Current Issue : October - December Volume : 2017 Issue Number : 4 Articles : 6 Articles
Background: Caregiving by family members of elderly with chronic conditions is currently intensifying in the\ncontext of an aging population and health care reform in the Netherlands. It is essential that nurses have attention\nfor supporting roles of family caregivers of older patients and address family caregiving aspects on behalf of the\ncontinuity of care. This study aims to explore what aspects of family caregiving were addressed during planned\ndiscussions between nurses, patients and family caregivers in the hospital.\nMethods: Qualitative descriptive research was conducted using non-participant observation and audio-recordings\nof planned discussions between nurses, older patients and their family caregivers as they took place in the hospital.\nThrough purposive sampling eligible patients (ââ?°Â¥ 65 years) with one or more chronic conditions were included.\nThese patients were admitted to the hospital for diagnostics or due to consequences of their chronic illness.\nRetrospective chart review was done to obtain patient characteristics. Data were collected in November/December\n2013 and April/May 2014 in four hospitals. Qualitative content analysis was performed using the inductive approach\nin order to gain insight into addressed aspects of family caregiving.\nResults: A total of 62 patients (mean age (SD) 76 years (7.2), 52% male) were included in the study, resulting in 146\nplanned discussions (62 admission and discharge discussions and 22 family meetings). Three themes were identified\nregarding addressed aspects of family caregiving. Two themes referred to aspects addressing the patientsââ?¬â?¢ social\nnetwork, and included ââ?¬Ë?social network structureââ?¬â?¢ and ââ?¬Ë?social network supportââ?¬â?¢. One theme referred to aspects\naddressing coordination of care issues involving family caregiving, referred to as ââ?¬Ë?coordination of careââ?¬â?¢.\nConclusions: During discussions nurses mostly addressed practical information on the patientsââ?¬â?¢ social network\nstructure. When specific family caregiving support was addressed, information was limited and nurses did not seem to\nexplore the nature of the family support. Patients discharge and after care needs were addressed occasionally as\naspects of coordination of care. Current nursing policies could be evaluated on nursing and family oriented theories.\nImplications for education could include mirroring study findings with nurses in a group discussion to enhance their\nawareness on family caregiving aspects....
Introduction: Disengagement from mental health services in young adults\nwith schizophrenia has been associated with dissatisfaction and unmet needs.\nStriving to improve engagement, we invited service users recently diagnosed\nwith schizophrenia to be co-designers of a smartphone technology that will be\nresponsive to their needs. Aim: This paper reports the first phase of a threephased\nparticipatory design process. The objective was to identify needs of\nsupport in young adults recently diagnosed with schizophrenia and to generate\nideas of how the needs could be accommodated using smartphone technology.\nMethods: Participatory design guided the research process and a qualitative\napproach was used to generate and analyse the data. Data were generated\nby means of participant observations (n = 45 hours) and interviews (n =\n6) with young adults from a first episode psychosis program in Denmark.\nFindings: Low levels of knowledge and high levels of uncertainties are characteristic\nof young adults recently diagnosed with schizophrenia, bringing about\na vast need of support in order for them to gain power over their new life situation.\nOur study suggests that the smartphone may be used to foster empowerment\nby guiding the young adult�s actions in situ, providing comprehensive\nand easily understood information on the go, allowing for recovery\ntracking, and notification of mental health changes, providing medication\noverview and giving easy access to healthcare providers. Conclusion: Young\nadults recently diagnosed with schizophrenia require comprehensive support\nin order to become empowered to confidently manage their new life situation.\nThe smartphone holds this potential by offering flexible collaboration and\ntimely access to self-management resources....
Background: Twenty-four hour nursing care involves shift work including 12-h shifts. England is unusual in\ndeploying a mix of shift patterns. International evidence on the effects of such shifts is growing. A secondary\nanalysis of data collected in England exploring outcomes with 12-h shifts examined the association between shift\nlength, job satisfaction, scheduling flexibility, care quality, patient safety, and care left undone.\nMethods: Data were collected from a questionnaire survey of nurses in a sample of English hospitals, conducted as\npart of the RN4CAST study, an EU 7th Framework funded study. The sample comprised 31 NHS acute hospital Trusts\nfrom 401 wards, in 46 acute hospital sites. Descriptive analysis included frequencies, percentages and mean scores\nby shift length, working beyond contracted hours and day or night shift. Multi-level regression models established\nstatistical associations between shift length and nurse self-reported measures.\nResults: Seventy-four percent (1898) of nurses worked a day shift and 26% (670) a night shift. Most Trusts had a\nmixture of shifts lengths. Self-reported quality of care was higher amongst nurses working ââ?°Â¤8 h (15.9%) compared\nto those working longer hours (20.0 to 21.1%). The odds of poor quality care were 1.64 times higher for nurses\nworking ââ?°Â¥12 h (OR = 1.64, 95% CI 1.18ââ?¬â??2.28, p = 0.003).\nMean ââ?¬Ë?care left undoneââ?¬â?¢ scores varied by shift length: 3.85 (ââ?°Â¤8 h), 3.72 (8.01ââ?¬â??10.00 h), 3.80 (10.01ââ?¬â??11.99 h) and were\nhighest amongst those working ââ?°Â¥12 h (4.23) (p < 0.001). The rate of care left undone was 1.13 times higher for\nnurses working ââ?°Â¥12 h (RR = 1.13, 95% CI 1.06ââ?¬â??1.20, p < 0.001).\nJob dissatisfaction was higher the longer the shift length: 42.9% (ââ?°Â¥12 h (OR = 1.51, 95% CI 1.17ââ?¬â??1.95, p = .001);\n35.1% (ââ?°Â¤8 h) 45.0% (8.01ââ?¬â??10.00 h), 39.5% (10.01ââ?¬â??11.99 h).\nConclusions: Our findings add to the growing international body of evidence reporting that ââ?°Â¥12 shifts are associated\nwith poor ratings of quality of care and higher rates of care left undone. Future research should focus on how 12-h\nshifts can be optimised to minimise potential risks....
