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Direct coercion – challenges for nursing practice

Abstract

Introduction. Direct coercion is a part of medical intervention in which the patient’s autonomy as a basic human right is limited. In clinical practice, there are situations in which the use of coercion is indeed necessary to protect the patient and his/her environment against the effects of growing aggression. A very important element of action in such cases is to ensure the safety of both the patient through professional care, and of the personel executing the coercive measure.

Aim. The aim of this thesis is to analyze the legal scope and applicability of coercive measures in nursing practice.

Method. The exegesis of a legal text was used, which allows to present the legal conditions and rules of conduct in case of using direct coercion in psychiatric institutions and non-psychiatric units.

Conclusions. Regardless of the type of institution, the decision to use direct coercion should be carefully considered in terms of both the patient’s good and safety. This is a unique operation. It should be done in accordance with legal guidelines in this regard, what significantly determines the employees’ safety.

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Knowledge and attitudes of nursing students towards evidence-based medicine and evidence-based nursing practice

Abstract

Introduction. Modern nursing practice requires Nursing students to expand their knowledge both in the field of specialized nursing and learning the basics of medicine, as based on scientific evidence. The dissemination of research activities in nursing and the development of the profession, knowledge and practice based on Evidence-based Nursing may contribute to the increase of the effectiveness and improving the quality of healthcare services. Nursing teaching curricula should include subjects related to Evidence-based Medicine, such as scientific research methodology or critical analysis of scientific literature.

Aim. The aim of the study was to analyze the knowledge and attitudes of nursing students towards Evidence-based Medicine (EBM) and Evidence-based Nursing Practice (EBNP).

Material and methods. Out of 127 Master’s degree students in Nursing at the Medical University of Warsaw (4 men), 72% work as a nurse. Mean age of the study group was 26.55 years (min. 22, max. 51, SD=7.52) with 63% of the students attending full-time studies, with 90% being students of the first year. Some 53% earned their bachelor’s degree in Nursing in 2013. A standardized Evidence – Based Practice Profile Questionnaire from University of South Australia, quantitative analysis of the study results.

Results. Nearly 30% of the respondents have never encountered EBM or EBNP during their time at the University (n=41). Most students intend to use relevant scientific literature in order to update their knowledge (n=68) and to upgrade their skills, so as to integrate EBNP into their everyday professional practice (n=67). Some 60% of the respondents deem scientific reports useful for their work (n=76) but nearly half of them regards clinical experience as more important than the results of scientific studies, when it comes to making the right decisions in their professional practice (n=56). Nearly a half of the studied group (n=66) have never heard about the term minimum clinically worthwhile effect and only one person declared the correct explanation systematic review (n=1). 42% declare reading published scientific studies once a month but nearly 30% have never referred scientific findings to their own diagnosis (n=41) and 40% have never assessed its methodological correctness (n=51).

Conclusions. 1. The educational programs in the framework of Nursing studies should be supplemented with subjects of EBM and EBNP, so as to expand the nursing students’ knowledge and let them reap the benefits of using the latest study results in their future professional practice. 2. The level of knowledge about the principles of assessment of reliability of scientific evidence was strongly insufficient and requires urgent supplementation of knowledge and skills of students in this area. 3. It is necessary for students to update their knowledge, particularly when it comes to using the latest scientific literature in everyday clinical practice and skills connected with critical analysis of scientific evidence.

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Advancing the quality of care and nursing practice through emancipatory reflection

to see subtle and not-so-subtle examples of power plays within health-care settings that are taken for granted as “just the way things are”. Using Smyth’s framework 11 for emancipatory reflection and answering a number of questions throughout the four stages ( Figure 1 ) assists in guiding the uninitiated reflector to see self within the context of the particular experience and reflect on it step by step. 12 It is one of the commonly utilized models in nursing practice, which helps to critique the status quo in the power relationship and increases nurses

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Emancipatory reflection on a nursing practice-based ethical issue about nurses’ paternalistic decision-making for patients

1 Introduction This paper arose from the experience of the author, a Chinese nurse who studied in Ireland and experienced the clash between Oriental and Occidental nursing assumptions. In Irish nursing education and practice, critical reflection has burgeoned over a few years. 1 It has been recognized as a theoretical method and process for analyzing and transforming practice. 2 Meanwhile, in the module of Ethics, the author encountered a fresh phrase “paternalism in nursing decision-making”, which has never been recorded in her nursing practice before

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Empathy in nursing. Assumptions, practice and its empirical determinants

References 1. Peplau H. Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. G.P. Putnam, New York. 1952. 2. Kalisch BJ. What is empathy? American Journal of Nursing. 1973; 73(9): 1548-1552. 3. Bennett J. `Methodological notes on empathy’: further considerations. Advances in Nursing Science. 1995; 18(1): 36-50. 4. Morse JM, Anderson G, Bottorff J, Yonge O, O’Brien B, Solberg S. & McIlveen KH. Exploring empathy: a conceptual for nursing practice? Image

