Percent Of Nurses Research Articles

Üçüncü Basamak Bir Hastanede Doktor ve Hemşirelerin Oksijen Tedavisi Konusundaki Eğitim ve Bilgi Durumu-Anket Çalışması

Objective: Oxygen therapy (OT) is the administration of oxygen (O2) at a concentration greater than that found in the atmosphere to prevent the symptoms of hypoxemia. The necessary knowledge, skills and attitudes of the staff while OT may affect the treatment outcomes. In our study, we aimed to determine the training and knowledge status of doctors and nurses working in our university hospital on OT. Methods: The cross-sectional study was completed with 231 participants after ethics committee approval. Data were obtained by hand-completion of questionnaires consisting of 23 questions to volunteer. According to the correct answers given to the questions investigating the level of knowledge, scores >80% were classified as good knowledge level and <60% as poor knowledge level. p<0.05 was considered significant. Results: The number of employees reached by the survey was 422 and 85% of nurses and 62% of doctors stated that they had knowledge of OT application. Twenty seven percent of nurses and 42% of doctors were using guidelines for OT. Eighty six percent of doctors and 90% of nurses felt that training for OT was necessary and the most common sources of information were school education. The rate of good knowledge was 9.7% among nurses and 14.3% among doctors (p=0.418). Regarding the expected clinical outcomes of OT, 71% of physicians and 49% of nurses had a good level of knowledge (p<0.001). Sixty four percent of physicians and 86% of nurses (p<0.001) had a poor level of knowledge about lowflow OT and 49% of physicians and 69% of nurses had a poor level of knowledge (p=0.004) about indications for short-term OT. Most of the participants (87.7%) had poor knowledge about O2 toxicity. Conclusion: It was concluded that the majority of healthcare professionals have insufficient knowledge in OT and comprehensive training programs are needed at regular intervals. Keywords: Oxygen therapy, education, information, survey study

Assessing Knowledge of Vietnamese Nurses about Prevention and Treatment of Anaphylaxis: A Cross-Sectional Study

Background: Anaphylaxis greatly affects the psychology of patients as well as medical staff. Therefore, knowing about the way of prevention and treatment of anaphylaxis by nurses plays a key role in improving patient's caring services. Objectives: This study was conducted to describe the current state of nurse’s knowledge about the prevention and treatment of anaphylaxis and collect some relative factors. Methods: An analytical cross-sectional study was conducted with 82 nurses from March to May 2022. The questionnaire included 31 items to assess nurses' knowledge about anaphylactic state, anaphylaxis prevention, and treatment. The Chi-square test was used to compare categorical variables. Results: Most nurses had correct knowledge about anaphylactic symptoms, and common causes, with 82.9% and 81.7%. The percentage of nurses with good knowledge about anaphylaxis prevention and treatment recorded a moderate level (76.8%). Only 27.2% of nurses did not know about the type of new drug used for anaphylaxis treatment, while 28.2% recognized adrenalin dosage being used for adults. There were significant differences in knowledge about anaphylaxis prevention and treatment of nurses and ages, years of work, and number of times being trained on anaphylaxis (p<0.05). Conclusion: Nursing knowledge about anaphylaxis prevention and treatment was a moderate level, in particular, knowledge about drugs for emergency treatment of anaphylaxis was limited. Therefore, training sessions need to focus on helping nurses for better understanding of the medicines and the way of using them to be proactive in emergency reactions.

Nurses’ moral distress and leadership communication in hospitals serving Black patients during COVID-19

BackgroundPoorer leadership communication during COVID-19 may have contributed to the moral distress of nurses in hospitals where Black patients predominantly access their care (BSH). PurposeTo compare nurse moral distress and leadership communication during the COVID-19 pandemic in hospitals that serve disproportionately many or few patients of Black race. MethodsIn a national hospital sample (n=90), nurse survey data were collected (March 2021). Nurse moral distress was analyzed in linear regression models. The key covariates were BSH category (Medicare Black patient percentage) and leadership communication. FindingsNurses in high-BSH had significantly greater moral distress and more difficulty accessing personal protective equipment than nurses in low-BSH. The percentage of nurses in high-BSHs with high moral distress was double that of nurses in low-BSHs. Poorer leadership communication in BSHs accounted for the nurses’ greater moral distress. DiscussionPolicies should improve leadership communication, mitigate distress, and support nurses in under resourced settings.

