Science topic

Nursing Care - Science topic

Care given to patients by nursing service personnel.
Questions related to Nursing Care
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I am looking for experts in the field of perioperative hypothermia for a content validation study.
I am very happy if you support me here!
The inclusion criteria are:
  • Certified nurse with at least 4 years of clinical experience in surgical wards.
  • Certified anesthesia nurse/CRNA with a clinical work experience of at least 4 years
  • Certified intensive care nurse with a clinical work experience of at least 4 years
  • Certified operating room nurse with at least 4 years of clinical experience.
I would be glad if you could support me! Please contact me on research gate or via email manuel.schwanda@fhstp.ac.at
Thank you very much for your valuable support!
Warm regards!
Manuel
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In one of my articles, I studied the effect of concept mapping on the learning levels of students in taking the course of "nursing care of patients with glandular diseases subject"
Who can inform me about similar studies about the effect of concept mapping on the learning levels ?
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Hello,
Brazilian professor Paulo Correia is a great research in this field: https://www.researchgate.net/profile/Paulo-Correia-10
You can see all the papers that he has written.
Best regards,
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I am trying to figure out how self-efficacy and confidence of patient activation are different. I know that self-efficacy is a more situation specific term and confidence is for general situations. But the concept "patient activation" has an element of "confidence" and the items for confidence of Patient Activation Measure (PAM) sound like self-efficacy to me. Anyone who can give me any ideas or suggestions of books, readings, etc..? 
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Driss Benattabou
Attached are the list of publications and presentations on MTM. Here is 2 minute YouTube that explains it: https://youtu.be/OXPdZX-1O3I
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We are planning to begin using nitric oxide on our cardiac surgery CABG patients. I would like to know if there is risk to pregnant ICU nurses caring for the the patient if she inhales any of the nitric oxide.
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Although low concentrations of inhaled nitric oxide may be therapeutic, both nitric oxide and its oxidation product nitrogen dioxide are potentially toxic. The threshold limits for time-weighted average concentrations of nitric oxide and nitrogen dioxide issued by the American Conference of Governmental Industrial Hygienists are 25 and 3 ppm, respectively. The attention of these gases in the breathing space of hospital personnel during the administration of nitric oxide to adult patients has not been reported.
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Hi, I'm a student and this is my first time doing research. My research topic is the burnout of palliative care nurse. But due to lockdown, I can only find and try to contact them online and I've got no idea about it. I need at least 200 participants while I know few people attending terminal care as a nurse. Where can I find more palliative care nurses as many as possible? And, in what kinds of organisation there are more palliative care nurses working? Is it suitable if I contact the organisation itself via email or Facebook and ask for helping me distribute the questionnaire to their workers? Any advice? Thanks a million!
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I would contact the organization with these questions. You will also want to make the questionnaire as short as possible, and stress the shortness to participants. You may have to offer a chance at remuneration or a prize. There may also be support groups for hospice workers you could contact.
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In the first study, I have 2 populations (equal numbers) of Nurses (n=155); patients (N=155). However, I have 2 different data sets snd different surveys, whereby for the nurses we looked at nurses' performance-related alarm fatigue and for the patients, we looked at their satisfaction with nurses' care. We would like to look at the correlation between nurses' performance-related alarm fatigue and patients' satisfaction.
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Genomics of diabetes mellitus......can this in anyway improve nursing care for diabetic patient?
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@ uzma.... Thanks for your on the subject matter.
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Is anyone aware of any research relating to the time it takes to engage with patients and be kind v the time it takes to avoid relational Care?
nurses often mention they are too buy to take time to relate to patients.
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Hey Jenny, U please go through this article, you will get idea about direct patient care, indirect patient care time.
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The Safer Nursing Care Tool is a method for setting nursing establishments for hospital wards. It is Endorsed by the National Institute for Health and Care Excellence in the UK and widely used. Does anyone have evidence or knowledge of it being used in otehr countries?
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Dear Peter Donald Griffiths I know you have collaborated on this issue with several Italian researchers, but as far as I know the "Safer Nursing Care Tool" is not used in Italy. The SNCT is mentioned in some Italian nursing studies, but they do not describe its use in my country. Currently, in Italy the "Index of Caring Complexity" is being studied, which refers to the theoretical model developed by Marisa Cantarelli.
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I would like to know if there are models regarding PAC. Thank you so much!
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Virginia Henderson's theory is also positive (although my favorite is logotherapy) :
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As a nurse, you observe and interpret activities and conversations differently from your health care team. Share your experiences and answer to this question:
What is relationship between patient safety and improvement of care in nursing?
