IN NURSING Research Articles

EVALUATION OF EMPATHY IN NURSING STUDENTS

RESUMO Objetivo: comparar os níveis de empatia entre estudantes de enfermagem em diferentes estágios da graduação, considerando gênero e idade. Método: estudo conduzido na Faculdade Israelita de Ciências da Saúde Albert Einstein, com abordagem quantitativa, descritiva, comparativa e transversal. A amostra incluiu 169 alunos dos quatro anos de graduação em Enfermagem. Utilizou-se um questionário sociodemográfico para coletar informações no período de agosto de 2020 a abril de 2022 e a Escala Multidimensional de Reatividade Interpessoal para mensurar empatia. As relações entre empatia e variáveis independentes foram analisadas, utilizando modelos lineares e apresentados com médias estimadas, intervalos de confiança e valores-p, com nível de significância de 5%. Resultados: a comparação dos níveis de empatia em diferentes períodos da graduação não revelou relações significativas com o ano de graduação. No entanto, o menor escore nas três subescalas ocorreu no quarto ano. Ao analisar a relação entre anos de graduação e gênero, nenhuma subescala apresentou diferenças significativas. Ao separar por ano de graduação, a diferença significativa na subescala Consideração Empática surgiu no segundo ano, com escores mais altos para o gênero feminino. Conclusão: o estudo destaca a importância contínua do ensino de empatia na formação em enfermagem. Assim, a utilização da Escala Multidimensional de Reatividade Interpessoal se mostra valiosa para avaliar intervenções e oferecer subsídios para ajustes nas estratégias educacionais. O compromisso com o aprimoramento da empatia ao longo da formação e prática profissional é essencial para garantir uma assistência de saúde verdadeiramente centrada no paciente.

ASSESSING STAFF PERCEPTIONS OF WORKPLACE SAFETY IN NURSING HOMES: ITEM SET DEVELOPMENT AND TESTING

Abstract Workplace safety is important for advancing resident safety and eliminating harm to both nursing home staff and residents. The goal of this study was to develop and test survey items to assess how the organizational culture in nursing homes supports workplace safety for staff. After conducting a literature review and background interviews with nursing home staff and workplace safety experts, we identified important areas of workplace safety culture (i.e., workplace hazards; moving/transferring/lifting residents; inappropriate resident behavior toward staff; interactions among staff; supervisor/management support for workplace safety; workplace safety reporting; and, work stress/burnout) and drafted survey items to assess each area. These draft items were administered with the AHRQ Surveys on Patient Safety Culture (SOPS) Nursing Home Survey to staff in 48 U.S. nursing homes. We conducted psychometric analysis on data from 2,468 respondents. Confirmatory factor analysis results and internal consistency and site-level reliability coefficients were acceptable for the 18 survey items grouped into 6 composite measures. All composite measures were significantly correlated (p< 0.05) with each other and with the overall rating on workplace safety, indicating adequate conceptual convergence among survey measures. On average, 33% of respondents reported symptoms of burnout. Higher burnout was significantly correlated with lower job satisfaction (rs=-0.42) and greater intent to leave the nursing home (rs=0.37). Nursing homes and researchers can use the Workplace Safety Supplemental Item Set to assess nursing home staff burnout and the dimensions of organizational culture that support staff safety, and to identify both strengths and areas for improvement.

