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Your search for all content returned 22,380 results

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  • EthicsGo to chapter: Ethics

    Ethics

    Chapter

    This chapter opens with the challenge Nightingale and her close colleagues faced in establishing nursing as a profession when the ethical standards of the existing (secular) nurses were (generally) so low. The ethical issues she had to deal with in her own school, soon after it opened, are discussed three thorny problems with appointments. Anyone reading Nightingale’s writing on nursing will be struck by how often and how forcefully she insisted on high ethical standards. The reason for the emphasis on ethical standards is obvious enough in the task Nightingale faced in raising the new profession from its disreputable past. The International Council on Nursing (ICN) established its Code of Ethics in 1953, again based on Nightingale principles. It identified four responsibilities: to promote health, to prevent illness, to restore health, and to alleviate suffering. The code asks nurses not only to act ethically themselves, but to challenge unethical practices.

    Source:
    Florence Nightingale, Nursing, and Health Care Today
  • Concept Analysis of Unintended ConsequencesGo to article: Concept Analysis of Unintended Consequences

    Concept Analysis of Unintended Consequences

    Article

    The concept of unintended consequences is widely discussed in the realms of politics or economics, but not as frequently as related to health care. Nursing professionals act with the intent to improve health outcomes for patients; however, with every action, there are risks and consequences that may or may not be anticipated. This article utilizes a modified version of Walker and Avant’s framework for concept analysis (2011) to identify the characteristics, defining attributes, and antecedents of the concept of unintended consequences, present a model case and empirical referents, and provide a practical and theoretical application to nursing. Opportunities for future research related to the concept of unintended consequences include a closer study of nurses’ choices that may affect their well-being or productivity, as well as educational opportunities to better inform nurses of the impact unintended consequences may have on them and the care they provide.

    Source:
    Creative Nursing
  • Nursing Students’ Attitudes, Future Role, and Knowledge Regarding Euthanasia Due to Unbearable Mental SufferingGo to article: Nursing Students’ Attitudes, Future Role, and Knowledge Regarding Euthanasia Due to Unbearable Mental Suffering

    Nursing Students’ Attitudes, Future Role, and Knowledge Regarding Euthanasia Due to Unbearable Mental Suffering

    Article

    Background

    This study examines the attitudes, view of their future role, and knowledge of nursing students regarding euthanasia due to unbearable mental suffering (UMS euthanasia) in Belgium. Nurses have a key role in this situation at many levels. The practice of euthanasia is expanding globally and laws are changing, making more research essential.

    Method

    A cross-sectional design and online survey were used. All nursing students at a Belgian university college participated.

    Results

    The majority of nursing students had a high degree of acceptance towards UMS euthanasia and highlighted their important role in the euthanasia decision-making process, but also reported a lack of knowledge and skills.

    Conclusion

    Nursing education at all levels needs to recognize this knowledge gap, taking into account the complexity and broader context of end-of-life care.

    Source:
    Creative Nursing
  • Nursing Students' Perception Regarding Community Health Nursing Practical Modules Experience, at the Faculty of Nursing, Modern University for Technology and Information, EgyptGo to article: Nursing Students' Perception Regarding Community Health Nursing Practical Modules Experience, at the Faculty of Nursing, Modern University for Technology and Information, Egypt

    Nursing Students' Perception Regarding Community Health Nursing Practical Modules Experience, at the Faculty of Nursing, Modern University for Technology and Information, Egypt

    Article

    Background

    Learning depends not only upon how teachers have designed and structured their subjects and courses but also upon how their students perceive and understand this design and structure. Understanding student's level of perception with their clinical education forms a basis of determining the quality of nursing education.

    Objective

    Assess nursing students' perception of their learning experience with community health nursing practical modules.

    Methods

    Cross-sectional descriptive study, the convenience sample included 149 students studying a community health nursing practical course at the Faculty of Nursing affiliated to Modern University for Technology and Information. Three tools were used; (a) interviewing questionnaire regarding demographic characteristics. (b) Undergraduate modules experience questionnaire and (c) Student evaluation of clinical education environment inventory.

    Results

    Students' total perception mean scores regarding the practical modules experience questionnaire was (79.82%), and different community clinical learning environment, family health centers (82.01%), schools (76. 83%), and geriatric homes (79. 29%) with statistical significance differences p ≤ .042. Furthermore, significant relationship was found between students' academic achievement and total perception of the Undergraduate Modules Experience Questionnaire (UMEQ) and its subscales, Good Teaching, Intellectual Motivation (p ≤ .01), Clear goals and standards and Generic Skills (p ≤ .04), Appropriate Assessment and Overall Satisfaction (p ≤ .05).

