Camp nursing is a specialty area that offers nurses an opportunity to apply clinical judgment skills in a unique environment. This non-traditional setting can be a great fit for nurses looking to expand their skill set and gain new perspectives. In this article, we will discuss essential components of camp nursing that can be insightful for interested nurses. These include finding the right camp, the day-to-day functions of what camp nurses do, the importance of self-care, and personal reflections from two nurse educators who currently work as camp nurses.
{"title":"Camp nursing: A unique opportunity for nurses","authors":"Emily Weatherford, Blake Smith, Ken Tillman","doi":"10.5430/cns.v12n1p23","DOIUrl":"https://doi.org/10.5430/cns.v12n1p23","url":null,"abstract":"Camp nursing is a specialty area that offers nurses an opportunity to apply clinical judgment skills in a unique environment. This non-traditional setting can be a great fit for nurses looking to expand their skill set and gain new perspectives. In this article, we will discuss essential components of camp nursing that can be insightful for interested nurses. These include finding the right camp, the day-to-day functions of what camp nurses do, the importance of self-care, and personal reflections from two nurse educators who currently work as camp nurses.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140382026","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}
Objective: Wearable continuous glucose monitoring (CGM) devices, when included in the plan of care for patients in inpatient settings, provides real time blood glucose data. This allows treatment to be proactive and timely. Implementation of these devices alters nursing care. The objective of this study was to describe the perceived barriers and facilitators, from the perspective of direct care providers in an inpatient clinical setting, when the plan of care includes a CGM device.Methods: Guided by a review of the literature and anecdotal data, a 20-item Likert scaled survey was developed. Once study approval was secured an invitational email was sent to the password protected emails of all potential participants. Frequency and descriptive analyses were used to analyze the responses.Results: Survey data from 31 direct care providers describe a positive experience specific to the education and resources available. The addition of a CGM device into the plan of care is not perceived to be an additional burden for the provider.Conclusions: Pre-implementation, appropriate education and exposure to the device is critical for providing confidence and trust. The availability of ongoing support ensures that care is enhanced when a CGM device is included in the plan of care.
{"title":"Use of a continuous glucose monitoring device: Perceptions of nursing staff","authors":"Victoria Smith","doi":"10.5430/cns.v12n1p17","DOIUrl":"https://doi.org/10.5430/cns.v12n1p17","url":null,"abstract":"Objective: Wearable continuous glucose monitoring (CGM) devices, when included in the plan of care for patients in inpatient settings, provides real time blood glucose data. This allows treatment to be proactive and timely. Implementation of these devices alters nursing care. The objective of this study was to describe the perceived barriers and facilitators, from the perspective of direct care providers in an inpatient clinical setting, when the plan of care includes a CGM device.Methods: Guided by a review of the literature and anecdotal data, a 20-item Likert scaled survey was developed. Once study approval was secured an invitational email was sent to the password protected emails of all potential participants. Frequency and descriptive analyses were used to analyze the responses.Results: Survey data from 31 direct care providers describe a positive experience specific to the education and resources available. The addition of a CGM device into the plan of care is not perceived to be an additional burden for the provider.Conclusions: Pre-implementation, appropriate education and exposure to the device is critical for providing confidence and trust. The availability of ongoing support ensures that care is enhanced when a CGM device is included in the plan of care.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140481310","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}
Objective: This study aimed to assess the anxiety levels of children with cancer and their parents following admission to the Military Hospital in Riyadh City.Methods: This cross-sectional study was conducted using a proforma between May 2019 to July 2019. Data collection involved the utilization of two tools. The first tool was a structured interview questionnaire design for children, while the second tool was intended for the parents of the children. The study sample comprised children and their parents who accompanied the child during hospitalization and chemotherapy. Approximately 74 children, aged 6-14 years old, diagnosed with cancer and admitted to the Riyadh Military Hospital, were enrolled in this study using convenience consecutive sampling.Results: A total of 148 individuals participated in this study. Seventy-four parents were enrolled, with 68.9% being mothers and 31.1% fathers. Among the parents in the study, 29.7% experienced severe anxiety, 41.9% reported a moderate level of anxiety, and 20.3% had a low level of anxiety. Seventy-four children were included in the study sample, with 48.6% being boys and 51.4% girls. Among the children, 37.8% exhibited high levels of anxiety, 41.9% displayed moderate anxiety, and 20.3% reported low levels of anxiety. Additionally, a relationship was observed between the anxiety levels of parents and the anxiety levels of their children.Conclusions: This study revealed that both children with cancer and their parents are experiencing moderate to severe levels of anxiety. The psychological well-being of cancer patients and their families is not a topic to be overlooked; rather, it is an important subject that requires attention and consideration.
