Nursing Staff Working Research Articles

Body Mechanics and Complications in the Nursing Personnel of the Emergency Service of Luis Vernaza General Hospital (Ecuador)

In nursing work, multiple tasks that require physical effort were developed. The mobilization and transport of patients, prolonged standing work, repetitive movements and lack of rest due to double work in the majority, are important risk factors that produce with the passage of time, bone, muscle, joint and tendinous. If this is added to an inadequate posture and incorrect application of the principles of body mechanics, the risk increases. The objective of this study was to determine the causes of complications related to the non-correct application of body mechanics in nursing personnel. To this end, the research question is: with the incorrect application of body mechanics increases the complications presented by the nursing staff working in this service. The responses received show that the staff is aware of body procedure techniques that do not apply and that most have nervous complications. Taking into account the above, frequent training of nurses is recommended, as well as the use of the manual of ergonometric techniques that guarantees the conservation of health.

Bakım Personellerinin Yaşadığı Sorunlar ve Bakımdan Etkilenme Durumları

Objective: This study aims to evaluate the caregiving outcomes and problems experienced by nursing staff. Method: The sectional study was conducted between August and September 2018 with nursing staff working in nursing homes and special care centers. The study population consisted of the nursing staff (N=92) working in institutions, and the study sample consisted of the nursing staff who agreed to participate in the study (n=76). The study data were collected by using the Questionnaire, developed in line with the literature, and the Bakas Caregiving Outcomes Scale. Ethics Committee approval was obtained for the study. SPSS 20.00 package program was used for the data analysis, and descriptive statistics, correlation test, t test and analysis of variance were performed. Results: Of the nursing staff, 65.8% had fatigue, 60.5% had stress, 59.2% had demoralization, and 59.2% had sleep disturbance due to care given. It was found that there was a statistically significant difference between the mean Bakas Caregiving Outcomes Scale scores and the presence of any health problem and taking psychiatric medication in nursing staff (p<0.05). In addition, a statistically significant difference was found between movement problems and the mean Bakas Caregiving Outcomes Scale scores of nursing staff (p<0.05). Conclusion: In this study, it was found that health problem, taking psychiatric medication and movement problems experienced by nursing staff affected the care negatively. In line with these results, it is recommended that nursing staff should be supported psychologically and physical.

Emergency contraception: Knowledge among service providers (nursing staff) in a private medical college

Background: India has traversed a long and arduous path since launching the first ever Family Planning Programme in the world in 1952. The program has further evolved from a targeted approach to a target free approach. Initially main thrust of program was on sterilization, but now the stress is to bring about awareness of contraception and make informed choices. Emergency contraception (EC) has been included in armamentarium. This study was conducted among the nursing staff working in a Private Medical College. Aim and Objective: The main objective of the study was to check the correct knowledge of EC among service providers (Nursing staff). Materials and Methods: Questionnaire based, cross-sectional, prospective study carried out and analyzed by descriptive stats and Chi-square test. Results: All (100%) of the study subjects were aware of the existence of EC, though the knowledge was inaccurate and incomplete. Knowledge among males was poor (83.3%), 10 of total 12 had score of

Sleep quality and sleep related breathing disorders among nursing staff working in a tertiary care teaching hospital

Sleep quality and sleep related breathing disorders among nursing staff working in a tertiary care teaching hospital

The Relationship Between Burnout and Ethical Climate Perceptions of Nursing Staff Working in a University Hospital

The Relationship Between Burnout and Ethical Climate Perceptions of Nursing Staff Working in a University Hospital

Development of a Practical Nursing Skills Self-Assessment Scale for Nursing Staff Working at Long-Term Care Health Facilities

Development of a Practical Nursing Skills Self-Assessment Scale for Nursing Staff Working at Long-Term Care Health Facilities

Impact of Workplace Violence Educational Program on Self- Confidence for Nursing Staff Working in Psychiatric Hospital

Inpatient mental health clinicians need to feel safe in the workplace. They require confidence in their ability to work with aggressive patients, allowing the provision of therapeutic care while protecting themselves and other patients from psychological and physical harm. The aim of this study is to evaluate the impact of educational training program on self‑ confidence for nursing staff working in psychiatric hospital. Design: A quasi‑experimental design” pre‑posttest assessment” was utilized for the current study. A sample of convenience of 45 psychiatric nurses who agree to participate and were in Al‑Abbassia mental health hospital were included. Two tools were utilized in the current study including Socio‑ Demographic including Department Data Sheet, Confidence in Managing Service user Aggression. The results showed that: there was a highly statistically significant difference was found for all items in nurses’ pre versus post self‑ confidence assessment. Also there was a positive significant correlation between nurses’ level of self‑confidence and the frequency of isolation for the patients & nurses’ years of experience in pre & post assessment, while there is no significance correlation between nurses’ level of self‑confidence and their age, gender, or duration of patient’s isolation. To conclude that, nurses who received the educational training program about workplace violence showed higher score in their post assessment of self‑ confidence than before receiving the program. So the research hypotheses was accepted. Further studies was recommended in addressing the effect of training on staff behavior to be measured through direct observation.

