Contemporary nurse最新文献

{"title":"Development of the quality improvement collaborative questionnaire (QuIC) to explore quality improvement partnerships to teach pre-registration nursing students.","authors":"Verity Mak, Gabrielle Brand, Julia Morphet","doi":"10.1080/10376178.2024.2424797","DOIUrl":"https://doi.org/10.1080/10376178.2024.2424797","url":null,"abstract":"<p><strong>Background: </strong>Quality improvement partnerships between healthcare organisations and higher education require further research to explore their potential to provide a valuable education experience for pre-registration nursing students.</p><p><strong>Aims: </strong>Develop and validate a questionnaire for nurse academics to evaluate quality improvement content in pre-registration nursing curricula and the extent of partnership with higher education providers in developing this content. Conduct a pilot test of the questionnaire.</p><p><strong>Study design: </strong>Use a content validity approach.</p><p><strong>Methods: </strong>The Australian higher education sector was the setting and participants were nurse academics with knowledge of the quality improvement content taught in pre-registration nursing courses. The quality improvement collaboration (QuIC) questionnaire was informed by the literature and sent to ten quality improvement and higher education experts for content validation. Each question was scored on a Likert scale for relevance and clarity. The QuIC questionnaire was distributed by email to the 37 higher education organisations offering pre-registration programmes in Australia. Descriptive statistics were used to analyse the questionnaire data.</p><p><strong>Results: </strong>Eight experts completed the content validity questionnaire in full, with the QuIC questionnaire achieving an excellent content validity score of 0.94 for relevance and clarity. The QuIC questionnaire was completed by 24 participants. The results indicated that quality improvement education partnerships are only used occasionally in Australia. The education methods used to teach this content were case studies (online cases n = 11, 46%; patient cases n = 9, 38%) and the development of quality improvement education materials (n = 7, 29%).</p><p><strong>Conclusions: </strong>The QuIC questionnaire demonstrates excellent relevance and clarity, and is the first in the literature to address the constructs of quality improvement education and partnerships. The pilot results provide insight into quality improvement education methods used in Australia and the presence of partnerships. These results may be used to assist in the implementation of quality improvement education partnerships into curricula across the health professions.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142678001","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":"Multifactorial fall interventions for people over 65 years in the acute hospital setting: pre-post-test design.","authors":"Allison Wallis, Christina Aggar, Deb Massey","doi":"10.1080/10376178.2024.2420088","DOIUrl":"10.1080/10376178.2024.2420088","url":null,"abstract":"<p><strong>Background: </strong>Falls are the most reported patient safety incident for patients >65 years in acute hospital settings worldwide. While multifactorial fall interventions reduce the number of falls in subacute and rehabilitation settings, fall interventions in acute hospital settings are unknown.</p><p><strong>Aim: </strong>To evaluate the effectiveness of multifactorial fall interventions on the number of falls using codesigned education targeting staff and the patient and review the environment in acute hospital settings in NSW, Australia for patients over 65 years of age.</p><p><strong>Method: </strong>A pre-post-test design with a non-equivalent group was conducted. All acute hospital inpatient falls occurring both pre- and post-intervention within one health district were included in this study. The use of Quality Improvement methodology identified gaps in risk screening and assessment, education and information, communication of risk, and standardised fall prevention equipment. Codesigned interventions to address these gaps were undertaken.</p><p><strong>Results: </strong>The number of falls (<i>p</i> = 0.038) and injurious falls (<i>p</i> < 0.001) significantly decreased in the post-intervention group. There was a significant improvement in fall assessments (<i>p</i> < 0.001), delirium risk screening (<i>p</i> < 0.001), the provision of fall information (<i>p</i> < 0.001) and fall risk discussed at shift handover (<i>p</i> < 0.001) in the post-intervention group. Following the intervention, staff were significantly more likely to undertake fall education modules (<i>p</i> < 0.001) and develop a fall management plan (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Falls continue to have a significant economic impact on the acute hospital setting. Our findings highlight multifactorial fall interventions that included staff and patients in the development phases reduced the number of falls. Multifactorial fall interventions targeting staff, patients and the environment may influence a reduction in the number of falls and the severity of falls in the acute hospital setting.</p><p><strong>Impact statement: </strong>Multifactorial fall interventions reduce injurious falls, minor injuries, and falls resulting in serious injury and death.