Nursing Activities Research Articles

Hand and wrist complaints in dialysis nurses in Germany: a survey of prevalence, severity, and occupational associations.

Occupations involving repetitive movements of the wrists, activities that require a lot of force, and hand-arm swinging are particularly likely to contribute to the development of hand and wrist complaints. The daily setup and dismantling of dialysis machines as part of the dialysis treatment process can strain the wrists and fingers of nurses. However, evidence regarding the relationship between the work activities of dialysis nurses and the incidence of hand and wrist complaints is limited. This study aimed to investigate the prevalence and severity of hand and wrist complaints among dialysis nurses in Germany and to relate these to their work activities. An online survey was created and sent to 836 dialysis centres in Germany. The Nordic Musculoskeletal Questionnaire was used in an online survey to assess the prevalence of musculoskeletal complaints in the hands and wrists. The Boston Carpal Tunnel Questionnaire (BCTQ) was used to assess symptom severity. Dialysis nurses rated the effort required to set up dialysis machines using the BORG-CR10 scale. The analysis was descriptive. A total of 122 dialysis nurses (18 male, 104 female; mean age 45 ± 12 years) participated in the survey, and 59% of them reported developing hands or wrist complaints in the last 12 months. According to BCTQ, the average severity of these complaints is 2.0 ± 0.8 (N = 72). The severity of symptoms increased significantly with the number of setups performed by a dialysis nurse per day (rs = 0.35, P = 0.003, N = 72). The nurses rated the effort required to set up the dialysis machines as 2.8 ± 1.8 on the BORG-CR10 scale (N = 101). The results of the online survey showed that dialysis nurses were more likely than the general population to experience hand and wrist complaints. The repetitive activities of the hands and wrists while setting up a dialysis machine are thought to be the cause. Preventive measures are needed to reduce hand and wrist strain in dialysis nurses.

A pilot resiliency course for Doctor of Nursing Practice (DNP) students: Lessons learned

Graduate nursing students can face varied and significant stressors during their programs of study. The need for interventions to promote nursing student resiliency has been reported in the literature, by accrediting bodies, and in previous research conducted with students at the same university. Thus, the purpose of this project was to pilot a resilience course for Doctor of Nursing Practice (DNP) students. The theoretical frameworks guiding the design and implementation of the resiliency pilot program were andragogy (the science of adult learning) and rapid cycle quality improvement. The course included eleven monthly modules addressing resiliency content with written material, original videos, and online discussions and meetings. The first module overviewed the resiliency skills (Belief, Persistence, Trust, Strength, and Adaptability), five modules were dedicated to a specific resiliency skill, two modules addressed recent and anticipated challenges, two modules concentrated on the application (clinical and academic) of the resiliency skills, and the last module focused on reflection. Results of this pilot program indicate that DNP students can benefit from receiving resiliency content during their studies, especially from faculty involvement and increased peer support; however, future resiliency content may be more accepted and effective if embedded into nursing program curriculum and activities.

FROM MISFIT TO FIT: THE IMPACT OF NURSING PRACTICE ON COMPLEX NURSING INTERVENTION DEVELOPMENT

Abstract Nurses have a key role in providing nutritional care to older adults to prevent and treat malnutrition, and stimulate health and well-being. However, evidence for nursing activities regarding nutritional care is often lacking. Therefore, intervention development is necessary. From earlier studies, an evidence-based nutritional intervention carried out by nurses appeared the best solution. The aim of this study was to outline the steps taken to develop a complex nursing intervention to prevent and treat malnutrition in older adults and the challenges faced during this stage. Following the phase of intervention development of the Medical Research Council (MRC) Framework, a systematic review, a questionnaire survey, semi-structured interviews, focus groups and participant observation were carried out. The purpose was to gather information about current nursing practice and context, the needs of future users and providers, and gain insight into the problem. The studies showed that nurses had moderate knowledge of (mal)nutrition. They gave nutritional care low prioritization during daily nursing activities. These results provided insight that the intended nursing nutritional intervention would most likely lead to a misfit with the context. To fit the intervention properly into nursing practice, it was decided to develop an educational intervention targeting nurses instead of a nutritional intervention carried out by nurses. Building proofs in context leads to challenges but is essential to prevent a misfit between complex nursing interventions and nursing practice. As an element of rigorous intervention development following systematic steps, it increases the chance of successful implementation.

