Members Of Nursing Team Research Articles

COVID-19 Nursing Staff Sizing Technology.

This study shows the development of a software for calculating the number of nursing team members required for providing care during the coronavirus disease 2019 pandemic. Study about the development of a technology based on the literature about data and indicators. The indicators were systematized in the following dimensions: institutional, professional, and occupational structure, all with a focus on coronavirus disease 2019. The software was created to be used on the Web, client-server, in browsers such as Internet Chrome, Explorer, and/or Mozilla Firefox, accessing via an Internet address and also allowing access by Windows, Android, and Linux operating systems, with MySQL database used for data storage. The data and indicators related to the institutional structure for coronavirus disease 2019 were systematized with 10 dimensions and indicators, and the professional and occupational structure, with 14 dimensions and indicators. The construction of computer requirements followed the precepts of software engineering, with theoretical support from the area. In the evaluation of the software, data simulation revealed points that had to be adjusted to ensure security, data confidentiality, and easy handling. The software provides to calculate the size and quality of the team, nursing sizing required due to the needs generated by the coronavirus disease 2019 pandemic.

Evaluating TeamBirth's Effect on Autonomy for Minoritized Populations in Labor [ID 2683585

INTRODUCTION: Prioritization of maternal autonomy and communication can greatly affect obstetric care experiences. We implemented TeamBirth—an initiative designed to center the patient, their preferences, and autonomy through standardized team communication in labor. We sought to understand how TeamBirth affected obstetric care experiences, through self-reported autonomy, for minority populations. METHODS: TeamBirth “huddles” in labor included patients, labor support persons, physicians, and nursing team members participating in standardized communication approaches, supplemented with whiteboard and decision-support guides. From May 2021 to May 2022, surveys administered postpartum inpatient were collected from birthing persons. We used the Mother’s Autonomy in Decision Making Scale (MADM) to measure autonomy. MADM scores in the highest quartile (scores ranged 34–42) were considered as having high autonomy. RESULTS: Over one-third (36.4%) of the 762 respondents were of minoritized populations (eg, Black, Hispanic) versus White (63.3%). When considering race/ethnicity, high autonomy was not related to minoritized group (P=.944). The majority (86%) of high autonomy respondents had one or more huddles, compared to 71% with low autonomy (P<.001). When evaluating the relationship of number of huddles to high autonomy, the minority group was not different compared to White patients (interaction P=.915). CONCLUSION: Patients who experienced huddles during intrapartum care reported higher autonomy regardless of minority status. Use of the TeamBirth initiative has potential to increase autonomy and improve obstetric experiences. Early data indicate that patient experiences of minoritized populations can be improved with TeamBirth; additional investigation is indicated.

Vaccination of Adults With Cancer: ASCO Guideline.

To guide the vaccination of adults with solid tumors or hematologic malignancies. A systematic literature review identified systematic reviews, randomized controlled trials (RCTs), and nonrandomized studies on the efficacy and safety of vaccines used by adults with cancer or their household contacts. This review builds on a 2013 guideline by the Infectious Disease Society of America. PubMed and the Cochrane Library were searched from January 1, 2013, to February 16, 2023. ASCO convened an Expert Panel to review the evidence and formulate recommendations. A total of 102 publications were included in the systematic review: 24 systematic reviews, 14 RCTs, and 64 nonrandomized studies. The largest body of evidence addressed COVID-19 vaccines. The goal of vaccination is to limit the severity of infection and prevent infection where feasible. Optimizing vaccination status should be considered a key element in the care of patients with cancer. This approach includes the documentation of vaccination status at the time of the first patient visit; timely provision of recommended vaccines; and appropriate revaccination after hematopoietic stem-cell transplantation, chimeric antigen receptor T-cell therapy, or B-cell-depleting therapy. Active interaction and coordination among healthcare providers, including primary care practitioners, pharmacists, and nursing team members, are needed. Vaccination of household contacts will enhance protection for patients with cancer. Some vaccination and revaccination plans for patients with cancer may be affected by the underlying immune status and the anticancer therapy received. As a result, vaccine strategies may differ from the vaccine recommendations for the general healthy adult population vaccine.Additional information is available at www.asco.org/supportive-care-guidelines.

