The objectives of this study were to determine whether there was an association between clinical nursing knowledge of four birthing positions and current evidence-based research of those same positions and also to identify possible areas where nursing knowledge of those birthing positions was inadequate. This pilot study used convenience sampling to survey registered nurses (RNs) and licensed practical nurses (LPNs) on labor and delivery units. The survey was distributed to three hospitals in the southeastern United States, and twenty-four RNs and LPNs participated. Participants’ knowledge did not reflect current clinical evidence in two key areas, (1) the best position to minimize blood loss and (2) the best position to decrease the likelihood anal sphincter tears. Respectively, only 13% and 27.3% of participants selected the correct position. Continuing education for maternity nurses regarding current evidence-based practice concerning various birthing positions remains a need, and incorporating this could include more frequent opportunities for education classes and unit inservices. Results from this study should not be generalized, and more research is needed in this area to validate these findings.

Through advancements in modern medicine, human beings worldwide are living longer. The increase in life expectancy creates a need for a more qualified and knowledgeable nursing workforce for the delivery of quality geriatric health care. Although nurses are the primary care providers for vulnerable older adults, they are generally not well trained or prepared in geriatric care. Therefore, the purpose of the project was to develop an education program aimed at improving nursing knowledge of geriatric care in the long-term care (LTC) setting. The goal of the project was to answer the research question: What impact would attendance in the program have on improving nursing geriatric knowledge, retention, and job satisfaction by project end? Guided by the advancing research and clinical practice through close collaboration (ARCC) model for evidence-based practice (EBP), the learning needs of nurses in the LTC setting were assessed. The 6-week education program was designed to provide education on the basics of geriatric care, pharmacology and aging, symptom evaluation, dementia care, and geriatric physical assessment. Project participants consisted of 8 nurses who volunteered to take part in the program. The program was evaluated using a pre-test and post-test method to examine nurse's knowledge before and after the education program. Using a paired t test, the results indicated a significant increase (p<.05) between the mean pre-test (3.75) and mean post-test (4.25) scores of nurse knowledge of geriatric care. The education program improved participant knowledge of geriatric care. Positive social change will be achieved with this scholarly project as nurses with greater knowledge gain confidence, strengthen decision making and clinical skills, and improve patient outcomes in the LTC setting.

Studiens syfte var att beskriva hemodialyssjuksköterskors kunskaper om fosfater, livsmedel med ett högt fosfatinnehåll samt förmågan att omsätta den kunskapen till ett dagsintag. Metod: Designen var deskriptiv med komparativa och korrelerande inslag. En egenkonstruerad enkät användes med kunskapsfrågor som var indelad i tre teman; kroppen, livsmedel och dagsintag. Totalt 19 hemodialysenheter besvarade enkäten vilket gav en undersökningsgrupp med 181 respondenter. Statistiska uträkningar gjordes för sammanställande av antal poäng per tema och korrelation mellan kön, ålder, antal år som sjuksköterska och antal år inom dialys. Huvudresultatet var att respondenterna hade högst kunskap om hur fosfater påverkar kroppen med medelvärdet 7,6 poäng (76,4 %) och lägst kunskap gällande att överblicka ett dagsintag 5,7 poäng (57,5%). Mellan en till 20 sjuksköterskor vid varje hemodialysenhet responderade med ett medelvärde mellan 16.0 och 25,5 poäng, medelvärde för alla var 20,0 poäng. Slutsatsen var att hemodialyssjuksköterskor har mest kunskap då det gäller kroppen och minst kunskap i att överblicka ett dagsintag. Högre ålder, fler antal arbetsår som sjuksköterska och inom dialys resulterade i högre kunskapsnivå när det gäller kroppen. / The aim of the study was to describe hemodialysis nurses knowledge of phosphates, foods with high phosphate content and the ability to translate that knowledge into a daily intake. Method: The design was descriptive with comparative and correlative features. A self-designed questionnaire with knowledge questions were used and divided into three themes: the body, food and daily intake. A total of 19 hemodialysis units responded yielding a study group of 181 respondents. Statistical calculations was made for the compilation of the number of points per theme and correlation between gender, age, number of years as a nurse and years with dialysis. The main results was that the respondents had the highest understanding of how phosphate affects the body with the mean 7.6 points (76.4%) and lowest knowledge to overview a daily intake 5.7 points (57.5%). The hemodialysis units had an average between 16.0 and 25.5 points, total average was 20.0 points.The conclusion was that hemodialysis nurses have the highest knowledge about the body and the lowest knowledge to overview a daily intake. Hemodialysis nurses with higher age and more working years have greater understanding of the body.

