Application of a Nursing Care Protocol Based on King's Theory of Goal Attainment: a Pre-Experimental Study

2021 ◽  
Vol 15 (12) ◽  
pp. 3481-3484
Author(s):  
Smitha Sunny Joseph ◽  
Reshmy Ann George ◽  
Reny Jose ◽  
Bindhu Sebastian
Keyword(s):  
Nursing Education ◽  
Conceptual Framework ◽  
Registered Nurses ◽  
Nursing Care ◽  
Goal Attainment ◽  
Conceptual System ◽  
Intravenous Therapy ◽  
Care Protocol ◽  
Significant Difference ◽  
Knowledge And Practice

Objective: Peripheral Intravenous catheterization is a common clinical procedure that demands a high level of nursing competency. This study intends to assess the effect of nursing care protocol for peripheral intravenous therapy on knowledge and practice of registered nurses and the association between pretest knowledge scores and selected socio-demographic variables using King’s conceptual framework and Goal Attainment Theory. Methodology: One group- pretest-posttest design, was used with self - reports and observation methods to collect knowledge and practice data from 30 registered nurses selected by simple random sampling (lottery method). Structured questionnaire and checklist based on personal, interpersonal, and social system of king’s conceptual system was used to assess the knowledge and practice of registered nurses, respectively. Results: Even though 30% of the nurses had attended previous continuing education on peripheral intravenous therapy, only 3.3% had very good knowledge. There was a significant difference in the knowledge and practice after implementation of the nursing care protocol. The pre-test knowledge scores have association with attendance in previous continuing nursing education. Conclusion: Study findings reveals the advantages of protocol development and improved knowledge and practice of nurses, which in turn obviously increase the health status of the patients and quality index of the hospital. Recommendation: The novice nurses can be educated on the protocol as a hospital policy enhancing the effectiveness of nursing care. Its implication can be evaluated using nursing audit at periodic intervals. Keywords: King’s conceptual framework, Goal Attainment Theory, nursing care protocol, peripheral intravenous therapy, knowledge, and practice.

Enhancing Telehealth Education in Nursing: Applying King’s Conceptual Framework and Theory of Goal Attainment

2017 ◽  
Vol 30 (3) ◽  
pp. 209-213 ◽  
Author(s):  
Ann E. Fronczek ◽  
Nicole A. Rouhana ◽  
Judy M. Kitchin
Keyword(s):  
Conceptual Framework ◽  
Nursing Care ◽  
Goal Attainment ◽  
Conceptual System ◽  
School Of Nursing ◽  
Graduate Curricula

Telehealth technologies are increasingly used in the provision of nursing care to clients and populations. The education of nurses must include content and practice with telehealth technologies. The authors of this article discuss how one school of nursing has infused telehealth content and resources into undergraduate and graduate curricula using King’s conceptual system and theory of goal attainment as a guide.

scholarly journals Integration of Knowledge and Practice of Nurses’ Primary Health Care Roles in Hospital

1970 ◽  
Vol 6 (2) ◽  
pp. 111-116
Author(s):  
Shakuntala Tamang (Thanju)
Keyword(s):  
Nursing Education ◽  
Nursing Care ◽  
Small Samples ◽  
Nursing Curricula ◽  
Significant Difference ◽  
Health Research Council ◽  
Perception Of Quality ◽  
Nurses Role ◽  
Knowledge And Practice ◽  
Patient’S Perception

Background: PHC concept was incorporated in nursing curricula (1987) to equip nurses with necessary knowledge and skills to perform their PHC roles. The aim was to investigate the integration of knowledge and practice of nurses' PHC roles as perceived by the nurse and patient and the relationship with its influencing variables.Methods: A descriptive study involved nurses and patients from government and non-government hospitals using a structured questionnaire. Nonparametric statistics, known for their appropriateness for small samples, were used to examine the research questions.Results: Integration of knowledge and practice of nurses' PHC role was positively reflected in hospitals even though most roles practices were in moderate extent and the significant difference in nurses' role practices were experienced by the patients (P <0.001). The nurses' PHC role practice was influenced by supervision (P <0.001) of work and role of motivator, but were not influenced by other variables.Conclusion: Based on the study findings, an increased in knowledge resulted in an increased in PHC role practice. Therefore, good nursing education program is very important for the nurses to practice PHC roles efficiently and effectively in hospital. There is need for nurses to understand and deliver nursing care congruent with patient's perception of quality nursing care. With the regular and facilitative supervision, the nurses will have guidance encouragement, and resources to perform well.  Key words: PHC; Clinician; Developmental; Facilitative; Supportive.  doi: 10.3126/jnhrc.v6i2.2216Journal of  Nepal  Health  Research Council  Vol. 6, No. 2, 2008, October  Page: 111-116  

scholarly journals Effect of Designing and Implementing Nursing Guidelines on Nurses' Performance in Caring Women with Ectopic Pregnancy

