Online Journal of Issues in Nursing最新文献

{"title":"Nurses with Undiagnosed Hearing Loss: Implications for Practice.","authors":"Cara Spencer, K. Pennington","doi":"10.3912/ojin.vol20no01ppt02","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01ppt02","url":null,"abstract":"Hearing loss affects 36 million people in the United States of America, including 17% of the adult population. This suggests some nurses will have hearing losses that affect their communication skills and their ability to perform auscultation assessments, potentially compromising patient care and safety. In this article, the authors begin by reviewing the hearing process, describing various types of hearing loss, and discussing noise-induced hearing loss and noise levels in hospitals. Next, they consider the role of hearing in nursing practice, review resources for hearing-impaired nurses, identify the many costs associated with untreated hearing loss, and note nurses' responsibility for maintaining their hearing health. The authors conclude that nurses need to be aware of their risk for hearing loss and have their hearing screened every five years.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"35 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292586","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":"Ethics: Employer-Sponsored Wellness Programs for Nurses: The Ethics of Carrots and Sticks.","authors":"Jeanne Merkle Sorrell","doi":"10.3912/OJIN.VOL20NO01ETHCOL01","DOIUrl":"https://doi.org/10.3912/OJIN.VOL20NO01ETHCOL01","url":null,"abstract":"Research has demonstrated that job stress and shiftwork, both of which nurses often experience, are risk factors for obesity. Zhao and Turner (2008) carried out a systematic review of studies focused on shift workers' lifestyle. Findings from the 17 studies reviewed by the authors suggested that shift workers, as compared to non-shiftworkers, were more likely to be overweight, have adverse lifestyle behaviors, and eat less healthfully. In another study, a sample of 194 nurses from six hospitals participated in anthropometric measurements and self-administered surveys (Malik. Blake. & Batt. 2011), Results of the study showed that a majority of nurses were overweight and that their self-reported health, diet, and physical activity ratings were low. As researchers continue to find relationships between obesity and chronic illnesses and also the negative impact of unhealthy eating habits and lack of exercise on health, employers are considering new ways to help ensure a healthy work environment.In 2011, the Surgeon General recommended a focus on Creating Healthy Worksites to make it easier for employees to participate in exercise programs and make nutritious food choices (Corporate Fitness Works. 2011 ). There are increasing numbers of employer-sponsored wellness programs that are designed to contain rising healthcare costs by encouraging healthy behaviors (Lessack. 20131. Behaviors that are targeted most frequently by wellness programs are exercise, smoking, and weight loss (Muitaba &Cavico, 2013). The Patient Protection and Affordable Care Act (ACA) has allowed companies to provide financial incentives to employees for healthy behaviors (Berman. 2013: Madison. VoIpp. & Haloern. 2011). ACA regulations distinguish between participatory and health-contingent wellness programs. Participatory wellness programs do not require employees to satisfy any particular standard, such as joining a gym or participating in a smoking-cessation program, in order to receive a reward. Health-contingent wellness programs require employees to perform specific activities related to a health factor or to achieve a specific health outcome in order to receive a reward (Lessack. 2013J.In theory, the primary ethical justification for employer-sponsored wellness programs is beneficence - the moral obligation to act for the benefit of others (Rothstein & Harrell, 2009). These programs appear to be a win-win situation: employees have opportunities to be healthier and save on healthcare costs, and employers can benefit from a more productive and healthier workforce (Voigt & Schmidt. 2013)In spite of these advantages, however, implementation of these programs has raised some ethical concerns. The model of beneficence that is integrated by employee-sponsored wellness programs tends to be paternalistic, with health plans designed for economic leverage to encourage employees to adopt the type of healthy lifestyle activities selected by the specific health plan (Rothstein & Harrell. 