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Revista Latino-americana de Enfermagem Sep 2020to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic.
OBJECTIVE
to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic.
METHOD
qualitative study, using a semi-structured electronic form applied to nursing workers from pediatric services in the state of Rio de Janeiro, Brazil. Data were submitted to lexicographic analysis using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires, Word Cloud technique, and Similitude Analysis.
RESULTS
different challenges concerning the COVID-19 pandemic were reported, including the need to promote comprehensive and quality care while being concerned with protecting oneself and others, with an emphasis on fear. A lack of protective equipment, training, diagnostic tests, and knowledge/information concerning the disease was also reported, in addition to a reduced number of nursing workers and a lack of appreciation for the profession.
CONCLUSION
managerial guidelines need to be adopted for properly allocating human and material resources in the health field, including the pediatric services, in addition to providing training on standard precautions. Actions to encourage, value, motivate, and support the nursing staff are needed during and after the pandemic to protect the physical and mental health of these professionals.
Topics: Betacoronavirus; Brazil; COVID-19; Child; Coronavirus Infections; Fear; Health Knowledge, Attitudes, Practice; Humans; Nursing Staff; Pandemics; Pediatric Nursing; Personal Protective Equipment; Pneumonia, Viral; SARS-CoV-2
PubMed: 32901774
DOI: 10.1590/1518-8345.4550.3367 -
Journal of Pediatric Nursing 2023This study explored pediatric nurses' lived experiences during the first calendar year (2020) of the COVid-19 pandemic.
PURPOSE
This study explored pediatric nurses' lived experiences during the first calendar year (2020) of the COVid-19 pandemic.
DESIGN AND METHODS
An electronic survey used an exploratory-descriptive qualitative approach to gather data from 231 pediatric nurses working in a variety of settings across the United States. The survey consisted of seven open-ended questions to capture participants' experiences in the workplace. Thematic analysis was conducted to identify themes and associated subthemes.
RESULTS
Seven themes emerged: Unique Aspects of COVid-19 in the Pediatric Population; Visitor Restrictions and Isolation Increased Stress; Navigating Changing Knowledge and Misinformation; Personal Protective Equipment Challenges; Living in Fear; Pride in the Profession; and Profession at Risk.
CONCLUSIONS
Pediatric nurses working in the initial year of the COVid-19 pandemic faced numerous challenges consistent with those shared by the profession at large in addition to some unique to their patient population. Of greatest concern is the dismay many participants conveyed in their perception of administrative and public support and in their flagging commitment to the profession.
PRACTICE IMPLICATIONS
This study highlights the need for nurse self-care, cultural reform in healthcare settings to engage front line providers in decision making, and proactive strategies to recruit and retain professional nurses.
Topics: Child; Humans; COVID-19; Pandemics; Qualitative Research; Fear; Nurses, Pediatric; Nurses
PubMed: 36357232
DOI: 10.1016/j.pedn.2022.09.015 -
Nurse Education Today Jun 2023Motivational interviewing led by nurses has been demonstrated to be effective in reducing alcohol consumption among university students. However, most of these...
BACKGROUND
Motivational interviewing led by nurses has been demonstrated to be effective in reducing alcohol consumption among university students. However, most of these professionals feel that they lack the competence necessary for motivational interviewing due to a lack of formal training in the nursing curriculum.
OBJECTIVES
To design, implement and evaluate a motivational interviewing training course for alcohol misuse in an undergraduate nursing curriculum and to explore students' experiences with this course.
DESIGN
A mixed-methods study involving a descriptive comparative quantitative design and qualitative focus group interviews with nursing students.
SETTINGS
An elective nursing course in a Spanish university.
PARTICIPANTS
A total of 21 fourth-year nursing students.
METHODS
The course was developed as a twelve-week, two-hour course. It comprised three modules covering the concepts, tools and skills associated with motivational interviewing for alcohol misuse. Quantitative and qualitative data were collected after the completion of the course to evaluate the training received by students; these data were categorized using Kirkpatrick's model. The quantitative results included students' satisfaction, knowledge, skills and attitudes, which were measured using an ad hoc questionnaire, a multiple-choice exam, and two rater-based assessments (the Peer Proficiency Assessment instrument and an evidence-based checklist). Qualitative focus groups were used to explore students' experiences of the entire programme.
