Questions related to Clinical Nursing
I have wondered why many scientists, nurses and medical doctors do not use clinical (nursing and medical) colour pictures to teach or share experiences with the community members in this modern era of "Seeing is believing!"
"AIDucation 20-10" is frankly the use of medical illustrations or colour pictures (Hospital library) for nurses and doctors; abused for the local village folks, schools, churches, mosques and workplaces to raise awareness.
Several organizations do not recommend aspiration when administering vaccines because no data exist to justify the need for this practice. They argue that: 1) Aspiration is more painful for the patient, 2) IM injections are not given in areas where large vessels are present, so the inadvertent intravascular injection is improbable and 3) There is no reports of a vaccine being administered intravenously and causing harm in the absence of aspiration.
However, 1) there seems not to be more pain in the adult in relation with aspiration (Taddio et al. Procedural and Physical interventions for vaccines injections: systematic review of randomized controlled trials and quasi-randomized controlled trials. Clin J pain, 2015), 2) the inadvertent intravascular injection is relatively frequent with 40% of the nurses claiming blood aspiration, and this is not exclusive of dorso gluteal site –dorso gluteal (15%) vs deltoid (12%)— (Cristine M Thomas. Blood Aspiration During IM Injection. Clinical Nursing Research 2015) and 3) such reports justifying security do not involve many patients, not consider secondary effects in the long run and not consider a potential decrease in efficacy of the vaccines -- intravenous administration seems to produce a rapid antigen depletion-- (Sissons H. Aspirating during the intramuscular injection procedure: a systematic literature review. Journal of Clinical Nursing 2015).
Are we doing it right?
I am drafting a plan on how to assess the capacity and learning needs of clinical nurses to do research. Thus, any suggestions about methods or tools which can help me answer this concern will be highly appreciated.
Since I'm interested in Conceptual Analysis, I've been searching for work making use of this "research method". What surprised me is that almost half of the papers I found are from the field/discipline of Nursing Studies/Research. Considering that arguably all scientific fields/disciplines (sociology, psychology, mathematics, engineering, linguistics, law, economics, physics, philosophy, medicine, etc.) could equally employ Conceptual Analysis, can anyone explain to me the special connection there seems to be between Nursing Studies/Research and Conceptual Analysis? Thank you!
I’m a bit lost.
what type of systematic review should I do if I’m looking at studies that are gaving a cohort focused interviews or questionnaires to fill. I’m researching What are the barriers to clinical nurses conducting research?
all studies found are not qualitative. They are quantitative and assess the scale responses to questionnaires.
Nursing, originated from the word "caring" has struggled through the different eras and somehow adjusted to the criteria of profession but still lacks the autonomy ( in many countries) in their field of caring and more pronounced as helping hands for those who have authority in clinical practice. What can be the breakthrough for clinical nurses to gain actual autonomy? Is there any unrecognized scope for nurses to explore for their correct identity?
There are behaviors/actions that clinical nurses perform in caring for specific patients that offer 'peace of mind'. I am not referring to preparedness but specifically those actions that offer peace of mind when caring for some patients.(For example, placing the code cart nearer to a specific patient's room, flushing that peripheral IV at the beginning of the shift, etc.) Any assistance on finding any literature on this or a similar concept (insurance?) would be appreciated. Thank you.
Nursing students are asked to site two sources for the above question, in regards to a Study done by means of a small group questionnaire, which correlates the importance of parenting behaviors, to parental stress. The common sense thinking indicates small group studies are not that applicable in the Clinical setting. But there is scant information to be found to argue otherwise.
The practice of nursing in ICU varies from country to country, even within them. This is why some tasks are delegated to technical staff which probably affects the scores of the Nursing Activities Score.
Outcomes of clinical teaching include knowledge, skills, and attitudes that are acquired through clinical teaching and learning. Current nursing education program accreditation criteria focus on evidence that meaningful outcomes of learning have been produced. The effectiveness of clinical teaching can be judged on the extent to which it produces intended learning outcomes
In modeling time to event data using a proportional hazards regression approach for repeated events, in which some patients have multiple events, the situation is often conditional since a patient can only have a subsequent event if they had a previous event. For example, a cardiac patient having one or more arrhythmias after heart surgery or a metastatic breast cancer patient having multiple recurrences or progressions of their disease after chemotherapy treatment. Are there useful ways of estimating the hazard ratio with reliable standard errors in these kind of recurrent event processes? It would seem that the correlation between the events within each patient or subject should be accounted for in the model.
Good morning: I am preparing my doctoral thesis on competencies and their evaluation of nursing students, I have found bibliography of studies that have been done with the French version of the Nursing Clinical Competency Questionnaire (CNCQ-22), where it can be found This questionnaire ... Greetings and thank you Clinical Nursing Competency Questionnaire (CNCQ-22).
Buenos días: Estoy preparando mi tesis doctoral sobre las competencias y su evaluación de los estudiantes de enfermería, he encontrado bibliografía de los estudios que se han hecho con la versión francesa de la enfermería Competencia Clínica Cuestionario (CNCQ-22), donde se puede encontrar este cuestionario ...
saludos y gracias
Cuestionario de Competencia de Enfermería Clínica (CNCQ-22). Available from: https://www.researchgate.net/post/Clinical_Nursing_Competence_Questionnaire_CNCQ-22 [accessed Jul 20, 2017].
