Possibilities For Nurses Research Articles

Transforming normative, ableist, and biomedical orientations to living well and quality of life in nursing: Reimagining what a ventilated body can do.

A goal of living as well as possible is central to practice and research with young adults living with home mechanical ventilation (HMV). Significant effort has been put into conceptualizing and measuring the quality of life (QOL) as a proxy for living well. Yet, dominant understandings of QOL have been influenced by normative, ableist, and biomedical discourses about what constitutes a good life that, when applied in practice and systems with those living with HMV, can contribute to exclusion and constrain opportunities to live well. Inquiry into what certain understandings of living well can do is critical to opening up possibilities to reimagine living well with HMV. This paper draws on findings from a critical narrative inquiry that explored the experiences of five young adults (ages 18-40 years) living with HMV. Data wereco-constructed virtually through an initial interview and photo-elicitation using participant-generated photographs. A critical narrative analysis of participants' stories made visible the ideological effects of ableist, biomedical, and individualist discourses and how the young adults reproduced and resisted these dominant discourses. Their stories further opened up possibilities for nurses and other healthcare providers to see living well and QOL differently.

Burnout Among Nurses During the Covid-19 Pandemic

ABSTRACT Burnout is a global phenomenon. The prevalence of burnout among nurses in Indonesia is around 60%. During the COVID-19 pandemic, the number of patient visits to the Public health centre has increased. This study aims to describe burnout in nurses at the Public health centre during the COVID-19 pandemic. This study uses a quantitative descriptive with a cross-sectional approach. The population is 40 health centre nurses using a sampling technique that is the total population. This study used the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as an instrument with final validity test values ranging from -0.701 to 0.966 and a reliability test of 0.83. Data analysis uses univariate analysis, which is shown in the form of a frequency distribution. Almost all respondents experienced moderate burnout, as many as 34 nurses (85%). Based on the burnout dimension show that the dimensions of emotional exhaustion are 27 nurses (67.5%), the dimension of depersonalization is 31 nurses (77.5%), and the dimension of achievement decline is 29 nurses (72.5%), mostly in the medium category. The high burnout of Public health centre nurses will affect the performance of nurses in providing nursing services to patients. The impact of the pandemic has also become a source of stress for nurses in providing services. The possibility of nurses coming into contact with asymptomatic COVID-19-infected patients is substantial. This becomes a burden for nurses in providing services. Keywords: Burnout, Covid-19, Health Centre, Nurse, Pandemic

A ATUAÇÃO DO ENFERMEIRO NA PREVENÇÃO DA SÍFILIS CONGÊNITA E OS ESPAÇOS DE DISCUSSÃO

ABSTRACT Objective: to know the possibilities for nurses' discussion and performance spaces in the quadrilateral of training in the health area: teaching, care, management and social control in the prevention of congenital syphilis. Method: a qualitative and exploratory-descriptive research study, theoretically supported by public health policies. The data were collected in July 2020 through nine online focus groups with a total of 42 nurses from 18 municipalities in the mountainous region of the state of Santa Catarina, Brazil. For data systematization, thematic content analysis was used with the support of the Atlas.ti software, version 8.0. Results: nurses' performance occurred especially during direct assistance to patients, when performing rapid tests, monitoring prenatal care and following-up cases of the disease. Discussions about congenital syphilis took place in care spaces. As for the quadrilateral, the nurses related health care to direct assistance and to management of the work organization process in relation to the prevention of congenital syphilis, in addition to pointing out weaknesses in education and social control. They suggested training managers about the quadrilateral. Conclusion: the nurses acted in the prevention of congenital syphilis through direct assistance, making it necessary to expand actions to combat syphilis, especially by increasing the discussion spaces and the elaboration of strategies that involve professionals, managers, researchers and the community in an articulated way about the reality of syphilis in the state, as well as about prevention and treatment means.

The Possibilities of Nurses (Health Care Service Providers) Making Medical Errors

The Possibilities of Nurses (Health Care Service Providers) Making Medical Errors

Optimalisasi Supervisi Keperawatan di Masa Pandemi COVID-19

This study aims to identify nurse managers' implementation of the nursing supervision function during the COVID-19 pandemic. The method used is a case study starting with data collection through interviews, surveys and document searches. The results showed that the head of the room had performed the supervisory directive function well (89%), but the nurses' perception of the implementation of nursing supervision carried out by the head of the room during the COVID-19 pandemic was sufficient (77%). In conclusion, nursing supervision activities during the COVID-19 pandemic were not optimal due to maintaining distance and minimizing close contact. The nursing supervision that can be carried out is the use of platforms to avoid direct contact and the possibility of nurses being exposed to COVID-19 infection.
 Keywords: COVID-19, Nursing Supervision, Digital Technology

The Nursing Now Campaign in the Fight Against COVID-19: Possibilities for Nurses.

