Contemporary nurse最新文献

{"title":"What is needed for nurses to work with evidence-based practice? A qualitative study.","authors":"Jeltje Giesen, Annick Bakker-Jacobs, Anneke van Vught, Marjolein Berings, Hester Vermeulen, Getty Huisman-de Waal","doi":"10.1080/10376178.2024.2369660","DOIUrl":"10.1080/10376178.2024.2369660","url":null,"abstract":"<p><strong>Background: </strong>Transformation of healthcare is necessary to ensure patients receive high-quality care. Working with the evidence-based practice (EBP) principles enables nurses to make this shift. Although working according to these principles is becoming more common, nurses base their actions too much on traditions and intuition. Therefore, to promote EBP in nursing practice and improve related education, more insight into nurses' needs is necessary to overcome existing EBP barriers.</p><p><strong>Objective: </strong>To identify the current needs to work with EBP principles among hospital and community care nurses and student nurses.</p><p><strong>Design: </strong>A qualitative, exploratory approach with focus group discussions.</p><p><strong>Methods: </strong>Data was collected between February and December 2020 through 5 focus group discussions with 25 nurses and student nurses from a hospital, a community care organisation, and nursing education schools (bachelor and vocational). Data were analysed using reflexive thematic analysis, and the main themes were synchronised to the seven domains from the Tailored Implementation for Chronic Diseases (TICD) checklist.</p><p><strong>Results: </strong>Nurses and student nurses experience EBP as complex and require more EBP knowledge and reliable, ready-to-use evidence. They wanted to be facilitated in access to evidence, the opportunity to share insights with colleagues and more time to work on EBP. The fulfilment of these needs serves to enhance motivation to engage with evidence-based practice (EBP), facilitate personal development, and empower nurses and student nurses to take more leadership in working according to EBP principles and improve healthcare delivery.</p><p><strong>Conclusion: </strong>Nurses experience difficulties applying EBP principles and need support with their implementation. Nurses' and student nurses' needs include obtaining more EBP knowledge and access to tailored and ready-to-use information. They also indicated the need for role models, autonomy, incentives, dedicated time, and incorporation of EBP in daily work practice.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11716657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478167","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":"Advanced practice nurses' experiences of patient safety: a focus group study.","authors":"Manela Glarcher, John Rihari-Thomas, Christine Duffield, Karen Tuqiri, Kate Hackett, Caleb Ferguson","doi":"10.1080/10376178.2024.2363911","DOIUrl":"https://doi.org/10.1080/10376178.2024.2363911","url":null,"abstract":"<p><strong>Background: </strong>Patient harm from unsafe care is an increasingly global phenomenon leading to death or disability. Drawing on their expertise, Advanced Practice Nurses provide the opportunity to improve care quality and safety.</p><p><strong>Aim: </strong>To explore Nurse Practitioners and Clinical Nurse Consultants' experiences in patient safety.</p><p><strong>Design: </strong>A qualitative design was used involving six audio-visually recorded focus group interviews. Participants working in an acute or community adult nursing speciality were involved.</p><p><strong>Methods: </strong>Twenty-eight Advanced Practice Nurses (female 82.1%, mean age 47.5 ± 10 years) were recruited by convenience and snowball sampling. After transcription of interview data, qualitative content analysis was conducted.</p><p><strong>Results: </strong>Six categories were identified: patient safety as the highest priority (1), special contribution to patient safety (2), patients/relatives role in safety (3), multidisciplinary team approach (4), government regulation in safety (5), and further needs to improve safety (6). Advanced Practice Nurses saw themselves as role models and leaders for other healthcare staff through their expertise and professional experience and thus able to see the bigger picture in health. They identified as change agents at the system-level due to their decision-making ability and multi-professional team connectivity.</p><p><strong>Conclusions: </strong>This study emphasises the key position of extended nursing roles and the need for future development of patient safety strategies in hospitals and community care. As influential leaders, Advanced Practice Nurses are best placed to identify improvements. They play a central role in guiding the multi-professional team, the patient and their family, educating nursing staff, and identifying and addressing system-wide safety gaps to improve patient safety.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307637","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":"Special Issue: Quality Improvement.","authors":"","doi":"10.1080/10376178.2024.2376979","DOIUrl":"https://doi.org/10.1080/10376178.2024.2376979","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":"60 3","pages":"228"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629582","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":"Celebrating Australian nurses who are pioneering the response to climate change: A compilation of case studies [Letter].","authors":"Sari Luthfiyah, Triwiyanto, Bedjo Utomo, I Putu Alit Pawana","doi":"10.1080/10376178.2024.2363907","DOIUrl":"10.1080/10376178.2024.2363907","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"230-231"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452390","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":"Capacity building skills in the implementation of evidence-based practice for community health nurses: an exploratory descriptive cohort study.","authors":"Susan Walsh, Catherine Ryan, Linda McCreary, Oscar Noel Ocho, Wiphawadee Potisopha, Rohan D Jeremiah","doi":"10.1080/10376178.2024.2322982","DOIUrl":"10.1080/10376178.2024.2322982","url":null,"abstract":"<p><p><i>Background</i>: While nurses are strategically placed to support the achievement of universal health, their practice may not always be informed by evidence, especially in a context where research evidence is not commonly used to inform practice.<i>Objective/Aim/Hypothesis</i>: Improve management of clients with CNCDs in Caribbean community through evidence-based practice (EBP) capacity building workshops.<i>Design/Methods</i>: A descriptive, quantitative design was used for this study. Participants included Community Based Nurses who attended an initial and recall workshop on EBP in a Caribbean island. All participants were included as the sample. Data were collected as a Pre-Test and Post Test before the initial workshop and at the recall workshop. Analysis was done quantitatively. Since the sample was small, only descriptive statistics were used.