Current Issue : April - June Volume : 2019 Issue Number : 2 Articles : 5 Articles
Competency is the basic standard for all healthcare professionals when providing\ncare to recipients. The practice of good nursing begins primarily in the\nstudy of the nursing program and in the preparation of a nurse with high efficiency\nin nursing skills. This paper presents the concept of nursing competencies\nfor Saudi nursing and its importance in implementing the national\ntransition program 20/30, and the nursing competencies framework related\nto the graduate of the Bachelor of Nursing and the methods used in response\nto the needs of the academic and educational environment, and the stages to\ndevelop a competency-based approach....
Falls are a frequent and costly cause of injuries and functional decline in the\nelderly. Tai Chi is a cost-effective strategy for preventing falls in older adults.\nMany senior centers have introduced Tai Chi programs to increase mobility\nand decrease the risk of falls. However, the practice has yet to be widely disseminated\nto ethnic minorities who are not culturally connected to Tai Chi.\nThis paper describes implementation barriers and recruitment and retention\nchallenges of Arab American participants in a Tai Chi intervention-based\nhealth promotion program, including issues related to community organization\nand staffing, recruitment and retention, need for building relationships,\nneed for translation and interpreters, and cultural barriers & misconceptions.\nUnderstanding and paying adequate attention to these challenges may help\nfacilitate in planning other health promotion interventions targeting Arab\nAmerican population....
Background: Chronic Obstructive Pulmonary Disease (COPD) is a leading\ncause of mortality. People living with COPD often have a common triad of\nproblems including decreased health-related quality of life (HRQL), smoking,\nand depression. Identifying barriers to preventing and treating COPD is of\nthe utmost importance. The purpose of this study is to examine the relationship\nbetween HRQL, depression, and smoking status for patients with COPD.\nMethods: The 2016 BRFSS data was used to perform a cross sectional analysis\nof adult patients with a diagnosis of COPD. A comprehensive descriptive\nanalysis of all study variables for those participants having COPD was performed.\nThen relationships between general HRQL, depression, and smoking\nstatus were examined. Data were analyzed using SPSS. Results: The original\n2016 BRFSS dataset contained responses from 486,303 participants. After selecting\nparticipants who self-identified as having a diagnosis of COPD, 40,682\nindividual participants remained in the dataset for further analysis. The participants\nwith COPD were mostly female, over the age of 65, with low-incomes,\nattended a year of college or less, with some type of healthcare coverage. Patients\nwith a dual diagnosis of COPD and depression have poorer HRQL and\nan increased number of cigarettes smoked compared to those patients with\nCOPD. Likewise, there is a significant relationship between HRQL and\nsmoking status for patients with a dual diagnosis of COPD and depression.\nConclusion: Depression as a comorbidity does have a statistically significant\nrelationship with patients HRQL and smoking status. Future research should\nbe aimed at increasing screening and treatment for depression in patients\nwith COPD who continue to smoke. Further research on the cyclical relationship between COPD, depression, and smoking cessation would be beneficial....
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Youthful feelings were shown to have a positive effect on the mental and\nphysical conditions of the elderly. On the contrary, elderly people whose\nself-perceived age is older than their chronological age were shown to experience\nnegative health outcomes. This study investigated whether the\nself-perceived age (younger or older) relative to chronological age promotes\nsocial activity. The baseline data acquired from 3094 older adults as part of\nthe Keeping Active across Generations Uniting the Youth and the Aged study\nwas used in the current study. The participants completed a questionnaire\nthat solicits information pertaining to sociodemographic factors, felt age,\nself-rated health, physical activity, depression, disease burden, fall history,\nfear of falling, level of instrumental activities of daily living (IADLs) and social\nactivity. The discrepancy between felt age and chronological age was defined\nas the self-perceived age. Self-perceived age was calculated by subtracting\nthe participantâ??s chronological age from the felt age, and the score for the\ndifference was divided by the chronological age. The Japan Science and\nTechnology Agency Index of Competence was used to evaluate social activity.\nRegression analysis results revealed that a younger self-perceived age was associated\nwith higher social activity after controlling for sociodemographic\nfactors, self-rated health, depression, physical activity, disease burden, level of\nIADL, fall history and fear of falling. Fall history was significantly associated\nwith higher social activity in young-old participants (65 - 74 years) (p =\n0.014) but not in old-old participants (>75 years). This study suggests that a\nyounger self-perceived age in older adults would lead to a high-level living\nfunction. This finding may provide useful information for interventions aimed at the promotion of health and/or the prevention of frailty....
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