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Overview and Summary: Healthy Nurses: Perspectives on Caring for Ourselves. 概述与总结:健康护士:照顾自己的视角。
Q3 Nursing Pub Date : 2014-09-30 DOI: 10.3912/ojin.vol19no03manos
S. Letvak
Every few years this joke goes around, “Did you hear about the body found alongside the road? They don’t know her name but they know she is a nurse because the back was broken, the ankles were swollen, the nerves were frayed, and the bladder was full.” While most laugh when they hear it, the sad reality is nurses “accept” health problems that come from the physical and emotional demands of the profession, and while caring for others often do not care for themselves. A synthesis of 187 international studies on nurse health conducted by Fronteira and Ferrinho (2011) found that nurses experience more musculoskeletal disorders, are at greater risk of acquiring tuberculosis and blood-borne pathogen infections, and have more occupational allergies than the general public.In one study, hospital-employed bedside nurses were found to have a depression rate of 17% compared to the national rate of only 9% (Letvak, Ruhm & McCoy, 2012).
每隔几年就会有这样的笑话流传:“你听说路边发现的尸体了吗?”他们不知道她的名字,但他们知道她是一名护士,因为她的背部骨折了,脚踝肿胀,神经受损,膀胱也满了。”虽然大多数人听到这句话都笑了,但令人悲伤的现实是,护士“接受”了这个职业在身体和情感上的需求所带来的健康问题,在照顾别人的同时,往往不关心自己。Fronteira和Ferrinho(2011)对187项关于护士健康的国际研究进行了综合,发现护士比一般公众更容易患肌肉骨骼疾病,患结核病和血源性病原体感染的风险更大,职业过敏的风险也更高。在一项研究中,医院雇用的床边护士的抑郁率为17%,而全国的抑郁率仅为9% (Letvak, Ruhm & McCoy, 2012)。
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引用次数: 10
Implementation of a Participant-Centered Weight Management Program for Older Nurses: A Feasibility Study. 实施以参与者为中心的老年护士体重管理计划:可行性研究。
Q3 Nursing Pub Date : 2014-09-30 DOI: 10.3912/ojin.vol19no03man04
E. Nahm, J. Warren, E. Friedmann, Jeanine Brown, D. Rouse, Bu Kyung Park, K. W. Quigley
American nurses (3.06 million) are at high risk for being overweight, as the majority are post-menopausal women (93.3% female; mean age 47). Studies have indicated that more than half of all nurses are either overweight or obese. This fact is of concern because nurses often lead major health promotion efforts. The aim of this study was to examine the feasibility of a novel participant-centered weight management program (PCWM) among nurses. The participant-centered (P-C) theoretical framework used originated from the field of usability engineering (i.e., user-centered design). Study methods included a single group pre-test/post-test design (baseline, eight weeks, three months) and an intervention consisting of face-to-face education sessions, technology-augmented exercise programs, and an eHealth portal. The results demonstrated a significant decrease in body weight, increased fruit and vegetable consumption, and increased exercise at eight weeks. In our discussion of this study, we note that although the intervention effects decreased at three months, these results are promising, considering that the intervention used was not regimented and relied only on nurses' activation of their planned health behaviors. The major limitation of the study was the small sample size recruited from one large community hospital. Further research is needed to improve the sustainability of the program.
