Worldwide Nursing Conference - WNC 2018 Forum | Singapore

Selected Accepted Papers

Selected Accepted Papers

Abstract— Background: As rapid urbanizing spreads throughout Thailand, the combination of urban-rural lifestyle has been gradually found. These changes may effect on health pattern of the older adults. This study was aimed to explore the incidence of health problems and life styles of the elderly in urban-rural areas. Methods: A random interview survey with a qualitative approach was used. Data were randomly collected from 14 areas in central sub-districts of Nakhonratchasima province, Thailand. Twenty-five older adults in each area were interviewed. The recording forms consisted of demographic data, perceived health status, and health problems, medication use, activities of daily living, Instrumental Activities of Daily Living, mental health, social and religious activities, and accommodation and environment. Non-invasive physical examinations of the elderly were performed by weighing, measuring height and testing muscle strength with one leg standing. Results: Most of the elderly reported having at least one chronic disease and degenerative problems that had an impact on their daily lives. Forty percent rated their health status as moderate to poor, 18% encountered falls while 18% were hospitalized in the past six months. Only one-third underwent an annual health check–up while 30% of the female had cancer cervix screening. Most of the elderly could perform daily tasks on their own with assistive instruments and were healthy in mind. However, many of them drank tap water without boiling or filtering. Conclusions: The older adults in the urban-rural areas had access to health care services and had a good health status. However, their health promotion and prevention behaviors are questionable.
This study aims to identify details of use of a Shortened Working Hours option for nurses raising preschool children and the relationship between its use and burnout. A questionnaire survey was administered at 6 university hospitals to 317 nurses who are mothers of preschool children. The study found that 58.8% of the nurses used the Shortened Working Hours option, and that there was no statistically significant relationship between utilizing this option and burnout. There were more nurses making use of the shortened working hours option than not making use of this option who reported: the age of the youngest child less than 3 years old, not working night-shifts, and feelings that the workplace makes arrangements to complete allotted duties within regular working hours. Results of a multiple regression analysis show the strongest relationship between having no confidence in childcare and burnout. The findings suggest the necessity to establish practical measures to assist nurses to be able to confidently provide childcare, as well as to encourage the use of the shortened working hours option.
Objectives: To evaluate the effectiveness of an educational program on new immigrant women’s (NIW) knowledge and attitude on breast cancer screening services and cancer-preventing strategies. Methods: A pre-post design was used to examine the efficacy of an educational program for improving participants’ knowledge and attitude on breast cancer prevention over time. The program lasted 2 hours per week for four weeks. Thirty participants were invited to attend. Three instruments were used to collect data: demographic data questionnaire, Chinese breast cancer screening belief questionnaire, and breast cancer knowledge questionnaire. Participants signed a consent form and filled out demographic data in week 1. The remaining two instruments were tested before and after the education program (week 1 & week 4). SPSS version 24.0 and Paired sample t tests were used to analyze the data. Results: Paired sample t tests revealed that there were significant differences between knowledge scores on pre- and post-test, which indicated that participants’ knowledge on breast cancer screening significantly improved following the educational program. Furthermore, participants’ breast cancer screening attitude was more positive after the educational program. Implications for practice: Breast cancer is the most common cancer diagnosed among Canadian women and the second leading cause of cancer-related death in Canadian women. Several risk factors have been proposed to explain breast cancer incidence. The study can raise women's awareness of practicing appropriate cancer prevention strategies, such as utilizing screening programs.
In December 2012 a norovirus infection outbreak occurred in the Orthopedic Surgery Ward of Hospital A in Japan. This study aims to establish details of coping behaviors used by nurses and physicians of the facility, and examine the issues involved in infection control as well as the ways employed to deal with the infections. Participants in this study were twenty-two nurses and four physicians who were working in the facility at the time the infection outbreak occurred, and who were still working there when the interviews were conducted. Interviews were conducted from January to April 2015, and the data from the interviews were analyzed using the “Trend Search 2008” text mining software. As a result of the analysis it was found that the nurses primarily communicated information by passing messages to the nurses who took over the duty at shift changes, but did not pass on the information to other staff or to the ward as a whole. The nurses clearly remembered that the ward was closed and it was a difficult experience, but did not remember details of the patients they were in charge of. The physicians clearly remembered individual patients they were in charge of, but they were not aware of the situation and state throughout the ward. The findings suggest that this difference is due to the differences in the occupational nature and sense of values of the staff involved.
Nephrotic syndrome (NS) represents a common disease in children characterized by a relapsing and remitting course associated with edema that can significantly affect their quality of life (QOL). Chronic Kidney Disease (CKD) has a major impact on a child’s development. However, there is little information on the QOL of children with Nephrotic Syndrome and Chronic Kidney Disease from patient’s and parents’ perspective. Hence we examined the comparative QOL of children having steroid sensitive nephrotic syndrome (SSNS), steroid resistant nephrotic syndrome (SRNS), CKD and healthy siblings. Materials and methods: A comparative, cross-sectional study on 109 children using consecutive sampling was done. QOL of children was assessed by two methods: child self report and parent proxy report using Peds QL 4.0. Data was analyzed using STATA 11.2. Results: There was no significant difference in total QOL scores of children in all the four groups. However, on domain specific analysis, we found that absenteeism from school due to sickness or hospital visits was a common problem as per children with NS and CKD and their parents but not in siblings (p < 0.05). Children with SRNS reported more difficulty in running than siblings (p=0.01). Parents reported significantly less self care ability in CKD group as compared to SSNS group (p=0.04). Conclusion: The total QOL scores of children having SSNS, SRNS, CKD and siblings were similar as reported by child’s self report and parent’s proxy report. However, a few differences were found in some items of individual domains.