{"title":"Level of anxiety among children with cancer and their parents in Riyadh City","authors":"Nour Al Thibani, Salma Moud","doi":"10.5430/cns.v12n1p6","DOIUrl":"https://doi.org/10.5430/cns.v12n1p6","url":null,"abstract":"Objective: This study aimed to assess the anxiety levels of children with cancer and their parents following admission to the Military Hospital in Riyadh City.Methods: This cross-sectional study was conducted using a proforma between May 2019 to July 2019. Data collection involved the utilization of two tools. The first tool was a structured interview questionnaire design for children, while the second tool was intended for the parents of the children. The study sample comprised children and their parents who accompanied the child during hospitalization and chemotherapy. Approximately 74 children, aged 6-14 years old, diagnosed with cancer and admitted to the Riyadh Military Hospital, were enrolled in this study using convenience consecutive sampling.Results: A total of 148 individuals participated in this study. Seventy-four parents were enrolled, with 68.9% being mothers and 31.1% fathers. Among the parents in the study, 29.7% experienced severe anxiety, 41.9% reported a moderate level of anxiety, and 20.3% had a low level of anxiety. Seventy-four children were included in the study sample, with 48.6% being boys and 51.4% girls. Among the children, 37.8% exhibited high levels of anxiety, 41.9% displayed moderate anxiety, and 20.3% reported low levels of anxiety. Additionally, a relationship was observed between the anxiety levels of parents and the anxiety levels of their children.Conclusions: This study revealed that both children with cancer and their parents are experiencing moderate to severe levels of anxiety. The psychological well-being of cancer patients and their families is not a topic to be overlooked; rather, it is an important subject that requires attention and consideration.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139533864","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}
Understanding the role of testosterone and its impact on the overall health of men is important for healthcare providers who serve this patient population. To understand the impact of testosterone on men’s health, the healthcare provider must understand the function of testosterone, the implications of low testosterone on men’s health, symptoms of low testosterone, tests to determine testosterone level, and testosterone therapy. Also, it is important to understand the potential side effects and contraindications of testosterone therapy. This paper attempts to provide healthcare providers with essential aspects of the function of testosterone on men’s health and basic knowledge of testosterone therapy.
{"title":"Linking testosterone to men’s health","authors":"O. Danny Lee","doi":"10.5430/cns.v12n1p1","DOIUrl":"https://doi.org/10.5430/cns.v12n1p1","url":null,"abstract":"Understanding the role of testosterone and its impact on the overall health of men is important for healthcare providers who serve this patient population. To understand the impact of testosterone on men’s health, the healthcare provider must understand the function of testosterone, the implications of low testosterone on men’s health, symptoms of low testosterone, tests to determine testosterone level, and testosterone therapy. Also, it is important to understand the potential side effects and contraindications of testosterone therapy. This paper attempts to provide healthcare providers with essential aspects of the function of testosterone on men’s health and basic knowledge of testosterone therapy.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135290815","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}
Charlene Pressley, Joanne Garside, Lihau Wu, John Stephenson
Objective: To compare career development trends and understand enablers and barriers to career progression of international nurses working in the National Health Service in England, United Kingdom (UK).Background: International nurse recruitment is happening at size and scale across the globe due to nursing workforce shortages worldwide. The UK is one of many healthcare systems competing for international nurses. Demonstrating how international nurses are supported with career progression can validate a healthcare systems employment offer.Methods: A mixed methods approach, comprising a quantitative analysis of career progression rates comparing domestic nurses and international nurses working in England between the dates 2014-2021; and qualitative interviews, exploring career progression of international nurses that have worked in the NHS for 5 years or more.Results: Data were collected on 611,912 nurses, including 496,741 domestic nurses (81.2%) and 115,171 international nurses (18.8% of all nurses). Progression from a Band 5 registered nurse happens less frequently and more slowly for international than for domestic nurses (median time to progress 5.8 years for domestic and 6.8 years for international); with less marked differences in frequency of progression from higher nurse bands. From 21 interviews, three themes emerged from the pre progression stage: (1) See me and know I can thrive; (2) Don’t overlook me; (3) Embrace Me as I learn; and three from the post-progression stage: (1) I have power to influence; (2) I can break down barriers; (3) I lead and inspire others. International nurses described characteristics of mettle, resilience and determination; with many demonstrating successes influencing change.Conclusions: The presence of international nurses in leadership and as role models can benefit career progression. Through empowerment and representation, following succession, international nurses are inspiring role models to enable opportunities for career progression for future generations.
