Ward Nurses Research Articles

Strategies for the Facilitation of Self-Leadership Among Ward Nurses in a Nurse-Led Critical Care Outreach Service.

Nurses are responsible for monitoring and providing nursing care to patients. The early detection of a patient who is starting to deteriorate - and the activation of critical care outreach services (CCOS) - can improve patient outcomes. However, the literature indicates that CCOS are underutilised. Self-leadership is a process whereby persons influence their own behaviour. The purpose of this study was to develop strategies for the facilitation of self-leadership in ward nurses that will enable them to act proactively and promptly in utilising CCOS at a private hospital group in South Africa. A sequential exploratory mixed-method research approach was followed to develop strategies for the facilitation of self-leadership in nurses that will enable them to utilise CCOS proactively when a patient starts to deteriorate. An adapted version of Neck and Milliman's self-leadership strategic framework was used as the methodological steps of the study. The quantitative analysis extracted eight factors, which were used as the departure point to develop strategies for the facilitation of self-leadership among nurses in a CCOS. Five strategies were developed that related to self-motivation, role models, patient outcome, assistance and guidance from CCOS, and the power of self-confirmation; these strategies aligned with the themes and categories extracted from the qualitative data analysis. There is a need for self-leadership among nurses in a CCOS.

Developing and Establishing a Wound Dressing Team: Experience and Recommendations.

The existing literature has comprehensively examined the benefits of specialized wound-care services and multidisciplinary team care. However, information on the development and integration of wound-dressing teams for patients who do not require specialized wound care is scarce. Therefore, the present study aimed to elucidate the benefits of a wound-dressing team by reporting our experiences with the establishment of a wound-dressing team. The wound-dressing team was established at Korea University Guro Hospital. Between July 2018 and June 2022, 180,872 cases were managed for wounds at the wound-dressing team. The data were analyzed to assess the types of wounds and their outcomes. In addition, questionnaires assessing the satisfaction with the service were administered to patients, ward nurses, residents/internists, and team members. Regarding the wound type, 80,297 (45.3%) were catheter-related, while 48,036 (27.1%), 26,056 (14.7%), and 20,739 (11.7%) were pressure ulcers, dirty wounds, and simple wounds, respectively. In the satisfaction survey, the scores of the patient, ward nurse, dressing team nurse, and physician groups were 8.9, 8.1, 8.2, and 9.1, respectively. Additionally, 136 dressing-related complications (0.08%) were reported. The wound dressing team can enhance satisfaction among patients and healthcare providers with low complications. Our findings may provide a potential framework for establishing similar service models.

The effect of the communication skills training on the sensitivity and cultural competence of the nurses in the pediatric wards: A quasi-experimental study.

This study aimed to investigate the effect of the communicative training skills on the sensitivity and cultural competence of the nurses in the pediatric wards. The participants included 54 nurses from the pediatric ward of Namazi Hospital affiliated with REDACTED. The sample members entered the study through voluntary registration in the in-service training system. The results showed that cultural sensitivity score was 44.22±11.78 before the intervention, 48.51±13.34 immediately after the intervention, and 55.55±20.20 one month after the intervention. Cultural sensitivity score significantly increased immediately and one month after communication skills training for nurses compared to before the intervention (P < 0.001). The results also showed that cultural competency score was 51.68±9.43 before the intervention and increased significantly immediately after the communication skills training and one month after the intervention (57.64±10.43 and 62.56±11.53, respectively), showing significant improvement (P < 0.001). The communication skills training promoted the nurses' cultural sensitivity and competence in childcare wards. Therefore, the implementation of the theoretical and practical methods of teaching communication skills is suggested to improve nurses' cultural competence and consequently, improve childcare quality in different cultures.

Perceived Importance, Performance, Barriers, and Strategies of VRE Infection Control among Nurses in Wards with Cohort Isolation Rooms: A Mixed-methods Study

Perceived Importance, Performance, Barriers, and Strategies of VRE Infection Control among Nurses in Wards with Cohort Isolation Rooms: A Mixed-methods Study

Coming to Grips—How Nurses Deal With Restlessness, Confusion, and Physical Restraints on a Neurological/Neurosurgical Ward

Physical restraints are viewed as potentially dangerous objects for patient safety. Contemporary efforts mainly focus on preventing bad outcomes in restraint use, while little attention is paid under what circumstances physical restraints are applied harmlessly. The aim of this research was to understand how physical restraints are used by neurology/neurosurgery ward nurses in relation to the protocol. In ethnographic action research, the Functional Resonance Analysis Method (FRAM) was used to map and compare physical restraints as part of daily ward care against the protocol of physical restraints. Comparison between protocol and actual practice revealed that dealing with restlessness and confusion is a collective nursing skill vital in dealing with physical restraints, while the protocol failed to account for these aspects. Supporting and maintaining this skillset throughout this and similar nursing teams can prevent future misguided application physical restraints, offering valuable starting point in managing patient safety for these potentially dangerous objects.

