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[PMID]:28463870
[Au] Autor:Pines JM; Zocchi MS; Buchanan ME; Shah MN; Travers D
[Ad] Endereço:Center for Healthcare Innovation and Policy Research (Dr Pines and Mr Zocchi), Department of Emergency Medicine (Dr Pines), and School of Medicine and Health Sciences (Ms Buchanan), The George Washington University, Washington, District of Columbia; Department of Emergency Medicine, The University of Wisconsin-Madison (Dr Shah); and School of Nursing (Dr Travers) and Department of Emergency Medicine (Dr Travers), The University of North Carolina at Chapel Hill.
[Ti] Título:The Utility of Point-of-Care Testing at Emergency Department Triage by Nurses in Simulated Scenarios.
[So] Source:Adv Emerg Nurs J;39(2):152-158, 2017 Apr/Jun.
[Is] ISSN:1931-4493
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We developed and tested simulated patient scenarios to assess how normal or abnormal point-of-care (POC) test results at triage change prioritization decisions. This was a cross-sectional study where our team developed simulated scenarios and presented them to triage nurses from 3 academic medical centers. Twenty-four scenarios were constructed on the basis of 12 clinical indications from a protocol previously developed by our team. In each scenario, nurses were presented with 2 patients with the same Emergency Severity Index Version 4 (ESI v.4; Agency for Healthcare Research and Quality, Rockville, MD) triage level (Level 2 or Level 3). One of the patients met the inclusion criteria for POC testing under the protocol (cases), whereas the other patient did not (controls). Nurses were asked which of the 2 patients to prioritize first in 3 separate rounds: first without any POC test results, once with abnormal POC test results for case patients, and once with normal POC test results for case patients. Prioritization decisions that changed on the basis of abnormal POC results were defined as "up-triage" and prioritization decisions that changed on the basis of normal results were defined as "down-triage." A total of 39 nurses completed 468 scenarios. In scenarios without any POC test results, 42.3% of case patients were prioritized first. When POC test results were abnormal, 71.6% of cases were prioritized first. When POC test results were normal, 32.7% of case patients were prioritized first. An abnormal POC test resulted in up-triage in 32.5% of the scenarios. When POC test results were normal, there was down-triage in 18.6% of the scenarios. Up- and down-triage rates varied considerably by scenario and clinical indication. Point-of-care testing at emergency department triage results in reasonably high rates of up- and down-triage in simulated scenarios; however, POC tests for specific indications appear to be more useful than others.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência/organização & administração
Recursos Humanos de Enfermagem no Hospital
Testes Imediatos
Triagem
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1097/TME.0000000000000140


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[PMID]:28453820
[Au] Autor:Bourne RS; Shulman R; Tomlin M; Borthwick M; Berry W; Mills GH
[Ad] Endereço:Departments of Pharmacy and Critical Care, Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Herries Road, Sheffield S5 7 AU, UK.
[Ti] Título:Reliability of clinical impact grading by healthcare professionals of common prescribing error and optimisation cases in critical care patients.
[So] Source:Int J Qual Health Care;29(2):250-255, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Objective: To identify between and within profession-rater reliability of clinical impact grading for common critical care prescribing error and optimisation cases. To identify representative clinical impact grades for each individual case. Design: Electronic questionnaire. Setting: 5 UK NHS Trusts. Participants: 30 Critical care healthcare professionals (doctors, pharmacists and nurses). Intervention: Participants graded severity of clinical impact (5-point categorical scale) of 50 error and 55 optimisation cases. Main Outcome Measures: Case between and within profession-rater reliability and modal clinical impact grading. Methods: Between and within profession rater reliability analysis used linear mixed model and intraclass correlation, respectively. Results: The majority of error and optimisation cases (both 76%) had a modal clinical severity grade of moderate or higher. Error cases: doctors graded clinical impact significantly lower than pharmacists (-0.25; P < 0.001) and nurses (-0.53; P < 0.001), with nurses significantly higher than pharmacists (0.28; P < 0.001). Optimisation cases: doctors graded clinical impact significantly lower than nurses and pharmacists (-0.39 and -0.5; P < 0.001, respectively). Within profession reliability grading was excellent for pharmacists (0.88 and 0.89; P < 0.001) and doctors (0.79 and 0.83; P < 0.001) but only fair to good for nurses (0.43 and 0.74; P < 0.001), for optimisation and error cases, respectively. Conclusions: Representative clinical impact grades for over 100 common prescribing error and optimisation cases are reported for potential clinical practice and research application. The between professional variability highlights the importance of multidisciplinary perspectives in assessment of medication error and optimisation cases in clinical practice and research.
