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Nursing Open Jan 2020A benchmark of 4 has been determined for the reduction of self-reported stress by nursing students' status post 5 weeks of holistic educational activities and...
AIM
A benchmark of 4 has been determined for the reduction of self-reported stress by nursing students' status post 5 weeks of holistic educational activities and interventions provided by a nurse educator.
DESIGN
Provision 5 in the American Nurses Association Code of Ethics for Nurses with Interpretive Statements emphasizes the duty of the nurse to not only promote the health and safety of others, but to self as well (ANA, 2015, Code of ethics with interpretive statements, http://Nursebooks.org). A self-care for nurses' pilot project was trialled with 25 accelerated nursing students over the course of 5 weeks. Holistic education programmes were facilitated by a nurse educator uninvolved in providing clinical or classroom education to the students.
METHODS
The Standards for Quality Improvement Reporting Excellence (SQUIRE) guidelines are used in this pilot project as a framework to explore standardization of education of nursing students about self-care in nursing programmes and to promote positive health behaviours and student nurses' insight into how nurses' self-care can have an impact on patient outcomes. The self-care pilot project introduced the importance of self-care for the pre-licensure nursing student by teaching healthy eating, physical exercise, the value of sleep, use of positive affirmations and aromatherapy to a cohort of accelerated nursing students over the course of 5 weeks. The Star Model of Knowledge Transformation was the theoretical framework for the pilot study. Two questionnaires were used by the principal investigator to obtain participant data, the Project Participant Questionnaire and the Final-Year Group Questionnaire.
RESULTS
On completion of the self-care for nurses' pilot, the nursing students reported a reduction in stress and an increased ability to cope with stress after exposure to different holistic stress reduction strategies. An average benchmark of 4.36 was achieved indicating that the nursing students' self-care had improved status post the interactive teaching intervention.Self-care taught to pre-licensure nursing students by nurse educators can enhance their self-awareness of the importance of stress reduction and care of themselves while enduring the academic rigour and simultaneous clinical practicum experiences in nursing programmes.Applying self-care behaviours to reduction of stress for nursing students may be of benefit to of students as they transition from the pre-licensure to graduate nurse roles. Hence, teaching health behaviours that are self-protective and contribute to maintaining safe clinical environments for nurses and the patients in their care.
Topics: Faculty, Nursing; Humans; Pilot Projects; Self Care; Students, Nursing
PubMed: 31871706
DOI: 10.1002/nop2.384 -
Journal of Doctoral Nursing Practice Mar 2023The skin, surface, keep moving, incontinence/moisture, and nutrition/hydration (SSKIN) bundle is a resource to aid in care planning when at risk of pressure injuries....
An Evidence-Based Approach to Protecting Our Biggest Organ: Implementation of a Skin, Surface, Keep Moving, Incontinence/Moisture, and Nutrition/Hydration (SSKIN) Care Bundle.
The skin, surface, keep moving, incontinence/moisture, and nutrition/hydration (SSKIN) bundle is a resource to aid in care planning when at risk of pressure injuries. The bundle uses best practices to minimize variations in care. The objectives of this quality improvement (QI) pilot project were as follows: (a) increase nurses' knowledge of pressure injury prevention, (b) increase nurses' knowledge of the use of the SSKIN bundle, and (c) to pilot the use of an SSKIN bundle in the clinical setting designed to standardize nursing interventions and documentation. Nurses completed a module on pressure injury prevention that included a pre- and posttest to determine knowledge. Education on the use of the SSKIN bundle was provided, followed by a posttest to establish understanding and knowledge gained. The bundle was utilized in the acute inpatient rehabilitation unit for 4 weeks, and compliance was assessed using the "all-or-none" approach (100% compliance). At the conclusion of the pilot project, staff nurses completed a post-survey created by the QI leader (Likert scale format). The survey included topics on the ease of learning to use the bundle, improved knowledge, perceived reduction in variation of care, perceived facilitation of discussion on skin, opinions on whether the bundle should be instituted hospital-wide, and incorporation of the bundle into the electronic health record (EHR). There was an increase in pressure injury prevention knowledge from an average score of 88.89% on the pretest to 98.15% on the posttest. The mean score on the SSKIN bundle posttest was 93.75%. The bundle ran for 4 weeks and was initiated for ten patients during 74 shifts. Compliance with all components of the bundle was 77%. A pressure injury prevention initiative, such as the SSKIN bundle, can be a useful tool to help standardize nursing interventions and documentation. Results revealed Nutrition as the component with the highest degree of noncompliance. Practice recommendations include documenting every patients nutrition information, regardless of Braden score.