Dementia prevalence is accelerating internationally commensurate with population aging causing suffering from families as well as society burden because it is generally met with misunderstanding, fear, and stigma. Therefore, it is hoped that efforts to increase awareness, reduce stigma, and clarify misunderstandings of the illness can enable early detection of dementia. There are many different tests that were used to assess dementia knowledge however the use of inferior methods could account for some inconsistent findings related to dementia knowledge. It is important to define robustness of the psychometric properties of dementia knowledge tools. The aim of this study is to provide a systematic overview of what is known from previous research on assessing the reliability and validity of psychometric properties of dementia knowledge scales. A systematic literature search (2009 - 2017) was performed using the electronic databases PubMed, Web of science and Google scholar in English and Vietnamese. References and citations were tracked to identify additional, relevant studies basing on study eligibility criteria and excluded criteria. Five original studies were recruited from 562 studies in the selected databases for analyzing of the measurement properties of dementia knowledge scales. Quality judgment criteria were formulated and used to evaluate the psychometric aspects of the scales. Results: This systematic review revealed 4 dementia knowledge scales (ADKS, DKAS, DK-20, DKAT2) in 5 selected researches. Our findings (based on quality judgment criteria relating to validity, reliability, feasibility) demonstrate that ADKS, DKAS show good psychometric qualities, ranging from 15-17 score of psychometric qualities of dementia knowledge scale. The last two (DK-20 and DKAT2) scored 11 and 13 points of a maximum quality score of 20, respectively, so their psychometric quality can be regarded as moderate. Therefore, these tools await confirmation of various aspects of their psychometric properties. Conclusion: Based on the psychometric qualities, we concluded that ADKS and DKAS are the appropriate scales currently available. Further research should focus on improving these scales by further testing their validity, reliability, and utility.
Objective: To ensure the effective implementation of nursing core system based on multi-source information fusion technology through information platform. Methods: Relying on HIS, EMR, LIS, PACS and AIMS, through multi-source information fusion Technology to realize medical information sharing, research and develop new mobile terminal assistant, create the shift module, change care whiteboard function, as well as research and develope multi-function nursing information screen. Results: The medical care information real-time intercommunication achieved the level of common decisionmaking care, the compliance rate of the order of care and patient care level increased from 87.3% to 95.7%; new mobile terminal assistant to ensure that the check system was implemented effectively, and make the error administration of 0.0002% down to 0; multi-functional nursing information screen comprehensive, real-time, dynamic coverage shift content, to achieve a paperless handover, transfer time-consuming daily of the ward content from 72.6 minutes to 16.7 minutes. Conclusion: Relying on the hospital information platform, multi-source information fusion technology can effectively protect the grading nursing system, check the implementation of the nursing core system such as the system and shift management system, improve the nursing quality and enhance the safety of patients.
Sapporo city university nursing department has been conducting various activities for the purpose of collaboration with hospitals since 2007. Among them, nursing research support was an effort made in collaboration with the nursing department of 7 hospitals in order to utilize expertise on the research of university faculty for hospital nursing research activities. In principle, research assistance of one hospital was set to three years, and support was made with the goal that hospitals can advance nursing research autonomously in that question.
This study aims to identify factors related to the administrative abilities of nurses, and contribute to the improvements in education programs and arrangements for nurse administrators. We distributed a self-rating questionnaire survey to 1291 head nurses and administrative staff in positions equivalent to head nurse in 69 participating hospitals among the 172 hospitals with 300 beds or more in the Kanto and Tokai regions of Japan. The surveyed items are ability in nurse administration, demographic characteristics, support from superiors, and workplace environment. We received 984 (76.2%) responses. Excluding responses that included two or more choices to a question and where there was no response to questions of gender and administrative abilities, this left 880 (68.2%) responses which were considered valid and these were included in the further analysis. As a result of a multiple regression analysis for factors related to the administrative abilities of nurses, administrative abilities are better for head nurses who reported that “My judgment in nursing is appropriate”, “I am decisive”, “I can demonstrate my ability in this job”, and “I fulfill my responsibilities to achieve goals in accordance with my beliefs”, as well as those who participate in workshops for nurse administrators. Head nurses who showed poorer administrative abilities reported that “I am satisfied with the rewards earned”, and “I became less kind to people since I became a nurse”. The findings suggest that head nurses who are confident in their decision making abilities may have better administrative abilities. In addition, head nurses with low cynicism (only little of negative attitude) scores, a subscale of the burnout score, appear to have better administrative abilities. The head nurses with better administrative abilities tend to feel that they are not sufficiently rewarded for fulfilling their duties. Education programs for nurse administrators need to include measures that enable administrative staff to work with self-confidence while preventing them from developing cynical attitudes.
A randomized controlled trial was conducted to assess the effectiveness of sleep hygiene practices on psoriasis severity and activities of daily living among patients with psoriasis at selected hospitals, Chennai among 400 patients. The following tools were used namely Simplified Psoriasis Area Severity Index (SPASI), Katz and Lawton’s ADL scale and Sleep diary.. The mean psoriasis severity score was compared and it showed a significant difference in the posttest I at p<0.0001 level and in the posttest III at p<0.0001 level. When mean ADL score was compared and there was a significant difference between study and control group was observed in the posttest I at p<0.0013, in the posttest II at p <0.0013 level in the posttest III at p<0.0001 level. Thus, the study showed that sleep hygiene practices was indeed effective for psoriatic patients in improving their quality of life. This is a customized nursing intervention strategy for tertiary prevention in psoriatic management.
