Online Journal of Issues in Nursing最新文献

{"title":"Overview and Summary: Healthy Nurses: Perspectives on Caring for Ourselves.","authors":"S. Letvak","doi":"10.3912/ojin.vol19no03manos","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03manos","url":null,"abstract":"Every few years this joke goes around, “Did you hear about the body found alongside the road? They don’t know her name but they know she is a nurse because the back was broken, the ankles were swollen, the nerves were frayed, and the bladder was full.” While most laugh when they hear it, the sad reality is nurses “accept” health problems that come from the physical and emotional demands of the profession, and while caring for others often do not care for themselves. A synthesis of 187 international studies on nurse health conducted by Fronteira and Ferrinho (2011) found that nurses experience more musculoskeletal disorders, are at greater risk of acquiring tuberculosis and blood-borne pathogen infections, and have more occupational allergies than the general public.In one study, hospital-employed bedside nurses were found to have a depression rate of 17% compared to the national rate of only 9% (Letvak, Ruhm & McCoy, 2012).","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"62 1","pages":"1 p preceding 1"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292338","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":"Implementation of a Participant-Centered Weight Management Program for Older Nurses: A Feasibility Study.","authors":"E. Nahm, J. Warren, E. Friedmann, Jeanine Brown, D. Rouse, Bu Kyung Park, K. W. Quigley","doi":"10.3912/ojin.vol19no03man04","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03man04","url":null,"abstract":"American nurses (3.06 million) are at high risk for being overweight, as the majority are post-menopausal women (93.3% female; mean age 47). Studies have indicated that more than half of all nurses are either overweight or obese. This fact is of concern because nurses often lead major health promotion efforts. The aim of this study was to examine the feasibility of a novel participant-centered weight management program (PCWM) among nurses. The participant-centered (P-C) theoretical framework used originated from the field of usability engineering (i.e., user-centered design). Study methods included a single group pre-test/post-test design (baseline, eight weeks, three months) and an intervention consisting of face-to-face education sessions, technology-augmented exercise programs, and an eHealth portal. The results demonstrated a significant decrease in body weight, increased fruit and vegetable consumption, and increased exercise at eight weeks. In our discussion of this study, we note that although the intervention effects decreased at three months, these results are promising, considering that the intervention used was not regimented and relied only on nurses' activation of their planned health behaviors. The major limitation of the study was the small sample size recruited from one large community hospital. Further research is needed to improve the sustainability of the program.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292187","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":"Overview and Summary: Healthy Nurses: Perspectives on Caring for Ourselves.","authors":"Susan Letvak","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3","pages":"1 p preceding 1"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34724052","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":"Effective Interpersonal Communication: A Practical Guide to Improve Your Life.","authors":"Kathleen A Vertino","doi":"10.3912/ojin.vol19no03man01","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03man01","url":null,"abstract":"Use of effective interpersonal communication strategies by nurses in both personal and professional settings, may reduce stress, promote wellness, and therefore, improve overall quality of life. This article briefly explores the concept of interpersonal communication as it relates to Maslow's hierarchy of human needs; describes personal variables and the interaction of internal and external variables that can impact communication; and discusses possible causes and consequences of ineffective communication. Drawing on both the literature and experiences as a longtime provider of care in the mental health field, the author offers multiple practical strategies, with specific examples of possible responses for effective communication. Recommendations in this article are intended for nurses to consider as they seek healthy communication strategies that may be useful in both their personal and professional lives.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70291787","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":"Healthy Eating for Healthy Nurses: Nutrition Basics to Promote Health for Nurses and Patients.","authors":"D. Reed","doi":"10.3912/ojin.vol19no03man07","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03man07","url":null,"abstract":"Nurses care for people each day in many settings such as hospitals, physician offices, schools, and public health facilities. Such positions often require nurses to work variable and long hours, exposing them to the stressors of caring for people who are ill. These stressors can support poor food choices that adversely affect the health and well-being of the nurse. Nurses are also an integral part of providing nutrition related information to patients. As such, patients may be very cognizant of the health habits of their nurses. Eating for good health is one way that nurses can reduce the impact of stressors on the body and positively influence their health, allowing them to better care for patients and themselves. This article reviews two common nutrition related areas of concern to nurses, stressors, inflammation, and nutrition and sleep and eating patterns, that can lead to obesity. Knowledge and attitudes about nutrition education are also discussed briefly. Finally, the article offers a review of nutrition basics for nurses and suggestions to avoid potential food pitfalls common for nurses.