Read Books Online and Download eBooks, EPub, PDF, Mobi, Kindle, Text Full Free.
Assessing Moral Distress And Substance Use Among Nurses In The Time Of Covid 19 To Improve Patient Safety
Download Assessing Moral Distress And Substance Use Among Nurses In The Time Of Covid 19 To Improve Patient Safety full books in PDF, epub, and Kindle. Read online Assessing Moral Distress And Substance Use Among Nurses In The Time Of Covid 19 To Improve Patient Safety ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Book Synopsis Assessing Moral Distress and Substance Use Among Nurses in the Time of COVID-19 to Improve Patient Safety by :
Download or read book Assessing Moral Distress and Substance Use Among Nurses in the Time of COVID-19 to Improve Patient Safety written by and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The COVID-19 pandemic has brought rapid changes, increased stress, and ethical challenges to nurses across the globe. These factors may place nurses at increased risk for developing moral distress and substance use disorder. This stress can also increase nurse vulnerability to substance use. Previously there was little evidence about the rates of moral distress and substance use disorder among nurses during the COVID-19 pandemic. The primary objective of this evidence-based project was to describe levels of moral distress and substance use among nurses in a community hospital during the COVID-19 pandemic and to make recommendations for interventions to improve nurse wellbeing and patient safety based on findings. An online survey, consisting of demographic questions, the Measure of Moral Distress in Healthcare Professional Tool, the Alcohol Use Disorder Identification Tool, the Drug Use Screening Tool-10 items 1 and 2, and a single item asking about amount of time caring for COVID-19 patients was sent to inpatient and emergency department nurses working at a rural, community hospital. Frequency statistics and measures of central tendency are used to describe the rates of moral distress, substance use disorder risk for alcohol and drugs, and time spent caring for patients with COVID-19. A total of 57 nurses completed the survey. Nurses were found to be experiencing various levels of moral distress, with the collective group experiencing scores in the middle of the moral distress range. One-third of the nurses reported an intention to leave their position due to moral distress. In addition, a third of nurses who participated in the survey reported risky alcohol use, while 5.3% reported harmful alcohol use. Fully 21.1% of nurses reported using illicit substances, while 5.3% reported using illicit substances daily or nearly daily. Given the literature on the crescendo effect of moral distress and the nature of substance use disorder, the lasting effects to nurses during the COVID-19 pandemic will be important to the profession for years to come. Nursing leadership must commit to implementing resources to help prevent and care for nurses who experience moral distress and substance use disorder.Keywords: Moral distress, substance use disorder, substance misuse, COVID-19
Book Synopsis Moral Resilience by : Cynda Hylton Rushton
Download or read book Moral Resilience written by Cynda Hylton Rushton and published by Oxford University Press. This book was released on 2018-10-02 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Book Synopsis Nurses With Disabilities by : Leslie Neal-Boylan
Download or read book Nurses With Disabilities written by Leslie Neal-Boylan and published by Springer Publishing Company. This book was released on 2012-10-12 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: " This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "
Book Synopsis An Assessment of Moral Resilience on Nurse Leaders by : Stephanie McClellan
Download or read book An Assessment of Moral Resilience on Nurse Leaders written by Stephanie McClellan and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Background: Moral Distress has been studied in different healthcare environments and across disciplines. Most of the research and systematic reviews have evaluated the clinician at the bedside. While this information is valuable, a gap exists between what is known about leadership and the direct care provider and the effects of moral distress on one's ability to achieve moral resilience. The Coronavirus pandemic, also known as COVID-19, brought challenges to the nursing workforce that have proven difficult to overcome. Due to the complexity of what nurse leaders experienced, minimal research had been conducted on the impact of COVID-19 and moral distress. Purpose: The purpose of this EBP project was to determine if the webinar "Preventing and Managing Secondary Stress in the time of COVID-19" had an impact on the Nurse Leader's self-assessed Moral Resilience score. Methods: This project used a quasi-experimental design which consisted of a pre-intervention survey, the intervention, and a post-intervention survey. The nurse leaders were surveyed to understand their confidence with decisions during times of high stress. After completing the intervention, the Nurse Leaders completed a post-intervention survey. Results: Of the Nurse Leaders surveyed, a two-tailed Mann Whitney U test was used to evaluate findings. There was a statistical difference in the overall result of the pre and post intervention scale with a p score of 0.013 using and alpha of 0.05. The median for group 0 was 2.59 and the median for group 1 was 2.88. The results indicate an increase in the overall resilience score. Keywords: moral distress, leadership, healthcare, nurses, work engagement, moral sensitivity, COVID-19, nurse leaders.
