Editorial Note for Journal of Nursing & Care
I am pleased to introduce Journal of Nursing & Care which is an Open Access, Peer-reviewed, bi-monthly journal that includes a wide range of fields in these areas and creates a platform for the authors to make their contribution towards the journal. The journal aims to publish the most complete and reliable source of information on discoveries and current developments in the mode of original articles, review articles, case reports, short communications, etc. We have been started in year 2012 International Journal of Nursing & Care (ISSN: 2167-1168) is growing continuously. It is our pleasure to announce that during year 2019, all issues of volume 10 were published online on time and the print issues were also brought out and dispatched within 30 days of publishing the issue online.
All published articles of this journal are included in the indexing and abstracting coverage of CAS Source Index (CASSI), Index Copernicus, Google Scholar, Sherpa Romeo, Academic Journals Database, GenamicsJournalSeek, JournalTOCs, CiteFactor, Electronic Journals Library, RefSeek, Hamdard University, EBSCO A-Z, Directory of Abstract Indexing for Journals, World Catalogue of Scientific Journals, OCLC- WorldCat, Scholar steer, SWB online catalog, Virtual Library of Biology (vifabio), Publons, Dtufindit, Geneva Foundation for Medical Education and Research.
During the year 2019, Journal of Nursing & Care (JNC) received a total of 8 papers, out of which 2 article was rejected in the preliminary screening due to plagiarism or being out of the format and peer review process. During 2019 around 2 articles were subjected for publication after they are accepted in the peer review process.
During the calendar year 2020, a total of two Editors, Fifteen Reviewers joined the board of JNC and contributed their valuable services towards contribution as well as publication of articles, and their valuable reviewer comments will beneficial to publish quality of article in the Journal.
I take this opportunity to acknowledge the contribution of Editor-in-chief and Associate Editor during the final editing of articles published and bringing out issues of Journal of Nursing & Care in time. I would also like to express my gratitude to all the authors, reviewers, the publisher, language editor, honorary editors, the scientific advisory and the editorial board of JNC, the office bearers for their support in bringing out the new volume (Volume 9) of IJFB for the calendar year 2020 and look forward to their unrelenting support further to release more issues for Journal of Nursing & Care JNC in scheduled time.
Cathy Rodgers Ward
Euro Nursing 2018: Small geographic nursing teams improve teamwork and patient outcomes - Cathy Rodgers Ward, UCLA Medical Center, USA
Cathy Rodgers Ward
UCLA Medical Center, USA
Statement of the Problem: The implementation of healthcare reform requires new innovative nursing care models. Smaller work teams have been shown to increase teamwork in nursing. Smaller work teams provide for increased communication and accountability, closer supervision, better support for new staff, and increased knowledge of the patient condition. This study examines the effect of an innovative care team model using smaller, geographic work teams on patient outcomes, continuity of care and teamwork.
Methods and Theoretical Orientation: This study was conducted on three hospital units in an academic medical center. Nurses in these units were divided into equal teams with equal bed counts. Nurses were assigned to one team and one geographic area only. Success of the model was assessed after one year including clinical outcomes, patient satisfaction, nurse continuity and nurse teamwork.
Results: Nurse continuity improved in all units as evidenced by the average number of new RN encounters (including day and night shifts) decreased from 4.49 per patient to 3.94 per patient. The percent of team intactness was 87.4% indicating the model was successfully followed. Patient length of stay (LOS) in the hospital decreased across units by 14% therefore reducing overall costs. Patient satisfaction scores were variable across units. Satisfaction with nursing teamwork and nursing trust mean scores improved significantly (p=.04) across units.
Conclusions and Significance: Developing smaller, more cohesive teams yields benefits of improved continuity of care for patients and improved patient outcomes. Improved continuity of care for patients may lead to safer care and improved engagement for nurses. Defining smaller work teams in a distinct geographic area is a model that shows promising results in developing teamwork among nurses and improving patient care.
Why is teamwork important
Collaboration turned into significant wellbeing mediation for various reasons. To start with, clinical consideration is getting more minds boggling and concentrated, driving clinical staffs to endeavor confounded wellbeing administrations and rapidly learn new techniques. Maturing populaces, the expansion of constant sicknesses like diabetes, malignancy, and coronary illness have constrained clinical staffs to adopt a multidisciplinary strategy to medical services. In nations like the United States, clinical groups must oversee patients experiencing various medical issues.
Different nations are additionally worried about expanding admittance to medical services for assorted populaces. In Brazil, wellbeing groups train to personally comprehend the requirements of patients, yet in addition of neighborhood networks and various societies.