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Haemophilia nursing practice: A global survey of roles and responsibilities

Abstract

Haemophilia nursing roles continue to develop alongside nursing as a profession. There are now nurses who practice autonomously, much like a medical practitioner, and many who have extended their roles to deliver direct patient care, education and research. There has been little, if any, comparison with haemophilia nurse roles internationally, nor of the impact of these roles on patient reported outcomes. This paper reports the results of an international survey, of 297 haemophilia nurses from 22 countries, describing current day practice and care. Many nurses work above and beyond their funded hours to improve care through research and evidence-based practice. While some are able to attend international meetings to report and discover this evidence, many due to financial constraints, are not. Others reported difficulty with communicating in English, which limited congress attendance. With on-line learning capability, sharing of best practice is now possible, and this approach should be a platform developed in coming years to further enhance haemophilia nursing practice and ultimately patient care.

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The incidence of burnout in nursing practice

Abstract

Introduction. The burnout syndrome is significantly associated with nursing profession. Individuals suffering from the syndrome manifest important health problems. More information about prevalence and risk factors for burnout is needed to prevent the syndrome and to determine the most appropriate clinical interventions when the disorder appears.

Aim. The aim of the submitted thesis is to map existence of burnout syndrome in the nurse profession, to compare its existence according to the type department and to find out impact of the demographic characteristics on the burnout syndrome origin.

Material and methods. In the empirical part we describe work method, data analyses, their processing and statistical testing. To collect information we used standardized questionnaire, Burnout Measure (BM) – burnout questionnaire. Acquired data are interpreted in charts.

Results. Result of our research is to find out that existence of burnout syndrome in profession of nurse is considerable, while we do not observe significant differences between different types of workplace. We have identified by statistical processing the impact of demographic index on the occurrence of burnout syndrome. As statistically important we consider in light of burnout syndrome occurrence characteristic, age and duration of practice. Result of our research is to find out that existence of burnout syndrome in profession is considerable, while we do not observe significant differences between different types of workplace.

Conclusions. Based on our results we recognize that it is necessary to strengthen the burnout syndrome prevention among nurses. The occurrence of burnout syndrome was confirmed in our study. The average value of BM indices in our sample was 3.40 for all nurses, a BM index of 3.44 for nurses in sample A and a BM index of 3.36 for nurses in group B. These average values of burnout clearly show that their averages are in the range of “presence of signals of burnout” In this category of the BM index there are significant signs of burnout, but it is not developed burnout syndrome. One alarming finding was that three nurses in sample B found themselves in BM index band 5, which means an emergency state in which it is necessary to seek professional help.

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Can ICNP® be used in the nursing care of a patient with pneumonia?

(w ujęciu ICNP®) odnoszące się do biologicznego funkcjonowania pacjenta. [w:] Kilańska D, red. Międzynarodowa Klasyfikacja Praktyki Pielęgniarskiej ICNP® w praktyce pielęgniarskiej. Warszawa: Wydawnictwo Lekarskie PZWL; 2014, s. 150-153. 8. International Council of Nurses. Pillars & Programmes. Professional Practice. eHealth. International Classification for Nursing Practice (ICNP®). ICNP Browser [http://icnp.stemos.com/index.php/pl/2013/, data wejścia 3.07.2016]. 9. Christensen BL. Care of the Patient With a Respiratory Disorder. [w

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The care of a patient with cardiovascular disorders - a case study based on ICNP®

: Wydawnictwo Lekarskie PZWL; 2015, s. 231-247. 9. Kilańska D. Międzynarodowa Klasyfikacja Praktyki Pielęgniarskiej - ICNP w praktyce pielęgniarskiej. Warszawa: Wydawnictwo Lekarskie PZWL; 2014. 10. International Council of Nurses. Pillars & Programmes. Professional Practice. eHealth. International Classification for Nursing Practice (ICNP®). ICNP Browser NEW [http://www.icn.ch/ICNP-Browser-NEW.html, data wejścia 16.03.2016]

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Comparison of Knowledge and Attitudes Towards the Use of Scientific Research in Clinical Practice Among Departmental and Charge Nurses

Utilization Activities Among Rural Nurses. J Nurs Scholarsh. 2004;36(3):220-5. 5. Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012;42(9):410-7. 6. Eizenberg MM. Implementation of evidence-based nursing practice: nurses' personal and professional factors? J Adv Nurs. 2011;67(1):33-42. 7. Waters D, Crisp J, Rychetnik L, Barratt A. The Australian experience of nurses' preparedness for evidence-based practice. J Nurs Manag. 2009

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