Nursing Assessment Research Articles

Exploring nurses' awareness and attitudes toward artificial intelligence: Implications for nursing practice.

Worldwide, healthcare systems aim to achieve the best possible quality of care at an affordable cost while ensuring broad access for all populations. The use of artificial intelligence (AI) in healthcare holds promise to address these challenges through the integration of real-world data-driven insights into patient care processes. This study aims to assess nurses' awareness and attitudes toward AI-integrated tools used in clinical practice. A descriptive cross-sectional design captured nurses' responses at three governmental hospitals in Saudi Arabia by using an online questionnaire administered over 4 months. The study involved 220 registered nurses with a minimum of one year of clinical experience, selected through a convenience sampling method. The online survey consisted of three sections: demographic information, an assessment of nurses' AI knowledge, and the general attitudes toward the AI scale. Nurses displayed "moderate" levels of awareness toward AI technology, with 70.9% having basic information about AI and only 58.2% (128 nurses) were considered "aware" of AI as they dealt with one of its healthcare applications. Nurses expressed openness to AI integration (M = 3.51) on one side, but also had some concerns about AI. Nurses expressed conservative attitudes toward AI, with significant differences observed based on gender (χ² = 4.67, p < 0.05). Female nurses exhibited a higher proportion of negative attitudes compared to male nurses. Significant differences were also found based on age (χ² = 9.31, p < 0.05), with younger nurses demonstrating more positive attitudes toward AI compared to their older counterparts. Educational background yields significant differences (χ² = 6.70, p < 0.05), with nurses holding undergraduate degrees exhibiting the highest positive attitudes. However, years of nursing experience did not reveal significant variations in attitudes. Healthcare and nursing administrators need to work on increasing the nurses' awareness of AI applications and emphasize the importance of integrating such technology into the systems in use. Moreover, addressing nurses' concerns about AI's control and discomfort is crucial, especially considering generational differences, with younger nurses often having more positive attitudes toward technology. Change management strategies may help overcome any hindrances.

Assessment of Nurses' Knowledge and Performance of Transmission Based Precautions in Mahalla Fever Hospital

Assessment of Nurses' Knowledge and Performance of Transmission Based Precautions in Mahalla Fever Hospital

Assessment of nurses’ opinions on the most common medication and their causative factors in hospitals Al Diwaniyah governorate

Assessment of nurses’ opinions on the most common medication and their causative factors in hospitals Al Diwaniyah governorate

Assessment of Nurses' Knowledge, Attitude and Practice Regarding Nutritional Care Management of Diabetic Patients in Benha University Hospital

Assessment of Nurses' Knowledge, Attitude and Practice Regarding Nutritional Care Management of Diabetic Patients in Benha University Hospital

Progress Test in nursing: perspectives for undergraduate education.

to reflect on the perspectives of adopting the Progress Test in undergraduate nursing education. this is a reflective study, based on authors' critical thinking and supported by national and international literature on the Progress Test application in undergraduate health courses. the Progress Test is as a valuable teaching-learning strategy, with potential applications and benefits for students, professors, and academic management. systematic nursing education assessment indicates valuable information for different stakeholders. Understanding its potential benefits, the Progress Test is presented as a strategy that can be replicated in undergraduate nursing education, either individually, by institutions, or collaboratively, by the establishment of partnerships or consortiums of institutions.

Assessment of Nurses’ Knowledge Regarding Personal Protective Equipment at Two Tertiary Care Hospitals, Peshawar

