Current Issue : October - December Volume : 2015 Issue Number : 4 Articles : 7 Articles
Background. Nursing process is considered as appropriate method to explain the nursing essence, its scientific bases, technologies\nand humanist assumptions that encourage critical thinking and creativity, and permits solving problems in professional practice.\nObjective. To assess the application of nursing process and it�s affecting factors in Mekelle Zone Hospitals. Methods.Across sectional\ndesign employing quantitative and qualitative methods was conducted in Mekelle zone hospitals March 2011. Qualitative data was\ncollected from 14 head nurses of six hospitals and quantitative was collected from 200 nurses selected by simple random sampling\ntechnique from the six hospitals proportional to their size. SPSS version 16.1 and thematic analysis was used for quantitative and\nqualitative data respectively. Results. Majority 180 (90%) of the respondents have poor knowledge and 99.5% of the respondents\nhave a positive attitude towards the nursing process. All of the respondents said that they did not use the nursing process during\nprovision of care to their patients at the time of the study.Majority (75%) of the respondent said that the nurse to patient ratio was\nnot optimal to apply the nursing process. Conclusion and Recommendation. The nursing process is not yet applied in all of the six\nhospitals. The finding revealed that the knowledge of nurses on the nursing process is not adequate to put it in to practice and high\npatient nurse ratio affects its application. The studied hospitals should consider the application of the nursing process critically by\nmotivating nurses and monitor and evaluate its progress....
Case management was initiated in the 1970s to reduce care discontinuity. A literature review focused on end-of-life (EOL) case\nmanagement identified 17 research articles, with content analysis revealing two themes: (a) seeking to determine or establish the\nvalue ofEOL case management and (b) identifying ways to improve EOL case management.Theevidence, although limited, suggests\nthat EOL case management is helpful to dying individuals and their families. Research is needed to more clearly illustrate its\nusefulness or outcomes and the extent of need for it and actual availability. Among other benefits, EOL case management may\nhelp reduce hospital utilization, a major concern with the high cost of hospital-based care and the increased desire for home-based\nEOL care....
The aim of this study was to explore and describe older persons� experiences of their first Preventive Home Visit. Preventive Home\nVisits (PHV) are health services that aim to promote older persons� health, prevent functional decline, and reduce the need for\ncomprehensive healthcare. The knowledge base to guide the design of effective PHV interventions is scarce. Studies that explore\nolder persons� experiences of the first visit are essential, as compliance with the service is a prerequisite for positive outcomes. An\nexplorative and descriptive design was applied. Qualitative research interviews with ten older persons who had received the first\nPHV the previous year were analysed with regard to manifest and latent content.The findings revealed that the understanding of\nthe purpose of PHV varied. For some participants, the concepts and aims of health promotion and disease prevention were difficult\nto comprehend.The possibility to prepare for the visit was sought. All participants appreciated the service; the dialogue quality was\ngood and a trusted municipal contact person provided security. To enhance compliance and ensure effective PHV, the invitation to\nthe PHV service should include clearly stated aims and specific information about the first visit. An individualised, person-centred\napproach should be applied....
CC Compliant Citation: Ellen Andvig, Jonn Syse, and Elisabeth Severinsson, ââ?¬Å?Interprofessional Collaboration in the Mental Health Services\nin Norway,ââ?¬Â Nursing Research and Practice, vol. 2014, Article ID 849375, 8 pages, 2014. doi:10.1155/2014/849375, http://\ncreativecommons.org/licenses/by/3.0/....
Pressure ulcers have been identified as a major burden of hospitalization worldwide, and nurses are at the forefront of prevention.\nThepurpose of this study was to determine the nurses� knowledge and practices regarding risk factors, prevention, andmanagement\nof pressure ulcers at a teaching hospital in Uganda. The study employed a descriptive cross-sectional design. Fifty-six Ugandan\nregistered practicing nurses were sampled. A composite self-administered questionnaire and an observation checklist were utilized.\nThe nurses had limited knowledge about critical parameters of pressure ulcers. Prevention practices were observed to be unreliable\nand uncoordinated related to a significant shortage of staff and logistics for pressure ulcer prevention. Nurses had poor access\nto current literature on pressure ulcer prevention. Translation of nurses� knowledge into practice is possible if barriers like staff\nshortage, pressure relieving devices provision, and risk assessment tools are addressed at Mulago....
Objectives. We tested both an educational and a care coordination element of health care to examine if better disease-specific\nknowledge leads to successful self-management of heart failure (HF). Background. The high utilization of health care resources\nand poor patient outcomes associated with HF justify tests of change to improve self-management ofHF. Methods.This prospective\nstudy tested two components of the Chronic Care Model (clinical information systems and self-management support) to improve\noutcomes in the self-management of HF among patients who received intensive education and care coordination during their\nacute care stay. A postdischarge follow-up phone call assessed their knowledge of HF self-management compared to usual care\npatients. Results.There were 20 patients each in the intervention and usual care groups. Intervention patients were more likely to\nhave a scale at home, write down their weight, and practice new or different health behaviors. Conclusion. Patients receiving more\nintensive education knew more about their disease and were better able to self-manage their weight compared to patients receiving\nstandard care....
Needle fear is a common problem in children undergoing immunization. To ensure that the individual child�s needs are met during a\npainful procedure itwould be beneficial to be able to predictwhether there is a need for extra support.Theself-reporting instrument\nfacial affective scale (FAS) could have potential for this purpose. The aim of this study was to evaluate whether the FAS can predict\npain unpleasantness in girls undergoing immunization. Girls, aged 11-12 years, reported their expected pain unpleasantness on the\nFAS at least two weeks before and then experienced pain unpleasantness immediately before each vaccination. The experienced\npain unpleasantness during the vaccination was also reported immediately after each immunization. The level of anxiety was\nsimilarly assessed during each vaccination and supplemented with stress measures in relation to the procedure in order to assess\nand evaluate concurrent validity.The results show that the FAS is valid to predict pain unpleasantness in 11-12-year-old girls who\nundergo immunizations and that it has the potential to be a feasible instrument to identify children who are in need of extra support\nto cope with immunization. In conclusion, the FAS measurement can facilitate caring interventions...
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