{"title":"The long-term experiences and career progression of international nurses working in the health sector in England","authors":"Charlene Pressley, Joanne Garside, Lihau Wu, John Stephenson","doi":"10.5430/cns.v11n1p40","DOIUrl":"https://doi.org/10.5430/cns.v11n1p40","url":null,"abstract":"Objective: To compare career development trends and understand enablers and barriers to career progression of international nurses working in the National Health Service in England, United Kingdom (UK).Background: International nurse recruitment is happening at size and scale across the globe due to nursing workforce shortages worldwide. The UK is one of many healthcare systems competing for international nurses. Demonstrating how international nurses are supported with career progression can validate a healthcare systems employment offer.Methods: A mixed methods approach, comprising a quantitative analysis of career progression rates comparing domestic nurses and international nurses working in England between the dates 2014-2021; and qualitative interviews, exploring career progression of international nurses that have worked in the NHS for 5 years or more.Results: Data were collected on 611,912 nurses, including 496,741 domestic nurses (81.2%) and 115,171 international nurses (18.8% of all nurses). Progression from a Band 5 registered nurse happens less frequently and more slowly for international than for domestic nurses (median time to progress 5.8 years for domestic and 6.8 years for international); with less marked differences in frequency of progression from higher nurse bands. From 21 interviews, three themes emerged from the pre progression stage: (1) See me and know I can thrive; (2) Don’t overlook me; (3) Embrace Me as I learn; and three from the post-progression stage: (1) I have power to influence; (2) I can break down barriers; (3) I lead and inspire others. International nurses described characteristics of mettle, resilience and determination; with many demonstrating successes influencing change.Conclusions: The presence of international nurses in leadership and as role models can benefit career progression. Through empowerment and representation, following succession, international nurses are inspiring role models to enable opportunities for career progression for future generations.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366245","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}
Objective: The study purpose was to describe secondary school nurses’, subject teachers’, special needs teachers’, study counselors’ and school social workers’ (n = 60) experiences of stressors that contribute to the development of mental health problems in secondary school pupils. Another purpose was to describe the professionals’ educational needs regarding mental health problems of secondary school pupils. The study aimed at producing information that can promote the detection of mental health problems and facilitate early interventions in secondary schools. The information collected came from the professionals only, not from the pupils or their parents.Methods: Data were collected in Finland using a Webropol online survey and analyzed by inductive content analysis.Results: According to the results, secondary school pupils’ mental health problems are associated with physical and psychosocial stressors, and with stressors pertaining to learning and studying, lifestyle, family, friend relationships and socioeconomic factors. In addition, the pupils’ mental health problems are associated with stressors pertaining to social media. Professionals working at secondary schools need education on how to identify pupils’ mental health problems, how to take up the concern with the pupil and parents, and how to support and counsel youth with a mental health problem.Conclusions: Although information packages, recommendations, materials and tools are available, encouragement and more specific and concrete mental health education for both pupils and professionals is required. New structures and practices, and possibly re-allocation of resources, may be necessary. The teachers’ role in mental health promotion and prevention of mental health problems should be supported and resourced more effectively. Psychiatric nurses should be employed at schools.
