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  • An Integrative Review of the Literature The Impact of Nightshift Work on Quality of Life and Health and the Impact on Patient Care

    Description:
    This integrative review demonstrates the impact of nightshift work on registered nurse (RN) health and quality of life (QOL) and patient care and outcomes. Bedside nursing entails twenty-four hour patient care and to meet this responsibility, night-shift nurses counter their bodies’ natural circadian rhythm and work overnight until the following morning. Physical impacts from working the night shift include an altered sleep schedule, higher risk for chronic illness and fatigue, poor nutrition and hydration. From a mental standpoint, nurses are more vulnerable to social isolation from the adaptation of a flipped sleep schedule. Other components include decreased job satisfaction and performance. Alongside sleep deprivation, a decrease in job satisfaction and job performance ultimately impact the nurse’s ability to care for patients. A decrease in mental function will impact nurses’ assessments, decisions, etc. Making decisions becomes difficult when you cannot process thoughts and assess situations clearly. It can be argued that while it is important to provide overnight care, the nurses need to look after themselves more than if they worked a day shift schedule, and doing so will benefit their own health. Understanding the relationship between these variables and RN health and QOL as well as patient care and outcomes can stimulate future interventions to lessen the intensity and strain that comes with working the night shift.
    Subject:
    Nursing
    Creator:
    Gonzalez, Denisse
    Contributor:
    Valera A. Hascup, PhD, MSN, RN, CTN, CCES, DLC, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/13/2023
    Date Modified:
    06/13/2023
    Date Created:
    Spring 2023
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper

  • Insurance and Other Barriers to Successful Self-Management of Type 2 Diabetes: An Integrative Review

    Description:
    Self-management is the preferred way to treat patients diagnosed with type 2 diabetes because it puts the emphasis on the patient to change their diet and lifestyle as well as manage their medications in order to successfully manage their diabetes and prevent related complications. However, there are many barriers that exist which may prevent patients from being able to successfully manage their own condition. The aim of this integrative review was to identify and describe potential barriers to diabetes self-management in patients and to explore compliance and success in management with an emphasis on insurance coverage. The literature search was conducted using EBSCOhost, MEDLINE, and CINAHL databases with a search strategy of using keywords such as diabetes, diabetes self-management, barriers to diabetes management, insurance coverage, and successful outcomes in order to gather relevant peer-reviewed articles and studies. The search was limited to a twelve year age limit for sources in an attempt to keep data relevant. The data collection and analysis was based on the conceptual framework developed by Whittemore and Knafl (2005). A total of thirteen studies were included in the review. Three themes occurred as common barriers: insurance coverage, financial burden, and lack of motivation. In conclusion, education has shown to be the most important and cost effective way to overcome barriers and improve diabetes self-management in patients. Recommendations for future research include conducting more studies on self- management of type 2 diabetes, as well as increasing research on how to minimize barriers so that patients can overcome them.
    Subject:
    Nursing
    Creator:
    Langevin, Brittany
    Contributor:
    Valera A. Hascup, PhD, MSN, RN, CTN, CCES, DLC, Thesis Advisor
    Owner:
    lsquillante@saintpeters.edu
    Publisher:
    Saint Peter's University
    Date Uploaded:
    06/13/2023
    Date Modified:
    06/13/2023
    Date Created:
    Spring 2023
    Rights Statement:
    In Copyright
    Resource Type:
    Research Paper