This second edition, in Open Access, aims to provide a comprehensive and practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility ...fracture, with additional focus on those who are frail. It considers this from the perspectives of all the clinical and home care settings in which this group of patients receive care and is relevant to all global locations. The concept of orthogeriatric care is explored in detail. Global estimates suggest that there were 21 million men and 137 million women aged 50 years or more at high fracture risk in 2010. This incidence is expected to double by 2040, with the most significant increase in Asia. Fragility fracture is one of the foremost challenges for health care providers and thehe global demand for nursing care for patients with fragility fractures across the world is immense. Hip fracture is particularly challenging as these significant injuries often occur in frail older people requiring hospitalisation and orthopaedic surgery. Such injuries and associated surgery result in increased frailty, worsening health and wellbeing, pain, disability, reduced quality of life, loss of independence, and decreased life expectancy. Care providers need to understand the experience of fragility fracture from the perspective of patients and families so that direct improvements in care can be based on the perspectives of the users. Expert care of patients following fractures that require hospitalisation and orthopaedic surgery involves skill in the care and treatment of frail older people as we as individuals with an injury and undergoing surgery. Nurses have a significant role in interdisciplinary collaborative care provided through orthogeriatric models of care. There is increasing evidence that such models significantly improve patient outcomes. High quality, evidence-based orthogeriatric care is increasingly shown to have positive impact on outcomes for recovery, rehabilitation, and secondary prevention of further fracture. This book significantly supports the aims and values of the Fragility Fracture Network and, as such, supports the learning needs of nurses and other allied health professionals which will enable a comprehensive approach to nursing practice in orthogeriatric and fragility fracture care. ; Provides a comprehensive discussion of nursing the frail older person with a fragility fracture across Europe Based on a two-day workshop of like-minded specialist and advanced nurses from over 20 countries Acts as the course text/reader for a Europe-wide education programme in all relevant settings (Emergency Department, Fracture Clinic, Trauma Unit, Orthopaedic Ward, Rehabilitation setting) Open Access
Nurse managers’ workload is considered overwhelming and the resources and support insufficient. Stress from workload has adverse psychological and physical effects and impedes strategic, visible and ...active leadership. This study aimed to examine nurse managers’ stress from workload and its associations to overall job stress, job satisfaction and practice environment. A survey comprising the Nursing Context Index was administered to 490 nurse managers in Finnish central hospitals. The study was reported using the STROBE statement. The response rate was 42.7% (n = 209). A statistical analysis revealed that almost every fifth nurse manager experienced high stress from workload with connection to higher job stress overall, higher intent to leave the organization, lower job satisfaction overall, personally and professionally, as well as a more negative perception of the practice environment. Nurse managers’ jobs require adequate resources, clear division of work and better empowering structures.
Good leadership and governance at all levels of the healthcare system is necessary for better performance of the system and health outcomes. Lack of good leadership and governance practices can lead ...to misuse of health system inputs such as human resources, health commodities and financial resources hence lowering the quality of services delivered. Thus, this guide was developed through collaborative efforts envisioned to respond to the needs of improving good governance practices at the primary healthcare level in resource-limited healthcare systems. Key Features: Improves the management of primary health facilities Helps the health facility managers and teams at primary healthcare level to effectively and efficiently lead and manage the facilities Enumerates practical scenarios on health issues that commonly occur in health facilities and provides alternative ways of addressing the issues raised in the scenarios
Die Beiträge in diesem Open-Access-Sammelband beschreiben und analysieren aus multidisziplinärer Sicht die Herausforderungen und Bewältigungsstrategien von Alterung und Pflege in japanischen und ...deutschen Gemeinden. Thematisiert werden rechtliche Rahmenbedingungen, zivilgesellschaftliches Engagement, Pflegekräftemangel, Technologiekonzepte für die Pflege und schließlich auch der Einfluss der Covid-19 Pandemie auf die Situation älterer und pflegebedürftiger Bürgerinnen und Bürger. Die Gegenüberstellung der Ansätze und Erfahrungen beider Länder erweitert das Spektrum an Gestaltungsmöglichkeiten und kann Impulse für eine Neuausrichtung bestehender Lösungsstrategien geben.
