Current Issue : October - December Volume : 2017 Issue Number : 4 Articles : 6 Articles
Objectives: The study aims: (1)ToAssess Nursing Care and (2) To Detect Association ofNursing Care (age, level of nursing\neducation and nurses experience in the intensive care unit). Methodology: A descriptive quantitative design is carried out at Intensive\nCare Unit in AL- Nasiriya City Hospitals include Bent Al-Huda Teaching Hospital, Muhammad AL-Mawsawi pediatric Hospital and\nAl-Hububi Teaching Hospital, the study period from 11rd of October 2016 to the 4th of April 2017. A non-probability (Purposive) of\n(100) nurses at intensive care unit to provide care for neonate with respiratory distress syndrome. To achieve the objective of the study\nthe researcher has established the constructed questionnaire, which consists of two parts (1) sociodemographic data form that consist of\n8-items (2) nursing care that consist of three domains. Reliability of this determined by using Cronbach reliability rate (0.81), also\nthrough a pilot study and the validity through a panel of (18) experts. The data were described statistically and analyzed through use of\nthe descriptive and inferential statistical analysis procedures. Results: The findings of the present study indicate that assessment nursing\ncare in neonatal respiratory distress syndrome for nurses at intensive care unit, since their relative sufficiency (75%) were under cutoff\npoint (1.5), There is a significant relationship between quality of nursing care and demographic characteristics like (age, level of\nnursing education and nurses experience in the intensive care unit by P value < 0.05. Recommendations: The study recommended to\nprovide Educational program for nurses toward nursing care of neonatal respiratory distress syndrome and Providing updating\nbooklets, pamphlets and boosters for nurses to upgrading their knowledge about neonatal respiratory distress syndrome....
Mothers often express intense stress and uncertainty when their children develop\nacute childhood illnesses and it is important for healthcare professionals\nto consider maternal uncertainty when providing support for mothers. This\nstudy aimed to examine maternal uncertainty about children�s hospitalization\ndue to acute childhood illnesses. We recruited 15 Japanese mothers of children\naged 1 - 12 months who had been hospitalized for the first time due to\nacute childhood illnesses, and conducted unstructured interviews with the\nparticipants at the time of discharge. Content analysis was used to examine\nuncertainty in their expression of their psychological state. Mothers� uncertainty\nwas classified into five categories: ambiguity about the severity of the\nillness, unpredictability of the course of the illness, discrepancy of the judgement\nwith healthcare professionals, lack of information about the causes of\nthe illness, and ambiguous appropriateness of management. The former three\ncategories were reported as uncertainty of mothers of children with chronic\ndiseases, while the latter two categories were particularly characteristic of\nmothers of children with acute childhood illnesses. It is, therefore, important\nto explore the causes of children�s illnesses and help mothers build confidence\nin their ability to manage their children�s illness before discharge....
Background: Inadequate pain management is a problem in hospitalized\nchildren. Objectives: To explore knowledge and attitudes of nurses in management\nof pain in children. Methods: A descriptive design using qualitative\nmethods was used to conduct the study. 17 nurses with prior pain management\ntraining were interviewed using a semi-structured interview guide. Ethical\napproval was obtained from College of Medicine Research and Ethics\nCommittee. Data were analysed using thematic content analysis. Results:\nNurses had some knowledge of pain assessment methods, treatment and use\nof morphine. Gaps, however, existed on how to use pain assessment scales,\nanalgesics to use at each step of the WHO analgesic ladder, and how to effectively\nuse morphine for pain relief. Although most nurses had positive attitudes\ntowards children�s pain and use of morphine, negative attitudes were\nevident in some nurses regarding administration of morphine to neonates or\nacutely ill children. Conclusion and Implications: The study has revealed\nknowledge and attitude gaps which may reflect deficiencies in the pain education\nnurses received, non-availability of pain scales and lack of support for\nnurses to link theory with practice. Nurse leaders are challenged to provide\nrepeated comprehensive education for nurses on pain assessment and management.\nFurthermore, user friendly pain scales should be developed, and\nnurses educated and demonstrated on their use. In addition, opportunities for\nsupportive supervision with nurses in the clinical setting should be created for\nlinkage of theory and practice....
