Florence Nightingale journal of nursing最新文献

Aim: Evidence-based practice is a way to minimize the theory-to-practice gap. However, translating evidence into practice is not merely appraising the evidence, and for applying it to patients, the context factors need to be included. This study aims to analyze the meaning of the concept of "evidence translating ability" in nursing.

Method: Walker and Avant's method was utilized in this study. Keywords such as evidence, evident, transferring, translating, and ability were mixed for literature searching in PubMed, CINAHL, and Google Scholar from 2017 to April 2022.

Results: Nine studies that met inclusion criteria were analyzed. Attributes of evidence translating ability included four themes: identification of contextual barriers and facilitators to implementation, evaluation of evidence, collaboration with colleagues to modify recommendations, and pilot and dissemination. Antecedents included two themes: facilitating environment and experience of nurses. Consequences included three themes: motivating and sustaining evidence-based practice, providing high-quality care, and reducing inequity in health care.

Conclusion: Evidence translating ability requires a set of skills that nurses have to do such as identifying the challenges and analyzing the setting for searching the evidence; the best evidence is not the highest evidence hierarchy, the best evidence is the evidence that suits patient, organization, and practitioner abilities.

Aim: This study aimed to determine surgical nurses' knowledge of the risk factors and complications of inadvertent perioperative hypothermia and the practices preferred to prevent inadvertent perioperative hypothermia and to provide normothermia.

Methods: This descriptive study was conducted on 122 volunteer nurses working in the surgical clinics of a state and a private hospital between August 1 and September 15, 2019. The data collection form included questions to determine the characteristics of nurses and the risk factors, complications, and preventive practices of inadvertent perioperative hypothermia. The data forms were distributed by visiting the nurses one by one and were retrieved after an appropriate time. For statistical analyses, Statistical Package for the Social Sciences 22.0 software was used.

Results: The most known risk factors for IPH were "excessive blood loss" (75.4%), "anemia" (73.0%), and "inadequate covering of the patient/ not enough clothing" (72.9%). The most known complications of inadvertent perioperative hypothermia were "increased oxygen consumption and need" (65.6%), "hypoxemia" (61.5%), and "hypoxia" (49.4%). The most preferred method to provide normothermia in the perioperative period was "covering the patient with a blanket" (80.3%).

Conclusion: In this study, nurses did not have enough information about the risk factors and complications of Inadvertent perioperative hypothermia. In addition, it was determined that most of the nurses did not use the methods in the guidelines to prevent inadvertend perioperative hypothermia.

Aim: This study aimed to explore occupational satisfaction experienced by nurses working in a public hospital.

Method: Qualitative approach was used to explore experiences toward occupational satisfaction among 16 nurses working in different units of a selected public hospital in Tamil Nadu, South India. A semi-structured interview guide facilitated the individual in-depth face-to-face interviews, which were audio-recorded and transcribed verbatim. Thematic approach was used for data analysis and data management was performed using NVIVO-12 software.

Results: The two major themes that emerged as nurses' experiences on occupational satisfaction were "Quality patient care rendering and responses" and "Professional opportunities and responsibility." The sub-themes under quality patient care rendering and responses were patient care environment, team dynamics, leadership, and patient's health status. The sub-themes under professional opportunities and responsibility were pay and promotion, professional growth, and recognition.

Conclusion: The findings help us understand the various facilitating and hindering challenges nurses face in occupational satisfaction. It also emphasizes the organization's focus on modifiable factors in the working environment, enhancing satisfaction, and helping the nurses work more effectively and efficiently to deliver quality nursing care. Nursing administration in every healthcare setting should focus on strategies to improve nurses' professional development.

AİM: The study aimed to determine the pain, sleep disturbance, and smoking among patients with Covid-19 who were presented to emergency departments.

Method: This descriptive research was conducted between November 2020 and December 2021. The study population comprised 400 patients with COVID-19 who were presented to emergency departments at Ataturk University Research Hospital and Erzurum City Hospital and who agreed to participate in the study. The data were collected by the researcher via face-to-face interviews. Personal Information Form, Fagerström Test for Nicotine Dependence, Insomnia Severity Index, and McGill Pain Scale Short Form were used to collect the data. Descriptive statistics were presented as number, percentage, mean, and standard deviation. Parametric and nonparametric methods (t-test, Kruskal-Wallis Variance, Mann-Whitney U test, and Analysis of Variance (ANOVA) were used to compare variables between the groups. Ethical approval was obtained from the relevant authority prior to data collection and oral consent was obtained from all patients.