20","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292996","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: Emotional Health: Strategies for Nurses.","authors":"Deborah Shelton","doi":"10.3912/OJIN.Vol20No01ManOS","DOIUrl":"https://doi.org/10.3912/OJIN.Vol20No01ManOS","url":null,"abstract":"The challenges associated with mental illness and the care of persons with mental disorders have been traced through time since 400 B.C. as Hippocrates treated mental illness as a disturbance of physiology, parting ways from the belief systems of his contemporaries that attributed these disorders to demonic possession (PBS. 2014). One way to look to the advances in psychiatric nursing practice is to reflect upon where we have been.The mentally ill have suffered maltreatment from the time of Hippocrates into the present day, treated as criminals, delinquents, and defectives; burdened by atrocities of social and personal abuse. Champions mark these dark years, among which our authors march in their good company. Some I am sure are familiar to you: Dorothea Dix (1801-1887) advocate for humane treatment; Clifford Beers (1876-1943), an early founder of the client-advocate movement; and President Truman (1946) who established the National Mental Health Act and the National Institutes for Mental Health which promotes research in the field (PBS. 2014: Dix, n.d.). Along with the discovery of antipsychotic medications in the mid-1950s, the number of hospitalized mentally ill persons peaked, and by 1961, sociologist Erving Goffman identified the effects of institutionalization upon psychotic symptoms (Goffman. 1961). By the mid-1960s de-institutionalization begins, in large part because of psychopharmacological treatments. Trans-institutionalization, another cycle back into prisons begins, as the promise of community resources fails (Lamb & Weinberger. 2005). In 1979, the National Alliance for the Mentally III is formed, and by the early 1980s one-third of the homeless population is considered to have a mental disorder. Although a new generation of anti-psychotics becomes available in the early 1990s, society's tolerance for homeless persons with mental disorders has reached its limit. Over seven percent of jail intakes are persons with serious mental illness, and of those, 25% were held without charges (Lamb & Weinberger. 2005).Advocacy in mental health care has shifted toward policy initiatives since the 1990s. The Mental Health Parity Act, which broke down some of the discrimination against mental health care has been under consideration by congress since the mid-1990s (National Alliance on Mental Illness fNAMU. 2014). The Americans with Disabilities Act, which took effect in 1992, supported parents and consumers in the workplace and with public accommodations (Frank & Glied. 2007). Participation in public disability insurance programs, such as Medicare, Medicaid, Social Security Disability Insurance (SSDI) and its sister program, Supplemental Security Income (SSI), provide a stable, though often minimal, source of income for people disabled by mental illness. More recently, the Affordable Care Act promises improved access to care and parity protection through expanded insurance coverage for mental illness and substance abuse disorders (Beronio. Po. Skoo","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1","pages":"1 p preceding 1"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34597607","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: Gloves, Extra Gloves or Special Types of Gloves for Preventing Percutaneous Exposure Injuries in Healthcare Personnel.","authors":"Alyce S. Ashcraft","doi":"10.3912/ojin.vol20no03crbcol03","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03crbcol03","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293437","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":"Informatics: The Standardized Nursing Terminologies: A National Survey of Nurses' Experience and Attitudes--SURVEY II: Participants' Perception of the Helpfulness of Standardized Nursing Terminologies in Clinical Care.","authors":"L. Thede, P. Schwirian","doi":"10.3912/ojin.vol20no01infocol01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01infocol01","url":null,"abstract":"This is the fifth column reporting the results of a survey addressing nurses' attitudes and perceptions regarding standardized nursing terminologies, and completed by the authors in the fall of 2011. Prior columns have examined the demographics of our respondents and their familiarity with the American Nurse?.Association (ANA), standard ized nursing.terminologies (Schwirian & Ih.iad.fi> 2Q12); educational preparation for using the.terminologies, (Thede & Schwirian, 2013b): users perception .of confidence in using the..term in.ologi.es (Ihe.de & Schwirian ,.20.13.0 ; and offsets of documenting with sta nda rdized nursing, terminologies (Thede & Schwirian 20.13a*)In this column, we will report users' opinions about the helpfulness of a terminology in actual clinical practice. The findings presented below are from those respondents who answered 'yes' to the following three questions about the terminology: (a) are you familiar with the terminology?, (b) have you used it in some way?, and (c) have you used this particular terminology in actual patient care?Table 1 and Figure 1 illustrate the percentage of clinical users of a terminology who found the terminology helpful in actual clinical practice.; With the exception of the International Classification of Nursing Practice (ICNP) terminology, for which there were only four responses, more than 60% of clinical users of the nursing-specific terminologies found them helpful in clinical patient care. The Clinical Care Classification (CCC) users and the Omaha System users gave the most positive responses as noted in Table 1. Users of the interdisciplinary terminologies, Logical Observation Identifiers Names and Code (LOINC) and Systematized Nomenclature of Medicine Clinical Terminology (SNOMED CT), had the least positive perceptions regarding the helpfulness of the terminology in clinical practice. For the nursing-specific terminologies, North American Nursing Diagnosis Association, International (NANDA-I) and the Nursing Outcomes Classification (NOC) had relatively high percentages of users who did not find the terminology helpful in clinical practice.Tasks for Standardized TerminologiesClinical users of a terminology who answered 'yes' to the question about whether a terminology was helpful in clinical practice were then asked, \"In what ways was X (the specific terminology) helpful to you?