Background: Needlestick and sharp injuries are a serious hazard in any health care setting for health care\nworkers and students during clinical practice. Thus, the efforts to prevent the needlestick and sharps injuries are\nneeded and considered a part of the routine practice.\nObjective: This study aimed to investigate the frequency of nursing students in doing the correct practice in\nprevention needlestick and sharps injuries.\nMethods: This cross- sectional study was conducted between 2013 and 2014 in nursing students of Tien Giang\nMedical College who participated in clinical practice. There were 360 students participated in the study using\nsimple random sampling. Data were collected using the practical assessment checklist and demographic\ncharacteristics questionnaire. Data were processed using STATA 12.0, and analyzed using Chi-square and\nFisher test.\nResults: The students who did general practice correctly accounted for 52.50%, and those who did practice\nincorrectly was 47.5%. The students who used gauze or wool wrap in inhaler were 59.7%, wearing gloves in\npractice (39.2%), do not disassemble needles from syringes after injection 50%, and removing needles into\nbarrel after injection (65.6%). There was statistically significant relationship between time of participation in\nclinical practice and correct practice with p-value 0.04 (<0.05)\nConclusion: The correct practice of nursing students related to the prevention of needlestick and sharps injuries\nremains low. There was a significant relationship between time of participation in clinical practice and correct\nnursing practice. It is suggested that students must be taught about the risk of infection at the beginning of\nclinical practice, and constantly reminded throughout the learning process, especially for injection safety\nawareness, knowledge and techniques about the risk of transmission of HBV, HCV and HIV by sharp objects in\nthe healthcare facility....
Objective: To characterize in a sociodemographic way the nursing\nstaff of the surgical center; Check the degree of importance assigned\nto each component of satisfaction: autonomy, interaction, professional\nstatus, task requirements, organizational policies, and pay; verify job\nsatisfaction perceived by nurses.\nMethod: Exploratory, descriptive, quantitative study, consisting of\n9 nurses working in the operating room. The research project was\napproved by the CEP/HULW, CAAE N�º 24597513.2.0000.5183. Data\nwere collected through questionnaires and then analyzed using descriptive\nstatistics in SPSS 20.\nResults: We found that the standby component was considered the\nmost important for job satisfaction and Professional Status least important.\nConclusion: Nurses have a low level of job satisfaction, impacting\nthe performance of its activities....
Background: To explore reasons of non-vaccinated nursing staff for declining seasonal influenza vaccination. The\nannual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients. Still,\nvaccination rates remain very low, particularly in nursing staff. While several studies have explored barriers for\nhealthcare workers to get vaccinated, most have used a quantitative approach.\nMethods: Data were collected by in-depth individual semi-structured interviews with 18 nurses from a range of\nfields, positions in organizational hierarchy, work experience and hospitals in two German-speaking cantons in\nSwitzerland. Interviews were transcribed and analysed using conventional content analysis.\nResults: Three interconnected themes explaining why nurses decline influenza vaccination were identified: Firstly,\nthe idea of maintaining a strong and healthy body, which was a central motif for rejecting the vaccine. Secondly,\nthe wish to maintain decisional autonomy - especially over one's body and health. Thirdly, nurses' perception of\nbeing surrounded by an untrustworthy environment, which restricts their autonomy and seemingly is in opposition\nto their goal of maintaining a strong and healthy body.\nConclusion: Nurses tend to rely on conventional health beliefs rather than evidence based medicine when making their\ndecision to decline influenza vaccination. Interventions to increase influenza vaccination should be tailored specifically for\nnurses. Empowering nurses by promoting decision-making skills and by strengthening their appraisal may be important\nfactors to consider when planning future interventions to improve vaccination rates. The teaching of evidence-based\ndecision-making should be integrated on different levels, including nurses' training curricula, their workspace and further\neducation....
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