Responsibilities Of Nurses Research Articles

Etičke dileme u profesionalnoj praksi savremenog sestrinstva

In daily work of nurses and technicians of all profiles, often are present ethical 'unfavorable' situation. Polemics on this subject was performed with intent to stimulate nurses and healthcare technicians on thinking, and to refer them to discussion, because we can accept the burden of profession in the fullest sense of the word and take it only if we are ethically 'equipped' for that. As morally responsible and dutiful profession, nursing promotes moral principles and interests of those who are the part of nursing care. That's why professional success of nurses and healthcare technicians depends on professional and ethical conduct. The basic requirements for that are knowledge and conscience. 'Conscience without knowledge is not useful, knowledge without conscience is immorality and danger.' Ethical dilemmas are an integral part of modern life and represent a constant challenge to our sense of ethics. Ethics can be defined as a philosophical discipline that consists of a set of principles, right decisions and moral action. Nurse's responsibilities under the Ethics code for nurses by International Nurses Council are: health promotion, disease prevention, restoring health and alleviating suffering of very ill patients. Medical ethics, as a kind of ethics, applied ethics and moral principles of human activities in a field of: health, disease, life and death. It regulates the rights and duties of health professionals and patients. Ethical principles are regulated by Codes that govern: the way of professional conduct, relationship to the patient, operating mode of healthcare team, respect for professional secrecy, education, respect for reputation of nurses estates, protect patients from risk, ensuring of responsibility, the way of resolving ethical issues and relationships among nurses and healthcare technicians. Ethical dilemmas in practice follow us always when there is a conflict of our value systems. Codes are recommended framework of professional conduct, but concrete decision is always on our minds and conscience.

Application of nursing pathway in uremia patients after catherization for peritoneal dialysis

Objective To discuss the effect of nursing pathway on uremia patients ’ self-management after catherization for peritoneal dialysis （ PD） .Methods A total of 140 uremia patients after catherization for PD were divided into the observation group （ 62 cases ） and the control group （ 78 cases ） .The control group applied traditional nursing and 7-day training method by PD nurses , while the observation group used nursing pathway by responsible nurses and PD nurses .Hospitalization days , expense , incidence of peritonitis within a month, patients ’ satisfaction and qalified rate of health education were compared between two groups . Results The average hospitalization day and the hospitalization expense was respectively （13.53 ±2.52）d and （18 300 ±4 900）yuan in the observation group, （16.97 ±3.99） d and （2 3670 ±5 100） yuan in the control group, and the differences were statistically significant （t =4.630, 4.579, respectively;P 〈0.05）.The satisfaction score and qualified rate of health education was （97.44 ±1.31） and 91.0% in the observation group, higher than （96.19 ±1.71） and 77.4% in the control group, and the differences were statistically significant （t/χ2 =3.654,5.016, respectively;P〈0.05）.Conclusions Nursing pathway for uremia patients after catherization for PD can obviously cut down their hospit alization expense and the incidence of peritonitis , as well as improve their satisfaction and pass rate of health education . Key words: Peritoneal dialysis; Uremia; Nursing pathway

Iranian nurses’ perceptions of social responsibility

Social responsibility is intertwined with nursing; however, perceptions of Iranian nurses about social responsibility has not been explored yet. This study, as part of a larger qualitative grounded theory approach study, aims to explore Iranian nurses' perception of social responsibility. The study participants included 10 nurses with different job levels. The study data were generated through semi-structured interviews. The participants were selected through purposeful sampling approach, which was then followed by theoretical sampling until reaching the point of data saturation. All the interviews were recorded, transcribed, and analyzed through constant comparative analysis. Positive human characteristics, professional competencies, professional values, solution-focused nursing care, and deployment of professional performance are five categories obtained from the study. The participants believed socially responsible nurses to have positive personality characteristics as well as the necessary skills to do their duties accurately. Such nurses also respect the values, observe the professional principles, and take major steps toward promotion and deployment of the nursing profession in the society.

