118 results match your criteria nursing realms


Approaches for establishing and sustaining clinical academic partnerships: A discursive review.

J Clin Nurs 2021 Apr 30. Epub 2021 Apr 30.

Department of Nursing, Johns Hopkins University School of Nursing, Baltimore, MD, USA.

Aims And Objectives: To discuss the need for a formalised structure that bridges the clinical and academic realms with concrete recommendations for programme development.

Background: In the rapidly changing landscape of health care, nurses are challenged with the responsibility to engage in evidence-based practice, quality improvement and research projects. Clinical and academic partnerships play a vital role in fostering collaboration, mentorship and resources. Read More

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Treatise on the influence of theism, transhumanism, and posthumanism on nursing and rehabilitation healthcare practice.

Nurs Philos 2021 Mar 18:e12350. Epub 2021 Mar 18.

Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Reservations concerning the ontologies of theism, transhumanism and posthumanism compel an explicatory discourse on their influences on Nursing and rehabilitation healthcare. Key journals in Nursing and health sciences have recently devoted themed issues on intelligent machine technologies such as humanoid healthcare robots and other highly technological healthcare devices and practice initiatives. While the technological advance witnessed has been a cause for celebration, questions still remain that are focused on the epistemological concerns. Read More

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The Emergency Nurses Association: 50 Years of Advocacy and Advancement.

J Emerg Nurs 2021 Mar 9;47(2):224-238.e1. Epub 2021 Jan 9.

To commemorate the 50th anniversary of the Emergency Nurses Association, this article describes the 3 most enduring and impactful policy initiatives in the organization's history. These initiatives were identified through a comprehensive review of the articles published in the Journal of Emergency Nursing as well as in other publications of the Emergency Nurses Association, including position statements and press releases. The top 3 policy issues throughout the Emergency Nurses Association's history were identified as provision of care for vulnerable populations, trauma and injury prevention, and patient quality and safety. Read More

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Pilot study of a nurse-led adult lacrimal clinic at a tertiary ophthalmic centre.

Br J Nurs 2020 Dec;29(22):1341-1347

Adnexal Service Director and Consultant Ophthalmologist, Moorfields Eye Hospital, London.

This article provides the reader with an outline of the anatomy and physiology of the lacrimal system and illustrates how a variety of pathologies within this system can result in the development of a watery eye. It describes the role of the nurse consultant in the diagnosis and management of patients with watery eye in the lacrimal clinic, and how the training programme for the development of such skills was implemented. Following training, within the realms of an established pilot study, the nurse consultant began to implement her skills in a newly established nurse-led lacrimal clinic. Read More

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December 2020

Barriers and facilitators to integrate oral health care for older adults in general (basic) care in East Netherlands. Part 1: Normative integration.

Gerodontology 2020 Dec 4. Epub 2020 Dec 4.

Institut für Allgemeinmedizin, Heinrich-Heine-Universität, Düsseldorf, Germany.

Objective: to synthesise a framework of barriers and facilitators in the normative integration of oral health care (OHC) into general health care for frail older adults at macro (system), meso (organisation and interprofessional integration) and micro (clinical practice) levels.

Background: Identification of these barriers and facilitators is expected to promote better and more appropriate care.

Methods: For this qualitative study, comprising 41 participants, representatives of 10 different groups of (professional) care providers, and OHC receivers (home-dwelling, and nursing home patients) in East Netherlands were interviewed. Read More

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December 2020

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

Perceived Attitudes Toward Lesbian, Gay, and Bisexual (LGB) Issues and Mental Health Among Taiwanese LGB Adults: The Mediating Role of Self-Acceptance.

Arch Sex Behav 2020 07 26;49(5):1671-1682. Epub 2020 Apr 26.

Department of Psychiatry, Kaohsiung Medical University Hospital, and School of Medicine, College of Medicine, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung, 80708, Taiwan.

Research on structural stigma has associated the poor mental health status among lesbian, gay, and bisexual (LGB) people with discriminatory institutions. Yet, less is known about the role of LGB adults' perceptions of social attitudes toward LGB issues. Moreover, the psychological mediation framework posits LGB people's self-acceptance as a mediator between a stigmatizing environment and individual mental health. Read More

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Length of Clinical Shift on Quality of Care, Learning Outcomes, and Satisfaction in Prelicensure Nursing Programs: Review of Literature.

Nurse Educ 2020 Sep/Oct;45(5):261-264

Author Affiliations: Assistant Professor of Nursing (Dr Hamilton), Saint Martin's University, Lacey; and Associate Dean of Nursing (Ms Benson) and Nursing Faculty & Clinical Placement Coordinator (Ms Callahan), Tacoma Community College, Washington.

