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1.
Montgomery KS 《The Journal of perinatal education》2001,10(1):31-40
The purpose of this paper is to review the research and discuss 13 challenges that currently influence excellence in maternal-newborn nursing practice. Nurses working in the maternal-newborn arena are encouraged to evaluate their own practices in relation to the identified areas. The 13 identified challenges are the following: integration and expansion of midwifery and family-centered models of care, reduction in the use of unnecessary or questionable-benefit technology, patient and family teaching, the questionable need for a normal newborn nursery, integration of research into practice, further development of genetic technology and counseling, computer technology as an adjunct to prenatal care and birth, the need for comprehensive breastfeeding education and support, prenatal care on a continuum beginning as women's health promotion, health promotion beyond the postpartum period, culturally competent care, health insurance coverage for all women and children, and an undereducated work environment. 相似文献
2.
Egerton Clarke 《Educational gerontology》2013,39(2):97-116
Much research examines the professional nursing practices of traditional and modern caregivers, but it remains unclear whether the delivery of extra-required services is diminished as the caregiver moves from traditional to modern community. Building on the classical works of sociologists Ferdinand Tonnies, Max Weber, and Emile Durkheim, this paper discusses traditional and modern caregiver practices to see whether extra-required services are currently being offered in city-based care settings. Using data from a purposive sample of 21 registered nurses and nursing assistants at six long-term care centers in the cities of Toronto, Ontario; Miami, Florida; and New York, New York, this paper examines registered nurses' (RNs') traditional and modern caregiving practices. Findings suggest that extra-required services are more richly provided in traditional communities than in urban city settings. Differences exist in both the form and extent of delivering extra caregiving services in the two types of settings. Implications of these finding are discussed relative to recruitment of foreign nurses. 相似文献
3.
Kara Dassel Jorie Butler Jacqueline Telonidis Linda Edelman 《Educational gerontology》2020,46(3):150-157
ABSTRACTWe developed online training modules focused on Alzheimer’s disease and related dementias (ADRD) designed to improve best care practices in long-term care settings, such as nursing homes, as a part of a federal grant focused on improving geriatric education for interprofessional (collaboration among different professions providing patient care) team members working in primary care settings. Faculty and clinicians with ADRD-expertise created and implemented an online asynchronous “ADRD Best Care Practices in Long-Term Care” program that includes audio-visual recorded presentations, a threaded case study, and supplemental information. Prior to enrolling in the course, participants complete a demographic survey and a modified 15-item version of the Alzheimer’s Disease Knowledge Scale. After completing the modules, participants complete a satisfaction survey and the ADKS. A total of 94 participants completed both the pre- and post-surveys. Satisfaction evaluation data showed that the majority of participants reported that the information presented was very clear (74.5%), was useful for their work (88.3%), and would improve the care that they provide to their geriatric patients (93.6%). Out of 15 possible. 相似文献
4.
Pearl Ed G. Cuevas 《Educational gerontology》2015,41(9):635-641
The study aimed to develop a meaning-based adult day care program managed by nurses for Filipino older persons. Meaning-based nursing care is intended to serve as a guide in creating meaningful, focused, and structured activities for nurses in adult day care.
A mixed methods research design was used in the study. This method involved the development of a training module, meaning-based nursing care, training of registered nurses, training evaluation of nurses, and referral for interdisciplinary team meetings and consultations. Meaning-based care was approaches that address the meaning of experiences for older persons in the process of conducting adult day care services.
The study gave evidences to the ability of nurses to manage a program for older persons. Thus, the study recommends the use of the nursing model developed to prescribe guidelines in the conduct of meaning-based adult day care programs and services. 相似文献
5.
Lily Dongxia Xiao Jan Paterson Julie Henderson Moira Kelton 《Educational gerontology》2013,39(9):763-781
Literature reveals difficulties in preparing nurses to care for older people. This article reports a study that aimed to facilitate positive changes in gerontological education in an undergraduate nursing program by identifying barriers and effective actions. A critical research approach was applied to the study. Data were mainly collected through focus groups. A total of five barriers were identified in gerontological education in an undergraduate nursing program. Actions which may address these barriers were explored. Critical reflection on educational practice based on partnerships between education and service sectors has the potential of leading an educational reform in gerontological nursing. 相似文献
6.
