Measuring Change in Nurses’ Perceptions About Family Nursing Competency Following a 6-Day Educational Intervention

2018 ◽  
Vol 24 (4) ◽  
pp. 508-537 ◽  
Author(s):  
Susanne Broekema ◽  
Marie Louise A. Luttik ◽  
Gabriëlle E. Steggerda ◽  
Wolter Paans ◽  
Petrie F. Roodbol
Keyword(s):  
Educational Intervention ◽  
Nursing Care ◽  
Family Intervention ◽  
Assessment Model ◽  
Paired Samples ◽  
Family Nursing ◽  
Positive Attitudes ◽  
Before And After ◽  
Nurses Perceptions ◽  
Depth Interviews

This study describes nurses’ perspectives about their experience of being involved in a 6-day educational intervention which focused on the development of competency in family nursing practice with a particular emphasis on family nursing conversations. The foundational knowledge of the educational intervention was based on the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM). A research design incorporating quantitative and qualitative measurement was used. Before and after the family nursing educational intervention, nurse participants ( n = 18) completed the Families’ Importance in Nursing Care–Nurses’ Attitudes (FINC-NA) instrument. The outcomes were analyzed using paired-samples t tests. FINC-NA scores increased by 6.94 points ( SD = 5.66, p < .001). To complement the quantitative findings, in-depth interviews were conducted with all of the participants. Participants reported increased awareness of the importance of families in nursing care. In addition to an increase in positive attitudes about families, participants perceived that their knowledge and skills regarding family nursing conversations were more comprehensive. A 6-day educational intervention with a focus on reflection appears useful in helping nurses to “think family” and encouraging perceptions of increased competence in family nursing conversations.

An Educational Intervention Incorporating Digital Storytelling to Implement Family Nursing Practice in Acute Care Settings

2020 ◽  
Vol 26 (3) ◽  
pp. 213-228
Author(s):  
Patricia Beierwaltes ◽  
David Clisbee ◽  
Sandra K. Eggenberger
Keyword(s):  
Educational Intervention ◽  
Digital Storytelling ◽  
Nursing Practice ◽  
Acute Illness ◽  
Nursing Knowledge ◽  
Family Nursing ◽  
The Family ◽  
Before And After ◽  
Quasi Experimental ◽  
Digital Stories

This project describes implementation of an educational intervention designed to initiate practice changes that support families and nurses during acute illness. An academic–practice partnership and digital storytelling methodology provided a foundation. A quasi-experimental research design included quantitative and qualitative measurement before and after the educational intervention. Themes identified in digital stories of nurse experiences caring for families provided direction for the educational intervention including the digital stories, empirical evidence, and proposed changes in nursing practice focused on families. Nurse participants ( n = 160) in the educational intervention reported positive responses on a qualitative questionnaire. Comparing pretest and posttest results of the Family Nurse Practice Scale reflected positive, though not significant change. Family members ( n = 49) reported significantly improved perceptions of support on 7 of the 14 items on the Iceland Perceived Family Support Questionnaire. This project highlighted digital storytelling’s power to promote family interventions and move family nursing knowledge into practice.

Implementation and evaluation of a liberalized visiting policy

1996 ◽  
Vol 5 (6) ◽  
pp. 420-426 ◽  
Author(s):  
T Simpson ◽  
D Wilson ◽  
N Mucken ◽  
S Martin ◽  
E West ◽  
...  
Keyword(s):  
Well Being ◽  
Nurse Specialist ◽  
Positive Effects ◽  
Positive Attitudes ◽  
Open Policy ◽  
Level Of Satisfaction ◽  
Before And After ◽  
Unit Function ◽  
Nurses Perceptions ◽  
Visiting Policy

