Nursing Tasks Research Articles

Evaluating the accuracy of an automatic counting system to detect dispensing of hand hygiene product

BackgroundHand hygiene (HH) is an essential element of infection prevention and control programs. Direct observation of adherence to the 5 moments for HH is considered the gold standard in compliance monitoring. However, as direct observation introduces potential bias, other strategies have been proposed to supplement HH compliance data in healthcare facilities. This study evaluated the accuracy of an automatic counting system (MEZRIT™) to detect when a HH product (soap or alcohol-based hand rub) was dispensed, and thus measure product usage as opposed to compliance with the 5 moments for HH. MethodsA quasi-experimental study was conducted in a nursing simulation lab where seven participants undertook basic nursing tasks which included performing HH. Sensors were attached to soap and alcohol-based hand rub dispensers to record the time at which a product was dispensed. HH events were video recorded (time-stamped) and validated against timestamps from the automatic counting system. Results260 HH events were detected by the automatic counting system and confirmed by video recordings. 5182 non-HH events were calculated from analysis of the video recordings. The automatic counting system had 90 % sensitivity (95%CI 85.8–93.1 %), and 100 % specificity (95%CI 99.9–100 %). This model generated a positive predictive value of 100 % (95%Cl 98.4–100 %), and a negative predictive value of 99.5 % (95%CI 99.3–99.7 %). ConclusionThe MEZRIT™ system accurately identified 90 % of HH events and excluded 100 % of non-HH events. The real-time monitoring of HH product usage may be beneficial in responding quickly to changes in product usage.

Nurses' perceptions of medical service robots in negative-pressure isolated wards and in general wards: A cross-sectional survey.

To evaluate nurses' workload during the coronavirus disease 2019 (COVID-19) pandemic and to identify their perception of medical serviced robots (MSRs) that may help with or replace the tasks of nurses in negative-pressure isolated wards and general wards. Cross-sectional survey. A researcher-made questionnaire was applied that assessed nurses' current workload and their attitudes towards and perceptions of MSRs. A visual analogue scale (VAS) from 1 to 10 was used to assess workload. Perceptions evaluated on a 5-point Likert scale ranging from one point for 'strongly disagree' to five points for 'strongly agree'. A higher VAS score indicated a higher workload. On the other hands, a higher Likert score indicated a more positive perception and three points was neutral. The questionnaire was conducted on 150 nurses in negative-pressure isolated wards for the management of COVID-19 and 150 nurses in general wards. Quota sampling technique was used as sampling technique. Data analysis was performed through independent t-tests, chi-square tests and two-tailed tests. The p-value <0.05 was interpreted to statistically significant. Two hundred eighty-two participants responded and 142 belonged to the negative-pressure isolated ward. The overall response rate was 94%, and 94.7% in the negative isolated ward. The mean score ± standard deviation for nursing-related psychological stress at the current work site was 7.18 ± 1.58 points, and the mean score for physical workload was 7.65 ± 1.48. The need for MSRs was rated as 3.66 ± 0.86 out of 5. Overall, a positive attitude towards MSRs was confirmed, with no difference between ward groups. The overall ratings were 3.14 ± 1.15 for perceived availability and 3.26 ± 1.13 for perceived efficiency. Both nurse groups perceived that MSRs were most available and efficient for monitoring and measurements. Nurses in negative-pressure isolated wards perceived MSRs more positively than did nurses in general wards regarding setting of alarms (p = 0.003) and delivery of medical devices/materials (p = 0.013). Based on these results, functional development of MSRs associated with monitoring, measurements, setting of alarms and delivery should be prioritized. No patient or public contribution.