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In The past, we have often viewed nursing’s responsibility in patient safety in narrow aspects of patient care, for example, avoiding medication errors and preventing patient falls. While these dimensions of safety remain important within the nursing purview, the breadth and depth of patient safety and quality improvement are far greater. The most critical contribution of nursing to patient safety, in any setting, is the ability to coordinate and integrate the multiple aspects of quality within the care directly provided by nursing, and across the care delivered by others in the setting.
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I have carried out many studies on quality of life. I think quality of life is not important in many nursing care plans.
How we can improve quality of life with promoting of our nursing care?
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It should de carried our through inter-professional cooperation.
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I am writing about death-competence in Palliative Care nurses and I am searching for a practical tool to assess the current level of death-competence. I would appreciate any recommendations, thank you.
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My colleagues and I in Australia are developing a Death Literacy Index based on the public health palliative care approach.
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Ethics in nursing care is an essential element of nursing practice and nursing has a moral dimension to enhance the health integrity in physical, emotional, relational, social, moral, and spiritual dimensions of the clients.How can we promote ethics in nursing?
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Nurses entering the profession must be held to a high standard from the start of their training. By saying that we must expecting excellence from them, I do not mean that ward sisters should be like drill sergeants, but rather lead in a positive manner. Change their locus of motivation from complying to avoid being in trouble, to complying in order to give the patient effective, efficient and compassionate care. Treat our novice nurses with respect, especially the ones that start of being better qualified. Listen to them, they have the latest information and guide them to being not only being a learned professional, but also a caring professional. Do not accept students into this profession who are in this only to earn a salary one day. There are thousands of other directions they can pursue. This profession is not for the faint - hearted. The basics of ethics are being taught in all nursing programmes on a theoretical level, but true ethical decision-making requires emotional maturity and resilience which cannot be taught, but comes from experiential knowledge. Experience takes time. Be patient with our novices, lead with example, as mentioned previously, hold them to a high standard, and they will get there
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Quality Nursing care is the backbone of any health care setup , but it is observed that most of the Private hospitals and Nursing homes do not appoint Qualified (Full trained / Registered )nurses .
The Bombay shop act ( 1947 revised in 2014)expects them to do so .The health care admin has their own constrains for its implementation .
Today Consumer is the King and they are aware of their rights .
Hospitals charge the clients a huge amount and are obligated to provide safe Nursing care 24 hours .
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It required awareness in public, strict vigilance by monitoring agencies etc. Because in India the public is not aware of paramedical staff qualification they look towards only doctors qualification.
Regards
Dr. Kamath Madhusudhana
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To be more explicit. I'm carrying out a research on influence knowledge management capabilities on nursing care performance. I'm utilizing a mix method design. I have distributed survey questionnaires (close-ended) to 400 nurses in two selected teaching hospitals while I conducted a semi structured interview with the deputy nursing directors, (total of 17); which was done separately. The survey questionnaires does not include the nursing directors. I have four research questions. three of which is to be answered by the quantitative data while the fourth to be answered by the qualitative data. I intend to analyze separately using structural equation modelling (SEM) analysis for the quantitative data and content analysis for the qualitative.. My data is majorly quantitative augmented by qualitative. Ive read the recommended books but my confusion lies in the integration/triangulation of the results.
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In a sequential explanatory design, the qualitative data is used to explain the results from the quantitative analysis. If the original study used two separate samples to address different research questions, it is unlikely that this design will fit.
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How can we convert nursing care cost to revenue?
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As an entrepreneur in nursing profession we need to cost nursing services to justify income generated by nurses for better pay and improvement of working environment. For doctors consultant fee laboratory investigation fee etc. but nursing services which are core in healthsector is equated to bed servo which include laundry services etc.how can nurses quantify n cost their services?
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I am a PhD student currently working on my proposal. My topics about Development of an emotional support intervention program for nurses caring for acute mentally ill patients
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Thank you so much Abdulqadir, I will look at it
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i am  developing a tool to measure quality of care in achildren hospital .. iam working in administration department .. so i need to know from a speciality view of pediatric nurse items considered to measure quality of nursing care
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Please let me know if the following references/sites are useful to you:
1.  Can we measure the quality of nursing? | The Health Foundation
http://www.health.org.uk/newsletter/can-we-measure-quality-nursingNov 28, 2012 ... Factors such as presence of pressure sores and healthcare-associated infections are more closely linked to the quality of nursing care, and ...
