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Development of a Communication Tool for Handoffs Involving Patients Cared for by Sitters: An Evidence-Based Practice Project. 由保姆照顾的病人交接沟通工具的开发:一个基于证据的实践项目。
IF 0.7
Creative Nursing Pub Date : 2023-02-01 DOI: 10.1177/107845352202900104
Paige Hawley, Rachel Holst, Jennifer Bredlow, Tara Nichols
{"title":"Development of a Communication Tool for Handoffs Involving Patients Cared for by Sitters: An Evidence-Based Practice Project.","authors":"Paige Hawley,&nbsp;Rachel Holst,&nbsp;Jennifer Bredlow,&nbsp;Tara Nichols","doi":"10.1177/107845352202900104","DOIUrl":"https://doi.org/10.1177/107845352202900104","url":null,"abstract":"<p><strong>Problem: </strong>Communication has been found to be central to patient safety and colleague engagement. Poor communication was identified in a Level III trauma hospital in the midwestern US between \"sitters\" (staff members assigned to monitor patients identified as having safety concerns) and the nurses assigned to care for those patients, including lack of a formal handoff process.</p><p><strong>Approach: </strong>A Patient/Problem, Intervention, Comparison, Outcome (PICO) statement guided an evidence-based project and identification of an intervention to improve the handoff process. Using the evidence-based format of Situation/Background/Assessment/Recommendation (SBAR), a Patient Safety Attendant Handoff Form was developed and implemented.</p><p><strong>Results: </strong>Initially, Registered Nurses (RNs), Licensed Practical Nurses (LPNs), or Certified Nursing Assistants (CNAs) were used as sitters, taking them away from other responsibilities. A formal position, Patient Safety Attendant (PSA), was created to perform the sitter role. The Patient Safety Attendant Handoff tool was made an official hospital form and implemented as a new standard of practice. Analysis of data from completed forms identified the top reasons for assigning a sitter were mental health and behavioral concerns. In a six-month post-implementation survey, most PSAs reported receiving adequate information about the patients during handoffs using the new form.</p><p><strong>Conclusion: </strong>Using SBAR for the Patient Safety Attendant Handoff Form improved communication between RNs and PSAs and also enhanced communication between PSAs. A key safety feature of the form is the Recommendation section which includes \"triggers to avoid,\" de-escalation techniques, and things the patient enjoys. Developing a structural model from the aggregated data on the completed forms helped in analyzing the information.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 1","pages":"109-124"},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331250","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}
引用次数: 1
Permission to Care for Ourselves. 允许我们照顾自己。
IF 0.7
Creative Nursing Pub Date : 2023-02-01 DOI: 10.1177/107845352202900110
Marty Lewis-Hunstiger
{"title":"Permission to Care for Ourselves.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/107845352202900110","DOIUrl":"https://doi.org/10.1177/107845352202900110","url":null,"abstract":"In Creative Nursing 2022, Thinking Like a Nurse, we learned that Caring Science must be our foundation; our caring must match the needs and characteristics of those we serve; we need to know how to teach people to think like a nurse; and we must always be mindful that our caring takes place within a context: Family and Society. This first issue of Creative Nursing 2023 is being published open access on the web site of the Earl E. Bakken Center for Spirituality & Healing at the University of Minnesota. The Center’s Director, Dr. Mary Jo Kreitzer, is our Guest Editor for this journal issue, and the Center is hosting the virtual launch event celebrating its publication. The Bakken Center is the ideal place for this journal issue to live and from which to go out into the world; our theme is Inspiring, Recruiting, and Retaining the Health-Care Workforce, and the healing that is needed as a part of this call to action is their calling.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 1","pages":"9-17"},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9962547","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}
引用次数: 0
Thinking Like a Nurse: Looking at the World Through the Lens of Family and Society. 像护士一样思考:透过家庭和社会的镜头看世界。
IF 0.7
Creative Nursing Pub Date : 2022-11-10 DOI: 10.1891/CN-2022-0055
Kristen Abbott-Anderson, Hans-Peter de Ruiter
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引用次数: 0
Essential in Our Practice and in Our Lives. 在我们的实践和生活中是必不可少的。
IF 0.7
Creative Nursing Pub Date : 2022-11-10 DOI: 10.1891/CN-2022-0059
Marty Lewis-Hunstiger