Assessment, diagnosis and planning of the ECP of AEDs in children from two to five years of age at the Fundación Hombro a Hombro, Santo Domingo, 2022

The research addresses the assessment, diagnosis and planning of the Nursing Care Process (PAE) in children from two to five years of age with acute diarrheal diseases (ADD) at the Fundación Hombro a Hombro, Santo Domingo, Ecuador. A qualitative and descriptive approach was used, analyzing data from 70 patients and their mothers. The findings reveal that male children have a higher prevalence of ADE (65.7%), influenced by sociodemographic factors such as the mothers' youth (18-27 years) and the need to work, resulting in inadequate care by other family members (71.4%). The main causes identified were poor hygiene practices, poverty and inadequate sanitation. NANDA, NIC and NOC taxonomies were used to identify diagnoses such as diarrhea (72.9%) and nutritional imbalance (15.7%). Although 84.3% of the mothers had knowledge of EDA, its application was deficient. Applied studies on preventive practices, health fairs, and educational sessions were recommended to improve the prevention and management of EDA. In addition, a nursing action plan based on Virginia Henderson's theory was developed to address these needs.

К вопросу о формировании инновационной lean-компетентности сестрин- ского персонала, оказывающего помощь населению в системе ПСМП.

Introduction. The article proposes and proves the effectiveness of a model for the formation of innovative lean competencies among nursing staff operating in an optimized healthcare environment. Goal: to determine the effectiveness of the implementation within the framework of postgraduate training of an educational module on the formation of innovative lean competence in the professional activities of practicing nursing specialists. Methods. The study was conducted according to a specially developed questionnaire in two stages: the first – in 2019 (before the implementation of the educational module); the second – in 2022 (evaluation of the implementation results). The analysis of the results provided for the calculation of relative values (P) and their errors (± m). The same indicators were compared in dynamics, the Student’s coefficient (t) was used to assess the reliability of the differences. The differences were considered statistically significant at p<0,05. Microsoft Office Excel and Statistica 5,0 programs were used to create an electronic database and calculate indicators. Results. At the first stage, a high readiness of the majority of nurses for innovation was revealed, but a number of limitations for innovation were recorded: low level of computer skills, lack of necessary competencies for implementing innovations, lack of leadership qualities, search for personal gain. A strong inverse correlation was found between age and the desire to introduce innovations. The results of the second stage showed a 1,4-fold increase in the share of nursing staff who want to introduce innovations in their workplace; a 1,8-fold decrease in the proportion of people who are wary of changes in their professional activities; reducing the time spent on processing medical documentation and increasing the amount of time allocated to working with patients. The proportion of nursing specialists using an electronic document management system in their professional activities has also increased – from 1,6% to 41,6%. Conclusion. The effectiveness of the proposed educational module for the formation of innovative lean competence in the professional activities of nurses providing assistance to the population in the primary health care system is confirmed by the achieved positive results of its testing in healthcare institutions.

Circadian Rhythms Characteristics of Nurses Providing Direct Patient Care: An Observational Study

BackgroundIn today's modern world, longer working hours, shift work, and working at night have become major causes of the disruption of our natural circadian rhythms. This study aimed to investigate the effects of the type of shift work (rotating vs. fixed day), duty period (on-duty vs. off-duty), and working period within each shift (nighttime vs. daytime) on the circadian rhythm characteristics of nurses who provide direct patient care. MethodsThis cross-sectional study used a purposive sampling method. Cosinor analysis was applied to analyze the actigraphy data of nurses providing direct patient care for seven consecutive days. The linear mixed effects model was then used to determine any variances between shift type, duty period, and working period within each shift for the nurses. ResultsThe mesor value did not differ according to nurses' shift type, duty period, and working period within each shift. The amplitude was statistically higher in on-duty nurses and in daytime working hours. The acrophase was significantly delayed in nighttime working hours. As well as nurses in rotating shift had experience. ConclusionOur findings revealed that the peak activity of nurses occurs significantly later at night while working and nurses working during nighttime hours may have a weaker or less distinct circadian rhythm. Thus, this study suggests that limits be placed on the number of rotating nighttime shifts for nurses.

Real requirements of nursing activities and patient-related factors related to nursing overload in an internal medicine department.

