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Anneke L. Francke - One of the best experts on this subject based on the ideXlab platform.
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Dealing with professional misconduct by colleagues in home care: a survey among Nursing Staff.
2020Co-Authors: E.e.m. Maurits, A.j.e. De Veer, Peter P. Groenewegen, Anneke L. FranckeAbstract:Background Professional misconduct in healthcare, a (generally) lasting situation in which patients are at risk or actually harmed, can jeopardise the health and well-being of patients and the quality of teamwork. Two types of professional misconduct can be distinguished: misconduct associated with incompetence and that associated with impairment. This study aimed to (1) quantify home-care Nursing Staff’s experiences with actual or possible professional misconduct; (2) provide insight into the difficulty home-care Nursing Staff experience in reporting suspicions of professional misconduct within the organisation and whether this is related to the individual characteristics of Nursing Staff; and (3) show which aspects of professional practice home-care Nursing Staff consider important in preventing professional misconduct. Methods A questionnaire survey was held among registered nurses and certified Nursing assistants employed in Dutch home-care organisations in 2014. The 259 respondents (60 % response rate; mean age of 51; 95 % female) were members of the Dutch Nursing Staff Panel, a nationwide group of Nursing Staff members in various healthcare settings. Results Forty-two percent of the Nursing Staff in home care noticed or suspected professional misconduct by another healthcare worker during the previous year, predominantly a Nursing colleague. Twenty to 52 % of the Nursing Staff experience difficulty in reporting suspicions of different forms of incompetence or impairment. This is related to educational level (in the case of incompetence), and managerial tasks (both in the case of incompetence and of impairment). Nursing Staff consider a positive team climate (75 %), discussing incidents (67 %) and good communication between healthcare workers (57 %) most important in preventing professional misconduct among Nursing Staff. Conclusions Suspicions of professional misconduct by colleagues occur quite frequently among Nursing Staff. However, many Nursing Staff members experience difficulty in reporting suspicions of professional misconduct, especially in the case of suspected impairment. Home-care employers and professional associations should eliminate the barriers that Nursing Staff may encounter when they attempt to raise an issue. Furthermore, advocating a positive team climate within Nursing teams, encouraging Nursing Staff to discuss incidents and facilitating this, and promoting good communication between healthcare workers may be appropriate strategies that help reduce professional misconduct by Nursing Staff. (aut. ref.)
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attitudes of Nursing Staff towards electronic patient records a questionnaire survey
International Journal of Nursing Studies, 2010Co-Authors: Anke J E De Veer, Anneke L. FranckeAbstract:Abstract Background A growing number of health care organizations are implementing a system of electronic patient records (EPR). This implies a change in work routines for Nursing Staff, but it could also be regarded as an opportunity to improve the quality of care. Objective The objective of this paper is to obtain more insight into the usefulness of EPR as perceived by Nursing Staff and to clarify the determinants of Nursing Staff's acceptance of EPR. Determinants were tested using an extended version of the Technology Acceptance Model. Design Nursing Staff members (NAs and RNs) completed a survey questionnaire about the use of EPR in health care, and their experiences, perceptions and attitudes regarding EPR. Settings All Nursing Staff members were working in Dutch hospitals, psychiatric organizations, care organizations for mentally retarded people, home care organizations, Nursing homes or homes for the elderly. Participants The study population is a nationally representative Dutch research sample, further referred to as the Nursing Staff Panel. The Panel consists of a permanent group of Nursing Assistants (NAs) and Registered Nurses (RNs), who are prepared to fill in a postal questionnaire twice a year on average. In January 2009, 685 participants completed the questionnaire. Results Nursing Staff members associate EPR with improved care, especially qualitatively better and safer care. They also expect an increase in costs of care, while anticipating only a relatively small rise in the number of patients that can be cared for. In general, the effects of EPR on the work circumstances of Nursing Staff are expected to be negative. Job-related characteristics were found to be determinants of attitudes towards using EPR. A relatively positive attitude towards EPR was found in three categories of Nursing Staff in particular, i.e. Staff working at least 30h per week, Staff already using EPR and Staff working in hospitals. Nursing Staff in management positions also tend to have a more positive attitude. When the Technology Acceptance Model was tested, attitudes towards EPR were primarily associated with job-related characteristics and perceived usefulness with respect to quality of care. Conclusions The implementation strategies for EPR need to take account of the job characteristics of the intended future users. If implementation is to be successful, it is important that the users understand the beneficial effects of EPR on the quality of care.
Jūratė Macijauskienė - One of the best experts on this subject based on the ideXlab platform.
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the impact of arts activity on Nursing Staff well being an intervention in the workplace
International Journal of Environmental Research and Public Health, 2016Co-Authors: Simona Karpaviciūtė, Jūratė MacijauskienėAbstract:Over 59 million workers are employed in the healthcare sector globally, with a daily risk of being exposed to a complex variety of health and safety hazards. The purpose of this study was to investigate the impact of arts activity on the well-being of Nursing Staff. During October–December 2014, 115 Nursing Staff working in a hospital, took part in this study, which lasted for 10 weeks. The intervention group (n = 56) took part in silk painting activities once a week. Data was collected using socio-demographic questions, the Warwick-Edinburgh Mental Well-Being Scale, Short Form—36 Health Survey questionnaire, Reeder stress scale, and Multidimensional fatigue inventory (before and after art activities in both groups). Statistical data analysis included descriptive statistics (frequency, percentage, mean, standard deviation), non-parametric statistics analysis (Man Whitney U Test; Wilcoxon signed—ranks test), Fisher’s exact test and reliability analysis (Cronbach’s Alpha). The level of significance was set at p ≤ 0.05. In the intervention group, there was a tendency for participation in arts activity having a positive impact on their general health and mental well-being, reducing stress and fatigue, awaking creativity and increasing a sense of community at work. The control group did not show any improvements. Of the intervention group 93% reported enjoyment, with 75% aspiring to continue arts activity in the future. This research suggests that arts activity, as a workplace intervention, can be used to promote Nursing Staff well-being at work.
