Because administrative workers do not staﬀ indi- vidual departments, department and head nurses must complete all health insurance documenta- tion. In study Markova and Eislerova (2001) found that department nurses spend most of the time (207 minu tes) of devoted to nursing care and educa- ting patients and their families. The organization of health care takes nearly 2 hours per day. One hour department nurse devotes to the ward sister to en- sure material supply and equipment machines. Hotel services take more than half an hour. Com- municating and information of the staﬀ takes 26.5 minutes per day. Education takes 11.25 minutes. Management of staﬀ occupies almost the smallest part of the time (7.00 minutes).
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The research study assessed how nurses working in the Emergency Departments of KFUH and Dammam Medical Complex Hospital adopted an ETS. We utilized bivariate analysis to determine the differences between nurses who used and did not use the ETS. As shown by the ﬁ ndings, we observed signi ﬁ cant differences between nurses who used the triage system and those who did not use it, in terms of ease of use, usefulness, training, social in ﬂ uence, behavioral intentions, and attitude. Furthermore, the cur- rent results con ﬁ rmed previous studies showing that ETS use increases if the nurses believe that the ETS is under- standable and easy to use and will help to improve performance. 9 Moreover, nurses ’ attitudes concerning the ETS played a role in how they perceived and desired to use the ETS. All the same, Saudi nurses had lower pre- ference for using the ETS compared to non-Saudi nurses. According to Dong, Bullard, Meurer, Blitz, Holroyd, Rowe 10 the triage process helps to ensure effective man- agement of a modernized emergency department, to ensure patients receive clinical justice. As shown by the study ’ s ﬁ ndings, nurses are using ETSs to help patients with urgent issues or trauma. However, the nurses did not have a clear understanding of when to use the ETS during emergency cases. At the same time, 65% of the nurses in the current study conveyed that the triage system was effective in identifying patients who needed to be
When safety and competency of a nurse are affected by bullying, the bullying can lead to the nurse’s commit- ting errors, such as medication errors. This is consistent with Roche, et al., who reported that all types of violence were linked to late administration of medication . Roche, et al., believed that the reason for their finding a non-significant relationship between workload demands and the total score of NAQ-R was related to the charac- teristics of ED nurses: ED nurses have been trained to provide care for patients often in very stressful situations that involve taking care of critically ill patients under extreme clinical pressures. Also, ED nurses work con- scientiously and with strong attachment to their work in fast-paced environments. This is further supported by Gates, et al. who stated that exposure to violent events was significantly related to decreased productivity in the areas of Cognitive Demands and Support/Communi- cation Demands . Similarly, Yildirim and Yildirim found that the most common thing nurses did to escape from bullying was “ to work more carefully to avoid criti- cism .” To summarize these findings, it appears that the more bullying experienced by ED nurses, the greater their difficulty in achieving three of the areas of produc- tivity included in the Healthcare Productivity Survey (cognitive demands, support and communication, and safety and competency).
Some results of studies of bullying have varied from country to country and merit further investigation. For example, our study finds that those nurses who had worked longer in the ED reported experiencing less bully- ing. This result is consistent with those of ALBashtawy, et al., who found, also in Jordan, that workers in the ED who are over 30 years old are less likely to experience violent incidents . However, the opposite result was observed by Johnson and Rea in the U.S. . As another example, varying results have been found in studies that have exam- ined bullying in relation to shifts worked by nurses. In our study, nurses who worked in rotating shifts reported a slightly higher prevalence of bullying acts than nurses on the day shift. This same association was found in two studies from Asia [29, 38], and one study from New York , but not in a third, from Europe , which reported that nurses working on the A (day) shift are prone to more aggressive behaviors and bullying. In our study, most WPB incidences occurred at the B shift (from 3 pm to 11 pm) and this seems to be related to the following factors: the absence of administrative personnel, work pressure, inadequate staffing, and the increased access of public during this time after the outpatient clinics close their doors and leave patients with no choice other than the EDs.