The Nursing Now Campaign in the Fight Against COVID-19: Possibilities for Nurses.

Condutas de enfermagem aplicadas ao paciente com infarto agudo do miocárdio no pré-hospitalar

O presente estudo teve como objetivo identificar na literatura o perfil epidemiológico de paciente com infarto agudo do miocárdio atendidos e transportados por enfermeiros. Trata-se de uma revisão integrativa da literatura, com a metodologia proposta pelo Instituto Joanna Briggs (JBI), com busca nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde, National Library of Medicine, Scopus, Scientific Electronic Library Online e BDENF. Foram analisados 25 estudos, que atenderam os critérios de inclusão estabelecidos. Entre os diversos ganhos obtidos, destaca-se a atuação do enfermeiro na melhoria da prática clínica, a ampliação do conhecimento pelo enfermeiro especialista e uma melhoria do trabalho em equipe. As evidências demonstram a ampla possibilidade de atuação do enfermeiro na assistência de enfermagem aos pacientes com infarto do miocárdio.

"It is two worlds" cross-sectoral nurse collaboration related to care transitions: A qualitative study.

To explore how the hospital and home care nurses talk about and experience cross-sectoral collaboration related to the transitional care of frail older patients. Effective communication and collaboration between nurses involved in care transition are crucial for a safe patient handover. Organisational systems to support cross-sectoral collaboration have been developed but do not always promote the intended dialogue and precise and useful exchange of information. Other factors may also be of importance to an effective and constructive cross-sectoral nurse collaboration. A qualitative design using thematic analysis. Data were extracted from 24 focus group interviews conducted with registered nurses from eight hospital wards and six municipalities and a total of 165hr of observations conducted in three hospital wards and three municipalities. The study was reported according to the COREQ guidelines. The perception of nursing and care differed across sectors. The nurses expressed having shared goals for the patients-however, these goals derived from different values, the perception of nursing and approach to the patients. The lack of knowledge of each other's working conditions created assumptions and preconceptions, which affected communication and collaboration related to planning and executing care transition negatively. The nurses perceived the hospital and home care as" two worlds". The collaboration between the nurses was characterised by insufficient communication and preconceptions rather than concrete knowledge and different cultures and professional identities. It can be questioned whether cross-sectoral collaboration between nurses should be characterised as interprofessional rather than intraprofessional collaboration as the features of the nurses' collaboration. Organisational and political systems should recognise that nurses in different sectors are taking care of various aspects of nursing when planning on policies to support cross-sectoral collaboration. More possibilities for nurses across sectors to meet should be made available.

Using poetry in a critically reflexive action research co-inquiry with nurses

There are few reports of healthcare action research using collaborative or co-operative inquiry (co-inquiry) while research featuring poetry is also rare. This paper presents a cycle from a critically reflexive action research co-inquiry that explored the tensions and possibilities of nurses’ reflecting during care-giving where poems emerged as data. These poems were inspired by reflections, observations, co-inquirers’ stories and interviews. They formed part of a first-, second- and third-person co-inquiry. Applying Bourdieu’s concepts of doxa, habitus and field to the poems revealed cultural aspects of nursing practice. The poems resonated with nurses’ experiences producing deeper conversations and powerful reflexive co-inquiries about practice. The poems evoked suppressed emotions and empathy. I argue poems derived from practice are embodied knowledge and thus have a legitimate place in healthcare action research. Practice-based poems could be valuable for other practice-orientated professions in producing practice learning and change.

Practice Possibilities for Nurses Choosing True Presence With Persons Who Live With a Different Sense of Hearing

Living with a different sense of hearing is a silencing experience that can change persons'patterns of relating and even deprive them of effective ways to give and receive messages with other human beings. People who live with having a different sense of hearing are often stigmatized, labeled, and judged by nurses, healthcare professionals, and family members alike. This column examines practice possibilities for nurses who choose the human becoming way of being with persons living with a different sense of hearing.

