Month: February 2017

Recruiting Dementia Caregivers into Clinical Trials: Lessons Learnt from the Australian TRANSCENDENT Trial (Alzheimer Disease and Associated Disorders, 2016, 30(4) p. 338-344)

The burden on those caring for a person with dementia is substantial. Although quality research assists in addressing the needs of these caregivers, recruiting caregivers into clinical studies is often problematic. This investigation explores the difficulties and successes in recruiting dementia caregivers into community-based clinical research.
This study has generated new insights into the effective recruitment of dementia caregivers into clinical trials. We anticipate that these lessons learnt will assist in shaping the recruitment strategies of future studies of dementia caregivers

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The influence of day care centres designed for people with dementia on family caregivers – a qualitative study. (BMC Geriatrics, 2017, 17(1) p. 5)

Dementia is one of the most challenging age-related illnesses for family caregivers, whose care-related burden is well known. Research indicates that day care centres (DCCs) can reduce the caregiver burden and help family caregivers to cope with demands; however, the current body of knowledge is still tentative and inconsistent, and more research is recommended. The aim of this study is to provide an extended understanding of the situation of family caregivers and to examine to what extent DCCs can meet their need for support and respite.

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Preliminary Results of a Research Project we Initiated at the Public Day Care Centre (DCC) for Alzheimer “Le Civette” in Florence, Italy (Dual Diagnosis : Open Access, 2016, Nov, Epub)

Persons with dementia (PWD) still retain an ability to express emotions, to appreciate arts and to take part in creative activities. In this study we investigated the effects of artistic-expressive therapies on the quality of the relationship between PWD and their family caregivers (FC). Our results showed that agitation behaviour is rare during artistic-expression activities, while positive emotions and active participation are very frequent in both PWD and FC. These results suggest a way to improve relationship between the caregiver and the person assisted.

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Creating a Culture of Success: Using the Magnet Recognition Program® as a Framework to Engage Nurses in an Australian Healthcare Facility. (The Journal of nursing administration, 2017, 47(2) p. 116-122)

An organizational culture that reflects distrust, fear of reprisal, reluctance to challenge the status quo, acceptance of poor practice, denial, and lack of accountability creates significant issues in healthcare in relation to employee retention, burnout, organizational commitment, and patient safety. Changing culture is one of the most challenging endeavors an organization will encounter. We highlight that the Magnet Recognition Program® can be implemented as an organizational intervention to positively impact on nursing workplace culture in an international healthcare facility.

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Research culture among nurses working in a swiss pediatric department: A descriptive and correlational study ( European Journal of Pediatrics, 2016,. 175(11), P. 1444)

Nursing research is essential to build up evidence-based practice, which improves quality of care, patient outcome, and nurse satisfaction in the workplace. However it is und erused in practice.

Results showed that nurses have positive attitudes towards research. However only few nurses use research results in her daily practice. The barriers and facilitators identified demonstrate a significant need of time and training in research. Recommendations would be to strengthen links between nurses and researchers, to invite nurses to a regular presence and active participation at journal club and conferences.

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Skill Mix, Nurse Staffing Level, and Physical Restraint Use in US Hospitals: a Longitudinal Study (Journal of General Internal Medicine, 2017, 32(1), p. 35-41

Although it is plausible that nurse staffing is associated with use of physical restraints in hospitals, this has not been well established. In this longitudinal study there was a strong negative correlation between nursing skill mix and physical restraint use. Ensuring that skill mix is consistently adequate should reduce use of restraint.

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NCSBN and The National Forum Publish the 2015 National Nursing Workforce Survey. (Dakota Nurse Connection, 2016, 14(3) p.16)

Chicago – The National Council of State Boards of Nursing (NCSBN) and The National Forum of State Nursing Workforce Centers (The National Forum) announce the publication of the 2015 National Nursing Workforce Survey, a new study that provides a comprehensive snapshot of the U.S. registered nurse (RN) and licensed practical/vocational nurse (LPN/VN) workforce in 2015.
Every two years, NCSBN partners with The National Forum to conduct the only national-level survey specifically focused on the U.S. nursing workforce. The study generates information on the supply of nurses in the country, which is critical to planning for sufficient numbers of nurses and ensuring a safe, diverse, accessible and effective health care system.

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A Systematic Review on the Effectiveness of Interventions to Improve Hand Hygiene Compliance of Nurses in the Hospital Setting. (J Nurs Scholarsh, 2017 Jan. Epub)

The purpose of the present systematic review is to identify the interventions that improve hand hygiene compliance (HHC) specifically among nurses.
Findings: One RCT reported effectiveness and 6-month sustainability of the effect related to multimodal-directed and multimodal with team leadership-directed strategies. The other two RCTs found positive effect of education and feedback on compliance; however, compliance rates declined after 1 month. Education was also found to improve HHC up to 3 months postintervention. An electronic reminder and feedback system evaluated by an ITS improved HHC and detected variation in HHC through the day.
Conclusions: This review showed that single and combined interventions do improve hand hygiene practices among nurses; however, there is a need for more methodologically robust studies to define the most effective and sustainable interventions.

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Building leadership capacity in advanced nurse practitioners – the role of organisational management. (J Nurs Manag, 2017, 25(1) p. 77-81)

The aim of this study was to highlight the organisation-level management’s role in building leadership capacity in advanced nurse practitioners and the need for appropriate supports to increase their becoming leaders. Conclusion: health care organisations need to include building leadership capacity as a priority in their strategic plan and take action to build-up the level of advanced nurse practitioner leadership.

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Pediatric nurse practitioners effective in teaching providers the Asthma Action Plan using simulation. (Journal of Pediatric Nursing, 2016 Jan. Epub)

The purpose of this study was to assess the effect of a pediatric nurse practitioner (PNP)-led class incorporating simulation on resident physician knowledge of the AAP and confidence in teaching families the AAP. This study demonstrates that resident physician knowledge of the AAP and confidence in teaching the AAP improved after a PNP-led simulation class.

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