Small Number Of Nurses Research Articles

The knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions: a cross-sectional study

BackgroundSmoking is a major public health problem in Croatia. It is unknown to what extent nurses in Croatia use interventions for smoking cessation to help their patients. This study aimed to analyze the knowledge, attitudes and behaviors of hospital nurses on smoking cessation interventions.MethodsWe conducted a cross-sectional study in Zagreb, Croatia, in 2022 on a convenient sample of hospital nurses. We collected data with a questionnaire that included sociodemographic questions and questions about the frequency of implementation of 5 A’s (Ask, Advise, Assess, Assist, Arrange) interventions for smoking cessation during their work using the Helping Smokers Quit (HSQ) survey, participants’ attitudes and knowledge about smoking cessation skills and the smoking status of the nurses.ResultsThere were 824 nurses employed in the targeted departments; 258 nurses participated in the study (response rate: 31%). Among them, 43% responded that they always ask patients about their use of tobacco products. Only 2.7% indicated that they always help the patient to stop smoking. Very few (2%) attended any training in the past two years about helping patients to quit smoking, and 82% never had such training. 44% of the included nurses were smokers. Nurses who smoked stated more frequently than nonsmokers they should not be role models for their patients by avoiding smoking (P 0.001). Additionally, patients were less frequently questioned about their inability to stop smoking by nurses who smoked than nurses who did not smoke (P = 0.010).ConclusionEven though smoking cessation interventions delivered by nurses were proven effective, such interventions are used by a small number of surveyed nurses. A small number of nurses have received training to help them support smokers in quitting. The high smoking prevalence among nurses may impact their attitudes and the implementation of workplace smoking cessation efforts.

Komunikasi Terapeutik dalam Tinjauan Konseling Analisis Transaksional Perawat-Pasien

The nurse-patient relationship in the communication process aims to solve the problems faced by nurses and patients is called therapeutic communication. This article discusses therapeutic communication in a review of nurse-patient transactional analysis counseling. Therapeutic communication is very important in nursing, nurse-patient communication aims to serve patients. Good therapeutic communication will build a trusting nurse-patient relationship. This study aims as a reference material for hospitals in order to implement good nurse-patient communication. This study uses the literature review method, the author only reads existing journals and then develops it into a writing. The result of this study is that therapeutic communication produces a lot of I'am Ok-You Are Ok life positions, but it is possible that a small number of nurses do not use therapeutic techniques properly. The novelty of this paper is related to therapeutic communication in nurse-patient transactional analysis counseling using a good life position when nurses provide informing techniques, open questions, focus, listen attentively, identify themes and suggestions. The limitation of this research is that it only focuses on the life position in transactional analysis counseling.

Intelligent Model of Nursing Shift in Tehran University of Medical Sciences, Tehran, Iran.

Nurses play a key role in increasing the efficiency of healthcare systems. Given the 24-hour performance of hospitals and the small number of nurses in the field of treatment, it is quintessential to re-shift them in the hospital. This study set out to achieve coherence in nursing shift planning and justice in the order of shifts in hospital. This applied and a developmental study was performed from 2019 to 2020. We used genetic algorithm to provide operational solutions and define flexible shifts and plan nurses' working hours in Yas Hospital, Tehran University of Medical Sciences Hospital, Tehran, Iran. Based on the selection of each nurse and determining the approved shifts of each ward, the possibility of appropriate planning was provided to determine the required shifts per month and to estimate the needs of each department. Using genetic algorithm and nursing shift in office automation console provides useful tools for managers at all organizational levels, according to which a good balance between the hospital's need for nurse and nurses' demands in different time periods.

