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Nursing, Team

Nursing, Team: A collaborative approach to healthcare delivery involving nurses and other healthcare professionals.
The nursing team works together to provide comprehensive, patient-centered care, leveraging the unique skills and expertise of each member.
This interdisciplinary approach enhances communication, coordination, and patient outcomes.
Effectiive nursing teams are essential for delivering high-qality, evidence-based care in a wide range of settings.

Most cited protocols related to «Nursing, Team»

Evaluating Clinical-Functional Vulnerability in Older Adults

This is a cross-sectional study, with convenience sample, that compared the results obtained by the use of the IVCF-20 questionnaire^a with the results verified by the use of CGA.
The IVCF-20 is a questionnaire that covers multidimensional aspects of the older adult’s health condition and has 20 questions divided into eight sections: age (one question), health self-perception (one question), functional disabilities (four questions), cognition (three questions), mood (two questions), mobility (six questions), communication (two questions), and multiple comorbidities (one question). Each section has a specific score that compose a maximum amount of 40 points. The higher the value obtained, the higher the risk of clinical-functional vulnerability of the older adult.
The data of this study were obtained from 449 patients attended in 2014 at the Centro de Referência do Idoso (CRI – Reference Center for Older Adults) of the Teaching Hospital of Universidade Federal de Minas Gerais – Instituto Jenny de Andrade Faria de Atenção ao Idoso (Jenny de Andrade Faria Institute of Older Adults Health Care). Of the sample, 397 older adults were evaluated at the institute and submitted to IVCF-20 and CGA. The IVCF-20 was applied by the nursing team before the geriatric care. The CGA was applied by a geriatric/gerontological specialized team. The other 52 patients were evaluated by the CRI team in their community, i.e., in their respective health center.
All patients were evaluated by both questionnaires: IVCF-20 and CGA. However, patients evaluated in their respective health center were subjected to the IVCF-20 questionnaire twice, by two health professionals (here identified as A and B) who did not know of the result obtained by each other.
The training of health professionals for applying the questionnaire was done by the authors of this study, at the CRI and at the health center.
The Statistical Package for Social Sciences – Statistics for Windows (SPSS), version 19.0, was used to build the database. This study was approved by the Research Ethics Committee of Universidade Federal de Minas Gerais (CAAE 35321914.0.0000.5149).

de Moraes E.N., do Carmo J.A., de Moraes F.L., Azevedo R.S., Machado C.J, & Montilla D.E. (2016). Clinical-Functional Vulnerability Index-20 (IVCF-20): rapid recognition of frail older adults. Revista de Saúde Pública, 50, 81.

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Publication 2016

Aged Cognition Disabled Persons Ethics Committees, Research Health Personnel Mood Nursing, Team Patients Range of Motion, Articular Self-Perception

Integrating Lifestyle Risk Management into Primary Care

This research was part of a larger feasibility project, the details of which have been reported elsewhere [44 ,45 ]. In brief, the project aimed to develop and test approaches to integrating the management of lifestyle risk factors into routine care among PHC providers outside of the general practice setting. It involved three community health teams from two Area Health Services (AHS) in the state of New South Wales (NSW), Australia. In NSW, AHS are responsible for providing all hospital- and community-based healthcare apart from general practice and PHC services for specific population groups such as Aboriginal and Torres Strait Islanders. Community health services are the second largest provider of publicly funded PHC services to the general population after GPs [46 ].
All eight AHS in NSW were invited to express interest in participating in the study and to nominate suitable teams. A total of three community health teams were selected from two of three AHS who expressed interest. Selection was based on the capacity of the team to be involved and the relevance of risk factor management to the type of service provided and healthcare context. Teams were also selected to maximise the variability in team characteristics including provider type, team location (co-located or not), geographical locality, management structures, and health system context.
Team one (n = 35) was a generalist community nursing team with both enrolled and registered generalist community nurses, located in a metropolitan area. Team two (n = 16) was a co-located multi-disciplinary community health team from a rural area, while team three (n = 10) consisted of PHC nurses, Aboriginal health workers, and allied health practitioners providing PHC services to rural and remote communities that generally did not have access to other health services such as a GP (see Additional file 1 for a description of the role of the various community health providers involved in the project). In each of the teams, a baseline needs assessment was conducted to determine current lifestyle risk factor management practices, factors shaping practices, and supports required to improve practices. This needs assessment then informed the development and implementation of a capacity building intervention to enhance practices which was tailored to the needs of each team. Following a six-month implementation period further data was collected to determine changes in practices and factors influencing uptake of practices.

