BMC Nursing

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ISSN / EISSN : 14726955 / 14726955
Current Publisher: Springer Nature (10.1186)
Total articles ≅ 514
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Latest articles in this journal

Hanna Wüller, Jonathan Behrens, Marcus Garthaus, Sara Marquard, Hartmut Remmers
Published: 16 May 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0342-2

Abstract:Augmented reality (AR) has the potential to be utilized in various fields. Nursing fulfils the requirements of smart glass use cases, and technology may be one method of supporting nurses that face challenges such as demographic change. The development of AR to assist in nursing is now feasible. Attempts to develop applications have been made, but there has not been an overview regarding the existing research. The aim of this scoping review is to provide an overview of the current research regarding AR in nursing to identify possible research gaps. This led to the following research question: “To date, what research has been performed regarding the use of AR in nursing?”. A focus has been placed on the topics involving cases, evaluations, and devices used. A scoping review was carried out with the methodological steps outlined by Arksey and O’Malley (2005) and further enhanced by Levac et al. (2010). A broad range of keywords were used systematically in eight databases including PubMed, Web of Science and ACM to search for topics in nursing. The search led to 23 publications that were included in the final analysis. The majority of the identified publications describe pilot studies. The methods used for identifying use cases and evaluating applications differ among the included studies. Furthermore, the devices used vary from study to study and may include smart glasses, tablets, and smart watches, among others. Previous studies predominantly evaluated the use of smart glasses. In addition, evaluations did not take framing conditions into account. Reviewed publications that evaluated the use of AR in nursing also identified technical challenges associated with AR. These results show that the use of AR in nursing may have positive implications. While current studies focus on evaluating prototypes, future studies should focus on performing long-term evaluations to take framing conditions and the long-term consequences of AR into consideration. Our findings are important and informative for nurses and technicians who are involved in the development of new technologies. They can use our findings to reflect on their own design of case identification, requirements for elicitation and evaluation.
John Baptist Asiimwe, Mercy Muwema, Karen Drake
Published: 6 May 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0345-z

Abstract:Despite the global rise in the number of nurses upgrading from Registered Nursing (RN) to a Bachelor of Science in Nursing (BSN), studies have indicated that successful role transition is difficult once the nurses return to their previous workplaces. Guided by the Transitional Theory, this study investigates the factors that influence the transition from basic to advanced roles among RN to BSN nurses in Uganda, Africa. This study employed a descriptive correlational design. Using convenience sampling, fifty-one (51) RN to BSN nurses completed the semi-structured questionnaires. All the study participants (100%) described themselves as having transitioned from RN to BSN role. In bivariate linear regression, personal factors that were found to predict successful role transition included holding a managerial role, being aware and prepared for the role transition, and positive role transition experiences. Role transition motivators that predicted successful role transition included: job promotion, internal desire for self-development, and career development. One community factor – that is the support of doctors/physicians during the RN to BSN transition – predicted unsuccessful role transition. Societal factors deterring successful role transition included lack of support from other colleagues and the perception that BSN learning was not applicable to the RN clinical setting. In multivariate linear regression, only sub-scales of personal factors such as advanced skills mastery and positive personal experiences predicted successful role transition. The study suggests that personal factors influence successful role transition more than external factors. The online version of this article (10.1186/s12912-019-0345-z) contains supplementary material, which is available to authorized users.
Karen A. Campbell, Karen MacKinnon, Maureen Dobbins, Natasha Van Borek, Susan M. Jack, Nicole Catherine, For the British Columbia Healthy Connections Project Process Evaluation Research Team
Published: 2 May 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0341-3

Abstract:Pregnant girls/young women and new mothers living in situations of social and economic disadvantage are at increased risk for poor health. Rural living may compound marginalization and create additional challenges for young mothers. Public health nurses (PHNs) delivering the Nurse-Family Partnership (NFP) to mothers living in rural communities may help to improve maternal and child health outcomes. The purpose of this analysis, grounded in data collected as part of a broader process evaluation, was to explore and understand the influence of rural geography on the delivery of NFP in British Columbia, Canada. For the analysis of this qualitative data, principles of inductive reasoning based on the methodology of interpretive description were applied. A total of 10 PHNs and 11 supervisors providing the NFP program in rural communities were interviewed. The results of this analysis reflect the factors and challenges of providing the NFP program in rural communities. PHNs noted the importance of NFP in the lives of their rural clients, especially in the face of extreme financial and social disparity. Remaining flexible in their approach to rural nursing and protecting time to complete NFP work supported nurses practicing in rural environments. Rural PHNs were often the sole NFP nurse in their office and struggled to remain connected to their supervisors and other NFP colleagues. Challenges were compounded by the realities of rural geography, such as poor weather, reduced accessibility, and long travel distances; however, these were considered normal occurrences of rural practice by nurses. PHNs and NFP supervisors are well-positioned to identify the modifications that are required to support the delivery of NFP in rural geography. NFP nurses need to articulate what classifies as rural in order to effectively determine how to best provide services to these populations. Environmental conditions must be considered when offering NFP in rural communities, particularly if they impact the time required to deliver the program and additional services offered to young mothers. Regular NFP meetings and education opportunities address common problems associated with rural nursing but could be enhanced by better use of technology. The online version of this article (10.1186/s12912-019-0341-3) contains supplementary material, which is available to authorized users.
Geoffrey L. Dickens, Robin Ion, Cheryl Waters, Evan Atlantis, Bronwyn Everett
Published: 26 April 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0339-x