2.  Nursing Care Quality Measurement - Wiley Online Library
http://onlinelibrary.wiley.com/doi/10.1111/1552-6909.12276/pdfNursing Care Quality Measurement. An official position statement of the. Association of Women's. Health, Obstetric and. Neonatal Nurses. Approved by the.
3.  Karen instruments for measuring quality of nursing care: construct ...
https://academic.oup.com/intqhc/article/23/3/292/1791788/The-Karen-instruments-for-measuring-quality-ofJan 17, 2011 ... Valid and reliable instruments for measuring the quality of care are needed for evaluation and improvement of nursing care. Previously ...
4.  Performance Measurement of Nursing Care - Nov 25, 2016
http://journals.sagepub.com/doi/abs/10.1177/1077558707299260PDF download for Performance Measurement of Nursing Care, Article Information .... Evaluating quality of care using modular nursing on a multispecialty unit.
5.  The National Database of Nursing Quality Indicators - American ...
http://www.nursingworld.org/mainmenucategories/anamarketplace/anaperiodicals/ojin/tableofcontents/volume122007/no3sept07/nursingqualityindicators.aspxEvaluating the quality of nursing practice began when Florence Nightingale identified nursing's role in health care quality and began to measure patient ...
Dennis
Dennis Mazur
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my project considers collection and analysis of administrative quality and patient safety data from particular hospital to identify trends in quality and safety and to identify evidence of missed nursing care and its association with nurse staffing and skill mix. 
please any one has suggestions on the  data that should be collected for this purpose from the hospital and the way of analysing it.    
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Care left undone during nursing shifts: Associations with workload and perceived quality of care
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Is nursing care of elderly patients hospitalized in the intensive care unit differ from other hospital wards?
I am looking for model of care in the ICU for elderly patients.
I am looking forward to hearing from you. So, here you are.
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Intensive care needs intensive nursing..
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Dear colleague
Please would you mind provide me with a qualitative tool (interview questions) to explore patient perception of nursing care quality?  
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What a wonderful line of questioning. There's much published on the topic, such as perceptions of nursing care quality from different perspectives- patients, nurses' and institutions.  More recently, I've seen social identity and patients perception's of nursing care quality discussed. What peaks your curiosity in this area?
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what is the recent EBP in nursing care with humidity in premature babies ?
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Thank you Mohamad but still no EBPN ..
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Do you know a standard questionnaire for assessment patient's satisfaction from nursing care?
we have a project about patient s  satisfaction in nursing care.
we need a questionnaire ?
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Greetings, 
The La Monica–Oberst Patient Satisfaction scale (LOPSS) is a valid tool and developed to measure patients' satisfaction with nursing care services. 
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There is some disagreement between colleagues as to how regularly they should be attending on medically stable, long-term inpatients. Looking for any research/evidence that may be able to assist.
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Hi Sarah, I'm really glad I've come across your post. I'm currently exploring patient sleep within inpatient mental health environments. Although, we do not check vital signs throughout the night (unless clinically indicated) we do check on patients every hour or even every 15 minutes if the risk is high. The observation policy is there to maintain safety but severely impacts sleep and therefore patient recovery. I will use this paper to support my findings. Thank you for sharing. 
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I work in a 75-bedded Post Anaesthesia Care Unit in which average 60 post-surgical patients get postoperative nursing care per day. Patients of both genders stay in this unit for about 24 hours following different types of surgery. A few patients with complications are retained here for more duration. What could be a simple questionnaire to get the feedback from the patients on the overall nursing care that they have obtained in the unit?
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There are many scales to measure patients satisfaction such as the NSNS.
the attached article has more details
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Nurses need to get in the habit of thinking about patient education as a way of providing nursing care . Even more important, they need to maximize the time they spend on patient education to obtain the best outcomes for their patients. But they often find it difficult to provide effective patient teaching in the current healthcare climate.Nurses should confirm that their teaching was understood and will be put into practice by patients. It depends on a good teaching method. What is the best method for patient education in nursing?
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Hi Nader
The answer depends on the goal of the patient education. E.g. if you want to increase knowledge, you can use any pedagogical/ androgogical theory. Using additional written materials (not only verbal explaining) enhances the effect. Judging baseline knowledge (simply by asking patients) and health literacy of the patients are important aspects of tailored information. If the content is information about a specific disease, I find the common sense theory (Leventhal) very useful.
If you want to increase skills (e.g. skill to self-inject), I find social-cognitive theory (including the promotion of self-efficacy) very useful. + giving patients enough time to practice and get feedback under supervision of nurses.
If you want to change life style/ teach health promotion, the task is diffcult. State of the art-theories are the Transtheoretical Model of Change (Prochaska/ DiClemente) and Motivational Interviewing (Rollnick/ Miller). Changing every day behavior is not a matter days, but of an effort over several intervention points + ongoing support/ feedback.
