236 results match your criteria medical-surgical nurse's

Effect of self-administration of medication programme on cardiovascular inpatients' medication adherence and nurses' satisfaction: A randomized clinical trial.

Nurs Open 2021 Apr 3. Epub 2021 Apr 3.

Department of Community Health Sciences, UCLA Fielding School of Public Health, American Public Health Association, Los Angeles, CA, USA.

Aim: To investigate the effect of self-administration of medication programme on medication adherence in cardiovascular inpatients and nurse's satisfaction.

Design: Randomized clinical trial with parallel-group design guided by the CONSORT checklist.

Methods: In this study, sixty cardiovascular inpatients were selected through convenience sampling and then randomly assigned to control and intervention groups, in 2018, Iran. Read More

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Nurse's Achilles Heel: Using Big Data to Determine Workload Factors That Impact Near Misses.

J Nurs Scholarsh 2021 Mar 30. Epub 2021 Mar 30.

Professor, Department of Mathematics and Statistics, University of South Alabama, Mobile, AL, USA.

Purpose: To explore how big data can be used to identify the contribution or influence of six specific workload variables: patient count, medication count, task count call lights, patient sepsis score, and hours worked on the occurrence of a near miss (NM) by individual nurses.

Design: A correlational and cross-section research design was used to collect over 82,000 useable data points of historical workload data from the three unique systems on a medical-surgical unit in a midsized hospital in the southeast United States over a 60-day period. Data were collected prior to the start of the Covid-19 pandemic in the United States. Read More

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Development of a Need-based Interventional Skin Care Protocol on Incontinence-associated Dermatitis among Critically Ill Patients.

Indian J Crit Care Med 2021 Feb;25(2):158-165

Department of Critical Care Nursing, Himalayan College of Nursing, Swami Rama Himalayan University, Dehradun, Uttarakhand, India.

Background: Incontinence-associated dermatitis (IAD) is a potentially serious skin injury that can lead to pressure ulcers (PUs). Many studies have indicated the need for evidence to find the most effective skin care protocol to reduce the incidence and severity of IAD in critically ill patients.

Aim And Objective: To develop a need-based interventional skin care protocol on IAD after identifying the risk of developing IAD in critically ill patients and by assessing the nurse's knowledge and practice on IAD. Read More

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February 2021

An Examination of Work Characteristics, Fatigue, and Recovery Among Acute Care Nurses.

Karen R Cochran

J Nurs Adm 2021 Feb;51(2):89-94

Author Affiliation: Grant Evaluation Specialist, Western Carolina University, Asheville, North Carolina.

Objective: To examine self-perceived fatigue among nurses and to quantify levels of fatigue and the ability to recover from fatigue between worked shifts across various work characteristics.

Background: Fatigue is associated with working long hours, disruption of sleep, and inadequate time to recover between shifts. Fatigue degrades the nurses' performance leading to poorer patient outcomes and increased occupational injuries. Read More

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February 2021

Attitude of nursing students following the implementation of comprehensive computer-based nursing process in medical surgical internship: a quasi-experimental study.

BMC Med Inform Decis Mak 2021 Jan 6;21(1):10. Epub 2021 Jan 6.

School of Health and Life Sciences, University of the West of Scotland, Paisley, Scotland.

Background: The nursing process is the core and the standard of practice in nursing profession. Nowadays, the use of information technology in the field of nursing processes, education and practice has been emphasized. Since nurse's attitudes towards clinical information systems are considered as an indicator of the success rate of information systems, and nurse's attitudes about the nursing process can affect their execution of the process. Read More

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January 2021

Impact of the implementation of best practice guidelines on nurse's evidence-based practice and on nurses' work environment: Research protocol.

J Adv Nurs 2021 Jan 15;77(1):448-460. Epub 2020 Oct 15.

Faculty of Nursing and Physiotherapy, Balearic Islands University, Palma de Mallorca, Spain.