FINANCIAL OUTCOMES ASSOCIATED WITH COVID-19 IN NURSING HOMES

Abstract Financial stability and well-being are critical for the success of any organization. COVID-19 put nursing homes (NH) in a financial bind, affecting their costs and revenues and mounting pressure on them despite government intervention. NHs have been one of the weak links in our care continuum for the U.S. healthcare system, and the pandemic caused havoc in the industry. Given the pandemic impact on NH operating cost and revenue, this study examined the level to which financial performance in NHs deteriorated. Six different datasets were merged for 2018–2021: Medicare cost reports, Payroll-Based Journal, NH Compare, Area Health Resource File, HHS Provider Relief Fund, and CDC COVID-19 Data Tracker. The data was modeled using random-effects regression. Dependent variables were operating revenue per patient day, operating cost per patient day, and operating margin. Independent variable was pre- and post-COVID-19. Organizational, community-level, and COVID-19-related variables were used as controls. Results suggest that the impact of COVID-19 was associated with an increase in operating cost per patient day (β=56.64, p< 0.05), and a decrease in operating margin (β=-8.04, p< 0.05), but the associated operating revenue per patient day (β=26.78, p< 0.05), did not increase at the rate at which the operating cost increased. The increase in operating cost per patient day compared to the operating revenue per patient day was double. Given the negative impact of the COVID-19 pandemic on NH’s financial performance, policymakers should monitor the financial health of NH. Further deterioration in financial performance may result in NH closures and reduced access to long-term care.

HOW QUALITY OF LIFE OF ELDERLY INDIVIDUALS LIVING AT HOME OR IN NURSING HOMES IS RELATED TO MULTI-PURPOSE ACTIVITIES?

The aim of this study was to determine the effects of multi-purpose activities on the quality of life of elderly individuals living either in a nursing home or in their own homes. Sixty-seven volunteers aged >60 were surveyed: 34 living in a nursing home and 33 living at-home. Participants performed activities consisting of physical, cognitive tasks, and handicrafts twice weekly for 12 weeks. Each participant completed the 36-item Short Form Health Survey both before and after the program, and the results were compared between the groups. At the completion of the program, the general health, vitality, physical functioning, physical role, energy level, and social functioning parameters of the survey of the at-home group were better than were those of the nursing home group. When the data of both groups were compared, an improvement in the social functioning, general health, physical functioning, energy level, and mental health parameters were seen for the at-home group, but not among the nursing home participants. Companionship enabled easy and effi cient performance of activities of at-home participants, thereby positively affecting their quality of lives. Цель исследования — определение влияния многоцелевой деятельности на качество жизни пожилых людей, живущих в доме престарелых или в собственном доме. Были опрошены 67 добровольцев старше 60 лет: 34 проживали в доме престарелых и 33 — дома. Участники выполняли задания, состоящие из физических, когнитивных задач и рукоделия, 2 раза в неделю в течение 12 нед. Каждый участник заполнил краткий опросник о состоянии здоровья из 36 пунктов как до, так и после программы, и результаты сравнивали между группами. По завершении программы показатели общего здоровья, жизнеспособности, физического функционирования, ролевого физического функционирования, уровня энергии и параметры социального функционирования у обследованных в домашней группе были выше, чем в группе в домах престарелых. При сравнении данных у обеих групп улучшение социального функционирования, общего здоровья, физического функционирования, уровня энергии и параметров психического здоровья наблюдали в группе, находившейся дома, но не в домах престарелых. Дружеское общение позволило легко и эффективно выполнять задания участникам, проживающим дома, тем самым положительно влияя на качество их жизни.

