Aspects Of Nursing Care Research Articles

Nursing care aspects and indicators impacted by information and communication technology: Systematic review

Background: Information technology is used in healthcare to solve the problems of an aging population, an increase in chronic illnesses, and the growing need for autonomy, independence, and quality of life. The adoption rate of IT applications among professionals such as nurses is relatively low, and it appears that not using them is the norm. Finding nursing care aspects and indications that have been altered by IT was our goal in doing this research. Method: The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement (9) was adhered to in this systematic review. Our search objective was to locate papers that addressed nursing care aspects and indicators that were changed by IT. The search method was used in the Google Scholar, CINAHL, and PubMed databases between 2015 and 2023. Result: Five publications were included in this systematic review. Four studies found elements related to teams that affect the adoption of telemedicine. The organizational and team culture is one of the main determinants of technology adoption. One study found that creative companies support employees in adjusting to new circumstances and that telemedicine implementation requires cultural transformation in enterprises. Implementing telemedicine in a company can be hindered by working in a changing environment and resisting change. Employees felt overwhelmed by all of the changes they experienced at work. Workloads increased as other advances were sometimes considered more significant than the use of telemedicine. Conclusion: When technology is used improperly, nurses can get disillusioned with its use for tasks that are traditionally completed by humans. Therefore, if healthcare professionals want to include telemedicine into their regular workflow, they must remove hurdles.

The continuity psychiatric nursing care model to enhance medication adherence in schizophrenia patients in Indonesia: Participatory action research.

To develop a continuity of psychiatric nursing care model to enhance medication adherence in schizophrenia patients. The Participatory Action Research study was conducted from 2017 to 2018 in Pekanbaru, Riau, Indonesia, after approval form the ethics review committee of the Faculty of Nursing, Prince of Songkla University, Thailand. The sample included schizophrenia inpatients at a mental hospital, their family members and nursing staff. Qualitative data were gathered through in-depth interviews, observations, field notes, and photo records. Data was subjected to content analysis, while trustworthiness of the model was also determined. Of the 57 subjects, 22(38.6%) were schizophrenia patients, 22(38.6%) were family members, and 13(22.8%) were nurses. The continuity of psychiatric nursing care model consisted of three components: preparing for readiness to live a normal way of life; creating a supportive environment; and, sustaining the continuity of care until the community level care. The continuity of psychiatric nursing care model facilitated holistic nursing care aspects.

Analytical Review of Unplanned Extubation in Intensive Care Units and Recommendation on Multidisciplinary Preventive Approaches.

Unplanned extubations (UE) frequently occur in critical care units. These events are precipitated by many risk factors and are associated with adverse outcomes for patients. We reviewed the current literature to examine factors related to UE and presented the analysis of 41 articles critical to the topic. Our review has identified specific risk factors that we discuss in this review, such as sedation strategies, physical restraints, endotracheal tube position, and specific nursing care aspects associated with an increased incidence of UE. We recommend interventions to reduce the risk of UE. However, we recommend that bundled rather than a single intervention is likely to yield higher success, given the heterogeneity of factors contributing to increasing the risk of UE.

The Relationship between Nursing Job Satisfaction and Missed Nursing Care in Critical Care Units

Background: Missed nursing care is a common occurrence that has a negative impact on the standard of patient care. Missed care is indicative of nurses' affected work satisfaction in times of workflow. The purpose of this study was to determine the prevalence of missed nursing care (MNC), and the reasons for its occurrence among Jordanian nurses. The study sought to assess the level of job satisfaction and missed nursing care among Jordanian nurses and their association with demographic variables. Methods: A descriptive, cross-sectional design was used in this study. A convenience sample of 181 registered nurses working in different critical care units in one teaching hospital and two government hospitals was recruited. Three tools were used to collect the data: a sociodemographic data form, a survey of missed nursing care (MISSCARE Survey) consisting of two parts (part A was designed to measure missed nursing care (MNC), and part B addressed the reasons for MNC), and the nursing-workplace satisfaction questionnaire (NWSQ). Results: The results of the study revealed Jordanian nurses in critical care units to have a moderate level of job satisfaction (45.50±9.09). In addition, the total mean score of the MNC was found to be 2.18±0.40 out of 5, which is a low level of missed nursing care. The most commonly occurring missed nursing care aspects were turning patients every 2 hours (2.53 ±1.43), mouth care (2.37 ±1.36), and teaching patients about illness, tests, and diagnostic studies (2.36 ±1.47). Moreover, among the reasons for missed nursing care with respect to teamwork, the caregiver being off the unit or unavailable was the most significant one (24.3%, n=44); with respect to the material resources, the unavailability of medications, when needed, was the most significant factor (21.5%, n=39) for missed nursing care, and regarding the labor resources, an unexpected rise in patient volume and acuity on the unit was the most significant factor influencing missed nursing care (23.8%, n=43). Finally, a statistically significant weak negative correlation was found between nurses’ job satisfaction and missed nursing care score (R=-0.177, P=0.012). Conclusion: The study concluded that nurses in critical units have a low level of missed nursing care and a moderate level of job satisfaction.