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633403","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":"Detecting and managing cognitive impairment in cardiac patients: insights from qualitative interviews with nurses.","authors":"Emma Zhao, Jacqueline Bloomfield, Nicole Lowres, Robyn Gallagher","doi":"10.1080/10376178.2024.2415896","DOIUrl":"https://doi.org/10.1080/10376178.2024.2415896","url":null,"abstract":"<p><p><i>Background:</i> Cognitive impairment and cardiovascular disease often coexist, and nurses are ideally positioned to detect and manage cognitive impairment in cardiac patients.<i>Objectives:</i> This study explored nurses' perspectives on understanding, detecting, and acting on cognitive impairment in cardiac patients.<i>Design and Methods:</i> Using an exploratory descriptive design, nurses from acute and outpatient cardiac units were interviewed. Data were thematically analyzed.<i>Results:</i> Sixteen nurses were interviewed, working in acute cardiology (n=7), cardiothoracic and intensive care (n=4), and cardiac rehabilitation (n=5). Three themes emerged: (1) Cognitive screening was not routine, with no clear protocols on who, when, and how to screen; (2) Nurses had varying understanding of cognitive impairment, dementia, and delirium; (3) Nurses acted on suspected cognitive changes to ensure patient safety, including referrals and care modifications.<i>Conclusions:</i> Cognitive screening was inconsistent, with barriers, such as workload and lack of education. Guidelines for feasible screening across settings are needed.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483224","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 role of the ward nurse in recognition and response to clinical deterioration: a scoping review.","authors":"Nikita Donnelly, Margaret Fry, Rosalind Elliott, Eamon Merrick","doi":"10.1080/10376178.2024.2413125","DOIUrl":"https://doi.org/10.1080/10376178.2024.2413125","url":null,"abstract":"<p><strong>Background: </strong>Nurses play a key role in the recognition and response to clinical deterioration.</p><p><strong>Aim: </strong>The aim of this scoping review was to explore, map and synthesise existing research related to the ward nurses' role in recognising and responding to clinical deterioration.</p><p><strong>Methods: </strong>A scoping review was undertaken to identify English only studies focused on the ward nurse's role in recognition and response to clinical deterioration of the hospitalised adult. Search terms included 'clinical deterioration', 'nurses', 'wards', 'general', 'hospital, units' and 'hospitals'. The Cumulative Index to Nursing and Allied Health Literature, EMBASE, Ovid MEDLINE, PubMed, ProQuest and Science Direct databases were searched for eligible studies.</p><p><strong>Results: </strong>Forty-six studies met the inclusion criteria and three major themes were synthesised: (i) recognition of deterioration; (ii) nursing assessment; and, (iii) challenges responding to patient deterioration.</p><p><strong>Conclusion: </strong>The review highlighted significant variability in the ward nurses' role, activities, and skills in assessing, monitoring, managing and escalating care for clinical deterioration.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-30"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395952","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":"Communicating health information to children: is a child-rights-based approach being adopted by nurses? An integrative review.","authors":"Victoria Egli, Emma McIntyre, Nina Duggan","doi":"10.1080/10376178.2024.2409737","DOIUrl":"https://doi.org/10.1080/10376178.2024.2409737","url":null,"abstract":"<p><strong>Background: </strong>Childhood is a time when health behaviours are established and the foundations for health literacy are cemented. In Aotearoa New Zealand nurses are responsible for communicating health messages to children at key stages in children's lives.</p><p><strong>Objectives/aims: </strong>This review explores the ways in which nurses communicate health messages to children and adolescents in Aotearoa New Zealand. It evaluates whether current approaches to health communication are in-line with a child's rights-based approach.</p><p><strong>Design: </strong>An integrative review using a systematic literature search strategy.</p><p><strong>Data sources: </strong>In July 2022, 9 databases were searched including: Medline (Ovid), Embase (Ovid), Scopus (Elsevier), Cochrane Library, EBSCO (host), Web of Science Core Collection, CINHIAL plus, psychINFO and PsychEXTRA.</p><p><strong>Methods: </strong>Following title and abstract screening 41 articles went through to full-text screening. These were uploaded into NVivo v.12 for analysis. Results were analysed using content analysis with a deductive coding framework informed by the UN Convention on the Rights of the Child. A total of 20 articles met all inclusion criteria and were assessed of high quality using the Mixed Methods Appraisal Tool.</p><p><strong>Results: </strong>Nurses communicate health messages using a variety of strategies, some of which align with the rights of the child. No evidence was found of nurses communicating health messages through play or creative activities or by adopting principles and practice of continuity of care, including health communication beyond the paediatric context.</p><p><strong>Conclusion: </strong>Opportunities exist for improvements to the rights of children and adolescents within nursing practice. Further research about the rights of children in healthcare services including not only identifying the barriers but research that includes interventions and proposes solutions is necessary .