Intention to avoid drugs is an interesting concept which at the same time is ambiguous and vague in regards to narcotic nursing especially in adolescents’. The purpose of this article was to analyze the concepts of intentions to avoid drugs, and to clarify definitions, descriptions, terminology and the boundaries of the concepts by using the conceptual analysis of Walker & Avant (2005). Determining the purpose of the analysis to identify the use of searchable concepts, defining the attributes of the concept, identifying sample cases, correlating and contrasting cases, identifying pre and post effects and the determination can be used in developing a tool. Result: In the concept analysis of intention to avoid drugs, the definition of intention to avoid drugs is defined by 3 attributes: (1) self control and motivation to stay away from drugs and not take drugs, (2) commitment to stay away from drugs and not take drugs even in difficult situations, and (3) willingness to stay away from drugs and not take drugs. Conclusions: The intentions of avoiding drugs are characterized in 3 attributes: the motivation to avoid drugs, commitment to avoiding drugs even in difficult situations and the willingness to avoid drugs. This can be used to develop tools to measure the outcomes of research and development
Based on empirical studies, the present study developed “group reminiscence therapy for community-dwelling older adults” and tested its feasibility in improving the sense of well-being and promoting active aging among older adults. The intervention involved a 60-minute session once per week for 7 consecutive weeks. The sessions were designed according to Erikson’s life cycle-based developmental tasks alongside objects inducing reminiscence. The measuring tools were the World Health Organization-5 Well-Being Index and 15-item Geriatric Depression Scale, which were used for the pretest and posttest, and a qualitative analysis conducted after each session. The results, which were obtained through a nonparametric sign test, suggested that although the participants showed no significant improvements (p = 0.063) in their levels of depression after the intervention, their well-being index showed statistically significant improvements. Notable items were “I have felt cheerful and in high spirits,” “I have felt calm and relaxed,” and “I have felt active and vigorous,” all of which attained statistical significance (p < 0.05). In addition, the participants’ overall sense of well-being exhibited a significant improvement (p = 0.000). The qualitative analysis results further indicated that the participants began to express their feelings through positive language. Thus, the proposed structured 7-week group reminiscence therapy mitigated older adults’ negative emotions and enhanced their positive feelings, thereby fulfilling the purpose of promoting good mental health. The results could can as a reference for the development of group reminiscence therapy for older adults.
Background: Patients with acquired immunodeficiency syndrome (AIDS) tends to be younger. Opportunistic infections (OIs) are the leading death in patients with human immunodeficiency virus/AIDs during hospitalizations. Although highly active antiretroviral therapy may control the viral load and increase Cluster of Differentiation 4 receptors (CD4), however, OIs is still out of control. OIs can deteriorate disease and increase the length of hospital stays and medical costs. Aim: The purpose of the study was to understand the incidence rate of OIs and demographics and clinical factors differences in OIs incidence in patients with human immunodeficiency virus/AIDS. Method: A cross-sectional design with secondary data analysis using hospital’s data bank was conducted. A total of 163 inpatients with human immunodeficiency virus/AIDS (by frequency) from 2012 to 2015 of the databank was included the analysis. Analytic variables included demographics and clinical factors. Analytic strategies included descriptive and Chi-squares. Results: Subjects who were younger, college education, non-service occupation, lowest BMI, homosexuality, and single status had higher/the highest percentages of OIs than their counterparties. Single subjects had lower CD4 than those of married. CD4 and viral load were differences in Pneumocystis jiroveci pneumonia and level of viral load difference in undifferentiated OIs. Chronic diseases、admission of symptoms in respiratory、neurology、and gastrointestinal systems were differences in Tuberculosis、Pneumocystis jiroveci pneumonia、cryptococcus meningitis, and undifferentiated OIs. Conclusion and recommendation: Once the personal attritions and clinical factors differences in OIs have examined. The results may provide more insight of characteristics of clinical features of HIV / AIDS into healthcare professionals for early diagnosis and treatments and then reduce the length of hospital stays and medical expenses.
Objective To investigate the rate of ports dysfunction and recommend reasonable interval periods between the flushing of totally implantable venous access devices(TIVADs)for patients after completion of chemotherapy. Methods Patients who had completed their chemotherapy through TIVADs in the period of 2012- 2017 were enrolled into the study and investigated with self-designed questionnaire. Results 407 patients’ data of port-care maintenance was analyzed. Patients’ BMI and the vein used had a significant influence on the occurrence of ports’ blood-reflux failure while no statistical differences were observed in terms of patients’ residence, gender, age, type of cancer, tumor metastasis, catheter tip location, indwelling time and interval between flushing. The proportion of catheter dysfunction in port cared every “≤4 weeks”,“4~8 weeks”, “8~12 weeks” and “>12 weeks” were 4.4%, 4.5%, 4.9% and 3.8%, respectively. There were no significant statistically differences (P=0.874). Conclusion The incidence of ports’ catheter dysfunction was low. To prolong the interval of flushing to 8 weeks after completion of chemotherapy might be a safe, cheaper and effective alternative for patients.
