657 research outputs found
Defining a set of potentially preventable complications relevant to nursing: A Delphi Study among head nurses
No full textAim To establish a list of potentially preventable complications as a tool for nursing management. Background Different outcome parameters have been used in patient safety research. However, they have mainly been used for medical and administrative goals. The role of nurses in achieving patient safety outcomes has been given little attention. Method A three-round Web-based modified Delphi study was conducted in four hospitals, using the list of potentially preventable complications (PPCs) as a starting point. Consensus on a shortlist of nursing relevant complications was the endpoint. Results This study revealed a shortlist 12 PPCs relevant to the nursing profession, based on the expert opinion of more than sixty head nurses from different wards and hospitals. An overall consensus of 77.58% was reached. In surgical, medical and geriatric wards, a consensus of 95.7% was achieved. Conclusion This is the first study that points out which PPCs are related to nursing. The shortlist contains some of the most studied complications and can serve a wide variety of hospital wards. Implications for Nursing Management Prevention of complications reduces harm to patients and avoids the nursing work and costs to treat them. This list provides nursing managers with a powerful tool to raise awareness for risk assessment and preventive measures among nurses. It offers an instrument to facilitate the documentation and handover of patient safety outcomes in nursing. This shortlist can also serve as an assessment tool for patient safety interventions.An unrestricted university grant was provid
ACKNOWLEDGEMENTS
This article could only be realized thanks to the willing cooperation
of the participating hospitals and head nurses.ed for the first authorGrosemans, J (corresponding author), Hasselt Univ, Fac Med & Life Sci, Martelarenlaan 42, B-3500 Hasselt, Belgium.
[email protected]
CLINICAL PLACEMENT EXPERIENCE OF NURSING STUDENTS DURING THE COVID-19 PANDEMIC: A CROSS-SECTIONAL STUDY
No full textBackground The impact of the COVID-19 pandemic on our society is profound, not least for the healthcare sector. On the one hand, this exceptional situation created unprecedented learning opportunities for nursing students. Yet, on the other hand, this situation can jeopardise nursing students learning trajectory. Objectives To study nursing students‘ experiences during clinical placement during the COVID-19 pandemic. Design Cross-sectional survey design Settings Clinical placements during COVID-19 pandemic Participants Nursing students from nine Belgian nursing schools Methods All students enrolled in nursing education are eligible to participate. The survey consists of five dimensions: demographics, risk perception, self-efficacy, support and communication, and resilience. Results The gaps that were identified by students focused on the need for more psychosocial support, establishing (regular) contact with their clinical placement supervisor, recognition of the difficult work situation, and the need for more space to unwind. Conclusions Nursing students expressed a strong need to be heard, prepared, and supported. Most students felt supported by their nursing schools. Because of COVID-19, the role of the preceptor became more important; however, due to several reasons did not always meet the student‘s expectations. Preparing students for specific skills is needed. Finally, it is of the utmost importance that nursing schools coordinate with clinical sites on matters such as the responsibility for testing nursing students, the provisions of uniforms and personal protective equipment, and structurally sharing guidelines with students to provide safe patient careFunding:
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors
Acknowledgments:
The authors would like to thank the all participating students, educators, and nurses involved
Translation and validation of the Dutch version of the health professional education in patient safety survey amongst nursing students in Belgium: A psychometric analysis.
No full textObjectivesEvaluate the psychometric properties of the Dutch version of the Health Professional Education in Patient Safety Survey (H-PEPSSDutch), an instrument used to assess self-efficacy regarding patient safety competence.MethodsThe H-PEPSSDutch was administered to 610 students in two Belgian nursing schools. We used confirmatory factor analysis, for both classroom and clinical learning, to examine the psychometric properties.ResultsThe analysis of construct validity showed a good fit to the hypothesised models. Cronbach's alpha values ranged from 0.70 to 0.87 for classroom learning and from 0.56 to 0.86 for clinical learning, indicating good reliability. Differentiating between the H-PEPSS constructs in the clinical setting showed to be complicated; hence, discriminant validity was not supported for all dimensions.ConclusionsOverall, this provides us with a reliable instrument to measure self-reported patient safety competence among nursing students. Further research is needed to validate the H-PEPSS as a longitudinal monitoring tool and as a pre-and-post measurement on the impact of interventions related to patient safety in the nursing curricula
The continuum of care for people living with HIV in Suriname: identifying factors influencing the care delivery process
No full textAbstract
Background
Identifying gaps along the human immunodeficiency virus (HIV) continuum of care is essential in reaching viral suppression.
