Current Issue : January - March Volume : 2020 Issue Number : 1 Articles : 7 Articles
Goal: The aim of this study was to examine the perception of nurses who\nworked at the clinic which proposed home hospice and contents of care to\nbetter understand home hospice and enhance home care. Methods: Six\nnurses who worked at the clinic where proposed visiting medical treatment\nparticipated voluntarily. They received one interview for approximately one\nhour, in which they narrated their perception of home hospice and content\nof nursing care. The narrative was recorded by an IC recorder and analyzed\nas contents analysis. This study was approved by the Ethical Board at St.\nMaryâ??s College. Results: About the content of nursing care, some categories\nwere selected such as â??Understanding a patient as a living person,â? â??Examining\nif a patient and caregiver live at ease,â? or â??Caring for a caregiver\naccepting a loved oneâ??s death and care given at death.â? Nurses perceived the\n theme as â??Time and space for listening\ncarefully ,â? the theme as â??Feeling of responsibility and attractiveness\nof work,â? the theme as the â??Economics\nand manpower to continue home hospice,â? the as a â??Required connection between hospitals and home hospice\nclinics. â? Conclusion: Visiting medical treatment nurses understand a patient\nand a family as living people based on intimate relationships, support\nthem as the disease progresses, and connect to a visiting nurse station. They\nperceived that â??patients can enjoy freedom; the nurses had responsibility and\nstrong relationships. They felt the economic or man-power needs to continue\nand the requirement of a connection between hospitals and home hospice\nclinics....
Background: Hypertension is a major risk factor related to leading causes of death among older adults. Numerous\nefforts have been done but they still remain sub-optimal. This condition encourages development of a nonpharmacological\ntherapy to complement pharmacological therapy, such as progressive muscle relaxation and\nmusic therapy (RESIK). The purpose of this study was to determine the effect of RESIK on blood pressure among\nolder adults with hypertension in Depok Indonesia.\nMethods: This study used quasi experimental design with pre and post test with control group approach.\nOne-hundred older adults with hypertension were divided into two groups using stratified random sampling\nand purposive sampling.\nResult: After 11 sessions of RESIK therapy in 6 days, the paired t-test showed a decrease in systolic blood\npressure to 29.2 mmHg and a decrease in diastolic blood pressure to 16.2 mmHg.\nConclusion: In conclusion, RESIK decreased systolic blood pressure p < 0,001, but it did not significantly decrease\ndiastolic blood pressure p > 0.167. It is recommended that RESIK be used regularly for an older adult population with\nhypertension....
This study described Subacute and Complex Care Programs developed by the\nSyracuse hospitals to reduce the expenses of extended hospital stays. They\nfocused on the movement of patients for services such as dialysis and complex\ncare. These programs involved costs of approximately $7100 to $10,600\nper patient compared with $12,600 to $25,000 per patient for extended stays\nin hospitals. The study also suggested that substantial savings were generated\nin the service area of the Syracuse hospitals by reducing inpatient adult medicine\nand adult surgery hospital rates. The annual savings for these services\nwere substantial, $4,600,000 for 2017 when compared with 2011....
Background: Career mapping is an effective strategy for providing nurses with a clear direction and a realistic time\nscale for achieving their career goals. The purpose of this research is to investigate career mapping for nurses at a\nnew hospital in Jakarta.\nMethod: The study design is qualitative and implements a focussed case study approach. Data were collected from\nfocus group discussions (FGDs) with two groups: one group consisted of eight staff nurses and the other consisted\nof six nurse managers. An inductive content analysis of all transcripts from the FGDs and of field notes was\nconducted independently.\nResult: This research produced seven themes that together portray the entire career mapping process. In Hospital\nX, the career map for a particular nurse is based on the level of formal education, the length and nature of their\nwork experience and a competency assessment. A self-assessment process and considerations related to\ncompetence in all aspects of nursing have been included in the process for nurses at Hospital X. The idea that\nnurses should be positioned in a working environment that matches their level of competency is a fundamental\nprinciple for nursing managers.\nConclusion: As a new hospital, Hospital X has implemented nurse career mapping and striven for accreditation.\nCareer developments not only become the responsibility of an organisation but also the responsibility of individuals\nto develop themselves and their careers....