Dialysis nurses' knowledge, attitude, practices, and self-efficacy regarding vascular access care: A multicenter cross-sectional survey in Singapore.

Dialysis nurses play a pivotal role in the management of vascular access (VA), physician-patient liaison, and patient education for hemodialysis patients. This multicenter study aims to review the dialysis nurses' knowledge, attitude, practice, and self-efficacy toward providing care for patients' VA. A multi-centered study was conducted using a self-administered survey. Nurses from 47 Singapore dialysis centers (five hospital-based and 42 community-based) providing hemodialysis were invited to participate on a voluntary and anonymous basis from April to November 2022. The survey consists of nurses' knowledge on VA (10 items), attitude on VA care (six items), usual practices (seven items), and self-efficacy in VA cannulation and management (six items). The total scores for the knowledge, attitude, and self-efficacy components were 50, 30, and 30 respectively. The instrument has been validated in a pilot study. In total, five hundred sixteen dialysis nurses participated the survey. The mean (±SD) knowledge score of the participants toward VA care was 30.0 (±8.1) over a total score of 50. The means (±SD) of their attitude and self-efficacy scores were 24.4 (±4.1) and 24.2 (±3.1) over 30 respectively. The majority of the nurses (84.1% in hospital-based centers and 98.9% in community-based centers) conducted patient education in some aspects of VA care. The percentage of nurses indicated need for referral to access specialists due to various abnormalities varied significantly between the hospital-based and community-based settings. In the multivariable linear regression analysis, longer working experience was a significant factor for higher knowledge score (B = 0.26; p = 0.001), attitude score (B = 0.08; p = 0.01), and self-efficacy score (B = 0.34; p < 0.001). Dialysis nurses in Singapore have satisfactory knowledge, practice, and self-efficacy on VA care. The majority of them expressed positive opinions toward the VA-related training they received, new technologies, and communications. The identified knowledge and practice gaps could be incorporated into the future training programs.

Perceived Barriers and Strategies to Increasing the BSN-Prepared Nursing Workforce.

Care provided by Bachelor of Science in Nursing (BSN)-prepared Registered Nurses (RNs) has been shown to lead to more positive patient outcomes compared to care provided by non-BSN-prepared RNs. A Fall 2021 study explored barriers of requiring a BSN degree of staff nurses from the perspective of hospital and long-term care facility nurse leaders in Tennessee (N = 89), strategies to increase the number of nurses with BSNs, and association between leadership goals and the number of BSN-prepared nurses in the facilities. Seven barriers to requiring the BSN and nine strategies to increase BSNs were identified. Significant association was found between having plans to increase the number of BSN nurses and the percentage of nurses in the facility with BSN degrees.

Successful implementation of a quality improvement bundle to reduce opioid overprescribing following total hip and knee arthroplasty

BackgroundOpioid overprescribing is commonplace after total hip (THA) and total knee arthroplasty (TKA). Preliminary data demonstrated that approximately 32% of the opioids prescribed at discharge from our hospital following THA...

Palliative care knowledge and attitudes toward end-of-life care among intensive care unit nurses in Jordan.

There is a growing need for palliative care globally due to the rapid aging of the population and improvement in cancer survival rates. Adequate knowledge and a positive attitude are vital for palliative care nurses. The study's purpose was to examine nurses' knowledge and attitudes toward palliative care. A cross-sectional design with convenience sampling was used. The study included 182 intensive care unit (ICU) nurses from Jordanian hospitals in all sectors. Self-administered questionnaires were used to assess nurses' knowledge and attitudes toward palliative care. Descriptive statistics, analysis of variance, and the Kruskal-Wallis H test were used to analyze the data. We measured nurses' knowledge using the Palliative Care Quiz for Nursing, and we measured nurses' attitudes using the Frommelt Attitude Toward Care of the Dying scale. The mean total knowledge and attitude scores were 8.88 (standard deviation [SD], 2.52) and 103.14 (SD, 12.31), respectively. The lowest level of knowledge was in psychosocial and spiritual care (mean, 0.51±0.70). The percentage of nurses with unfavorable attitudes was 53.3%. Significant differences in knowledge and attitude levels were observed according to educational level, experience, and hospital type. ICU nurses have insufficient knowledge and inappropriate attitudes toward palliative care. Knowledge of psychological and spiritual aspects of palliative care was particularly lacking as were appropriate attitudes towards communication with dying patients. Improving knowledge and attitudes toward palliative care in nursing schools and hospitals would help overcome this problem.

