Continuing Education For Nurses Research Articles

Continuing Education for Home Care Nurses: An Integrative Literature Review.

With the wide range of clinical skills and responsibilities that home care nurses (HCNs) are expected to perform, it is important they are supported with access to relevant continuing nursing education (CNE) to perform their job safely and effectively. An integrative literature review was conducted to explore the current evidence on CNE for HCNs. Medline and CINAHL were searched and 13 articles that met the criteria were reviewed. The analysis identified three themes: (1) learning strategies (simulation, virtual gaming, elearning, traditional learning); (2) challenges (staffing, time, access, skill) and opportunities (incentive to stay employed, decreased burnout); and (3) learning needs (palliative, patient and family needs, older adults and dementia, acute nursing skills). Nurses who provide care to patients in their homes have very complex roles and responsibilities. In order to keep patients and nurses safe, standards of education for HCNs, beyond their basic education program, must be developed. These educational standards must be designed to address the complex medical needs of patients while making the educational opportunities accessible and value-added. Improving the CNE experience for HCNs has the potential to increase patient safety, improve care outcomes, increase nurse competence, improve retention, and decrease nurse burnout.

Adherence to medication administration guidelines among nurses in a health facility in South-West Nigeria.

Introductionmedication error has become a global problem. Medication administration that is error free is important in achieving positive outcomes in patient’s care. This study assessed adherence to medication administration guidelines among nurses in a health facility in South-West Nigeria.Methodsa cross-sectional descriptive study was carried out on 75 nurses involved in oral medication administration. Data was collected using direct observation method with an observational checklist developed from literature. Data analysis was done using frequency, percentage, Mean and Standard Deviation. Test of relationship was carried out using Kruskal-Wallis Test and Mann Whitney Test at 0.05 (p<0.05) level of significance.Resultsalmost an average (49.3%) of participants did not provide information about the medication. More than 1/3rd (38.7%) did not perform right assessment where necessary. The majority (76.0%) did not serve correct medication. Overall level of non-adherence was 48%. Adherence to medication administration guidelines was significantly related to age (χ2 = 9.673, p<0.05), marital status (χ2 = 9.426, p<0.05), years of experience (U=404.000 Z=2.7622, p<0.05), type of shift (χ2 = 6.314, p<0.05), nurses-patient ratio (χ2 = 11.598, p<0.05).Conclusionsome nurses did not adhere strictly to the guidelines of medication administration. Adherence to medication administration guidelines was related to age, marital status, years of experience, type of shift and nurse-patient ratio. Poor adherence to medication administration guidelines may jeopardize patient safety. There is need for development of a universal medication procedure/protocol and continuous education of nurses on medication administration practices.

Awareness regarding Antibiotic Stewardship among nurses at selected hospitals, Chennai

Background: Antibiotics are medicines that fight bacterial infections. They can save lives if they are used correctly, but nowadays antibiotic resistance has become a real problem.1 Infections by resistant microorganisms do not respond treatment, which prolongs the hospital stay, and increases the risk of death. Moreover, if the treatment fails or if the response to treatment is slow, the patient is contagious for longer, which increases the likelihood of transmission of resistant microorganisms.2 The clinical outcome can be improved with optimization of antibiotic practices. The aim of the study was to assess the level of awareness regarding Antibiotic stewardship among nurses. Methods andMaterials: A cross sectional descriptive correlational research design was adopted to assess the awareness of nurses on antibiotic stewardship. An extensive review of literature and guidance from the experts formed the foundation to the development of the tools such as demographic variables proforma, MCQ questionnaire on antibiotic stewardship in google form. The present study was conducted in selected tertiary care center at Chennai, among 60 nurses selected by purposive sampling technique. After obtaining setting permission and research participants’ consent, a brief introduction of the research was given. Then the data were collected using the predetermined tools through email using google forms. The collected data were organized and analyzed using descriptive and inferential statistics. Results: More than half of nurses had adequate overall knowledge on antibiotic stewardship (55%), majority of them had adequate knowledge in antibiotic treatment (60%) and nurses’ responsibility (63.33%). Around half of them had adequate knowledge in drug related side effects (46.67%) and its causative agents (50%). Conclusion: The present study reveals the necessity for continuous nursing education for knowledge update regarding importance of nurses regarding antibiotic stewardship.

