Background: Recently, there has been interest in the education of nursing personnel to provide veno-venous extracorporeal membrane oxygenation in Kuwait. There is need to understand the experience of nurses who take on this new role. Aim:We aimed to explore the perspectives of nurses about their role, with a special focus on their competencies and the challenges faced while caring for patients who require extracorporeal membrane oxygenation.Methods: We used a qualitative descriptive approach, using in-depth individual interviews. Nineteen nurses working with veno-venous an extracorporeal membrane oxygenation machine in an adult intensive care unit of a general hospital in Kuwait were included in the study. Interviews were audio-recorded, transcribed verbatim, and analysed thematically.Results: The role of nurses was found to be diverse and challenging and involved engaging in multiple responsibilities. Nurses worked with other health care providers in a team, which facilitated their performance. Nurses viewed themselves as competent to perform their role and attributed their competency mainly to the training received and the experience spent providing extracorporeal membrane oxygenation care. In executing their role, nurses reported encountering significant challenges, including heavy workload, inefficient communication among colleagues, and a lack of an organized/supportive system.Conclusions: This study suggests that nurses play an integral role in the management of patients on extracorporeal membrane oxygenation. An understanding of their role and their competence, the challenges they face with in the care setting, and providing a supportive environment is essential for transformation in the practice of extracorporeal membrane oxygenation nursing.
The role of nurses in diabetes care in Kuwait has changed remarkably as a result of the increase of the care burden caused by the incidence of long-term diabetic patients. Nurses working in diabetes care play significant roles that are comparable to other health care providers working in diabetes clinics and centres in Kuwait.While nurses' roles in diabetes have been clearly established in other parts of the world, nurses' role in Kuwait are neither fully recognised nor professionally acknowledged. The nurses caring for such patients do not have a special identifying title, or a clear job description that specifies their critical role in diabetes care. This review investigated the Kuwait nurses' roles in diabetes care and how the performance of their duties affects the perceived quality of the nursing care provided to their diabetic patients.The significance of this review is that it provides an insight into the possibility of developing a new system of diabetes patient care that could result in patients accessing good quality care. By investigating patients' and nurses' perspectives, this study seeks to provide an in-depth understanding of the influence of the quality of nursing care in managing diabetic patients in Kuwait.
Purpose: Nurses are key players in the care of diabetes patients. It is not clear how nurses experience the diabetes care role within a multidisciplinary care context. This article reports the perspectives of nurses working in one National Health Service trust in the United Kingdom, about their role in diabetes care. Methods: The study employed a descriptive qualitative approach. Participants were nurses who worked in two diabetes clinics in one National Health Service trust in the United Kingdom. The study included 10 female participants, who provided nursing care to patients with diabetes. Data were collected between May and September 2017. Results: Three themes were generated in relation to the role of nurse in diabetes care: 1) Nurses' performed role: the role performed by nurses in diabetes care was regarded as complex and one that required appropriate preparation and support; 2) Implications of the nurses' performance: nurses engaged in multiple activities that aimed at providing holistic and patient centred care, and 3) Challenges facing nurses in diabetes care: nurses reported facing significant challenges that interfered with their care role and which could negatively affect patient outcomes. Conclusions: Nurses play a critical role in the care of diabetes patients and require significant support to undertake their role.
This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Street-level bureaucrats are described as public service workers who interact directly with citizens in the course of their work and who have substantial discretion in the execution of their work. This article is a reflection of the primary author's doctoral research experience, which investigated the role of nurses in caring for long-term diabetes patients in two selected hospitals in Kuwait. Nurses working in diabetes care in Kuwait were reported to operate under difficult conditions and utilized the tool of discretion to provide patient care, hence were exemplary street-level bureaucrats.
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