scholarly journals Hospital nurses’ knowledge regarding older patients: a multicenter study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Christel T. A. J. Derks ◽  
Marjo M. G. M. Hutten - van den Elsen ◽  
Lysette J. Hakvoort ◽  
Mariëlle P. J. van Mersbergen ◽  
Marieke J. Schuurmans ◽  
...  
Keyword(s):  
Nursing Students ◽  
The Netherlands ◽  
Multicenter Study ◽  
Older Patients ◽  
Hospital Nurses ◽  
Ageing Population ◽  
Knowledge And Attitudes ◽  
Knowledge Levels ◽  
The Impact ◽  
Nurses Knowledge

Abstract Background Nursing care in hospitals increasingly involves older adults. A nursing workforce able to care for the ageing population is therefore critical for ensuring quality older adult care. Gaining insight in the knowledge and attitudes of nurses regarding older patients in the Netherlands is needed to develop and increase the impact of education- and quality improvement programs which can positively influence nurses’ knowledge and attitudes regarding older patients. Methods A cross-sectional multicenter study was performed. Data was collected in ten tertiary medical teaching hospitals well spread across the Netherlands (89 wards, 2902 nurses). Knowledge levels were measured using the Knowledge about Older Patient-Quiz (KOP-Q), consisting of 30 true-false questions. Knowledge levels of registered nurses are compared with knowledge levels known from literature of first year nursing students; last year nursing students; nurses; and nurse specialist. Potential associated factors considered were: age; sex; education; experience; opinions and preferences. Opinion and preferences regarding working with older patients were measured by three questions: 1) which patient group nurses preferred to work with; 2) how nurses feel about the increase of older patients in the hospital; and 3) whether nurses find it difficult to care for older patients. Results From all wards, a representative sample of 1743 registered hospital nurses working on all 89 wards participated. On all wards, a large range in knowledge levels is observed between nurses, with 37% of nurses presenting knowledge levels comparable with nursing student and 31% of nurses presenting knowledge levels comparable with nurse specialists. Knowledge is related to age (p < .001), work experiences (p < .001), preparatory secondary education (p < .001) and nurses education level (p = .012). A minority (12.5%) prefers working with older patients and most nurses do not find it difficult. Conclusions This study shows that there is a large diversity in knowledge levels of Dutch hospital nurses in every hospital, on every ward. A majority of nurses demonstrate negative opinions and preferences. This implies that older patients admitted can receive different levels of quality of care on the same day as nurses with different knowledge levels provide care during the various shifts. Findings demonstrate an urgent need for education programs with themes regarding essential care for older patients in the Netherlands.

Assessing baccalaureate nursing students’ knowledge and attitudes of social determinants of health after a health equity simulation

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Quyen Phan ◽  
Naomi Johnson ◽  
JoAnna Hillman ◽  
Daniel Geller ◽  
Laura P. Kimble ◽  
...  
Keyword(s):  
Nursing Students ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Baccalaureate Nursing ◽  
Baccalaureate Nursing Students ◽  
Determinants Of Health ◽  
Marginalized Populations ◽  
Knowledge And Attitudes ◽  
The Impact

AbstractObjectiveFor nursing students, competency in population health management involves acquiring knowledge and forming attitudes about the impact of the social determinants of health (SDoH) on health equity. The purpose of this pilot study was to assess nursing students’ knowledge and attitudes about the SDoH and health equity following a focused simulation activity.MethodBaccalaureate nursing students (N=182) participated in a ninety-minute health equity simulation and a post-simulation debrief. Forty-four students (23%) completed a 19-item post-simulation survey.ResultsSixty-four percent of participants reported positive attitude change in working with marginalized populations caused by the SDoH, and 89% reported being knowledgeable about the role of the registered nurse in addressing health equity. Seventy-five percent reported enhanced knowledge of the SDoH through the health equity simulation.ConclusionUsing health equity simulation may be effective in enhancing students’ knowledge, as well as their attitudes in caring for the health of marginalized populations by addressing the SDoH.

scholarly journals Nursing students and nurses’ knowledge and attitudes regarding children’s pain: A comparative cross-sectional study

PLoS ONE ◽  
2019 ◽  
Vol 14 (10) ◽  
pp. e0223730 ◽  
Author(s):  
Abigail Kusi Amponsah ◽  
Evans Oduro ◽  
Victoria Bam ◽  
Joana Kyei-Dompim ◽  
Collins Kwadwo Ahoto ◽  
...  
Keyword(s):  
Nursing Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Children's Pain ◽  
Nurses Knowledge

scholarly journals Impact of intervention programs on nurses’ knowledge, attitudes, and willingness to take care of patients with human immunodeficiency virus/acquired immunodeficiency syndrome: a descriptive review