{"title":"Essential in Our Practice and in Our Lives.","authors":"Marty Lewis-Hunstiger","doi":"10.1891/CN-2022-0059","DOIUrl":"https://doi.org/10.1891/CN-2022-0059","url":null,"abstract":"","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"28 4","pages":"207-210"},"PeriodicalIF":0.7,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478870","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}
引用次数: 0
The Way of Nursing: Leading Disruptive Change for All. 护理之道:引领颠覆性变革。
IF 0.7
Creative Nursing Pub Date : 2022-08-01 DOI: 10.1891/CN-2022-0013
Teddie Potter
{"title":"The Way of Nursing: Leading Disruptive Change for All.","authors":"Teddie Potter","doi":"10.1891/CN-2022-0013","DOIUrl":"https://doi.org/10.1891/CN-2022-0013","url":null,"abstract":"<p><p>Conceptual frameworks in nursing help shape the thinking and behavior of nursing practice. They also facilitate understanding about nursing's unique contributions that complement the way of medicine. Current health crises illuminate the need for disruptive change, and consequently the need for new conceptual frameworks to guide disruptive practice. <i>The Way of Nursing</i> conceptual framework moves nursing beyond the nursing metaparadigm and the nursing process toward the necessary thinking to address the complex health challenges of individual patients, families, communities, and the planet. <i>The Way of Nursing</i> affirms nurses' capacity to lead change and disrupt systems for the benefit of all.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"28 3","pages":"149-153"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40692936","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}
引用次数: 1
Culturally Responsive Teaching in Nursing Education: A Faculty Development Project. 护理教育中的文化响应教学:教师发展项目。
IF 0.7
Creative Nursing Pub Date : 2022-08-01 DOI: 10.1891/CN-2021-0044
Nancyruth Leibold, Laura M Schwarz, Dawn Gordon
{"title":"Culturally Responsive Teaching in Nursing Education: A Faculty Development Project.","authors":"Nancyruth Leibold,&nbsp;Laura M Schwarz,&nbsp;Dawn Gordon","doi":"10.1891/CN-2021-0044","DOIUrl":"https://doi.org/10.1891/CN-2021-0044","url":null,"abstract":"<p><p>Culturally responsive teaching is a vital skill for nurse educators. A diverse nursing workforce is needed in the US to represent the population's demographics. Recruiting, retaining, and engaging a diverse student body is critical to addressing issues of disparities and cultural sensitivity in health care. In a project to promote success among diverse nursing students, nurse educators collaborated to create and present faculty development programs to build culturally responsive teaching skills. This article includes examples of culturally responsive teaching and describes the project and the faculty development curriculum and teaching materials produced.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"28 3","pages":"154-160"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40692934","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}
引用次数: 1
Countering Structural Racism Through Alternative Approaches to Baccalaureate Nursing Education. 通过护理学士学位教育的替代方法打击结构性种族主义。
IF 0.7
Creative Nursing Pub Date : 2022-08-01 DOI: 10.1891/CN-2022-0024
Monique Reed, Wrenetha A Julion
{"title":"Countering Structural Racism Through Alternative Approaches to Baccalaureate Nursing Education.","authors":"Monique Reed,&nbsp;Wrenetha A Julion","doi":"10.1891/CN-2022-0024","DOIUrl":"https://doi.org/10.1891/CN-2022-0024","url":null,"abstract":"<p><p>The baccalaureate degree has been touted as the preferred minimum entry into professional nursing practice in the United States. Although the number of Black registered nurses is increasing overall, Black nurses are disproportionately represented at the associate degree level. This article describes how structural racism and Eurocentric gatekeeping have historically created barriers in nursing education. We propose alternative pathways to diversify nursing education that promote equitable access to the profession.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"28 3","pages":"184-191"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40692938","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}
引用次数: 4
Reflections of Nursing Students Following Hurricane Michael. 飓风“迈克尔”过后护理专业学生的思考。
IF 0.7
Creative Nursing Pub Date : 2022-08-01 DOI: 10.1891/CN-2021-0022
Barbara A Miller, Shawna Mason, Katherine Hope Leigh, Sabrina Kelley
