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We retrospectively report a case of rapid exchange of a percutaneous radiologic gastrostomy tube (balloon-occluded type catheter) via off-label use of a pigtail catheter for nutrition supply during a very early episode of coronavirus disease 2019 (COVID-19) in an outpatient clinic. This case demonstrates that minimally invasive percutaneous procedures might be provided safely and effectively under appropriate precautions for preventing COVID-19 transmission during the pandemic.Copyright © 2023, Society of Gastrointestinal Intervention.
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The integration of digital technology into healthcare is critical for health communication. This study analyzed a group of nursing students who applied multimedia health education e-books to different groups of varying sizes to explore the efficiency of implementing health communication and nursing information literacy in the nursing industry. If medical personnel can make appropriate use of technology, combine medical operations with information systems, and disseminate the purpose of health to groups of different sizes properly, the quality of patient care will improve. Thirty-two junior nursing students at the college level were divided into three groups, each subject to a 3-week internship. After the internship, a questionnaire survey was conducted. Additionally, nine nursing students were interviewed in a 45-min semistructured format. Regarding the effectiveness of nursing students using multimedia e-books to implement health communication and the development of nursing information literacy, the statistical analysis results demonstrated no significant differences between large groups and small groups. However, their 5-point Likert scale average values were all greater than 4, indicating that regardless of group size, their feedback on using e-books was positive. This means multimedia e-books can effectively help nursing students practice health communication application effectiveness and develop nursing information literacy.
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Genetic sequencing is a scientific process of reading genetic material using advanced technology. Through genetic sequencing, we can better comprehend super-spreader events and outbreaks, and strengthen national public health responses. A better understanding of the transmission of viruses, the severity of patient illness, and mortality rates can be gained by combining this information with that from the IDSP and patient reports. Connecting the dots between the data and the host's genetics, immunology, clinical outcomes, and risk factors is also possible. Many roadblocks must be overcome before raw sequence data can be put to direct clinical application. Since DNA sequencing has so many potential applications in the field of nursing, it ought to be a required topic for students in the profession. Group wellness Preparing patients for procedures, identifying those most at risk, doing sentinel surveillance, and conducting in-depth studies are all areas in which nurses can be of assistance. The goals of this paper are twofold: (1) to present the notion of genetic sequencing and (2) to highlight the role of Community health nurses. To reduce the impact of pandemics and endemics and improve nursing care, Western countries are seeing an uptick in the participation of nurse scientists in genetic sequencing;the case of newborn screening provides a particularly apt example.Copyright © 2023, Institute of Medico-legal Publication. All rights reserved.
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Background and Object: Nurses play a vital role in dealing with the COVID-19 crisis, considering that the high level of knowledge and ability of nurses in dealing with this crisis accelerates the recovery process of patients and promotes the health level of the community. Therefore, this study aimed to determine the effectiveness of virtual training package for nurses' scientific empowerment against covid-19 crisis. Materials and Methods: The study consisted of descriptive cross-sectional and semi-experimental two phases study population including 256 nurses in spring 2021 in one of the selected hospitals in Tehran. Data collection scales, were demographic questionnaires and four-choice test Researcher made. Virtual training package was prepared with the purpose of nurses understanding of COVID-19, prevention, diagnostic, Treatment and nursing care methods and education during discharge in the form of multimedia educational files. 63 nurses whose scores were lower than the average of the society were divided into two groups of 32 interventions and 31 controls by block random allocation method. One month after the intervention, post-test was performed and the data were analyzed using descriptive-analytical statistics using SPSS software version 26. Results: The scores of nurses' empowerment in the experimental group before the intervention was 7/96(2/96) and after the intervention was 23/96(1/28) and in the control group before the intervention was 8/96(2/58) and after the intervention was9/62(2/47). according to the results, the scores of both groups before the intervention were not significantly different (P=0/169(but after the intervention, there was a significant difference (P<0/001) the score of nurses who used virtual training package had a significant increase. Conclusion: Virtual training is a suitable method for empowering nurses against with COVID-19 crisis. This study was conducted to meet the needs of medical and educational centers to improve nurses› knowledge and capability against COVID-19 crisis. In this study, while determine the level of nurses› scientific empowerment, the effectiveness of virtual training on nurses› empowerment in these conditions was investigated and confirmed. [ABSTRACT FROM AUTHOR] Copyright of Iranian Journal of Health Education & Health Promotion is the property of Iranian Association of Health Education & Health Promotion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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An increasing number of children with complex life-limiting and life-threatening conditions are being cared for at home by their parents. Negative impacts on maternal health are now being recognised. This study sought to voice parental experiences to determine what matters most; explore day-to-day decision making and Advance Care Planning; and to inform local service development. Seven mothers from one community nursing service were interviewed using a semi-structured qualitative approach during the Coronavirus disease 2019 pandemic. Seven data-driven themes were identified following six phase thematic analysis: cherishing normality; navigating the system; being proactive; meaningful connections; beginner to expert - and back; they're not any child - they're my child; and Coronavirus disease 2019 pandemic. Practice implications include early discussion of what matters most and benefits of written plans to ensure fair access to treatment for children with complex health. Mothers highlighted that sharing their story enhanced their sense of coping and purpose. Increased support at times of vulnerability and permission to explore decisions were highly valued.