BACKGROUND: Visiting policies have been liberalized in ICUs, but the process and outcome of policy modifications have not been well described. OBJECTIVES: To describe the process by which nurses in one critical care unit modified visiting from a restricted to a liberalized (i.e., modified open) policy, and to evaluate the nurses' perceptions about visiting before and after the policy was liberalized. METHODS: A group of ICU/coronary care unit nurses met to discuss changes in their unit's visiting policy. Before the change was initiated, nurses (N = 36) in the unit were informally surveyed regarding their perceptions and attitudes about visiting. After a 3-month trial of liberalized visiting, in which visiting hours were increased at the discretion of the nursing staff, nurses (N = 32) were surveyed using a questionnaire about their beliefs, attitudes, level of satisfaction, and perceptions of their actual visiting policy. RESULTS: Nurses confirmed that the visiting policy had become liberalized, and they believed that liberalized visiting had positive effects on patients' emotional well-being. Nurses had more positive attitudes about the effects of liberalized visiting on families than on patients and unit function. Most nurses were satisfied with liberalized visiting. However, attitudes differed about how liberalized visiting affected patients' physiological responses or the unit function. CONCLUSIONS: Effective implementation of liberalized visiting depends on assessment of the following: nurses' beliefs, attitudes, and satisfaction about a change toward a more open visiting policy; staff involvement in determining the policy; and nurse manager and clinical nurse specialist support.

Using Pocket PCs for Nurses' Shift Reports and Patient Care

2011 ◽  
pp. 313-329
Author(s):  
Karen Chang ◽  
Kyle D. Lutes ◽  
Melanie L. Braswell ◽  
Jacqueline K. Nielsen
Keyword(s):  
Pilot Study ◽  
Patient Care ◽  
Nursing Care ◽  
Patient Information ◽  
Easy Access ◽  
Access To Information ◽  
Significant Difference ◽  
Pocket Pc ◽  
Before And After ◽  
Nurses Perceptions

Nurses working in hospitals with paper-based systems often face the challenge of inefficiency in providing quality nursing care. Two areas of inefficiency are shiftto- shift communication among nurses, and access to information related to patient care. An integrated IT system, consisting of Pocket PCs and a desktop PC interfaced to a hospital’s mainframe system, was developed. The goal was to use mobile IT to give nurses easier access to patient information. This chapter describes the development of this system and reports the results of a pilot study: a comparison of time spent in taking and giving shift reports before and after the study and nurses’ perceptions of the mobile IT system. Results showed a significant difference in taking shift reports and no significant difference in giving shift reports. Nurses stated that quick and easy access to updated patient information in the Pocket PC was very helpful, especially during mainframe downtime.

Nurses' Perceptions of Using a Pocket PC for Shift Reports and Patient Care

2011 ◽  
pp. 799-810
Author(s):  
Karen Chang
Keyword(s):  
Pilot Study ◽  
Patient Care ◽  
Nursing Care ◽  
Patient Information ◽  
Easy Access ◽  
Access To Information ◽  
Significant Difference ◽  
Pocket Pc ◽  
Before And After ◽  
Nurses Perceptions

Nurses working in hospitals with paper-based systems often face the challenge of inefficiency in providing quality nursing care. Two areas of inefficiency are shift-to-shift communication among nurses and access to information related to patient care. An integrated IT system, consisting of Pocket PCs and a desktop PC interfaced to a hospital’s mainframe system, was developed. The goal was to use mobile IT to give nurses easier access to patient information. This paper describes the development of this system and reports the results of a pilot study: a comparison of time spent in taking and giving shift reports before and after the study and nurses’ perceptions of the mobile IT system. Results showed significant difference in taking shift reports and no significant difference in giving shift reports. Nurses stated that quick and easy access to updated patient information in the Pocket PC was very helpful, especially during mainframe downtime.

scholarly journals Implementation of a training program to increase knowledge, improve attitudes and reduce nursing care omissions towards patients with dementia in hospital settings: a mixed-method study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e030459
Author(s):  
Melina Evripidou ◽  
Anastasios Merkouris ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Observational Study ◽  
Nursing Care ◽  
Training Programme ◽  
Positive Attitudes ◽  
People With Dementia ◽  
Before And After ◽  
Quasi Experimental ◽  
Level Of Knowledge ◽  
Missed Care ◽  
Nurses Knowledge