Laws R.A., Kemp L.A., Harris M.F., Davies G.P., Williams A.M, & Eames-Brown R. (2009). An exploration of how clinician attitudes and beliefs influence the implementation of lifestyle risk factor management in primary healthcare: a grounded theory study. Implementation Science : IS, 4, 66.

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Publication 2009

Community Health Care General Practitioners Health Personnel Needs Assessment Nurses Nursing, Team Registered Nurse Risk Management Torres Strait Islanders

Feasibility of Psychological Intervention in ICU Dyads

We conducted a single-site, single blind, RCT in the neuroscience ICU at Massachusetts General Hospital from September 2019 to March 2020. The complete protocol appears as Supplement 1. We aimed to randomize approximately 30 dyads per group.^{23 (link),24 (link),25 (link)} We followed the Consolidated Standards of Reporting Trials (CONSORT) reporting guideline.^{26 (link)} The Massachusetts General Hospital institutional review board approved this study, and all dyads provided written informed consent prior to participation.
Although the primary aim of the pilot trial was feasibility, this sample provided 80% power to detect a moderate to large effect size. Participants were recruited through direct referrals from the nursing team. Study staff met every morning with the nurse champion to review admissions and identify caregivers. When possible, the bedside nurse helped introduce the study. An institutional review board–approved recruitment video, which included 2 dyads who successfully completed a prior feasibility study,^{18 (link)} was used as needed. Inclusion criteria for patients were as follows: (1) aged at least 18 years; (2) cleared medically and cognitively for participation; (3) Mini-Mental State Examination score of at least 24; (4) access to a smartphone, laptop, or computer; (5) informal caregiver willing to participate; and (6) English fluency. Inclusion criteria for caregivers were equivalent. Within each dyad, either the patient, caregiver, or both needed to screen in for clinically significant depression or anxiety (Hospital Anxiety and Depression Scale–Depression [HADS-D] or HADS-Anxiety [HADS-A] score, >7) or PTS (Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) criteria determined by PTSD Checklist–Civilian Version [PCL-C]). We excluded patients unable to participate because of severity of the ANI, Glasgow Coma Scale (GCS)²⁷ score of less than 10, premorbid cognitive impairment, aphasia, or who were judged by the medical team as unlikely to be able to participate due to predicted permanent impairment.
A total of 220 dyads were referred; 22 were found ineligible before screening; 28 declined screening; 16 were discharged prior to screening; and contact was discontinued for 7 (Figure).

Vranceanu A.M., Bannon S., Mace R., Lester E., Meyers E., Gates M., Popok P., Lin A., Salgueiro D., Tehan T., Macklin E, & Rosand J. (2020). Feasibility and Efficacy of a Resiliency Intervention for the Prevention of Chronic Emotional Distress Among Survivor-Caregiver Dyads Admitted to the Neuroscience Intensive Care Unit: A Randomized Clinical Trial. JAMA Network Open, 3(10), e2020807.

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Publication 2020

4-amino-4'-hydroxylaminodiphenylsulfone Anxiety Aphasia Blindness Dietary Supplements Disorders, Cognitive Ethics Committees, Research Informal Caregivers Melancholia Mini Mental State Examination Nurses Nursing, Team Patients Post-Traumatic Stress Disorder

Qualitative Exploration of Stroke Dyad Experiences

We developed a semi-structured qualitative interview guide for stroke patient-caregiver dyads which was linked directly to the study questions and informed by prior research and clinical experience. The interview consisted of 8 targeted content areas: (1) current functioning; (2) most challenging and distressing experiences; (3) impact of stroke; (4) coping with stroke; (5) support resources; (6) interest and content of a dyadic resiliency intervention (topics and skills); (7) preferred structure for the intervention; (8) barriers to participation. The interview content and script was created by the nursing team and 3 clinical psychologists with expertise in qualitative interviews. All interviews were conducted by trained study staff who asked questions, clarified responses as needed, and encouraged discussion. Interviews were audio-recorded and lasted 20–45 min. With nurses, the purpose of the focus groups was to share themes identified in dyad qualitative interviews, including dyads’ suggestions for the content and structure of a dyadic intervention, and gather nurses’ opinions on implementation strategies and ways to increase feasibility and acceptability of the intervention.