</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395951","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":"Trauma Connect Clinic: Continuing the trauma case management model for patients affected by traumatic injuries: A quality improvement initiative.","authors":"Kate Dale, Kathy Heathcote, Sarah Czuchwicki, Elizabeth Wake","doi":"10.1080/10376178.2024.2410920","DOIUrl":"https://doi.org/10.1080/10376178.2024.2410920","url":null,"abstract":"<p><strong>Background: </strong>A case-management model of care is frequently used in acute-care settings for patients with major traumatic injuries; however, its application to trauma follow-up care after hospital discharge remains unclear.</p><p><strong>Aim: </strong>To describe the services provided by the Trauma Connect Clinic (TCC): a NP- led case management model, in trauma follow-up care.</p><p><strong>Methods: </strong>An exploratory descriptive study design was used. Data collected included patient and injury characteristics, clinic activities, attendance rates, referral patterns and complications.</p><p><strong>Results: </strong>Three-hundred and twenty-four TCC appointments were scheduled for 194 patients (<i>n</i> = 302) with an attendance rate of 93% (<i>n</i> = 302). Ongoing health issues included pain (<i>n</i> = 22, 37%), thrombotic events (<i>n</i> = 8, 13%) and infection (<i>n</i> = 7, 12%). Clinic activity included 77 referrals to the wider MDT (<i>n</i> = 77), radiology reviews (<i>n</i> = 225) and 39 prescribing events, consisting mainly of analgesia.</p><p><strong>Conclusion: </strong>A case management model can successfully deliver trauma follow-up care and efficiently use limited resources. Key elements involve careful assessment and management of patients' physical and emotional needs. Evaluation of longer-term outcomes of this model of care in trauma settings is required.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395953","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":"Older nurses and work-related factors that impact their mental health and wellbeing: a qualitative systematic review.","authors":"Jed Montayre, Celia Harris, Weicong Li, Liyaning Maggie Tang, Sancia West, Mark Antoniou","doi":"10.1080/10376178.2024.2368625","DOIUrl":"10.1080/10376178.2024.2368625","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has placed a significant pressure on the nursing workforce, leading to an increased risk of infection and work-related issues impacting nurses' mental health. This review aims to explore the workplace challenges faced by older nurses and their impact on mental health.</p><p><strong>Method: </strong>This qualitative systematic review followed the Joanna Briggs Institute methodology.</p><p><strong>Results: </strong>The review included 32 studies and identified three interconnected themes: heavy workload and nature of nursing, lack of recognition and feeling undervalued, and challenges in balancing personal life and work. These themes illustrated the complexity of the workplace challenges faced by older nurses.</p><p><strong>Discussion and conclusion: </strong>Workplace demands and shift work were common negative contributors to mental health and wellbeing. The physical and cognitive capacity of older nurses may diminish due to age-related changes, making the workload more challenging. Recognition and support from the organisation, especially from management and leadership, played a crucial role in nurses' resilience.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"537-554"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452391","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":"Development and validation of the Moral Injury Symptom Scale - Clinician Version - Short Form (MISS-CV-SF).","authors":"Hong Tao, Gabriella Anderson, Stephanie Harris, Amanda Sawyer, Amanda Bailey, Patricia Robinson","doi":"10.1080/10376178.2024.2366915","DOIUrl":"10.1080/10376178.2024.2366915","url":null,"abstract":"<p><strong>Background: </strong>Moral injury occurs when one witnesses or perpetrates an act that transgresses strongly held moral beliefs and expectations. First documented among active military and veterans, moral injury is increasingly studied in healthcare personnel impacted by the coronavirus pandemic. Measurement of moral injury among this population, particularly nurses, is still in its infancy.</p><p><strong>Objective: </strong>To develop the Moral Injury Symptom Scale - Clinician-Short Form and validate it among United States based acute care nurses. .</p><p><strong>Methods: </strong>The Moral Injury Symptom Scale - Military Version was modified for a healthcare audience. 174 acute care nurses responded to a survey package including the scale and related instruments. Reliability and validity, including convergent and discriminant validities, were assessed, and a cutoff score was calculated using the area under the receiver operating characteristic curve.</p><p><strong>Results: </strong>Reliability (Cronbach α = .75) and validity were established and a cutoff score of 41, based on functional impairment caused by moral injury, demonstrated 86.4% sensitivity and 69.6% specificity. Nurses who screened positive for moral injury experienced higher depression, anxiety, work exhaustion, interpersonal disengagement, emotional exhaustion, and depersonalization. .