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This integrative literature review summarizes recent literature relating to patient adjustment to stoma. The search strategy included 5 databases (CINAHL Plus, PsychINFO, Web of Science, Scopus, and MEDLINE); 65 articles meeting criteria were retrieved. Eleven were removed as duplicates, and a further 29 were removed when read in full, yielding 25 elements. Three were randomized controlled trials; 2 were prospective descriptive studies; 15 were cross-sectional descriptive studies; and 5 were qualitative studies. The quality of studies was evaluated using the Mixed Methods Appraisal Tool (MMAT). The calculated mean quality score was 97%, and no studies were excluded on quality grounds. Limited evidence suggests that adjustment occurs over time and provides some insight concerning how rehabilitation leads to resumption of an altered normality. Some evidence suggests that long-term adjustment is associated with demographic and pre- and postoperative factors. A knowledge gap was identified regarding the role of support groups, which in other fields has been shown to positively benefit psychological well-being. This review revealed a paucity of interventional studies seeking to test ways to address adjustment-related problems. Longitudinal studies are recommended as ostomy care nurses work to facilitate adjustment in the person with a stoma over time.

Background and aim: This study reports the outcomes from an international study that implemented a set of person-centred nursing key performance indicators across a range of services provided to sick children. It aims to explore the factors that influenced the successful implementation of those indicators, and assess the impact of the evidence generated on person-centred practice across the children’s services. Methods: Twelve organisations across Australia and Europe participated, with data collected in 2015 and 2016 and analysed using thematic analysis. Semi-structured interviews and focus groups were conducted with staff, including executive sponsors, managers, facilitators and clinical nursing teams. The COREQ guidelines were considered in the conduct and reporting of this study. Results: The results describe the impact of implementing the key performance indicators from the perspective of nurses operating at different levels within organisations. The following six themes became apparent: credibility of the key performance indicators; uncovering the whole picture; embracing nursing; engaging in the process; connecting with others; and achieving healthful outcomes. Conclusion: The findings from this study confirm an emerging relationship between the nature of evidence generated by the person-centred nursing key performance indicators and its use in practice. Also highlighted was the importance of facilitation in the process of data collection and in understanding the data and the context in which it is used. Implications for practice: This study will be of interest to clinical nurses, educators, managers and facilitators of cultural change. The data generated through the implementation of the person-centred nursing key performance indicators evidences the global contribution of nursing across services provided to children and their families Engaging staff at all levels in an organisation enhances implementation of evidence that is meaningful for nursing practice The triangulated evidence generated by the key performance indicators and accompanying measurement tools offers feedback that can drive improvements in nursing practice

Combining participatory action research (PAR) and action learning (AL) is an effective mechanism for healthcare practitioners who wish to change clinical practice: The outcome of a study on nursing handover and multi-disciplinary communication. Traditionally verbal handovers are lengthy and time consuming resulting in nurses spending an unacceptable time away from patient care. They lack structure and the information presented is often repetitive, incomplete, inadequate, or incorrect and therefore does not always present sufficient information to plan appropriate patient care. The primary purpose of this study was to review the effectiveness of the traditional nursing handover (in one clinical unit) with the aim of developing and implementing evidence-based strategies that would improve practice. In addition, this study aims to highlight the appropriateness and effectiveness of using PAR and AL within ePD. The results of the project indicated early adoption by nursing and medical staff of a database tool developed to assist handover. This improved multi-disciplinary communication, increased staff satisfaction, focussed staff on discharge planning and problem solving as well as reducing the time spent in handover. There remained however, areas for improvement and these were identified in order to begin the next rotation of the PAR cycle. This study suggests that by combining PAR with AL clinicians not only succeeded in changing handover practice but were then able to take what they learned and use it to further develop projects within the unit. It is therefore important to consider carefully the process by which knowledge utilisation takes place in order to ensure that learning is an intended outcome rather than an unexpected consequence of participation.

This study aimed to explore the outcomes of active participation in an action research project on building the research capacity of clinical nurses. In this qualitative research study, six registered nurses volunteered to participate in the action research team. None of the nurses reported having any prior research experience. This study was part of a larger three‐phase project. The nurses were required to reflect on the data about their medication practice of phase 1, develop and implement a bundle of interventions in phase 2 to improve medication safety, and evaluate the effectiveness of these interventions in phase 3. We report the nurses' participation in Action Research during phase 2. Meeting minutes and six semistructured interviews were thematically analyzed. The results showed that after receiving support to enhance their research skills from the research team, the nurses were empowered to perform and lead clinical nursing research project. Nurses were able to take ownership of the research process and outcomes and were then able to translate their new research knowledge and skills into their clinical practice by building their own research capacity.

The degree to which family-centred care is achieved in paediatric practice varies and is subject to multiple complex influences. As part of a strategy to improve patient care, one paediatric ward participated in a study to elicit how care was experienced by three stakeholder groups. This paper aims to discuss the experiences of care of children, parents and nurses in an acute care setting, highlighting the gap between espoused values of family-centred care and those realized in practice. Semi-structured interviews were used to capture the experiences of the three stakeholder groups in relation to care planning and delivery. Data analysis was managed by means of cognitive mapping. Integration of data from each group on a single cognitive map enabled construction of a community narrative. Three themes emerged from the data: Relationships Decision-making So, what about the nurses? An overarching theme of communication was found to be an integral part of all the themes. The research team are now working in collaboration with the ward nurses to feed back findings and develop ways of using the data to inform clinical practice. Determination of what was real for children, parents and nurses in this setting is enabling staff to improve the way in which care is delivered. Nurses are using the findings in conjunction with continuing opportunities for development to bridge the gap between espoused values of family-centred care and the actual experience of caring and being cared for.

Background Nurses are often the first responders to resuscitations. Understanding their experiences of resuscitation will highlight the resuscitative context nurses work within and identify the conditions that support or hamper their delivery of safe and effective resuscitative care. Aim The aim of this integrative review is to develop an understanding of nurses' experience of resuscitation, to gain knowledge of their challenges and identify gaps in evidence. Design Integrative review. Methods The electronic databases CINAHL, MEDLINE, Scopus and Web of Science were systematically searched from 2000–2021. Methodological quality of the papers was evaluated using the Mixed Methods Appraisal Tool (MMAT). The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) 2020 checklist was used to guide and report the integrative review. Results Eleven articles met criteria for review. Four themes arose from the literature that addressed nurses experiences of resuscitation: Chaos (external/internal), ethical dilemmas, clinical confidence and need for support. Conclusion Nurses' experiences of resuscitation are multifaceted. Addressing the challenges that nurses experience during resuscitation will help ensure that nurses' are supported in their professional growth and personal well‐being. Relevance to clinical practice and research: Building nursing leadership capacity within resuscitations is an area of clinical practice/research that is gaining traction as a valid solution to address the challenges nurses experience during resuscitations. Whilst the barriers to debriefing requires a greater level of consideration within the workplace.