Registered nurses’ experiences of providing respiratory care in relation to hospital- acquired pneumonia at in-patient stroke units: a qualitative descriptive study

Abstract Objective This study aimed to describe registered nurses’ (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units. Background One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs’ experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing. Design A qualitative descriptive study. Method Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis. Results Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke. Conclusions The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs’ knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.

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Remoção de órgãos sólidos para transplante: protocolo para a enfermagem

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240837 ◽

2019 ◽

Vol 13 ◽

Author(s):

Edna Andréa Pereira de Carvalho ◽

Shirlei Moreira da Costa Faria ◽

Natália Ribeiro Ramos ◽

Karla Rona da Silva

Keyword(s):

Nursing Care ◽

Professional Competence ◽

Descriptive Study ◽

Quality And Safety ◽

Clinical Protocols ◽

Structured Interviews ◽

Validity Index ◽

Organ Removal ◽

Qualitative Descriptive ◽

Adults And Children

Objetivos: elaborar um instrumento na modalidade de protocolo que permita a uniformidade das ações de Enfermagem em remoção de órgãos sólidos para transplantes. Método: trata-se de estudo qualitativo, descritivo, com foco na construção de um instrumento tecnológico do tipo protocolo, respeitando-se as seguintes etapas: revisão integrativa; coleta de dados por meio de entrevistas semiestruturadas; apreciação dos dados por meio da Análise de Conteúdo; elaboração da proposta de protocolo e utilização do Índice de Validade do Conteúdo para a validação. Resultados esperados: espera-se disponibilizar, para os centros transplantadores, um protocolo que auxilie o enfermeiro na sistematização das ações de Enfermagem em cirurgias de remoção de órgãos para transplantes, contribuindo para a qualidade e segurança da assistência prestada a adultos e crianças submetidos a transplantes. Descritores: Protocolos Clínicos; Cuidados de Enfermagem; Transplante de Órgãos; Aloenxerto; Competência Profissional; Fluxo de Trabalho. ABSTRACT Objectives: to elaborate an instrument in the protocol modality that allows uniformity of Nursing actions in the removal of solid organs for transplants. Method: this is a qualitative, descriptive study, focusing on the construction of a protocol-type technological instrument, respecting the following steps: integrative review; data collection through semi-structured interviews; data appreciation through Content Analysis; elaboration of the protocol proposal and use of the Content Validity Index for validation. Expected results: It is expected to make available to transplantation centers a protocol that assists nurses in the systematization of Nursing actions in transplantation organ removal surgeries, contributing to the quality and safety of care provided to adults and children undergoing transplantation. Descriptors: Clinical Protocols; Nursing Care; Organ Transplantation; Allografts; Professional Competence; Workflow.RESUMEN Objetivos: elaborar un instrumento en la modalidad de protocolo que permita la uniformidad de las acciones de enfermería en la extracción de órganos sólidos para trasplante. Método: se trata de un estudio cualitativo, descriptivo, centrado en la construcción de un instrumento tecnológico de tipo protocolo, respetando los siguientes pasos: revisión integradora; recopilación de datos a través de entrevistas semiestructuradas; apreciación de datos a través del Análisis de Contenido; elaboración de la propuesta de protocolo y uso del índice de validez de contenido para la validación. Resultados esperados: se espera que se ponga a disposición para los centros de trasplante, un protocolo que ayude el enfermero en la sistematización de las acciones de Enfermería en cirugías de extracción de órganos de trasplante, contribuyendo para la calidad y seguridad de la atención prestada en adultos y niños sometidos a trasplantes. Descriptores: Protocolos Clínicos; Atención de Enfermería; Transplante de Órganos; Aloinjertos; Competencia Profesional; Flujo de Trabajo.

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Acute Stroke Units in Austria Are Being Set Up on a National Level Following Evidence-Based Recommendations and Structural Quality Criteria

Cerebrovascular Diseases ◽

10.1159/000068211 ◽

2003 ◽

Vol 15 (1) ◽

pp. 29-32 ◽

Cited By ~ 15

Author(s):

Michael Brainin ◽

Michaela Steiner

Keyword(s):

Acute Stroke ◽

National Level ◽

Quality Criteria ◽

Structural Quality ◽

Evidence Based ◽

Stroke Units ◽

Set Up

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CHALLENGES FOR PRIMARY HEALTHCARE PROFESSIONALS IN CARING FOR WOMEN WITH POSTPARTUM DEPRESSION

Texto & Contexto - Enfermagem ◽

10.1590/0104-0707201500049-14 ◽

2015 ◽

Vol 24 (3) ◽

pp. 706-712 ◽

Cited By ~ 1

Author(s):

Bianca de Macêdo Meira ◽

Pauliany Alencar de Souza Pereira ◽

Maria de Fátima Araújo Silveira ◽

Dulce Maria Rosa Gualda ◽

Hudson Pires Oliveira Santos Jr

Keyword(s):

Postpartum Depression ◽

Practice Guidelines ◽

Primary Healthcare ◽

Postpartum Period ◽

Field Observation ◽

Healthcare Professionals ◽

Descriptive Study ◽

Structured Interview ◽

Evidence Based ◽

Qualitative Descriptive

ABSTRACT The aim of this study was to explore the challenges for primary healthcare professionals in caring for women with postpartum depression, in order to learn which tools are used for the identification of these women, as well as ways of working to restore their health. This qualitative descriptive study was conducted in healthcare units in Campina Grande, Paraíba. Data were collected by field observation and a semi-structured interview, which was administered to 16 healthcare professionals. The results describe healthcare professionals' difficulties in identifying and treating women with postpartum depression, because of the limited focus on physiological developmental aspects of gestation and postpartum. The professionals reported limited knowledge on how to assess emotional changes related to the postpartum period. Primary healthcare professionals need to be educated to identify and treat women with postpartum depression, and practice guidelines and protocols must be established to guide evidence-based practice.

