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16:53 EST 21st January 2019 | BioPortfolio

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Showing "Care homes 1000 shift agency nurses Times" PubMed Articles 1–25 of 19,000+

Sleep problems in shift nurses: A brief review and recommendations at both individual and institutional levels.

The purposes of this article are (a) to review briefly the current literature on shift nurses' sleep patterns, sleep quality, and the existing interventions implemented in nursing settings; and (b) to propose solutions that target individual nurses, nurse managers, and health care organisations to improve sleep health in shift nurses.

Impact of Home Care Admission Nurses' Goals on Electronic Health Record Documentation Strategies at the Point of Care.

Home care nurses have multiple goals at the patient admission visit. Electronic health records support some of these goals, including high-quality documentation, but nurses may not complete the electronic documentation at the point of care. To characterize admission nurses' practices at the point of care and lay the foundation for design recommendations, this study investigates admission nurses' documentation strategies with respect to entering electronic data and how nursing goals affect them. We conducted...

Aged care clinical mentoring model of change in nursing homes in China: study protocol for a cluster randomized controlled trial.

Residents living in nursing homes usually have complex healthcare needs and require a comprehensive care approach to identifying and meeting their care needs. Suboptimal quality of care is reported in nursing homes and is associated with the poor health and well-being of the residents, the burden on acute care hospitals and the high costs of healthcare for the government. The aim of this study is to test the hypothesis that an Aged Care Clinical Mentoring Model will create and sustain evidence-based quality...

Variation in Licensed Nurse Staffing Characteristics by State Requirements in Residential Care.

Research on licensed nurses in assisted living and residential care communities (RCCs) is sparse compared to that on licensed nurses in nursing homes. RCCs are state-regulated; thus, staffing requirements vary considerably. The current study analyzed variation in characteristics of licensed nurses by state-specific requirements for licensed nurses in RCCs. A significantly higher percentage of RCCs with one or more RNs (68.87%) and licensed practical nurses (LPNs) or licensed vocational nurses (LVNs) (56.85%...

Electronic patient records as a tool to facilitate care provision in nursing homes: an integrative review.

The electronic patient record (EPR) has been introduced into nursing homes with the aim of reducing time spent on documentation, improving documentation quality and increasing transferability of information, all of which should facilitate care provision. However, previous research has shown that EPR may be creating new burdens for staff. The purpose of this literature review is to explore how EPR is facilitating or hindering care provision in nursing homes.

Structural Equation Model for Sleep Quality of Female Shift Work Nurses.

This study aimed to develop and test a structural model for sleep quality in female shift work nurses. The hypothetical model was constructed on the basis of Spielman's 3P model of insomnia and previous research related to the sleep quality of shift nurses.

Recruiting care homes to a randomised controlled trial.

There are more than a quarter of a million individuals aged ≥ 65 years who are resident in care homes in England and Wales. Care home residents have high levels of cognitive impairment, physical disability, multimorbidity and polypharmacy. Research is needed to ensure there are robust, evidence-based interventions to improve the quality of life of this frail group. However, there is a paucity of research studies in this area. Recruiting care homes and their residents to research is challenging. A feasi...

Medication Management in Municipality-Based Healthcare: A Time and Motion Study of Nurses.

The objective of this observational time and motion study was to increase our understanding of how nurses in home healthcare currently distribute their work time with a focus on the medication management process. The research was conducted in four municipalities in the southern part of Sweden. Participants were nurses working in home healthcare. The study measured proportion of time, comparison of proportions of time, proportion of time spent multitasking, and rate of interruptions per hour. Of total observ...

Per Diem Paid to States for Care of Eligible Veterans in State Homes. Final rule.

This rulemaking adopts as final, with changes, proposed amendments to VA's regulations governing payment of per diem to States for nursing home care, domiciliary care, and adult day health care for eligible veterans in State homes. This rulemaking reorganizes, updates, and clarifies State home regulations, authorizes greater flexibility in adult day health care programs, and establishes regulations regarding domiciliary care, with clarifications regarding the care that State homes must provide to veterans i...

False Alarms and Overmonitoring: Major Factors in Alarm Fatigue Among Labor Nurses.

Nurses can be exposed to hundreds of alarms during their shift, contributing to alarm fatigue.

Public/private ownership and quality of care: Evidence from Danish nursing homes.

The involvement of private for-profit (FP) and not-for-profit (NFP) providers in the otherwise public delivery of welfare services is gradually changing the Nordic welfare state towards a more market-oriented mode of service delivery. This article examines the relationship between ownership and quality of care in public and private FP and NFP nursing homes in Denmark. The analysis draws on original survey data and administrative registry data (quality inspection reports) for the full population of almost 10...

Creative Teaching Methods for Educators: A Compendium of Critical-Care Concepts.

In order to gain expertise, intensive care unit nurses must have a good understanding of the pathophysiology and complicated disease processes seen in their units. Nurse educators and critical-care preceptors must be able to explain these complex concepts to a wide variety of audiences including nursing students, graduate nurses, and experienced critical-care nurses. Many times, demonstrations, analogies, visual aids, games, and creative teaching methods can help communicate these complicated ideas. The pur...

