Author: wythenshawe

What Nurses Do During Time Scarcity—and Why. (Journal of Nursing Administration. Sept 2016 46(9) p.449–454)

Time scarcity is a common occurrence in the nurse work environment that stimulates a decision-making process, known as clinical prioritization or implicit rationing. In implicit rationing, nurses must decide what care they will complete and what they will leave unfinished. Five mechanisms that influence this process are supported in the literature. The effects of these influential mechanisms leave patients vulnerable to unmet educational, psychological, care coordination and discharge planning needs. Potential areas for intervention by nurse leaders include redesigning care delivery models to reduce time scarcity, adding balancing measures to performance monitoring systems to promote patient-centered care, and creating work cultures that support the values of nursing.

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How coaching can play a key role in the development of nurse managers. (J Clin Nurs. Aug 2016)

Explores empirically the role that coaching plays in the development of nurse managers in order to inform further research and policy makers about the potential utility and value of this means of development. Findings show that following coaching, nurse managers gained increased resilience, confidence and better coping mechanisms. This resulted in perceived improved team management and cohesion and appeared to lead to better quality of care for patients.

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Moral distress in ICU nurses. (Intensive Care Med Aug 2016)

This article looks at The intensive care unit (ICU) is a stressful environment due to high patient mortality and morbidity, daily confrontations with ethical dilemmas, and a tension-charged
atmosphere. It proposes various interventions to enhance the ICU atmosphere and concludes that the critical care professional societies, hospitals, and other stakeholders all have a responsibility to acknowledge that moral distress occurs—and to develop strategies to identify moral distress among their members and employees.

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Leading and Retaining a Multigenerational Nursing Workforce: Leadership Grounded in Caring Science. (Int J Hum Car. 2016 20(2))

The purpose of this article is to provide evidence-based solutions for nurse leaders looking to retain a multigenerational workforce. Today our nursing leaders are faced with many challenges, the greatest of which is effectively managing our multigenerational workforce. This article will provide insight on how to address challenges in the workforce and suggest solutions. Understanding the workforce allows leaders to reach their fullest potential and increase nurse retention. In the unstable, ever-changing environment of health care, one thing we can offer our nurses is leadership grounded in caring science and an environment in which they can thrive and feel supported, to alleviate burnout.

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Does familiarity affect the enjoyment of touchscreen games for people with dementia? (Int j med inform, Jul 2016, vol. 91)

Previous research has indicated that people living with dementia are able to use touchscreen technology, which presents an opportunity to deliver meaningful and engaging activities for people to pass the time independently. The challenge is to identify suitable applications from the thousands that are currently available, and familiarity, where an app is a digital version of an existing real world game, may be one solution. To evaluate the concept of familiarity in gameplay with people living with dementia by comparing a known game with a novel game and measuring whether users are able to play these games independently and whether they enjoy doing so. Regardless of which game was played or whether the checkpoint was reached, 88% of all participants reported enjoyment of the gaming sessions. People living with dementia can play touchscreen games independently, but familiarity does not ensure successful gameplay. Enjoyment appears to be independent of progression through a game. The potential of novel and unfamiliar games as meaningful activities that people with dementia can engage with independently should be further explored.

Does familiarity affect the enjoyment of touchscreen games for people with dementia? (Follow this link if you have an Athens password). Alternatively contact the UHSM Academy Library for a copy of the article or call 0161 291 5778)

The effect of folk recreation program in improving symptoms: A study of Chinese elder dementia patients. (Int J Geri Psych, Jun 2016)

Objective This study aimed to evaluate the effects of a folk recreation program on the symptoms of people with dementia. The program was tailored to the participants’ interest and derived from their traditional culture background. Conclusions The folk recreation program has the potential to improve cognitive function, ability of daily living and behavioral and psychological symptoms of the elders with dementia. The folk leisure activities, which embed in the participants’ cultural background, will motivate their positive feelings and memories, can delay the progression of disease and improve the symptoms.

The effect of folk recreation program in improving symptoms: A study of chinese elder dementia patients. (Follow this link if you have an Athens password). Alternatively contact the UHSM Academy Library for a copy of the article or call 0161 291 5778)

Montessori based activities in veterans with severe dementia: Engagement, affect, and behavior. (Journal of the American Geriatrics Society, 64/(S66-S67)

Studies have shown that nursing home patients with advanced dementia spend much of their time engaged in no activities at all. The Montessori approach to activities has been shown in prior long-term care (LTC) settings to improve engagement, affect and behavior in these patients. The objective of this study is to identify at least one Montessori based activity engaging to each Veteran with advanced dementia in our facility. Concludes: More Veterans (11/12) engaged in at least one individual Montessori based activity over 50% of the time compared to group activities (6/12). These results will assist staff in engaging Veterans with advanced dementia in patient-centered meaningful activities.

Montessori based activities in veterans with severe dementia: Engagement, affect, and behavior. (Follow this link if you have an Athens password). Alternatively contact the UHSM Academy Library for a copy of the article or call 0161 291 5778)

The impact of individual and organizational resources on nurse outcomes and intent to quit. (JAN July 2016)

Aim: To examine the impact of an individual resource factor (psychological capital) and an organizational resource (management support) on nurses’ intentions to quit. Findings: The predictors explained almost half of the variance of nurses’ intent to quit. Psychological capital had the dual benefits of reducing nurses’ perceptions of psychological distress and simultaneously increasing their job satisfaction. Conclusion: Psychological capital is an example of the personal resources a nurse brings to work. Nurse managers can now understand the impact of a new form of protective resources that influence the levels of strain felt by nurses. If nurses present with low psychological capital, then up-skilling nurses with these personal attributes will positively impact on their health and wellbeing and, in turn, enhance the care of patients.

The impact of individual and organizational resources on nurse outcomes and intent to quit. (Follow this link if you have an Athens password). Alternatively contact the UHSM Academy Library for a copy of the article or call 0161 291 5778)

NHS trust chief’s comments on safe staffing ‘seriously worrying’ (Nursing Standard July 2016 30(47) pps. 11-11)

The RCN has accused the head of NHS Improvement of putting finances before patient care amid ‘worrying’ comments on safe staffing levels.

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Prime minister urged to re-examine safe staffing (Nursing Standard July 2016 30(47) pps. 7-8)

Nursing leaders have pressed new prime minister Theresa May to re-examine key issues affecting the profession as a matter of urgency.

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