Contemporary Nurse[JOURNAL]
Sun
200 papers
Flyer Special Issue Quality Improvement.
Contemp Nurse · 2023 · PMID 39642085 · Publisher ↗
Abstract loading — click title to view on PubMed.
Measuring perceived learning gains of undergraduate nursing students in ICT skills: One group pre-test and post-test design.
Harerimana A, Duma SE, Mtshali NG
Contemp Nurse · 2023 Apr · PMID 37410516 · Publisher ↗
This study aimed to measure learning gains during an ICT training intervention in first-year students completing a four-year undergraduate nursing degree. This study adopted a quasi-experimental, one group pre-test and p...
This study aimed to measure learning gains during an ICT training intervention in first-year students completing a four-year undergraduate nursing degree. This study adopted a quasi-experimental, one group pre-test and post-test design. The intervention effectiveness was measured using individual single-student normalised gains, g; class average normalised gain, 〈g〉; and average single-student normalised gain, g(ave). In this study, the class average normalised gains, 〈g〉 ranged from 34.4% to 58.2%, and the average of single student normalised gains, g(ave) ranged from 32.4% to 50.7%. The overall class average normalised gain 〈g〉 was 44.8%, and the average of the single student normalised gain was 44.5%, with 68% of students having a normalised gain of 30% and above, indicating that the intervention was effective. Similar interventions and measurements are recommended to all health professional students during their first academic year to pave a foundation for ICT usage for academic purposes.
Structural equation modeling for associated factors with self-care behavior among young and middle-aged hypertensive patients: a cross-sectional study.
Kim NJ, Lee MK
Contemp Nurse · 2023 Apr · PMID 37335772 · Publisher ↗
BACKGROUND: Self-determination theory (SDT) states that the self-care behaviors of patients with chronic illnesses are affected by an autonomy-supportive healthcare climate, satisfaction of autonomy, competence, and rela...
BACKGROUND: Self-determination theory (SDT) states that the self-care behaviors of patients with chronic illnesses are affected by an autonomy-supportive healthcare climate, satisfaction of autonomy, competence, and relatedness. Autonomy-supportive healthcare climate means to provide interpersonal conditions that support the person's volition, initiative, and integrity. OBJECTIVE: The aim of this study was to explore the structural relationships of an autonomy-supportive healthcare climate, as well as the perception of illness consequences, autonomy, competence, and relatedness with self-care behaviors among adult outpatients with hypertension. DESIGN: A cross-sectional survey was conducted in 2020 across three hospitals outpatient clinics in South Korea. METHODS: A questionnaire package containing instruments measuring the perception of autonomy-supportive healthcare climate, autonomy, competence, relatedness, perception of illness consequence, self-care behaviors, sociodemographic data, and disease-related characteristics among the patients. The hypothetical model was derived from the SDT. Data were analyzed to test the hypothetical model and propose the final model. RESULTS: Complete survey data was provided by 228 participants. Overall, the findings supported the hypothesized model (Goodness-of-Fit Index = 0.90 and Comparative Fit Index = 0.99). An autonomy-supportive healthcare climate and autonomy, competence, and relatedness directly influenced the self-care behaviors of adult hypertensive patients. However, the perception of illness consequences did not have a significant direct effect on self-care behavior. CONCLUSION: Improving the autonomy-supportive healthcare climate, as well as positive perception of illness consequences, autonomy, competence, and relatedness among patients positively affects self-care behavior. Thus, an authentic partnership between healthcare providers and hypertensive patients is required to enhance trust, cooperation, and adaptation, consequently improving self-care behaviors among patients. IMPACT STATEMENT: Autonomy-supportive healthcare climate was both directly and indirectly associated with self-care behavior that mediates autonomy, competence, and relatedness among young and middle-aged hypertensive patients.
Educators' ability to use concept mapping as a tool to facilitate meaningful learning.