Barriers to antipsychotic discontinuation in nursing homes: an exploratory study

Objectives: Despite safety warnings on serious adverse effects and guidance advising discontinuation, antipsychotic use in nursing homes remains high. Studies documenting the barriers experienced to antipsychotic discontinuation are rare. This exploratory study investigates the willingness of nurses and general practitioners (GPs) as well as the barriers to undertake antipsychotic discontinuation.Design and setting: A mixed-method study involving an expert meeting, followed by a survey using structured questionnaires distributed to responsible nurses (primary caregivers) and treating GPs on selected nursing home residents in Belgian nursing homes to generate case-specific information.Results: Antipsychotic users (n = 113) had a mean age of 81 years (range 57–97); 62% were female and 81% had moderate to severe cognitive impairment. Nurses and GPs indicated a willingness for antipsychotic discontinuation in a small proportion of residents, 13.8% and 12.2%, respectively, with a shared willingness in only 4.2%. Residents for whom there was a higher willingness to try antipsychotic discontinuation were generally older (mean age 84.6 vs. 80.3, p = 0.07), had high physical dependency (ADL > 14, 93.3% vs. 60.9%, p = 0.01) and resided on a ward with controlled access (80.0% vs. 45.7%, p = 0.02). In contrast, residents for whom there was a significant lower willingness for discontinuation already had a previously failed discontinuation effort, and may present risk of harm to themselves or to others. Nurses working longer on the ward, with lower education, presented higher barriers to discontinuation of antipsychotics.Conclusion: Nurses and GPs share a very low willingness and high barriers to antipsychotic discontinuation. To implement discontinuation programs, complex multidisciplinary interventions should be offered taking existing barriers into account.

Application of "primary nursing concept" in Newborn department instruments management

Objective To investigate the methods of instruments management in Newborn department.Methods Primary nursing concept was applied in the instrument management work.All instruments belonging to Newborn department were classified,and relevant person in charge was appointed.They were responsible for instruments cleaning,overhaul,borrowing and supervising to make sure the maximize rational use of all instruments and properly maintained.So everyone in the department participated in the instruments management.Results After implementation of responsibility nursing,perfectness rate of the instruments was significantly increased from 82.55％ to 91.91％ (x2 =9.247,P ＜ 0.05).The nurse operation acceptance rate was significantly improved from 53.13％ to 81.25％ (x2 =5.741,P ＜ 0.05).Conclusions Application of primary nursing concept in Newborn department instruments management has important implications for rational use and maintenance of instruments. Key words: Primary nursing; Newborn department; Instrument management

Study on the training of clinical thinking mode of responsibility nurses

Objective To explore the training of clinical thinking mode of responsibility nurses.Methods Twenty responsibility nurses of the urologic disease treatment center were selected.The pattern of clinical nursing was reformed in 2010.The doctors and nurses managed patients together.The layer training plan was made which was knowledge,capacity,quality of the trinity according to requirements of layer management responsibility.The responsibility nurses were trained abidingly with the comprehensive quality including observing,analyzing,judging and dealing with the problem.The training effects were evaluated.Results Their special knowledge and mastery of special skills and ability of solving problem were siginificantly improved in 20 responsibility nurses which were performed layer training in nursing practice.The responsibility nurses after layer training were siginificant difference compared with before layer training (P ＜ 0.01).The special nursing,secure nursing of nursing after layer training were siginificant difference compared with that before layer training (P ＜0.05).Disease prognosis,the process of treatment and nursing after layer training was no siginificant difference (P ＞ 0.05).Conclusions In daily nursing practice,responsibility nurses can get expertise and thinking of experience from tending patients with layer training.It is the best mode of training clinical thinking of responsibility nurses Key words: Responsibility nurse; Layer training; Clinical thinking

Application and nursing of positive pressure intravenous catheter in AIDS patients＇ infusion