Also, specialists have discovered that cooperating lessens the quantity of clinical mistakes and builds tolerant security. Collaboration additionally lessens issues that lead to burnout. Never again is one individual answerable for the patient's wellbeing; today, a whole group of wellbeing laborers meets up to facilitate a patient's prosperity Health groups help separate pecking order and concentrated intensity of wellbeing associations, giving more influence to wellbeing laborers.
Third, since cooperation is focused on strong correspondence, patients and their families here and there feel more quiet and report they acknowledge medicines and feel more happy with their medical services. Wellbeing laborers are additionally discovered to be more hab6ppy with their work. An investigation discovered attendants who experience effective group building endeavors are happier with their work.
Collaboration and group preparing is presently observed as fundamental piece of preservice schooling. Since figuring out how to impart successfully and cooperate can be tedious, learning collaboration inside the setting of clinical educational plans will improve understudies arranged.
Learning the essentials of cooperation and community oriented consideration assists understudies with bettering comprehend understanding requirements – particularly in zones where social and medical problems flourish. A program in India trains attendants working with HIV patients to work inside numerous jobs: instructor, lab specialist and effort laborer.
The World Health Organization Suggests that understudies start utilizing the standards of cooperation in their schooling right away. What is useful is that numerous projects show issue based getting the hang of, permitting understudies to cooperate, share data, and take care of clinical issues as a group.
Joanne P Robinson1, Helene Moriarty2, Christine W Bradway3 and Lisette Bunting-Perry4
Euro Nursing 2018: Findings from a decade of research on the lower urinary tract symptom experience in men with Parkinson’s disease and their spouse caregivers - Joanne P Robinson, Rutgers University, USA
Joanne P Robinson1, Helene Moriarty2, Christine W Bradway3 and Lisette Bunting-Perry4
1Rutgers University, USA
2Villanova University, USA
3University of Pennsylvania, USA
4University of Delaware, USA
Problem Statement: Lower urinary tract symptoms (LUTS) are an important but often neglected issue in patients with Parkinson’s disease (PD). The purpose of this presentation is to highlight findings from a series of studies conducted over the past decade that expand evidence about the prevalence and impact of LUTS in male PD patients and their spouse caregivers.
Theory and Methods: Guided by the Theory of Unpleasant Symptoms and family systems theory, four studies were conducted. All participants were recruited from the movement disorders clinic of a Veterans Affairs Medical Center. Study designs were: retrospective with total population sampling (N=271 clinic records); cross-sectional with convenience sampling (N=88 men with PD and LUTS); and qualitative descriptive with purposive sampling of cross-sectional study participants (N=11) and their spouses (N=15). Data from clinic records and interviews (structured and semi-structured) were analyzed using statistical procedures and content analysis (directed and conventional).
Findings: Most patient participants had mild PD symptoms, yet UI prevalence was 24% and 92% in retrospective and cross-sectional studies respectively. Patients had limited awareness of the neurologic contributions of PD to LUTS. Embarrassment, bother, and diminished self-esteem jeopardized their relationships, intimacy, social life, and travel. Spouses understood that PD caused LUTS and empathized with their husbands; however, they still experienced bother and emotional distress related to LUTS and coped primarily by “dealing with it.” Patients and spouses relied mostly on do-it-yourself strategies to manage LUTS – some ingenious and some ill-advised. Conclusions: LUTS may be highly prevalent in the early symptomatic phase of PD, negatively affects patients and families, and often escapes the attention of providers. We recommend: screening patients and families for LUTS issues in all stages of PD; inquiring about burden and management strategies; and referring to urology providers as needed. LUTS treatment deserves designation as a priority area for PD research.
Data Collection Instrument and Procedure
A generally subjective review survey was utilized to gather the information. The survey comprised of four sections. The initial segment of the poll comprised of close-finished inquiries that were utilized to catch guardians' and patients' segment data. The subsequent part contained open-finished inquiries identified with PD, PD patients, and their consideration. Inquiries in the third part were Likert-type addresses that requested that the members assess (rate) upholds accessible to them in thinking about the patient under their consideration. The inquiries were replied on a ten-point scale going from 1 (extremely low) to 10 (exceptionally high). The fourth part had two open-finished inquiries that posed to the members to add any data or thought esteemed applicable to them.
The survey was managed to members with the assistance of PPSO-E staff in a lounge area where guardians stayed when the patients they go with were going to preparing. The poll was managed to five of the members who can't peruse and write in a type of meeting by the specialist. The analyst made an honest effort to inspire however much data as could be expected from these members. Investment in this exploration was totally intentional and oral assent was acquired from every member. The motivation behind the exploration was disclosed to the members both in the survey and orally.
