Current Issue : January - March Volume : 2016 Issue Number : 1 Articles : 9 Articles
Background and Objectives. Health communication is a critical aspect of care for both providers and recipients having a direct\ninfluence on engagement and outcomes. Communicating which in this context includes talking and listening in order to share\ninformation or support young women to understand their DSD can be difficult especially since the topic area is sensitive. Methods.\nIn this qualitative study thirteen young women (aged 14ââ?¬â??19 years) with a disorder of sex development who engaged with health\ncare professionals were purposively recruited between 2011 and 2012 from three specialist centres across the United Kingdom.The\nyoung women either were interviewed or completed a diary about their experiences of communication with a range of health care\nprofessionals. An interpretative phenomenological approach was used to analyse these data. Results. By analysis of data the young\nwomen were able to clearly articulate the qualities and skills health professional needed in relation to communication. Two main\ncategories focused on the duty in which professionals have to share information and their role in supporting young women to\nmanage this information. Discussion and Conclusion.The study results revealed that these young women with a DSD expected to\nmeet skilled professionals who could recognise the emotional aspects of dialogues in the short and longer term....
The number of natural and man-made disasters continues to rise worldwide. Nurses constitute the highest percentage of health and medical workforce. It is essential for the nurses to be aware of disaster management protocols. A pre-experimental study was conducted to assess the learning needs of nursing staff regarding disaster management of selected civil hospitals of Punjab. A total of 100 staff nurses were selected with convenient sampling technique. Self structured questionnaire was implemented to assess the learning needs of nursing staff regarding disaster management. Structured teaching programme on disaster management was implemented to nursing staff after taking pre-test. The assessment of pre-test and post-test knowledge score showed statistically highly significant difference (chi-square = 124.3, p value 0.000). There was statistically significant difference found in relationship of pre-test knowledge score of subjects with habitat at p<0.05 level of significance and in-service education at p<0.001 level of significance. There was no subject who had excellent knowledge in pre-test. Further, the results revealed that there was statistically no significant difference found in relationship of post-test knowledge score of subjects with selected variables. There was no subject who had average, below average and poor knowledge in post-test. The study concluded that that effective teaching can lead to improvement in the knowledge of nursing staff regarding disaster management. So there is a need to adopt such programmes continuously to increase the knowledge and preparation of health workers for disaster management....
Introduction. Diabetes mellitus is a chronic debilitating condition characterized by an increased blood glucose level and is associated\nwith significant morbidity, mortality, and increasing health care cost. Diabetic foot ulcers and lower extremity amputations\nare a common, complex, costly, and disabling complication of diabetes. An estimated 15% of patients with diabetes develop a\nlower extremity ulcer. Objective. The aim of this study was to assess knowledge, practice, and barriers of diabetic foot self-care\namong diabetic patients attending Felege Hiwot Referral Hospital. Method. Institution based descriptive cross-sectional study\nwas conducted on 313 diabetic patients using convenient sampling technique. Furthermore, descriptive statistics and binary and\nmultivariate logistic regression were employed to assess the predicators of knowledge and practice of diabetic foot care. Result.\nMajority of respondents were males (64.9%). The mean age was 39.1 Ã?±16. The mean knowledge score was 7.5Ã?± 2.02 of which\n56.2% and 43.8% had good and poor knowledge of foot care, respectively. The mean practice score was 25.2 Ã?± 6.466 of which\n53.0% had good and the remaining 47.0% had poor foot care practice. Of 162 respondents having barriers, 56.8% reported ââ?¬Å?poor\ncommunication between patients and health care providers,ââ?¬Â 50.6% cited ââ?¬Å?I did not know what to do,ââ?¬Â and 44.4% responded\nââ?¬Å?in conveniency for workââ?¬Â as barriers of foot care. Conclusion and Recommendation. Knowledge and practice of foot care of diabetic\npatients are still substandard. Poor communication between patients and nurses/physicians, lack of adequate knowledge, and\nin conveniency for work were commonly cited barriers of foot care. Policy makers should initiate interventional foot care education\nprogram throughout the regional state. The study hospital should consider establishing a specialized diabetic clinic in which foot\ncare education can easily be integrated into follow-up care....
