Current Issue : October - December Volume : 2016 Issue Number : 4 Articles : 8 Articles
Background: Spinal fusion is the common form of corrective surgery for scoliosis, and it is often accompanied\nwith the occurrence of pressure ulcer development. New research and approaches are needed to address the\nincidence of peptic ulcer in surgical patients.\nObjectives: The study was designed to reduce/prevent the incidence of pressure sores and to improve the health\nof patients undergoing scoliosis surgery.\nMethods: 130 patients with scoliosis surgery were randomly assigned into two groups: 65 patients in the training\ngroup and control group, respectively. The patients in the training group received a pre-surgery visit with adaptive\ntraining on prone position prior to their surgery, while the control group received no such training. Surgery\npreparation time and total time in the surgical room were recorded for all patients. The incidence and size of red skin\nand pressure sores due to scoliosis surgery were also measured and recorded upon surgeries.\nResults: A comparative analysis showed that a pre-surgical visit to the surgical room has significantly reduced\nthe preparation time prior to surgery by up to 15 minutes for patients in test group, which led to an ostensible\nreduction of the total time for the day-of-surgery. The implementation of a pre-set optimal prone position helped test\npatients to reduce the incidence of pressure sores significantly from over 33.8% (control group) to less than 14%\n(test group, p<0.05). In particular, the optimal setting of the prone position with soft gel pats and cushion has\neffectively protected patients from serious facial damage as a result of a lengthy surgical process.\nConclusion: A simple arrangement of a pre-surgical visit with adaptive training for optimal prone position to\nscoliosis patients could have important impacts on reducing the incidence of pressure sore and improving patients�\nhealth condition....
Objective: Anemia is an important complication which affects quality of life and self-care agency in\nhemodialysis patients. The aim of this study was to determine the effects of anemia on quality of\nlife and self-care agency in adult patients who receive chronic hemodialysis treatment. Methods:\nIn this cross-sectional study, the Quality of Life Scale, the Self Care Agency Scale, and a data form\nwere administered to 136 hemodialysis patients who were receiving treatment three hospitalbased\ndialysis units in Istanbul. Results: The health perception of cases whose hemoglobin level\nwas 12 mg/dl and above was significantly better than those whose hemoglobin level was lower\nthan 12 mg/dl. Hemoglobin levels were significantly and positively correlated to physical role\nfunction, general health, and health from the previous year (p < 0.05). As the hemoglobin levels of\nthe cases increased, quality of life pertaining to the mentioned domains increased. Conclusion: It\nwas concluded that the quality of life in chronic dialysis patients was affected by anemia....
Background: Clinical placements should provide nursing students with a positive environment for\nlearning in which they develop a framework for future practice. The literature articulates that this\nis not always the case. The objective of this research was to develop, implement and evaluate a\nnew education seminar for nursing staffââ?¬â?The Art of Clinical Supervision (ACS), designed for\nnurses to provide a toolbox of strategies to better support students whilst on clinical placement.\nThe ACS was presented in Western Australia, in both metropolitan and regional health services, in\nboth the public and private health sector. This sample consisted of 199 registered nurses working\nin areas that actively placed nursing students. A mixed method approach incorporated surveys,\nonline reflections and interviews. This article will outline the qualitative phase of this mixed method\nresearch. Analysis of the qualitative data determined that participants perceived the seminar\nas a helpful strategy for improving nursing practice in relation to student supervision. In particular,\nthe concept of belongingness was viewed as an important component to improving attitudes\nand placement learning, the focus of this article. The implications of belongingness and how this\ncan be promoted is an important concept that nursing leaders, education providers and clinical\nsupervisors need to consider....
The objective was to identify the most frequent nursing diagnoses labels in patients with liver\ncirrhosis in use of feeding tube. A descriptive research was carried out in a Brazilian Hospital with\n20 adult patients. Systematic data collection utilized the Conceptual Model of Wanda Horta, the\nfirst nurse to introduce the concept of Nursing Process in Brazil. The six phases of the nursing diagnostic\nreasoning proposed by Risner were used; nursing diagnoses were described according to\nNANDA-I taxonomy II. Patients were mainly male; half of them were middle age adults; they had an\naverage of 12.8 nursing diagnoses labels; and the most frequent were: risk for aspiration and risk\nfor infection. Nurses needed to develop effective skills to properly diagnose in order to provide\nsafe care and improve patient outcomes....