{"title":"Reflections of Nursing Students Following Hurricane Michael.","authors":"Barbara A Miller,&nbsp;Shawna Mason,&nbsp;Katherine Hope Leigh,&nbsp;Sabrina Kelley","doi":"10.1891/CN-2021-0022","DOIUrl":"https://doi.org/10.1891/CN-2021-0022","url":null,"abstract":"<p><p><b>Background</b>: Students in the southeastern United States were affected by Hurricane Michael in 2018. The storm's devastation led to communication and education issues that transformed students' paths to completing their nursing degree program. Climate change will cause increased natural disasters, and educators must be prepared. <b>Method</b>: This qualitative study used a descriptive phenomenological design. A purposive sample of 10 graduate nursing students were recruited and interviewed. The data gathering ended when data saturation was achieved. <b>Results</b>: Five themes were generated: Devastation and no communication, survival mode, emotional impact, before and after, and forever changed. The rich data documented the resiliency of the students as they described events during and after the hurricane in relation to their personal and educational experiences. <b>Conclusion</b>: Universities and students need to be prepared for natural disasters; understanding graduate nursing students' prior experiences can benefit educators.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"28 3","pages":"198-202"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40671269","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}
引用次数: 1
Paolo Freire's Pedagogy of the Oppressed: A Way Past Oppression for the Nursing Profession. 保罗·弗莱雷的《被压迫者的教育学:护理职业的一条过去的压迫之路》。
IF 0.7
Creative Nursing Pub Date : 2022-08-01 DOI: 10.1891/CN-2022-0026
Kristen P Treinen, Kristen Abbott-Anderson, Lynn Kuechle
{"title":"Paolo Freire's <i>Pedagogy of the Oppressed</i>: A Way Past Oppression for the Nursing Profession.","authors":"Kristen P Treinen,&nbsp;Kristen Abbott-Anderson,&nbsp;Lynn Kuechle","doi":"10.1891/CN-2022-0026","DOIUrl":"https://doi.org/10.1891/CN-2022-0026","url":null,"abstract":"<p><p>Several factors predispose nursing to being regarded as an oppressed profession. A majority of nurses are female; the role of the nurse is often seen as being under the direction of physician's orders; and the nature of nurses' clinical practice is seen as task driven. We propose that nursing can be liberated from this image of oppression by transforming nursing education to empower nurses to embrace the fullness of their practice of caring: Providing all human beings with dignity and valuing the care they provide as equally vital to the human condition as the focus on curing is to their physician counterparts. Paolo Freire's <i>Pedagogy of the Oppressed</i> proposes an educational model in which the teacher embraces the authentic thinking required of students in order to fully grasp their role, respecting what each student brings with them and recognizing the value of that knowledge. Trust must be built at every level of health care, beginning with nurses and their educators engaging in relationships rooted in communication, connection, and the ability to engage in productive dialogue. Should students and educators in nursing programs embrace the words of Freire, a transformation can take place in the health-care system. Nurses and nursing students will no longer carry the weight of oppression with them into the workforce.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"28 3","pages":"161-166"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40692937","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}
引用次数: 3
An Open Letter 一封公开信
IF 0.7
Creative Nursing Pub Date : 2022-08-01 DOI: 10.1056/nejm192211301872214
E. R. F. G. Rumay Alexander
{"title":"An Open Letter","authors":"E. R. F. G. Rumay Alexander","doi":"10.1056/nejm192211301872214","DOIUrl":"https://doi.org/10.1056/nejm192211301872214","url":null,"abstract":"Dear Nursing Colleagues, I am a nurse of color doing my best to be my best self and to stay authentic. It has not been easy to do so in spite of my educational preparation, my accomplishments, and the unnecessary but incessant demands of me to prove my abilities. I had no idea that in 2022, after years of being a member of the most trusted profession, the process metrics (hiring, promotion, evaluation) and the experiences of oppression and suffering would be remarkably like those of the 1960s. The weathering from such day-after-day, month-after-month, yearafter-year demands is taking its toll. My headspace is like a snow globe that is constantly being shaken, and occasionally I utter a sigh because the hurt is too deep for words. Furthermore, I am not alone. It seems that the things I am experiencing are common everyday laments of many of my colleagues. Since I have been told on so many occasions to claim, name, and aim the harm as vital steps in addressing and disrupting them, I have begun a list, not derived from research findings but based on my positionality within the profession.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"81 1","pages":"147 - 148"},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86523629","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}
引用次数: 0
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