Work Environment: Training Nursing Managers to Change Operational Practice

The processes redesign is still a topic little discussed today within the care context. It promotes reflections on activities that really add value to the client and impact on the quality of care offered by the nursing staff. In this sense, this study aimed to evaluate the nursing staff work environment by applying the “Nursing Practice Work Environment Scale [PESNWI]”. The IQG Nursing Certification Program discusses the redesign of the care model based on conditions in the workplace to which nursing is inserted. A cross-sectional research was conducted with a quantitative approach in nursing professionals at a Brazilian general hospital, enrolled in the IQG Nursing Certification Program. The analyzed institution has 744 nursing professionals, with the participation of 60.6% of its total. The research used comparative analysis between management and care positions. Results differ from other national studies of the same nature in hospital settings. In general, the nursing practice environment composition was considered as favorable. The unfavorable dimensions to nursing practice are linked to the management and leadership of the head nurse, observed by their fragility as care coordinators. Another point to consider is the collaborative nature of the relationship between nurses and other team members, as well as their impact on their members’ autonomy and status in the organization. The work environment perception declared by the nurse managers and the care team is significantly different, which disadvantages the implementation of effective practices of professional repositioning before the multi-professional team and senior institutional management. Significant changes in care practices are understood to occur when the nursing managers understands their role in the team and the real practical problems of daily life, acting in a participatory manner with their team, strengthening the functional autonomy of all professionals

Reflection in practice: How can patient experience feedback trigger staff reflection in hospital acute care settings?

BackgroundPatient and staff experiences provide important insights into care quality, but health systems have difficulty using these data to improve care. Little attention has been paid to understanding how patient experience feedback can act as a prompt to reflection in practice in the clinical setting.ObjectiveWe aimed to identify the ways in which different types of patient experience feedback act as a trigger or prompt for engagement in reflection in clinical practice in acute hospital settings and identify important considerations for enhancing the value of patient experience data for reflective learning.MethodsWe conducted an ethnographic study in eight acute care units in three NHS hospital trusts in England, including 140 hours of observations and 45 semi‐structured interviews with nursing, medical and managerial staff working in acute medical units and intensive care units. The data were analysed thematically.FindingsWe distinguished between formal patient experience data sources: data purposively collected and collated to capture the patient experience of care, generally at organizational level, including surveys, complaints and comments; and informal sources of feedback on the patient experience recognized by staff alongside the formal data. We also identified patient narratives as an ‘in between’ source of data. The impact of different types of patient feedback in triggering reflection primarily depended on the extent to which the feedback was experienced as personally relevant, meaningful and emotionally salient.DiscussionPatient experience feedback is multi‐faceted, but our study suggests that all types of feedback could be harnessed more effectively to prompt reflection.

A Study To Evaluate The Effectiveness of Self Instructional Module on Knowledge And Practice Regarding Integrated Management of Neonatal And Childhood Illnesses Among Staff Nurses Working In Paediatric Wards of Selected Hospitals in Patna, Bihar.

A Study To Evaluate The Effectiveness of Self Instructional Module on Knowledge And Practice Regarding Integrated Management of Neonatal And Childhood Illnesses Among Staff Nurses Working In Paediatric Wards of Selected Hospitals in Patna, Bihar.

