Greater patient acuity and decreased length of stay for episodic care in hospitals increase the complexity of integrating patient education responsibilities into professional nursing practice. This article describes a problem-solving approach paralleling the nursing process developed through a regional, collaborative, experimental, action research approach. The process tool developed through this year-long activity can be applied to a variety of staff development challenges.
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Background: Graduate nursing students often face challenges in team-based projects due to diverse backgrounds and learning styles. Team charter development is helpful for making expectations clear, but it misses a critical step of self-reflection and shared understanding that can further improve team functioning.
Method: This innovation integrated a communication needs reflection exercise, based on the Birkman Method, into team charter meetings in a graduate-level course.
Health SA
December 2024
Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou, South Africa.
Background: Epilepsy is a neurological disorder affecting millions of people in Africa. Among other reported findings, many people living with epilepsy (PLWE) believe that the condition is caused by spiritual factors. Previous studies have revealed that majority of PLWE are not receiving adequate care and treatment because of diverse cultural beliefs associated with epilepsy.
View Article and Find Full Text PDFAfr J Disabil
December 2024
Department of Nursing, Faculty of Health Sciences, North-West University, Mafikeng, South Africa.
Background: Cerebral palsy affects children's movement and posture because of damage to the brain's development. Care assistants in healthcare facilities provide care to children. Caring for the children is overwhelming, hence support is required.
View Article and Find Full Text PDFPediatr Qual Saf
January 2025
From the Department of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, Tenn.
Introduction: Weight is vital for tracking fluid status and nutrition and assuring patients have accurate dosing weights in the pediatric intensive care unit (PICU). Challenges in acquiring weights in critically ill patients include clinical instability, limited equipment, and lack of appropriate orders in the electronic medical record (EMR).
Methods: We implemented interventions that targeted EMR weight orders and actual collection of weights in the 42-bed PICU of a children's hospital.
Nurs Crit Care
January 2025
Departament d'Infermeria, Universitat Rovira i Virgili, Campus Catalunya, Tarragona, Spain.
Background: The process of discharging the critical patient to the ward (discharge from critical care to the general ward-DCCW) is often described as an experience involving uncertainty which may affect the patient's quality of life and ability to cope. Coping with uncertainty is an individual response not related to the course of the illness that is dependent on external and internal resources and the ability to utilize them. Mishel's theory of uncertainty identifies aspects of care that can shape the experience of uncertainty associated with the illness.
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