Group Of Nurses Research Articles

The impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia

Background Patient safety is crucial to health-care quality and is one of the major parameters monitored by all health-care organizations around the world. Nurses play a critical role in improving the quality of care and patient safety because of their intensity in caring patients and families. Objectives This study aimed to determine the impact of nurse empowerment program on patient safety culture in general public hospital in Indonesia. Methods This study was designed as a quasi-experimental design in Indonesia. This program was conducted for three months with a five-day workshop (4 h for each day), followed by hanging up posters and handing out informative pamphlets to the experimental group's nurses and supervisors at their place of work in three common place that visited by nurses such as changing room, nurse station and near toilet. Results In the intervention group, patient safety culture practice score was significantly increased from 3.11(standard deviation [SD] = 1.43) before intervention to 4.89 (SD = 1.33) after three-month intervention (T2), with the t was 5.78, and p = .001. While in the control group, no significant increased score of patient safety culture practice before intervention and after three months intervention (3.05 ± 1.49 vs. 3.09 ± 1.25, t = 0.76, p = .516). Conclusion The implementation of this innovative empowerment program, which included nurses and supervisors, resulted in an increase in patient safety culture scores as well as growth in domain score. Therefore, this program can be used to advance these critical facets of patient safety culture, which are currently underdeveloped.

Educational Program on Nurses Knowledge about Blood Exchange Transfusion in Neonatal Care Units

Background: Exchange transfusion entails the sequential drawing and injecting of blood aliquots via peripheral or central venous and arterial lines. Notably, arterial lines—either peripheral or umbilical—should not be used for donor blood injections; rather, they should only be used for baby blood withdrawal. To ascertain the Nurses' Knowledge of Blood Exchange Transfusion in Neonatal Intensive Care Units Educational Program. Methods: Designing a quasi-experimental using (non-probability) To ascertain the impact of a training program on nurses' performance with regard to blood exchange transfusion, purposeful sampling was used. The "Statistical Package for Social Science (SPSS) software for Windows (Version 26)" is used to analyze data. Results: This result showed that 33.3%(10) of the study's nurses and 33.3%(10) of the control group's nurses were between the ages of 31 and 35.The study's findings regarding the gender of the nursing staff showed that 53.3% of the participants (19) were female. and of the fifteen participants, 63.3% were men. 50% of the participants are nurses.had a Nursing Institute (15) In terms of general years of experience, 33.3% (10) of the sample had six to ten years of experience, and 3.0% worked in the pediatric department. Conclusion: The study concluded that the nurses’ knowledge about the blood transfusion process before giving the educational program to the patients was poor, and through the intervention and giving the nursing program, their knowledge became good. The reason is due to the effectiveness of the effective programs.

The European Society for Blood and Marrow Transplantation (EBMT) roadmap and perspectives to improve nutritional care in patients undergoing hematopoietic stem cell transplantation on behalf of the Cellular Therapy and Immunobiology Working Party (CTIWP) and the Nurses Group (NG) of the EBMT.

Malnutrition is the most common comorbidity during the continuum of hematopoietic stem cell transplant (HSCT) and negatively impacts clinical outcomes, response to therapy, quality of life, and costs. The intensive conditioning regimen administered before transplant causes inflammatory damages to the gastrointestinal system, which themselves contribute to trigger graft versus host disease (GvHD) in the allogeneic setting. GvHD and other post-transplant complications such as infections adversely affect food intake and gut absorption of nutrients. Consequently, patients exhibit signs of malnutrition such as weight loss and muscle wasting, thus triggering a "vicious circle" that favours additional complications. Among HSCT centres, there is marked variability in nutritional care, from screening for malnutrition to nutritional intervention. The present paper, elaborated by the Cellular Therapy and Immunobiology Working Party and the Nurses Group of the European Society for Blood and Marrow Transplantation, aims at defining a roadmap that identifies the main nutritional critical issues in the field of HSCT. This document will be propaedeutic to the development of clinical algorithms to counteract risk factors of malnutrition, based on scientific evidence and shared among HSCT centres, and thus maximize transplant outcomes.

Rapid Rehabilitation in Urological Surgery with Psychological and Preoperative Care

Urological surgery patients will be studied to see whether a combination of rapid recovery surgery and psychological nursing might help them recover more quickly. Methods There were 74 patients identified and treated in our urological surgery department between April 2020 to April 2022, and they were separated into two groups: the control group and the observation group, with 37 cases in each. During the preoperative period, the control group received regular nursing care, whereas the observation group was exposed to the quick recovery surgical concept in conjunction with psychological nursing care. In the end, here's what happened: Patients in the observation group spent less time getting out of bed and tiring themselves during the first hour after insertion of the drainage tube than those in the control group (P0.05). A larger percentage of the observation group's nurses were satisfied with their work than the control group's nurses, at 94.59 percent (P0.05), while the observation group's complication rate was lower than the control group's (at 18.91 percent) at 8.11 percent (P0.05). Fast recovery surgery coupled with psychological nursing may help patients recover from surgery, minimize the time it takes for them to get out of bed and indwell the drainage tube, enhance their psychological condition, and lower their risk of problems. As a nursing intervention strategy, it is both effective and practical.