The consequences of stress experienced by emergency department nurses during the COVID-19 emergency detected through the "Screening Questionnaire for Disaster Mental Health (SQD)", a survey conducted in a Local Health Unit in Northern Italy

Introduction: Nurses are at high risk of developing a psychiatric disorder as a result of exposure to stressful and/or traumatic events experienced in the work time slot. Specifically, long-term depression or post-traumatic stress disorder (PTSD) could arise. The spread of the COVID-19 pandemic has subjected nurses to stressful working conditions. This research aimed to investigate the effects of mental and physical stress faced by nurses who provided assistance to the Emergency Department (ED) of the Piacenza Hospital during the COVID-19 pandemic detected through the "Screening Questionnaire for Disaster Mental Health (SQD)."&#x0D; Methods: 47 nurses who provided care in the ED from March 8 to May 3, 2020 were sampled. Each nurse was asked to complete a form containing socio-demographic data and the SQD questionnaire. The study was approved by the Area Vasta Emilia Nord Ethics Committee.&#x0D; Results: 88% of the sample presents "mildly likely depression," the remaining 12% present "likely depression." 67% appeared "moderately affected" by PTSD and 14% presented as "severely affected."&#x0D; Conclusions: The study shows that there is a percentage of nurses with a high probability of developing depression or PTSD in stressful work situations such as those caused by the covid-19 emergency. Through these data, prevention measures such as psychological support can be proposed.

Working Hours Associated with the Quality of Nursing Care, Missed Nursing Care, and Nursing Practice Environment in China: A Multicenter Cross-Sectional Study

Aim. The aim of the study was to examine the effect of the length of working hours on missed nursing care, quality of nursing care, and perceptions of the nursing practice environment. Methods. A multicenter cross-sectional investigation using online questionnaires was conducted from April 2 to May 10, 2022, in twenty nine hospitals (13 Level-III hospitals and 16 Level-II hospitals). We collected data on the working hours of nurses and nurse-reported outcomes, including missed nursing care, quality of nursing care, and nursing practice environment. Restricted cubic spline (RCS) regression models were used to examine relationships between the hours per shift and nurse-reported outcomes. Results. We investigated 12,703 nurses with a response rate of 97.33%. Nurses worked on average 7.72 (SD = 1.16) hours on the day shift and 8.92 (SD = 2.20) hours on the night shift, respectively. On the day shift, working 7.5 hours shift showed minimal missed nursing care; meanwhile, working 7–7.5 hours were correlated with the highest satisfaction of the nursing practice environment and better quality of nursing care. On the night shift, the highest missed nursing care was found for a working duration of 12 hours to the working 7 hours, with the lowest satisfaction while better quality was observed. The percentage of nurses who reported working overtime was 30.33%. Nurses who worked overtime reported lower satisfaction and poorer quality of nursing care on all shifts; moreover, working overtime showed the positive correlation to missed nursing care on the day shift, while on night shift was not statistically significant. Conclusion. Positive outcomes were observed for nurses who reported working 7–7.75 hours on the day shift and 12 hours (no more than 15 hours) on the night shift. Implications of Nursing Management. The results reemphasized the need for managers to reduce the working hours, overtime work, and the frequency of the night shift.