Nurses' Adherence to Infection Control Practices in Emergency Departments

Background: Follow-Up on Infection Prevention Measures It is an assortment of techniques intended to keep things free of microbes, Patient protection from diseases necessitates several actions. Preventing and controlling infections is one of the most crucial tasks for nurses. Using hand hygiene with personal protection equipment is a crucial step that can help prevent infections or their repercussions. The safety of patients and maintaining sterility and cleanliness in hospitals are the responsibilities of all nurses working there. Objectives: to evaluate the adherence of emergency department nurses to infection control protocols and recommendations. Methodology: This cross-sectional study selected a nonprobability (purposive) sample of 120 nurses working in emergency departments across three hospitals: Baghdad Teaching Hospital (50%), Al-Kindy Teaching Hospital (35.8%), and Sheik Zaydi Hospital 14.2%. The study was conducted from September 20, 2023, to 30 June 2024. collection tool, which consists of two parts: The first part is the demographic characteristics of the nursing staff (age, gender, level of education, years of experience in the emergency department, and participation in training courses related to infection control measures). Second part: Checklists were utilized for observation. The study instrument's reliability was assessed using the Statistical Package for Social Science Program (IBM SPSS) by applying Cronbach's Alpha. Results: The study finding shows that, based on the data, 66.7% of the respondents reported a fair level of practices about infection control measures. Sociodemographic factors such as qualifications notably impact nurses' practices regarding adherence to infection control practices. CONCLUSIONS: The researcher concluded that the nurses' practices were not at the level required (fair) to fit with the critical and special nature of the emergency department. Recommendations: Standard precautions are the basic level of the infection control process. The participants may possess satisfactory knowledge and compliance levels. However, more training programs and more focus on the standard precautions by educational institutes are needed for nurses to improve their knowledge and compliance with infection-control standard precautions.

Designing and psychometric evaluation of safe nursing care instrument in intensive care units

BackgroundProviding safe care in a sensitive and high-risk unit such as the ICU is one of the most crucial tasks for nurses. One way to establish the criteria for safe care is by creating a instrument to assess it. Therefore, this study was conducted with the aim of designing and psychometrically evaluating an instrument for safe nursing care in the ICU.MethodsThe current study employed a sequential-exploratory mixed-method approach with two qualitative and quantitative phases. Based on the results of qualitative phase and the literature review, the primary instrument was designed. In the quantitative phase, the designed instrument underwent psychometric evaluation. Face, content and construct validity were assessed. Face validity was assessed by 20 nurses, and content validity was assessed by 26 experts. In the construct validity stage, the sample size for the exploratory factor analysis (EFA) included 300 nurses, and for the confirmatory factor analysis (CFA) included 200 nurses who work full-time in the ICUs of hospitals affiliated with Kermanshah University of Medical Sciences in western Iran. EFA sampling was conducted in three hospitals, encompassing six ICUs, while CFA sampling was carried out in two hospitals, covering four ICUs. Sampling was done using the convenience method. The reliability of the instrument was also assessed. Finally, the interpretability, feasibility, weighting, and scoring of the instrument were evaluated.ResultsThe qualitative phase identified three themes, including professional behavior (with categories: Implementation of policies, organizing communication, professional ethics), holistic care (with categories: systematic care, comprehensive care of all systems), and safety-oriented organization (with categories: human resource management and safe environment). The primary instrument was designed with 107 items rated on a five-point Likert scale. In the quantitative phase, the psychometrics of the instrument were conducted. First, the face and content validity were assessed, and the average scale content validity index (S-CVI) was 0.94. Then, a preliminary test was conducted to assess the initial reliability (α = 0.92) and the correlation of each item with the total score. After completing these steps, the number of items in the instrument was reduced to 52. The results of the EFA explained 58% of the total variance, with 4 factors identified: professional behavior by following guidelines, comprehensive care, accurate documentation, and pressure ulcer care. At the CFA stage, the results of the calculation of indices and goodness of fit showed that the model had a good fit. The reliability of the relative stability by examining the intraclass correlation coefficient (ICC) for the whole instrument in 20 samples was 0.92 with a confidence interval of 0.97 − 0.81. To measure absolute stability and determine the responsiveness of the instrument, the standard error of measurement (SEM) was 4.39 and the minimum detectable change (MDC) was 12.13.ConclusionThe instrument for safe nursing care in the ICU has favorable psychometric properties.

Components of safe nursing care in the intensive care units: a qualitative study

BackgroundPatient safety is a global health issue that affects patients worldwide. Providing safe care in the intensive care units (ICUs) is one of the most crucial tasks for nurses. Numerous factors can impact the capacity of nurses to deliver safe care within ICUs. Consequently, this study was undertaken with the aim of identifying the components of safe nursing care in ICUs.MethodsThe current research constitutes a qualitative conventional content analysis study conducted from January 2022 to June 2022. The study participants comprised nurses, intensivists, nurse responsible for patient safety, paramedic, patients, and patients’ family member, totaling 21 individuals selected through purposive sampling. Data collection involved individual, in-depth, and semi-structured interviews. Subsequently, data analysis was performed utilizing the approach outlined by Graneheim and Lundman (Nurse Educ Today 24(2):105–12, 2004), leading to the identification of participants’ perspectives.ResultsThree themes were identified as components of safe nursing care in ICUs. These themes include professional behavior (with categories: Implementation of policies, organizing communication, professional ethics), holistic care (with categories: systematic care, comprehensive care of all systems), and safety-oriented organization (with categories: human resource management and safe environment).ConclusionsThe findings of this study underscore the significance of advocating for safe nursing practices in ICUs by emphasizing professional conduct, holistic care, and safety-focused organizational structures. These results align with existing research, suggesting that by introducing tailored interventions and tactics informed by these elements, a safer environment for nursing care can be established for ICUs patients.

