Journals
Magazine:
JOURNAL OF NURSING MANAGEMENT
ISSN:
0966-0429
Year:
2022
Vol:
30
N°:
1
Pp:
79 - 89
Aim To explore experiences of frontline nurse managers during COVID-19. Background The COVID-19 pandemic has complicated care provision and healthcare management around the world. Nurse managers have had to face the challenge of managing a crisis with precarious resources. Little research has been published about the experiences of nurse managers during the COVID-19 pandemic. Methods A qualitative descriptive study of 10 frontline nurse managers at a highly specialized university hospital in Spain was carried out. Semi-structured interviews were conducted between June and September 2020. The Consolidated Criteria for Reporting Qualitative Research checklist was used for reporting. Results Six themes emerged: constant adaptation to change, participation in decision-making, management of uncertainty, prioritization of the biopsychosocial well-being of the staff, preservation of humanized care and 'one for all'. Conclusions This study provides evidence for the experiences of nurse managers during the COVID-19 pandemic. In addition, analysing these experiences has helped identify some of the key competencies that these nurses must have to respond to a crisis and in their dual role as patient and nurse mediators. Implications for Nursing Management Knowing about the experiences of frontline nurse managers during the pandemic can facilitate planning and preparing nurse managers for future health disasters, including subsequent waves of COVID-19.
Magazine:
CLINICAL NURSE SPECIALIST
ISSN:
0887-6274
Year:
2022
Vol:
36
N°:
6
Pp:
317 - 326
Purpose/Aims To explore nurses' perceptions of clinical nurse specialist practice as implemented in a highly specialized university hospital in Spain. Design A descriptive qualitative study was carried out in 3 inpatient wards, with a clinical nurse specialist within the team, at a highly specialized university hospital in Spain. Method Semistructured interviews were conducted by purposive sampling with 17 selected nurses with at least 2 years of professional experience who voluntarily agreed to participate and signed the informed consent form. Analysis of the qualitative data was conducted according to Burnard's method of content analysis. The Consolidated Criteria for Reporting Qualitative Research checklist was used. Results Four main categories emerged from the analysis of the data: "qualities of the role-holder," "role competencies in practice," "integration with the team," and "impact of the role" on nursing, the patient, and the organization. Conclusions The findings of this study have interesting implications for the development and implementation of clinical nurse specialist practice in healthcare organizations. They also provide evidence of the benefit of implementing clinical nurse specialist practice for improving the quality of care, patient outcomes, and healthcare efficiency.
Magazine:
CLINICAL NURSING RESEARCH
ISSN:
1054-7738
Year:
2021
Vol:
30
N°:
2
Pp:
171 - 182
The complicated situation experienced by chronic heart failure (CHF) patients affects their entire well-being but clinical
practice continues to fail to adequately respond to their demands. The aim of this study was to understand the meaning of
living with CHF from the patient¿s perspective. A hermeneutic phenomenological study was conducted according to Van
Manen's phenomenology of practice method. Individual conversational interviews were held with 20 outpatients with CHF.
Six main themes emerged from the analysis: (1) Living with CHF involves a profound change in the person; (2) The person
living with CHF has to accept their situation; (3) The person with CHF needs to feel that their life is normal and demonstrate
it to others; (4) The person with CHF needs to have hope; (5) Having CHF makes the person continuously aware of the
possibility of dying; (6) The person with CHF feels that it negatively influences their close environment.
Magazine:
NURSE EDUCATION TODAY
ISSN:
0260-6917
Year:
2020
Vol:
87
Pgs:
104360
Background: Clinical narratives may be used as a means to improve the acquisition of clinical competences. Even though there are studies that recognize the potential value of clinical narratives to promote nursing professional development, there is no evidence that shows their value as a tool to improve nurses' competences to provide person-centred nursing care.
Purpose: To evaluate the preliminary efficacy of narratives for the development of three nursing professional competences -respect, intentional presence and knowing the person- for providing person-centred care.
Method: Using a pre-post quasi-experimental design, a pilot study with a total of 34 nurses enrolled in a training course of nursing specialization was conducted between September 2016 and June 2017. All the nurses received a multi-component intervention based on the Critical Reflective Inquiry model. The strategies of this programme consisted of writing three narratives, attending two masterclasses, participating in a discussion group, and participating in a face-to-face interview. The NarratUN Evaluation tool was used to assess the outcomes. Changes among nurses were analysed using the Wilcoxon signed Rank test.
