Current Issue : April - June Volume : 2020 Issue Number : 2 Articles : 5 Articles
Background: In 2017, the elderly made up 27.3% of Japanâ??s population, accounting\nfor 57.2% of all ambulance trips. When an elderly person is in a\ncritical life situation, it is difficult to ascertain their decisions about treatment\nchoices, and for family members who become surrogate decision-makers, this\nis a grave responsibility. Aim: This study aimed to shed light on the constructs\nthat support decision-making by family members and medical staff in\ncritical situations, and to investigate decision-making by families of the elderly\nin critical situations. Method: We selected 29 papers published in Japan\nand elsewhere that focused on families involved in treatment decisions in\ncritical life situations and analyzed them using Rodgersâ?? concept analysis approach.\nResults: From 475 codes, we extracted six attributes, four antecedents,\nand four consequences. The unusual setting of the â??critical care unitâ?, lack of\ntime, and unstable psychological state are all considered by family members\nmaking treatment decisions, along with the patientâ??s prognosis, their relationship\nwith the patient, conjecture about the patientâ??s wishes, and taking\nother family memberâ??s views into account. Medical staff supports the family\nthroughout the process, through provision of treatment, preparing family\nmembers to face reality, empathizing with the difficulty of decision-making,\nbuilding relationships with family members, monitoring the decision-making\nprocess, and being attentive to family membersâ?? feelings until the end. Conclusion:\nOur results indicate the importance of advance confirmation of patientsâ??\nwishes, and the role played by cultural context and family relations in\ndecision-making by family members of the elderly....
Background: Increase of elderly people living alone has been a concern even\nin the Philippines where filial piety is widely practiced with the support of\nlarge number of young people. Objectives of this study were to examine the\nrelationships between living alone with self-reported illness among community\nelderly and living alone with health facility utilization among sick community\nelderly in the Philippines. Methods: Data of 5577 elderly ...........................
Background: Simulation-based training is used to develop nursing studentsâ?? clinical performance in assessing and\nmanaging situations in clinical placements. The use of simulation-based training has increased and become an\nintegrated part of nursing education. The aim of this study was to explore nursing studentsâ?? experiences of simulationbased\ntraining and how the students perceived the transfer of learning to clinical practice.\nMethods: Eight focus group interviews were conducted with a total of 32 s- and third-year nursing students who\nparticipated in a simulation-based training organized as preparation for clinical placement. The transcribed interviews\nwere analysed with thematic analysis.\nResults: Three major themes emerged from the focus group interviews; first, the simulation-based training promoted\nself-confidence; second, understanding from simulation-based training improved clinical skills and judgements in\nclinical practice; and third, simulation-based training emphasised the importance of communication and team\ncollaboration.\nConclusions: This study revealed studentsâ?? transfer of learning outcomes from simulation-based training to clinical\npractice. The studentsâ?? experiences of the simulation-based training remain as enduring and conscious learning\noutcomes throughout their completion of clinical practice. The organisation of simulation-based training and its\nimplementation in the curriculum are crucial for the learning outcomes and for studentsâ?? experiences of the transfer of\nknowledge to clinical practice....
Background: Parents have significant responsibility in the care of their critically ill children who have been\nadmitted to the intensive care unit (ICU). When staying with their children in the hospital, they also have particular\nneeds that should be adequately acknowledged and responded to by healthcare providers. Moreover, when their\nneeds are not identified and addressed, parents may experience stress and anxiety as a result. This study describes\nthe needs of parents caring for hospitalized critically ill children, as perceived by parents and nurses.\nMethods: This study used a descriptive qualitative research design. Five focus group discussions with nurses and\nparents of critically ill children, who were purposefully recruited, were conducted at the Kilimanjaro Christian\nMedical Centre Hospital. A qualitative content analysis guided the analysis of the data.\nResults: Two themes emerged from the perceptions of parents and nurses about the needs of parents caring for\nhospitalized critically ill children. These were: â??engaging parents in the care of their childrenâ? and â??receiving\npsychosocial supportâ?. Both parents and nurses identified the importance of providing adequate information about\ntheir childrenâ??s progress, encouraging and involving parents in the care of their children and having flexible visiting\ntime for parents was vital when caring for critically ill children.\nConclusions: This study provides an in-depth understanding of parentsâ?? needs when caring for critically ill children\nin the hospital setting. Nurses caring for these children should understand the needs of parents and integrate the\nparents into the daily care of their children. Nurses should also continuously support, inform and engage parents\nduring child-caring procedures. Finally, visiting times for intensive care units should be flexible and allow more time\nfor parents to connect with their hospitalized children....
Objective: This study aimed to clarify the possible use of and points to improve\na home-visit nursing interventional lymphedema care program (plan)\nwe developed. Methods: The subjects were visiting nurses with at least three\nyears of home-visit nursing experience and experience with lymphedema care\nfor the elderly at home. Semi-structured interviews were conducted, and the\ncollected opinions were aggregated and summarized. Results: Based on interviews\nwith nine subjects, opinions regarding the use of the program, such\nas â??The assessment perspective at the time of introduction helps to grasp the\nneeds for a wide variety of subjectsâ?, and regarding points to improve, such as\nâ??It is necessary to set the duration and timing of the section considering the\nfrequency of visits and degree of edema at the time of introductionâ? and â??It is\nnecessary to have a perspective concerning efforts to maintain motivation for\ncare of the elderly and their familiesâ?, were aggregated. Discussion: The results\nof the interviews were generally useful for the structure and development\nof the program, care methods and content, and interventions for influencing\nfactors. Consideration of setting the timing according to the degree\nof lymphedema, modification of the programâ??s development, development of\na program that fully considers the degree of edema at the time of introduction\nand the acceptance of edema among the elderly, and the need to consider the\ncare content that should be given priority were suggested as points for improvement....
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