McCurley J.L., Funes C.J., Zale E.L., Lin A., Jacobo M., Jacobs J.M., Salgueiro D., Tehan T., Rosand J, & Vranceanu A.M. (2019). Preventing Chronic Emotional Distress in Stroke Survivors and Their Informal Caregivers. Neurocritical care, 30(3), 581-589.

Publication 2019

Cerebrovascular Accident Nurses Nursing, Team Patients

Zambia Perinatal Outcomes Retrospective Analysis

A retrospective analysis was conducted among women who delivered at the University Teaching Hospital (UTH) in Lusaka, Zambia, between January 1, 2008, and December 31, 2012. The present study was approved by the ethical review committees at the University of Zambia (Lusaka, Zambia) and the University of North Carolina (Chapel Hill, NC, USA). Individual informed consent was not sought because the data were collected as part of routine medical care.
Located in Zambia’s capital city, UTH serves a primary catchment population of approximately 2 million. This facility is the province’s only tertiary care center and, in this capacity, UTH receives a high volume of transfers; however, it also provides primary-level care for individuals who live in neighboring communities. The 17-bed labor ward offers 24-hour coverage by midwives, doctors in training, and qualified obstetrician–gynecologists. With three operating theatres, including one dedicated to obstetrics, UTH was the main facility providing cesarean delivery in the Lusaka public sector during the present study period. The UTH neonatal intensive care unit (NICU) is located 150 m from the delivery ward and is staffed by specialist pediatricians and a dedicated nursing team. Patients who are referred to UTH from primary care facilities are provided health services free of charge. Individuals who seek care at UTH without a formal referral (i.e. self-referrals) incur a one-time fee equivalent to US$15.
The present study used observational data from the Zambia Electronic Perinatal Record System (ZEPRS), which collects detailed medical information about prenatal, intrapartum, and newborn care across the Lusaka public health sector [11 ]. This system has been implemented across 25 health centers, including 13 with delivery facilities [11 ]. The ZEPRS application employs real-time data entry at the point of care. A unique identification number is automatically generated for all neonates on delivery and is linked with the mother’s medical record. Data are uploaded on a central server and their quality regularly assessed.
The present study included women with pregnancy information recorded in ZEPRS who had delivered at UTH. This cohort was compared with a group of women who had delivered at primary care facilities in Lusaka. Demographic characteristics assessed included medical history, obstetric history, and pregnancy outcomes. At the time of enrollment, fetuses with an estimated gestational age of less than 20 weeks were dated according to the mother’s last menstrual period. For those with an estimated gestational age of at least 20 weeks, a simple algorithm was implemented that considered the last menstrual period and fundal height at clinical examination [11 ]. If the results obtained by these two methods were more than 3 weeks apart, gestational age was determined from fundal height alone.
Maternal outcome measures included maternal mortality, cesarean delivery, and prenatal or intrapartum hemorrhage. Adverse neonatal outcomes included stillbirth, a low 5-minute Apgar score (<7), and NICU admission. Stillbirth was defined as the delivery of a non-viable fetus at a gestational age of 28 weeks or older. This event was further subclassified as “fresh” (suggestive of intrapartum demise) or “macerated” (suggestive of prenatal demise) on the basis of degenerative skin changes on physical examination at birth [12 ,13 (link)].
The data were analyzed using SAS version 9.3 (SAS Institute, Cary, NC, USA). The data were divided into 3-month windows from the first quarter to the fourth quarter of each year. Point estimates with 95% confidence intervals were calculated for each outcome of interest. Graphical representations were generated of the observed percentages over time. The time trend was then modeled using two separate approaches: a LOESS curve (a non-parametric method that fits simple models to localized data subsets without imposing a predefined structure) and a linear regression line (to determine the relationship between quarter and each outcome of interest). P<0.05 was considered statistically significant.

Vwalika B., Stoner M.C., Mwanahamuntu M., Liu K.C., Kaunda E., Tshuma G.G., Somwe S.W., Ahmed Y., Stringer E.M., Stringer J.S, & Chi B.H. (2016). Maternal and newborn outcomes at a tertiary care hospital in Lusaka, Zambia, 2008– 2012. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 136(2), 180-187.

