Provision Of Nursing Care Research Articles

간호대학생의 한국간호사 윤리강령 인식에 대한 분석

Objectives As the importance of the ethical awareness of nursing students who will play the role of caring for patients as nurses in clinical practice sites is emphasized, the purpose is to systematically check and deeply understand how nursing students currently perceive the Korean code of ethics for nurses. Methods Through an open-ended questionnaire, first-year nursing students who took a bioethics course for one semester at a private junior college in Gwangju Metropolitan City were asked to select the ethical code they thought was most important among the 16 items of the Korean Nurses' Code of Ethics and to write the reason for their choice. The data were analyzed using content analysis from June 3 to June 10, 2024, targeting a total of 204 people. Results Among the 16 items of the Korean Code of Nurse Ethics, 1. Provision of equal nursing care (24.5%), 14. Compliance with relationship ethics (15.2%), 4. Respect for the right to know and self-determination (12.2%), 3. Protection of privacy and confidentiality (8.8%), 13. Maintaining health and dignity (8.8%), 12. Nursing for safety (6.4%), 7. Protection of human dignity (5.4%), 5. Protection of vulnerable care recipients (3.9%), 6. Implementing a healthy environment (2.9%), 8. Compliance with nursing standards (2.4%), 9. Education and research (2.0%), 10. Policy participation (2.0%), 2. Respecting individual needs (1.5%), 15. Nursing The distribution of importance was shown in the following order: protection of subjects (1.5%), 16. cooperation and vigilance of advanced life science and technology (1.5%), and 11. promotion of justice and trust (1.0%). Ultimately, 39 themes and 72 statements supporting the reasons were created. Conclusions Through an analysis of nursing students' awareness of the Korean nurses' code of ethics, we identified the main contents that should be covered in the nursing ethics curriculum to safely perform nurses' work. In the future, it can be used as key basic data reflecting the opinions of actual students in revising the Korean code of ethics for nurses.

Needs Assessment of Virtual Nursing Implementation Using the Donabedian Framework.

Nursing shortages are a significant problem that affects healthcare access, outcomes, and costs and challenges the delivery of care in hospitals. The virtual nursing delivery model enables the provision of expert nursing care from a remote location, using technology such as audio/video communication, remote monitoring devices, and access to the electronic health record. However, little is known about the structure and processes supporting the implementation of virtual nursing in healthcare systems. This study examined the requirements for implementing a virtual nursing care team by characterizing the structure and processes of virtual nursing, using the Donabedian framework. The study conducted an observational and qualitative evaluation of a virtual nursing care team at a major Southeastern health center in the United States. The study found that key aspects for implementing a virtual nursing program include the number of available virtual nurses per shift, the availability of appropriate virtual nursing equipment, the physical layout of the virtual nursing center, the training of virtual nursing nurses on best practices of virtual encounters, simultaneous use of electronic health record, creation, and training of nurses on policies and procedures such as escalation of technical issues, and available support resources for problem resolution. The study provides valuable insights into the structure and processes of virtual nursing care that can be used to improve healthcare delivery and address nursing shortages.

Learning and Giving Compassionate Care to Patients: Perspectives of the ICU Nurses.

Compassion forms the basis for nursing practice and is an essential component of patient-centered care. It is vital, essential and of great significance to relieve patient's suffering and have a positive impact on the quality of care provided by a nurse. In the context of Tanzania, knowledge on learning and giving compassionate nursing care to patients remained unresearched. To explore nurse's perspectives on how they learn and give compassionate nursing care to patients in ICUs in Tanzania. A qualitative descriptive study design using in-depth interviews was conducted amongst eleven (11) ICU nurses of two hospitals in Dodoma region. Audio-recording and notetaking were used to collect data. Data from the audio records were transcribed verbatim and subjected to inductive thematic analysis using manifest codding approach with a semantic focus. We report this paper according to COREQ checklist. Three themes emerged from data that summarised the nurses' perspectives on learning and giving compassionate care to patients in ICUs. These themes included (i) Sources and learning of compassionate nursing care (ii) Practicing compassionate nursing care and (iii) impact of compassionate nursing care. Overall, nurses in this setting expressed compassion to as a combination of empathy, ethical view, duty to care and readiness to go extra mile to address patients needs defined their unique view of compassion. Emphasis of compassionate nursing care in formal training curricula, role modelling on compassion in clinical settings and motivation of nurses in critical care settings may facilitate provision of compassionate nursing care amongst patients in ICUs. The findings of the present study underscore the nurse's perspectives on compassionate nursing care and what motivates and prevents them to provide compassionate care to patients. No Patient or Public Contribution.