RESULTS
Students' satisfaction with the course was rated 9 out of 10, highlighting the usefulness and adequacy of the course content. The quantitative and qualitative results both indicated that all students acquired the knowledge necessary to perform motivational interviewing and significantly improved their motivational interviewing microskills. Only half of the students reached the level of proficiency in two of the three ratios calculated. The three main themes identified pertained to the learning atmosphere, module methodologies, and students' self-perceptions of competence. Finally, the students reported having transferred their learning to clinical practice.
CONCLUSION
A course on motivational interviewing for alcohol misuse positively influences nursing students both personally and in terms of their future professional work by improving their knowledge, skills, attitudes and self-perceived competence.
Topics: Humans; Motivational Interviewing; Students, Nursing; Education, Nursing, Baccalaureate; Alcoholism; Learning; Curriculum
PubMed: 36924704
DOI: 10.1016/j.nedt.2023.105775 -
Nursing Open Jan 2022This scoping review aimed to identify and map the signs and symptoms-apart from vital signs-that trigger nurses' concerns about the deteriorating conditions of... (Review)
Review
AIM
This scoping review aimed to identify and map the signs and symptoms-apart from vital signs-that trigger nurses' concerns about the deteriorating conditions of hospitalized paediatric patients.
DESIGN
A scoping review was conducted in accordance with the Joanna Briggs Institute methodology.
METHODS
Six databases, including MEDLINE, CINAHL, Embase, Scopus, Swemed and ProQuest Dissertations and Theses databases, were searched systematically. Of 5795 citations, seven matched the inclusion criteria.
RESULTS
Objective observations, such as the patient's colour, pain-level changes, and behavioural observations, were identified as signs that would trigger nurses' concerns. Nurse's intuitive feelings or gut feelings when seeing a patient was also identified as an important factor for identifying a deteriorating paediatric patient. A "gut feeling" was described as both a reaction to patient signs and a feeling based on the nurse's intuition gained through experience. The signs or symptoms that would trigger this "gut feeling" were not identified.
Topics: Child; Humans; Intuition; Nurses; Patients; Precipitating Factors; Vital Signs
PubMed: 34761544
DOI: 10.1002/nop2.1105 -
Indian Journal of Psychological Medicine May 2023
PubMed: 37152388
DOI: 10.1177/02537176221103617 -
Journal of Hospice and Palliative Care Jun 2024This study aimed to clarify the concept of pediatric hospice and palliative care through conceptual analysis. It also sought to identify the differences between related...
PURPOSE
This study aimed to clarify the concept of pediatric hospice and palliative care through conceptual analysis. It also sought to identify the differences between related concepts such as pediatric death care and pediatric spiritual care, in order to provide foundational data for the development of nursing theory and knowledge.
METHODS
A conceptual analysis of pediatric hospice and palliative care was conducted using Rodgers' evolutionary method. Out of 5,013 papers identified, 28 were selected for detailed reading and analysis.
RESULTS
Pediatric hospice and palliative care encompasses physical, psychological, social, mental, spiritual, and family care for children with acute and chronic diseases with uncertain prognoses ahead of death, as well as their families. Effective pediatric hospice and palliative care will require multidisciplinary team nursing, effective communication, and supportive policies.
CONCLUSION
The findings of this study suggest that providing pediatric hospice and palliative care will lead to improvements in pain relief for children and families, the efficiency of responses to death in children, and the quality of life for children and families. The significance of this study is that it clearly clarifies the concept by analyzing pediatric hospice and palliative care using an evolutionary method.
PubMed: 38863564
DOI: 10.14475/jhpc.2024.27.2.51 -
Revista Gaucha de Enfermagem 2020To understand the nursing team's perception about the use of technology for safe perioperative pediatric care, through photographs.
OBJECTIVE
To understand the nursing team's perception about the use of technology for safe perioperative pediatric care, through photographs.
METHOD
A qualitative study using the theoretical framework of Nietsche Specific Nursing Technology, with a total of 18 perioperative nursing professionals from a general hospital in southern Brazil. Data collection occurred from June to August 2018, from a semi-structured interview and photograph production. They were analyzed through the Thematic Content Analysis. Approved by the Research Ethics Committee of the Federal University of Santa Catarina.
RESULTS
The Nursing Technologies category used for the safety of the pediatric patient in the perioperative period, with 250 photographs illustrating facts, situations and artifacts considered nursing technologies used in safe care.
CONCLUSIONS
In the team's perception, patient safety involves the use of technologies integrated to perioperative care and structural, physical and input aspects.
