Creative Nursing最新文献

Background: Patient advocacy is a duty for professional nurses; however, not all nurses are empowered to advocate for meeting patients' needs. Participation in labor unions may serve as a venue for nurses with limited institutional decision-making authority to advocate for patient needs; however, unionization can be a time-intensive and fraught process. Purpose: This study examined how nurses participating in a new union in an urban United States hospital described their reasons for participating in a labor union during collective bargaining. Methods: Content analysis of participant's interviews that took place between January and March 2023, after the nurses voted to unionize and collective bargaining had commenced but progress had stalled, and before additional actions (e.g., informational picketing, labor strikes) were authorized by union members. Findings: Content analysis generated three themes: (a) systemic barriers to advocacy, (b) unionization as an advocacy method, and (c) professional empowerment through unionization. Nurses in this study perceived barriers to meeting patient care needs that were insufficiently addressed prior to unionization. They described their motivation to participate in the union due to their desire to advocate despite adversity and finding empowerment through union activities. Implications for Practice: This study highlights the need for equity in decision-making authority and greater opportunities for nurses to effect workplace changes.

Background: Successful completion of professional experience placement is a key factor for student progress through pre-licensure nursing programmes and subsequent registration as a nurse. Professional experience placement can be a time when students feel the impact of intersectional challenges, and is a point in which attrition occurs. A regional university partnered with their spatial analysis unit to create a customised, interactive, digital map application to support students undertaking professional experience placement. Purpose: This research aimed to identify whether a custom-designed digital map application reduced student self-perceived stress, promoted ongoing connection with theoretical learning, and facilitated more reliable access to internet technology during professional experience placement. Methods: An online survey using homogenous purposive sampling was used to gather data. Quantitative analysis used the Exact Wilcoxon-Pratt Signed Rank Test and the Kruskal-Wallis Rank Sum Test to further analyse the data in accordance with specific demographics. Conclusions: Difference between pre- and post-intervention response rates was suggestive, indicating that the map application contributed to improving students' experience in two key areas: self-reported personal, financial, and family stress; and ongoing connection with theoretical learning using technology while undertaking professional experience placement. Implications for Practice: This research evidences one way in which universities can support students during professional experience placement, opening opportunities for other disciplines who use work-integrated learning opportunities to explore the impact a customised digital map application may have on student experiences.

Background: Educational programs for health-care providers increasingly implement culturally sensitive care. Clear methods for educating students in cultural awareness are still lacking. Research indicates that simply increasing knowledge on ethnicity, culture, or migration does not improve culturally sensitive behavior and can foster stereotypes. To overcome barriers like othering, a form of micro-racism, enhanced critical self-awareness is essential for health-care providers. Aim: A 4h module on culturally sensitive care was designed, implemented, and evaluated, with the aim of increasing nursing students' self-awareness about othering, racism, and exclusion in health care. Methods: This article describes (1) the content of the module, led by the Johari Window model and the needs and insights from nursing students and health-care providers, (2) implementation of the module, and (3) subsequent evaluation among 34 participants. Results: The survey findings were categorized into six themes: Understanding Differences and Prejudices, Applying Knowledge in the Context of Nursing Practice, Acquiring Insights through Interpersonal Engagement, Strengths of the Sessions, Weaknesses and Areas for Improvement, and Overall Impressions. The participants evaluated the module positively, identifying success factors (e.g., enhanced self-reported awareness of their own positionality) and working points (e.g., imbalance in interaction among students and time constraints). Conclusion: The study describes the design, implementation, and evaluation of a module that successfully increases nursing students' self-reported cultural competence and self-awareness, enhancing understanding of health-care inequalities and fostering open communication for more inclusive care.

Purpose: This study aimed to compare the pain-related behavioral and physiological responses and puncture-related characteristics between automated and laser lancets and examine the correlation between infants' pain-related responses and facial expressions during heel lancing in a neonatal intensive care unit. Methods: Pain-related responses were assessed using the Neonatal Infant Pain Scale, heart rate, and oxygen saturation through pulse oximetry. Facial expressions were also analyzed using a facial recognition application. Puncture-related characteristics were assessed through puncture marks, number of punctures, and hemostasis. Results: There was a significantly higher puncture mark frequency at 3 min in the automated lancet group than in the laser lancet group. There were no interaction effects of time and group on pain-related behavioral response, heart rate, or oxygen saturation. There were significant positive correlations between the pain-related behavioral response and anger, disgust, fear, and sadness. Conclusion: The laser lancet had relatively good outcomes regarding puncture-related characteristics, although there was no significant difference in pain-related responses. A laser lancet is a novel option for preterm babies at risk of scar-related inflammation and coagulopathies.

Case study methodology is useful for generating a holistic understanding of a complex and context-bound case or phenomenon. This editorial is the first in a series titled "Focus on Qualitative Data Analysis." It aims to help researchers choose appropriate methods for conducting rigorous qualitative analyses across varied approaches. Future articles will address qualitative description, phenomenology, grounded theory, and narrative inquiry.