The poll was arranged and managed in Amharic to permit the members' most extreme comprehension of the inquiries and give more extravagant and precise information. Members were given sufficient opportunity and asked and urged orally to give as much data they were agreeable to give.
This examination pointed toward investigating, revealing, and getting encounters and viewpoints of guardians of patients with PD. To this end, it gathered information from 20 parental figures who reacted to a survey that comprised of generally open-finished inquiries that posed to them to give their own records of issues identified with PD and thinking about patients with PD. Examination of the information yielded a few topics including absence of adequate help to the parental figures, guardians' sympathy and patient's boldness, and deficiency and cost of PD drugs/remedies. To the scientist's best information, this exploration is one of the first in quite a while kind and has created significant data that has broad ramifications to meet the interesting necessities of patients with PD and their guardians and other relatives in Ethiopia and past.
Notwithstanding, this exploration isn't without impediments. The principal clear restriction is that it produced information from just 20 members. Second, it depended on self-revealed information alone. Third, the information came from parental figures as it were. Though these and other possible impediments, this exploration has added a ton to our comprehension of the encounters and viewpoints of individuals who care for patients with PD and established a decent framework for additional examination into issues identified with patients with PD and their consideration. Future exploration would profit by broad and serious information that would come from different wellsprings of information through numerous methods of information assortment.
Leah Adeline Phillips 1 and Melanie Neumeirer2
Euro Nursing 2018: Building Capacity for Evidence-Based Practice: Understanding How Licensed Practical Nurses (LPNs) Source Knowledge - Leah Adeline Phillips, College of Licensed Practical Nurses of Alberta, Canada
Leah Adeline Phillips 1 and Melanie Neumeirer2
1College of Licensed Practical Nurses of Alberta, Canada
2MacEwan University, Edmonton, Alberta, Canada
Statement of the Problem: In Canada, all nurses are required to engage in evidence-based practice (EBP) as an entry-to-practice competency; however, there is little research that examines Licensed Practical Nurses’ (LPNs’) information seeking behaviors or preferred sources of knowledge to conduct EBP. Due to the differences in education and roles of LPNs and Registered Nurses (RNs), it is both necessary and important to gain an understanding of how LPNs utilize evidence in their unique nursing practice. The purpose of this study was to investigate how LPNs source knowledge for their nursing practice.
Methods: A descriptive, cross-sectional survey of LPNs from Alberta, Canada asked participants to rank sources of knowledge that inform their practice. Responses were correlated with age and years of practice. Analysis of variance was used to determine if there were significant mean differences between average scores and place of employment.
Results: LPN participants used similar sources of knowledge as RNs. The top source of knowledge for both RNs and LPNs was the information they learn about each individual client and the least utilized sources of knowledge were articles published in nursing, medical, and research journals, tradition, and popular media. This finding is consistent with previous studies on RNs that found nurses do not often access current research evidence to inform their practice.
Conclusions: Since relatively few LPNs access nursing and research journals, it is important to tailor EBP education information to the workplace context. Future avenues of research might explore the potential of using in-services and webinars to disseminate information and skills training on EBP to the LPNs, as this was a popular source of practice knowledge.
Evidence based practice (EBP) is a worldwide development in nursing. In Canada, Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) or Registered Practical Nurses (RPNs) in Ontario are needed to participate in EBP as a section to-practice competency (Canadian Council for Practical Nurse Regulapinnacles, 2013b; Canadian Council of Registered Nurse Regulators, 2012). EBP is characterized as "a cycle to help clinical dynamic and positive patient results through the integration of the best accessible exploration proof with attendants' knowledge and mastery and individual patient inclinations and values"
Exploration has indicated that medical caretakers by and large have a positive attitude toward EBP yet there stays helpless take-up in the application of this cycle (Yoder et al., 2014). In 2008, Thiel and Ghosh directed a cross-sectional review of 121 practicing attendants in the Midwestern United States to decide how nurses got to data and their preparation to connect with in EBP. Aftereffects of their study demonstrated that 75% of attendants knew about EBP measures, notwithstanding, just 24% utilized a health database, for example, CINAHL, while sourcing data. The majority of respondents (72.5%) demonstrated utilizing their nursing colleagues and friends as an essential wellspring of training information (Thiel and Ghosh, 2008). A comparative report directed in Ireland by O'leary and Mhaolr Ìunaigh in 2012 inspected the in-arrangement looking for practices of rehearsing medical caretakers, their results found that most attendants got to others, particularly their colleagues, when looking for data and making decisions on care. In 2014, Yoder et al. studied 1,112 RNs from the United States to decide how and when they use research findings in their training. There were little contrasts founding their investigation. For this situation, just 11% of RNs said they did not know especially about EBP, notwithstanding, when asked about how they access data practically speaking 75% expressed they relied on individual experience as their essential wellspring of knowledge and just 23% noted utilizing nursing research diaries. Additionally, when gotten some information about how they got to nursing information on the web, 71% expressed they utilized Google, while less than half (45%) announced utilizing information bases like CINAHL or MEDLINE (Yoder et al., 2014). One more study of 500 Jordanian nurses demonstrated that in any event, when attendants evaluated their disposition and skills identified with EBP as moderately high, the genuine act of EBP remained low (AbuRuz, Hayeah, Al-Dweik, and Al-Akash, 2017).These outcomes portray a reasonable "hole" between the desires of EBP and the execution of EBP in the RN populace.