Supporting the spirituality of older people living with dementia in nursing care: A hermeneutic phenomenological inquiry into older people's and their family members' experiences.

Supporting spirituality is an essential aspect of the holistic nursing care of older people living with dementia. Spirituality is defined as a search for answers to questions about the meaning and purpose of life and the individual's relationship with the sacred or transcendent. This relationship may or may not involve an affiliation with a specific religion. To understand how older people living with dementia and their family members experience spirituality and its support in nursing care. A qualitative study informed by the principles of Ricoeurian hermeneutic phenomenology. We conducted the study in home care and long-term care settings in Southern Finland. We collected data between 2017-2020 from a purposive sample of 10 older people living with dementia and their 9 family members (n= 19). We used interviews to collect data and adapted and used Ricoeur's theory of interpretation as a method for analysis. The findings of this study show that older people living with dementia need spiritual support in nursing care based on their personal understanding of spirituality. The four elements of this spirituality that emerged were: religion, meaningful relationships, nature, and art. The participants addressed some challenges to spiritual support in the nursing care of older people living with dementia including: the competence and abilities of nursing, time available, presence and experience. Older people living with dementia and their family members consider spiritual support an important aspect of nursing care. To support the spirituality of these older people, the elements of spirituality need to be understood as these are central to each person's spiritual position. Additionally, spiritual support requires understanding knowledge, experience, time and presence, to manage all four elements with individuals.

A New Egyptian Validation Tool for Measuring Quality of Nursing Care Using the CQ Index.

Measuring and monitoring the quality of nursing care are essential for improving quality of nursing care and safety. This study aimed to develop an Egyptian validation tool for measuring the quality of nursing care from the perspectives of patients based on consumer quality index and describe the aspects of quality of nursing care that need improvement. A cross-sectional descriptive survey using Consumer quality index questionnaire of nursing care aspects was carried on 400 patients. 44 attributes of care were extracted into nine dimensions accounting for 70.4% of the total variance. The majority of nursing care aspects needed moderate levels of quality improvement. A valid and reliable Egyptian tool was developed for measuring the quality of nursing care built upon consumer quality index.

How do nurses facilitate shared decision-making in HIV care? An exploratory study of UK nurses knowledge, perspective and experience of facilitating shared decision-making in clinical practice

Background, objectives and aims: Shared Decision Making (SDM) enables clinicians to promote self-management and to empower patients with long-term health conditions. While it has been reported in other health conditions, there is little empirical research on the nature and practice of SDM in HIV care. This project aimed to explore current views and practices among UK HIV nurses regarding SDM. Methods: A mixed methods study utilised focus groups and an online survey to identify opportunities, challenges and training needs. Results: Nurses are supportive of SDM but face patient-related, organisation and health system challenges to implement it, especially in supporting complex patients. SDM is an important aspect of nursing care for people living with HIV. Conclusions: Nurses need more training and resources to implement SDM effectively. In order to develop such training and resources to better understand SDM in relation to HIV care, there is a need for research on patient perspectives and experiences in this area.

CARACTERIZAÇÃO DAS INFECÇÕES PUERPERAIS EM UMA MATERNIDADE PÚBLICA MUNICIPAL DE TERESINA EM 2013

Backgound and Objectives: In the gynecological-obstetric area, infectious complications after childbirth are the leading causes of maternal morbidity and increased hospital length of stay in the postpartum period. This study aimed to analyze the cases of puerperal infections in women admitted to a municipal maternity in Teresina in 2013 regarding the sociodemographic, clinical-obstetric and nursing care aspects. Method: This is a retrospective, descriptive and exploratory study with a quantitative approach, which analyzed 50 medical records and hospital-acquired infection reporting forms, from January to December 2013. Results: The predominant age range (66%) was 20 to 29 years; 66% of the women had finished high school; 72% were married/had a common-law marriage and 78% were from Teresina, PI. The most prevalent infection was mastitis (44%). Nursing records showed that the least used stage of the Systematization of Nursing Care was nursing diagnosis (12%), with peripheral venous access (100%) and dressings (54%) being the most often performed procedures. Conclusion: This study showed there is no direct association between age and the occurrence of puerperal infections and that the prevalence of cesarean deliveries was determinant for these complications. Regarding nursing care, some difficulty was observed for nurses to implement the nursing process, particularly at the stage of diagnosis, with further studies being required to establish the real needs of these professionals to actually implement the Systematization of Nursing Care. KEYWORDS: Cross infection; Puerperal infection; Nursing.