Author :National Academies of Sciences Engineering and Medicine Publisher : ISBN 13 :9780309685061 Total Pages : pages Book Rating :4.6/5 (85 download)
Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine
Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Book Synopsis Safer Healthcare by : Charles Vincent
Download or read book Safer Healthcare written by Charles Vincent and published by Springer. This book was released on 2016-01-13 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned with detecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidence and analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.
Book Synopsis Development and Pilot Test of a Conscientization Intervention for Nurses who Have Experienced Moral Distress by : Nancy Bevan
Download or read book Development and Pilot Test of a Conscientization Intervention for Nurses who Have Experienced Moral Distress written by Nancy Bevan and published by . This book was released on 2019 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses act as moral agents for patients and use their moral sensitivity to build trusting relationships to act in patients’ best interests. However, nurses also lack power in their place of employment due to inequality in power relations. When this lack of power interferes with being a moral agent, moral distress occurs. Moral distress can lead to burnout and leaving the profession. In this dissertation, I sought to learn whether an intervention, guided by the principles of conscientization developed by the Brazilian philosopher and educational theorist Paulo Freire in his classic work, Pedagogy of the Oppressed, would be acceptable and feasible with nurses who had previously been exposed to moral distress. An interactive small-group intervention in three sessions was developed and piloted with 13 nurses within four different types of critical care units from three different hospitals. Pre-and post-intervention surveys were administered to measure change in psychological empowerment, structural empowerment and moral distress levels. Open-ended interviews were conducted at two weeks post-intervention to assess acceptability and feasibility, as well as the nurse’s sense of personal empowerment post-intervention. The pilot study demonstrated that the conscientization intervention is feasible and acceptable to participants. Narrative analysis of the moral distress stories revealed themes of powerlessness experienced by nurses in interactions with families, organizations, and physicians. Evaluation of goal attainment from each session revealed increased empowerment during the movement through the sessions of critical reflection, critical motivation, and critical action. Post intervention interviews indicated that nurses perceived that they gained an increased understanding of moral distress and a sense of personal and group empowerment after the intervention. Survey results showed a significant decrease in moral distress mean and frequency, a significant increase in moral distress intensity, and no significant change in mean levels of psychological or structural empowerment post intervention. The pilot study demonstrated that a conscientization intervention formulated around critical reflection, motivation, and action and delivered in a small-group format with nurses is a feasible and acceptable way to reduce moral distress levels and develop personal empowerment. Reducing moral distress among nurses is crucial for reducing burnout, improving retention, and improving patient care.
Book Synopsis Moral Distress in the Health Professions by : Connie M. Ulrich
Download or read book Moral Distress in the Health Professions written by Connie M. Ulrich and published by Springer. This book was released on 2018-01-31 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309459575 Total Pages :483 pages Book Rating :4.3/5 (94 download)
Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Book Synopsis Code of Ethics for Nurses with Interpretive Statements by : American Nurses Association
Download or read book Code of Ethics for Nurses with Interpretive Statements written by American Nurses Association and published by Nursesbooks.org. This book was released on 2001 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
Book Synopsis Nursing Practice by : Andrew Jameton
Download or read book Nursing Practice written by Andrew Jameton and published by Prentice Hall. This book was released on 1984 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309495474 Total Pages :335 pages Book Rating :4.3/5 (94 download)
Book Synopsis Taking Action Against Clinician Burnout by : National Academies of Sciences, Engineering, and Medicine
Download or read book Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-02 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Book Synopsis Crisis Standards of Care by : Institute of Medicine
Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2013-10-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.