Van Rensburg GH, Botma Y, Roets L
Contemp Nurse · 2023 Jun · PMID 37312540 · Publisher ↗
: Meaningful learning is enhanced when concepts are visually differentiated, linked to or nested under other concepts, resulting in integrative reconciliation of knowledge and understanding. Competence in using concept m...
: Meaningful learning is enhanced when concepts are visually differentiated, linked to or nested under other concepts, resulting in integrative reconciliation of knowledge and understanding. Competence in using concept mapping as a strategy to support students towards meaningful learning, is essential.: The aim of the study was to describe the nature of the concept maps drawn by educators after a symposium on concept maps to transfer educational knowledge to the classroom.: A quantitative descriptive cross-sectional design was used to explore the nature of concept maps drawn by educators after having attended a workshop on concept mapping.: The authors developed a checklist based on the principles of a good concept map to assess and describe to what extent the concept maps drawn by the participants, aligned with general principles on creating a concept map appropriate to enhance meaningful learning. During a symposium, participants were introduced to the advantages, principles and requirements for concept mapping. Sixty-two (62; 100%) participants drew concept maps. Using a checklist based on the principles of good concept mapping, we assessed concept maps from 22 (35.4%) volunteers to explore the extent to which the concept maps aligned with general principles necessary to enhance meaningful learning.: Criteria for a good concept map include the graphical presentation and establishing relationships between these concepts. The network-style concept map was used by the majority (68%) of the participants. Only 9% used the spoke concept map. The graphical presentation of concepts and the relationships between these was limited. Only 41% of the maps were understandable, while 36% made sense in the context of the chosen topic.: Well-designed concept maps can add value to and improve educator teaching and student learning. Not all educators in this study understood what a good concept map is. Visualisation offered by concept maps assist in recognising how new knowledge can link with, and build on, existing knowledge.
Content analysis of nurses' reflections on medication errors in a regional hospital.
Isaacs A, Raymond A, Kent B
Contemp Nurse · 2023 Jun · PMID 37248770 · Publisher ↗
BACKGROUND: Medication errors [MEs] continue to be an area of concern both nationally and internationally. METHODS: Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Austr...
BACKGROUND: Medication errors [MEs] continue to be an area of concern both nationally and internationally. METHODS: Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Australian regional teaching hospital during a five-year period were analysed. RESULTS: Fifteen codes emerged from the data that aligned to three main categories of the Human Factors Framework. They were: Individual characteristics such as inexperience, stress and lack of knowledge (5 codes), Nature of the work such as prescription errors, time pressure, miscommunication, poor handover and documentation errors (9 codes) and Physical environment such as distractions (1 code). Individual characteristics were the most frequently reported (51.6%) reasons for the error. CONCLUSIONS: Provision of medicine information resources and management of nurses' workload as well as enhancing graduate nurse education with simulation of 'real life' clinical settings appear to be the main targets for intervention.
Nurse profiles in evaluating incivility: even a slight sexism in employment affects the evaluation.
Lopez-Zafra E, Pulido-Martos M, Carmona-Cobo I
Contemp Nurse · 2023 Jun · PMID 37248721 · Publisher ↗
BACKGROUND: Workplace incivility is a serious concern in the healthcare setting worldwide. Addressing how sexism impacts this, may help administrators take action to reduce this problem and to increase safety at work. ME...
BACKGROUND: Workplace incivility is a serious concern in the healthcare setting worldwide. Addressing how sexism impacts this, may help administrators take action to reduce this problem and to increase safety at work. METHODS: 557 nurses (63% women) read a hospital scene describing an episode of incivility from a nurse leader towards a nurse employee. They then evaluated the situation regarding their awareness, tolerance, and their beliefs toward sexism by completing a self-report questionnaire. FINDINGS: Two distinct nurse profiles emerged: high-sensitivity and medium-sensitivity. Medium-sensitivity nurses were significantly higher in sexism in employment, and differ in their evaluation of workplace incivility from highly sensitive nurses. CONCLUSIONS: The majority of nurses are sensitive to workplace incivility, but those with sexist tendencies in employment are less aware and tolerate uncivil episodes to a greater extent. APPLICATION TO PRACTICE: Training nurses to be aware of workplace incivility is necessary, especially for those demonstrating sexism.