Oral care of intubated patients, challenging task of ICU nurses: a survey of knowledge, attitudes and practices

IntroductionPatients' health outcomes can be positively affected by the oral care provided by intensive care unit (ICU) nurses. Providing effective oral care for intubated patients is a challenging task. The purpose of this study was to examine the knowledge, attitudes, and practices(KAP) of oral care among ICU nurses for intubated patients, as well as the underlying factors that influence these behaviors.MethodThis cross-sectional survey was conducted on 200 nurses from adult ICUs in referral hospitals located in the central eighth area of healthcare management in Iran. The timeframe for data collection was April to June in 2023. Data were collected by questionnaires which consisted of four sections: demographic information, knowledge, attitudes and practices of oral care for intubated patients. The Pearson Correlation Coefficient was employed to determine the correlation between KAP and its main variables, which were distributed normally.ResultsThe result showed that nurses were 32.19 ± 6.23 years old, with an average total work experience of 8.91 ± 5.54 years and an average ICU work experience of 5.89 ± 4.31 years. The mean KAP score were17.66 ± 3.04, 15.46 ± 4.23, and 7.57 ± 2.21, respectively. The knowledge of nurses was significantly impacted by their level of education (p = 0.04), and an increase in work experience each year was associated with improved attitudes among nurses (p = 0.04). A significant association was found between the nurses' oral care practice, knowledge (p = 0.03), and attitude (p = 0.04).ConclusionThis study revealed that ICU nurses possess a moderate level of knowledge, a higher-than-average level of practice, and they have a favorable attitude towards giving oral care to intubated patients. Therefore, providing continuous education about oral care is essential for ICU nurses.

Linking patient safety, caring behaviours and professional self-efficacy with missed nursing care among Filipino emergency room nurses: A structural equation model study.

To investigate the interrelationships of patient safety, caring behaviours, professional self-efficacy and missed nursing care among emergency room nurses. Cross-sectional, correlational study. Filipino emergency room nurses (n = 345) participated via convenience sampling from September 2023 to January 2024. Four validated self-report scales were used to collect data and were analysed using Spearman rho, covariance-based structural equation modelling, mediation and path analyses. The emerging model of study variables displayed satisfactory fit indices. Patient safety directly influenced caring behaviours and professional self-efficacy, while negatively influencing missed nursing care. Caring behaviours directly and indirectly affected professional self-efficacy and missed nursing care, respectively. Professional self-efficacy negatively influences missed nursing care. Finally, caring behaviours and professional self-efficacy were significant mediators between the association of patient safety and missed nursing care. Caring behaviours and professional self-efficacy of emergency room nurses demonstrated mediating effects that can potentially improve patient safety practices thereby minimizing unfinished or missed nursing care. Nurses and healthcare organizations should commit to consistently maintain a workplace culture that fosters patient safety, caring behaviours and professional self-efficacy to minimize avoidable injuries and omitting nursing care tasks. STrengthening the Reporting of OBservational studies in Epidemiology (STROBE). No Patient or Public Contribution.

Development of a Nursing Diagnosis/Record Generative AI System Based on Virtual Patient Data.

This study investigates how to reduce nurses' repetitive electronic nursing record tasks. We applied generative AI by learning nursing record data practiced with virtual patient data. We aim to evaluate generative AI's usefulness, usability, and availability when applied to nursing record creation tasks. The nursing record data collected through the electronic nursing record system for nursing students without privacy issues is in the form of NANDA, FocusDAR, SOAPIE, and narrative records. We trained 50,000 nursing record data and upgraded the performance through generative AI and fine-tuning. A separate API was used to connect with the practice electronic nursing record system, and 40 experienced nurses from a university hospital conducted tests. The electronic nursing record, through generative AI, is expected to contribute to easing the workload of nurses.