The value of high quality nursing in improving the quality of outpatient guided care

Objective To explore the application effect of high quality nursing in improving the quality of outpatient guided care. Methods From April 2016 to April 2017, 100 patients were randomly divided into the control group and the observation group to receive routine medical guidance service and high-quality nursing care. The satisfaction, registration and waiting time, and nursing quality of medical guidance in the two groups were compared, and the occurrence of nurse-patient disputes in the two groups were analyzed. Results Compared with the control group, the satisfaction score of the patients in the observation group was significantly higher, and the scores of the guidance group's nursing code of conduct, the quality of the guidance group's triage nursing and the quality of the guidance group's medical service were significantly higher than the control group, with statistically significant differences(P<0.05). The registration time, waiting time and the incidence of nurse-patient disputes were all significantly less, and the differences were statistically significant(P<0.05). Conclusions High quality nursing has a significant effect in improving the quality of outpatient guided care, which is worthy of extensive promotion and implementation. Key words: Outpatient department; Guided care; High quality nursing

Application of whole-process standardized health education management mode in patients with hematopoietic stem cell transplantation

Objective To explore the effect of whole-process standardized health education management mode in patients with hematopoietic stem cell transplantation. Methods A total of 80 cases of patients aged 16 and above who had been transplanted from the department of hematopoietic stem cell transplantation from April 2013 to August 2014 were selected as the study subjects, and were divided into observation group and control group, 40 cases of each group.The control group adopted the traditional education model of health.The observation group combined with the psychological test, according to the scheme of hematopoietic stem cell transplantation table, the transplant process analysis the characteristic of each period, make the standardization, targeted health education content, timely implementation of health education to patients, and the evaluation of the effect.The results of education quality control standard and patients' satisfaction table of education were evaluated. Results The observation group's nurses were able to follow the standardized health education process and time to health education.Its health education effect and patients' satisfaction with health education were higher than those in the control group, and the differences were statistically significant(P<0.01). Conclusion According to the standard healthy education process, the health education time and content can be accurately grasped, which promotes the complete, continuous and standardized implementation of education, improve the rate and effect of education health and improve the patient's satisfaction. Key words: Whole-process standardized; Health education management mode; Hematopoietic stem cell transplantation

Motivation of the nurses in pre-hospital emergency and educational hospitals emergency in the southeast of Iran.

Nurses, as the largest human resource element of health care systems, have a major role in providing ongoing, high-quality care to patients. Therefore, due to the importance of this issue, this study aimed to determine job motivation of the nurses in pre-hospital and educational hospitals emergency in the southeast of Iran. In this study, a cross-sectional method was used, and it was conducted in educational hospitals and pre-hospital emergencies under supervision of the Kerman University of Medical Sciences in 2017. Using a valid and reliable questionnaire, we assessed job motivation of the nurses using a census method (N=275). Data were analyzed by implementing descriptive statistics including mean and standard deviation (SD), and analytical statistics such as Kolmogorov-Smirnov, ANOVA, t-test, X2, Pearson, and multivariate regression tests using SPSS 16 and P≤0.05. Among the pre-hospital emergency nurses, the average of the educational factors was 25.33, financial factors was 6.34, psychological factors was 20.07, welfare factors was 0.63, and administrative factors was 8.16. Among the nurses of the educational hospitals emergency, these factors were 25.33, 6.51, 20.34, 16.55, and 8.39, respectively. Two group's nurses were at the intermediate level of the job motivation. Dynamic and predetermined goals of emergency include providing services as soon as possible and stabilizing patient's condition during the golden and vital time of rescue. Findings suggest that national and local policies in Iran may need to examine factors that contribute to the promotion of the motivation as well as focusing on how to improve them.

Should nurses or clinical pharmacists perform medication reconciliation? A randomized controlled trial.

