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Simulation and its Effects on Knowledge Retention and Critical Thinking Skills 模拟及其对知识保留和批判性思维技能的影响
Pub Date : 2023-05-26 DOI: 10.29011/2688-9501.101426
Michael Ruth
Increasing knowledge retention and critical thinking skills is the goal of every nurse educator; however, this can be difficult with traditional modes of education such as lecture and live clinical experience. With the increasing restrictions on what students can do in a clinical setting coupled with the lack of hands-on experience, has resulted in skills and knowledge deficits in nursing students. These limitations call for a new educational modality to supplement these educational loses. The use of hi-fidelity simulation, using the NLN/Jefferies framework allows for the application of Malcom Knowles adult learning theory by providing real world experience in a safe format. In this mixed methods study the effects of hi-fidelity simulation on knowledge retention and critical thinking skills has been observed over a six-week period of simulations validated by the National League of Nursing simulation design scale for nursing education research and the National.
提高知识保留率和批判性思维能力是每一位护士教育工作者的目标;然而,对于传统的教育模式,如讲座和现场临床体验,这可能会很困难。随着对学生在临床环境中所能做的事情的限制越来越大,再加上缺乏实践经验,导致护理专业学生的技能和知识不足。这些局限性要求一种新的教育模式来弥补这些教育损失。高保真模拟的使用,使用NLN/Jefferies框架,通过以安全的格式提供真实世界的体验,可以应用Malcom Knowles成人学习理论。在这项混合方法研究中,通过为期六周的模拟,观察了高保真模拟对知识保留和批判性思维技能的影响,该模拟由全国护理联盟护理教育研究模拟设计量表和国家护理研究所验证。
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引用次数: 0
Physical and Mental Health, Stress, and Resilience among Healthcare Workers during the Coronavirus Disease 2019 (COVID-19) Pandemic using a Regional Teaching Hospital as an Example 2019冠状病毒病(COVID-19)大流行期间医护人员的身心健康、压力和复原力——以地区教学医院为例
Pub Date : 2023-05-22 DOI: 10.29011/2688-9501.101423
Ching-Yi Hsu, Li-Chun Huang
In this cross-sectional study, the subjects were medical staff caring for patients with confirmed or suspected coronavirus disease 2019 (COVID-19) in a regional teaching hospital. A total of 100 questionnaires were enrollment from 1 June 2021 to 30 July 2021. The study tool was a questionnaire containing physical and mental health, work stress, and resilience sub-scales. Study results were analyzed using descriptive statistics, independent sample t-test, and Pearson product-moment correlation coefficient and regression analysis. In medical staff, physical and mental health and work stress were negatively correlated with resilience ( r=−0.55, p <0.01 ; r=−0.61, p<0.01). Furthermore, the main predictors affecting resilience in medical staff included: physical and mental health, education level, and resilience (F=33.7, p<0.001), which explained 52.0% of variation. The study results indicated the following: (1) a channel for relieving stress such as psychological assessment and care should be provided for medical staff; (2) a friendly team atmosphere should be created and the support system should be strengthened; and (3) complete and appropriate epidemic control training and sufficient protective equipment should be provided. This study can be used as a reference for formulation of relevant policies through hospital management.
在本横断面研究中,研究对象为某地区教学医院护理确诊或疑似冠状病毒病2019 (COVID-19)患者的医务人员。从2021年6月1日至2021年7月30日,共登记了100份问卷。研究工具是一份包含身心健康、工作压力和恢复力分量表的问卷。采用描述性统计、独立样本t检验、Pearson积差相关系数和回归分析对研究结果进行分析。医务人员身心健康、工作压力与心理弹性呈负相关(r= - 0.55, p <0.01;r =−0.61,p < 0.01)。此外,影响医务人员心理弹性的主要预测因子包括:身心健康、文化程度和心理弹性(F=33.7, p<0.001),解释了52.0%的变异。研究结果表明:(1)应为医务人员提供心理评估和护理等缓解压力的渠道;(2)营造友好的团队氛围,加强支持体系;(3)提供完整、适当的防疫培训和足够的防护装备。本研究可为医院管理层制定相关政策提供参考。
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引用次数: 0
“Zero to Hero”: Creating an Innovative Approach to Track Program Outcomes in Graduate Nursing “零到英雄”:创造一种创新的方法来跟踪研究生护理项目的结果
Pub Date : 2023-05-16 DOI: 10.29011/2688-9501.101421
Kimberly D. Helms, Laura P Walker
In the fall of 2019, a new administrative team was appointed to the Graduate Nursing Program at a rural university in the Southeast United States (U.S.). The Graduate Nursing Programs included: (a) Master of Science in Population Health (MSN), (b) MSN in Population Health with a concentration in Nursing Education, (c) MSN in Population Health with a concentration in Emergency Management, (d) Post-Master’s Doctor of Nursing Practice (DNP), and a (e) Bachelor-Doctor of Nursing Practice (BSN-DNP) Family Nurse Practitioner (FNP) track, and a (f) Bachelor-Doctor of Nursing Practice (BSN-DNP) AdultGerontology Acute Care Nurse Practitioner (AGACNP) track. The newly hired administrative team members included a Director of Online and Graduate Nursing Programs and Coordinators for both MSN and DNP programs.