ESCAPE ROOMS AS AN INNOVATIVE TEACHING STRATEGY IN NURSING EDUCATION

Hemşirelik eğitimi ile öğrencilerin bilgi, beceri ve tutuma yönelik yeterlik kazanmalarının yanı sıra eleştirel düşünme, problem çözme, karar verme, bütüncül ve empatik bakım verme, iletişim ve ekip işbirliği içinde çalışma gibi becerilerle donatılması hedeflemektedir. Büyük çoğunluğunu Z kuşağının oluşturduğu günümüz öğrencileri eğitime aktif katılmayı tercih etmekte, öğrenme sürecine dahil olmak için alternatif, yenilikçi yollara ihtiyaç duymaktadır. Bu nedenle, öğrencilerin eğitim süreçlerinde aktif katılımlarını sağlayacak, geleneksel eğitim yöntemlerini tamamlayan yenilikçi aktif öğrenme yöntemlerinin kullanılması gerekmektedir. Eğitimciler tarafından kullanılan aktif öğretim yöntemlerinden birisi de ‘oyunlaştırma’dır. Hemşirelikte oldukça yeni kullanılan yenilikçi bir öğretim tekniği olarak oyunların, bilgi ve beceriyi geliştirmede olumlu katkılarının olmasının yanı sıra eğlenceli ve motive edici olduğu ve bireylerin rekabet gücünü ortaya çıkardığı, öğrencilerin sosyalleşmesini artırdığı, hata yapmalarına izin verdiği, anında geri bildirim sağladığı ve yaratıcılıklarını geliştirdiği bilinmektedir. Son yıllarda popüler olan oyunlardan birisi de kaçış odası oyunudur. Kaçış odaları, oyuncuların genellikle odadan kaçarak belirli bir hedefi, sınırlı süre içinde gerçekleştirmek için odada bir ya da daha fazla ipuçlarını keşfettiği, bulmacaları çözüp, görevleri yerine getirdiği canlı aksiyon takım tabanlı oyunlardır. Bu makalenin amacı, son yıllarda eğitimde ve hemşirelikte kullanımı yeni olan yenilikçi öğretim stratejisi olarak karşımıza çıkan kaçış odaları, kaçış odalarının hemşirelik eğitiminde kullanımı ve konu ile ilgili yapılmış araştırma sonuçlarını açıklamaktır.

THE CORRELATION BETWEEN ORTHOREXIA NERVOSA AND SOCIAL MEDIA USE IN NURSING STUDENTS

This cross-sectional and descriptive study investigated the correlation between orthorexia nervosa and social media use in nursing students. The study sample consists of 339 students who volunteered to participate in the research. Data were collected using the Sociodemographic Data Form, the Social Media Use Integration Scale (SMUIS), and the ORTO-11 scale. The mean ORTO-11 scale score of the nursing students was 27.98 ± 4.92, and 30.38% were under 25 points. A significant negative relationship was found between the ORTO-11 scores and the SMUIS total scores (r = -0.136, p=0.01), the Integration into Social Routines sub-dimension (r = -0.138, p=0.01), and the duration of social media use (r = -0.11, p = 0.04). It was found that there was no difference between orthorexia tendencies according to the type of social media tools used by the students, but the orthorexia nervosa tendency increased as the duration of social media use increased. Curriculum studies can be recommended so that nursing faculty students can reach accurate information about the effects of social media and healthy nutrition.

DESIGN THINKING: AN APPROACH TO RESEARCH AND INNOVATION IN NURSING

RESUMEN Objetivo: analizar la aplicación del design thinking a la producción científica de un Programa de Postgrado en Enfermería. Método: se trata de un estudio documental, descriptivo, retrospectivo y cualitativo de la producción científica del Programa de Posgrado en Gestión de Cuidados de Enfermería - Modalidad Profesional, en Florianópolis, Santa Catarina, Brasil, de 2009 a 2022, a partir de disertaciones publicadas en directorio público. Resultados: fueron analizadas cinco disertaciones que aplicaron total o parcialmente el abordaje de design thinking al desarrollo de productos/servicios propuestos. Todos los estudios tenían como objetivo resolver problemas identificados en los contextos profesionales de los investigadores. Los estudios generaron información, datos, productos, procesos y metodologías para los cuidados de enfermería. Conclusión: el design thinking es un importante punto de referencia para las enfermeras en el campo de la investigación y el desarrollo, además de contribuir a la formación de profesionales que aspiran a resolver problemas complejos en el ámbito de la atención de la salud, la gestión, la educación y la investigación.

