Current Issue : October - December Volume : 2014 Issue Number : 4 Articles : 8 Articles
Diabetes mellitus, a systemic disease caused by imbalance between insulin supply and insulin demand is a common chronic disease requiring lifelong behavioural and life style change. The research was carried out to assess the correlation between hypoglycemia fear and self-care ability of patients with type II diabetes mellitus on insulin therapy. A descriptive co-relational research design was used to assess the hypoglycemia fear and self-care ability among 150 patients with type II diabetes mellitus on insulin therapy in selected hospitals at Mangalore. Purposive sampling technique was used to collect the sample for study. The data was collected by using rating scales. In the self-care inventory scale 41.33% of subjects scored between 36-40 and 59.33% of subjects scored between 71-80 in hypoglycemia fear survey. There was a significant association between the hypoglycemia fear with demographic characteristics of age (p = 0.769), type of treatment (p = 0.034), educational status (p = 0.037), type of family (p = 0.203), place of residence (p = 0.244), religion (p = 0.923), income of the family (p = 0.997), habit of alcohol intake (p = 0.335) and duration of diabetic mellitus (p = 0.029). The study also found that there was a positive and significant correlation between the hypoglycemia fear and self-care ability (r(148) = 0.032; p<0.05). The findings of the study concluded that when self-care ability increases, the hypoglycemia fear also increases....
Background. Implementing simulation requires a substantial commitment of human and financial resources. Despite this, little\nis known about the strategies used by academic nursing leaders to facilitate the implementation of a simulation program in\nnursing curricula. Methods. Aconstructivist grounded theory study was conducted within 13 nursing programs in Ontario, Canada.\nPerspectives of key stakeholders (???? = 27) including nursing administrators (???? = 6), simulation leaders (???? = 9), and nursing faculty\n(???? = 12) were analyzed using the constant comparison method. Results. Nursing leaders, specifically nursing administrators and\nsimulation leaders who successfully led the adoption and incorporation of simulation into nursing curricula, worked together and\nutilized negotiating, navigating, and networking strategies that impacted the adoption and incorporation of simulation into nursing\ncurricula. Conclusions. Strategies that were found to be useful when planning and executing the adoption and incorporation of an\ninnovation, specifically simulation, into nursing curricula provide practical approaches that may be helpful to nurse leaders when\nembarking upon an organizational change....
Majority of the patients experience varying degrees of fear and anxiety when hospitalized before CABG. The research\nwas carried out to ascertain the amount of in-hospital social support received by CABG patients and the impact of this support\non their feelings of fear and anxiety. A descriptive comparative approach was used to assess the level of anxiety, fear and inhospital\nsocial support by nurses among 75 CABG patients in selected hospitals at Mangalore. Purposive sampling technique was\nused to collect the sample for study. The data was collected by using rating scales. Majority (82.6%) of the sample had moderate\nanxiety, fear on the day of admission (94.6%) and before surgery (85.3%), whereas majority of the sample (90.6%) reported\nnormal after two days of surgery. All subjects got moderate in-hospital social support on the day of admission and majority of\nthe patients got high support before surgery (93.3%) and all subjects got higher support two days after surgery also the\ncorrelation with the level of anxiety, fear and in-hospital social support from nurses among CABG showed that before surgery\nand two days after surgery, there was a negative correlation between anxiety and in-hospital social support, fear and in-hospital\nsocial support (r73 = 0.232). The study also found that there was a significant relationship between demographic variables and\nclinical factors with the level of anxiety, fear and in-hospital social support. The findings of the study concluded that when the\namount of in-hospital social support was high, patients experienced lower levels of fear and anxiety....
Osteoarthritis is the single most important cause of disability in elderly people. The knee is the most often affected weight-bearing joint, consequently knee osteoarthritis is an extremely common cause of disability in the older community. The research was carried out to evaluate the findings concerning the application of home based exercises for Osteoarthritis of the knee. A quasi experimental one group time series design was used to assess level of pain and functional performance among elderly with knee osteoarthritis in selected old age homes at Mangalore. 30 patients with mild and moderate pain were selected by using purposive sampling technique and a pre test was conducted on the first day using the numerical pain rating scale and KOOS Scale among old age inmates. Home based exercises were taught on the 2nd day, 8th day, 14th day and 21st day to the samples. A post test was conducted at 15th and 30th day to evaluate the effect of home based exercises on pain and functional performance. Mean post-test 1 and post-test 2 pain scores were lower than mean pre-test pain scores. The post test 1 and post test 2 mean values of functional performance scores were more than the pre test means values of functional performance scores. The study showed that there was a significant difference between the pre test and post test scores of pain and functional performance. The study also revealed that there was a negative correlation between pain and functional performance. The findings of the study concluded that home based exercises are effective in reducing the pain and improving the functional performance among the elderly with knee osteoarthritis....
