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To learn and teach about HIV/AIDS is to enter complex and senstitive territory that at times may be personally challenging. 5 In the vast literature on HIV infection and nursing two main themes recur: nurses' lack of understanding, negative attitudes and anxieties related to HIV/AIDS and the need for education to change such attitudes and enhance nurses' knowledge and skills. 相似文献
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Margaret Saari RN PhD Erin Patterson RN PhD Shawna Kelly RN MN‐NP Adult CNN Ann E. Tourangeau RN PhD 《Health & social care in the community》2018,26(2):240-249
To meet increasing demand for home care, the role of personal support workers (PSWs) is shifting from providing primarily personal and supportive care to include care activities previously provided by regulated health professionals (RHPs). Much of the research examining this shift focuses on specialty programmes, with few studies investigating the daily care being provided by PSWs, frequency of care activities being provided by PSWs, and characteristics of the population receiving more complex tasks. Between January and April 2015, a review of 517 home‐care service user charts was undertaken in Ontario, Canada, to: (1) describe the range of tasks being performed by PSWs in home care, (2) identify tasks transferred by RHPs to PSWs, and (3) examine characteristics of service users receiving transferred care. Findings indicate that normally, PSWs provide personal and supportive care commensurate with their training. However, in approximately one quarter of care plans reviewed, PSWs also completed more complex care activities transferred to them by RHPs. Service users receiving transferred care were older and had higher levels of cognitive and functional impairment. Although there is potential for the expansion of home‐care services through increased utilisation of PSWs, healthcare leadership must ensure that the right provider is being utilised at the right time and in the right place to ensure safe and effective quality care. Thus, several actions are recommended: PSW core competencies be clearly articulated, processes used to transfer care activities from RHPs to PSWs be standardised and a team‐based approach to the delivery of home‐care services be considered. Utilisation of a team‐based model can help establish positive relationships among home‐care providers, provide increased support for PSWs, allow for easier scheduling of initial training and ensure regular reassessments of PSW competence among PSWs providing added skills. 相似文献
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Nurses' knowledge of advance directives and perceived confidence in end‐of‐life care: a cross‐sectional study in five countries 下载免费PDF全文
Alice Coffey PhD MEd BA RNT RGN R M Geraldine McCarthy PhD MEd MSN DNT RGN RNT Elizabeth Weathers M. Isabel Friedman DNP MPA RN BC CCRN CNN Katherine Gallo RN PhD Mally Ehrenfeld RN PhD William H.C. Li MPhil PhD RN Piera Poletti PhD Renzo Zanotti PhD RN DAI D. William Molloy PhD MB BCh BAO MRCP LMCC FRCP Ciara McGlade MB BAO BCh BMedSc MRCPI DSCM Joyce J. Fitzpatrick PhD RN FAAN Michal Itzhaki RN PhD 《International journal of nursing practice》2016,22(3):247-257
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A. Coffey PhD M.Ed B.A. RNT RGN RM G. McCarthy PhD MEd MSc RGN RNT E. Weathers BSc RGN M.I. Friedman DNP MPA RN BC CCRN CNN K. Gallo RN PhD M. Ehrenfeld RN PhD M. Itzhaki RN PhD W.H.C. Li MPhil PhD RN P. Poletti PhD R. Zanotti PhD RN DAI D.W. Molloy MB MRCP FRCP C. McGlade MB BAO BCh BMedSc MRCPI DSCM J.J. Fitzpatrick PhD RN FAAN 《International nursing review》2013,60(3):313-319
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Psychometric assessment of the Spiritual Climate Scale Arabic version for nurses in Saudi Arabia 下载免费PDF全文
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