RESUMEN
AIM: The aim of this study was to gain insight into the perception of nurses about their roles in medical-surgical units. BACKGROUND: As a result of ever-changing work environments, medical-surgical nurses find it difficult to know and practice according to the full scope of their roles. DESIGN: A qualitative descriptive study. METHODS: Semi-structured individual interviews were conducted with 21 nurses on three campuses of a large tertiary care hospital located in Quebec, Canada. Thematic analysis was used to construe meaning from the interviews. This research adheres to the Standards for Reporting Qualitative Research guidelines and checklist. RESULTS: The data analysis resulted in three main themes: (i) confusion in nurses' roles and scope of practice; (ii) challenges in the continuity of care and (iii) factors affecting the roles of nurses in medical-surgical units. CONCLUSION: Attention must be paid to the care continuum as it represents a critical element for surgical patients' quality and safety of care. RELEVANCE TO CLINICAL PRACTICE: Medical-surgical nurses should understand their roles and the factors that limit their full scope of practice in order to provide and manage complex care situations. Additionally, an interdisciplinary approach is a strategy that may better respond to patients' clinical needs across the surgical journey.
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Rol de la Enfermera , Enfermeras y Enfermeros , Humanos , Investigación Cualitativa , Continuidad de la Atención al Paciente , QuebecRESUMEN
BACKGROUND: Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population. METHODS: Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). RESULTS: From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity. CONCLUSIONS: Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.
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Ejercicio Físico , Conocimientos, Actitudes y Práctica en Salud , Motivación , Obesidad/rehabilitación , Prioridad del Paciente/psicología , Caminata , Índice de Masa Corporal , Humanos , Apoyo SocialRESUMEN
For many years, nurses have contributed in the advancement of knowledge in nursing. From theories to conceptual models, several researchers offered their vision on how to achieve this goal. Beyond the diversity and differences of opinion, monistic and pluralistic conceptions emerge from their position. Using Karl Popper's (1979) theories of open and closed societies and McLennan's (1995) definition of pluralism, this study argues for pluralism in nursing. Pluralism provides the opportunity for nurse researchers to combine their research to other theories, other concepts, other approaches and other disciplines to enable further analysis and a broader perspective of the nursing discipline. This study is a theoretical reflection on interdisciplinarity in nursing research.