<i>Results</i>: Data showed 64% of participants had no experience with EBP, 55% needed more essential resources to participate in EBP and 55% recognized a need to include EBP to change their clinical practice effectively.<i>Conclusions</i>: The nurses and district supervisors observed a high level of interest and commitment to initiating and completing EBP projects. However, the reality of significant workplace demands, and limitations in consistent logistical and supervisory support impacted long-term sustainability.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"140-151"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137539","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":"Strategic de-implementation: strengthening patient safety by eliminating low value care practices.","authors":"Manela Glarcher, Caleb Ferguson, Michelle Patch, Alison Steven, Mojtaba Vaismoradi","doi":"10.1080/10376178.2024.2354319","DOIUrl":"10.1080/10376178.2024.2354319","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"223-227"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066563","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":"Workplace barriers and facilitators to nurses' healthy eating behaviours: a qualitative systematic review.","authors":"Arsheen Imran Sajwani, Fatima Hashi, Eman Abdelghany, Albara Alomari, Ibrahim Alananzeh","doi":"10.1080/10376178.2024.2354336","DOIUrl":"10.1080/10376178.2024.2354336","url":null,"abstract":"<p><strong>Background: </strong>Globally, nurses and midwives have a higher rate of being overweight/obese than the general population, influenced by workplace environments that impact dietary habits.</p><p><strong>Objective: </strong>This systematic review aimed to identify barriers/facilitators to healthy eating among nurses in clinical settings.</p><p><strong>Design: </strong>This systematic review followed Joanna Briggs Institute's guidelines for qualitative systematic reviews.</p><p><strong>Methods: </strong>Eight electronic databases: PROQUEST CENTRAL, SCIENCEDIRECT, MEDLINE, CINAHL, PsycINFO, WEB SCIENCE, PUB MED, and SCOPUS were searched. Articles were screened using JBI SUMARI®, and quality assessment was done using the JBI critical appraisal checklist. Data were extracted using the JBI data extraction tool.</p><p><strong>Results: </strong>Nine qualitative studies were reviewed, involving 488 nurses, concluding 37 distinct findings. Two synthesised findings emerged: barriers, and facilitators to healthy eating, related to organisational (shift work/long working hours), personal, physical workplace environment, and social factors.</p><p><strong>Conclusions: </strong>The review emphasises the necessity of promoting attainable healthy eating practices at organisational, personal, environmental, and social levels within the workplace.</p><p><strong>Registration: </strong>PROSPERO International prospective register of systematic reviews, ID: CRD42022309259.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"270-299"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162980","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":"Celebrating Australian nurses who are pioneering the response to climate change: a compilation of case studies.","authors":"Tracy Levett-Jones, James Bonnamy, Jack Cornish, Elaine Correia Moll, Lorraine Fields, Tracey Moroney Oam, Catelyn Richards, Naomi Tutticci, Aletha Ward","doi":"10.1080/10376178.2024.2336230","DOIUrl":"10.1080/10376178.2024.2336230","url":null,"abstract":"<p><strong>Background: </strong>Nurses, the largest healthcare workforce, are well placed to provide leadership in initiatives that promote planetary health. Yet, few practical examples of nurse leadership in the health sector's response to climate change are evident in the scholarly literature.</p><p><strong>Aim: </strong>The aim of this discussion paper is to profile Australian nurses who are leading initiatives designed to champion planetary health and promote sustainable practice.</p><p><strong>Methods: </strong>The paper presents a series of case studies derived from interviews conducted in October and November 2023.</p><p><strong>Findings: </strong>The nurses' experiences and insights, along with the challenges they have encountered, are presented as evidence of Kouzes and Posner's five practices of exemplary leadership.</p><p><strong>Conclusion: </strong>The case studies demonstrate that appointment of more nurses with climate and sustainability expertise will accelerate the implementation of responsive strategies that target waste management, emissions reduction and climate resilience across healthcare organisations.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"234-246"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337991","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":"Discussion of federal policies affecting broadband expansion and telehealth in Appalachia.","authors":"Deborah A Kirkland, Lisa C Lindley","doi":"10.1080/10376178.2024.2351902","DOIUrl":"10.1080/10376178.2024.2351902","url":null,"abstract":"<p><strong>Background: </strong>There have been 188 rural hospital closures in the United States since 2010 with approximately 20% of these in Appalachia. Telehealth has become a way that nurses can reach rural patients who might not otherwise receive health care.</p><p><strong>Objectives: </strong>The purpose of this paper is to (1) outline the federal policies enacted during COVID-19 for broadband expansion; and (2) suggest how advanced practice nursing care might be affected by broadband expansion and telehealth in the region.</p><p><strong>Methods: </strong>A search of PubMed was conducted in January 2023, using the search words, \"policy\", \"telehealth\", \"broadband\", and \"Appalachia\".</p><p><strong>Findings: </strong>New laws appropriated funds to expand broadband infrastructure that made it possible for telehealth to be used by nurses to deliver health care to rural patients.</p><p><strong>Conclusion: </strong>This discussion paper found that broadband legislation was instrumental in expanding telecommunications and telehealth by NPs. There is a great need for broadband to continue to expand and for trained nurses to provide care via telehealth.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"318-326"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913691","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":"Nurse-led entrepreneurship in advancing women's heart health: the Her Heart story.","authors":"Linda Worrall-Carter","doi":"10.1080/10376178.2024.2327358","DOIUrl":"10.1080/10376178.2024.2327358","url":null,"abstract":"","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"107-110"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295595","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}