Aims and objectivesTo examine how nurses' knowledge of behaviours indicating pain in mechanically ventilated patients and self‐perceived collaboration between nurses and physicians affects the adequacy of departmental pain management.BackgroundPain management is a vital factor of medical treatment in a hospital setting. Inadequate pain management requires attention both from a patient‐focused perspective and from a departmental one. It would be particularly troubling in the case of inadequate pain management of mechanically ventilated patients.DesignThe study utilised a cross‐sectional design. The instruments developed were validated by a focus group of 25 pain management nurses, who reviewed the questionnaire for face validity, feasibility and comprehensibility, and who did not participate in the study. The questionnaire was revised, readjusted and formulated based on their responses and comments.MethodsA self‐administered questionnaire administered in Israel with a convenience sample of 187 registered nurses (RN) from internal medicine and surgical departments and ICUs. Data were collected during February–May 2015. The “STROBE” EQUATOR checklist was used.ResultsNurses working in the ICU scored significantly higher on knowledge of behaviours indicating pain in mechanically ventilated patients and on self‐perceived collaboration between nurses and physicians. Self‐perceived collaboration between physicians and nurses was positively correlated with perceived departmental pain treatment adequacy.Self‐perceived collaboration between nurses and physicians, knowledge of behaviours indicating pain in mechanically ventilated patients and seniority (with a borderline significance) explained 27% of the variance of perceived departmental pain management.ConclusionNurses' knowledge of behaviours indicating pain in mechanically ventilated patients, as well as self‐perceived collaboration between nurses and physicians, promotes reported adequate pain management.Relevance to clinical practicePain management would benefit from being conducted as a well‐performed interprofessional self‐perceived collaborative practice. Knowledgeable nurses tend to critically assess the level of departmental pain management.
Purpose The study aimed to (1) examine health behaviors and perceived health among nurses; (2) analyze the effect of nurses’ personal and work characteristics on these variables; and (3) explore the relationship between health behaviors and nurses’ health perception. Design and methods A cross‐sectional study was conducted among nurses working in health care organizations (HCOs) across Israel. An email with the online questionnaire was sent to nurses working in 19 HCOs across Israel during September–December 2018. Findings Of 18,120 nurses employed, 3542 completed the survey. Mean age was 44.8 years, 91% were female), 64.6% were hospital nurses and 52.8% were clinical staff nurses. Two‐thirds of nurses did not achieve the physical activity (PA) target; the majority reported unfavorable eating habits; 66% slept less than 7 h at night and 15% smoke. Hospital nurses working night shifts reported the least favorable health behaviors. Non‐Jewish nurses had less eating habits compared with Jewish nurses. Nurses born in the Former Soviet Union perceived their health as significantly worse than that of the other respondents. Binomial logistic regression demonstrated that, age, Israeli origin, achieving the PA target, having food breaks during work, consuming a Mediterranean diet, sleeping at least 7 h, undergoing screening tests as recommended, and not smoking predicted better health perception among nurses. Conclusions Nurses, particularly hospital‐based, non‐Jewish and immigrants from the Soviet Union, demonstrated unfavorable health behaviors that may negatively affect their wellbeing and health perception. Clinical relevance Interventions aimed at improving the health promoting mindset of nurses have the potential to improve their health and wellbeing and to enable them to become role models and health educators for patients and their families.
Many nursing curricula do not offer anatomy laboratories and exposure to cadaveric material. In this mixed methods study, nursing students' perceptions and experiences from an anatomy laboratory session were examined. Students from two academic nursing programs (a four‐year general baccalaureate nursing program and a two‐year accelerated nursing program for non‐nursing baccalaureate graduates) took part in an anatomy laboratory session (N = 223). Participants' learning experiences, emotional experiences, and satisfaction with the anatomy laboratory session were assessed by their responses to closed‐ended questionnaires. Participants' reasons for participation and suggestions for improvement were examined by open‐ended questions. A mixed methods analysis of the data revealed a high level of satisfaction with the anatomy laboratory experience. Positive attitudes and learning experiences correlated with a sense of identification with the nursing profession. Satisfaction was positively associated with a perceived quality of learning and negatively associated with a negative emotional experience. Curiosity and self‐challenge, as well as the quest for tangible, in‐depth learning, were major motivators involved in the students' desire to participate in the session. Both qualitative and quantitative analyses indicated that the educational experience was significant. Therefore, it is recommended to integrate anatomy laboratory sessions into anatomy courses for nursing students. This will help to illustrate and assimilate classroom material and strengthen nursing students' sense of identification with their profession.
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