Current Issue : January - March Volume : 2017 Issue Number : 1 Articles : 6 Articles
Background: This study is part of a larger project called ViSam and includes testing of a decision support system\ndeveloped and adapted for older people on the basis of M (R) ETTS (Rapid Emergency Triage and Treatment\nSystem). The system is designed to allow municipal nurses to determine the optimal level of care for older people\nwhose health has deteriorated. This new system will allow more structured assessment, the patient should receive\noptimal care and improved data transmission to the next caregiver.\nMethods: This study has an explanatory approach, commencing with quantitative data collection phase followed\nby qualitative data arising from focus group discussions over the RNs professional experience using the Decision\nSupport system. Focus group discussions were performed to complement the quantitative data to get a more\nholistic view of the decision support system.\nResults: Using elements of the decision support system (vital parameters for saturation, pain and affected general\nhealth) together with the nurses' decision showed that 94 % of the older persons referred to hospital were\nultimately hospitalized. Nurses felt that they worked more systematically, communicated more effectively with\nothers and felt more professional when using the decision support system.\nConclusions: The results of this study showed that, with the help of a decision support system, the correct patients\nare sent to the Emergency Department from municipal home care. Unnecessary referrals of older patients that\nmight lead to poorer health, decreased well-being and confusion can thus be avoided. Using the decision support\nsystem means that healthcare co-workers (nurses, ambulance/emergency department/district doctor/SOS alarm)\nbegin to communicate more optimally. There is increased understanding leading to the risk of misinterpretation\nbeing reduced and the relationship between healthcare co-workers is improved. However, the decision support\nsystem requires more extensive testing in order to enhance the evidence base relating to the vital parameters\namong older people and the use of the decision support system....
Objective. To determine if incarcerated women survivors of IPV had a physiological response to theMusic and Account-Making for\nBehavioral-Related Adaptation (MAMBRA) intervention, as measured by cortisol levels. Methods. A single-group repeated measures\ndesigned exploratory study was used to pilot-test MAMBRA. A convenience sample (...
Background: Nursing professionals have received comprehensive medical education and training. However, whether\nthese medical professionals exhibit positive patient care attitudes and behaviors and thus reduce mortality risks when\nthey themselves are diagnosed with chronic diseases is worth exploring. This study compared the mortality risks of\nfemale nurses and general patients with diabetes and elucidated factors that caused this difference.\nMethods: A total of 510,058 female patients newly diagnosed with diabetes between 1998 and 2006 as recorded in\nthe National Health Insurance Research Database were the participants in this study. Nurses with diabetes and general\npopulation with diabetes were matched with propensity score method in a 1:10 ratio. The participants were tracked\nfrom the date of diagnosis to 2009. The Cox proportional hazards model was utilized to compare the mortality risks in\nthe two groups.\nResults: Nurses were newly diagnosed with diabetes at a younger age compared with the general public (42.01 Ã?± 12.\n03 y vs. 59.29 Ã?± 13.11 y). Nevertheless, the matching results showed that nurses had lower mortality risks (HR: 0.53, 95 %\nCI: 0.38ââ?¬â??0.74) and nurses with diabetes in the < 35 and 35ââ?¬â??44 age groups exhibited significantly lower mortality risks\ncompared with general patients (HR: 0.23 and 0.36). A further analysis indicated that the factors that influenced the\nmortality risks of nurses with diabetes included age, catastrophic illnesses, and the severity of diabetes complications.\nConclusion: Nurses with diabetes exhibited lower mortality risks possibly because they had received comprehensive\nmedical education and training, may had more knowledge regarding chronic disease control and change their lifestyles.\nThe results can serve as a reference for developing heath education, and for preventing occupational hazards in nurses....