Aim: To determine the impact of the Best Practice Spotlight Organization® initiative on nurses' perception of their work environment and their attitudes to evidence-based practice.

Design: Quasi-experimental, multicentre study. The intervention is the participation in Best Prectice Spotilight Organizations to implement Best Practice Guidelines. Read More

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January 2021

Ultrasound-Guided Peripheral Intravenous Catheter Insertion: The Nurse's Manual.

Crit Care Nurse 2020 Oct;40(5):38-46

Mark Bowers is a bedside nurse, 7 East Medical-Surgical, Lakeland Regional Health.

Peripheral intravenous catheter placement is a skill that is used daily in the hospital. However, many nurses face the challenge of cannulating increasingly complex and difficult-to-access vasculature. Although emergency department clinicians have been using ultrasound to facilitate this procedure for the last 18 years, ultrasound-guided peripheral intravenous catheter placement has not been as rapidly adopted in the critical and acute care nursing realms. Read More

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October 2020

Nurses' attitude towards oral care and their practicing level for hospitalized patients in Orotta National Referral Hospital, Asmara-Eritrea: a cross-sectional study.

BMC Nurs 2020 10;19:63. Epub 2020 Jul 10.

Department of Dialysis, Orotta National Referral Hospital, Asmara, Eritrea.

Background: Effective and routine mouth care is necessary for hospitalized patients as it helps to maintain the health of oral cavity and overall health. However, oral care is often overlooked and not prioritized in daily activity plan of nurses even when oral problems are apparent. Therefore, the aim of this study was to assess nurses' attitude towards oral care and their practicing level for hospitalized patients. Read More

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Nurse's Evaluation of a Pain Management Algorithm in Intensive Care Units.

Pain Manag Nurs 2020 12 7;21(6):543-548. Epub 2020 Jul 7.

Department of Nursing, Oslo Metropolitan University, Oslo, Norway; University of South-Eastern Norway, Kongsberg, Norway.

Background: Many patients have memories of pain during intensive care unit stay. To improve pain management, practice guidelines recommend that pain management should be guided by routine pain assessment and suggest an assessment-driven, protocol-based, stepwise approach. This recommendation prompted the development of a pain-management algorithm. Read More

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December 2020

Empowering nurses to activate the rapid response team.

Nursing 2020 Jun;50(6):52-57

Margaret Granitto is an instructor at the Georgetown University School of Nursing & Health Studies in Washington, D.C., and an NP for Medstar Cardiology Associates in Annapolis, Md. Paula Linenfelser is a clinical instructor at Georgetown University School of Nursing & Health Studies. Ryan Hursey is a clinical nurse in the medical ICU at the University of Maryland Medical Center in Baltimore, Md. Megan Parsons is an RN in the pediatric ICU at Children's National Medical Center in Washington, D.C. Colleen Norton is an associate professor emeritus at Georgetown University School of Nursing & Health Studies.

All clinical nurses need to be prepared to recognize deterioration in a patient's clinical status and activate the rapid response team when appropriate. This article explores the clinical nurse's role in recognizing and responding to deterioration in a patient's condition with a focus on hospital-based nurses practicing on a medical-surgical unit. Read More

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Role of the Clinical Nurse Specialist in Supporting a Healthy Work Environment.

AACN Adv Crit Care 2020 Mar;31(1):80-85

Jacqueline A. Miller is Clinical Nurse Specialist, Neonatal/Pediatric Services, Harbor-UCLA Medical Center, Torrance, California.

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Implementing a Nursing Professional Model to Improve Staff Nurse Engagement and Teamwork.

Lakhbir Sohal

J Contin Educ Nurs 2020 Mar;51(3):124-131

Background: Evidence suggests a direct correlation between high levels of staff engagement and teamwork improves quality outcomes for the organization.

Method: This evidence-based change of practice project applied the elements of a professional practice model in a medical-surgical telemetry unit to measure the effect on nurse engagement and teamwork.