Does nursing leaders' humility leadership associate with nursing team members' psychological safety? A cross-sectional online survey.

The leader's ability to act with self-awareness, lead with generosity, and consider others' opinions is what defines humility leadership. In recent healthcare literature, there has been extensive exploration of humility leadership and psychological safety, but these studies were non-nursing. It is crucial to understand how humble leaders can empower their staff's psychological safety, as inclusivity is a key aspect of humility leadership and is closely linked to psychological safety. Therefore, this study examined the association between nursing leaders' humility leadership and team members' psychological safety. A quantitative cross-sectional design was used in the current study. To assess the studied variables, 245 nursing academics, nurses, and nursing leaders were recruited from different universities and hospitals using the convenience snowball sampling technique, yielding a response rate of 70%. After a pilot study, an online survey using Google Forms was hosted in 2022. The psychological safety of nursing team members was not found to be associated with the humility leadership of nursing leaders. Despite the participants' reports of their nursing leaders exhibiting humility leadership (mean = 3.57/5, SE = 0.055), the participants also reported that psychological safety was borderline (mean = 3.09/5, SE = 0.041). The borderline nursing team members' psychological safety implies that different types of leadership may have an impact on the psychological safety of nursing team members. The lack of association between nursing leaders' humility leadership and the psychological safety of nursing team members highlights the need for further understanding and effort from nursing leaders to establish psychologically safe work environments. This research offers valuable insights into how the humility of nursing leaders impacts the psychological safety of nursing team members. The psychological safety of the nursing team members highlights the specific responsibilities that nursing leaders should assume to establish psychologically safe work environments. There was no Patient or Public Contribution, as the sample included nursing academics, nurses, and nursing leaders recruited from different universities and hospitals. A simple intervention that humble leaders can initiate is inclusivity, where subordinates' positive worth, strengths, and contributions are acknowledged. Inclusivity is a characteristic of humility leadership. Improving teams'' psychological safety calls to promote a culture of civility in the workplace. A random and larger sample is needed, including other types of universities and hospitals, using other research designs across other cultures.

Safety Huddles Revisited: Lessons Learned During a Pandemic

This article describes the evolution of a nursing workflow for shift start safety huddles, a longstanding practice in nursing. Utilizing the lessons learned about the virtual meeting space environment, this hospital retooled the huddle to be used as a fulcrum for communication of patient and staff safety issues. In addition, the safety huddle was formatted to include announcements and celebrations in an effort to increase fellowship and community among nursing team members and foster relational connection between nursing team members and leadership. Feedback and results measure in 2 different surveys at 2 different points in time indicated the new format was seen as useful and efficient. A small change in a nursing workflow yielded large results.

Remote and technology-mediated working during the COVID-19 pandemic: A qualitative exploration of the experiences of nurses working in general practice (the GenCo Study).

To explore how nurses working in general practice experienced remote and technology-mediated working during the COVID-19 pandemic. Exploratory qualitative study with nursing team members working in general practices in England and national nurse leaders. Data were collected between April and August 2022. Forty participants took part in either semi-structured interviews or focus groups. Data were analysed using Framework Analysis informed by the PERCS (Planning and Evaluating Remote Consultation Services) Framework. University of York ethics approval [HSRGC/2021/458/I] and Health Research Authority approval were obtained [IRAS:30353. Protocol number: R23982. Ref 21/HRA/5132. CPMS: 51834]. The study was funded by The General Nursing Council for England and Wales Trust. Participants continued to deliver a significant proportion of patient care in-person. However, remote and technology-mediated care could meet patients' needs and broaden access in some circumstances. When remote and technology-mediated working were used this was often part of a blended model which was expected to continue. This could support some workforce issues, but also increase workload. Participants did not always have access to remote technology and were not involved in decision-making about what was used and how this was implemented. They rarely used video consultations, which were not seen to add value in comparison to telephone consultations. Some participants expressed concern that care had become more transactional than therapeutic and there were potential safety risks. The study explored how nurses working in general practice during the COVID-19 pandemic engaged with remote and technology-mediated working. It identifies specific issues of access to technology, workload, hybrid working, disruption to therapeutic relationships, safety risks and lack of involvement in decision-making. Changes were implemented quickly with little strategic input from nurses. There is now an opportunity to reflect and build on what has been learned in relation to remote and technology-mediated working to ensure the future development of safe and effective nursing care in general practice. The paper contributes to understanding of remote and technology-mediated working by nurses working in general practice during the COVID-19 pandemic and indicates to employers and policy makers how this can be supported moving forward. Standards for Reporting Qualitative Research (O'Brien etal.,2014). This was a workforce study so there was no patient or public contribution. The paper highlights specific issues which have implications for the development of remote, technology-mediated and blended working for nurses in general practice, care quality and patient safety. These require full attention to ensure the future development of safe and effective nursing care in general practice moving forward.