2019 ◽  
Vol 1 (3) ◽  
pp. 13
Author(s):  
Hanan A. F. Mohamed ◽  
Mahmoud R. Fayed ◽  
Somaya O. Abd El Meneam ◽  
Ola M. El-Sayed
Keyword(s):  
Ectopic Pregnancy ◽  
Nursing Care ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental ◽  
Knowledge And Practice ◽  
Nursing Guidelines ◽  
Nurses Knowledge

Context: Ectopic pregnancy is a condition presenting as a significant health problem for women of the childbearing period. Ectopic pregnancy remains one of the primary causes of maternal mortality. Aim: The study aimed to evaluate the effect of nursing guidelines for improving maternity nurses' performance regarding ectopic pregnancy. Methods: A quasi-experimental design used to achieve the aim of the study. The study conducted at Obstetrics and Gynecology Department at Benha University Hospital. A convenient sample of all nurses (90 nurses) working in Obstetrics and Gynecology departments at Benha university hospital. Tools of data collection included a structured self-administrated questionnaire to assess nurses' knowledge regarding ectopic pregnancy, an observational checklist to evaluate nursing practice regarding ectopic pregnancy before and after the implementation of the nursing guidelines. Results: shows that 78.9% of the studied nurses had total incorrect knowledge pre-program, which improved to 88.9% of them, had correct knowledge post-program. The study also shows that 47.2% of the studied nurses had unsatisfactory total practice score pre-program, which improved to 54.4%  of the studied nurses had high satisfactory total practice post-program. There was a highly statistically significant difference before and after nursing guidelines of the studied nurses’ knowledge and practice regarding ectopic pregnancy (P ≤ 0.001). Conclusion: The study concluded that nursing guidelines have a positive effect on the nurses' performance in terms of their knowledge and practice regarding ectopic pregnancy. The study recommended that simple guidelines regarding ectopic pregnancy nursing care should be distributed to nurses in the emergency obstetrics department to standardized and optimized nursing care provided to women with ectopic pregnancy. Continuous refreshment courses and follows up programs for nurses regarding ectopic pregnancy.

Gender, Politics, and Regionalism: Factors in the Evolution of Registered Psychiatric Nursing in Manitoba, 1920 – 1960

2011 ◽  
Vol 19 (1) ◽  
pp. 103-126 ◽  
Keyword(s):  
British Columbia ◽  
Nursing Education ◽  
Registered Nurses ◽  
Nursing Care ◽  
Gender Politics ◽  
Professional Group ◽  
Psychiatric Nursing ◽  
Psychiatric Nurses

In Canada, psychiatric nursing care is provided by two kinds of nurses. East of Manitoba, it is provided by registered nurses who may or may not have specialized psychiatric nursing education. In the four western provinces, a distinct professional group, registered psychiatric nurses, also provide care. Saskatchewan was the first province to achieve distinct legislation, in 1948, followed by British Columbia in 1951, Alberta in 1955, and Manitoba in 1960.

Ushering in a New Era for King’s Conceptual System and Theory of Goal Attainment

2021 ◽  
Vol 35 (1) ◽  
pp. 89-91
Author(s):  
Ann E. Fronczek
Keyword(s):  
Conceptual Framework ◽  
Goal Attainment ◽  
Conceptual System ◽  
Theoretical Underpinning ◽  
New Era ◽  
Virtual Care ◽  
Interacting Systems ◽  
Systems Framework ◽  
Practice Education

The COVID-19 pandemic has ushered in a new era for nurses and healthcare. King’s conceptual framework continues to provide a practical theoretical underpinning for nurse-client interactions in virtual care spaces that are now a pervasive part of the interacting systems framework. The author in this article discusses the current applications and future opportunities for applications of King’s work in practice, education, and research.

The Effectiveness of Using a Mobile Messenger as an Educational Supporting Tool among Nursing Students

2020 ◽  
Vol 4 (1) ◽  
pp. 67-77
Author(s):  
Rohimah Ismail ◽  
Chong Mei Chan ◽  
Wan Muhammad Azly W. Zulkafli ◽  
Hasnah Zani ◽  
Zainab Mohd Shafie
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Clinical Decision Making ◽  
Intervention Group ◽  
Great Influence ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Supporting Tool ◽  
Nursing College

                The evolution of information technology has exerted great influence on nursing education via new pedagogy of knowledge delivery without time and place restriction. Mobile technology revolutionises nursing education and clinical practice via empowering skills of critical thinking and clinical decision-making through learning. The aim of this study is to evaluate the effectiveness of using mobile messenger (Whatsapp) as an educational supporting tool among nursing students. The study design used is a Cluster Randomized Control Trail. Two nursing colleges were selected. Sample size was 93 participants, 48 from the Kuala Terengganu Nursing College Kuala Terengganu as the intervention group while the control group were recruited among 45 participants from UniSZA Nursing College. There is a significant difference in the level of knowledge between pre and posttest among intervention group (mean difference was -8.70 with a standard deviation 8.42, p-value< 0.001) and 93.8 percent of the respondents perceived the usefulness of using WhatsApp mobile messenger to enhance learning. This demonstrates that learning through mobile messenger (WhatsApp) enhances learning and is well received as a new method of learning by almost all students.   Keywords: Mobile learning, WhatsApp messenger, Social Interaction

scholarly journals Registered nurses’ role experiences of caring for older stroke patients: a qualitative study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei Cheng ◽  
Jiong Tu ◽  
Xiaoyan Shen
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Registered Nurses ◽  
Elderly Care ◽  
The Elderly ◽  
Working Environment ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Care Needs ◽  
Nursing Clinical Practice

