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Statistical modeling approaches and user-centered design for nursing decision support tools predicting in-hospital cardiopulmonary arrest
This doctoral research explored strategies for the design and statistical development of probability-based nursing decision support tools within the clinical context of in-hospital cardiopulmonary arrest (IHCPA). IHCPA ...
Factors associated with new hospital nurses' self-efficacy in providing palliative end-of-life care
Introduction: Self-efficacy is defined as confidence in one’s competence; the ability to successfully accomplish tasks and achieve favorable outcomes (Bandura, 1997). Many nurses today say they feel their undergraduate ...
Implementation of the Family Help protocol: A feasibility project for a West Texas ICU
Purpose: The purpose of this project was to determine if there is sufficient bedside ICU nurse buy-in to the Family HELP protocol to make implementation feasible at one county hospital in West Texas.
Background: Delirium ...
Moral decision making by neonatal intensive care nurses
Purpose. The purpose of this research was to gain information about the perspective neonatal intensive care nurses use to make moral decisions. Previous research in nursing has assumed ...
The development and testing of an instrument to measure decision making in emergency department triage nurses
An emergency department may be the initial entry site for health care for the critically ill client; the triage nurse is the frontline provider to prioritize care. Decision-making skills are important in the accurate ...
The effect of nurses' use of a focused protocol to decrease distractions during medication administration
Medication administration errors (MAE) are often the result of system problems that lead to patient injury, increased hospital costs and nurses being blamed for the incident. Contributing factors include distractions, lack ...
The role and responsibility of the nurse in caring for the dying patient
The problem undertaken in this study was to learn the specific nursing functions a selected sample of registered nurses performed in an effort to meet the needs of the dying patient and how adequate they felt in performing ...
The experiences and expressions of compassion among critical care nurses
Background: Compassion is a core attribute of nursing practice and is associated with improved patient satisfaction and outcomes. For the last several decades, nurse researchers have been focused on the concept of compassion ...
A grounded theory of directors' of nursing perceptions on caring: Post-Francis paradoxes
This study explores the perceptions of Directors of Nursing from NHS acute Trusts in England, on caring practices. The aspiration of the NHS is to deliver good care to patients and their families. The NHS constitution ...
A quantitative and qualitative inquiry into moral distress, compassion fatigue, medication error, and critical care nursing
A correlational embedded mixed method design was used for this study. A purposive sample of 205 critical care nurses (CCNs) provided quantitative data for the study. A focus group interview of five CCNs provided the qualitative data. The Moral Distress Scale (MDS), Professional Quality of Life Scale (ProQOL), and Medication Administration Error (MAE) Scale and demographics form were used to measure quantitative data.
Quantitative findings included the majority of participants were female (91.7%); mean age 47 (SD = 7.91) years; mean years worked as a nurse was 23 (SD = 8.48); mean years worked on respective unit was 13.6 (SD = 8.45) and mean numbers of hours worked per week was 37 (SD = 8.45). Nineteen CCNs (9.5%) indicated they were considering leaving their current work position based on moral distress.
Statistically significant positive relationships between moral distress, compassion fatigue, and perceived mediation error were found. Simultaneous multiple regression was conducted to determine the accuracy of the IVs; moral distress and compassion fatigue in predicting medication scores while controlling for gender, age, work status, marital status, resignation based on moral distress and others. Regression results indicate the overall model significantly predicted the Medication Administration Error Subscale of Nursing Staffing, R2 = .11; the subscale Disagree with Definition R2 = .13, and the subscale Fear, R2 = .13. A summary of regression coefficients indicates only one (moral distress) of the 10 variables significantly contributed to the models predicting Medication Administration Error Subscale of Nursing Staffing, and Fear. For the Disagree with Definition subscale moral distress, compassion fatigue, and work status were the only variables that significantly contributed to the models.
Focus group interview data revealed several themes including Process or Practice Issues, Staff Experience and Support, Negative Emotions and Other Nurses were identified as key in understanding medication error. Nurses did not relate moral distress or compassion fatigue to medication errors directly.
This study contributed to the understanding of nurses' perceptions of medication error, moral distress, and compassion fatigue. Furthermore, an enhanced understanding of critical care nurses insight regarding medication error and power relations within the critical care environment was gained....