Primary care team reorganisation after the SARS-COV-2 pandemic. Differences between Catalonia and Spain in the PRICOV study.

Spanish primary care services are managed differently by each region's authorities. Catalonia started its services provision and design nearly two decades before other Spanish regions and developed nurses' roles and task shifting in primary care. This work identifies differences in the Europe PRICOV-19 study answers between Catalonia and those submitted from the rest of Spain regarding how primary care teams (PCT) were organised during the SARS-CoV-2-2019 pandemic, how tasks and roles changed, and the pandemic's impact on the care providers. Initially, we computed bivariate relationships and tested using contingency association and unpaired Wilcoxon. Still, we estimated multiple linear regressions controlling with a list of individual and GP practice characteristics and clustering standard errors at the kind of location. Main statistically significant differences were found in the adaptation to the new tasks, the ability to solve most health problems, and specific accessibilities to primary care. In Catalonia, satisfaction with the adaptation to the new tasks was higher (41.9% satisfied and 30.2% neutral) than in the rest of Spain (50.9% dissatisfaction). Also, GPs in Catalonia reported to a greater extent than the rest of Spain that chronic patients were listed for extensive follow-up. These differences may be related to Catalonia's strategy for empowering primary care professionals other than family doctors. Considering future pandemics, demographic ageing, and professional shortages, we point out the potential benefits of these changes in PCT organisations and the need to review the centres's design.

Utilizing self-report diaries to explore task time distribution of school nurses in UAE.

This study aims to evaluate the roles and tasks of school nurses in the UAE, quantify the time spent on each, and identify areas for improvement in school health services. This aligns with the UAE government's initiative to enhance primary healthcare, focusing on illness prevention and health promotion for children and adolescents. The research adopts an observational study design, utilizing self-observation through diary recordings by school nurses to collect data on their daily tasks and time allocation. A sample of total of 2024 school nurse activities were recorded and analyzed over 126days and 1084h of observation by eight school nurses using self-report diaries. This method allowed for the collection of detailed information on how nursing time is allocated between core and noncore tasks. In this study a total of 2024 tasks were observed over 1084h. The findings reveal that core nursing tasks accounted for 78% of activities but only 53% of the total 1084h observed, while non-nursing tasks, making up 22% of activities, disproportionately consumed 47% of the hours. This discrepancy highlights the inefficiency of time allocation, with non-nursing tasks such as administrative duties taking significantly longer than core patient care tasks. The study highlights a significant opportunity to enhance school health services in the UAE by optimizing the allocation of nursing time towards more illness prevention and health promotion interventions. By addressing the identified challenges, including the gaps in nurse competencies and the lack of structured practice frameworks, school health services can be improved.

Nurses Experience of Prone Position in The Absence of Positioning Tool, and Suggestion of Prone Position Tool: A Phenomenology Study

During the COVID-19 pandemic which is a non-natural disaster, the ARDS cases (Acute Respiratory Disease Syndrome) rocketed. Despite the advantages of prone positioning for ARDS care, ICU staff seldom use it due to the unavailability of positioning tools, making it a challenging task for nurses. This study aims to investigate nurses' experiences with manual prone positioning and propose ICU-friendly prone position tools. This research method used a qualitative phenomenology theory study to 15 ICU nurses who were experienced in prone positioning at least 10 times to intubated patients and had complaints about the intervention. The experience was gathered using structured questions and recorded. The data was analyzed following Colaizzi’s thematic method, and all the emerged themes were collected and reported. The research results show that fifteen interviewed nurses noted that prone positioning is physically demanding and requires a coordinated team with a minimum of three staffs, 2 handles patient positioning, 1 leader securing the intubation tube. Before starting, the team assesses the difficulty level. Recommended tools include a slide sheet with handles, a modified Vollman prone positioner, and a crane-like prone harness. The conclusion is nurses find tools highly beneficial for prone positioning but will improvise with available resources like underpads as a ring-shaped pillow if tools are unavailable.

#2714 An AI based tool for hydration management in dialysis patients.