Given a projected threefold increase in people living with dementia globally by 2050 (World Health Organization, 2012), attracting nurses to work in this area will be critical to meet demand. This study examined the role of age, positive ageism, negative ageism, and aged-care placement completion in predicting nursing students' intentions to work in dementia care. Perceived barriers to working in dementia care were also explored through a thematic analysis. Participants were 135 undergraduate nursing students from one regional Australian university (ages ranging from 18 to 55years) who completed an online survey. Hierarchical multiple linear regression analysis revealed that age (p = .001) and positive ageism (p < .001) were associated with greater intentions to work in aged-care. A thematic analysis of perceived barriers to working in dementia care showed five themes consisting of 11 subthemes: profession (conditions, culture, diversity, interest); personal demands (emotional, physical); patient contact (communication, safety); experience (previous, lack); and no barriers. Younger students (<25 years of age) were more likely to nominate emotional demands as potential barriers, whereas older students were more likely to cite work conditions. Patient communication and interest in other areas of nursing were identified as barriers across age groups. The findings from this study suggest that educational providers could target students with specific characteristics associated with greater work intentions in dementia care, such as age and positive ageism. Perceived barriers to working in dementia care indicate possible areas of improvement that may attract more students to this field of practice. 相似文献
7.
Christine L. Williams Victor Molinari Jennifer Bond Michael Smith Kathryn Hyer Julie Malphurs 《Educational gerontology》2013,39(8):647-667
There is increasing recognition of the severe consequences of depression in long-term care residents with dementia. Most health care providers are unprepared to recognize and to manage the complexity of depression in dementia. Targeted educational initiatives in nursing homes are needed to address this growing problem. This paper describes the development of competencies, learning objectives, and learning outcomes for a curriculum on depression in dementia for nurses working in nursing home settings. This work provides the foundation for a curriculum to improve learning for nurses and, ultimately, to advance health care outcomes for residents with cooccurring depression and dementia. 相似文献
8.
Lily Dongxia Xiao Haifeng Wu Fu Ding Xizhen He Yueping Zhu 《Educational gerontology》2013,39(8):585-598
A lack of knowledge in registered nurses about geriatric conditions is one of the major factors that contribute to these conditions being overlooked in hospitalized older people. In China, an innovative geriatric continuing nursing education program aimed at developing registered nurses' understanding of the complex care needs of hospitalized older people with common geriatric conditions was conducted and evaluated. The program consisted of didactic sessions focused on evidence-based practice and unfolding case studies designed to simulate the care trajectory of an older person with a hip fracture and key geriatric conditions. Findings from the program evaluations revealed a significant increase in favorable attitudes towards older people and increased knowledge concerning common geriatric conditions. The satisfaction rate ranked by program participants was 90%. The study, therefore, drew the conclusion that effective geriatric continuing nursing education should target participants' learning needs, support evidence-based practice, and engage participants in active learning. 相似文献
9.
Levine J 《The Journal of perinatal education》2010,19(3):3-16
This letter to the editor is in response to Barbara Hotelling's column, "Tools for Teaching - The Power of Numbers: Transforming Birth Through Collaborations," published in the Volume 19, Number 2 (Spring 2010) issue of The Journal of Perinatal Education. Hotelling's brief overview of the history of birth activism in the United States and of current collaborations among diverse groups and individuals provides inspiration to continue efforts that improve maternity care and promote natural, safe, and healthy childbirth practices. 相似文献
10.
Service‐learning clinical experiences in community‐based sites are an important approach to providing medical, nurse practitioner, allied health and other professional students with an opportunity to acquire knowledge, attitudes and skills necessary for working effectively with the elderly. Such experiences provide a balance to the clinical experiences more traditionally provided to students in nursing homes and chronic care hospitals. In community‐based settings, students gain knowledge and skills in working with older people, develop a more balanced view about growing old, and learn about community resources and effective teamwork. The experiences of the George Washington University Medical School in providing these learning experiences has led to student enthusiasm for work with the elderly and has improved access to medical care for elderly persons who participate in programs in community‐based settings. 相似文献
11.