Abstract:There has been a recent growth in research addressing mental health nurses’ routine physical healthcare knowledge and attitudes. We aimed to systematically review the empirical evidence about i) mental health nurses’ knowledge, attitudes, and experiences of physical healthcare for mental health patients, and ii) the effectiveness of any interventions to improve these aspects of their work. Systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Multiple electronic databases were searched using comprehensive terms. Inclusion criteria: English language papers recounting empirical studies about: i) mental health nurses’ routine physical healthcare-related knowledge, skills, experience, attitudes, or training needs; and ii) the effectiveness of interventions to improve any outcome related to mental health nurses’ delivery of routine physical health care for mental health patients. Effect sizes from intervention studies were extracted or calculated where there was sufficient information. An integrative, narrative synthesis of study findings was conducted. Fifty-one papers covering studies from 41 unique samples including 7549 mental health nurses in 14 countries met inclusion criteria. Forty-two (82.4%) papers were published since 2010. Eleven were intervention studies; 40 were cross-sectional. Observational and qualitative studies were generally of good quality and establish a baseline picture of the issue. Intervention studies were prone to bias due to lack of randomisation and control groups but produced some large effect sizes for targeted education innovations. Comparisons of international data from studies using the Physical Health Attitudes Scale for Mental Health Nursing revealed differences across the world which may have implications for different models of student nurse preparation. Mental health nurses’ ability and increasing enthusiasm for routine physical healthcare has been highlighted in recent years. Contemporary literature provides a base for future research which must now concentrate on determining the effectiveness of nurse preparation for providing physical health care for people with mental disorder, determining the appropriate content for such preparation, and evaluating the effectiveness both in terms of nurse and patient- related outcomes. At the same time, developments are needed which are congruent with the needs and wants of patients. The online version of this article (10.1186/s12912-019-0339-x) contains supplementary material, which is available to authorized users.
Gamil Alrubaiee, Anisah Baharom, Ibrahim Faisal, Kadir Shahar Hayati, Shaffe Mohd. Daud, Huda Omer Basaleem
Published: 18 April 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0340-4

Tony Smith, Karen McNeil, Rebecca Mitchell, Brendan Boyle, Nola Ries
Published: 2 April 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0337-z

Abstract:Shortages of skills needed to deliver optimal health care in rural and remote locations raises questions about using extended scopes of practice or advanced practice models in a range of health professions. The nurse practitioner (NP) model was introduced to address health service gaps; however, its sustainability has been questioned, while other extended scope of practice roles have not progressed in Australia. This study aimed to explore the experiences and perceptions of NPs and their colleagues about barriers to and enablers of extended scope of practice and consider the relevance of the findings to other health professions. Semi-structured, in-depth interviews were conducted with primary, nurse practitioner informants, who were also invited to nominate up to two colleagues, as secondary informants. Data analysis was guided by a multi-level, socio-institutional lens of macro-, meso- and micro-perspectives. Fifteen primary informants and five colleagues were interviewed from various rural and remote locations. There was a fairly even distribution of informants across primary, aged, chronic and emergency or critical care roles. Key barriers and enablers at each level of analysis were identified. At the macro-level were legal, regulatory, and economic barriers and enablers, as well as job availability. The meso-level concerned local health service and community factors, such as attitudes and support from managers and patients. The micro-level relates to day-to-day practice. Role clarity was of considerable importance, along with embedded professional hierarchies and traditional role expectations influencing interactions with individual colleagues. Given a lack of understanding of NP scope of practice, NPs often had to expend effort promoting and advocating for their roles. For communities to benefit from extended scope of practice models of health service delivery, energy needs to be directed towards addressing legislative and regulatory barriers. To be successful, extended scope of practice roles must be promoted with managers and decision-makers, who may have limited understanding of the clinical importance. Support is also important from other members of the interprofessional health care team. The online version of this article (10.1186/s12912-019-0337-z) contains supplementary material, which is available to authorized users.
J. Sanders, Sue Channon, Nina Gobat, Kristina Bennert, Katy Addison, Mike Robling
Published: 2 April 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0338-y