Personal Protective Equipment (PPE) include gloves, protective eye wear (goggles), mask, respirator, apron, gown, boots/shoe cover, hair cover and are aimed to shield Health Care Professionals (HCP) including nurses from workplace infections and injuries. Objective: To assess nurses’ knowledge regarding personal protective equipment at two tertiary care hospitals in Peshawar. Methods: A design of the study was descriptive cross-sectional survey. Overall, 150 nurses were involved by using consecutive sampling technique. Data were collected through structured, self-administered adopted questionnaire. Results: This study comprised of 150 contributors including 30% male and 70% female. The mean age of the participants was 29.15 with standard deviation ± 6.07. 53.3% of the participants had Diploma, 36.7% had Post RN, 8.7% of the participants had BSN and 1.3% of the participants had MSN degrees. The study showed that 58% of respondents had good knowledge due to their professional experiences while 36% had average knowledge level due to low professional experiences and lack of resource and availability of PPE’s and only 6% participants had poor knowledge level regarding personal protective equipment due to lack of professional experiences. Conclusions: This study concluded that knowledge level was good in majority of nurses. Despite the good knowledge level, some of the personnel practices and attitudes towards PPE remain unchanged. This study pleas for a need to educate Nurses on PPE; it may be with continuing education on infection control or other informative platforms. When there is low level of knowledge it will affect practice related to PPE.

Frailty Screening and Detection of Geriatric Syndromes in Acute Inpatient Care: Impact on Hospital Length of Stay and 30-Day Readmissions.

Frailty is prevalent in acute care and is associated with negative outcomes. While a comprehensive geriatric assessment to identify geriatric syndromes is recommended after identifying frailty, more evidence is needed to support this approach in the inpatient setting. This study examined the association between frailty and geriatric syndromes and their impact on outcomes in acutely admitted older adults. A total of 733 individuals aged ≥65 years admitted to the General Surgery Service of a tertiary hospital were assessed for frailty using the Clinical Frailty Scale (CFS) and for geriatric syndromes using routine nursing admission assessments, including cognitive impairment, falls, incontinence, malnutrition, and poor oral health. Multinomial logistic regression and Cox regression were used to evaluate the associations between frailty and geriatric syndromes and their concomitant impact on hospital length of stay (LOS) and 30-day readmissions. Greater frailty severity was associated with an increased likelihood of geriatric syndromes. Individuals categorized as CFS 4-6 and CFS 7-8 with concomitant geriatric syndromes had 29% and 35% increased risks of a longer LOS, respectively. CFS 4-6 was significantly associated with functional decline (relative risk ratio =1.46; 95% confidence interval [CI], 1.03-2.07) and 30-day readmission (hazare ratio=1.78; 95% CI, 1.04-3.04), whereas these associations were not significant for CFS 7-8. Geriatric syndromes in frail individuals can be identified from routine nursing assessments and represent a potential approach for targeted interventions following frailty identification. Tailored interventions may be necessary to achieve optimal outcomes at different stages of frailty. Further research is required to evaluate interventions for older adults with frailty in a wider hospital context.

Assessment of Nurses’ Performance Regarding Infection Control Standard Precautions during Covid-19 Pandemic in Family Health Centers at Beni-Suef City

Assessment of Nurses’ Performance Regarding Infection Control Standard Precautions during Covid-19 Pandemic in Family Health Centers at Beni-Suef City

Assessment of nurses' level of knowledge of the management of chronic wounds

BackgroundChronic wounds are a challenge and a major cause of morbidity. A wound is considered chronic if healing does not occur within the expected time frame depending on the etiology and location of the wound. ObjectiveTo assess the level of knowledge about chronic wound management of postgraduate nurses in different areas of the health system and their previous satisfaction with the training received during their undergraduate studies. DesignCross-sectional study of a health system of 95,000 inhabitants and 557 nursing professionals working in it. ParticipantsNurses working in the study health system and in areas with care for patients with chronic wounds in social, primary and hospital care. ResultsSurvey results described a low knowledge of chronic wound management in general. Data on knowledge according to area of work showed that nurses in primary care had the highest knowledge of wound etiology. Nurses working in health and social care were most knowledgeable in diagnostic knowledge. Hospital nurses showed the lowest knowledge overall. A relationship was observed when nurses had a master's degree followed by an expert with better knowledge in the test. In addition, nurses reported little training in chronic wounds during their university studies (69.73 %, n = 106). ConclusionsTherefore, a review of this point should be considered to improve the management of chronic wounds and their correct approach among nursing students. A review of continuing and even specialised training needs in the clinical care setting should also be considered.

