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Nurses Participation in Limited Resuscitation: Gray Areas in End of Life Decision-Making.

AJOB Empir Bioeth 2021 Apr 19:1-20. Epub 2021 Apr 19.

School of Nursing, Duquesne University, Pittsburgh, Pennsylvania, USA.

Historically nurses have lacked significant input in end-of-life decision-making, despite being an integral part of care. Nurses experience negative feelings and moral conflict when forced to aggressively deliver care to patients at the EOL. As a result, nurses participate in slow codes, described as a limited resuscitation effort with no intended benefit of patient survival. Read More

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A Philosophical Review of School Nursing Framed by the Holistic Nursing Theory of Barbara Dossey.

J Holist Nurs 2021 Apr 15:8980101211006615. Epub 2021 Apr 15.

5193Kristianstad University.

This article is a philosophical review of school nursing and its constructs framed by Barbara Dossey's holistic nursing theory. The author describes the application of holistic nursing theory within the school nurse's area of activity. The review suggests that holistic nursing theory can be applied in several areas of school nursing. Read More

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The Specialist Palliative Care Nurses' in an Italian Hospital: role, competences, and activities.

Acta Biomed 2021 03 31;92(S2):e2021006. Epub 2021 Mar 31.

Azienda USL-IRCCS di Reggio Emilia.

Background And Aim Of The Work: Many authors tried to clarify the palliative care nurses' role, overall in the home care setting, but little is known in different settings of care. We aim to present a Specialist profile of palliative care (PC) nurses in an Italian hospital-based Palliative Care Unit.

Methods: With an organizational case study approach, we conducted a literature review on PC nurse's role, and we presented the Specialist PC nurses' profile, describing competences and key related activities. Read More

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Job satisfaction and caring behavior among nurses in a military hospital: A cross-sectional study.

J Public Health Res 2021 Apr 14;10(2). Epub 2021 Apr 14.

School of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang.

Background: Caring is the major focus of nursing practice, and their behavior has an impact on the quality of patient care, and it is very important that they are satisfied while working. The strong relationship between job satisfaction and nurses caring behavior is well established, and therefore the managers can be encouraged to provide better conditions for nurses' satisfaction. The aim of this study was to investigate the relationship between job satisfaction and the caring behavior of nurses in the Military Hospital. Read More

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Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature.

BMC Nurs 2021 Apr 14;20(1):62. Epub 2021 Apr 14.

Department of LIME, Karolinska Institutet, Stockholm, Sweden.

Background: Continuing professional development (CPD) is central to nurses' lifelong learning and constitutes a vital aspect for keeping nurses' knowledge and skills up-to-date. While we know about the need for nurses' continuing professional development, less is known about how nurses experience and perceive continuing professional development. A metasynthesis of how nurses experience and view continuing professional development may provide a basis for planning future continuing professional development interventions more effectively and take advantage of examples from different contexts. Read More

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Changes in Assessment of and Satisfaction With Discharge Preparation From the Neonatal Intensive Care Unit.

Adv Neonatal Care 2021 Apr 12. Epub 2021 Apr 12.

Division of Newborn Medicine, Department of Pediatrics, Boston Medical Center, Boston, Massachusetts (Dr Smith); Boston University Medical School, Boston, Massachusetts (Dr Smith); Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts (Ms Mao and Dr McCormick); and Department of Social and Behavioral Sciences, The Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr McCormick).

Background: A successful transition from the neonatal intensive care unit (NICU) to home is aided by a comprehensive discharge planning program that keeps families involved and engaged with the discharge preparation process.

Purpose: To compare the assessment of parental NICU discharge preparedness with parental satisfaction with the NICU discharge preparation.

Methods: Families were surveyed 4 to 6 weeks after NICU discharge, and those selecting "very prepared" were considered "satisfied" with their discharge preparation. Read More

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Hemodialysis shake-up on the front lines of the Covid-19 pandemic: the Treviglio Hospital experience.

G Ital Nefrol 2021 Apr 14;38(2). Epub 2021 Apr 14.

Nephrology and Dialysis Unit - Treviglio Hospital - ASST Bergamo Ovest, Italy.

