ISRN nursingPub Date : 2013-05-23Print Date: 2013-01-01DOI: 10.1155/2013/929764
Helen Reyes, Lance Hadley, Deborah Davenport
{"title":"A comparative analysis of cultural competence in beginning and graduating nursing students.","authors":"Helen Reyes, Lance Hadley, Deborah Davenport","doi":"10.1155/2013/929764","DOIUrl":"https://doi.org/10.1155/2013/929764","url":null,"abstract":"<p><p>The ethnic proportions of the population in the United States are rapidly changing, with the nation's minority population at approximately 101 million. This is also true for the West Texas region, where locally in a city with 183,000 residents, 43 different languages are spoken suggesting that cultural education needs to be included in nursing program curricula. Therefore, a study was conducted during a period of curriculum revision to determine if the current nursing curriculum at a public university offers enough education and experience for graduating nurses to care for such a diverse population by comparing their perceptions of cultural competence with beginning sophomore nursing students' perceptions. Participants were asked to complete the Cultural Competence Assessment (CCA) tool in order to evaluate perceptions of cultural competence. Upon analysis of the data, perceptions of cultural competence among graduating nursing students were significantly higher (P = .002) than the perceptions of cultural competence among beginning nursing students. These results support that nursing students perceive that they have become culturally competent during their nursing education, leading to implications of the need for continued education relating to this concept, beginning with the first course and continuing throughout the nursing curriculum.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"929764"},"PeriodicalIF":0.0,"publicationDate":"2013-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/929764","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31502167","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}
ISRN nursingPub Date : 2013-04-28Print Date: 2013-01-01DOI: 10.1155/2013/184024
Mary Smith, Nazilla Khanlou
{"title":"An Analysis of Canadian Psychiatric Mental Health Nursing through the Junctures of History, Gender, Nursing Education, and Quality of Work Life in Ontario, Manitoba, Alberta, and Saskatchewan.","authors":"Mary Smith, Nazilla Khanlou","doi":"10.1155/2013/184024","DOIUrl":"https://doi.org/10.1155/2013/184024","url":null,"abstract":"<p><p>A society that values mental health and helps people live enjoyable and meaningful lives is a clear aspiration echoed throughout our Canadian health care system. The Mental Health Commission of Canada has put forth a framework for a mental health strategy with goals that reflect the virtue of optimal mental health for all Canadians (Mental Health Commission Canada, 2009). Canadian nurses, the largest group of health care workers, have a vital role in achieving these goals. In Canada, two-thirds of those who experience mental health problems do not receive mental health services (Statistics Canada, 2003). Through a gendered, critical, and sociological perspective the goal of this paper is to further understand how the past has shaped the present state of psychiatric mental health nursing (PMHN). This integrative literature review offers a depiction of Canadian PMHN in light of the intersections of history, gender, education, and quality of nursing work life. Fourteen articles were selected, which provide a partial reflection of contemporary Canadian PMHN. Findings include the association between gender and professional status, inconsistencies in psychiatric nursing education, and the limitations for Canadian nurse practitioners to advance the role of the psychiatric mental health nurse practitioner.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"184024"},"PeriodicalIF":0.0,"publicationDate":"2013-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/184024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31458973","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":"The factors affecting the refusal of reporting on medication errors from the nurses' viewpoints: a case study in a hospital in iran.","authors":"Mohammadkarim Bahadori, Ramin Ravangard, Amin Aghili, Jamil Sadeghifar, Mahdi Gharsi Manshadi, Javad Smaeilnejad","doi":"10.1155/2013/876563","DOIUrl":"https://doi.org/10.1155/2013/876563","url":null,"abstract":"<p><p>Objective. Medication errors are the most common types of medical errors which considerably endanger the patient safety. This survey aimed to study the factors influencing not reporting on medication errors from the nurses' viewpoints in Abbasi Hospital of Miandoab, Iran. Methods. This was a cross-sectional, descriptive and analytical study conducted in 2012 in which all nurses (n = 100) working in different inpatient units were studied using a consensus method. Required data were collected using a questionnaire. Collected data were analyzed