Article
Education, Scientific Disciplines
Beth Cusatis Phillips, Karen Morin, Theresa Valiga
Summary: This study investigated how students make clinical decisions and the nature of the decisions they make, finding that participants tended to be flexible decision makers, adapting their decisions based on the situation. Students primarily relied on the help of others, lessons learned, the wisdom of nurses, experience, the situation at hand, and systematic cognitive processing when making clinical decisions.
NURSE EDUCATION TODAY
(2021)
Article
Nursing
Birte Berger-Hoeger, Frank Vitinius, Hannah Fischer, Karolina Beifus, Juliane Koeberlein-Neu, Anna Isselhard, Maren Toepper, Regina Wiedemann, Kerstin Rhiem, Rita Schmutzler, Stephanie Stock, Anke Steckelberg
Summary: This study adapted and piloted an existing training program to support nurse-led decision coaching. Due to the COVID-19 pandemic, the patient intervention was carried out virtually. There is a need for improvement in the training and decision coaching materials.
Article
Engineering, Industrial
Nicholas E. Anton, Guoyang Zhou, Tera Hornbeck, Amy M. Nagle, Susan Norman, Anand D. Shroff, Denny Yu
Summary: This study aims to use eye-tracking methods to assess nurse decision making during a clinical simulation. The gaze patterns of 8 experienced nurses managing a simulated stroke patient were observed, and it was found that nurses who recognized the stroke focused more on the vital sign monitor and the patient's head, suggesting these locations were consistently examined by decision-makers.
APPLIED ERGONOMICS
(2023)
Review
Nursing
M. Lorraine Thirsk, T. Julia Panchuk, Sarah Stahlke, Reidar Hagtvedt
Summary: The biases in nurses' judgment and decision-making need to be addressed, and it is essential to identify and test debiasing strategies in real-world nursing settings.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2022)
Article
Nursing
Olivia Cook, Katrina Recoche, Meredith McIntyre, Susan Lee
Summary: This study focused on the experiences and perceptions of gynaecological oncology specialist nurses, revealing their essential role in providing care for women with gynaecological cancers. Specialist nurses are seen as sources of support and expertise for patients, but they face challenges such as evolving roles and lack of clear definition. It is suggested that nursing leaders and the broader profession should take steps to delineate scope of practice, standardise nomenclature, and embed these roles in nursing pathways.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Nursing
Shahzad Inayat, Ahtisham Younas, Sonia Andleeb, Subia Parveen Rasheed, Parveen Ali
Summary: Nurses can contribute significantly to the development and implementation of general and health policies. However, their involvement in policy making is limited due to various barriers. This study aims to explore strategies to enhance nurses' participation in policy making from the perspective of nurse leaders.
INTERNATIONAL NURSING REVIEW
(2023)
Article
Geriatrics & Gerontology
Anna Song Beeber, Christine E. Kistler, Sheryl Zimmerman, Cassandra Dictus, Kimberly Ward, Claire Farel, Keith Chrzan, Christopher J. Wretman, Marcella Boyton-Hansen, Michael Pignone, Philip D. Sloane
Summary: This study emphasized the importance of specific resident characteristics in nurse decision-making about suspected UTIs. Future antimicrobial stewardship efforts should not only aim to improve clinicians' previously studied overprescribing practices, but also to enhance nurses' assessment of signs and symptoms of potential infections and how they weigh resident information.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Nursing
Susanne A. M. Arends, Maureen Thode, Anke J. E. De Veer, H. Roeline W. Pasman, Anneke L. Francke, Irene P. Jongerden
Summary: This study aimed to explore how hospital nurses perceive their current role and preferred role in shared decision-making about potentially life-prolonging treatment in patients in the last phase of life. The results showed a discrepancy between nurses' preferred role and their actual role in decision-making, indicating a need for more effort to increase nurses' involvement.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Nursing
Clare Gardiner, Madeleine Harrison, Sarah Hargreaves, Beth Taylor
Summary: This study explores the role of Mesothelioma UK clinical nurse specialists (CNSs) in providing palliative care for patients with mesothelioma and their families. The findings reveal significant palliative care needs of patients and their families throughout the course of mesothelioma, from diagnosis to the end of life. Mesothelioma UK CNSs play a crucial role in supporting patients' and families' palliative care needs and are highly skilled in providing this care.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Nursing
Nina Jacob, Chris Burton, Rachel Hale, Aled Jones, Amy Lloyd, Anne Marie Rafferty, Davina Allen
Summary: The study aims to understand the role of nurses' professional judgement in nurse staffing systems through a qualitative comparative case study of nurse staffing systems in England and Wales. The research will provide evidence on the centrality of nurses' professional judgement in decision-making and the need for theoretically informed research. The study will also lay the foundations for evidence-based programmes of nurse education and continuing professional development.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Management
Arsenic T. Manlangit, Fritz Gerald V. Jabonete, Queenie R. Ridulme
