1,721,046 research outputs found
ChatGPT answers a frequently asked question about nursing: What it is and what it is not
Full text link[The Productive Ward programme to provide high quality care: findings from a scoping review]
No full textThe Productive Ward programme to provide high quality care: findings from a scoping review. Introduction: The Productive Ward: Releasing Time to CareTM is a ward processes- and environments- improvement program intended to help nurses to spend more time on patient care, thus promoting patient safety. Aims: To define the state-of-science in research on the Productive Ward (PW) program, the set of outcomes documented to date, as well as the factors facilitating or hindering its implementation in practice. Methods: A scoping review based on the framework proposed by Levac et al. in 2010, further refined by the Joanna Briggs Institute in 2017, was performed on 2021. Methods and findings have been reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses - Scoping Reviews statement. Results: 11 studies have been published from 2014 to 2021, mainly in Europe and England. According to the findings, the PW program has an impact on nurses, patients and the organization. Factors facilitating the PW programme implementation rely on engaging communication, the leadership, the organizational and the managerial support, the additional human and financial resources as well as on the feature of the context and its culture. Resistance to change is the most investigated barrier of PW implementation. Conclusions: Although limited, the evidence suggests that the PW experiences are positive. Factors facilitating and hindering the implementation suggest a map of possible elements to consider before and during the implementation process
Coping in Women With Breast Cancer Awaiting a Surgical Intervention: A Cross-Sectional Study
Full text linkAddressing Nursing Resignation: Insights From Qualitative Studies on Nurses Leaving Healthcare Organisations and the Profession
Full text linkAimThe aim of this study is to explore the experiences of nurses who resigned from healthcare organisations or abandoned the profession and explore the reasons behind them.DesignA systematic review of qualitative studies and meta-summary.Data SourcesCumulative Index to Nursing and Allied Health Literature (CINAHL), Embase (Ovid), MEDLINE (Ovid), Social Science Citation Index (Web of Science), and Scopus.MethodsThe search was conducted up to May 2024. Primary qualitative studies focused on nurses who had resigned or left the profession were included. The meta-summary was conducted using method: findings were extracted from the reports, edited, grouped, abstracted into key meta-findings, and finally, their frequency effect sizes were calculated.ResultsA total of 282 findings were extracted from 12 studies, generating 49 statements of findings that were aggregated into nine key meta-findings. Poor management practices presented a frequency effect size of 100%. Other key meta-findings included excessive workload, teamwork hurdles, health issues related to work shifts and difficulty in maintaining work-life balance, a lack of career growth opportunities and promotion chances, disillusionment with nursing, dissatisfaction due to salary, bullying and horizontal violence, and moral distress over ethical dilemmas.ConclusionThe findings can help support the development of targeted strategies and the implementation of effective policies aimed at reducing nursing turnover.Impact and Implications for the ProfessionThe major impact of these findings is the recognition of rising factors that negatively affect nurses' quality of life, including workload pressures and poor management strategies, which significantly lower job satisfaction. To address these challenges, the profession should prioritise tools that value nurses in their roles, implement strategies to manage workloads more effectively and advocate for policies promoting flexible scheduling. Additionally, investing in professional development and fostering a supportive work environment can help retain skilled nurses and nurture the growth of new talent.Reporting MethodPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).Patient or Public ContributionNo patient or public contribution
Nursing minimum data sets: Findings from an umbrella review
Full text linkObjectives: This study explores the evidence available on Nursing Minimum Data Sets (NMDSs) by summarising: (a) the main methodological and reporting features of the reviews published in this field to date; (b) the recommendations developed and published in such reviews regarding the NMDSs, and (c) the categories and items that should be included in the NMDSs according to the available reviews. Methods: An Umbrella Review was performed. A search of secondary studies published up to November 2021 that were focused on NMDSs for adult hospitalised patients was conducted using MEDLINE (via PubMed), CINAHL and Scopus databases. The included studies were critically evaluated by using the Checklist for Systematic Review and Research Syntheses. The full review process was performed according to the Preferred Reporting Items for Systematic reviews and the Meta-Analyses statement. Results: From the initial 1311 studies that were retrieved, a total of eight reviews published from 1995 to 2018 were included. Their methodological quality was variable; these reviews offered four types of recommendations, namely at the overall, clinical, research and management levels. Additionally, seven NMDSs emerged with different purposes, elements, target populations and taxonomies. A list of categories and items that should be included in NMDSs have been summarised. Conclusions: Nurses are daily involved in the nursing care documentation; however, which elements are recorded is mainly defined at the local levels and relies on paper and pencil. NMDS might provide a point of reference, specifically in the time of health digitalisation. Alongside other priorities as underlined in available recommendations, and the need to improve the quality of the reviews in this field, there is a need to develop a common NMDS by establishing its core elements, deciding on a standardised language and identifying linkages with other datasets
Gli esiti dell’Assistenza Infermieristica in Terapia Intensiva: protocollo di ricerca di una scoping review = Nursing Sensitive Outcomes in the Intensive Care Unit: a scoping review protocol
