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Promoting Clinical and Cultural Competence in the Nursing Care of Transgender Patients: An Educational Module for Postoperative Nurses Caring for Patients After Vulvovaginoplasty. 提高跨性别患者护理的临床和文化能力:外阴阴道成形术后护理患者的教育模块。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 DOI: 10.3928/00220124-20231011-08
Marleah Angelov, Bethany Rolfe Witham

Background: Transgender women and transfeminine nonbinary individuals may pursue a vulvovaginoplasty to improve their gender dysphoria. The goal of this study was to design, implement, and evaluate an educational module to increase acute care nurses' clinical and cultural skills in the care of the transgender population after vulvovaginoplasty.

Method: All nursing staff and patient care technicians working on a hospital unit caring for patients after vulvovaginoplasty attended a 4-hour educational module. Participants completed an anonymous pre- and postsurvey. Survey data were analyzed for significant change in the categories of knowledge, perceived competence, sexuality and gender beliefs, interpersonal comfort, and human value.

Results: Significant improvement was noted in the categories of knowledge and perceived competence. Improvements were also noted in the categories of sexuality and gender beliefs and interpersonal comfort, but were not statistically significant. An insignificant decline in scores was noted in the category of human value.

Conclusion: Increased knowledge about vulvovaginoplasty and informed, culturally safe care may improve the patient outcome and experience, and nurses may be more confident and comfortable delivering care for this population. This intervention may serve as an exemplar to other institutions that hope to offer gender care surgeries. [J Contin Educ Nurs. 2023;54(11):509-515.].

背景:跨性别女性和非双性恋者可能会进行外阴阴道成形术,以改善她们的性别焦虑。本研究的目的是设计、实施和评估一个教育模块,以提高急诊护理护士在外阴阴道成形术后护理跨性别人群的临床和文化技能。方法:在医院护理外阴阴道成形术后患者的所有护理人员和患者护理技术人员参加了4小时的教育模块。参与者完成了一项匿名的前后调查。调查数据分析了知识、感知能力、性和性别信仰、人际舒适度和人类价值等类别的显著变化。结果:在知识和感知能力方面有显著改善。在性和性别信仰以及人际舒适度方面也有所改善,但在统计上并不显著。在人类价值这一类别中,分数下降幅度不大。结论:增加对外阴阴道成形术的了解和知情、文化安全的护理可以改善患者的预后和体验,护士可能会更自信、更舒适地为这一人群提供护理。这种干预措施可以作为其他希望提供性别护理手术的机构的榜样。[J Contin Educ Nurs.2023;54(11):509-515.]。
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引用次数: 0
An Individualized, Holistic Approach to Supporting New Graduate Nurses. 支持应届毕业生护士的个性化、整体性方法。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 DOI: 10.3928/00220124-20231011-02
Kathryn Stuck Boyd, Anna Van Hal, Deanna Ciccone

New graduate nurses bring unique strengths and opportunities for growth to transition to practice. This article describes strategies organizations can use to foster an individualized and holistic approach to clinical competency and well-being development. [J Contin Educ Nurs. 2023;54(11):492-494.].

新毕业的护士为向实践过渡带来了独特的优势和成长机会。本文描述了组织可以用来促进临床能力和幸福感发展的个性化和整体方法的策略。[J Contin Educ Nurs.2023;54(11):492-494.]。
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引用次数: 0
The Pull of Habit-It Messes With Creativity. 习惯的牵引力——它扰乱了创造力。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 DOI: 10.3928/00220124-20231011-01
Patricia S Yoder-Wise
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引用次数: 0
Feasibility of a Mindfulness Education Module for Nurses: An Evidence-Based Practice Project. 护士正念教育模块的可行性:基于证据的实践项目。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-09-21 DOI: 10.3928/00220124-20230918-02
Emily Marie Looper, Palmer Gleason, Katherine Newnam, Elizabeth Talbott, Taylor M Rouch

Nurse burnout is a well-defined problem that has been exacerbated by the coronavirus disease 2019 (COVID-19) pandemic and negatively affects nurses' mental health, nursing shortages, patient safety, and quality of care. Evidence shows that mindfulness is an effective strategy for managing stress and decreasing burnout among nurses. This article describes an evidence-based practice project that translated this evidence into practice via a vetted mindfulness educational intervention for nurses on a pulmonary medicine unit and a medical intensive care unit. The goal of this project was to assess the feasibility of this educational intervention, processes, and outcomes with the goal to extend the project hospital-wide. Preintervention levels of nurse burnout were assessed using the validated Copenhagen Burnout Inventory. For both units, personal and work-related burnout were in the moderate range and patient-related burnout was in the mild range. Postintervention surveys completed by participant nurses and the nurse managers of both units supported the feasibility of this education module. Future implementation of annual mindfulness education was supported through both participant and administrative feedback. [J Contin Educ Nurs. 2023;54(11):516-523.].