With the advances in technology, the change of the healthcare environment, and the need for users, the use of computerized support systems or expert systems are able to cut down costs for unnecessary procedures, achieve higher levels of efficiency and productivity. Applied to the nursing department, it may provide good quality of care, decrease the time that nurses duplicate patient history, reduce nurses¡¦ burden and enhance the abilities to solve problems. The topic of this research mainly focused on the nursing department in the pediatric ward. I propose a framework for nursing knowledge management by using subjective data, objective data, assessment, and care plan (SOAP), which is used by the nursing staffs as a way of decision-making processes. The method is to collect subjective and objective data, read relevant clinical practice guidelines, make clinical judgments about patients¡¦ actual or potential problems and provide applicable nursing plans and interventions. The staffs review and make final decision to accept or reject these judgments, nursing plans and related interventions. If the staffs reject any judgment, nursing plan and intervention, the system should have inquiry-signs to ask physician and nursing staff. Then the staffs correct the inappropriateness. These clear and easy-to-follow processes help student nurses or beginning nurses cultivate their abilities to care and hope it can provide as a guide to nursing teaching and clinical patient care.

Background: Lack of trained staff is the most important issue during the pandemics. In addition, nurses need adequate training sessions to act efficiently. Literature show that nurses in various parts of the world were not prepared for Covid-19 pandemic even those who had experienced other pandemics before. Pandemic management strategies like continuous training and education for health care staff can be a success factor. Nurses also need soft skills like interpersonal skills, stress management and problem solving to care for patients in an emergency like pandemic. All health care staff need to receive latest information about the new disease, and they need to have enough knowledge bout infectious diseases, personal protective equipment and infection control. Considering previous research, it is crucial to recognize knowledge and skills needed for care in a pandemic situation especially based on the perceptions of nurses who have experience of working in a pandemic. Aim: This study aimed to identify knowledge and skills that nurses with experience of working with hospitalized Covid-19 patients in Sweden perceive as crucial to be prepared for a pandemic. Method: Individual in-depth interviews were used to collect data from 7 nurses who had the experience of working with hospitalized covid-19 patients and qualitative content analysis was used to analyze the data. Result: Data analysis led to three categories that revealed manifest content of data which represents nursing knowledge and skills that were perceived crucial by nurses with experience of working with covid-19 patients: (1) Knowledge and skills empowering nurses to lower the pressure on themselves, (2) Knowledge and skills empowering nurses to support others, and (3) Knowledge and skills needed for a safe nursing care Conclusion: Considering the huge effect of the covid-19 pandemic on the health care system and the possibility of pandemics in the future because of climate change, it is crucial to increase the preparedness for these emergencies. This preparedness can be achieved by continuous training and education about pandemics, infectious diseases, and the crucial knowledge and skills needed in confronting them.

