Current Issue : July - September Volume : 2020 Issue Number : 3 Articles : 6 Articles
Background. Hypertension accounts for a third of the global preventable premature deaths. In Sub-Saharan Africa, hypertension is\nthe most rapidly increasing cardiovascular disease (CVD) and the second leading cause of death. Proper management of hypertension\nrequires adherence to management by patients and this is partly possible if patients feel satisfied with the nursing care\nthey receive. Satisfaction with nursing care is only possible if there is a congruence between the expectations of care and the actual\ncare received from nurses. Aim. We explored the expectations and satisfaction of Ghanaian hypertensives with nursing care\nreceived at the Korle-Bu Teaching Hospital (KBTH). Methods. In this qualitative study, a phenomenological approach was used to\ngather data about the lived experiences of patients with hypertension about nursing care. In-depth interviews (IDIs) were\nconducted among sixteen (16) patients with hypertension from the hypertensive Out-Patient Department (OPD) Clinics of the\nMedical Department at the KBTH. Only patients with history of previous admission(s) at the KBTH during the immediate past six\nmonths were purposively recruited. The respondents were interviewed about the nursing care received during their immediate\npast admission(s) at the KBTH using an IDI-guide. The IDIs were recorded digitally, transcribed verbatim, and reviewed severally\nand thematic analysis was done. Nvivo 11 software was used to manage the data and aid with the thematic analysis. Results. The\nresults of this study showed that Ghanaian hypertensive patients perceived nurses as key players in the management of patients.\nOn the respondentsâ?? expectations from nurses prior to their immediate past admissions at the KBTH, the data revealed the\nresponsiveness of nurses to patient needs, prompt pain management, high confidentiality level of nurses, rendering of efficient\nhealth education, maintenance of therapeutic work environment, and ensuring effective communication as well as professional/\nethical practice from the nurses. On the question of what made nursing care satisfying, it was observed from the respondents that\nthey considered the competence of nurses, maintenance of therapeutic environment, and also effective handling of confidential\ninformation as determinants of their satisfaction with nursing care. Further, the respondents identified some key areas of\ndissatisfaction and these included the responsiveness of nurses to patient needs, prompt pain management, effectiveness of health\neducation, and provision of culturally sensitive communication. Disproportionate distribution of nursing staff across the three\nnursing shifts, unethical practice among some nurses, inadequate resources for work, and low work morale of some nurses were\nidentified as factors responsible for the gaps between patient expectations and actual care received. Conclusion. Our study\nconcludes that continuous professional development programs for nurses should focus on the areas of dissatisfaction so as to\nimprove care for hypertensives. We also recommend that nursing staff distribution across the various shifts should be of keen\ninterest to nurse managers if hypertension care in particular and overall patient care in general are to improve....
Background: Patient safety in home healthcare is largely unexplored. No-harm incidents may give valuable\ninformation about risk areas and system failures as a source for proactive patient safety work. We hypothesized that\nit would be feasible to retrospectively identify no-harm incidents and thus aimed to explore the cumulative\nincidence, preventability, types, and potential contributing causes of no-harm incidents that affected adult patients\nadmitted to home healthcare.\nMethods: A structured retrospective record review using a trigger tool designed for home healthcare. A random\nsample of 600 home healthcare records from ten different organizations across Sweden was reviewed.\nResults: In the study, 40,735 days were reviewed. In all, 313 no-harm incidents affected 177 (29.5%) patients; of\nthese, 198 (63.2%) no-harm incidents, in 127 (21.2%) patients, were considered preventable. The most common noharm\nincident types were â??fall without harm,â? â??deficiencies in medication management,â? and â??moderate pain.â? The\ntype â??deficiencies in medication managementâ? was deemed to have a preventability rate twice as high as those of\nâ??fall without harmâ? and â??moderate pain.â? The most common potential contributing cause was â??deficiencies in nursing\ncare and treatment, i.e., delayed, erroneous, omitted or incomplete treatment or care.â?\nConclusion: This study suggests that it is feasible to identify no-harm incidents and potential contributing causes\nsuch as omission of care using record review with a trigger tool adapted to the context. No-harm incidents and\npotential contributing causes are valuable sources of knowledge for improving patient safety, as they highlight\nsystem failures and indicate risks before an adverse event reach the patient....