2019年秋天,美国东南部一所农村大学的研究生护理项目任命了一个新的管理团队。研究生护理课程包括:(a)人口健康理学硕士(MSN), (b)人口健康理学硕士(护理教育方向),(c)人口健康理学硕士(应急管理方向),(d)护理实践博士后博士(DNP), (e)护理实践学士-博士(BSN-DNP)家庭护士执业(FNP)课程,(f)护理实践学士-博士(BSN-DNP)成人老年急症护理执业护士(AGACNP)课程。新聘用的行政团队成员包括在线和研究生护理项目主任以及MSN和DNP项目的协调员。
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引用次数: 0
End-of-life Care by Nurses in the Emergency Department in Japan: Application of Swanson’s Middle Range Theory of Caring 日本急诊科护士的临终关怀——斯旺森护理中程理论的应用
Pub Date : 2023-05-01 DOI: 10.29011/2688-9501.101415
Junko Shida, Chisaki Uno, Yuya Soma, Yumi Matsuda
Background: Few studies have focused on the meaning of the relationship among dying patients, their families in deep distress
背景:很少有研究关注濒临死亡的病人及其家属之间的关系的意义
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引用次数: 0
Multi-center Qualitative Observational Evaluation of Ultrasound Probe Protection using a Sterile Transparent Barrier and Securement Dressing to Standardize UGPIV Catheter Insertions 无菌透明屏障和安全敷料保护超声探头规范UGPIV导管插入的多中心定性观察评价
Pub Date : 2023-04-27 DOI: 10.29011/2688-9501.101418
Michael Drafz, Kurt Goeller, Benilda Dizon, Aisha Cobbs, N. Moureau
using a
使用
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引用次数: 0
Prognostic Significance of MicroRNAs in Medulloblastoma: A Systematic Review and Meta-Analysis microrna在成神经管细胞瘤中的预后意义:一项系统综述和荟萃分析
Pub Date : 2023-04-26 DOI: 10.29011/2688-9501.101417
Haima Li, Jian Wen, Dongdong Li, Ruen Liu
:
:
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引用次数: 0
Nurses on the Front-Line of Diabetes Prevention 预防糖尿病第一线的护士
Pub Date : 2023-04-03 DOI: 10.29011/2688-9501.101416
Terrye Moore-Harper, JH Shubrook, Jacqueline A. Clavo-Hall
America is facing its first non-communicable, yet preventable, pandemic -Type 2 Diabetes Mellitus (T2DM) [1]. With approximately 14% of adults diagnosed with the disease and another 33% diagnosed with prediabetes, multiple stakeholders have committed to developing multilevel approaches to slow the rate of transition of prediabetes to T2DM [2]. Diabetes Prevention Program (DPP) is one evidence-based approach that has been referenced throughout many health care and health science journals. While physicians are noted as the gatekeepers of care, nurses and Advanced Practice Registered Nurses (APRNs) are employed across the care continuum to affect the incidence and outcomes of diabetes prevention and prediabetes management. Nurses, among the key providers of health care, are positioned to facilitate the implementation of evidence-based interventions (EBI), like the DPP, from clinical practice into community-based settings. However, the DPP remains largely an under-utilized approached within health care. There seems to be a knowledge-gap about the DPP and its scalability across diverse patient populations. The purpose of this educational manuscript is three-fold: (1) to provide background on the Diabetes Prevention Program, its use and scalability to real-world settings, (2) to address some of the challenges of DPP across cultures, and (3) to increase awareness of how policy supports and improves populations’ access to the DPP and its translational delivery models – reducing the prevalence of prediabetes, and hence diabetes, in this country.