Objective To study the positive pressure intravenous catheter in HIV patients＇ infusion. Methods 4000 HIV out-patients from Feb 2010 to Mar 2012 were studied and divided into experimental group and control group depending on patients＇ intention for positive pressure venous catheter. 2000 cases in the experimental group were applied with positive-pressure intravenous catheter infusion. Traditional needle was used for the infusion in 2000 cases of the control group. Fluid fluency, skin lesions, phlebitis, needle injuries, and incidence of occupational exposure of the patients were observed by the responsible nurses. Results In the experimental group, 1 870 cases （93.5%） of infusion were fluent; 180 cases （9.0%） had red and swollen at the puncture site; 189 cases （9.5%） had vascular damage. No phlebitis, needle injuries and occupational exposure were observed. On the contrary, fluency, red and swollen at puncture site and vascular damage were found 1 729 （86.5%）, 250（ 12.5% ） and 235（ 11.8% ） cases respectively in the control group. 4 cases of needle injuries and occupational exposure were found in the control group. The difference between two groups was statistically significant （ χ2 = 55. 103,12. 768,5. 582,4. 004,4. 004, respectively;P 〈 0. 01 or P 〈0.05 ）. Conclusions Positive-pressure intravenous catheter provides a safe and effective infusion for AIDS patients. It avoids the pain caused by repeated puncture to patients, effectively protects blood vessels, reduces the risk of needle injuries and occupational exposure due to repeated puncture. The positive pressure intravenous catheter plays an important role in promoting the treatment of AIDS patients. Key words: AIDS; Nursing; Infusion; Positive-pressure intravenous catheter

Effect observation of responsibility nursing in the outpatient waiting area

Objective To study the effect of responsibility nursing for patients in the outpatient waiting area.Methods In response to the ministry of health's demonstration project of excellent nursing service and the three perfection and one satisfaction movement ( perfection of service,quality and medical ethnics and mass satisfaction),responsibility nursing groups in the outpatient waiting area were established and implemented in our hospital from January to June in 2011.Degree of patients' satisfaction and results of nursing service quality control checking were compared with the same period in 2010.Results After implementation of responsibility nursing,degree of patients' satisfaction was significantly improved [ from (93.7 ±2.13 ) ％ in 2010 to (96.50 ±2.46 ) ％ for 2011; t =7.134,P ＜ 0.05 ].Although checking of nursing service quality control was less frequent in 2011,even less problems were found.Problems in all three levels of quality control decreased significantly (from 121to 79,x2 =4.27,P＜0.05 in level 1; from 79 to 75,x2 =3.89,P ＜0.05 in level 2; from 103 to 71x2 =4.51,P ＜0.05 in level 3).Conclusions The implementation of responsibility nursing can enhance the service consciousness,sense of responsibility and working initiative of medical teams,promote the harmonious relationship between nurses and patients,and improve degree of patients' satisfaction. Key words: Outpatient waiting area; Responsibility nursing; Effect of applying

Factors influencing compliance to hygiene routines in community care ‐ the viewpoint of medically responsible nurses in Sweden

The aim of the study was to describe factors influencing compliance to hygiene routines in community care in Swedish municipalities from the perspective of medically responsible nurses (MRN). A web-based questionnaire was sent to all MRNs in Swedish municipalities, N = 268. Beside demographical background data, the questionnaire contained two core open-ended questions generating free text data. Data were analysed with descriptive statistics and qualitative content analysis. Four categories of factors were found: resources, management, staff and external factors. All four categories contained subcategories. To some extent, the challenges to uphold adequate compliance to hygiene routines seem different in community care than in hospitals. Resources regarding equipment and supplies seem as an uncertain asset and uneven distributed among municipalities. Home likeness was seen as a major obstacle for upholding adequate hygiene routines. To uphold sufficient hygiene routines in a person's home or in a home-like environment might be one of the major challenges for community health care in the future. The MRN's narratives suggest that Registered Nurses have a key role in upholding sufficient hygiene in community care. This report might contribute in providing them with more knowledge to take on this urgent task.

Mandatory continuing professional education: What is the prognosis?