Aims: Research the process of organizational change to understand how interventions\nsuch as appearance care can be integrated into daily practice.\nBackground: Typical treatment of breast cancer is surgery, often followed by\nchemotherapy. Associated aesthetic ramifications, including hair loss, frequently\ncause patient distress. Methods: We conducted face-to-face semi-structured\nhour-long recorded interviews with three nurses. We then analyzed the developmental\nprocess according to the core competencies for interprofessional\ncollaborative practice using the thematic content analysis. Results: Nurses\nworked with interdisciplinary team members with mutual respect and shared\nvalues such as concern for patientsâ?? quality of life. Nurses used knowledge of\nappearance-related side effects combined with beautician-provided coping\nskills. Intervention involved responsible communication with other health\nprofessionals and patients in a team approach. Nurses promoted the developmental\nprocess and became program facilitators. Conclusion: This\ngroup-intervention program, facilitated by nurses, was integrated into daily\npractice. Implications for nursing management: Research partnerships between\nacademics, clinical nurses, nurse managers, and beauticians can improve\nthe integration of interventions in routine practice and increase\nawareness of patientsâ?? needs....
pain management has been shown to affect patient outcomes by potentially increasing hospital stay and delaying recovery; thus,\nthe management of pain has major implications for nursing. The study was aimed to identify gaps in knowledge and attitude of\nnurseâ??s level of pain management. Objective. This study aimed to assess knowledge and attitude towards pain management among\nnurses working at University of Gondar comprehensive specialized referral hospital, Northwest Ethiopia, 2019. Methods. Institution-\nbased cross-sectional study was carried out during May 20â??30, 2019. A stratified random sampling technique was used to\nselect 422 nurses. Hospital departments were classified into 5 main strata having nearly the same working conditions: (1) Internal\nMedicine, (2) Pediatrics, (3) Surgical, (4) Outpatient Clinics, and (5) Emergency and Intensive Care Departments. The proportional\nallocation was taken from each stratum, and then a simple random technique was applied. Descriptive statistics like\nfrequency, mean, median, standard deviation, and percentage were used to describe the distribution of data. Independent samples\nt-test was used in comparing the gender knowledge and attitude mean score of the nurses towards pain management. One-way\nANOVA was also used in determining the differences between knowledge and attitude towards pain management with sociodemographic\ncharacteristics at the.......................
Objective. Theaim of this study was to summarize the perioperative nursing care of patients with recurrent parathyroid carcinoma.\nMethods. A retrospective analysis of 10 patients with recurrent parathyroid carcinoma was performed. The clinical data, diagnosis,\ntreatment process, and nursing process (including clinical nursing intervention of various complications) were analyzed. The\nnursing experience and methods were discussed, summarized, and analyzed. Results. A total of 10 patients were reviewed (male :\nfemale 7 : 3; aged 48.6 ± 14.60 years). The mean interval between the initial operation and reoperation was 2.23 ± 1.65 years. The\nmean number of operations was 4.00 ± 1.41. Invasion of the trachea or esophagus was evident in 7 patients, larynx in 6 patients,\nrecurrent laryngeal nerve in 1 patient, and cyclic cartilage in 2 patients. Serum calcium range was 3.20â??4.68 mmol/L, and\nparathyroid hormone (PTH) range was 860â??2830 pg/ml at admission. 6 patients underwent prophylactic tracheostomy, 2 patients\nunderwent partial laryngectomy, and 2 patients underwent total laryngectomy. 1 patient experienced temporary water-electrolyte\ndisorder and hypoproteinemia. The median serum calcium was 2.28 mmol/L (1.66â??3.18 mmol/L) and median PTH level was\n82.60 pg/ml (63.70â??900.00 pg/ml) postoperatively. Serum PTH and calcium were still higher than the upper limit of normal in 2\npatients after surgery. 2 of the other 8 patients relapsed within 8â??11 months, and 6 patients remained normal for 11â??40 months.\nConclusion. For patients with reoperation of recurrent parathyroid carcinoma, high-quality, reasonable, and careful perioperative\nnursing ensured a successful operation and optimized outcome....
Patients who present to an emergency department are in a vulnerable state of\nmind. The population in the emergency department is continuously growing.\nAcute stages of mental health problems can bring patients to the emergency\ndepartment for care. Psychiatric disorders such as schizophrenia, living alone,\ndepression, hopelessness, previous suicide attempts, self-devaluation, agitation,\nand insomnia are some risk factors that predispose individuals to suicide.\nSuicidal patientsâ?? care in the emergency department can be challenging\nfor healthcare professionals due to the complex environment and numerous\nother emergencies occurring altogether. Suicidal patients do not get the timely\nmedical attention they need from clinicians. As a result, there are little information\nand few protocols in emergency departments about the correlation\nof the timely care and how it can affect the patients during the emergency\ndepartment visit....
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