Factors Associated with Difficulties Faced by Ward Nurses When Providing Support to Families of Patients with Advanced Cancer in Surrogate Decision-making

Factors Associated with Difficulties Faced by Ward Nurses When Providing Support to Families of Patients with Advanced Cancer in Surrogate Decision-making

Patient satisfaction with post-operative surgical services and associated factors at Addis Ababa City government tertiary hospitals' surgical ward, cross-sectional study, 2022.

patient satisfaction is an attitude resulting from a person's general orientation towards the total experience of health care. The study was done with the aim of evaluating post-operative patient satisfaction level with the quality of service provided at the surgical wards; determining how much factors related to physicians, nursing, laboratory, and information provision service influence satisfaction level; and determining factors impacting patient satisfaction level. a hospital-based quantitative cross-sectional study design was conducted in six Addis Ababa City Government tertiary hospitals from November 4th to December 13th, 2022. Patients who had major operations done at the government hospitals from November 21st to December 5th, 2022, were included in the study population. A pre-tested, structured, and Amharic-version questionnaire was used to interview patients. A bivariate and multivariate logistic regression model was used to identify the variables that had an association with the dependent variable. P-values less than 0.05 were considered statistically significant. a total of 287 patients participated in the research, providing a response rate of 95%. Of the total participants, 144 were males (50.8%) and 143 were females (49.5%). The overall patient satisfaction level with surgical ward service is 96.2%. The level of patient satisfaction with nursing services is 94.8%, with physician's services it is 98.6%, with the facility it is 92.3%, and with the provision of information about post-operative complications it is 69.7%. Those who have above-first-degree educational status are less satisfied (66.7%) than patients with other levels of educational status. Only the patients' residency showed a small level of association (r= 0.145, p=0.014) with overall patient satisfaction with surgical ward service among the demographic components. The two variables that are strongly correlated with patient satisfaction are the adequacy of the time ward nurses spent with patients during evaluation and treatment (r = 0.503, p = 0.000) and adequate nurses' response to patients' calls (r = 0.498, p = 0.000). Post-operative patient satisfaction with surgical ward nursing service, physician service, hospital facilities, and the provision of information about post-op complications explain about 40.9 percent of the variation in the overall patient satisfaction with post-op care provided at the surgical ward. Patient satisfaction with nursing service has more significant effect with overall patient satisfaction than the other variables (β = 0.266, p =0.0002). post-operative patients at Addis Ababa City Government Tertiary Hospitals expressed a very high degree of satisfaction with the care they received in the surgical wards. The study also found that patients were generally less satisfied with the information they were given on drugs, side effects, and available treatment options. Another factor identified in the study that caused unhappiness was the unavailability of some pharmacy and laboratory services.

Therapeutic Communication Experience of Nurses With Chemotherapy Patients in a General Hospital

Cancer patients have special communication needs. Therapeutic communication can help patients, families, and care teams make decisions and improve patients’ well-being and quality of life. This study aimed to understand the therapeutic communication experience of nurses with patients undergoing chemotherapy. This study employed a descriptive phenomenology design using in-depth interviews involving eight key participants and one associate participant. The key participants were nurse practitioners, and the associate participant was the vice head of the chemotherapy ward. The results of interviews and field notes were analyzed using Colaizzi’s method of data analysis. Nine themes emerged from this study that is therapeutic communication is perceived as beneficial for patients, therapeutic communication is perceived as useful for nurses, patient conditions that hinder therapeutic communication, nurse conditions that interfere with therapeutic communication, personal therapeutic communication strategies, interpersonal therapeutic communication strategies, regular chemotherapy training, training for ongoing therapeutic communication, and chemotherapy-related information media to facilitate therapeutic communication. The study results suggest the need for chemotherapy training and continuous therapeutic communication for nurses in the chemotherapy ward of a general hospital.

Effect of Mantram Repetition as Mindfulness Strategy on Psychological Wellbeing among Nurses in Psychiatric Wards

Effect of Mantram Repetition as Mindfulness Strategy on Psychological Wellbeing among Nurses in Psychiatric Wards

Effect of Mantram Repetition as Mindfulness Strategy on Psychological Wellbeing among Nurses in Psychiatric Wards

Effect of Mantram Repetition as Mindfulness Strategy on Psychological Wellbeing among Nurses in Psychiatric Wards

The Femoral Nerve Block Setting the Agenda for Nursing Care of Older Patients With hip Fractures-A Qualitative Study.