Results: Implementation of a professional practice model resulted in improved engagement on the unit, an improved culture of teamwork, a decrease in the number of patient falls, and an increase in staff satisfaction. Read More

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A complex population: Nurse's professional preparedness to care for medical-surgical patients with mental illness.

Appl Nurs Res 2020 04 7;52:151232. Epub 2020 Jan 7.

East Carolina University College of Nursing, Greenville, NC 27858, USA.

Globally, patients with the co-morbidity of physical and mental illness experience greater health complexities than the general population. Yet nurses caring for medical-surgical patients with a secondary diagnosis of mental illness are often unprepared for these complexities. This paper focuses on professional experiences from a more extensive parent study that evaluated components of nursing preparedness (nursing care self-efficacy and mental health care competency) to provide care for medical-surgical patients who also have mental illness. Read More

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Counseling for pediatric patients undergoing hematopoietic stem cell transplantation and their parents: A pilot descriptive study.

Prof Inferm 2019 Jun-Sep;72(3):213-220

MD, Medical Directorate, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Purpose: This study aimed to: (1) to assess the Quality of Life (QoL) of pediatric patients who had undergone Hematopoietic Stem Cell Transplantation (HSCT) and their parents; (2) to explore how patients and parents perceived a nurse counseling intervention; and (3) to explore how health professionals consider the nurse counselor's role.

Methods: This was a pilot descriptive study using quantitative and qualitative data.

Results: Parents' QoL was compromised in the domains of Social Functioning, Physical and Emotional roles. Read More

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Mutual trust in infant care: the nurses and mothers experiences.

Scand J Caring Sci 2020 Sep 27;34(3):604-612. Epub 2019 Oct 27.

Pediatric Department, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

The relationship between healthcare providers and parents of infants in neonatal intensive care unit is based on trust and constitutes a core measure of family-centred care and health. The aim of the present qualitative study was to explore mothers and nurses experiences of trust in one another around the caregiving of the hospitalised infant in intensive neonatal care unit. Focused ethnographic research study conducted through observations and in-depth interviews with 20 mothers and 16 nurses in NICU of Tabriz (Iran) in 2017. Read More

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September 2020

Barriers and facilitators involved in standardised care plan individualisation process in acute hospitalisation wards: A grounded theory approach.

J Clin Nurs 2019 Dec 1;28(23-24):4606-4620. Epub 2019 Oct 1.

Institute of Bellvitge Biomedical Research (IDIBELL), L'Hospitalet de Llobregat, Spain.

Objective: To identify and classify the barriers and facilitators of the individualisation process of the standardised care plan in hospitalisation wards.

Background: The administration of individualised care is one of the features of the nursing process. Care plans are the structured record of the diagnosis, planning and evaluation stages of the nursing process. Read More

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December 2019

Influence of workplace incivility on the quality of nursing care.

J Clin Nurs 2019 Dec 30;28(23-24):4582-4594. Epub 2019 Sep 30.

Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia.

Aims And Objectives: To examine the influence of workplace incivility on the quality of nursing care.

Background: Recent evidence describes workplace incivility as a serious concern in the healthcare setting worldwide. Exposure to workplace incivility can alter a nurse's behaviour, thought process and perspective towards the nursing profession. Read More

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December 2019

Discriminative nursing care: A grounded theory study.

J Family Med Prim Care 2019 Jul;8(7):2289-2293

Department of Medical-Surgical, School of Nursing and Midwifery, International Campus, Iran University of Medical Sciences, Tehran, Iran.

Background: Discriminative nursing care is one of the most important challenges in the field of ethical care and the rights of patients. Experiencing discrimination has negative impacts.

Objective: The aim of this study was to explore the process of the development of the discriminative nursing care. Read More

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Nurse's social responsibility: A hybrid concept analysis in Iran.

Med J Islam Repub Iran 2019 21;33:44. Epub 2019 May 21.

Public Health Nursing Department, Nursing Faculty, Aja University of Medical Science, Tehran, Iran.

