Nursing Skills Research Articles

Development and Validation of a Patient-Reported Scale Measuring the Communication Skills of Nurses Based on the "NURSE" Program.

Development and Validation of a Patient-Reported Scale Measuring the Communication Skills of Nurses Based on the "NURSE" Program.

A Novel Protocol for the Early Detection of COVID-19 at a Skilled Nursing Facility

Accurate measurement of vital signs are important at skilled nursing facilities (SNF). Recent technological advancements now enable automated vital sign measurements. This overcomes the limitations of traditional manual vital sign measurement, which is time-consuming and error-prone. We present a novel case where continuous vital sign measurement was used to detect meaningful vital sign changes that led to early detection of a COVID-19 outbreak at a SNF. Residents were continuously monitored for changes to baseline respiratory rate and heart rate and with a Probability of Change (POC). Variations in baseline respiratory rate and heart rate occurred in 66% and 42%, respectively, of COVID-19 positive individuals; 83% of participants had statistically significant variations in either vital sign. Clinical investigations are typically triggered by vital signs outside normal ranges. We present a novel methodology to detect subtle vital sign changes that can lead to earlier diagnosis, treatment, and recovery from infections, like COVID-19.

A Novel Behavioral Intervention to Enhance Physical Activity for Older Veterans in a Skilled Nursing Facility.

Physical activity levels during skilled nursing facility (SNF) rehabilitation fall far below what is needed for successful community living and to prevent adverse events. This feasibility study's purpose was to evaluate the feasibility, acceptability, and preliminary effectiveness of an intervention designed to improve physical activity in patients admitted to SNFs for short-term rehabilitation. High-Intensity Rehabilitation plus Mobility combined a high-intensity (i.e.,high weight, low repetition), progressive (increasing in difficulty over time), and functional resistance rehabilitation intervention with a behavioral economics-based physical activity program. The behavioral economics component included five mobility sessions/week with structured goal setting, gamification, and loss aversion (the idea that people are more likely to change a behavior in response to a potential loss over a potential gain). SNF physical therapists, occupational therapists, and a mobility coach implemented the High-Intensity Rehabilitation plus Mobility protocol with older Veterans (n = 18) from a single SNF. Participants demonstrated high adherence to the mobility protocol and were highly satisfied with their rehabilitation. Treatment fidelity scores for clinicians were ≥95%. We did not observe a hypothesized 40% improvement in step counts or time spent upright. However, High-Intensity Rehabilitation plus Mobility participants made clinically important improvements in short physical performance battery scores and gait speed from admission to discharge that were qualitatively similar to or slightly higher than historical cohorts from the same SNF that had received usual care or high-intensity rehabilitation alone. These results suggest a structured physical activity program can be feasibly combined with high-intensity rehabilitation for SNF residents following a hospital stay.

An Interview With Susan Reinhard.

This column addresses how AARP, a consumer organization, is leading a Center for Health Equity through Nursing. The Center is working to support nursing to mitigate the nursing workforce crisis. Susan C. Reinhard is a senior vice president at AARP, directing its Public Policy Institute (PPI), the focal point for public policy research and analysis at the state, federal, and international levels. She leads PPI's family caregiving initiatives and serves as the chief strategist for the Center to Champion Nursing in America, a national resource center created to ensure that America has the highly skilled nurses it needs to provide care in the future. As a previous deputy commissioner of the New Jersey Department of Health and Senior Services, Reinhard led the development of policies and nationally recognized programs for family caregiving, consumer choice, and community-based care options. She is a fellow of the American Academy of Nursing, the Gerontological Society of America, and Salzburg Global. She holds a master's degree in nursing and a PhD in sociology.

Building the Blueprint: Developing New Prelicensure Nursing Programs

This article discusses the process of developing a Bachelor of Science in Nursing program, providing insight into the key elements that need to be considered. The demand for skilled nurses is increasing, and institutions need to create responsive and innovative pre-licensure nursing programs to meet this demand. The article emphasizes the importance of evaluating the feasibility of such a program and identifying the resources required for successful implementation. It highlights the need for securing approval from both internal and external stakeholders, as well as funding for critical aspects such as faculty recruitment and clinical skills and simulation labs. The authors draw on their experience in conceptualizing and implementing pre-licensure nursing programs to provide valuable guidance and insights. Overall, the article offers a comprehensive review of the initial steps and crucial considerations for institutions aiming to establish robust educational pathways such as pre-licensure nursing programs.

