality domain; living in major urban centres was predictive of greater psychological need; being closer to the time of diagnosis was related to greater need for help in the physical and daily living domain; having prostate cancer that is not in remission, having received radiation therapy, and lower levels of education were predictive of greater need for help in patient care and support. Of the total sample, 55% of men had used alternative cancer treatments in the past 12 months, with younger and more educated men more likely to use alternative therapies. Interventions in sexuality, psychological concerns and informational support are priorities for men with prostate cancer. Copyright (C) 2001 John Wiley & Sons, Ltd.
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This review discusses the issues to be considered in establishing new or extending existing high dependency unit (HDU) services. A defined high dependency service becomes cost-effective when patient care requires more than one nurse for three patients. Professional guidelines for HDUs vary and there are no national accreditation criteria. Casemix and service delivery specifications for the HDU need to be defined and agreed upon within the institution. Establishing a new HDU service requires changes to care delivery. Many potential HDU patients are currently managed in general wards or in the intensive care unit. The service should be discussed widely and marketed within the institution, and the development of defined working relationships with the ICU and primary care teams oil the wards is mandatory.
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This study assessed the impact of a randomized trial of nursing-based case management for patients with chronic obstructive pulmonary disease, their caregivers, and nursing and medical staff. Sixty-six patients were matched by FEV1 on admission to hospital, and randomized into an intervention or control group. Intervention group patients reported significantly less anxiety at 1 month postdischarge; however, this effect was not sustained. There was little difference between groups in terms of unplanned readmissions, depression, symptoms, support, and subjective well being. Interviews with patients and caregivers found that the case management improved access to resources and staff-patient communication. Interviews with nursing and medical staff found that case management improved communication between staff and enhanced patient care.
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OBJECTIVE: To evaluate the effectiveness of a program designed to reduce back pain in nursing aides. METHODS: Female nursing aides from a university hospital who had suffered episodes of back pain for at least six months were included in the study. Participants were randomly divided into a control group and an intervention group. The intervention program involved a set of exercises and an educational component stressing the ergonomic aspect, administered twice a week during working hours for four months. All subjects answered a structured questionnaire and the intensity of pain was assessed before and after the program using a visual analogue scale (VAS). Student's t-test or the Wilcoxon Rank Sum Test for independent samples, and Chi-square test or the Exact Fisher test for categorical analysis, were used. The McNemar test and the Wilcoxon matched pairs test were used to compare the periods before and after the program. RESULTS: There was a statistically significant decrease in the frequency of cervical pain in the last two months and in the last seven days in the intervention group. There was also a reduction in cervical pain intensity in the two periods (2 months, 7 days) and lumbar pain intensity in the last 7 days. CONCLUSIONS: The results suggest that a program of regular exercise with an emphasis on ergonomics can reduce musculoskeletal symptoms in nursing personnel.
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RESUMO: O envelhecimento demogrfico uma realidade dos nossos dias. A preparao da alta de enfermagem um elemento da prestao de cuidados que pode ser explorado na fase de envelhecimento para dotar os idosos de conhecimentos, capacidades e responsabilidade na gesto da sua condio de sade. Deste modo delineou-se um estudo de tipo descritivo, transversal e exploratrio com o objectivo de analisar e compreender o processo de preparao da alta hospitalar de enfermagem ao idoso internado por agudizao de doena, que se apresente autnomo no momento da alta, de modo a capacit-lo para a gesto da sua condio de sade. O estudo decorreu num Servio de Medicina Interna. Definiu-se como fontes de informao e mtodos de colheita de dados 25 entrevistas a idosos, 16 questionrios abertos a enfermeiros prestadores de cuidados e anlise dos registos do processo de internamento dos idosos. Como principais resultados destacamos que os idosos quando internados apresentam preocupaes relacionadas com a sua condio de sade e o motivo de internamento, os quais so pouco valorizadas na preparao da alta; os cuidados com a sade que os idosos tm antes do internamento so valorizados nos registos de enfermagem; um tero dos idosos no teve conhecimento do seu diagnstico mdico; os diagnsticos de enfermagem activos no momento da alta no so contemplados na preparao da alta; os idosos com a aproximao do regresso a casa manifestam preocupaes sobre os cuidados a ter com a sua sade e manifestam interesse em ser informados sobre os mesmos; os idosos sentem pouca disponibilidade por parte dos enfermeiros para a preparao da alta; as intervenes de preparao da alta centram-se em intervenes do tipo ensinar, instruir e treinar, tendo-se verificado discrepncias sobre os cuidados prestados e o seu contedo sob as vrias fontes de