Background: Some schools and nursing care organizations have implemented 12-hour shifts for students' clinical experiences.

Purpose: The aim of this review was to identify how student 12-hour shifts compared to shifts of less than 12 hours influence patient safety, care quality, learning outcomes, and student, faculty, and staff satisfaction.

Methods: Searches for academic literature using electronic databases resulted in 13 primary research articles covering the period between 1982 and 2018. Read More

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Spiritual self-care in adolescents: a qualitative study.

Int J Adolesc Med Health 2020 Oct 16. Epub 2020 Oct 16.

Biostatistics and Epidemiology Department, Faculty of Health, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Golestan, Islamic Republic of Iran.

Objectives One of the existential questions during adolescence is about the ambiguity in spiritual realms. Adolescents at this age not only have the spiritual, psychological, and unique needs, but also have spiritual needs that help them to relax and solve problems. Therefore, this qualitative study aimed to understand the concept of spiritual self-care in Iranian adolescents in 2019. Read More

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October 2020

Developing Nurses Through Mentoring: It Starts in Nursing Education.

Nurs Clin North Am 2020 03 24;55(1):61-69. Epub 2019 Dec 24.

College of Nursing, The Pennsylvania State University, Scranton Campus, Dawson Room 111, 120 Ridge View Drive, Dunmore, PA 18512, USA.

Faculty mentoring of undergraduate students is an essential and necessary component in helping students achieve exposure and success in cocurricular activities that they may not get in the classroom. It is through these cocurricular activities that faculty can expose students to the realms of various clinical activities, nursing research and education, and various service-related opportunities, such as tutoring and committee work. The intrinsic and extrinsic awards of watching your students succeed and grow into nursing leaders make mentoring worth it. Read More

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Regulation of nursing in Mexico: actors, processes and outcomes.

Cien Saude Colet 2020 Jan 30;25(1):233-242. Epub 2019 Sep 30.

El Colegio de la Frontera Norte. Tijuana  BC  México.

This paper aims to analyze the regulatory structure of nursing in Mexico through its legislation and perspectives of participant stakeholders. A case study was undertaken using qualitative and quantitative data sources, as well as from the review of official documents. The analysis included data from the sources according to the four realms proposed by the Moran & Wood (1993) model. Read More

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January 2020

Parental attitude toward children's mental disorders and its relationship with help seeking behaviors.

J Complement Integr Med 2019 Aug 21;16(4). Epub 2019 Aug 21.

Department of Nursing, School of Nursing & Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Background The purpose of the study was to assess parent's attitudes toward mental illness in children and its relationship with help seeking behaviors. Method This cross-sectional study was conducted in a pediatric psychiatric clinic of under affiliation of Tehran University of Medical Sciences in 2016-2017. All children's parents or guardians who referred for the first time to the clinics were the study population. Read More

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The Expanding Role of Nurse Practitioners in Home-Based Primary Care: Opportunities and Challenges.

J Gerontol Nurs 2019 Jun;45(6):9-14

Approximately 93% of Medicare spending is for beneficiaries with multiple chronic conditions. Costs of poorly coordinated or delayed care for this vulnerable population are staggering-not just measured in dollars and cents, but in overall psychosocial burdens of poor health and diminished quality of life. Home-based primary care (HBPC) practices are an effective way to meet needs of frail older adults who find it difficult, if not impossible, to leave home for medical care with an overall cost savings to Medicare. Read More

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[Applying Swanson's Theory of Caring to ManagePowerlessness in an Older Patient With Vasculitis].

Hu Li Za Zhi 2019 Jun;66(3):112-119

PhD, RN, Assistant Professor, Department of Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC.

This case report describes a nursing care experience that applied Swanson's Caring Theory to a powerless elderly patient who was suffering from vasculitis problems that had made her incapable of walking and had delayed her discharge from the hospital. The associated health problems, including impaired physical mobility, infection, and powerlessness, were affirmed after an integrated physical, psychological, social, and spiritual assessment was conducted during the nursing care period, which lasted between April 26th and May 5th, 2018. The five categories (knowing, being with, doing for, enabling, maintaining belief) of Swanson's Caring Theory were applied. Read More

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Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study.

J Psychiatr Ment Health Nurs 2019 Jun 31;26(5-6):175-184. Epub 2019 May 31.

Department of Nursing Science, University of Pretoria, Pretoria, South Africa.

WHAT IS ALREADY KNOWN ABOUT THE TOPIC?: Newly qualified nurses often feel overwhelmed by the challenges of the work environment and struggle to transition into healthcare work environments. Nurses require opportunities during the transition period to develop both competence and confidence in their ability to practise independently. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Newly qualified mental health nurses experience fear during their adaptation period, especially when they perceive mental healthcare users as dangerous and the working environment as risky, with little concern for their safety. Read More

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Perceived Effectiveness of an English-as-an-Additional-Language Nursing Student Support Program.