Motivación y satisfacción laboral del personal de Enfermería en el Hospital de Apoyo San Francisco, Ayacucho-2018

Objetivo del estudio fue determinar la relación que existe entre el grado de motivación y el nivel de satisfacción laboral del personal de enfermería que labora en el Hospital de Apoyo San Francisco Ayacucho, 2018. Metodología: Tuvo un enfoque cuantitativo y de tipo correlacional, de diseño no experimental. El Instrumento para valorar la variable motivación fue trabajado por Hackman y Oldham (1974), y para evaluar la satisfacción laboral se usó la escala SL-SPC comprobado por la psicóloga Sonia Palma, ambos instrumentos se aplicaron a 50 personas que representan al personal de Enfermería. Resultados: Permitieron demostraron que entre la variable motivación y la variable satisfacción laboral muestran una relación moderada directa y significativa (r=0.488, p=0.000), el análisis realizado entre la variable satisfacción laboral y las dimensiones de la motivación evidenció relación moderada y significativa en la retroalimentación (r=0.425,p=0.002), y la autonomía para la realización de la tarea (r=0.406, p=0.003); la importancia de la tarea reveló relación baja directa y significativa (r=0.334, p=0.000).No se encontró suficiente evidencia para afirmar una relación entre la satisfacción laboral y las dimensiones identidad con la tarea (r=0.251, p=0.079), y variedad de la tarea (r=0.049, p=0.736). Conclusión: Que existe relación moderada entre la variable motivación y satisfacción laboral. Asimismo, se observa una relación moderada entre la dimensión retroalimentación y autonomía para la realización de la tarea.

The Relationship between Tweleve Hour Shift and Patient Safety at Cairo University Hospitals

Abstract Background: Patient safety has become a priority in healthcare system and among health care workers. Nurses play a major role in patients' safety through twelve hour shift because they are accountable for direct and continuous patient care. So errors occur for a variety of reasons, including the effects of twelve hours shift. It is estimated that 1.3 million health care errors occur each year and of those errors 48,000 to 98,000 result in the deaths of patients. Aim of Study: To assess the relationship between twelve hour shift and patient safety. Subjects and Methods: A descriptive research design was utilized to collect data from (150) staff nurses working in all Medical, Surgical Departments and Intensive Care Units at National Cancer Institute which is affiliated to Cairo University having at least one year of experience. Data was collected by using Hospital Survey of Patient Safety Culture (HSOPSC) and patient safety assessment manual. Results: The study revealed that the dimension with the highest positive responses was; teamwork within units (mean= 4.61) and the lowest positive response was in the dimension of non-punitive response to error (mean=1.81) and also feedback and communication about error (mean=2.71). Conclusion: The study concluded that there was a signif-icant relation between 12 hour shifts and patient safety dimen-sions. Recommendations: The study recommended Schedule sensibly for nurses to decrease fatigue that leading to error. Head nurses should be encouraged to establish non-punitive environment as well as a teamwork spirit among nursing staff working in critical care and general ward staff nurses. Develop a well-established system for incident reporting, and all staff nurses should be informed and trained about it.

Nurses' Knowledge and Practices Regarding Peripheral Intravenous Cannulation and Blood Sampling in Pediatric Health Care Settings

Background: peripheral intravenous cannulation and blood sampling are most frequently procedures for hospitalized children. Aim of the present study was to: Investigate nurses' knowledge and practice regardingPeripheral Intravenous Cannulation and Blood Sampling in Pediatric Health Care Settings. Research design: descripitive research design was used. Setting: The study was carried out in Pediatric Intensive Care, Neonatal Intensive Care units, Pediatric inpatient and Pediatric emergency department affiliated to Suez Canal University Hospitals and Ismailia General Hospital of Ismailia city affiliated to the ministry of health. The subjects of the study were all nurses (81) working at the above previously mentioned settings. Tools of data collection: two tools were used to collect the data; structured interview questionnaire and observational checklists. Results: the results of the study revealed that half of the studied nurses had satisfactory knowledge regarding peripheral intravenous cannulation and blood sampling while the majority of them had unsatisfactory practice. There was no statistically significant relation between total nurses’ level of knowledge regarding peripheral intravenous cannulation and blood sampling and their practice. Conclusion: the study concluded that nurses were lacking knowledge as well as practice toward peripheral intravenous cannulation and blood sampling in pediatric health care settings. Recommendation: the study recommended that continuing training, educational programs and workshops concern the care of children with peripheral intravenous cannulation and blood sampling to nursing staff working in pediatric health care setting.