THE ROLE OF NURSES IN DISORDERS OF CONSCIOUSNESS: ​IMPLEMENTATION OF SENSORY STIMULATION IN THE NEURO-ICU

Abstract In the Neuro Intensive Care Unit (Neuro-ICU), patients with Disorders of Consciousness (DoC) often experience sensory deprivation. DoC, resulting from brain damage, encompasses varying degrees of wakefulness and awareness, ranging from coma to vegetative state and minimally conscious state. Research highlights a concerning trend in the Neuro-ICU, where older adults with DoC are more susceptible to mortality compared to their younger counterparts. This study emphasizes the indispensable role of nurses in effectively managing DoC within the Neuro-ICU, particularly through the thoughtful application of sensory stimulation interventions. Sensory stimulation is a promising approach that engages patients’ various senses—touch, sight, sound, and smell, aiming to awaken awareness and cognitive responses in DoC patients. By fostering neural activity, sensory stimulation holds the potential to contribute to their recovery. Importantly, these techniques can be customized to each patient’s specific condition and responses, and nurses, due to their continuous patient interactions, are uniquely positioned to administer these interventions at the bedside. Recognizing this vital role, evidence-based strategies are proposed, encompassing thorough literature analysis, assessment of nurses’ attitudes, and exploration of potential interventions within the Neuro-ICU setting. This research highlights the significant impact nursing can have on elevating patient outcomes. It demonstrates how evidence-based interventions like sensory stimulation can be seamlessly woven into patient care, providing a valuable and holistic approach for individuals grappling with the intricate challenges presented by DoC.

Pengembangan Instrumen Deteksi Kemunduran Bio, Psiko, Sosio, Spiritual pada Pasien Lanjut Usia

This research aims to develop an instrument that detects bio, psycho, social, and spiritual decline in elderly hospital patients by using theoretical concepts in nursing care. The research method uses cross-sectional, with validity and reliability tests using the Product Moment correlation test. The research results show that the bio, psycho, social, and spiritual deterioration detection instrument consists of 26 questions with high validity and reliability. This instrument has been based on various concepts that focus on the individual's bio, psychological, social, and spiritual needs. In conclusion, this instrument is easy to use and is an evidence-based nursing assessment tool.&#x0D; Keywords: Bio-Psycho-Socio-Spiritual Decline; Elderly Patients

Design and implementation of an automatic nursing assessment system based on CDSS technology

BackgroundVarious quantitative and quality assessment tools are currently used in nursing to evaluate a patient’s physiological, psychological, and socioeconomic status. The results play important roles in evaluating the efficiency of healthcare, improving the treatment plans, and lowing relevant clinical risks. However, the manual process of the assessment imposes a substantial burden and can lead to errors in digitalization. To fill these gaps, we proposed an automatic nursing assessment system based on clinical decision support system (CDSS). The framework underlying the CDSS included experts, evaluation criteria, and voting roles for selecting electronic assessment sheets over paper ones. MethodsWe developed the framework based on an expert voting flow to choose electronic assessment sheets. The CDSS was constructed based on a nursing process workflow model. A multilayer architecture with independent modules was used. The performance of the proposed system was evaluated by comparing the adverse events’ incidence and the average time for regular daily assessment before and after the implementation. ResultsAfter implementation of the system, the adverse nursing events’ incidence decreased significantly from 0.43 % to 0.37 % in the first year and further to 0.27 % in the second year (p-value: 0.04). Meanwhile, the median time for regular daily assessments further decreased from 63 s to 51 s. ConclusionsThe automatic assessment system helps to reduce nurses’ workload and the incidence of adverse nursing events.