Results: The difference in the means between the pre- and post-intervention scores were statistically significant for respect [0.59 (95% CI 0.23-0.95; p = 0.001)], intentional presence [0.75 (95% CI 0.32-1.17; p < 0.0001)] and knowing the person [0.62 (95% CI 0.25-0.99; p = 0.001)]. The difference in the mean score for use of the narrative and reflection also increased significantly [0.65 (95% CI 0.32-0.98, p < 0.001)].
Conclusions: The use of narratives combined with other reflective strategies (masterclass sessions and discussion groups) proved to be effective for the development of professional competences of nurses.
Magazine:
JOURNAL OF CLINICAL NURSING
ISSN:
0962-1067
Year:
2020
Vol:
29
N°:
23 - 24
Pp:
4806 - 4817
Aim: To describe and explain nurses' protocol-based care decision-making.
Background: Protocol-based care is a strategy to reduce variability in clinical practice. There are no studies looking at protocol-based care decision-making. Understand this process is key to successful implementation.
Method: A multiple embedded case study was carried out. Nurses' protocol-based care decision-making was studied in three inpatient wards (medical, surgical and medical-surgical) of a university hospital in northern Spain. Data collection was performed between 2015 and 2016 including documentary analysis, non-participant observations, participant observations and interviews. Analysis of quantitative data involved descriptive statistics and qualitative data was submitted to Burnard's method of content analysis (1996). The data integration comprised the integration of the data set of each case separately and the integration of the findings resulting from the comparison of the cases. The following the thread method of data integration was used for this purpose. The SRQR guideline was used for reporting.
Results: The multiple embedded case study revealed protocol-based care decision-making as a linear and variable process that depends on the context and consists of multiple interrelated elements, among which the risk perception is foremost.
Conclusion: This study has allowed progress in protocol-based care decision-making characterisation. This knowledge is crucial to support the design of educational and management strategies aimed at implementing protocol-based care.
Relevance to clinical practice: Strategies to promote protocol-based care should address the contexts of practice and the ability of professionals' to accurately assess the degree of risk of clinical activity. Hence, it will promote quality of care, patient safety and efficiency in healthcare cost.
Magazine:
JOURNAL OF ADVANCED NURSING
ISSN:
0309-2402
Year:
2019
Vol:
75
N°:
8
Pp:
1637 - 1647
Aim To explore the literature regarding how nursing narratives have been used to enhance reflective practice. Design Theoretical review. Data sources A literature search from 1990 - 2017 was conducted in PubMed, CINHAL and PsycINFO databases. Review methods After applying the selection criteria, 13 studies were identified. The quality of articles was evaluated. Results Three themes were identified as the main components of an ongoing narrative process based on looking back to past clinical experiences, creating spaces for dialogue and bringing the worlds of theory and practice closer together. Conclusions This review provides a forum for exploring the use of narratives to enhance reflective practice, which may lead to the acquisition of professional competences.
Magazine:
TESELA
ISSN:
1887-2255
There is a need to develop internship environments that allow for a nursing work that is in line with its objectives and training, and the health needs of individuals/families. Organisations are developing models of nursing professional internship (MPPE), to empower their nurses and improve the quality of their interventions. The MPPE of Clínica Universidad de Navarra is presented. Its structure and values are based on the model interpersonal relationship between the nurse and the cared-for person/family, obtained from research. In addition, the characteristics of the environment of the nursing professional internship have been identified and defined. The most important implication of its definition and development has to be the improvement of the nursing internship and the relationship that nurses establish with the person/family. This is associated with a satisfaction of the nurses and the person/family and of the results obtained.
Magazine:
REVISTA IBEROAMERICANA DE EDUCACION
ISSN:
1022-6508
Year:
2017
Vol:
7
N°:
1
Pp:
21-32
goalTo evaluate an intervention in new nurses aimed at improving the research skills of new nurses.
Methods: pre-post intervention study carried out in a university hospital. The intervention consisted of a theoretical-practical programme of Evidence-Based Nursing (EBN) with a duration of five months. The intervention was evaluated using the questionnaire research Enfermería, designed and validated in Spain, which measures the culture of research in nursing.