Enhancing Clinical Practice Through Simulation.

Nurse leaders are obligated to ensure that nurses are prepared to engage in the provision of safe high-quality nursing care by creating a learning environment where their clinical knowledge and critical reasoning can be safely developed and refined. Simulated educational experiences can accelerate learning and provide nurse's the ability to confidently and competently deliver clinical care in a highly efficient manner.

Practice and confidence in electrocardiogram interpretation among ICU nurses: A cross-sectional study

This study aimed to determine practice and confidence in electrocardiogram (ECG) interpretation among intensive care unit (ICU) nurses in Fujian Province, China, and identify predictors of ECG interpretation practice. A quantitative cross-sectional study was conducted between October 2021 and December 2021 among 357 respondents. Conducted online at twenty-one hospitals in all nine cities of Fujian Province. Purposive and convenient sampling techniques were employed in selecting hospitals and respondents, respectively. A validated and pre-tested Chinese version of the questionnaire was used in data collection. We conducted binary logistic regression to identify the predictors of ICU nurses' ECG interpretation practice, and linear regression to analyze the relationship between ECG interpretation practice and confidence. We considered statistically significant a p-value<0.05. The practice mean score of the respondents was 5.54 (SD=2.26) out of 10 points, and only 2.2% of nurses correctly interpreted all the patient ECG strips. Few ICU nurses (25.5%) had good ECG interpretation practice, with a confidence mean score of 2.02 (SD=0.99) out of 4 points in their overall ability to interpret patient ECG strips. Currently working unit in comparison to cardiac ICU (emergency ICU: AOR=5.71, 95% CI: 1.84-17.75); previous ECG training (AOR=2.02, 95% CI: 1.10-3.70); source of ECG training (university/school) (AOR=2.02, 95% CI: 1.12-3.65); and ECG knowledge (AOR=16.18, 95% CI: 7.43-35.25) were significantly associated with the ECG interpretation practice. ICU nurses' ECG interpretation practice in the current study was relatively poor. An ECG education program is recommended to impart ICU nurses with basic ECG knowledge for enhancing good ECG interpretation practice and confidence in nursing care provision. Good ECG interpretation skills are paramount among ICU nurses for better patient outcomes. ECG knowledge among ICU nurses is an important predictor of effective ECG monitoring for cardiac arrhythmias. Therefore, frequent, continuouszgood practice and boost confidence in the provision of quality nursing care.

Association of personal and professional factors, resilience and quality of life of registered nurses in a university medical city in the Kingdom of Saudi Arabia.

This study assessed the resilience of nurses in Saudi Arabia during the corona virus 2019 (COVID-19) pandemic and examined its influence on their quality of life (QOL). A sample of 356 nurses was surveyed in this quantitative, cross-sectional study using the Resilience Scale for Nurses and the World Health Organization Quality of Life (WHOQOL-BREF) from October 2020 to March 2021. The nurses reported the highest resilience score on "situational pattern", while the lowest score was on "relational pattern." The nurses had good perceptions on their overall QOL and health and rated their "social relationship" as having the highest quality, while their "environmental" domain as having the least quality. Gender, marital status, provision of direct nursing care to COVID-19 patients, "philosophical pattern", "situational pattern" and "dispositional pattern" had multivariate impacts on the QOL dimensions. The study concluded that being resilient can positively impact the nurses' QOL during stressful situations, such as the COVID-19 pandemic.

Experiences of Mental Health Nurses in Providing Care to Patients Receiving Electroconvulsive Therapy in South Korea.