Bakgrund: Våld mot kvinnor sker världen över och mörkertalet är stort. Detta kan innefatta fysisk, psykiskt och sexuellt våld. Detta är även ett folkhälsoproblem då det leder till sämre hälsa hos de som blir utsatta för någon typ av våld. Sjuksköterskor har en betydande roll att identifiera och fånga upp dessa kvinnor.  Syfte: Att undersöka sjuksköterskors kunskap gällande identifiering av våldsutsatta kvinnor. Metod: Metoden var en litteraturöversikt som utfördes i överensstämmelse med Fribergs metod. I databaserna PubMed och Cinahl Complete identifierades tio vetenskapliga artiklar vilka svarade på syftet. De valda artiklarna analyserades i två huvudteman och fyra subteman.  Resultat:  Litteraturöversikten resulterade i två huvudteman. Det första temat var: Sjuksköterskans kunskap och kunskapsutveckling med subteman: Brist på kunskap och utbildning kring våld samt Användning av olika screeningverktyg. Det andra temat var: Sjuksköterskans beredskap i vårdmötet med subteman: Att skapa en trygg och tillförlitlig relation och Att ställa frågor om våld. Resultatet diskuterades med Phil Barkers tidvattenmodell som referensram. Sammanfattning: Litteraturöversikten visade att ökad kunskap kring subjektiva och objektiva tecken för våldsutsatta kvinnor behövs för att kunna identifiera kvinnorna i tid. Kunskap om bemötande av våldsutsatta kvinnor och att ställa frågor om våld är betydande för att sjuksköterskan ska känna sig förberedd och kunna ge kvinnor adekvat vård. Sjuksköterskors kunskap om de riktlinjer, policys, vårdprogram samt screeningverktyg som finns är av betydelse för att vidta rätt åtgärder till de våldsutsatta kvinnorna. / Background: Violence against women is happening all over the world and the number of blacks is high. This can include physical, mental and sexual violence. This is also a public health problem as it leads to poorer health of those who are exposed to some type of violence. Nurses have a significant role to play in identifying and capturing these women.  Aim: The purpose was to examine nurses' knowledge regarding the identification of women exposed to violence. Method: The method was a literature review that was performed in accordance with Friberg's method. In the databases PubMed and Cinahl Complete, ten scientific articles were identified which answered the purpose. The selected articles were analyzed in two main themes and four sub-themes. Results: The literature review resulted in two main themes. The first theme was: The nurse's knowledge and knowledge development with sub-themes: Lack of knowledge and education about violence and Use of various screening tools. The second theme was: The nurse's preparedness in the care meeting with sub-themes: Creating a safe and reliable relationship and Asking questions about violence. The results were discussed with Phil Barker's tidal model as a frame of reference. Conclusion: The literature review showed that increased knowledge about subjective and objective signs for women exposed to violence is needed to be able to identify women in time. Having knowledge about treating women exposed to violence and asking questions about violence is important for the nurse to feel prepared and able to provide women with adequate care. Nurses' knowledge of the guidelines, policies, care programs and screening tools that are available is important for taking the right measures for the women exposed to violence.

The nursing profession perpetuates an outdated model that fails to address the health concerns of racialized gender-diverse people. Evidence supports that this population experiences poorer health outcomes, care-avoiding habits, and incompetent healthcare providers. A literature review illuminated gaps in the nursing lens when considering gender-diverse identities outside of Whiteness. An intersectionality framework and cultural humility were used to explore the contexts in which nurses provide care. To fill this knowledge gap, the proposed research question was: How prepared are nurses to provide care to racialized gender-diverse people? A questionnaire was developed by modifying three pre-existing instruments. The online questionnaire served as a pilot feasibility study to collect preliminary baseline descriptive cross-sectional data about Ontario nurses' training, education, knowledge, attitudes, and beliefs about racialized gender-diverse people. Findings indicated potential gaps in training and education that may affect racialized gender-diverse peoples' healthcare. Recommendations are provided for future research and interventions.

