scholarly journals The Human Cost of 'Caring' Care for Registered Nurses in Clinical Practice

2021 ◽  
Author(s):  
◽  
Sylvia Margaret Shona Blair
Keyword(s):  
Clinical Practice ◽  
Registered Nurses ◽  
Public Hospital ◽  
Elderly Population ◽  
Nursing Practice ◽  
Clinical Settings ◽  
Health Reforms ◽  
The Core ◽  
Human Cost ◽  
The Impact

<p>This research utilised a focus group methodology to discover what nurses in clinical practice considered 'caring' care meant for them. Six registered nurses volunteered to participate in the project. They practised over a variety of clinical settings within a public hospital, which provided both acute and elective surgical and medical services to the community, including an extensive elderly population.  Taking these important 'caring' care statements, I then explored with the group what factors in their work environment hindered or enhanced their identified 'caring' care. New Zealand nurses identified similar themes and concepts important to their 'caring' in clinical practice as did their overseas counterparts.  This study also highlighted the impact the health reforms had on individual clinical practice at this hospital. The effects of the institutional changes in response to the health reforms were far reaching at both a personal and professional level.  Caring is an important concept found in nursing practice. It has been widely documented by nurse scholars, researchers and nurse authors that care is at the core of nursing practice. Some have even referred to care as being the heart of nursing. The findings from the present research indicates the importance nurses place on caring in their day to day encounters with patients. It also demonstrates how nurses express their care and their perceptions of the importance care has in their clinical practice.</p>

scholarly journals The Human Cost of 'Caring' Care for Registered Nurses in Clinical Practice

2021 ◽  
Author(s):  
◽  
Sylvia Margaret Shona Blair
Keyword(s):  
Clinical Practice ◽  
Registered Nurses ◽  
Public Hospital ◽  
Elderly Population ◽  
Nursing Practice ◽  
Clinical Settings ◽  
Health Reforms ◽  
The Core ◽  
Human Cost ◽  
The Impact

<p>This research utilised a focus group methodology to discover what nurses in clinical practice considered 'caring' care meant for them. Six registered nurses volunteered to participate in the project. They practised over a variety of clinical settings within a public hospital, which provided both acute and elective surgical and medical services to the community, including an extensive elderly population.  Taking these important 'caring' care statements, I then explored with the group what factors in their work environment hindered or enhanced their identified 'caring' care. New Zealand nurses identified similar themes and concepts important to their 'caring' in clinical practice as did their overseas counterparts.  This study also highlighted the impact the health reforms had on individual clinical practice at this hospital. The effects of the institutional changes in response to the health reforms were far reaching at both a personal and professional level.  Caring is an important concept found in nursing practice. It has been widely documented by nurse scholars, researchers and nurse authors that care is at the core of nursing practice. Some have even referred to care as being the heart of nursing. The findings from the present research indicates the importance nurses place on caring in their day to day encounters with patients. It also demonstrates how nurses express their care and their perceptions of the importance care has in their clinical practice.</p>

scholarly journals Supervising students in a complex nursing practice- a focus group study in Norway

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ann-Chatrin Leonardsen ◽  
Siri Brynhildsen ◽  
Mette Tindvik Hansen ◽  
Vigdis Abrahamsen Grøndahl
Keyword(s):  
Intellectual Disability ◽  
Clinical Practice ◽  
Registered Nurses ◽  
Nursing Student ◽  
Nursing Practice ◽  
Technical Skills ◽  
Healthcare Services ◽  
Clinical Settings ◽  
Focus Group Study ◽  
Group Interviews