Factors correlating with self-care behaviors among patients with coronary artery disease: a cross-sectional study.
Khader IA, Malak MZ, Asia M … +2 more , Jallad M, Zahran H
Contemp Nurse · 2023 Jun · PMID 37248702 · Publisher ↗
In Palestine, there is a lack of studies that examined self-care behaviors among patients with coronary artery disease in outpatient clinics. This study purposed to evaluate self-care behaviors, examine the relationship...
In Palestine, there is a lack of studies that examined self-care behaviors among patients with coronary artery disease in outpatient clinics. This study purposed to evaluate self-care behaviors, examine the relationship between self-care behaviors and selected sociodemographic and psychosocial factors (e.g. depression, anxiety, stress, and social support), and self-efficacy, and determine predictors of self-care behaviors among patients with coronary artery disease in outpatient clinics in the West Bank/Palestine. A cross-sectional study was conducted. A total of 430 Palestinian adult patients suffering from coronary artery disease attended outpatient clinics were recruited. A self-reported questionnaire consisting of the following tools: Depression, Anxiety, Stress Scale 21, Sullivian's Self-efficacy scale, and Multidimensional Social Support Scale was used to collect data during the period from the beginning of April to the beginning of July 2022. Descriptive and inferential statistics (Pearson's and Point-biserial correlation tests and multiple linear regression) were used for analyzing data. The patients reported low self-care behaviors levels and high self-efficacy levels. The psychosocial reactions endorsed by the patients were 86.3% for depression, 76.3% for anxiety, 43.3% for stress, and 98.6% had moderate and normal social support. A positive correlation was found between self-care behaviors and age ( = 0.160, < 0.01), duration of disease ( = 0.095, < 0.05), self-efficacy ( = 0.443, < 0.01), and social support ( = 0.266, < 0.01). Self-efficacy (B = 0.401, < 0.01), social support (B = 0.160, < 0.01), and age (B = 0.109, < 0.05) were significant predictors of self-care behaviors in those patients. Low self-care behaviors were a significant issue among patients with coronary artery disease in outpatient clinics. This study may help healthcare professionals develop health promotion programs for patients with coronary artery disease to improve self-care behaviors.
"You cannot be what you cannot see": we need visible nursing role models shaping a healthier planetary future for all.
Lokmic-Tomkins Z, Strus JA, Kaminski J … +1 more , Davies S
Contemp Nurse · 2023 Jun · PMID 37248631 · Publisher ↗
Abstract loading — click title to view on PubMed.
Validity and reliability of an Emotional Thermometer tool: an exploratory cross-sectional study.
Cheng C, Yang CY, Zhou M … +3 more , Bai J, Inder K, Wai-Chi Chan S
Contemp Nurse · 2023 Jun · PMID 37218582 · Publisher ↗
INTRODUCTION: There are a few screening tools to detect psychological symptoms among people with multiple chronic conditions (MCCs) in China. AIM: The aim of this study was to examine the validity and reliability of a tr...
INTRODUCTION: There are a few screening tools to detect psychological symptoms among people with multiple chronic conditions (MCCs) in China. AIM: The aim of this study was to examine the validity and reliability of a translated version of the Emotional Thermometer (ET) tool. MATERIALS AND METHODS: This cross-sectional study consisted of two phases: (1) translation and content validity testing; and (2) assessment of psychometric properties, including internal consistency, test-retest reliability, and construct validity. For the first phase, the authors used a forward-backward translation approach for the Chinese version of the instrument and tested its content validity with a panel of six experts. For the second phase, the data, including the ET tool and demographic characteristics were collected in a convenience sample of 197 Chinese people with MCCs recruited from a university hospital. The first 50 participants participated in the two-week retest. RESULTS: The Chinese version of the ET tool had satisfactory psychometric properties; content validity index (0.83), internal consistency (0.92), and ICC (0.93 to 0.98 [ < 0.01]). Principal component analysis showed that there was only one component with an eigenvalue greater than 1 (value = 3.80), with 76.67% of the variance responding. All items loaded significantly onto this factor and demonstrated strong loadings of > 0.70. CONCLUSION: The Chinese-version of the ET tool is psychometrically sound. It has the potential to be used as a screening tool for psychological symptoms in Chinese people with MCCs. IMPACT STATEMENT: Findings from testing the Chinese translation of the Emotional Thermometer indicate this could be a convenient and useful screening tool to detect psychological symptoms in patients with multiple chronic conditions.