Topics: Humans; Pressure Ulcer; Clinical Competence; Pilot Projects; Patient Care Bundles; Nurses; Crush Injuries
PubMed: 36918286
DOI: 10.1891/JDNP-2021-0040 -
Sante Publique (Vandoeuvre-les-Nancy,... Jun 2021Advanced nursing practice is the subject of a growing number of studies. To date, however, few of them have analyzed the local processes used to implement the functions...
INTRODUCTION
Advanced nursing practice is the subject of a growing number of studies. To date, however, few of them have analyzed the local processes used to implement the functions of advanced practice nurses (APNs). The research presented in this article concerns a pilot project on the precursors of APNs (pre-APNs) in the French healthcare system.
PURPOSE OF THE RESEARCH
This article analyzes the major obstacles to and levers for the development of pre-APNs’ functions in the light of their active role in the implementation process.
RESULTS
The obstacles include confusion of the function of pre-APN with other nursing functions on the part of their colleagues and superiors, partial assimilation to the medical profession, restriction of the practice of pre-APN under the control of physicians in highly ambivalent interprofessional relationships. Physicians also played a leveraging role in interprofessional mentoring to promote the introduction of pre-APN. They adopted strategies for negotiating their competencies, providing information and raising awareness about their function while asserting a professional identity based on their competence as nurses expert in nursing care in their field of practice (the elderly, mental health and psychiatry, support for chronic or cancer patients, primary care).
CONCLUSION
The development of advanced nursing practice can only partially derive from formal structures and regulatory frameworks. The various initiatives to publicize, build and install these functions are illustrative of a process of co-construction in practice settings.
Topics: Advanced Practice Nursing; Aged; Delivery of Health Care; Humans; Pilot Projects; Primary Health Care
PubMed: 34372646
DOI: 10.3917/spub.211.0089 -
Canadian Journal of Surgery. Journal... 2022Given Canada's geographically dispersed population, initial trauma care may occur at rural sites that may not manage patients with trauma frequently; thus, telementoring...
BACKGROUND
Given Canada's geographically dispersed population, initial trauma care may occur at rural sites that may not manage patients with trauma frequently; thus, telementoring can play a life-saving role. In this article, we describe a rural trauma telementoring pilot program in British Columbia and report the results of an evaluation of its strengths and weaknesses.
METHODS
Trauma surgeons from a quaternary trauma centre in Vancouver helped facilitate 3 in situ trauma simulation sessions at a rural BC hospital between fall 2019 and summer 2020. The sessions involved 4 physician participants (a trauma surgeon telementor, a family physician with additional expertise in emergency medicine acting as trauma team leader, a family physician with additional expertise in anesthesia and a family physician with Enhanced Surgical Skills), an emergency department nurse, 2 operating room/trauma team nurses, and laboratory and radiology technicians. The sessions involved simulated damage-control procedures and lasted about 2 hours. The participants completed surveys assessing comfort and confidence regarding aspects of trauma care and use of the telehealth unit before and after each session, and the facilitators assessed team dynamics using the Modified Non-Technical Skills for Trauma (T-NOTECHS) tool. Focus groups were held to gather qualitative data, and costs were tracked.
RESULTS
The average presimulation confidence survey score was 19.6/30, and the average postsimulation score was 24.0/30. The mean score improved significantly after both the first and second sessions ( = 0.01 and = 0.004, respectively). Across the 3 sessions, the average T-NOTECHS score improved significantly, from 18.5/25 to 21.5/25 ( = 0.02). Qualitative analysis identified 3 dominant themes: telementoring increased provider confidence, telementoring increased order to the resuscitation procedure and the technical aspects of telementorship. The telementoring program was well received by all participants.