Role of professional activity in the development of emotional burnout syndrome in nurses

Introduction. The emotional burnout of nurses is an urgent problem of the modern healthcare system. Emotional burnout of nurses entails a decrease in their mental and physical health.&#x0D; The aim of the study was to evaluate the role of professional activity in the development of emotional burnout syndrome in nurses.&#x0D; Materials and methods. The nurses (109 persons) at the age from 19 to 63 years were the objects of the study. The nurses were divided into 4 probation categories: experience less than 10 years, 10–20 years, 21–30 years and more than 30 years. Physiological, questionnaire, and statistical methods were used.&#x0D; Results. 77.8±0.62% examined nurses had a manifestation of emotional burnout syndrome (EBS), formed at least in one of the phases. The most significant EBS manifestations were in the form of professional achievements reduction (more than 60% surveyed), emotional exhaustion (from 45.4 to 22.3%) and low values of depersonalization (11.2÷16.8%). According to the Copenhagen Burnout Inventory (CBI), more than 50% participants suffered from moderate burnout in all its subscales. The percentage of nurses with high burnout level was 37.2±0.004% for the work-related subscale, 36.2±0.005% for the personal burnout-related subscale and only 26.4±0.003% for the patient-related subscale. The results of the assessment of the working capacity level according to the WAI questionnaire registered that nurses in the probationary dynamics had a significant decrease from the «good working capacity» level (38.2±0.79 points) in the first probationary group to «unsatisfactory working capacity» level in the third and fourth groups (34.6±1.36 and 29.8±2.09 points, respectively, p&lt;0.05). The adaptation process was accompanied by the regulation mechanisms tension and was characterized by a decrease in the degree of predominance link of the parasympathetic over the sympathetic link of the autonomic nervous system and an increase in the degree of centralization of heart rate control.&#x0D; Limitations. This study is limited to a sampling of nurses of Karaganda hospitals who acquired emotional burnout syndrome during their industrial activity. Emotional burnout was diagnosed by the questionnaires of Maslach, Jackson and Copenhagen Burnout Inventory.&#x0D; Conclusion. Nurses are exposed to adverse the complex of production factors during their professional activities. And stress is the most frequent factor. Prolonged exposure to occupational stress is the cause of the emotional burnout development, the increase of which leads to a decrease in efficiency and in high-quality performance of their professional duties. At the same time, compliance with the norms of professional ethics among nurses remains a priority.&#x0D; Ethics. Since non-invasive research methods were used in the work, submission of the conclusion of the Biomedical Ethics Committee or other documents is not required.

Động lực làm việc của điều dưỡng và một số yếu tố ảnh hưởng tại Trung tâm y tế Huyện Vạn Ninh, Tỉnh Khánh Hòa năm 2023

Objective: Describe and analyze some factors affecting the working motivation of nurses at the Medical Center of Van Ninh district, Khanh Hoa province in 2023. Methods: Cross-sectional study, quantitative combined with qualitative. Quantitative data were collected through interviews with 86 nurses. Qualitative data were collected through 09 in-depth interviews and 01 group discussion with representatives of leaders and representatives of faculties/departments. Results: The percentage of nurses who are motivated to work together is 70.9%. Percentage of motivated nurses with conscientiousness factor, job satisfaction factor, and organizational commitment factor are: 86%; 76.7%; 75.6%. Factors that positively affect the staff of the nurse: increased income, good relationship between colleagues, nature of work, career advancement, recognition of achievements, good management policy. Factors that both negatively affect work motivation: Salary, working conditions, professional training, relationship between leaders and employees. Recommendations: Medical centers need to pay special attention to the issue of salary on time, improve facilities, create opportunities to improve the professional qualifications of nurses. Keywords: Working motivation, nursing, influencing factors, Van Ninh Medical Center

Nurse's knowledge and practice towards prevention of catheter‐associated urinary tract infection: A systematic review