Subcutaneous injections: A cross-sectional study of knowledge and practice preferences of nurses.
Fidan Ö, Şanlialp Zeyrek A, Arslan S
Contemp Nurse · 2023 Jun · PMID 37114438 · Publisher ↗
BACKGROUND: Widespread use of subcutaneous injection for parenteral medications is likely to be related to high medication bioavailability and rapid onset of action. Correct subcutaneous injection technique and site sele...
BACKGROUND: Widespread use of subcutaneous injection for parenteral medications is likely to be related to high medication bioavailability and rapid onset of action. Correct subcutaneous injection technique and site selection are essential for nursing care quality and patient safety. AIM: The study aimed to determine nurses' knowledge and practice preferences regarding subcutaneous injection technique and administration site selection. DESIGN: This cross-sectional study took place between March and June 2021. METHODS: This study included 289 nurses, willing to participate who worked in units performing subcutaneous injections in a university hospital in Turkey. RESULTS: Most nurses reported their preferred administration site for subcutaneous injections was the lateral aspects of the upper arm. More than half of the nurses did not use a rotation chart, they swabbed the skin before a subcutaneous injection, and they always pinched the skin at the injection site; 50% of nurses reported always administering subcutaneous injections at an angle of either 90 or 45 degrees. Most nurses performed an injection in less than 30 s and waited for 10 s before withdrawing the needle. They did not apply massage onto the site following the injection. Nurses' knowledge of subcutaneous injection was at a moderate level. CONCLUSIONS: Nurse knowledge of best practice subcutaneous injection administration and site selection could be improved in line with current evidence to improve personcentred and quality and safe care delivery. Future research should involve developing and evaluating educational strategies and practice standards to enhance nurse understanding of best practice evidence to meet patient safety goals.
The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study.
Ross P, Hodgson CL, Ilic D … +6 more , Watterson J, Gowland E, Collins K, Powers T, Udy A, Pilcher D
Contemp Nurse · 2023 Feb · PMID 37096967 · Publisher ↗
BACKGROUND: The highly complex and technological environment of critical care manages the most critically unwell patients in the hospital system, as such there is a need for a highly trained nursing workforce. Intensive...
BACKGROUND: The highly complex and technological environment of critical care manages the most critically unwell patients in the hospital system, as such there is a need for a highly trained nursing workforce. Intensive care is considered a high-risk area for errors and adverse events (AE) due to the severity of illness and number of procedures performed. OBJECTIVE: To investigate if the percentage of Critical Care Registered Nurses (CCRN) within an Intensive Care Unit (ICU) is associated with an increased risk of patients experiencing an AE. DESIGN & SETTING: We conducted a retrospective cohort study of patients admitted between January 2016 and December 2020 to a tertiary ICU in Australia. Descriptive statistics and multivariable logistic regression were used to investigate the relationship between the proportion of CCRNs each month and the occurrence of an AE defined as any one of a medication error, fall, pressure injury or unplanned removal of a central venous catheter or endotracheal tube per patient. RESULTS: A total of 13,560 patients were included in the study, with 854 (6.3%) experiencing one AE. Patients with an AE were associated with higher illness severity and frailty scores. They were more commonly admitted after medical emergency team response calls and were less commonly elective ICU admissions. Those with an AE had longer ICU and in-hospital length of stay, and higher ICU and in-hospital mortality, on average. After adjusting for ICU LOS and acute severity of illness, being admitted during a month of higher critical care nursing skill-mix was associated with a statistically significant lower odds of having a subsequent AE (OR 0.966 [95% CI: 0.944-0.988], 0.003). CONCLUSION: An increasing percentage of CCRNs is independently associated with a lower risk-adjusted likelihood of an AE. Increasing the skill-mix of the ICU nursing staff may reduce the occurrence of AEs and lead to improved patient outcomes.