Front Line Nurse Managers’ Attitudes And Perceived Barriers Towards Continuous Education In Nursing; Sri Lanka

Abstract Continuous education is a vital factor which contributes towards the professional development in nursing and it is directly associated with the health of a country. Continuous education is essential to maintain and improve the knowledge, skills, and attitudes of nurses and provide better health care. The objective of this study was to assess the attitudes and perceived barriers towards continuous education in nursing among the front-line nurse managers in Sri Lanka. A descriptive cross-sectional study was conducted among 555 front line nurse managers in Sri Lanka using a self-administered questionnaire. Data analysis was done using descriptive statistics. SPSS 25 version was used as the data analysis tool. Thirty-one special grade nursing officers and 524 grade 1 nursing officers participated in this study. The majority (73%) had more than 20 years of working experience as a nursing professional. Most of the nurse managers were diploma holders (83%), 3% undergraduates, 14% graduates, and 1% were reading for Masters. Attitudes towards continuous education were good among all the nurse managers, while 92% were willing to continue their education. The majority (96%) has perceived that continuous education is vital for professional development in nursing, and 91% has stated that the opportunities and facilities for continuous education and nursing research should be improved. The attitudes borne by the front line nurse managers towards continuous education, were considered to have been very positive. Further, continuous education was perceived by them as a vital part of professional development. Therefore, it could be surmised that the opportunities and facilities for continuous education and research on continuous nursing education should be improved in order to facilitate the provision of better health care. Keywords: Continuous Education, Nurse Managers, Attitudes

POS-823 SCRUTINY OF A WHATSAPP BASED CONTINUING NURSING EDUCATION TO FACILITATE ON THE JOB LEARNING AMONG HEMODIALYSIS NURSES

Smart phone users across East Africa use WhatsApp messaging as a common internet-based communication tool. Medical communities have reported successful continuing nursing educational (CNE) initiatives via this messaging platform. A Continuous Nursing Education(CNE) channel was provided on a single WhatsApp group to the hemodialysis nurses of Africa Healthcare Network into Rwanda and Tanzania since January 2019. This channel provided for informal learning via group chats, enabling the sharing of large data files (e.g.

The Needs Analysis for Content Development on Continuing Nurse Education: Focused on ‘Nursing Education’ and ‘Nursing Management &amp; Leadership’

The Needs Analysis for Content Development on Continuing Nurse Education: Focused on ‘Nursing Education’ and ‘Nursing Management &amp; Leadership’

Nurses’ knowledge regarding intravenous fluid therapy at a County hospital in Kenya

BackgroundInadequate knowledge of intravenous fluid therapy among health care workers is a leading cause of errors resulting in increased morbidity and mortality in hospitalized patients. Because nurses are the cornerstone of infusion therapy, their knowledge of this subject is critical. This study assessed nurses’ knowledge of intravenous fluid therapy and examined relationships between their knowledge and the nurses’ demographic and training characteristics. MethodsA cross-sectional survey of 52 staff nurses working in medical and surgical wards was carried out at a County teaching hospital in Kenya. A validated 10-item survey questionnaire was used to measure nurses’ knowledge of basic aspects of intravenous fluids, including classification, ionic composition, indications, administration, monitoring, and related complications. The data were entered and analyzed by SPSS version 21. ResultsOverall, the mean knowledge score on intravenous fluid therapy among nurses was 57.4% (SD = ±28.55), depicting moderately adequate knowledge. Adequate knowledge regarding intravenous fluid therapy was present in only 12% of the nurses, whereas 23% had inadequate knowledge. Knowledge deficiencies were highest regarding the ionic composition of intravenous fluids. A positive correlation was observed between nurses’ intravenous fluid therapy knowledge and previous further training on intravenous fluids (p<0.001), level of education (p < 0.001), and ward (p = 0.03). ConclusionNurses’ knowledge of intravenous fluid therapy is moderately adequate. Continuous education and training of nurses on IV fluid therapy should be conducted regularly to improve their knowledge and consequently, the quality of patient care. Further research involving direct observation of nurses during intravenous fluid therapy is needed for validation of competency.

