{"title":"Cultural Competence in Nursing Care: Looking Beyond Practice.","authors":"Calixtus Abiodun Okere","doi":"10.1097/NUR.0000000000000706","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000706","url":null,"abstract":"I t is a common adage that one should practice what he/ she preaches, which brings to mind a time when ethical standards were intertwined with every facet of daily life, including the workplace, social gatherings, and educational settings. The moral standard was held to such a lofty level that it eventually evolved into the standard by which people conducted their lives throughout the 1970s and beyond. Things are different now that we are in the 21st century, and the importance that was formerly attached to morals and decorum is progressively disappearing. Understanding the ethical issues that govern the practice of nursing and having the ability to critically discern the things that come a person's way during care intervention are 2 examples of the standards of behavior that are expected from nurses in the workplace. According to Murphy and Kaihlanen et al, the relevance of cultural competence in nursing has never been as vital as it is today. This is especially true in light of the globalization of the nursing profession. The nurse is able to acknowledge, relate to, and interact in an acceptable and successful manner with the patient, as well as other members of the multidisciplinary team (MDT) and the patient's family, when they have cultural awareness. This helps the nurse create relationships with patients. The capacity to embrace cultural competency will boost a nurse's ability to better understand diversity and steer behaviors that may be regarded as being prejudiced. As a result, this will improve nursing and patient relationships, thus protecting the safety of patients. This will increase care concordance and adherence while reducing the number of errors that occur during intervention. Cultural competence is the ability of a nurse to provide the best care intervention to a patient, while at the same time demonstrating an awareness of ethical","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":" ","pages":"285-289"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40567886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expand Professionally: Become a Nurse Coach.","authors":"Pamela Jane Nye","doi":"10.1097/NUR.0000000000000707","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000707","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":" ","pages":"295-297"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40567888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nurses' Knowledge Regarding Nursing Surveillance of the Septic Patient.","authors":"Paul LeBlanc, Angela Kabbe, Susan Letvak","doi":"10.1097/NUR.0000000000000704","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000704","url":null,"abstract":"<p><strong>Purpose: </strong>Sepsis remains a life-threatening condition and leading cause of death in the United States despite vast efforts to understand and treat it. Successful sepsis treatment requires the timely implementation of the sepsis bundle to avoid multiple organ system failure; a key component of sepsis care is nursing surveillance. The purpose of this study was to explore nurses' knowledge of nursing surveillance related to the patient with sepsis and to describe barriers to the implementation of nursing surveillance for sepsis and the sepsis bundle.</p><p><strong>Design: </strong>A qualitative descriptive design study used focus groups to elicit responses to open-ended questions.</p><p><strong>Methods: </strong>Focus group interviews with 28 registered nurses were conducted. All focus group participants had a minimum of 6 months' experience caring for patients with sepsis.</p><p><strong>Results: </strong>Five themes emerged from the study: (1) knowledge deficit of the sepsis bundle and nursing surveillance, (2) uncertain and overwhelmed, (3) lack of resources, (4) in the dark, and (5) lack of partnership/respect. The notion of fearing the patient with sepsis and knowledge deficits of nursing surveillance and sepsis bundle were unique findings.</p><p><strong>Conclusions: </strong>Findings highlight the need for increased attention on the importance of nurse surveillance of the patient with sepsis.</p>","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":" ","pages":"309-316"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40567890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucy C McNamee, Xiaoyu Liu, Kim Phan, Teresa Johnson, AkkeNeel Talsma
{"title":"Pregnant Through the COVID-19 Chaos: Insights on How Women Use Information in the Perinatal Period During a Pandemic.","authors":"Lucy C McNamee, Xiaoyu Liu, Kim Phan, Teresa Johnson, AkkeNeel Talsma","doi":"10.1097/NUR.0000000000000705","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000705","url":null,"abstract":"<p><strong>Purpose/aims: </strong>To gain insights in how women use technology to address health information needs during the prenatal and postpartum time frame.</p><p><strong>Design: </strong>An exploratory qualitative study recruited pregnant and recent postpartum women to share their perspectives on information they needed and how they obtained it.</p><p><strong>Methods: </strong>Women who were pregnant or <90 days postpartum (n = 26) were recruited via social media and invited to share their experiences. Design thinking methodology was used to develop questions to understand information needs in the perinatal period as well as in context of the COVID-19 pandemic. Verbatim transcripts were coded by the research team according to Braun and Clarke's reflexive thematic analysis.</p><p><strong>Results: </strong>Five themes explain the experience of seeking information to support the perinatal period. Women explained the need for the following: (1) information and relationships are inseparable, (2) current practices leave needs unmet, (3) the pandemic exposes vulnerability in prenatal care, (4) left to figure it out alone, and (5) bridging the gap through technology.</p><p><strong>Conclusions: </strong>Aggregated findings suggest how usual care can be modified to improve support for women through personalized care, improved information support, and use of technology. The study findings inform innovative strategies using current technologies to improve health promotion in a dynamic health environment.</p>","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":" ","pages":"298-308"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9560905/pdf/cns-36-298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40567889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strategies to Growing Your Clinical Nurse Specialist Academic Program: Wisdom From the Field.","authors":"Mitzi M Saunders","doi":"10.1097/NUR.0000000000000708","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000708","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":" ","pages":"344-345"},"PeriodicalIF":1.2,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40567893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-Care: The Ethical Imperative for Nurses and Other Healthcare Professionals.","authors":"E. Scruth, Alma A. Allen","doi":"10.1097/NUR.0000000000000683","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000683","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127275930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Academic Practice Partnerships: Working Together to Shape the Future of Nursing.","authors":"Lola A. Coke","doi":"10.1097/NUR.0000000000000685","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000685","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132036304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}