Editorial: .
Wynne R
Contemp Nurse · 2023 Feb · PMID 37060289 · Publisher ↗
Abstract loading — click title to view on PubMed.
Development and psychometric testing of an instrument to measure applicants' desire to work in nursing.
Talman K, Mäntylä H, Hupli M … +3 more , Kanerva AM, Engblom J, Haavisto E
Contemp Nurse · 2023 Apr · PMID 37021682 · Publisher ↗
Nursing applicants' desire to work in nursing has been identified as an important aspect to consider in nursing student selection, but relevant instruments are missing. To describe the development and psychometric testin...
Nursing applicants' desire to work in nursing has been identified as an important aspect to consider in nursing student selection, but relevant instruments are missing. To describe the development and psychometric testing of the Desire to Work in Nursing instrument. A mixed-methods design. The development phase included the collection and analysis of two types of data. First, three focus group interviews were organised with volunteer nursing applicants (n = 18) after the entrance exams of three universities of applied sciences (UAS) (in 2016). The interviews were analysed inductively. Second, scoping review data from four electronic databases were collected. Thirteen full-text articles (published between 2008 and 2019) were included in the review and analysed deductively based on the results of the focus group interviews. The items for the instrument were generated by synthesising the results of the focus group interviews and the scoping review. The testing phase included 841 nursing applicants who participated in the entrance exams of four UAS on 31 October 2018. The psychometric properties were analysed by examining internal consistency reliability and construct validity by principal component analysis (PCA). The desire to work in nursing was classified into four categories: nature of the work, career opportunities, suitability for nursing and previous experiences. The internal consistency reliability of the four subscales was satisfactory. The PCA found only one factor with an eigenvalue over one, explaining 76% of the total variance. The instrument can be considered reliable and valid. Although theoretically the instrument contains four categories, a one-factor solution should be considered in the future. Evaluation of applicants' desire to work in nursing may provide a strategy to retain students.
Why we need a re-think of patient safety practices.
Rihari-Thomas J, Glarcher M, Ferguson C … +1 more , Davidson PM
Contemp Nurse · 2023 Apr · PMID 37015901 · Publisher ↗
Abstract loading — click title to view on PubMed.
From proposal to action: evaluating the results of a nursing student project to promote student-community engagement.
Shannon C
Contemp Nurse · 2023 Apr · PMID 36876339 · Publisher ↗
BACKGROUND: A focus on community engagement is encouraged when educating nursing students on preventative care and advocacy. Students often struggle to connect theory to practice and benefit from real-world experiences....
BACKGROUND: A focus on community engagement is encouraged when educating nursing students on preventative care and advocacy. Students often struggle to connect theory to practice and benefit from real-world experiences. AIM: This paper describes the effect of a student-led health project on student development. METHODS: A descriptive, correlational design was used to explore end of semester feedback from undergraduate nursing students ( = 174) completing a semester long community project. Chi-square analyses and thematic coding were performed to determine measures of association and student perceptions. RESULTS: Across 83 completed surveys (47.7%), self-efficacy was a key factor in project completion, development, bias awareness, and commitment to community. CONCLUSIONS: Civic duty and professional responsibility are challenging concepts for students, thus, impacting transition to practice. Engagement in self-efficacious experiences is encouraged. IMPACT STATEMENT: Community engagement influences undergraduate nursing students' development. Enhanced support of student self-efficacy may promote attainment of nursing values and improved care delivery.