{"title":"Detecting signs of mental health problems in secondary school-aged youth","authors":"Mari Salminen-Tuomaala, K. Nissinen, Ari Haasio","doi":"10.5430/cns.v11n1p28","DOIUrl":"https://doi.org/10.5430/cns.v11n1p28","url":null,"abstract":"Objective: The study purpose was to describe secondary school nurses’, subject teachers’, special needs teachers’, study counselors’ and school social workers’ (n = 60) experiences of stressors that contribute to the development of mental health problems in secondary school pupils. Another purpose was to describe the professionals’ educational needs regarding mental health problems of secondary school pupils. The study aimed at producing information that can promote the detection of mental health problems and facilitate early interventions in secondary schools. The information collected came from the professionals only, not from the pupils or their parents.Methods: Data were collected in Finland using a Webropol online survey and analyzed by inductive content analysis.Results: According to the results, secondary school pupils’ mental health problems are associated with physical and psychosocial stressors, and with stressors pertaining to learning and studying, lifestyle, family, friend relationships and socioeconomic factors. In addition, the pupils’ mental health problems are associated with stressors pertaining to social media. Professionals working at secondary schools need education on how to identify pupils’ mental health problems, how to take up the concern with the pupil and parents, and how to support and counsel youth with a mental health problem.Conclusions: Although information packages, recommendations, materials and tools are available, encouragement and more specific and concrete mental health education for both pupils and professionals is required. New structures and practices, and possibly re-allocation of resources, may be necessary. The teachers’ role in mental health promotion and prevention of mental health problems should be supported and resourced more effectively. Psychiatric nurses should be employed at schools.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46548284","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}
Objective: This study used Fowler’s Model for developing nursing judgment to document an innovative approach to enhance students’ clinical reasoning and judgment by examining the impact of incorporating concept-based learning and concept mapping in a structured classroom alongside clinical activities.Methods: The study employed a pretest-posttest design to collect data from a cohort of 40 junior students enrolled in adult care nursing courses at a private university in Jordan. Self-reporting and observing students’ clinical reasoning and judgment using a questionnaire and the Students’ Performance Aspects of Clinical Judgment Scale were employed.Results: Enhancement in students’ general cclinical reasoning behavior, independence in clinical reasoning and clinical judgment, and clinical judgment abilities were evident.Conclusions: This study provided a workable approach that will broaden academics’ understanding of the contextual factors that may impact students’ clinical reasoning and judgment abilities. It can also enhance deep learning and help desaturate the curriculum.
{"title":"An innovative approach to enhance students’ clinical judgment and clinical reasoning abilities","authors":"H. Abunab, I. Alfayoumi, Abdullah Algunmeeyn","doi":"10.5430/cns.v11n1p19","DOIUrl":"https://doi.org/10.5430/cns.v11n1p19","url":null,"abstract":"Objective: This study used Fowler’s Model for developing nursing judgment to document an innovative approach to enhance students’ clinical reasoning and judgment by examining the impact of incorporating concept-based learning and concept mapping in a structured classroom alongside clinical activities.Methods: The study employed a pretest-posttest design to collect data from a cohort of 40 junior students enrolled in adult care nursing courses at a private university in Jordan. Self-reporting and observing students’ clinical reasoning and judgment using a questionnaire and the Students’ Performance Aspects of Clinical Judgment Scale were employed.Results: Enhancement in students’ general cclinical reasoning behavior, independence in clinical reasoning and clinical judgment, and clinical judgment abilities were evident.Conclusions: This study provided a workable approach that will broaden academics’ understanding of the contextual factors that may impact students’ clinical reasoning and judgment abilities. It can also enhance deep learning and help desaturate the curriculum.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41839088","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}
Janel K. Zion, Sarena Rennison, Brittany Cline, Tonnie Peoples, P. Ward-smith
Objective: Routinely collected quality improvement data identified the occurrence of newborn falls/drops as unacceptable. The purpose of this quality improvement project was to develop and implement a site-specific newborn fall/drop assessment tool.Methods: Guided by data from the retrospective chart review data, results identified through the review of the literature, and the opinions of clinical experts, an 11-item risk assessment tool was developed. This tool includes three non-modifiable and eight modifiable variables.Results: Summing the items on the tool identifies a scenario specific newborn fall/drop risk. Once pilot testing was completed and revisions were made, the tool was implemented into clinical practice.Conclusions: Site-specific patient demographics, including cultural preferences, along with plans of care decisions, impact the risk for a newborn fall/drop. Including the uniqueness of the clinical setting and family values in the fall risk assessment decreased the prevalence of newborn falls/drops at the study site.
