The latest medical research on Nurse
The research magnet gathers the latest research from around the web, based on your specialty area. Below you will find a sample of some of the most recent articles from reputable medical journals about nurse gathered by our medical AI research bot.
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Request AccessPeripheral neuropathic pain: supporting patients with self-management.
Nursing StandardPeripheral neuropathic pain is a complex condition that can adversely affect people's quality of life. Alongside pharmacological interventions, nur...
The emergence of cultural safety within kidney care for Indigenous Peoples in Australia.
Nursing EnquirerCultural safety is increasingly recognised as imperative to delivering accessible and acceptable healthcare for First Nations Peoples within Austra...
Five pathways into one profession: Fifty years of debate on differentiated nursing practice.
Nursing EnquirerThe persistence of multiple educational pathways into the nursing profession continues to occupy scholars internationally. In the Netherlands, vari...
The role of decontamination in reducing healthcare-associated infections.
Nursing StandardEffective decontamination is a vital aspect of infection prevention and control, and has a crucial role in reducing healthcare-associated infection...
Experiences of family members when accompanying patients in intensive care units: A qualitative study.
Nur Crit CareFamily members of Intensive Care Unit (ICU) patients encounter numerous challenges while providing companionship to their hospitalized loved ones.
This study aims to explore the experiences of family members with loved ones hospitalized in ICUs.
Data were collected through semi-structured, in-depth interviews and analysed following Graneheim and Lundman's suggested steps.
Analysis of interviews with ten family members of ICU patients revealed a theme of "challenging companionship on an obscure path," encompassing four categories (1-4) and nine subcategories (a, b and c). These included (1) the interplay between the patient and the family: a. family affected by the patient's condition; b. patient affected by the family's condition; (2) mixed emotions of apprehension and anticipation regarding ICU admission: a. fear of ICU hospitalization; b. hope for ICU hospitalization; (3) unaddressed needs and concerns: a. pressure from the ICU's visiting limitations; b. lack of a resting room to settle; c. vague information about the patient's condition; (4) two-way care suffering for families a. direct suffering associated with companionship; b. indirect suffering while observing the patients' suffering.
A holistic and empathetic approach in clinical practice is crucial in ICU care, particularly during the challenging journey patients and their families undergo in this critical setting. Health care systems and providers should adapt ICU rules to address evolving needs, alleviate concerns and enhance the overall family experience during their loved one's hospitalization in the ICU.
Nurses' decision-making around gastric residual volume measurement in UK adult intensive care: A four-centre survey.
Nur Crit CareDespite increasing evidence of the potential inaccuracy and unwarranted practice of regular GRV measurement in critically in adults, this practice persists within the United Kingdom.
To explore adult intensive care nurses' decision-making around the practice of GRV measurement to guide enteral feeding.
A cross-sectional 16 item electronic survey in four adult intensive care units (ICUs) in England and Wales.
Two hundred and seventy-three responses were obtained across four ICUs with acceptable response rates for most [Unit 1 74 /127 = 58.2%; Unit 2 87/129 = 67.4%; Unit 3 77/120 = 64.1%; Unit 4 35/168 = 20.8%]. Most (243/273 (89%) reported measuring GRV 4-6 hourly, with most (223/273 82%) reporting that the main reason was to assess feed tolerance or intolerance and 37/273 (13.5%) saying their unit protocol required it. In terms of factors affecting decision-making, volume obtained was the most important factor, followed by the condition of the patient, with aspirate colour and appearance less important. When asked how they would feel about not measuring GRV routinely, the majority (78.2%) of nurses felt worried (140/273 = 51.2%) or very worried (74/273 = 27%).
Despite increasing evidence suggesting it is unnecessary, nurses' beliefs around the value of this practice persist and it continues to be embedded into unit protocols around feeding.
A recycling quality improvement project to engage the multidisciplinary team with sustainability efforts.
Nur Crit CareThe provision of healthcare itself contributes to the global health crisis of the climate emergency. As critical care is a carbon hotspot within hospital medicine, healthcare professionals must take collaborative action to mitigate the environmental impact of the sector.
The purpose of the project was to engage the critical care multidisciplinary team with sustainability efforts, through involvement in a recycling Quality Improvement Project (QIP). The central QIP aimed to increase the recycling rates of single-use plastic enteral feed bottles in the intensive care unit (ICU) over a 31-day period.
A recycling 'challenge month' was launched, and staff opinion was surveyed before and after this intervention.
The QIP demonstrated an increase in feed bottle recycling by 53.2%, representing a carbon-saving effect of up to 6.02 kg CO2e for the intervention month. Following the central QIP, all survey respondents felt encouraged to consider their ICU's environmental impact.