Regards, Robert
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Compassion is an important concept that is currently being assessed. The nurse educators and students need to understand this concept so as to improve the quality of care received by the patient. Compassionate care improves patient satisfaction with nursing care therefore, the need to have a validated tool for assessment of all involved in nursing care and training.
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Dear Patience,
I do believe that compassion is crucial for high quality nursing care and nurses must be competent in this matter. I also agree with Jonas about the effect of cultural differences on perception of compassion among nurses and nurse students. I'm interested in doing this study too.
I have enclosed a recently published paper on development and validation of an instrument to measure nurses' compassion competence. Thanks. Alaa
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I'm conducting a research about the impact of missed nursing care on patient outcomes . according to the advice of my supervisor, case study is a proper way to explore that, Can any one help me in the design of this study.
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Hi Rania, you might consider applying your benchmark criteria when reviewing the notes yourself for the omission(s) in care you are going to measure.  Or you could consider using an expert panel of nurses to  review the case notes and indicate if the omission in care was 'avoidable' or not.  This is just a thought as I am sure there are many other ways to tackle this question. 
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Good communication between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. Good communication also is not only based on the physical abilities of nurses, but also on education and experience. How can we develop communication in nursing practice? Is there any comment based on your experiences?
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Thank you Dr. Nader for this important question.
I think this is essential and critical issue for nurses to be competent in their communication with their clients. From observations to the nurses perfomance and interaction with the patients, it seems there is a significant probelm here. A sisgnifcant protion of nurses dont communicate appropriately with patients, dont provide adequate information for them, dont dedicate time for listening and advocating.
There should be a major revision for nurses role and to develop guidlines to rectify this issue.
Regards
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I want to know nurses needs for ECMO nursing care training program, so I need a tool to assess, who can tell me where can I find it !
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Nurses caring for patient on ECMO need to have in-depth knowledge of cardiovascular & respiratory system physiology. Further they need to have understanding of complications related to ECMO. I think, Lot of literature is available on ECMO and Nursing Management, based on that you can prepare your need assessment tool and get the tool validated by experts in cardiovascular and critical care nursing.
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I'm searching for pubblication or any information on research about informed consent in patients with MCI or initial dementia. I'm a university tutor and I have a student very interested in writing a final thesis dealing with this argument. Thanks.
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Hello Alessia
I had a look to find if I could find anything of relevance, but there is not a lot written regarding research into informed consent for nursing care in these patients. I have not accessed the full text of this paper, but you might feel that it is relevant:
Okonkwo, O., Griffith, H. R., Belue, K., Lanza, S., Zamrini, E. Y., Harrell, L. E., ... & Marson, D. C. (2007). Medical decision-making capacity in patients with mild cognitive impairment. Neurology, 69(15), 1528-1535.
Likewise this paper:
Appelbaum, P. S. (2010). Consent in impaired populations. Current neurology and neuroscience reports, 10(5), 367-373.
This paper looks at the need for future research into the subject:
Lai, J. M., & Karlawish, J. (2007). Assessing the capacity to make everyday decisions: a guide for clinicians and an agenda for future research. The American journal of geriatric psychiatry, 15(2), 101-111.
These might be relevant:
Lingler, J. H., Hirschman, K. B., Garand, L., Dew, M. A., Becker, J. T., Schulz, R., & DeKosky, S. T. (2008). Frequency and correlates of advance planning among cognitively impaired older adults. The American Journal of Geriatric Psychiatry, 16(8), 643-649.
Jefferson, A. L., Lambe, S., Moser, D. J., Byerly, L. K., Ozonoff, A., & Karlawish, J. H. (2008). Decisional capacity for research participation in individuals with mild cognitive impairment. Journal of the American Geriatrics Society, 56(7), 1236-1243.
Very best wishes,
Mary
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I am keen to find out about using the Promoting Excellence Framework and how this could be used to help care home nurses in care planning for end of life care.
This would be a research proposal for my Masters.
I am planning to use Action Research.
Any ideas or signposting to resources greatly welcomed.
Barbara 
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I am bachelor in nurse and I follow the orientation of management of care. Now, I do a master thesis, and need some recommendations for definition of the study object. My interest is research the issue of the quality of nurse care in populations with dementia in México City.
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Hi Andres  This is avery important question . I suggest you to address the organisation of nurses called " Admiral Nurses " which operates in the UK. they have vast experience in coping with dementia patients .