A positive attitude towards provision of end-of-life care may protect against burnout: Burnout and religion in a super-aging society.

The aim of our study was to investigate factors associated with burnout of nurses and care workers in nursing homes and geriatric hospitals in Japan. The use of Buddhist priests, the major religion in Japan, was also explored.

Strengthening workplace well-being: perceptions of intensive care nurses.

Intensive care nursing is a professionally challenging role, elucidated in the body of research focusing on nurses' ill-being, including burnout, stress, moral distress and compassion fatigue. Although scant, research is growing in relation to the elements contributing to critical care nurses' workplace well-being. Little is currently known about how intensive care nurse well-being is strengthened in the workplace, particularly from the intensive care nurse perspective.

Nurses who work rotating shifts consume more energy, macronutrients and calcium when they work the night shift versus day shift.

Shift work has been associated with increased body mass index (BMI), metabolic disruption and increased chronic disease risk. Typically, these reports compare individuals who work the day shift to those who work the night shift. Because shift assignment is not random, differences may reflect other, unmeasured characteristics that account for outcome differences.

Evaluating how paediatric nurses perceive the family-centred model of care and its use in daily practice.

the study aimed to assess nurses' perceptions of family-centred care and how they applied the family-centred model of care in everyday practice. The model aims to involve families in the care of hospitalised children and to promote a cooperative relationship between parents and nurses.

Spiritual Care at the Bedside: Are We Practicing What We Preach?

Little is known about how nurses' personal spirituality and religious (S/R) beliefs impact their spiritual care of patients. An online survey was used to collect data from 445 nurses, assessing facets of religiosity, their opinions about introducing S/R during patient care, demographic, and work-related variables. Findings indicated that even in a sample of Christian nurses who scored high on religiousness measures, spiritual care is infrequent. Nurse's opinions about whether it was appropriate to initiate ...

Factors Predicting Adoption of the Nurses Improving Care of Healthsystem Elders Program.

Registered nurses are often underprepared with the knowledge and skills to care for hospitalized older adult patients. One strategy to bridge this gap is for hospitals to adopt the Nurses Improving Care for Healthsystem Elders (NICHE) program: A nurse-led interdisciplinary organizational intervention to improve care of hospitalized older adults.

Legibility of floor plans and wayfinding satisfaction of residents in Care and Attention homes in Hong Kong.

Focusing on Hong Kong Care and Attention homes which provide residential care, meals, personal care and limited nursing care for older people, this study aimed to understand the impact of floor plans' legibility (layout and complexity) on residents' wayfinding satisfaction and self-reported health status.

Comparison of Newly Graduated Nurses' and Doctors' Opinions About Spiritual Care and Their Emotional Intelligence Levels.

The study has been conducted to compare newly graduated nurses' and doctors' opinions about spiritual care and their emotional intelligence levels. Descriptive study's sample consisted of 50 nurses and 50 doctors who graduated from a university's medical faculty and health faculty recently. Data were collected by Personal Information Form, Spirituality and Spiritual Care Rating Scale, and Schutte Emotional Intelligence Scale. Emotional intelligence (t = 3.42, p = 0.001) and spirituality and spiritua...

Ethical elements in priority setting in nursing care: A scoping review.

Nurses are often responsible for the care of many patients at the same time and have to prioritise their daily nursing care activities. Prioritising the different assessed care needs and managing consequential conflicting expectations, challenges nurses' professional and moral values.

An integrative review on family caregivers' involvement in care of home-dwelling elderly.

Often family members provide care-giving, which allows older adults to remain in their homes. With declining health and increasing frailty, care-giving of elderly people becomes a task of family caregivers (FC) in conjunction with home care nurses. It has been shown in both acute care settings and long-term care facilities that family members prefer to be involved in decision-making and care planning for their next of kin. Therefore, an integrative review was conducted to explore the body of knowledge of FC...

Resilience training: Effects on occupational stress and resilience of critical care nurses.

Working as a nurse, by its nature, causes a high degree of stress. Nurses are exposed to the higher levels of occupational, physical, and mental stresses in critical care units than the nurses in other units of a hospital. The aim of this study was to determine the effect of training for resilience on the intensive care unit nurses' occupational stress and resilience level.

The impact of Nursing Homes staff education on end-of-life care in residents with advanced dementia: a quality improvement study.

End-of-life care in nursing homes (NH) needs improvement. We carried out a study in 29 NHs in the Lombardy Region (Italy).

'Nobody knows what's around the corner': the challenges of caring for people with long-term conditions in care homes.

People living with long-term conditions are increasingly being cared for in care homes. Prognostication in this population is particularly challenging, and outcomes are often uncertain. This case history highlights some of the difficulties encountered when clinicians give a time-bound prognosis. It also illustrates how education programmes with high facilitation and ongoing support for care home staff can sustain practice development and enable staff to become highly skilled in working with uncertainty. Pra...

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