Effective recycling constitutes only one element of responsible environmental stewardship, but authors discuss that it is an effective focus for QIPs. To maximize impact and success within critical care, nursing involvement in leading and participation is essential.
Classroom Innovation Using the NCJMM: Preparing Nursing Students for the Next Generation NCLEX.
Journal Nursing EduThere is a growing demand for classroom creativity to increase engagement and build clinical judgment skills for nursing students. This article describes the design and implementation of an interactive classroom activity to enhance the development of clinical judgment while simultaneously orienting students to the new NCLEX Next Generation testing model.
Faculty developed an interactive unfolding case study incorporating the six dimensions of the NCSBN Clinical Judgment Measurement Model. The case study question types were adapted to use an interactive learning platform for first-year nursing students. Students' perceptions of learning, engagement, and clinical judgment were surveyed.
Student responses regarding the case study implementation indicated this method was effective in maintaining engagement and persistence, as well as promoting nursing decision making.
The time used for building innovative classroom activities is well spent to meet the objective of enhancing clinical judgment in the next generation of nursing students. [J Nurs Educ. 2024;63(3):188-191.].
Clinical Instruction in Nursing: A Leveraging Tool.
Journal Nursing EduClinical educators influence the preparation of nursing students for complex professional roles. Although classroom instruction is well-structured and guided by an array of frameworks, clinical instruction remains vague. This study explored components of effective clinical instruction and the support needs of clinical educators.
A qualitative multiple case study design was used to examine the teaching experiences of 14 clinical faculty and preceptors, guided by Danielson's teaching framework.
When teaching domains of "planning" and "instruction" were emphasized, assessment of students' needs, behavioral management, and reflective practice were understated. Findings identified events and concepts deemed essential for effective clinical instruction, and participants' needs for ongoing support and guidance concurred with teaching gaps.
This study attested to the complexity of clinical instruction, yet generated a clinical tool that may guide academia on designing professional programs to advance instruction in challenging clinical environments. [J Nurs Educ. 2024;63(3):163-170.].
The Lasater Clinical Judgment Rubric: 17 Years Later.
Journal Nursing EduNearly 17 years ago, the Lasater Clinical Judgment Rubric (LCJR) was published to provide a common language and trajectory of students' development to think like a nurse.
This article traces the uses of the LCJR from creation to the present and cites lessons learned from its use.
During the intervening years, the LCJR has been used effectively as a debriefing guide in simulation and as a research instrument, as well as for formative assessment. The LCJR has been translated or is in process in 19 languages besides English.
This article provides evidence of the efficacy of the LCJR and discusses important lessons learned. [J Nurs Educ. 2024;63(3):149-155.].
Evaluating the Importance of Clinical Judgment in Entry-Level Nursing.
Journal Nursing EduThis study investigated the extent to which clinical judgment is important in entry-level nursing practice.
A task analysis linkage study methodology based on a large-scale, comprehensive practice analysis was used for the study. The practice analysis validated more than 200 entry-level nursing tasks, and the linkage study sought to evaluate the importance of clinical judgment overall and for each specific task expectation.
The results provide confirmatory evidence of the importance of clinical judgment. In addition, the work provides a comprehensive list of entry-level tasks and their associated clinical judgment importance.
Clinical judgment is a vital skill at entry into the profession and is expected to grow over time. This study offers insights on the extent to which clinical judgment is a necessary skill and provides direct evidence of its importance for specific entry-level tasks. [J Nurs Educ. 2024;63(3):156-162.].
Nursing Students' and Nurse Preceptors' Perspectives of an Ambulatory Dedicated Education Unit in Primary Care and General Internal Medicine.
Journal Nursing EduThe sustainability of prelicensure nursing clinical learning models within ambulatory care is dependent on strong partnership and the availability of ambulatory nurse preceptors. Evaluation of preceptor and student satisfaction with ambulatory clinical experiences is necessary to identify program strengths and opportunities.
Nursing students' and nurse preceptors' perceptions of an ambulatory dedicated education unit (DEU) in primary care and general internal medicine practices were measured from 2021 to 2023.
Students' survey responses indicated a high level of agreement for 20 (90.9%) of 22 items in 2021, 35 (100%) of 35 items in 2022, and 32 (91.4%) of 35 items in 2023. Preceptor responses demonstrated favorable agreement with all of the work-life satisfaction across the 3 years of the survey, with the exception of one question on the 2021 survey.
Nursing students and staff nurse preceptors found the ambulatory DEU teaching and learning experience to be positive and satisfying. [J Nurs Educ. 2024;63(3):171-177.].