Aims: To examine the family function, demographics, and clinical characteristics predictors of spiritual needs of patients with depression in Taiwan. Background: Satisfactory spiritual needs enhance one’s inner peace and mind, satisfaction in life, treatment compliance, and positive health outcomes. However, few literature targeted spiritual needs of patients with depression in Taiwan. Methods: A cross-sectional survey of psychiatric outpatients at a district and teaching hospital in southern Taiwan. A total of 202 participants completed a package of questionnaires. Instruments for the study included the Chinese version of Spiritual Interests Related Illness Tool, the Taiwanese Depression Scale, the Family APGAR Index, and a personal profile. Data collection was conducted from April to October, 2017. Results: Participants reported their spiritual needs achieving at a moderate level across the five dimensions. Family function, depression level, and suicide attempt were significant predictors (p < .001) of the five dimensions on spiritual needs, which accounted for 2.0% to 15.4% variance of spiritual needs dimensions each. Religion believer was the predictor of “related to belief/religion” (beta=.22, p=.002). Gender (female) was the predictor of “love to/from others” (beta= .21, p =.003). Married/partner status (beta=.17, p=.015) was the predictor of “seeking for the meaning of life.” Conclusions: This preliminary study made a significant contribution to the literature on spiritual care in patients with depression. Enhancing family function, reducing depressive symptoms, and preventing suicide behavior would beneficial to spirituality
Emergency care for the paediatric population remains a challenge because of the varying physiology and development related issues in children. The number requiring such emergency attention is generally high in tertiary care centres in low and middle income countries. It therefore is essential to have a system of triaging to efficiently and effectively cater to the emergency needs of the sick children attending the emergency departments. The aims of this study were to: (1) Assess the Pediatric nurses’ knowledge regarding triaging; (2) Describe the morbidity pattern of children attending emergency unit and (3) Assess the triaging pattern and the child management outcomes
Increasing work efficiency, improving psychological health, decreasing turnover, turnover intention, and absenteeism may be depended on organizational commitment of an employee. A cross-sectional analytical study was carried out for identifying the predictors of organizational commitment among 197 university nursing faculties of Kathmandu valley. Proportionate stratified random sampling technique was used for selecting samples from 18 colleges of nursing. Structured questionnaires were used for the collection of data. Data entry and data cleaning was done by using Epi-data software and data analysis was done using SPSS version 16 software. Regression analysis were done for identifying the predictors of organizational commitment. The findings of this study showed that nursing faculties had moderate level (68%), high level (28.9%) and low level (3%) of organizational commitment. Moreover, this study also revealed that the nursing faculties who were having master level of education in nursing, who were in the position of assistant instructor to assistant lecturer level, had permanent appointment, having greater than 5 years of work experience in same organization and job satisfaction had high level of organizational commitment. On the basis of this findings, it is concluded that nursing faculties had moderate level of organizational commitment. The predictors of organizational commitment are higher education in nursing, position, type of appointment, current organizational tenure and job satisfaction. Therefore, organization must pay attention to the modifiable predictors of organizational commitment for enhancing organizational commitment of nursing faculty members. So that it may reduce turnover, increase efficiency in quality of teaching and student’s satisfaction.
Heart failure (HF) is one of the major health concerns worldwide due to high incidence and mortality. HF patients experience high level of psychological distress, particularly anxiety and depression. To increase survival rate, implantable cardioverter defibrillator (ICD) acts as a life-savor to deliver immediate shock to correct life-threatening arrhythmias as HF patients are the high-risk population for sudden cardiac arrest. It was attributed to unpredictable ICD shock. Moreover, some studies reported that ICD can improve health-related quality of life (HRQoL) among HF patients. However, ICD was evidenced to increase anxiety and depression. Psychological distress can also impair HRQoL of ICD patients. Due to different health conditions and health needs, ICD patients with and without HF can perceive different degrees of heightened psychological distress and declined HRQoL. Although the number of HF patients receiving ICD implantation has been increasing, inadequate knowledge is reported about their psychological status and HRQoL. To improve current ICD care to patients with and without HF, this study aimed to compare psychological status (anxiety and depression) and HRQoL and identify the relationships of personal and clinical characteristics with psychological status and HRQoL between ICD patients with and without HF. A total of 139 ICD patients were recruited, including 68 patients with HF. Those with HF perceived relatively higher depression and poorer physical HRQoL. Patients without HF who were married perceived better physical and mental health. Patients with HF who were more dependent have heightened anxiety and depression. The results shed light on the differences from the level of anxiety and depression among ICD patients with and without HF as well as their HRQoL so that ICD care for these two specific ICD patient groups can be directed. Family involvement is more significant for patients with and without HF.
A significant number of people have been displaced from their country of origin and become refugees, mostly due to armed conflicts, political violence and human rights abuse. Refugees, particularly women, have complex health problems due to their traumatic background and experience they have endured during their refugee journey. Bhutanese refugees are Bhutanese citizens of Nepali origin. During 1991–1992, more than 100,000 Nepali- Bhutanese became refugees. After spending more than 18 years in refugee camps in Nepal, most of these refugees have now been resettled in various countries including New Zealand. This qualitative study aimed to explore health professionals’ perspectives of Bhutanese refugee women’s health needs, their experience of working with this population group, and their viewpoints on improving health services to address health needs of Bhutanese refugee women resettled in New Zealand. This study involved individual interviews with 12 health service providers including four general practitioners, five nurses and three midwives. This paper focuses on nurses’ perspectives, which identified common attributes of Bhutanese women that could impact positively or negatively in addressing their health needs and articulated a number of challenges and some enablers in addressing these women’s health needs. While this study was undertaken with one specific group of people, the results are likely to be applicable to other minority refugee populations. It is anticipated that the results of this study will contribute in planning and implementing future strategies to better address the health needs of minority refugee populations in New Zealand and other countries that resettled refugees. If the refugees’ overall health can be promoted, they are more likely to become engaged citizens, contributing in all spheres of their new country.