Background & Aim: The leadership role adopted by nurse managers has a fundamental role in the quality of care. Leadership is fundamental to the successful provision of health services due to its ...effect on health professionals and patients. This study aims to characterize the leadership roles of nurse managers in clinical nurse’s perspective. Methods & Materials: This is a descriptive and correlational study. Non-probabilistic convenience sampling with 219 nurses from different health institutions in Portugal. Data collection occurred from November 2019 to January 2020 using the Leadership Skills Questionnaire adapted by Parreira and collaborators o the Portuguese population, based on Quinn’s framework and the instrument developed by him. The data were analyzed using SPSS (version 22) with descriptive and inferential statistics according to the nature of the variables. Results: The results demonstrated that the study participants recognize the leadership roles of their nurse managers in a balanced manner: Mentor (4.85±1.53), Director (4.62±1.32), Coordinator (4.56±1.34), Producer (4.55±1.31), Monitor (4.40±1.30), Broker (4.36±1.40), Facilitator (4.35±1.40), and Innovator (4.03±1.38). Conclusion: It is observed greater orientation to the fulfillment of goals. There is a clear orientation to compliance with rules and, therefore, to internal orientation and control. The current study has different implications for nurse managers, education, and research.
Multiple challenges are associated with safely managing and accommodating patients with the disease of severe obesity in the radiographic suite. It is imperative that nurses and technologists work ...cohesively to decrease the risk of complications, optimize results, and improve patient well-being in this specialized population.
•Severe obesity is a global health issue with patients requiring specialized diagnosis, treatment, and care through the health care continuum.•It is imperative that the nurse or technologist in the radiology suite prepares for the patient, assesses the patient on arrival, and manages the patient after procedure to minimize complications and risk of injury.•When a provider orders imaging on a patient with severe obesity, the patient's weight needs to be communicated at that time. This allows adequate time to evaluate what is the optimal imaging study to assist with the diagnosis of the patient's symptoms.•Patients with severe obesity require a tailored standard of care as radiographers must compensate for issues arising from both technical and patient care considerations.
The 2019-nCoV infected pneumonia is an acute respiratory infectious disease with strong infectivity. The Emergency Department of West China Hospital of Sichuan University is the key department of ...screening and diagnosis of novel coronavirus pneumonia. Starting from the nursing management, this paper expounds the nursing management methods of the patients admitted to the emergency department and the effective measures, and has achieved remarkable results.
Latar Belakang: Data kejadian pasien jatuh di Indonesia tercatat sebesar 14%, padahal untuk mewujudkan keselamatan pasien angka kejadian pasien jatuh seharusnya 0%. Pelaksanaan pengkajian risiko ...jatuh pada pasien yang tidak terlaksana dengan baik disebabkan oleh beberapa faktor di rumah sakit. Dampak dari tidak berfungsi manajemen keperawatan dapat berupa adanya risiko terhadap pasien jatuh, sehingga diperlukan manajemen risiko yaitu proses dimana mengidentifikasi faktor-faktor yang dapat membantu untuk memberikan perawatan yang sangat baik, aman, efisien dan efektif. Tujuan penelitian: diketahui hubungan fungsi manajemen keperawatan dengan penerapan SOP pencegahan resiko jatuh di Rumah Sakit Bhayangkara Palembang. Metode penelitian: Desain yang digunakan adalah Survey Analitik dengan pendekatan “Cross Sectional”, jumlah 52 responden dengan menggunakan instrument berupa kuesioner. Waktu penelitian ini dilakukan pada bulan Maret 2022 di Rumah Sakit Bhayangkara Moh.Hasan Palembang, Dengan ruang penelitian JN1, JN2, Candana, dan Ruang Poli. Analisa data menggunakan analisa univariat dengan analisa bivariat menggunakan Chi- square. Hasil: univariat menunjukkan bahwa fungsi manajemen keperawatan di Rumah Sakit Bhayangkara Moh. Hasan Palembang tinggi sebanyak 35 responden (67,3%). Penerapan SOP pencegahan resiko jatuh di Rumah Sakit Bhayangkara Moh. Hasan Palembang dilakukan sebanyak 40 responden (76,9%). Hasil bivariat menunjukkan nilai Odds ratio sebesar 8,183 berarti fungsi manajemen keperawatan yang tinggi memiliki penerapan SOP pencegahan resiko jatuh sebesar 8,183, sedangkan nilai p value 0,004 sehingga Ha diterima yang berarti ada hubungan fungsi manajemen keperawatan dengan penerapan SOP pencegahan resiko jatuh di Rumah Sakit Bhayangkara Moh.Hasan Palembang. Kesimpulan: Ada Hubungan fungsi manajemen keperawatan dan penerapan SOP resiko jatuh di wilayah Rumah Sakit M.Hasan Palembang