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During the early phases of the COVID-19 vaccine efforts, there was limited supply of the vaccine available to administer. However, as the vaccine supply improved, there was a lack of qualified personnel to administer the vaccine. VaxForce, a volunteer workforce management system to vet healthcare professionals and students and match them with existing vaccination events, was created. VaxForce activities were mainly focused on under-resourced communities. From March 2021 through July 2022, VaxForce mobilized 316 health professional volunteers in 72 vaccination events administering over 8451 vaccines in 7 counties in California. The racial and ethnic profile of vaccine recipients in VaxForce events were reported to be 49% Latinx, 26% Black, 4% Asian/Pacific Islander, 18% White, 3% Mixed Race.
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COVID-19 , Vaccines , Humans , COVID-19 Vaccines , Vaccination , StudentsABSTRACT
Nursing has been criticized for inconsistent and episodic attention to disaster response training in academic settings. The work described herein demonstrates that nursing was not only prepared for the COVID-19 pandemic but was able to mobilize and lead a large-scale response that benefited a university community and the larger surrounding communities and neighborhoods paying particular attention to marginalized populations. For healthcare providers outside of hospitals, it was clear that disaster response methods would need to be implemented. The authors demonstrate that nursing established an on-the-ground response in collaboration with other University officials and departments. Initially established for the University community, the response was moved into surrounding neighborhoods vaccinating the city's most vulnerable. The nurse led effort answered more than 25,000 Hotline telephone calls, collected more than 30,000 COVID-19 molecular tests, and administered more than 150,000 COVID-19 vaccines in an operation that served up to 2500 people a day for 5 months. Nurses saved thousands of lives at the height of the COVID-19 pandemic in hospitals and in community-based settings. The University of Texas Health Science Center San Antonio School of Nursing demonstrated the nimble nature of academic nursing and outlines a large-scale community response to an international pandemic in the seventh-largest United States city. The authors establish guidelines for nurses and others to follow for future events.
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COVID-19 , Disaster Planning , Disasters , United States , Humans , COVID-19 Vaccines , Pandemics , Health PersonnelABSTRACT
Suicide prevention is a public health priority. The purpose of this study was to elicit and document the perspectives of youth (ages 15-24) on the development of a peer support model for mental health promotion and suicide prevention for youth in small communities in western Canada. A qualitative descriptive approach informed by a socioecological framework was used to conduct the study. Eleven youth participated in a series of three co-design workshops. Data collection was conducted remotely using Zoom. Data were analyzed using thematic analysis. The following three themes are identified: (a) contextual factors for youth; (b) community spaces and social media; and (c) apps and integrated care. These themes elucidated challenges faced by the youth, strategies for reducing barriers for youth who need support, and opportunities for enhancing youth mental health through responsive community-identified services. Overall, youth were supportive of the potential use of peer support to augment services in their communities.
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A preceptorship programme for health visitors and school nurses in Highland, Scotland, was developed, delivered and evaluated from 2015 until 2021. The programme used video-conferencing technology to connect remote and rural preceptees, particularly during the Covid-19 pandemic. Preceptees' feedback about the programme was positive;the key benefits highlighted were better networking and peer support capabilities and reduced isolation. As well as describing the programme and its development, this article provides recommendations for other organisations about how to develop a preceptorship programme in their field of practice.
