How Well Do Computerised Decision Support Systems Cover Nursing Standards of Practice? A Literature Review

The use of computerized decision support systems (DSS) in nursing practice is increasing. However, research about who uses DSS, where are they implemented, and how they are linked with standards of nursing is limited. This paper presents evidence on users and settings of DSS implementation, along with specific nursing standards of practice that are facilitated by such DSS. We searched six bibliographic databases using relevant terms and identified 28 studies, each evaluating a unique DSS. Of these, 24 were used by registered nurses and 19 were implemented in short-term care units. Most of the DSS were found to facilitate nursing standards of assessment and intervention, however, outcome identification and evaluation were the least included standards. These findings not only highlight gaps in systems but also offer opportunities for further research development in this area.

Weaving the Contemporary Position of Maatauranga Maaori Within Nursing Practice

<p>While the values and beliefs of health care for Maaori are perceived to be consistent with those which Maaori are embedded in, the outcomes developed from a Western worldview, has fallen short of this expectation. This thesis explores the customary kaupapa of Maatauranga Maaori or Maaori knowledge, which is the appropriate technique to determine how health care should be maintained by and for Maaori. The research highlights the need to meld these kaupapa with that of a contemporary Maaori viewpoint, to focus more on a deeper enhancement of these kaupapa, and develop an understanding of the social, cultural, educational, political and economic contexts these concepts have on Maaori as a people. This research identified six Maaori registered women nurses, who willingly volunteered to share their experiences regarding Maatauranga Maaori and its importance to their nursing practice. Over a period of one year, in-depth conversations unfolded and produced data on what Maatauranga Maaori involves and how the six participants in the study believe it influences their nursing practices. All are currently practicing nurses within various health settings such as psychiatric and comprehensive nursing, and all wish to be known by their given names. From the inception of this study, the focus was to introduce Maatauranga Maaori as the epistemological framework of choice. Inclusive will be life-stories - oral stories - as the method by which value and insight are added to the progress of this research study. The findings of this research indicate that a collection of key kaupapa, namely whakapapa, whanaungatanga, te reo Maaori, wairuatanga, tuurangawaewae, manaakitanga and rangatiratanga are crucial to the health and wellbeing of Maaori as a people. These kaupapa enable Maaori to determine and strengthen our worldview, which in turn reflects the concept of being Maaori thereby contributing to the health and status of their whaanau, hapuu and iwi. The findings support the view that there is a substantial collection of kaupapa, which are inherent in Maatauranga Maaori as being able to provide a framework for theoretical research. These kaupapa will provide a framework for nursing practice and educational curricula that will develop and maintain nursing standards to meet the needs of Maaori.</p>

Weaving the Contemporary Position of Maatauranga Maaori Within Nursing Practice

<p>While the values and beliefs of health care for Maaori are perceived to be consistent with those which Maaori are embedded in, the outcomes developed from a Western worldview, has fallen short of this expectation. This thesis explores the customary kaupapa of Maatauranga Maaori or Maaori knowledge, which is the appropriate technique to determine how health care should be maintained by and for Maaori. The research highlights the need to meld these kaupapa with that of a contemporary Maaori viewpoint, to focus more on a deeper enhancement of these kaupapa, and develop an understanding of the social, cultural, educational, political and economic contexts these concepts have on Maaori as a people. This research identified six Maaori registered women nurses, who willingly volunteered to share their experiences regarding Maatauranga Maaori and its importance to their nursing practice. Over a period of one year, in-depth conversations unfolded and produced data on what Maatauranga Maaori involves and how the six participants in the study believe it influences their nursing practices. All are currently practicing nurses within various health settings such as psychiatric and comprehensive nursing, and all wish to be known by their given names. From the inception of this study, the focus was to introduce Maatauranga Maaori as the epistemological framework of choice. Inclusive will be life-stories - oral stories - as the method by which value and insight are added to the progress of this research study. The findings of this research indicate that a collection of key kaupapa, namely whakapapa, whanaungatanga, te reo Maaori, wairuatanga, tuurangawaewae, manaakitanga and rangatiratanga are crucial to the health and wellbeing of Maaori as a people. These kaupapa enable Maaori to determine and strengthen our worldview, which in turn reflects the concept of being Maaori thereby contributing to the health and status of their whaanau, hapuu and iwi. The findings support the view that there is a substantial collection of kaupapa, which are inherent in Maatauranga Maaori as being able to provide a framework for theoretical research. These kaupapa will provide a framework for nursing practice and educational curricula that will develop and maintain nursing standards to meet the needs of Maaori.</p>

The definition of a nurse

In the wake of the Nursing and Midwifery Council's consultation on community nursing standards, Lisa Forbes wonders whether this complex and wide-ranging profession can be singularly defined

Nursing managers' strategies for reducing interpersonal and interprofessional conflicts in the Covid-19 Pandemic

The COVID-19 pandemic is a challenge for all parties and needs a fast, precise and integrated response. Nurses as the frontline are the people most at risk of contracting this disease. Changes in all aspects require that nurses can collaborate with other interprofessional teams and makes nurses vulnerable to pressure and stress that can lead to conflict. The role of nursing managers in creating a conducive work atmosphere and preventing interprofessional conflicts is needed. This study used literature reviews through the ScienceDirect online database, SAGE journals, Wiley Online Library and other sources, which aims to analyze the strategy of nurse managers in preventing interprofessional conflicts in the era of the COVID-19 pandemic. The results show that providing education on the control and prevention of COVID-19 infection, supervision, improving effective communication through information technology, optimizing workflows, improving nursing standards, providing support and implementing crisis management are strategies that can be used by nurse managers. Assertiveness can be used as conflict management to prevent interprofessional conflicts in the pandemic era. Each profession can communicate positively with other interprofessional teams, accept each other and carry out professional responsibility and making decisions about COVID-19 patients.

Overview of stoma care for community nurses

This article explores nursing care for stoma patients, with a focus on colostomies, while providing some broader information covering a multitude of topics that relate to any type of stoma. Nurses must be aware of various factors when caring for stoma patients, as the latter will not always be in touch with their specialist stoma nurse. Therefore, if a community nurse visits more often, they can make a difference with their knowledge and care. Complications are not uncommon, and it is important the correct advice is given on diet, exercise, avoiding complications such as parastomal hernia through certain techniques, medications and aids and appliances. SecuriCare and the Royal College of Nursing have produced clinical nursing standards for the stoma nurse, and these are also relevant to community nurses. A pharmacist can give more specialist advice on medications, a GP can prescribe for infections, and a stoma nurse can provide specialist expertise to the nurse and patient alike, but the community nurse is at the frontline with a community patient. Therefore, they should be equipped with the knowledge and care expertise, so they can know when to act by referral to the appropriate professional, or give the appropriate care and advice. The patient will also have psychological needs to consider, which may require referral if these are beyond the specialist stoma nurse's or community nurse's abilities.

The nurse leader as a coach: Is the tide turning?

As the demographics of the nursing workforce change, attitudes to some kinds of workforce development are shifting. This article looks at how leaders of nursing teams can act as coaches, to improve their junior colleagues' practice As a new generation of nurses enter the profession and take their rightful place as registered nurses and as new pre-registration nursing standards have now replaced old, the profession is perhaps uniquely poised to take a step further and embrace coaching as a viable form of academic and professional support, either working alongside or replacing the traditional model of mentorship. With the nursing literature continuing to highlight the importance of coaching, this paper will argue that ‘The Tide is indeed…Turning’ and that coaching with its emphasis on empowerment should be given a ‘strong seat at the table’ of nurse education, with nursing leaders in particular adopting this considered approach to responsible learning.