Current Issue : July - September Volume : 2020 Issue Number : 3 Articles : 6 Articles
A lot of sound can be heard in a hospital. The Ministry of Environment recommends\nthat noise be kept below 50 dBA during the day and below 40 dBA\nat night to maintain a calm environment inside a medical facility. However,\nthe noise in general wards typically exceeds these standards; therefore, it is\nnecessary to adjust these sounds to foster patientsâ?? recuperation. We examined\nwhether the noise generated by nurses in a simulated ward changes\nwith walking speed and the presence or absence of luggage. Sounds generated\nby nurses include footsteps and pass-by sound from objects (e.g., wagon,\nstretchers, wheelchairs, bedside tables, overhead tables, beds, IV\npoles.). Walking speed was classified into three types: slow (0.5 m/s), normal\n(1 m/s), and fast (2 m/s). Sound (dBA) was measured by measuring the\npass-by sound generated when moving in a straight distance (four meters)\nin the corridor of a simulated ward. Objects were also compared for their\npass-by sound generated with and without a load. Results revealed that\nnormal and fast walking speeds generated louder sounds than did the slow\nspeed (the volume of slow, normal, and fast speeds were 37.0 dBA, 39.3\ndBA, and 38.7 dBA, respectively). The pass-by sound of objects increased in\nvolume in proportion to nursesâ?? walking speed. The pass-by sound of wagons\nand stretchers was significantly lower when they had (vs. did not have)\na load; however, the reverse was true for wheelchairs carrying patient\ndummies. The sound of footsteps did not change per walking speed. Decreasing\nwalking speed may thus lead to noise modification. Nursesâ??\nawareness of adjusting their walking speed per object use may prevent noise\npollution. This study was conducted to obtain basic data regarding the\nwardsâ?? sound environment. Future studies should consider the occurrence of\nthe sound in clinical settings....
Background: Health education has proven to be an effective strategy to enable\npeople with diabetes mellitus to manage this condition. However, few studies\nin Brazilian population samples have been conducted to evaluate the effects\nof educational programs on diabetes knowledge and self-care. Aim: To\nevaluate the knowledge about diabetes mellitus and the performance of\nself-care activities, before and after participation in an educational program.\nMethods: This is an intervention study, with a quantitative approach, in a\nsingle comparison group, for the analysis of â??before and afterâ? results related\nto an educational program focused on self-care and concurrent physical\ntraining. The study interventions consisted of 42 exercise sessions, as well as\nindividual educational meetings, according to the needs of each participant\nand through nursing consultations, using educational material prepared from\nthe literature. The sample was initially composed of 33 adults with diabetes\nmellitus, but 18 completed the study. For the assessment of knowledge and\nself-care activities, the revised Brazilian versions of the Diabetes Knowledge\nScale and the Diabetes Self-Care Activity Questionnaire were used, respectively,\nin the two moments of the study, that is, prior to the first educational\nmeeting and immediately before the first physical training session, and after\nthe last educational meeting, which ran parallel to the 42nd physical training\nsession, making a six-month interval between the two assessment moments \nfor each participant. Results: The analysis of knowledge about diabetes\nshowed significant improvement after the educational program and, as for\nself-care, there was clinical improvement in all dimensions, but only the dimension\nâ??general dietâ? obtained statistically significant improvement. Conclusion:\nThe educational program has been shown to be beneficial for improving\nknowledge and self-care of the disease, which reiterates the need to\nmaintain interventions of this nature for people with diabetes mellitus...
Objective: Currently, standards for evaluating long-term care facilities do not\nexist in Japan. This study aimed to evaluate the quality of healthcare services\nin Japanâ??s long-term care facilities and identify the structural and process indicators\nassociated with the facilitiesâ?? outcome indicators. Methods: This retrospective\nstudy assessed changes in residentsâ?? abilities to participate in\nphysical activities, their cognitive function, and their vulnerability to injuries.\nFrom 2012 to 2013, we collected information on the healthcare services at\n1067 long-term care facilities registered with Japanâ??s Welfare, Health and\nMedical Care Information Network in the Welfare and Medical Service\nAgency. We examined 12 structural indicators, 26 process indicators, and 7\noutcome indicators. We used multivariate linear regression models adjusted\nto analyze relationships between outcome indicators and structural or process\nindicators. Results: Residentsâ?? activity and cognitive function indicators either\nimproved by 80% - 90% or were maintained for one year. The Geriatric\nFunctional Independence Measures, the Barthel Index, and holding conferences\nrelated to care were all considered activities of daily living. Three adverse\neventsâ??tumbles and falls, behavioral problems, and aimless wandering\nor leaving the facility without permissionâ??were factors that restricted residentsâ??\nbehavior and number of residents per care staff member. Conclusions:\nMaintaining or improving levels of independence and cognition in daily living\nrequires a care process system that enables ongoing monitoring of residentsâ??\nactivities of daily living and cognitive functioning. Ensuring the safety\nof residents and improving the quality of care in long-term care facilities\nwithout securing adequate care staff are not possible....