THE ASSOCIATION BETWEEN ACCESS TO MEDICAL CARE AND RESIDENT OUTCOMES IN NURSING HOMES

Abstract The nursing home population is vulnerable and medically complex, yet little is known about models of medical service provision and associated quality outcomes. The goal of this study is to examine the association between physician (MD) and nurse practitioner (NP) accessibility and practice sensitive outcomes. This project used data from the Translating Research in Elder Care (TREC) longitudinal study and the routinely collected Resident Assessment Instrument – Minimum Data Set version 2.0 (RAI-MDS 2.0) to test the association between the availability of MDs and NPs in nursing homes (NH) and clinically-relevant resident outcomes of antipsychotic medication (APM) use without indication of psychosis, physical restraint use, hospitalization and emergency department (ED) transfers, and polypharmacy. Eight models were created using logistic regression to test the association between the access measures of daily presence of MD or NP on unit and MDs being involved in care planning and each of the four resident outcomes. The sample consisted of 10,888 residents across 320 units in 92 facilities. Staff from 277 (86%) units reported an MD or NP visited daily and 318 (99%) units reported that the MD or NP could be reached when needed. Following adjustment for multiple confounding variables, there were no associations between either measure of access and any of the resident outcomes. Although we did not find any associations between our measures of access and resident outcomes, additional research which more directly measures physician and NP activities in the NH is required.

SOCIAL BULLYING IN NURSING AND HEALTH SCIENCES ACADEMIA: A QUALITATIVE STUDY.

Background: Academic social bullying in nursing and health professions schools is an understudied area yet emerging research shows it is prevalent. Purpose: This qualitative study derived from two larger quantitative studies targeting the development and validation of an instrument measuring academic social bullying and whose purpose was to understand the phenomenon in greater depth from narrative comments. Methods: Survey design with open ended questions was utilized to obtain content and construct validation along with reliability data for a de-novo instrument measuring academic social bullying. Over 250 nurse academics and 417 health sciences educators in baccalaureate and higher degree programs in the United States responded. This qualitative study focused on analysis of narrative comments (N = 91 nurse respondents and N = 89 health sciences faculty respondents, respectively) provided in response to open ended questions. Results: Five qualitative themes emerged from narrative content analysis. Qualitative themes approximated the construct-validated factors in the quantitative studies but also expanded on them. The themes included: Bullying experiences, faculty issues, issues of academia, student bullying of faculty, and general comments about bullying. Conclusion: Academic social bullying is a significant phenomenon for nursing and health sciences educators affecting faculty well-being. This study's qualitative findings can help enrich understanding of the problem and augment future quantitative and qualitative studies with the hope of developing targeted interventions.

CHALLENGES OF TEACHING IN NURSING: A BIBLIOGRAPHIC REVIEW

CHALLENGES OF TEACHING IN NURSING: A BIBLIOGRAPHIC REVIEW

DEVELOPMENT AND PSYCHOMETRIC TESTING OF THE SENSE OF BELONGING IN NURSING SCHOOL SCALE.

Background and Purpose: While sense of belonging is essential for human motivation, impaired belonging among nurses can impact the care and safety of patients. This article reports the development and psychometric testing of the Sense of Belonging in Nursing School (SBNS) scale to assess nursing students' sense of belonging in three different environments: Clinical, classroom, and among the student cohort. Method: Principal component exploratory factor analysis with varimax rotation was used to determine the construct validity on the 36-item SBNS scale with a sample of 110 undergraduate nursing students. Cronbach's alpha was used to determine the scale's internal consistency. Results: The scale was reduced to 19-items with high internal consistency (α = 0.914). Principal component analysis then identified four factors (sub-scales) with high internal consistency: Clinical staff (α = 0.904), clinical instructor (α = 0.926), classroom (α = 0.902), and classmates/cohort (α = 0.952). Conclusion: The SBNS scale is a reliable and valid tool to measure sense of belonging across three environments among nursing students. Further research is needed to determine the scale's predictive validity.

ADAPTATION AND TESTING OF THE DEVELOPMENTAL DISABILITY ATTITUDES IN NURSING CARE INSTRUMENT.