through some statistical tests including Independent t-test, ANOVA, and chi-square. Results. According to the results, the most important reasons for not reporting on medication errors were related to the managerial factors (3.56 ± 0.996), factors related to the process of reporting (3.32 ± 0.797), and fear of the consequences of reporting (3.01 ± 1.039), respectively. Also, there was a significant relationship between employment status and fear of the Consequences of reporting on medication errors (P < 0.008). Conclusion. This study results showed that managerial factors had the greatest role in the refusal of reporting on medication errors. Therefore, for example, establishing a mechanism to improve quality rather than focus only on finding the culprits and blaming them can result in improving the patient safety.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"876563"},"PeriodicalIF":0.0,"publicationDate":"2013-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/876563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31445433","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}
ISRN nursingPub Date : 2013-04-03Print Date: 2013-01-01DOI: 10.1155/2013/930901
Robyn Stone, Simon Cooper, Robyn Cant
{"title":"The value of peer learning in undergraduate nursing education: a systematic review.","authors":"Robyn Stone, Simon Cooper, Robyn Cant","doi":"10.1155/2013/930901","DOIUrl":"https://doi.org/10.1155/2013/930901","url":null,"abstract":"<p><p>The study examined various methods of peer learning and their effectiveness in undergraduate nursing education. Using a specifically developed search strategy, healthcare databases were systematically searched for peer-reviewed articles, with studies involving peer learning and students in undergraduate general nursing courses (in both clinical and theoretical settings) being included. The studies were published in English between 2001 and 2010. Both study selection and quality analysis were undertaken independently by two researchers using published guidelines and data was thematically analyzed to answer the research questions. Eighteen studies comprising various research methods were included. The variety of terms used for peer learning and variations between study designs and assessment measures affected the reliability of the study. The outcome measures showing improvement in either an objective effect or subjective assessment were considered a positive result with sixteen studies demonstrating positive aspects to peer learning including increased confidence, competence, and a decrease in anxiety. We conclude that peer learning is a rapidly developing aspect of nursing education which has been shown to develop students' skills in communication, critical thinking, and self-confidence. Peer learning was shown to be as effective as the conventional classroom lecture method in teaching undergraduate nursing students.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"930901"},"PeriodicalIF":0.0,"publicationDate":"2013-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/930901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31445434","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}
ISRN nursingPub Date : 2013-04-03Print Date: 2013-01-01DOI: 10.1155/2013/951456
Soili Vesterinen, Marjo Suhonen, Arja Isola, Leena Paasivaara, Helena Laukkala
{"title":"Nurse managers' perceptions related to their leadership styles, knowledge, and skills in these areas-a viewpoint: case of health centre wards in Finland.","authors":"Soili Vesterinen, Marjo Suhonen, Arja Isola, Leena Paasivaara, Helena Laukkala","doi":"10.1155/2013/951456","DOIUrl":"https://doi.org/10.1155/2013/951456","url":null,"abstract":"<p><p>The purpose of this study was to explore nurse managers' perceptions related to their leadership styles, knowledge, and their skills in these areas in health centre wards in Finland. The data were collected from nurse managers (n = 252) in health centre hospitals in Finland using a structured questionnaire (response rate 63%). Six leadership styles-visionary, coaching, affiliate, democratic, commanding, and isolating-were reflected on. Almost all respondents in every age group considered four leadership styles-visionary, coaching, affiliate, and democratic-to be very important or important. Nurse managers estimated their knowledge and skills in leadership styles to be essentially fairly sufficient or sufficient. Nurse managers' abilities to reflect, understand, and, if necessary, change their leadership style influence the work unit's success and employees' job satisfaction. Nurse managers, especially new nurse managers, need more theoretic, evidence-based education to cope with these expectations and to develop their professional abilities. Together with universities, health care organizations should start planning nurse manager education programmes that focus on strategic issues, leadership, job satisfaction, challenging situations in leadership, change management, work unit management (e.g., economy, efficiency, and resources), and how the nurse managers consider their own wellbeing.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"951456"},"PeriodicalIF":0.0,"publicationDate":"2013-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/951456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31445435","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}