Addressing Workplace Incivility Among Perioperative Nursing Team Members.

AORN JournalVolume 117, Issue 5 p. 273-273 AORN White Paper Overview Addressing Workplace Incivility Among Perioperative Nursing Team Members First published: 27 April 2023 https://doi.org/10.1002/aorn.13921Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume117, Issue5Special Focus Issue: Infection PreventionMay 2023Pages 273-273 RelatedInformation

Estratégias de Prevenção do Burnout nos Enfermeiros- Revisão da Literatura

Introduction Nursing is one of the professions with high Burnout levels, taking into account that it is subjected to constant situations of emotional exhaustion and stress. It is essential to invest in Burnout prevention strategies for Nurses, since high levels of stress jeopardize the quality and effectiveness of their work, and consequently have a strong impact on patients’ health and in their own quality of life. Occupational Health plays an important role in the prevention, identification and control of Burnout levels in Nurses. Objectives and Methodology To this end, we conducted a review using the B-on and SciELO databases, including articles published between january 2015 and march 2022, in portuguese and english, which addressed Burnout prevention strategies among Nurses. The following descriptors/terms were used: Burnout, Prevention Strategies and Nurses, which were combined with the boolean operator AND. Seven articles were selected for further analysis of evidence. Results The prevention of Burnout syndrome in Nurses requires the adoption of strategies, both at the individual and organizational levels. Nurses should develop the ability to self-monitor stress and self-recognize the signs and symptoms of Burnout, with a view to promoting their mental health and well-being. The organization has the possibility to create the necessary conditions for a healthier and less stress-promoting workplace. Strategies such as resilience training, frequent yoga practice, promotion of self-care, engagement and encouragement of mental health promotion were identified, and it was found that Nursing teams with mental health empowered members are able to perform higher quality and more effective functions. Conclusions It is crucial to study this topic more, since with the appropriate strategies focused on the prevention of Burnout syndrome, there is a noticeable decrease in stress levels among Nursing team members, and consequently an improvement in the quality of care provided. KEYWORDS: Burnout; Nurses; Prevention Strategies; Occupational Health.

Geriatrics Fellow-led Educational Session for Nursing Home Staff About High-Risk Medications

Older adults in skilled nursing facilities are often complex and at high-risk for polypharmacy and adverse medication reactions. To address these issues, an important step is to be able to identify medications that are high-risk for older adults. The goal of the session was to improve nursing facility interprofessional team awareness of polypharmacy and high-risk medication use for older adults. We aimed to address the core component of “medications” in the 4Ms framework of geriatric care for Age-Friendly Health Systems through collaboration with skilled nursing facility team members.

Formulation-led care in care homes: Staff perspectives on this psychological approach to managing behaviour in dementia care.