    Conclusion

    Nursing students revealed a higher positive perception of community health nursing practical modules experiences. However, there was few areas are required for improving quality of the practical modules.

    Implications for nursing education

    Increasing period of students' clinical training exposure, teaching the skills of effective time management as well as increasing number of the academic staff in the community health nursing department are recommended strategies for improving quality of community health nursing practical modules.

    Source:
    Journal of Doctoral Nursing Practice
  • Integration of TeamSTEPPS Framework and Escape Room to Improve Teamwork and CollaborationGo to article: Integration of TeamSTEPPS Framework and Escape Room to Improve Teamwork and Collaboration

    Integration of TeamSTEPPS Framework and Escape Room to Improve Teamwork and Collaboration

    Article

    Background

    As the need for healthcare professionals continues to grow, different learning environments have been assessed to optimize knowledge while keeping the student engaged. Escape rooms, live action, team-based exercises, supplemented with TeamSTEPPS tools can assist in overall team performance, while keeping the participant engaged in a new learning environment.

    Objective

    The goal of this quality improvement project was to enhance teamwork and collaboration through the integration of TeamSTEPPS concepts and escape room active learning. This concept was explored through the integration of TeamSTEPPS tools and strategies in an escape room setting. The purpose was to improve team dynamics and cohesiveness in a new dynamic way with a small cohort of nurse leaders in a large urban academic medical center, while exploring the engagement and depth of learning experience for the participant.

    Methods

    Twelve nurse leaders completed two different escape rooms while observers completed the TeamSTEPPS observation tool assessing team dynamics and performance and participants assessed their perceptions before and after intervention. These nurses also were observed at staff meetings and completed a perceptions tool on teamwork pre- and postintervention. A postescape room survey was completed by participants to assess learning and interest in this interactive learning exercise.

    Results

    There was a significant statistical difference after TeamSTEPPS and escape room intervention (Mean 17.3 and p = 0.004 SD 5.9) when compared to before intervention as well as has a more positive sense of teamwork was noted. In addition, 75% of the nurses strongly agreed that the escape room was engaging and fun with 25% agreeing. Ninety-one percent agreed or strongly agreed that the escape room was an effective team-building exercise with 100% agreeing or strongly agreeing to recommend the escape room experience to others.

    Conclusions

    This cohort validated the integration of TeamSTEPPS tools and strategies in an escape room setting as an enjoyable and engaging way to learn while providing an effective team-building activity. This small cohort demonstrates that new methods of learning such as an escape room should be explored further for engaging participants and improving communication and teamwork skills.

    Implications for Nursing

    Integrating TeamSTEPPS into an escape room offers this institution a way to continue this project while providing valuable team-building skills to its participants. While this was just a small sample in one intercity hospital, new methods for learning should be reviewed for successful teamwork in nursing and in healthcare as a whole, as there was some data to suggest that utilizing an escape room could have a positive impact on team cohesiveness as well as leadership skills for the individual.

    Source:
    Journal of Doctoral Nursing Practice
  • Development and Validation of Questionnaire Measuring Registered Nurses’ Competencies, Beliefs, Facilitators, Barriers, and Implementation of Evidence-Based PracticeGo to article: Development and Validation of Questionnaire Measuring Registered Nurses’ Competencies, Beliefs, Facilitators, Barriers, and Implementation of Evidence-Based Practice

    Development and Validation of Questionnaire Measuring Registered Nurses’ Competencies, Beliefs, Facilitators, Barriers, and Implementation of Evidence-Based Practice

    Article

    Background

    Consideration needs to be given to a variety of factors that influence the implementation of evidence-based nursing practice (EBNP).

    Aim

    This study aimed to develop and validate a questionnaire that measures registered nurses’ competencies, beliefs, facilitators, barriers, and implementation of EBNP.

    Methods

    Methodological cross-sectional study in which 612 registered nurses were selected by convenient sampling. A panel of six experts evaluated the content validity of the first draft of the EBP-CBFRI questionnaire. The final questionnaire was made up of 55 items. Reliability was determined by means of internal consistency. Construct, convergent, discriminant, and predictive validity was assessed.

    Results

    The questionnaire has proven acceptable reliability and validity when used with registered nurses. The scale-level content validity index was .92. Cronbach’s α coefficient for the total questionnaire was .87. Exploratory factor analysis supported five significant factors that explained 64.8% of the variance.

