ABSTRACT
This pilot study demonstrated the potential for virtual simulation in nursing education regarding chronic care management in community settings. Observations of faculty characteristics associated with the ability to effectively facilitate simulation experiences and debriefing sessions were consistent with prior studies.
Subject(s)
Chronic Disease/nursing , Community Health Nursing/education , Computer-Assisted Instruction/methods , Curriculum , Education, Nursing, Baccalaureate/methods , Long-Term Care/methods , Patient Simulation , Adult , Clinical Competence , Female , Humans , Male , Nursing Education Research , Pilot Projects , Students, Nursing , Young AdultABSTRACT
It is estimated that 1 in 10 older adults experience abuse, but only 1 in 5 to as little as 1 in 24 cases are reported. Elder abuse is expected to increase as the population ages. Nurses are in a prime position to identify, assess, manage, and prevent elder abuse. This article explores elder abuse and its prevalence, potential causes, and risk factors offering case studies, assessment tools, resources, and interventions.
Subject(s)
Christianity , Elder Abuse/prevention & control , Geriatric Nursing/methods , Social Justice , Aged , Aged, 80 and over , Education, Nursing, Continuing , Elder Abuse/statistics & numerical data , Female , Humans , Male , Prevalence , Risk FactorsABSTRACT
OBJECTIVE: To develop a conceptual definition of quality of life (QoL) with a left ventricular assist device (LVAD). BACKGROUND: Conceptual and operational definitions of QoL with an LVAD are lacking. METHODS: A grounded theory method was used. Adult, outpatient LVAD recipients (n = 11) participated twice in individual or paired interviews. RESULTS: A conceptual definition of QoL while living with an LVAD was established as: "Being well enough to do and enjoy day-to-day activities that are important to me." Participants described 5 important life domains consistent with QoL literature: physical, emotional, social, cognitive, and spiritual/meaning. However, participants identified unique concerns not addressed by generic or heart failure disease specific measures typically used in the LVAD population. CONCLUSION: Existing generic and heart-failure specific QoL measures are not adequate for understanding QoL among LVAD patients. Cognition and spiritual/meaning domains were significant; these need inclusion for comprehensive QoL assessment in the LVAD population.
Subject(s)
Heart-Assist Devices , Quality of Life , Activities of Daily Living , Adult , Aged , Female , Heart Failure/therapy , Heart-Assist Devices/psychology , Humans , Male , Middle Aged , Qualitative ResearchABSTRACT
The Code of Ethics for Nurses gives a professional obligation to practice in a compassionate and respectful way that is unaffected by the attributes of the patient. This article explores the concept "made in the image of God" and the complexities inherent in caring for those perceived as exhibiting distorted images of God. While the Code provides a professional standard consistent with a biblical worldview, human nature impacts the ability to consistently act congruently with the Code. Strategies and nursing interventions that support development of practice from a biblical worldview and the Code of Ethics for Nurses are presented.