\" A list of possible choices followed (below). Participants could check as many options as they felt were relevant and could also add other options.* Organizing patient care* Planning care* Generating appropriated outcomes* Generating appropriate interventions* Retrieving information on the same term for many patients* Other (please specify) or commentsTable 2 reports the numbers of respondents who selected each task and the percentage of clinical users of that terminology who found it helpful in that area. The bottom line provides the overall average of the helpfulness of the terminologies for each task/option. If one ","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2014-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293005","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":"Barriers to Effective Implementation of Programs for the Prevention of Workplace Violence in Hospitals.","authors":"J. Blando, M. Ridenour, D. Hartley, Carri Casteel","doi":"10.3912/OJIN.VOL20NO01PPT01","DOIUrl":"https://doi.org/10.3912/OJIN.VOL20NO01PPT01","url":null,"abstract":"Effective workplace violence (WPV) prevention programs are essential, yet challenging to implement in healthcare. The aim of this study was to identify major barriers to implementation of effective violence prevention programs. After reviewing the related literature, the authors describe their research methods and analysis and report the following seven themes as major barriers to effective implementation of workplace violence programs: a lack of action despite reporting; varying perceptions of violence; bullying; profit-driven management models; lack of management accountability; a focus on customer service; and weak social service and law enforcement approaches to mentally ill patients. The authors discuss their findings in light of previous studies and experiences and offer suggestions for decreasing WPV in healthcare settings. They conclude that although many of these challenges to effective implementation of workplace violence programs are both within the program itself and relate to broader industry and societal issues, creative innovations can address these issues and improve WPV prevention programs.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292953","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: Transitioning the Older Adolescent Living with Autism Spectrum Disorder to Adult Primary Medical Home: A Call for Nursing Action.","authors":"K. Rogers, M. Zeni","doi":"10.3912/ojin.vol20no02legcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no02legcol01","url":null,"abstract":"Autism Spectrum Disorder (ASD) is a neurodevelopmental, chronic illness characterized by abnormal or impaired development in social interaction and communication, and a restricted repertoire of activity and interests (American Psychiatric Association. 20001. The Centers for Disease Control and Prevention (20141 has estimated that 1 in 68 United States (U.S.) children have been diagnosed with ASD by the age of three; schoolaged boys comprise 1 in 42 of the children diagnosed with ASD. ASD is the fastest growing developmental disability (Autism Speaks. 2011: Centers of Disease Control and Prevention. 20141. Children and adolescents living with ASD may need care from both primary healthcare providers and medical specialists, as well as behavioral health, social, educational, and vocational services.Furthermore, children living with ASD are more frequently diagnosed with other developmental, psychiatric, neurologic, or medical co-occurring chronic illnesses than are children without an ASD diagnosis (Levy et al.. 20101. Analyzing Medicaid insurance claims of ASD children in eight states in the US through ICD-9-CM codes for ASD, Peacock, Amendah, Ouyang, and G rosse (20121 reported that 53% of the ASD children were commonly diagnosed with attention deficit/hyperactivity disorder, seizures, or intellectual disabilities and that the financial cost of managing these illnesses in ASD children was six times greater than for children with nonASD diagnosis. Peacock et al. (20121 also noted significant differences in the cost of outpatient services, medication, and inpatient services between children with ASD and children with non-ASD diagnoses.Due to the needs and complexities of children and adolescents living with ASD, care coordination by a primary care provider within a medical home model is strongly encouraged. Previous researchers have documented the benefits of access to a medical home for children and adolescents, especially if a special health need is present (Strickland et al.. 