Management Program about Strategies of Building Effective Work Team on Nursing Staff Performance at Intensive Care Units

Background: Team building includes wide range of activities and strategies designed for improving team performance. Its aim is to bring out the best in a team to ensure self -development, positive communication, conflict and change management skills and the ability to work closely together as a team. Objective: The aim of the study was to evaluate program about strategies of building effective work team on nursing staff performance at intensive care units. Setting: Study was conducted at five ICUs at El-Menshawy hospital affiliated to Ministry of Health, namely neurology, cardiology, medical, pediatric and neonatal. Subjects: All (n=210) nursing staff working at the five ICUs understudy divided into all (n=10) head nurses two in each ICU and all (n=200) nurses. Tool: Two tools were used; (1) nursing staff work team building knowledge questionnaire (2) nursing staff actual work team building strategies observation checklist. Results: majority of nursing staff (84.9%) had poor knowledge level for work team building, decreased to about one third had poor knowledge level post program. Preprogram majority of nursing staff (89.6%) showed either low or moderate total practice level for work team building seven strategies, changed post program to be (51.1%) of nursing staff showed high total practice level. Half of head nurses preprogram had moderate total management practice level for work team building; changed post program to equal (40%) percent of them had high and moderate total management practice level. Conclusion: Nursing staff of ICU at El-Menshawy hospital demanding for management program to develop their knowledge and practice about team building strategies. Implementing of the program actually develops their knowledge and practice. Recommendations: conducting pre-employment educational training workshops for novice nurses about effective work team building strategies. Maintain periodical orientation of nursing staff at ICU about strategies of building effective work team.

Effect of Management Program on Nursing Staff Leading Role and Compliance to Follow Safety Measures at Intensive Care Units

Management program on nursing staff leading role and compliance to follow safety measures is an important component help to protect nursing staff from work related risks. Goal of safety program is to keep staff nurses safe and lead them toward safety actions, so they can help them to gain knowledge, and skills to deliver safe and quality care. So, the aim of this study was to determine the effect of management program on nursing staff leading role and compliance to follow safety measures at intensive care units. Study was conducted at all ICUs of Tanta Emergency Hospital. The total number of study sample was (n=100) nursing staff working in ICUs at Tanta Emergency Hospital, including charge nurses (n=30) and bedside nurses (n=70). Twoo tools were used for the collection of data: (1) Nursing Staff Performance Scale and (2) Nursing Staff Knowledge Questionnaire. The results of this study revealed that minority (26.7%) of charge nurses showed satisfactory level of practice for leading role pre-program, improved to be majority (86.7%) post-program. Few (41.4%) bedside nurses had satisfactory level of total compliance to follow safety measures practice pre-program, improved to majority (88.6%) post-program. Nursing staff (48%) had poor level of total knowledge pre-program, but the majority (92%) showed good level of total knowledge post program. Conclusion: Nursing staff knowledge and practice on leading role and compliance to follow safety measures in ICUs at Tanta Emergency Hospital were low, change nurses leading role and bedside nurse's compliance practice improved after implementation of needed program. Therefore, the study recommended that conduct regular training programs, workshops and seminars for nursing staff to refresh their knowledge, skills and experiences related to leading role and safety measures.

Knowledge of postoperative pain management among nurses in a tertiary hospital Uttara Kannada, Karnataka

Background: POP management, like other aspects of healthcare, is a teamwork. In most health-care settings, nurses constitute the biggest health workforce and have round the clock contact with patients. Many a time knowledge among nursing staff also is inadequate so that their practices and decisions cannot be relied on. So it becomes important to analyse the scenario in a scientific way.Method: This was a cross-sectional study done on Nursing staff working in tertiarty hospital attached to KRIMS for a period of two months. Nursing staff working at KRIMS Hospital i.e, 86 Nurses formed the study sample. An adapted version of the Knowledge and Attitudes Survey Regarding Pain instrument was used to test the knowledge of nurses.Results: 64% nurses had adequate knowledge on POP management. It was seen that knowledge regarding pain assessment was significantly lesser than knowledge regarding practise (chi square: 43.66, P

Nursing Staff’s Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective

Background: Despite the increased prevalence of dementia in India, reports indicate little awareness of the disease. Symptoms are often misinterpreted or neglected, which could lead to late diagnosis, reducing the choices available regarding future care. Considering that most nurses caring for the elderly will work with people with dementia in the future, there is concern surrounding their ability to meet the needs of these patients, requiring them to obtain the necessary knowledge and positive attitudes for treatment. Aims: To describe the knowledge of and attitudes toward dementia among nursing staff working in residential care facilities for elderly populations in India. Methods: A cross-sectional survey was conducted in 3 nursing homes in India in which 15 nursing staff conducted self-assessments of their knowledge and attitudes toward dementia using the Alzheimer’s Disease Knowledge Scale (ADKS) and the Attitude toward Alzheimer’s Disease and Related Dementias Scale (DAS) for each respective assessment. Descriptive statistics were used to describe staffs’ attitudes and knowledge concerning dementia. Continuous variables were presented as means ± SD, while the categorical variables were presented as percentages. Results: Although the majority of the participants answered that Alzheimer’s disease cannot be cured, about half reported that people with dementia, in rare cases, can recover from the disease. While all participants agreed that people with dementia can feel when others are kind to them, almost half disagreed that people living with dementia can enjoy life. Conclusion: These findings reveal that nursing staff have limited knowledge of dementia, but their attitudes toward people living with dementia tend to be positive.