Description of the Implementation of Sbar Communication

In the application of services that refers to patient safety, there are several standards that need to be implemented, one of which is the implementation of document handover using communication with the Situation, Background, Assessment and Recommendation (SBAR) method. Communication framework using SBAR method is used when the nurse performs a handover, moves the treatment room or reports the patient's condition to the doctor. This study aims to determine the description of the inpatient wards of PTPN VIII Hospital Subang. This was a descriptive quantitative study with cross sectional approach. Respondents were nurses in the inpatient wards as many as 50 people, taken with total sampling technique, and distributing questionnaire SBAR to nurses. This study was conducted at the PTPN VIII Hospital Subang from July 2020 to August 2020. The results of this study indicated that the implementation of SBAR communication was poor due the Situation component of the nurses did not mention the age, date of admission of the patient and the nursing diagnosis. Regarding the Background component, less than half of the nurses did not mention vital signs. Reaagarding the Aassessment component, a small number of nurses did not perform the latest patient assessment, and regarding the Recommendation component more than half of the nurses did not provide ideas or recommendations to improve nursing problems. It is expected that the nurse in charge of the nursing room can implement effective communication with the SBAR method continuously and further improve information and evaluation regarding the implementation of patient identification.
 
 

: KNOWLEDGE, ATTITUDE AND PRACTICALNURSER IN ROUTINE HAND WASHING OF NURSES AT THAI BINH CHILDREN’SHOSPITAL IN 2020

Objective: Evaluate knowledge, attitude and routine practice of hand washing of nurses in clinical departments of Thai Binh Children's Hospital in 2020. Method: The study subjects are 174 nurses working in clinical departments; Design a descriptive cross-sectional study, interview nurses to assess knowledge and observe to evaluate nurses' routine hand washing practices. Results: The percentage of nurses with general knowledge of routine hand washing is 87.4%. The rate of nurses who correctly answered the question about the sequence of steps of the routine hand washing process is 87.9%. The percentage of nurses with a positive general attitude about routine hand washing accounts for 88.5%. The rate of nurses with general practice of washing hands is 92.0%. The majority of nurses who practice 6 steps of the routine hand washing process account for the highest percentage at the correct level of 75% (ranging from 76.4% to 80.5%), level of not doing accounts for the lowest percentage (ranging from 0.6% to 1.2%). Conclusions: The proportion of nurses with common knowledge, practice and positive attitude about routine hand washing is quite high. However, there are still a small number of nurses whose knowledge, practice, and attitude are not yet positive that need to be improved to further improve.

A cross-sectional study on knowledge and implementation of the nursing process among nurses at Muhimbili National Hospital-Tanzania

Background: The nursing process involves a series of actions that begin with assessing the patient, identifying problems, setting goals with expected outcomes, implementing care to achieve those goals, and finally evaluating the effectiveness of the care given. Utilization of the nursing process to guide nursing care enhances the quality of patient care and outcomes for both the patient and family members. The purpose of this study was to assess the knowledge and implementation of the nursing process among nurses working at Muhimbili National Hospital, Dar es Salaam, Tanzania.
 Methods: We conducted a descriptive cross-sectional study design. A convenient sample of 102 registered nurses (RN) completed a self-administered questionnaire in April 2016. Descriptive statistics and non-parametric tests were used to assess the significance levels of associated variables.
 Results: Of 102 respondents, only 16 (15.7%) had high knowledge of the nursing process. Similarly, a few (11, 10.8%) respondents had a high level of practice. The majority of RN (94, 92.2%) were aware of the role of the nurses in providing care to admitted patients. However, only a few (32, 31.4%) were aware of the purpose of the nursing process. Respondents were more likely to have high knowledge in the nursing process if they had a diploma in nursing education (95% CI 0.000-0.029, p < 0.01). The small number of nurses in the ward and inadequate motivational strategies were reported to deprive the implementation of the nursing process.
 Conclusion: Overall, low knowledge of the nursing process, understaffing and workload have contributed to the ineffective implementation of the nursing process. On-the-job refresher courses are a short-term strategy that may improve the nurses’ knowledge and motivation to implement the nursing process. This study underscores the need for policymakers to advocate for the employment of a sufficient number of nurses to enable implementation of the nursing process to all admitted patients.

Changing preceptorship to achieve better quality training and less attrition in newly qualified nurses.

The preceptorship period is of great importance in the career of a nurse, as he or she moves from being a student to a competent, accountable professional. Problems with the current preceptorship system for preceptors include not receiving adequate training-particularly in providing constructive feedback to preceptees. In addition, when a small number of nurses are repeatedly assigned preceptees to mentor, this can lead to burnout. Preceptees can feel overwhelmed by their first months as a newly qualified nurse (NQN) and can feel unsupported if a preceptor's teaching style or personality is unsuited to them. This can lead to attrition in the nursing workforce, a current problem. This article suggests a new way of organising preceptorship, by allowing preceptors to opt in to the scheme, providing a pool of energised and enthusiastic preceptors. In turn, NQNs could initially work with the pool of nurses before being given the choice of which preceptor to work with individually.