To study differences in outcomes of medication reconciliation (MR) when performed by clinical pharmacists compared to nurses. 201 patients (21-92 years) admitted to the Department of Cardiology at the University Hospital of North Norway, autumn 2012, were randomized into a pharmacist group (PG) and a nurse group (NG). The nurses and the pharmacists were trained for performing the MR process by an independent clinical pharmacist. Medication discrepancies (MDs) were discussed with the physicians. Time spent during the MR was recorded. An independent expert group rated clinical relevance of the MDs retrospectively. At least one MD was identified in 78 % and 84 % of patients in PG and NG, respectively (P = 0.269) with a mean number of MDs per patient 3.1 (SD 2.1) and 2.8 (SD 2.2), respectively (P = 0.528). Mean time spent/patient on the MR process was 22.9 min (SD 11.6) in the PG and 32.2 min (SD 20.3) in the NG (P < 0,001). Physicians agreed significantly more often to act upon the MDs presented by pharmacists compared to nurses (P = 0.001). The expert group finally assessed 48 % and 49 % of the MDs to be of the clinical relevance in the PG and the NG, respectively. By applying a structured method for MR, a small however not statistically significant difference in identified MDs between nurses and clinical pharmacists was revealed. The pharmacists spent significantly less time than the nurses, and physicians agreed significantly more often with the pharmacist that action should be taken on the MDs. This is important in the discussion of who to perform MR.

Suspected Deep Tissue Injury Evaluated by North Carolina WOC Nurses

The purpose of this prospective exploratory study was to determine the percentage of suspected deep tissue injuries (sDTI) that evolve into full-thickness skin loss, to describe the progression from sDTI to full-thickness skin loss, and to explore associated conditions. The study was conducted by WOC nurses at 6 acute care medical facilities in North Carolina. Inclusion criteria were age 21 years or older and presence of an sDTI lesion. Participating members of the North Carolina WOC Nurse's Group identified 40 patients with a total of 45 sDTI. A 2-part data collection tool was developed by 1 of the investigators and validated by members of the North Carolina WOC Nurse Group; data were collected at the time of initial consult and at a follow-up visit that occurred 1 to 20 days later (average 6 days). Data collected included description of wound appearance as well as information about comorbid and potential risk factors. The sample comprised 40 subjects with 45 sDTI; 3 were lost to follow-up, resulting in a total of 37 subjects with 42 sDTI at the second assessment. Eleven (26%) sDTI developed into full-thickness skin loss, and 7 (17%) evolved from purple/maroon discoloration to thin blisters over dark wound beds. Twenty (48%) did not change between the time of initial consult and the follow-up visit up between 1 and 20 days later. Two lesions healed (1 at 6 days and the other at 8 days). Despite preventive care, 26% of the sDTI evolved into full-thickness lesions at follow-up visit, and 17% evolved into unstageable pressure ulcers. However, 5% healed and 48% remained the same, suggesting that preventive care may be effective for many sDTI lesions.

A health economic evaluation of follow-up after breast cancer surgery: Results of an rct study

Introduction. Breast cancer follow-up programmes consume large resources and despite the indications that several alternative approaches could be used effectively, there is no coherent discussion about costs and/or cost-effectiveness of follow-up programmes. Patient and methods. In a prospective trial there were 264 breast cancer patients, stage I and II, randomised to two different follow-up programmes- PG (physician group) and NG (nurse group). The trial period was 5 years. The women in the two intervention groups did not differ in anxiety and depression, their satisfaction with care, their experienced accessibility to the medical centre or their medical outcome as measured by recurrence or death. The analyses were done from different lists representing costs at three hospitals in Sweden according to the principles of a cost minimization study. Results: The cost per person year of follow-up differed between the groups, with €630 per person year in PG compared to €495 per person year in NG. Thus, specialist nurse intervention with check-ups on demand was 20% less expensive than routine follow-up visits to the physician. The main difference in cost between the groups was explained by the numbers of visits to the physician in the respective study arms. There were 21% more primary contacts in PG than NG. Discussion. The difference in cost per year and patient by study arm is modest, but transforms to nearly €900 per patient and 5-year period, offering a substantial opportunity for reallocating resources since breast cancer is the most prevalent tumour worldwide.

What's wrong with our hospitals?

EVENTS occurring from 1999 to 2003 at Campbelltown and Camden hospitals within the South Western Sydney Area Health Service received extensive coverage in the media during the first half of 2004 and led to significant government intervention. It has been claimed that some 17 deaths could have been avoided. Other accusations of less than appropriate care by both nurses and doctors have also been made. A group of nurses complained about mismanagement and patient neglect, and alleged that management failed to address their concerns. Medical staff claimed serious under-funding of the two hospitals were reasons for these events. The media and political debate that erupted was highly emotive and further muddied and confused the issues. This article draws on these events to explore the issues of quality and risk management generally in Australian hospitals. Gaps in current approaches and attitudes particularly prevalent in NSW are analysed and suggestions made as to how these gaps should be eliminated.