IntroductionMany people living with dementia will move to specialist care facilities as the syndrome progresses. Psychological formulation offers a promising non‐pharmacological approach to managing behaviours that challenge in dementia care. However, little is known about how formulation is viewed by non‐qualified care staff who are responsible for the day‐to‐day care of residents. Therefore, the present study aimed to explore the experiences of care staff in relation to formulation as an approach to managing behaviour in dementia care.DesignThis was a qualitative design involving semi‐structured, individual interviews.MethodInterviews were conducted with 13 care staff with experience of psychological formulation from five care facilities. Data were analysed using thematic analysis.ResultsThree themes emerged from the data that offer an insight into the factors contributing to care staff's perspectives of formulation‐led care. The themes were defined as expectation, working together and understanding.ConclusionThe findings suggest that formulation‐led care approaches are viewed by care staff as a favourable approach to supporting people living with dementia who present with behavioural difficulties. Psychologists can aid care staff's investment within formulation approaches through managing expectations and fostering effective working relationships with care teams to develop understanding of the context around behaviours that challenge.Implications for PracticeBy aiding effective, collaborative communication between nursing and psychology team members and providing clear feedback to aid nurses' understanding of formulations, this study highlights that consideration of biopsychosocial factors when attempting to understand behaviour offers a safe, person‐centred alternative to pharmacological approaches.

Followership: The Missing Link in Surgical Leadership.

Followership: The Missing Link in Surgical Leadership.

Effectiveness of a reablement training program on self-efficacy and outcome expectations regarding client activation in homecare staff: A cluster randomized controlled trial

Training and supporting homecare staff in reablement aims to change staff behavior from “doing for” to “doing with” older adults, i.e., supporting client activation. We evaluated the effectiveness of the reablement training program “Stay Active at Home” (SAaH) on staff self-efficacy and outcome expectations regarding client activation in a cluster randomized controlled trial. Ten Dutch homecare nursing teams, comprising 135 nursing team members and 178 domestic workers, were randomized into the intervention group (SAaH) or control group (usual care). Data on self-efficacy and outcome expectations were collected at baseline, 6 and 12 months using scales developed for this study. Mixed-effects regression showed no differences between the study groups on either outcome. Therefore, widespread implementation of SAaH in its current form cannot be recommended. More research is needed on the development and psychometric properties of scales to assess staff behavior and behavioral determinants (e.g., self-efficacy and outcomes expectations) regarding client activation.

Medical emergency team training: needs assessment, feedback and learning objectives.

There are no published studies assessing learning needs and attitudes prior to attending a medical emergency team (MET) education programme. To conduct a learning needs assessment of MET education programme participants to assess what technical and non-technical skills should be incorporated. All participants in a MET education programme over a 12-month period were invited to complete a self-administered electronic survey. Participants were ICU team members (intensive care registrars and nurses) and medical registrars. Responses were captured through a 5-point Likert scale. There were 62 responses out of 112 participants (55% response rate). Most participants either agreed or strongly agreed that MET training was valuable (59 respondents) and should be multidisciplinary (61 respondents). ICU team members were more likely to select 'Management of End-of-Life Care' (72% compared with only 16% of medical registrars, P < 0.05) as an important learning objective. Non-technical skills such as 'Task Management' (67% compared with 37%, P < 0.05) and 'Team Communication' (79% compared with 32%, P < 0.05) were also more likely to be selected by ICU team members. Nursing team members were more likely to select 'Approach to Common MET Calls' (100% compared with 50% of medical team members, P < 0.05). MET education programme participants overwhelmingly feel that training should be multidisciplinary. However, there are disparities between the perceived learning needs of medical and nursing personnel, and between intensive care team members and medical registrars, which may impact on the design and implementation of a multidisciplinary education programme.

Transformational Leadership Style on Job Performance in Clinical Setting among Nurses

The present article is the literature reviews of transformational leadership style and its efficacy within the health organization specially the nurses’ job performance. Nurses are the frontline defenders in health care settings. Therefore, their leadership style has great importance in the performance. Nursing leaders have the positive impact on the efficiency of the nursing team members’ work performance. Furthermore, the literature review probes the concept of transformational role which is the most important part of job satisfaction and job performance. The relationship of transformation style and job performance was rather debatable in different research studies. Hence, it is the priority to comprehend the concept of transformational leadership and evaluate its impact on nurses’ job performance. Therefore, the transformational leadership style would resolve different health setting problems. It improves nurses’ performance resulting minimize patients’ hospital stay. Therefore, a high outcome could be managed with fewer resources. A very few studies were conducted on a transformational leadership style among front line shoulders i.e. nurses.

