Training Program For Nurses Research Articles

Nurses' performance in using the APACHE score: Its effect on outcomes of patients with cardiac surgery.

The Acute Physiology and Chronic Health Evaluation (APACHE) score was developed to assess disease severity. Once organ failure develops, laboratory values and hemodynamic parameters should be monitored to assess the degree of impairment. This study aimed to assess nurses' performance regarding using the APACHE scoring system and its effect on the outcomes of patients with cardiac surgery. A quasi-experimental research design (one group pretest and post-test) was used to achieve the aim of this study. The convenience sample consisted of all available nurses (n=50) working in intensive care units of cardiac surgery at Ain Shams Specialized Hospital and in the Cardiovascular and Thoracic Academy affiliated with Ain Shams University hospitals. Additionally, a purposive sample of 130 patients with cardiac surgery was included in this study. Data was collected using nurses' self-administered questionnaires, observation checklists for nurses, attitude scales of nurses, patient assessment questionnaires, and nursing-sensitive patient outcomes measuring scales. The findings showed a highly statistically significant difference between the mean score of total nurses' level of knowledge, practice, and attitude before and after the educational program. Also, a highly statistically significant difference was observed in the total score of patient outcomes before and after the implementation of the educational program. Implementing an educational program positively affected nurses' performance; the APACHE score has an efficient and comparable discriminative ability to predict the outcomes of patients undergoing cardiac surgery. The study recommends conducting periodic training programs for nurses in cardiac surgery intensive care units to equip them with the latest knowledge and skills in using the APACHE scoring system to predict patient outcomes and complications within the first 24 hours.

The Effectiveness of Narrative Therapy in Reducing Work Pressure and Improving Health Behavior Among Anesthesia Clinical Frontline Nurses.

Objectives: The aim of this study was to investigate the effectiveness of narrative therapy in reducing work pressure and improving health behavior among clinical and anesthesia frontline nurses. Methods: We used convenience sampling to select clinical and anesthesiology department nurses from hospitals between May 2019 and May 2021. We used a nursing knowledge-attitude-behavior questionnaire to assess the status of nurses and assess the effectiveness of the narrative therapy intervention. We analyzed our data using SPSS and Smart PLS. Results: We found statistically significant differences in scores on the Competence Scale (NCS) and the Nursing Caring Characters Assessment Tool (NCCAT) (p<.05). The average scores of items in each dimension of clinical and anesthesiology department narrative nursing knowledge and behavior were: knowledge score (3.67±0.52), attitude score (5.48±0.62), and behavior score (4.74±0.77). Conclusion: The ADDIE-based narrative nursing training program improved nurses' narrative nursing ability and humanistic care quality, reducing work pressure and promoting health behavior. These findings highlight the importance of narrative therapy in clinical practice for frontline nurses.

Effect of Designing Nursing Training Program on Nurses to Minimize Patients' Complications of Chemotherapy Extravasation

Effect of Designing Nursing Training Program on Nurses to Minimize Patients' Complications of Chemotherapy Extravasation

Demand Analysis of the Cybersecurity Knowledge Areas and Skills for the Nurses: Preliminary Findings

The purpose of this paper is to present a preliminary analysis of the cybersecurity market demand in the nursing and health sector. Currently, the market demand study is ongoing under the Digital Europe Programme CyberSecPro project, which strengthens the role of higher education institutions as a provider of practical and working life skills. The project promotes reliable digital transformation in critical sectors, such as healthcare. The rapid development of e-health emphasizes the central position of cybersecurity in healthcare organizations that are increasingly the targets of cyber-attacks. This descriptive literature review explores what a nurse needs to know about cybersecurity. Our results show that awareness of cyber risks is weak in the healthcare sector. Understanding cyber risks and recognizing the effects of one's own activities increases the cybersecurity of the entire organization, therefore cybersecurity training for nurses should be increased. Our study suggested that nurses’ most important cyber skills are their own cyber-safe way of operations, identifying cyber threats related to equipment, identifying the effects of cyber disruptions, and acting in a cyber disruption situation. Future nurse training programs should be updated to include these skills. Additionally, the teaching of nurses must be developed so that it meets these competence needs.