Adequate nursing care can be decisive for the outcome of a patient admitted to an internal medicine ward. Individual prediction of nursing activity at the time of a patient's admission could improve the work process. This study aimed to assess the objectively assessed nursing requirements of patients admitted to a medical setting and to identify clinical factors that correlate with high demands. This is a prospective and pragmatic observational study that enrolled patients admitted to the Internal Medicine ward at the Altovicentino Civil Hospital (Italy) between September 1 and December 31, 2022. Nursing activities were recorded for the first 3days of hospitalization and standardized as performance/5min/patient. Patients requiring more than the 75th percentile of performance/5min/patient were considered nursing over-activities. Multivariable models were used to assess patient-related risk factors associated with nursing over-activity. This study enrolled 333 patients (mean age: 74.2; 55.6% male). Their mean Charlson Comorbidity Index (CCI), Clinical Frailty Scale (CFS), Chronic Barthel Index, and Sistema Informtativo della Performance Infermieristica (SIPI) scores were 5.3, 4.2, 62.4, and 53.7, respectively. Mean National Early Warning System (NEWS) on admission was 3.9 (standard deviation: 2.8). A median of 73 (interquartile range [IQR]: 54-109) nursing care activities/5min/patient were performed. NEWS score (odds ratio [OR]: 1.372, 95% confidence interval [95%CI]: 1.216-1.547, p < 0.001) and Acute Barthel Index (OR: 0.983, 95%CI: 0.967-0.999, p = 0.041) were independent risk factors for nursing over-activities. NEWS and the Acute Barthel Index could help reorganize nursing resources within internal medicine wards, allowing for an equal distribution between patients who require more resources and those who require less.

Nurses’ occupational physical activity and workload in a perioperative intensive care unit in Slovenia

The field of nursing includes heavy occupational physical demands, including walking and standing for longer periods of time, in addition to moving and lifting. As such, in the context of a typical work shift, many nurses generally achieve the World Health Organization's recommended 10,000 steps per day. This study aimed at estimating the daily physical activity and workload of nurses in a perioperative intensive care unit. The data sources for this study included data from the hospital information system on various procedures and interventions, and the Silva Ex3 Plus pedometers for measuring steps, kilometers, calories, and activity time across various shifts in a perioperative intensive care unit. Twenty nurses from Slovenia volunteered to participate in this observational study. Over 13 weeks, a nurse working an 8-hour shift walked an average of 5,938 steps (4.4 km). However, nurses who worked a 12-hour weekend day shift came very close to the World Health Organization’s recommendation with an average of 9,003 steps (6.5 km). A total of 227 patients were admitted and an average of 80 nursing interventions were performed per day and there was a positive relationship between physical activity, workload, and patient admissions in the perioperative intensive care unit (p = 0.001). Results of this study could help managers better understand nurses' physical activity and workload during various shifts in the perioperative intensive care unit.

Mental Disorders with A Risk for Violent Behavior Who Have Risky Behaviors and Tend to Smoke: a Case Study

Smoking behavior in patients with mental disorders is known as a risk factor and can affect one aspect of treatment and change in behavior. In addition, smoking will also stimulate psychiatric symptoms and more severe symptoms of recurrence. The objective is to determine the extent of the impact or influence of smoking behavior on mental disorder patients with a risk of violent behavior who have risky behavior tending to smoke in Bantur Health Center. The method used in this research is a case study approach using qualitative and quantitative descriptive research types. This study involved 3 respondents. Data collection is based on interviews, observation, and documentation according to the format of mental nursing care. The results of the study showed that respondents were able to perform nursing actions in generalist nurse therapy sessions 1-5. In the final stage of the study, the results showed that the three patients experienced changes in behavior by being able to practice and mention interventions in each session, but had not been able to reduce smoking behavior because the three patients had been active smokers since they were teenagers. The conclusion from this study is that smoking behavior is a risk factor for pople with mental disorders, especially in behavior. Generalist ners therapy sessions 1-5 for respondents with the risk of violent behavior resolved well, but not for smoking behavior because it takes longer and requires several processes and a stronger desire. It is hoped that future researchers can increase research time in the care process to approach the family in carrying out nursing care not only for the patient but also for the patient's family.

Unfinished nursing care in intensive care units and the mediating role of the association between nurse working environment, and quality of care and nurses’ wellbeing