We are using an integrated knowledge translation  approach for this review. Our multidisciplinary team in- cludes representative knowledge users who are frontline healthcare professionals, health system decision-makers, knowledge synthesis methodologist, information scien- tist, researchers (nursing, emergency medicine, EMS, health science), and trainees. Our team co-developed the review question and protocol and will continue to be in- volved throughout the entire process, including develop- ing a knowledge translation plan to accelerate the uptake of the findings of the review. This strategy will detail the audiences, strategies with anticipated timing, key messages and activities, targeted venues, and mea- sures of success. The findings of this review will be dis- seminated through multiple mechanisms: (1) open access publication; (2) presentations at targeted scientific conferences (e.g., Western Emergency Department Op- erations Conference); (3) presentations to provincial decision-makers and healthcare professionals through the Emergency Strategic Clinical Network; (4) meetings with EMS, manager, and nurse educators in local EDs; and (5) infographic representing meaningful information about transition in care. If indicated by the findings, this review will also inform the development of a communi- cation transition tool to facilitate transfer of essential pa- tient information in a consistent manner.
This paper deals with management competencies of head and department nurses in Moravian hos- pitals. There are cited papers from Czech authors in the theoretical part which deal with health care, and the work of nurses. The research is based on a questionnaire sent to the hospitals in Znojmo, Tře- bíč and the Faculty hospital of St. Anna in Brno. Totally, the average response rate was 63,6 %, cover- ing 886 nurses, 124 department nurses and 29 head nurses – 1039 in total. In terms of nurses’ edu- ca tion the high school-leaving exam is most common; in average about 80 % of all nurses. And this is the same for head and department nurses, where there will be a requirement for a university de- gree in future especially for the position head nurse. This research shows that informal relationships predominate in hospitals. This is based on the democratic managerial style of department and head nurses. They predominantly obtained knowledge from human resource management in their work- ing practice and previous occupation, (65,9 % respondents). Nurses and especially department nurses (66,7 %) don’t want to manage people but don’t want to reach higher positions (I think this is what you mean) and don’t reach position of their subordinate. Department nurses but head nurses would like to participate in management and human resource management courses. According to the results of this questionnaire research (evaluation of nurses and self evaluation of department nurses and head nurses as well) management competencies are on good level in analysed hospitals. By testing de pen- den ce of chosen variables was found middle strong dependence between valuables: working position by department and head nurses and their preferences of communicative relationships. By depart- ment nurses which evaluated managerial style of head nurse and satisfaction with their occupation was found middle strong dependence as well.
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Patients seen in the ED of an urban children’s hospital over a 2-month period were evaluated by the triage nurse for the poten- tial of receiving an IV. Patients were excluded if they had existing IV access (either from a central line catheter or prehospital IV insertion), or if the patient was placed in an ED room without being seen in triage. A hidden area of the triage sheet was pre- stamped with a yes or no selection. The nurses were instructed to circle yes if they thought that the patient had a $ 50% chance of requiring an IV catheter during the ED visit and to circle no for all other patients. The triage nurse’s prediction was not visible to the physicians and nurses caring for the patient and making decisions regarding IV insertion, and the treating physicians were not aware that this study was being conducted. To avoid selection bias, patients were used in the analysis if the nurse performed predic- tions on $80% of the total number of patients she triaged. The study was approved by the hospital’s Committee for the Protec- tion of Human Subjects (institutional review board) with no re- quirement for written consent.
The results of this study are in accordance with Ponco’s (2016) research that there was a significant relationship between supervision, whether the supervision was done by the head of the departments or related parties, and the attitude of the nurses to the compliance of the infection prevention and control practices on infusion installation based on the predetermined procedure. Setyowati (2016) also stated that the motivation factor, in this case supervision, had a significant relationship on the nurse compliance in the infusion installation in accordance with the fixed procedure in the Emergency Department which was one of infection prevention and control practices.
This study provides an overview of nurses that deployed to Afghanistan and Iraq between September 2001 and March 2015. While this study does not examine the experiences of deployed nurses, there are some similarities to nursing during the Vietnam conflict. During Vietnam, although there was no certainty as to when the war would end, those assigned to Vietnam knew that a tour was one year after which they would return to the United States . Instead of reporting as part of a cohesive unit, the majority of nurses that served in Vietnam went over individually, often as the only nurse on a plane full of combatants.