Abstract Background and Aims Hemodialysis patients often experience over-hydration (OH), a critical factor derived from excess extracellular water and associated with cardiovascular complications and overall morbidity. Accurate estimation of pre-dialysis OH is essential for optimizing fluid management and improving patient outcomes. Traditional methods for assessing OH, such as the Body Composition Monitor (BCM) are, in general, time-consuming for clinical staff and costly for healthcare providers. In this study, we present a machine learning model combining data automatically recorded by dialysis machine sensors and medical information captured in electronic chart records to estimate pre-dialysis OH. The aim of this study is to evaluate the possibility of a tool that predicts OH from patient's data without, or less frequently using, a bioimpedance device for OH measurements. Method We collected a comprehensive dataset from a cohort of CKD patients undergoing hemodialysis, including demographic information, clinical parameters, and hydration status parameters. The value of OH was assessed using BCM device. A feature selection approach, guided by a balance between prediction accuracy and model complexity, was used to identify the optimal set of input variables. All variables utilized in the model are either regularly gathered in clinical practice or automatically recorded from the dialysis machine. We tried different combinations of features using an XGBoost regressor algorithm. We focused the study on the comparison of the prediction of OH with the input variable of the average BCM OH value in the past year (Model 1) and without this variable (Model 2). Mean absolute error (MAE), Root mean square error (RMSE), R2, calibration and residuals plots were used to assess the models’ accuracy. The measurement unit is in litres. The models were validated with nested 5-fold cross-validation, dividing the data repeatedly into disjunct train, validation and test folds and 5 outer loops, totalling 25 folds. Results The dataset contains the observations from 37,011 patients for a total of 934,386 BCM assessments collected in the EuCliD database by Fresenius Medical Care clinics in Cech Republic, Italy, Portugal, Slovakia, Spain, and the United Kingdom between January 2016 to September 2023. The average value of OH is 2.06 (std 1.88). Model 1 generalizes on unseen data samples with an MAE of 0.74, RMSE of 1.02 and R2 of 0.57 after evaluating the performance on the test folds. Model 2 MAE is 0.93, RMSE is 1.25 and R2 is 0.36. The degradation of the accuracy between the two models indicates the importance of patients’ past BCM information for the prediction of the next OH. This degradation is also clear in the calibration and residuals plots (Fig. 1). Nevertheless, model 2 is able to predict OH with an acceptable level of accuracy. Conclusion Fluid management is a critical task for physicians and nurses. We present an AI-based tool that can be utilized to support clinicians in their daily decisions about fluid management, with and without the use of a device to measure OH. The results, as expected, show an important degradation of the accuracy between model 1 and 2, however, model 2 has sufficient overall accuracy to consider the approach valuable, meriting further exploration. In general, this approach can be used to reduce the number of direct OH assessments.

Nurses’ experiences during the COVID-19 pandemic: A secondary data analysis examining interdisciplinary and peer communication

BackgroundCommunication with interdisciplinary team members was impacted during the start of the COVID-19 pandemic. Bedside nurses managed communication challenges with interdisciplinary team members while working under extremely stressful conditions created by a new and unknown infectious disease. This study examined data collected from a pre-existing qualitative study to answer the question: What communication challenges occurred among nurses and interdisciplinary team members during the beginning months of the COVID-19 pandemic? MethodsA qualitative secondary analysis of an existing dataset was undertaken. The original data were collected using semi-structured interviews conducted with a purposive sample of bedside nurses (n = 17). ResultsUsing thematic analysis, five themes related to communication among nurses and the interdisciplinary team emerged: 1) acknowledging PPE as a communication barrier, 2) questioning how to perform nursing tasks along with increasing workload, 3) developing innovative ways to deliver safe care, 4) experiencing frustrations about lack of communication with interdisciplinary team members, and 5) experiencing both support and criticism that affect working relationships. ConclusionsChallenges associated with communication during the early days of the COVID-19 pandemic became opportunities to build policies and procedures to support collaboration within the healthcare team. Support is necessary to prepare team members to collaborate efficiently during crisis situations. Developing a strategic plan to improve communication, lessen nurse burden, provide mental health support for nurses, while maintaining safe care are priorities in managing future emergency situations.