AbstractCatheter‐associated urinary tract infection (CAUTI) is a common complication associated with indwelling urinary catheters, frequently used in healthcare settings. Nurses play a critical role in preventing CAUTI, as they are often responsible for inserting, maintaining and removing urinary catheters. Therefore, it is important to comprehensively assess nurses' level of knowledge about CAUTIs and the variables that influence their application of best practices and recommendations for preventing these infections. The PRISMA principles were used to conduct a literature search for relevant research publications across several online databases (Web of Science, PubMed, MEDLINE and Scopus). The quality of these studies was evaluated using the Mixed Methods Appraisal Tool. There were 397 research articles, however only 21 articles were included after the screening. The majority of participants possessed diplomas ranging from 3% to 88.2%. In addition, the percentage of nurses with bachelor's degree's ranges from 11.80% to 100%. Moreover, 23.90% of registered nurses hold a master's degree. Most nurses had between 1 and 5 and more than 5 years of experience. Nurses held good/adequate and average knowledge and practices regarding prevention and control of CAUTIs. Furthermore, age, gender, work experience, professional experience, in‐service training, CAUTI prevention guidelines, time, equipment, personnel availability and work unit were all identified barriers. While continuing/in‐service education and self‐guided modules served as facilitators for the prevention of CAUTIs. Meanwhile, studies were found of good methodological quality. Improving nurses' knowledge and practice towards preventing CAUTI is crucial to reducing the prevalence of the infection and improving patient outcomes. Implementing evidence‐based interventions can help bridge the gap in knowledge and practice among nurses, ultimately leading to better patient care and outcomes.

The Effective of Pain Resource Nurse Program on Knowledge toward Pain Management of Nurses at Hai Duong Provincial General Hospital, Vietnam

Introduction: Pain management education program had an effectiveness in improving knowledge of nurses toward pain management. However, in Vietnam including Hai Duong provincial general hospital, it has never tested. Therefore, this study aim to evaluate the effectiveness a Pain Resource Nurse program on knowledge toward pain management of nurses at Hai Duong provincial General Hospital, Vietnam. Material methods: A quantitative, experimental design was used. Twelfth units were randomly assigned to Pain Resource Nurse program(n=6) and control group(n=6). 47 nurses in each group were randomly selected. The Knowledge and Attitudes Survey Regarding Pain (KASRP) developed and revised by Ferrell and McGrant (2014) was used to assess the knowledge and attitudes of the nurses regarding pain management of nurses at two measurement points [18] . Results: The total number of participants who were surveyed at two measurement points with a completion rate of 100%. Findings revealed that after 1 month of intervention, the percentage of nurses had good knowledge level in the intervention group increased from 19.5% to 53.2%. In contrast, the control group tended to decrease from 31.9% of nurses had good knowledge level to 21.3%. Chi Square test indicated that post intervention one montthere was significant difference between two groups with regard to pain management knowledge level (χ 2 = 10.2, p = 0.001) Conclusion: A well-structured education program have a significant positive impact on nurses' pain management knowledge.

A cross-sectional survey on the allocation of nursing human resources in burn centers in China

Objective: To investigate the allocation of nursing human resources in burn centers in China. Methods: A cross-sectional survey was conducted. Using a self-designed questionnaire, a survey was carried out from January to March 2022 to investigate the January to December 2021 status of 39 burn centers in China that met the inclusion criteria based on six strategic regions and other regions, including the hospital grade and the region, the number of nurses and opening beds in the burn centers and burn intensive care units (BICUs), the age, working seniority in burn specialty, educational background, professional title, personnel employment, and turnover of nurses and training of newly recruited nurses in the burn centers. Results: This survey covered 30 provinces, municipalities, and autonomous regions in China (excluding Hong Kong Special Administrative Region, Macao Special Administrative Region, and Taiwan region of China). A total of 39 questionnaires were collected, all of which were valid. The 39 burn centers were located in 38 tertiary A hospitals and 1 tertiary B hospital, with 26 burn centers in strategic areas. The nurse/bed ratio of burn centers in the Greater Bay Area of Guangdong, Hong Kong, and Macao was the highest, while the nurse/bed ratio of burn centers in border ethnic minority area was the lowest. Except for the Chengdu-Chongqing Economic Circle, BICUs had been set up in burn centers in other regions. Among the 39 burn centers, the percentage of nurses aged 25 to 34 years was 51.21% (738/1 441), the percentage of nurses worked in burn specialty for less than 5 years was 31.16% (449/1 441), the percentage of nurses with bachelor's degree was 69.74% (1 005/1 441), and the percentage of nurses with nursing professional title was 44.14% (636/1 441), which were the highest. There were significant differences in the employment of nurses, the percentage of permanent nurses in burn centers in the collaborative development zone of Beijing-Tianjin-Hebei was 82.48% (113/137), while the percentage of permanent nurses in burn centers in important military strategic area was only 9.42% (34/361); the turnover rate of nurses was 9.03% (143/1 584), among which the turnover rate of nurses was 18.14% (80/441) in burn centers in important military strategic area. The training for newly recruited nurses in 39 burn centers was mainly based on the guidance of senior nurses and the pre-job education+specialist training. Conclusions: The burn nursing human resources in strategic areas in China are seriously insufficient and unevenly distributed, with unstable nurse team and lack of standardized specialist training. In particular, the nursing human resources in BICUs need to be equipped and supplemented urgently.