In recent years, the demand for electroconvulsive therapy has been increasing in South Korea. However, there are problems due to mental health nurses' lack of understanding about electroconvulsive therapy and the absence of systematic education. This study aimed to explore mental health nurses' experiences of providing care to patients receiving electroconvulsive therapy in South Korea. We used content analysis to analyse the data collected from focus group interviews with 22 mental health nurses working in mental health hospitals. The results revealed four themes and 10 subthemes. More specifically, the results showed that mental health nurses consider themselves helpers in recovery. They pursue the physical and emotional well-being of patients receiving electroconvulsive therapy and strive to ensure that patients receive electroconvulsive therapy comfortably and safely. However, contentious issues such as concerns about patient dignity and autonomy lead to differing perceptions and attitudes towards electroconvulsive therapy and cause internal conflict during therapeutic interactions. Furthermore, insufficient education on electroconvulsive therapy leads to a lack of knowledge and difficulties in fulfilling the role of an information provider. The shortage of coping measures and support systems for issues such as extensive adverse effects and restricted medication increases the work burden immensely. These findings can serve as foundational data for the development of standardised nursing practices and systematic education for electroconvulsive therapy.

The Effect of Implementing 3S (SIND, SINO, SINI)-based Orthopedic Nursing Care Instrument in Improving Nursing Service Quality and Patient Safety in Indonesia Hospital

Along with the increasing of orthopedic disorders incidence, the provision of orthopedic nursing care in Indonesia is also increasing. The Indonesian National Nurses Association (INNA) has published nursing care standards as a reference for nurses in providing nursing care and standardizing nursing care terminologies. Standard-based orthopedic nursing care instruments have been developed, but their effectiveness has not been investigated in improving the quality of nursing services and patient safety. This study aimed to identify the effect of the application of 3S-based Orthopedic Nursing Care (3S-ONC) on the quality of nursing services and patient safety. Descriptive quantitative analysis using a quasi-experimental method with a pretest and posttest with control group design, involving 106 respondents (53 control, 53 intervention), recruited by purposive sampling technique. In the intervention group, nurses provided nursing care by applying the 3S-based Orthopedic Nursing Care (3S-ONC) instrument. The study showed that in both groups, most of the nurses were in the early adult category, dominated by female sex and most of them had professional education level. There were significant differences in the quality of nursing services (p 0.046; α 0.05) and patient safety (p 0.000; α 0.05) between the intervention group and the control group after the application of the 3S-ONC instrument. The 3S-ONC instrument can improve the quality of nursing services and the safety of patients with orthopedic disorders in hospitals.The 3S-ONC instrument can be considered for the development of a paper-based or computer-based nursing care documentation system to further improve the quality of nursing services and patient safety in healthcare facilities, especially in hospital.

Information-Motivation-Behavioral Skill model-based physical restraint education program for nursing care providers in long-term care hospitals: A quasi-experimental repeated measures non-equivalent control group design

Information-Motivation-Behavioral Skill model-based physical restraint education program for nursing care providers in long-term care hospitals: A quasi-experimental repeated measures non-equivalent control group design

A scoping review of nursing interventions to reduce PTSD in adolescents who have been sexually abused

Incidences of sexual violence have increased over the past few years. The negative impacts of sexual violence on adolescents are social isolation, low self-esteem, and disrupting the developmental stages of adolescents, and can even cause the risk of suicide. Nurses as providers of comprehensive nursing care have a role in reviewing various aspects to reduce the impact of sexual violence on adolescents. The purpose of this study is to explore methods of nursing intervention for reducing the symptoms of post-traumatic stress disorder among adolescents who are victims of sexual violence. The design used in this study is scoping review. Article were searched from CINAHL, PubMed, and Scopus databases. The inclusion criteria for articles in this study were full text, randomized control trial or quasi-experimental research design, English language, samples is adolescents (10–19 years based on WHO) who are victims of sexual violence, and the publication period of the last 10 years (2013–2022). We found 12 articles which discussed about nursing interventions in reducing PTSD symptoms in adolescents who are victims of sexual violence. Range of the samples is 40–405 adolescents. Several articles from developed countries. There are three nursing intervention methods that can be carried out, namely improve skill interventions, relaxation interventions, and cognitive behavior therapy. Nurses act as educators, facilitators and counselors so that victims can recover from their traumatic experiences. Providing nursing interventions to adolescents who are victims of sexual violence needs to pay attention to all aspects that affect the physical and psychological condition of the victim.

Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya

ObjectivesExisting literature suggests multiple potential roles for community health volunteers (CHVs) in the provision of palliative care (PC) in low- and middle-income countries. In Kenya the role of CHV in the provision of PC has not been reported. The objective of this study was to assess knowledge, confidence, attitude, and clinical practice of community health volunteers after attending a novel palliative care (PC) training program.MethodsA total of 105 CHVs participated in a 3-day in person training followed by a 1-month in person and telephone observation period of the palliative care activities in the community. Structured questionnaires were used pre- and post-training to assess knowledge acquisition, impact on practice, and content delivery. A mixed method study design was conducted 12-month post training to assess impact on clinical practice.ResultsImmediately after training, CHV provided positive ratings on relevance and content delivery. In the month following training, CHVs evaluated 1,443 patients, referred 154, and conducted 110 and 129 tele consults with the patients and PC providers respectively. The follow up survey at 12 months revealed improved knowledge and confidence in various domains of palliative care including symptom and spiritual assessment and provision of basic nursing and bereavement care. Focus group discussions revealed the CHVs ability to interpret symptoms, make referrals, improved communication/ interpersonal relationships, spiritual intervention, patient comfort measures and health care practices as newly learned and practiced skills.ConclusionsWe noted improved knowledge, new skills and change in practice after CHVs participation in a novel training curriculum. CHVs can make important contributions to the PC work force and be first line PC providers in the community as part of larger hub and spoke care model.

Global prevalence and risk factors of emergence delirium in pediatric patients undergoing general anesthesia: A systemic review and meta-analysis

Emergence delirium (ED) in children post-general anesthesia has been persistently underestimated, impacting the well-being of children, nurses, and even parents. This study employs integrated analysis to establish a comprehensive understanding of ED, including its occurrence and related risk factors, emphasizing the imperative for enhanced awareness and comprehension among pediatric nursing care providers. A systematic review and meta-analysis were conducted using four electronic databases, namely PubMed, CINAHL via EBSCOhost, Embase via Elsevier, and ProQuest Dissertations and Theses. This meta-analysis included 16 studies involving 9598 children who underwent general anesthesia. The pooled prevalence of ED was 19.2% (95% confidence interval [CI]=0.12 to 0.29), with younger patients exhibiting a higher prevalence of ED. ED research is scant in Africa and is mostly limited to the Asia Pacific region and Northern Europe. Neck and head surgery (odds ratio [OR]=2.34, 95% CI=1.29 to 4.27) were significantly associated with ED risk. ED should be monitored in children who receive general anesthesia. In this study, ED had a prevalence rate of 19.2%, and head and neck surgery were significantly associated with ED risk. Therefore, healthcare professionals should carefully manage and prevent ED in children undergoing general anesthesia. A comprehensive understanding of ED's prevalence and risk factors is crucial for enhancing nursing care. Adopting a family-centered care approach can empower parents with information to collaboratively care for their children, promoting a holistic approach to pediatric healthcare.

Adaptation of a specialized cardiac centre to patient management and health care services in the midst of the COVID-19 crisis: The Bahrain experience

Adaptation of a specialized cardiac centre to patient management and health care services in the midst of the COVID-19 crisis: The Bahrain experience

ATME—Needs, requirements and cross-sectoral patient journeys of patients with out-of-hospital mechanical ventilation and intensive care in outpatient settings: study protocol for an observational study

IntroductionAn increasing number of tracheotomised and/or ventilated patients with high-cost out-of-hospital intensive care needs and, at the same time, a decreasing number of healthcare professionals inevitably lead to challenges in...

The barriers and facilitators to nursing care for patients with permanent colostomy in outpatient centers: A qualitative study.