Determinant Factors of Work Stress Risk in Nurses at Rahman Rahim Sidoarjo Hospital

Introduction: Health sector such as hospitals had to pay attention to the company's hygiene aspects and all over occupational health. Nurses were one of the health worker that interact directly with patients and their families. Nurses were very risky to experience work stresses because they had complex tasks and very high responsibilities for the safety of human lives. The purpose of this study was determining factors of work stress in nurses at Rahman Rahim Sidoarjo Hospital. Methods: This research was a cross sectional research design. This study used the entire population of nurses at Rahman Rahim Sidoarjo Hospital, which consists of 60 people. The object of research was Rahman Rahim Sidoarjo Hospital. Research variables included the level of risk of work stress, sex, age, personality, working period social support and subjective workload. Results: The research study shows that most of the nurses at Rahman Rahim Sidoarjo Hospital have moderate stress risk levels of 44 out of 60 nurses (73.3%). A small number of nurses had a low level of stress risk of 11 nurses (18.3%), a high level of stress risk as many as 5 nurses (8.4%), and no nurses who had a high level of risk of work stress were found. Conclusion: Determinant factors of work stress risk that play an important role are factors of sex, personality and working period.Keywords: determinant factor, nurses, work stress

A Literature Review on People-Centered Care and Nursing Practice in Primary Health Care Setting

BACKGROUND: With increased research, the concept of people-centered care is advancing, and it remains an important concept in the health sector. Despite reported evidence of significant benefits, this concept is poorly utilized by professional nurses. The principle has not been demonstrated and absorbed at primary health care levels.
 
 AIM: The aim of this study is to present review of literature on people-centered care (PCC) in nursing and its practice in primary health care setting. 
 
 METHODS: Searching for this study is conducted through electronic databases in which the following databases were searched: PubMed, Google Scholar, Science Direct, EMBASE, and CINAHL, MEDLINE, Health sources: Nursing/Academic edition, PsycINFO, Education source, Academic search complete, and psychARTICLE from EBSCOhost platform. The Joanna Briggs Institute Reviewers’ Manual 2015 methodology framework was used as a guide to conduct the search strategy. Furthermore, in this review study, both peer reviewed articles and grey studies on people centered care were reviewed.
 
 RESULT: The findings of this research review outlined the evidence, practicability and acceptability of nursing care with people-centered care concept in the primary health care centers. Considering that nurses play a vital role in the health sector, it is possible to use people-centered care in Primary Health Care settings. However, there are many difficulties and obstacles identified such as: absence of nursing fraternity training and growth, absence of clear educational advancement resulting from change in accreditation, small number of nurses at the organizational level of health care organizations, and reduced global health care organization assistance.
 
 DISCUSSION: The results from this review highlighted evidence of the relationship between quality healthcare deliveries of nurses with people-centered care concept in primary healthcare centers. Nurses' role in delivering PCC and gauging their knowledge and understanding is becoming imperative and crucial. In primary health care environments, nurses play a significant role in understanding a patient's culture of quality and efficient health care.

HUBUNGAN KEPATUHAN PERAWAT DALAM PENERAPAN STANDAR OPERASIONAL PROSEDUR (SOP) TEKNIK MENYUNTIK DENGAN PENCEGAHAN KEJADIAN TERTUSUK JARUM DI RUMAH SAKIT