Medication error: conceptions and behaviors of the nursing team members

Objetivo: Compreender concepções e condutas da equipe de enfermagem frente ao erro de medicação na clínica médica. Método: Estudo de abordagem qualitativa, descritivo, realizado em um hospital de ensino. Foram entrevistados dois enfermeiros e dezessete técnicos de enfermagem da clínica médica. A coleta de dados se deu por meio de entrevistas e observação não participante, analisados pela técnica de análise de conteúdo. Resultados: Foram elaboradas três categorias: concepções da equipe de enfermagem sobre o erro de medicação; aspectos que acentuam a ocorrência do erro; e estratégias e condutas adotadas para a melhoria do processo de medicação. Conclusão: Foram identificadas lacunas no conhecimento sobre o erro de medicação e segurança do paciente. Faz se necessário à implementação de medidas de melhorias no processo de medicação.

PATIENT SAFETY CULTURE FROM THE PERSPECTIVE OF NURSING PROFESSIONALS

ABSTRACT Objective: to assess the patient safety culture among the Nursing team members of four public teaching hospitals. Method: a cross-sectional study with a quantitative approach, conducted between June and September 2019, by applying the E-questionnaire of Hospital Safety Culture. The participants were 376 Nursing professionals from four hospitals, whose data were subjected to statistical analysis, considering the positive answers to the questions for the classification in strong areas (≥ 75%), areas with potential (50%-74.9%) and weak areas (≤ 49.9%) for the safety culture. Results: only one dimension, organizational learning/continuous improvement, was considered strong for patient safety, for having obtained 84.8% of positive answers. Among the other dimensions, four were considered areas with potential and seven, weak areas. Conclusion: the Nursing professionals assessed the patient safety culture in the researched hospitals as weak.

Brinquedo terapêutico: percepção da equipe de enfermagem na perspectiva da fenomenologia social

Apreender a percepção da equipe de enfermagem sobre o uso do brinquedo terapêutico em uma unidade pediátrica sob o olhar da fenomenologia social. Estudo de abordagem qualitativa realizado em uma unidade pediátrica de hospital escola público, Paraná, de junho a setembro de 2014. Utilizou-se o referencial teórico e de análise da fenomenologia social, que permite a compreensão do fenômeno por meio das ações do sujeito e seu cotidiano. Participaram 25 profissionais da equipe de enfermagem subdivididos em quatro grupos sociais: enfermeiras, enfermeiros residentes, enfermeiras docentes plantonistas e técnicos/auxiliares de enfermagem. Emergiu três categorias: Brinquedo Terapêutico: conceitos construídos e vivenciados; Brinquedo Terapêutico: fazer e reagir da equipe para o cuidado da criança; Implementação do Brinquedo Terapêutico: interesses, desejos e ideologias. Os grupos revelam que a implementação sistemática do brinquedo terapêutico é cercada de barreiras entre conceito e vivência que necessitam ser superadas, pois não justifica a privação da criança.

Emergency department resuscitative thoracotomy at an adult major trauma centre: Outcomes following a training programme with standardised indications

The objective of this study was to report the procedural incidence and patient outcomes after the 2009 introduction of an institutional resuscitative thoracotomy (RT) programme. Emergency physicians, general surgeons and emergency nursing trauma team members were trained to perform RT on thoracic trauma patients with an unresponsive systolic blood pressure (SBP) <70 mmHg within 30 min of arrival, prior to cardiothoracic team back-up. A retrospective cohort study was conducted on patients who underwent RT from 2009 to 2017. The primary outcome measures were the incidence of the procedure and patients' survival to hospital discharge. Variables associated with survival were assessed using univariable logistic regression analyses. There were 12 399 major trauma patients, including 7657 with major thoracic trauma and 315 presenting with SBP <70 mmHg. There were 32 RTs performed (incidence of 0.4%; 95% confidence interval [CI] 0.3-0.6) among patients with major thoracic trauma and 10.2% (99% CI 7.3-13.4) among patients with major thoracic trauma and SBP <70 mmHg. There were eight (25%; 95% CI 13.2-42.1) survivors to hospital discharge and no late mortality (mean follow-up 2.8 years). Survival was significantly associated with the procedure performed within 30 min of arrival (odds ratio 0.09; 95% CI 0.01-0.67) while mortality was associated with the procedure being performed in the setting of traumatic cardiac arrest (odds ratio 18.3; 95% CI 2.4-140.4). A formal training and credentialing programme was associated with a low incidence of the procedure, yet achieved a survival rate of 25%, which is comparable to other reported literature.