Ostomy care nurses are responsible for the management of patients with colostomy from the time of diagnosis. Currently, most ostomy care services are provided in outpatient ostomy care centers in order to reduce patients' hospital stay and reduce hospitalization-related costs. Many different factors can affect colostomy nursing care provision in these centers. Identification of these factors can facilitate quality care provision. This descriptive qualitative study was conducted in 2020-2021 to explore the barriers and facilitators to nursing care for patients with permanent colostomy in Tehran and Qom ostomy centers. Participants were twelve nurses with ostomy care licenses, two adult patients with permanent colostomy for at least two years, and one family caregiver of a patient with permanent colostomy purposefully selected from outpatient ostomy care centers in Iran. Data were collected via fifteen in-depth semi-structured interviews and were analyzed using Graneheim and Lundman's conventional content analysis. The barriers and facilitators to nursing care for patients with permanent colostomy in outpatient centers came into three main categories, namely specialized capabilities of colostomy care, care continuity, and caring status in the family. These findings imply that not only nurses, but also patients, family caregivers, and referral systems can influence nursing care provision to permanent colostomy. Effective management of these factors can improve the quality of ostomy nursing care.

The Relationship of Work Stress And Self-Control With Nurses' Performance In Providing Services At UOBF Nguling Health Center

Introduction: Nurses are the most dominant health workers who provide 24-hour services, so they are vulnerable to work stress and require good self-control. This study aims to analyze the relationship between work stress and self-control with the performance of nurses in providing services at the UOBF Nguling Health Center. Method: The research study was a correlational analytical approach cross-sectional. The research sample was all nurses at the UOBF Nguling Health Center, with 31 nurses using the Total Sampling technique. The instruments used were work stress questionnaires and self-control with nurse performance. The research data were analyzed using the Spearman Rank Test. Results: The results of the research show that the p-value = 0.000 with a significance level of α = 0.05 (p &lt;α = 0.05), so it can be concluded that there is a relationship between self-control with the performance of nurses in providing services at the UOBF Health Nguling Community Health Center. Work stress causes a decrease in performance or workability and poor work results or a decrease in nurse productivity. Conclusion: Self self-control in nurses, they can develop good behavior, be more responsible, be useful for themselves, patients, and others, and establish good relationships with patients and other people. Nurses must be able to improve their self-control abilities through modifying the environment to be responsive to support the provision of good nursing care.

Posisi Duduk dan Lama Duduk di Depan Komputer sebagai Faktor Risiko Keluhan Nyeri Punggung Bawah pada Karyawan Kantoran

Background: Low back pain (LBP) is a feeling of pain around the lower back between the angles of the ribs to the tailbone. NPB complaints often occur in office employees who use computers in doing their work, where they use a static sitting position with a long interval of time. Complaints of LBP generally occur at the age of &gt;35 years. Purpose: This study was to determine the relationship between age, sitting position and length of sitting in front of the computer with complaints of LBP in Lintasarta employees. Research Methods: Quantitative research with a cross sectional approach. The sampling technique used was purposive sampling with Chi Square data analysis. This research was conducted in February – May 2022 at PT Lintasarta. Results: The results of this study there was no significant relationship between age (p=0.853) and gender (p=1,000) with complaints of LBP and there was a significant relationship between sitting position (p=0.041) and length of sitting (p=0.033) in front of a computer with NPB complaints. Conclusion: The results of the chi square test found that there was no significant relationship between age, gender and complaints of LBP. There is a significant relationship between sitting position and long sitting in front of the computer with complaints of LBP. Recommendation: The role of nurses in handling complaints of NPB as advocates, educators, coordinators, counselors, and nursing care providers.

Patient-Safety Culture among Emergency and Critical Care Nurses in a Maternal and Child Department.

The quality of healthcare has multiple dimensions, but the issue of patient safety stands out due to the impact it has on health outcomes, particularly on the achievement of the Sustainable Development Goals (SDGs), expressly SDG3. In the services that we propose to study, the patient-safety culture had never been evaluated. To evaluate nurses' perceptions of the patient-safety culture in the Emergency and Critical Care Services of the Maternal and Child Department of a University Hospital and to identify strengths, vulnerabilities, and opportunities for improvement. This an exploratory, cross-sectional study with a quantitative approach, using the Hospital Survey on Patient Safety Culture as an instrument for data collection. The population were all nurses working in the emergency and critical care services of the maternal and child-health department, constituted, at the time of writing, by 184 nurses, with a response rate of 45.7%. Applying the guidelines from the Agency for Healthcare Research and Quality (AHRQ), only teamwork within units had a score greater than 75%. For this reason, it is considered the strength (fortress) in the study. The lowest-rated were non-punitive responses to errors and open communication. The overall average percentage score is below the benchmark of the AHRQ, indicating that issue of patient safety is not considered a high priority, or that the best strategies to make it visible have not yet been found. One of the important implications of this study is the opportunity to carry out a deep reflection, within the organization, that allows the development of a non-punitive work environment that is open to dialogue, and that allows the provision of safe nursing care.

