Current Issue : January - March Volume : 2019 Issue Number : 1 Articles : 6 Articles
The attrition of professional nurses is a sad reality. Work-related musculoskeletal\nlower back pain (WRMLBP) among nurses has been cited as a factor\nof increased sick leave and poor health. Occupational predisposing factors\nof lower back pain are strenuous physical stresses of nursing, obesity and\npoor physical conditioning. Regular stretching and strengthening exercises\ndissipate lower back pain. This commentaryâ??s objectives are to explain the\nassociation between obesity and lower back pain and the exercise mechanism\nthat dissipates this pain, thereby concluding that nurses should consider\nregular exercise as a therapeutic option....
This study aimed to verify the effects of a new instructional method to structure\nknowledge. The research hypothesis was that â??Structured knowledge\nimproves assessment skills of studentsâ?. Fifty-five second-year undergraduate\nstudents volunteered to participate in this study. They were randomized into\neither a group that received instructional intervention (n = 19; intervention)\nor a group that did not (n = 36; non-intervention). A survey and instructional\nintervention comprised pre-tests, individual instructional intervention, participant\nself-studies and post-tests. The students attempted one pre- and one\npost-test task, each comprising concept map drawing and assessment of actual\npatients with diabetes. Participants who received educational intervention\ndescribed concept maps regarding the pathophysiology and nursing of\ndiseases, and we taught a learning strategy to understand relationships between\nconcepts and the assumption of clinical assessment. The results of the\nconcept map drawing task showed that post-test structural knowledge scores\nwere significantly higher for the intervention, than the non-intervention\ngroup (p < 0.001). Post-test scores of the intervention group for assessment\nskills regarding â??nursing problems and factorsâ? were significantly better than\npre-test scores (p < 0.001), and significantly higher than those for the\nnon-intervention group (p < 0.01). The educational intervention in this study\nseemed to augment the ability to identify nursing problems, although we did\nnot teach assessment strategies. The intervention seemed to confer structured\nknowledge with explicit conditions for applicability. Structured knowledge\nwith explicit conditions and learning how to use knowledge to assess patients\nbefore a clinical practicum seemed to augment assessment skills....
This study examined the stress-reducing effect on the endocrine system and\nthe autonomic nervous system of music with a frequency of 528 Hz, which\nhas recently attracted attention as a â??healingâ? type of music. Nine healthy\nparticipants (one man and eight women, aged 26 - 37 years) listened to 528\nHz and standard 440 Hz music on separate days. We measured salivary biomarkers\nof stress (cortisol, chromogranin A, and oxytocin) before and after\nexposure to music, and continuously recorded the activity of the autonomic\nnervous system. The Profile of Mood State, 2nd edition, was also administered\nas a subjective indicator of stress. In the 528 Hz condition, mean levels of cortisol\nsignificantly decreased, chromogranin A tended to decrease, and oxytocin\nsignificantly increased after music exposure. However, no significant\nchange was observed in any salivary biomarkers in the 440 Hz condition. The\nratio of low frequency to high frequency autonomic nervous system activity\nsignificantly decreased after exposure to both types of music, and the coefficient\nof variation of R-R intervals also significantly decreased, but only after\nexposure to 528 Hz music. Tension-anxiety and Total Mood Disturbance\nscores were significantly reduced after exposure to 528 Hz music, while there\nwas no significant difference following 440 Hz music. These results suggest\nthat the influence of music on the autonomic nervous system and endocrine\nsystem varies depending on the frequency of the music, and furthermore, that\n528 Hz music has an especially strong stress-reducing effect, even following\nonly five minutes of exposure....
Motivational interviewing (MI) has been increasingly utilized by health care practitioners\nfor many years. MI has been practiced by social workers, nurses, physicians, psychologists,\nsubstance use counselors, and many other health care practitioners. Unfortunately, many health\ncare practitioners do not have adequate training in motivational interviewing, and therefore feel\nill equipped to utilize this approach when faced with clients who are in need of assessment and\ncoaching. This paper discusses our experiences with a pilot project to implement MI training\nwithin an Adolescent SBIRT (Screening, Brief Intervention, Referral to Treatment) content addition to\nthe undergraduate nursing curriculum. It includes discussion of the evaluation, which measured\nstudent attitudes towards substance users with the Substance Use Attitudinal Survey (SAAS),\nstudent satisfaction with the newly implemented curriculum, and implications for sustainable\ninclusion of this content and simulation experiences at the undergraduate level to promote MI use\nby future health care practitioners. Pre- and post-tests (SAAS) were conducted with 51 nursing\nstudents, and 56 students completed the satisfaction survey. Overall, students were very satisfied\nwith the implementation of the curriculum, however, we did not see significant changes in SAAS\ntest scores. This may, however, be a positive indicator of a balanced attitude toward substance users.\nContinuing evaluation of the curriculum change is needed....
In Japan, the shortage of personnel is a problem in long-term care nursing\nand rehabilitative care prevention. Nevertheless, Japan has taken measures to\ncompensate for these shortages by promoting medical and nursing care activities\nusing robotic technologies, and employing human resources from overseas.\nThe purpose of this study was to determine potential legal issues and\nsubsequent implications for care during prevention gymnastic exercises for\nthe elderly using Pepper in long-term health facilities. The application program\nof Care-Prevention Gymnastics Exercises for Pepper (Pepper with\nCPGE) was made by the Xing Company Japan. Currently, care workers become\nintermediaries for the safe use of Pepper with CPGE. However, it was\nrealized that some legal issues may arise if Pepper with CPGE alone will carry\nout these preventive care programs for the elderly without the presence of\ncare workers as intermediaries. In this situation, using Pepper with CPGE\nalone to conduct care prevention gymnastics will require safety measures to\nprevent these possible practice issues and anticipate implications for care. In\nthis regard, determining detailed target levels of rehabilitation exercise demands\nand environmental setting safety become essential factors. The use of\nhumanoid robots in healthcare is expected to influence more practice protocols\nin contemporary and futurist rehabilitative human care. The identification\nof possible safety issues in performance and environmental situations,\nand implications for care are critical to ensure safe and valuable rehabilitative\nhealth care practices for the elderly population....
As problems relating to childrenâ??s health increase, forest therapy has been proposed\nas an alternative. This study examined the effects of a combined health promotion program,\nusing urban forests and nursing student mentors, on the perceived and psychosocial health of\nupper-grade elementary students. The quasi-experimental study ran from June to August 2017,\nwith 52 upper-grade elementary students from five community after-school centers. With a purposive\nsampling, they were assigned to either an experimental group (n = 24), who received a 10-session\nhealth promotion program, or to a control group (n = 28). Seven undergraduate nursing students\nparticipated as mentors. Running over 10 weeks, each weekly session consisted of 30 min of\nhealth education and 60 min of urban forest activities. Data were analyzed by independent t-test,\nMann-Whitney U-test, paired t-test, or Wilcoxon signed rank test. General characteristics and\noutcome variables of both groups were homogeneous. The experimental group showed significant\nimprovement in self-esteem (p = 0.030) and a significant decrease in depressive symptoms (p = 0.020)\nafter the intervention, compared to the control group. These results suggest that forest healing\nprograms may contribute to the spread of health promotion programs that make use of nature....
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