SAT-LB311 Inoperable, Metastatic Pheochromocytoma &amp; Paraganglioma Tumor Size Reduction After Lu-177-dotatate (Lutathera®) Treatment Trial: The Role of Nursing

Tumor Size Reduction after Lu-177-DOTATATE (Lutathera®) Treatment in Patients with Inoperable Metastatic Pheochromocytoma and Paraganglioma: The Role of NursingAssumpta Ude, Frank I. Lin, Karel Pacak, Ejigayehu Demissie. Clinical Center Nursing Department, Molecular Imaging Program NCI, Endocrine Service Program, Eunice Kennedy Shriver National Institute of Child Health & Human Development. Background: Nursing management of patients with metastatic pheochromocytoma (PCC) and paraganglioma (PGL) undergoing treatment trial with radiopharmaceutical medication has unpredictable clinical outcomes. Clinical Case: A 52-year old woman with inoperable metastatic PCC/PGL was admitted into protocol 17-C-0087 after poor response to various chemotherapies. Patient was treated in the endocrine nursing unit with 200 mCi of Lu-177-DOTATATE (Lutathera®) intravenous infusion given by a radionuclide specialist every eight weeks for a total of four doses. Prior to admission, various members of the endocrine clinical nursing leadership team reviewed protocol with the medical and radiation safety team and a clinical research nurse (CRN) to ensure CRNs understand their roles and expectations to ensure patient safety during procedures and treatment. The patient was admitted on the day preceding the treatment and monitored for 48 hours afterwards. The CRN obtained comprehensive diet and medication history to determine if there is anything that may falsely elevate plasma/urinary catecholamines/metanephrines. The CRN ensured correct placement of intravenous (IV) line and proper collection of blood from IV line to increase the reliability of results. The CRN ensured that IV amino acid (Clinisol 15 %) infusion was administered 30 minutes prior to dosing to diminish renal issues. This patient had minimal side effects and no adverse events to therapy. The research team followed up the patient in clinic every month while she was on treatment, then every 3 months in the follow-up period. Recent evaluation showed this patient had stable vital signs, impalpable supraclavicular lymph node, returned to baseline physical activity with significant decrease in the size of the PCC/PGL, and reduction in serum catecholamine/metanephrine levels. Conclusion: The endocrine CRN team is critical in the assessment, monitoring, observation and education of patients and families regarding expectations during therapy which played a significant role in minimizing the patient’s side effects to therapy. Working collaboratively with other members of the multidisciplinary research team also contributed to patient’s favorable outcome.

Acute care nursing team members' perceptions of roles: Their own and each other's.

To examine registered nurses', licensed practical nurses' and health care aides' perceptions of their and each other's roles. Nursing team members' perceptions about their own and each other's roles affect how they understand their contributions to patient care and their work relationships and social status within health care organisations. There is a paucity of literature on how nursing team members perceive their roles and those of their colleagues. Secondary analysis of qualitative data using qualitative description. The parent study used grounded theory to examine nursing care for hospitalized older adults. Conventional content analysis of interview transcripts and field notes from the original study. All nursing team members reported satisfaction from providing direct care. Registered nurses were uniquely responsible for leadership. Scope-of-practice changes contributed to role confusion and tension among team members. More research is needed to better understand how to support nursing teams learning about one another. Nurse managers could facilitate clarification about nursing roles and support effective role deployment.