The new coronavirus disease (Covid-19) pandemic in Italy formally started on 21st February 2020, when a 38-years old man was established as the first Italian citizen with Covid-19 in Codogno, Lombardy region. In a few days, the deadly coronavirus swept beyond expectations across the city of Bergamo and its province, claiming thousands of lives and putting the hospital in Treviglio under considerable strain. Since designated Covid-dialysis hospitals to centrally manage infected hemodialysis patients were not set up in the epidemic areas, we arranged to treat all our patients. Read More

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Nurses competence and hemodialysis adequacy achievement.

Enferm Clin 2021 Apr;31 Suppl 2:S126-S129

Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.

Competence is defined as a combination of an individual's knowledge, attitude, and skills. Nurses, as the primary caregivers to hemodialysis patients, have an essential role in achieving hemodialysis adequacy. Hemodialysis adequacy achievement is one of the quality indicators of hemodialysis care. Read More

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The factor of affecting head nurse's delegation: A cross sectional study.

Enferm Clin 2021 Apr;31 Suppl 2:S117-S121

Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.

Nursing delegation is one component that can improve the quality of nursing services. This study was to identify the factors associated with delegating the head nurse, as perceived by implementing nurses at the Military Hospital in Jakarta. This cross-sectional study with 227 nurses who were selected using the purposive sampling technique. Read More

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Nursing students' awareness and perceptions of nurses' role in antimicrobial stewardship.

Nurse Educ Pract 2021 Mar 24;52:103036. Epub 2021 Mar 24.

Deakin University Geelong, School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Australia; Deakin University Geelong, Centre for Quality and Patient Safety Research, Epworth Healthcare Partnership, Australia.

Antimicrobial resistance is a major threat to public health worldwide. Antimicrobial stewardship programs and interventions aiming to optimise the use of antibiotics, are increasingly used to ensure judicious use of antibiotics and limit the emergence of antimicrobial resistance. Nurses are pivotal in antimicrobial stewardship however nursing students' awareness of such programs has not been investigated. Read More

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Redeployment of Certified Registered Nurse Anesthetists During the Coronavirus Disease 2019 Pandemic.

AANA J 2021 Apr;89(2):133-140

is the former chief CRNA at Johns Hopkins and is currently an assistant professor and assistant program director of the Doctor of Nursing Practice, Nurse Anesthesia Track, at the Johns Hopkins School of Nursing, Baltimore, Maryland. Email:

Certified Registered Nurse Anesthetists (CRNAs) are uniquely skilled anesthesia providers with substantial experience managing critically ill patients. During the coronavirus disease 2019 (COVID) pandemic, CRNAs at a large academic medical center in the Mid-Atlantic United States experienced a shift in their daily responsibilities. As the hospital transitioned to the management of patients who tested positive for the virus that causes COVID, the severe acute respiratory syndrome-coronavirus type 2 (SARS-CoV-2), CRNAs were redeployed into the roles of respiratory therapists and intensive care unit registered nurses. Read More

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From the Operating Room to the Front Lines: Shared Experiences of Nurse Anesthetists During the Coronavirus Pandemic.

AANA J 2021 Apr;89(2):109-116

is an associate professor at Webster University in St Louis, Missouri, and is the director of clinical education for the university's Department of Nurse Anesthesia. Email:

Coronavirus disease 2019 (COVID-19) has resulted in severe health, economic, social, political, and cultural consequences while thrusting Certified Registered Nurse Anesthetists (CRNAs) at the forefront of battling an often invisible enemy. A mixed-methods study was conducted to assess the impact of the COVID-19 pandemic on CRNA practice. The purpose of the qualitative component of the study, a focused ethnography, was to use personal and group interviews to determine the shared experiences of CRNAs who worked during the COVID-19 pandemic. Read More

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Exploring the effect of professional experience on knowledge towards geriatric care among nurses working in adult care units.

BMC Geriatr 2021 Apr 6;21(1):227. Epub 2021 Apr 6.

Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Background: The elder population suffered from social, economic, and health (which includes physical) related problems. Thus, these problems are complex and interrelated, thereby requiring specific knowledge and expertise to meet them. However, there were limited researches previously done to explore nurse's knowledge towards geriatric care. Read More

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Professional identity in nursing: A mixed method research study.

Nurse Educ Pract 2021 Mar 25;52:103039. Epub 2021 Mar 25.

Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, Scotland, UK.