Efficacy of a Hands-on Training OSCE Workshop on Advanced Nursing Skills at Institute of Liver and Biliary Sciences, New Delhi, India

Nurses are expected to achieve a specific level of clinical competence upon completion of their nursing programme. While various methods, such as bedside practical examinations exist for assessing the competence, the Objective Structured Clinical Examination (OSCE) stands out as the gold standard. It provides a comprehensive, reliable, and valid assessment by multiple examiners across different stations, evaluating various aspects of clinical competence. This study aimed to evaluate the effectiveness of OSCE in enhancing advanced nursing skills among both nursing faculty and students. Using a one-group pre-test post-test research design with a quantitative approach, a convenient sampling method was employed. A structured questionnaire consisting of 20 multiple-choice questions was utilised to assess participants’ knowledge of OSCE on various advanced nursing skills stations. The oneday programmme encompassed theory and demonstrations of OSCE stations on selected procedures from gastroenterology, nephrology and oncology nursing. A paired sample t-test, revealed a significant increase in knowledge scores from pre-test to post-test (t=4.806, p = 0.000). To conclude, OSCE serves as an effective approach for teaching advanced nursing skills, highlighting the importance of sensitising and training nursing students, faculty, and clinical nurses in this methodology.

Effects of the PRECEDE-PROCEDE Model on Self-Care Ability and Quality of Life Among Primipara During Puerperium.

Many parturients have poor self-care ability, strong dependence on others, and lack mother-infant related nursing skills and health care knowledge. Due to their lack of pregnancy experience, many primiparas lack the relevant skills and knowledge, which can affect maternal and infant health and maternal quality of life. The study aimed to investigate the effects of the PRECEDE-PROCEDE model on self-care ability and quality of life among primipara during puerperium. This quasi-clinical study selected eligible primaparas from those who gave birth at a Grade A hospital in Hengyang, China between April and July 2019. Eighty puerperium primiparas were divided into a control group receiving standard care and an intervention group following the PRECEDE-PROCEDE model. Comparison of self-care ability and quality of life scores was conducted between the two groups pre-intervention, at 3 weeks, and at 6 weeks postpartum. Statistical analysis using SPSS 18.0 included mean and standard deviation for measurement data, and frequency and constituent ratio for counting data. Tests such as t-test, Chi-squared test, rank-sum test, and repeated measure analysis of variance were applied. The control group's self-care ability scores were (150.8 ± 9.9), (150.9 ± 9.3), and (152.0 ± 10.2) before intervention, at 3 weeks postpartum, and at 6 weeks postpartum, respectively. For the intervention group, the corresponding scores were (151.1 ± 15.1), (157.8 ± 8.5), and (162.4 ± 7.2). Quality of life scores for the control group were (54.7 ± 8.6), (54.8 ± 7.7), and (55.1 ± 7.7) before intervention, at 3 weeks postpartum, and at 6 weeks postpartum, respectively. At the same time points, while the intervention group saw increases from (55.6 ± 7.6) to (59.2 ± 5.9) and (61.0 ± 5.3). There were statistically significant differences in the time effect and inter-group effect of the total score of self-care ability during puerperium, total score of quality of life, and the score of each dimension between the two groups (P < 0.05), and we also found an interaction effect between grouping and time factors (P < 0.05). After intervention, the incidence of common puerperium health problems except neonatal constipation and diarrhea in the intervention group was lower than that in the control group (P < 0.05). PRECEDE-PROCEDE model may improve self-care ability, reduce the occurrence of common health problems, and improve the quality of life of primiparas during puerperium.

Real-Time Online Demonstration for Skills Education for First-Year Nursing Students.

Few studies have investigated first-year nursing students' perspectives after they received real-time online demonstration (RTOD) for fundamental nursing skills education. A mixed-methods study was conducted with prospective second-year nursing students after they completed a one-semester RTOD class in their first year. With permission from the original authors, an online questionnaire, the Self-Structured Questionnaire (SSQ), was administered to 277 students in undergraduate and higher-diploma programs, followed by two focus group interviews with 13 students. Survey and focus group data were analyzed using descriptive statistics and thematic analysis, respectively. Regarding students' barriers in administrative, individual, and technological areas, three themes emerged from the focus groups: (1) learning quality; (2) connection; and (3) impediments. RTOD contributed to fundamental nursing skills education. However, there was room for improvement. [J Nurs Educ. 2024;63(1):43-47.].