美国护士(306万)超重的风险很高,因为大多数是绝经后妇女(93.3%的女性;平均年龄47岁)。研究表明,超过一半的护士超重或肥胖。这一事实令人担忧,因为护士经常领导主要的健康促进工作。本研究旨在探讨一种以参与者为中心的新型护士体重管理方案的可行性。使用的以参与者为中心(P-C)理论框架起源于可用性工程领域(即,以用户为中心的设计)。研究方法包括单组测试前/测试后设计(基线,8周,3个月)和干预,包括面对面的教育会议,技术增强锻炼计划和电子健康门户。结果显示,在八周后,体重显著下降,水果和蔬菜摄入量增加,运动量增加。在我们对这项研究的讨论中,我们注意到,尽管干预效果在三个月时有所下降,但考虑到所使用的干预措施没有被控制,只依赖于护士对其计划健康行为的激活,这些结果是有希望的。该研究的主要局限性是从一家大型社区医院招募的样本量较小。需要进一步的研究来提高项目的可持续性。
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引用次数: 9
Overview and Summary: Healthy Nurses: Perspectives on Caring for Ourselves. 概述与总结:健康护士:照顾自己的视角。
Q3 Nursing Pub Date : 2014-09-30
Susan Letvak
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引用次数: 0
Effective Interpersonal Communication: A Practical Guide to Improve Your Life. 有效的人际沟通:改善你生活的实用指南。
Q3 Nursing Pub Date : 2014-09-30 DOI: 10.3912/ojin.vol19no03man01
Kathleen A Vertino
Use of effective interpersonal communication strategies by nurses in both personal and professional settings, may reduce stress, promote wellness, and therefore, improve overall quality of life. This article briefly explores the concept of interpersonal communication as it relates to Maslow's hierarchy of human needs; describes personal variables and the interaction of internal and external variables that can impact communication; and discusses possible causes and consequences of ineffective communication. Drawing on both the literature and experiences as a longtime provider of care in the mental health field, the author offers multiple practical strategies, with specific examples of possible responses for effective communication. Recommendations in this article are intended for nurses to consider as they seek healthy communication strategies that may be useful in both their personal and professional lives.
护士在个人和专业环境中使用有效的人际沟通策略,可以减轻压力,促进健康,从而提高整体生活质量。本文简要探讨了人际交往的概念,因为它与马斯洛的人类需求层次理论有关;描述影响沟通的个人变量以及内部和外部变量的相互作用;并讨论了无效沟通的可能原因和后果。根据文献和经验,作为一个长期的精神健康领域的护理提供者,作者提供了多种实用的策略,并提供了有效沟通的可能反应的具体例子。本文中的建议是为了供护士在寻求健康的沟通策略时考虑,这些策略可能对他们的个人生活和职业生活都有用。
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引用次数: 37
Healthy Eating for Healthy Nurses: Nutrition Basics to Promote Health for Nurses and Patients. 健康护士的健康饮食:促进护士和病人健康的营养基础。
Q3 Nursing Pub Date : 2014-09-30 DOI: 10.3912/ojin.vol19no03man07
D. Reed
Nurses care for people each day in many settings such as hospitals, physician offices, schools, and public health facilities. Such positions often require nurses to work variable and long hours, exposing them to the stressors of caring for people who are ill. These stressors can support poor food choices that adversely affect the health and well-being of the nurse. Nurses are also an integral part of providing nutrition related information to patients. As such, patients may be very cognizant of the health habits of their nurses. Eating for good health is one way that nurses can reduce the impact of stressors on the body and positively influence their health, allowing them to better care for patients and themselves. This article reviews two common nutrition related areas of concern to nurses, stressors, inflammation, and nutrition and sleep and eating patterns, that can lead to obesity. Knowledge and attitudes about nutrition education are also discussed briefly. Finally, the article offers a review of nutrition basics for nurses and suggestions to avoid potential food pitfalls common for nurses.
护士每天在医院、医生办公室、学校和公共卫生设施等许多环境中照顾人们。这类职位通常需要护士长时间工作,工作时间多变,这使她们面临照顾病人的压力。这些压力源可以支持不良的食物选择,对护士的健康和福祉产生不利影响。护士也是向患者提供营养相关信息的重要组成部分。因此,病人可能非常了解护士的健康习惯。健康饮食是护士减少压力源对身体的影响并对健康产生积极影响的一种方式,使他们能够更好地照顾病人和自己。这篇文章回顾了护士关注的两个常见的营养相关领域:压力源、炎症、营养、睡眠和饮食模式,这些都可能导致肥胖。对营养教育的认识和态度也作了简要的讨论。最后,文章回顾了护士的营养基础知识,并提出了避免护士常见的潜在食物陷阱的建议。
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引用次数: 32
The Value of Library and Information Services in Nursing and Patient Care. 图书馆和信息服务在护理和病人护理中的价值。
Q3 Nursing Pub Date : 2014-08-18 DOI: 10.3912/OJIN.VOL19NO03PPT02
Joanne Gard Marshall, J. Morgan, M. Klem, Cheryl A. Thompson, Amber L. Wells
Libraries are a primary resource for evidence-based practice. This study, using a critical incident survey administered to 6,788 nurses at 118 hospitals, sought to explore the influence of nurses' use of library resources on both nursing and patient outcomes. In this article, the authors describe the background events motivating this study, the survey methods used, and the study results. They also discuss their findings, noting that use of library resources showed consistently positive relationships with changing advice given to patients, handling patient care differently, avoiding adverse events, and saving time. The authors discuss the study limitations and conclude that the availability and use of library and information resources and services had a positive impact on nursing and patient outcomes, and that nurse managers play an important role both by encouraging nurses to use evidence-based library resources and services and by supporting the availability of these resources in healthcare settings.