J Nurs Educ 2018 Nov;57(11):641-647

Background: English-as-an-Additional-Language (EAL) nursing students are more likely to experience academic challenges than nursing students whose primary language is English. To improve the learning environment for this disadvantaged group of students, a novel support group was established to address both academic and nonacademic issues faced by these students.

Method: Using a hermeneutic analytic approach, the impact and perceived effectiveness of this support group are explored. Read More

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November 2018

Labour market regulation as global social policy: The case of nursing labour markets in Oman.

Glob Soc Policy 2018 Aug 7;18(2):169-188. Epub 2017 Nov 7.

Wilfrid Laurier University, Canada.

This article examines global social policy formation in the area of skilled migration, with a focus on the Gulf Arab region. Across the globe, migration governance presents challenges to multiple levels of authority; its complexity crosses many scales and involves a multitude of actors with diverse interests. Despite this jurisdictional complexity, migration remains one of the most staunchly defended realms of sovereign policy control. Read More

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Care Needs of Patients at the End of Life With a Noncancer Diagnosis Who Live at Home.

J Nurs Res 2019 Apr;27(2):e10

MSN, RN, Doctoral Candidate, College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea.

Background: As the population ages, the prevalence of various chronic diseases increases. Palliative care for patients at the end of life with a noncancer diagnosis is currently limited because of the difficulties of demarcating the boundaries of the end-of-life care period and of determining the various care needs of patients at the end of life.

Purpose: This study aimed to investigate the levels of importance and difficulty of the multidimensional care needs for patients with a noncancer diagnosis during various end-of-life stages. Read More

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Concept Analysis of Unintended Consequences.

Authors:
Mykin Higbee

Creat Nurs 2018 May;24(2):99-104

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. Read More

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Comparative study among Spanish students of health sciences degrees: Facing death.

Nurs Health Sci 2018 Sep 9;20(3):380-386. Epub 2018 Mar 9.

Department of Mathematics, University of Almería, Almería, Spain.

The purpose of this study was to explore the perceptions and attitudes of students of health sciences faculties (medicine, nursing, and physiotherapy) regarding specific issues related to death and end of life in both professional and personal realms. A descriptive, cross-sectional, and multi-center approach was used. The modified Bugen Scale for facing death was used. Read More

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September 2018

Endurance with partnership: a preliminary conceptual framework for couples undergoing in vitro fertilisation treatment.

J Reprod Infant Psychol 2018 04 5;36(2):144-157. Epub 2018 Jan 5.

b School of Nursing , The Hong Kong Polytechnic University , Hong Kong , China.

Background/objectives: Infertility affects both women and men in the physical, emotional, existential, and interpersonal realms. When couples seek in vitro fertilisation (IVF) treatment, they further suffer from the difficulties of the treatment and the uncertainty of its outcome. The aim of this study was to develop a preliminary conceptual framework for couples undergoing IVF treatment to give health professionals a better understanding of the experiences of such couples, and to guide the development of an intervention. Read More

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Exploring communication during the journey from noticing bodily changes to a diagnosis of endometrial cancer.

J Clin Nurs 2018 Mar 19;27(5-6):1262-1275. Epub 2017 Dec 19.

Department of Gynaecology Oncology, Auckland City Hospital, Auckland, New Zealand.

Aims And Objectives: To understand women's perspectives about the trajectory from first bodily changes to diagnosis.

Background: With endometrial cancer, as with all gynaecological cancers, early diagnosis is key to successful outcomes. However, women do not always seek clinical advice early. Read More

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Prioritizing Functional Capacity as a Principal End Point for Therapies Oriented to Older Adults With Cardiovascular Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association.

Circulation 2017 Apr 23;135(16):e894-e918. Epub 2017 Mar 23.

Adults are living longer, and cardiovascular disease is endemic in the growing population of older adults who are surviving into old age. Functional capacity is a key metric in this population, both for the perspective it provides on aggregate health and as a vital goal of care. Whereas cardiorespiratory function has long been applied by cardiologists as a measure of function that depended primarily on cardiac physiology, multiple other factors also contribute, usually with increasing bearing as age advances. Read More

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Primary Health Care Reform in Portugal: Portuguese, modern and innovative.

Cien Saude Colet 2017 Mar;22(3):701-712

Unidade de Saúde Familiar Marginal, ACES de Cascais. R. Egas Moniz 9010/Piso 2, Cascais. 2765-618 São João do Estoril Portugal.