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292282","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":"The Value of Library and Information Services in Nursing and Patient Care.","authors":"Joanne Gard Marshall, J. Morgan, M. Klem, Cheryl A. Thompson, Amber L. Wells","doi":"10.3912/OJIN.VOL19NO03PPT02","DOIUrl":"https://doi.org/10.3912/OJIN.VOL19NO03PPT02","url":null,"abstract":"Libraries are a primary resource for evidence-based practice. This study, using a critical incident survey administered to 6,788 nurses at 118 hospitals, sought to explore the influence of nurses' use of library resources on both nursing and patient outcomes. In this article, the authors describe the background events motivating this study, the survey methods used, and the study results. They also discuss their findings, noting that use of library resources showed consistently positive relationships with changing advice given to patients, handling patient care differently, avoiding adverse events, and saving time. The authors discuss the study limitations and conclude that the availability and use of library and information resources and services had a positive impact on nursing and patient outcomes, and that nurse managers play an important role both by encouraging nurses to use evidence-based library resources and services and by supporting the availability of these resources in healthcare settings.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"172 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2014-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292410","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":"Legislative: Responding to the Fatal Opioid Overdose Epidemic: A Call to Nurses.","authors":"Angela Clark","doi":"10.3912/ojin.vol19no03legcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03legcol01","url":null,"abstract":"People who weren't familiar with the opioid overdose epidemic were shocked by the tragic death of Philip Seymour Hoffman. Many of my friends and co-workers (who know I work with clients suffering from opioid dependence) asked me what I thought of his death. I took this opportunity to explain to them that Mr. Hoffman's death was in no way a solitary event. Drug poisoning (overdose) has now surpassed motor vehicle accidents as the leading cause of accidental-injury death in the United States (US); approximately 41 people die every day of a drug overdose involving prescription painkillers (CPC, 2012; Paulozzi, 2012). In the state of Ohio, approximately five people per day fall victim to fatal, opioid-related overdoses; and in my county in Ohio, we lose an average of one person every other day (lOhilQ-D£p..artm.eii.Lo.f\"u.ealth.\"-2Q.13).Opioid overdoses affect individuals, families, friends, and communities. The societal costs of opioid overdoses exceed 20 billion dollars annually; everyone is affected in some capacity (Inocencio, Carroll, Read, & Holdfored, 2013). Nurses have a social responsibility for the holistic welfare of all individuals. Given the widespread and multifaceted reach of care delivery, nurses are uniquely positioned to combat the opioid overdose epidemic on many fronts. This column will discuss how nurses are well positioned both to address the opioid epidemic and support the use of naloxone to reverse opioid-related overdoses and also to promote legislation to increase access to naloxone and decrease fatal opioid overdoses.Nurses are encouraged to become active in the prevention of opioid-related overdoses and to incorporate overdose prevention into their daily practice. Both prescription and illicit opioids, including heroin, morphine, codeine, methadone, hydrocodone, oxycodone, hydromorphone, and fentanyl, contribute to the fatal opioid overdose epidemic. When someone is experiencing an opioid overdose, a potentially fatal cyanotic cascade of events ensues: breathing slows, oxygen levels in the blood decrease, and oxygenation to vital organs decreases. Within minutes unconsciousness, brain damage, coma, and death may follow (Harm Reduction Coalition, 2013V Respiratory depression is the hallmark symptom of an opioid overdose. Overdoses, in which a person has not ingested opioids, cause respiratory depression infrequently. Opioid overdoses are rarely immediate; and there is usually of window of time to intervene. Naloxone hydrochloride, brand name Narcan®, is a Food and Drug Administration-approved medication which, if administered in time, has the potential to effectually reverse opioid overdoses, allowing victims to receive the treatment they need (Boyer, 2012).In 1996, community-based opioid overdose prevention programs (OOPPs) began distributing naloxone to individuals who are at high risk for witnessing an opioid overdose. Naloxone distribution has now reached over 50,000 individuals; over 10,000 overdose reversals have