Background: Building capacity in a changing health care system is a challenge for advanced nursing education\nprograms. Master-level nursing education is increasingly becoming the required education level for specialist nurses,\nand additional studies are needed to learn more about studentsââ?¬â?¢ experiences and learning transitions while undertaking\nsuch education. This study aimed to explore nursing studentsââ?¬â?¢ experience of their learning transitions while undertaking\nadvanced nursing education and to describe how they translated the new knowledge and competence they gained\ninto clinical practice.\nMethods: We used a qualitative research design with narrative self-reported reflections. 34 nurses (95 % women) from\nboth urban and rural areas working with children, with adults in outpatient and inpatient endocrinology clinics\nin hospitals or with adults, including older people, attending primary health care services participated in the\nstudy. We collected data at two time points 15 months apart. Time one was the first week of the advanced\nnursing education, and time two was the completion of the education program. We used Malterudââ?¬â?¢s modification of\nGiorgiââ?¬â?¢s phenomenological analysis, otherwise known as systematic text condensation, to analyze the data.\nResults: Two core themes captured the participantsââ?¬â?¢ experiences. The first theme was ââ?¬Å?assessing the situation of people\nwith diabetes from a different perspectiveââ?¬Â, with the subthemes ââ?¬Å?an expanded perspective of practice and higher level of\nreflectionââ?¬Â, ââ?¬Å?applying critical thinking in practiceââ?¬Â and ââ?¬Å?changing patient-nurse relationships in diabetes careââ?¬Â. The second\ncore theme was ââ?¬Å?a change in participantsââ?¬â?¢ perception of their professional positionââ?¬Â, with the subthemes ââ?¬Å?a\ngreater knowledge base enhancing professional confidenceââ?¬Â and ââ?¬Å?a more equal position within the professional teamââ?¬Â.\nConclusions: The study provides in-depth information about transition into advanced nursing education and can\ninform curriculum developers, nurse educators, policy-makers and nursing managers about how nursing education\nbroadened participantsââ?¬â?¢ perspectives of nursing and enhanced their confidence and professional position....
Introduction. Nonexclusive breastfeeding (NEBF) is giving infants other foods or fluids in addition to the breast milk within the\nfirst six months of age. According to Ethiopian Demographic and Health Survey 2011, prevalence of NEBF was found to be 48%;\nthis has a great impact on the health and development of the child. Objectives. To assess the prevalence and associated factors of\nNEBF to infants within the first six months. Methods. Community based cross-sectional study design was employed from March\n1 to 31, 2014, among 828 mothers with infants 6 to 12 months old. Systematic random sampling technique was used to select study\nsubjects. Logistic regression analysis with 95% CI was computed to identify predictor variables. Result. A total of 828 mothers with\ninfants aged between 6 and 12 months were interviewed with 100% response rate. Prevalence of NEBF was 47.5%. Mothers who\ncompleted primary school (AOR = 0.46 [95% CI: 0.30, 0.71]) were less likely practicing NEBF compared to mothers with no formal\neducation. Governmental employees (AOR = 2.55 [95% CI: 1.45, 4.46]) were more likely practicing NEBF. Conclusion. NEBF was\npracticed by 47% of mothers.Maternal educational status, occupation, and knowledge of initiation of complementary feeding were\nfactors significantly associated with NEBF....
