Current Issue : July - September Volume : 2018 Issue Number : 3 Articles : 7 Articles
Nursing inhypertension care comprises counselling about lifestyle changes, blood pressuremeasurement, and being a translator for\nthe physician. For the patient, changing lifestyle means performing self-care. As notmuch in the form of research and guidelines\nfor nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice,\nin order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are\npresented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of\nperceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network)\nand the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient\nadvocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related\nto the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with\nOrem�s theory of nursing. Clinical and research implications of the theory are discussed....
The physical factors within the workplace are determinants of work related health problems especially musculoskeletal disorders of the neck and upper limbs. Physical risk factors at work have included the application of force, high repetition, vibration and awkward working postures. The aim of the study was to assess the physical problems among female staff nurses working in selected government and private medical colleges of Madhya Pradesh. A descriptive survey was used as the study design to assess physical problems among female staff nurses. This study was done in selected government and private medical colleges of Madhya Pradesh. The 50 female staff nurses were selected by simple random sampling. The findings shows that the majority 17 (68%) of female staff nurses were suffering from headache, 12 (48%) hypertension, 10(40%) diabetes mellitus, 16 (64%) gastro intestinal problems, 21 (84%) musculoskeletal problems, 07(28%) needle stick injury and 02(8%) varicose vein in Government Medical College whereas 11(44%) were suffering from headache, 10 (40%) hypertension, 03(12%) diabetes mellitus, 12(48%) gastro intestinal problems, 12(48%) musculoskeletal problems, 01(4%) needle stick injury and 05(20%) varicose vein in Private Medical College. The result depict that work related physical problems are more common in government medical colleges and hospital than private medical colleges and hospital....
Background: One helpful strategy adopted for pain management in non-verbal, intubated patients is the use of a\nproper pain assessment scale. The purpose of the present study is to achieve a better and deeper understanding of\nthe existing nursesââ?¬â?¢ challenges in using pain assessment scales among patients unable to communicate.\nMethods: This qualitative study was conducted using content analysis. Purposive sampling was used to select the\nparticipants and continued until data saturation. The participants included 20 nurses working in intensive care units.\nData was collected using semi-structured interviews and analysis was done using an inductive approach.\nResults: Four categories and ten sub-categories were extracted from the experiences of the nurses working in the\nintensive care units in terms of nursing challenges in using non-verbal pain assessment scales. The four categories\nincluded ââ?¬Å?forgotten priorityââ?¬Â, ââ?¬Å?organizational barriersââ?¬Â, ââ?¬Å?attitudinal barriersââ?¬Â, and ââ?¬Å?barriers to knowledgeââ?¬Â.\nConclusions: The findings of the present study have shown that various factors might influence on the use of nonverbal\npain assessment scales in patients unable to communicate. Identifying these challenges for nurses can help\ntake effective steps such as empowering nurses in the use of non-verbal pain assessment scales, relieving pain, and\nimproving the quality of care services...
In Thailand, family nurses are expected to provide support for older persons and their family members to promote healthy aging.\nFamily bonds are strong, and relatives are expected to take care of their older family members. However, there is limited research\non how older persons� family members perceive healthy aging. This study aimed to describe the conceptions of healthy aging held\nby the children and grandchildren of older persons in northeast Thailand. In a phenomenographic study, 14 interviews were\nperformed to qualitatively analyze different conceptions of healthy aging. Four descriptive categories emerged: being independent,\nnot being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. Theconceptions of healthy aging entail both\nautonomy and interdependence. The relative�s perspective needs to be considered when policies relating to healthy aging are\nimplemented in the community and when family nurses provide support to families to promote healthy aging....
Background: Undergraduate nursing placement in aged care is forecast to grow in importance with the increasing\naging population, and to help to reverse trends in student lack of interest in gerontology careers. However, there is\na need to better understand undergraduate nursing studentsââ?¬â?¢ experiences on placement with older adults, as well\nas key features of quality learning within residential aged care. The aim of this study was to explore how nursing\nstudents understand learning within residential aged care.\nMethods: This qualitative study used a participatory action research approach, and this paper reports on the\nthematic analysis of data from one cycle of undergraduate nursing placement in a Canadian residential aged care\nsetting, with two groups of 7ââ?¬â??8 students and two university instructors. Staff and residents at the research site were\nalso included. Researchers interviewed both groups of students prior to and after placement. Instructors, staff and\nresidents were interviewed post placement.\nResults: Students commenced placement full of apprehension, and progressed in their learning by taking initiative\nand through self-directed learning pathways. Engagement with residents was key to student learning on personcentred\ncare and increased understanding of older adults. Students faced challenges to their learning through\nlimited exposure to professional nursing roles and healthcare aide/student relationship issues. By placement end,\nstudents had gained unique insights on resident care and began to step into advocacy roles.\nConclusions: In learning on placement within residential aged care, students moved from feelings of apprehension\nto taking on advocacy roles for residents. Better formalizing routes for students to feedback their unique\nunderstandings on resident care could ensure their contributions are better integrated and not lost when\nplacements end....
Background: Moral distress is prevalent in the health care environment at different levels. Nurses in all roles and\npositions are exposed to ethically challenging conditions. Development of supportive climates in organizations may\ndrive nurses towards coping moral distress and other related factors. This study aimed at determining the level of\nperceived organizational support and moral distress among nurses and investigating the relationship between the\ntwo variables.\nMethods: This was a correlational-descriptive study. A total of 120 nurses were selected using random quota\nsampling method. A demographic questionnaire, Survey of Perceived Organizational Support, and Moral Distress\nScale were used to collect the data which were analyzed using descriptive and analytical tests in SPSS20.\nResults: The mean perceived organizational support was low (2.63 �± 0.79). The mean moral distress was 2.19 �± 0.58,\nwhich shows a high level of moral distress. Moreover, Statistical analysis showed no significant relationship between\nperceived organizational support and moral distress (r = 0.01, p = 0.86).\nConclusion: Given the low level of perceived organizational support and high moral distress among nurses in this\nstudy, it is necessary to provide a supportive environment in hospitals and to consider strategies for diminishing\nmoral distress....
In this descriptive, retrospective study, we analyzed the types of questions posed by healthcare professionals to drug counselors at a\nmedical center and the types of provision of pharmaceutical advice solicited to improve pharmaceutical care quality and establish\nclear directions for clinical pharmacist training. We collected 8,558 questions posed by healthcare professionals (physicians,\n38%; pharmacists, 39%; nurses, 23%) from the electronic drug information record system from May 2013 to April 2015 in one\nmedical center. Overall, 52% and 45% of calls came from outpatient and inpatient departments, respectively. Telephone was the\nmain route of provision of pharmaceutical advice (total, 6,035 questions; 72%), and hospital/electronic formulary was the main\nreference type (43%). The top 10 topics were dosage, alternatives, drug name, usage, adverse drug reactions, medication suggestion,\ndrug compatibility, national health insurance criteria, mechanism, and indications. Pharmacological classification inquiries most\nfrequently addressed antimicrobial agents (20%), and vancomycin was the top single drug. Finally, 67% of calls were completed in\n5 minutes. Our results suggest that the systematic organization of issues into a searchable database would reduce inquiry durations\nand improve work efficiency. Furthermore, the availability of various search tools and methods would quickly provide healthcare\nprofessionals with provision of drug information needed to improve patient medication safety....
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