The organisational culture of nursing staff providing long-term dementia care is related to quality of care

Evid Based Nurs 2011;14:88-89 doi:10.1136/ebn1158 Claire Goodman

Centre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire, UKCorrespondence to Claire Goodman
Centre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire AL10 9AB, UK; c.goodman{at}herts.ac.ukCommentary on: van Beek AP, Gerritsen DL. The relationship between organizational culture of nursing staff and quality of care for residents with dementia: questionnaire surveys and systematic observations in nursing homes. Int J Nurs Stud 2010; 47: 1274– 82.

? Structured approaches that enable nursing staff to consider the culture of care they work within are likely to support reflection, critical discussion and improved quality of care.

? The physical and psychosocial care environment, characteristics of the nursing work and nursing staff, influence the well-being of people with dementia.

? Understanding how organisational culture can influence the quality of care is an important topic for nursing research.

? How the culture of care affects residents' quality of life and health outcomes needs further research.

? Intervention studies in care homes need to consider how to assess organisational context and culture and how different cultural contexts influence outcomes.

As the population ages and more people require long-term care, how the culture of a nursing …

Free archive
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

View the original article here

Using research findings in nursing practice

Alison TwycrossCorrespondence to Alison Twycross
Reader in Children's Nursing, Faculty of Health and Social Care Science, Kingston University- St George's University of London, London SW17 0RE, UK; a.twycross{at}sgul.kingston.ac.ukWelcome to the July edition of Evidence-Based Nursing ( EBN). In this edition, there are two new features which we hope will enable readers to use evidence in practice more effectively. The first of these is the Research Made Simple series. This will provide a one-page overview about key areas of research with the aim of increasing readers' understanding of the research process. The first article in the series, written by Jane Clarke, one of the associate editors for the journal, identifies the key features of a systematic review. Other articles in the series will explore other areas of research including ‘what is a randomised controlled trial?’ and ‘qualitative data analysis’.

The other new item in this edition is the Resource Page. This page will be included in each edition of the journal and will bring together new and updated sources of information about current evidence for nursing practice. Information has been collated from the Cochrane Nursing Network, …

View the original article here

Skin protection wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions

Evid Based Nurs 2011;14:79-80 doi:10.1136/ebn1167 Dimitri Beeckman1,2, Katrien Vanderwee2

1King's College London, Florence Nightingale School of Nursing & Midwifery, Department of Adult Nursing, London, UK

2Ghent University, Department of Public Health, Nursing Science Unit, Belgium Correspondence to Dimitri Beeckman
James Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK; dimitri.beeckman{at}kcl.ac.ukCommentary on: Brienza D, Kelsey S, Karg P, et al. A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions. J Am Geriatr Soc 2010; 58: 2308– 14.

? A pressure redistributing wheelchair cushion, used in a fitted wheelchair, is recommended to reduce the incidence of sitting-acquired pressure ulcers in nursing home residents.

? Selecting a wheelchair cushion must be a thought-out and well-advised decision and must be based on the expertise of a multidisciplinary team specialised in seating and mobility.

? Wheelchair fit and function must be monitored and adjusted frequently to avoid missing foot and arm rests which may cause more pressure and shear on the bony prominences.

? More research is needed to study the effect of repositioning protocols (posture and frequency) for at-risk patients seated in a wheelchair.

When seated in a chair, the body weight causes the greatest exposure to pressure over the ischial tuberosities. …

Free archive
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

View the original article here

Emergency Nursing Resource: Needle-Related Procedural Pain in Pediatric Patients in the Emergency Department

European Online Customer Service
The Boulevard
Langford Lane, Kidlington
Oxford. OX5 1GB
UK
Hours: Monday - Friday, 8:30am - 5:00pm (Greenwich Mean Time/British Summer Time)
Tel: +44 (0) 1865-843177 (Within Europe)
Fax: +44 (0) 1865-843970
E-mail: eurosupport@elsevier.com

North American and Rest of World Online Customer Service
6277 Sea Harbor Drive
Orlando. FL 32887-4800
USA
Hours: Monday - Friday, 7:30am - 6:00pm EST (Eastern Standard/Daylight Time)
Tel: (800) 654-2452 (Toll Free US & Canada)
Tel: (407) 345-4299 (Outside US & Canada)
Fax: (407) 363-9661
E-mail: elspcs@elsevier.com

View the original article here