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PubMed2002

[A survey of public health nurses regarding their awareness of the abilities, skill and knowledge necessary to fulfill an occupational health nurse's role, and proposal of a new curriculum for occupational nurse specialists at the master level].

The areas of conduct and professional roles in occupational health nursing in Japan has not been defined as yet, even though occupational health nurses have contributed to implementing jobs related to the health examination in workplaces every year. We surveyed public health nurses regarding their awareness of the abilities, skills and knowledge necessary to fulfill an occupational health nurses' role. When answering, they became aware of deficiencies in their abilities, skills and knowledge. This was particularly true in counseling, health assessment skills and management abilities, specialized knowledge of occupational safety and health, ergonomics and environmental health. We propose a curriculum at the master level for occupational health nurse specialists with reference to the core curriculum for occupational and environmental health nursing in the USA.

Curriculum↗

PubMedDate not supplied

[Teaching nursing research at bachelor and second level degree: opinions of nursing associate professors and nursing researchers].

Nursing research is a systematic and very important enquiry for improving clients' quality of life and effective and efficient nursing care. National and international literature state that all nurses should have knowledge and responsibilities in research which are different in relation to their educational level. The aim of the present study was to collect opinions of the new professors in nursing about objectives, contents and methods for teaching nursing research at Bachelor and Master Degree. The sample was made of nine participants who were interviewed by twenty questions sent by e-mail. The interviews were analysed using quantitative-descriptive and qualitative-phenomenological methods (triangulation). Interviews revealed that Bachelor students should be educated to retrieve and criticise scientific literature, to apply research finding in practice and to collaborate in research studies; Master students should improve knowledge of Bachelor degree and be able to design and conduct research studies. Participants emphasised the importance of using active methodologies for teaching and to involve students in research. By analysing the literature and the results of the present study educational objectives for teaching nursing research at Bachelor and Master degree are defined.

Attitude of Health Personnel↗

PubMed2002

Being a palliative care nurse in an academic hospital: a qualitative study about nurses' perceptions of palliative care nursing.

The original philosophy of palliative care emphasizes the importance of the integration of compassion and medical science. The meaning palliative care nurses assign to their relationships with patients has been described in several studies. This qualitative research was undertaken in order to elicit the way nurses working on a palliative care ward in an academic hospital perceive their role and gain insight into the problems they encounter. The findings present two different perceptions held by nurses about the nature of their work. The first, the more prominent, is 'striving to adopt a well-organized and purposeful approach as a nurse on an academic ward'; the second is 'striving to enhance the well-being of the patient'. Nurses should be supported in the development of their palliative care approach and be assisted in reflecting on their practice in terms of a model of 'reflective practice' and in the development of 'moral imagination'.

Academic Medical Centers↗

PubMed1997

[Nursing care in fever--a literature study and intensive care nurses' viewpoint on nursing care and treatment of fever].

Fever is a symptom of a disease which has caused people inconvenience since ancient times. The view upon fever, what it is and how to treat it, has been changing from time to time. Today there is at debate whether fever is friend or foe. Patients in an intensive care unit almost always has an increased body temperature. The Intensive Care Unit (ICU)-staff look upon fever as a natural response to an infection but they have different opinions about what treatment should be used. The purpose of this study was to investigate what was written about fever and compare to the knowledge and nursing care among nurses working in a specific ICU. Thirty-six questionnaires were distributed and 28 were answered. We have found that the nurses, among themselves, have different ways of caring for the feverish patient. Administration of antipyretics, fluids, nutrition and furthermore cooling and warming measures differ between nursing and literature. Particularly concerning the cooling measures nurses take without previous administration of antipyretics. This is something that the literature definitely dissuades from because of the risk of initiating a chill and perhaps rise the temperature instead. We can also conclude that the nurses do not describe their patients feverish conditions in similar words which can lead to misunderstandings. Finding a similar language in nursing documentation is therefore essential.

Analgesics, Non-Narcotic↗

PubMed2003

[A typology for nursing processes exemplified by the "Nursing Process, Standardization and Quality in the Nursing Care Sector" Project].

This paper is based on the project "nursing process, standardisation and quality in nursing care" which is funded by the BMBF. This venture aims to develop and constitute a structure for recordation and documentation of nursing processes in terms of a typology and to standardise patients data for an exchange. The typology results from both the outcomes of the actual analysis of 128 patients in hospitals, homes for the elderly and community health care centers and the research on nursing classifications. The contents of the typology has been developed in co-operation with nurses working in such institutions. The structure and transfer of the data set will be realised by an IT media based network. The range of the project is regional, national and international. In this project the Bremen Institute of Industrial Technology and Applied Work Science (BIBA-ATOP) was responsible for the project management and the development of the IT based structure of the typology. The contents of the typology have been developed by the Institute of Applied Nursing Research (iap).