The involvement of healthcare professionals in an adverse event can be a distressing experience with reactions that exist for a long time affecting their wellbeing, patient safety and the hospital where they are employed. While most suffer in isolation from difficulty sleeping, burnout, depression and suicidal tendencies among others, hospitals fail to recognize the impact of the involvement in adverse events on these healthcare professionals.
Background. Flipped classrooms are student-centered and effective teaching approaches. Rarely study has identified the effects of this method on the satisfaction and confidence of students. Purpose. This study aimed to explore the influence of using flipped classroom on students’ confidence in the medical terminology course. Method. This study was a quasi-experimental study with a convenient sample. It was a single group pre- and post-test research design. A total of 36 students were recruited. The demographics, learning confidence, academic performance and satisfaction of the flipped classroom were evaluated during the semester. Results. The academic performance at the mid-test positively was correlated with learning confidence at the post-test (p = .033). The score of the total satisfaction of this course at the post-test positively was correlated with learning confidence at the post-test (p = .006). Conclusions. Based on results showing the rising degrees of students’ learning confidence, this study shows that it would be beneficial to teach in flipped classroom.
Perceptions regarding parenting competencies of mothers may vary according to cultural norms and are sparsely described in the literature. This study explored different aspects of parenting competencies expected from mothers with infants at early infancy in the Sri Lankan context, using a series of focus group discussions (FGD) with mothers, fathers and grandparents of infants. In addition, in-depth interviews (IDI) were conducted with service providers to identify their perceptions regarding maternal parenting competencies in early infancy. Data were analyzed using the Framework approach. Five major dimensions of parenting competencies were identified i.e.; feeding the infant, maintaining hygiene, dealing with crying, dealing with illnesses, recognizing the normal growth and development. The findings can be used to develop culturally specific tools to assess parenting competencies and to design maternal educational interventions to reinforce their parenting skills.
This study aims to develop a scale to measure how nurses perceive the organizational climate in wards, and examine the reliability and validity of the scale. Based on the results of a literature review and brainstorming, we extracted question items for a scale to measure perceptions of nurses about the organizational climate in wards, examined the content validity and face validity, and created a draft scale comprised on 33 items. A questionnaire survey was administered to 857 nurses in four hospitals in the Kanto region of Japan. The questionnaire is comprised of questions covering demographic characteristics and the draft scale as well as the 28 items from an Areas of Worklife Survey (AWS), which also functions as an external criterion to confirm the criterion-related validity. We conducted the second survey two weeks after the first, and evaluated the reliability of the scale using the test-retest method. This study was conducted under the approval of the Ethics Committee of the university the authors belong to. We collected 668 responses, and 602 were determined as valid for analysis. An explanatory factor analysis yielded 19 items comprising 4 factors. For the Cronbach α, a coefficient of reliability, we obtained 0.925 for the whole scale, and 0.721 to 0.896 for four subscales. The correlation coefficient with the AWS, an external criterion, was 0.78. In the second survey conducted as a retest, 456 responses were matched with the first survey, and included in the analysis. Pearson’s correlation coefficient for the first and second surveys was 0.79. Construct factors were named [Actions to improve quality of nursing], [Support of staff by the head nurse], [Cooperation between physicians and nurses], and [Work time management]. The scale to measure perceptions of nurses about the organizational climate in wards was comprised of 19 items and 4 factors, and we confirmed that it showed good reliability and validity.
High prevalence of colorectal cancers are increasing globally. Therefore burden of the patients having ostomies has become a global issue. Quality of Life (QOL) is the general wellbeing of individual and societies outlining negative and positive features of life. Studies have been shown that the QOL with stoma is lower compared to normal population. However, there is a limited data available on QOL among patients with intestinal stomas in Sri Lanka.
Dementia prevalence is accelerating internationally commensurate with population aging causing suffering from families as well as society burden because it is generally met with misunderstanding, fear, and stigma. Therefore, it is hoped that efforts to increase awareness, reduce stigma, and clarify misunderstandings of the illness can enable early detection of dementia. There are many different tests that were used to assess dementia knowledge however the use of inferior methods could account for some inconsistent findings related to dementia knowledge. It is important to define robustness of the psychometric properties of dementia knowledge tools. The aim of this study is to provide a systematic overview of what is known from previous research on assessing the reliability and validity of psychometric properties of dementia knowledge scales. A systematic literature search (2009 - 2017) was performed using the electronic databases PubMed, Web of science and Google scholar in English and Vietnamese. References and citations were tracked to identify additional, relevant studies basing on study eligibility criteria and excluded criteria. Five original studies were recruited from 562 studies in the selected databases for analyzing of the measurement properties of dementia knowledge scales. Quality judgment criteria were formulated and used to evaluate the psychometric aspects of the scales. Results: This systematic review revealed 4 dementia knowledge scales (ADKS, DKAS, DK-20, DKAT2) in 5 selected researches. Our findings (based on quality judgment criteria relating to validity, reliability, feasibility) demonstrate that ADKS, DKAS show good psychometric qualities, ranging from 15-17 score of psychometric qualities of dementia knowledge scale. The last two (DK-20 and DKAT2) scored 11 and 13 points of a maximum quality score of 20, respectively, so their psychometric quality can be regarded as moderate. Therefore, these tools await confirmation of various aspects of their psychometric properties. Conclusion: Based on the psychometric qualities, we concluded that ADKS and DKAS are the appropriate scales currently available. Further research should focus on improving these scales by further testing their validity, reliability, and utility.