图书馆是循证实践的主要资源。本研究对118家医院的6,788名护士进行了重大事件调查,旨在探讨护士使用图书馆资源对护理和患者预后的影响。在这篇文章中,作者描述了激励本研究的背景事件,使用的调查方法和研究结果。他们还讨论了他们的发现,注意到图书馆资源的使用与改变给病人的建议、以不同的方式处理病人护理、避免不良事件和节省时间始终呈正相关。作者讨论了研究的局限性,并得出结论,图书馆和信息资源和服务的可用性和使用对护理和患者结果有积极的影响,护士管理者通过鼓励护士使用循证图书馆资源和服务以及支持这些资源在医疗保健环境中的可用性发挥了重要作用。
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引用次数: 18
Legislative: Responding to the Fatal Opioid Overdose Epidemic: A Call to Nurses. 立法:应对致命的阿片类药物过量流行病:对护士的呼吁。
Q3 Nursing Pub Date : 2014-08-17 DOI: 10.3912/ojin.vol19no03legcol01
Angela Clark
People who weren't familiar with the opioid overdose epidemic were shocked by the tragic death of Philip Seymour Hoffman. Many of my friends and co-workers (who know I work with clients suffering from opioid dependence) asked me what I thought of his death. I took this opportunity to explain to them that Mr. Hoffman's death was in no way a solitary event. Drug poisoning (overdose) has now surpassed motor vehicle accidents as the leading cause of accidental-injury death in the United States (US); approximately 41 people die every day of a drug overdose involving prescription painkillers (CPC, 2012; Paulozzi, 2012). In the state of Ohio, approximately five people per day fall victim to fatal, opioid-related overdoses; and in my county in Ohio, we lose an average of one person every other day (lOhilQ-D£p..artm.eii.Lo.f"u.ealth."-2Q.13).Opioid overdoses affect individuals, families, friends, and communities. The societal costs of opioid overdoses exceed 20 billion dollars annually; everyone is affected in some capacity (Inocencio, Carroll, Read, & Holdfored, 2013). Nurses have a social responsibility for the holistic welfare of all individuals. Given the widespread and multifaceted reach of care delivery, nurses are uniquely positioned to combat the opioid overdose epidemic on many fronts. This column will discuss how nurses are well positioned both to address the opioid epidemic and support the use of naloxone to reverse opioid-related overdoses and also to promote legislation to increase access to naloxone and decrease fatal opioid overdoses.Nurses are encouraged to become active in the prevention of opioid-related overdoses and to incorporate overdose prevention into their daily practice. Both prescription and illicit opioids, including heroin, morphine, codeine, methadone, hydrocodone, oxycodone, hydromorphone, and fentanyl, contribute to the fatal opioid overdose epidemic. When someone is experiencing an opioid overdose, a potentially fatal cyanotic cascade of events ensues: breathing slows, oxygen levels in the blood decrease, and oxygenation to vital organs decreases. Within minutes unconsciousness, brain damage, coma, and death may follow (Harm Reduction Coalition, 2013V Respiratory depression is the hallmark symptom of an opioid overdose. Overdoses, in which a person has not ingested opioids, cause respiratory depression infrequently. Opioid overdoses are rarely immediate; and there is usually of window of time to intervene. Naloxone hydrochloride, brand name Narcan®, is a Food and Drug Administration-approved medication which, if administered in time, has the potential to effectually reverse opioid overdoses, allowing victims to receive the treatment they need (Boyer, 2012).In 1996, community-based opioid overdose prevention programs (OOPPs) began distributing naloxone to individuals who are at high risk for witnessing an opioid overdose. Naloxone distribution has now reached over 50,000 individuals; over 10,000 overdose reversals have been
