Current Issue : July - September Volume : 2015 Issue Number : 3 Articles : 6 Articles
Aim\nTo examine the impact of a nurse-led patient assessment and education programme\nin promoting compliance with inhaler use in asthma patients.\nDesign\nA quasi-experimental pre-test and post-test design.\nMethods\nA sample of asthmatic patients (N = 21) were recruited from the population of\npatients attending an asthma clinic. An Inhaler Proficiency Schedule (IPS) was\ndeveloped and validated. At each visit, participants were requested to demonstrate\ntheir inhaler technique. The participants were investigated as to their\nconfidence level with self-administration of their inhaler and adherence to prescribed\ndoses. This information was recorded on a Patient-Reported Behaviour\n(PRB) questionnaire.\nResults\nTechnique, compliance and patient confidence levels improved with nurse-led\neducation repeated over three visits; this was sustained on measurement at\n6 months following completion of the education programme....
Aim\nThis paper reports a theoretical understanding of nurses leaving nursing practice\nby exploring the processes of decision-making by registered nurses in China\non exiting clinical care.\nBackground\nThe loss of nurses through their voluntarily leaving nursing practice has not\nattracted much attention in China. There is a lack of an effective way to understand\nand communicate nursing workforce mobility in China and worldwide.\nDesign\nThis qualitative study draws on the constant comparative method following a\ngrounded theory approach.\nMethod\nIn-depth interviews with 19 nurses who had left nursing practice were theoretically\nsampled from one provincial capital city in China during August 2009ââ?¬â??\nMarch 2010.\nResults\nThe core category ââ?¬Ë?Mismatching Expectations: Individual vs. Organizationalââ?¬â?¢\nemerged from leaversââ?¬â?¢ accounts of their leaving. By illuminating the interrelationship\nbetween the core category and the main category ââ?¬Ë?Individual Perception\nof Power,ââ?¬â?¢ four nursing behaviour patterns were identified: (1) Voluntary\nleaving; (2) Passive staying; (3) Adaptive staying and (4) Active staying....
Aim\nThis paper is a secondary data analysis to investigate relationships among caregiver\nstress appraisal, self-rated health and health-related Internet use.\nDesign\nCross-sectional correlation design.\nMethods\nNational Alliance for Caregiving telephone survey conducted in the USA was a\nprimary data source collected in 2009 from 258 caregivers of persons with\ndementia, who used the Internet to perform care-giving tasks. Based on Pearlin�s\nStress Process Model, structural equation modelling was conducted.\nResults\nCaregivers with poor health reported higher levels of caregiver stress appraised,\nwhich was associated with more Internet use for health-related purposes. It is\nrequired to develop effective Internet-based resources to meet the needs of\nhighly stressed caregivers of persons with dementia. However, there was no\nrelationship between self-rated health and health-related Internet use in dementia\ncaregiver....
Aim\nKnowledge does not transfer automatically, but requires an active, personal progress\nthrough meaningful learning. As posited by the constructivist paradigm,\nthe aim of this study was to identify the characteristics of meaningful learning\nby analysing definitions and correlated methods found in the literature.\nDesign\nAn integrative review.\nMethods\nArticles were sought on MEDLINE, CINAHL and SCOPUS; no language, time\nor study-design restrictions were adopted. Only papers referring explicitly to\nthe diverse types of learning were taken into account; 11 articles were included\nin this review.\nResults\nFindings from the literature revealed three different types of meaningful learning:\n(1) meaningful learning as ââ?¬Ë?active building-up processââ?¬â?¢; (2) meaningful\nlearning as ââ?¬Ë?changeââ?¬â?¢; 3-meaningful learning as ââ?¬Ë?outcome of experienceââ?¬â?¢. A focus\non constructivism and meaningful learning provides a new outlook on healthcare\nprofessionals in learning, including nurses, who are gradually taking on\ngreater responsibility in self- and ongoing education....
The global health agenda to reduce maternal mortality is delayed in Sub-Saharan Africa. The shortage of skilled birth attendants\nin Tanzania hinders the improvement of midwifery care to prevent maternal mortality and morbidity. It is urgently neccesary to\ndevelop midwifery leaders capable of working as educators, researchers, administrators, and advanced practitioners, contributing\nto the improvement of midwifery care and maternal child health in their own country. This report describes the process of\nestablishing the first midwifery master�s program in Tanzania through the efforts of two academic institutions, one in Tanzania\nand one in Japan. The collaboration developed a sustainable partnership model for the advancement of midwifery education. This\npartnership model was based upon the professional relationships corresponding with our values of humanized childbirth and\npeople-centered care. The key elements for the project success included: (1) spending adequate time for in-person communication\nwith the collaborative partner; (2) sharing the same goals and concepts; (3) understanding different values and norms for working\nand living; (4) learning ways of communication and project implementation in the partner�s culture and (5) confirming the\nfeasibility, which could increase team members� motivation and commitment. Midwives from the two institutions both gained\nknowledge and research outcomes as well as the satisfaction of establishing the midwifery master�s program. To improve the\nremaining global maternal health issues, this win-win collaboration should be considered as the 21st century�s partnership model\nfor the global health community....
Aims\nTo test internal consistency and factor structure of a brief instrument called\nTrying to Quit smoking.\nBackground\nThe most effective treatment for patients with chronic obstructive pulmonary\ndisease is to quit smoking. Constant thoughts about quitting and repeated quit\nattempts can generate destructive feelings and make it more difficult to quit.\nDesign\nDevelopment and psychometric testing of the Trying to Quit smoking scale.\nMethods\nThe Trying to Quit smoking, an instrument designed to assess pressure-filled\nstates of mind and corresponding pressure-relief strategies, was tested among\n63 Swedish patients with chronic obstructive pulmonary disease. Among these,\nthe psychometric properties of the instrument were analysed by Exploratory\nFactor Analyses.\nResults\nFourteen items were included in the factor analyses, loading on three factors\nlabelled: (1) development of pressure-filled mental states; (2) use of destructive\npressure-relief strategies; and (3) ambivalent thoughts when trying to quit\nsmoking. These three factors accounted for more than 80% of the variance,\nperformed well on the Kaiser-Meyer-Olkin (KMO) test and had high internal\nconsistency....
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