High prevalence of colorectal cancers are increasing globally. Therefore burden of the patients having ostomies has become a global issue. Quality of Life (QOL) is the general wellbeing of individual and societies outlining negative and positive features of life. Studies have been shown that the QOL with stoma is lower compared to normal population. However, there is a limited data available on QOL among patients with intestinal stomas in Sri Lanka.
Mental health problems are common among the general adolescent population in India. Several studies have investigated the coping behaviors of adolescents who are faced with extreme stressors. Less is known about how adolescents cope with normative and daily stress, such as stress from academic demands. Therefore the objective of the present study was to assess the mental health and the coping among adolescents (13-18 years) in a school based set up in South India.
Mental health problems are common among the general adolescent population in India. Several studies have investigated the coping behaviors of adolescents who are faced with extreme stressors. Less is known about how adolescents cope with normative and daily stress, such as stress from academic demands. Therefore the objective of the present study was to assess the mental health and the coping among adolescents (13-18 years) in a school based set up in South India.
The present study aimed to clarify the state of and background factors affecting functioning in psychiatric day care users in Japan. A questionnaire survey based on the Self-Rating Scale for Functioning of Individuals With Mental Disorders was conducted on 1,176 psychiatric day care users and 916 psychiatric hospital outpatients between September 2008 and February 2009. Statistical analysis revealed a mean day care user functioning score of 90.2±19.7. No significant difference was observed between the functioning scores of day care users and outpatients. Functioning scores were higher in day care users with goals compared to those without goals. Background factors causing improvement in day care user functioning scores were as follows: having a goal other than to control symptoms; living with someone else; doing most of their own cleaning; and doing most of their own cooking.
Surrogacy is always a controversial topic in the world, especially when it is with payment. In this article, the issues about the surrogacy and its risks the women’s health, treating women as a commodity, constitutes babies-selling, changes the traditional family structure and values, degrades women productive dignity and exploits women from lower social stratum have been discussed. In Hong Kong, surrogacy is not against law. However, using it for commercial surrogacy is prohibited. Surrogacy is gaining popularity in the West. However, it is still not widely accepted because of the strong sense of blood ties within the family in Chinese society. The non-commercialization and non-enforcement approaches of surrogacy are adopted in Hong Kong to protect the welfare of the child and the surrogate mother to uphold family values and family integrity, as well as to keep the commercial market out of family relationships.
Breast cancer is one of the most common cancer in women. According to American Cancer Society (2013) among every eight women,one is diagnosed to have breast cancer and there were 39,620 deaths in US from breast cancer in 2013 alone. Breast cancer has been the cause of about 17% of deaths from cancer and it is the second leading cause of death cancer after lung cancer.The effect of breast cancer and its treatments such as mastectomy on a woman includes psychological discomfort, especially mood disorders, depression, anxiety, anger, fear about the body image, andin general its influence on the quality of life which is greatly reduced after breast surgery.Unrecognized psychological morbidity can impair the quality of life of a woman. This psychological morbidity may be reduced by open communication, encouragement,expression of feelings, preoperative diagnosis of cancer,biopsy, and more time allowance before surgery is needed.Health related QOL is now considered an important end point in cancer clinical trials. Assessing QOL in cancer patients could contribute to improve treatment and be prognostic in all the spheres of their life .Studies of QOL can further indicate the directions needed for more efficient treatment of cancer patients.The time of diagnosis, initial stage of adjuvant treatment course and the months immediately following the end of adjuvant treatment are the transition times of poor adjustment and decreased QOL in breast cancer patients. Montazeri.et.al.,(2008) revealed decreased health related QOL as a result of chemotherapy side effects which may predict early discontinuation of treatment in patients with breast cancer. The studies on posttreatment adjustment of breast cancer survivors demonstrated that breast cancer patients might enjoy a good QOL.
Aim and objectives. The objective of this review was to identify facilitators and barriers for promoting family caregiving for a loved one after surviving a stroke. Background. Despite the increasing needs of family caregiving among stroke victims, little is known about the factors influencing their care particularly during the transition from hospital to home. Integrating the findings of previous empirical studies regarding the phenomenon would inform and improve the understanding of family caregiving among healthcare providers. Design. An integrative review of literature using Whittemore and Knafl‟s method. Methods. Published articles were obtained through search databases such as PubMed, CINAHL, Science Direct, and ProQuest from 2007 to 2017. The following keywords were used to select the corresponding articles: stroke, cerebrovascular accident combined with transition, continuing of care, family caregiving, informal caregiver, informal carer, and family support. With these keywords, 979 research articles were found. An inclusion criteria further refined the articles which were pertinent to the topic of concern, namely: 1) Focused on family caregiver or both family caregiver and stroke survivors, 2) Involved family caregiving for first stroke survivors during the period from hospitalization to six months post-discharge, 2) Addressed constructs of facilitators and barriers of family caregiving, 3) Both qualitative or quantitative designs, and 4) Published in English language. Nineteen articles met these inclusion criteria and were included in this review. Results: Facilitators for successful family caregiving were identified as caregiver‟s psychosocial factors, social support, and socio-cultural factors. Caregivers’ psychosocial factors included self-management, knowledge and care skills, positive coping styles, and problem-solving and coping ability. Social supports comprised of health professionals support, community support, and family support. Two aspects of socio-cultural factors facilitating a successful caregiving were religious beliefs and family coherence. Likewise, three barriers were identified namely, the characteristics of the caregiver, the stroke-survivor, and social barriers. Four sub-factors comprised the caregiver barriers while stroke survivor barriers consisted of two factors. Social barriers also had two factors identified. Conclusions and Recommendations. The findings revealed three facilitators and three barriers towards promoting caregiving for loved ones following a stroke. These identified facilitators and barriers will benefit the development of more effective interventions to support family caregiving particularly those undergoing a transition and are continuing their caregiver role. These facilitators and barriers will influence healthcare providers to design proactive services which promote family caregiving following a loved one‟s stroke.