CONCLUSION
A significant improvement was seen across simulations in physician confidence and trauma team dynamics with telementorship support. Telementoring in trauma may provide a way to lessen the difference between rural and urban patient outcomes within Canada's geographically dispersed population, although further work investigating the impact of its use in real-life patients, as well as barriers to its implementation, is required.
Topics: Humans; Pilot Projects; Resuscitation; Emergency Medicine; Rural Population; Telemedicine
PubMed: 36302133
DOI: 10.1503/cjs.015020 -
JAAPA : Official Journal of the... Mar 2023The physician associate/assistant (PA) profession was introduced into the Republic of Ireland following a 2-year pilot project with the Irish Department of Health...
The physician associate/assistant (PA) profession was introduced into the Republic of Ireland following a 2-year pilot project with the Irish Department of Health between 2015 and 2017. Four PAs from North America were recruited into four designated surgical services at a large teaching hospital in Dublin. To date, the PA numbers are small in Ireland, with one university, in Dublin, running the program and 61 graduates working mostly in the hospital setting, with a small number in primary care. The cautious introduction of PAs partly is due to a delay in follow-up from the Department of Health after the pilot project and in the university's decision to increase the student intake slowly to ensure all graduates secure employment.
Topics: Humans; Ireland; Pilot Projects; Employment; Students; Physician Assistants
PubMed: 36815853
DOI: 10.1097/01.JAA.0000918796.38698.1b -
Current Opinion in Ophthalmology Sep 2023The average number of applications per ophthalmology residency applicant continues to rise. The present article reviews the history and negative impacts of this trend,... (Review)
Review
PURPOSE OF REVIEW
The average number of applications per ophthalmology residency applicant continues to rise. The present article reviews the history and negative impacts of this trend, the dearth of effective solutions and the potential promise of preference signalling as an alternative strategy to address this and potentially improve match outcomes.
RECENT FINDINGS
Application inflation adversely impacts applicants and programmes and undermines holistic review. Most recommendations to limit volume have been largely unsuccessful or undesirable. Preference signalling does not restrict applications. Early results from initial pilots in other specialties are promising. Signalling has the potential to facilitate holistic review, reduce interview hoarding and promote equitable distribution of interviews.
SUMMARY
Preliminary data suggest preference signalling could be a useful strategy to address current issues with the Match. Building upon the blueprints and experiences of our colleagues, Ophthalmology should conduct its own investigation and consider a pilot project.
Topics: Humans; Internship and Residency; Ophthalmology; Pilot Projects
PubMed: 37326225
DOI: 10.1097/ICU.0000000000000973 -
Annals of Dyslexia Oct 2023We conducted a realist review of state-authorized dyslexia pilot projects to understand how they have been implemented and evaluated, and the extent to which they adhere... (Review)
Review
We conducted a realist review of state-authorized dyslexia pilot projects to understand how they have been implemented and evaluated, and the extent to which they adhere to best practice recommendations. We found that states have piloted broadly similar policy programs minimally consisting of professional development, universal screening, and instructional intervention. However, none of the pilot report documents we reviewed included explicit logic models or theories of action, which makes it difficult to understand the pilot projects and their results. Officially, most of the pilot project evaluations sought to establish the effectiveness of their programs. However, only two states used evaluation designs that are well-suited to making causal inferences about program effects, which complicates the interpretation of pilot project results. To make future pilot projects more useful to evidence-based policymaking, we make recommendations to improve their design, implementation, and evaluation.
Topics: Humans; Dyslexia; Pilot Projects; Reading
PubMed: 37300716
DOI: 10.1007/s11881-023-00284-6 -
The International Journal of... Feb 2022There has been a long tradition of psychoanalysis in the community in France. The first psychoanalysts working in public institutions did so in places such as the...