Medicina ◽  
2010 ◽  
Vol 46 (3) ◽  
pp. 159 ◽  
Author(s):  
Vida Mockienė ◽  
Tarja Suominen ◽  
Maritta Välimäki ◽  
Artūras Razbadauskas
Keyword(s):  
Human Immunodeficiency Virus ◽  
Acquired Immunodeficiency Syndrome ◽  
Intervention Programs ◽  
Cochrane Library ◽  
Knowledge And Attitudes ◽  
Immunodeficiency Virus ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome ◽  
The Impact ◽  
Nurses Knowledge

Objective. This paper reviews the current literature on intervention programs designed to improve nurses’ knowledge and attitudes to human immunodeficiency virus/acquired immunodeficiency syndrome and their willingness to take care of patients with human immunodeficiency virus/acquired immunodeficiency syndrome. It also explores the impact of these intervention programs. Materials and methods. The MEDLINE and Pubmed, Science Direct, Cochrane Library, EbscoHost, ERIC databases were searched for relevant English-language citations between 1997 and 2007 using the following search terms: human immunodeficiency virus/acquired immunodeficiency syndrome, nurse, intervention, teaching, education, knowledge, attitude, and willingness. Relevant articles were retrieved, reviewed, and assessed. A total of 16 articles were considered appropriate and selected for content analysis. Results. We identified articles that reported on intervention programs to improve nurses’ knowledge and attitudes and their willingness to take care of patients with human immunodeficiency virus/ acquired immunodeficiency syndrome. Eight of the intervention studies included lectures among their methods of educational intervention. The nurse sample sizes (n) ranged from 12 to 552. Many of the studies involved one experimental/intervention group and one control group. The intervention programs varied in terms of their methodological rigor. Almost all reported one or more statistically significant effects. Conclusions. The review highlights the need for well-designed, methodologically sound research on outcomes of nursing education. Future studies should examine not only the short-term effectiveness of intervention programs in terms of changing attitudes and increasing willingness to care, but also their impact in the longer term.

scholarly journals The global challenge of ageing population – Part II: the impact on health services, and the optimum healthcare strategy for older patients

2019 ◽  
Author(s):  
Ian Sammy ◽  
Joanne Paul ◽  
Arvind Ramnarine ◽  
Joseph Ramdhanie
Keyword(s):  
Health Services ◽  
Acute Care ◽  
Older Patients ◽  
Population Ageing ◽  
World Health ◽  
Ageing Population ◽  
Electronic Search ◽  
Study Results ◽  
The World ◽  
The Impact

Objectives: Analysis of data from the World Health Organization over the past 50 years, has demonstrated a transition towards population ageing globally. This has a significant impact on acute care services as well as on the approach to patient care in the acute setting. Methods: A narrative review of the literature was undertaken using Medline, CINAHL and the Cochrane Database, supplemented by manual searches of the literature, and further guided by the reference lists of relevant papers identified in the electronic search. No restriction was placed on the type of paper to be included in the study. Results: The initial electronic search of the three databases included 239 papers, of which 87 were found to be relevant and included in this review. Among the papers included were those which described the unique challenges posed by the ageing population, proposed modifications to the delivery of health services and recommended adaptations in the approach to older patients in the acute care setting. Conclusion: Population ageing is a significant global phenomenon, affecting both developed and developing regions of the world. More work is needed, particularly in the developing world, to better understand the impact of ageing on our population.

62 Geriatric Surgical Liaison Staff Perspectives of Geriatric Care Before and After Introduction of An Embedded Service

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i18-i20
Author(s):  
K Shah ◽  
R Kyzy ◽  
H Pittaway
Keyword(s):  
Older Patients ◽  
Discharge Planning ◽  
Adverse Outcomes ◽  
Ageing Population ◽  
Emergency Setting ◽  
Complication Rates ◽  
Before And After ◽  
Key Indicators ◽  
The Impact ◽  
Multi Disciplinary Team

