Peer-Reviewed Journal Articles

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    Effects of Simulation-based Education in Nursing Care for Stroke Patients
    ( 2019) Hong, Sung Jung ; Bae, Hyun Ji ; Bang, Hwal Lan ; Ferencsik, Leesuk
    This study was conducted to examine the effects of simulation-based education (SBE) on nursing students' clinical performance, knowledge, and learner satisfaction in nursing care for stroke patients. The randomized controlled study involved 61 students who were enrolled in a geriatric nursing education course for a major at S university. Students in the simulation group received stroke patient care training by using a high-fidelity simulator, while those in the control group participated only in lectures. Collected data were analyzed using Chi-square, t-test, and independent t-test with the SPSS 24.0 for Windows program. The experimental group which had SIM-PBL showed significantly higher knowledge (t = 16.152, p< .001), learner satisfaction (t =7.358, p<.001), and clinical performance ability (t = 5.252, p <.001) for stroke patient care, compared with the control group. The results suggest that SIM-PBL is an effective teaching method to increase knowledge and clinical performance ability for nursing students. Therefore, it is necessary to develop simulation-based educational programs for clinical practicum, while further study is needed to determine the effects of diverse debriefing methods on student learning findings.
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    Sleep Deprivation and Psychomotor Performance Among Night-shift Nurses
    ( 2010) Johnson, Arlene L. ; Brown, Kathleen ; Weaver, Michael T.
    This study examined how sleep deprivation influenced psychomotor performance of nurses who worked the night shift. Psychomotor performance was measured with the d2 Test of Attention, which quantifies attention, concentration, processing speed, and quality of performance. A sample of 289 licensed nurses was tested with the instrument. Fifty-six percent of the sample was sleep deprived. Mean psychomotor performance scores (26.6 for men and 11.4 for women) were above the normative means (44.4 for men and 41.03 for women). A significant (p < .0001) inverse relationship was found between psychomotor performance and hours of sleep. Nurses reported more hours of sleep on a general self-report sleep item than in a sleep diary.
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    Sleep Deprivation and Error in Nurses Who Work the Night Shift
    ( 2014) Johnson, Arlene L ; Jung, Lorena ; Brown, Kathleen C. ; Weaver, Michael T. ; Richards, Kathy C.
    OBJECTIVE: The aim of this study was to investigate the relationship between sleep deprivation and occupational and patient care errors among staff nurses who work the night shift. BACKGROUND: Whereas the aviation and trucking industries report that sleep deprivation increases errors, few studies have examined sleep deprivation association with occupational and patient care errors among nurses. METHODS: A cross-sectional correlational design was used to evaluate relationships between sleep deprivation and occupational and patient care errors in 289 hospital night shift nurses. RESULTS: More than half (56%) of the sample reported being sleep deprived. Sleep-deprived nurses made more patient care errors. Testing for associations with occupational errors was not feasible because of the low number of occupational errors reported. CONCLUSION: Interventions to increase the quality and quantity of sleep among hospital night shift nurses are needed. Improved sleep among night shift nurses will reduce the impact of sleep deprivation on patient care errors.
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    Time and Resources of Peripherally Inserted Central Catheter Insertion Procedures: A Comparison Between Blind Insertion/Chest X-ray and a Real Time Tip Navigation and Confirmation System
    ( 2017) Tomaszewski, Kenneth J. ; Ferko, Nicole ; Hollmann, Sarah S. ; Eng, Simona C. ; Richard, Howard M. ; Rowe, Lynn ; Sproule, Susan
    Background: The Sherlock 3CG™ Tip Confirmation System (TCS) provides real-time peripherally inserted central catheter (PICC) tip insertion information using passive magnetic navigation and patient cardiac electrical activity. It is an alternative tip confirmation method to fluoroscopy or chest X-ray for PICC tip insertion confirmation in adults. The purpose of this study was to evaluate time and cost of the Sherlock 3CG TCS and blind insertion with chest X-ray tip confirmation (BI/CXR) for PICC insertions. Methods: A cross-sectional, observational Time and Motion study was conducted. Data were collected at four hospitals in the US. Two hospitals used Sherlock 3CG TCS and two hospitals used BI/CXR to place/confirm successful PICC tip location. Researchers observed PICC insertions, collecting data from the beginning (ie, PICC kit opening) to catheter tip confirmation (ie, released for intravenous [IV] therapy). An economic model was developed to project outcomes for a larger population. Results: A total of 120 subjects were enrolled, with 60 subjects enrolled in each arm and 30 enrolled at each of the four US hospitals. The mean time from initiation of the PICC procedure to the time to release for IV therapy was 33.93 minutes in the Sherlock 3CG arm and 176.32 minutes in the BI/CXR arm (p < 0.001). No malpositions were observed for PICC insertions using the Sherlock 3CG TCS, while 20% of subjects in the BI/CXR arm had a malposition. BI/CXR subjects had significantly more total malpositions (mean 0.23 vs. 0, p < 0.001). For a hypothetical population of 1,000 annual patients, adoption of Sherlock 3CG TCS was predicted to be cost saving compared with BI/CXR in all three analysis years. Conclusion: The results from this study demonstrate that Sherlock 3CG TCS, when compared with BI/CXR, is a superior alternative with regard to time to release subject to therapy, malposition rates, and minimization of X-ray exposure.
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    Stress Resiliency Practices in Neonatal Nurses
    ( 2017) Pannell, Lisa M. ; Rowe, Lynn ; Tully, Salena
    Background: Multiple environmental changes were experienced in a large level III neonatal intensive care unit (NICU) causing a perception of work-related stress leading to high nurse turnover, decreased engagement, and decreased satisfaction. Purpose: To identify a preintervention measure of perceived stress resiliency and ranking of interpretive styles in a population of neonatal, bedside registered nurses faced with a change in the physical practice environment. Methods: A descriptive, cross-sectional, correlational design was used to measure stress resiliency. The Stress Resiliency Profile (SRP) questionnaire was administered to a convenience sample of 48 neonatal bedside nurses. The SRP identifies 3 distinct interpretive styles as constructs of stress resiliency including deficiency focusing (negative thinking), necessitating (managing forced change), and skill recognition. Statistical analysis was used to describe associations between ages, years of experience, and resiliency. Results: Results showed skill recognition to be significantly lower than expected in participants 40 years and older. Also, participants with greater than 5 years of NICU experience revealed low to moderate levels of resiliency. Implications for Practice: Although skill is critical in nursing, it may not be the key factor in reducing the perception of work-related stress. Implementation of interventions targeting interpretative styles known to enhance resiliency may promote positive coping and quality change management. Implications for Research: Baseline resiliency data are necessary to guide unit leaders to manage future challenges found in evolving NICU nurse practice environments. More research is warranted to determine the generalizability of study results as healthcare organizations strive to implement best practices, control costs, and deliver safe, quality care.