Current Issue : October - December Volume : 2019 Issue Number : 4 Articles : 5 Articles
Background: Pressure ulcer is a preventable medical complication of immobility. It has psychological, economic\nand social impact on individual and family. Its cost of treatment is more than twice of cost of prevention. It is primarily\nthe nursesâ?? responsibility to prevent pressure ulcer. The aim of this study was to assess the nursesâ?? knowledge to pressure\nulcer prevention in public hospitals in Wollega.\nMethods: A descriptive multicenter cross-sectional study design using quantitative method was employed to collect data\nfrom 212 randomly selected nurses. Data was collected using structured two validated self-administered instruments of\npressure ulcer knowledge test evaluate nursesâ?? knowledge. Mean scores were compared using the Mann-Whitney U and\nKruskal-Wallis tests. Means, standard deviation, and frequencies were used to describe nursesâ?? knowledge levels\nand barriers to pressure ulcer prevention.\nResults: Analysis of the study displayed 91.5% had inadequate knowledge to pressure ulcer prevention. The\nmean of nursesâ?? knowledge in all theme and per item were 11.31 (SD = 5.97) and 0.43 (SD = 0.22).respectively................
Background: Primary care provider skills such as screening, longitudinal monitoring, and medication management\nare generalizable to prescribing alcohol use disorder (AUD) pharmacotherapy. The association between primary\ncare engagement (i.e., longitudinal utilization of primary care services) and prescribing of AUD pharmacotherapy is\nunknown.\nMethods: We examined a 5-year (2010-2014) retrospective cohort of patients with AUD, 18 years and older, at an\nurban academic medical center in the Bronx, NY, USA. Our main exposure was level of primary care engagement (no\nprimary care, limited primary care, and engaged with primary care) and our outcome was any AUD pharmacotherapy\nprescription within 2 years of AUD diagnosis. Using multivariable logistic regression, we examined the association\nbetween primary care engagement and pharmacotherapy prescribing, accounting for demographic and clinical\nfactors.\nResults: Of 21,159 adults (28.9% female) with AUD, 2.1% (n = 449) were prescribed pharmacotherapy. After adjusting\nfor confounders, the probability of receiving an AUD pharmacotherapy prescription for patients with no primary care\nwas 1.61% (95% CI 1.39, 1.84). The probability of AUD pharmacotherapy prescribing was 2.56% (95% CI 2.06, 3.06) for\npatients with limited primary care and 2.89% (95% CI 2.44, 3.34%) for patients engaged with primary care.\nConclusions: The percentage of AUD patients prescribed AUD pharmacotherapy was low; however, primary care\nengagement was associated with a higher, but modest, probability of receiving a prescription. Efforts to increase\nprimary care engagement among patients with AUD may translate into increased AUD pharmacotherapy prescribing;\nhowever, strategies to increase prescribing across health care settings are needed....
Elderly is an age group that has a high risk of experiencing health problems.\nOne risk that can be experienced by the elderly is the risk of falling. One of\nthe risk factors for falling in the elderly is decreasing in postural balance of\nthe elderly. One of the non-pharmacological therapies developed to reduce\nthe risk of falling in the elderly is to improve the ability of the elderly, especially\nin controlling postural balance. The purpose of this study was to determine\nthe effectiveness of 12 balance exercises to improve postural balance in\nthe elderly. This type of research is quasi experiments with static group comparison.\nThe research data are obtained by researchers using observation\nsheet, then the data are tabulated. This study involved two research groups\nnamely the control group (the group not given the intervention) and the\ntreatment group (the group that was given the 12 balance exercise intervention).\nFrom the results of Paired samples, t-test with significance level a=\n0.05 is obtained by the significance value (p) of 0.025. This study shows that\nthe provision of 12 balance therapy exercise strategy is effective to improve\npostural balance in the elderly as a preventive effort from the risk of falling....
Background: Pregnant girls/young women and new mothers living in situations of social and economic disadvantage\nare at increased risk for poor health. Rural living may compound marginalization and create additional challenges for\nyoung mothers. Public health nurses (PHNs) delivering the Nurse-Family Partnership (NFP) to mothers living in rural\ncommunities may help to improve maternal and child health outcomes. The purpose of this analysis, grounded in data\ncollected as part of a broader process evaluation, was to explore and understand the influence of rural geography on\nthe delivery of NFP in British Columbia, Canada.\nMethods: For the analysis of this qualitative data, principles of inductive reasoning based on the methodology of\ninterpretive description were applied. A total of 10 PHNs and 11 supervisors providing the NFP program in rural\ncommunities were interviewed.\nResults: The results of this analysis reflect the factors and challenges of providing the NFP program in rural\ncommunities. PHNs noted the importance of NFP in the lives of their rural clients, especially in the face of\nextreme financial and social disparity. Remaining flexible in their approach to rural nursing and protecting\ntime to complete NFP work supported nurses practicing in rural environments. Rural PHNs were often the\nsole NFP nurse in their office and struggled to remain connected to their supervisors and other NFP colleagues.\nChallenges were compounded by the realities of rural geography, such as poor weather, reduced accessibility, and\nlong travel distances; however, these were considered normal occurrences of rural practice by nurses.\nConclusions: PHNs and NFP supervisors are well-positioned to identify the modifications that are required to support\nthe delivery of NFP in rural geography. NFP nurses need to articulate what classifies as rural in order to effectively\ndetermine how to best provide services to these populations. Environmental conditions must be considered when\noffering NFP in rural communities, particularly if they impact the time required to deliver the program and additional\nservices offered to young mothers. Regular NFP meetings and education opportunities address common problems\nassociated with rural nursing but could be enhanced by better use of technology....
Background: As maternity services evolve and the population of women served also changes, there is a continuing\nneed to effectively document the views of women with recent experience of care. A womanâ??s maternity experience\ncan have a positive or negative effect upon her emotional well-being and health, in the immediate and the longterm,\nwhich can also impact the infant and the wider family system. Measuring womenâ??s perceptions of maternity\nservices is an important way of monitoring the quality of care provision, as well as providing key indicators to\norganisations of the services that they are providing. It follows that, without information identifying possible areas\nin need of improvement, it is not clear what changes should be made to improve the experiences of women\nduring their journey through maternity services from pregnancy to the early weeks at home with a new baby .\nThe objective is to describe the development process and psychometric properties of a measure of womenâ??s\nexperience of maternity care covering the three distinctly different phases of maternity â?? pregnancy, labour and\nbirth, and the early postnatal period.\nMethods: Data from a national survey of women who had recently given birth (n = 504) were used. Exploratory\nand confirmatory factor analytic methods were employed. The measure was assessed for underlying latent factor\nstructure, as well as for reliability, internal consistency, and validity (predictive, convergent and discriminant).\nResults: The models developed confirmed the use of three separate, but related scales about experience of\nmaternity care during pregnancy, labour and birth and the postnatal period. Data reduction was effective, resulting\nin a measure with 36 items (12 per scale).\nConclusion: The need for a psychometrically robust and qualitatively comprehensive measure of womenâ??s\nexperience of maternity care has been addressed in the development and validation of this prototype\nmeasure. The whole measure can be used at one time point, or the three separate subscales used as\nindividual measures of experience during particular phases of the maternity journey with identified factor\nstructures in their own right....
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