Objective
The aim of this study aims to identify sociodemographic and clinical factors influencing HIV diagnosis, linkage to care, antiretroviral therapy (ART) initiation and retention, and viral suppression in Suriname.
Method
Adults, over 15 years, enrolled as HIV positive in the national surveillance system from 2010 to 2015, were included. Multiple regression looking into sociodemographic and clinical factors was executed. Indicators evaluated were ‘knowing HIV status’, people initiating ART, 1-year ART retention, and viral suppression with ART.
Results
There were 2939 registered adults registered. Based on yearly average, of the 52% (95% confidence interval (CI), 52–53%) of estimated people living with HIV, 4950 knew their HIV status; 63% (95% CI, 62–64%) of these diagnosed initiated ART; and 81% (95% CI, 22–32%) of those on ART were virally suppressed. If tested positive at a non-voluntary counseling testing (VCT) site, better linkage to care (adjusted odds ratio (aOR), 1.6; 95% CI, 1.2–2.1) is seen. Although better linked to care (aOR, 1.5; 95% CI, 1.2–1.8), no difference was noted in viral suppression (aOR, 0.8; 95% CI, 0.6–1.0) for men compared to women. Men initiate treatment at a more advanced stage of disease (CD4 ≤ 200) than women (47.4% versus 31.4%), leading to higher mortality rates. People from the interior were less likely linked to care (aOR, 0.6; 95% CI, 0.4–0.8) than those from urban regions but did not display significant differences in treatment initiation.
Conclusion
In each step, the continuum shows a significant drop. Innovative interventions with a particular focus on men and people living in the interior are needed. Also, a more proactive system of linking people in care, especially at VCT sites, is needed.
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Gene loss and lineage specific restriction-modification systems associated with niche differentiation in the Campylobacter jejuni Sequence Type 403 clonal complex
No full textCampylobacter jejuni is a highly diverse species of bacteria commonly associated with infectious intestinal disease of humans and zoonotic carriage in poultry, cattle, pigs, and other animals. The species contains a large number of distinct clonal complexes that vary from host generalist lineages commonly found in poultry, livestock, and human disease cases to host-adapted specialized lineages primarily associated with livestock or poultry. Here, we present novel data on the ST403 clonal complex of C. jejuni, a lineage that has not been reported in avian hosts. Our data show that the lineage exhibits a distinctive pattern of intralineage recombination that is accompanied by the presence of lineage-specific restriction-modification systems. Furthermore, we show that the ST403 complex has undergone gene decay at a number of loci. Our data provide a putative link between the lack of association with avian hosts of C. jejuni ST403 and both gene gain and gene loss through nonsense mutations in coding sequences of genes, resulting in pseudogene formation
Patient Views Towards Surgical Safety and Checklists Measure
No full textThe Patient Views Towards Surgical Safety and Checklists Measure (Bergs et al., 2018) was developed for the purposes of a study investigating the views patients have towards surgical safety and checklists. Eleven items were constructed, designed to measure perception of patient safety (2 items), attitudes towards the WHO surgical safety checklist (5 items) and attitudes regarding how the checklist is used in practice (4 items). Each item, except for the questions regarding the respondents’ perception of patient safety, was phrased as a statement. The measure was administered to a sample of Dutch patients (18-91 years). No reliability or validity data was provided for the measure. (PsycTESTS Database Record (c) 2018 APA, all rights reserved
Evaluatie van de aanpak van de COVID-19-crisis en beleidsaanbevelingen voor de organisatie van ouderenzorg
No full textnot availabl
Evaluatie van de aanpak van de COVID-19-crisis en beleidsaanbevelingen voor de organisatie van ouderenzorg
No full textnot availabl
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