Each year registered nurses apply for registration renewal The Nursing and Midwifery Board of Australia stipulate all nurses and midwives are expected to take responsibility and accountability for participating in continuing professional development (CPD) as a declaration that their practice is current, safe and competent. The code of professional conduct and Australian Nursing and Midwifery Council (ANMC) competencies governing registered nurses and midwives, outline the professional and personal responsibility nurses hold in order to maintain clinical competence; which may be achieved through continuing nurse education and professional development. As the health care industry shifts focus to keep up with changes in technology, economics, demographics and culture, the nursing profession must respond accordingly. With the implementation of a national registration scheme in Australia, this paper provides a review of the literature relating to mandatory CPD and how CPD may assist nurses to respond to the changing needs of the health care system and its consumers, to ensure the best possible health outcomes. Suggestions of possible avenues of research into the concept of CPD are also offered.

Nursing Welcome Mat to the Hospital, An Advanced Practice Nurse's Responsibility

Clinical Nurse Specialist: July 2010 - Volume 24 - Issue 4 - p 185-186 doi: 10.1097/NUR.0b013e3181e3609a

Clinical application and effect analysis of diabetes education process

Objective To explore the feasibility, practicability and effect of diabetes education process. Methods The basic knowledge of diabetes were incorperated into diabetes education process, which were applied to 280 cases who were admitted at the first time. The diabetes education process was following:the responsibility nurses conduct the stage education, the speciality diabetes educator carry out the evaluation of education efficacy, then the patients were received the re-educated. The study were restrospectively researched according to the different aspects of education. Results The average education duration was ( 136 ± 27) min, the difficult aspects wer diet and exercise science, as they needed more education time and the efficacy was not so good. Different gender, age, duration, and degree education and general education time were correlated with quality of education (P ＜ 0. 05 ). Conclusions Using education process of to one education can make the patient master the average diabetic knowledge (70%), satisfy the patients' basic and actual requirements and improve the nurses' management level. Key words: Diabetes; Education process; Effecacy evaluation; Relevant factors

Clinical supervisors' satisfaction with the clinical competence of newly employed nurses in Korea

The field of nursing in Korea is characterized by its rapid pace of change and development, stemming from advances in medical technology and a dramatically increasing elderly population, and is experiencing increasing demand for competent as well as responsible nurses.1,2 These new demands make it imperative that current nursing education is further developed and taken to the next level, so that nursing graduates are equipped with strong clinical skills.1,3

Prophylactic treatment for DVT: What's your role?

Nursing's responsibilities while caring for patients having the potential of developing DVT include risk factor assessment and implementation of the prescribed prophylactic treatment started on admission and based on present risk factors and current research.

The influence of hardiness conception utilization on rehabilitation of breast cancer patients

Objective To discuss the influence of hardiness conception utilization on rehabilitation of breast cancer patients. Methods 80 breast cancer patients were involved in this trial, the responsible nurses collected and analyzed the data of patients by interview, observation, and investigation question-naires, then gave patients individual directions of hardiness conception according to stage and primary and secondary of the data to arouse the hardiness characteristic of patients. The application results underwentχ2 test. Results The number of psychical problems decreased and the need of information about breast cancer increased obviously after the direction. Conclusions The utilization of hardiness conception can strengthen patients' confidence, raise their treatment compliance, and promote their rehabilitation. Key words: Hardiness conception; Breast cancer; Rehabilitation; Influence

Rehabilitation Nursing's Responsibility in Shaping the Future U.S. Health System

Rehabilitation Nursing's Responsibility in Shaping the Future U.S. Health System

Timesheet Fraud: A Nurse's Responsibility

A nurse is more important than ever in today's NHS. They not only have more responsibility when it comes to the treatment of patients but a greater say in the administration of wards and departments. With this responsibility comes a duty to protect the NHS from those who try to abuse it.

A Nurse's Responsibility

A Nurse's Responsibility

A Nurse's Responsibility

A Nurse's Responsibility

How safe are the patients in your care? The nurses's responsibility for equipment safety-selection, purchasing, maintenance, training and the millennium issues

How safe are the patients in your care? The nurses's responsibility for equipment safety-selection, purchasing, maintenance, training and the millennium issues