The 2005 Portuguese primary health care (CSP) reform was one of the most successful reforms of the country's public services. The most relevant event was the establishment of Family Health Units (USF): voluntary and self-organized multidisciplinary teams that provide customized medical and nursing care to a group of people. Then, the remaining realms of CSP were reorganized with the establishment of Health Center Clusters (ACeS). Read More

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A Multisite Study of Family Functioning Impairment in Pediatric Obsessive-Compulsive Disorder.

J Am Acad Child Adolesc Psychiatry 2017 Mar 27;56(3):241-249.e3. Epub 2016 Dec 27.

Massachusetts General Hospital and Harvard University.

Objective: Familial aspects of pediatric obsessive-compulsive disorder (OCD), including accommodation and treatment, have received notable and warranted attention. However, individual perspectives of its repercussions on family functioning, including emotional and occupational parental burden, have not been closely examined. The present study details this topic using a large multicenter sample. Read More

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The Evolution of the New Provider Team: Driving Cultural Change Through Data.

Nurs Adm Q 2017 Jan/Mar;41(1):4-10

Illinois Health & Hospital Association, Chicago, Illinois (Ms Anen); and Vizient, Chicago, Illinois (Ms McElroy).

Nursing executives are continually challenged to address a rapidly evolving health care system. Every aspect of care delivery is being scrutinized, yet the constant requirement remains assurance of high-quality, highly reliable care that is cost-effective and easily accessible. The nursing workforce remains visible in traditional roles as well as in new and innovative capacities, whereas nurse executives experience expanded realms of focus and responsibility. Read More

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Precepting Challenge: Helping the Student Attain the Affective Skills of a Good Midwife.

J Midwifery Womens Health 2016 Nov;61(S1):37-46

Preparing students for a career in midwifery is a rewarding venture. The knowledge and techniques necessary to meet the requirements of a safe, beginning-level practitioner are familiar to experienced midwives. It is common for students to achieve learning outcomes in the classroom (actual or virtual) but struggle in the clinical setting. Read More

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November 2016

Visioning change: Co-producing a model of involvement and engagement in research (Innovative Practice).

Dementia (London) 2019 Oct-Nov;18(7-8):3165-3172. Epub 2016 Oct 16.

Division of Nursing, Midwifery and Social Work, University of Manchester, UK; Greater Manchester West Mental Health NHS Foundation Trust, UK.

The involvement of people living with dementia in research has traditionally been located in the realms of 'subject' or 'participant'. However, there has been an increase in demand for greater transparency by academic bidding teams (particularly within the UK) in demonstrating how people with a lived experience have been and will be involved in the research process. Located within the Economic and Social Research Council/National Institute for Health Research (ESRC/NIHR)-funded Neighbourhoods and Dementia Study (2014-2019), led by The University of Manchester (UK), this paper outlines the development of the CO-researcher INvolvement and Engagement in Dementia (COINED) Model, which was co-produced alongside three independent groups of people living with dementia: Open Doors, the Scottish Dementia Working Group and EDUCATE. Read More

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February 2020

Introduction of the Engaged Feedback Reflective Inventory During a Preceptor Training Program.

J Nurses Prof Dev 2016 Jul-Aug;32(4):E1-7

William Rosa, MS, RN, LMT, AHN-BC, AGPCNP-BC, CCRN-CMC, is visiting faculty, University of Rwanda, and clinical educator, Rwanda Military Hospital, Human Resources for Health Program in partnership with the New York University Rory Meyers College of Nursing, Kigali, Rwanda. Sarla Santos, MS, RN-BC, CCRN, is assistant director of operations, New York Simulation Center for the Health Sciences (NYSIM), New York NY.

The purpose of this article is to explore how effective communication, in the form of engaged feedback, may aid in the self-care of the preceptor and an improved working relationship between preceptor and orientee. The application of the Engaged Feedback Reflective Inventory offers opportunity for both new and seasoned preceptors to discover growth opportunities in the realms of effective communication and self-care. Further research needs to be conducted in order to assess improved outcomes post training. Read More

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The attitudes of the undergraduate nursing students towards lesbian women and gay men.

J Clin Nurs 2016 Dec 27;25(23-24):3697-3706. Epub 2016 Jun 27.

Department of Social Work, Faculty of Health Sciences, Ankara University, Ankara, Turkey.

Aims And Objectives: This study was conducted to determine the attitudes of undergraduate nursing students towards lesbian women and gay men.

Background: Nursing education in Turkey is conducted holistically; in other words, it is an integration of the physical, spiritual, mental and social realms. Students are therefore expected to not express any discrimination due to factors such as religion, language, race and gender. Read More

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December 2016