There has been a long tradition of psychoanalysis in the community in France. The first psychoanalysts working in public institutions did so in places such as the network of the Offices publics d'Hygiène sociale (OPHS), initially intended to treat tuberculosis, infant mortality, etc., after the Second World War. The introduction of psychiatric care in the community mobilized a genuine interpenetration of psychoanalysis and psychiatry. In 1953, the SPP founded the Centre de Consultations et de Traitements Psychanalytiques, and in 1955 Victor Smirnoff created a children's centre. In 1958, Philippe Paumelle created the Association de Santé mentale du 13ème arrondissement de Paris (ASM 13), a pilot project, implemented in 1960 as "district psychiatry", which is France's national policy of community psychiatry. In the consultation centres of these psychiatric districts, called centres médico-psychologiques (CMP), psychotherapy is provided by clinical psychologists, who are largely psychoanalytic in orientation. In 1972, Pierre Marty and Michel Fain created what would become the Institut de Psychosomatique in 1978. In 1974, ASM 13 created its own Centre de psychanalyse with Jean and Évelyne Kestemberg, specialising in psychotic and borderline pathologies. The activities and theoretical contributions of these psychoanalytic public centres are presented in this paper, with attention to: the distinction between treatment and consultation; the introduction of a new approach to psychosomatics; the description of a psychotic relation to the object as fetish; the research about free treatment and its implications. Currently, the situation of psychoanalysis in France is divided between the medical authorities who reject psychoanalysis in the name of evidence-based medicine, and the persistence of psychoanalysis in both public and private practice. More generally, it appears that the central issue at stake is the conception of the 'psychic human being' and psychic causality in Western societies.
Topics: Child; France; Humans; Mental Disorders; Pilot Projects; Psychiatry; Psychoanalysis; Psychotherapy
PubMed: 35168495
DOI: 10.1080/00207578.2021.1978294 -
Current Opinion in Psychology Aug 2019Numerous scientific studies are conducted on the neurophysiological effects of meditation practices and on the neural correlates of meditative states. However, very few... (Review)
Review
Numerous scientific studies are conducted on the neurophysiological effects of meditation practices and on the neural correlates of meditative states. However, very few studies have been conducted on the experience associated with contemplative practice: what it is like to meditate - from moment to moment, at different stages of different forms of practice - remains almost invisible in contemporary contemplative science. Recently, 'micro-phenomenological' interview methods have been developed to help us become aware of lived experience and describe it with rigor and precision. This article presents the results of a pilot project aiming at applying these methods to the description of meditative experience, and highlights the interest of such descriptions for understanding, practicing and teaching meditation.
Topics: Awareness; Emotions; Humans; Interviews as Topic; Meditation; Pilot Projects
PubMed: 30502663
DOI: 10.1016/j.copsyc.2018.10.009 -
Zeitschrift Fur Gerontologie Und... May 2022With the growing number of older and old patients as well as patients affected by multimorbidity, cognitive impairments and frailty in hospital and expansion of... (Review)
Review
BACKGROUND
With the growing number of older and old patients as well as patients affected by multimorbidity, cognitive impairments and frailty in hospital and expansion of long-term care, the challenges in the various geriatric and gerontological care settings are also increasing. Social networks and resources become fragile due to the changing family structures. A strong interprofessional team building and networking of the main actors in the nursing and healthcare systems become necessary.
OBJECTIVE
A qualification program for students of medicine, social work and relevant study courses for nursing was established. In this program participants should collectively learn to deal with the concerns and needs of geriatric patients in a case-related manner and to develop suitable plans for treatment and interventions.
METHOD
The qualification program for interprofessional team building was evaluated during the development phase as a pilot project and scientifically evaluated (n = 78) using the Freiburg questionnaire on interprofessional learning evaluation (FILE).
RESULTS
The program experienced a high level of approval by approximately 98% of the participants. The measurement of change showed an improvement in team skills and ability to work in a team.
CONCLUSION
Opening up a learning field for interprofessional learning and working to students of different disciplines and professions during their studies creates a good basis for successful interprofessional team building in the subsequent professional practice. The interuniversity and interprofessional teaching project presented is now firmly anchored in the curriculum at the participating universities with the teaching module "The geriatric patient". It is therefore a possible model for similar projects.
Topics: Aged; Curriculum; Delivery of Health Care; Geriatrics; Humans; Learning; Patient Care Team; Pilot Projects
PubMed: 35092455
DOI: 10.1007/s00391-022-02021-x