ISRN nursingPub Date : 2013-01-01Epub Date: 2013-02-21DOI: 10.1155/2013/314248
Alison P Porter-Armstrong, Catherine Adams, Anne S Moorhead, Jeannie Donnelly, Jane Nixon, Daniel L Bader, Courtney Lyder, May D Stinson
{"title":"Do high frequency ultrasound images support clinical skin assessment?","authors":"Alison P Porter-Armstrong, Catherine Adams, Anne S Moorhead, Jeannie Donnelly, Jane Nixon, Daniel L Bader, Courtney Lyder, May D Stinson","doi":"10.1155/2013/314248","DOIUrl":"https://doi.org/10.1155/2013/314248","url":null,"abstract":"<p><p>High frequency ultrasound imaging has been reported as a potential method of identifying the suspected tissue damage in patients \"at risk\" of pressure ulceration. The aim of this study was to explore whether ultrasound images supported the clinical skin assessment in an inpatient population through identification of subcutaneous tissue damage. Skin on the heels and/or sacral coccygeal area of fifty vascular surgery inpatients was assessed clinically by tissue viability nurses and with ultrasound pre operatively and at least every other day until discharge. Images were compared to routine clinical skin assessment outcomes. Qualitative classification of ultrasound images did not match outcomes yielded through the clinical skin assessment. Images corresponding to 16 participants were classified as subgroup 3 damage at the heels (equivalent to grade 2 pressure ulceration); clinical skin assessment rated no heels as greater than grade 1a (blanching erythema). Conversely, all images captured of the sacral coccygeal area were classified as normal; the clinical skin assessment rated two participants as grade 1b (non-blanching erythema). Ultrasound imaging is a potentially useful adjunct to the clinical skin assessment in providing information about the underlying tissue. However, further longitudinal clinical assessment is required to characterise images against actual and \"staged\" pressure ulceration.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"314248"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/314248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31318919","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}
ISRN nursingPub Date : 2013-01-01Epub Date: 2013-03-06DOI: 10.1155/2013/793936
Karen A Monsen, Scott A Elsbernd, Linda Barnhart, Jacquie Stock, Carla E Prock, Wendy S Looman, Maria Nardella
{"title":"A statewide case management, surveillance, and outcome evaluation system for children with special health care needs.","authors":"Karen A Monsen, Scott A Elsbernd, Linda Barnhart, Jacquie Stock, Carla E Prock, Wendy S Looman, Maria Nardella","doi":"10.1155/2013/793936","DOIUrl":"https://doi.org/10.1155/2013/793936","url":null,"abstract":"<p><p>Objectives. To evaluate the feasibility of implementing a statewide children with special health care needs (CSHCN) program evaluation, case management, and surveillance system using a standardized instrument and protocol that operationalized the United States Health and Human Services CSHCN National Performance Measures. Methods. Public health nurses in local public health agencies in Washington State jointly developed and implemented the standardized system. The instrument was the Omaha System. Descriptive statistics were used for the analysis of standardized data. Results. From the sample of CSHCN visit reports (n = 127), 314 problems and 853 interventions were documented. The most common problem identified was growth and development followed by health care supervision, communication with community resources, caretaking/parenting, income, neglect, and abuse. The most common intervention category was surveillance (60%), followed by case management (24%) and teaching, guidance, and counseling (16%). On average, there were 2.7 interventions per problem and 6.7 interventions per visit. Conclusions. This study demonstrates the feasibility of an approach for statewide CSHCN program evaluation, case management, and surveillance system. Knowledge, behavior, and status ratings suggest that there are critical unmet needs in the Washington State CSHCN population for six major problems.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":" ","pages":"793936"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/793936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40228970","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}
ISRN nursingPub Date : 2013-01-01Epub Date: 2013-02-03DOI: 10.1155/2013/297173
David E Vance