Aboriginal and Torres Strait Islander nurses and midwives culturally safe mentoring programmes in Australia: A scoping review.
Biles J, Deravin L, McMillan Am F … +3 more , Anderson J, Sara G, Biles B
Contemp Nurse · 2023 Apr · PMID 36734665 · Publisher ↗
: To examine the experiences of culturally safe mentoring programmes described by Aboriginal and Torres Strait Islander nurses and midwives in Australia.: A systematic scoping review.: The following databases were access...
: To examine the experiences of culturally safe mentoring programmes described by Aboriginal and Torres Strait Islander nurses and midwives in Australia.: A systematic scoping review.: The following databases were accessed: CINAHL Plus with Full Text (EBSCO), EMCARE (Ovid), MEDLINE (Ovid), INFORMIT (Health Collection/Indigenous Collection) and SCOPUS. Support relating to key words and appropriate databases was provided by a university librarian.: Search terms across databases were sourced from 1997-2021, identifying a total of 161 papers. Title/abstract searches were screened against the inclusion/exclusion criteria, resulting in 18 papers reaching full-text review. Of the 18 full-text papers reviewed, six were eligible for inclusion in the final review.: Culturally safe mentorship was a positive experience for Aboriginal and Torres Strait Islander nurses and midwives. Thematic discussion identified three key themes: .: Culturally safe mentoring has been a key recommendation in the nursing literature for over 20 years. There is limited knowledge on what constitutes an effective programme as mentoring programmes have not been empirically evaluated or reviewed.: This review provides evidence that Cultural Safety and the exploration of culture impact culturally safe mentoring and can impact workforce cultural capability.: This review indicates that culturally safe mentoring has been a key recommendation in nursing literature for over 20 years. This review provides evidence that Cultural Safety and the exploration of culture impact culturally safe mentoring and can impact workforce cultural capability. However, there is limited knowledge of what constitutes an effective programme, as mentoring programmes have not been empirically evaluated or reviewed providing an opportunity for further research.: Little is known about Aboriginal and Torres Strait Islander nurses' and midwives' perspectives of culturally safe mentoring programmes in Australia. However, mentoring programme are seen as a key workforce retention strategy. This scoping review aims to explore and interpret Aboriginal and Torres Strait Islander nurses' and midwives' perspectives of culturally safe mentoring programmes in Australia. This review concludes that mentoring programmes require content in Cultural Safety and that programmes need to be empirically evaluated.
Exploring psychosocial adaptation to pregnancy in women with gestational diabetes.
Nar M, Ozcirpan CY
Contemp Nurse · 2023 Apr · PMID 36734366 · Publisher ↗
: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. Diagnosis of GDM, that could be unexpected, may cause women to feel negative emotions such as fear, guilt, sadness, and...
: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. Diagnosis of GDM, that could be unexpected, may cause women to feel negative emotions such as fear, guilt, sadness, and loss of control and experience difficulties adapting to pregnancy.: This study aimed to explore psychosocial adaptation to pregnancy in women with GDM.: This observational cross-sectional study was conducted with women with GDM and healthy pregnant women who applied to the pregnancy and perinatology outpatient clinic of a university hospital. Groups were matched according to age, education level, and gestational week. The Prenatal Self-Evaluation Questionnaire (PSEQ) was used to collect data. Simple linear regression was performed to determine factors influenced psychosocial adaptation to pregnancy using average scores from the PSEQ.: Regression analysis indicated, GDM status (beta = -48.8, ≤ 0.001) and smoking status during pregnancy (beta = 11.0, = 0.032) influenced the total score of the PSEQ.: Nurses are encouraged to develop a multifaceted nursing care model that considers the physical and psychosocial problems and to provide care to increase the psychosocial adaptation of women with GDM to pregnancy.
Patient perspectives of positive messages from clinicians: a qualitative secondary analysis and conceptual model.