The ethnography reveal the success factors that affected the implementation of the elderly health promotion program in six community of Nakhon Si Thammarat and Krabi province. The data was collected by understanding related reports, observation, interviews, focus groups from 206 participants: Project Manager 6, Project co-operator 24, Academic Coordination Team 6, the elders 170. Research trustworthiness by triangulation technique, content analysis was used to thematic creating. The results confirming project success: 100 elders leaders emerging, increasing 100% of the elderly participating, 90% have health promotion knowledge, increasing of area, groups and members, elderly clubs were established and setting the agreement rules to achieve continuous activities, the concrete of creating a network, linking and expanding cooperation. The success factors include: 1) personal, groups, organization: 1.1) the elderly leaders; compose 15-30 persons driving the project affect to elderly health behavior, important characteristics: respectful accepted from community, knowledgeable, healthy behavior for the role-model, 1.2) health status and self-care ability affected the activity participation,1.3) elder’s family encouraging continuous activities,1.4) neighborhoods reminding information, 1.5) the elderly’s group encourage meeting, health volunteers providing information. Financial groups supporting budget, 1.6) Thai Health Promotion Foundation supporting financial for learning process. 2) The process success factors: 2.1) design of systematic activities, create participation every step, focus on creating the elder\'s value by let them to carry out their own projects affect ownership, develop, expand to childhood and middle-age, inherit the wisdom, 2.2) multifunctional networking, 2.3) agreement rules of elderly’s clubs, 2.4) the using of community’s potential to implementation. The success factors presented to the elders and stakeholder apply for community health promotion.
This study report of ethical reasoning use in ethical issues/dilemmas in the daily nursing practice in Thailand. Ethical reasoning differences occur as a result of individual interpretation of a subject or event, which may be political or religious in nature. Ethical issues/dilemmas can cause nurses to commit right and wrong actions on a daily basis because nurses have a duty to protect patients by using the application of the four major principles of medical ethics, non-maleficence, beneficence, autonomy, and justice.
whilst evidence on the potential physical health and social benefits of exposure to nature settings have increased there remains a need to further the understanding of the restorative benefits on mental health [1]. The purpose of this paper is to examine the meanings of nature for people living with a mental illness whilst participating in an outdoor adventure camp. This study used an exploratory qualitative approach to analyze the narrative data collected from individual semi-structured interviews. Data saturation were reached after five participant interviews (n=5). Using van Kaam’s Psychophemenological method [2] a number of structural elements and an overall theme were identified from the participants’ descriptions. The findings revealed the overall theme as Connection with nature and comprised of four elements which are Appreciation and connection; Mindfulness and distraction; Vitality, and Sustains physical activity. These findings are linked with two complimentary theoretical frameworks, Stress Recovery Framework [3] and Attention Restoration Theory [3] to discuss how the experiences of nature can relieve psychological stress and mental fatigue.
The objective of this study was to examine the causal model, where resilience influences psychological and physical stress reactions by mediating work engagement, to clarify the mediating effects of work engagement in nurses working in long-term care. We conducted a questionnaire-based survey with 1,786 Japanese nurses working in long-term care in the Tohoku region. For 1,269 respondents, we examined the causal model using structural equation modeling (SEM) and multiple population analysis comparing males and females. The results revealed a process whereby resilience influenced psychological and physical stress reactions by mediating work engagement. In other words, greater psychological recovery and adaptability (i.e., resilience) enhance pride in work and positive emotion (i.e., work engagement), and greater positive emotion suppresses psychological and physical stress reactions, enhancing psycho-physical health. This process was equivalent in both genders. The results demonstrated that, in order to suppress stress in nurses working in long-term care, it is important to provide support for their psychological recovery and adaptability, as well as to facilitate positive emotion through pride for work.
Objective: To ensure the effective implementation of nursing core system based on multi-source information fusion technology through information platform. Methods: Relying on HIS, EMR, LIS, PACS and AIMS, through multi-source information fusion Technology to realize medical information sharing, research and develop new mobile terminal assistant, create the shift module, change care whiteboard function, as well as research and develope multi-function nursing information screen. Results: The medical care information real-time intercommunication achieved the level of common decisionmaking care, the compliance rate of the order of care and patient care level increased from 87.3% to 95.7%; new mobile terminal assistant to ensure that the check system was implemented effectively, and make the error administration of 0.0002% down to 0; multi-functional nursing information screen comprehensive, real-time, dynamic coverage shift content, to achieve a paperless handover, transfer time-consuming daily of the ward content from 72.6 minutes to 16.7 minutes. Conclusion: Relying on the hospital information platform, multi-source information fusion technology can effectively protect the grading nursing system, check the implementation of the nursing core system such as the system and shift management system, improve the nursing quality and enhance the safety of patients.