{"title":"An assessment tool to determine in-hospital newborn fall/drop risk","authors":"Janel K. Zion, Sarena Rennison, Brittany Cline, Tonnie Peoples, P. Ward-smith","doi":"10.5430/cns.v11n1p11","DOIUrl":"https://doi.org/10.5430/cns.v11n1p11","url":null,"abstract":"Objective: Routinely collected quality improvement data identified the occurrence of newborn falls/drops as unacceptable. The purpose of this quality improvement project was to develop and implement a site-specific newborn fall/drop assessment tool.Methods: Guided by data from the retrospective chart review data, results identified through the review of the literature, and the opinions of clinical experts, an 11-item risk assessment tool was developed. This tool includes three non-modifiable and eight modifiable variables.Results: Summing the items on the tool identifies a scenario specific newborn fall/drop risk. Once pilot testing was completed and revisions were made, the tool was implemented into clinical practice.Conclusions: Site-specific patient demographics, including cultural preferences, along with plans of care decisions, impact the risk for a newborn fall/drop. Including the uniqueness of the clinical setting and family values in the fall risk assessment decreased the prevalence of newborn falls/drops at the study site.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41284205","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}
Objective: This qualitative study provides up-to-date knowledge about today’s nursing students’ views and experiences of factors that can increase or decrease the attractiveness of nursing and presents students’ ideas for improving the nursing profession.Methods: Data were collected from 168 nursing students at the University of Applied Sciences in Finland through an online survey in March 2022. Inductive content analysis was used to analyze the data.Results: According to the students, the attractiveness of nursing is decreased because nursing is not adequately appreciated, the resources and salary do not match the workload, the working atmosphere can be detrimental to psychological well-being, and there is frequently little support from nurse leaders. Factors that could increase the profession’s attractiveness involve advancing nursing’s role at the level of individuals, organizations, and society; meaningfulness of nursing duties, influencing one’s work; better working conditions and well-being at work; development of nursing leadership; and work and career advancement. Students suggest promoting marketing and the appreciation of nursing, developing leadership and the theoretical and practical competence of supervisors, promoting nurses’ daily coping and well-being at work, and raising salaries.Conclusions: The status and image of nursing must be addressed at the level of individuals, organizations, and society, both nationally and internationally. Nurses themselves must appreciate their profession and feel that they have a possibility to advance their careers.