Abstract Background The supervisory role of registered nurses and intellectual disability nurses will be even more essential in the future, to support the education of competent newly graduated candidates. To our knowledge few studies have explored nursing student supervisors’ perspectives on supervision across primary- and hospital healthcare services and also across nurse educational programs. The aim of the current study was to investigate supervisors’ perspectives on supervising from different clinical settings, and across registered nurses’ and intellectual disability nurses’ clinical practice. Methods The study had an exploratory and descriptive design. The study was conducted within one university college catchment area in Southeastern-Norway. Eight focous group interviews were conducted in primary healthcare (n = 4) and hospital (n = 4) wards. A total of 31 registered nurses and three intellectual disability nurses participated. Hsieh and Shannon’s conventional content analysis was used to analyze the data. Results Participants across primary- and hospital healthcare agreed that clinical practice was complex, and required that students gained competence in both technical and non-technical skills. Moreover, needed skills were described both as general and arena specific, and as both basic and advanced. Participants perceived that technical and non-technical skills together, ideally should lead to students being able to «see the person» behind the patient. Conclusions Supervisors emphasized the challenges of supervising students in a complex nursing practice. Students should gain both procedural competence and an ability to provide person-centred care, and this challenged the supervisors’ own competence. Our findings indicate a need to support supervisors, to enable them to meet these challenges.

An integrative review of the role of registered nurses in remote and isolated practice

2010 ◽  
Vol 34 (2) ◽  
pp. 239 ◽  
Author(s):  
Meaghan Coyle ◽  
Mohammad A. Al-Motlaq ◽  
Jane Mills ◽  
Karen Francis ◽  
Melanie Birks
Keyword(s):  
Registered Nurses ◽  
Burden Of Disease ◽  
Nursing Practice ◽  
Grey Literature ◽  
South Australia ◽  
Remote Areas ◽  
Primary Health ◽  
The Impact ◽  
Conditions Of Work

Objective.To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice. Data sources.A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions). Data synthesis.The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care. Conclusions.Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed. What is known about the topic?Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice; however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities. What does this paper add?This review describes the diverse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role. What are the implications for practitioners?National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.

The Experience of Nursing Students Who Make Mistakes in Clinical

2015 ◽  
Vol 12 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Mark Pijl Zieber ◽  
Beverley Williams
Keyword(s):  
Nursing Education ◽  
Clinical Practice ◽  
Nursing Students ◽  
Nursing Practice ◽  
Theory Approach ◽  
Undergraduate Nursing Students ◽  
The Core ◽  
Undergraduate Nursing ◽  
Grounded Theory Approach ◽  
Core Variable

AbstractThe experience of nursing students who make mistakes during clinical practice is poorly understood. The literature identifies clinical practice mistakes as a significant issue in nursing practice and education but there is very little research on the topic. This study used a grounded theory approach to explore the experience of undergraduate nursing students who had made at least one mistake in their clinical practice. What emerged is a theory that illuminates the process of how students move through the positive and negative elements of the mistake experience the core variable that emerged from the study was “living through the mistake experience.” The mistake experience was clearly a traumatic process for nursing students and students reported feeling unprepared and lacking the capability to manage the mistake experience. A number of recommendations for nursing education are proposed.

scholarly journals What is said and unspoken about the autonomy of a nurse: (dis) continuity in discourses

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Sabrina Gonçalves Aguiar Soares ◽  
Silviamar Camponogara ◽  
Mara Ambrosina de Oliveira Vargas
Keyword(s):  
Working Conditions ◽  
Professional Practice ◽  
Public Hospital ◽  
Analytical Study ◽  
Nursing Practice ◽  
The Political ◽  
Southern Brazil ◽  
Know How ◽  
The Core ◽  
Empirical Material

ABSTRACT Objective: to know how autonomy is constituted in the nurse’s professional practice in the hospital context. Methods: Qualitative analytical study, based on Foucault’s methodological theoretical framework. The empirical material consisted of articles published in the Revista Brasileira de Enfermagem and narrative interviews conducted with 18 nurses from a public hospital in southern Brazil. Data collection took place between December 2017 and May 2018, being analyzed through Foucauldian discourse analysis. Results: Autonomy in the professional practice of nurses goes through the core of knowledge, the political positioning and the working conditions. These factors are revealed as power instruments in the construction of nurse governability. Final Considerations: It is believed that the investment focused on the debate of the nurse’s autonomy interfaces could raise new attitudes about professional practice and favor the transformation of nursing practice.