不熟悉阿片类药物过量流行的人对菲利普·西摩·霍夫曼的悲惨死亡感到震惊。我的许多朋友和同事(他们知道我与患有阿片类药物依赖的客户打交道)问我对他的死有什么看法。我借此机会向他们解释霍夫曼先生的死绝不是单独的事件。药物中毒(过量)现已超过机动车事故,成为美国意外伤害死亡的主要原因(US);每天约有41人死于处方止痛药过量(CPC, 2012;Paulozzi, 2012)。在俄亥俄州,每天大约有五人成为致命的阿片类药物过量的受害者;而在我所在的俄亥俄州,我们平均每隔一天就失去一个人。阿片类药物过量会影响个人、家庭、朋友和社区。阿片类药物过量的社会成本每年超过200亿美元;每个人都在某种程度上受到影响(Inocencio, Carroll, Read, & holdfore, 2013)。护士对所有个体的整体福利负有社会责任。鉴于护理服务的广泛和多方面,护士在许多方面都具有独特的优势,可以打击阿片类药物过量的流行。本专栏将讨论护士如何做好准备,既应对阿片类药物的流行,又支持使用纳洛酮逆转与阿片类药物有关的过量,并促进立法,以增加纳洛酮的可及性,减少致命的阿片类药物过量。鼓励护士积极预防与阿片类药物有关的过量,并将过量预防纳入其日常实践。处方和非法阿片类药物,包括海洛因、吗啡、可待因、美沙酮、氢可酮、羟考酮、氢吗啡酮和芬太尼,都导致致命的阿片类药物过量流行。当一个人过量服用阿片类药物时,可能会发生致命的紫绀级联反应:呼吸减慢,血液中的含氧量降低,重要器官的氧合减少。在几分钟内,可能会出现无意识、脑损伤、昏迷和死亡(危害减少联盟,2013)。呼吸抑制是阿片类药物过量的标志性症状。在没有摄入阿片类药物的情况下,过量服用阿片类药物很少引起呼吸抑制。阿片类药物过量很少立即发生;而且通常没有干预的时间窗口。盐酸纳洛酮,品牌名为Narcan®,是美国食品和药物管理局批准的药物,如果及时给药,有可能有效逆转阿片类药物过量,使受害者得到所需的治疗(Boyer, 2012)。1996年,以社区为基础的阿片类药物过量预防计划(OOPPs)开始向目睹阿片类药物过量的高风险个体分发纳洛酮。纳洛酮的分发目前已惠及5万多人;据报道,超过1万例药物过量逆转(惠勒)。Davidson, Jones, & Irwin, 2012)。阿片类药物过量项目旨在教导那些有过量用药风险的人如何预防过量用药,识别过量用药,对过量用药做出适当反应,并使用纳洛酮来逆转过量用药。来自美国188个OOPP的数据表明,人们能够并且愿意对过量用药做出反应,OOPP的参与者通过扭转过量用药挽救了生命(Wheeler et al.r 2012)。纳洛酮安全有效,没有滥用的可能;然而,在防止向公众广泛传播纳洛酮方面仍然存在障碍和反对意见。首先,反对者经常辩称,纳洛酮的分销为人们提供了“使用”阿片类药物的许可证。然而,没有证据支持这一说法,研究表明,阿片类药物过量预防项目的参与者报告海洛因使用减少(Seal等人,2005年)。俄亥俄州一个由护士领导的阿片类药物过量预防项目采用了“预防而不是许可”的口号。…
{"title":"Legislative: Responding to the Fatal Opioid Overdose Epidemic: A Call to Nurses.","authors":"Angela Clark","doi":"10.3912/ojin.vol19no03legcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol19no03legcol01","url":null,"abstract":"People who weren't familiar with the opioid overdose epidemic were shocked by the tragic death of Philip Seymour Hoffman. Many of my friends and co-workers (who know I work with clients suffering from opioid dependence) asked me what I thought of his death. I took this opportunity to explain to them that Mr. Hoffman's death was in no way a solitary event. Drug poisoning (overdose) has now surpassed motor vehicle accidents as the leading cause of accidental-injury death in the United States (US); approximately 41 people die every day of a drug overdose involving prescription painkillers (CPC, 2012; Paulozzi, 2012). In the state of Ohio, approximately five people per day fall victim to fatal, opioid-related overdoses; and in my county in Ohio, we lose an average of one person every other day (lOhilQ-D£p..artm.eii.Lo.f\"u.ealth.\"-2Q.13).Opioid overdoses affect individuals, families, friends, and communities. The societal costs of opioid overdoses exceed 20 billion dollars annually; everyone is affected in some capacity (Inocencio, Carroll, Read, & Holdfored, 2013). Nurses have a social responsibility for the holistic welfare of all individuals. Given the widespread and multifaceted reach of care delivery, nurses are uniquely positioned to combat the opioid overdose epidemic on many fronts. This column will discuss how nurses