Current Issue : January - March Volume : 2019 Issue Number : 1 Articles : 5 Articles
Unlike Western countries, Asian countries have a brief history of caring for\npatients with various cultural and linguistic backgrounds. Healthcare professionals\nface difficulty in providing care to foreign patients. Presumably, those\nwith higher cultural sensitivity possess higher cultural competency, and cultural\nindicators are associated with personal factors, such as interest in or\nlearning experience of foreign languages. We examined correlations between\nIntercultural Sensitivity Scale (ISS) and Cultural Competence in Nursing\nScale (CCNS) scores in Japanese nurses and discussed implications of our\nfindings in increasing cultural sensitivity in countries with limited exposure\nto foreign culture. A questionnaire survey on ISS, CCNS, and personal factors\nwas conducted among 156 nurses. Correlations among the two scales and\npersonal factors were analyzed. Total ISS scores were comparable with previously\nreported scores. ISS and CCNS scores were moderately correlated. ISS\nsubscale scores were moderately correlated with the learning experience of\nforeign languages. Nurses most commonly learned English; most foreign patients\nwere Chinese. Experiences of providing care to foreign patients were\nnot related to cultural sensitivity. The lowest ISS score was obtained in â??interaction\nconfidenceâ? subscale. Languages used by foreign patients did not\nmatch languages that nurses had interest in or had learned; this may contribute\nto their low confidence in interacting with foreigners. Nurses in a country\nwith limited exposure to different cultures need educational intervention\nfor providing care to foreigners regardless of their cultural experiences. ISS\nmay be useful to identify nurses who need further education to foster confidence\nwhile interacting with foreigners....
Background: The Ministry of Public Management, Home Affairs, Posts and\nTelecommunications announced that the proportion of elderly people aged\n65 or over in the total population of Japan reached a record high of 26.7%\nin the present Japan. Aims: This paper aimed to clarify from acute ward\nnursesâ?? concepts of life and death in Japan. Methods: Questionnaires were\ndistributed to 720 nurses working in acute care hospital A in the Kansai\narea in Japan. Distribution destinations were all wards except for operating\nrooms and outpatient clinics. We initially classified the 27 items from Hirai\net al. â??s death and life scale into the initial seven factors (via promax rotation).\nOperational Definition: In my analysis, I relied considerably on the was 0.8, which was the result obtained during initial scale validity\nchecks. The present analysis led to the extraction of 4 factors with eigenvalues\ngreater than 1, with a cumulative contribution rate of 62.8%. Consideration:\nThe first factor comprised all subscales except for the â??death\navoidanceâ? subscale, which fit better within the fourth factor. These factors\nincluded â??A comprehensive view of life and deathâ? â??Sharing the fate of\ndeath and liberationâ? â??Death fear, anxiety, and avoidanceâ?, and â??Liberation\nfrom life and a world after deathâ?.\nseven-point Likert scale of the Concept of life and death. Ethical Considerations:\nThe present study was approved by the Tottori University Ethics\nReview Committee (1603 A 156). Results: The initial factor analysis revealed\nthat 10 of the 27 items were inadequate. Thus, a second analysis was\nconducted on the remaining 17 items. The KMO analysis produced a value\nof 0.8. A Bartlettâ??s test produced a significant result (p < 0.001), and Cronbachâ??s...
Aim: The purpose of this case study was to examine the sleep quality of patients\nreceiving noninvasive positive pressure ventilation (NPPV) or nasal\nhigh-flow oxygen therapy (NHF) in an intensive care unit and to investigate\nwhat types of nursing support are offered to such patients. Methods: We\nexamined one patient each for NPPV and NHF. Polysomnography (PSG),\nreview of the patient charts, and semi-structured interviews were used to\ncollect the data for analysis. Results: Patients treated with NPPV or NHF\ndemonstrated a noticeable reduction in deep sleep, with most of their sleep\nbeing shallow. Their sleep patterns varied greatly from those of healthy individuals.\nThese results suggest that, in addition to experiencing extremely\nfragmented sleep, sleep in these patients was more likely to be interrupted by\nnursing interventions, such as during auscultation of breath sounds. Furthermore,\nit was revealed that â??anxiety or discomfort that accompanies the\nmask or air pressureâ? in patients treated with NPPV and â??discomfort that\naccompanies the nasal cannula or NHF circuitâ? in patients treated with NHF\nmay be primary causes of disrupted sleep. Our results suggest a need for\nnursing care aimed at improving sleep quality in patients treated with NPPV\nor NHF....
Older patients are at risk for loss of self-care abilities during the course of an acute medical\nillness that results in hospitalization. The Acute Care for Elders (ACE) Unit is a continuous quality\nimprovement model of care designed to prevent the patientâ??s loss of independence from admission\nto discharge in the performance of activities of daily living (hospital-associated disability). The ACE\nunit intervention includes principles of a prepared environment that encourages safe patient self-care,\na set of clinical guidelines for bedside care by nurses and other health professionals to prevent patient\ndisability and restore self-care lost by the acute illness, and planning for transitions of care and medical\ncare. By applying a structured process, an interdisciplinary team completes a geriatric assessment,\nfollows clinical guidelines, and initiates plans for care transitions in concert with the patient and\nfamily. Three randomized clinical trials and systematic reviews of ACE or related interventions\ndemonstrate reduced functional disability among patients, reduced risk of nursing home admission,\nand lower costs of hospitalization. ACE principles could improve elderly care in any acute setting.\nThe aim of this commentary is to describe the ACE model and the basis of its effectiveness....
Electronic health records (EHR) combined with robust data collection systems can be\nused to simultaneously drive research and performance improvement initiatives. Our Smart,\nTransformative, EHR-based Approaches to Revolutionizing the Intensive Care Unit (STELAR ICU)\nconsists of a framework of five best practices that make optimal use of objective data to guide\nclinicians caring for the sickest patients in our quaternary center. Our strategy has relied on an\naccessible data infrastructure, standardizing without protocolizing care, using technology to increase\npatient contact and time spent at the bedside, continuously re-evaluating performance in real-time,\nand acknowledging uncertainty by using electronic data to provide probabilistic weight to clinical\ndecision-making. These strategies blur the lines between research and quality improvement, with the\naim of achieving truly stellar patient outcomes....
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