Burnout among Junior Nurses: The Roles of Demographic and Workplace Relationship Factors, Psychological Flexibility, and Perceived Stress

Background. Burnout is a common psychological syndrome among nurses, especially in the first few years of working. However, limited studies have evaluated the factors related to burnout among junior nurses. Aims. To investigate the levels of psychological flexibility, stress, and burnout among junior nurses and examine the role of demographic and workplace relationship factors, psychological flexibility, and perceived stress on burnout among junior nurses. Materials and Methods. A convenience sample of 481 junior nurses was recruited from three tertiary hospitals in China from July 2021 to August 2022. Data were collected, including demographic data, workplace relationships, psychological flexibility (measured by experiential avoidance and cognitive fusion), perceived stress, and burnout. The Independent t-test, one-way ANOVA, Wilcoxon–Mann–Whitney test, Kruskal–Wallis test, Spearman correlation, and hierarchical regression were used to analyze the data. Results. Junior nurses had a high level of burnout in different dimensions. Nurses with an undergraduate education, nurses working in the first year, and a lack of support from supervisors and poor colleague (nurse-nurse and nurse-doctor) relationships had the lowest level of psychological flexibility and the highest level of perceived stress and burnout. Spearman correlation indicated that experiential avoidance, cognitive fusion, perceived stress, and burnout were positively associated with each other. The regression model showed that psychological flexibility (especially cognitive fusion) and perceived stress influenced burnout in junior nurses. Conclusions. Higher psychological flexibility and lower perceived stress appear to improve burnout in junior nurses. Therefore, interventions targeting these two factors may provide a viable direction for the reduction of burnout among junior nurses. Implications for Nursing Management. Hospital authorities should create a harmonious working environment and provide some psychology training programs for junior nurses.

Sexual education for university students and the community in a european project: study protocol

BackgroundThe World Health Organisation (WHO) calls on stakeholders to give Higher Education a key educational importance for the future of Europe. Within the content of the training programmes at university, sexuality emerges as a relevant topic in the nursing degree, to promote integral health from a holistic perspective. However, research on the presence of sexuality at the curricular level in Higher Education suggests that it is incomplete and underdeveloped.MethodsThis is a protocol for a long-term, multi-centre, exploratory, descriptive, and cross-sectional study with a quantitative and qualitative approach lasting two years. The research will be carried out in the educational community, including, on the one hand, students, and professors and health professionals of nursing programmes from five universities in different parts of the world (Portugal, Spain, Italy, and the United States), and on the other hand, women, young people, and immigrants from these communities. The study will have several target populations. Firstly, the target is nursing students, with whom the aim is to define their perspective on the sexuality content taught at the university, and their level of knowledge. Secondly university professors and health professionals, with whom we will check their perspective on sexuality in the classroom, as well as their level of knowledge in this field. And finally, we will work with the community (women, young people, and immigrants) to whom we will try to bring sexuality from a useful and enjoyable perspective. In order to measure these variables in the protocol, instruments such as questionnaires and semi-structured interviews will be used. During data collection, ethical principles will be guaranteed and informed consent will be requested from the participants.DiscussionThe results of the research will have a high curricular impact on the educational community, and will last over time, since the tools generated in the project will be included as part of nursing training programmes. In addition, participation in the project will improve health education for health professionals and at the community level on sexuality in both urban and rural populations.

Effect of Authentic Leadership Training Program for Head Nurses on Nurses Innovative Work Behaviors at Minia University Hospitals

Effect of Authentic Leadership Training Program for Head Nurses on Nurses Innovative Work Behaviors at Minia University Hospitals

신규간호사를 위한 인터넷기반 비폭력대화 의사소통 훈련 프로그램 개발

Objectives This study iis aimed at developing internet-delivered nonviolent-communication training program for novice nurses within a year of their appointment. Methods The development process required literature analysis and expert review in order to derive possible work conditions and communication conflicts that may occur to novice nurses, and a total of 10 programs are developed based on such data. A literature review was conducted to review previous studies, and cases of nursing work were selected. Results We developed a total of 10 communication programs (10 sessions, 20 minutes each session). We applied “empathic listening” and “expressing honestly” which are core principles of nonviolent-communication to the contents of the program for each session. The program was divided into understanding the basic concepts of nonviolent-communication, practicing nonviolent-communication at the development stage, and organizing concepts at the summary stage. Stressful situations related to nursing skills (antibiotic skin test, securing an intravenous line, etc.) and communication conflict situations (handover, patient request convergence, etc.) were configured as examples. The result of the program's expert validity review was (CVI= .87). Conclusions This study is significant in that it is a field-oriented communication training program that can help the adaptation of novice nurses within a year of work.