Professional identity is developed through a self-understanding as a nurse along with experience in clinical practice and understanding of their role. Personal and professional factors can influence its development. A recent integrative literature review synthesised factors that influenced registered nurse's perceptions of their professional identity into three categories of the self, the role and the context of nursing practice. Read More

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Effect of perioperative hypothermia on surgical site infection in abdominal surgery: A prospective cohort study.

Int J Nurs Pract 2021 Apr 5:e12934. Epub 2021 Apr 5.

Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Brazil.

Aim: To estimate the incidence rates of surgical site infection and identify the independent effect of perioperative hypothermia on the incidence of this type of infection in patients undergoing abdominal surgery.

Background: Around the world, surgical site infection is a frequent complication in surgical patients, mainly causing increased morbidity and mortality rates and health service costs.

Design: A prospective cohort study. Read More

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Nurses' preparedness and response to COVID-19.

Int J Afr Nurs Sci 2021 26;14:100302. Epub 2021 Mar 26.

Regional Nursing Administration, Directorate of General Health Affair, Najran, Saudi Arabia.

Introduction: Coronavirus disease is the most striking pandemic across the world that every country is addressing and talking about it now. Nurses deliver the highest level of functioning in the health care team. Nurses need to understand the COVID-19 preparedness and response process. Read More

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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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Breast cancer-related upper limb lymphoedema: an overview.

Melanie Thomas

Br J Community Nurs 2021 Apr;26(Sup4):S30-S35

National Clinical Lead/Associate Director for Lymphoedema in Wales Lymphoedema Network Wales.

Breast cancer-related lymphoedema can be commonly encountered within a community nurse's role. The severity of lymphoedema can range considerably, from those who are considered 'at risk' due to breast cancer treatment, to individuals with highly complex oedema from advanced disease. This article provides an overview of breast cancer-related lymphoedema, including the risk factors for developing lymphoedema and the impact lymphoedema has physically, psychologically and socially. Read More

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Triage practice in Emergency Department in tertiary hospitals across China: A Multicenter National Descriptive Survey.

Nurs Health Sci 2021 Apr 2. Epub 2021 Apr 2.

Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China.

Triage procedure remain at a developing stage in mainland China, and few studies have reported the current status there. This study aimed to explore the triage practices presently implemented in emergency departments in mainland China. A descriptive online national survey was administered to nurses with experience in emergency department triage who worked in 64 hospitals in 2019. Read More

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Psychometric testing of Family Centered Care (FCC) instrument: A mixed methods analysis of pediatric nurses and their workplace perceptions of FCC.

J Pediatr Nurs 2021 Mar 29;61:75-83. Epub 2021 Mar 29.

Molloy College, Barbara H. Hagan School of Nursing and Health Sciences, 1000 Hempstead Ave, PO Box 5002, Rockville Centre, NY 11571-5002, USA. Electronic address:

Background/purpose: Family-Centered care (FCC) is a model used in pediatric healthcare delivery wherein planning care for children incorporates the family, but questions remain whether there has been effective FCC implementation in practice. The purpose of this study was to examine the importance of FCC to pediatric nurses and their view of their organizations' support of FCC implementation.

Method: A survey with FCC descriptor statements was distributed electronically to the Society of Pediatric Nurses. Read More

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Emotional labor in pediatric nursing considering the repercussions of covid-19 in childhood and adolescence.

Rev Gaucha Enferm 2021 26;42(spe):e20200217. Epub 2021 Mar 26.

Universidade Federal de Mato Grosso (UFMT), Faculdade de Enfermagem. Cuiabá, Mato Grosso, Brasil.

Objective: To discuss the emotional labor in pediatric nursing considering the repercussions of COVID-19 in childhood and adolescence.

Method: Reflexion based on theoretical aspects and scientific evidence of emotional labor in pediatric nursing.

Results: Given the repercussions of COVID-19 on children and adolescents, it is up to the nurse to recognize them and nurture a non-traumatic and affectionate care. 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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The relationship between nurse's job satisfaction and missed nursing care.

Med Pr 2021 Mar 18. Epub 2021 Mar 18.

University of Ostrava, Ostrava, Czech Republic (Faculty of Medicine, Department of Nursing and Midwifery).

Background: The main aims of the study were to explore the frequency of missed nursing care (MNC) among Czech hospital nurses, and to find the relationship between nurse's job satisfaction and MNC.

