Category: Nursing Productivity

Shift work is currently becoming increasingly more common, however it has two major hazards: It increases the risk of occupational accidents and injuries, as well as the development of (chronic) disease. This masters thesis reports on an innovative split-sleep schedule which appears to be promising for the majority of shift workers. The split-sleep schedule is beneficial shortly after a night-shift series as well. Important implementation strategies are personalizing the split-sleep schedule and informing society about split-sleep and its advantages. However, current results are preliminary and further research is therefore needed.

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The focus of this research was to analyze the impact of decentralized and centralized hospital design layouts on the delivery of efficient care and the resultant level of caregiver satisfaction. The research concludes that among the factors contributing to caregiver efficiency and satisfaction are nursing station design, an integrated team approach, and the overall physical layout of the space on walkability, allocation of caregiver time, and visibility. However, unit design alone does not solely impact efficiency, suggesting that designers must consider the broader implications of a culture of care and processes.

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This paper discusses how Primary care leaders are trialling nurse-led group consultations across Greater Manchester as part of the primary care transformation programme.

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The purpose of this study was to evaluate the efficacy of an online EBP educational intervention and to examine the relationship between educational preparation and years of nursing experience on nurses’ practice, attitudes, and knowledge and skills of EBP.

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This study evaluated the potential impact of an online spiritual care educational program on pediatric nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. It was hypothesized that the intervention would increase nurses’ positive attitudes toward and knowledge of spiritual care and increase nurses’ level of perceived spiritual care competence. Concludes that an online spiritual care educational programs may exert a lasting impact on nurses’ attitudes toward and knowledge of spiritual care and their competence to provide spiritual care to children with cancer at the end of life. Additional studies are required to evaluate the direct effects of educational interventions patient outcomes.

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There are few reports of the effectiveness or satisfaction with simulation to learn cardiac surgical resuscitation skills. The objective of the paper was to test the effect of simulation on the self-confidence of nurses to perform cardiac surgical resuscitation simulation and nurses’ satisfaction with the simulation experience. Results showed self-confidence scores to perform all cardiac surgical skills as measured by paired t-tests were significantly increased after the simulation. Nurses were highly satisfied with the simulation experience.

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A nurse-led initiative of peer-to-peer teaching positively impacted organizational incidence of catheter-associated urinary tract infections (CAUTIs). The initiative included validating the competency of the nursing staff, highlighting the importance of CAUTI prevention, identifying CAUTI costs, quantifying the value of nursing care, and supporting nurses as teachers. The project demonstrated that peer-to-peer teaching and competency validation can be effective methods to engage nurses in quality improvement.

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The aim of this study is to explore the different handover models and processes available and their efficacy in
improving handover communication within nursing practice. The handover of information is a key nursing
responsibility that ensures patient outcomes through continuity of care. This process is widely recognised as an
opening for error that may comprise patient safety The results detailed that there are various handover models in use, yet there is no evidence that any one model displays superior efficacy. The iSoBAR model and its adaptations remain the only model employed across various specialties. More research is warranted to determine if any handover model displays superior efficacy or transferability.

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Background Inadequate discharge planning for the growing elderly population poses significant challenges for
health services. Effective discharge planning interventions have been examined in several studies, but little
information is available on nursing’s role or the specific components of these interventions. Despite the
research published on the importance of discharge planning, the impact on patient’s health outcomes still needs
to be proven in practice. Objectives To determine the best available evidence on the effectiveness of discharge
planning interventions involving at least one nurse on health-related outcomes for elderly inpatients
discharged home and to assess the relative impact of individual components of discharge planning
interventions. Conclusion Findings of this review suggest that nursing discharge planning for elderly inpatients discharged home increases length of stay, yet neither reduces readmission rates nor improves QoL.

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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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