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I make my Masters Thesis and in research part is necessary to evaluate the quality of services.
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Australia has a similar aged care system and approach to assessing quality of care to Ontario, Canada.
The Australian Government has recently introduced a voluntary program for aged care providers to collect information and report on the following three quality indicators made publicly available for consumers to see:
1. Pressure injuries
2. Use of physical restraint
3. Unplanned weight loss
This national programme is in its initial phases and is modeled off the Victorian programme which was first implemented in 2006 and in addition to the three quality indicators listed above, also includes falls and fractures, and use of nine or more medicines.
There are a number of other important quality indicators that could be added to the list to inform consumers and promote injury prevention initiatives, including mortality, hospital admissions, and assaults, particularly those between residents. However this is probably some way off. 
There has also been some debate over whether the national program for reporting quality indicators should be made mandatory or remain voluntary. With any kind of quality assessment program in long-term care there are always going to be issues of under reporting, but many argue that this would likely be exacerbated under a mandatory reporting system. The aim of the voluntary system is to promote transparency in aged care decision making and to encourage aged care providers to see how they match up with their competitors and constantly strive for improvement.
I hope this information is helpful.
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Any list of nursing robotic systems, and IoT technologies in nursing care?
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Thank you Deborah Jean Verran ·
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Resilience in nursing
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  nurses can develop resilience by adapting to change to new environment. Able to manage pressure and challenges everyday. The role of the preceptors also to expose the reality of the routines and practices as well as the co-worker attitudes plus learning from own mistakes or from other's experiences.
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I am seeking information on required competencies for preceptors, primarily in inpatient, acute care facilities. Thank you.
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Yes, both the attached file and the following link have tremendous resources on preceptor competencies.
Good luck
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The Granada consensus on drug-related problems has 3 main domains (necessity, effectiveness and safety), each of these subdivided into two.
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elderly multiple problem in nursing home quality of life
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Palliative care is said to improve the care of patients at the terminal stage of their disease process. However, some believed that there is a lack of quality in the palliative care provided. This lack of quality may be viewed in terms of health care professionals' perception, patients'/service users'/ carers' experience, or the influence of public health guidelines and policy on palliative care services.
Trustworthy research references will be beneficial for this inquiry.
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Palliative care, while commonly assumed to deal only with treatment in the last days or weeks of a chronic progressive disease is broader. It can also refer to the range of interventions for persons with chronic pain resulting from a range of non-terminal conditions. Expertise in pain management is in the best cases a focus within the context of a range of rehabilitative, social and psychological services. These are all cases where one won't be cured but life goes on for days, weeks, and years. 
Barriers to such care in all cases is financial. That is, funding agencies are cautious about providing monies for non-curative treatments. In Oregon, in the USA, was the case of a woman denied expensive chemo' treatments (palliative) but offered a speedy physician-assisted termination. There are also barriers in assessing and providing the type of home-based or other aides (mobility, for example a powered wheelchair) and home care where needed. 
Some medical experts in other disciplines find themselves uneasy with chronicity and see such cases as "over," alas. 
Finally, the public is often fearful of "terminal" and "chronic" conditions where relatives, in earlier years, suffered from untreated pain conditions. And, too, they see someone with limits and say "I don't want to be like that". But all our studies show that, today, most train is treatable and that a restricted life is, by the account of those leading such lives (including high spinal injury patients) while different potentially fulfilling.
So the broad movement of the palliative care physician is for care and treatment when a patient can not be cured but can live, with assistance, as full a life as conditions permit.
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I am testing the care that nursing give to their attitude in practice. what instrument can best illustrate nursing care? and where can i find such instrument
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Actually, I have developed an instrument that measures Patient Perspectives of Nurse Vigilance - which includes a subscale on quality and safety. I am still testing with patient population for reliability and validity- but performed well with panel of experts. 
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I am interested in the nursing representation within the team. What specialty are they from? Are they solely assigned to the RRT role or is this an addition to other workloads. If so, do they have a patient load in their ward or unit as well?
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Our RRT is comprised of:
Respiratory therapist
Nursing supervisor
Charge nurse from the SICU or MICU
EKG tech
IV therapy
and if needed the Hospitalist on pager. 
We can do a RRT with or without Hospitalist MD. This just depends on time of day as we involve the pt's primary MD and we have residents on site since we are a teaching hospital.
I hope this helps. 
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I am interested to work on the needs of caregivers., But I do not have access to appropriate tools for the study.