Background: Nurses engage in various activities from the time of a patientâ??s admission to his or her discharge\nfrom the hospital, helping patients to meet their needs. Each of the activities should be documented properly as\nauthentic and crucial evidence. This study aimed to identify nursing activities in the delivery of nursing care based\non the documentation completed.\nMethods: A quantitative design with a retrospective approach was used, in which 240 medical records from Dr.\nKariadi Hospital in Semarang, dating from July through September 2016, were obtained and assessed. The records\nwere randomly selected based on the 10 most common medical and surgical diseases and a hospital stay of more\nthan 3 days. The instrument for collecting the data from the patient progress notes used an observations form. The\ndata were analyzed using univariate statistics and needed to be at least 80% of the values for a certain criteria for it\nto be considered. The results were analyzed to compare the standard of care.\nResults: It was revealed that nursing activities in the delivery of nursing care were insufficient. These activities,\naccording the standard of nursing activities, included the assessment of the functional status of decubitus risk\n(20.8%), biological status (0.4%), formulation of a nursing diagnosis (20.8%), identification of patientsâ?? home needs\n(41.3%), quality of life (66.3%), collaboration intervention in drug administration (60.8%), monitoring of vital signs\n(23.3%), monitoring of daily living activities (37.5%), mobilization/rehabilitation (37.5%), outcome (46.7%), and\nresume activities nursing (0.8%).\nConclusions: Nursing activities are very important within the hospital and must solve the problems that the patient\nneeds. Every nursing activity should produce documentation with critical thinking. If nursing documents are not\nclear and accurate, inter-professional communication and an evaluation of nursing care cannot be optimal. Nursing\nactivity and documentation should be continuously directed, controlled, and evaluated by a nurse manager. The quality\nof nursing activities should always be good to increase patient satisfaction, patient safety, and cost-effectiveness....
Objective: To evaluate a new management model using mobile health for senile\nhypertension. Methods: This medical service combined traditional medical\ntreatment with Mobile Health. We use it to explore a new and effective\nmodel of elderly hypertension management and the most effective and lowest\ncost management crowd. According to the randomized controlled design of\ntrial, 105 old hypertensive patients participated in the study voluntarily in the\nQingdao Municipal Hospital were randomly divided into the experimental\ngroup (75 cases) and control group (30 cases). Experimental group is divided\ninto geriatric specialist group (25 cases), general practitioner group (25 cases)\nand nurse group (25 cases). Blood pressure was administered in experimental\n(with the new model) and control groups (with the traditional model) for 2\nmonths to compare their blood pressure and the decrease of them. Results:\nBlood pressure was compared between the two groups before and after administration.\nThe systolic blood pressure (SBP) of experimental group���....
Background: Simulation-based training is a new strategy in teaching that\ngives the students good opportunities to learn and apply what they learn in\nnursing care safely. Aim: This study conducted to evaluate the effects of simulation-\nbased training on nursing studentsâ?? communication skill, self-efficacy\nand clinical competence in practice. Subjects and Methods: Quiz-experimental\ndesign was used in this study (pre-posttest intervention), it was carried out on\n100 nursing students first semester in 2019 using low and high-fidelity simulators.\nThis study was carried out at College of Applied Medical Sciences-Bshia\nUniversity. Data Collection: demographic data, communication skill, selfefficacy\nand clinical competence questionnaires. Analysis is done by SPSS\nversion 20 software. Results: Participants who received the simulation-based\ntraining, showed statistical significant improvement in communication skill,\nself-efficacy, and clinical competence scores after participation in the simulation\nprogram (t = -32.64, p = 0.001; t = -19.9, p = 0.001; 16.4, p = 0.001). Also,\nthere are significant relation between gender and clinical competency (t =\n2.768, p < 0.05). Conclusion: Simulation-based training in medical courses is\neffective in enhancing communication skill, self-efficacy and clinical competence.\nMultiple-patient simulations as a teaching-learning strategy in the\nnursing curriculum are highly recommended....
Loading....