Nurses play a major role in promoting the baby-friendly hospital initiative (BFHI), yet the adoption of this initiative by nurses\nremains a challenge in many countries, despite evidences of its positive impacts on breastfeeding outcomes. The aim of this study\nwas to identify the factors influencing perinatal nurses to adopt the BFHI in their practice. Methods.Asample of 159 perinatal nurses\nfromsix hospital-based maternity centers completed a survey based on the theory of planned behavior.Hierarchicalmultiple linear\nregression analyses were performed to assess the relationship between key independent variables and nurses� intention to adopt the\nBFHI in their practice. A discriminant analysis of nurses� beliefs helped identify the targets of actions to foster the adoption the\nBFHI among nurses. Results.The participants are mainly influenced by factors pertaining to their perceived capacity to overcome\nthe strict criteria of the BFHI, the mothers� approval of a nursing practice based on the BFHI, and the antenatal preparation of the\nmothers. Conclusions. This study provides theory-based evidence for the development of effective interventions aimed at promoting\nthe adoption of the BFHI in nurses� practice....
The aim of this paper is to deepen the understanding of depressed elderly persons� lived experiences of physical health problems.\nIndividual in-depth interviews were conducted with 15 depressed elderly persons who suffer from physical health problems.\nA hermeneutic analysis was performed, yielding one main theme, living with stigma, and three themes: longing to be taken\nseriously, being uncertain about whether the pain is physical or mental, and a sense of living in a war zone. The second theme\ncomprised two subthemes, feeling like a stranger and feeling dizzy, while the third had one subtheme: afraid of being helpless and\ndependent on others. Stigma deprives individuals of their dignity and reinforces destructive patterns of isolation and hopelessness.\nNurses should provide information in a sensitive way and try to avoid diagnostic overshadowing. Effective training programmes\nand procedures need to be developed with more focus on how to handle depressive ill health and physical problems in older\npeople....
Background. Limited research has been conducted on the moderating effect of race/ethnicity on objective sleep disturbances in\nbreast cancer survivors (BCSs). Objective. To explore racial/ethnic differences in objective sleep disturbances among BCSs and their\nrelationship with self-reported symptoms. Intervention/Methods. Sleep disturbance and symptoms weremeasured using actigraphy\nfor 72 hours and self-reported questionnaires, respectively, among 79 BCSs. Analysis of covariance, Pearson�s correlation, and\nmultivariate regression were used to analyze data. Results. Sixty (75.9%) participants listed their ethnicity as white, non-Hispanic\nand 19 (24.1%) as minority. Total sleep time was 395.9 minutes for white BCSs compared to 330.4 minutes for minority BCSs.\nSignificant correlations were seen between sleep onset latency (SOL) and depression, SOL and fatigue, and sleep efficiency (SE) and\nfatigue among minority BCSs. Among white BCSs, significant correlations were seen between SE and pain and wake after sleep\nonset (WASO) and pain. The association between depression and SOL and fatigue and SOL appeared to be stronger in minority\nBCSs than white BCSs. Conclusions. Results indicate that white BCSs slept longer than minority BCSs, and race/ethnicity modified\nthe effect of depression and fatigue on SOL, respectively. Implications for Practice. As part of survivorship care, race/ethnicity should\nbe included as an essential component of comprehensive symptom assessments....
In the RAFAELA patient classification system, the professional assessment of optimal nursing care intensity level (PAONCIL)\ninstrument is used to assess the optimal nursing intensity level per unit. The PAONCIL instrument contains an overall assessment\nof the actual nursing intensity level and an additional list of central nonpatient factors that may increase or decrease the total\nnursing workload (NWL). The aimof this cross-sectional study was to assess and determine which nonpatient factors affect nursesââ?¬â?¢\nexperiences of their total NWL in both outpatient settings and hospitals, as captured through the PAONCIL instrument. The\ndata material consisted of PAONCIL questionnaires from 38 units and 37 outpatient clinics at 11 strategically selected hospitals\nin Finland, and included nursesââ?¬â?¢ answers (n = 1307) to the question of which factors, other than nursing intensity, affect total\nNWL. The methods for data analyses were qualitative content analyses. The nonpatient factors that affected nursesââ?¬â?¢ experiences of\ntotal NWL are ââ?¬Å?organization of work,ââ?¬Â ââ?¬Å?working conditions,ââ?¬Â ââ?¬Å?self-control,ââ?¬Â and ââ?¬Å?cooperation.ââ?¬ÂThe actual list of nonpatient factors\nin the PAONCIL instrument is to a reasonable extent relevant, but the list should be improved to include nursesââ?¬â?¢ actual working\nconditions and self-control....
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