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The CSNAT has been successfully trialed in Australia and this has been reported in three publications early this year (below). A copy of the tool can be obtained from Gail Ewing: ge200@cam.ac.uk
Aoun SM, Grande G, Howting D, Deas K, Toye C, Stajduhar K, Ewing G. The
impact of the Carer Support Needs Assessment
Tool (CSNAT) in community palliative care
using a Stepped Wedge Cluster Trial. PLos One
2015;10(4):e0123012. DOI:10.1371/
journal.pone.0123012
Aoun SM, Deas K, Toye C, Ewing G, Grande G,
Stajduhar K. Supporting family carers to
identify their own needs in end of life care:
Qualitative findings from a stepped wedge
cluster trial. Palliative Medicine 2015;29(6):
508–17. DOI:10.1177/0269216314566061
Aoun SM, Toye C, Deas K, Howting D, Ewing G, Grande G, Stajduhar K. Enabling a family carer-led assessment of support needs in homebased
palliative care: Potential translation into
practice. Palliative Medicine 2015 April 20; Epub
ahead of print. DOI:10.1177/0269216315583436
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 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.
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You could look at Joanne Duffy's Caring Assessment Tool. 
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Particularly end of life care.
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THANK YOU KINDLY 
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Hi, I'm in the process of working on my Capstone for my Master's in Nursing Education. I would like to create a standardized rubric to use across all three levels of clinical, and I need 30 research articles to support it. Does anyone know of any good resources? 
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Hello Janicie ,
I attached a link to an article on the topic. It is written in Spanish. 
Diseño y validación de contenido de rúbricas para evaluar las competencias prácticas en estudiantes de Enfermería
Design and content validation of rubrics for assessing practical competencies in nursing students 
Autors: Joaquín Salvador Lima-Rodríguez, Prof. Marta Lima-Serrano, Prof. José María Ponce-González, Prof. María Dolores Guerra-Martín
University of Seville, Spain
Best regards, Maria Dolores Guerra-Martin
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Are there consequtive clinical factors and/or radiological signs predicting increasing hyperlordosis in the lower lumbar spine and hyperkyphosis in the thoracic spine in growing spina bifida - children with defect closure immediately afer birth?
Neurological deterioration beside the initial neurological complaints accompanied with increasing of the deformity. At the end next the bad neurological state and neuromuscular insufficiency additional deformities fault leads to inability to sit and to lay. A bad condition for nursing, care and reason for further minimizing of life quality. A optimal timing considering surgery to correct and stabilize the deformed spine should found out.
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Thank you for your comments!
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Little is known about the consultation nurse's role and the cares in HIV patients. There are big differences between high and low income countries. I´m trying to copile information about it. I haven't been able to find any guideline for the nurse in the most important databases. Should nurse iniciate and monitor ART? Or just monitor? 
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Attached implications of my study:
Nurses, who represent 65% of human resources in the Bolivian health system structure, must actively participate in the design of culturally adapted prevention programmes and health education interventions. In this regard, governmental health authorities, NGOs and international organisations should be actively engaged and aware of our study’s results, particularly highlighting the importance of local agents to promote their capacitation as well as the empowerment of indigenous populations. Nursing could develop programmes and interventions based on the transcultural care theory, preserving healthy cultural practices, negotiating the adaptation of others and remodelling those which support risk behaviours. Without an in-depth knowledge of this population’s cultural framework, any attempt at an intervention runs the risk of being done in vain.
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The proces of attachment is very important and requires physical contact and early interaction. I am looking for a design of caring (a model of nursing care or a health care model) for premature or sick neonates and their mothers to increase attachment.
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Ramona T. Mercer developed the Nursing model known as “Maternal Role Attainment”. You can also check http://www.kangaroomothercare.com/ and NINO-Neuroscience for Improved Neonatal Outcomes at http://ninobirth.org/
Good luck with your research
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Any experience could be valuable for my teaching hospital. The project I'm involved in has the aim to keep frontline nurses, especially late cereer nurses, longer in nursing care. 
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I have a few papers in English to get you started:
Myer, S.  & Amendolair, D.  (2014). Time is of the essence:  Retain your older nurses.  NursingManagement, 45(5), 12-6.
Clendon, J. & Walker, L. (2013). Nurses age over 50 years and their experience of shift work.  Journal ofNursing Management, 21, 903-13.
Letvak, S., Ruhm, C. & Gupta, S. (2013). Difference in health, productivity, and quality of care in younger and older nurses. Journal of Nursing Management, 21, 914-21.
Check the bibliographies as well for more potential helpful literature.
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There are many studies and articles about the need for perinatal palliative care but I don't find much about caring for the pregnant woman who is diagnosed with a life threatening illness. any one involved i this type of study? 
