ABSTRACT
PURPOSE: The purpose of this study was to describe and summarize the characteristics of contemporary holistic nursing research (HNR) published nationally. DESIGN: A descriptive research design was used for this study. METHOD: Data for this study came from a consecutive sample of 579 studies published in six journals determined as most consistent with the scope of holistic nursing from 2010 to 2015. The Johns Hopkins level of evidence was used to identify evidence generated, and two criteria-power analysis for quantitative research and trustworthiness for qualitative research-were used to describe overall quality of HNR. FINDINGS: Of the studies, 275 were considered HNR and included in the analysis. Caring, energy therapies, knowledge and attitudes, and spirituality were the most common foci, and caring/healing, symptom management, quality of life, and depression were the outcomes most often examined. Of the studies, 56% were quantitative, 39% qualitative, and 5% mixed-methods designs. Only 32% of studies were funded. Level III evidence (nonexperimental, qualitative) was the most common level of evidence generated. CONCLUSIONS: Findings from this study suggest ways in which holistic nurse researchers can strengthen study designs and thus improve the quality of scientific evidence available for application into practice and improve health outcomes.
Subject(s)
Evidence-Based Nursing , Holistic Nursing/trends , Nursing Research/trends , HumansABSTRACT
One fourth of all American's over 65 years of age fall each year. Falls are a common and often devastating event that can pose a serious health risk for older adults. Healthcare providers are often unable to spend the time required to assist older adults with fall risk issues. Without a team approach to fall prevention the system remains focused on fragmented levels of health promotion and risk prevention. The specific aim of this project was to engage older adults from the community in a fall risk assessment program, using the Stopping Elderly Accidents, Deaths & Injuries (STEADI) program, and provide feedback on individual participants' risks that participants could share with their primary care physician. Older adults who attended the risk screening were taking medications that are known to increase falls. They mentioned that their health care providers do not screen for falls and appreciated a community based screening.
Subject(s)
Accidental Falls/prevention & control , Geriatric Assessment , Health Promotion , Public Health/methods , Adult , Aged , Female , Health Personnel , Humans , Male , Risk AssessmentABSTRACT
AIM: This article describes the benefits of integrating students into a National Institutes of Health-funded research project. BACKGROUND: Research is important in all academic disciplines for increasing knowledge and determining the effectiveness of currently used interventions. Educating nursing students to read, evaluate, and use research in practice is essential for solving complex health care challenges and achieving better patient outcomes METHOD: The students were involved at all levels of the research process: project development, site acquisition, recruitment of participants, data collection and analysis, and manuscript development. Interviews of the student researchers were conducted to understand the students' experience of participation in the research study. RESULTS: Three themes were identified: creating new knowledge is worthwhile, research is interesting and meaningful, and research can shape practice. CONCLUSION: Promoting knowledge and experience by involving students in research projects can create a bridge to the development of evidence-based practice.
Subject(s)
Attitude of Health Personnel , Curriculum , Education, Nursing, Baccalaureate/organization & administration , Mentors/psychology , Nursing Research/organization & administration , Research Personnel/psychology , Students, Nursing/psychology , Female , Humans , Male , National Institutes of Health (U.S.) , Nursing Education Research , United StatesABSTRACT
This study determined the effect of a computer-based educational program in preparing nurses to complete an assessment for veno-thrombotic risk on all patients admitted to a community hospital. The educational program included information on appropriate prophylaxis for patients at risk for veno-thrombolytic events (VTEs). Nurses were encouraged to work with physicians and pharmacists to obtain the appropriate VTE prophylaxis for all patients based on risk. Findings showed that one class may not be sufficient for long-term understanding of VTE risk and prophylaxis.
Subject(s)
Computer-Assisted Instruction , Nursing Assessment/methods , Nursing Staff/education , Risk Assessment/methods , Venous Thromboembolism , Adult , Female , Florida , Humans , Male , Outcome and Process Assessment, Health Care/standards , Risk Factors , Venous Thromboembolism/complications , Venous Thromboembolism/diagnosis , Venous Thromboembolism/therapySubject(s)
Holistic Health , Holistic Nursing , Nurse's Role , Nurse-Patient Relations , Philosophy, Nursing , Empathy , Humans , SpiritualityABSTRACT
An educational program was implemented for nurses and medical residents to improve communication and collaboration. It has been noted that communication and collaboration between members of the healthcare team improve patient outcomes and job satisfaction among nurses. In this article, the program is outlined and outcomes are presented.
Subject(s)
Education, Continuing/methods , Medical Staff, Hospital/organization & administration , Nursing Staff, Hospital/organization & administration , Patient Care Team , Program Development/methods , Staff Development/methods , Adult , Communication , Cooperative Behavior , Educational Measurement/methods , Educational Status , Female , Focus Groups , Humans , Interpersonal Relations , Job Satisfaction , Learning , Male , Nursing Evaluation Research/methods , Role Playing , TeachingABSTRACT
A program was implemented for nurses and medical residents to improve communication and collaboration. It has been noted that communication and collaboration between members of the health care team improve patient outcomes and job satisfaction among nurses. Nurses on the unit where medical residents trained attended a 2-hour educational program that reviewed effective communication styles and positive aspects of collaboration, including role-playing examples. Medical residents received a self-learning packet with a posttest that was returned to researchers when completed. Focus groups, including both nurses and medical residents, were held twice a month for 6 months after the educational program. Overall improvements in communication, collaboration, patient outcomes, and job satisfaction were noted from the focus group data. The educational program proved to be successful in improving collaboration and communication between nurses and medical residents, which in turn improved patient care.
Subject(s)
Communication , Cooperative Behavior , Education, Continuing/organization & administration , Medical Staff, Hospital , Nursing Staff, Hospital , Physician-Nurse Relations , Adult , Attitude of Health Personnel , Clinical Competence , Female , Focus Groups , Follow-Up Studies , Humans , Job Satisfaction , Male , Medical Staff, Hospital/education , Medical Staff, Hospital/psychology , Nursing Education Research , Nursing Methodology Research , Nursing Staff, Hospital/education , Nursing Staff, Hospital/psychology , Professional Role/psychology , Program Development , Program Evaluation , Workplace/psychologyABSTRACT
The purpose of this article is to describe a project integrating Haitian older adults into a county senior center in Florida. This experience depicts the challenges faced by recently immigrated older adults in attempting to become part of a new community in a foreign country. Cultural issues, language barriers, transportation difficulties, and stereotypes were obstacles that had to be overcome to successfully welcome this new group and allow them to participate in the activities provided at the senior center. Implications for nurses include understanding cultural differences that are barriers for older adults attempting to access community services.