Results: It was determined that 52.5% of the patients were smokers; 24% of the smokers reported a decrease in smoking after being diagnosed with COVID-19. Nicotine addiction was found to be higher in men, tradesmen, and patients aged 55-64 years. McGill pain scale emotional sub-dimension scores were higher in women, whereas the sensory sub-dimension scores were higher in married patients. McGill pain scale total scores were higher in women, unemployed patients, and those with chronic diseases. Insomnia severity index was higher in women, smokers, and patients in the age group of 65-75 years.

Conclusion: According to the results of the present study, pain, smoking, and sleep disorders in patients diagnosed with COVID-19 were affected by socio-demographic characteristics.

Aim: This study was conducted to determine the intercultural and ethical sensitivity levels of healthcare professionals working in primary healthcare institutions and related factors.

Method: This is a cross-sectional study. It conducted between January 2020 and January 2021 on healthcare professionals working in primary healthcare institutions in a western province in Turkey. The population of the study consisted of 679 healthcare professionals working in family healthcare centers, and the sample consisted of 265 healthcare professionals. In the research, a questionnaire form including personal characteristics, Intercultural Sensitivity Scale, and Moral Sensitivity Questionnaire were used.

Results: Healthcare professionals' Intercultural Sensitivity Scale total score was 92.96 ± 11.96, and Moral Sensitivity Questionnaire total score was 94.13 ± 25.88. Intercultural sensitivity level increased depending on the status of gender, marital status, level of education, having a friend from different countries, and providing care for patients with different cultural characteristics, and ethical sensitivity level increased depending on the geographical region in which the person was raised. As the ethical sensitivity of healthcare professionals increased, the level of intercultural sensitivity increased (p < .05).

Conclusion: In line with the findings obtained, it was concluded that the individual characteristics of healthcare professionals were effective on the scale scores.

Aim: This study aimed to investigate the relationship among clinical nursing teachers' perceived stress, job stress, and teaching self-efficacy and to identify important predictors of clinical nursing teachers' teaching self-efficacy.

Method: A cross-sectional study was designed. Data were collected from May 2019 to January 2020, and 205 clinical nursing teachers were recruited from the Department of Nursing in Taiwan. Data were collected for the Perceived Stress Scale, Job Content Questionnaire, and Clinical Nursing Teacher Self-Efficacy Scale. Descriptive statistics, independent t-test, Pearson's correlation, and multiple/stepwise linear regressions were used for analysis.

Results: Perceived stress and work stress are related to clinical nursing teachers' teaching self-efficacy. Multiple regression analysis showed that perceived stress and three dimensions of job stress (workload, job control, and work-related social support) were identified as significant predictors of teaching self-efficacy, explaining 16.6% of the total variance. Workload was the strongest predictor of teaching self-efficacy, explaining 5.5% of the variance, while perceived stress, job control, and work-related social support accounted for 2.7%, 4.1%, and 1.7% of the variance, respectively.

Conclusion: Perceived stress and job stress were identified as predictors of teaching self-efficacy of clinical nursing teachers. Managers can formulate self-efficacy improvement and decompression plans for clinical nursing teachers to improve teaching self-efficacy.

Aim: This study aims to assess the perception and satisfaction of nurses toward the electronic medical record system in a teaching hospital.

Method: A cross-sectional study was conducted among 350 nurses in a teaching hospital via a self-administered questionnaire between May to October 2019. Descriptive analysis, independent t-test, analysis of variance, and hierarchical multiple regression were used to analyze the data using Statistical Package for Social Sciences software version 25. In addition, a The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) was used as guide in reporting the results of this study.

Results: Almost all the nurses (98%, n = 343) had a positive perception toward the electronic medical record system, though their perceptions significantly differ across work units, computer or laptop ownership, and daily time spent on the system (all p < .05). Nurses who had received training reported better satisfaction with the system.

Conclusion: Among the issues highlighted by the participants that warrant attention were system development and connectivity. This study, therefore, emphasizes the involvement of nursing personnel in system development to ensure an appropriate approach for nursing care delivery.