Needs Assessment of Residents and Nurses for Interprofessional Cross‐Cultural Curriculum

AbstractBackgroundClinicians must learn to care for patients from different cultures. They must also work in teams for optimal outcomes. Few studies have analysed the intersection of cross‐cultural care and interprofessional education. We completed a needs assessment to determine what paediatric residents and nurses view as essential cross‐cultural components.MethodsWe led a sequential mixed‐methods study of residents and nurses at an urban tertiary care centre. We administered the ‘Residency Training in Cross Cultural Care’ instrument. Survey results informed focus group interview guide development. Thematic analysis of qualitative data was conducted following the five stages to qualitative research framework.FindingsThirty‐five residents (70%) and 46 nurses (66%) completed the survey. Five residents and six nurses attended a focus group. Five themes resulted: 1) lack of clinician diversity and cross‐cultural training, 2) effective cross‐cultural care not always delivered, 3) multiple challenges for delivery of effective cross‐cultural care, 4) call to action for enhanced cross‐cultural education and 5) different cross‐cultural educational needs between nurses and residents.DiscussionResidents and nurses conveyed that meaningful cross‐cultural care education is imperative, lacking, and must offer skills to improve patient care. They call for a robust cross‐cultural curriculum that is up to date and teaches about intersectionality.ConclusionWe have used this data to implement interprofessional interventions to meet their unique learning needs and enhance upstander skills by using facilitated discussions of techniques, case studies and role plays. Ultimately, teaching all clinicians to care for patients of other cultures may lead to more equitable care.

The impact of whole of patient nursing assessment frameworks on hospital inpatients: A scoping literature review.

A comprehensive patient assessment is essential for safe patient care. Patient assessment frameworks for nurses are generally restricted to patients who already have altered vital signs and are at risk of deterioration, or to specific risks or body systems such as falls, pressure injury and the Glasgow Coma Score. Comprehensive and structured evidence-based nursing assessment frameworks that consider the whole patient and extend beyond vital signs, specific risks and single systems are not routinely used in inpatient settings but are important to establish early risks for patient deterioration. The aim of this review was to identify nursing assessment tools or frameworks used to holistically assess hospitalized patients and to identify the impact of these tools on patient and health service outcomes. A scoping literature review was conducted. Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest Dissertations and Thesis, Embase and Scopus were databases used in the search. The initial search was conducted in August 2021 and repeated in November 2022. No date parameters were set. The Participants, Concept, Context (PCC) framework was used to guide the development of the research question and consolidate inclusion and exclusion criteria. The PRISMA-ScR Checklist Item was followed to ensure a methodologically sound checklist was used. Ten primary research studies evaluating six nursing assessment frameworks were included. Of the five nursing assessment frameworks, none were explicitly designed for general ward nursing, but rather the emergency department or specific patient cohorts, such as oncology. Four studies reported on reliability and/or validity; two reported on patient outcomes and four on staff satisfaction. Evidence-based nursing patient assessment frameworks for use in general inpatient wards are lacking. Existing assessment tools are largely designed for specific patient cohorts, specific body systems or the already deteriorating patient. A framework to enable a structured approach to patient assessment in this environment is needed for patient safety, consistency in assessment, nursing staff enablement and confidence to escalate care. Routine systematic nursing assessment could also aid timely patient escalation. What problem did the study address? This study addresses the lack of evidence-based nursing assessment frameworks for use in hospitalized patients. The impact of this is that it highlights the need for an evidence-based, whole of patient assessment framework for use by nurses for patients admitted to a ward environment. What were the main findings? This review identified limited comprehensive, patient assessment frameworks for use in general ward inpatient areas. Those identified were not validated for this patient cohort and are aimed at patients already deteriorating. Where and on whom will the research have an impact? This review has the potential to impact future research and patient care. It highlights that most research is focussed on processes to detect and escalate care for the already deteriorating patient. There is a need for an evidence-based routine nursing assessment framework for patients admitted to a ward environment to promote positive patient outcomes and prevent deterioration. This review contributes to existing knowledge of nursing patient assessment frameworks, yet it also highlights several gaps. Currently, there are no known, validated, holistic, structured nursing patient assessment frameworks for use in general ward inpatient settings. However, areas that do use such assessment frameworks (e.g. the emergency department) have shown positive patient outcomes and staff usability. Hospitalized ward patients would benefit from routine, structured nursing assessments targeting positive patient outcomes prior to the onset of deterioration.

