scholarly journals Breast unit and caring, gordon nursing model and NNN taxonomies: the nursing care planning from efficacy in trials to effectiveness in clinical practice

2017 ◽  
Vol 28 ◽  
pp. vi110
Author(s):  
L. Bertocchi ◽  
L. Sambo ◽  
S. Bradaschia ◽  
M. Cimolino ◽  
K.H. Szymska ◽  
...  
2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.


Author(s):  
Anjali Mullick ◽  
Jonathan Martin

Advance care planning (ACP) is a process of formal decision-making that aims to help patients establish decisions about future care that take effect when they lose capacity. In our experience, guidance for clinicians rarely provides detailed practical advice on how it can be successfully carried out in a clinical setting. This may create a barrier to ACP discussions which might otherwise benefit patients, families and professionals. The focus of this paper is on sharing our experience of ACP as clinicians and offering practical tips on elements of ACP, such as triggers for conversations, communication skills, and highlighting the formal aspects that are potentially involved. We use case vignettes to better illustrate the application of ACP in clinical practice.


Author(s):  
V. P. Matrtseniuk ◽  
I. Ye. Andrushchak ◽  
I. V. Tsikorska

The paper presents information models of the nursing process through a conceptual presentation, including assessments of the patient's overall condition (nursing interviews, physical assessment, measurement, documentation analysis), nursing diagnosis, nursing care planning, determination of expected results, nursing manipulation, care plan implementation and care results evaluation. Particular attention is drawn to the possibility of using international terminology in describing nursing practices. Analysis of solutions is carried out using the terminology of decision trees.


2019 ◽  
Vol 28 (21-22) ◽  
pp. 4053-4061 ◽  
Author(s):  
Dimelza Osorio ◽  
Esperanza Zuriguel‐Pérez ◽  
Soledad Romea‐Lecumberri ◽  
Montserrat Tiñena‐Amorós ◽  
Montserrat Martínez‐Muñoz ◽  
...  

1977 ◽  
Vol 77 (11) ◽  
pp. 1858-1875
Author(s):  
DOLORES E. LITTLE ◽  
DORIS L. CARNEV ALI
Keyword(s):  

2008 ◽  
Vol 22 (2) ◽  
pp. 88-102 ◽  
Author(s):  
Thomas Harding ◽  
Nicola North ◽  
Rod Perkins

Drawn from a larger study, this article reports the experiences of a group of male nurses regarding the use of intimate physical touch. Using discourse analysis, interview data from 18 male nurses were analyzed and related to existing text on men as nurses. The analysis reveals that although touch is important in nursing care, it is problematic for men because discourses have normalized women’s use of touch as a caring behavior and have sexualized men’s touch. Participants described their vulnerability, how they protected themselves from risk, and the resulting stress. The complicity of nurses in sexualizing men’s touch and the neglect of educators in preparing men for providing intimate care are revealed. A paradox emerged whereby the very measures employed to protect both patients and men as nurses exacerbate the perceived risk posed by men carrying out intimate care. Deconstructing and reframing prevailing discourses around nursing, gender, and caring involving touch can help to legitimize men’s involvement in physical caring.


Sign in / Sign up

Export Citation Format

Share Document