Summary: This study aims to determine the quality of decision-making and cultural competence in nurse leaders. The findings reveal significant relationships between cultural awareness and sensitivity with Middle Eastern race, cultural competence behavior with years of experience in Saudi Arabia and leadership positions, as well as quality of decision-making with years of experience in Saudi Arabia. There is a significant correlation between cultural awareness, sensitivity, cultural competence behavior and the quality of decision-making.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Cardiac & Cardiovascular Systems
Qi Niu, WeiHua Liu, FengLing Wang, YanHong Dong
Summary: This study examined the prevalence of cognitive impairment (CI) in Chinese patients with heart failure (HF) and found that patients with atrial fibrillation, older age, higher levels of TNT or NT-proBNP, and higher NYHA class were more likely to have CI.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Nursing
Danique W. Bos-van den Hoek, Maureen Thode, Irene P. Jongerden, Hanneke W. M. Van Laarhoven, Ellen M. A. Smets, Dorien Tange, Inge Henselmans, H. Roeline Pasman
Summary: Nurses play a crucial supportive role in shared decision-making about life-prolonging treatment, but not all nurses have the same level of involvement. By checking decision quality, complementing, and facilitating shared decision-making, nurses can enhance the decision-making process. Identified pre-conditions for nurses' involvement include information transfer, positive culture towards nurses' involvement, good relationship with physicians, knowledge and skills, sufficient time, and good relationship with patients.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Pediatrics
Janette Ravelo, Gillian Adams, Shahid Husain
Summary: This study demonstrates that a trained and experienced ROP neonatal nurse specialist can accurately identify infants with treatment-warranted ROP using WFDRI, showing high sensitivity and specificity in ROP screening episodes. Further research is needed to assess the generalizability of this finding and its impact on ROP screening services.
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION
(2022)
Article
Nursing
Roxana Salehi, Augustine Asamoah, Stephanie de Young, Hannah Acquah, Nikhil Agarwal, Sawdah Esaka Aryee, Bonnie Stevens, Stanley Zlotkin
Summary: This study aimed to evaluate the effectiveness of a national pediatric nurse training program in Ghana, which focused on training specialist nurses and measuring their knowledge, confidence, and clinical skills. The results showed significant improvements in these areas, indicating the success of the program in improving child survival rates.
Article
Public, Environmental & Occupational Health
Louise Laverty, Julie Gandrup, Charlotte A. Sharp, Angelo Ercia, Caroline Sanders, Dawn Dowding, William G. Dixon, Sabine N. van der Veer
Summary: This study explores the discussion of daily PGHD in outpatient consultations between patients with RA and rheumatologists. Clinicians decide when and how to use PGHD during consultations, which can influence the collaborative nature of the interaction. Educating patients and clinicians on the timing and strategies of using PGHD may enhance shared decision-making in clinical practice.
PATIENT EDUCATION AND COUNSELING
(2022)
Review
Medicine, General & Internal
Lucy Dwyer, Dawn Dowding, R. Kearney
Summary: This scoping review aims to map available evidence about the subject of pessary self-management for pelvic organ prolapse (POP) to identify knowledge gaps providing the basis for future research.
Review
Health Care Sciences & Services
Norina Gasteiger, Sabine N. van der Veer, Paul Wilson, Dawn Dowding
Summary: Training health care workers using virtual reality (VR) and augmented reality (AR) can improve learner satisfaction and skill performance, facilitate skill and knowledge transfer, and provide repeated practice in a safe environment. However, implementation considerations and costs remain major barriers.
JMIR SERIOUS GAMES
(2022)
Review
Nursing
Siobhan O'Connor, Yongyang Yan, Friederike J. S. Thilo, Heike Felzmann, Dawn Dowding, Jung Jae Lee
Summary: The real-world applications of AI in nursing and midwifery are limited, and there is a need for digital health datasets to support testing, use, and evaluation of AI. Training courses should be developed to educate the professions about AI.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Health Care Sciences & Services
Helen Smith, Chloe Grindey, Isabel Hague, Louise Newbould, Lesley Brown, Andrew Clegg, Carl Thompson, Rebecca Lawton
Summary: Increasing numbers of older patients are occupying hospital beds even when they are considered medically fit for discharge, leading to Delayed Transfers of Care that can cause harm. Research on patient and family perspectives regarding barriers to shorter hospital stays is limited, highlighting the importance of effective communication and quality of information in supporting discharge of older people from hospital.
HEALTH EXPECTATIONS
(2022)
Article
Infectious Diseases
Akbar Ullah, William Whittaker, Fay Bradley, Pauline A. A. Nelson, Dawn Dowding, Marcello Morciano, Nicky Cullum
Summary: This study examined the factors associated with the use of a digital COVID-19 symptom tracker in care homes in Greater Manchester, UK, and its impact on controlling the spread of COVID-19. The study found that the use of the tracker significantly decreased after one year of adoption, with the highest usage in the locality where the project was initiated. The adoption of the tracker did not show any effect on controlling COVID-19 spread.