Background: Neonatal mortality accounts for nearly three quarters of all infant deaths in Vietnam. The nursing\nteam are the largest professional group working with newborns, however do not routinely receive neonatal training\nand there is a lack of research into the impact of educational provision. This study explored changes in nursing\nperceptions towards their role following a neonatal educational intervention. Parents perceptions of nursing care\nwere explored to determine any changes as nurses gained more experience.\nMethod: Semi-Structured qualitative interviews were conducted every 6 months over an 18 month period with 16\nnurses. At each time point, parents whose infant was resident on the neonatal unit were invited to participate in an\ninterview to explore their experiences of nursing care. A total of 67 parents participated over 18 months. Interviews\nwere conducted and transcribed in Vietnamese before translation into English for manifest content analysis\nfacilitated by NVivo V14.\nResults: Analysis of nursing transcripts identified 14 basic categories which could be grouped (23) into 3 themes:\n(1) perceptions of the role of the neonatal nurse, (2) perception of the parental role and (3) professional\nrecollections. Analysis of parent transcripts identified 14 basic categories which could be grouped into 3 themes:\n(1) information sharing, (2) participation in care, and (3) personal experience.\nConclusions: Qualitative interviews highlighted the short term effect that the introduction of an educational\nintervention can have on both nursing attitudes towards and parental experience of care in one neonatal unit\nin central Vietnam. Nurses shared a growing awareness of their role along with its ethical issues and challenges,\nwhilst parents discussed their overall desire for more participation in their infants care. Further research is required\nto determine the long term impact of the intervention, the ability of nurses to translate knowledge into clinical\npractice through assessment of nursing knowledge and competence, and the impact and needs of parents. A\ngreater understanding will allow us to continue to improve the experiences of nurses and parents, and highlight\nhow these areas may contribute towards the reduction of infant mortality and morbidity in Vietnam....
Background: Neonatology has made significant advances in the last 30 years. Despite the advances in treatments,\nnot all neonates survive and a palliative care model is required within the neonatal context. Previous research has\nfocused on the barriers of palliative care provision. A holistic approach to enhancing palliative care provision should\ninclude identifying both facilitators and barriers. A strengths-based approach would allow barriers to be addressed\nwhile also enhancing facilitators. The current study qualitatively explored perceptions of neonatal nurses about facilitators\nand barriers to delivery of palliative care and also the impact of the regional location of the unit.\nMethods: The study was conducted at the Townsville Hospital, which is the only regional tertiary neonatal unit\nin Australia. Semi-structured interviews were conducted with a purposive sample of eight neonatal nurses. Thematic\nanalysis of the data was conducted within a phenomenological framework.\nResults: Six themes emerged regarding family support and staff factors that were perceived to support the\nprovision of palliative care of a high quality. Staff factors included leadership, clinical knowledge, and morals, values, and\nbeliefs. Family support factors included emotional support, communication, and practices within the unit. Five themes\nemerged from the data that were perceived to be barriers to providing quality palliative care. Staff perceived education,\nlack of privacy, isolation, staff characteristics and systemic (policy, and procedure) factors to impact upon palliative care\nprovision. The regional location of the unit also presented unique facilitators and barriers to care.\nConclusions: This study identified and explored facilitators and barriers in the delivery of quality palliative care for\nneonates in a regional tertiary setting. Themes identified suggested that a strengths-approach, which engages and\namplifies facilitating factors while identified barriers are addressed or minimized, would be successful in supporting quality\npalliative care provision in the neonatal care setting. Study findings will be used to inform clinical education and practice...
Abstract:\nObjective:\nThis descriptive study was conducted for the purpose of describing the Turkish pediatric nurses� use of non-pharmacological\nmethods for relieving 6 to 12-year-old children�s postoperative pain.\nMethod:\nThis research was conducted with 92 pediatric nurses working at 17 university hospitals located in Turkey. Data were collected using\na web based questionnaire and had to be completed electronically.\nResults:\nIt was determined that the majority of the nurses give information about postoperative observation (79.3%), and postoperative pain\n(76.1%). In addition, it was determined that they have been encouraging children to ask about misconceptions (69.6%).\nConclusion:\nBased on these results, the Turkish pediatric surgical nurses used versatile non-pharmacological methods in children�s postoperative\npain relief....
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