A Study on the Educational Operation Status and Program Quality Evaluation in Continuing Nursing Education Providers

본 연구는 간호사 보수교육 실시기관의 보수교육 운영 현황을 파악하고, 보수교육 프로그램의 질을 구조-과정-결과 영역별로 평가하기 위해 수행되었다. 연구대상은 대한간호협회로부터 인정받은 127개 보수교육 실시기관 및 기관에서 시행한 보수교육 프로그램이었으며, 자료는 이메일 설문조사를 통해 수집하였다. 수집된 자료는 SPSS 20.0 프로그램을 사용해 기술통계와 t-test, ANOVA로 분석하였다. 연구결과, 보수교육 실시기관 유형은 종합병원이 48.7%로 가장 많았으며, 보수교육 실시기관이 자체개발한 프로그램보다 대한간호협회가 개발한 전달교육 프로그램의 비율이 더 높았다. 보수교육 이수시간은 8시간이 많았으며, 보수교육 담당자는 1명이며 겸임인 비율이 높았다. 간호사 보수교육 프로그램 질 평가점수는 자체개발 프로그램이 전달교육 프로그램의 점수보다 더 높았고, 결과평가 영역의 점수들은 구조평가 영역과 과정평가 영역의 점수들보다 낮았다. 또한 간호사 보수교육 실시기관의 유형, 교육 프로그램 유형, 보수교육 담당자수, 전담 여부와 같은 일반적 특성에 따라 구조와 과정 평가영역의 요인들에서 통계적인 차이가 있었다. 이에 간호사 보수교육 프로그램을 실시한 후, 프로그램의 구조, 과정, 결과 영역에 대한 평가가 시행되어야 하며, 그 결과를 차후 보수교육 프로그램 개선에 반영할 것을 제안한다.The purpose of this study is to evaluate the continuing nursing education (CNE) operation status and CNE programs quality of CNE providers accredited by the Korean Nurses Association (KNA). Data was collected through an email survey of 127 CNE providers from July 25th to August 28th, 2019. The collected data were analyzed by descriptive statistics, t-test, and ANOVA using the SPSS 20.0 program. The CNE provider type was the highest at 48.7% in general hospitals and the ratio of the CNE programs developed by the KNA was higher than those developed by CNE providers. And the rate of one nurse planner was higher, and most of them were not dedicated. The CNE program quality evaluation score was high in the self-developed program, and the outcome evaluation domain scores were lower than those in other domains. According to general characteristics such as CNE provider type, educational program type, number of nurse planners, and whether or not to be dedicated to nurse planners, there were statistical differences in the factors of the structural and process evaluation domains. The structure, process, and outcome domains of the program should be evaluated after the continuing nursing education is implemented, and future CNE programs should reflect these results.

English

Wrong-time medication administration errors (WTMAEs) can have serious consequences for medication safety. The study was a cross-sectional study that employed a prospective observation technique and was conducted from 4th June to 20th July 2018 at Adult University Teaching Hospital (AUTH) in the Internal Medicine and Surgery departments. A total of 1749 doses were observed being administered to 325 inpatients and the frequency of WTMAEs was 47.8% (n= 836). Further analysis of WTMAEs was performed of which early and late time medication administration errors accounted for 47.2% (n= 826) and 4.9% (n=86), respectively. In the multivariable regression model, medications administered every 6 h (QID) [AOR=5.02, 95% CI (2.66, 9.46)] were associated with a higher likelihood of being involved in WTMAE. The most common causes of early and late time medication administration errors as reported by nurses were work overload (88.9%) and change in patients’ condition (86.1%), respectively. Wrong time medication administration errors were common in the Adult Hospital at AUTH in the two departments studied. Unless effective interventions such as continuous nursing education and the recommended patient to nursing ratio are put in place, WTMAEs will continue to persist and this will in turn, continue compromising patient safety. Key words: Wrong time medication administration errors, frequency, late medication administration errors, early medication administration errors.

Breaking Silos: The Team-Based Approach to Coronavirus Disease 2019 Pandemic Staffing.