Nurses in hospitals are at risk of disease and occupational accidents in accordance with the actions taken. The most common occupational accident is used needle stick puncture wound while taking an injection, more commonly known as the Needle Stick Injury (NSI). If nurses do not comply with the application of SOP of injecting techniques, this can cause needle-punctured occupational accidents that have an impact on the transmission of pathogenic infections that endanger the nurses and patients them selves. Therefore, the role of SOP program is very important to avoid occupational accidents, specifically the incidence of Needle Stick Injury. The aim of this study is to identify the relationship between nurse compliance on the application of injecting technique standard operating procedure with the prevention of needle stick injury in the hospital. The method of this study is Descriptive correlational study with cross sectional design approach by using observations to adhere to the application of injecting and prevention of needle stick injury incidence. The results of the study fromI48 nurses in threeIclass III in patient wards at Kanjuruhan Hospital showed that almost all implementing nurses adhered to the implementation of Injecting technique SOP were as many as 46 nurses (95,8%) and a small number of implementing nurses were less compliant as many as nurses (4,2%). Observation results of NSI incidence prevention of nurses found that almost all nurses had safe actions in the prevention of NSI incidence as many as 38 nurses (79,2%) and a small number of nurses had unsafe actions Ias much as 10 nurses (20,8%). Spearman rank test obtained by the correlation coefficient of (0,406) with a significance value of (0.004) lesser α (0,05). It can be concluded that there is a significant relationship between nurse adherence in the application of Injecting technique SOP with the prevention of needle stick injury incidence in hospital. Keywords: Compliance of injecting techniques, needleIstick injury prevention

Pain management in neonatal intensive care units: A cross sectional study of neonatal nurses in Ilam City

IntroductionNurses are in close contact with patients and their knowledge of pain assessment and management plays a key role in enhancing patients health. The purpose of this study was to investigate theassesment and management of pain bynursing staff in neonatal intensive care units (NICU). Materials and methodsA descriptive cross-sectional study was conducted in 2018. The study population consisted of nurses with at least six months experience of working in the NICU of Ilam hospitals. The data were collected using a demographic questionnaire and a pain management questionnaire. Then, using spss16 software, descriptive statistics and independent t-test were performed with a significant level of less than 0.05. ResultsThe results showed that only a few nurses (7.1%) answered "always" to setting up measures for reducing pain or discomfort of neonatal. In the "Parents were allowed to relieve pain" item, many nurses 18 (31.0%) used this strategy only occasionally. Regarding non-pharmacological methods to reduce pain, only a small number of nurses 8 (13.8%) used this item "always". ConclusionRegarding the fact that pain assessment and management were not at the appropriate level for nurses, it is necessary to have appropriate educational interventions in this field.

AB0818-HPR Doctors and nurses do not share the same vision regarding the future role of a specialised nurse

BackgroundWe can see how in the last 10-15 years the medical industry has changed (forced by major economical constrains but also by the democratization of the medical information). Both in...

Exploring determinants of acceptance of the pandemic influenza A (H1N1) 2009 vaccination in nurses

This study investigated the anticipated vaccination rate against pandemic human influenza A (H1N1) 2009 in the health care setting. Self-administered questionnaires were used to assess nurses' acceptance of vaccination against seasonal flu and H1N1. They were sent to nurses by post through various nurses' unions before initiation of the vaccination program. Only 13.3% of the respondents planned to receive the H1N1 vaccine, compared with 37.5% for the seasonal influenza vaccine. Vaccination against seasonal influenza in the preceding season strongly predicted the likelihood of H1N1 vaccination. The main reason cited for H1N1 vaccination was self-protection, and reasons for rejecting vaccination included possible side effects, ineffectiveness of the vaccine, and the mild nature of the disease. Personal contact with patients with H1N1 or severe acute respiratory syndrome at work did not significantly increase the likelihood of receiving the H1N1 vaccine. More than 40% of the respondents were undecided at the time of the survey. The promotion of vaccination against seasonal influenza may play a role in improving H1N1 vaccination coverage. Efforts are needed to address concerns about vaccination risk and to incorporate H1N1 vaccination in standard infection control practice with policy support.