Introduction.The new demands of a fast changing world necessitate expanding the traditional concepts of nursing, extending the\nclassical aspects to cover new areas. Purpose. Based on their professional duties, the nursing team in the pharmacy of a secondlevel\nhospital aimed to establish a theoretical and situational framework for nurses working in the central services. Material and\nMethods. Application of the nursing process to nursing work in an area with no direct contact with patients. Results and Discussion.\nThe application of the NANDA diagnoses to professional practice enabled the establishment of a nursing diagnosis with the\nimplementation of measures designed to overcome a stressful situation with a risk of becoming unmotivated. Main Conclusion.\nThe capacity to adapt the nursing profession to undertake new roles in the field of healthcare and the power of nursing own\nmethodological resources permit the indirect care of ââ?¬Å?facelessââ?¬Â patients to be complemented with the inclusion of nurses from\nother services as clients, forming the focus of care, who can thus be helped with their daily care work....
Background. Musculoskeletal disorders have continued to plague nurses in hospitals and long-term care facilities. Low back and\nshoulder injuries are the most prevalent, frequently linked to patient handling activities. Exposure to patient handling has been\npredominantly quantified by subjective responses of nurses. Objective. To directly observe handling of patients and other medical\nequipment for nurses during a 12-hour work shift. Methods. Twenty nurses working in three different intensive care units at a\nMidwest teaching hospital were directly observed during 12-hour day shifts. Direct observation included documenting frequency\nand type of handling performed and whether lift assist devices were utilized. Two additional surveys were completed by nurses to\nassess current pain levels and perceptions of lifting being performed. The observed lifting was compared to the perceived lifting\nwith simple inference statistics. Results. Nurses have a high prevalence of manually lifting patients and medical devices but limited\nuse of lifting assist devices. Nurses handled patients 69 times per shift and medical equipment 6 times per shift, but less than 3%\nutilized a lift assist device. Nurses suffered from high levels of pain at the end of the shift, with the highest prevalence in the lower\nback, lower legs, and feet/ankles (all above 60%)....
Background. Registered nurses (RNs) have a role in the medication administration process (MAP)multiple times per day in a hectic\nhospital environment. This requires a great deal from the RNs in order to accomplish the demanding task of avoiding adverse drug\nevents. However, the process has not been widely studied from the nurses� perspective. Aim.The aim of this study was to describe\nthe different stages of MAP from the RNs� perspective. Methods. A qualitative descriptive research design, with a purposive sample\ninvolving thematic interviews of 20 RNs and questions to them in a paper form, was conducted in two medical units. Data was\nanalyzed by using deductive content analysis. Results.The results revealed that RNs confront numerous problems such as equivocal\nprescriptions, problems with information technology (IT), unavailability or incompatibility of the medicines, a substantial amount\nof generic substitutions, and changing medicine brands. Disruptions and distraction run through each stage of the MAP, excluding\nprescribing. The RNs desire support in all stages of the MAP. Conclusion.There are areas to improve in each stage of the MAP from\nthe RNs perspective. Real-time and ubiquitous documentation, along with software including the data and knowledge required in\nmedication management, is needed....
Background. Around 50ââ?¬â??90% of hemodialysis patients develop pruritus. Although studies examining nonpharmacological\ntreatments for itchy skin have been conducted, the conclusions have not been decisive. Purpose. Through a systematic review of\nthe literature, this study aimed to understand nonpharmacological interventions carried out in clinical trials for uremic pruritus\nand to evaluate and consolidate the information regarding these improvements and their effectiveness. Methods. A literature search\nfocusing on studies published between January 2004 andDecember 2013 was conducted from5 electronic databases.After screening\nbased on inclusion criteria and excluding duplicates, nonpharmacological treatments examined in randomized clinical trials were\nselected for further analysis and synthesis. A modified Jadad scale was used to evaluate the quality of the identified articles.\nResults. Seven nonpharmacological studies met the inclusion criteria. The interventions to improve uremic pruritus included\nusing emollients, phototherapy, acupuncture, and thermal therapy. Research showed that using emollients, phototherapy, and\nacupuncture significantly reduces uremic pruritus. Conclusion. Nonpharmacological interventions are effective for hemodialysis\npatients with pruritus. Emollients were found to provide the most relief compared to the other methods and constitute a readily\navailable and cost-effective intervention to improve pruritus symptoms....
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