Breaking Silos: The Team-Based Approach to Coronavirus Disease 2019 Pandemic Staffing.

Knowledge and Attitudes of Home Care Nurses in Cyprus in the Management of Cancer Pain

Pain is a common symptom for cancer patients. It is a problem for themselves and their relatives. Nurses are confronted with the treatment of cancer pain in their everyday clinical practice. Efficient management requires accurate and appropriate knowledge, positive attitudes, and competent evaluation skills. The aim is to explore the knowledge and attitudes of Cypriot home care nurses in pain management of cancer patients. Regarding methodology, a quantitative descriptive design was used and the data were collected with the Greek version of the McCaffery and Ferrell Nurses’ Knowledge and Attitudes Survey Regarding Pain questionnaire along with a demographic questionnaire. The sample of the study consisted of home care nurses working in non-profit organizations in Cyprus ( n = 31). For the analysis of data, the SPSSv.21. was used and the statistical significance was set to the p = .05. Results revealed of the total of 35 questions only 13 were answered correctly by the 80% of the participants. Limited knowledge was reported mainly on the duration of action, the effect and dosage of Pethidine, the risk of addiction and the use of non-medication interventions. Significant differences were found to the level of knowledge as regards the age and the experience of nurses. In the case study exercise, it was found that false assessment of pain was related to wrong decisions. Nurses’ attitudes seemed to be positive. In conclusion, the study revealed the knowledge deficits and need for continuous education of home care nurses on the assessment and management of pain for patients with cancer. Empowering nurses with better skills to deal with pain, a most distressing symptom of cancer, will result in a better quality of life for patients. However, the integration of pain management within the national cancer strategies is also very important.

Documentation compliance of in-patient files: A cross sectional study from an east India state

AimTo assess the knowledge, attitude and practices of nurses regarding in-patient file documentation. BackgroundDocumentation is a communication tool that helps in the exchange of information stored between caregivers. Quality documentation promotes structured, consistent and effective communication between healthcare providers. This is a preliminary study on the documentation in tertiary care hospitals for initial steps to be taken by the concerned health officers and decision makers. MethodsA descriptive cross-sectional study was carried out with a total of 80 respondents who were selected conveniently from a tertiary care hospital in Durgapur. Study utilized a dichotomous self-administered questionnaire. Qualitative characteristics were summarized using frequency and percentages. Chi-square test was used to investigate associations. Statistical Package for Social Sciences (SPSS, Version 25, Licensed by IIHMR University, Jaipur) was used for analysis. ResultsMajority of the nurse (67.5%, n = 54) had satisfactory knowledge, attitude & practice. Chi-squared test of association revealed no significant relation between gender and knowledge, attitude & practice (χ2 = 0.15, df = 1 and p = 0.697). No significant association of knowledge, attitude & practice was observed with age (χ2 = 1.48, df = 2 and p = 0.477) and years of experience (χ2 = 2.31, df = 1 and p = 0.128). ConclusionThe nurses appeared to be familiar with the required documentation knowledge. A pressing need was felt to emphasize on all aspects of in-patient documentation under continuous nursing education program. Newly appointed nurses were equally good in documentation compared to their senior counterparts. This study advocates the necessary actions to be taken for enabling nurses for timely documentation of patient details for improved communication with other health workers.

