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Consistent practices in pressure ulcer prevention based on international care guidelines: A cross-sectional study
The use of consistent and evidence-based practices is essential in terms of patient safety and quality of care. The purpose of this study was to describe the use of consistent practices in PU prevention based on international ...
Healthcare professionals' perceptions of advance care planning in palliative care unit: a qualitative descriptive study
<p>Aims and objectives</p><p>To describe healthcare professionals' perceptions of advance care planning (ACP) in palliative care unit in hospital ward or outpatient clinic.</p><p>Background</p><p>Clinical guidelines recommend timely ACP as a central component of patient-centred palliative care. However, the ACP concept and terminology have been judged to be confusing, and practices are not established. Professionals' views are needed for ACP adoption and usage.</p><p>Design</p><p>Qualitative descriptive design.Methods The study used purposive sampling. The data were collected through focus group interviews with registered nurses and practical nurses and individual or couple interviews with physicians and social workers. The data (n = 33) were analysed by inductive content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.<br></p><p>Results</p><p>Three main categories emerged: Information content of ACP, coordination of care activities through ACP, and support for patients' and family members' coping. The information content of ACP included assessment of need for patient care, preparing for changes in patient's state of health and proactive medication. Coordination of care activities through ACP contained ACP care planning, cooperation and work practices between healthcare professionals. Support for patients' and family members' coping included communication between patient, family members and professionals and promoting patient self-care.</p><p>Conclusions</p><p>ACP is a useful and proactive tool for integrating patient-centred information, care and services as well as support for patients' and family members' coping. Palliative care activities can be coordinated through ACP in a multidisciplinary manner. ACP is significant and relevant for both professionals' work and patient care throughout the service system.Relevance to clinical practice Results highlight the importance of proactive, concrete and holistic ACP. ACP should be up to date to reflect patient's current wishes. Raising professional awareness and implementing ACP into work processes are essential. Results can be utilised in planning and implementing interprofessional in-service training.</p>...
An Integrative Review of Interprofessional Teamwork and Required Competence in Specialized Palliative Care
To deliver quality care, social and healthcare professionals should be competent both in their own professional work and interprofessionally. The aim of this integrative review was to describe interprofessional teamwork ...
The assessment of learning skills in nursing student selection: A scoping review
Higher education student selection has significant societal, institutional and individual impacts. Thousands of applicants apply only for nursing, one of the major higher education disciplines. As the nursing profession ...
Surgical nurses´experiences with intrinsic work motivation: a focus on autonomy, competence and relatedness
<p>Fostering employee well-being and creating positive workplace culture provides important competitive advantages for recruiting workers. The key factor influencing well-being at work is the<br>intrinsic motivation ...
Nursing applicants' reasoning skills and factors related to them: A cross-sectional study
The assessment of reasoning skills is recommended in undergraduate nursing student selection. Reasoning skills are crucial for sound decision-making, improving patient safety and are necessary from the very beginning of ...
Family members' participation in palliative inpatient care: An integrative review
<p><strong>Aim: </strong>To analyse how family members participate in hospital inpatient palliative care, and how their participation could be supported.</p><p><strong>Methods: </strong>This review followed a methodology ...
Instruments used in graduating nursing students' exit exams: an integrative review
<p>Background: Worldwide, nursing students comprise a large portion of students in higher education institutions (HEIs). The expectation that HEIs will educate professionally competent nurses is high. To ensure adequate ...
Quality of information transferred to palliative care
<p><strong>Aims and objectives: </strong>To describe the quality of information coming from previous care units to palliative care.</p><p><strong>Background: </strong>Information quality is an interconnected concept that ...
The practices of nurses about palliative sedation on palliative care wards: A qualitative study
<p>Aim <br>To describe the practices of nurses concerning palliative sedation in palliative care wards in hospitals.<br></p><p>Design <br>Qualitative descriptive design. <br></p><p>Methods <br>A total of 27 nurses were ...