Current Issue : July - September Volume : 2016 Issue Number : 3 Articles : 7 Articles
Background: It is important that mental health nurses meet the safety, security and care needs of persons suffering\nfrom psychotic illness to enhance these persons� likelihood of feeling better during their time in acute psychiatric\nwards. Certain persons in care describe nurses� mental health care as positive, whereas others report negative\nexperiences and express a desire for improvements. There is limited research on how persons with psychotic\nillness experience nurses� mental health care acts and how such acts help these persons feel better. Therefore,\nthe aim of this study was to explore, describe and understand how the mental health nurses in acute psychiatric\nwards provide care that helps persons who experienced psychotic illness to feel better, as narrated by these persons.\nMethod: This study had a qualitative design; 12 persons participated in qualitative interviews. The interviews were\ntranscribed, content analysed and interpreted using Martin Buber�s concept of confirmation.\nResults: The results of this study show three categories of confirming mental health care that describe what helped\nthe participants to feel better step-by-step: first, being confirmed as a person experiencing psychotic illness in need\nof endurance; second, being confirmed as a person experiencing psychotic illness in need of decreased psychotic\nsymptoms; and third, being confirmed as a person experiencing psychotic illness in need of support in daily life. The\nunderlying meaning of the categories and of subcategories were interpreted and formulated as the theme; confirming\nmental health care to persons experiencing psychotic illness.\nConclusion: Confirming mental health care acts seem to help persons to feel better in a step-wise manner during\npsychotic illness. Nurses� openness and sensitivity to the changing care needs of persons who suffer from psychotic\nillness create moments of confirmation within caring acts that concretely help the persons to feel better and that may\nenhance their health. The results show the importance of taking the experiential knowledge of persons who have\nexperienced psychotic illness seriously to develop and increase the quality of mental health care in acute psychiatric\nwards....
Background.Despite decades of research and the availability of effective analgesic approaches, many children continue to experience\nmoderate-to-severe pain after hospitalization. Greater research efforts are needed to identify the factors that facilitate effective\npain management. The aim of this study was to explore the perceptions of Iranian nurses on facilitators of pain management in\nchildren. Materials and Methods. This qualitative study collected the data profoundly through unstructured interviews with 19\nnurses in A mirkola Children�s Hospital in Babol and Children�s Medical Center in Tehran, during 2013-2014. Purposeful sampling\nand analysis of the data were conducted using conventional qualitative content analysis. Results. Four the meswere extracted through\ndata analysis: mother and child participation in diagnosis and pain relief, the timely presence of medical staff and parents, proper\ncommunication, and training and supportive role of nurses. Conclusion.Mother and child participation in the report and diagnosis\nof pain and non pharmacological interventions for pain by the mother, the timely presence of medical team at the patient�s bedside,\nand proper interaction along with the training and supportive role of a nurse enhanced the optimal pain management in hospitalized\nchildren....
Background: Use of over-the-counter analgesics among adolescents has increased markedly. High consumption of\nover-the-counter analgesics among adolescents is associated with frequent pain, lower self-esteem, reduced sleep,\nlower educational ambition, binge drinking, higher caffeine consumption, and part-time employment. Knowledge\nabout life experiences of adolescents who frequently use over-the-counter analgesics may be useful to prevent\nhealth problems. The purpose of the study was to increase knowledge about adolescents who suffer from frequent\npain and have a high consumption of over-the-counter analgesics.\nMethods: A qualitative study, employing one-on-one, in-depth interviews using a thematic interview guide. Data\nwere collected in Norway in 2013ââ?¬â??2014. Three boys and sixteen girls; aged 14ââ?¬â??16 years, who continuously\nconsumed over-the-counter analgesics were recruited from ten high schools in urban and suburban districts.\nCandidate participants were excluded if they were medically diagnosed with an acute or chronic illness, requiring\nextended use of over-the-counter analgesics within the last year. The interviews were taped, transcribed and analysed\nas text according to Kvaleââ?¬â?¢s three contexts of interpretation: self-understanding, common sense and theory.\nResults: All participants disclosed unresolved physical and psychosocial distress characterized as pain. Frequent pain\nfrom various body parts made everyday life challenging. Methods of pain self-appraisal and over-the-counter analgesics\nuse often mimicked maternal patterns. Participants reported being raised under unpredictable circumstances that\ncontributed to long lasting family conflicts and peer-group problems. Participants wanted to feel appreciated and\nto be socially and academically successful. However, pain reduced their ability to manage everyday life, hampered\nexperienced possibilities for success, and made social settings difficult.\nConclusions: Childhood experiences influence how adolescents experience pain and use over-the-counter analgesics.\nCoping with difficult situations or attempting to mask symptoms with over-the-counter analgesics can perpetuate and\namplify underlying problems. High consumption of over-the-counter analgesics and frequent pain may be warning\nsigns of adolescents with possible health threatening conditions and reduced quality of life. These adolescent might\nbe in need of support from school nurses and General Practitioners. This study identifies new perspectives that may\nlead to novel approaches to identify, guide, and support adolescents with frequent pain and high consumption of\nover-the-counter analgesics....