护士倦怠是一个明确的问题,2019冠状病毒病(新冠肺炎)大流行加剧了这一问题,并对护士的心理健康、护理短缺、患者安全和护理质量产生了负面影响。有证据表明,正念是管理压力和减少护士倦怠的有效策略。本文描述了一个循证实践项目,该项目通过对肺部医学室和医疗重症监护室护士进行审查的正念教育干预,将这些证据转化为实践。该项目的目标是评估这种教育干预、过程和结果的可行性,目的是将该项目扩展到整个医院。使用经验证的哥本哈根倦怠量表评估干预前护士倦怠水平。对于这两个单位,个人和工作倦怠都在中度范围内,与患者相关的倦怠在轻度范围内。参与者护士和两个单位的护士经理完成的干预后调查支持了这一教育模块的可行性。通过参与者和行政部门的反馈,支持未来实施年度正念教育。[J Contin Educ Nurs.202x;5x(x):xx xx.]。
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引用次数: 0
Rehabilitation Coordinators' Experiences of Group Supervision and Training in Motivational Interviewing: A Qualitative Study in Primary Health Care. 康复协调员在动机访谈中的团队监督和培训经验:初级卫生保健的定性研究。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-09-21 DOI: 10.3928/00220124-20230918-03
Anne Claesson, Christina B Olsson

The goals of this study were to describe how rehabilitation coordinators experienced regular group supervision and training in motivational interviewing and to evaluate whether the supervision and training influenced their self-efficacy in using the communication style. Four sessions that included supervision and training in motivational interviewing were offered to primary health care rehabilitation coordinators in Sweden. Focus group interviews were performed with eight participants, and data were analyzed with thematic analysis. Group supervision and training seemed to increase self-efficacy in using motivational interviewing. Components that contributed to enhancing perceived self-efficacy included a safe group climate, collegial feedback, and time between sessions to reflect on and practice motivational interviewing skills. Submitting motivational interviewing dialogues to a coding lab for objective feedback can be challenging but also can increase self-efficacy. The dropout rate was high. Thus, in the future, the sessions should be modified to reach more professionals while retaining the components that participants said could enhance their self-efficacy. [J Contin Educ Nurs. 2023;54(11):533-540.].

本研究的目的是描述康复协调员如何在动机访谈中经历定期的小组监督和培训,并评估监督和培训是否影响他们使用沟通风格的自我效能。为瑞典的初级保健康复协调员举办了四次培训班,其中包括动机访谈方面的监督和培训。对八名参与者进行了焦点小组访谈,并通过主题分析对数据进行了分析。小组监督和培训似乎可以提高动机访谈的自我效能。有助于提高自我效能感的因素包括安全的团队氛围、学院反馈以及反思和练习动机面试技能的间隔时间。将动机访谈对话提交给编码实验室进行客观反馈可能具有挑战性,但也可以提高自我效能。辍学率很高。因此,在未来,课程应该进行修改,以接触到更多的专业人士,同时保留参与者所说的可以增强自我效能的组成部分。[J Contin Educ Nurs.202x;5x(x):xx xx.]。
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引用次数: 0
Nurses' Experiences and Perspectives of the Telehealth Working Environment and Educational Needs. 护士远程医疗工作环境和教育需求的经验与展望。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 Epub Date: 2023-09-21 DOI: 10.3928/00220124-20230918-04
Stacee M Lerret, Susan Nuccio, Alyssa Compton, Maria Keegan, Kathryn Rapala

Background: The continuing evolution of health care and the nursing profession includes the exponential growth of telehealth platforms. The goal of this study was to describe nurses' experiences with and perspectives on their practice with and future need for telehealth.

Method: A cross-sectional descriptive mixed methods study was conducted with nursing graduates from a single university. Completed survey questions focused on demographics, current work status, plans for employment participation, and telehealth experience. Descriptive analysis was conducted with statistical software, with directed content analysis for narrative responses.

Results: A total of 305 of 5,080 participants completed the survey (6% response rate). Nurses described perceived benefits and barriers to working in a telehealth environment. Nurses identified continuing education needs that could form the basis for a telehealth continuing education program to increase confidence in telehealth delivery.

Conclusion: The identified telehealth educational needs will positively influence the formation of continuing education opportunities for practicing nurses. [J Contin Educ Nurs. 2023;54(11):501-508.].