Sexuality education and health services for elderly individuals who reside in care settings (e.g., assisted living facilities, nursing homes, retirement communities) have received limited attention in the professional literature. However, the lack of sexual health promotion practices in elder care facilities can be detrimental to older adults’ overall health and quality of life. Barriers to sexuality education services for lesbian, gay, and bisexual (LGB) elders are explored and include history of LGB equality in the United States and lack of social support, as well as discrimination among formal care facilities and health care professionals. The Community Readiness Model (CRM) is proposed for addressing these barriers. The purpose of the CRM is to assess readiness characteristics of a community before program implementation and then build capacity with programming in that community for support and education. Sexuality educators currently have the opportunity to develop and implement sexual health education and promotion resources that can potentially improve the quality of life for LGB individuals transitioning into the latter stages of the life course. 相似文献
12.
13.
Professional skills, concerns, and perceived importance of work with families in early intervention.
Innovations brought about by Public Law 99-457 require early intervention personnel to expand their work practices to involve and support families in the provision of early intervention services. To support training needs in this area, and to understand possible barriers to change, this study examined the extent to which 142 early interventionists from two states felt competent in working with families, valued family roles, and were concerned about changing to family-centered practices. Relationships among these characteristics and experience, discipline, and job category were explored. In general, nurses and social workers scored higher than did educators and other health-care professionals on several dimensions of family-centered care. Many professionals expressed concerns about collaboration. 相似文献
14.
Allan B. de Guzman Reena-Jane D. Dangoy Kathleen Christian V. David Ken Jarrett H. Dayo Keisha A. de Claro Giorgio von Gerri G. de Guzman 《Educational gerontology》2013,39(3):260-276
Nurses play a significant role in geriatric care. However, as the aging population and demand for geriatric nurses increase worldwide, shortages of nurses seem to arise. This creates the need to assess and address the motivation and attitudes of nurses toward geriatric care. The intent of this qualitative study is to surface the essence or the “lebenswelt” that describe the motivation and attitudes of a selected group of Filipino nurses toward geriatric care. A total of six registered nurses who had experienced taking care of elderly patients voluntarily participated as respondents of this study. A two-part instrument developed by the researchers was made to elicit necessary data and information. The first part comprised of the robotfoto intended to establish the baseline characteristics of nurses under study. The second part consisted of a semistructured individual in-depth interview using “aide memoire” to probe into the motivation and attitudes of the nurse respondents. Field texts were phenomenologically reduced via repertory grid. Two distinct and interesting themes, namely Geriatric Service Motivation Typology and the Yin-Yang of Geriatric Attitudes emerged. The first theme includes the Single Loop and Double Loop type of motivation The former involves a transactional and unidirectional process, while the latter constitutes a two-way relational and transformational process. The second theme consists of a harmonious combination of the two sides of the nurses' attitudes toward geriatric care. Through this study, the human side of nursing is seen and captured, thus increasing the awareness and knowledge of nurses, improving provision of optimum geriatric care, and inspiring nurses to pursue geriatric nursing with a yearning to serve the elderly with and from the heart. 相似文献
15.
Evie Kalmar Susan L. Ivey Asa Bradman Victoria Leonard Abbey Alkon 《Early childhood research quarterly》2014
Pesticide use in and around child care centers is a potential health threat to children and staff. The implementation of integrated pest management (IPM) can reduce these risks yet child care providers receive minimal, if any, education concerning pest management. The objectives of this qualitative study are to: (a) develop a model to describe the process of implementing an IPM program in child care centers, (b) identify the facilitators and barriers to implementing an IPM program in child care centers, and (c) examine congruence between IPM practices identified on an IPM checklist with practices reported in qualitative interviews with child care managers. Interviews and IPM checklist observations were conducted with nine child care center managers in California before and after the introduction of a pilot IPM education intervention program. The qualitative analysis of the interviews revealed a four-stage IPM implementation process, from awareness of IPM, recognizing the importance of IPM and learning how to practice it, motivation and the decision to adopt IPM, to the implementation of IPM. A wide range of facilitators and barriers were identified. There was general congruence between the manager interviews and IPM checklist findings on IPM policies, practices, and management. Understanding the process of how an IPM program was implemented in these child care centers and the facilitators and barriers involved in the process can inform planning efforts for future health interventions in child care. 相似文献
16.
