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21 – 30 of over 42000Gabriela Marcellino de Melo Lanzoni, Caroline Cechinel-Peiter, Laísa Fischer Wachholz, Chantal Backman, Maria Fernanda Baeta Neves Alonso da Costa, José Luis Guedes dos Santos and Ana Lúcia Schaefer Ferreira de Mello
To map nurses’ actions performed during the care transitions from hospital to home of Covid-19 patients.
Abstract
Purpose
To map nurses’ actions performed during the care transitions from hospital to home of Covid-19 patients.
Design/methodology/approach
A scoping review based on the Joanna Briggs Institute guidelines was carried out. We searched in seven databases: PubMed/MEDLINE, BDENF, LILACS, SciELO, Embase, Scopus, Web of Science and Google Scholar. A two-step screening process and data extraction was performed independently by two reviewers. The findings were summarized and analyzed using a content analysis technique.
Findings
Of the total 5,618 studies screened, 21 were included. The analysis revealed nurses’ actions before and after patient’ discharge, sometimes planned and developed with the interprofessional team. The nurses’ actions included to plan and support patients’ discharge, to adapt the care plan, to use screening tools and monitor patients’ clinical status and needs, to provide health orientation to patients and caregivers, home care and face-to-face visiting, to communicate with patients, caregivers and other health professionals with phone calls and virtual tools, to provide rehabilitation procedures, to make referrals and to orient patients and families to navigate in the health system.
Practical implications
The results provide a broader understanding of the actions taken and challenges faced by nurses to ensure a safe care transition for Covid-19 patients from hospital to home. The interprofessional integration to discharge planning and the clinical nursing leadership in post-discharge monitoring were highlighted.
Originality/value
The nurses’ actions for Covid-19 patients performed during care transitions focused on coordination and discharge planning tailored to the needs of patients and caregivers at the home setting. Nurses monitored patients, with an emphasis on providing guidance and checking clinical status using telehealth tools.
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René Nolio Santa Cruz, Hugo Vaz Sampaio, Carlos Becker Westphall, Maximiliano Dutra de Camargo and Daniela Couto Carvalho Barra
The objectives of the proposed model are: aiding nursing staff in documentation tasks, which can be onerous and stressful; and helping management by offering an estimate of the…
Abstract
Purpose
The objectives of the proposed model are: aiding nursing staff in documentation tasks, which can be onerous and stressful; and helping management by offering an estimate of the nursing workload, which can be considered for administrative purposes, such as staff scheduling.
Design/methodology/approach
An exploratory-descriptive study was conducted in order to identify, investigate, and describe the problem of documenting nursing activities and workload estimation in an intensive care unit. Technological solutions were explored, and models were proposed to address these issues.
Findings
Cross-dataset experiments were performed, and the model was able to offer an adequate estimate of the nursing workload. The results suggest that continuous retraining is essential for maintaining high accuracy. While the proposed model was considered in the context of an adult ICU, it can be adapted to other contexts, such as elderly care.
Research limitations/implications
While the proposed solution seems promising, further research is required, such as deploying this system in an ICU and facing challenges in the areas of computer security, medical ethics, and patient data privacy. More patients’ variables could also be collected to improve the workload estimates.
Originality/value
Nursing workload assessment is critical to improve the cost-benefit ratio in health care, offer high-quality patient care, and reduce unnecessary expenses, and this process is usually manual. An automated device can automatically document the amount of time spent in patient care activities in a more transparent, efficient, and accurate manner, freeing staff for more urgent activities and keeping management better informed about day-to-day nursing operations.
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Emmanuel Kwasi Mawuena, Russell Mannion, Nii Armah Adu-Aryee, Francis A. Adzei, Elvis K. Amoakwa and Evelyn Twumasi
Previous research has demonstrated that social-relational factors are instrumental to employee voice. An essential aspect of this relates to notions of respect or disrespect…
Abstract
Purpose
Previous research has demonstrated that social-relational factors are instrumental to employee voice. An essential aspect of this relates to notions of respect or disrespect. Although nurses commonly report experiencing professional disrespect in their interaction with doctors, earlier studies have focused on how the professional status hierarchy and power imbalance between doctors and nurses hinder speaking up without considering the role of professional disrespect. Addressing this gap, we explore how professional disrespect in the doctor–nurse relationship in surgical teams influences the willingness of nurses to voice legitimate concerns about threats to patient safety.
Design/methodology/approach
Fifty-seven semi-structured interviews with nurses drawn from a range of specialities, ranks and surgical teams in three hospitals in a West African Country. In addition, two interviews with senior representatives from the National Registered Nurses and Midwifery Association (NRNMA) of the country were undertaken and analysed thematically with the aid of NVivo.