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Public health nurses in Ontario, Canada, support the healthy growth and development of children across the province through a variety of programs including home visits for pregnant individuals and families with young children. During the COVID-19 global pandemic the needs of families increased while access to health and social services decreased. During this time, home visiting teams closely involved in supporting families also experienced staff redeployment to support pandemic efforts (e.g., case and contact management, vaccinations) and changes to the nature of home visiting work, including shifts to remote or virtual service delivery. To support nursing practice in this new and evolving context, a framework for capturing and sharing the tacit or how-to knowledge of public health nurses was developed. A valuing of this type of knowledge for informing future public health nursing practice - well beyond the pandemic response - was recognized as a pandemic silver lining when reflecting on two years of supporting home visiting teams in our province.
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BACKGROUND: Implementing community health nursing programs is a new field of application in the primary health sector of Germany. Hence, there is limited evidence of effective community-based and nurse-led interventions with regard to the German health care system. International research findings are mostly not transferable. The Community Health Nursing in der Stadt (CoSta; ie, "Community Health Nursing in the City") project is the first study that examines a community health nurse-led intervention for adults with chronic health conditions. OBJECTIVE: This study protocol describes the design and methods of a randomized controlled field trial that will investigate if a community health nurse-based intervention has an impact on health-related quality of life in adults with chronic conditions. METHODS: The study was designed as a randomized controlled trial that will be conducted under real-life conditions in the field. In a 4-month period, patients with at least 1 chronic International Classification of Diseases, Tenth Revision, diagnosis will be enrolled. Participants will be randomly allocated to an intervention group or a control group. The sample size was assumed based on an effect size of 0.50 with a significance level of .05, using a 2-sided (2-tailed), 2-sample unequal variance t test. The control group will be treated as usual. The intervention group will receive-in addition to the usual treatment-preventive home visits; consultations; and educative training, which will be offered by 2 community health nurses for up to 12 months. Both groups will be followed up at baseline, after 6 months, and after 12 months. The primary outcome measure is the mental component summary score from the 36-Item Short Form Health Survey after 12-months. Secondary patient outcomes will be included. The study received ethics approval from the Competence Health Center's institutional review board at the University of Applied Sciences Hamburg (procedure number: 2020-14). RESULTS: The CoSta project was funded by the Federal Ministry of Education and Research Germany (contract number: 13FH019SX8). In total, 187 participants were recruited at the beginning of August 2021. Further, 92 were excluded and 94 were randomized. Data collection will be conducted until the end of 2022. CONCLUSIONS: Our study will provide data with regard to the effectiveness of community nurse-led interventions that focus on the treatment of vulnerable adults with chronic health conditions in a community health center. In secondary analyses, the associations among influencing social factors (education, income, and employment) will be examined. We expect results that will help reduce the research-to-practice gap. TRIAL REGISTRATION: German Clinical Trials Register DRKS00026164; https://tinyurl.com/yckxc5ut. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/37965.
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The article mentions the anniversary of the Managing Adult Malnutrition in the Community program to address malnutrition in the United Kingdom (UK) that was launched 10 years ago as of September 2022.
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As a national nursing service providing community nursing support for patients receiving enteral, parenteral nutrition and other intravenous therapies employing over 300 nurses, it was important to support the NHS during the Covid-19 pandemic. An NHS support campaign was launched which began by implementing a guiding principle across our service in relation to sending patients to hospital. The guiding principle was framed around keeping the patient at home safely to avoid admission. The guiding principle was: ‘why hospital, why today’. This was communicated out across our nursing service and our standard operating procedures were updated to reflect this. To help raise awareness to this initiative we also launched a logo. This was added to the email footers of the nursing team and shared with our NHS partner hospitals. We increased the nursing service offering to further support admission prevention, to include the following: • Blood taking visits • Additional drug administration • Virtual patient assessments and training • Support/facilitate virtual clinics • Condensed patient training to aid reduced number of visits for training • Rapid discharge for nursed patients We reduced the number of nursing visits our patients were having to reduce the risk through contact: • Patients were offered training for themselves or a carer • Where clinically safe and in agreements with the referring centres and our patients, we reduced patient’s visits to once a day from twice per day by administering 24-hour infusions, thus reducing contact and exposure to nurses and patients We offer a 24hour nurse Advise Line to support our patients and nurses in the community. As part of the ‘Why Hospital Why Today ‘initiative, the Advice Line worked hard to find ways to keep patients safely at home rather than advising hospital, along with discussions with the manager on call were able to reduce the number of out of hours hospital admissions. We also considered our patients mental health and well-being. Our patient cohort is a vulnerable group and they were being isolated from family and friends as well as reduced nursing visits which could impact on their mental health and well-being. We initiated weekly supportive calls to all our patients which were well received. During 2020 at the height of the pandemic, 27 hospital admissions were avoided, 6 patients completed the condensed patient training package, 160 patients had amendments to their prescription regime to reduce number of nurse visits, 63 patients initiated 24-hour parenteral nutrition infusions, halving their contact with nurses.