Results: when comparing the knowledge of the nurses in research, between T0 (data pre-intervention) and T2 (data post-intervention), significant differences were found both in the improvement of the overall score (z= -4.205, p= 0.000) and in four aspects of the knowledge: design programs of study (z= -6.042, p= 0.000), data analysis quantitative (z= -3.082, p= 0.002), writing projects (z= -5.149, p= 0.000), and computer science (z= -2.889, p= 0.004). There were also significant differences when comparing the nurses' use of research on internship between T0 and T2 (z= -2.904, p= 0.004).
Discussion/Conclusions: The EBE programme has a positive impact in the short term deadline on knowledge at research, on nurses' attitudes towards research and on their use of research at internship.
Magazine:
CONTEMPORARY NURSE
ISSN:
1037-6178
Year:
2017
Vol:
53
N°:
2
Pp:
217 - 234
Although the concept of Transforming care' is promising for improving health care, there is no consensus in the field as to its definition. The aim of this concept analysis is to develop a deeper understanding of the term Transforming care' within the nursing discipline, in order to facilitate its comprehension, implementation, and evaluation. We performed a comprehensive literature review on electronic databases such as Medline (PubMed), Cinahl (Ebsco), Cochrane Library, PsycINFO (Ovid), Web of Science, Wiley-Blackwell, ScienceDirect, and SpringerLink and used Walker and Avant's approach to analyse the concept. From the 20 studies selected for this analysis, 3 main attributes of Transforming care' were identified: patient-centredness, evidence-based change, and transformational leadership driven. We suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation is guided by the following key ideas: (1) fostering a culture of continuous improvement; (2) encouraging bottom-up initiatives; (3) promoting patient-centred care; and (4) using transformational leadership. Lastly, the evaluation of Transforming care' initiatives should assess care processes and professionals' and patients' outcomes.
Magazine:
JOURNAL OF CLINICAL NURSING
ISSN:
0962-1067
Year:
2016
Vol:
25
N°:
17-18
Pgs:
2413 - 2429
AIMS AND OBJECTIVES:
To determine, from a systematic literature review, the experience of living with heart failure and to propose some practice guidelines and research questions.
BACKGROUND:
Chronic heart failure has been one of the fastest growing illnesses in recent decades, with almost 23 million people affected worldwide. This complex syndrome has multiple causes and appears when underlying heart disease is advanced. Currently, heart failure has no cure and leads to a significant deterioration in patients' quality of life.
DESIGN:
Qualitative goal-synthesis.
METHODS:
A qualitative goal-synthesis was conducted to extract and analyse qualitative research from the Cochrane, PubMed, CINAHL, PsycINFO, Web of Science and Cuiden databases. Snowball sampling and a guide search were performed to identify other relevant studies.
RESULTS:
Twenty-five qualitative studies were selected. The findings indicate that there are three main themes that describe the phenomenon. The first theme refers to the experiences related to the beginning of the process. The second theme is connected with the effects on the person: physical, emotional, social and spiritual changes. The third theme is linked with how to live with heart failure despite the illness, including the adjustment and coping process and how external resources can help them to manage.
CONCLUSIONS:
Heart failure has a major impact on the entire person, but some areas have not been addressed. By creating new tools to underst [...]
Magazine:
CLINICAL NURSING
ISSN:
1130-8621
Year:
2015
Vol:
25
N°:
5
Pp:
239-244
The main factors influencing underreporting are the lack of knowledge and motivation of the professionals. To solve these problems, the main interventions are based on Education, motivation and perseverance.
Magazine:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN:
1137-6627
Year:
2015
Vol:
38
N°:
2
Pp:
225-234
All participants (n=40) completed the study. The internal consistency with Cronbach¿s alpha was 0.71 and the inter-rater harmony obtained a moderate to good Kappa index for most items (k=0.4-0.81) except for ¿language and gingiva¿ (k=0.33-0.37). Concurrent validity with the WHO mucositis scale was acceptable (r=0.458). All nurses (n=6) found the scale easy to understand and useful in the clinical internship . Patients said they did not find the evaluation of the mouth uncomfortable with the scale.Conclusions. The Spanish version of the OAG is a valid and reliable instrument in cancer patients. It is easy to use in the clinical internship and well accepted by patients.
Magazine:
NURSING GOALS
ISSN:
1138-7262
Year:
2014
Vol:
17
N°:
4
Pp:
16-32
The nurses' satisfaction with the Education to the patient before and after the intervention was not significant (z= -0.455, p= 0.115), although there was a considerable improvement in the aspects related to the resources available for the Education in the group intervention. Conclusions: the intervention is effective in terms of the level of knowledge of patients, although its effect on the profile of healthy habits is not as significant B. This may be due to the age of the patients or to the fact that the modification of habits requires more time.