Diabetes mellitus is a global health problem, a chronic disease and is now growing as an epidemic in both developed and developing countries. There are lots of home remedies which are available but due to insufficient knowledge people use only some of them for example aloe vera, bitter gourd, gooseberry, onion juice and garlic etc. An Exploratory study was carried out in villages of Ludhiana that is Sarabha and Aitiana, Ludhiana, Punjab to assess the knowledge and practice regarding the use of home remedies in diabetes mellitus among adults (45-65 years). Total enumeration sampling technique was adopted and 110 diabetic adults were chosen as sample. The selected respondents were studied to assess knowledge and practice regarding use of home remedies in diabetes mellitus among diabetic adults. A self structured questionnaire and check list was developed to assess the knowledge and practice regarding the use of home remedies. The data was collected by interview technique and the data was analyzed by using descriptive and inferential statistics. The findings of the present study indicates that from the Total 110 diabetic adult more than half that is 58 diabetic adults having average level of knowledge. The findings regarding the practice shows that from the total 70 diabetic adults more than one fourth diabetic adults that is 30 diabetic adults having average level of practice regarding use of home remedies. There is negative correlation between knowledge and practice scores. Instead of having average level of knowledge their practice of using home remedies was poor. So it is recommended that community health nurse should arrange health education campaign to assess and increase the awareness regarding the practice of using home remedies among diabetic patients and general public....
Aim: The aim of this study is to provide insight into nurses� role and their experiences of leading\nan education and counselling group intervention for women after gynecological cancer. Methods:\nA qualitative study, based on focus group interview and logs from nurses who led the intervention,\nwas conducted. Findings: The group leaders were touched by the women�s community and were\ngiven a deeper understanding of lived experiences after cancer. These insights raised the groupleaders�\nunderstanding of nursing and influenced them to sharpen focus on patient care and\npriorities in cancer care and follow-up. Being a group-leader meant creating a trusting and secure\natmosphere in which the individual woman�s own coping resources was strengthened and empowered.\nEqually important, the nurses worked continuously and substantially on themselves to\nbuild strength and endurance related to situations that called for competent leadership. Conclusion:\nBeing competent in group leadership and having knowledge in the field of cancer are important\nqualifications for group leaders. Practice Implications: The study shows that nurses gain\nvaluable insight and knowledge about women�s lived experiences of going through gynecological\ncancer, cancer treatment and rehabilitation. As such, this intervention seems to be educational for\nnurses, as well as for participants....
Background: Observation is an important skill for making appropriate nursing decisions and engaging\nin good practice. However, experts� observation behavior and cognitive processes cannot\nbe easily verbalized or documented in an objective and accurate manner. Quantitative analysis of\nthe observation behavior of nurses with rich clinical experience will yield effective educational\ndata for fostering and improving nursing students� observation skills. Objectives: To improve\nnursing assessment education, the differences in the information gathering processes between\nclinical nurses and nursing students were analyzed by using a portable eye-tracker. Design: An\nexperimental study. Settings: The experiment was performed at a university in Japan. Participants:\nThe participants were 11 clinical nurses with at least 5 years of clinical experience for postoperative\npatients, and 10 fourth-year nursing students. Methods: In a mock hospital room, wherein we\nrecreated a situation where a patient in postoperative day 1 was confined to a bed, participants\nwore an eye-tracking camera and engaged in nursing observation to make an early postoperative\nambulation assessment of the patient. Participants� gaze points and gaze fixation durations were\nextracted from the gaze measurement data and compared. Results: Clinical nurses had shorter\nobservation times and gaze durations than did nursing students, and focused more on the patient\nchart, intravenous drip, and indwelling drain. Students gazed for longest at the measuring devices\nfor vital signs. Conclusions: We quantitatively analyzed differences in nursing observation according\nto clinical experience. Although no significant difference was found in gaze points, nursing\nstudents had a greater tendency to focus on information that was numerically displayed. Nurses\nwith clinical experience conducted observations by gazing at information that they needed to focus\non the most according to the patients� postoperative course....
Background: Multi-morbidity, poly-pharmacy and cognitive impairment leave many old patients in a frail condition\nwith a high risk of adverse outcomes if proper health care is not provided. Knowledge about available competence\nis necessary to evaluate whether we are able to offer equitable and balanced health care to older persons with\nacute and/or complex health care needs. This study investigates the sufficiency of nursing staff competence in\nNorwegian community elderly care.\nMethods: We conducted a cross-sectional survey of 1016 nursing staff in nursing homes and home care services\nwith the instrument ââ?¬Å?Nursing Older People ââ?¬â?? Competence Evaluation Toolââ?¬Â. Statistical analyses were ANOVA and\nmultiple regression.\nResults: We found that nursing staff have competence in all areas measured, but that the level of competence was\ninsufficient in the areas nursing measures, advanced procedures, and nursing documentation. Nursing staff in\nnursing homes scored higher than staff in home care services, and older nursing staff scored lower than younger\nnursing staff.\nConclusions: A reason for the relatively low influence of education and training on competence could be the\ndiffuse roles that nursing staff have in community elderly care, implying that they have poor standards against\nwhich to judge their own competence. Clearer role descriptions for all groups of nursing staff are recommended\nas well as general competence development in geriatric nursing care....
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