Applying a Method for Augmenting Data Mixed from Two Different Sources Using Deep Generative Neural Networks to Management Science

Although a multimodal data analysis, comprising physiological and questionnaire survey data, provides better insights into addressing management science concerns, such as challenging the predictions of consumer choice behavior, studies in this field are scarce because of two obstacles: limited sample size and information privacy. This study addresses these challenges by synthesizing multimodal data using deep generative models. We obtained multimodal data by conducting an electroencephalography (EEG) experiment and a questionnaire survey on the prediction of skilled nurses. Subsequently, we validated the effectiveness of the synthesized data compared with real data regarding the similarities between these data and the predictive performance. We confirmed that the synthesized big data were almost equal to the real data using the trained models through sufficient epochs. Conclusively, we demonstrated that synthesizing data using deep generative models might overcome two significant concerns regarding multimodal data utilization, including physiological data. Our approach can contribute to the prevailing combined big data from different modalities, such as physiological and questionnaire survey data, when solving management issues.

Status and influencing factors of knowledge, attitude and self-reported practice regarding hospice care among nurses in Hainan, China: A cross-sectional study.

This study is to investigate the current status of knowledge, attitude and self-reported practice in hospice care among nurses in Hainan, China, and then to analyse its influencing factors and mediating effects. This provides a basis for formulating scientific and standardized hospice care training programmes for nurses. This cross-sectional study investigated knowledge, attitude and self-reported practice in hospice care among 1819 nurses in Hainan, China. Convenience sampling was used to select participants from 45 hospitals and nursing homes in 14 cities and counties from October to December 2021. A scale of knowledge, attitude and self-reported practice of healthcare providers in hospice care (Chinese version) was administered to collect data during the study period. Statistical analyses, including t-tests, one-way ANOVA, post-hoc analysis and multiple linear regression, assessed the status of knowledge, attitude and self-reported practice of hospice care in nurses and identified influencing factors. The PROCESS macro program model 4.0 was employed to explore the mediating effect of attitude on knowledge and self-reported practice in hospice care. Nurses in Hainan displayed low knowledge (mean = 7.68, SD = 3.53), moderate attitudes (mean = 88.13, SD = 12.10) and self-reported practice (mean = 51.81, SD = 9.82) in hospice care. Current employment and willingness to engage in hospice care were significant factors influencing knowledge, attitude and self-reported practice in hospice care. Attitude partially mediated the relationship between knowledge and self-reported practice. This study focuses on nurses' knowledge, attitude and self-reported practice in hospice care and does not directly involve patients or the public. However, the findings enhance hospice care provided to patients and the broader community by improving nurses' knowledge and skills. This study informs evidence-based training programmes and interventions, benefiting those in need of hospice care services.

Monitor IPCLNs Regarding Nurses' Performance in Preventing Nosocomial Infections

Backgroud: In the professional practice of nursing, supervision is the process that provides nurses with the many tools they need to carry out their work in order to achieve the goals of the organization. Nursing supervision is part of nursing management, which focuses on nurses' competencies and skills in the delivery of nursing care to patients and families. In an effort to improve service quality and prevent hospital-acquired infections, supervision is critical. Objective: This study aims to determine the correlation between implementation of supervision and performance of implementing nurses in preventing nosocomial infections in regional public hospital Nyi Ageng Serang Kulon Progo. Methods: Correlational descriptive research with cross-sectional approach. The population in this study is all practicing nurses in the inpatient ward class III in regional public hospital Nyi Ageng Serang Kulon Progo. Total sampling is used as the data collection method. Result: The results show that most of the nurses perceived the implementation of supervision by Infection Prevention and Control Nurse (IPCLN) in the category as much 27 (69.2%) nurses. The performance of implementing nurses in preventing the incidence of nosocomial infections in the less optimal category is 18 (46.2%) nurses. Bivariate test results obtained p-value=0.202 by r=0.200 Summary: There is no correlation between the implementation of supervision and the performance of nursing staff in the prevention of nosocomial infections.