ObjectivesUnfinished care refers to the situation in which nurses are forced to delay or omit necessary nursing care. The objectives was: 1) to measure the prevalence of unfinished nursing care in intensive care units during the COVID-19 pandemic; 2) to examine whether unfinished nursing care has a mediating role in the relationship between nurse working environment and nurse-perceived quality of care and risk of burnout among nurses. DesignA national cross-sectional survey. SettingSeventy-five intensive care units in Belgium (December 2021 to February 2022). Main outcome measuresThe Practice Environment Scale of the Nursing Work Index was used to measure the work environment. The perception of quality and safety of care was evaluated via a Likert-type scale. The risk of burnout was assessed using the Maslach Burnout Inventory scale. ResultsA total of 2,183 nurse responses were included (response rate of 47.8%). Seventy-six percent of nurses reported at least one unfinished nursing care activity during their last shift. The staffing and resource adequacy subdimension of the Practice Environment Scale of the Nursing Work Index had the strongest correlation with unfinished nursing care. An increase in unfinished nursing care led to significantly lower perceived quality and safety of care and an increase in high risk of burnout. Unfinished nursing care appears to be a mediating factor for the association between staffing and resource adequacy and the quality and safety of care perceived by nurses and risk of burnout. ConclusionsUnfinished nursing care, which is highly related to staffing and resource adequacy, is associated with increased odds of nurses being at risk of burnout and reporting a lower level of perceived quality of care. Implications for clinical practiceThe monitoring of unfinished nursing care in the intensive care unit is an important early indicator of problems related to adequate staffing levels, the well-being of nurses, and the perceived quality of care.

P20: Effects of Transitional Care Program on Reducing Nursing Home Placement in People with Dementia

Objective:People with dementia are more prone to premature nursing home placement after hospitalization due to physical and mental deconditioning which makes care-at- home more difficult. This study aimed to evaluate the effect of a post hospital discharge transitional care program on reduction of nursing home placement in people with dementia.Methods:A matched case-control study was conducted between 2018 and 2021. A transitional care program using case management approach was developed. Participants enrolled the program by self-enrolment or referral from hospitals or NGOs. Community-dwelling people with dementia discharged from hospitals received a four- week residential care at a dementia care centre with intensive nursing care, physiotherapy and group activities promoting social engagement, followed by eight- week day care rehabilitation activities to improve their mobility and cognitive functioning. They were matched on a 1:5 ratio by age and sex to people with dementia discharged from a convalescent hospital who did not participate in this program for comparison. The study outcome was nursing home admission, measured three months (i.e. post-intervention), six months, and nine months after hospital discharge. Multinomial logistic regression was conducted to investigate factors associated with nursing home placement at each measurement time-point.Results:361 hospital admission episodes (n=67 interevntion, n=294 control) were examined. The regression results showed that participants in the intervention group were significantly less likely to be admitted to nursing home three months (OR = 0.023, 95% CI: 0.003-0.201, p = .001) and six months (OR = 0.094, 95% CI: 0.025-0.353, p = .001) than the controls after hospital discharge, but the intervention effect did not sustain nine months after hospital discharge. Longer hospital length of stay, and hospital admission due to dementia, mental disturbances such as delirium, or mental disorders IPA_Abstract_PDP_20230119_clean 2 such as schizophrenia significantly predicted nursing home admission three months and six months after hospital discharge.Conclusion:The transitional care program could help reduce nursing home placement in people with dementia after hospital discharge. To sustain the intervention effect, more continual support after the intervention as well as family caregiver training would be required.

Relação das competências profissionais do enfermeiro em emergência com o produto do cuidar em enfermagem

Objective: to relate urgency and emergency nurses’ professional competencies with the Nursing care product. Method: a cross-sectional study conducted in the urgency and emergency units of two public hospitals. The participants were 91 nurses, 3 Nursing residents, 4 coordinators and 1 manager. Two validated instruments were used: 1) Competence Scale of Actions of Nurses in Emergencies and 2) Nursing Care Product Evaluation. Factors and domains were used, respectively. Descriptive statistics were applied, as well as Cronbach’s alpha, Wilcoxon and Spearman’s correlation tests (p&lt;0.05). Results: in the professional competencies, higher values were verified for self-evaluation (p&lt;0.001). In all 1,410 Nursing care product assessments, there was predominance of the “Good” score (n=1,034 - 73.33%). The “Nursing staffing” domain was related to the “Professional practice” (r=0.52719), “Relationships at work” (r=0.54319), “Positive challenge” (r=0.51199), “Targeted action” (r=0.43229), “Constructive behavior” (r=0.25601) and “Adaptation to change” (r=0.22095) factors; the “Care monitoring and transfer” domain, with “Professional practice” (r=0.47244), “Relationships at work” (r=0.46993), “Positive challenge” (r=0.41660) and “Adaptation to change” (r=0.31905) and the “Meeting care needs” domain, with “Professional practice” (r=0.32933), “Relationships at work” (r=0.31168), “Positive challenge” (r=0.29845) and “Adaptation to change” (r=0.28817). Conclusion: there is a relationship between professional competencies and the Nursing care product domains.

