Current Issue : January - March Volume : 2020 Issue Number : 1 Articles : 5 Articles
Background: Self-identity is a personal reflection that is consistent and covers various individual aspects, such as\njob/career, spirituality, relations, intellectuality, sexuality, culture, interests, personality, and physical identity. The\nincreasing level of juvenile delinquency worldwide, including in Indonesia, is a manifestation of unsuccessful\nidentity development in adolescents. Self-identity development is inseparable from family influence. This study\naimed to explore the experiences of families in facilitating their adolescents during self-identity development while\nliving in ex-localization.\nMethods: This study used a descriptive qualitative design and involved 12 participants. Data were collected\nthrough in-depth interviews and analyzed using thematic analysis.\nResults: This study resulted in five themes: the identity achievement of adolescents living in ex-localization is\nsimilar to that of adolescents in general; the domination of external barriers during identity achievement; exlocalization\nas a stressor; familiesâ?? efforts to facilitate their adolescents during identity achievement; and family\nexpectations for the future.\nConclucions: This study highlights the importance of improving family awareness of adolescentsâ?? identity\nachievement when living in ex-localization with the help of nursing mental health professionals....
Background: Postoperative wound healing has been a problem which causes\nhigh mortality in the developing world; postoperative wound has been reported\nto cause devastating consequences and a measurable mortality. There\nis a limited number of published studies in Tanzania investigating Nursing\npractice on post-operative wound care in surgical wards at Muhimbili National\nHospital, Dar-es-Salaam, Tanzania. This study assesses nursing practice\non postoperative wound care by nurses in surgical wards at Muhimbili\nNational Hospital. Methods: A cross-sectional study of surgical nurses was\ncarried out through the use of randomly selected surgical wards at Muhimbili\nNational Hospital in Tanzania from September 2011 to July 2013. A multistage\ncluster sampling technique was used to obtain a suitable number of\nstudy participants. Data collection was done using a checklist from a\nconvenient sample of 71 nurses in selected surgical wards. Results: The result\nindicates that a big number of the participants were female (76.5%) and those\nof the age group 25 to 34 years were 40.8%. Participants exceeding a half of\nthe selected sample reported to have poor post-operative wound care practice\n(57.7%). In comparison, male participants scored higher, and had better\npractice than their female counterparts, however, there was no considerable\ndifference in the scores (P = 0.803). During set-up and preparation phase, the\nwashing of hands before starting and after the completion of procedure was\ntaken into consideration by less than half of the participants (49.3%). All participants\ndid not ensure the environment is clean and take into account the\npatientâ??s privacy through the use of screen or even closing the room. The\nreport shows that nurses take into consideration putting on clean gloves during\n the removal of the old dressing (99%), the use of sterile gloves during\nwound dressing was taken into consideration by most of the nurses (63%).\nGood practice was noted in applying dressing solution as recommended\n(85%), dry sterile dressing was applied by (90%), arrangement and setting up\nof dressing forceps and other items that may be needed in order of their application\nusing forceps (20%), usage of forceps to dip gauze into antiseptic\nsolution (35%) and cleaning of the wound cleaning from least contaminated\nto most contaminated area was only adhered to by (34%). Post-operative\ncounseling and giving to the patient not to temper with the wound was done\nby a representation of only 15% of nurses. All the nurses did not do the documentation\nof the changes observed on the wound nor did they report on\nthe patients comfort and the date and time after the procedure wound\nchanges, reported patient comfort, and recorded date or time after the procedure.\nConclusion: Majority of the nurses in surgical wards do not follow\nthe postoperative wound care checklist provided by MNH although they\nknow its importance. Assessment of the wound and documentation continues\nto be a problem in the nursing profession in Tanzania. Nurses are reasonably\nknowledgeable about the principal of wound dressing; however, lack of\nknowledge on some of the key principles of wound dressing is worth noting.\nAlmost half of the nurses do not wash hands before and after the procedures,\nthey donâ??t use single gauze in one direction only, not cleaning from least\ncontaminated to most contaminated area, which can lead to wound contamination....
