Current Issue : January - March Volume : 2021 Issue Number : 1 Articles : 5 Articles
Background. Delay in the diagnosis and treatment of tuberculosis exacerbates the disease and clinical outcomes. It further enhances\ntransmission of the infection in the society as well as increased the severity of the illness and raised rate of mortality. Objectives. The\nmajor goal of this study is to determine the magnitude of delays in tuberculosis treatment and factors affecting tuberculosis\ntreatment among adult tuberculosis patients at Debremarkos town, North West Ethiopia, 2018. Methods. Institution-based\ncross-sectional study design was employed. Systematically selected 300 adult TB patients were recruited to the study. The study\nwas conducted at Debremarkos town public health facilities from March 1 to April 30, 2018. Logistic regression models were\nfitted to identify the predicting variables and control confounderâ??s of the outcome variables........................
The objective of this study was to examine familiesâ?? experiences living with acquired brain injury (ABI) using a research approach\nthat included both the affected individual family member and the family together as a family group. A narrative inquiry study,\ninformed by the life-stage approach of Lieblich, Tuval-Mashiach, and Zilber, was used to obtain family stories. Families experiencing\nan ABI event were purposefully selected from different regions in a western Canadian province. Centered on the life\nstages of before the ABI event, now living with the ABI, and the future, thematic findings included: Families, a grounding force;\nLosses, individual and family; Family adaptive capacities; Experiences with the healthcare system-hospital to home; and A\npatchwork future-entering the unknown. Themes affirmed the significant impacts of ABI on individual and family members and\nacknowledged ABI as an ambiguous loss event. The findings also illuminated familiesâ?? strengths and resiliencies in coping with\nliving with ABI. The study results suggest by â??thinking familyâ? nurses can contribute towards a healthcare model that focuses on\nâ??familyâ? as the central unit of care....
Background: The complex health system and challenging patient care environment require experienced nurses,\nespecially those with high cognitive skills such as problem-solving, decision- making and critical thinking. Therefore,\nthis study investigated the impact of social problem-solving training on nursing studentsâ?? critical thinking and\ndecision-making.\nMethods: This study was quasi-experimental research and pre-test and post-test design and performed on 40\nundergraduate/four-year students of nursing in Borujen Nursing School/Iran that was randomly divided into 2\ngroups; experimental (n = 20) and control (n = 20). Then, a social problem-solving course was held for the\nexperimental group. A demographic questionnaire, social problem-solving inventory-revised, California critical\nthinking test, and decision-making questionnaire was used to collect the information. The reliability and validity of\nall of them were confirmed. Data analysis was performed using SPSS software and independent sampled T-test,\npaired T-test, square chi, and Pearson correlation coefficient.\nResults: The finding indicated that the social problem-solving course positively affected the studentâ?? social\nproblem-solving and decision-making and critical thinking skills after the instructional course in the experimental\ngroup (P < 0.05), but this result was not observed in the control group (P > 0.05).\nConclusions: The results showed that structured social problem-solving training could improve cognitive problemsolving,\ncritical thinking, and decision-making skills. Considering this result, nursing education should be presented\nusing new strategies and creative and different ways from traditional education methods. Cognitive skills training\nshould be integrated in the nursing curriculum. Therefore, training cognitive skills such as problem- solving to\nnursing students is recommended....
Background: Considering shortages of general practitioners (GP) and strategies for improving the quality of health\ncare provision, many countries have implemented interprofessional care models with advanced practice nurses\n(APN). International evidence suggests that APN care results in high patient satisfaction. In Switzerland, the role is\nstill new, and the patient perspective has not yet been researched. Our aim was therefore to explore patientsâ??\nexperiences with the APN role in Swiss family practices.\nMethods: We conducted 22 semi-structured interviews in four different family practices with patients aged 18 to\n97 suffering from minor acute to multiple chronic diseases, and who had at least one consultation with an APN. All\ninterviews were audiotaped, transcribed verbatim, and analysed using qualitative content analysis.\nResults: The analysis resulted in five themes: Despite the unfamiliarity, all patients were willing to be consulted by\nan APN because it was recommended by their GP (1); after several encounters, most participants perceived\ndifferences between the APN and the GP consultation in terms of the length and style of the consultations as well\nas the complexity of their tasks (2); the interviewees emphasised coaching, guidance, care coordination, and GPassisting\ntasks as APN core competencies and attributed the characteristics empathetic, trustworthy, and competent\nto the APN role (3); most patients especially valued home visits and the holistic approach of the APNs, but they\nalso noticed that in certain cases GP supervision was required (4); and due to the close collaboration between the\nAPN and the GP, patients felt safe, well cared for and experienced improvements in physical and psychological\nwell-being as well as in daily activities (5).\nConclusion: Our results suggested that patients value the APNsâ?? competencies, despite their initial lack of role\nknowledge. Trust in the GP seemed to be the most important factor for patientsâ?? receptiveness toward the APN\nrole. Overall, patients perceived an added value due to the enlargement of the scope of practice offered by APNs.\nThe patient perspective might provide valuable insights for further APN role implementation in Swiss family\npractices....
Background: There is growing interest in examining the factors affecting the reporting of errors by nurses.\nHowever, little research has been conducted into the effects of perceived patient safety culture and leader\ncoaching of nurses on the intention to report errors.\nMethods: This cross-sectional study was conducted amongst 256 nurses in the emergency departments of 18\npublic and private hospitals in Tabriz, northwest Iran. Participants completed the Hospital Survey on Patient Safety\nCulture (HSOPSC), Coaching Behavior Scale and Intention to Report Errorsâ?? questionnaires and the data was\nanalyzed using multiple linear regression analysis.\nResults: Overall, 43% of nurses had an intention to report errors; 50% of respondents reported that their nursing\nmanagers demonstrated high levels of coaching. With regard to patient safety culture, areas of strength and\nweakness were...........................
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