Topics: Adult; Attitude of Health Personnel; Biomedical Technology; Female; Humans; Male; Middle Aged; Patient Safety; Pediatric Nursing; Perioperative Care; Qualitative Research
PubMed: 32667430
DOI: 10.1590/1983-1447.2020.20190251 -
Journal of Education and Health... 2022Health policymakers use a variety of policy tools. These policies are either based on external factors or are based on paternal considerations; people may need to have... (Review)
Review
BACKGROUND
Health policymakers use a variety of policy tools. These policies are either based on external factors or are based on paternal considerations; people may need to have help in the selection of items that may be regretted about them in the future. However, recent research on behavioral economics shows that major decision-making mistakes are not only limited to vulnerable groups but also are ubiquitous and systematic. The purpose of this study was on health policy making with a behavioral economics approach in health promotion.
MATERIALS AND METHODS
The eligible studies were obtained from Medline (PubMed), Web of Science, and Scopus databases. The search strategy uses a combination of keywords in the titles. The keywords of behavioral economics along with the keyword of health have been used to find related articles.
RESULTS
After deleting duplicate articles, a total of 38 articles were identified. After reviewing the title and abstract, 13 studies were omitted because they did not meet the inclusion criteria. Ten articles were removed from the found articles due to the unavailability of the full text and four articles were excluded because their method was quantitative. Finally, a total of 11 articles were eligible for including this review study.
CONCLUSION
Recent research on behavioral economics shows that decision-making errors are not limited to vulnerable groups but are ubiquitous and systematic. Forgotten income or negligible income is very high and is reasonably explained by transaction costs. Educational interventions often have little effect and do not benefit from basic cost-benefit tests. In addition, the seemingly insignificant aspects of choice-frameworks and assumptions-often have a profound effect on behavior.
PubMed: 36438992
DOI: 10.4103/jehp.jehp_989_21 -
Journal of Perinatology : Official... Aug 2021The objective of this study is to evaluate associations between webcam use in the neonatal intensive care unit (NICU) with parental stress and nursing work-related...
OBJECTIVE
The objective of this study is to evaluate associations between webcam use in the neonatal intensive care unit (NICU) with parental stress and nursing work-related stress and burnout.
DESIGN
Prospective validated and de novo questionnaires administered to NICU parents and nurses during two observation periods: (1) no webcam access (off webcam) and (2) webcam access (on webcam).
RESULTS
Seventy-nine "off webcam" parents, 80 "on webcam" parents, and 35 nurses were included. Parental stress levels were significantly lower "on webcam" and perceptions of the technology were overwhelmingly positive. There were no significant differences in nursing stress levels and burnout between periods. Only 14% of nurses believed that webcam use improves infant's quality of care. Majority nurses felt that webcams increase parental and nursing stress.
CONCLUSIONS
Webcam use in the NICU is associated with lower parental stress levels and has no effect on nursing stress levels or work-related burnout. These findings contradict nurses' beliefs that webcams increase parent and nurse stress.
Topics: Humans; Infant; Infant, Newborn; Intensive Care Units, Neonatal; Internet; Neonatal Nursing; Parents; Prospective Studies; Surveys and Questionnaires
PubMed: 33510415
DOI: 10.1038/s41372-021-00934-w -
Child Health Nursing Research Oct 2022This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring.
PURPOSE
This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring.
METHODS
In this qualitative content analysis study, data were collected using a narrative survey and focus group interviews with 27 third-year nursing students and six fourth-year nursing students from April to May 2022. Content analysis of the collected data was conducted.
RESULTS
Four categories-"stabilizing emotionally through each other", "advancing together", "difficulties in relationships", and "hoping to continue"-and nine sub-categories were extracted. The sub-categories "reduced burden" and "gaining confidence" were grouped into the first category, "stabilizing emotionally through each other". The sub-categories "being motivated to learn," "increased learning ability", and "preparation as a process" were grouped under "advancing together", and "attitudes affecting study environment" and "depending on help" were grouped into the third category of "difficulties in relationships". The fourth category of "hoping to continue" had "wanting to supplement for development" and "wanting to participate in different roles" as sub-categories.
CONCLUSION
Based on the results of this study, we expect pediatric nursing practicum education to improve through the active use of neonatal nursing simulation education incorporating peer tutoring.
PubMed: 36379604
DOI: 10.4094/chnr.2022.28.4.280