美国正面临着第一次非传染性但可预防的2型糖尿病(T2DM)大流行。大约14%的成年人被诊断为糖尿病,另有33%的人被诊断为糖尿病前期,多个利益相关者致力于开发多层次的方法来减缓糖尿病前期向2型糖尿病转变的速度。糖尿病预防计划(DPP)是一种基于证据的方法,在许多卫生保健和健康科学期刊中被引用。虽然医生被认为是护理的看门人,但护士和高级执业注册护士(APRNs)在整个护理过程中被雇用,以影响糖尿病预防和糖尿病前期管理的发病率和结果。护士是医疗保健的主要提供者之一,他们的定位是促进循证干预(EBI)的实施,如DPP,从临床实践到社区环境。然而,民进党在很大程度上仍然是一种在卫生保健领域未得到充分利用的办法。关于DPP及其在不同患者群体中的可扩展性似乎存在知识差距。这篇教育稿件的目的有三个方面:(1)提供糖尿病预防计划的背景,它的使用和可扩展性,(2)解决跨文化DPP的一些挑战,(3)提高对政策如何支持和改善人们获得DPP及其转化交付模式的认识-减少前驱糖尿病的患病率,从而减少糖尿病,在这个国家。
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引用次数: 0
The Impact of Two Hourly Purposive Rounds (2HNR) on Nurses’ Perception and Satisfaction: A Cross-Sectional Study 两小时目标轮(2HNR)对护士感知和满意度的影响:一项横断面研究
Pub Date : 2023-03-20 DOI: 10.29011/26889501.101413
Zubaida Al Balushi, Mudhar Al Adawi, Nasra Al Hashmi, Sami Al Habsi, Sausan Al Habsi, Asma Al Abdali, Salwa Al Rawahi, Maryam Al Khambashi
Nurses are the backbone of healthcare organizations, and they play a crucial role in delivering quality care and ensuring patient safety, and that, in turn, can be achieved through the two hourly purposive nursing rounds (2HNR). The 2 HNR is a structured rounding conducted by the bedside nurses on a one to two hourly bases. It has been associated with increased patient satisfaction and nursing care quality, improved nurse-patient interaction
护士是医疗保健组织的骨干,他们在提供优质护理和确保患者安全方面发挥着至关重要的作用,而这反过来又可以通过每小时两次的有针对性的护理查房(2HNR)来实现。2 HNR是由床边护士每小时进行一到两次的结构化舍入。它与提高患者满意度和护理质量、改善护患互动有关
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引用次数: 0
Validation and Reliability of the Comprehensive Difficult IV Access Scoring Tool 综合静脉注射困难评分工具的验证与可靠性
Pub Date : 2023-03-20 DOI: 10.29011/2688-9501.101414
Jon A. Bell, C. Campos
Objective: To assess the face validity and inter-rater reliability of the Comprehensive Difficulty IV Access (C-DIVA) tool for identifying difficult vascular access (DIVA) patients and directing care for clinicians without specialized vascular access experience (generalists). Methods : A prospective observational study was conducted using nurses experienced in vascular access to internally validate the C-DIVA tool. After validation of the tool, scenarios were provided to a vascular access specialist group for inter-rater reliability measurement. Results : A survey to assess face validity received responses from 7 nurses in active practice. Using a 1-5 Likert scale, the tool was rated at 4.43 for usability. Additional assessments by 12 nurses provided 72 independent assessments of case scenarios to establish inter-rater reliability. Intra-class correlation coefficient of 49.4% with 55.6% agreement was achieved. Conclusion : The C-DIVA tool was validated by a sample of nurses with vascular access experience from different clinical areas. The inter-rater reliability of the C-DIVA tool is moderate. The use of the tool should facilitate the identification of DIVA patients by generalist providers (those without specialized training or advanced skills in vascular access placement) to facilitate the allocation of appropriate clinicians and resources to achieve successful vascular access for patients with difficult access.
目的:评估综合困难IV通路(C-DIVA)工具的面部有效性和评分者间可靠性,该工具用于识别困难血管通路(DIVA)患者,并指导没有专业血管通路经验的临床医生(多面手)的护理。方法:采用一项前瞻性观察性研究,使用有血管通路经验的护士对C-DIVA工具进行内部验证。在验证该工具后,将场景提供给血管通路专家组进行评分者间可靠性测量。结果:一项评估面部有效性的调查收到了7名在职护士的回复。使用1-5 Likert量表,该工具的可用性评级为4.43。12名护士的额外评估提供了72个病例情景的独立评估,以确定评分者之间的可靠性。类内相关系数为49.4%,符合率为55.6%。结论:C-DIVA工具已通过来自不同临床地区的具有血管通路经验的护士样本进行了验证。C-DIVA工具的评分者间可靠性中等。该工具的使用应有助于多面手提供者(那些在血管通路放置方面没有受过专业培训或高级技能的提供者)识别DIVA患者,以便于分配适当的临床医生和资源,为难以进入的患者成功获得血管通路。
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引用次数: 0
Identification of the Core Symptom Clusters among Head and Neck Cancer Patients at Different Treatment Stages: A Systematic Review 不同治疗阶段癌症头颈部患者核心症状群的识别:系统评价
Pub Date : 2023-02-28 DOI: 10.29011/2688-9501.101408
Dan Duan, Yijing Wan, Xiaofeng Luo, Wenting Xing
at Different
在不同的
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引用次数: 0
期刊
International journal of nursing and health care research
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