The limitations of this study include the use of cross- sectional data and self-report measures. Although there are theoretically sound reasons to assume that the factors mentioned above could affect the sleep quality of nurses, no solid conclusion regarding causal relationships can be made from the data derived from this cross-sectional study. Whether the findings are applicable to all clinical nurses in Mainland China, this could not be assessed by only including one hospital nurse level in the study. The long-term sick leave nurses who did not participate in our study may be affected by sleep disturbances. The study in- cluded only QoL measurement and no specific depression or anxiety or other mental health (such as psychiatric dis- orders or medications) measures, which limited analyzing the relationship of mental health with sleep disturbances. Another limitation is that our study ignored the quantita- tive interaction between psychological, QoL, occupational and personal factors. Further research needs to consider the relative relationships of intermediate factors to estab- lish sleep disturbances models for clinical nurses.
In line with the issue of inconsistency in written case scenario (Oloffson et al. study), the same issue was noted in retrospective review. Single-center study yielded a better triage accuracy than multi-center study [19–22]. A concern of the qualification of the triage instructor was raised. Two latest multi-center studies using written case scenarios showed the inter-rater agreement among nurses was higher than the triage accuracy (78%/59.6% in Jordi et al.  and 73%/59.2% in Mistry et al. ). The high inter-rater agreement revealed the understand- ing of triage system was similar among nurses . Although their understanding about the system was ra- ther good, the moderate level of triage accuracy showed the ED nurses did not perform well in triage. In turn, the ED nurses had common misunderstanding about the triage system. The misunderstanding might be caused by the instructors. For instance, the instructor might have misunderstanding of some aspects of the triage system and deliver them to the participants. As a result, the ED nurses demonstrated the common mistakes in some triage scenarios.
Well planned care programmes facilitate the institution works and provide important gains in other expenses. Care is essential in nursing profession (Guven, 2007). In 1990, World Health Organization suggested to establish mechanisms in all countries to provide high quality patient care. Standards are useful in terms of creating a basis for all stages of care, to eliminate uncertainty and to avoid negative surprises (Guven, 2007). They provide the implementation and optimum utilization of the latest techniques in nursing services. To ensure it, international standards should be adapted to the specific needs of each country. Thus, waste of resources can be avoided. Determination of standards will serve a guide in providing excellent patient care and identification of the quality of care which will reveal useful information (Tanner, 2009). They determine the extent of knowledge and nursing practice. Also, they define the role of the professional nurses. In light of this, the concept of “Care-Friendly Hospital” will be an appropriate way to assure high quality patient care.
In today’s Era of advanced healthcare, nurses need to be competent to manage all critical situations for the wellbeing of her patients committed to her care safeguarding patient advocacy2.The project Clinical Cabinet was initiated by our Group Director Nur Apollo Hospital Group: Capt. Usha Banerjee.The committee comprises of selected staff nurses who along with quality and safety team participate in the quality and safety program of the nursing department with the purpose to improve the involvement of
Results: Overall, a high prevalence of inappropriate antibiotic prescribing for ARIs was found [79%, 95% confidence interval (CI): 75-83)] with regard to doctors, (78%, 95% CI: 73-83) with regard to nurses, and (80%, 95% CI: 74-87) with respect to all age groups. Amoxicillin was the most misused antibiotic (64%). Prescribers were aware of the local treatment guidelines, although not everybody was confident applying them. Nurses in the survey listed antibiotics as their preferred drug of choice for ARIs. Most doctors displayed knowledge of prescribing for ARIs. All prescribers failed to define rational drug use. Forty per cent of the prescribers reported being influenced by patients in their prescribing practices.