Background: Nursing care closely influences patientsâ?? satisfaction with the overall quality of care, and the importance\nof measuring patient satisfaction with nursing care cannot be emphasized enough. Data are however scarce regarding\npatientsâ?? perception of quality of nursing care in Ethiopia. We performed this study to assess patientâ??s perception of the\nquality of nursing care in a tertiary center in Ethiopia.\nMethods: Data were collected prospectively using Quality of Nursing Care Questionnaires-patient of Safford & Schlotfeldt.\nA total of 340 patients were included using systematic random sampling and data were analyzed using SPSS for windows\nversion- 20.\nResult: The nursing care performance was highest for nurse-physician relation (mean = 3.95) and low for education and\nhome care preparation and physical care (mean score of 2.79 and 2.89 respectively). The emotional care and nurse\nadministration mean score were 3.5 and 3.83 respectively. The overall nursing quality was neither satisfying nor\ndissatisfying (mean of 3.39). While only 36% of the respondents were satisfied with the nursing care, patient\neducation has the strongest (AOR of 7.4) association with satisfaction.\nConclusion: Patients perceived low quality of physical care, education and preparation for home care but\nbetter nurse-physician relation and nursing administration. However the overall quality measure was neither\nsatisfying nor dissatisfying. This calls for an action from the health care administrators, educators and other\nstakeholders to improve the patient perception of quality nursing care....
Background: Lean is commonly adopted in healthcare to increase quality of care and efficiency. Few studies of\nLean involve staff-related outcomes, and few have a longitudinal design. Thus, the aim was to examine the extent\nto which changes over time in Lean maturity are associated with changes over time in care-giving, thriving and\nexhaustion, as perceived by staff, with a particular emphasis on the extent to which job demands and job\nresources, as perceived by staff, have a moderated mediation effect.\nMethod: A longitudinal study with a correlational design was used. In total, 260 staff at 46 primary care units\nresponded to a web survey in 2015 and 2016. All variables in the study were measured using staff ratings. Ratings of\nLean maturity reflect participantsâ?? judgements regarding the entire unit; ratings of care-giving, thriving, exhaustion and\njob demands and resources reflect participantsâ?? judgements regarding their own situation.\nResults: First, over time, increased Lean maturity was associated with increased staff satisfaction with their care-giving\nand increased thriving, mediated by increased job resources. Second, over time, increased Lean maturity was associated\nwith decreased staff exhaustion, mediated by decreased job demands. No evidence was found showing that job\ndemands and job resources had a moderated mediation effect.\nConclusion: The results indicate that primary care staff may benefit from working in organizations characterized by high\nlevels of Lean maturity and that caregiving may also be improved as perceived by staff....
Purpose: The purpose of this study was to translate the Family Sense of Coherence\nScale-short form (FSOC-S) into a Japanese version (J-FSOC-S) for\nJapanese nurses and to evaluate its reliability and validity. Methods: First, we\nobtained permission to translate the FSOC-S from the original author and\ntranslated it into Japanese using the translation/back translation technique.\nSecond, the J-FSOC-S was reviewed by a panel of experts in nursing research\nand practice, then, a validation survey was conducted. The internal consistency\nof the J-FSOC-S was assessed using Cronbachâ??s alpha coefficient. Test-retest\nreliability was examined through intra-class correlation coefficients (ICC).\nConstruct validity was investigated by measuring the correlation coefficients\nbetween the J-FSOC-S and Sense of Coherence (SOC) Scale (concurrent validity)\nand the Family Adaptability Partnership, Growth, Affection, and Resolve\nIndex (Family APGAR) (convergent validity). Results: A total of 374\nnurses (valid response rate = 58.6%) were recruited from seven hospitals.\nThirty-four participants completed the questionnaire twice at an interval of 2\n- 4 weeks to test the reliability. The mean age of the participants was 35.0\nyears (SD = 7.6, range = 25 - 59). The mean years of experience as a registered\nnurse were 11.0 years (SD = 7.1, range = 5 - 36). Of the total number of participants,\n53.7% had children. The J-FSOC-S showed good internal consistency\n(Cronbachâ??s alpha= 0.85) and test-retest reliability (ICC = 0.77). The\nJ-FSOC-S correlated positively with the SOC Scale (r = 0.41, p < 0.01) and the\nFamily APGAR (r = 0.62, p < 0.01). Conclusions: The J-FSOC-S is a reliable\nand valid instrument for measuring family sense of coherence in Japan....
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