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health literacy?
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Hi Charlotte,
thanks for your comments. As you know, three dimensions or levels of health literacy were identified: functional (where is icluded the numeracy capability you pointed about), interactive and critical. 
In my opinion, it is necessary to take into account these dimensios in the design of assesment tools and interventions. In our mobile application, we ask the user, after use, to perform what they learned. For example, accesing and request a medical appointment. At the same time, the app returns information, thus having objective data of user empowerment. 
Written information, especially if autoinformed, has its drawbacks and limations.
Greetings.
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Independent study is primarily self-directed with the student supported by a tripartite team of academic and clinical staff. The student negotiates a learning contract which identifies what it is they intend to learn about and the evidence they will provide that demonstrates this learning has taken place. The module is thus flexible in enabling students to pursue areas of individual interest, facilitating the development of advanced practice by allowing students the opportunity to engage with issues at the cutting edge of practice.
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In my practice I provide hypothetical case Study with study guide
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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!
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Should not move unnecessarily, Careful position in transferring the patient, prevent further damage, There are aides to assist with the moving of the
spine-injured patient. Then take him for surgery.
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I'm a nursing science student at the PMU in Salzburg/Austria. At the moment I'm writing at my bachelor thesis.
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Dear Lisa
I spent a year following the stories of frail older people in hospital waiting for a bed in a nursing home. I visited them during this time and collected stories full of humour, resilience and despair. These people were 'bed blockers' and we still have this in the UK
 
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Intermittent pneumatic compression devices role in DVT prophylaxis is an area that needs to be discovered still more deeply. The design of these machines, pressure exerted on legs and the optimal time to be used still need to be researched.
All are an important confounding factors that need to be addressed by randomized control trials before concluding : Did it work, or not?
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We use IPC in all our patients who undergo pneumonectomy for five days postoperatively, combined with enoxoparin for six weeks. The rationale is to prevent (mostly fatal) embolic events in the unique remaining lung. This procedure is now in place for six years and we had no such events in this timeframe. (it is of course an event that is rare, but before we used ICP, major embolic events were seen in about 1% of pneumonectomy patients; we do 40+ pneumonectomies a year, so calculating the odds it seems an improvement).
For the use: the first three days the IPC is running 24/24, when the patient is fully mobilized the IPC is only used during the night. Most patients complain, not of discomfort wearing them, but from the noise the pumps make.
This is of course a totally different population from stroke patients, but we feel it works
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The majority of our patients are extubated before 4 hours and oral care is often not initiated.
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We make every attempt to provide thepatient oral health clearance/treatment once it is determined that a patient requires cardiac surgery. This may require a more aggressive approach, but removes bacterial infection prior to the cardiac procedure. However, I realize working in an academic environment may provide a better opportunity to establish these types of referral relationships with the cardiology community. But, whenever possible,dental clearance before cardiac surgery is desirable.
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I am looking for existing guidelines on the management of bariatric patients in a hospital setting (not in terms of weight loss surgery, but everyday management of the larger patient). We are looking at formalising a guidelines and hope to learn from other services - while there are some available through online searches, it would be great to review a wider range.
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I oversee the end-of-life and postmortem practice of a trauma hospital in a high-risk, inner city community of Los Angeles. We devote particular attention to the needs of our over-sized patients and the unique challenges they bring to their famlies when they die. As most of my families have little if any resources to provide a traditional funeral, much less the added funerary expenses involved with larger persons, we developed a protocol for maintaining their dignity, preservation, and privacy that mirrors the care of patients with a lesser habitus (we call our expired patients 'patients' after they die,because they are stil in our care). We have a cooling protocol if they are unabe to be placed in traditional morgue drawer the first 24-30 hours after death; we have contracted with a local mortuary with a room refrigeration system to hold them after that window, especially if the family needs a bit more time. We do not charge the families for this service.
Families appreciate having referrals to mortuaries who offer emotional support and reduced rates, knowing cremation is often their only option. It took time and patience to put it all in place -i.e. shaping the use of language and behavior, artfully crafting step-by-step instructions, and partnering with the funeral homes. The driving force behind the practice is love and acceptance - of the living and the dying, of the small and the not-so-small. If you have any questions, jet me an e-mail.
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Several theories within the nursing discipline refer to the emotional dimension of careging and research is growing in this field. Do you think that practice follows research in this area? Are we adequately trained to use emotion management as a therapeutic instrument?
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In my opinion the nursing education is not simply to raise awareness of rules and procedures, but to help learning how to get in touch with the cognitive and emotional processes present in places of care and that are started by caring of the patient.