Marie T O'Toole
Euro Nursing 2018: Dual Degrees and International Collaborations: Best Practices - Marie T O’Toole, Rutgers University—Camden Nursing and Science Building, USA
Marie T O’Toole
1Rutgers University—Camden Nursing and Science Building, USA
Statement of the Problem: Health is a global concern. Diseases cross international boundaries, as do health care providers. There is a worldwide shortage of nurses prepared to respond to the needs of diverse populations both locally and globally. The Bologna Accord is an educational reform movement that profoundly influenced nursing education in the European Union. The need for more information on this and other programs that support cost-effective models and mechanisms encouraging global collaborations that prepare a well-educated global workforce is critical.
Methodology: A consortium of academic institutions from the United States and the European Union worked collaboratively to explore funding mechanisms in both governmental and non-governmental agencies that support the preparation of health care professionals for international educational activities. Long-term follow up of participants in existing programs was conducted via social media outreach, personal communication and interviews with both faculty and student participants.
Results: Best practices for the creation of sustainable international partnerships that advance the preparation of a global workforce exist. Those practices include internal and external funding to support collaboration, the development of a degree program that does not extend the length of study for participants and exchanges that specifically address the need for knowledge, skills and language capabilities that prepare students for practice in multiple settings. Opportunities also exist for nurses in practice to participate in meaningful global outreach with appropriate educational preparation.
Global coordinated efforts can be created, and understudy portability inside those joint efforts organized, so as to expand advantages to all banding together nations. Future accomplishment in a worldwide information labor force likely could be accomplished by nations that can best set up their scientists to create global organizations and work effectively and easily across public and social fringes. In both non-scholastic and scholarly areas, the worldwide business openings made out of global exploration coordinated efforts can yield social and monetary advantages to nearby districts and public populaces of both accomplice foundations. Worldwide coordinated efforts are apparently essential both to the progression of science and to the acknowledgment of its public advantages. Arden Bement, NSF Director from 2004-2010, has made this point on numerous occasions.8 Cora marrett, Acting Deputy Director of NSF, repeated the message at a workshop co-facilitated by CGS and NSF in April 2009, expressing that in the new time of outrageous globalization, "we should team up universally to succeed and flourish independently." Dr. Marrett verbalized three different ways that worldwide joint efforts and commitment improve the undertaking of science: by "making for more energetic lives and vocations for our researchers and specialists"; by "propelling science through scholarly and informal organizations"; and (3) "by empowering and developing science strategy, the possibility that through coordinated efforts in science and designing, we can enhance relations among countries.
The significance to the economy, to society, and to public security of making and supporting fruitful worldwide alumni joint efforts between the US and different nations is perceived by those external the government science financing bodies also. Pioneers in the US political and public assistance networks have joined those in established researchers to avow their conviction that the United States can nor be monetarily serious nor secure as a country until it stretches out and extends its duty to global exploration and instructive joint efforts. The position that global joint efforts in science and science strategy should assume a bigger function in US international strategy is passed on in the "Explanation on Science Diplomacy" underneath. This assertion was given by a bipartisan gathering of Nobel Prize-winning researchers, public strategy counselors, and public pioneers including individuals from the US Congress: US public security relies on our readiness to share the expenses and advantages of logical advancement with different countries. Improved worldwide logical participation can likewise prompt more noteworthy monetary thriving at home. The US needs new advances and markets to make occupations, develop new businesses and revamp buyer and financial specialist certainty. Maintainable worldwide associations permit us to use restricted assets and give American organizations admittance to forefront exploration and aptitude around the world.10Every fruitful global examination cooperation or instructive trade can possibly yield a full scope of advantages to understudies and workforce, their establishments, and their nations of origin. We can likewise gain from disappointments, as fruitless coordinated efforts can reveal insight into the significance of such things as achievability arranging, adequate assets, and guaranteeing a match between quality organizations. As senior overseers and personnel work more intently than before with one another and with policymakers to all the more likely comprehend the effect of joint efforts, they can more readily uphold each other's' missions and add to more extensive public objectives.