Publication 2016

Apgar Score Cesarean Section Childbirth Ethical Review Fetus Gestational Age Gynecologist Hemorrhage Infant, Newborn Menstruation Midwife Mothers Nursing, Team Obstetric Delivery Obstetrician Obstetric Labor Patients Pediatricians Physical Examination Physicians Point-of-Care Systems Pregnancy Primary Health Care Public Sector Seizures Skin Woman

Most recents protocols related to «Nursing, Team»

Evidence-Based Nursing Team Setup

To set up the medical evidence-based clinical nursing technical team, the team members included: 1 head nurse of rehabilitation department as the team leader, 1 rehabilitation doctor as the deputy team leader, 2 graduate students and 1 undergraduate as the team members. The education requirements were a bachelor’s degree or above and proficient in professional knowledge related to medical evidence-based clinical nursing techniques.
In the evidence-based nursing group, 2 group members read the full text independently, and extracted the basic data in the study according to a unified format, such as the author, the total number of cases, the number of cases in the experimental group and the control group, the way of randomization, the balance between groups, curative effect, outcome indicators and so on, and sorted out the data in a list. In case of any disagreement during data extraction, it can be resolved through discussion or by the ruling of the third researcher.

Zang Y.T., Bai M.J., Wang L., Zhang M.X, & Li L. (2023). Effects of acupuncture and pelvic floor muscle training on bladder dysfunction after spinal cord injury: A meta-analysis. Medicine, 102(10), e33048.

Publication 2023

Nurses, Head Nursing, Team Physicians Rehabilitation Student

Continuity Model-Based Nursing Intervention for Severe Adrenal Tumors

A continuity model-based nursing intervention team of 7 senior nurses, with a deputy head nurse in charge of organizing and managing nursing team members and providing health education to severe adrenal tumor patients. Three urology postgraduates were recruited as researchers, mainly responsible for internet social tools (WeChat and QQ groups), data arrangement, and data analysis. The continuity model-based nursing intervention strategy was carried out by 3 nurses who were in charge of treating patients with severe adrenal tumors. Each team was in charge of carrying out nursing intervention tasks for 10 to 12 patients. All team members were trained in the nursing intervention course based on a continuous model for severe adrenal tumors for 6 months, passed an examination on their theoretical and practical knowledge, and started work once they had passed the examination. To ensure the successful implementation of the continuity model-based nursing intervention, the team members for the continuity model-based nursing intervention shared responsibility for the follow-up and supervision of severe adrenal tumor patients.

Yao J., He W., Chen H, & Qi Y. (2023). Nursing effect of continuous nursing intervention based on “Internet Plus” on patients with severe adrenal tumor. Medicine, 102(10), e33187.

Publication 2023

Adrenal Gland Neoplasms Charge Nurses Education of Patients Head Health Education Nurses Nurses, Head Nursing, Team Patients Supervision

Pediatric Healthcare Workforce Assessment

The hospital employs 4000 health professionals²¹, who are responsible for providing hospital care for 250,000 people, 133,000 of them are pediatric population (from 0 to 14 years old) according to the Spanish National Statistical Institute. Pediatric population are defined in Spain as children from 0 to 14 years old although this range vary between countries²².
Workers from the pediatricians, nursing and nursing assistant teams (pediatrician, pediatrician resident, pediatric nurse, pediatric nurse resident and nursing assistant) belonging to eleven different pediatric units (Emergency, Intensive Neonatal Care, Intensive Pediatric Care, Oncology, Neonatology, Infant hospitalization, Pre-school hospitalization, School-age hospitalization, Surgery, Reanimation and Ambulatory pediatrics) in the hospital were invited to the study.

Palomares González L., Hernández Caravaca I., Gómez García C.I, & Sánchez-Solís de Querol M. (2023). Parental presence during invasive pediatric procedures: what does it depend on?. Revista Latino-Americana de Enfermagem, 31, e3828.

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Publication 2023

Child Child, Preschool Emergencies Hispanic or Latino Hospitalization Infant Infant, Newborn Intensive Care Neoplasms Nursing, Team Nursing Assistants Operative Surgical Procedures Pediatricians Pediatric Nurse Workers