Effect of educational intervention based on health belief model on nurses’ compliance with standard precautions in preventing needle stick injuries

BackgroundThe increasing prevalence of needle stick injuries among nurses and the arising risks double the need to pay attention to improve their knowledge and change their behavior using effective educational models. The present study aimed to investigate the effect of educational intervention based on the health belief model on nurses’ compliance with standard precautions in preventing needle stick injuries.MethodsThis quasi-experimental study was conducted on 110 nurses working in medical training centers in Shiraz and Fasa in 2019. Subjects were selected using a simple sampling method and were randomly divided into two interventions (n = 55) and control (n = 55). The intervention included 7 sessions of 50–55 min. Before and 3 months after the intervention, the health belief model questionnaire was completed by both groups. The data were analyzed using SPSS software version 22 through chi-square, independent, and paired t-tests (P < 0.05).ResultsBased on independent and paired t-tests, there was no significant difference between the control and intervention groups regarding the mean score of health belief model constructs before the intervention. However, there was a significant difference regarding the mentioned scores 3 months after the educational intervention. Based on the paired t-test, the mean score of awareness, perceived sensitivity, perceived severity, perceived benefits, self-efficacy, cues to action, and behavioral performance in the intervention group significantly increased after the educational intervention (P < 0.05). Also, there was a significant decrease in perceived barriers (P < 0.05).ConclusionIt is recommended to apply the proposed model as an effective and cost-effective method along with other methods in training programs for nurses and other health workers exposed to invasive procedures, contaminated blood, and secretions.

Evaluation of registered nurses’ interprofessional emergency care competence through the gamification of cardiopulmonary resuscitation training: a cross-sectional study

BackgroundsCardiopulmonary resuscitation (CPR) training is generally led by instructors in a classroom; thus, conventional teaching materials used in CPR training are often constrained by spatiotemporal factors, limiting learners’ interest and sense of achievement in learning and preventing them from effectively applying what they learn in practice. For greater effectiveness and more flexible application, clinical nursing education has increasingly emphasized contextualization, individualization, and interprofessional learning. This study determined the self-assessed emergency care competencies of nurses who received gamified emergency care training and explored the factors associated with those competencies.MethodsQuota sampling of nurses working at a certain regional hospital in central Taiwan was conducted, and a structured questionnaire was administered to the recruited nurses. A total of 194 valid responses were collected. The research tool was a scale measuring the participants’ emergency care competencies after they received gamified emergency care training. The data were analyzed using descriptive and inferential statistics and multiple regression.ResultsOf the recruited participants, 50.52% were ≤ 30 years old; 48.45% worked in the internal medicine department; 54.64% graduated from 2-year university technical programs; 54.12% were N2 registered nurses; 35.57% and 21.13% had ≥ 10 and 1–3 years of work experience, respectively; and 48.45% worked in general wards. User need (r = 0.52, p = 0.000), perceived usefulness (r = 0.54, p = 0.000), perceived ease of use (r = 0.51, p = 0.000), and usage attitude (r = 0.41, p = 0.000) were positively correlated with emergency care competencies. Furthermore, the multiple regression analysis revealed that perceived usefulness was the primary factor associated with the participants’ emergency care competencies.ConclusionsThe results of this study may serve as a reference for acute care facility authorities in designing advanced nursing competency standards and emergency care training programs for nurses.