Assessment of Mental Workload Nurses in COVID-19 Pandemic

Objectives: Nurses are at the front line of treatment and coping with COVID-19 pandemic. Therefore, the present study investigates the pandemic’s impact on nurses ’mental workload and determines its predictive factors.&#x0D; Methods: This descriptive-analytical study was done on 234 nurses in two groups working at COVID-19 and non-COVID-19 wards in 2020. The criteria for entering the study were the absence of psychological problems. Data was gathered using the General Health Questionnaire, NASA-TLX, and Demographic Questionnaire.&#x0D; Results: The mean of the overall mental workload score in the group of nurses working at the Covid-19 wards (70.09 ± 2.51) was higher than the group of nurses working in the non-COVID-19 wards (66.55 ± 2.02). This difference was significant (P = 0.01). There was a significant difference between the mean score of the mental demand, the physical demand, the temporal demand, and the frustration level of the two groups. With the exception of performance, the group of nurses working in the corona ward had a higher mean score in all aspects. In the proposed linear model, 16% of the overall changes in mental workload depended on two variables, which were age and work experience. The work experience was the most influential factor in predicting nurses' mental workload.&#x0D; Conclusion: The findings of the present study showed the importance of paying attention to the mental workload of nurses as well as personal and occupational factors affecting mental workload in the conditions of the COVID-19 pandemic. Therefore, control and management of effective factors can help reduce mental workload, especially during pandemic conditions.

A Delphi Process to Identify Relevant Outcomes That May Be Associated With a Predictive Analytic Tool to Detect Hemodynamic Deterioration in the Intensive Care Unit.

Background The critical care literature has seen an increase in the development and validation of tools using artificial intelligence for early detection of patient events or disease onset in the intensive care unit (ICU). The hemodynamic stability index (HSI) was found to have an AUC of 0.82 in predicting the need for hemodynamic intervention in the ICU. Future studies using this tool may benefit from targeting those outcomes that are more relevant to clinicians and most achievable. Methods A three-round Delphi study was conducted with a panel of 10 critical care physicians and three nurses in the United States to identify outcomes that may be most relevant and achievable with the HSI when evaluated for use in the ICU. To achieve criteria for relevance, at least 65% of panelists had to rate an outcome as a 4 or 5 on a 5-point scale. Results Nineteen of 24 outcomes that may be associated with the HSI achieved consensus for relevance. The Kemeny-Young approach was used to develop a matrix depicting the distribution of outcomes considering both relevance and achievability. "Reduces time spent in hemodynamic instability" and "reduces times to recognition of hemodynamic instability" were the highest-ranking outcomes considering both relevance and achievability. Conclusion This Delphi study was a feasible method toidentify relevant outcomes that may be associated with an appropriate predictive analytic tool in the ICU. These findings can provide insight to researchers looking to study such tools to impact outcomes relevant to critical care practitioners. Future studies should test these tools in the ICU that target the most clinically relevant and achievable outcomes, such as time spent hemodynamically unstable or time until actionable nursing assessment or treatment.

Assessment of Nurses' Knowledge and Practice Regarding Care of Women Undergoing Hysteroscopy

Assessment of Nurses' Knowledge and Practice Regarding Care of Women Undergoing Hysteroscopy

Assessing the Quality of Health Content on Arabic Digital Platforms: Insights from Healthcare Professionals and the Public

Fundamentally, human well-being serves as the bedrock upon which individuals can lead enriching lives and contribute positively to their communities and the global society. Most industries across the board employ social media to disseminate their offerings and facilitate customer engagement. This has also found its way into the healthcare sector, with numerous websites and social media platforms. These platforms host a wealth of health-related information and empower the public to seek out health insights that pique their interest. Given the vital nature of the healthcare sector, it becomes imperative to disseminate health information with censorship and ensure continuous monitoring and updates.&#x0D; This study endeavors to explore the assessment of healthcare sector professionals, encompassing doctors, medical students, nurses, and other healthcare professionals. Additionally, it seeks to gauge the opinions of the public who frequent these online platforms. The evaluation was conducted based on various criteria derived from prior research, employing a questionnaire methodology to gather the necessary feedback. The outcomes of the evaluation yielded positive results in both participant categories. However, it is important to acknowledge that this evaluation does not include all healthcare platforms or all inquiries. This underscores the urgent need to establish controls, as stated in the study's concluding observations.