Social responsibility in nursing is a complex concept that is completely associated with the context and healthcare system of every society. This study was conducted to analyze the concept of nurse's social responsibility in Iran. This analysis was done using a hybrid model, which consists of three phases: a literature review in the theoretical phase, semi-structured interviews in the fieldwork phase, and combination of the results of the two previous phases in a final analytical phase. Read More

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Proactive Psychiatry Intervention Using a Nurse-Led Behavioral Response Model for Hospitalized Patients With Behavioral Disturbances.

J Healthc Qual 2019 Sep/Oct;41(5):267-273

Background: The health care sector has one of the highest rates of workplace violence, putting staff at risk and impeding care. To deliver quality health care, staff need targeted resources. This article describes a program to improve staff safety and reduce barriers to care for patients with behavioral disturbances. Read More

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Adaptation of the MISSCARE Survey to the Maternity Care Setting.

J Obstet Gynecol Neonatal Nurs 2019 07 10;48(4):456-467. Epub 2019 Jun 10.

Missed nursing care is an important measure of nursing care quality that is sensitive to nurse staffing and is associated with patient outcomes in medical-surgical and pediatric inpatient settings. Missed nursing care during labor and birth has not been studied, yet childbirth represents the most common reason for hospitalization in the United States. The Missed Nursing Care (MISSCARE) Survey, a measure of medical-surgical nursing quality with substantial evidence for validity and reliability, was adapted to maternity nursing care using data from focus groups of labor nurses, physicians, and new mothers and an online survey of labor nurses. Read More

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The Correlation between Respecting the Dignity of Cancer Patients and the Quality of Nurse-Patient Communication.

Indian J Palliat Care 2019 Apr-Jun;25(2):190-196

Department of Medical Surgical Nursing, Nursing and Midwifery, Faculty of Tabriz University of Medical Sciences, Tabriz, Iran.

Context: Nurse-patient communication is one of the important factors affects the promotion and maintenance of the dignity of cancer patients in the hospital settings.

Aims: This study aimed to determine the perceptions of cancer patients regarding respecting their dignity and its correlation with nurse-patient communication in the hospital settings.

Subjects And Methods: This correlational study was conducted on 250 cancer patients admitted to the Oncology Departments of Tabriz Shahid Ghazi University Hospital, Iran. Read More

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Consequences of Spiritual Care for Cancer Patients and Oncology Nurses: a Qualitative Study.

Asia Pac J Oncol Nurs 2019 Apr-Jun;6(2):137-144

Cancer Research Center, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objective: The nature of cancer increases the spiritual needs of patients and necessitates the provision of holistic care for them. By trying to meet the spiritual needs of patients, oncology nurses can help them adapt, gain inner peace, and develop positive thoughts and attitudes. This study aimed to explore the consequences of spiritual care for cancer patients and oncology nurses from the perspective of the patients, family members, nurses, and other health-care team members. Read More

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Design and Implementation of a Face-to-Face Peer Feedback Program for Ambulatory Nursing.

J Nurs Adm 2019 Mar;49(3):143-149

Author Affiliations: Clinical Nurse (Ms Ryiz-Semmel), Infectious Diseases & Immunology; Clinical Nurse (Ms France), Craniofacial Team; Nurse Practitioner (Ms Bradshaw), Orthopedics; Clinical Nurse (Ms Khan), Orthopedics; Clinical Nurse (Ms Mulholland), Neurosurgery; Nursing Director (Ms Meucci), Medical/Surgical Department; and Director Vice Dean for Faculty Excellence (Dr McGrath), University of Texas Health Science Center San Antonio, School of Nursing.

Background/purpose: Ongoing dissatisfaction with anonymous peer feedback led to problem solving to equip nurses to provide and receive respectful and meaningful feedback during face-to-face peer review.