scholarly journals Structural basis for plazomicin antibiotic action and resistance

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Tolou Golkar ◽  
Angelia V. Bassenden ◽  
Krishnagopal Maiti ◽  
Dev P. Arya ◽  
T. Martin Schmeing ◽  
...  
Keyword(s):  
Mrna Translation ◽  
Structural Data ◽  
Structural Basis ◽  
Clinical Settings ◽  
Mechanisms Of Resistance ◽  
The Core ◽  
Clinical Resistance ◽  
A Site ◽  
The Impact ◽  
Structural Insights

AbstractThe approval of plazomicin broadened the clinical library of aminoglycosides available for use against emerging bacterial pathogens. Contrarily to other aminoglycosides, resistance to plazomicin is limited; still, instances of resistance have been reported in clinical settings. Here, we present structural insights into the mechanism of plazomicin action and the mechanisms of clinical resistance. The structural data reveal that plazomicin exclusively binds to the 16S ribosomal A site, where it likely interferes with the fidelity of mRNA translation. The unique extensions to the core aminoglycoside scaffold incorporated into the structure of plazomicin do not interfere with ribosome binding, which is analogously seen in the binding of this antibiotic to the AAC(2′)-Ia resistance enzyme. The data provides a structural rationale for resistance conferred by drug acetylation and ribosome methylation, i.e., the two mechanisms of resistance observed clinically. Finally, the crystal structures of plazomicin in complex with both its target and the clinically relevant resistance factor provide a roadmap for next-generation drug development that aims to ameliorate the impact of antibiotic resistance.

scholarly journals Implementation of reflective practice programme for registered nurses

2015 ◽  
Vol 4 (2) ◽  
pp. 115
Author(s):  
Lucia N. Nelumbu
Keyword(s):  
Internal Medicine ◽  
Clinical Practice ◽  
Registered Nurses ◽  
Reflective Practice ◽  
Active Participation ◽  
Routine Activities ◽  
Daily Routine ◽  
Clinical Settings ◽  
Gynecology And Obstetrics

<p>The researcher was convinced that the development of a programme is the good idea that will enhance the proper application of reflective practice in clinical settings for nurses not simply to perform daily routine activities without paying attention to reflection. The developed programme was implemented through a two-day workshop.  Therefore, the researcher considered the workshop to be an ideal strategy for implementation, because reflection can only be facilitated and practiced through active participation. The participants were drawn from various disciplines such as: Paediatrics, Surgery, Gynecology and Obstetrics and Internal Medicine. The facilitator explained the purpose of the workshop and the rules to be followed during the workshop. The content of the programme was presented and discussed during the specific sessions as it was scheduled. After the sessions, the participants were informed that they have to go back and apply what they learned from the workshop during their clinical practice for three months. And after three months the facilitator together with the participants contacted the evaluation of the application of the content of the programme.</p>

scholarly journals Special Report on the Impact of the COVID-19 Pandemic on Clinical EEG and Research and Consensus Recommendations for the Safe Use of EEG

2020 ◽  
Vol 52 (1) ◽  
pp. 3-28
Author(s):  
Salvatore Campanella ◽  
Kemal Arikan ◽  
Claudio Babiloni ◽  
Michela Balconi ◽  
Maurizio Bertollo ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Best Practices ◽  
Social Distance ◽  
Clinical Settings ◽  
Special Report ◽  
International Panel ◽  
Continued Use ◽  
Eeg Recordings ◽  
The Impact ◽  
Clinical Eeg