Challenges of Continuous Nursing Education in Health Agencies

Background: Many factors effects on continuous nursing education, like environment of the study or teaching method, stimulation of employees to participate in the courses and participant’s satisfaction or outcome, so evaluating such unit is so vital and can strengthen weak points and this leads to better patient outcome and high rates of nurses job satisfaction. Aims: This study aims to evaluate continuous nursing education in three parts structure, process and outcome, and knowing factors affecting it. Methodology: Descriptive study design, data collected from three educational hospitals and eight primary health care centers,the approval to conduct the study was obtained from Training and Development Centre in Babylon Health institution, Ethical committee in the nursing college of Babylon and official permissions from Al-Hilla Teaching Hospital, Babylon Maternity and Children Teaching Hospital, Murjan Medical City and Al-Hilla health sectors 1 & 2. Structure and process data gathered by researcher from continuous nursing education unit manager by answering questionnaire which reviewed by (20) nursing experts, the outcome assessed by nurses who participated in continuous nursing education courses by answering the questionnaire by (250) nurse, convenient sampling. Results: The finding refers to several infrastructure weak points, low funds leads to decreased learning preparations like smart screens or advanced laboratories and medical equipment for training. The courses scheduling which set by health ministry are less than applied actually, and low focusing about nursing competencies in these courses, there wasn’t any coordination between health institutions and higher education to fill knowledge gaps or decrease subjects repetition for nurses, and few nurses takes courses out of their hospitals (abroad). High rates of participant nurses didn’t get money reward and most of them used participation certificate for promotion purposes, though, high rates of nurse’s satisfaction about continuous nursing education role, timing commitment, gaining knowledge and scientific materials provided. Conclusion: The purpose of this article was to describe our evaluation process. Continuous nursing education evaluation is central to the mission and integrity of nursing programs in preparing successful nurses, advanced practice nurses, leaders, and scholars. At a more immediate level, continuous nursing education evaluation is an integral component of continuous quality improvement and of significant benefit in planning and implementing intentional, data-driven, program changes. Putting continuous nursing education units in high priority in hospitals policies or primary health care centers in financial support will improve its performance and provide an appropriate environment, tools, hiring highly educated lecturers or participating in abroad of their governances or even country, for studying and learning new skills. Coordination with educational institutions will provide variety in teaching method and filling gaps in the learner knowledge chain, further studies in this field is required that focuses in Health ministry curriculum, separation of hospitals and primary health care centers, and about nurses that didn’t engaged in continuous nursing education courses.

Continued nursing education in low-income and middle-income countries: a narrative synthesis

IntroductionContinued nursing education and development can reduce mortality and morbidity of patients and can alleviate the shortage of healthcare workers by training of nurses for high-demand skill sets. We reviewed...

Investigation and Analysis of Continuing Nursing Education Status and Needs of In-Service Nurses in Tibet

Objective: To investigate and analyze the current status of continuing nursing education (CNE) of in-service nurses in Tibet and their demand for continuing education. Methods: 663 active nurses in Tibet were taken as the research objects, and the self-developed questionnaire was used to investigate the current status and needs of CNE, and the correlation between the CNE needs of active nurses and their personal conditions was analyzed. Results: This study shows that 65.61% (435/663) of active nurses have not participated in any CNE, and 91.86% (609/663) of active nurses believe that they need to participate in CNE. The problems faced by active nurses in participating in CNE include funding restrictions, time limitation and ability limitation. Logistic stepwise regression analysis reveals that the age of active nurses and working years of nurses are negatively correlated with the funding restrictions for participating in CNE (P < 0.05). It is relatively more difficult for young nurses with less working experience to obtain funding for participating in CNE. Moreover, there is a negative correlation between age, educational level and the ability of nurses to participate in CNE (P < 0.05). Younger nurses with lower educational level are more difficult to participate in CNE due to personal ability. There is a positive correlation between the length of working experience and the time limitation faced to participate in CNE (P < 0.05). Senior nurses are too busy with their work to participate in CNE due to limited time. Conclusion: The problems faced by active nurses in Tibet in participating in CNE come from funding, time and ability. Young nurses with limited working experience cannot participate in CNE resulting from limited ability and funds; while senior nurses are mainly restricted by time. It is recommended that hospitals and nursing management in Tibet should solve these problems faced by nurses in participating in CNE by implementing a flexible scheduling system, and providing funding or implementing an incentive system, to enhance the confidence of active nurses in participating in CNE.