The First Nurse-Patient Encounter in a Psychiatric Setting: discovering a moral commitment in nursing

The aim of this study was to deepen nurses' understanding of the importance of carefully managing the first nurse-patient encounter in a psychiatric setting according to each patient's suffering and future hopes. The study was carried out using an action research approach. The action planned was the implementation of a conceptual model reflecting Eriksson's caring theory. Data were collected by interviews with nurses and observational notes kept in a research diary. The data analysis followed the procedure of qualitative content analysis. A generalization of the entire learning process shows the first nurse-patient encounter to be a moral commitment in nursing. A theoretical framework of nursing assessment conveying knowledge about the patient as unique and being a whole person can support the nurse in encouraging the patient to enter into a relationship. This insight stimulated the nurses in this study to reflect on the moral responsibility of continuing the relationship and initiating an ongoing nursing process. Awareness of this responsibility made them reflect more on the possibility of nurses taking autonomous actions in order not to abandon the patient and to avoid feeling guilty.

The First Nurse–Patient Encounter in a Psychiatric Setting: discovering a moral commitment in nursing

The aim of this study was to deepen nurses’ understanding of the importance of carefully managing the first nurse-patient encounter in a psychiatric setting according to each patient’s suffering and future hopes. The study was carried out using an action research approach. The action planned was the implementation of a conceptual model reflecting Eriksson’s caring theory. Data were collected by interviews with nurses and observational notes kept in a research diary. The data analysis followed the procedure of qualitative content analysis. A generalization of the entire learning process shows the first nurse-patient encounter to be a moral commitment in nursing. A theoretical framework of nursing assessment conveying knowledge about the patient as unique and being a whole person can support the nurse in encouraging the patient to enter into a relationship. This insight stimulated the nurses in this study to reflect on the moral responsibility of continuing the relationship and initiating an ongoing nursing process. Awareness of this responsibility made them reflect more on the possibility of nurses taking autonomous actions in order not to abandon the patient and to avoid feeling guilty.

ABRIR-SE PARA A FAMÍLIA: SUPERANDO DESAFIOS

A família como perspectiva está influenciando a prática e a teoria na enfermagem. A despeito do desenvolvimento acadêmico existente, no entanto, a pesquisa e as narrativas de estudantes e de enfermeiros evidenciam as dificuldades presentes na experiência de estar com as famílias nas situações de enfermagem. Neste artigo, a autora analisa três desafios que necessitam ser superados para facilitar a aproximação e o trabalho com famílias em enfermagem: ensinar a pensar família, estimular uma prática avançada com famílias e ajudar a construir o conhecimento em enfermagem da família. A autora conclui abordando a dimensão humanística presente na superação dos desafios, como uma condição para aumentar as possibilidades de cuidado para os enfermeiros e as famílias.

Nurse entrepreneur ... what are you waiting for?

With the wealth of knowledge and experience many nurses have, they could become successful nurse entrepreneurs. This article presents several possibilities for nurses to consider: independent practitioners, case managers, writers, seminar leaders, and video producers. Useful tips on marketing yourself are included.

Collaborative Practice

This study critically analyzes the underlying values, beliefs and behaviors of 18 family nurse practitioners and physicians who identified themselves as being in a joint practice relationship. Participants in the study were interviewed separately and in pairs around issues related to their reasons for joint practice, their interactional patterns, and how these patterns could be different. Transcribed interviews and data summaries for each practice were returned to the participants for review, discussion and validation. Results of the study suggested that the language, values and behaviors of the nurses continued to support, to varying degrees, the authoritarian and dominant position of the physician. In addition, nurses tended to demonstrate distorted communication and non-meaningful interactions. The possibility for nurses to create conditions in the practice relationship oriented toward mutual understanding and effective collaboration was clearly apparent in a few of these practices. Steps essential in achieving these conditions include the following: 1) self reflection; 2) clarification of goals; 3) examination of interactional patterns; 4) analysis of the level of commitment to mutual understanding; 5) willingness to risk calling issues into question; 6) conscious commitment to maintaining this level of communication over time; and 7) facilitating the physician partner's commitment to these goals.

Reflections on research possibilities for nurses in biological sciences

Reflections on research possibilities for nurses in biological sciences

Reflections on research possibilities for nurses in the biological sciences.

Reflections on research possibilities for nurses in the biological sciences.