Background and Purpose: Individuals with developmental disability (DD) often experience poor health outcomes, potentiated by healthcare inequities. Nurses have the potential to reduce these inequities through the quality of care provided. The quality of care provided by nursing students, the future generation of nurses, is affected by the attitudes of their clinical nursing faculty. The purpose of this study was to adapt and test an instrument to specifically measure the attitudes of clinical nursing faculty toward providing care to people with DD. Methods: The Disability Attitudes in Health Care (DAHC) instrument was adapted to create the new Developmental Disability Attitudes in Nursing Care (DDANC) instrument. Results: Content experts reviewed the DDANC for content validity (CVI = 0.88), followed by testing for internal consistency reliability (Cronbach's alpha = 0.7). The study respondents had overall positive attitudes toward the care of people with DD. Conclusions: The DDANC is an acceptably valid and reliable instrument to assess attitudes of clinical nursing faculty toward providing care to people with DD.

Hemşirelik Eğitiminde Teknolojinin Etkisi ve Teknoloji Tabanlı Öğrenme Yöntemlerinin Kullanımı

Teknoloji hayatımızın diğer alanlarını olduğu gibi eğitimi sistemlerini de etkisi altına almıştır. Yeni neslin öğrenme ihtiyaçları, değişen koşullar ve gelişen teknoloji hemşirelik eğitiminde yenilikçi yaklaşımları zorunlu kılmaktadır. Bu süreç hemşire eğitimcileri öğrenci kitlesine uygun ve verimli teknikleri araştırmaya teşvik ederken, öğrencilerin de aktif olarak eğitim faaliyetine katılmasını sağlar. Teknolojideki gelişmeler hız kesmeden sürerken eğitim sistemleri bu gelişmelere istendik ölçüde entegre olamamakta, çoğu eğitim sistemi klasik öğrenme yöntemlerini kullanmaya devam etmektedir. Covid-19 salgını eğitimcileri ve öğrencileri hızla yeni çözümler üretmeye teşvik etmiştir. Bu zor süreçte eğitim büyük oranda mobil cihazlardan ve çevrimiçi platformlardan sürdürülmüştür. Salgın dönemi neden olduğu zorluklarla birlikte eğitimde teknolojinin entegrasyonunu hızlandırmıştır. Bu makalede teknolojinin hemşirelik eğitimindeki etkileri ve teknolojiye dayalı öğrenme yöntemleri üzerinde durulacaktır.

Dimensionamento de enfermagem na nefrologia

The aim was to compare the dimensioning of nursing staff proposed by Raquel Rapone Gaidzinski, Fernanda Maria Tojeiro Fugulin and Valéria Castilho on “MANAGEMENT IN NURSING” coordinated by Paulina Kurcgant with the guidelines of the Resolution of the Collegiate Board of Directors - RDC No. 154 of June 15th, 2004. This is a retrospective and descriptive study of the dimensioning of the nursing team working in the Hemodialysis Service of a University Hospital in the Municipality of Campinas. The comparison between the existing nursing staff in the Hemodialysis Service of the Hospital of the Municipality of Campinas and the projected one showed a shortage of 9 nurses, absence of 4 assistants and an excess of 2 nursing technicians. The analysis of the intervening variables in the nursing process indicated the need to reorganize the work process regarding the grouping of patients by complexity, suggesting the application, adaptation and validation of an instrument in hemodialysis.

PARADIGM SHIFT OF LEARNING: PROBLEM -BASED LEARNING IN NURSING EDUCATION- REVIEW ARTICLE

14Apr 2020 PARADIGM SHIFT OF LEARNING: PROBLEM -BASED LEARNING IN NURSING EDUCATION- REVIEW ARTICLE Radha K. , Sharat V. Kondaguli , N. Vijayanarayanan and Sri Devi K Vice- Principal, Bhopal Nursing College , Under ICMR, MOH&FW, Govt of India. BMHRC, Bhopal, MP State. Nursing Tutor, Bhopal Nursing College, Under ICMR , MOH&FW, Govt of India. BMHRC, Bhopal, MP State. Professor, R.D.Memorial College of Nursing, Bhopal, MP State India. Lecturer, Omaskthi college of Nursing, Dharmapauri, Tamil Nadu.