Surveillance and Precautions for CRGNB

In the intervention period, stool or perirectal swabs for CRPA, CRAB, and CRE surveillance cultures and sputum, or endotracheal cultures for CRPA or CRAB, were obtained from patients within 2 days of their admission to the ICU and weekly thereafter. In the intervention period, preemptive isolation and contact precautions were implemented at admission, and if the initial surveillance test was negative, contact precautions were ceased, and standard precautions were continued. If the initial surveillance test or subsequent surveillances or clinical culture tests were positive for CRGNB, isolation and contact precautions were continued until 3 negative consecutive test results were obtained. In the control period, surveillance testing was not performed, and if clinical specimens were positive for CRGNB, contact precautions were implemented. During both the intervention and control periods, daily chlorhexidine-bathing was performed in all ICUs, and contact precautions were required in patients with MRSA and VRE colonization or infection. In period 2 (from April to June 2020), universal use of personal protective equipment (PPE) (gown, glove, KF94 mask, and face shield or goggle) was implemented for response to COVID-19 pandemic when caring patients in ICUs. During the whole study period, hand hygiene compliance was observed 4 times by a year by the infection control team staff, and the results by units were disclosed to all hospital staffs. Promotions for improving the compliance of hand hygiene included frequent monitoring and real-time feedback by infection control leader in ICU nursing team, and hospital-wide rewards given to the units with high hand hygiene compliance.
If outbreaks of CRGNB occurred, surveillance and post-outbreak surveillance in the control period were permitted.

Jung J., Park J.H., Yang H., Lim Y.J., Kim E.O., Lim C.M., Kim M.N., Jo M.W., Yun S.C, & Kim S.H. (2023). Active surveillance testing to reduce transmission of carbapenem-resistant, gram-negative bacteria in intensive care units: a pragmatic, randomized cross-over trial. Antimicrobial Resistance and Infection Control, 12, 16.

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Publication 2023

Brachyura Chlorhexidine COVID 19 Face Feces Infection Infection Control isolation Methicillin-Resistant Staphylococcus aureus Nursing, Team Patients Personnel, Hospital Sputum

Minimally Invasive Nasal Polyp Removal

Preoperatively, the patient was received at the hospital by the nursing team and escorted to the operating room for local anaesthesia. Patients received no premedication and were placed in a semi-seated position to limit the risk of inhalation. Local anaesthesia was performed by dabbing the nasal cavities with cotton-wool soaked in naphazoline with xylocaine for 10 minutes. No infiltration of vasoconstrictor was performed. Using a microdebrider (Medtronic^® 2.9 mm blade, Dublin, Ireland) connected to a suction tube, the surgery consisted in polyp removal, without opening the paranasal sinuses that were not opened during previous operations. Posterior nasal packings were used to prevent inhalation only in case of significant intraoperative bleeding. Most of the time, posterior nasal packings were not needed as small amounts of bleeding were easily suctioned by the microdebrider. Postoperative treatment included large-volume nasal lavages, corticosteroid nasal sprays (400 micrograms a day) and antibiotic therapy (amoxicillin-clavulanic acid for 7 days). No systemic corticosteroid therapy was prescribed in any case.

Mimari C., Radulesco T., Penicaud M., Dessi P, & Michel J. (2023). Surgical management of chronic rhinosinusitis with nasal polyps under local anaesthesia: indications and results. Acta Otorhinolaryngologica Italica, 43(1), 42-48.

Publication 2023

Adrenal Cortex Hormones Amox clav Antibiotics Gossypium Inhalation Local Anesthesia Naphazoline Nasal Cavity Nasal Lavage Nasal Sprays Nose Nursing, Team Operative Surgical Procedures Patients Polyps Premedication Sinuses, Nasal Sitting Therapeutics Vasoconstrictor Agents Xylocaine

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More about "Nursing, Team"

Nursing teams are essential for delivering high-quality, evidence-based care in a wide range of settings.
These collaborative groups of healthcare professionals, including nurses and other specialists, work together to provide comprehensive, patient-centered care.
The unique skills and expertise of each team member are leveraged to enhance communication, coordination, and patient outcomes.
Effective nursing teams utilize a variety of tools and technologies to support their work.
For example, the NZY Tissue gDNA Isolation Kit can be used to extract high-quality DNA samples for research, while the ELx 808 spectrophotometric microplate reader can be used to analyze those samples.
The ActiGraph GT9X Link is a wearable device that can track patient activity and sleep patterns, providing valuable data for the nursing team.
Statistical software like Stata 15.0, SPSS for Windows version 22.0, SAS 9.4, and Stata 16 are also important tools for nursing teams, allowing them to analyze data, identify trends, and make evidence-based decisions.
The SARS-CoV-2 rapid antigen test, meanwhile, can be used to quickly screen patients for COVID-19, a critical task for nursing teams working in healthcare settings.
By leveraging these tools and technologies, nursing teams can optimize their workflow, improve patient outcomes, and deliver the highest quality of care.
Whether working in hospitals, clinics, or community settings, these collaborative, interdisciplinary groups are essential for meeting the complex healthcare needs of patients.