informao; o dilogo a estratgia de preparao da alta que prevalece; mais informao e informao escrita so aspectos que podem melhorar a preparao da alta segundo os idosos. Podemos assim concluir que no existe uma estrutura de preparao da alta a idosos com capacidade para gerir a sua condio de sade e que muito pode ser melhorado em termos de preparao da alta a idosos no sentido de tomar o mximo partido deste elemento dos cuidados e assim obter ganhos em sade. ----------- ABSTRACT: The demographic aging is a reality nowadays. The nursing discharge planning is an element of care that should be studied on aging to provide older people with knowledge, abilities and responsibility in order to deal their health condition. Thus, it was outlined a descriptive study, transversal and exploratory in order to analyze and understand how the process nursing discharge occurs, by planning the elderly hospitalized with acute disease, in order to support patients for better management of health conditions. The study was carried in an Internal Medicine Service of a Central Hospital. As information sources and methods of data collection, we defined 25 interviews with elderly, 16 open-ended questionnaires to nurses and analysis of records from the process of the elderly hospitalized. In the main results we observe the elderly hospitalized have concerns about their health condition and the reason for their hospitalization, which are undervalued in the discharge planning process; the health care reported by elderly related to time before hospitalization were registered in nursing records; one-third of the elderly dont know the medical diagnosis; the active nursing diagnosis at discharge assets are not included in the discharge planning process; in the discharge, the elderly had concerns over the care of their health and expressed interest in being informed of it; the elderly dont feel availability from the nurses in the discharge planning; the discharge interventions focus on interventions like teaching, instructing and training, and there have been different views about the care provided and its contents under the various sources of information; the high prevailing strategy to discharge planning is the dialogue; more information and written information are aspects that can improve the discharge planning process. We conclude that there is no structure in discharge planning for the elderly with high ability to manage his health condition. There are several things that can be improved to the discharge planning for the elderly in order to take full advantage of this element of care.
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The occurrence of Barotrauma is identified as a major concern for health professionals, since it can be fatal for patients. In order to support the decision process and to predict the risk of occurring barotrauma Data Mining models were induced. Based on this principle, the present study addresses the Data Mining process aiming to provide hourly probability of a patient has Barotrauma. The process of discovering implicit knowledge in data collected from Intensive Care Units patientswas achieved through the standard process Cross Industry Standard Process for Data Mining. With the goal of making predictions according to the classification approach they several DM techniques were selected: Decision Trees, Naive Bayes and Support Vector Machine. The study was focused on identifying the validity and viability to predict a composite variable. To predict the Barotrauma two classes were created: risk and no risk. Such target come from combining two variables: Plateau Pressure and PCO2. The best models presented a sensitivity between 96.19% and 100%. In terms of accuracy the values varied between 87.5% and 100%. This study and the achieved results demonstrated the feasibility of predicting the risk of a patient having Barotrauma by presenting the probability associated.
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This document is intended to be a practical clinical guideline for the control of pain in patients with cancer. Its target group is hospital staff, primary care team members and nursing home staff. It attempts to apply the clinical principles outlined in the document 'Control of Pain in Patients with Cancer' published by "Scottish Intercollegiate Guidelines Network" (SIGN). This document has been adapted with the permission of SIGN. Rigour of Development A full evidence based reference list is available with the SIGN document. This can be accessed at www.sign.ac.uk. Contents not based on the SIGN document are referenced separately. This document has been developed as one part of the recommendations identified in the Regional Review of Palliative Care Services, 'Partnerships in Caring'. The development of these Pain Guidelines was led by the Northern Ireland Group of the National Council for Hospice and Specialist Palliative Care, whose membership is detailed in Appendix 4. They will be reviewed and updated in two years. A wide consultation process with potential users was undertaken.
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The Department has produced a series of information sheets for doctors,nurses, those delivering personal health budgets, allied health professionals, health trainers and anyone supporting individuals with long term conditions. The information sheets cover a range of topics including care planning, care co-ordination, managing need and assessment of risk, motivating people to self care, goal setting and action planning and end of life care.Download information sheet 1: Personalised care planning (PDF, 2514K)Download information sheet 2: Personalised care planning diagram (PDF, 2213K)Download information sheet 3: Care co-ordination (PDF, 1967K.