are well positioned both to address the opioid epidemic and support the use of naloxone to reverse opioid-related overdoses and also to promote legislation to increase access to naloxone and decrease fatal opioid overdoses.Nurses are encouraged to become active in the prevention of opioid-related overdoses and to incorporate overdose prevention into their daily practice. Both prescription and illicit opioids, including heroin, morphine, codeine, methadone, hydrocodone, oxycodone, hydromorphone, and fentanyl, contribute to the fatal opioid overdose epidemic. When someone is experiencing an opioid overdose, a potentially fatal cyanotic cascade of events ensues: breathing slows, oxygen levels in the blood decrease, and oxygenation to vital organs decreases. Within minutes unconsciousness, brain damage, coma, and death may follow (Harm Reduction Coalition, 2013V Respiratory depression is the hallmark symptom of an opioid overdose. Overdoses, in which a person has not ingested opioids, cause respiratory depression infrequently. Opioid overdoses are rarely immediate; and there is usually of window of time to intervene. Naloxone hydrochloride, brand name Narcan®, is a Food and Drug Administration-approved medication which, if administered in time, has the potential to effectually reverse opioid overdoses, allowing victims to receive the treatment they need (Boyer, 2012).In 1996, community-based opioid overdose prevention programs (OOPPs) began distributing naloxone to individuals who are at high risk for witnessing an opioid overdose. Naloxone distribution has now reached over 50,000 individuals; over 10,000 overdose reversals have been","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70291751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Graduate Clinical Nurse Preceptors: Implications for Improved Intra-Professional Collaboration. 研究生临床护士导师:改善专业内合作的意义。
Q3 Nursing Pub Date : 2014-07-31 DOI: 10.3912/ojin.vol19no03ppt01
R. Donley, M. Flaherty, Eileen Sarsfield, Agnes Burkhard, S. O’Brien, Kelley M Anderson
Advanced practice nurses have increased in number and public acceptance. Students preparing for these roles require quality clinical education so they are prepared to assume collaborative roles in healthcare settings. Although graduate clinical preceptors have a vitally important role in the clinical education and professional socialization of advanced practice students, there is a paucity of evidence about factors that influence their role commitment. In this article, the authors review the literature related to graduate-level, clinical-preceptor experiences; describe their study of 91 graduate clinical preceptors that identified factors influencing graduate clinical preceptors' role commitment; report and discuss their findings; as well as the limitations of this study. They conclude that the graduate clinical preceptor role needs to be more visible and better integrated into schools of nursing and healthcare organizational structures, and identify the need for intra-professional collaboration among nursing faculty, administrators, and clinicians to facilitate the recruitment, cultivation, and retention of graduate clinical preceptors.