[Mh] Termos MeSH primário: Cuidados Críticos
Pessoal de Saúde/psicologia
Pessoal de Saúde/estatística & dados numéricos
Erros de Medicação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Seres Humanos
Corpo Clínico Hospitalar/psicologia
Corpo Clínico Hospitalar/estatística & dados numéricos
Recursos Humanos de Enfermagem no Hospital/psicologia
Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos
Farmacêuticos/psicologia
Farmacêuticos/estatística & dados numéricos
Garantia da Qualidade dos Cuidados de Saúde/métodos
Reprodutibilidade dos Testes
Inquéritos e Questionários
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx003


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[PMID]:29489648
[Au] Autor:Yan P; Yang Y; Zhang L; Li F; Huang A; Wang Y; Dai Y; Yao H
[Ad] Endereço:College of Nursing, Xinjiang Medical University.
[Ti] Título:Correlation analysis between work-related musculoskeletal disorders and the nursing practice environment, quality of life, and social support in the nursing professionals.
[So] Source:Medicine (Baltimore);97(9):e0026, 2018 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We aim to analyze the correlated influential factors between work-related musculoskeletal disorders (WMSDs) and nursing practice environment and quality of life and social support.From January 2015 to October 2015, cluster sampling was performed on the nurses from 12 hospitals in the 6 areas in Xinjiang. The questionnaires including the modified Nordic Musculoskeletal Questionnaire, Practice Environment Scale (PES), the Mos 36-item Short Form Health Survey, and Social Support Rating Scale were used to investigate. Multivariate logistic regression analysis was used to explore the influential factors of WMSDs.The total prevalence of WMSDs was 79.52% in the nurses ever since the working occupation, which was mainly involved waist (64.83%), neck (61.83%), and shoulder (52.36%). Multivariate logistic regression analysis indicated age (≥26 years), working in the Department of Surgery, Department of Critical Care, Outpatient Department, and Department of Anesthesia, working duration of >40 hours per week were the risk factors of WMSDs in the nurses. The physiological function (PF), body pain, total healthy condition, adequate working force and financial support, and social support were the protective factors of WMSDs.The prevalence of WMSDs in the nurses in Xinjiang Autonomous Region was high. PF, bodily pain, total healthy condition, having adequate staff and support resources to provide quality patient care, and social support were the protective factors of WMSDs in the nurses.
[Mh] Termos MeSH primário: Doenças Musculoesqueléticas/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
Doenças Profissionais/psicologia
Qualidade de Vida
Apoio Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Doenças Musculoesqueléticas/epidemiologia
Doenças Profissionais/epidemiologia
Prevalência
Fatores de Risco
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000010026


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[PMID]:29406645
[Au] Autor:Sy V
[Ti] Título:Empowering Staff Nurses as Primary Educators to Children with Type 1 Diabetes.
[So] Source:Pediatr Nurs;42(5):247-51, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patient and family education is a critical element of diabetes management. Manychildren with new onset type 1 diabetes present with symptoms of diabeticketoacidosis (DKA) and are hospitalized at diagnosis. These children and theirfamilies receive their initial education in the hospital setting. As soon as bloodglucose levels are stabilized and the acidosis is corrected, the patient is dischargedhome, usually within three days (Nettles, 2005). There is little time toprovide the skills and education, as well as emotional support, for a smooth transitionto home. It is a challenge to achieve these goals if the only resource personfor diabetes education is the clinical nurse specialist (CNS). The CNS for a 14-bed pediatric unit sought to expand the role of the bedside nurse to being the primaryeducator of patients with diabetes through education and support. All nursesattended an eight-hour workshop on diabetes. A DKA protocol was developedthrough multidisciplinary collaboration, and nurses were educated on this protocol.Additionally, the CNS organized a diabetes resource cart that contains thetools for diabetes education. The protocol and education materials wereuploaded in the Pediatric SharePoint site to make them accessible to nurses. Most importantly, the CNS developed a structured patient education plan that isoutcome-oriented, and based on review of current literature and practices in theunit. This initiative resulted in an increase in nursing confidence and expertiserelated to diabetes care as demonstrated by competencies met by nurses andanecdotal evidence from nurses and patients' caregivers.
[Mh] Termos MeSH primário: Currículo
Diabetes Mellitus Tipo 1/enfermagem
Papel do Profissional de Enfermagem
Enfermeiras Pediátricas
Recursos Humanos de Enfermagem no Hospital/psicologia
Educação de Pacientes como Assunto
Enfermagem Pediátrica/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Poder (Psicologia)
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29406637
[Au] Autor:Kerfoot KM
[Ti] Título:Patient Safety and Leadership Intentions: Is There a Match?
[So] Source:Pediatr Nurs;42(4):206-7, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Intenção
Liderança
Enfermeiras Administradoras/psicologia
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital/psicologia
Segurança do Paciente
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29406632
[Au] Autor:Eliades AB; Jakubik LD; Weese MM; Huth JJ
[Ti] Título:Mentoring Practice and Mentoring Benefit 3: Teaching the Job and Competence ­ An Overview and Application to Practice Using Mentoring Activities.
[So] Source:Pediatr Nurs;42(4):191-2, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Competência Clínica
Capacitação em Serviço/organização & administração
Tutoria/organização & administração
Recursos Humanos de Enfermagem no Hospital/educação
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29293197
[Au] Autor:DeLisle J
[Ad] Endereço:BloodCenter of Wisconsin, Milwaukee, Wisconsin. Julie DeLisle, MSN, RN, is the transfusion safety and blood management officer for BloodCenter of Wisconsin, where she works with health care organizations on blood management initiatives.
[Ti] Título:Is This a Blood Transfusion Reaction? Don't Hesitate; Check It Out.
[So] Source:J Infus Nurs;41(1):43-51, 2018 Jan/Feb.
[Is] ISSN:1539-0667
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Blood transfusions can be lifesaving. The majority are completed without incident. However, every transfusion recipient runs the risk of developing a transfusion reaction or adverse event. These reactions can be acute, occurring during or soon after transfusion, or delayed, occurring days to weeks later. Nurses need to be able to recognize and respond to these reactions appropriately.
[Mh] Termos MeSH primário: Transfusão de Sangue
Reação Transfusional/enfermagem
[Mh] Termos MeSH secundário: Transfusão de Sangue/enfermagem
Seres Humanos
Recursos Humanos de Enfermagem no Hospital
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1097/NAN.0000000000000261


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[PMID]:29293194
[Au] Autor:Eisenberg S
[Ad] Endereço:Seattle Cancer Care Alliance, Ambulatory Clinic, Seattle, Washington. Seth Eisenberg, ADN, RN, OCN®, BMTCN®, is a professional practice coordinator for infusion services at the Seattle Cancer Care Alliance, Ambulatory Clinic, in Seattle, Washington. He has practiced in the field of oncology since 1983. His experience includes 32 years in hematopoietic stem cell transplantation. He specializes in hazardous drug safety and has published numerous articles and book chapters on chemotherapy and biotherapy.
[Ti] Título:USP <800> and Strategies to Promote Hazardous Drug Safety.
[So] Source:J Infus Nurs;41(1):12-23, 2018 Jan/Feb.
[Is] ISSN:1539-0667
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The term hazardous drug (HD) includes medications that have any of the following properties: carcinogenicity, teratogenicity, reproductive toxicities, genotoxicities, toxicities at low doses, and a structure that mimics other drugs meeting the criteria. Numerous studies continue to demonstrate widespread environmental contamination and human uptake of these agents. Safe handling guidelines have existed for more than 30 years but have not been routinely implemented. USP General Chapter 800 (USP <800>) represents a new enforceable standard for HD safety. Nurses will need to understand the impact of USP <800>, which is expected to be enforced beginning December 1, 2019.