Investigation of Digital Literacy Skills of Nursing and Midwifery Students According to Various Variables

Amaç: Dijital okuryazarlıkta yetkinliğin geliştirilmesi, klinik hemşirelik/ebelik uygulamalarında en iyi kanıtlara erişimi artırmak için, sağlık profesyoneli eğitiminin önemli bir bileşenidir. Bu araştırmanın amacı, hemşirelik ve ebelik öğrencilerinin dijital okuryazarlık düzeylerini belirlemek ve belirli değişkenlere göre karşılaştırmalı incelemektir.&#x0D; Yöntem: Araştırma, tanımlayıcı ve kesitsel tiptedir. Araştırmanın örneklemini, Türkiye’nin doğusunda yer alan bir üniversitenin hemşirelik veya ebelik bölümünde öğrenim gören 486 öğrenci oluşturdu. Verilerin toplanmasında Öğrenci Tanıtıcı Form, Dijital Okuma Eğilimi Ölçeği, Dijital Okuma Öz Yeterlilik Ölçeği ve Kâğıttan Dijitale Yazma Tutumu Ölçeği kullanıldı. &#x0D; Bulgular: Öğrencilerin %50.8’i hemşirelik bölümü ve %36.0’ı ikinci sınıf öğrencisidir. Öğrencilerin Dijital Okuma Eğilimi Ölçeğinden aldıkları minimum puan 18.00, maksimum puan 55.00 olup, ortalama puanları 33.01±9.11’dir. Katılımcıların Dijital Okuma Öz Yeterlilik Ölçeğinden aldıkları minimum puan 18.00, maksimum puanları 72.00 olup, ortalama puanları 48.61±13.66’dır. Öğrencilerin Kâğıttan Dijitale Yazma Tutumu Ölçeği toplam puan ortalaması ise 3.95±1.09’dur. Bu araştırmada, öğrencilerin dijital okuma eğilimi ile dijital okuma öz yeterliliği arasında pozitif yönde, yüksek düzeyde anlamlı bir ilişki olduğu saptandı (r=0.775, p

INTERROGATING THE SKILLED NURSING STAYS OF HOMELESS AND SERIOUSLY ILL OLDER ADULTS

Abstract The culture change movement has fostered an intentional move away from restrictive ethos of care in hospitals, post-acute rehabilitation, and skilled nursing. However, for the millions in the United States who are uninsured, Medicaid-insured, or dual-eligible are less likely to access ‘deinstitutionalized’ healthcare environments. This presentation presents findings from a constructivist grounded theory study, Research and Supportive Care at Later-life for Unhoused People (RASCAL-UP), on the role of skilled nursing in the experiences of palliative care patients with histories of homelessness. Through provider interviews (n=30), field observations (n=12), and longitudinal chart documentation of a subset of homeless palliative care patients with stays in skilled nursing (n=13), this presentation will reflect on major findings: (1) barriers to skilled nursing entry; (2) successes and challenges in transitioning into skilled nursing residence; (3) acts of resistance to (re)institutionalization; and (4) discharge options and outcomes. Results showcase a need to fill the residential service gap between supportive housing and skilled nursing care and policy change that incentivizes consumer-directed practices for all.

CONTRACT NURSE STAFFING AND NURSING HOMES: ANTECEDENTS AND CONSEQUENCES

Abstract Nursing home (NH) quality has been a matter of long-standing policy interest at the federal and state level, as it concerns the health and well-being of one of our most vulnerable populations. Nurse staffing intensity and skill mix have a consequential impact on NH care quality. Unfortunately, NH staffing has been marked by multitudes of challenges including high levels of turnover and absenteeism. In recent years, the utilization of agency or contract nurse staffing has increased as facilities face persistent staffing shortages exacerbated by COVID-19 which has had a disproportionate and devastating impact on NHs. The literature suggests that agency staffing negatively influences the performance of healthcare organizations due to multiple reasons including unfamiliarity with organizational culture, decline in teamwork, and the attendant high costs attached to contract staffing. However, contract nurse utilization practices and its impact on NH care has not been studied adequately, and much of the limited literature relies on datasets with limited understanding of agency staffing. The overarching goal of this symposium is to explore the antecedents and consequences of the increased utilization of contract nurse staffing. As part of the symposium, we include studies examining NH nursing skill mix and intensity, the organizational and market level factors associated with higher levels of contract staffing, and the impact of nurse contract staffing on NH staff turnover, quality, and financial performance. We believe that this series of studies would have important managerial and policy implications. This is a Research in Quality of Care Interest Group Sponsored Symposium.