Steinmiller, Routsalo and Souminers (2015) state nurses’ lack of knowledge and positive attitudes may influence the older adult patients’ length of stay, health outcomes, safety, and other care- related concerns . To assure the highest quality of care to older adults in the ED, it is very important to assess nurses’ current knowledge of and attitudes toward the older adult. Research has demonstrated that educational interventions have improved healthcare providers’ knowledge and attitudes of bariatric patient care  cancer care , meaningful use of electronic health care records  and sexual health . There is little, if any, research evaluating the effects of an educational intervention to enhance nurses’ attitudes and knowledge toward older adults in the ED setting. Thus, the purpose of this study was to explore the effect of an educational intervention on attitudes and knowledge of ED nurses toward the older adult patient and their intentions to change their care behaviors toward this population in the emergency department.
was performed using an independently prepared ques- tionnaire addressing the hypothesis. We developed an ori- ginal 20 item survey based on Crisham [13,14] and Ya- mamoto , and used Kojima et al. as a reference for nurs- ing dilemma items . We assigned each item to the area of best fit. This yielded 20 items, with each of the five areas receiving four items. It was further assumed that dilemmas could be measured using a five-point Likert scale, with a higher score indicating the likelihood that nurses would have mixed feelings. Internal consistency
The ICU is equipped with 3 multi-parametric monitors and 2 ventilators. The ICU staff is composed of 4 nurses, 8 nurse assistants, and one doctor in the morning with internist competencies. Consultants on call are available to treat obstetric, paediatric, neurosurgical, and urologi- cal patients. Another doctor is in charge of the emer- gency room during the day, working with 6 nurses and 6 nurse assistants. One of the nurses is responsible for the triage system, and the emergency room is equipped with a defibrillator, a multi parametric monitor, and some ad- vanced airway devices.
Age of clinician and length of experience: From the literature reviewed there does not appear to be any consistently found correlation between age of clinician or length of clinical experience and the presence of positive or negative attitudes. Whilst some authors found older ED nurses demonstrated more positive attitudes compared to their younger colleagues (McCann et al. 2006), possibly due to increased length and scope of post registration and life experience (Friedman et al. 2006). Other authors (Anderson 1997, McCarthy et al. 2010) noted that attitudes become less positive after a certain age or length of experience (over 50 years old or 16 years of experience), although they did not clearly hypothesize a reason why this may be the case. It could be suggested that, to a certain point, repeated experience of working with consumers presenting with mental health problems can enable clinicians to enhance their knowledge and skills. As a result, they may feel more confident that their skills enable them to work with this client group and thus demonstrate more positive attitudes (McCallister et al. 2002). However, McCallister et al. (2002) found that there is no statistically significant link between length of experience and improved confidence when working with this patient group. Conversely, repeated exposure to presentations considered by clinicians as ‘revolving door patients’ and the p erception that little they do changes a patient’s situation could result in increasing pessimism, loss of empathy and consequently
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This study had several limitations; participants in this study were nurses and physicians working in the ED. There may be a wrong assumption that only these personnel have experienced disruptive behaviors. Moreover the sample size was low. Therefore, the findings of this study cannot be generalized to other institutes. Further studies on larger samples must be conducted across the country in order to obtain more accurate information.
Present study in Saudi Arabia also revealed a low hand hygiene non-compliance after body fluid exposure risk (30.8%), after patient contact (16.9%), and after contact with patient surroundings (50%). Higher levels of non-compliance were found before patient contact (59.3%). The event before patient contact has a significant 6 times higher risk of hand hygiene non-compliance compared to the event after patient contact. The WHO found poor levels of compliance before an aseptic task and it is suggested that activities that are high risk to the patient have lower compliance. 43,44 Allegranzi and Pittet reported that HCW compliance was high when hands were visibly dirty or sticky. 45 These activities have a perceived element of risk to them, for example, after exposure to body fluids 46 . In addition to hand hygiene observation for nurses in ED after touching contaminated surfaces and after glove removal, this study found that the percentage of nurses who performed hand hygiene in emergency department after touching contaminated surfaces are higher than who did not perforemed. This is congruent with another study that stated that the percentage of hand hyegiene compliance before patient contact (21%) rather than after (47%) patient contact 36 . Regarding the relationships between socio- demographic characteristics of the nurses and observation of their hand hygiene according to indications and uses in ED, this study revealed that there is statistically significant relationship between the nurses’ gender and profession and their hand hygiene practice before/ after patient care activities, hygiene practice after touching contaminated surfaces/ after glove removal and the uses of ACHR or soap. This confirmed what was reported by a previous study (47) on hand hygiene frequency in selected hospitals and among adults in EDs, which showed that females hand washed more frequently than males following use of toilet facilities.