We are searching for relevant research studies that produced a validated pre/post course surveys to assess the perception and knowledge of the attendants of a course about Evidence Based Medicine.
Looking forward to receiving your suggestions
i am currently conducting a research with regards to challenges that confront degree nursing students in Ghanaian universities.
Am trying to find out the existing systems with regard to this.
I am searching for a survey that assesses clinical nurses use of unit/institutional quality metrics on nursing practice/engagement. For example - nurses understanding of "your unit's quality metrics", "use of quality data to inform your nursing practice"?
There seems to be very little research on clinical nurses' use of quality data.
I need specific information including personal interviews, statistical outcomes research, narrow patient populations to describe how nursing care influences patient perceptions and improves patient outcomes throughout the diagnosis and treatment process.
I am doing my doctorate on research evaluating Tactical Emergency Casualty Care training for law enforcement officers? The study evaluates the training of law enforcement officers and their ability to stabilize victims of (mass) violence in a prehospital situation. Two questions: If anyone has worked on a similar study I would love to hear from you, and 2. What kind of statistics would I use to evaluate this study as I am writing up my proposal. It is a retrospective, descriptive study with the hypothesis : How has Tactical Emergency Casualty Care training prepared law enforcement officers with the operational tools necessary to provide on-scene medical care to successfully stabilize patients of (mass) violence. I do have about 40 7-question questionnaires as my data. 4 questions are choose the best response and the last three questions are yes or no questions with an open ended answer . Thanks for any help you can provide.
looking at the types of infractions doctors and nurses get discipline/reprimand for and at the consequences for infractions
I am trying to get state-by-state information on doctors, nurses, and physician assistants about disciplinary actions. I have found related information, but despite help from the FSMB and from a state Board of Nursing, have not found what I'm looking for: 5 or more years of information on specific infraction (such as failure to keep records, fraud, mis-prescribing etc) along with the specific consequences (that is, more than "must meet certain terms and conditions"). Any ideas on how to get that?
I am looking for any transport (pre-hospital, ems, transport program) research involving utilizing an acuity assessment tool to aid in determining patient stability and augmenting decision making for level of care placement (floor vs icu).
we have a project on assessing attitude and moral values among nurses of the current generation.
need some questionnaire
This question has come up in our Surgical Services Department to have these processes in place for trauma patients who emergently come to the Operating Room. Any assistance in locating data specific to this would be greatly appreciated!
I need to use this tool for a study in my country but will like to know how to get the permission to use it.
I am a master degree student in clinical nursing, working on a systematic review for my final exam. Advise and thoughts from experts in the field are an important part of my search strategy.
In additon, I will really appreciate your suggestions on any primary research on this topic. Thank you!
Does anyone have any information regarding a tool to measure attitudes and beliefs of clinical nurses regarding a specific clinical intervention?
People with morbid obesity are admitted to hospitals and practice centers for a broad array of conditions, such as broken bones, pregnancy, or skin rashes`. Given the brief treatment episodes that are the norm for primary presenting complaint, what are the training/ educational needs for health care professionals when they come across this type of patient? I believe this is a special population.at risk for inadequate treatment plans and psychological harm from stigmatizing attitudes.
I am working on my DNP and am trying to identify a tool that will allow me to measure nurse leader communication competence. As part of a project to increase engagement, I will provide managers with a recognition toolkit to aid them in providing meaningful performance feedback and recognition. I would like to do a pre/post survey to determine if they are more confident in their communication with staff.
Could this be a new paradigm for patient safety that has many applications? Where have you seen ongoing processes in hospitals where people stop to take stock of what they are doing?
I need a tool to review and validate the amount of evidence present in current evaluation forms used around the country versus the amount of soft data collection that is used to evaluate employees.
I am researching nursing attitude in caring for dying. I have used the DAP-R, frommelt attitude towards caring for the dying scale. however I will really like to test for the nursing caring attributes against attitude towards death and dying, can some recommend a scale for me to use?I will really for the against nursing caring attributes.
Failure to rescue is shorthand for failure to rescue (i.e., prevent a clinically important deterioration, such as death or permanent disability) from a complication of an underlying illness (e.g., cardiac arrest in a patient with acute myocardial infarction) or a complication of medical care. Failure to rescue rates used for both research purposes and as quality indicators are typically derived from hospital administrative databases. However, it is not clear how identify it, so what are the best indicators to measure it?
....writing a research paper for school....appreciate any input as well as articles to print as proof of my research.....
It has seemed to me in my consulting practice that when staff nurses participate in reviewing their actual daily routines against best practices that they can then see that a shared mental model of actual "scheduled" processes in the day makes sense. They learn they must offer initial direction and ongoing checkpoints to NAPs (as would be suggested by state nurse practice acts) and also review team progress/success and offer feedback prior to the end of the shift (best teamwork routines).Interaction at eye level at the patient's bedside about patient/family goals becomes a norm. The new shared mental model ("A Day in the Life of an Expert") becomes part of a group teamwork identity.
