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Purpose of this trial: To evaluate the effectiveness of a multidisciplinary group-based intervention on improving pain and disability among Iranian nurses with chronic low back pain in Tehran, Iran. Conclusion: This study showed that a multidisciplinary educational program intervention can be an effective approach for reducing LBP and related disabilities among nurses.
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This paper presents the results from a systematic review of the international evidence on the costs, resource use and cost-effectiveness of Clinical Nurse Specialist-led interventions for patients with palliative care needs, defined as seriously ill patients and those with advanced disease or frailty who are unlikely to be cured, recover or stabilize. It concludes that Clinical Nurse Specialist interventions may be effective in reducing specific resource use such as hospitalizations/re-hospitalizations/admissions, length of stay and health care costs. There is mixed evidence regarding their cost-effectiveness.
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The objective of this study was to identify the satisfaction levels of nurses with positive environment initiatives and positive management strategies. This study showed that 24 months after the implementation of these strategies (adopted from the magnet model), nurse satisfaction with their work environment and management style increased significantly.
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Four challenges face the nursing workforce of today and tomorrow: the aging of the baby boom generation, the shortage and uneven distribution of physicians, the accelerating rate of registered nurse retirements, and the uncertainty of health care reform. This article describes these major trends and examines their implications for nursing. The article also describes how nurses can meet these complex and interrelated challenges and continue to thrive in an ever-changing environment.
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A large and increasing number of studies report a relationship between low nurse staffing levels and adverse patient outcomes, including higher mortality rates. However, despite the volume of research undertaken, significant gaps in the evidence base remain. Is there enough evidence on nurse staffing and patient outcomes to develop ‘safe-staffing’ guidance? If not, what more needs to be done? This article summarises what is known, what is not known and what more we need to know about safe staffing to inform policy and practice.
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The article discusses the author’s views on the nursing shortage in Great Britain, and mentions topics including the impact of the British exit or Brexit from the European Union (EU), the government’s efforts in eliminating gaps in nursing staffing, and policy changes that affect the nurse supply.
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This systematic literature review explores and considers whether registered nurse staffing levels affect patient mortality in acute secondary care settings. A discussion makes particular reference to the philosophical foundations of contrasting research approaches used within the literature. Effective management and leadership of acute clinical areas requires appropriate nurse:patient ratios. In practice settings, patient to staff ratios are based on care being provided by highly skilled and competent nurses providing best-quality, evidence-based practice.
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This study was a single-arm, non-randomized trial looking at whether comprehensive geriatric assessment (CGA) might potentially clarify the etiology of decreased oral intake in people with dementia; thus improving their clinical outcomes. It concludes that the use of CGA with multidisciplinary interventions could improve the functional status of eating and allow elderly patients with severe eating problems and dementia to survive independently without the need for AHN.
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This study examined the association between environmental stimulation and eating performance among nursing home residents with dementia.
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Exposure to suffering of a relative or friend increases the risk for psychological and physical morbidity. However, little is known about the mechanisms that account for this effect. We test a theoretical model that identifies intrusive thoughts as a mediator of the relation between perceived physical and psychological suffering of the care recipient and caregiver depression.
The effects of perceived physical suffering on depression were completely mediated through intrusive thoughts, and compassion moderated the relation between physical suffering and intrusive thoughts. Caregivers who had greater compassion reported more intrusive thoughts even when perceived physical suffering of the CR was low. For perceived psychological suffering, the effects of suffering on depression were partially mediated through intrusive thoughts.
This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library