The evolving professional nursing self-image of students in baccalaureate programs: A cross-sectional survey

We have previously examined the professional self-image of practicing nurses in Belgium and its association with various professional decisions, however there is limited knowledge about the professional self-image of nurses-to-be. Despite prior research on nursing students' perceptions of nursing or their self-esteem, students' professional image, defined as "the way students perceive themselves in their clinical practice environment and their anticipated work environment", has not been described nor compared to that of practicing nurses. To describe the professional nursing self-image among students in their final year of baccalaureate education. Cross-sectional survey. Nine geographically spread baccalaureate programs in the Flemish region of Belgium. 427 evaluable students from 455 recruited from 663 potential. Data collected in each school during regular hours using an adapted version of the BELIMAGE (Belgian professional self-image instrument for hospital nurses) including questions on personal demographics, education and competence, nursing care, team and practice environment. Voluntary participation with returned questionnaire deemed informed consent. Respondents identified several curricular components as contributing to their perceived competence. They also identified several skills deemed important to professional nursing, however did not feel competent in all of these. Important nursing care aspects included individualizing patient care, detecting care problems and potential complications, and promoting patient well-being; within a care environment with open interdisciplinary communication, where care problems could be discussed with nursing colleagues, where one cares for the same patient regularly, and led by a team leader with vision. Society's view of nursing was generally more negative than students'. Most students planned on working in nursing after their studies and many had thought about additional education at some point. Most were proud of becoming a nurse, would recommend nursing to others, and would choose nursing again as field of study. Students' evolving professional self-image was positive, rich, and enthusiastic; and higher than that observed in working nurses in a prior study. There is a significant gap between nursing care aspects deemed important and perceived competence in these areas, which has implications for both educators and future employers. Once employed, students are likely to experience differences in their perceptions of professional self-image with those of senior colleagues; another area of attention for employers.

Patients’ experiences of laparoscopic fundoplication in day surgery

Previous research has concentrated mainly on surgical aspects and postoperative complication rates after day surgery laparoscopic fundoplications (LF), due to gastrooesophageal reflux (GERD) and less on patients'experiences and nursing care aspects. A qualitative study was conducted aimed at investigating patients’ experiences of day surgery LF. The very first patients who had day surgery LF ( n=7) were interviewed. The findings demonstrate that patients with GERD experience limitations in their daily lives and feelings of social handicap. At discharge after day surgery, amnesia was experienced and the respondents did not recall important information about the operation given by the surgeon. Experience of postoperative pain varied greatly. All respondents experienced dysphagia, vomiting, distension and bloating. The need for additional pain medication, additional follow-ups by the Advanced Medical Home Care team and extended preoperative information was expressed. However, the great majority felt that returning home on the same day as the operation was positive.

Patients' experiences of laparoscopic cholecystectomy in day surgery.

Previous research has concentrated mainly on surgical aspects and postoperative complication rates after day surgery laparoscopic cholecystectomy (LC), and less on patients' experiences and nursing care aspects. A qualitative study was conducted aimed at investigating patients' experiences of LC in day surgery. Ten women and two men were interviewed. The material was coded, categorized and analysed using qualitative analysis. The findings demonstrate that individuals with gallstone disease experience limitations in their daily life and feelings of socially handicapped. Prior to surgery, the patients felt anxious and expressed a wish for tranquilizers, and to meet the surgeon responsible. At discharge after day surgery, amnesia was experienced and the respondents did not remember important information about the operation given by the surgeon. Experience of postoperative pain varied greatly. Several respondents had a relapse of pain on the third day lasting up to 1 week. The need for additional pain medication and a bloated feeling were reported. Some respondents reported nausea and vomiting, and most had questions about wound care. The need for additional telephone follow-up was mentioned, as was the fact that it was difficult to come home to small children. However, the great majority felt that returning home on the same day as the operation, was positive.

Psychological Hazards of the Intensive Care Unit: Nursing Care Aspects

The intensive care unit provides a variety of psychiatric complications. Their physiologic concomitants can endanger life. The special environment of these units can be quite stressful to patients and staff. Patients in the open-heart recovery room have a high incidence of delirium thought to be related to the sleep deprivation and sensory monotony of these rooms. Suggestions are made to improve rooming and nursing procedures to reduce these hazards. A preoperative orientation will also help to reduce anxiety postoperatively. The coronary care unit has similar problems. Nurses must learn to reduce the anxiety produced by frequent emergencies and deaths. The nursing staffs in these units have special problems produced by the unique responsibilities they must assume there. The charge nurse and medical staff must make special provision to reduce tension and maintain morale.