O tema violência doméstica contra a mulher é um problema universal, pelo seu impacto nas áreas econômicas, sociais, educacionais e da saúde. A enfermagem tem um papel significativo no reconhecimento e acompanhamento dos casos, mas faz-se necessário que os profissionais estejam capacitados para tal. O objetivo deste estudo foi identificar a percepção e o conhecimento de estudantes de um curso técnico em enfermagem acerca da violência doméstica contra a mulher perpetrada pelo parceiro íntimo. Trata-se de um estudo quantitativo, descritivo, exploratório e transversal. Foi aplicado um questionário validado com questões sobre percepção e o conhecimento acerca da violência contra a mulher. A amostra contou com a participação de 84 estudantes dos três módulos do curso, com idade igual ou superior a 18 anos, no ano de 2017. Os dados foram organizados em planilhas, validados por dupla digitação e posteriormente transportados para o pacote estatístico do programa Statistical Package for the Social Sciences (SPSS) versão 22.0. O estudo foi aprovado pelo comitê de ética em pesquisa. Os resultados mostraram que os estudantes se sentem à vontade em perguntar às clientes sobre o uso de álcool ou tabaco, porém incomodados em tratar sobre o uso de drogas, vida sexual e violência conjugal. Tendem a infantilizar o atendimento à mulher em situação de violência. Discordaram que fatores sociais sejam causas de agressão, mas concordaram que o uso abusivo de álcool ou drogas e problemas psicológicos do parceiro possam estar entre as causas. Afirmaram que os agressores devem ser presos, mas há a crença de que a violência doméstica seja um assunto de fórum íntimo e privado. Demonstraram ter bom conhecimento sobre a definição das várias formas de violência, e reconhecimento de sinais e sintomas, contudo, baixo conhecimento sobre a epidemiologia da violência contra a mulher. Afirmaram ser atribuição do profissional de enfermagem abordar sobre violência doméstica, mas que esta não seja direta ou insistente. Discordaram que o profissional deva ignorar sinais de violência, assim como referiram que há necessidade de agendar retorno em intervalos menores, em casos suspeitos de violência doméstica. Quase metade dos estudantes desconhecem protocolos de atendimento à mulher em situação de violência sexual e a maioria afirmou que o médico não deve prescrever calmante/antidepressivos para a mulher agredida. Referiram que é válido avaliar com a cliente os riscos à que estão expostas e elaborar um plano de segurança. Responderam que a terapia de casal e psicoterapia seja recomendável. A minoria reconheceu a importância da notificação dos casos, mas afirmaram a importância de fornecer número de telefone de instituições que acolhem mulheres e recorrer à delegacia da mulher. Enfim, os achados demonstraram que os estudantes possuem um conhecimento parcial acerca do manejo dos casos de violência doméstica e lacunas em sua formação necessitam ser preenchidas, sendo recomendável a inclusão do tema no conteúdo programático do curso e possibilitar experiências práticas aos estudantes / The issue of domestic violence against women is a universal problem because of its impact on the economic, social, educational and health areas. Nursing has a significant role in the recognition and follow up of cases, but it is necessary that professionals are trained to do so. The objective of this study was to identify the perception and knowledge of students of a nursing technical course on domestic violence against women perpetrated by the intimate partner. It is a quantitative, descriptive, exploratory and cross-sectional study. A validated questionnaire was applied with questions about perception and knowledge about violence against women. The sample was attended by 84 students from the three modules of the course, aged 18 years or over, in the year 2017. The data were organized in spreadsheets, validated by double typing and later transported to the statistical package of the program Statistical Package for the Social Sciences (SPSS) version 22.0. The study was approved by the research ethics committee. The results showed that students are comfortable with asking clients about alcohol or tobacco use, but they are bothered to deal with drug use, sex life and marital violence. They tend to infantilize the care of women in situations of violence. They disagreed that social factors are causes of aggression but agreed that abusive use of alcohol or drugs and psychological problems of the partner may be among the causes. They said that the perpetrators should be arrested, but there is a belief that domestic violence is an intimate and private forum issue. They have demonstrated good knowledge about the definition of various forms of violence, and recognition of signs and symptoms, however, low knowledge about the epidemiology of violence against women. They affirmed that it is the nursing professional\'s assignment to address domestic violence, but that it is not direct or insistent. They disagreed that the professional should ignore signs of violence, as well as that there is a need to schedule return at shorter intervals in cases of suspected domestic violence. Nearly half of the students are unaware of protocols for the care of women in situations of sexual violence, and most have stated that the doctor should not prescribe a sedative / antidepressant medication for the battered woman. They said that it is valid to evaluate with the client the risks to which they are exposed and to elaborate a security plan. They said that couple therapy and psychotherapy are recommended. The minority acknowledged the importance of case reporting but stressed the importance of providing telephone numbers of institutions hosting women and turning to the woman\'s station. Finally, the findings showed that students have a partial knowledge about the handling of domestic violence cases and gaps in their training need to be filled out, and it is recommended to include the subject in the program content of the course and to provide practical experiences for the students