Magazine:
NURSING JOURNAL ROL DE ENFERMERIA
ISSN:
0210-5020
Year:
2013
Vol:
36
N°:
5
Pp:
22-8
We propose to have an effective intraprofessional communication in order to ensure patient safety. In addition the transmission of information during the shift change should be done through a systematic process in a quiet place without interruptions.
Magazine:
CIN-COMPUTERS INFORMATICS NURSING
ISSN:
1538-2931
Year:
2013
Vol:
31
N°:
8
Pp:
388-393
Communication failures have been identified as the main cause of safety-related incidents in patient care. Shift handover, as communication between two shifts of nurses about patients' situations, is important in the exchange of information. Automation and use of computer technology are considered key for more effective and standardized communication. The aim of the study was to assess nurses' perceptions of the use of a computerized tool for shift report writing in a teaching hospital in Spain. A comparative-descriptive study was carried out. A questionnaire was designed and distributed among nurses in hospital wards; 87 nurses (72%) completed the questionnaire. Most considered the tool useful: it conveyed the most important information about the patient and enhanced the quality of the information, and a decrease in time needed for report writing was perceived by nurses. Surgical wards had a more positive perception than medical wards. In conclusion, nurses' perception of the use of a computerized tool for shift handover report writing was positive and acknowledged the pivotal role of computerization.
Magazine:
CARDIOLOGY NURSING
ISSN:
1575-4146
Year:
2012
Vol:
55-56
Ppgs:
22-26
All the people involved in the process educational have participated in the elaboration of the booklet: patients, family and professionals. This booklet will reinforce the Education provided to the patient at discharge, helping them to achieve the necessary knowledge for their early recovery and self-care.
Magazine:
CARDIOLOGY NURSING
ISSN:
1575-4146
Year:
2012
Vol:
53
N°:
2
Pp:
27-33
Patient satisfaction and the perception of staff are positive. There was concordance between the most positive items perceived by the patient and the staff. Nurse identification and information on discharge were the aspects prioritised by area for improvement.
Magazine:
NURSING JOURNAL ROL DE ENFERMERIA
ISSN:
0210-5020
Year:
2012
Vol:
35
N°:
12
Pp:
46-52
The changes that have taken place in society favour the development of new nursing profiles, which have a positive impact on the institutions, nursing practitioners, patients and families.
Magazine:
Journal of Clinical Nursing
ISSN:
0962-1067
Year:
2010
Vol:
19
N°:
1-2
Pp:
240 - 248
AIM:
To develop and validate a questionnaire to explore the perceptions of nurses about the implementation of a computerised information system in clinical practice.
BACKGROUND:
A growing interest in understanding nurses' experience of developing and implementing clinically relevant Information Technology systems and the lack of measurement tools in this area, justifies further research into the development of instruments to provide an insight into nurses' experience.
DESIGN:
Survey and questionnaire development.
METHOD:
An initial draft of the questionnaire was developed based on the literature and expert opinion. The questionnaire was piloted by ten nurses to check face validity, reliability and test-retest reliability. A revised version of the questionnaire was distributed to nurses working in the in-patient area of a university hospital in Spain (n = 227). Principal components analysis with oblique rotation was carried out to test theoretically developed underlying dimensions and to test construct validity. Cronbach's alpha coefficient was used to determine internal consistency.
RESULTS:
Cronbach's alpha for all the items included in the different scales was 0.88 in the pilot questionnaire and test-retest reliability was adequate. Principal components analysis of items related to mechanisms produced a three-component structure ('IT support', 'usability' and 'information characteristics'). The three factors explained 48.6% of the total variance and Cronbach's alpha ranged from 0.66-0.79. Principal components analysis of items related to outcomes produced a three factor solution ('impact on patient care', 'impact on communication' and 'image profile'). The factors explained 65.9% of the total variance and Cronbach's alpha ranged from 0.64-0.85.
CONCLUSIONS:
The study provides a detailed description and justification of an instrument development process. The instrument is valid and reliable for the setting where it has been used.
RELEVANCE TO CLINICAL PRACTICE:
The instrument could provide insight into nurses' experience of IT implementation that will guide further development of systems to enhance clinical practice.