The nursing profession in Greenland, particularly in rural and remote areas, faces challenges due to geographical limitation and a lack of interdisciplinary collaboration. The registration process ...and status of internationally educated nurses (IENs) in Greenland are unclear. This article aimed to analyze existing policies and propose recommendations for an independent registration process for IENs in Greenland. A qualitative discourse analysis was used to critically discuss existing policies and regulations governing nursing registration in Greenland. Relevant legislation, government reports, and official documents were reviewed. Legislative regulations protect the title of registered nurse in both Greenland and Denmark. To work in Greenland, an IEN must have a residence permit. With recent health agreements between Greenland and Denmark, both countries have streamlined the permit acquisition process for foreign healthcare professionals, making it more accessible. However, the process of acquiring a license to work as a registered nurse for IENs lacks clarity. Policy reform is needed to establish a group of diverse nurse experts under the National Board of Health responsible for the assessment and registration of IEN qualifications. There is also a need for a bridging education program or national licensure examination which could facilitate faster IEN recognition. Mutual recognition of nurse licenses between Greenland and Denmark should be established to ensure efficient healthcare delivery and maintain professional standards. Embracing IENs can address nursing shortages and improve healthcare services in Greenland.
This study aimed to determine the level of satisfaction of surgical staff nurses and clients on the nursing management of postoperative complications rendered by the staff nurses in the different ...hospitals in Iriga City. This study specifically aimed to determine the personal and professional attributes of the surgical staff nurses in terms of age, gender, educational attainment, seminars or training, and years of experience in the surgical area; to determine the level of satisfaction with the nursing care for preventing postoperative complications along nursing care, early ambulation, adequate nutrition, skin breakdown, and pressure source, adequate pain management; to determine if there a significant difference on the level of satisfaction on the nursing care for preventing post-operative complications of the patients and the nurses; to determine if is there a significant relationship between personal and professional attributes and interventions rendered by the surgical staff nurses; and to identify measures that can be proposed based on the findings of the study. The study is descriptive-correlational research. Frequency count, percentage techniques, weighted means, and the Wilcoxon Rank-Sum Test of Two-Sample Test were employed as statistical tools. The result showed that a majority of the surgical staff nurses’ age ranges from 25 years old and below, mostly female, baccalaureate degree holders, 6 to 10 years in service, and attended training in the surgical area. Staff nurses and patients are much satisfied with the nursing management in preventing postoperative complications. Likewise, there is no significant difference in the level of satisfaction between the clients and the staff nurses in post-operative complications. Also, there is no significant relationship between the profile of the staff nurses and the level of satisfaction with the nursing care of preventing post-operative complications of the patients. A Postoperative Management Brochure was developed to serve as a guide for effective postoperative care.
PDF