Objectives: To identify the incidence of post-traumatic stress disorder experienced\nby nurses as a result of a natural disaster, and its relationship to personality and\ncoping style. Design and Sample: A descriptive correlational design was used to\nexamine the relationships between and among the variables using an anonymous\nonline survey. Measures: Post Traumatic Stress Disorder (PTSD) was measured using\nthe PTSD-8 [1]. The Brief COPE [2] was used to measure coping style. Personality\nwas measured utilizing the State Trait Personality Inventory [3]. Participants\nanswered demographic questions such as gender and age, and how they were affected\nby the storm. Results: Over 19% percent of the nurse participants met the\ncriteria for PTSD. The significant predictors of PTSD were the personality characteristics\nof state-anxiety, state-trait and trait depression, and the coping strategies of\nactive coping, denial, acceptance, instrumental support, behavioral disengagement,\nventing and planning. The final regression model explained 90.7% of the variance in\nhigh PTSD-8 score. Conclusions: The findings of this study support the literature\nand the researchers� belief, that there is a relationship among coping, personality,\nand PTSD. More research is needed to understand the individual coping mechanisms\nthat nurses utilize during times of stress and how they are related to personality\nand PTSD....
Background: Emergency department (ED) overcrowding is frequently described in terms of input- throughput and\noutput. In order to reduce ED input, a concept called primary triage has been introduced in several Swedish EDs. In\nshort, primary triage means that a nurse separately evaluates patients who present in the Emergency Department\n(ED) and either refers them to primary care or discharges them home, if their complaints are perceived as being of\nlow acuity. The aim of the present study is to elucidate whether high levels of in-hospital bed occupancy are\nassociated with decreased permeability in primary triage. The appropriateness of discharges from primary triage is\nassessed by 72-h revisits to the ED.\nMethods: The study is a retrospective cohort study on administrative data from the ED at a 420-bed hospital\nin southern Sweden from 2011ââ?¬â??2012. In addition to crude comparisons of proportions experiencing each\noutcome across strata of in-hospital bed occupancy, multivariate models are constructed in order to adjust for\nage, sex and other factors.\nResults: A total of 37,129 visits to primary triage were included in the study. 53.4 % of these were admitted to the ED.\nAmong the cases referred to another level of care, 8.8 % made an unplanned revisit to the ED within 72 h. The\npermeability of primary triage was not decreased at higher levels of in-hospital bed occupancy. Rather, the permeability\nwas slightly higher at occupancy of 100ââ?¬â??105 % compared to <95 % (OR 1.09 95 % CI 1.02ââ?¬â??1.16). No significant association\nbetween in-hospital bed occupancy and the probability of 72-h revisits was observed.\nConclusions: The absence of a decreased permeability of primary triage at times of high in-hospital bed occupancy is\nreassuring, as the opposite would have implied that patients might be denied entry not only to the hospital, but also to\nthe ED, when in-hospital beds are scarce....
Stress and coping abilities influence the health and work performance of nurses. However, little is known about the combined\ninfluence of stress perception and perceived coping adequacy and its impact on the health of nurses. This study examined the\nrelationship between stress, coping, and the combined influences of perceived stress and coping abilities on health and work\nperformance. A valid and reliable questionnaire was completed by 120 nurses in a Midwestern hospital in the USA. In general,\nthe nurses were not healthy: 92% had moderate-to-very high stress levels; 78% slept less than 8 hours of sleep per night; 69% did\nnot exercise regularly; 63%consumed less than 5 servings of fruits and vegetables per day; and 22% were classified as binge drinkers.\nWhen confronted with workplace stress, 70% of nurses reported that they consumed more junk food and 63% reported that they\nconsumed more food than usual as a way of coping. Nurses in the ââ?¬Å?high stress/poor copingââ?¬Â group had the poorest health outcomes\nand highest health risk behaviors compared to those in other groups. The combined variables of perceived stress and perceived\ncoping adequacy influenced the health of nurses.Therefore, worksite health promotion programs for nurses should focus equally\non stress reduction, stress management, and the development of healthy coping skills....
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