高级执业护士的数量和公众接受度都有所增加。为这些角色做准备的学生需要高质量的临床教育,以便他们准备在医疗保健环境中承担协作角色。尽管研究生临床导师在高级实习学生的临床教育和专业社会化中发挥着至关重要的作用,但影响其角色承诺的因素缺乏证据。在本文中,作者回顾了有关研究生水平,临床导师经验的文献;描述他们对91名研究生临床导师的研究,发现影响研究生临床导师角色承诺的因素;报告和讨论他们的发现;以及本研究的局限性。他们得出结论,研究生临床导师的角色需要更加明显,并更好地融入护理和医疗保健学校的组织结构中,并确定护理教师、管理人员和临床医生之间需要进行专业内合作,以促进研究生临床导师的招聘、培养和保留。
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引用次数: 26
Cochrane Review Brief: Nurse Versus Physician-Led Care for the Management of Asthma. Cochrane综述摘要:哮喘管理中护士与医生主导的护理。
Q3 Nursing Pub Date : 2014-07-23 DOI: 10.3912/OJIN.VOL19NO03CRBCOL04
D. Dewey
AbstractLiving a healthy lifestyle is a constant choice. As a life goal, it is a decision to uphold every moment and is best achieved with support of others. There are a multitude of workplace wellness and healthy lifestyle programs that address achieving and maintaining the goal of normal weight over a lifetime. Fewer such evidence based programs exist and a goal of our hospital is to create a comprehensive wellness program based on evidence. In the context of normal weight maintenance in nurses, this article discusses selected challenges for healthy eating and exercise and nurse fitness programs based on the author and her colleagues experiences with specific obesity research interventions, such as Nurses Living FitTM, that we designed and offered. An exemplar provides details about our wellness programs, which included three annual walk or run events, one full day conference, and a series of multiple exercise, yoga, and nutrition sessions. Our goal was to expose nurses to healthier lifestyle aspects with a primary focus on the optimal balance of exercise and nutrition. Over the years of research, events, and programs, greater than 1,000 people have participated. The conclusion includes implications for education and practice in the hope that our experiences may motive nurses to design exercise and nutrition programs to promote normal weight maintenance in nurses.Keywords: Nurses; obesity; overweight; exercise; nutrition; wellness programs; weightIn 2011-2012, more than one-third of adults in the United States (US) over age 20 (34.9%) classified as obese (Ogden, Carroll, Kit & Fleqal, 20141. More than two-thirds were overweight or obese .(MatlflnaLCfifl.'tejJfoLUfialtll-Statistics,-2011)* Obesity related conditions include high blood pressure, increased cholesterol, type 2 diabetes and related complications, cardiovascular disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and cancers of the endometrium, breast, prostate, and colon.The U.S. obesity epidemic and escalating costs associated with treatment of obesity-related health conditions continue to be problematic (,US.l.D.ep.artm.enL.of Health...and Human.,Services. .[US. DHHS1,. 2.Q.1.Q). As increasing numbers of patients require treatment for these conditions and education about achieving and maintaining a healthy weight, it is prudent for healthcare facilities to consider addressing this problem from within. Having a healthy workforce population is important from both an employee health perspective as well as an employer economic perspective.For industries with aging employees, such as nursing, the goal of a healthy workforce may be even more important to mitigate health changes associated with aging and to help nurses retain their ability to manage the physical demands of caring for patients. The average age of a nurse in the US is nearing 50 years (Am.ati.can, N.urs.es Association, ?0.11). Nurses are typically well educated about caring for patients
摘要健康的生活方式是一个永恒的选择。作为一个人生目标,这是一个每时每刻都要坚持的决定,最好在别人的支持下实现。有大量的工作场所健康和健康的生活方式项目来解决在一生中实现和保持正常体重的目标。很少有这样的基于证据的项目存在,我们医院的目标是建立一个基于证据的综合健康项目。在护士维持正常体重的背景下,本文根据作者和她的同事设计和提供的特定肥胖研究干预措施(如护士生活健身计划)的经验,讨论了健康饮食和运动和护士健身计划所面临的挑战。其中一个范例详细介绍了我们的健康计划,其中包括三次年度步行或跑步活动,一次全天会议,以及一系列多种锻炼、瑜伽和营养课程。我们的目标是让护士了解更健康的生活方式,主要关注运动和营养的最佳平衡。经过多年的研究、活动和项目,已有超过1000人参与其中。结论包括教育和实践的启示,希望我们的经验可以激励护士设计运动和营养计划,以促进护士的正常体重维持。关键词:护士;肥胖;超重;锻炼;营养;健康项目;2011-2012年,美国20岁以上的成年人中有超过三分之一(34.9%)被归类为肥胖(Ogden, Carroll, Kit & Fleqal, 20141)。肥胖相关疾病包括高血压、高胆固醇、2型糖尿病及相关并发症、心血管疾病、中风、胆囊疾病、骨关节炎、睡眠呼吸暂停、呼吸系统疾病、子宫内膜癌、乳腺癌、前列腺癌和结肠癌。美国肥胖的流行和与肥胖相关的健康状况的治疗相关的不断上升的费用仍然是一个问题。健康……和人力,服务…[美国]DHHS1。2. q.1.q)。随着越来越多的患者需要治疗这些疾病,并接受有关实现和保持健康体重的教育,医疗机构考虑从内部解决这一问题是谨慎的。无论从雇员健康的角度还是从雇主经济的角度来看,拥有健康的劳动力人口都很重要。对于有老年雇员的行业,如护理行业,健康劳动力的目标可能更为重要,以减轻与老龄化相关的健康变化,并帮助护士保持管理照顾病人的身体需求的能力。美国护士的平均年龄接近50岁。肯,护士协会,£0.11)。护士通常在照顾与肥胖相关的病人健康状况方面受过良好的教育,但我们可能不太了解在一生中保持正常体重所需的运动和营养平衡。值得信赖的专业人士,如护士,有一个独特的机会,不仅教育病人,而且相互教育,关于健康的生活方式选择,包括运动和适当营养的平衡。本文将讨论作者和她的同事在弗吉尼亚州利斯堡的Inova loudown医院实现更健康的员工队伍的机构目标。总的目标是让护士接触到更健康的生活方式,主要关注运动和营养的平衡。作者和她的同事确定了健康饮食的一些挑战,并通过特定的肥胖研究干预措施(如护士健康生活(TM))制定了锻炼和营养计划,作者将简要讨论这些以提供背景。一个详细的范例将描述全面的、以医院为基础的健康计划的各个方面,包括三个年度步行或跑步活动,一个全天的会议,以及一系列多种锻炼、瑜伽和营养计划。…