Dean S, Ivynian S, Howick J … +1 more , Levett-Jones T
Contemp Nurse · 2023 Feb · PMID 36725303 · Publisher ↗
: A review and meta- analysis of empathic communication and patients' expectations of interventions has shown that if positive messages are delivered there is a small but measurable reduction of pain and anxiety and some...
: A review and meta- analysis of empathic communication and patients' expectations of interventions has shown that if positive messages are delivered there is a small but measurable reduction of pain and anxiety and some improvements in physical outcomes. : To identify elements of health messages that may have a positive impact on patient health outcomes to guide effective nurse-patient- communication. : Data were extracted from each study in a qualitative analysis of a systematic review investigating the health effects of positive messages, and analysed following the principles of thematic analysis. : Central to effective positive messages were good communication skills. Five key features were identified. : The non-treatment care categories such as cognitive care and emotional care can significantly influence health outcomes across a range of interactions. : Strategies to facilitate positivity can be incorporated into nursing education programs designed to improve patient outcomes.
The Australian and New Zealand nephrology nursing workforce: clinical pressure and organisational culture.
Hill K, Neylon K, Gunn K … +2 more , Sharplin G, Eckert M
Contemp Nurse · 2023 Feb · PMID 36688594 · Publisher ↗
There has been increasing prevalence in the community of chronic kidney disease and an increased demand for nephrology trained nursing staff. We explored how nephrology trained nurses are impacted by daily caseload press...
There has been increasing prevalence in the community of chronic kidney disease and an increased demand for nephrology trained nursing staff. We explored how nephrology trained nurses are impacted by daily caseload pressure, organisational support and workplace education. A co-designed 57-item questionnaire developed by the research team and clinical nephrology nurses hosted on Qualtrics™ was distributed to nephrology nurses in Australia and New Zealand. The 370 respondents described a strong professional identity as a nephrology nurse. 70% described pressure to work overtime and only 2% were adequately staffed. 40% felt at times that their patients clinical care was 'unsafe' and one-third described the erosion of work-based educational opportunities. However, team collegiality was high, a strength of the nursing profession. The nephrology nursing workforce will face important challenges over the next decade and there must be an organisational response to prevent continued staff shortages.
Clinical validation of the nursing diagnosis decreased diversional activity engagement in patients with diabetes.
Serra EB, Rolim ILTP, Pascoal LM … +2 more , Lopes GSG, Lopes MVO
Contemp Nurse · 2022 · PMID 36661318 · Publisher ↗
BACKGROUND: Diagnostic accuracy studies are important to identify the best set of defining characteristics for a given nursing diagnosis. The reliability of nursing inferences can be increased by using clinical indicator...
BACKGROUND: Diagnostic accuracy studies are important to identify the best set of defining characteristics for a given nursing diagnosis. The reliability of nursing inferences can be increased by using clinical indicators with high prediction capacity helping nurses to be more accurate in their clinical practice. OBJECTIVE: To clinically validate the nursing diagnosis Decreased diversional activity engagement in adult patients with diabetes. METHOD: A diagnostic accuracy study with a cross-sectional design was carried out patients with type 2 diabetes. A latent class model with random effects was used to measure the sensitivity and specificity. RESULTS: The diagnosis of Decreased diversional activity engagement was present in 62.2% of the patients. The defining characteristics with high sensitivity (good indicators for confirmation) were discontent with situation, physical deconditioning, and altertion in mood. Boredom, flat affect, discontent with situation, and frequent naps were the defining characteristics with the highest specificity values. These factors are considered good integrating components of the diagnosis under investigation in patients with diabetes. CONCLUSION: The nursing diagnosis decreased diversional activity engagement is frequent in patients with diabetes, and discontent with situation can be considered a good predictor of its occurrence due to its high values of specificity and sensitivity. IMPACT: The use of accurate clinical indicators in the diagnostic reasoning of nurses contributes to the achievement of outcomes centered on the patient's human responses.
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe