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نتیجه جستجو - پرستار

تعداد مقالات یافته شده: 87
ردیف عنوان نوع
1 Pain management for infants – Myths, misconceptions, barriers; knowledge and knowledge gaps
مدیریت درد برای نوزادان - افسانه ها، باورهای غلط، موانع؛ دانش و شکاف دانش-2021
Twelve years ago, the paper ‘Oral sucrose for pain management in infants: Myths and misconceptions’ was published in the Journal of Neonatal Nursing. At this time, eight myths or misconceptions were addressed. Since this time there has been more than 100 studies published reporting on analgesic effects of sweet solutions in newborns, which have been synthesised and included in systematic reviews. There has also been a growth of literature to support analgesic effects of breastfeeding and skin-to-skin care as well as concerning evidence of adverse long-term neurobehavioural outcomes associated with painful procedures. Yet, ongoing studies of pain management practices continue to report inconsistent use of these strategies during painful procedures. We are therefore at a cross-roads of evidence – there is knowledge of effective treatments, knowledge of harm of untreated pain, yet sick, premature as well as healthy infants are continuing to be exposed to painful procedures with no effective treatment. There are however ongoing myths, misconceptions, and practical barriers to using the evidence as well as ongoing knowledge gaps. This paper will therefore highlight existing myths, misconceptions, barriers and current knowledge gaps to using the three key evidence-based pain management strategies of breastfeeding, skin-to-skin care and sweet solutions, in the hope that this will bring to light newborn infant pain treatment practices that can be improved.
keywords: پرستاری | نوزاد تازه | درد | درمان درد | شیر دادن | ساکاروز | پوست به پوست | نوزاد | ترجمه دانش | پژوهش | Nursing | Newborn | Pain | Pain treatment | Breastfeeding | Sucrose | Skin-to-skin | Neonate | Knowledge translation | Research
مقاله انگلیسی
2 Nurses perspectives on pain management practices during newborn blood sampling in China
دیدگاه های پرستاران در مورد شیوه های مدیریت درد در طی نمونه گیری خون نوزادان در چین-2021
Introduction: Nurses’ use of evidence-based pain treatments for newborns during needle-related procedures in China was unknown. This study aimed to ascertain knowledge and use of pain management strategies and usefulness of a publicly accessible ’BSweet2Babies’ video, produced in Mandarin, demonstrating the use of breastfeeding, skin-to-skin care (SSC), and sweet solutions during painful procedures. Methods: An online survey was conducted during six nursing conferences in China ascertaining nurses’ previous viewing of the video and knowledge and use of the demonstrated strategies. Results: 221 nurses participated. Only 25 (11.3%) had previously seen the video. Over half knew that breast- feeding (n = 138, 62.4%) and SSC (n = 173, 78.3%) reduced pain, and 89 (40.3%) knew that sucrose reduced pain, but these strategies were infrequently used. Most intended to use the strategies in the future. Discussion: A knowledge-to-action gap for newborn pain management was identified. Future research is needed to improve the implementation of effective pain treatment for newborns.
keywords: نوزاد | درد رویه ای | مدیریت درد | تمرین مبتنی بر شواهد | نظر سنجی | Neonate | Procedural pain | Pain management | Evidence-based practice | Survey
مقاله انگلیسی
3 Effect of a theory-driven educational intervention on the level of knowledge, attitudes, and assessment practices regarding breakthrough cancer pain (BTCP) management among medical nurses in Hong Kong
تأثیر مداخله آموزشی مبتنی بر تئوری بر سطح دانش، نگرش ها و شیوه های ارزیابی در مورد مدیریت سرطان پیشرفته (BTCP) در پرستاران پزشکی در هنگ کنگ-2021
Purpose: To examine the effect of an educational intervention intended to improve medical nurses’ adherence to breakthrough cancer pain (BTCP) assessment practices and their level of knowledge, attitudes and perceived assessment practices regarding BTCP management. Methods: Nurses working in a regional hospital were recruited to this quasi-experimental study. The intervention group received a 3-h educational workshop and one session of individual clinical instruction, whilst the control group did not receive any intervention. Chart audits were performed to examine adherence to BTCP assessment practices as the primary outcome. A self-developed questionnaire was used to measure nurses’ knowledge, at- titudes and perceived assessment practices regarding BTCP management as the secondary outcomes. The chi- square or Fisher’s exact test was used to compare the rate of adherence to BTCP assessment practices between groups. A generalised estimating equation was used to compare changes in knowledge, attitudes, and perceived assessment practices between groups over time. Results: One hundred and five nurses completed the study. The chart audits revealed a significantly higher rate of adherence to BTCP assessment practices in the intervention group after the intervention (p < .05). The inter- vention group exhibited significant positive changes in scores for knowledge (β = 25.49, p < .001), attitude (β = 0.98 to 2.81, p < .01), and their perceived assessment practices (β = 1.33 to 3.14, p < .002) when compared with the control group. Conclusions: This theory-driven educational intervention significantly improved the medical nurses’ adherence to BTCP assessment practices and their level of knowledge attitudes and perceived assessment practices regarding BTCP management.
keywords: درد سرطان دستیابی به موفقیت | تحصیلات | پرستاران | دانش | نگرش های | ارزیابی | شیوه ها | Breakthrough cancer pain | Education | Nurses | Knowledge | Attitudes | Assessment | Practices
مقاله انگلیسی
4 Three-month follow-up effects of a medication management program on nurses’ knowledge
اثرات پیگیری سه ماهه یک برنامه مدیریت دارو در دانش پرستاران-2021
This quasi-experimental study examined the effects of a medication management program on nurses knowledge of medication management, three months after program completion. Fifty-seven nurses took a multiple-choice test both immediately after the program and three months later. Changes in test performance were assessed using McNemar’s test and generalized estimating equations for binary outcomes. Test results were generally consistent from immediately post-program to three months later, though four items differed significantly. From immediately post-program to three months later, fewer nurses correctly answered the items: documenting no medication administration (98.2 vs 86.6, p = 0.04); documenting opioid administration (56.1 vs 33.3, p = 0.01); and observation after opioid administration (35.1 vs 19.3, p = 0.08. Significantly more nurses correctly answered the item concerning the pharmacology of medication administered with food (64.9 vs 77.2, p = 0.09). We recom- mend both continuous medication management training and focusing on the correspondence between theory- based knowledge and clinical practice routines.
keywords: پرستار بیمارستان | برنامه آموزشی | مدیریت دارو | دانش | Hospital nurse | Education program | Medication management | Knowledge
مقاله انگلیسی
5 Management of blood products: Nursing knowledge and practices at an academic hospital
مدیریت محصولات خون: دانش و شیوه های پرستاری در یک بیمارستان دانشگاهی-2021
Objective: The purpose of this study was to determine the knowledge and practice of nurses at an academic hospital regarding the handling of red blood cells (RBCs) and platelets. Methods: A descriptive study was performed using a paper-based questionnaire. Nurses from 12 wards where these products are frequently transfused were purposefully selected to participate. Results: Ninety-nine questionnaires were analysed. While 78.9 % respondents reported that their knowledge regarding the handling of RBCs and platelets was adequate, 81.7 % still stated that they would like more training on this subject. Almost half (45.2 %) reported that the time of arrival of RBCs and platelets on the ward was not charted, while 25.5 % indicated that they warm all these blood products before transfusion. About eighty percent (80.8 %) did not know where to store platelets in the ward and 37.4 % knew the average duration of a platelet transfusion. The term, blood on returnable basis was correctly interpreted by 6.1 % of respondents. Conclusion: Gaps exist in the knowledge and practice of nursing staff regarding the correct handling of RBCs and platelets, specifically discarding, storage and warming of these products. Addressing such gaps would improve patient care and contribute towards patient blood management.
keywords: تمرین انتقال خون | دانش انتقال خون | محصولات خون | Transfusion practice | Transfusion knowledge | Blood products
مقاله انگلیسی
6 Factors Relating to Nurses’ Knowledge and Attitudes Regarding Pain Management in Inpatients
عوامل مرتبط با دانش و نگرش پرستاران در مورد مدیریت درد در بیماران بستری-2021
Purpose: To describe factors associated with nurses’ attitudes or lack of knowledge regarding pain management in adult inpatients.
Design: Transverse descriptive survey-based study. Methods: This was a transverse descriptive survey-based study. The population was obtained through nonprobability convenience sampling. The Knowledge and Attitudes Survey Regarding Pain was made available to 470 nurses at a tertiary level hospital. Associations were sought with the unit where assigned, years of experience, specific training on pain, and postgraduate education.
Results: The sample included 134 nurses with a mean age of 41.6 ± 10.8 years; 87% were women, 64% worked rotating shifts, 64% had more than 10 years of experience, and 31% had specific training in pain management. The greatest number of correct responses was obtained from nurses with specific training in pain management (p ¼ .001) and nurses who worked in units of surgical hospitalization (p ¼ .004). The lack of training was associated with a deficit in knowledge and inadequate attitudes about pain management. In nurses with less than 10 years of experience, worse results were observed in knowledge, whereas the unit of work was decisive in the results about attitude (p < .05).
Conclusions: Among the nurses surveyed, some knowledge gaps were detected, as were certain inappropriate attitudes, associated with lack of training, lack of experience, and being assigned to specific hospitalization units.
مقاله انگلیسی
7 A Nonrandomized Pretest Posttest Study on the Impact of an Educational Pain Management Program on Nurses’ Knowledge and Attitudes Regarding Pain in a Middle Eastern Country
یک مطالعه غیرتصادفی پیش آزمون پس آزمون در مورد تأثیر یک برنامه آموزشی مدیریت درد بر دانش و نگرش پرستاران در مورد درد در یک کشور خاورمیانه-2021
Background: Although nurse’s knowledge and attitudes regarding pain management has been sufficiently studied worldwide, the impact of an educational intervention program in improving such attitudes and knowledge has not been likewise researched, especially in Middle Eastern countries.
Aims: To examine nurses’ knowledge and attitudes regarding pain at a university hospital in Lebanon before and after the introduction of a pain management educational program. And to assess the relationship between the characteristic of nurses and their pain knowledge.
Methods: Design; A nonrandomized pretest posttest study design was used. Setting; A university hospital in Lebanon. Participants; Included 183 nurses using the Nurses’ Knowledge and Attitudes Survey Regarding Pain questionnaire. The pain educational intervention was based on the principles of Ajzen’s theory of planned behavior.
Results: A significant difference between the pre and post test scores was noted (p = .016). Questions answered correctly by 80% of participants were related to questions about pain, pain assessment and management, and questions related to medications, such as correct dosages and opioid side effects were not answered correctly by the majority of nurses. There were significant associations between test scores and the nurses’ educational level, their age, and their years of experience. Nurses who worked in critical care units, the emergency department and oncology had higher scores than nurses who worked on general units.
Conclusions: Despite the intensive pain education provided at our institution, the pain knowledge of nurses remains below that recommended level which indicates a dire need for more intensive and continuous education in order to provide a pain free environment.
مقاله انگلیسی
8 The Impact of Low Fidelity Simulation on Nurse Competence in Active Management of Third Stage of Labor: An Intervention Study in Primary Health Care Settings in Tanzania
تأثیر شبیه سازی وفاداری کم در شایستگی پرستاران در مدیریت فعال مرحله سوم کار: یک مطالعه مداخله در تنظیمات مراقبت های بهداشتی اولیه در تانزانیا-2021
Background: Simulation-based training on obstetric management has demonstrated promising results. However, its impact has not been well documented particularly in low and middle income countries. Therefore, this study aimed to test the effectiveness of a low fidelity simulation-based training intervention in improving knowledge and skills of nurses on Active management of third stage of labor (AMTSL).
Methods: A quasi experimental study including 172 randomly selected nurses using low fidelity simulation-based training was conducted. Baseline, immediate and retention assessments were done.
Findings: Overall knowledge and skills on AMTSL were significantly improved after simulation training, skills retained even after six months.
Conclusions: A low fidelity simulation intervention showed positive change in knowledge and skills immediately after intervention and skills were highly retained even after six months of training.
keywords: Active Management of Third Stage of Labor | Knowledge | Skills | Dodoma | Tanzania
مقاله انگلیسی
9 تحلیل شبکه اجتماعی: بررسی ارتباطات برای پیشرفت علم پرستاری نظامی
سال انتشار: 2021 - تعداد صفحات فایل pdf انگلیسی: 11 - تعداد صفحات فایل doc فارسی: 30
زمینه: دانشمندان پرستار نظامی در شاخه های وابسته به خدمات گنجانده شده اند (ارتش ، نیروی دریایی ، نیروی هوایی) با مأموریت های مختلف ، اما با هدف منحصر به فرد تولید و انتشار تحقیقات موثر بر سلامتی و رفاه ذینفعان وزارت دفاع.
هدف: این پروژه همکاری بین تحقیقات پرستاری TriService را بررسی می کند اعضای برنامه (TSNRP) ، به دنبال فرصت هایی برای تقویت ، متنوع سازی و گسترش همکاری تحقیقاتی هستند.
روش: تجزیه و تحلیل شبکه های اجتماعی (SNA) تحقیق تجربی از روابط بین بازیگران اجتماعی در سطوح مختلف تجزیه و تحلیل است . یک ارزیابی الکترونیکی SNA و نمونه برداری کلی برای بررسی همکاری های فعلی دانشمندان پرستار نظامی دکترای آماده (136 ( N= استفاده شد.
یافته ها: شبکه همکاری TSNRP دارای ساختار پیچیده خدمات محور است با بازیگران سطح بالا که دیگران به دنبال مشاوره ، دانش یا مهارت آنها هستند و به عنوان اتصالات یا پلهای مختلف در بین شعب خدمات فعالیت می کنند.
بحث: از نظر دانشمندان نظامی ، SNA در شناسایی افراد با نفوذ ، تجسم فرصت های مشاوره درون خدماتی ، طراحی سیاست های پاسخگو و جهت دهی فرصت های شغلی برای دانشمندان تازه کار نقش مهمی دارد.
کلید واژه ها: همکاری های حرفه ای دانشمندان پرستار | تحلیل شبکه اجتماعی | شبکه های اجتماعی | پرستاری نظامی | زمینه
مقاله ترجمه شده
10 Financial management skills of nurse managers in the Eastern Region of Ghana
مهارت های مدیریت مالی مدیران پرستاری در منطقه شرقی غنا-2021
Background: Ghana’s healthcare sectors are faced with several financial challenges due to increased funding cuts and delayed reimbursement from the National Health Insurance Authority (NHIA). This has necessitated nurse manager to build financial management skills to enable them to lead in the provision of effective and efficient care while reducing cost. This demands adequate knowledge and skills in financial management. The study examined the financial management skills of nurse managers at the unit level. Methods: A quantitative approach using a cross-sectional design was employed using the census approach to collect data from 121 nurse managers in ten hospitals in the Eastern Region of Ghana. Data analyses were performed using descriptive and linear regression analyses. Findings: Nurse managers showed a moderate level of knowledge and skills in financial management. Age, gender, qualification, experience as a nurse manager, and training in management jointly predicted nurse managerss’ financial management (R2 = 0.12, p = 0.029). However, only training in management significantly contributed to the financial skills of nurse managers. Conclusion: Nurse managers play a significant role in the financial management of hospitals but have inadequate knowledge, skills, and competence in financial management. Recommendations include well-structured training and education on financial management using a multidisciplinary approach to enable nurse managers to gain the required knowledge and skills. Continuous experiential learning and mentorship programs should be developed for nurses before the assumption of management positions.
keywords: مدیر پرستار | مهارت های مدیریت مالی | غنا | Nurse manager | Financial management skills | Ghana
مقاله انگلیسی
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