Introduction The global COVID-19 pandemic has affected the economy, daily life, and mental/physical health. The latter includes the use of electroencephalography (EEG) in clinical practice and research. We report a survey of the impact of COVID-19 on the use of clinical EEG in practice and research in several countries, and the recommendations of an international panel of experts for the safe application of EEG during and after this pandemic. Methods Fifteen clinicians from 8 different countries and 25 researchers from 13 different countries reported the impact of COVID-19 on their EEG activities, the procedures implemented in response to the COVID-19 pandemic, and precautions planned or already implemented during the reopening of EEG activities. Results Of the 15 clinical centers responding, 11 reported a total stoppage of all EEG activities, while 4 reduced the number of tests per day. In research settings, all 25 laboratories reported a complete stoppage of activity, with 7 laboratories reopening to some extent since initial closure. In both settings, recommended precautions for restarting or continuing EEG recording included strict hygienic rules, social distance, and assessment for infection symptoms among staff and patients/participants. Conclusions The COVID-19 pandemic interfered with the use of EEG recordings in clinical practice and even more in clinical research. We suggest updated best practices to allow safe EEG recordings in both research and clinical settings. The continued use of EEG is important in those with psychiatric diseases, particularly in times of social alarm such as the COVID-19 pandemic.

Developing and implementing a Radiotherapy Research Activity Assessment Tool (RAAT): a prospective feasibility study

2016 ◽  
Vol 15 (3) ◽  
pp. 223-231
Author(s):  
Simon Goldsworthy ◽  
Benjamin Roe ◽  
Stuart McGrail ◽  
Stephen McCormack ◽  
Julie Walther
Keyword(s):  
Cancer Research ◽  
Clinical Practice ◽  
Quality Function Deployment ◽  
Assessment Tool ◽  
Clinical Settings ◽  
Research Activity ◽  
Activity Assessment ◽  
User Friendly ◽  
The Impact

AbstractAimCancer research in the National Health Service has increased by 10·5% in 3 years since the formation of the National Cancer Research networks in 2000. The initial enthusiasm from clinical staffs to embark on a project has to be balanced against the implications of resources, costs and other developments. There is no standardised method to assess the impact of research projects on clinical practice. The aim of this project was to develop and implement a Radiotherapy Research Activity Assessment Tool (RAAT) to assess the feasibility of newly proposed projects within clinical settings.Methods and materialsA multi-step development method was used. The steps involved the principles of quality function deployment. The consecutive steps involved developing a user-friendly and replicable tool and would fit on one A4 page. The process involved multi-professionals and patients throughout the design process. The tool was preliminary tested on usability among eight stakeholders on a ten-point scale (1=poor; 10=very good). Percentage agreement was evaluated at 6 month post initial RAAT assessment scoring by the seven multi-disciplinary team (MDT) members.FindingsThe RAAT was developed in an e-form available in Microsoft Excel. The tool scored a mode of 6 for usability. Interrater reliability testing between the radiotherapy MDT resulted in 88% agreement. The RAAT seems to be feasible in clinical practice, and provide a framework to guide the decision-making process. The study calls for further testing of usability and review of long-term implications on all stakeholders.

scholarly journals Reflective practice programme for registered nurses in training hospitals in Windhoek

2015 ◽  
Vol 4 (2) ◽  
pp. 94 ◽  
Author(s):  
Lucia N. Nelumbu
Keyword(s):  
Clinical Practice ◽  
Registered Nurses ◽  
Reflective Practice ◽  
Nursing Care ◽  
Educational Programme ◽  
Clinical Settings ◽  
Contextual Approach ◽  
Inadequate Knowledge ◽  
Practice Skills

<p>Problems or incidents occurring in clinical settings are often seen as indicators of poor nursing care and even indicators of a lack of reflective practice skills. A qualitative, explorative, phenomenological, descriptive and contextual approach was conducted to explore and describe how reflective practice is practised by registered nurses in training hospitals in Windhoek. The findings revealed inadequate knowledge of reflective practice among registered nurses. Based on these findings the educational programme was developed to facilitate learning and application of reflective practice in clinical practice. This paper presents the description of an educational programme that was developed to facilitate learning and practice of reflective practice by registered nurses to make a difference to their patients’ care.</p>

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