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Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study

Nordic Journal of Nursing Research ◽

10.1177/2057158520941753 ◽

2020 ◽

Vol 40 (3) ◽

pp. 151-161

Author(s):

Mats Holmberg ◽

Staffan Hammarbäck ◽

Henrik Andersson

Keyword(s):

Mental Illness ◽

Registered Nurses ◽

Emergency Care ◽

Descriptive Study ◽

Main Theme ◽

Patient Assessment ◽

Hospital Emergency ◽

Self Confidence ◽

Qualitative Descriptive ◽

Existential Dimension

Patients with mental illness are exposed and experience themselves as not being taken seriously in emergency care. Registered nurses need to assess patients with mental illness from a holistic perspective comprising both a physical and an existential dimension. The aim of the study was to describe registered nurses’ (RNs) experiences of assessing patients with mental illness in emergency care. Twenty-eight RNs in prehospital and in-hospital emergency care were individually interviewed. The interviews were analysed descriptively. The design followed the COREQ-checklist. One main theme ‘A conditional patient assessment’ and two themes; ‘A challenged professional role’ and ‘A limited openness for the patient’, comprising in turn four sub-themes emerged. Although the RNs showed willingness to understand the mental illness aspects of their patients, they were insufficient in their assessments. This implies the importance of developing emergency care RNs’ competence, knowledge and self-confidence in assessments and care of patients with mental illness.

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Educating change agents: a qualitative descriptive study of graduates of a Master’s program in evidence-based practice

BMC Medical Education ◽

10.1186/s12909-016-0597-1 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 3

Author(s):

Grete Oline Hole ◽

Sissel Johansson Brenna ◽

Birgitte Graverholt ◽

Donna Ciliska ◽

Monica Wammen Nortvedt

Keyword(s):

Evidence Based Practice ◽

Change Agents ◽

Descriptive Study ◽

Evidence Based ◽

Master's Program ◽

Qualitative Descriptive

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PP033-SUN ENSURING OPTIMAL NUTRITION IN ACUTE STROKE UNITS – DEVELOPMENT OF AN EVIDENCE-BASED NATIONAL PRACTICE GUIDELINE

Clinical Nutrition Supplements ◽

10.1016/s1744-1161(12)70085-6 ◽

2012 ◽

Vol 7 (1) ◽

pp. 38

Author(s):

M. Karaliute ◽

M.T. Børvik ◽

H. Nilssen ◽

I. Rasmussen ◽

B. Skille ◽

...

Keyword(s):

Acute Stroke ◽

Practice Guideline ◽

Evidence Based ◽

Stroke Units ◽

National Practice

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Healthcare professional views on barriers to implementation of evidence-based practice in prevention of ventilator-associated events: A qualitative descriptive study

Intensive and Critical Care Nursing ◽

10.1016/j.iccn.2021.103133 ◽

2021 ◽

pp. 103133

Author(s):

Auxillia Madhuvu ◽

Ruth Endacott ◽

Virginia Plummer ◽

Julia Morphet

Keyword(s):

Healthcare Professional ◽

Evidence Based Practice ◽

Descriptive Study ◽

Evidence Based ◽

Qualitative Descriptive ◽

Barriers To Implementation

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School Nursing EBP Clinical Guidelines: What They Are and Are Not, and Why They Matter

NASN School Nurse ◽

10.1177/1942602x17753602 ◽

2018 ◽

Vol 33 (2) ◽

pp. 104-105 ◽

Cited By ~ 3

Author(s):

Robin Adair Shannon

Keyword(s):

Registered Nurses ◽

Nursing Care ◽

Clinical Guidelines ◽

Nursing Practice ◽

Evidence Based Practice ◽

School Nursing ◽

Evidence Based ◽

High Quality ◽

Quality School

Quality school nursing practice should be evidence-based. However registered nurses in autonomous school nursing practice have limited capacities to access, synthesize, and implement the best evidence into practice. Clinical guidelines are important tools to reduce barriers to evidence-based practice (EBP) and support the delivery of high-quality school nursing care. The purpose of this article is to outline what EBP clinical guidelines are, are not, and why they matter.

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Problematizing the multidisciplinary residency in oncology: a practical teaching protocol from the perspective of nurse residents

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000400019 ◽

2014 ◽

Vol 48 (4) ◽

pp. 706-714 ◽

Cited By ~ 3

Author(s):

Myllena Cândida de Melo ◽

Gisella de Carvalho Queluci ◽

Mônica Villela Gouvêa

Keyword(s):

Content Analysis ◽

Nursing Care ◽

Evaluation Process ◽

Descriptive Study ◽

Problem Situations ◽

Qualitative Descriptive ◽

Three Stages ◽

Practical Teaching

Objective: To investigate practical teaching of nurse residents in a multidisciplinary residency in oncology. Method: A qualitative descriptive study grounded in the problematization methodology and its steps, represented by the Maguerez Arch. Data were analyzed using content analysis. Results: Potentiating and limiting elements of the residency guided the design of a practical teaching protocol from the perspective of residents, structured in three stages: Welcoming and ambience; Nursing care for problem situations; and, Evaluation process. Conclusion: Systematization of practical teaching promoted the autonomy of individuals and the approximation of teaching to reality, making residency less strenuous, stressful and distressing.  

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