Background: Patients in surgical care have reported a fear of being discharged prior to sufficient recovery and a\nlack of control of their situation. Establishing the patient-nurse relationship is essential in the context of the care.\nThe Swedish National Board of Health and Welfare has established indicators for good care for comparison,\nevaluation and improvement of the quality of the health care system. These indicators are knowledge-based,\nappropriate, safe, effective and equal health care, as well as care within a reasonable time and patient-centred care.\nCurrent core competence in nursing education include quality improvement, patient-centred care, teamwork and\ncollaboration, using evidence-based practice, safety and informatics. This study investigates patientsââ?¬â?¢ perceptions of\nthe meaning of good care in inpatient surgical care.\nMethods: Grounded theory according to Charmaz was chosen as the study design. Interviews were conducted\nwith 13 patients from six surgical wards in the south of Sweden in 2014ââ?¬â??2015.\nResults: The results showed that patients in surgical care perceived good care as being safe, as they were\nvulnerable and anxious. This could be achieved through accessible care, reliable care, caring attitudes and\nparticipating in oneââ?¬â?¢s own care. Patient participation was achieved by information and education and the possibility\nto affect their care.\nConclusion: Patients need safety to experience good care. Caring attitudes and patient participation can be\nattained through patient-centred care. Bedside handover can improve patientsââ?¬â?¢ perceptions of accessible care and\nreliable care and can increase patient participation. Continuously maintaining competence and using evidencebased\npractice are needed to achieve reliable care....
The study evaluated the use of the Mini-Mental State Examination scale (MMSE), Tinettiscale, and\nMotor Scale for the Elderly (EMTI) toassist in the diagnosis of potential needs observed in elderlies\nwith Mild Cognitive Impairment. This was aquasi-experimental research, conducted in a Basic\nHealth Unit in thecityof Rio de Janeiro in 2014. The sample population consisted of 22 elderlies\naged 64 to 88 years and 86.36% females. The SAS statistical software (version 9.3.1) and Kruskal-\nWallis test were used at a 95% confidence interval and a significance level of 0.05 and demonstrated\nsignificant differences in the evaluations performed before and after the intervention. The\ndetected diagnoses were: impaired memory, the risk of falls, and willingness to improved relationships,\namong others. The evaluations showed MMSE results that were suggestive of cognitive\nimpairment in 22.73% of the elderlies; the Tinetti scale showed a high risk of falls in 31.82% of\ntheelderlies; and EMTI with 88.36 points, which was equivalent to the normal low classification.\nThe intervention took place through ten weekly activity sessions after the initial evaluations. In\nthe second evaluation, the Tinetti showed 59.09% of the elderlies with a moderate risk of falls and\nthe EMTI as the normal average classification with 90.32 points. It was concluded that the scales\noffered diagnostic possibilities, which allowed for the implementation of necessary interventions\naccording to the detected problems....
Background: An essential condition to improve patient safety is considered to ensure a supportive\npatient safety culture. Measuring the culture of patient safety in all health care institutions may be\na first step to target improvements. Creating a culture of safety requires eliminating the culture of\nblame. In order to formulate actions for improvement, it is important for hospitals to assess their\nbaseline scores for the existing safety culture and to determine the areas of priority. Aim: The aim\nof this study was first to measure the use, translation in Albanian and adaptation of the Hospital\nSurvey on Patient Safety Culture (HSOPSC) assessment as a tool for improving patient safety in\nKosovo Hospitals. The second aim was to measure the level of patient safety culture in Kosovo, in\nseven hospitals and one University Clinical Center (hospitals with over 50 beds, including psychiatric\nhospitals). Method: The questionnaire (HSOPSC) was translated into Albanian for use in\nthe Kosovo. It was used forward-backward translation: the questions were translated into Albanian\nby one translator and then translated back into English by an independent translator who\nwas blinded to the original questionnaire. Results: In the eight-factor model, the internal consistency\nof the factors and the construct validity of the HSOPSC questionnaire were mostly satisfactory.\nThe construct validity was sufficient for all subscales, except for the 4 other subscale regarding\nintention to report incidents which correlated poorly with other subscales. In total, HSOPSC\nhas 12 dimensions. Cronbach�s showed that in Kosovarian society, we could use only 8 dimensions\nmodel. Conclusion: The hypothesis that HSOPSC would be a suitable instrument to provide\nimportant indicators for the improvement of patient safety culture was tested and it was confirmed,\nthat HSOPSC could be used as 8 dimension model. HSOPSC is suitable to improve patient\nsafety culture and provide each hospital with a basic profile on patient safety culture and recommendations\nfor an oriented intervention plan....
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