ORAL HEALTH IN NURSING HOMES: WHAT WE KNOW AND WHAT WE NEED TO KNOW

A "silent epidemic" of oral diseases is afflicting older adults. Older adults develop coronal caries at "approximately one new cavity per year". Despite the rapidly growing older adult population, no recent data exist for adults aged ≥ 75 years. Oral disease impacts physical, psychological, and social well-being through pain, diminished function, and reduced quality of life. People of color disproportionately experience oral disease, yet little is known about racial/ethnic disparities in older adults. In the United States, the Health and Human Services Oral Health Strategic Framework proposed concrete steps to eliminate oral health disparities. Notably absent from this strategic plan is explicit consideration of nursing home residents. In the United States, federal regulations require nursing homes to evaluate oral health needs and facilitate access to dental care. Compliance to the regulations is unknown. Data are urgently required to provide essential information for program planning and evaluation on "racial and ethnic minorities, rural populations, and the frail elderly".

REMOVED - TIME MANAGEMENT MATRIX IN NURSING AND CARE

REMOVED due to no response to queries to the previous journal publisher, Mediterranean Bio Medical Journals, or duplicate publication elsewhere.

Prolongation of Oral Phase for Initial Swallow of Solid Food is Associated with Oral Diadochokinesis Deterioration in Nursing Home Residents in Japan: A Cross-Sectional Study.

Prolongation of bolus forming complicates ingestion, in particular in older adults. The purpose of this study is to examine which oral functions are associated with prolongation of the oral phase of forming a bolus until swallowing in older adults. Cross-sectional study. three nursing homes in Kitakyushu, Japan from August 2017 to October 2018. 39 adults >60-years. Number of functional teeth, chewing ability, swallowing ability, tongue and cheek pressure, saliva flow rate, oral diadochokinesis, global cognitive function, and body mass index, were examined. Time of oral phase until the first swallowing of solid food was measured as the outcome of the study using video, and audio recording of the swallowing sound by a throat microphone, with the cutoff point designated at 30 s. Based on the oral phase, participants were divided in two groups: normal and prolonged. The 39 enrolled participants had a median age of 87 years, 17.3% were men, and 48.7% had prolonged oral phase. In the prolonged group, the swallowing ability, saliva flow rate, tongue and cheek pressure, and oral diadochokinesis were significantly lower than in the normal group. Binomial logistic regression analysis revealed that oral phase prolongation was associated with oral diadochokinesis (odds ratio 0.81, 95% confidence interval 0.67-0.98) after adjusting for potential covariates. Oral diadochokinesis deterioration is significantly associated with oral phase prolongation for initial swallowing of solid food in older adults.

PERCEPTIONS AND ATTITUDE ON USING SOCIAL MEDIA RESPONSIBLY: TOWARD SOCIAL MEDIA LITERACY IN NURSING EDUCATION

Background: As future professionals, nursing students are expected to exhibit online professionalism and to be responsible users of social media. However, the rapid sharing of information on social media exposes nursing students to the risk and danger of spreading unprofessional behaviors like breaches of privacy and confidentiality.
 Objective: This study looked into the nursing students’ perceptions and attitude toward responsible use of social media.
 Methods: A descriptive cross-sectional research design was utilized and participated by 298 nursing students in a College of Nursing in Iloilo City, Philippines. The Responsible Use of Social Media Attitude Scale (RUSMAS) created by the researchers was used to collect the data.
 Results: Findings indicated that nursing students widely use social media and that nursing students had good perceptions and had positive attitude toward responsible use of social media. A significant difference was found in the attitude of nursing students when grouped according to year level.
 Conclusion: Social media continue to gain interest among nursing students and using it responsibly must be continuously upheld. Academic nursing institutions should develop approaches promoting social media literacy in nursing education.

DOCTOR OF NURSING PRACTICE: REFLECTIONS ON DOCTORAL EDUCATION IN NURSING

DOCTOR OF NURSING PRACTICE: REFLECTIONS ON DOCTORAL EDUCATION IN NURSING