Navigating the challenges of neuro-oncology in Africa: addressing diagnostic and treatment barriers in the region: a correspondence

Navigating the challenges of neuro-oncology in Africa: addressing diagnostic and treatment barriers in the region: a correspondence

Practice of the training program for ophthalmic specialist nurses in Zhejiang Province of China

AimsTo explore the effects of training programs for ophthalmic specialist nurses in Zhejiang Province of China.MethodsThe training program included one month of theoretical training and three months of practical clinical training. The Two-Tutor system was used in training. The training contents were mainly set up around four modules: specialty knowledge and clinical skills, management, clinical teaching, and nursing research. We used theoretical examination, clinical practice assessment and trainee evaluation to assess the effectiveness of the training program. Before and after the training, the trainees’ core competence was assessed by a homemade questionnaire.ResultsIn total, 48 trainees from 7 provinces (municipalities) in China participated in the training program. All trainees passed theoretical and clinical practice examinations and trainee evaluations. Their core competencies were significantly improved after training (p < 0.05).ConclusionThis training program for ophthalmic specialist nurses is scientific and effective in improving nurses’ ability to provide ophthalmic specialist nursing care.

Feasibility of implementing an innovative manual handling risk assessment training program for staff working in long-term care

BackgroundThe Risk Assessment for moving Individuals SafEly (RAISE) program is a hospital-based manual handling nursing training program. RAISE involves upskilling on continual risk assessment during patient-assisted movements. RAISE aims to optimise staff and patient safety while providing the patient with movement and rehabilitation opportunities. Implementation of RAISE in the hospital setting has been established. The aim of this study was to explore the feasibility of implementing RAISE in the long-term care setting.MethodsWe examined three feasibility domains: acceptability, practicality, and limited efficacy (observed nursing behaviour change which has the potential to reduce nursing injuries), using a prospective pilot pre-post design in the long-term care setting. Staff completed a 4-hour training session on RAISE delivered by two physiotherapists, followed by 8 h of supported behaviour change in the workplace. Staff acceptability and practicality of incorporating risk assessment strategies into manual handling approaches were explored through pre- and post-training staff surveys and a semi-structured interview. Resident acceptability of manual handling practices was explored via survey data collected after the RAISE training. Pre to post-training changes in staff knowledge and behaviour were examined through the pre- and post-training staff survey, and observation of staff assisting resident movement.ResultsTwo enrolled nurses and five residents participated. Staff reported the RAISE program was acceptable and practical to implement in the long-term care setting. There were no adverse events or safety concerns. Staff reported the RAISE program provided guidance and enhanced staff empowerment to make decisions during assisted resident movement. There were 26 observed resident-staff manual handling interactions recorded, with 13 pre-training and 13 post-training. Post-training, RAISE skills had improved and were completed 100% of the time, except for completing a physical risk assessment which improved from 46 to 85%, demonstrating limited efficacy. Residents reported it’s important for staff to be trained on how to assist them to mobilise and they found the concept of the RAISE program acceptable.ConclusionsThis pilot study supports the feasibility of long-term care facilities participating in future studies testing the effectiveness and cost-effectiveness of the Risk Assessment for moving Individuals SafEly (RAISE) patient and resident manual handling program.

Head Nurses’ Resilience Skills and Its Relation to Their Motivating Behavior as Perceived by Nurses

Background: Head nurses in any areas at hospitals are susceptible to stress, that make head nurses have to create work place optimal for the provision of nursing care by motivating and resilience their nurses. Therefore, it is important for head nurse to be resilient and able to motivates their nurses. Aim: This study aimed to assess head nurses' resilience level skill and its relation to their motivating behavior as perceived by nurses. Design: Descriptive correlational research design used in the study. Setting: The study was conducted at all medical and surgical departments at Benha University Hospitals. Subject: Consisted of simple random sample of nurses include 322 nurses working in the same setting. Tools: I: Head Nurses' Resilience Levels Skills Structured Questionnaire as perceived by nurses. II: Head Nurses' Motivating Behavior Questionnaire as perceived by nurses. Results: More than half of the studied nurses (51.2%) had moderate level regarding head nurses’ resilience skills. and more than half of the studied nurses (52.8%) had moderate level regarding head nurses’ motivating behavior. Conclusion: There were highly statistically positive relations between head nurses' resilience skills and their motivating behavior as perceived by nurses. Recommendations: Conducting organizational workshops to reinforce head nurses' resilience skills and keep the progress of motivating leader behaviors and Supporting motivating by enough resource, preparation and time that help in building relationships, training program for head nurses and communicating effectively.

Investigating the impact of written emotion disclosure on the level of occupational stress among intensive care nurses.