Background & objectives: Patient safety is a crucial factor in the provision of quality healthcare and is therefore\na global health concern. It is an area in which ethical concerns and high-quality clinical practice are inextricably\nlinked. This study investigates the effect of education around ethical principles on nursesâ?? perception of patient\nsafety in a psychiatric unit.\nMaterials & methods: This pre- and post-test descriptive study was conducted in a mental health inpatient unit\nin a hospital in Tehran, capital of Iran, in 2018. A total of 33 nurses, selected by census sampling, participated in\nthe study. Data was collected using a demographics questionnaire and Hospital Survey on Patient Safety Culture\n(HSOPSC), and was analyzed with SPSS21.\nResults: The mean score of patient safety was 116.85........................
The aim of this study was to clarify the attitudes of nurses working in medical\nfacilities towards family nursing and the related factors. A quantitative\ncross-sectional design was used. The study period was from December 2017\nto February 2018. 638 nurses with more than 5 years clinical experience were\nrecruited from seven medical facilities. The questionnaire included the Familiesâ??\nImportance in Nursing Care-Nursesâ?? Attitudes (FINC-NA), the Family\nSense of Coherence (FSOC), and items on nursing practice ability, job satisfaction,\nand background characteristics. A multiple regression analysis with\nFINC-NA as the dependent variable and a path analysis of nursing practice\nability as the dependent variable were performed. Responses from 416 nurses\n(effective response rate, 65.2%) were analyzed. Variables that were significantly\nrelated to FINC-NA (p < 0.05) were nursing practice ability, FSOC, job\nsatisfaction, family nursing learning experience, presence of a partner and\nexperience in family nursing. Multiple regression analysis with FINC-NA as\nthe dependent variable revealed significant regression coefficients for nursing\npractice ability, FSOC and job satisfaction. Moreover, path analysis with\nnursing practice ability as the dependent variable showed job satisfaction,\nFSOC, managerial experience, family nursing learning experience were significant.\nIn addition, it was revealed that the direct effect of FSOC on\nFINC-NA to mediate nursing practice ability was higher than the indirect effect,\nbut the direct effect of job satisfaction on FINC-NA was lower than the\nindirect effect. It was suggested that it is important that nurses recognize their\nown thoughts, behaviors and ways of coping with stress within their family,\nand establish a good work environment and strive to enhance their nursing\npractice ability....
Background: Women in nursing professions are at high risk for developing varicose veins as it requires physical\nwork and prolonged standing. The aim of the study is to estimate the current prevalence of varicose veins among\nnurses at Dhulikhel Hospital and assess its risk factors.\nMethods: A cross sectional study was carried out among 181 female nurses from different clinical settings of\nDhulikhel Hospital. A structured questionnaire was administered to gather the demographic, work related and\nmedical history information. The participants underwent Doppler ultrasound for varicose veins confirmation.\nVaricose veins was defined as Doppler finding of reflux or vein diameter equal or greater than 5 mm.\nResults: A total of 181 nurses participated in this study and 83 (46%) had varicose veins. The mean standing time\nwas 4.28 (0.8) hours /day, mean sitting time was 1.28 (0.6) hours/day, mean walking time was 2.37 (0.8) hours/day.\nIn the adjusted model the odds of having varicose veins was 27 times greater with every 1 hour increase in\nstanding time per day (adjusted OR: 27.44; 95% CI 4.09â??180.77; p-value <0.00).\nConclusions: Varicose veins was prevalent among nursesâ?? at Dhulikhel Hospital. Prolonged standing was found to\nbe a significant factor for varicose veins....
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