Hip fractures among older people are common worldwide, and it is often associated with preoperative pain. Due to increased comorbidity and high age, traditional pain relief can be a challenge. An alternative to traditional pain relief is a femoral nerve block, which is safe and suitable for anesthesia and analgesia for hip fractures among patients with or without dementia. It is essential to provide adequate pain management, and nurses report negative attitudes toward opioids and seem to prefer alternative pain management. To our knowledge, no study has focused on staff's experiences of nursing care for patients treated with femoral nerve block. To describe staff's experiences providing nursing care in preoperative pain and pain management to older patients with a hip fracture who received a femoral nerve block. A qualitative exploratory design. Semistructured interviews with 19 nurses or assistant nurses in an orthopedic ward or emergency department. They were experienced in caring for patients with hip fractures who received treatment with a femoral nerve block. The interviews were subjected to qualitative content analysis. Staff described the femoral nerve block as setting the agenda when caring for older patients with hip fractures in the preoperative phase. The outcome of the femoral nerve block affected nursing care, depending on if the femoral nerve block was successful or not. Nursing care requires timing, with a need for staff orienting to time and customizing their communication. Further, staff faced ethical challenges regarding doing good and not harm, relieving pain, and avoiding side effects. The femoral nerve block was an important issue for nursing staff in patients with hip fractures in the preoperative phase. Our results point toward the benefits of giving femoral nerve blocks as soon as possible to facilitate nursing care, however, this should be studied in future research.

Evaluation of knowledge of medical department nurses regarding standard procedure toward electrocardiogram in Al-Amara City Hospitals, Iraq

Objective: To assess knowledge for medical department nurses regarding the standard procedure toward electrocardiography in Al-Amara city hospitals. Methodology: This descriptive study was conducted from 12th November 2019 to 31th May, 2020. We elected a random sample of 60 staff nurses in the medical division's wards, ICU, and emergency department in Al-Sadder teaching hospital, Al-Zahrawi surgical hospital, and Misan center for cardiac diseases. We used a questionnaire composed of 20 multiple choice questions. Data analysis was carried out utilizing inferential statistics. Results: Majority of the nurses in the study had moderate level of knowledge about standard procedure ECG. Conclusion: The standard procedure of electrocardiogram is very necessary to improve the knowledge and skills to enable the nurses to understand and identify electrocardiogram errors and able to accurately position electrodes.

Implementation of Crisis Management Phases in Intensive Care Units in the Crisis Situation Resulting from the COVID-19 Pandemic

Abstract Background The Intensive Care Unit (ICU) during the COVID-19 pandemic was at the heart of a hospital. At that time, nurses working in the ICU were fearing for their lives, with insufficient equipment and disorganisation resulting from the lack of sound knowledge on dealing with and preventing the transmission of the virus. The ward nurses experienced crisis management, without proper knowledge of the subject. Aim The purpose of this study is to analyse the management conditions in the ICU in Poland, in a crisis situation resulting from the COVID-19 pandemic. Methods The quantitative research was carried out in Poland, on a group of nurses from the ICU, using a questionnaire distributed online. Results The results of the assessment of ICU’s preparedness in the event of a crisis, including the prevention, preparation, response and recovery phases, were presented. forty respondents took part in the study. Taking into account the average number of responses in the survey, they rated the Response phase as the highest one (30/40), followed by the Prevention phase (28/40) and the Preparation phase (26/40), and the Recovery phase as the lower one (11/40). Conclusions The crisis situation resulting from the COVID-19 pandemic has weakened the unprepared Health Care System, and therefore conclusions must be drawn from that experience. An important element of maintaining the efficiency of the ICU during a pandemic is sound knowledge, risk assessment and nurse education. At such a time it is equally important to prepare a crisis management plan and to assess it while it is being implemented, as well as to ensure the safety of the patients and ICU nurses.

Use of Health Information Exchange in the Continuity of Care as Viewed by Patients and Nurses: A Cross-Sectional Study.

Patients' attitudes toward sharing their personal health information are critical for implementation of health information exchange. Nurses contribute significantly to information sharing within the care continuum in hospitals and community. This study aimed to examine the awareness and readiness of patients with chronic illness and nurses to the use health information exchange. A cross-sectional study was conducted among 314 inpatients with a chronic illness, 110 nurses working in internal wards, and 55 contact nurses working in a large health maintenance organization. The findings showed that the mean level of awareness was low across all three groups. Contact nurses expressed more positive attitudes than internal ward nurses or patients and were more willing than patients to share information with healthcare workers. Knowledge, attitudes, and being a nurse predicted the intention to share information with medical healthcare providers and with agents not involved in direct care. Before implementation of a health information exchange system, it is important to raise awareness, readiness, and intention to use it among the public, nurses, and other medical staff. Policy makers should organize national campaigns under the auspices of the Ministry of Health to present the advantages and provide detailed information about the system.