Evaluation of continuous nursing education

&lt;b&gt;Introduction:&lt;/b&gt; Continuing nursing education and the practice of newly acquired skills in clinical practice consist of increasingly important tools for improving patients’ care in today's health environment. &lt;br&gt;&lt;b&gt;Purpose:&lt;/b&gt; The purpose of this review study is to delve into the evaluation of continuing nursing education and its outcomes along with the educator’s role and obligations. &lt;br&gt;&lt;b&gt;Materials and Methods:&lt;/b&gt; A review of Greek and international literature was carried out, focusing on views regarding continuing nursing education and lifelong learning. The material of the study consisted of articles on the topic, found in Greek and international databases such as: Google Scholar, Mednet, Pubmed, Medline and the Hellenic Academic Libraries Association (HEAL-Link). &lt;br&gt;&lt;b&gt;Results:&lt;/b&gt; Evaluation of continuing nursing education is an integral part of improving the quality of educational activities. This assessment designates whether nurses meet the desired learning outcomes and provides feedback on ways to improve educational experiences that ultimately improve patient care. &lt;br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; The final results of continuing nursing education activities should be aimed at improving nursing professional practice, and therefore, the care provided to patients by nurses.

132 Impact of Falls Intervention Team (FIT) in Sungai Buloh Hospital

Abstract Introduction There is an exponential rise in the number of falls in medical wards, Sungai Buloh Hospital over the years. 57.7% (71/123) of the total falls in 2018 occurred in the Medical Department which raised concerns. As part of the falls reduction strategy, a Falls Prevention And Awareness program have been instituted in the department since September 2017 as well as formation of Falls Intervention Team (FIT) in March 2018. This includes: 1. Education: regular Continuous Medical Education (CME) , and Continuous Nursing Education (CNE): Checklist, Morse Falls Scale, and Falls Prevention Flipchart. 2. Identification: wristband , bed-tagging, and board-tagging of high risk patients. 3. Prevention: Targeted intervention implemented based on risk factors. Objectives The primary objective of this study was to assess the knowledge on falls education, identification and prevention upon introduction of FIT. Methods Audits were done upon initiation of FIT and the following 12 months later in all 11 Medical wards. They were based on the above 3 components using a standard audit form HSB-MED –022. Paired T test was used in analysis in SPSS version 23. Results There is an increment of awareness in education by 32% (p &amp;lt; 0.00). Identification of those at high risk of falls has also increased by 11% (p &amp;lt; 0.023, Wilcoxon Signed ranks test). Audit on prevention also revealed an increment of awareness by 14% over 12 months period (p &amp;lt; 0.038). The highest numbers of falls were seen in the wards with the lowest implementation of risk education and identification. Conclusion Despite the rising trend of the number of falls, FIT has proven to raise awareness, improved falls education, identification and prevention among healthcare personnel in medical wards in our setting.

The Future of Professional Development: A Recap of the 16th Annual American Nurses Credentialing Center Continuing Nursing Education Symposium.

In April 2019, the Nursing Continuing Professional Development (NCPD) Accreditation program of the American Nurses Credentialing Center held their annual Continuing Nursing Education (CNE) Symposium. The focus for the symposium was on igniting, inspiring, and innovating the future of professional development. This article is an overview of the 2019 CNE Symposium. You can also follow highlights on Twitter at @ANCCcne. [J Contin Educ Nurs. 2019;50(9):386-388].

Auditing and Re-auditing Nursing Care for Children Undergoing Central Venous Line Insertion in Pediatric Intensive Care Unit

Aim: The aim was to audit and re-audit nursing care for children undergoing central venous line insertion in Pediatric Intensive Care Unit. Design: A quasi-experimental research design was used for the present study. Setting: The study was carried out at Pediatric Intensive Care Unit, Assiut University Children Hospital. Subjects: Convenience sample was obtained from nurses who gave care to all cases undergoing CVC insertion, working at the previous setting (n= 33). Data Collection Tools: Two tools were used: A structured interview questionnaire sheet and an indirect observation checklist. Results: The study revealed that a mild statistically significance differences were detected as regards CVC Insertion and medication administration (p=0.373 and 0.073 respectively), while the nurses' unsatisfactory practice concerning heparanization and dressing change declined during the re-auditing (p=0.208 and 0.422 respectively).Conclusion: Re-auditing of nurses caring for children undergoing central venous line insertion improved more significantly than auditing. Recommendations: Pediatric nurses should update their knowledge and practice through continued nursing education, training, and frequently attending seminars and conferences especially in infection control skills.

Association between Continuing Nursing Education (CNE) and Quality of Patients’ Services

Association between Continuing Nursing Education (CNE) and Quality of Patients’ Services