Abstract Introduction National evidence demonstrates that older people having surgery, both in the elective and emergency setting, have more adverse outcomes postoperatively when compared with their younger counterparts (1). National reports have recommended daily input from a geriatric team for older patients having surgery (2). At our hospital we have introduced a geriatric surgical liaison consultant as a formal post to ensure daily geriatric input or review for patients over the age of 70 or comorbid younger patients as requested. The aim of this study was to review perspectives across the multi-disciplinary team on care provided to these patients before and after introduction of the surgical liaison team. Methods We created a 10 part questionnaire, which was distributed amongst all members of the multi-disciplinary team, asking them to rate confidence out of 10 in management of comorbidity, polypharmacy, discharge planning, pain assessments and nutrition. These data were then analysed to produce median scores for each category before and after the introduction of the service. We compared the change in scores between the foundation year 1 (FY1) doctors and the remainder of the respondents. Results The below table demonstrates the median scores across all 36 respondents in their confidence with the assessment and management of the 10 key domains before and after the liaison service was introduced: Conclusions Universally within our survey, staff reported improvement in all 10 key indicators of care of older patients on surgery with the introduction of a geriatric surgical liaison team. Greatest benefit was seen within the FY1 group. References 1. McVeigh TP, Al-Azawi D, O'Donoghue GT, Kerin MJ. Assessing the impact of an ageing population on complication rates and in-patient length of stay, Int J Surg, 2013, vol. 11 (pg. 872–5). 2. Wilkinson K. An age old Problem: A Review of the Care Received by Elderly Patients Undergoing Surgery: A Report by the National Confidential Enquiry Into Patient Outcome and Death. London, 2010.

007 The impact of demographic changes on the presentation and outcome of stroke: experiences of the oldest old in the murrumbidgee region

2018 ◽  
Vol 89 (6) ◽  
pp. A4.2-A4
Author(s):  
Alice Powell ◽  
Paul Finucane ◽  
Martin Jude ◽  
Jenna Mewburn ◽  
Katherine Mohr ◽  
...  
Keyword(s):  
Functional Status ◽  
Older Patients ◽  
Oldest Old ◽  
Residential Aged Care ◽  
Ageing Population ◽  
Demographic Changes ◽  
Stroke Treatment ◽  
Demographic Groups ◽  
The Future ◽  
The Impact

IntroductionDemographic changes are leading to an ageing population with a disproportionate increase in the oldest old. Stroke is a leading cause of death and disability in Australia and is particularly prevalent in the elderly. The Murrumbidgee region has a population profile that is 14 years ahead of national Australia and therefore data from this population portends how stroke may present nationally in the future. Existing research suggests that stroke risk factors, subtype, treatment provided and outcomes differ between younger and older demographic groups. This study seeks to build a profile of the experiences of stroke in the oldest old and compare variables with two younger cohorts to test a number of hypotheses about background, treatment and outcomes.MethodsData was collected retrospectively from the electronic medical records of 100 stroke patients consecutively admitted to the Wagga Wagga Rural Referral Hospital Acute Stroke Unit. They were split into three demographic groups; young old, 65–74 old (75 to 84) and oldest old (85 and older) and comparisons were made of baseline functional status and risk factor profile, stroke type, stroke treatment and outcomes.ResultsOlder people admitted with stroke were more likely to be female with poorer premorbid functional status and higher numbers living in residential care. Atrial fibrillation (p=0.008) and hypertension (p=0.01) were significantly more common with advancing age while rates of smoking (p=0.006) were higher in younger patients. Stroke mechanism was predominantly cardioembolic in older patients and embolic stroke of undetermined source (ESUS) in the youngest group. Stroke severity and stroke treatment did not vary according to age. However, outcomes were poorer with rates of dependency (p=0.03) and residential aged care facility placement (p=0.06) increased among older patients post stroke.ConclusionThese data provide an indication of how stroke may manifest in our ageing population in the future.

scholarly journals Nurses’s knowledge and attitude in facing potential landslide disasters

2021 ◽  
Vol 4 (4) ◽  
pp. 264
Author(s):  
Dwi Wahyu Sani S Karenhadi ◽  
Indah Dwi Pratiwi ◽  
Risa Herlianita ◽  
Indri Wahyuningsih
Keyword(s):  
Emergency Response ◽  
Rural Community ◽  
Disaster Preparedness ◽  
Community Health Center ◽  
Knowledge And Attitudes ◽  
The Face ◽  
Knowledge And Attitude ◽  
Rural Community Health ◽  
The Impact ◽  
Nurses Knowledge

Landslide is one of the natural disasters which cause not only infrastructure damage but also death. Nurses have a role in disaster management at the phase of mitigation to rehabilitation during landslide disasters.  This study is aimed to analyze nurses' knowledge and attitudes in the face of future landslide disasters. A quantitative method with a descriptive design was used in the study. The respondents in this study were 20 nurses who work at one rural community health center in Malang. Data were collected using a questionnaire. From the current research, most respondents had been involved in disaster emergency response activities (85%), had good knowledge (75%), and all nurses (100%) had a positive attitude towards landslide disaster preparedness. From this current study, nurses' knowledge and attitudes towards preparedness for facing landslides might be essential to build more awareness among nurses in preparing the community in facing landslides; thus, the impact of the disaster could be decreased.

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