Factors Associated with Prevalence of Posttraumatic Stress Disorder among Nurses Working in COVID-19 Isolation Centres, Lagos, Nigeria

Background: Nurses are at increased risk of developing posttraumatic stress disorder (PTSD) due to response of the body and mind to a threatening working environment as they care for COVID-19 patients in isolation centres. This study determined the prevalence of PTSD and examined the associated factors among nurses working in COVID-19 isolation centres.Subjects dan Method: The study was a cross-sectional design. Purposive method was used to select two isolation centres, while 75 nurses who participated in the study were selected using total enumeration sampling technique. A structured questionnaire with validity and reliability established was used to collect data which were screened, collated and analyzed with SPSS 27. The Fisher’s Exact Test and Multivariate logistic regressions were the inferential statistics used to test the level of significant at p&lt;0.050 and 95% confidence interval. The dependent variable of this study is posttraumatic stress disorder while the independent variables included socio-demographic characteristics of the participants, psychological and working conditions factors.Results: The mean age of the participants was (Mean=37.60; SD=10.20). Percentage of nurses having mild to severe PTSD was 27.8%. Duration stayed in COVID-19 isolation centres by nurses was significantly associated with the PTSD (p=0.003). The age, gender, marital status, and education level of the nurses were not statistically significant associated with the PTSD (p&gt;0.05). Nurses who felt their life was under threat by working in COVID-19 isolation centres were 4.2 times more likely to develop PTSD compared to nurses who did not (OR=4.22, 95% CI=3.57 to 12.60, p=0.001).Conclusion: Nurses suffered PTSD due to psychological and physical exhaustion during the care of COVID-19 patients in isolation centres. Support program is recommended for the affected nurses to improve their quality of life. Keywords: COVID-19 isolation centres, nurses, PTSD, prevalence Correspondence: Tajudeen Olusegun Rasheed. Department of Health, Safety and Environment Studies, Training and Research Institute, Economic and Financial Crimes Commission, Academy, Karu, Abuja, Nigeria. Email: tajrash2005@gmail.com. Mobile: +2348038007373.

Pressure injury prevention: Knowledge and attitude and their predictors in Indonesian nurses working in hospital settings

AimNurses' knowledge and attitude are critical for pressure injury (PI) prevention. However, to date, there has been little research carried out on the knowledge and attitude of Indonesian nurses regarding PI prevention in hospital settings, and no study has investigated the predictors of knowledge and attitude of Indonesian nurses regarding PI prevention. This study therefore aims to investigate knowledge and attitude, and to identify the predictors of knowledge and attitude regarding PI prevention among Indonesian nurses in hospital settings. MethodsA cross-sectional study was conducted between 1st November 2021 and 5th March 2022. A total of 563 nurses from three general hospitals in Central Java Province participated. The Pressure Ulcer Knowledge Assessment Tool 2.0 and the Attitude Pressure Ulcer Prevention questionnaires were used. A multiple linear regression analysis was used to determine the predictors of nurses' knowledge and attitude regarding PI prevention. ResultsThe percentage of correct answers was 35.02%, indicating poor knowledge, while the percentage of nurses' attitudes was 75.46%, indicating a satisfactory attitude. The predictors of knowledge of PI prevention were found to be age (β = -0.127, p = 0.025), level of education (β = 0.153, p = 0.001) and income (β = 0.107, p = 0.021), while the predictors of attitude toward PI prevention were level of education (β = 0.101, p = 0.020) and professional position (β = 0.093, p = 0.033). ConclusionThis is the first study to identify the predictors of attitude and knowledge regarding PI prevention in Indonesian nurses in a hospital setting. The results indicate a need for appropriate educational training based on the predictors to be given to Indonesian nurses working in hospital settings to increase their knowledge of PI prevention.