O tema violência doméstica contra a mulher é um problema universal, pelo seu impacto nas áreas econômicas, sociais, educacionais e da saúde. A enfermagem tem um papel significativo no reconhecimento e acompanhamento dos casos, mas faz-se necessário que os profissionais estejam capacitados para tal. O objetivo deste estudo foi identificar a percepção e o conhecimento de estudantes de um curso técnico em enfermagem acerca da violência doméstica contra a mulher perpetrada pelo parceiro íntimo. Trata-se de um estudo quantitativo, descritivo, exploratório e transversal. Foi aplicado um questionário validado com questões sobre percepção e o conhecimento acerca da violência contra a mulher. A amostra contou com a participação de 84 estudantes dos três módulos do curso, com idade igual ou superior a 18 anos, no ano de 2017. Os dados foram organizados em planilhas, validados por dupla digitação e posteriormente transportados para o pacote estatístico do programa Statistical Package for the Social Sciences (SPSS) versão 22.0. O estudo foi aprovado pelo comitê de ética em pesquisa. Os resultados mostraram que os estudantes se sentem à vontade em perguntar às clientes sobre o uso de álcool ou tabaco, porém incomodados em tratar sobre o uso de drogas, vida sexual e violência conjugal. Tendem a infantilizar o atendimento à mulher em situação de violência. Discordaram que fatores sociais sejam causas de agressão, mas concordaram que o uso abusivo de álcool ou drogas e problemas psicológicos do parceiro possam estar entre as causas. Afirmaram que os agressores devem ser presos, mas há a crença de que a violência doméstica seja um assunto de fórum íntimo e privado. Demonstraram ter bom conhecimento sobre a definição das várias formas de violência, e reconhecimento de sinais e sintomas, contudo, baixo conhecimento sobre a epidemiologia da violência contra a mulher. Afirmaram ser atribuição do profissional de enfermagem abordar sobre violência doméstica, mas que esta não seja direta ou insistente. Discordaram que o profissional deva ignorar sinais de violência, assim como referiram que há necessidade de agendar retorno em intervalos menores, em casos suspeitos de violência doméstica. Quase metade dos estudantes desconhecem protocolos de atendimento à mulher em situação de violência sexual e a maioria afirmou que o médico não deve prescrever calmante/antidepressivos para a mulher agredida. Referiram que é válido avaliar com a cliente os riscos à que estão expostas e elaborar um plano de segurança. Responderam que a terapia de casal e psicoterapia seja recomendável. A minoria reconheceu a importância da notificação dos casos, mas afirmaram a importância de fornecer número de telefone de instituições que acolhem mulheres e recorrer à delegacia da mulher. Enfim, os achados demonstraram que os estudantes possuem um conhecimento parcial acerca do manejo dos casos de violência doméstica e lacunas em sua formação necessitam ser preenchidas, sendo recomendável a inclusão do tema no conteúdo programático do curso e possibilitar experiências práticas aos estudantes / The issue of domestic violence against women is a universal problem because of its impact on the economic, social, educational and health areas. Nursing has a significant role in the recognition and follow up of cases, but it is necessary that professionals are trained to do so. The objective of this study was to identify the perception and knowledge of students of a nursing technical course on domestic violence against women perpetrated by the intimate partner. It is a quantitative, descriptive, exploratory and cross-sectional study. A validated questionnaire was applied with questions about perception and knowledge about violence against women. The sample was attended by 84 students from the three modules of the course, aged 18 years or over, in the year 2017. The data were organized in spreadsheets, validated by double typing and later transported to the statistical package of the program Statistical Package for the Social Sciences (SPSS) version 22.0. The study was approved by the research ethics committee. The results showed that students are comfortable with asking clients about alcohol or tobacco use, but they are bothered to deal with drug use, sex life and marital violence. They tend to infantilize the care of women in situations of violence. They disagreed that social factors are causes of aggression but agreed that abusive use of alcohol or drugs and psychological problems of the partner may be among the causes. They said that the perpetrators should be arrested, but there is a belief that domestic violence is an intimate and private forum issue. They have demonstrated good knowledge about the definition of various forms of violence, and recognition of signs and symptoms, however, low knowledge about the epidemiology of violence against women. They affirmed that it is the nursing professional\'s assignment to address domestic violence, but that it is not direct or insistent. They disagreed that the professional should ignore signs of violence, as well as that there is a need to schedule return at shorter intervals in cases of suspected domestic violence. Nearly half of the students are unaware of protocols for the care of women in situations of sexual violence, and most have stated that the doctor should not prescribe a sedative / antidepressant medication for the battered woman. They said that it is valid to evaluate with the client the risks to which they are exposed and to elaborate a security plan. They said that couple therapy and psychotherapy are recommended. The minority acknowledged the importance of case reporting but stressed the importance of providing telephone numbers of institutions hosting women and turning to the woman\'s station. Finally, the findings showed that students have a partial knowledge about the handling of domestic violence cases and gaps in their training need to be filled out, and it is recommended to include the subject in the program content of the course and to provide practical experiences for the students

No description available.