Documentation↗

PubMed2005

The critical success factors and impact of prior knowledge to nursing students when transferring nursing knowledge during nursing clinical practise.

BACKGROUND: Nursing practise plays an important role in transferring nursing knowledge to nursing students. From the related literature review, prior knowledge will affect how learners gain new knowledge. There has been no direct examination of the prior knowledge interaction effect on students' performance and its influence on nursing students when evaluating the knowledge transfer success factors. AIM: This study explores (1) the critical success factors in transferring nursing knowledge, (2) the impact of prior knowledge when evaluating the success factors for transferring nursing knowledge. METHOD: This research utilizes in-depth interviews to probe the initial success factor phase. A total of 422 valid questionnaires were conducted by the authors. The data were analysed by comparing the mean score and t-test between two groups. RESULTS: Seventeen critical success factors were identified by the two groups of students. Twelve items were selected to examine the diversity in the two groups. CONCLUSION: Students with prior knowledge were more independent than the other group. They also preferred self-directed learning over students without prior knowledge. Students who did not have prior knowledge were eager to take every opportunity to gain experience and more readily adopted new knowledge.

Clinical Nursing Research↗

PubMed2004

Russian nurses: from the Tsarist Sister of Mercy to the Soviet comrade nurse: a case study of absence of migration of nursing knowledge and skills.

Nursing in Russia during the Tsarist era had no structure and little formal organisation. The typical nurses of the nineteenth century were 'Sisters of Mercy', working within the communities of the Orthodox Church and semireligious societies, which were formed to provide a military nursing service. The experience of the Crimean War did not stimulate the foundation of an organised nursing service. There was no transfer of this body of nursing knowledge or experience to the wider rural or civilian population. The majority of Russia's population received inadequate medical and little nursing care.

Diffusion of Innovation↗

PubMedDate not supplied

Investigating the educational needs of licensed nursing staff and certified nursing assistants in nursing homes regarding end-of-life care.

Nursing homes care for people at the end of life (EOL). There is evidence to suggest, however, that nursing staff in these settings is often unprepared to provide a high level of EOL care. This article reports the findings from three preliminary studies that investigated the needs of licensed staff and certified nursing assistants in nursing homes regarding EOL care. The studies involved needs assessment surveys, focus group interviews with staff members, and telephone interviews with nursing home administrators. Data show that the major needs included a lack of knowledge and skills in symptom management; communication difficulties; conflicts with families and physicians; and emotional distress in dealing with time constraints and attachment to residents. Implications for nursing home staff education are described.

Attitude of Health Personnel↗

PubMed1991

[The role of the nurse, the nurses' aide and the nurses' assistant in caring for the patient in communicable disease isolation].

The instrumental and expressive activities performed by nurses and nurse's aides in the caring given to patients carrier of communicable diseases and that were hospitalized in an isolation unit of a general hospital were surveyed. The authors concluded that nursing team performed more instrumental activities than expressive ones the nursing attendant was one who did the higher number of the first activities, followed by the nursing auxiliary and the nurse.

Adult↗

PubMed2000

Improving quality of care in nursing facilities. Gerontological clinical nurse specialist as research nurse consultant.

It is becoming increasingly common for nursing facilities to use Quality Indicators (QI) derived from Minimum Data Set (MDS) data for quality improvement initiatives within their facilities. It is not known how much support facilities need to effectively review QI reports, investigate problems areas, and implement practice changes to improve care. In Missouri, the University of Missouri-Columbia MDS and Nursing Home Quality Research Team has undertaken a Quality Improvement Intervention Study using a gerontological clinical nurse specialist (GCNS) to support quality improvement activities in nursing homes. Nursing facilities have responded positively to the availability of a GCNS to assist them in improving nursing facility care quality.

Aged↗

PubMedDate not supplied

Integrating the licensed practical nurse and the licensed vocational nurse into the specialty of intravenous nursing.

In the scope of intravenous nursing practice, Licensed Practical Nurses (LPNs) and Licensed Vocational Nurses (LVNs) can competently perform specific IV therapy procedures after successfully completing a well-structured IV nursing continuing education process. This article provides an overview of the various processes that need to be employed to ensure IV nursing competency of LPNs and LVNs before effectively integrating them into the specialty of IV nursing.

Education, Nursing, Continuing↗

PubMed1996

Evolution of the American Nurses' Association Code for Nurses with interpretive statements: explications for perioperative nurses.

Although the need for ethical standards in the nursing profession has been recognized since as early as 1903, not until 1950 was a code of ethical principles adopted by American Nursing Association (ANA) members. The AORN Special Committee on Ethics was formed in 1991 to identify ethical issues in perioperative nursing and recommend educational strategies for addressing them. Formulation, publication, and distribution of the ANA Code for Nurses with Interpretive Statements--Explications for Perioperative Nurses resulted from the work of this committee.

American Nurses' Association↗

PubMed2003