Abstract:The Family Nurse Partnership (FNP) programme was introduced to support young first-time mothers. A randomised trial found FNP added little short-term benefit compared to usual care. The study included a comprehensive parallel process evaluation, including focus groups, conducted to aid understanding of the introduction of the programme into a new service and social context. The aim of the focus groups was to investigate views of key health professionals towards the integration and delivery of FNP programme in England. Focus groups were conducted separately with Family Nurses, Health Visitors and Midwives at trial sites during 2011–2012. Transcripts from audio-recordings were analysed thematically. A total of 122 professionals participated in one of 19 focus groups. Family Nurses were confident in the effectiveness of FNP, although they experienced practical difficulties meeting programme fidelity targets and considered that programme goals did not sufficiently reflect client or community priorities. Health Visitors and Midwives regarded FNP as well-resourced and beneficial to clients, describing their own services as undervalued and struggling. They wished to work closely with Family Nurses, but felt excluded from doing so by practical barriers and programme protection. FNP was described as well-resourced and delivered by highly motivated and well supported Family Nurses. FNP eligibility, content and outcomes conflicted with individual client and community priorities. These factors may have restricted the potential effectiveness of a programme developed and previously tested in a different social milieu. Building Blocks ISRCTN23019866 Registered 20/04/2009.
Anne Helene Garde, Anette Harris, Øystein Vedaa, Bjørn Bjorvatn, Johnni Hansen, Åse Marie Hansen, Henrik A. Kolstad, Aki Koskinen, Ståle Pallesen, Annina Ropponen, et al.
Published: 28 March 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0332-4

Abstract:Organisation of working hour schedules in the Northern European countries are rather similar. EU countries are obliged to adopt national legislation regarding duration of weekly working hours and rest periods. Yet, working hour characteristics and schedules are likely to differ with respect to starting times and duration depending e.g. on culture and tradition. Yet, very little is known about potential differences between shifts and schedules across countries among nursing personel. This knowledge is relevant, since the potential differences in working hour characteristics may influence and possibly explain some of the differences observed in studies of health and safety. The aim of the study was to compare characteristics of working hours and work schedules among nursing personel in three Nordic countries: Denmark, Finland and Norway. The study populations included nursing personnel holding a ≥ 50% position at public hospitals in Denmark (n = 63,678), Finland (n = 18,257) or Norway (n = 1538) in 2013. Objective payroll based registry data with information on daily starting and ending times were used to compare working hour characteristics e.g. starting time, duration of shift, and quick returns (< 11 h between two shifts), as well as work schedules e.g. permanent or 3-shift work between the three countries. Night shifts generally started earlier and lasted longer in Finland (10–11 h starting at 20:00–22:59) than in Norway (10 h starting at 21:00–21:59) and in Denmark (8 h starting at 23:00–23:59). Very long shifts (≥12 h) were more common in Denmark (12%) compared to Finland (8%) and Norway (3%). More employees had many (> 13/year) quick returns in Norway (64%) and Finland (47%) compared to Denmark (16%). The frequency of 3-shift rotation workers was highest in Norway (41%) and lower in Denmark (22%) and Finland (22%). There were few differences across the countries in terms of early morning shifts and (very) long weekly working hours. Despite similar distribution of operational hours among nurses in the three countries, there were differences in working hour characteristics and the use of different types of work schedules. The observed differences may affect health and safety.
Sa’Ed H. Zyoud, Samar M. Khaled, Baraa M. Kawasmi, Ahed M. Habeba, Ayat T. Hamadneh, Hanan H. Anabosi, Asma’A Bani Fadel, Waleed M. Sweileh, Rahmat Awang, Samah W. Al-Jabi
Published: 20 March 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0336-0

Abstract:Medication errors (MEs) are unintended failures in the drug treatment process that can occur during prescription, dispensing, storing, preparation or administration of medications. High alert medications (HAMs) are defined as those medications that bear the highest risk of causing significant patient harm when used incorrectly, either due to their serious adverse events or to a narrow therapeutic window. Nurses are responsible for administration of HAMs; incorrect administration can have a significant clinical outcome. This study aimed to assess the level of knowledge of HAMs among nurses in government hospitals in West Bank, Palestine. A cross-sectional study was conducted in 2015, in West Bank, Palestine. Data were collected via a face to face interview questionnaire, which was taken from a previous study. Data were collected by convenient sampling. The questionnaire consisted of four parts: demographic characteristics of the nurses, drug administration knowledge (10 true-false questions), drug regulation knowledge (10 true-false questions), and self-evaluation. A total of 280 nurses participated in the study; these nurses were working in the emergency room (ER), intensive care unit (ICU), paediatric or medical ward. The response rate was 93%. Nurses were found to have insufficient knowledge about HAMs; 67.1% of participants had a score of less than 70%, with a mean total score of 59.9 ± 15.1. Factors associated with sufficient knowledge among nurses were HAMs training and ICU training, both with p-values of 0.002. Nurses with a master degree, those working in the ICU ward, head nurses, and male nurses were the most knowledgeable groups, with a p-values < 0.001. 81.8% of respondents hoped to obtain additional training. The leading obstacles reported were inconsistent opinions between doctors and nurses (37.9%), and no established standard operating procedure for HAMs (37.1%). Lack of knowledge was one of the obstacles that nurses encountered during administration of HAMs which might result in MEs. Nurses reported that they would like to have additional training to update their pharmacology knowledge. Nurses could benefit from additional continuing education and training programs. The online version of this article (10.1186/s12912-019-0336-0) contains supplementary material, which is available to authorized users.
Gamil Alrubaiee, Anisah Baharom, Ibrahim Faisal, Kadir Shahar Hayati, Shaffe Mohd. Daud, Huda Omer Basaleem
Published: 19 March 2019
BMC Nursing, Volume 18; doi:10.1186/s12912-019-0333-3