OBJECTIVE: The objectives were to determine the experiences of Taiwanese nurses with a new child abuse reporting law and to assess attitudinal correlates of nurses' intention to report. METHOD: A stratified quota sampling technique was used to select registered nurses working in pediatric, psychiatric and emergency care units in Taiwan. A total of 1400 (return rate 88%) questionnaires from 1617 nurses were used. The questionnaire includes demographic information, attitudes toward and knowledge of child abuse and reporting laws, and eight vignettes of child abuse. RESULTS:Most nurses (86%) said they had never reported a child abuse case; 21% said they had failed to report a suspected case of child abuse. Most (80%) had never had any child abuse education. About 75% felt their nursing education and in-service training was inadequate or absent. Most had an inadequate knowledge of the reporting law (mean score: 60% correct). Nurses only answered 17-43% of the law-related questions correctly. The majority accepted the professional responsibility to report. There were some differences among pediatric, psychiatric and emergency care nurses. In general, these Taiwanese nurses had negative attitudes toward corporal punishment and toward parents who abuse their children. The study also identified a variety of attitudes related to intention to report relevant to the Theory of Planned Behavior. CONCLUSIONS:Nurses accept responsibility for reporting but they believe their professional preparation for reporting is inadequate. There is a strong need for in-service and pre-service education about child abuse among nurses in Taiwan. 相似文献
17.
Hotelling BA 《The Journal of perinatal education》2010,19(2):44-47
Collaborative efforts and coalitions have replaced exclusivity as birth organizations and individuals unite to humanize birth and provide women with transparency of information about maternity care providers and facilities and about access to the midwifery model of care. The Coalition for Improving Maternity Services and the upcoming 2010 "Mega Conference" to jointly celebrate the 50th anniversaries of Lamaze International and the International Childbirth Education Association serve as excellent examples of collaborative efforts to support natural, safe, and healthy birth practices as well as women's choices in childbirth. Childbirth educators are encouraged to learn from and support national coalitions devoted to improving maternity care and to use local resources to develop their own collaborative efforts on behalf of childbearing families. 相似文献
18.
Collaborative working has been part of official government policy for some time and whilst a great deal has been claimed about its benefits, in terms of better quality services and improved outcomes, it would seem that translating policy intentions into practice has hitherto proved a challenge. Moreover, evidence concerning the effectiveness of collaborative working in education, health and social care remains limited and thinly spread. One response to this dilemma has been to introduce shared learning opportunities through the incorporation of inter‐professional education (IPE) modules into the curriculum of professional training programmes. This paper presents the findings from a study to evaluate the experience of a cohort of students from a range of different nursing specialities, undertaking a collaborative working module as part of their professional training at one UK university. The module aimed to critically analyse the philosophy of collaborative working and to encourage role appreciation and the values of different nursing, health and social care cultures. The module used shared learning during lectures, small group work and presentations in order to promote collaborative working within the educational setting. Using a mixed method design, incorporating a pre‐ and post‐survey and semi‐structured interviews, it was found that students revealed a strong commitment to collaborative working despite awareness of the problems that frequently have to be overcome. The major barriers identified from the survey were professional tribalism along with status and power differentials. These themes were explored in greater depth during the interviews where the module was seen to have enabled students to develop greater confidence in applying their professional knowledge, alongside developing improved communication and teamwork skills. The study offers some fresh insights into the most effective way of training nurses for collaborative working and the importance of promoting critical models of collaborative practice. 相似文献
19.
目的：探讨提高优质护理病房护士综合素质的方法。方法：选取我院2010年9月至2011年2月及2011年3月到2011年8月期间两种不同床位包干护理模式下的护士及患者做研究对象,采用我院自行设计的优质护理服务质量评价表和出院患者满意度调查问卷收集资料,就护士业务能力等进行对比分析。结果：新法护理模式护理质量（P=0.478）与病人对包床责任护士服务的满意度（P=0.979）与旧法差异均无统计学意义,新法包床护理病人满意度高于旧法（P=0.022）,新法包床护士护理技术操作（P=0.042）及理论考核成绩（P〈0.001）均优于旧法。结论：新法床位包干、小组负责的护理模式,有利于提高护士的综合素质,提升优质护理服务的内涵,值得临床推广。 相似文献
20.
目的提高护理人员素质和重危患者的护理质量.方法根据护理队伍状况,实行护士长为主的护理查房以及不同水平护士之间业务交流.结果协调地改善了护患关系,科学地解决了护理问题,提高了对重危患者的护理质量.结论明显提高了护理人员的思辨和工作能力,培养了护士专科护理观察、分析和解决问题的综合能力,提高了护理质量. 相似文献