Findings
Disrespect is expressed in doctors’ condescending attitude towards nurses and under-valuing their contribution to care. This leads to safety concerns raised by nurses being ignored, downplayed or dismissed, with deleterious consequences for patient safety. Feeling disrespected further motivates nurses to consciously disguise silence amidst speech and engage in punitive silence aimed at making clinical practice difficult for doctors.
Originality/value
We draw attention to the detrimental effect of professional disrespect on patient safety in surgical environments. We contribute to employee voice and silence by showing how professional disrespect affects voice independently of hierarchy and conceptualise the notion of punitive silence.
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Marianne Marcus and Linda Stafford
Substance use disorders are considered to be the nation's number one health problem. These continue to cause more deaths, illnesses, and disabilities than do other preventable…
Abstract
Substance use disorders are considered to be the nation's number one health problem. These continue to cause more deaths, illnesses, and disabilities than do other preventable health problems, providing ample support for the need for developing health professional competence in this area. This paper describes the specific steps used by The University of Texas‐Houston Health Science Center School of Nursing to infuse substance abuse content into the undergraduate curriculum, design a graduate subspecialty in addictions nursing, and offer continuing education on substance use disorders to nurses in acute care and community settings. The paper provides guidelines for other academic institutions engaged in the important task of increasing nursing competence related to substance use disorders.
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Abstract
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Forensic nursing is a fast‐developing branch of psychiatric nursing and now at an international level covers many aspects of practice. As its field of study develops to…
Abstract
Forensic nursing is a fast‐developing branch of psychiatric nursing and now at an international level covers many aspects of practice. As its field of study develops to incorporate working with vicyims, survivors and offenders, it becomes increasingly important to establish the evidence base for the practice areas. This paper outlines these developing areas and highlights the expansive nature when see from an international perspective.
This concept paper seeks to outline evidenced‐based findings about the current experiences, best practices and leadership development needs of nurse leaders who work with foreign…
Abstract
Purpose
This concept paper seeks to outline evidenced‐based findings about the current experiences, best practices and leadership development needs of nurse leaders who work with foreign nurses.
Design/methodology/approach
A qualitative approach was used to collect data for this project. A convenience sample of ten nursing leaders from different geographic areas in the USA was telephone interviewed to obtain information for this project.
Practical implications
Recommendations are made about the type of educational programming that leaders who receive foreign nurses in their work environments will need to facilitate a successful transition.
Originality/value
The legal, ethical and human resource issues that surround the international recruitment of nurses have received widespread coverage in the media and nursing literature. Although organizations which do foreign recruitment invest significant resources, little has been written about the challenges in the transition of foreign nurses into healthcare practice environments outside their countries of origin. The literature suggests that the successful transition of foreign nurses into the healthcare environment of another country requires supportive leadership but this does not always occur.
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Yvonne Sawbridge and Alistair Hewison
The aim of this article is to report some of the work undertaken by a nursing “think tank”, focussed on examining the causes of poor nursing care in hospitals, and potential…
Abstract
Purpose
The aim of this article is to report some of the work undertaken by a nursing “think tank”, focussed on examining the causes of poor nursing care in hospitals, and potential solutions.
Design/methodology/approach
A “think tank” was convened which incorporated widespread discussion with national, regional and local stakeholders, a critical literature review, and a focus group of senior nurses.
Findings
It was found that there are no widespread systems of staff support that help nurses working in hospitals to cope with the emotional component of their work. This is one element that contributes to nurses providing poor care. A number of approaches to staff support have been developed that warrant further study.
Practical implications
If episodes of poor care are to be prevented it is necessary for hospital boards to recognise the importance of supporting nurses in managing the emotional labour of caring. The introduction of routine systems of staff support should be considered.
Originality/value
In addition to highlighting and condemning poor care, it is important to seek solutions. This article offers a new perspective on an enduring problem and identifies approaches that can be part of the solution.
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Jane Hemsley‐Brown and John Humphreys
States that the number of enrolled nurse conversions completed during the last ten years has had a significant impact on the number of registered nurses (RNs) available for…
Abstract
States that the number of enrolled nurse conversions completed during the last ten years has had a significant impact on the number of registered nurses (RNs) available for employment in the National Health Service (NHS), and the contribution made by the enrolled nurse conversion course programme to the National Health Service workforce may have delayed the impact of the “demographic time bomb” on nursing recruitment. Emphasizes that the winding down of the conversion programme, and a fall in the number of RNs employed in the NHS, combined with a decline in entries to preregistration (initial) training, could signal the beginning of the long‐awaited crisis facing the nursing profession.
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