</p><p><strong>Conclusions: </strong>The Moral Injury Symptom Scale - Clinician Version - Short Form is a valid and reliable instrument with strong psychometric properties that can assess moral injury in acute care nurses, a population at risk due to the challenges of providing care during the pandemic. Appropriate measurement and establishing prevalence should prompt support and intervention from healthcare organizations. .</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"438-451"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422136","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":"Reducing mental health stigma among nursing students through an educational intervention.","authors":"Rocío Juliá-Sanchis, Meritxell Sastre-Rus, Montserrat Puig-Llobet, Joaquín Tomás-Sábado, Juan Francisco Roldán-Merino, M Teresa Lluch-Canut","doi":"10.1080/10376178.2024.2363906","DOIUrl":"10.1080/10376178.2024.2363906","url":null,"abstract":"<p><strong>Background: </strong>Patient-centred care must consider service consumers' needs and improve their health and well-being as well as their satisfaction and the quality of their healthcare assistance. However, individuals experiencing mental illness often struggle with barriers and misunderstandings by health care professionals. Nursing Faculties are uniquely positioned to reduce stigmatising attitudes via new educational interventions that could align nursing curricula and individuals with mental illness needs. However, there are few studies about the stigma toward mental illness among nursing students in Spain.</p><p><strong>Objectives: </strong>The present study aimed to analyse the effect of a 9-month educational intervention on the level of stigma in nursing students.</p><p><strong>Design: </strong>a one-group pre-postintervention design with no control group was conducted.</p><p><strong>Methods: </strong>A total of 194 nursing students completed the EVEPEM scale before and after the intervention. The intervention comprised 55 hours of campus sessions and 150 h practicum in mental health settings.</p><p><strong>Results: </strong>A destigmatising tendency was captured by a large main effect and a statistically significant stigma reduction.</p><p><strong>Conclusions: </strong>The educational 9-month intervention was effective in reducing students' stigma by providing theoretical education, personal contact with mental health service consumers, and critical reflection activities.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"452-464"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422137","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":"Clinical practice guidelines of foot care practice for patients with type 2 diabetes: A scoping review using self-care model.","authors":"Geysa Santos Góis Lopes, Maria José Lumini Landeiro, Talita Maciel, Maria Rui Miranda Grilo Correia de Sousa","doi":"10.1080/10376178.2024.2362289","DOIUrl":"10.1080/10376178.2024.2362289","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes can lead to severe foot complications, making self-care education, guided by clinical guidelines, crucial. However, fragmented and dispersed recommendations challenge effective implementation of these guidelines. Bringing together recommendations and presenting them according to a self-care model can provide a solid framework and facilitate the interpretation of results.</p><p><strong>Aims: </strong>to map the international guidelines that provide recommendations to nurses to enable people with type 2 diabetes for foot self-care and synthesize the recommendations according to the key concepts of the middle-range theory of self-care for chronic diseases.</p><p><strong>Design: </strong>A scoping review was undertaken, using the methodological guidance of the Joanna Briggs Institute.</p><p><strong>Data sources: </strong>Databases were searched between September 2022 and June 2023, including PubMed, CINAHL, PsycINFO, Scopus, Web of Science Core Collection, ProQuest Dissertations and Theses Global, guideline websites and related professional association websites. The databases were chosen for their comprehensive coverage of the area.</p><p><strong>Methods: </strong>Eligible articles included guidance documents providing foot care recommendations for diabetes, published or updated between 2013 and 2023. Two reviewers summarized the recommendations presented in at least two guidelines according to the key concepts of the self-care model. The PRISMA-ScR checklist was used.</p><p><strong>Results: </strong>Seventeen guidelines were included. In total, we synthesized 175 recommendations. The recommendations were framed in three dimensions and their respective categories: Self-care maintenance (education for prevention, control of risk factors, daily foot care, footwear, and socks), Self-care monitoring (foot inspection, detection of signs of infection, and detection of other diabetes-related foot disease complications), and Self-care management (responses to signs and symptoms, foot wound care, follow-up with health professionals, and health services).</p><p><strong>Conclusions: </strong>The main aspect of foot care revolves around daily care, including cleaning, moisturizing, nail care, selecting appropriate footwear, and regular inspection of both feet and footwear.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"516-536"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238561","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}