Introducing a Digital Occupational Violence Risk Assessment Tool Into an Emergency Department: A Pilot Implementation Study

IntroductionOccupational violence in emergency departments is prevalent and detrimental to staff and health services. There is an urgent call for solutions; accordingly, this study describes the implementation and early impacts of the digital Queensland Occupational Violence Patient Risk Assessment Tool (kwov-pro). MethodsSince December 7, 2021, emergency nurses have been using the Queensland Occupational Violence Patient Risk Assessment Tool to assess 3 occupational violence risk factors in patients: aggression history, behaviors, and clinical presentation. Violence risk then is categorized as low (0 risk factors), moderate (1 risk factor), or high (2-3 risk factors). An important feature of this digital innovation is the alert and flagging system for high-risk patients. Underpinned by the Implementation Strategies for Evidence-Based Practice Guide, from November 2021 to March 2022 we progressively mobilized a range of strategies, including e-learning, implementation drivers, and regular communications. Early impacts measured were the percentage of nurses who completed their e-learning, the proportion of patients assessed using the Queensland Occupational Violence Patient Risk Assessment Tool, and the number of reported violent incidents in the emergency department. ResultsOverall, 149 of 195 (76%) of emergency nurses completed their e-learning. Further, adherence to Queensland Occupational Violence Patient Risk Assessment Tool was good, with 65% of patients assessed for risk of violence at least once. Since implementing the Queensland Occupational Violence Patient Risk Assessment Tool, there has been a progressive decrease in violent incidents reported in the emergency department. DiscussionUsing a combination of strategies, the Queensland Occupational Violence Patient Risk Assessment Tool was successfully implemented in the emergency department with the indication that it could reduce the number of incidents of occupational violence. The work herein provides a foundation for future translation and robust evaluation of the Queensland Occupational Violence Patient Risk Assessment Tool in emergency departments.

School Nurses' Comfort With Diabetes Management and Technology From 2012 to 2019.

School nurses are integral to optimizing diabetes management for students with type 1 diabetes. The aim of this study was to describe the use of diabetes technology in schools over time and assess school nurses' comfort level performing diabetes management tasks. From 2012 to 2019, school nurses who attended a diabetes education program completed a survey about their experience and comfort level with diabetes management. A total of 1,796 school nurses completed the survey; 56% had at least 5 years of school nursing experience. Most (86%) had at least one student with type 1 diabetes. Among school nurses with at least one student with type 1 diabetes, 73% had at least one student using insulin pump therapy, and 48% had at least one student using continuous glucose monitoring (CGM). There was no change in pump use over time, but the percentage of nurses who had a student using CGM increased significantly from 24% in 2012 to 86% in 2019 (P <0.001). School nurses' comfort level using pumps remained stable over time. Overall, 47% reported being mostly/very comfortable giving boluses using a pump, and 17% reported being mostly/very comfortable troubleshooting problems with a pump. However, there was a significant increase in school nurses reporting feeling mostly/very comfortable working with CGM devices, increasing from 9% in 2012 to 44% in 2019 (P <0.001). School nurses are an important part of diabetes management for school-aged youth with type 1 diabetes. There is a need for additional diabetes education and support to build their confidence with diabetes management and technology, especially with further technological advancements in management.

Comparison of health care professionals' and laypeople's knowledge, attitudes, and practices on the use of antimicrobial and antimicrobial resistance.