The present study was conducted with the aim of determining the impact of rewriting pleasant events on the level of occupational stress in Intensive Care Unit (ICU) nurses. This is a quasi-experimental research conducted on nurses working in the intensive care units of Imam Khomeini and Golestan hospitals in Ahvaz, from July to November 2021. Seventy-six nurses were selected based on the inclusion criteria, and were then randomly assigned to the intervention and the control groups. The nurses' demographic information form and the Expanded Nursing Stress Scale (ENSS) were used to collect data. In the intervention group, the technique of rewriting pleasant events was used for 8 weeks, at least once a week. The data was analyzed with SPSS V20. No significant difference in the demographic characteristics was observed between the intervention and the control groups (p > 0.05). The pre-intervention occupational stress of the nurses in the intervention and the control groups were reported to be 173.86 ± 26.75 and 173.05 ± 24.47, respectively, showing no statistically significant difference (p = 0.89). After the intervention, the occupational stress scores were 134.21 ± 16.09 and 172.36 ± 24.33, respectively, showing a significant difference between the two groups (p < 0.001). Considering the impact of rewriting pleasant events on the level of occupational stress of ICU nurses, it is recommended that nursing managers and nurses plan training programs for nurses in this area, and encourage other nurses to do so, too. It is also suggested to implement this intervention on the nurses of other wards as well.

Implementation and Evaluation of a Training Curriculum for Experienced Nurses in Care Coordination: The VA Rural Transitions Nurse Training Program.

High-quality transitional care at discharge is essential for improved patient outcomes. Registered nurses (RNs) play integral roles in transitions; however, few receive structured training. We sought to create, implement, and evaluate an evidence-informed nursing transitional care coordination curriculum, the Transitions Nurse Training Program (TNTP). We conceptualized the curriculum using adult learning theory and evaluated with the New World Kirkpatrick Model. Self-reported engagement, satisfaction, acquired knowledge, and confidence were assessed using surveys. Clinical and communication skills were evaluated by standardized patient assessment and behavior sustainment via observation 6 to 9 months posttraining. RNs reported high degrees of engagement, satisfaction, knowledge, and confidence and achieved a mean score of 92% on clinical and communication skills. Posttraining observation revealed skill sustainment (mean score 98%). Results suggest TNTP is effective for creating engagement, satisfaction, acquired and sustained knowledge, and confidence for RNs trained in transitional care.

Nurses’ reflections on caring for sexual and gender minorities pre-post stigma reduction training in Uganda

BackgroundMen who have sex with men (MSM) and transgender women (TGW) have a significant HIV burden worldwide. Data from eight countries across sub-Saharan Africa found a pooled HIV prevalence of 14% among MSM and 25% among TGW. Stigma and discrimination among healthcare providers are barriers to healthcare access by these populations. We sought to explore nurses’ attitudes before and after sensitivity training to reduce stigma in HIV prevention and care provision to MSM and transgender persons in Uganda.MethodsAn explorative qualitative study comprising in-depth interviews. Nineteen nurses who underwent sensitivity training in caring for the vulnerable, priority and key populations in Uganda participated. We interviewed each participant before and after the stigma reduction training and analyzed the data with NVivo.ResultsEight (8) themes emerged from the reflections before the training, namely, ‘the definition of MSM and transgender persons’, ‘legal concerns’, ‘mental illness’, ‘attitude in health care provision’, ‘personal perceptions’, ‘self-efficacy’, ‘insufficient training preparation’, and ‘reasons for gender or sexual orientation preference’. The post-training reflections suggested a change in knowledge and attitude. Five themes emerged for MSM: ‘stigma reduction’, ‘sexual practices and sexuality’, ‘the need for tailored health approaches’, ‘MSM and the law’ and ‘corrected misconceptions’. For transmen, ‘reproductive health needs’, ‘social needs’, ‘safety needs’, ‘Gender identity recognition’ and ‘reduced stigma, discrimination, and barriers to care’. Finally, the reflections on their attitudes towards transwomen were on five topics; Gender affirming care’, ‘Healthcare provision for transwomen’, ‘Need for further training’, ‘New knowledge acquired’, and ‘Sexual violence’.ConclusionNurses’ attitudes and empathy for vulnerable and key populations improved following the training. Nursing training programs should consider incorporating sexual and gender minority (SGM) specific health training into their curricula to decrease negative attitudes. There is a need to identify best practices and conduct implementation research to provide culturally sensitive and affirming healthcare delivery in sub-Saharan Africa. Future studies should evaluate the effect of provider sensitivity training on sexual health and HIV outcomes for SGM. Furthermore, interventions targeting higher-level stigma, such as structural and policy levels, are critical because they influence interpersonal stigma reduction efforts and initiatives.