been","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2014-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70291751","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":"Graduate Clinical Nurse Preceptors: Implications for Improved Intra-Professional Collaboration.","authors":"R. Donley, M. Flaherty, Eileen Sarsfield, Agnes Burkhard, S. O’Brien, Kelley M Anderson","doi":"10.3912/ojin.vol19no03ppt01","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03ppt01","url":null,"abstract":"Advanced practice nurses have increased in number and public acceptance. Students preparing for these roles require quality clinical education so they are prepared to assume collaborative roles in healthcare settings. Although graduate clinical preceptors have a vitally important role in the clinical education and professional socialization of advanced practice students, there is a paucity of evidence about factors that influence their role commitment. In this article, the authors review the literature related to graduate-level, clinical-preceptor experiences; describe their study of 91 graduate clinical preceptors that identified factors influencing graduate clinical preceptors' role commitment; report and discuss their findings; as well as the limitations of this study. They conclude that the graduate clinical preceptor role needs to be more visible and better integrated into schools of nursing and healthcare organizational structures, and identify the need for intra-professional collaboration among nursing faculty, administrators, and clinicians to facilitate the recruitment, cultivation, and retention of graduate clinical preceptors.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292348","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":"Cochrane Review Brief: Nurse Versus Physician-Led Care for the Management of Asthma.","authors":"D. Dewey","doi":"10.3912/OJIN.VOL19NO03CRBCOL04","DOIUrl":"https://doi.org/10.3912/OJIN.VOL19NO03CRBCOL04","url":null,"abstract":"AbstractLiving a healthy lifestyle is a constant choice. As a life goal, it is a decision to uphold every moment and is best achieved with support of others. There are a multitude of workplace wellness and healthy lifestyle programs that address achieving and maintaining the goal of normal weight over a lifetime. Fewer such evidence based programs exist and a goal of our hospital is to create a comprehensive wellness program based on evidence. In the context of normal weight maintenance in nurses, this article discusses selected challenges for healthy eating and exercise and nurse fitness programs based on the author and her colleagues experiences with specific obesity research interventions, such as Nurses Living FitTM, that we designed and offered. An exemplar provides details about our wellness programs, which included three annual walk or run events, one full day conference, and a series of multiple exercise, yoga, and nutrition sessions. Our goal was to expose nurses to healthier lifestyle aspects with a primary focus on the optimal balance of exercise and nutrition. Over the years of research, events, and programs, greater than 1,000 people have participated. The conclusion includes implications for education and practice in the hope that our experiences may motive nurses to design exercise and nutrition programs to promote normal weight maintenance in nurses.Keywords: Nurses; obesity; overweight; exercise; nutrition; wellness programs; weightIn 2011-2012, more than one-third of adults in the United States (US) over age 20 (34.9%) classified as obese (Ogden, Carroll, Kit & Fleqal, 20141. More than two-thirds were overweight or obese .(MatlflnaLCfifl.'tejJfoLUfialtll-Statistics,-2011)* Obesity related conditions include high blood pressure, increased cholesterol, type 2 diabetes and related complications, cardiovascular disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and cancers of the endometrium, breast, prostate, and colon.The U.S. obesity epidemic and escalating costs associated with treatment of obesity-related health conditions continue to be problematic (,US.l.D.ep.artm.enL.of Health...and Human.,Services. .[US. DHHS1,. 2.Q.1.Q). As increasing numbers of patients require treatment for these conditions and education about achieving and maintaining a healthy weight, it is prudent for healthcare facilities to consider addressing this problem from within. Having a healthy workforce population is important from both an employee health perspective as well as an employer economic perspective.For industries with aging employees, such as nursing, the goal of a healthy workforce may be even more important to mitigate health changes associated with aging and to help nurses retain their ability to manage the physical demands of caring for patients. The average age of a nurse in the US is nearing 50 years (Am.ati.can, N.urs.es Association, ?0.11). Nurses are typically well educated about caring for patients","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2014-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292041","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":"Cochrane Review Brief: Exit Interviews to Reduce Turnover Amongst Healthcare Professionals.","authors":"J. Christie","doi":"10.3912/ojin.vol19no03crbcol03","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03crbcol03","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2014-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70291917","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}