Microteoria de enfermagem na prevenção do delirium em pessoas idosas na unidade de terapia intensiva

Objective: to describe a microtheory for nursing care in the prevention of delirium in older adult in the intensive care unit. Method: prescriptive theoretical research, based on substruction. Roy’s Adaptation Model constructs were deduced and data from the phenomenon of nursing care in the prevention of delirium in older adult in intensive care were induced, based on an integrative literature review. Results: the microtheory has a theoretical and operational system and a model of care. In the theoretical system, Roy’s focal and contextual stimulus constructs were used. From them, the concepts of focal and contextual care and the variable adaptive response to prevention were elaborated. From the relational statements, four axioms, two postulates, eight propositions and an epistemic assumption were elaborated. Two empirical indicators were established in the operating system: the Confusion Assessment Method for Intensive Care Units and the demographic/clinical history of the older adult. Subsequently, two transformational statements, four hypotheses and the model of care represented in figure were produced. Conclusion: the microtheory produced prescribes care in the prevention of delirium in older adult in intensive care, through a construct of interest to nursing, and allows interceptions for the development of instruments that guide nursing activities.

Pengembangan Intervensi Manajemen Hemodialisa Untuk Mengatasi Hipervolemia pada Pasien Chronic Kidney Disease (CKD)

Background: Hypervolemia can occur in patients with chronic kidney diseases. Hemodialysis management consists of various nursing activities aimed at maintaining fluid balance. This descriptive case study aims to provide an overview of the application of hemodialysis management to treat hypervolemia in chronic kidney disease patients. Methods: This qualitative research uses a descriptive case study design with a nursing care process approach. There were 2 participants, namely end-stage CKD patients who experienced hypervolemia and met the indications for hemodialysis. Results: The development of nursing activities in hemodialysis management begins with a focus on assessment of nutritional and fluid needs in the nursing diagnosis of hypervolemia, with fluid balance outcome standards. Edema decreased, blood pressure was normal, and body weight decreased. Conclusion: Hemodialysis management can be applied to optimize fluid balance in CKD patients.

The impact of COVID-19 on nursing students' lives and online learning: A cross-sectional survey.

To explore the impact of COVID-19 on students' lives and their online learning experience. A cross-sectional survey design was used in this study. A total of 44 nursing students who were enrolled in an undergraduate programme at a Canadian University participated in the study. The students were asked to fill out a 35-item survey that was developed by the European Students' Union and that was circulated across Europe in April 2020. The COVID-19 pandemic and subsequent lockdown affected students mentally, and emotionally. Findings also revealed that whilst most students had the privilege to study from home, many students did not have a desk, or a quiet place to study in their home and some had problems with Internet connectivity. Online lectures were delivered according to students' preferences; however, students were dissatisfied with the way their practice was organized. The similarities between this study and the European study provide common grounds for academics around the world to connect, collaborate and work on the challenges in providing nurse education in emergencies such as national disasters or pandemics to ensure preparedness for such future events. No Patient or Public Contribution. The commonalities experienced in nursing education across the globe should act as an impetus for globalized nursing action. Educators need to prepare and reinvent a role for students in the clinical area in the event of future disasters/pandemics. Policy makers and administrators need to ensure when switching to online education no student is underprivileged or marginalized in the process.

Missed nursing care as reported by paediatric nurses: A cross-sectional study.

Missed nursing care (MNC) significantly affects patient safety and quality of care. It is a widely used concept that has been studied in different settings, but research in paediatric care is quite limited. Therefore, this descriptive cross-sectional study aimed to report the prevalence, patterns, correlates, factors and predictors of MNC in paediatric care units in two central European countries. A cross-sectional comparative study. Data collection was carried out between June and November 2021 using the MISSCARE Survey-Pediatric. The study included 441 registered nurses working in paediatric care units in the Czech Republic and Slovakia. Data were analysed using descriptive and inferential statistics in the SPSS 25.0 statistical program. Almost all nurses, 92.7% of nurses missed at least one nursing activity during the last shift. The most missed care activity in both countries was the promotion of neuroevolutionary development, and the most prominent reasons were labour resources. MNC was weakly but significantly correlated with nurse experience in the current position and was predicted by the country, nurse education and overtime hours (p ≤ .05). Differences in prevalence of MNC and reasons for MNC were identified based on several variables (p ≤ .05). The assessment of MNC in paediatric settings is often a neglected area, although the prevalence in this study was moderate. Nurse staff shortages, as a global problem, have many impacts on patient outcomes in the delivery of nursing care. However, there are also many factors that can reduce the prevalence of MNC. More research should focus on a closer examination of these factors that involve hospital and nurse variables. The study was carried out according to the STROBE checklist and the RANCARE guideline. No patient or public contribution.