Smashing the "Black Ceiling": The Black Nurses Leadership Institute.

The Black Nurses Leadership Institute launched in May 2022 to provide a community-driven and leadership training program for nurses and nursing students who identify as Black and/or of African descent (Black Nurses Leadership Institute 2022). The aim of the program is to acknowledge and address the presence of a "black ceiling" that can often challenge and impede professional advancement for Black nurses in traditionally white-dominated healthcare leadership systems (Erskine et al. 2021; McGirt 2017). This collaborative experience creates a sense of belonging and offers a welcome space for learning among like-minded individuals with shared experiences.

Keyword Network Analysis of Infusion Nursing from Posts on the Q&A Board in the Intravenous Nurses Café.

Portal sites have become places to share queries about performing nursing and obtain expert know-how. This study aimed to analyze topics of interest in the field of infusion nursing among nurses working in clinical settings. In total, 169 user query data were collected from October 5, 2018 to December 25, 2021. This exploratory study analyzed the semantic structure of posts on the nurse question-and-answer board of an infusion nursing-related internet portal by extracting major keywords through text data analysis and conducting term frequency (TF) and term frequency-inverse document frequency (TF-IDF) analysis, N-gram analysis, and CONvergence of iteration CORrelation (CONCOR) analysis. Word cloud visualization was conducted utilizing the "wordcloud" package of Python to provide a visually engaging and concise summary of information about the extracted terms. "Infusion" was the most frequent keyword and the highest-importance word. "Infusion→line" had the strongest association, followed by "vein→catheter," "line→change," and "peripheral→vein." Three topics were identified: the replacement of catheters, maintenance of the patency of the catheters, and securement of peripheral intravenous catheters, and the subtopics were blood sampling through central venous catheter, peripherally inserted central catheter management, evidence-based infusion nursing, and pediatric infusion nursing. These findings indicate that nurses have various inquiries in infusion nursing. It is necessary to re-establish the duties and roles of infusion nurses, and to develop effective infusion nursing training programs.

INTEGRATION OF PALLIATIVE CARE INTO MEDICAL SCHOOL CURRICULUM IN NEPAL – An analytical study among medical students in Nepal

Introduction The holistic approach of palliative care aims at improving the life of patients with life-threatening diseases and their families through early identification, assessment, and treatment of physical, psychological, or spiritual pain. Despite the recognition of palliative care as a human right and essential for the improvement of the quality of life of patients – and their families, many low-income countries either lack palliative care services or have limited access to it. The WHO suggests that one of the steps that countries can take to eliminate these barriers is to include palliative care into the core curricula of all new health professionals. A study in 2019 showed that 58,000 adults required palliative care in Nepal in 2012, and most of them lived in rural areas. Palliative care in Nepal is still new and training programs for doctors and nurses are not fully developed and in place in undergraduate medical schools. This study evaluates the working knowledge of palliative care among undergraduate medical students, and the presence of it in their academic curriculum. Methods This analytical study was designed during an internship at the Binaytara Foundation Cancer Center in Nepal. The study was conducted among undergraduate medical students between March 6th, 2020 to July 6th, 2020. The questionnaire results were entered on Microsoft Excel and then analyzed. Results Results showed that 63.2% of the respondents had heard of “Palliative Medicine”, but 68.4% did not know the WHO definition of Palliative Care (Table 2 (135189)). Among all the students from the different universities, 33.3% said that palliative care is part of their curriculum, while 66.6% said it is not (Table 5 (135192)). Conclusions The results from the study demonstrated inadequate knowledge and perception of palliative care among undergraduate medical students in Nepali institutions. The EAPC indications on a palliative care curriculum could be taken as a blueprint for developing a tailored one for medical schools in Nepal to set a strong base for the next generation of doctors to be able to appropriately meet the needs of patients and their families.