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Why you should read this article: • To understand some of the benefits that the nursing associate role can bring to community and primary care nursing teams • To be aware of the challenges involved in training and embedding nursing associates in community and primary care settings • To recognise the need for clarity on the boundaries and expectations of the nursing associate role in community and primary care settings Nursing associates have been part of the health and social care workforce in England since 2017 and are starting to contribute to managing workforce challenges. However, little is known about the nursing associate role in community and primary care settings. This article provides an overview of what is known about the nursing associate role in community and primary care settings and introduces some emerging findings from recent research. The article identifies some of the benefits that nursing associates can bring to community and primary care nursing teams and some of the challenges involved in training and embedding nursing associates in these sectors of the health and social care workforce.
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The COVID-19 pandemic is a challenge for health systems. The absence of prior evidence makes it difficult to disseminate consensual care recommendations. However, lifestyle adaptation is key to controlling the pandemic. In light of this, nursing has its own model and language that allow these recommendations to be combined from global and person-centred perspectives. The purpose of the study is to design a population-oriented care recommendation guide for COVID-19. The methodology uses a group of experts who provide classified recommendations according to Gordon's functional patterns, after which a technical team unifies them and returns them for validation through the content validity index (CVI). The experts send 1178 records representing 624 recommendations, which are unified into 258. In total, 246 recommendations (95.35%) are validated, 170 (65.89%) obtain high validation with CVI > 0.80, and 12 (4.65%) are not validated by CVI < 0.50. The mean CVI per pattern is 0.84 (0.70-0.93). These recommendations provide a general framework from a nursing care perspective. Each professional can use this guide to adapt the recommendations to each individual or community and thus measure the health impact. In the future, this guideline could be updated as more evidence becomes available.
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COVID-19 , COVID-19/epidemiology , Humans , Pandemics/prevention & controlABSTRACT
This descriptive essay highlights the roles and competencies of the nursing professional in the surveillance, prevention, and infection control systems in a Covid-19 pandemic situation;and a perspective from university teaching is proposed for the training of professionals committed to public health. Infectious contagious events with pandemic potential alter the life dynamics of the groups, generating problems of the following type: social, political, economic, cultural and health;Consequently, the nursing professional has a responsibility of great social value, which implies a praxis based on scientific evidence, leadership, commitment, creativity, proactivity, and assertive and empathetic communication with the needs of the groups. in a pandemic situation.
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Background/aims: Care homes in Europe have been profoundly impacted by the COVID-19 pandemic with increased resident mortality. They needed to respond to shifting government guidelines for infection control procedures and restrictions in visiting. This all occurred under the scrutiny of the media. Aim: to evaluate end of life a care experiences in care homes in the UK. Methods: A mixed method approach. We used a database of about 6000 care home residents were we could track when they interacted with health care services including community nursing input, admission to hospital (and A&E) and clinic appointments. We also conducted interviews (n=24) with care home staff, residents and families from 8 care homes which were analysed using framework analysis. Results: A large spike in deaths occurred in April/May 2020. This coincided with only about a quarter of outpatient appointments taking place. Inpatient admissions dropped by half and A&E attendance by a quarter. Community nursing input to care homes reduced by a third. Interviews suggested that staff were inundated with COVID-19 information via email but felt 'abandoned' with few nursing services operating in person. At the beginning of the pandemic some community nursing staff helped produce emergency care plans, usually over the phone, but some care homes interpreted this to mean residents were going to be 'left to die'. Care home staff felt guilt about deaths related to COVID-19 and this took a toll on their emotional well-being. This was exacerbated by needing to 'police' family visiting with residents who were actively dying. Conclusions: Care home residents experienced a dramatic reduction in services outside of the care home coupled with a large increase in deaths. Many staff wanted greater input from external services especially community nursing teams to support them.