Application of the BOPPPS-CBL model in electrocardiogram teaching for nursing students: a randomized comparison

Background/AimInterpreting an electrocardiogram (ECG) is a vital skill for nurses in cardiology. This study aimed to evaluate the efficacy of the bridge-in, objective, preassessment, participatory learning, post-assessment, and summary (BOPPPS) model, when combined with case-based learning (CBL), in enhancing nursing students’ ECG interpretation capabilities.Materials & methodsNursing students were randomly divided into two groups: one utilizing the BOPPPS model combined with CBL (BOPPPS-CBL), and the other employing a traditional lecture-based learning (LBL) model. All participants underwent training and completed pre- and post-course quizzes.ResultsThe BOPPPS-CBL model significantly improved nursing students’ abilities in ECG interpretation compared to the traditional LBL model group. The BOPPPS-CBL model proved to be a comprehensive and effective method for enhancing students’ attitudes towards teaching and learning.DiscussionOur study demonstrated for the first time that the BOPPPS-CBL model is an innovative and effective method for promoting nurses’ accuracy in ECG interpretation. It highlights the potential of this approach as a superior alternative to traditional learning methods.

Implementasi Handover Sbar Pada Perawat di Ruang Rawat Inap Sebagai Upaya Peningkatan Kualitas Pelayanan

&lt;em&gt;SBAR handover for nurses is an indicator of the quality of hospital services. SBAR handover quality in nurses affects patient satisfaction, patient safety, and length of patient stay. In its implementation in the field, this method has not been widely used or has been used but has not been maximized, there needs to be focused training so that it can provide good quality SBAR handovers.This PKM aims to increase the knowledge and skills of nurses about SBAR Handover in the inpatient room one of the government hospitals in Bukittinggi city. The method used in this PKM includes dissemination of knowledge related to SBAR Communication during nurse handovers, socialization of SBAR Handover SOPs and Roleplay. The results of this PKM obtained an increase in the knowledge and skills of nurses in carrying out SBAR Handovers, as well as the creation of SOPs for implementing Nurse Handovers with SBAR Communication. From the results of monitoring and evaluating PKM activities, it is known that nurses understand and are able to practice independently implementing the SBAR Handover in each shift. It is hoped that this activity can continue to be improved by inaugurating the SOP and supervision of the head of the room so that nurses are competent in SBAR Handover as an effort to improve the quality of health services in hospitals.&lt;/em&gt;

Do internship students do well in a clinical environment? A qualitative naturistic study.

The internship year marks the culmination of the nursing program across all Saudi universities, bridging theoretical learning and practical application. The significance of the internship year lies in the application of skills acquired during the preceding years of study. Understanding interns' experiences, identifying influences, and sharing their recommendations for best practices become crucial. This study aimed to explore the experiences of internship students and address the challenges they encountered in a clinical environment. A qualitative naturistic descriptive approach was employed, involving 20 purposively selected participants from internship students in two regions in Saudi Arabia. Data were collected in January 2023 through semi-structured interviews, focus group discussions, and observation. A conventional content analysis approach was used for data analysis. Four major themes were generated: 1) Transferring Shock, 2) Self-Learning, 3) Supportive Environments, and 4) Factors Facilitating Learning. Transferring Shock comprised two subthemes: feeling lost and feeling left out. Internship students acknowledged the utility of orientation and mentorship programs in advancing the practical skills of new nurses and enhancing patient safety. The findings also indicated that those with prior preparation and robust communication skills reported a positive experience. Consequently, integrating communication courses into the nursing education curriculum could be beneficial. Establishing a supportive learning environment for nursing interns is imperative to address challenges and ensure the delivery of safe and effective patient care.