SURVEY ON THE IMPLEMENTATION OF HEALTH EDUCATION BY NURSES IN THE INPATIENT ROOM OF TYPE B HOSPITAL

A nurse is a professional who can provide care to individuals, families, groups, or communities, both in sickness and health. One of the important tasks of nurses is as educators. Health education is a form of education that aims to change the behavior of individuals, groups and communities so that they can improve their health independently. The purpose of this study was to analyze the implementation of the role of nurses as providers of health education to patients. This study used a descriptive survey design. The research sample used a total sampling technique of 18 respondents consisting of nurses who served in the inpatient room of a type B hospital. The measuring instrument used an instrument in the form of a Nurse's Education Patient Questionnaire (NEPQ). Data analysis using exploratory descriptive. The results obtained 67% of nurses in the good category on the values and knowledge of nurses, 50% in the good category on the environment for providing health education, 61% in the good category on the organization of health services, 61% in the good category on interdisciplinary and peer cooperation, 61% in the good category on activities providing health education. Supporting factors for nurses as educators include the existence of a PKRS team and clear documentation related to health education documentation. While the inhibiting factors include the lack of support from the room manager and the lack of availability of nurses' time. Nurses are expected to further improve the responsiveness dimension and hospital management to increase support or encouragement, especially holding socialization/workshops and encouraging health education providers by nurses to get training, routine scheduling, and supervision to optimize the provision of health education.

Tailoring remote patient management in cardiovascular risk management for healthcare professionals using panel management: a qualitative study

BackgroundWhile remote patient management (RPM) has the potential to assist in achieving treatment targets for cardiovascular risk factors in primary care, its effectiveness may vary among different patient subgroups. Panel management, which involves proactive care for specific patient risk groups, could offer a promising approach to tailor RPM to these groups. This study aims to (i) assess the perception of healthcare professionals and other stakeholders regarding the adoption and (ii) identify the barriers and facilitators for successfully implementing such a panel management approach.MethodsIn total, nineteen semi-structured interviews and two focus groups were conducted in the Netherlands. Three authors reviewed the audited transcripts. The Consolidated Framework for Implementation Strategies (CFIR) domains were used for the thematic analysis.ResultsA total of 24 participants (GPs, nurses, health insurers, project managers, and IT consultants) participated. Overall, a panel management approach to RPM in primary care was considered valuable by various stakeholders. Implementation barriers encompassed concerns about missing necessary risk factors for patient stratification, additional clinical and technical tasks for nurses, and reimbursement agreements. Facilitators included tailoring consultation frequency and early detection of at-risk patients, an implementation manager accountable for supervising project procedures and establishing agreements on assessing implementation metrics, and ambassador roles.ConclusionPanel management could enhance proactive care and accurately identify which patients could benefit most from RPM to mitigate CVD risk. For successful implementation, we recommend having clear agreements on technical support, financial infrastructure and the criteria for measuring evaluation outcomes.

ORGANIZATIONAL CITIZENSHIP BEHAVIOR AND PERFORMANCE OF NURSES IN THE PUBLIC HEALTH SECTOR IN NIGERIA: A STUDY OF TERTIARY HEALTHCARE FACILITIES IN BENUE STATE

Purpose: This study investigates the effect of organizational citizenship behavior (OCB) on the performance of nurses in the public health sector in Benue State, Nigeria, with a particular focus on nurses in the tertiary healthcare facilities in Benue State. The specific objectives of this study were to examine, evaluate, ascertain, determine, and establish the effect of altruism, civic virtue, conscientiousness, courtesy, and sportsmanship on the task and contextual performance of nurses in tertiary healthcare facilities in Benue State, Nigeria. Methodology: This study adopts and uses a descriptive research design using a survey method. The study population comprised 587 nurses from Benue State University Teaching Hospital Makurdi (BSUTH) and Federal Medical Centre Makurdi (FMC). The study used Taro Yamene’s formula to determine a sample size of 238 nurses. 238 questionnaires were issued out to nurses, of which 221 were usable and returned for analysis. Data were statistically analyzed after being collected from the field using Multiple Regression Analysis as the main statistical tool with the aid of SPSS to explain the relationship between variables under study. Findings: The findings from this study indicated that there was actually an established effect of all the dimensions of organizational citizenship behavior on the task and contextual performance of nurses working in tertiary healthcare facilities in Benue State, Nigeria. Originality/Value: The study revealed that all the OCB constructs examined significantly positively affect the task and contextual performance of nurses working in tertiary healthcare facilities in Benue State, Nigeria. Part of the recommendations made is that the management of tertiary healthcare facilities in Benue State should do everything possible to create a working environment that will motivate nurses to engage in citizenship behaviors since it has been scholarly proven that citizenship behaviors positively affect task and contextual performance of nurses working in tertiary healthcare facilities.

The frequency and reasons for missed nursing care in Australian perioperative nurses: A national survey.