Gender-based violence (GBV) is a human rights violation and an issue of gender inequality, with 35% of women globally experiencing GBV. Mothers who experience GBV are a unique population, with vast implications on their health. Artmaking can reduce these health effects due to the self-expression, emotional healing, empowerment, and social change which often occur. The purpose of this study was to understand the process of independently creating a visual art form for mothers in Ontario, Canada, with histories of GBV, as a reflection of their experience of GBV. An arts-based interpretive descriptive study informed by intersectionality was conducted with 13 mothers from Ontario with histories of GBV utilizing semistructured interviews. Two themes emerged: (1) creative processes and (2) storytelling experiences of GBV through art. The findings from this study highlight the process of art creation among mothers from Ontario who have experienced GBV. However, further exploration surrounding artmaking among mothers with histories of GBV in Canada is warranted.

Introduction: Simulation-based education is one of the important teaching and learning strategies that imitate real situations in a clinical environment of safety. Simulation-based education offers experiential, interactive, and collaborative learning opportunities, and hence can help improve students' communication skills and increase their satisfaction and self-confidence. Purpose: This study aimed to examine the effectiveness of simulation-based learning on the educational practice of communication skills, satisfaction, and self-confidence among undergraduate nursing students. Methods: An uncontrolled before-and-after study design among first-year nurse students (n = 112) used the Educational Practices Questionnaire and the Student Satisfaction and Self-Confidence in Learning instruments for data collection. Results: In total, 91.1% of participants reported high satisfaction with simulation-based education experiences. Mean scores for communication skills, student satisfaction, and self-confidence were higher on posttest. There was a suggestive correlation between simulation-based education and the practices of communication skills, satisfaction, and self-confidence. Conclusion: Simulation-based education is associated with improved communication, student satisfaction, confidence, and critical thinking among nursing students. This study is important for institutions because it demonstrates that simulation-based education enhances a safer and more effective learning environment to meet the demands of future health-care professionals by increasing their satisfaction and self-confidence and improving communication skills through increased collaboration in several real-life scenarios.

Background: The Continuity of Midwife Care (CMC) model is an evidence-based care model that positively influences the health and well-being of women, their families, and midwives. Although effective communication strategies have not been determined, online resources are known to reach a wider audience and make CMC research more visible. The All-you-need-to-know-about-continuity-of-carer newsletter, distributed by the authors, is a strategy to communicate valuable and credible CMC content from knowledge producers to users. Purpose: To explore the newsletter's functional elements and the connection between it as a communication strategy and the individuals interacting with it and to present a case demonstration of a newsletter example. Methods: A descriptive case report with a theory-driven approach using 10 elements of human communication theories. Conclusions: The following elements of human communication contribute to understanding the functioning of the newsletter: Grounded Theoretical Theory, the Practical-Action Theory and goal-oriented communication (communication theory), the Syntactic Theory of Visual Communication and the rhetorical tradition of communication (tradition of communication), Elaboration Likelihood and the socio-cultural model of communication (communicator), implied compliance-gaining, parole, semiosis, narrative paradigm and rhetoric logic (message), social organisation communication, co-cultural communication and invitational rhetoric (conversation), the orientation and exploratory affective exchange stages of social exchange (relationship), Structuration Theory (group), the Theory of Bureaucracy (organisation), the Cultivation Theory (media), and the Diffusion of Innovation and Ethnography of Communication (culture and society). Implications: The newsletter succeeds in managing CMC information and reaching an interested audience. Further evaluation is required to explore if or how the newsletter affects information use.

Nurses are at the forefront of providing health education for the general public and are leaders in developing health education programs for all ages. Research has shown that the pediatric population often experience anxiety surrounding common medical procedures. However, evidence-based health education has been shown to enhance self-management, increase knowledge, and decrease anxiety in the pediatric population. One such successful evidence-based health education approach designed for the pediatric population is the Teddy Bear Clinic. The purpose of this article is to report on the efficacy of a nursing student-led Teddy Bear Clinic designed to increase the awareness of common medical equipment and procedures in the pre-school pediatric population. This quality improvement project used a program evaluation design to assess the children's knowledge of common medical procedures and equipment. Participants were a convenience sample of 16 children aged 3-5 years old, attending one daycare center in a large city in Atlantic Canada. Findings showed that after participation in the clinic, the pre-schoolers reported a high level of knowledge of common medical equipment and procedures. This project shows that a Teddy Bear Clinic run by senior nursing students can promote community partnerships and enhance health knowledge in pre-school children.

Background: Musculoskeletal disorders (MSDs) occur as a result of long-term exposure to inappropriate working postures and repetitive use of body postures, leading to harmful consequences for patients, employees, and employers. Evaluating distinct working postures can contribute to effective interventions. Purpose: The aim of this study was to determine ergonomic risks of MSDs during repeated blood pressure measurement processes and to evaluate the effectiveness of a training on this topic. Methods: A pretest/posttest quasi-experimental design studied 64 nurses in a training and research hospital in Turkey. Participants were evaluated for the prevalence and risk of MSDs using the Nordic Musculoskeletal Questionnaire Extended Version and the Rapid Entire Body Assessment (REBA) Checklist, and by photographing them performing the procedure. Nurses with high risk for MSDs received an ergonomics training program and were followed up twice in 3 months. Results: Reduction in prevalence of MSDs in neck, shoulder, and hip/thigh areas, and in mean REBA scores after the training were statistically significant. Conclusion: Nurses should be trained about correct posture for specific high-risk activities that may cause MSDs, and offered exercise programs that support the musculoskeletal system.