    Source:
    Journal of Nursing Measurement
  • Chylothorax: A Stepwise Approach to Diagnosis and TreatmentGo to article: Chylothorax: A Stepwise Approach to Diagnosis and Treatment

    Chylothorax: A Stepwise Approach to Diagnosis and Treatment

    Article

    Chylothorax, a lymphatic flow disorder characterized by an abnormal circulation of lymph fluid into the pleural cavity, is the most common cause of pleural effusions during the neonatal period. This condition affects 1/15,000 neonates every year. Affected neonates often manifest with respiratory distress, electrolyte imbalances, sepsis, and even immunodeficiencies. Mortality risk is highest among neonates undergoing cardiac surgery as well as those with associated hydrops fetalis. Conservative treatment options include bowel rest with administration of parenteral nutrition, followed with medium-chain triglyceride enteral feedings, and octreotide therapy. Severe or persistent cases require surgical intervention. This can involve a unilateral or bilateral pleurectomy and thoracic duct ligation, with or without pleurodesis. Early identification and successful treatment of this condition is contingent upon awareness of the most current evidence and a timely cross-disciplinary approach to care.

    Source:
    Neonatal Network
  • Etiology of Individual Differences in Human Health and LongevityGo to article: Etiology of Individual Differences in Human Health and Longevity

    Etiology of Individual Differences in Human Health and Longevity

    Article

    In this chapter, we review of the field of gerontological genetics with respect to subjective and objective health, the role of stress on health, and finally frailty and longevity. For most indices of subjective and objective health, frailty, and longevity, genetic influences contribute only modestly to individual differences, wherein heritabilities are typically on the order of 35%–40%. Notable exceptions are the moderate to strong heritabilities for lipid measures and brain structure and function, with a remarkably increasing role of genetic influences for longevity with advancing age. Although candidate gene and genome-wide association studies (GWAS) studies have identified gene variants associated with many subjective and objective health traits, their effect sizes are typically relatively small, as expected for complex traits. There is some evidence for gene–environment interactions, and stress may be an important moderator of genetic variance for health. For example, carrying a risk genotype for cardiovascular disease (CVD) in the angiotensin converting enzyme gene (

    Source:
    Annual Review of Gerontology and Geriatrics
  • Maternal Obesity and Breastfeeding A Review of the Evidence and Implications for PracticeGo to article: Maternal Obesity and Breastfeeding A Review of the Evidence and Implications for Practice

    Maternal Obesity and Breastfeeding A Review of the Evidence and Implications for Practice

    Article

    A myriad of factors influence the sub-optimal breastfeeding rates in the U.S. Among these factors is maternal obesity (BMI > 30 kg/m2), which has been found to negatively impact breastfeeding initiation and duration for some women. Obesity increases women’s risk for various complications throughout the perinatal period, which may impact breastfeeding and the long-term health and well-being of women and their children. However, adequate lactation support that upholds a respectful consciousness regarding the potential breastfeeding challenges of women with obesity can assist these women to successfully meet their breastfeeding goals. This review summarizes the literature on the impact of maternal BMI on breastfeeding duration, and maternal and infant risk factors that may complicate lactation for women with obesity. Recommendations for assessing and supporting the needs of mothers with obesity to best achieve their breastfeeding goals are provided.

    Source:
    Clinical Lactation
  • Measurement of Parenting Self-Efficacy and Outcome Expectancy Related to Discussions About SexGo to article: Measurement of Parenting Self-Efficacy and Outcome Expectancy Related to Discussions About Sex

    Measurement of Parenting Self-Efficacy and Outcome Expectancy Related to Discussions About Sex

    Article

    The purpose of this study was to evaluate the psychometric properties of two scales—one to measure the self-efficacy of parents to discuss sexual health issues with their adolescents and the other to measure parents’ outcome expectancy associated with such discussions. Understanding how parents feel about their confidence in talking with their children about important sexual health issues and the outcomes they expect as a result of such discussions can be useful in guiding both the development and refinement of educational programs to promote parent-child discussions. The responses of 491 mothers who participated in an HIV prevention intervention with their adolescents were used for the present analysis. Mothers ranged in age from 25 to 68 years with a mean of 37.9 years (SD = 6.9). Of mother participants, 33% were married, 96.7% were African American, and 89.2% had completed high school. Their adolescents ranged in age from 11 to 14 years, and 61.5% were male. Assessment of reliability for both scales showed that internal consistency reliability was acceptable for the total scales as well as three of the five subscales. With the exception of one item on the outcome expectancy scale, the inter-item correlations, the mean inter-item correlations, and the item-to-total correlations meet the standard criteria for scale development for both scales. Factor analysis was used to identify the underlying structure of the scales, and hypothesis testing was used to assess construct validity. The results of these analyses provide support for the construct validity of the scales.

    Source:
    Journal of Nursing Measurement

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