The discovery of antimicrobials is a pioneering step in health sciences concerning preventive care and early management for infectious diseases. However, with advancements in health sciences, inappropriate knowledge, practices, and over-the-counter medications were often used by the general population in underdeveloped nations like India without thinking about its consequences which leads to the use of antimicrobials excessively or inadequately, which is also a factor for antimicrobial resistance. This quantitative study determines the awareness of healthcare professionals and laypersons about usage and resistance of antimicrobials. Research was carried out in rural tertiary teaching hospital of study participants were 106 nurses, 115 interns, 107 junior residents, and 97 laypersons using a "self-administered WHO questionnaire". SPSS version 27.0 software was used to analyze the data. The P value cut-off for significance was established at <.05. Forty seven percent of nurses and 44% of interns consumed antimicrobials in the last month, more than interns and junior residents. Fourteen percent of interns and 13% of laypersons did not get any prescription for lastly taken antimicrobial. The majority of participants obtain prescribed antimicrobials from medical stores and pharmacies. Fifty five percent of laypersons and 59% of nurses stop taking antimicrobials when they feel better. Only 13% of nurses were aware of the proper indications of antimicrobials for the same illness. Only 22% of respondents know the term superbugs, significantly less than the other key terms related to the antimicrobials. Nurses and laypersons had some misconceptions related to the mechanism of development of antimicrobial resistance. The analysis revealed that a significant lack of knowledge and various misconceptions were primarily seen in the nurses and laypersons. In contrast, medical graduates such as interns and junior residents lacked the right attitude and perspective regarding the use of antimicrobials and their resistance.

Job Satisfaction Analysis of Nurses, who Work in Neurology and Neurosurgery Units

Introduction. Satisfaction, facing problems and motivation are currently strategic points to be analysed in terms of nurses’ work. All positive or negative perceptions and attitudes towards work translate into commitment, identity creation, turnover and also status. The fit between the individual and the organisation draws attention. Both the complementary and supplementary dimensions show to what extent the employee’s needs are met and whether the recognised values of the two groups are the same. For the employee, this translates into identification with the workplace. A high degree of fit influences the status of the workplace, the involvement of employees in the tasks at hand increasing their quality. On the other hand, the existence of mismatches generates bad interpersonal relations, inappropriate division of responsibilities, loss of trust, and leads to conflicts.&#x0D; Aim. Comparative analysis of changes in the context of sense of job satisfaction of nurses working in neurological and neurosurgical wards in the Silesian province over the last decade.&#x0D; Material and Methods. The study was conducted in 2012 and 2022 among nurses working in neurological and neurosurgical wards of the N.M.P. Regional Specialist Hospital in Częstochowa and the Prof. K. Gibiński University Medical Centre in Katowice. The study used an original questionnaire containing 61 questions on various aspects of the work performed.&#x0D; Results. Among the respondents, the predominant age group is over 51 years old with a master’s degree, whereas in the earlier survey it was 31–40 years old with a secondary vocational education. The survey showed that 33% more respondents felt that their job involved a lot of physical exertion. The percentage of those able to cope with complex mental tasks has decreased significantly, the percentage of nurses who are overburdened with too many tasks has increased, 75% of them notice the impact of work on family life. Professional qualifications are being improved by 40% more of those surveyed than ten years ago, but 29% are attending fewer conferences and training courses, and 24% are introducing innovations into their workplace less than in 2012. A sense of meaningfulness and usefulness of the tasks performed at work is shared by 66% of respondents, previously 91% in 2012. The impact of the ward’s equipment on the work performed is now noted by 70% more nurses, and is considered by 66% of respondents as a factor giving greater job satisfaction, a decade ago it was 86% of respondents. Nursing staffing is considered sufficient by 34% more respondents than the previous survey showed. Far fewer respondents now perceive the impact of aggressive patient behaviour on their work. The percentage of respondents noticing conflicts with doctors increased by 72%. 77% more respondents feel they are treated fairly by their superiors than a decade ago. Low social prestige of the profession is noticed by only 6% of nurses.&#x0D; Conclusions. Nurses do not feel satisfaction with their work, even though they see a sense of purpose in the activities they undertake. This means that their need for development has been disrupted by low motivation both socially and economically, a sense of being undervalued and insufficient identification with the workplace. Most of the same people took part in the current survey as ten years ago, their attitude to their work has changed dramatically. Nurses are coping less well with their tasks. The work is associated with too much physical and mental strain. Relationships between nurses and patients and between nurses and other team members have changed. Nursing staffing in neurological and neurosurgical wards, where patients with severe conditions are often hospitalised, is insufficient. (JNNN 2022;11(3):114–123)