NURSING IN MEN'S HEALTH CARE IN ANDROPAUSE: literature review

Andropause, also known as late-onset male hypogonadism, is a condition related to male aging that involves a gradual decrease in testosterone levels in the body. Among the main experimental symptoms, we can list: the reduction in testosterone levels, a main characteristic of andropause. This symptom unfolds into others, such as fatigue, loss of energy, reduced libido and erectile dysfunction. The general objective of this research is to describe andropause, presenting its general and clinical aspects, in addition to demonstrating the importance of nurses in relation to treatment and health promotion. To this end, it was necessary to outline the following specific objectives: prepare a description of the general characteristics of andropause; expose considerations about male aging and the need to break taboos; demonstrate the importance of the nurse's role in the guidance and treatment of andropause. This is basic, qualitative research. As for the objectives, it is classified as descriptive and exploratory. Regarding procedures, bibliographical research was used. It was concluded that it is essential for the primary care team to plan effective nursing actions to meet the needs of men in andropause, seeking to diagnose and prevent diseases related to this phase of male life.

Pros and Cons of Robotic Nursing

Robotic Nursing is using machines (robots) for the daily nursing activities in order to reduce the nurse’s burnout and errors in the nursing practice, assisting in daily nursing activities and doing physical work like lifting heavy instruments, transferring the patient, etc. It eases the burden on nurses, reduces the nurses' burnout, they socially and physically assistive, can be used during pandemic and used for video-conferencing for medical help (tele-health). In India, health-bots like Mitra, Maitri, TriCog, etc are being used for booking online consultations, health advices, medicine recommendations and for diagnosis of cardiac disorders. Challenges- High costs, lack of human touch and ethical decision-making abilities. Robots come with various advantages, but being technologically advanced doesn’t replace the qualities of humans like decision making abilities, critical thinking and warmth. Installing robots in Indian Hospitals can be a challenging task but in contrary to this Robots can reduce nurses’ overload, burnout and medical errors.

Optimalisasi Komunikasi Metode Situation, Background, Assessment, and Recommendation (SBAR) dalam Serah Terima Perawat

&#x0D; This study aims to optimize the communication of the SBAR method in nurse handover that encourages a culture of patient safety and effective communication. The method used is a pilot study starting from the process of identification, analysis, prioritization of problems, plan of action, implementation, evaluation, and follow-up plan. The results showed that the application of guidelines and Standard Operating Procedures (SPO) with socialization and handover assistance with SBAR method communication had a good effect, as evidenced by the trial application of the guidelines obtained data there was an increase in the percentage of vital sign mentions of 100%, the results of the latest nursing assessment increased to 40%, the delivery of nursing diagnoses and recommendations for further nursing actions by 60%. The hospital organization is in a stage of movement change where after implementation, the Nursing Services Department and the head of the room try to maintain its sustainability and make the organizational culture in the hospital. In conclusion, the activities that have been carried out during the socialization and mentoring process provide a change in behavior and a good mindset for nurses in implementing and cultivating the implementation of handover with SBAR communication in order to realize quality nursing services.&#x0D; Keywords: Communication, SBAR Method, Handover

A framework for occupational health risk assessment of nursing personnel in Indian healthcare system

Nursing personnel are exposed to different kinds of health hazards because of various job characteristics and complex work systems. The objective of this study is to identify and analyze the risk factors related to occupational health hazards of nurses in the Indian healthcare system. A three-phase methodology is used to assess occupational risk factors. Through literature review and opinions of experienced nursing personnel, the risk factors such as biological, chemical, ergonomic, physical, and psychosocial are identified and evaluated based on three parameters i.e., the effect of exposure, exposure period and exposure probability. The weights of the parameters are determined by Best-Worst Method (BWM) and the Fuzzy VIKOR method is considered to rank the risk factors in accordance with their level of severity. Biological and ergonomic risk factors are found to have higher levels of adverse effects in all the wards of Indian hospitals whereas, impact of chemical, physical and psychosocial risk factors varied from ward to ward. The risk assessment framework as developed helps to categorize risk factors from high degree to moderate degree, which might help to prepare an action plan to mitigate the risks associated with nursing activities in order to improve their health and safety status at the hospital.