Book Synopsis Hospital Nurses' Moral Distress and Coping During COVID-19 by : Abigail Latimer
Download or read book Hospital Nurses' Moral Distress and Coping During COVID-19 written by Abigail Latimer and published by . This book was released on 2021 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Design, Evaluation, and Translation of Nursing Interventions by : Souraya Sidani
Download or read book Design, Evaluation, and Translation of Nursing Interventions written by Souraya Sidani and published by John Wiley & Sons. This book was released on 2011-10-11 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse-led intervention research is a core component of the global initiative to improve quality of care. Though research in this area has already contributed much to the advancement of patient care, future strides depend on the dissemination of practical, how-to instruction on this important area of research. Design, Evaluation, and Translation of Nursing Interventions aids in this endeavour by presenting both general approaches and specific methods for developing nursing interventions. Logically organized to facilitate ease of use, the book is divided into four sections. The introduction provides a firm grounding in intervention science by situating it within the broader topics of evidence-based practice, client-centred care, and quality of care. Section Two describes each step of intervention design, including correct identification of the health issue or problem, clarification of the elements comprising an intervention, and application of theory. Section Three is centred on implementation, highlighting such topics as development of the intervention manual, training interventionists, and intervention fidelity. The book concludes with methods to evaluate interventions enacted and suggestions for their translation into practice. Design, Evaluation, and Translation of Nursing Interventions distills the authors’ years of expertise in intervention research into comprehensive, easy-to-follow chapters. It is a must-have resource for students, researchers and healthcare professionals wishing to impact the future of patient care.
Book Synopsis The Nurse as Wounded Healer by : Marion Conti-O'Hare
Download or read book The Nurse as Wounded Healer written by Marion Conti-O'Hare and published by Jones & Bartlett Learning. This book was released on 2002 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work depicts the evolution of the wounded healer phenomenon and its impace on the practice of nursing. It explores how healing has been defined in the past, and emphasizes the changing focus necessary to meet the relevant health care needs of an increasingly wounded society in the 21st century.
Book Synopsis Soul Repair by : Rita Nakashima Brock
Download or read book Soul Repair written by Rita Nakashima Brock and published by Beacon Press. This book was released on 2012-11-06 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first book to explore the idea and effect of moral injury on veterans, their families, and their communities Although veterans make up only 7 percent of the U.S. population, they account for an alarming 20 percent of all suicides. And though treatment of post-traumatic stress disorder has undoubtedly alleviated suffering and allowed many service members returning from combat to transition to civilian life, the suicide rate for veterans under thirty has been increasing. Research by Veterans Administration health professionals and veterans’ own experiences now suggest an ancient but unaddressed wound of war may be a factor: moral injury. This deep-seated sense of transgression includes feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. Rita Nakashima Brock and Gabriella Lettini, who both grew up in families deeply affected by war, have been working closely with vets on what moral injury looks like, how vets cope with it, and what can be done to heal the damage inflicted on soldiers’ consciences. In Soul Repair, the authors tell the stories of four veterans of wars from Vietnam to our current conflicts in Iraq and Afghanistan—Camillo “Mac” Bica, Herman Keizer Jr., Pamela Lightsey, and Camilo Mejía—who reveal their experiences of moral injury from war and how they have learned to live with it. Brock and Lettini also explore its effect on families and communities, and the community processes that have gradually helped soldiers with their moral injuries. Soul Repair will help veterans, their families, members of their communities, and clergy understand the impact of war on the consciences of healthy people, support the recovery of moral conscience in society, and restore veterans to civilian life. When a society sends people off to war, it must accept responsibility for returning them home to peace.