Abstract Background With China’s population ageing rapidly, stroke is becoming one of the major public health problems. Nurses are indispensable for caring for older patients with acute and convalescent stroke, and their working experiences are directly linked to the quality of care provided. The study aims to investigate registered nurses’ experiences of caring for older stroke patients. Methods A qualitative descriptive design was adopted. Data were collected via semi-structured interviews with 26 registered nurses about their lived experiences of caring for older stroke patients. Thematic analysis was used to analyze the data. Results Two main themes were identified. First, the nurses identified an obvious gap between their ideal role in elderly care and their actual practice. The unsatisfactory reality was linked to the practical difficulties they encountered in their working environment. Second, the nurses expressed conflicting feelings about caring for older stroke patients, displaying a sense of accomplishment, indifference, annoyance, and sympathy. Caring for older stroke patients also affects nurses psychologically and physically. The nurses were clear about their own roles and tried their best to meet the elderly people’s needs, yet they lack time and knowledge about caring for older stroke patients. The factors influencing their working experiences extend beyond the personal domain and are linked to the wider working environment. Conclusions Sustaining the nursing workforce and improving their working experiences are essential to meet the care needs of older people. Understanding nurses’ lived working experiences is the first step. At the individual level, nurse mangers should promote empathy, relieve anxiety about aging, and improve the job satisfaction and morale of nurses. At the institutional level, policymakers should make efforts to improve the nursing clinical practice environment, increase the geriatric nursing education and training, achieve a proper skill mix of the health workforce, and overall attract, prepare and sustain nurses regarding caring for older people in a rapidly aging society.

Senior nurse role expectations of graduate registered and enrolled nurses on commencement to practice

2014 ◽  
Vol 38 (4) ◽  
pp. 432 ◽  
Author(s):  
Elisabeth R. Jacob ◽  
Lisa McKenna ◽  
Angelo D'Amore
Keyword(s):  
Registered Nurses ◽  
Nursing Care ◽  
Online Survey ◽  
Full Range ◽  
Role Expectations ◽  
Graduate Nurse ◽  
Senior Nurse ◽  
Nurse Role ◽  
Role Confusion

Objective This paper reports on a project to examine the expectations of senior nurses regarding graduate roles of registered and enrolled nurses educated in Victoria, Australia. Methods Participants completed an online survey to indicate whether predetermined competencies were in the roles of graduate enrolled or registered nurses or not in the role of either nurse. Chi-squared analysis was used to identify differences between participant groups. Results Participants expressed variations in role expectations for the different level of graduate nurse. Although basic nursing care was undertaken by both graduate enrolled and registered nurses, no specific role was identified for enrolled nurses. Differences were found in the opinions of senior nurses over the roles of graduate nurses, demonstrating considerable variation in expectations. Management, education and research roles were not identified as the role of either nurse on graduation. Differences were found in the expectations of the different senior nurse groups regarding the roles of the enrolled nurse, particularly in the new skills taught in the enrolled nurse diploma program. Conclusions Confusion exists regarding the roles of both types of nurse on graduation. Further research across Australia is required to clarify the roles of the different level of nurse in different practice contexts. What is known about the topic? Australia, like many other countries, prepares two levels of nurse for entry to practice: the degree-prepared registered nurse and the diploma-prepared enrolled nurse. Role confusion and ambiguity have been reported in the literature by many countries, including Australia, that employ two levels of nurse. What does this paper add? Great variation exists between expectations of senior nursing staff as to the role of both levels of graduate nurse. Role confusion and ambiguity exists for nurses in Australia. Role confusion and ambiguity around the scope of practice for enrolled nurses is seen as both limiting their practice and encouraging them to work at levels for which they have not been prepared. Graduate registered nurses were seen as more prepared for required graduate attributes than enrolled nurses. Care of acute, complex or deteriorating patients remains the role of registered nurses. What are the implications for practitioners? Practising nurses need to be educated as to the skills and knowledge that diploma enrolled nurses are graduating with in order to enable them to use their full range of abilities. To provide safe, quality care, registered nurses must fully understand the roles and abilities of the enrolled nurses to whom they delegate care. Organisational health policies and procedures need to be reviewed to accommodate the increased skills and knowledge of diploma-prepared enrolled nurses and enable best utilisation of their skills. Practising nurses need to be aware that enrolled nurses are not educationally prepared to care for complex or deteriorating patients. Although they are able to undertake basic nursing care, the role of caring for complex, highly acute and deteriorating patients remains in the domain of registered nurses. The increasing acuity of patients admitted to health services requires a higher skill mix of registered nurses to safely care for them.

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