20041. Healthy People 2020 (U.S. Department of Health and Human Services, 20121 (MICH-30 and MICH-31) established a goal to increase access to medical homes for children with special healthcare needs (CSHCN) to ensure that every child's preventative and special healthcare needs are met without any gaps in care. A medical home, or patient-centered healthcare home, provides coordination of care with a primary healthcare provider who is able to offer a seamless transfer of pediatric-specific primary care into adulthood. Yet children and adolescents with ASD more often lack a medical home compared to children with other special needs, especially during their transition into adult, primary healthcare (Golnik. Ireland. & Borowskv, 20091.Resources for transitioning older adolescents and young adults living with ASD into any adult social or health services decrease dramatically after age 22 (Gerhardt. 20091. During this transitional period, gaps in healthcare services are likely to ","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2014-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292887","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":"Practicing Self-Care for Nurses: A Nursing Program Initiative.","authors":"C. Blum","doi":"10.3912/ojin.vol19no03man03","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03man03","url":null,"abstract":"Self-care is imperative to personal health, sustenance to continue to care for others, and professional growth. This article briefly reviews stressors common to students and nurses and the importance of practicing self-care to combat stress and promote health in practice. Florida Atlantic University offers a course for all levels of undergraduate nursing students called Caring for Self. The course, supported by principles of Adult Learning Theory, focuses on guiding the nurse to practice and model self-care. The author describes the evolution of this self-care initiative by discussing the needs assessment, course description and strategies, examples of course activities, and an exemplar of student impact. The conclusion offers discussion of challenges and lessons noted by faculty and students.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292126","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":"Social Media and Nurses: Insights for Promoting Health for Individual and Professional Use.","authors":"J. Jackson, R. Fraser, P. Ash","doi":"10.3912/OJIN.VOL19NO03MAN02","DOIUrl":"https://doi.org/10.3912/OJIN.VOL19NO03MAN02","url":null,"abstract":"Social media use can have a significant impact on the health of nurses, both at the individual level and in the workplace. There are positive and negative consequences of social media use for nurses, including potential health consequences. This article provides a brief overview of social media and then explores nursing health and social media and risks for nurses. Social media use also extends to healthcare organizations; with implications for consumers of healthcare delivery. A variety of emerging best practices can guide social media use for nurses. The authors also discuss suggestions for using social media carefully, and future directions for research.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292169","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":"Factors Related to Healthy Diet and Physical Activity in Hospital-Based Clinical Nurses.","authors":"N. Albert, R. Butler, J. Sorrell","doi":"10.3912/OJIN.VOL19NO03MAN05","DOIUrl":"https://doi.org/10.3912/OJIN.VOL19NO03MAN05","url":null,"abstract":"Hospitals often promote healthy lifestyles, but little is known about nurses' actual diet and physical activity. Greater understanding about these lifestyle choices for clinical nurses may improve existing hospital-based programs and/or create desirable services. This article discusses a study that considered diet and physical activity of clinical nurses, using elements of Pender's self-care theory as a conceptual framework. Study methods included a cross-sectional, correlational design and a convenience sample of 278 nurses who worked on units with 24 hours/day and seven days-per-week responsibilities. Participants completed diet and exercise questionnaires about perceptions of attitudes and opinions, barriers, diet benefits/exercise motivators, self-efficacy, and locus of control, and personal and work characteristics. Diet and activity categories were created. Study results demonstrated that over 50% of nurses had moderately healthy diets but were insufficiently active. Healthy diet and physical activity levels were associated with higher self-efficacy, more diet benefits and physical activity motivators, fewer perceived barriers, and confidence in body image. The article discussion and conclusion sections note areas for future research and suggest that focused interventions that address benefits, motivators, and self-efficacy may increase participation in hospital-based programs and enhance healthy lifestyle for hospital-based clinical nurses.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"19 3 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2014-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292250","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}