{"title":"Nurse students’ views of factors that increase or decrease the attractiveness of the nursing profession","authors":"Mari Salminen-Tuomaala, Niina Herttuala","doi":"10.5430/cns.v11n1p1","DOIUrl":"https://doi.org/10.5430/cns.v11n1p1","url":null,"abstract":"Objective: This qualitative study provides up-to-date knowledge about today’s nursing students’ views and experiences of factors that can increase or decrease the attractiveness of nursing and presents students’ ideas for improving the nursing profession.Methods: Data were collected from 168 nursing students at the University of Applied Sciences in Finland through an online survey in March 2022. Inductive content analysis was used to analyze the data.Results: According to the students, the attractiveness of nursing is decreased because nursing is not adequately appreciated, the resources and salary do not match the workload, the working atmosphere can be detrimental to psychological well-being, and there is frequently little support from nurse leaders. Factors that could increase the profession’s attractiveness involve advancing nursing’s role at the level of individuals, organizations, and society; meaningfulness of nursing duties, influencing one’s work; better working conditions and well-being at work; development of nursing leadership; and work and career advancement. Students suggest promoting marketing and the appreciation of nursing, developing leadership and the theoretical and practical competence of supervisors, promoting nurses’ daily coping and well-being at work, and raising salaries.Conclusions: The status and image of nursing must be addressed at the level of individuals, organizations, and society, both nationally and internationally. Nurses themselves must appreciate their profession and feel that they have a possibility to advance their careers.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46768337","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}
Todd Shaffett, Janet E Jones, Shaun Carpenter, Amanda Estapa, Tasha Mears, E. Creel
Objective: The purpose of this study was to evaluate the effectiveness of advanced practice registered nurses (APRNs) with wound specialization on wound resolution and healthcare (HC) utilization for home health patients.Methods: A quasi-experimental design with a convenience sample of 30 participants admitted to home health (HH) services compared to a retrospective chart review of 46 participants matched in terms of volume, wound type, wound size, gender, and age was used during the study. The APRN conducted a physical exam and history, obtained wound photography, developed a treatment plan, performed therapy, wrote orders for products and services, and provided a minimum of weekly follow-up visits. Healthcare utilization comprised time for healing, admits to a higher level of care, and amputations. Wound resolution was observed at 80% and 100% closure.Results: The Intervention and Control Groups were comparable in terms of gender, wound type, age, and acuity, were similar regarding wounds per patient. Both groups achieved 80% volume, 80% area, and 100% wound resolution, regardless of wound types. The Intervention Group’s days to wound resolution was statistically significant for fewer days than the Control Group. This difference persisted after analysis of wound types within the groups. The Intervention Group had fewer acute care admits (10%) compared to the Control Group (50%), and the number of amputations was higher in the Control Group, with six amputations compared to only one in the Intervention Group.Conclusions: Using APRNs with wound specialization improved patient outcomes, efficiency, and costs. The program should be evaluated for adoption and expansion. Further research into the impact of wound-specialized APRNs in the home setting is recommended.
{"title":"The effectiveness of advanced practice registered nurses with wound care specialization in the home setting on wound resolution and healthcare utilizationhe Home Setting on Wound Resolution and Healthcare Utilization","authors":"Todd Shaffett, Janet E Jones, Shaun Carpenter, Amanda Estapa, Tasha Mears, E. Creel","doi":"10.5430/cns.v10n1p42","DOIUrl":"https://doi.org/10.5430/cns.v10n1p42","url":null,"abstract":"Objective: The purpose of this study was to evaluate the effectiveness of advanced practice registered nurses (APRNs) with wound specialization on wound resolution and healthcare (HC) utilization for home health patients.Methods: A quasi-experimental design with a convenience sample of 30 participants admitted to home health (HH) services compared to a retrospective chart review of 46 participants matched in terms of volume, wound type, wound size, gender, and age was used during the study. The APRN conducted a physical exam and history, obtained wound photography, developed a treatment plan, performed therapy, wrote orders for products and services, and provided a minimum of weekly follow-up visits. Healthcare utilization comprised time for healing, admits to a higher level of care, and amputations. Wound resolution was observed at 80% and 100% closure.Results: The Intervention and Control Groups were comparable in terms of gender, wound type, age, and acuity, were similar regarding wounds per patient. Both groups achieved 80% volume, 80% area, and 100% wound resolution, regardless of wound types. The Intervention Group’s days to wound resolution was statistically significant for fewer days than the Control Group. This difference persisted after analysis of wound types within the groups. The Intervention Group had fewer acute care admits (10%) compared to the Control Group (50%), and the number of amputations was higher in the Control Group, with six amputations compared to only one in the Intervention Group.Conclusions: Using APRNs with wound specialization improved patient outcomes, efficiency, and costs. The program should be evaluated for adoption and expansion. Further research into the impact of wound-specialized APRNs in the home setting is recommended.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46613656","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}
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