Follow-up of anorectal anomalies: the Italian parents' and patients' perspective

Background Several studies addressed the long-term follow-up of anorectal anomalies (ARM) in relation to clinical issues (eg, continence) and quality of life. However, most of these studies are based upon questionnaires designed by physicians and/or health-care professionals, which may be sources of bias. Methods To investigate whether parents of children (patients themselves or older children or adults) who were born with ARM had the perception that they received appropriate care and follow-up, a survey was carried out in Italy, in 2003, among families with children with ARM. A 20-item questionnaire was mailed to 425 patients and parents listed in the AIMAR (Italian association for anorectal malformation) database and was returned by 209 families. The questionnaire covered different aspects of ARM: type of malformations and surgery, associated anomalies, fecal and urinary continence, as well as aspects about information given to the parents and satisfaction of care and follow-up received. Result The patients and parents demonstrated a good understanding of distribution of malformations and their anatomical classification; nevertheless, 67% of responders had to travel outside their living area for surgery. Bowel management (BM) was commonly used among subjects; however, a significant percentage of patients using regular enemas were still soiling (58 patients were clean and 116 soiled). Urinary continence problems were mostly found in females with cloaca; nevertheless, 21 male patients reported occasional dribbling of difficult interpretation. Most subjects were provided with a good explanation about their or their child's malformation at time of reconstructive surgery, but the same level of information was missing about functional prognosis later in life when the need of an appropriate psychologic support was also felt. Conclusions Patients and parents born with ARM are generally satisfied with the information received and with the short-term postreconstructive follow-up care. At longer follow-up, although more than a quarter of patients are completely clean, there is a significant percentage of subjects who still soil while following a BM program. This is explained by the small number of nurses and BM specialists who are involved in the rehabilitation process and by the lack of appropriate information about functional prognosis that are conveyed to the parents. In this respect, psychologic support in bridging the gap between cure and care may be critical.

Intimacy Boundaries: Between Mental Health Nurses & Psychiatric Patients

This was the first research study in Canada to explore intimacy boundary violations and sexual misconduct between nurses (both RNs and registered psychiatric nurses) and patients. Using a researcher-generated survey, a total of 923 mental health nurses commented on their sexual attraction to patients, and dating and sexual intercourse patterns with patients. The findings indicated that very few nurses had dated or engaged in sexual intercourse with discharged patients, and the few nurses who had done so tended to be younger men prepared at the registered psychiatric nursing diploma level. A small number of nurses believed it was permissible to have a sexual relationship with a patient while the patient was hospitalized, but none reported having a current relationship. Given the severity of this intimacy boundary violation, nurses need to be educated regarding the serious and dangerous psychiatric effects that can result for patients from engaging in a sexual relationship with nurses. The Code of Ethics of the Canadian Nurses Association and nurses' obligation to follow it needs to be reinforced. Nurses engaging in intimacy boundary violations are vulnerable to patient-initiated lawsuits.

Nursing Communication: Advocacy for the Patient or Physician?

Communication among nurses, patients, and physicians is a key component of effective health care. In addition to communication with patients, nurses directly or indirectly influence physician-patient communications. This secondary analysis examined registered nurses' interactions with a simulated patient regarding what the physician had told the patient about the reason for hospitalization. Taped interviews (N = 86) were transcribed and content analyzed to classify nurses' approaches to assessment and intervention. The second researcher coded 10% of the transcripts to ensure satisfactory interrater consistency. Major patterns of nursing communication were the following: assessing what the physician had told the patient (85%), encouraging clarification with the physician (62%), encouraging a second opinion, and defending the physician's competence (9%). Findings support literature suggesting that nurses mediate and clarify communications between the patient and the physician. Patient advocacy was also illustrated; however, a small number of nurses advocated most clearly for the physician.

The routine of post anaesthetic observations

Fifty registered nurses were interviewed to determine how nurses view routine post anaesthetic observations (RPAOs). A structured interview established whether nurses routinely carry out post anaesthetic observations and if they believe that routine observations are part of ward procedure or hospital policy. Nurses' beliefs about the necessity for performing these observations and the rationales they use to justify them were also explored. The results show that all the nurses sampled interpreted RPAOs to mean half hourly vital sign measurements for four hours, and believed that the regimen was prescribed by ward or hospital policy. Many believed that this frequency was necessary to detect complications of surgery or anaesthesia. A small number of nurses felt obliged to comply with perceived hospital policy despite an assessment that it was unnecessary. Procedure-driven assessment and tradition rather than individualized patient assessment appear to be directing post operative nursing actions.

Nutrition group

Could I draw your readers attention to the National Nurses Nutrition Group which was formally established in November 1986. This idea originated from a small number of nurses with a particular interest in clinical nutrition. Our Honorary President is Professor Baroness McFarlane of Llandaff.

Anaemia in women and children on war-time diets

Anaemia in women and children on war-time diets