Body Image and its Relation with Coping Strategies in Breast Cancer Patients: A Descriptive Study in Sulaimaniyah, Iraq

Background: Breast cancer is several of the worst severe illnesses for women, which influences their physical and mental quality of life and acceptance of their bodies. It affects patients' views of their bodies; thus, finding effective coping mechanisms is essential. &#x0D; &#x0D; Objective: This study aimed to discover body image and its relation with coping mechanisms in breast cancer patients admitted to Hiwa Hematology/Oncology Hospital in Sulaimaniyah, Iraq.&#x0D; &#x0D; Materials &amp; Methods: This Cross-sectional study was conducted on women diagnosed with breast cancer admitted to the Hiwa Hematology/Oncology Hospital Sulaimaniyah, Iraq. A three-part questionnaire was utilized to gather information to determine body image and coping mechanisms that were demographic and clinical form, body image scale and Coping Orientation to coping or regulating cognitions in response to stressors (Brief-COPE).&#x0D; &#x0D; Results: The mean score for the body image was reported as 7.86±7.73, the mean score for coping strategies, including problem-focused /active coping strategies items was reported as 2.74±0.67, and functional items as 2.82±0.43. Considering the calculated mean scores, the distress or concerns of the participants about their body image were lower. The most frequent coping strategies were religious coping (3.88±0.32), while the least active coping approach was humor (1.96±1.08). Self-distraction (3.13±1.03) was the least avoidant coping strategy. A significant positive relationship between the coping strategies with body image was reported as (p=0.032, r=0.200).&#x0D; &#x0D; Conclusions: Good body image in women was associated with increased usage of practical acceptance. Therefore, it is advised to promote a positive view of physical appearance and having skilled nurses assess all breast cancer patients' capacity for coping following surgery. Nurses and patients can effectively communicate about body image and coping techniques through these assessments.

THE RELATIONSHIP BETWEEN MOTIVATION AND APPLICATION OF THERAPEUTIC COMMUNICATION BY NURSING STUDENTS OF STIKES MEDISTRA INDONESIA DURING CLINICAL PRACTICE IN 2022

Motivation is an impulse from within students to improve their performance and fulfill their needs. One of the basic nursing skills that must be mastered by nursing students is therapeutic communication. Therapeutic communication is a consciously planned communication with its goals and activities focused on healing the patient. There are still many nursing students in taking action the nurse does not introduce themselves first, when measuring vital signs the nurse does not ask the patient's identity first, in administering medication the nurse does not explain what drug will be given to the patient, unless the patient asks. This study aims to determine the relationship between motivation and the application of therapeutic communication by nursing students at STIKes Medistra Indonesia in 2022. The research used is quantitative with cross sectional. The population is 8th semester nursing students of STIKes Medistra Indonesia in 2022 totaling 131 students. Data collection technique using simple random sampling. It was found that with a significant level of 95% or a value of 5% (0.05) the p value (0.004) &lt; value (0.05). There is a Relationship between Motivation and Application of Therapeutic Communication by Nursing Students of STIKes Medistra Indonesia in 2022. There is a Relationship between Motivation and Application of Therapeutic Communication by Nursing Students of STIKes Medistra Indonesia in 2022. Therapeutic communication, motivation and application of therapeutic communication.

Achieving Functional Goals During a Skilled Nursing Facility Stay: A National Study of Medicare Beneficiaries.

The aims of the study are to describe the frequency that functional goals are documented on the Minimum Data Set and to identify resident characteristics associated with meeting or exceeding discharge goals. We selected Medicare fee-for-service beneficiaries admitted to a skilled nursing facility within 3 days of hospital discharge from October 1, 2018, to December 31, 2019 ( N = 1,228,913). The admission Minimum Data Set was used to describe the discharge goal scores for seven self-care and 16 mobility items. We used the eight self-care and mobility items originally included in a publicly reported quality measure to calculate total scores for discharge goals, admission performance, and discharge performance ( n = 371,801). For all self-care items, more than 70% of residents had a goal score of 1-6 points documented on the admission Minimum Data Set. Chair/bed-to-chair transfer had the highest percentage of residents with a score of 1-6 points (77.1%) and walking up/down 12 steps had the lowest (23.2%). Approximately 44% of residents had a discharge performance score that met or exceeded their goal score. Older age, urinary incontinence, and cognitive impairment had the lowest odds of meeting or exceeding discharge goals. Assessing a resident's functional goals is important to providing patient-centered care. This information may help skilled nursing facilities determine whether a resident has made meaningful functional improvements.