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Engagement in elderly persons with dementia attending animal-assisted group activity. (Dementia (London). Sep 2016)

In this study, we systematically registered behaviours related to engagement in a group animal-assisted activity (AAA) intervention for 21 PWDs in NHs and among 28 home-dwelling PWDs attending a day care centre. The participants interacted with a dog and its handler for 30 minutes, twice a week for 12 weeks. Video-recordings were carried out early (week 2) and late (week 10) during the intervention period and behaviours were categorized by the use of an ethogram. AAA seems to create engagement in PWDs, and might be a suitable and health promoting intervention for both NH residents and participants of a day care centre. Degree of dementia should be considered when planning individual or group based AAA.

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Perceptions of Home Health Nurses Regarding Suffering, Artificial Nutrition, and Hydration in Late-Stage Dementia. (Home Healthc Now. Oct 2016, 34(9) p. 478-84)

The purpose of this study was to explore perceptions of home healthcare nurses related to suffering, artificial nutrition and hydration in people with late-stage dementia, and if these perceptions influence care to people with dementia and their families. Seventeen home healthcare nurses participated in this study. Although many of the nurses reported that artificial nutrition and hydration was of comfort to the patient and family because of the potential for “starving,” they also felt it prolonged the patient’s suffering due to the invasive procedure, need for restraints, and possibility of fluid overload. Several nurses felt that artificial nutrition and hydration gave a sense of false hope to the family that the patient would live longer. The perceptions of these home healthcare nurses influence their care to people with dementia and their families related to artificial nutrition and hydration, possibly based on experience. Their perceptions could influence family decisions regarding treatment options.

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The eating behavior inventory (EBI): A new clinical tool for the early diagnosis of frontotemporal dementia. (J Neurochem, Aug 2016, 138(267))

Changes in eating behaviors and food preference are very frequent in patients with frontotemporal dementia. Despite a specific pattern, this behavioral change is not used as a diagnosis tool. In this study we proposed a new caregiver questionnaire named Eating Behavior Inventory (EBI). This questionnaire consisted in 30 questions investigating four domains of eating behavior (eating habits, food preference, table manners, and swallowing problems). The aim of this study was to show how this questionnaire could be used as a clinical tool allowing to distinguish frontotemporal dementia from Alzheimer’s disease. Concludes that the EBI, shown as a rapid and simple caregiver questionnaire, could be proposed as a new diagnosis tool distinguishing fv-FTD patients from AD patients.

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Experiences of healthcare professionals as caregivers of a dying family member: an exploratory study. (International Journal of Palliative Nursing, 2016.)

Many health-care professionals also take on a caregiver role at home, usually by caring for a dying relative. Very little is known about the perceptions, experiences and needs of this specific group of carers.

Healthcare professionals’ needs as caregivers are not assessed and addressed holistically, creating room for improvement. Participants felt emotionally pressured by their families to get answers and find solutions during caregiving. Despite it being a complex and painful process, participants still gave examples of rewards experienced during caregiving.

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Shift in culture frees up time for nurses to spend with patients. (Nursing Management, Sep 2016, 23(5) p. 8-9)

A US approach to transforming hospital culture by improving quality and safety has been running in the NHS for a year. Five trusts in England have been using the method, which was influenced by Japanese car production techniques.

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Using narratives to enhance nursing practice and leadership: What makes a good nurse? (Teaching and Learning in Nursing, Sept 2016)

Storytelling is an ancient practice that has functioned to maintain history, deepen empathy and understanding, and empower groups and individuals. Unfortunately, nurses are not encouraged to share their stories of contributions to patient care. In this article, 3 nurses share stories about learning to be good nurses, even while going against long-held nursing ideals. The authors argue that narratives can lead to a deeper understanding of nursing as a practice and discipline. The authors also contend that narratives facilitate the empowerment in nurses and patients using narratives; nurses recognize their power and facilitate their patients’ recognition of power.

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Barriers to reporting medication errors and near misses among nurses: A systematic review. (Int J Nurs Studies, 2016, Vol.63, p. 162–178)

Objective of this study was to explore barriers to nurses’ reporting of medication errors and near misses in hospital settings. Concludes that to overcome reported barriers it is necessary to develop a non-blaming, non-punitive and non-fearful learning culture at unit and organizational level. Anonymous, effective, uncomplicated and efficient reporting systems and supportive management behaviour that provides open feedback to nurses is needed. Nurses are accountable for patients’ safety, so they need to be educated and skilled in error management. Lack of research into barriers to reporting of near misses’ and low awareness of reporting suggests the need for further research and development of educational and management approaches to overcome these barriers.

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From healthcare support worker to registered nurse. (Nursing Management, 2016, 23(5) p. 26-29)

Workforce planning, education and training are essential for achieving an appropriate mix of skilled and motivated staff, but the NHS’s financial challenges mean new ways of providing safe staffing levels and balancing the books are required. This article describes the development of an education programme for band 1 to band 4 unregistered support workers that led to the introduction of an assistant practitioner (AP) role. It also explains how the programme evolved from a one-year certificate in higher education to a foundation degree in health care, and has since produced over 100 APs in a range of clinical areas who deliver high quality, competent and patient-centred care in a cost-effective, sustainable way.

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Working time use and division of labour among nurses and health-care workers in hospitals – a systematic review. (J Nurs Man. Aug 2016)

This systematic review aimed to synthesise the existing evidence of working time use and the division of labour among nurses and health-care workers in hospital wards. Conclusions: Despite nurses’ different educational backgrounds, certain similarities could be observed. All working groups seem to spend less than half of their working time in direct patient care. Implications for nursing management: Nurse managers could influence the increasing nursing workload by supporting the right division of labour and focusing the nurses’ working time use so that it benefits the patient.

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A pilot study exploring the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life and wellbeing among UK community nurses. (Nurse Education Today Volume 46, Nov 2016,p. 109–114)

This study aims to measure associations between self-compassion, compassion fatigue, wellbeing, and burnout in community nurses. Results show that community nurses who score high on measures of self-compassion and wellbeing, also report less burnout. Greater compassion satisfaction was also positively associated with compassion for others, and wellbeing, whilst also being negatively correlated with burnout. Conclusion: High levels of self-compassion were linked with lower levels of burnout. Furthermore when community nurses have greater compassion satisfaction they also report more compassion for others, increased wellbeing, and less burnout. The implications of this are discussed alongside suggestions for the promotion of greater compassion.

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