To describe Australian perioperative nurses' reported frequency and reasons for missed nursing care in the operating room. Cross-sectional online survey conducted in March-April 2022. A census of Australian perioperative nurses who were members of a national professional body were invited to complete a survey that focussed on their reported frequency of missed nursing care and the reasons for missed nursing care in the operating room using the MISSCare Survey OR. In all, 612 perioperative nurses completed the survey. The perioperative and intraoperative nursing care tasks reported as most frequently missed included time-intensive tasks and communication with multiple surgical team members present. The most frequently reported reasons for missed care were staffing-related (e.g. staff number, skill mix, fatigue and complacency) and affected teamwork. There were no significant differences in the frequency of missed care based on perioperative nurse roles. However, there were statistically significant differences between nurse management, circulating/instrument nurses and recovery room nurses in reasons for missed care. Much of the missed care that occurs in the operating room is related to communication practices and processes, which has implications for patient safety. Understanding the types of nursing care tasks being missed and the reasons for this missed care in the operating room may offer nurse managers deeper insights into potential strategies to address this situation. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. No patient or public contribution.

Missed Nursing Care; Prioritizing the Patient's Needs: An Umbrella Review.

The objective of this review of reviews was to identify the reasons for missed nursing care and to shed light on how nurses prioritize what care they miss. Missed nursing care refers to essential nursing activities or tasks that are omitted or not completed as planned during a patient's care. This omission can result from various factors, such as staffing shortages, time constraints, or communication issues, and it can potentially compromise the quality of patient care and safety. Identifying and addressing missed nursing care is crucial to ensure optimal patient outcomes and the well-being of healthcare professionals. To be included, reviews had to use the systematic review process, be available in the English language, examine missed care in hospitals and at home, and include participants who were over eighteen years old. The review intended to answer the following questions: 'Why nursing care is missed?' 'How nurses prioritize what care they missed?'. An umbrella review was developed guided by the JBI methodology and using PRISMA-ScR. A total of 995 reviews were identified. According to the inclusion criteria, only nine reviews were finally evaluated. The findings indicate that care is missed due to staffing levels, organizational problems, and the working climate. Prioritization of care depends on acute care needs as well as educational and experiential background. Missed nursing care is associated with patient safety and the quality of provided nursing care. Specifically, it has negative impacts on patients, healthcare professionals, and healthcare service units. Organizational characteristics, nursing unit features, and the level of teamwork among nursing staff affect Missed Nursing Care. Individual demographic characteristics of the staff, professional roles, work schedules, and adequate staffing may potentially contribute to the occurrence of Missed Nursing Care, which is why they are under investigation. However, further consideration is needed regarding the management of patient needs and nurse prioritization.

AR-AI assisted ophthalmic nursing: Preliminary usability study in clinical settings.

Ophthalmic ward nursing work is onerous and busy, and many researchers have tried to introduce artificial intelligence (AI) technology to assist nurses in performing nursing tasks. This study aims to use augmented reality (AR) and AI technology to develop an intelligent assistant system for ophthalmic ward nurses and evaluate the usability and acceptability of the system in assisting clinical work for nurses. Based on AR technology, under the framework of deep learning, the system management, functions, and interfaces were completed using acoustic recognition, voice interaction, and image recognition technologies. Finally, an intelligent assistance system with functions such as patient face recognition, automatic information matching, and nursing work management was developed. Ophthalmic day ward nurses were invited to participate in filling out the System Usability Scale (SUS). Using the AR-based intelligent assistance system (AR-IAS) as the experimental group and the existing personal digital assistant (PDA) system as the control group. The experimental results of the three subscales of learnability, efficiency, and satisfaction of the usability scale were compared, and the clinical usability score of the AR-IAS system was calculated. This study showed that the AR-IAS and the PDA systems had learnability subscale scores of 22.50/30.00 and 21.00/30.00, respectively; efficiency subscale scores of 29.67/40.00 and 28.67/40.00, respectively; and satisfaction subscale scores of 23.67/30.00 and 23.17/30.00, respectively. The overall usability score of the AR-IAS system was 75.83/100.00. Based on the analysis results of the System Usability Scale, the AR-IAS system developed using AR and AI technology has good overall usability and can be accepted by clinical nurses. It is suitable for use in ophthalmic nursing tasks and has clinical promotion and further research value.

Education pathways and key tasks for research nurses in Europe, results from a vaccelerate online survey

Education pathways and key tasks for research nurses in Europe, results from a vaccelerate online survey