Assessment of Nurses’ Knowledge Regarding the Workplace Violence at 250 Bedded Mohammad Ali Hospital, Bogura, Bangladesh

Background: Workplace violence in healthcare settings is a serious problem worldwide and in Bangladesh. It is becoming more common worldwide, and the recent trends confirm a high prevalence of occupational violence against nurses and physicians [1]. The International Labor Office, International Council of Nurses, World Health Organization, and Public Services International defined workplace violence as using physical or nonphysical power against another person or group that could harm the victims physically, mentally, spiritually, sexually, morally, or socially. About 1.6 million people died worldwide due to workplace violence, and many more became injured or suffered from physical and nonphysical health problems [3]. Objective: The aim was to assess nurses' knowledge regarding workplace violence at 250 Bedded Mohammad Ali Hospital, Bogura. Methodology: This was a descriptive cross-sectional study design used, and a sample size of 110 that was a purposive sampling technique followed those who met the inclusion criteria and assessed the nurses' knowledge regarding workplace violence. The study was conducted from July 2021 to December 2021. The instruments for data collection were a semi-structured questionnaire composed of two parts: Demographic variables and knowledge- based information on workplace violence. Results: The findings of the present study revealed that the highest age group, 40.91% were within 30-40 years, 86.36% were female, 4.55% were Muslim, 93.64% were married, and 47.27% were Diploma in nursing educational qualification among respondents. The average knowledge score of 68% was a good level of knowledge regarding workplace violence. It may be due to their cooperation. Conclusion: Workplace violence among nurses is a major problem in the workplace. It is also a common global problem, including Bangladesh. The major findings of 68% were good level of knowledge. The government plays an important role in minimizing workplace violence using different approaches.

Feasibility, acceptability, and usability of implementing a medical device-related pressure injury algorithm for critically ill patients using non-invasive ventilation

ObjectivesDescribe the feasibility, acceptability, and usability of implementing a nurse-led intervention to prevent medical device-related pressure injury in critical care patients using non-invasive ventilation during hospitalization. Study designA quality improvement project, using a descriptive single-arm study design with convenience sampling. Setting and participantsThis study was conducted at a Midwestern medical center with 640 beds (two hospital campuses). After an educational session, the nurse-led algorithm for non-invasive ventilation medical device-related pressure injury prevention was implemented in two critical care nursing units (cardiac medical progressive care and neurotrauma intensive care unit). Nursing staff were full or part-time critical care nurses. Main outcome measuresFeasibility, acceptability, and usability of the non-invasive ventilation medical device-related pressure injury algorithm were measured (bedside rounding and pre/post System Usability Scale). ResultsThirty-five nurses (52.2 %) completed a pre-educational survey; 8 (11.2 %) completed a post-survey. The total mean pre-survey score was 70.7 (SD ± 13.6) and the post-survey mean score was 71.3(SD ± 19.6). There was a statistically significant increase in the post-survey mean score {Χ2 (1, N = 43) = 43.5, p <.05}, however, the 0.06 increase was not clinically meaningful. Bedside rounding interviews (n = 22) indicated 82 % (n = 18) of the nurses used the algorithm. The SUS tool mean score was 83.3 (10.73) pre-implementation (n = 21); and 85.63 (8.26) post-implementation (n = 5), indicating clinical usability of the algorithm pre- and post-implementation. ConclusionThe feasibility, acceptability, and usability of implementing a medical device-related pressure injury algorithm for critically ill patients using non-invasive ventilation were demonstrated during this study. More nursing research is needed to develop scalable interdisciplinary clinical algorithms to reduce medical device-related pressure injuries in patients using non-invasive ventilation. Implications for clinical practiceThis study focused on the bedside usability of the algorithm in a clinical setting. Implementing this nursing-developed algorithm created an interdisciplinary framework in which nursing assessment may guide clinical care.