Problem: Giving and receiving feedback about other's performance and collaboration are a vital aspect of teambuilding; yet, no programmatic training existed to prepare and equip nurses to feel confident and comfortable in providing or receiving face-to-face peer feedback. A search of the literature demonstrated a dearth of evidence related to developing these teambuilding relationships. Read More

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Evaluation of Telemetry Utilization on Medical-Surgical Units.

Nurs Clin North Am 2019 03 17;54(1):97-114. Epub 2018 Dec 17.

Vanderbilt University School of Nursing, 222 Godchaux Hall, 461 21st Avenue South, Nashville, TN 37240, USA.

Alarm fatigue is the most common contributing factor in alarm-related sentinel events. Researchers have demonstrated a 35% overuse of telemetry, a key factor in alarm fatigue. This project evaluates practice patterns for the ordering and discontinuation of telemetry on medical-surgical units. Read More

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Nurses' Knowledge and Treatment Beliefs: Use of Complementary and Alternative Medicine for Pain Management.

J Holist Nurs 2019 Sep 13;37(3):248-259. Epub 2019 Jan 13.

University of North Carolina Wilmington.

To examine the relationship between nurses' knowledge, attitudes, and beliefs about medicines, in general, and complementary and alternative medicine (CAM) and identify the predictors of referrals for pain management. This descriptive, correlational study utilized an online survey to collect data from direct care nurses at a large medical center in southeastern United States. The online survey consisted of the Complementary and Alternative Medicines and Beliefs Inventory (CAMBI), the Beliefs about Medicine Questionnaire, and four open-ended questions. Read More

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September 2019

Association Between Room Location and Adverse Outcomes in Hospitalized Patients.

HERD 2019 04 31;12(2):21-29. Epub 2018 Oct 31.

6 Department of Medicine, The University of Chicago, Chicago, IL, USA.

Objective: To investigate whether a patient's proximity to the nurse's station or ward entrance at time of admission was associated with increased risk of adverse outcomes.

Method: We conducted a retrospective cohort study of consecutive adult inpatients to 13 medical-surgical wards at an academic hospital from 2009 to 2013. Proximity of admission room to the nurse's station and to the ward entrance was measured using Euclidean distances. Read More

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Effectiveness of Nurse's Intentional Presence as a Holistic Modality on Depression, Anxiety, and Stress of Cardiac Surgery Patients.

Holist Nurs Pract 2018 Nov/Dec;32(6):296-306

Evidence-Based Research Center (Dr Aghebati, Mr Mazloum, and Ms Mohajer), Medical Surgical Department (Ms Gelogahi, Dr Aghebati, Mr Mazloum, and Ms Mohajer), School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

One of the important aspects of recovering after bypass surgery is mental disorders of patients. Despite the importance of intentional presence in interpersonal interactive space in holistic nursing, a few experimental and clinical trial studies are conducted on this subject. This study determines the effect of intentional presence of a holistic nurse on anxiety, stress, and depression in patients undergoing coronary artery bypass graft surgery. Read More

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December 2018

Standardizing the Bedside Report to Promote Nurse Accountability and Work Effectiveness.

J Contin Educ Nurs 2018 Oct;49(10):460-466

Background: This study evaluated bedside reporting from the nurse's perspective regarding accountability, empowerment, work effectiveness, satisfaction, and communication. The aim was to examine the effects of an educational learning activity on bedside handoff reporting related to accountability and work effectiveness. The communication was used at change of shift between frontline nurses, with future interprofessional implementation. Read More

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October 2018

Correlation between nursing managers' leadership styles and nurses' job stress and anticipated turnover.

J Nurs Manag 2019 Apr 19;27(3):527-534. Epub 2018 Nov 19.

Department of Nursing, Royal Free Hospital, London, UK.

Aim: To investigate the relationship between leadership style with nurse job stress and anticipated turnover.

Background: An appropriate leadership style should promote the efficacy of nurses. Different leadership styles can affect nurse's job stress and the numbers of nurses leaving their workplace or their profession. Read More

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