Опубликована: Окт. 1, 2023
Язык: Английский
Опубликована: Окт. 1, 2023
Язык: Английский
Critical Care Explorations, Год журнала: 2025, Номер 7(1), С. e1202 - e1202
Опубликована: Янв. 1, 2025
IMPORTANCE: Recent studies have found an association between COVID-19 infection and deeper sedation in mechanically ventilated patients, raising concerns about the impact of pandemic on pain, agitation, delirium (PAD) management practices overall. OBJECTIVES: This study aimed to assess differences PAD patients without pre- peri-COVID-19 timeframes. DESIGN, SETTING, AND PARTICIPANTS: was a single-center, retrospective, pre-/post-cohort analysis adult admitted ICU Boston, MA. The “pre” “post” groups enrolled 2019 2021, respectively. All data during first 7 days mechanical ventilation (MV) were collected. MAIN OUTCOMES MEASURES: primary outcome ventilator-free (VFDs) 28 days. A multivariable linear regression performed VFD while controlling for confounders. Secondary outcomes included depth sedation, total dose sedatives, in-hospital mortality. RESULTS: There 339 final analysis. no difference post-groups (22.2 vs. 22.6 d; p = 0.92); this confirmed by ( 0.91). Patients post-group experienced significantly levels compared with pre-group (58% 53%; < 0.01) within 48 hours MV. median number Richmond Agitation-Sedation Scale assessments per 24-hour period greater (13 12 assessments; 0.02) significant cumulative sedatives or mortality two groups. CONCLUSIONS RELEVANCE: suggests that practices, including frequency assessment, differed post-COVID-19 COVID-19. Outcomes VFD, mortality, hospital length stay not affected. Further are needed understand broader practices.
Язык: Английский
Процитировано
0Journal for Nurses in Professional Development, Год журнала: 2025, Номер unknown
Опубликована: Янв. 28, 2025
Multiple intensive care units shared core knowledge, skills, and competencies but provided separate orientations leading to inconsistencies in practice, variations onboarding, poor use of resources. In this article, the methods aligning nursing professional development practitioner roles process standardizing a curriculum are described. This collaborative initiative sought increase knowledge comfort new nurses while setting precedence for collaboration with educational endeavors between units.
Язык: Английский
Процитировано
0Journal for Nurses in Professional Development, Год журнала: 2025, Номер unknown
Опубликована: Март 3, 2025
With nursing retention as a primary evaluative aim, corporate-level clinical preceptors (CCPs) were operationalized in the acute care setting. This role combined key elements of preceptorship and mentorship to support novice nurses’ transition practice. CCPs conducted check-ins through regular rounding, e-mails, surveys open conversations, resulting significantly reduced turnover rates, particularly within first year practice, enhanced competence confidence. Further study centralized preceptor programs is indicated.
Язык: Английский
Процитировано
0Nurse Education in Practice, Год журнала: 2024, Номер 78, С. 104019 - 104019
Опубликована: Июнь 5, 2024
To explore the differences, if any, in competences perceived by newly graduated nurses who attended their education before and during COrona VIrus Disease 19 (COVID-19) restrictions.
Язык: Английский
Процитировано
3Journal of Advanced Nursing, Год журнала: 2023, Номер 80(3), С. 1058 - 1071
Опубликована: Окт. 4, 2023
Abstract Background The commitment of nurses to their profession and workplace is closely linked the delivery high‐quality patient care. Existing literature highlights positive impact on care quality outcomes. Conversely, a lack can lead nurse burnout disengagement. However, it remains unclear whether how cultural beliefs practices influence newly graduated nurses' nursing workplace. Aim To explore influencing during first year employment. Design A focused ethnographic study. Methods Data consisted field notes from 94 h participant observations 10 semi‐structured interviews with working in acute settings Denmark. were analysed using content analysis. collected between March June 2022. Results findings reveal major theme, termed ‘A State Transience among Newly Graduated Nurses’, consisting two themes: ‘Newly Nurses’ Pursuit Professional Development Supportive Work Environments' Lack Formal Agreements or Conditions Meet Expectations for Development.’ Conclusion Hospitals managers need support employment after registration by providing range clinical experiences through job rotation opportunities within same organization, deliver promises onboarding foster culture trust. These strategies will help maintain motivation, ability care, thereby reducing likelihood turnover. Relevance Clinical Practice trusting supportive work environment fostered diverse consistent nurses. address potential high turnover associated rotation, hospitals rethink retention defined measured, moving beyond hospital unit‐level models measures. Reporting Method This study reports SRQR guidelines. Patient Public Contribution No public contribution.
Язык: Английский
Процитировано
8Springer eBooks, Год журнала: 2024, Номер unknown, С. 113 - 131
Опубликована: Янв. 1, 2024
Язык: Английский
Процитировано
1JMIR Medical Education, Год журнала: 2024, Номер 10, С. e53258 - e53258
Опубликована: Авг. 19, 2024
Background Clinical practice settings have increasingly become dependent on the use of digital or eHealth technologies such as electronic health records. It is vitally important to support nurses in adapting digitalized care systems; however, little known about nursing graduates’ experiences they transition workplace. Objective This study aims (1) describe newly qualified nurses’ with workplace, and (2) identify strategies that could help new health. Methods An exploratory descriptive qualitative design was used. A total 14 from Eastern Western Canada participated semistructured interviews data were analyzed using inductive content analysis. Results Three themes identified: before becoming a registered nurse, upon joining (3) suggestions for bridging gap practice. Findings revealed more similarities than differences between participants respect gaps education, technology-related challenges, their influence Conclusions Digital foundation contemporary care; therefore, comprehensive education during school throughout professional practice, well organizational policy, are critical pillars. Health systems investing must create supportive work environments thrive technologically rich increase capacity deliver future.
Язык: Английский
Процитировано
1Nurse Education Today, Год журнала: 2024, Номер 144, С. 106413 - 106413
Опубликована: Сен. 14, 2024
Язык: Английский
Процитировано
1Contemporary Nurse, Год журнала: 2024, Номер unknown, С. 1 - 12
Опубликована: Ноя. 28, 2024
Aim This study aims to gain an in-depth understanding of the experience and requirements newly employed nurses during their transition into professional roles. Furthermore, it analyze effects shock on these nurses, identify typical coping mechanisms they employ, provide a reference for nursing administrators explore improve relevant interventions.
Язык: Английский
Процитировано
1International Nursing Review, Год журнала: 2023, Номер 70(4), С. 560 - 568
Опубликована: Окт. 11, 2023
This qualitative descriptive study describes the experiences of new nurses during acute phase COVID-19 pandemic in United States.New faced dual challenge transitioning to practice while working a global pandemic. Although multiple studies have described nurses' pandemic, research is warranted understand pandemic.Registered (n = 46) with less than two years work experience, who participated Study and Registry Healthcare Support Personnel (CHAMPS), this study. Thematic analysis was used examine their responses. The COREQ guidelines were reporting study.Five themes extracted: feelings increasing isolation, intense fear, personal health concerns, shattered disrupted expectations, living constant dilemma.New distress profound sense isolation which compounded by status as employees being shunned others. There fear for safety health. They viewed limited nursing experience only patients detrimental careers encountered complex dilemmas obligated make problematic choices.New revealed unrelenting psychological physical Identification implementation strategies address alleviate its negative consequences needed but not provided.The development policies challenges encounter are needed. Action promote professional socialization job retention required.
Язык: Английский
Процитировано
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