Examining the presence and sources of incivility within nursing.

Examine the presence and various sources of incivility among nursing staff working within an academic medical centre utilizing the Nurse Incivility Scale (NIS). Evidence suggests various forms of negative behaviour including incivility exist among nurses. Established consequences of these behaviours include increased employee turnover rates, decreased job satisfaction, decreased productivity and increased absenteeism. A descriptive survey design was used which included the NIS instrument to measure the presence of incivility within the nursing workforce and specific sources of these behaviours among 414 nurses in an academic medical centre. Hospital nurses working within the intensive and intermediate care unit experienced significantly greater incivility from patients and families than other participants within the study [F (3, 413) 8.62, p=.001]. No other significant differences existed in sources of incivility between various levels of direct care. Nursing staff working within high-risk areas for incivility such as the intensive care and intermediate care units may require additional interventions to reduce perceptions of incivility from patients/families. Findings suggest further research is necessary to develop targeted interventions for nurses practicing within intensive care and intermediate units to alleviate the perceived burden of incivility from patients/families.

Level of Knowledge About Alzheimer's Disease Among Nursing Staff in Suzhou and its Influencing Factors.

With the rapid aging process, an increasing number of individuals will be living with dementia worldwide. A good mastery of knowledge about Alzheimer's Disease (AD) by medical staff has been reported to improve the outcome of patients with AD, making it necessary to assess the level of AD knowledge among nursing staff and address their knowledge deficits in order to upgrade the quality of care and improve quality of life for AD patients. To assess the level of AD knowledge among nursing staff in Suzhou, using the Alzheimer's Disease Knowledge Scale (ADKS), and analyze its influencing factors. Nursing staff working in healthcare institutes such as hospitals, community centers, nursing homes, etc. in all the six districts of Suzhou City were selected by convenience sampling. A selfdesigned questionnaire was used to collect general information of the participants, including gender, age, education, professional title, workplace, AD-related training, contact with AD patients, experience in caring for AD patients, etc., and the ADKS scale was used to assess their level of AD knowledge. A total of 1102 in-service nursing staff in Suzhou were included in the study. Univariate analysis showed that age, education, professional titles, bias towards AD patients, AD-related training, contact with AD patients, experience in caring for AD patients were the influencing factors of the total ADKS score; multivariate analysis indicated that age, bias towards AD patients, and contact with AD patients are independent influencing factors of the level of AD knowledge among nursing staff in Suzhou. Mastery of AD knowledge among the nursing staff in Suzhou is not satisfactory. It is urgent to change the nursing staff's negative attitude towards AD and put into effect AD-related health education and training courses so that nursing staff can upgrade their level of AD knowledge and provide better care in order to improve the quality of life for AD patients.

Knowledge and attitude study among the nursing staff working in a tertiary care hospital in Southern India

Background: Hand hygiene is recognised as one of the leading measure to prevent cross transmission of micro-organisms. Inadequate hand hygiene practices are common cause of nosocomial infections. Nurses are considered as the “nucleus of health care system” Because of the time they spend with patients than any other health care workers. Hence their compliance with hand washing guidelines seems to be more vital in preventing the disease transmission among patients.Methods: Despite the simplicity of the procedure, compliance with hand hygiene among health care providers in particular nurses is as low as 40%. This study aims at assessing knowledge, attitude and practice of hand hygiene of the nursing staff working in a tertiary care hospital.Results: Among the 140 study participants 74% were female nurses. Majority of the study participants (78%) had average knowledge of hand hygiene in the pre-test session The health education and training session on correct hand hygiene methods significantly(p<0.001) improved the knowledge and attitude of the nursing staff, during the post-test session 87% of the nurses had good knowledge and 100% had positive attitude.Conclusions: Our study shows the importance of improving the current training programmes targeting the hand hygiene practices among nursing staff. Hand hygiene training sessions need to be conducted more frequently with continuous monitoring and performance feedback to encourage them and their fellow nurses to follow correct hand hygiene practices.