At the present I note that some of the basic professional leadership practices are missing at the bedside: leadership in helping patients identify and engage in shared goals, lack of delegation and supervision of assistive personnel). Wouldn't the predominant method staff RNs use for processing (Conservator) support creating a clearly defined structure of best practices? Using a structure that incorporates expert practices and "routine" steps could potentially ensure better care and would fit thinking patterns.
Perhaps I am taking this study several steps too far?
1. What is the legal basis for nurses in the field of prevention and health promotion? Are there specific laws to professional?
2. How does it look with the budgeting of preventive and health-promoting measures? How are they paid? For example, in Germany, only about 3% of the budget is used for this.
3. Are the aspects of prevention and health promotion are already represented in the curriculum in training of nurses?
Most nursing concepts are relatively abstract. As a result the multiple dimensions and characteristics included in their meaning must be specified carefully and with precision. Therefore, how to reach "mature" concepts for operationalization in nursing research?
I work on Inpatient Acute Rehab in a large urban hospital, and we do get telephone report from acute units when receiving/admitting a patient, but communication needs to be improved. Suggestions to make that happen?
The tool should help to assess nursing skills, not only the nursing student's ability to perform a task, but also the quality of nursing care.
Self-efficacy refers to the extent of an individual’s belief in his or her abilities. Because self-efficacy is based on feelings of self-confidence and control, it is a good predictor of motivation and behavior. This is particularly ingesting in nursing field, there are different questionnaire used to measure self efficacy, is there someone confident with some of the availed tools?
For my research of the operationalization of attitude of our students, I am looking for as many literature, which deals with this subject.
The use of clinical simulation in nursing education is increasing rapidly. There are a variety of methods, uses, and forms, but the major objective is to provide a safe, nonthreatening environment for students to learn clinical skills, critical thinking and decision making, and collaboration
Although nurse educators usually have the intended outcomes in mind when they design clinical learning activities, those activities may produce positive or negative unintended outcomes as well.
NICE (2014) - Domestic violence and abuse: how health services, social care and the organisations they work with can respond effectively (Link attached for full guidance)
Questions directed at - All Nurses, GP's, All Psychiatric Professionals and Healthcare Support Workers.
- Did you know about the guidelines prior to reading this question?
- Have the guidelines increased your interest in domestic violence?
- Do you agree with the guidance?
- Do you feel that you have sufficient training to deal with domestic violence?
- Would you like further training about domestic violence?
- Do you feel the issues surrounding domestic violence should be left to specialist services?
- Have the guidelines prompted a change in the way your local trust deals with domestic violence?
Thank you in advance for your input.
When considering the rapid growth of computer, Web-based, and other instructional technologies it is difficult to identify the types of self directed learning activities for clinical teaching.
What is the nursing care of spinal cord injured patient in the scene of the accident, in the emergency-intensive care unit and in the long-term rehabilitation? I would like related references or books about spinal cord injury nursing/neurological nursing/neuroscience nursing...thank you in advance!
I currently work in an Electrophysiology Lab where we routinely Foley patients requiring left sided heart procedures that necissitate the use of heparin. I am constructing a paper and developing best practice guidelines and looking for research, with minimal results. Any ideas on such historical research are appreciated.
Studies estimate that 44% to 85% of nurses are victims of LV; up to 93% of nurses report witnessing lateral violence in the workplace (Christie & Jones, 2014).
Nurses in developing world work under unsatisfactory conditions that threaten their physical, mental and social wellbeing. With the gross shortage of nurses and the invitation of retired nurses to continue working, there is a need to understand the response of the nurses and indications for further studies especially in Africa and developing world.
Some colleagues claim that inserting a central venous catheter without ultrasound help is a vicium artis. Still, most of my colleagues and I mostly use anatomical landmarks. If several such attempts fail or we have a history of prior fail attempts, we use the ultrasound.
A concept map is a graphic or pictorial arrangement of key concepts related to a patient’s care. By developing a concept map, students can visualize how signs and symptoms, problems, interventions, medications, and other aspects of a patient’s care relate to one another.
Main foci so far have been literature on resilience, death anxiety, and terror management theory. I'm planning a critical ethnography in acute care setting.
From long years of experience in nursing education I have always felt that formative evaluation ends up as some sort of judgement about the student's performance. Hence students must be exposed adequately to the clinical environment and the educator should have opportunities to teach, observe and provide feedback. There are instances when we are required to provide formative evaluations every 2 clinical days. Is this good practice? Will this benefit students?
I'm studying the way male nursers live their experiences in clinical practice, and I'm focusing in the masculinity approach to understand the way that masculinity affects the nurse relationship with patients (users), other nurses, and other health professionals. So I want to know which sources are available to understand the masculinity approach.
I was thinking of a way to measure enzyme levels in serum, or other fluids for diagnostic purposes, especially in third world countries. Enzyme activities like lipases, liver enzymes, and other enzyme activities could be measured, possibly with a hand held device and would be cheap and easy enough to sell over the counter.