Nurses’ pain management practices for admitted patients at the Comprehensive specialized hospitals and its associated factors, a multi-center study

BackgroundPain is the most common challenge that most hospitalized patients complain of and is influenced by several patients, nurses, and institutional-related factors. Most studies in Ethiopia on pain were focused on surgical illnesses only.ObjectiveTo assess nurses’ pain management practice and associated factors for admitted patients at Comprehensive Specialized Hospitals.Methods and materials: A multi-center institution-based cross-sectional study was conducted at the five randomly selected Comprehensive Specialized Hospitals of the Amhara region from May 01 to June 01, 2022. A multi-stage sampling method was employed to select a total of 430 nurses and patients for whom the nurses were responsible. Data were collected using standard self-administered, structured, and checklist questionnaires from nurses, patients, and patients’ charts respectively. The modified Bloom’s criteria categorized the overall practice as good, moderate, and poor. Data were checked, coded, and entered into Epi-Data version 4.6 and exported to SPSS version 25. An ordinal logistic regression model was applied, and variables with a p-value < 0.05 with a 95% CI in the multivariable analysis were considered significant.ResultsThe study evaluated the pain management practices of 430 nurses and only a quarter had good pain management practices. Those nurses with first degrees and above education level (AOR = 2.282) and who attended in-service training (AOR = 2.465) were found to have significantly higher pain management practice. Expected though patients with painful procedures (AOR = 5.648) and who had severe pain (AOR = 2.573) were receiving better pain management practices from their nurse care provider. Nurses working in the institutions with a pain-free initiative focal person (AOR = 6.339) had higher pain management practices.Conclusion and recommendation: Overall, the majority of nurses had poor pain management practices. Higher educational levels, in-service training, and assigning a pain-free focal person had an impact on pain management services. Patients with higher pain levels and painful procedures were getting better attention. Hospital administrations need to provide due attention to the pain management of hospitalized patients by providing in-service training and educational opportunities to improve the capacity of nurses. Patients would be benefited considerably if hospitals focus on assigning focal persons for advocating regular pain management for admitted patients regardless of their pain level.

Collaboration among Nurses and its Association with the Provision of Routine Nursing Care in Intensive Care Unit

Background: Providing high-quality nursing care is crucial for the well-being and recovery of patients. Nurses play a important role in recovery of patient by various elements of nursing care. Effective delivery of routine nursing care is influenced by various factors, including the collaborative dynamics among nurses. Collaboration among nurses have garnered increasing attention in recent years due to its potential impact on patient outcomes and safety. Objectives: To assess nurses’ inter-professional collaboration level and to determine collaboration among nurses and its association with the provision of routine nursing care in the ICUs. Study design: cross-sectional correlational design Setting: The study was conducted in the intensive care units of Bahria International Hospital, a private hospital in Lahore Duration: The duration of data collection was 09 months after the approval of synopsis from Research Ethical Committee (REC), The University of Lahore. Methodology: This research was done with a cross-sectional correlational design to examine the association between collaboration among nurses and the provision of routine nursing care in intensive care units (ICUs). The sample of 172 registered nurses conveniently selected from public hospitals. Two modified questionnaires were utilized to collect relevant data: one to assess collaboration between nurses and the second questionnaire to check the provision of nursing care. Results: Knowledge checked by NNC scale which showed that 64% of participants have good collaboration, and 36% of participants have poor collaboration. Routine nursing care checked by RNC Questioner which showed that level of routine nursing was good in 65.7%, while found poor nursing care in 34.3% of selected papulation. A Chi-square test was performed to see the association, which showed a significant association between collaboration among nurses and routine nursing because calculated P value is &lt;0.001, (P value is &lt;0.05 taken as significant). Conclusion: Based on the results, the findings of this study highlight the positive association between collaboration among nurses and the provision of routine nursing care in the intensive care unit. By promoting a culture of collaboration, healthcare facilities can optimize the delivery of high-quality nursing care in the intensive care unit.