Nursing & health sciences
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Nursing & health sciences · Jun 2015
ReviewCurrent status of emergency department triage in mainland China: A narrative review of the literature.
In this review, the current status of emergency department triage in mainland China is explored, with the purpose of generating a deeper understanding of the topic. Literature was identified through electronic databases, and was included for review if published between 2002 and 2012, included significant discussion of daily emergency department triage in mainland China, was peer reviewed, and published in English or Chinese. Thematic analysis was used to identify themes which emerged from the reviewed literature. ⋯ The review demonstrates that there is currently not a unified approach to emergency department triage in mainland China. Additionally, there are limitations in triage training for nurses and confusion around the role of triage nurses. This review highlights that emergency department triage in mainland China is still in its infancy and that more research is needed to further develop the role of triage.
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Nursing & health sciences · Dec 2014
Emergency department nurses' perceptions and experiences of providing care for older people.
Emergency department nurses are challenged to provide safe, quality care to older people; however, nurses' perceptions of their role and experiences are seldom investigated. This focus-group study investigated emergency department nurses' perceptions and experiences of caring for older people, using four focus groups of nurses with a minimum three months' experience in the emergency department and a demographic survey. Data were thematically analyzed. ⋯ Nurses felt family/carers were disappointed with care provided, and might not empathize with or understand their predicament. The second theme concerned nurses' perception that family/carers could provide a safety net for the older person in the emergency department in times of high workload. Nurses need support to care for older people in the emergency department to ensure safe and optimal care, and a shared understanding of care provision between nurses and family needs development.
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Nursing & health sciences · Mar 2014
Comparative StudyCompassion fatigue and satisfaction: a cross-sectional survey among US healthcare workers.
Professional quality of life among healthcare providers can impact the quality and safety of patient care. The purpose of this research was to investigate compassion satisfaction and compassion fatigue levels as measured by the Professional Quality of Life Scale self-report instrument in a community hospital in the United States. A cross-sectional survey study examined differences among 139 RNs, physicians, and nursing assistants. ⋯ Caregivers for critical patients scored significantly lower on the Professional Quality of Life subscale of burnout when compared with those working in a noncritical care unit. Linear regression results indicate that high sleep levels and employment in critical care areas are associated with less burnout. Identification of predictors can be used to design interventions that address modifiable risks.
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Nursing & health sciences · Mar 2014
What we can learn about recovery: lessons from the Fukushima survivors.
Recovery from disaster can take a lifetime, and people looking in from outside might not appreciate the stages of recovery. Little talked about is the stigma, which might attach to the survivors of a disaster, especially if it is a man-made disaster. This paper documents the account of a Japanese nursing student who visited the area 18 months after the Great East Japan earthquake and tsunami, talked to the people there, and shared her reflections. The experiences of the Fukushima survivors are linked to those of victims of other disasters, whose recovery was impeded by being discriminated against and stigmatized.
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Nursing & health sciences · Mar 2014
Comparative StudyPerceived breathlessness and psychological distress among patients with chronic obstructive pulmonary disease and their spouses.
The purpose of this study was to describe the impact of breathlessness on Jordanian patients with chronic obstructive pulmonary disease (COPD) and their spouses' perception of the patients' breathlessness. A cross-sectional, descriptive, correlational design was used with a sample of 67 Jordanian patients with COPD related breathlessness and their spouses. The Dyspnoea 12 Scale (D-12) and Hospital Anxiety and Depression Scale (HADS) were administered to both patients and spouses. ⋯ Both patients and spouses reported clinically significant levels of anxiety and depression. There was no statistical difference in total D-12 and HADS scores between COPD patients and their spouses. The finding of this study indicates the importance of healthcare providers in supporting both patients with breathlessness and their spouses and the need to develop family-centred services.