Triage Process in Emergency Departments: an Indonesian Study

Background: Triage process has rapidly developed in some countries in the last three decades in order to respond to the demand for emergency services by growing population and emergency health needs. However, this development does not appear to match in Indonesian hospitals. The triage process in Indonesia remains obscure.Purpose: This study aimed to describe triage process in Indonesia from a range of different perspectives.Methods: The research design of this study was descriptive qualitative using semistructured interviews of 12 policy makers or persons responsible from 5 different organizations which informed triage practice in Indonesia. The data were analyzed using a three step content analysis.Results: The result produced 3 themes. First, four steps of triage process ranging from receiving to prioritizing were reported as the triaging procedures in Indonesia which were almost similar to the International literature except for a re-triage step. Second,primary and secondary triage processes were also applied in all emergency departments in Indonesia. Last, no prolonged waiting time in Indonesia could be assumed whether the triage process was effective and efficient or it was only a quick process of sorting to rapidly increase the number of patients in the treatment rooms. Out of the themes, the result also indicated that the involvement of nurses in health policy development inIndonesia needed supportConclusion: Triage process in Indonesia still needs improvements. Patient\u27s re-triage and evaluating secondary triage should be given more frameworks in the future. An effective and efficient triage process in Indonesia will best manage the number of patients in the treatment rooms and therefore further observational researches on patterns and trends are needed. Moreover, including the role of nurses as policy makers in the curriculum of nursing undergraduate and post-graduate degrees would give nurses the evidence to seek out policy making positions in the futur

Transition to specialty practice programs in Australian emergency nursing

 Transition to Specialty Practice Programs (TSPPs) provide structured support and education to novice nurses. This study examined the prevalence, design, characteristics and functions of emergency nursing TSPPs in Australia, and found that TSPPs served an important function in recruitment, preparation and retention of emergency nurses. A framework for future emergency nursing TSPPs was developed based on study findings

Intensive care nurses\u27 knowledge of enteral nutrition: a descriptive questionnaire

BACKGROUND: Nurses have an important role in the delivery and management of enteral nutrition in critically ill patients, to prevent iatrogenic malnutrition. It is not clear how nurses source enteral nutrition information.&nbsp;OBJECTIVE: This study aimed to explore Australian nurses\u27 enteral nutrition knowledge and sources of information.&nbsp;DESIGN: Data were collected from members of the Australian College of Critical Care Nurses in May 2014 using an online questionnaire. A combination of descriptive statistics and non-parametric analyses were undertaken to evaluate quantitative data. Content analysis was used to evaluate qualitative data.&nbsp;RESULTS: 359 responses were included in data analysis. All respondents were Registered Nurses with experience working in an Australian intensive care unit or high dependency unit. Most respondents reported their enteral nutrition knowledge was good (n=205, 60.1%) or excellent (n=35, 10.3%), but many lacked knowledge regarding the effect of malnutrition on patient outcomes. Dietitians and hospital protocols were the most valuable sources of enteral nutrition information, but were not consistently utilised.&nbsp;CONCLUSION: Significant knowledge deficits in relation to enteral nutrition were identified. Dietitians were the preferred source of nurses\u27 enteral nutrition information, however their limited availability impacted their efficacy as an information resource. Educational opportunities for nurses need to be improved to enable appropriate nutritional care in critically ill patients.</div

Transition to Specialty Practice Program characteristics and professional development outcomes

publisher: Elsevier articletitle: Transition to Specialty Practice Program characteristics and professional development outcomes journaltitle: Nurse Education Today articlelink: http://dx.doi.org/10.1016/j.nedt.2016.05.017 content_type: article copyright: © 2016 The Author(s). Published by Elsevier Ltd

Reading for hope: a conversation about texts and method

In a conversation about their shared interests, the authors discuss methodology, reading strategies, and comparative historiographies relating to the recuperation of residues of hope that linger in the wake of failed revolutionary projects. The conversation draws connections between people power (poder popular) in Chile during the Allende era and ideals of participatory democracy circulating in South Africa concurrently (during the so-called Durban moment), discusses in detail the work of Nadine Gordimer, considers the politics of contemporary South African activism, and weighs the usefulness of the insights of thinkers from Karl Marx and Walter Benjamin to David Scott and Achille Mbembe

Leadership in nursing and clinical practice

This chapter considers the issue of leadership, offering some detailed insights into transformational leadership and emotional intelligence. This will include some case studies and some examples of straightforward approaches that you can draw upon to help you become a better nurse leader, regardless of your role and your level of experience in the area where you find yourself working. That is, nursing leadership is not synonymous with nursing management and all nurses are faced with the reality of being a leader

Nursing students' engagement with social media as an extracurricular activity : An integrative review

Objective To explore primary research evidence reporting the reason for undergraduate nursing students' engagement with social media as an extracurricular activity. Background The formal integration of social media into nursing education has been discussed extensively in previous research. The influence of social media on nursing students' learning and class engagement has also been explored. However, despite the growing volume of literature examining the formal use of social media by undergraduate nursing students, a broader perspective on how and why nursing students engage with social media as an extracurricular activity has not yet been explored. Design An integrative review. Methods A systematic search was performed to find articles published between 2007–2019 using Ovid MEDLINE, Embase, Ovid Emcare and CINAHL Plus databases and the Google Scholar search engine. The review process is reported according to PRISMA. Results Twelve papers met the inclusion criteria, revealing that undergraduate nursing students engaged with social media for many reasons external to their formal curricula. They engaged with social media to keep in touch with others and to entertain themselves, promote learning, find social support, develop a professional nursing identity, share their experiences as nursing students and locate job opportunities. Conclusion Undergraduate nursing students engaged with social media for numerous reasons. It supported students in their academic and personal lives by keeping them in touch with people around them. The students used social media to identify with the nursing profession; however, its influence on their professional identity development is yet to be fully explored. Relevance to clinical practice Nursing schools should consider the myriad of reasons students engage with social media in order to optimise their professional development. Understanding how nursing students' professional identity develops via social media may be used to help sustain nursing students and support their transition into practice

Undergraduate nursing students' adoption of the professional identity of nursing through social media use : A qualitative descriptive study

Background Previous research has addressed nursing course components such as clinical placements that affect students' socialisation processes and the development of their professional identities. Social media is an increasingly important factor that has not yet been explored in-depth in terms of its influence on the development of the professional identity of nursing and is a major gap in our knowledge and understanding of undergraduate nurses' development. Objective To understand the influence of social media usage on the development of undergraduate nursing students' professional identity. Design Descriptive qualitative study. Setting Two universities in Saudi Arabia. Participants Sixteen undergraduate nursing students. Methods Semi-structured and audio-recorded interviews were undertaken between November 2018 and January 2019. The transcribed data were thematically analysed using NVivo 12. Results Three main themes emerged: Learning about nursing professional identity through social media, adopting the identity of nursing, and students sharing their understanding of nursing professional identity via social media. Students used social media to learn about the nursing profession, and this helped them to develop a sense of belonging to the nursing profession. The students also used social media to share their experiences as nursing students and to enhance society's understanding of the importance of the nursing profession. Conclusion Undergraduate nursing students should be encouraged to develop their professional identity through socialisation. Social media can facilitate the socialisation process of undergraduate nursing students by connecting them with members of the nursing community