Perceived Difficulties and Learning Needs Among Acute Care Ward Nurses Providing End-of-Life Care During the COVID-19 Pandemic: Comparison by Years of Clinical Experience.

In the daily routine of acute care wards, where priority is given to patients with severe illnesses and those who require urgent care, working with and supporting the decision making of terminally ill patients can be challenging. This study aimed to clarify the perceived difficulties of and learning needs among acute care ward nurses providing end-of-life care during the COVID-19 pandemic. In order to perform analyses by years of clinical experience, we conducted semi-structured interviews with both novice and experienced nurses. Participants were nurses working in the acute care ward of hospitals in the Kansai area. We interviewed 31 nurses who agreed to cooperate, including 18 novice/advanced beginner nurses and 13 proficient/expert nurses. Perceived difficulties were categorized into four main groups for novice/advanced beginner nurses: <explanation>, <coronavirus>, <family>, and <doctor>. Perceived difficulties were categorized into four main groups for proficient/expert nurses: <nurses>, <care>, <think>, and <family>. Perceived learning needs were categorized into three main groups for novice/advanced beginner nurses: <patient>, <family>, and <experience>. Perceived learning needs were categorized into three main groups for proficient/expert nurses: <hospital>, <angel>, and <pain>. Novice/advanced beginner nurses felt anxiety and confusion, and were overwhelmed with how to care for terminal patients. Proficient/expert nurses were able to think about how to make patients and their families feel better, and were able to think specifically about post-mortem care. Many proficient/expert nurses were thinking not only about patient care but also about patients' room environment and how to spend time with their families. They sought learning opportunities regarding angel care, including methods of teaching it and basic techniques for performing it, and realized that information sharing within wards, chain of command within the hospital, information exchange with other hospitals, and inter-hospital collaboration were all important during COVID-19 pandemic.

Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach

Self-reflection of a General Ward Nurses on the Experience of End-of-Life Care for a Patient who Decided to Suspend Life-sustaining Treatment: van Manen's Hermeneutic Phenomenological Approach

Introducing pre-hospital orientation and shower bath guidance by ward nurses to patients wearing shoulder abduction orthoses following shoulder arthroscopic surgery, and investigating their effects

Introducing pre-hospital orientation and shower bath guidance by ward nurses to patients wearing shoulder abduction orthoses following shoulder arthroscopic surgery, and investigating their effects

Adjust Intraoperative Oxygen Therapy for Oxygenation Reasons Only!

Adjust Intraoperative Oxygen Therapy for Oxygenation Reasons Only!

Nurses knowledge regarding to phototherapy at neonatal care units in Mosul City, Iraq

Objective: To evaluate the expertise and efforts of neonatal ward nurses in relation to phototherapy. Methodology: In this study, non-probability, purposive sampling was used and study was performed from January to February 2023. It included 62 nurses working in neonatal units in the city of Mosul. The study consisted of two parts: The first part was related to demographic information and second part was related to their knowledge of phototherapy in neonatal units. Results: Out of 62 nurses, 50 (80.65%) were male while 12 (19.35%) females. Mean age was 30.43 years. Nurses' knowledge about phototherapy was acceptable in 45% and good in 29%. Conclusion: Generally speaking, the nurses' understanding of how to administer phototherapy to neonates was inadequate to acceptable.

Nurse job task analysis: a profile of medical and surgical nursing activities.

ObjectiveWe aim to examine the activities undertaken by medical and surgical ward nurses at a major health service in Victoria, Australia, to inform nursing and midwifery strategic workforce planning.MethodsThis descriptive, exploratory study was conducted on 17 wards from three acute care hospitals in one of Victoria's largest health services. The Work Observation Method by Activity Timing tool was used to enable participants to document the time spent in each of 10 nursing activity domains.ResultsData from 70 respondents across all shifts showed nurses spent one-third of their time in direct care. Registered nurses spent a lower proportion of time than enrolled nurses in direct care and medications overall. Compared with enrolled nurses, registered nurses spent less time in direct care on morning shifts and documentation on afternoon shifts, and more time on ward-related activities on afternoon shifts.ConclusionsMedical and surgical enrolled nurses and registered nurses spent comparable proportions of time engaged in specific activities. Further research is required to understand the influences on the time devoted to direct care and how time spent in direct care intersects with other activities, and the relationship with patient outcomes and quality of care indicators.