背景:医疗保健和护理行业的持续发展包括远程医疗平台的指数级增长。本研究的目的是描述护士在远程医疗实践中的经验和观点,以及未来对远程医疗的需求。方法:采用横断面描述性混合方法对某高校护理专业毕业生进行研究。已完成的调查问题侧重于人口统计、当前工作状态、就业参与计划和远程医疗体验。使用统计软件进行描述性分析,并对叙述性反应进行直接内容分析。结果:5080名参与者中,共有305人完成了调查(6%的回答率)。护士们描述了在远程医疗环境中工作的好处和障碍。护士们确定了继续教育需求,这些需求可以成为远程医疗继续教育计划的基础,以增强对远程医疗服务的信心。结论:确定的远程健康教育需求将积极影响实习护士继续教育机会的形成。[J Contin Educ Nurs.202x;5x(x):xx xx.]。
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引用次数: 0
The Sad State of Maternal Health in the United States. 美国产妇健康的可悲状况。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 DOI: 10.3928/00220124-20231011-03
Jan Jones-Schenk

Despite our economic and social standing as a world power and one of the key developed nations, the United States continues to show worsening maternal health outcomes. A lack of recognition of the serious impacts and complications of pregnancy and a lack of willingness to raise these matters to a level of national dialogue have been contributing factors to recent declines. A new program at the National Institutes of Health is intended to change the direction of the data trend. [J Contin Educ Nurs. 2023;54(11):495-496.].

尽管美国作为世界大国和主要发达国家之一,在经济和社会上具有重要地位,但其孕产妇健康状况仍在恶化。缺乏对怀孕的严重影响和并发症的认识,以及缺乏将这些问题提高到全国对话水平的意愿,是导致最近怀孕人数下降的因素。美国国立卫生研究院的一项新计划旨在改变数据趋势的方向。[J Contin Educ Nurs.2023;54(11):495-496.]。
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引用次数: 0
Nurse as Leader, A Pillar of Professional Identity. 护士作为领导者,职业身份的支柱。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-11-01 DOI: 10.3928/00220124-20231011-04
Jennifer L Embree, Debra Liebig

The nurse as leader is a critical pillar of nursing professional identity to support ongoing development of nurses in a safe, effective, and healthy work environment. Defined as "inspiring self and others to transform a shared vision into reality" (University of Kansas School of Nursing, 2023), the Nurse as Leader Pillar is developed throughout a nurse's career. Starting with nursing school, students must learn nursing leadership skills and develop and integrate leadership characteristics into their practice. Professional development specialists must embed these characteristics into nursing education, as all nurses are leaders. Current nurses in practice must set the stage and model leadership in their environment as new nurses are introduced into the profession. [J Contin Educ Nurs. 2023;54(11):497-500.].

作为领导者的护士是护理专业身份的关键支柱,以支持护士在安全、有效和健康的工作环境中不断发展。护士作为领导者支柱被定义为“激励自己和他人将共同的愿景转化为现实”(堪萨斯大学护理学院,2023年),它是在护士的整个职业生涯中发展起来的。从护理学校开始,学生必须学习护理领导技能,并在实践中发展和融入领导特征。专业发展专家必须将这些特点融入护理教育,因为所有护士都是领导者。随着新护士被引入这一职业,目前在实践中的护士必须在他们的环境中树立领导榜样。[J Contin Educ Nurs.2023;54(11):497-500.]。
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引用次数: 0
Engaging Nursing Students in Policy Review: A Collaborative Intervention to Promote Future Evidence-Based Practice. 让护理专业学生参与政策审查:促进未来循证实践的合作干预。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-10-01 DOI: 10.3928/00220124-20230913-02
Meriel McCollum, Tracy A Ruegg, Christie Emerson, Alyson Epp, Elizabeth LeeAnna Spiva

Nurses and nursing students may need help understanding the connection between research and practice. Nursing students and clinical nurse leaders worked together to review institutional policies and make recommendations based on the strongest research evidence. In this column, the authors describe how they created a meaningful connection between research and clinical nursing practice for undergraduate nursing students and the benefits to the health system from this innovative program. [J Contin Educ Nurs. 2023;54(10):441-443.].

护士和护理专业的学生可能需要帮助理解研究和实践之间的联系。护理专业学生和临床护士领导共同审查机构政策,并根据最有力的研究证据提出建议。在本专栏中,作者描述了他们如何在护理本科生的研究和临床护理实践之间建立有意义的联系,以及这一创新项目对卫生系统的好处。[J Contin Educ Nurs.2023;54(10):441-443.]。
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引用次数: 0
The Great Escape: Tabletop Edition. 大逃亡:桌面版。
IF 1.2 4区 医学 Q2 Nursing Pub Date : 2023-10-01 DOI: 10.3928/00220124-20230913-04
Dorothy Chan

Escape rooms are immersive, interactive experiences that involve teamwork among a group of participants to solve puzzles and tasks leading to the goal of "escaping" a locked room. Table-top escape rooms can be used to assess learning and education for nurses. [J Contin Educ Nurs. 2023;54(10):446-447.].

逃生室是一种身临其境的互动体验,包括一群参与者之间的团队合作,以解决谜题和任务,从而实现“逃离”锁着的房间的目标。桌面逃生室可用于评估护士的学习和教育情况。[J Contin Educ Nurs.2023;54(10):446-447.]。
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引用次数: 0
期刊
Journal of Continuing Education in Nursing
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