{"title":"Cochrane Review Brief: Nurse Versus Physician-Led Care for the Management of Asthma.","authors":"D. Dewey","doi":"10.3912/OJIN.VOL19NO03CRBCOL04","DOIUrl":"https://doi.org/10.3912/OJIN.VOL19NO03CRBCOL04","url":null,"abstract":"AbstractLiving a healthy lifestyle is a constant choice. As a life goal, it is a decision to uphold every moment and is best achieved with support of others. There are a multitude of workplace wellness and healthy lifestyle programs that address achieving and maintaining the goal of normal weight over a lifetime. Fewer such evidence based programs exist and a goal of our hospital is to create a comprehensive wellness program based on evidence. In the context of normal weight maintenance in nurses, this article discusses selected challenges for healthy eating and exercise and nurse fitness programs based on the author and her colleagues experiences with specific obesity research interventions, such as Nurses Living FitTM, that we designed and offered. An exemplar provides details about our wellness programs, which included three annual walk or run events, one full day conference, and a series of multiple exercise, yoga, and nutrition sessions. Our goal was to expose nurses to healthier lifestyle aspects with a primary focus on the optimal balance of exercise and nutrition. Over the years of research, events, and programs, greater than 1,000 people have participated. The conclusion includes implications for education and practice in the hope that our experiences may motive nurses to design exercise and nutrition programs to promote normal weight maintenance in nurses.Keywords: Nurses; obesity; overweight; exercise; nutrition; wellness programs; weightIn 2011-2012, more than one-third of adults in the United States (US) over age 20 (34.9%) classified as obese (Ogden, Carroll, Kit & Fleqal, 20141. More than two-thirds were overweight or obese .(MatlflnaLCfifl.'tejJfoLUfialtll-Statistics,-2011)* Obesity related conditions include high blood pressure, increased cholesterol, type 2 diabetes and related complications, cardiovascular disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and cancers of the endometrium, breast, prostate, and colon.The U.S. obesity epidemic and escalating costs associated with treatment of obesity-related health conditions continue to be problematic (,US.l.D.ep.artm.enL.of Health...and Human.,Services. .[US. DHHS1,. 2.Q.1.Q). As increasing numbers of patients require treatment for these conditions and education about achieving and maintaining a healthy weight, it is prudent for healthcare facilities to consider addressing this problem from within. Having a healthy workforce population is important from both an employee health perspective as well as an employer economic perspective.For industries with aging employees, such as nursing, the goal of a healthy workforce may be even more important to mitigate health changes associated with aging and to help nurses retain their ability to manage the physical demands of caring for patients. The average age of a nurse in the US is nearing 50 years (Am.ati.can, N.urs.es Association, ?0.11). Nurses are typically well educated about caring for patients","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Cochrane Review Brief: Exit Interviews to Reduce Turnover Amongst Healthcare Professionals. Cochrane综述摘要:离职面谈减少医疗保健专业人员的离职率。
Q3 Nursing Pub Date : 2014-07-22 DOI: 10.3912/ojin.vol19no03crbcol03
J. Christie
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引用次数: 2
期刊
Online Journal of Issues in Nursing
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