Lisa V Rubenstein - One of the best experts on this subject based on the ideXlab platform.
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Nursing Staff patient and environmental factors associated with accurate pain assessment
Journal of Pain and Symptom Management, 2010Co-Authors: Lisa R Shugarman, Joy R Goebel, Andrew B Lanto, Steven M Asch, Cathy D Sherbourne, Lisa V RubensteinAbstract:Abstract Context Although pain ranks highly among reasons for seeking care, routine pain assessment is often inaccurate. Objectives This study evaluated factors associated with nurses (e.g., registered) and other Nursing support Staff (e.g., licensed vocational nurses and health technicians) discordance with patients in estimates of pain in a health system where routine pain screening using a 0–10 numeric rating scale (NRS) is mandated. Methods This was a cross-sectional, visit-based, cohort study that included surveys of clinic outpatients (n=465) and Nursing Staff (n=94) who screened for pain as part of routine vital sign measurement during intake. These data were supplemented by chart review. We compared patient pain levels documented by the Nursing Staff (N-NRS) with those reported by the patient during the study survey (S-NRS). Results Pain underestimation (N-NRS S-NRS) in 7% of the cases. Nursing Staff used informal pain-screening techniques that did not follow established NRS protocols in half of the encounters. Pain underestimation was positively associated with more years of Nursing Staff work experience and patient anxiety or post-traumatic stress disorder and negatively associated with better patient-reported health status. Pain overestimation was positively associated with Nursing Staff's use of the full NRS protocol and with a distracting environment in which patient vitals were taken. Conclusion Despite a long-standing mandate, pain-screening implementation falls short, and informal screening is common.
Rene Robert - One of the best experts on this subject based on the ideXlab platform.
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discrepancies between perceptions by physicians and Nursing Staff of intensive care unit end of life decisions
American Journal of Respiratory and Critical Care Medicine, 2003Co-Authors: Edouard Ferrand, Francois Lemaire, B Regnier, Khaldoun Kuteifan, Michel Badet, Pierre Asfar, Samir Jaber, Jeanluc Chagnon, Anne Renault, Rene RobertAbstract:Several studies have pointed out ethical shortcomings in the deci- legitimate when there is disagreement among the caregivers sion-making process for withholding or withdrawing life-support- (15). The considerable moral responsibility conferred on ing treatments. We conducted a study to evaluate the perceptions nurses by their unique proximity to the patient and his/her of all caregivers involved in this process in the intensive care unit. relatives and their interaction with the physician team are A closed-ended questionnaire was completed by 3,156 Nursing Staff strong arguments in favor of including nurses in the specific members and 521 physicians from 133 French intensive care units DFLST process (14, 16‐19). Recently, two lawsuits in France (participation rate, 42%). Decision-making processes were per- and one in Belgium have been filed against ICU physicians ceived as satisfactory by 73% of physicians and by only 33% of the who had withdrawn mechanical ventilation from hopelessly Nursing Staff. More than 90% of caregivers believed that decision- ill patients (20‐22). In these three instances, the lawsuits were making should be collaborative, but 50% of physicians and only filed by nurses, who charged the physicians with euthanasia. 27% of Nursing Staff members believed that the Nursing Staff was This indicates a major dissent among caregivers and great actually involved (p 0.001). Fear of litigation was a reason given by dissatisfaction of nurses about the handling of DFLSTs in the physicians for modifying information given to competent patients, ICU. In one of the French cases, the physician was found guilty families, and Nursing Staff. Perceptions by Nursing Staff may be a in 1995 of homicide, a ruling that gave rise to considerable reliable indicator of the quality of medical decision-making prodebate (20). The Belgian case is awaiting trial, but the Belgian
Simona Karpaviciūtė - One of the best experts on this subject based on the ideXlab platform.
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the impact of arts activity on Nursing Staff well being an intervention in the workplace
International Journal of Environmental Research and Public Health, 2016Co-Authors: Simona Karpaviciūtė, Jūratė MacijauskienėAbstract:Over 59 million workers are employed in the healthcare sector globally, with a daily risk of being exposed to a complex variety of health and safety hazards. The purpose of this study was to investigate the impact of arts activity on the well-being of Nursing Staff. During October–December 2014, 115 Nursing Staff working in a hospital, took part in this study, which lasted for 10 weeks. The intervention group (n = 56) took part in silk painting activities once a week. Data was collected using socio-demographic questions, the Warwick-Edinburgh Mental Well-Being Scale, Short Form—36 Health Survey questionnaire, Reeder stress scale, and Multidimensional fatigue inventory (before and after art activities in both groups). Statistical data analysis included descriptive statistics (frequency, percentage, mean, standard deviation), non-parametric statistics analysis (Man Whitney U Test; Wilcoxon signed—ranks test), Fisher’s exact test and reliability analysis (Cronbach’s Alpha). The level of significance was set at p ≤ 0.05. In the intervention group, there was a tendency for participation in arts activity having a positive impact on their general health and mental well-being, reducing stress and fatigue, awaking creativity and increasing a sense of community at work. The control group did not show any improvements. Of the intervention group 93% reported enjoyment, with 75% aspiring to continue arts activity in the future. This research suggests that arts activity, as a workplace intervention, can be used to promote Nursing Staff well-being at work.