IntroductionThere is an evidence showing that when nurses have to allocate their time because of a lack of resources, older patients and especially those with dementia have a secondary care priority. The purpose of this study is to advance the level of knowledge, promote positive attitudes of nurses and reduce care deficits towards people with dementia through the implementation of a training programme. The programme will be enriched by an observational study of the care of patients with dementia to identify areas of missed care.Method and analysisThis study will follow a mixed methodology consisting of three stages: (1) evaluation of the level of nurses’ knowledge and attitudes towards dementia care through the use of structured questionnaires, (2) observational study to evaluate nursing care in hospital settings, in order to detect any missed care and (3) quasi-experimental study, with a before-and-after design, through the implementation of the training programme in order to increase nurses’ knowledge, improve attitudes and consequently to promote care for patients with dementia. The data will be analysed with descriptive and inferential statistics with the use of the SPSS V.24.0 and with content analysis as regard to the observational data.Ethics and disseminationThe protocol was approved by the National Bioethics committee and other local committees (ΕΕΒΚ: 2018.01.02). The participants will give their informed consent and the anonymity and confidentiality. Also, the protection of data will be respected. The results of the study will be disseminated in peer-reviewed international journals and conferences. If the intervention is successful, the training package will be given to the continuous education unit of the National Professional Association in order to be used on a regular basis.

Managing Spaghetti Syndrome in Critical Care With a Novel Device: A Nursing Perspective

2015 ◽  
Vol 35 (6) ◽  
pp. 38-45 ◽  
Author(s):  
Jay Haynes ◽  
Kelly Bowers ◽  
Richard Young ◽  
Trudy Sanders ◽  
Karen E. Schultz
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Novel Device ◽  
Frequency Of Contact ◽  
Before And After ◽  
Nurses Perceptions ◽  
Critical Care Patients

Background Managing “spaghetti syndrome,” the tangle of therapeutic cables, tubes, and cords at patients’ bedsides, can be challenging. Objectives To assess nurses’ perceptions of the effectiveness of a novel banding device in management of spaghetti syndrome. Methods A simple color-coded elastomeric banding strap with ribbed flaps was attached to bed rails of adult critical care patients to help organize therapeutic cables, tubes, wires, and cords. Nurses were surveyed before and after use of the bands and after the nursing shift to assess the burden of spaghetti syndrome and the effectiveness of using the bands. Results Use of the bands decreased the time spent untangling cords, reduced the frequency of contact of tubing with the floor, and diminished disruptions in care. Conclusions Use of a simple flexible latex-free elastomeric band may help organize therapeutic tubing at patients’ bedsides and may promote improvements in nursing care.

scholarly journals A questionnaire based study-assessment of knowledge, attitude and practice of pharmacovigilance among health care professionals, pre and post educational intervention

2021 ◽  
Vol 10 (6) ◽  
pp. 638
Author(s):  
Husna Fatima ◽  
Ghulam Subhani ◽  
Mohammed Mohsin ◽  
D. Nageswari Devi
Keyword(s):  
Health Care ◽  
Educational Intervention ◽  
Health Care Professionals ◽  
Training Programme ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Positive Attitudes ◽  
Before And After ◽  
Level Of Knowledge ◽  
Knowledge Attitude And Practice

Background: Pharmacovigilance (PV) is an important tool in generating adverse drug reaction (ADR) data. However, the practice of PV is still very low among health care professionals due to lack of knowledge and awareness. This study was conducted to assess the level of  knowledge, awareness and practice of PV among health care professionals and to assess subsequent change in these after PV training session.Methods: A cross sectional questionnaire based study was conducted among health care professionals of a tertiary health care and teaching institute. Participants were given a questionnaire. They completed it before and after undergoing training programme in PV. Impact of effectiveness of educational intervention (continuing medical education-CME (pharmacovigilance workshop) was evaluated by paired t-test.Results: Out of 110 participants, 96 participants completely filled the questionnaire before and after the educational intervention (CME). CME on PV was found to increase knowledge and positive attitudes towards various aspects of PV.Conclusions: Training programme on PV will help increase the knowledge as well as awareness about principles and techniques of PV and improve the rate of spontaneous ADR reporting. Organising frequent CME programmes and workshops will increase the credibility of health care in the country. 

