Month: November 2016

Factors influencing the effectiveness of audit and feedback: nurses’ perceptions. (J Nurs Manag. 2016, 24(8) p. 1080-1087)

Aim of this study was to explore the perceptions of nurses in an acute care setting on factors influencing the effectiveness of audit and feedback. Results: Three themes were identified: the relevance of audit and feedback, particularly understanding the purpose of audit and feedback and the prioritisation of audit criteria; the audit and feedback process, including its timing and feedback characteristics; and individual factors, such as personality and perceived accountability. Conclusion: According to participants, they were likely to have a better response to audit and feedback when they perceived that it was relevant and that the process fitted their preferences. This study benefits nursing leaders and managers involved in quality improvement by providing a better understanding of nurses’ perceptions on how best to use audit and feedback as a strategy to promote evidence-based practice.

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“Mental health day” sickness absence amongst nurses and midwives: workplace, workforce, psychosocial and health characteristics. (J Adv Nurs. 2016 Nov 16)

Aim of this study was to examine the workforce, workplace, psychosocial and health characteristics of nurses and midwives in relation to their reported use of sickness absence described as ‘mental health days’. Study found that fifty four percent of the nurse and midwife respondents took ‘mental health days’. Those affected were significantly more likely to be at younger ages, working shifts with less time sitting at work; to report workplace abuse and plans to leave; having been admitted to hospital in previous 12 months; to be current smokers; to report mental health problems, accomplishing less due to emotional problems and current psychotropic medication use. Study concludes that specific characteristics of nurses and midwives who report taking ‘mental health day’ sickness absence offer healthcare administrators and managers opportunities for early identification and intervention with workplace measures and support frameworks to promote well-being, health promotion and safety.

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Changing infusion practice generates significant efficiencies in nursing time and resource usage in paediatric intensive care. (Arch Dis Child. 2016 Sept 101(9):e2)

Infusion preparation in British PICUs uses the Rule of Six (ROS) which was developed for administration without infusion devices. This method is inaccurate.1 Regulators recommend standardised approaches to IV infusions to improve patient safety and quality of care.2 Administration set changes also have an association with resource use and central line infections.3 We report the impact of fixed concentration infusions and reduced administration set changes on nursing time and infusion equipment cost. Conclusion: FC syringes are more efficient than ROS. FC preparations have released 0.5 WTE nurses back to patient care. Changing administration sets 72 hrly realises significant cost efficiencies.

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Clinical research nurse interns: the future research workforce. (Nurse Res. 2016, 24(2) p. 6-7)

To ensure that patient care is continuously improved, it is essential that research becomes an integral aspect of clinical care and the NHS Constitution for England ( Department of Health 2012 ) sets out the patients’ right to be involved in research as a treatment option.

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A Prediction Model on the Male Nurses’ Turnover Intention. (Korean J Adult Nurs, 2016, 28(5) p. 585-594)

The purpose of this study was to develop and test a predictive model on the male nurses’ turnover intention. The results showed that 54.2% of turnover intention was explained by job opportunity, kinship responsibility, positive emotion, work autonomy, role conflict, work satisfaction and organizational commitment.

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Risk factors identification for burnout syndrome in nurses. (International Archives of Medicine, 2016, 9(328))

This review of research literature found the causes of burnout to be excessive workload, poor pay, poor conditions of work and emotional instability. The authors then suggest the need for information booklets which discuss this syndrome of burnout and the creation of conversation rounds amongst professionals to share experiences and seek solutions.

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Exercise Training for Persons with Alzheimer’s Disease and Caregivers: A Review of Dyadic Exercise Interventions. (J Mot Behav, 2016, p. 1-13)

Alzheimer’s disease (AD) is the most common form of dementia and the prevalence will increase dramatically in the next decades. Although exercise has shown benefits for people with dementia due to AD as well as their caregivers, the impact of a dyadic exercise intervention including both groups as study participants remains to be determined. The authors review the current clinical evidence for dyadic exercise interventions, which are exercise regimens applied to both the person with dementia and the caregiver.

There is a need for well-designed randomized controlled clinical trials to confirm these benefits and to investigate several important points such as the effects of a dyadic exercise intervention on cognitive and noncognitive outcomes of AD, the optimal intensity of exercise training, and the cost effectiveness of such a program.

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Patient and Caregiver Interplay in Behavioral and Psychological Symptoms of Dementia: Family Caregiver’s Experience. (Clin Nurs Res, 2016 Nov. Epub)

The purpose of this study was to identify family caregivers’ experiences in managing the behavioral and psychological symptoms of dementia (BPSD) with particular focus on their interpersonal interactions with patient with dementia.

Three main themes were identified through data analysis: triggers of BPSD, family caregiver’s actions in response to BPSD and patient’s reactions, and the effect of BPSD on family caregivers. Findings demonstrated that BPSD depended on the complex interplay of family caregivers and patients, including their interaction style. This information could help nurses when counseling and educating family caregivers to improve or modify their attitudes and approaches to behavioral symptoms of patients.

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Family responsibilities of Asian nurses in New Zealand: Implications for retention. (Kai Tiaki Nursing Research, 2016, 7(1) p. 4-10)

The aim of this study was to explore Asian NZNO members’ caregiving responsibilities for family (both children and elders) and the impact of these on their work, their nursing careers and their intention to remain as nurses in New Zealand. A substantial number of New Zealand nurses combine family care-giving responsibilites with work, but little is known about the specific impact of this on Asian nurse workforce planning or retention.

Raised awareness of these issues, combined with support from employers (particularly access to flexible working) and empathy among line managers will be crucial in enabling these nurses to remain in the workforce.

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Transition to Practice Program: A New Direction for Recruiting and Retaining Enrolled Nurses in Mental Health. (J Nurses Prof Dev, 2016, 32(6) p. 299-305)

One health service in one Australian jurisdiction introduced a specialist mental health transition to practice program for newly qualified enrolled nurses. The program increased enrolled nurse confidence in mental health nursing and appears to be a viable solution to address the mental health nursing workforce shortage. Further research to evaluate components that effectively increase confidence and long-term retention is recommended.

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