Material And Methods: The sample consisted of 513 nurses from 9 hospitals in the Czech Republic. Data were collected in January-August 2019 using the standardized MISSCARE Survey questionnaire, complemented with items assessing nurse's job satisfaction and demographic data. Read More

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Stigmatization and dehumanization perceptions towards psychiatric patients among nurses: A path-analysis approach.

Arch Psychiatr Nurs 2021 Apr 23;35(2):153-161. Epub 2020 Dec 23.

Louvain Experimental Psychopathology Research Group (LEP), Psychological Sciences Research Institute, UCLouvain, Place du Cardinal Mercier 10, B-1348 Louvain-la-Neuve, Belgium. Electronic address:

Background: People with mental illness are stigmatized and dehumanized, which contributes to disorders' maintenance. Dehumanization is associated with abuse/neglect and should thus be evaluated among healthcare workers. We compared nurses' stigmatizing/dehumanizing perceptions of people with psychiatric versus non-psychiatric disorders. Read More

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The Nurse Led of stroke patient after discharge from hospital. A Systematic Review and GRADE.

Prof Inferm 2020 Oct-Dec;73(4):278-287

Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, Rome, 00168, Italy. University Cattolica del Sacro Cuore, Largo Francesco Vito, 1, Rome, 00168, Italy.

Aim: Stroke is the second cause of death worldwide and the third cause of death in industrialized countries. To investigate the effectiveness of the nurse's role the management for people affected by stroke after discharge from hospital to home.

Method: A systematic review was performed. Read More

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[Perception of hospital-based nurses on the discharge from hospital.]

Soins 2021 Mar;66(853):55-57

Centre hospitalier universitaire de Rennes, site Pontchaillou, 2 rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.

Numerous studies show the risk of a breakdown in the continuity of care when a patient leaves hospital. A study was carried out of hospital-based nurses, to find out their representations with regard to their role in the hospital-home transition. The results enable areas of improvement to be identified. Read More

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[Thoughts on the role of the advanced practice nurse in emergency care and the patient pathway].

Soins 2021 Mar;66(853):46-51

Département de formation du personnel non médical, École du Val-de-Grâce, 1 place Laveran, 75005 Paris, France; Laboratoire Éducations et pratiques de santé (UR 3412), Université Sorbonne Paris Nord, 74 rue Marcel-Cachin, 93000 Bobigny, France; Faculté des sciences infirmières, Université de Montréal, pavillon Marguerite-d'Youville, 2375 chemin de la Côte-Sainte-Catherine, Montréal (Québec) H3T 1A8, Canada. Electronic address:

Abroad, advanced practice in emergency medicine has had positive effects on populations. In France, following the reform of emergency departments, advanced practice nurses in emergency medicine will become a reality. This new profession raises certain fears. Read More

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[An advanced practice nurse in a memory clinic].

Soins 2021 Mar;66(853):35-38

Centre hospitalier du Mans, 194 avenue Rubillard, 72000 Le Mans, France. Electronic address:

Le Mans general hospital has created an advanced practice nurse position in memory clinics in geriatrics. The activity began in September 2019. During the first year, 189 consultations with the nurse were carried out, despite the difficult health context. Read More

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[A discipline-specific perspective for advanced practice].

Soins 2021 Mar;66(853):22-25

Faculté des sciences infirmières, université de Montréal, Pavillon Marguerite-d'Youville, 2375 chemin de la Côte-Sainte-Catherine, Montréal H3T 1A8, Canada.

While being integrated into a public health policy which is extending their role, advanced practice nurses should operate within a discipline-specific approach, which takes account of their professional identity and ensures their added value for the health care system. Conceptual models of nursing care and other nursing theories are there to guide their practice and enable them to stay focused on their specific discipline. Read More

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Interactional practices in person-centred care: Conversation analysis of nurse-patient disagreement during self-management support.

Health Expect 2021 Mar 28. Epub 2021 Mar 28.

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: Person-centred care implies a change in interaction between care professionals and patients where patients are not passive recipients but co-producers of care. The interactional practices of person-centred care remain largely unexplored.

Objective: This study focuses on the analysis of disagreements, which are described as an important part in the co-production of knowledge in interaction. Read More

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