We teachers should think of a training of health professionals that recognized the ethical and epistemological roots of nursing, putting at the center of caring enhancement of human relationship between nurse and patient.
The evolution of scientific knowledge takes place within different contexts of practice in relation to life stories, so nursing student has the need to deepen the emotional dimension of the experience of fragility and pain.
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My team and I are looking at alarm fatigue and alarm safety within our organization. We are able to find a lot of literature about the problem, but none specific to pediatrics.
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Anicia, we have some basic data from a study we did at one of our customer sites with some alarm data from a PedsICU. I am happy to share it with you. paul.mcgurgan@excel-medical.com
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Is the nursing process a good implementation to provide holistic care?
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I agree with Chika Ugochukwu recommending the use of Nursing process to provide individualized holistic care. In addition, nursing care should be holistic regardless of the method of nursing care. The body, mind and spirit are intertwined and inseparable.
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Patient and family communication is fundamental to nursing practice, but are there specific interventions or training, evaluated in telling family members the patient is dying, or likely to die very soon?
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Dear Myfanwy,
in my opinion it could be useful to "train" nurses in order to care about "bad-news communicating"; everyday we see doctors that maybe are not so empathyc or have not enough time to explain, answer etc. with family members of a patient.
Although this kind of work has always been linked with the figure of the doctor, I really think that a nurse can do this job and can do it better, because the point is that a nurse has the competence to speak clearly and professionally but has also a "strict relation" with the patient, so a nurse can be more empathyc with families.
In my University, both medicine and nursering courses have lessons about this, although I think it's more something you "have inside" and you understand when you practice in hospital.
Best regards
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Torpe & Harrison stated "Since patients enter a critical care environment in a physiological crisis, priority is given to the maintenance of life and the instigation of interventions to support failing physiology. When faced with this type of situation, bowel management seems to assume a low priority." (Connect, 2002. 2(2):61-63.) Many studies highlight this problem. What do you think?
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Hi Marianne, I know your study. Recently I conducted a literature review about this issue for an italian nursing journal, (Now in press) and I found many citations about your study, which I think is very interesting. Nice to meet you. Best regards. Nicola
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Must include hospitals, physicians offices, and urgent care facilities. Will also require references.
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Thank you Sabita Mondal. The definition was for my dissertation. I ended up using resources and creating an operational definition that did not include those specific terms but said relatively the same thing. Happily, I can say that I successfully defended my dissertation on May 18.
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Using this model, what would be the outcome or evaluation to a fall prevention program in the community?
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If I could pose a follow-on question here, from the body of literature in this area, what your position on direction of relationship between disability (for example, measured through ADLs) and falls? Would be quite essential to prevention efforts, but remains unclear from my reading of the literature. As a concrete example, we have a data set from six countries with fall-related injury and disability variables - and at this point have removed disability from the dependent variables in the model. Any insights would be appreciated.
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Nursing should be participative, collaborative and empowering (Corner, 1997). Empowerment is concerned with the nurse working interactively alongside a patient to understand, assess and teach clients about the altered physiology of the body, and to comprehend the experience of this, as described by the patient and their family as they try to make sense of their illness (Price, 1996). Therapeutic intervention is therefore at the heart of nursing care. What do you think?
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I with one of my colleagues have led a number of 8 week workshops for family caregivers. The content is focused on developing psychological skills to build resilience and cope with stress. We use techniques of cognitive behavioral therapy, stress reduction, and developing strengths (e.g. social support, faith, rituals of meaning). Unfortunately this is not published. I am collecting data.
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I am looking for a patient classification system that is effective to monitor the nursing work load in an interdisciplinary rehabilitation clinic.
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We follow a common system -- on Patient Dependency for ADL
1. Critically ill Patients (Fully Dependent): Patient:Nurse Ratio -- 1:1 or 2
2. Moderately ill Patients (Partially Dependent): Patient:Nurse Ratio -- 1: 3
3. Convalescent Patient (Independent): Patient:Nurse Ratio -- 1: 5
In a teaching hospital -- (Staff Nurses' Duly Schedule is made on this basis)
1. Undergraduate / Baccalaureate Nursing students (except 1st year):
3 students = 1 Staff Nurse
2. Post Graduate Nursing students : 2 students = 1 Staff Nurse
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I am about to start a research project on nursing compliance regarding burn wound care. However, I found several articles regarding varying aspects of wound care, but no clear aspects for burn wound care or its clinical pathways based on evidence. Does anyone know of any articles or how to set up a new clinical pathway based on the best clinical evidence?
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Thank you Dimitrios, For all this useful Information.