No full textABSTRACT Introduction: driven by the current need of achieving high-reliability and patient-focused organization, several efforts have been enacted to date with the purpose of identifying and qualifying nurses’ contribution to Nursing Sensitive Outcomes (NSOs) in critical care. Although many studies have been conducted in Intensive Care Unit (ICU), the set of NSOs that should be considered while designing studies in the field are limited and have not been well defined to date. In this paper, we outline a scoping review protocol to map the characteristics of the studies on NSOs in ICU to inform future research in the field. Methods and analysis: this scoping review will follow the Joanna Briggs Institute’s framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses - Scoping Reviews (PRISMA-ScR) statement. A search will be conducted through the Cochrane Database of Systematic Reviews, CINAHL, Joanna Briggs Library, MEDLINE/PubMed, Scopus, Web of Science, as well as grey literature sources. We will include all studies (a) focused on NSOs in adult critically ill patients admitted and cared for in an ICU and (b) published in English language, (c) with no limit on publication time frame. Two researchers will independently screen titles, abstracts and full-text for inclusion. Then, a pre-defined data extraction tool will be used to extract information from selected studies. Results will be presented in tabular and narrative form, providing a complete overview of the existing literature. Results dissemination: the scoping review will summarize the state of research by providing an overview of NSOs studied among patients cared for in ICU settings. This study constitutes the first step in a research agenda aimed at deepening and developing a set of NSOs reliable on critically ill patients and useful to proxy monitoring both the quality of care in hospital and the health-related quality of life of critically ill patients. The results of this study will be disseminated through professional meetings and conference presentations, as well as published in biomedical journals. Key words: intensive care unit, nursing care, nursing outcomes, nursing sensitive outcomes, scoping review
Nurses' Experience of Redeployment to a New Intermediate Care Unit for Respiratory Patients: A Qualitative Study
No full textAim: To explore the experiences of nurses transitioning from a clinical ward to a newly established respiratory intermediate care unit (IMCU). Design: A qualitative descriptive approach was adopted to capture the lived experiences of redeployed nurses. This design was selected to address the research question: What are the initial experiences of nurses transitioning from general ward settings to a newly established IMCU for respiratory patients?. Methods: Two focus groups were conducted in June 2024, involving 14 purposefully selected registered nurses. Data were analysed using Braun and Clarke's thematic analysis framework, with the study reported in line with the Standards for Reporting Qualitative Research. Results: The analysis revealed two interconnected themes reflecting the complexity of the redeployment experience. The first theme, ‘The introspection of waiting amidst change and readiness’, captures the emotional ambivalence nurses felt, characterised by anticipation, uncertainty and a perceived lack of preparedness. This phase was marked by concerns over clinical competence, fear of errors and the weight of new legal and ethical responsibilities. The second theme, ‘The road to organizational change with both driving forces and obstacles’, highlights nurses' concerns about physician readiness, feeling undervalued and limited involvement in planning. At the same time, nurses emphasised the importance of teamwork, structured preparation, experiential training and having the right equipment. Conclusion: The study underscores the complexity of role transitions for nurses moving into semi-critical care settings like IMCUs. It reveals the need for targeted support strategies to reduce uncertainty and enhance role readiness. Implications for the Profession and Patient Care: To improve the redeployment experience and patient outcomes, healthcare organisations should prioritise structured training, tailored preceptorship programmes and inclusive decision-making processes. These measures can strengthen nurses' resilience, support workforce sustainability and ensure the delivery of high-quality, patient-centred care in intermediate care environments. Impact: This study highlights the significant impact of inadequate preparation and communication on redeployed nurses' experiences in respiratory IMCUs, emphasising the need for structured training and supportive team dynamics. These findings can guide healthcare leaders, nurse managers and policymakers in developing evidence-based redeployment strategies that reduce anxiety, strengthen team cohesion and ultimately improve nurse adaptation and patient care in semi-critical settings. Reporting Method: We used the SRQR guidelines for reporting qualitative studies. Patient or Public Contribution: No patient or public contribution
What impact do master's degree programs have on career trajectories and professional development in nursing and midwifery? An explanatory mixed-methods study
Full text linkBackground: Master's programs in nursing and midwifery enhance professional skills and disciplinary content, though their impact on clinical application, career progression, and skill utilization remains underexplored. Purpose: This study investigates graduates' motivations, perceptions of program quality, and professional outcomes after a master's in nursing and midwifery sciences. Methods: Using an explanatory sequential mixed-methods design, we surveyed 110 graduates (50% response rate) from 2018 to 2023, followed by semistructured interviews with 17 participants. Discussion: Graduates reported high satisfaction with program quality, especially in research, management, and education, but noted limited clinical use of research and management skills. Career progression was achieved, though without corresponding professional recognition or financial reward. Six themes emerged from interviews, highlighting both program strengths and professional challenges. Conclusion: The program effectively builds advanced skills, yet structural barriers limit practical application. Aligning program objectives with workplace needs could enhance the impact of advanced nursing and midwifery degrees
Critical incidents rates and types in Italian Intensive Care Units: A five-year analysis
No full textTo describe rates and types of critical incidents in Intensive Care Units
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