[Mh] Termos MeSH primário: Substâncias Perigosas/normas
Exposição Ocupacional/prevenção & controle
Guias de Prática Clínica como Assunto/normas
Gestão da Segurança/normas
[Mh] Termos MeSH secundário: Antineoplásicos/administração & dosagem
Antineoplásicos/toxicidade
Substâncias Perigosas/toxicidade
Seres Humanos
Recursos Humanos de Enfermagem no Hospital/normas
Preparações Farmacêuticas
Roupa de Proteção
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antineoplastic Agents); 0 (Hazardous Substances); 0 (Pharmaceutical Preparations)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE
[do] DOI:10.1097/NAN.0000000000000257


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[PMID]:29179830
[Au] Autor:Brunero S; Buus N; West S
[Ad] Endereço:University of Sydney, Australia. Electronic address: scott.brunero@health.nsw.gov.au.
[Ti] Título:Categorising Patients Mental Illness by Medical Surgical Nurses in the General Hospital Ward: A Focus Group Study.
[So] Source:Arch Psychiatr Nurs;31(6):614-623, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To gain insight into medical surgical nurses' process(es) of categorising mental illness in general hospitals. BACKGROUND: Categorising patients is a daily social practice that helps medical surgical nurses understand their work and actions. Medical surgical nurses' categorising of mentally ill patients in general hospitals is a means in which they articulate their understanding of mental illness and perform their clinical practice. How medical surgical nurses categorise, and the impact that categorising can have on their work practices is poorly understood. DESIGN: A focus group study. METHOD: Focus group discussions (n=2) of medical surgical nurses' understanding and experience of delivering care to patients with mental illness in a general tertiary referral hospital were conducted in November 2014. Discourse analysis was used to analyse the transcribed data to uncover how participants made discursive evaluations and how this related to their daily clinical practice. RESULTS: The analysis uncovered participant's use of four categories of mentally ill patients: the managed, the unpredictable, the emotional and the dangerous. For participants these categories explained and justified their clinical practice as linked to the challenges and barriers they experienced in providing effective care within the larger healthcare organisation. CONCLUSION: The language used by medical/surgical reflects the wider discourse of managerialism in healthcare organisations. The recognition of these categories can be used by educators, liaison mental health services and policy makers to reconsider service design and learning opportunities for medical surgical nurses to reduce stigmatisation of patients with mental illness.
[Mh] Termos MeSH primário: Grupos Focais/métodos
Hospitais Gerais
Transtornos Mentais/enfermagem
Pessoas Mentalmente Doentes/classificação
Recursos Humanos de Enfermagem no Hospital/psicologia
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Feminino
Seres Humanos
Estudos Longitudinais
Estereotipagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28459497
[Au] Autor:Smith JM; Van Aman MN; Schneiderhahn ME; Edelman R; Ercole PM
[Ti] Título:Assessment of Delirium in Intensive Care Unit Patients: Educational Strategies.
[So] Source:J Contin Educ Nurs;48(5):239-244, 2017 May 01.
[Is] ISSN:1938-2472
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Delirium is an acute brain dysfunction associated with poor outcomes in intensive care unit (ICU) patients. Critical care nurses play an important role in the prevention, detection, and management of delirium, but they must be able to accurately assess for it. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) instrument is a reliable and valid method to assess for delirium, but research reveals most nurses need practice to use it proficiently. METHOD: A pretest-posttest design was used to evaluate the success of a multimodal educational strategy (i.e., online learning module coupled with standardized patient simulation experience) on critical care nurses' knowledge and confidence to assess and manage delirium using the CAM-ICU. RESULTS: Participants (N = 34) showed a significant increase (p < .001) in confidence in their ability to assess and manage delirium following the multimodal education. No statistical change in knowledge of delirium existed following the education. CONCLUSION: A multimodal educational strategy, which included simulation, significantly added confidence in critical care nurses' performance using the CAM-ICU. J Contin Nurs Educ. 2017;48(5):239-244.
[Mh] Termos MeSH primário: Competência Clínica
Enfermagem de Cuidados Críticos/educação
Delírio/diagnóstico
Delírio/enfermagem
Educação Continuada em Enfermagem/organização & administração
Avaliação Educacional/métodos
Recursos Humanos de Enfermagem no Hospital/educação
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Cuidados Críticos/métodos
Feminino
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Masculino
Meia-Idade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.3928/00220124-20170418-09



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