Current Issue : April - June Volume : 2018 Issue Number : 2 Articles : 5 Articles
Background: The deficits in the self-care of older people are often associated with a loss of autonomy and\nif care is not provided in the home environment by relatives or professional caregivers, then the self-care\ndeficits may result in the admission to a residential care facility (RCF). On the other hand, in industrialized\ncountries, the recruitment and long-term retention of professional caregivers are becoming increasingly\ndifficult. Technical aids such as sensor technology (SeTe) could solve this dilemma and improve the\nautonomy, the quality of life, and the safety of the residents.\nObjectives: To analyze the nursing problems targeted in the studies, where was the SeTe used, and why has\nit been chosen, the technical limitations of SeTe and whether the studies contain ethical considerations.\nDesign: This review followed the Cochrane Collaboration methods for systematic reviewing. The databases\nEBSCOhost (which includes CINAHL, MEDLINE, and PsycINFO), Web of Science, Cochrane Library, and\nGoogle Scholar were searched.\nMethods: This critical systematic review analyzes publications on SeTe if the nursing problems referred\nto by scientists have been in connection with residents of RCFs. Studies that focused on participants in\nhospitals and home environments or those using gaming consoles or medical applications were excluded.\nResults: Of the 49 studies included, 31% used only accelerometers, 20% used cameras, and 29% combined\nvarious types of SeTe devices. The use of various SeTe was beneficial, possibly because the more perspective\ndata are combined. 51% preferred non-wearable SeTe devices, ââ?¦â? preferred the permanent surveillance by\nSeTe devices. The nursing problems which the research teams concentrated on were fall risk, immobility,\nagitation and sleep problems. Only Ã?¼ of the studies mention current or potential ethical considerations\nregarding the surveillance of residents by SeTe devices.\nConclusion: It is gratifying that the international interest in researching SeTe in RCFs has increased.\nEthical dilemmas were hardly discussed. The future use of SeTe in RCFs is certainly desirable and\nunavoidable, but consulting the residents, professional caregivers, and nursing scientists about their\nrequirements for useful and necessary technical surveillance first seems usefull.\nRelevance to Clinical Practice: Currently RCFs should continue to use the SeTe cautiously. Professional\ncaregivers in RCFs should be able to convey the growing self-image of nursing into similar SeTe research\nprojects....
Background. The current study aims to describe the demographical and clinical characteristics of elderly nursing home (NH)\nresidents with acute respiratory infections (ARIs) during four winter seasons (2013/2014ââ?¬â??2016/2017), as well as the microbiological\netiology of these infections. Methods. Seventeen NHs with at least one ARI resident in Corsica, France, were included. An ARI\nresident was defined as a resident developing a sudden onset of any constitutional symptoms in addition to any respiratory signs.\nNasopharyngeal swabs from ARI residents were screened for the presence of 21 respiratory agents, including seasonal influenza\nviruses. Results. Of the 107 ARI residents enrolled from NHs, 61 (57%) were positive for at least one of the 21 respiratory pathogens.\nForty-one (38.3%) of the 107 ARI residents had influenza: 38 (92%) were positive for influenza A (100% A(H3N2)) and three (8%)\nfor influenza B/Victoria. Axillary fever (ââ?°Â¥38âË?Ë?C) was significantly more common among patients infected with influenza A(H3N2).\nConclusion.The circulation of seasonal respiratory viruses other than influenza A(H3N2) seems to be sporadic among elderly NH\nresidents. Investigating the circulation of respiratory viruses in nonwinter seasons seems to be important in order to understand\nbetter the dynamic of their year-round circulation in NHs....
Aim: The aim of the study, being part of a Norwegian evaluation project of the\nRAFAELA system, was to explore nurse managers� perception of the RAFAELA system\nas a management tool in a Norwegian hospital setting.\nDesign: We applied an explorative qualitative design using focus group interviews.\nMethods: Two focus group interviews were performed with 12 nurses in different\nmanagement positions during autumn 2013. The principles of qualitative content analysis\nwere used for analysing data.\nResults: Three themes emerged. The informants experienced the RAFAELA system to\nbe a basis for a precise and common langue. Furthermore, the informants considered\nit to be a system defining quality standards of nursing care. Finally, the RAFAELA system\nprovided daily documentation of nursing intensity and thus was considered an\nimportant management tool for balancing patient needs with appropriate staff....
Aim: The aim of the study was to describe how nurse anaesthetist students experienced\npatient dignity in perioperative practice.\nDesign: A hermeneutical design and the critical incident technique were used to obtain\nexperiences from practice.\nMethod: In the Autumn of 2015, after participating in a mandatory lecture on ethics,\n23 nurse anaesthetist students reported their experiences and interpretation concerning\nviolation and preservation of patients� dignity in the operating theatre. The text,\nwhich was a compilation of descriptions of 35 incidents, was analysed by using hermeneutical\ntext interpretation.\nFindings: The text revealed three main themes preserving patients� dignity: allocating\ntime to the patient, inviting the patient to participate and shielding the patient�s body.\nFurthermore, three main themes of dignity violation were identified: alienation, backbiting\nand violation of intimate sphere.\nConclusion: Discussion and reflection based on the personal experience of the students\nduring their practice are ways to strengthen ethical awareness and promote an\nethical and dignified caring culture...
Aim: The study aim was to evaluate if continual patient position monitoring, taking\ninto account self-turns\nand clinician-assisted\nturns, would increase the percentage of\ntime a patientââ?¬â?¢s position changed at least every 2 hr.\nBackground: While patient turning has clinical benefits, current models to help staff\nremember to turn patients, such as ââ?¬Å?turn clocksââ?¬Â and timers, have not resulted in high\ncompliance with turning protocols. In addition, reminders are based on arbitrary 2-hr\nwindows (such as turning on ââ?¬Å?evenââ?¬Â hours) rather than on individual patient activity,\nincluding self-turns.\nDesign: This is a first inpatient, non-randomized,\npre-/\npostintervention study.\nMethods: Data collection occurred from May 2013ââ?¬â??February 2014 on a 39-bed\nmedical\nunit in a community hospital. Baseline patient turning data were recorded by a\nsensor; however, the patient data were not displayed at the nursesââ?¬â?¢ station to establish\ncompliance with the hospitalââ?¬â?¢s turning protocol. Postintervention, patient position information\nwas wirelessly displayed on nursesââ?¬â?¢ station computer monitors in real time.\nA Student t test was used to compare baseline to postintervention ââ?¬Å?mean time in\ncompliance.ââ?¬Â\nResults: Data from 138 patients (N = 7,854 hr of monitoring) were collected. The\nbaseline phase yielded 4,322 hr of position monitoring data and the postintervention\nphase yielded 3,532 hr of data. Statistically significant improvement was demonstrated\nin the percentage of time a patientââ?¬â?¢s position changed at least every 2 hr from\nbaseline to postintervention....
Loading....