{"title":"Prevention, Rehabilitation, and Mitigation Strategies of Cognitive Deficits in Aging with HIV: Implications for Practice and Research.","authors":"David E Vance","doi":"10.1155/2013/297173","DOIUrl":"https://doi.org/10.1155/2013/297173","url":null,"abstract":"<p><p>Highly active antiretroviral therapy has given the chance to those living with HIV to keep on living, allowing them the opportunity to age and perhaps age successfully. Yet, there are severe challenges to successful aging with HIV, one of which is cognitive deficits. Nearly half of those with HIV experience cognitive deficits that can interfere with everyday functioning, medical decision making, and quality of life. Given that cognitive deficits develop with more frequency and intensity with increasing age, concerns mount that as people age with HIV, they may experience more severe cognitive deficits. These concerns become especially germane given that by 2015, 50% of those with HIV will be 50 and older, and this older cohort of adults is expected to grow. As such, this paper focuses on the etiologies of such cognitive deficits within the context of cognitive reserve and neuroplasticity. From this, evidence-based and hypothetical prevention (i.e., cognitive prescriptions), rehabilitation (i.e., speed of processing training), and mitigation (i.e., spaced retrieval method) strategies are reviewed. Implications for nursing practice and research are posited.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"297173"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/297173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31257134","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}
ISRN nursingPub Date : 2013-01-01Epub Date: 2013-02-05DOI: 10.1155/2013/347235
Marika Poutiainen, Juha Holma
{"title":"Subjectively evaluated effects of domestic violence on well-being in clinical populations.","authors":"Marika Poutiainen, Juha Holma","doi":"10.1155/2013/347235","DOIUrl":"10.1155/2013/347235","url":null,"abstract":"<p><p>Effects of domestic violence are reflected in victims' physical, psychological, and sexual health as well as in victims' subjective evaluations of health or subjective well-being. The principal aim of this study was to study the extent to which the consequences of domestic violence are reflected in patients' subjectively evaluated well-being, life management, and sense of security in an emergency department, a maternity department, and a reception unit of a psychiatric hospital. A questionnaire on the effects of domestic violence was administered to 530 patients. 61 patients reported either current or previous domestic violence that affected their current well-being and life management. Domestic violence was reported to have an effect on subjective well-being and sense of security: the more recent or frequent the experience of violence was, the greater was considered its impact on well-being and sense of security. Routine inquiry can uncover hidden cases of abuse and hence would be of great benefit in the healthcare context. Early identification of abuse victims can prevent further harm caused by violence.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2013 ","pages":"347235"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31296161","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":"Communication training improves sense of performance expectancy of public health nurses engaged in long-term elderly prevention care program.","authors":"Motoko Tanabe, Yoshimi Suzukamo, Ichiro Tsuji, Sin-Ichi Izumi","doi":"10.5402/2012/430560","DOIUrl":"https://doi.org/10.5402/2012/430560","url":null,"abstract":"<p><p>This study examines the effectiveness of a communication skill training based on a coaching theory for public health nurses (PHNs) who are engaged in Japan's long-term care prevention program. The participants in this study included 112 PHNs and 266 service users who met with these PHNs in order to create a customized care plan within one month after the PHNs' training. The participants were divided into three groups: a supervised group in which the PHNs attended the 1-day training seminar and the follow-up supervision; a seminar group attended only the 1-day training seminar; a control group. The PHNs' sense of performance expectancy, and user's satisfaction, user's spontaneous behavior were evaluated at the baseline (T1), at one month (T2), and at three months (T3) after the PHNs' training. At T3, the PHNs performed a recalled evaluation (RE) of their communication skills before the training. The PHNs' sense of performance expectancy increased significantly over time in the supervised group and the control group (F = 11.28, P < 0.001; F = 4.03, P < 0.05, resp.). The difference score between T3-RE was significantly higher in the supervised group than the control group (P < 0.01). No significant differences in the users' outcomes were found.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"430560"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31099640","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}