Melatih Kepemimpinan Perangkat Desa Kebonharjo Kulonprogo: Membangun Sikap Anti Korupsi

2018 ◽  
Vol 1 ◽  
pp. 107
Author(s):  
Adi Heryadi ◽  
Evianawati Evianawati
Keyword(s):  
Transformational Leadership ◽  
Data Collection ◽  
Paired Samples ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
Sample Test ◽  
Corruption Perception ◽  
Measuring Tool

This study aims to prove whether transformational leadership training is effective for building anti-corruption attitudes of villages in Kebonharjo village, subdistrict Samigaluh Kulonprogo. This research is an experimental research with one group pre and posttest design.Subject design is 17 people from village of 21 candidates registered. Measuring tool used in this research is the scale of anti-corruption perception made by the researcher referring to the 9 anti-corruption values with the value of reliability coefficient of 0.871. The module used as an intervention made by the researcher refers to the transformational leadership dimension (Bass, 1990). The data collected is analyzed by statistical analysis of different test Paired Sample Test. Initial data collection results obtained sign value of 0.770 which means> 0.05 or no significant difference between anti-corruption perception score between before and after training. After a period of less than 1 (one) month then conducted again the measurement of follow-up of the study subjects in the measurement again using the scale of anti-corruption perception. The results of the second data collection were analysed with Paired Samples Test and obtained the value of 0.623 sign meaning p> 0.05 or no significant difference between post test data with follow-up data so that the hypothesis of this study was rejected.

Asuhan Keperawatan Keluarga Meningkatkan Kemandirian Merawat Penderita Tuberkulosis

2014 ◽  
Vol 3 (6) ◽  
Author(s):  
Nur Fadhilah
Keyword(s):  
Nursing Care ◽  
P Value ◽  
Family Nursing

Tuberkulosisi (TB) masih masalah utama kesehatan masyarakat di Indonesia. Karena pengobatan memerlukan waktu yang lama maka penderita TB Paru sangat memungkinkan mengalami stress yang cukup berat sehingga selain diperlukan pengobatan secara medis juga diperlukan dukungan sosial dari orang di sekitarnya maupun keluarga. Program pengendalian penyakit TB di Puskkesmas Gadingrejo hanya berfokus kepada pasien saja tanpa melibatkan secara maksimal anggota keluarga yang ada, sehingga hal ini semakin memperparah keadaan pasien. Tujuan penelitian ini adalah mengetahui efektifitas pelaksanaan Askep Keluarga terhadap kemandirian keluarga dengan anggota keluarga penderita TB di wilayah kerja puskesmas Gadingrejo tahun 2014. Metode penelitian adalah kwantitatif dengan rancangan Pra Experimen pendekatan One Group Pretest Postest, alat ukur yang digunakan adalah lembar observasi untuk mengetahui tingkat kemandirian keluarga, analisis data dengan menggunakan uji Wilcoxon. . Hasil penelitian menunjukkan bahwa terdapat pengaruh antara pelaksanaan Askep Keluarga terhadap kemandirian keluarga dengan anggota keluarga penderita the patient's condition. The purpose of this study was to determine the effectiveness of family nursing care to family independence TB dengan nilai Z hitung -3,450 dengan Z table (α=0.05) yaitu -1.96 sehingga Z hitung > Z table. Dengan demikian Ho ditolak dan Ha diterima. Hasil ini juga dapat dijelaskan dari nilai Asymp.sig yaitu 0.000, artinya p value < α (0.000 <0.05). Diharapkan perawat puskesmas dapat menjalankan program Perkesmas sebagai program wajib terutama dalam melakukan pengobatan pasien TB sehingga keluarga akan secara mandiri dapat melakukan perawatan pada anggota keluarga yang terkena TB.

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

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.

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