BMC INFECTIOUS DISEASES
(2023)
Review
Computer Science, Information Systems
Theodora Oikonomidi, Gill Norman, Laura McGarrigle, Jonathan Stokes, Sabine N. van der Veer, Dawn Dowding
Summary: This study reviewed the effectiveness of predictive model-based interventions on outpatient no-shows and their impact on costs, acceptability, and equity. The results suggest that predictive model-based text message reminders, phone call reminders, and patient navigator calls can effectively reduce no-show rates in outpatient settings.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Review
Medicine, General & Internal
Norina Gasteiger, Dawn Dowding, Gill Norman, Lisa McGarrigle, Charlotte Eost-Telling, Debra Jones, Amy Vercell, Syed Mustafa Ali, Siobhan O'Connor
Summary: This article provides an overview of the methodological considerations for conducting commercial smartphone health app reviews (mHealth reviews) in order to systemize the process and support high-quality evaluations of mHealth apps. The authors synthesize their experiences of conducting various reviews of mHealth apps and propose seven key steps for conducting rigorous health app reviews, as well as introducing the novel TECH approach for developing review questions and eligibility criteria. The article highlights the importance of future work in developing reporting guidelines and quality appraisal tools for systematic app reviews.
Article
Health Care Sciences & Services
Brian McMillan, Gail Davidge, Fatima Nadeem, Dawn Dowding, Kurt Wilson, Angela Davies
BMJ HEALTH & CARE INFORMATICS
(2023)
Article
Environmental Sciences
Kishwer Abdul Khaliq, Catherine Noakes, Andrew H. Kemp, Carl Thompson, CONTACT Trial Team
Summary: COVID-19 has had a devastating impact on a vulnerable population, especially in care homes. Contact tracing is crucial for managing virus exposure, but traditional methods don't work well in care home environments. Wearable devices using Bluetooth Low Energy and LoRaWAN technologies are a promising alternative, but their real-world performance in contact tracing is uncertain.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE
(2023)
Article
Computer Science, Information Systems
Norina Gasteiger, Sabine N. van der Veer, Paul Wilson, Dawn Dowding
Summary: This study evaluates the feasibility and effectiveness of virtual reality (VR) and augmented reality (AR) smartphone applications for upskilling care home workers in hand hygiene. The results show that immersive VR and AR training had good usability and acceptability, while non-immersive VR training had poor usability. Virtual reality technology can improve hand hygiene technique through mechanisms such as repeated practice, task realism, and feedback and reminding.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Review
Public, Environmental & Occupational Health
Deborah Paripoorani, Norina Gasteiger, Helen Hawley-Hague, Dawn Dowding
Summary: This study reviewed menopause apps to assess their quality and functionality. The results showed that existing menopause apps need more input from experts to improve quality and functionality, using simple language. More emphasis on specific health problems during menopause, including osteoporosis, is required.
Review
Genetics & Heredity
Norina Gasteiger, Amy Vercell, Naz Khan, Dawn Dowding, Angela C. C. Davies, Alan Davies
Summary: This systematic review examines the effectiveness of patient-facing digital technologies in genetics education and empowerment, as well as their purpose and target audience for service engagement. The findings suggest that digital interventions can provide information about genetics concepts and conditions, and positively impact service engagement.
JOURNAL OF COMMUNITY GENETICS
(2023)
Article
Public, Environmental & Occupational Health
Norina Gasteiger, Sabine N. van der Veer, Paul Wilson, Dawn Dowding
Summary: This qualitative study aimed to explore the theories and perspectives of care home workers regarding the effectiveness and implementation of AR/VR training for promoting hand hygiene practice. The interviews revealed that repeated practice, interactive learning, feedback, reminding, and task realism were important factors for hand hygiene improvement. However, there were mixed opinions regarding other mechanisms and the perceived realism of the AR/VR imagery and environment. Contextual factors such as learner preferences, care home policies, and technological considerations were also identified as important for successful implementation. Future research should focus on testing these mechanisms and technologies in care homes, and providing appropriate support and alternative options for implementation.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2023)
Article
Health Care Sciences & Services
Lynn McVey, Natasha Alvarado, Frances Healey, Jane Montague, Chris Todd, Hadar Zaman, Dawn Dowding, Alison Lynch, Basma Issa, Rebecca Randell
Summary: This research aims to explore spoken communication between hospital staff about fall prevention and its importance in supporting multifactorial fall prevention practice. The study found that staff engaged in "multifactorial talk" to address patients' modifiable risk factors, while also using "categorisation talk" to focus on patients' levels of fall risk. Staff navigated tensions between these approaches through frequent "hybrid talk".
BMJ QUALITY & SAFETY
(2023)