This paper investigates the perceptions and experiences of undergraduate nursing students involved in an embedded academic literacy support program at a multi-campus School of Nursing and Midwifery in an Australian university located in culturally diverse regions of Western Sydney. The study was conducted using three focus group interviews with students from the nursing program after their engagement with support. The focus group participants reported high levels of satisfaction with the support, improved capacities in using literacy and language skills, and increased confidence and success in their studies. They accessed the support to develop literacy skills for nursing subjects and specific assessment tasks, and some students from linguistically and culturally diverse (CALD) backgrounds specifically attended support to improve skills in written and spoken English as an additional language (EAL). Whilst this study aimed to explore the experiences of all students, the focus groups predominantly involved participants who were from CALD backgrounds with EAL. Thematic analysis of the focus group interviews revealed that the embedding of targeted Professional Communication Academic Literacy (PCAL) support involving workshops, consultations and a resource workbook that were tailored to the literacy and language needs of students were effective support strategies. The focus groups explored the students’ experiences of the support including their uptake of support, improvements in literacy and language capacities, increases in confidence in using these skills, and how engaging with support enhanced their academic performance. The findings from this study are relevant to the embedding of academic literacy and language support in other nursing programs and would be transferable to meeting student learning needs in similar school contexts.
Objectives: To evaluate the efficacy of progressive muscle relaxation on stress, anxiety and pregnancy outcome among low risk primi mothers.
Burnout is a common feature among healthcare professionals. This study investigated the factors related to the burnout of Japanese male nurses working in hospitals with the aim of preventing burnout among them. A total of 3,758 nurses who worked at 9 city hospitals in Kanagawa prefecture, Japan, were sent the Maslach Burnout Inventory–Human Services Survey (MBI-HSS; Japanese version) in June 2014. The responses were divided according to their gender. A data analysis was undertaken for those male nurses who provided valid responses (n = 178). A multiple regression analysis revealed that factors related to burnout in male nurses were “Irritation at not being able to attend to personal affairs,” “Will to continue working,” “Sense of work fulfillment,” “Doing much housework,” and “Assertiveness.” Mental health support to reduce “feelings of irritation” and increase “sense of work fulfillment” or “assertiveness” could help to prevent burnout in male nurses working in hospitals.
BACKGROUND: Emergency department crowding is one of the biggest issues facing healthcare systems worldwide. Increased presentations by the elderly have been identified as a potential contributing factor. Patient-perceived access to care has been suggested as one explanation for increased elderly presentations. A group of conditions collectively called Potentially Preventable Hospitalisations (PPHs) are a commonly used measure of patient-perceived access to primary care services. AIM: To investigate the hypothesis that patient-perceived access to care, as measured by PPHs, is a factor leading to increased emergency department presentations and subsequent hospitalisations of elderly patients. METHOD: Six years of inpatient data, from one Australian hospital, were coded to identify PPHs. The data were further divided to identify (i) admissions by those aged ≥75 years and (ii) admissions by patients aged ≥75 years with a length of stay ≤ 2 days (short-stay). Descriptive statistics were used to compare changes in rates of admissions for PPHs versus non-PPHs. RESULTS: PPHs accounted for 7.4% of all admissions and increased by 21% over 6 years, whereas non-PPHs increased by only 1.7%. Twenty-five percent of PPHs were by patients aged ≥ 75 years. PPHs related to chronic disease increased at the greatest rate (16%) for this patient demographic. Short-stay admissions for PPHs accounted for 51% of all PPHs in patients aged ≥ 75 years, and increased by 70% over six years. Congestive cardiac failure (CCF) was the most common associated condition, accounting for 21% of all short-stay PPHs in the elderly. CONCLUSION: Our analysis suggests that patient-perceived access to care, as measured by PPHs, is a driver of increased emergency department presentations and subsequent hospital admissions of patients aged ≥ 75 years. Short-stay admissions for chronic conditions are the biggest contributor. Understanding elderly patients’ perceptions of access to chronic care management outside of the hospital setting may provide insights into how best to improve access to required services, and thereby reduce the need for expensive, short-term, acute care management of chronic conditions.
Background Most elderly patients in the palliative stage received general care before receiving specific palliative care. Many Thai elders and their family caregivers rarely access care from palliative services. Improving care quality for Thai elders depends on family caregivers. Understanding family caregivers’ perspectives can help care providers to maximize care quality for Thai elders in the palliative stage. Aims To explore caregivers’ perspectives on improving care for Thai elders in the palliative stage. Methods A qualitative study using in-depth interviews and non- participatory observation with 10 elderly persons and their family caregivers was undertaken. The elderly patients had cancer (stage III – IV), end-stage of organ failure, frailty, and/or dementia/Alzheimer. Family caregivers were providing care to the elderly at home for at least 2 weeks. Data were analyzed using content analysis. Results Data analysis revealed 2 themes: 1) caring to repay elders’ kindness, 2) caring to minimize elders’ perception of being abandon and burden. Conclusion This analysis provides further specific caring for caregivers who provide care for the elderly in the palliative stage. Finding ways to address family caregivers’ perspectives on improving care could help better care among the elderly.
Patient safety is a major concern in a complex healthcare environment. An inadequate capacity in making clinical judgment for patients with complex medical conditions was a reason for healthcare errors committed by novice nurses worldwide. Clinical judgment is an outcome behavior that involves an understanding of patient context and reflection on experience. This core nursing competence is developed while students gain knowledge and experience in the clinical learning environment. However, the quality of and opportunity for learning varies significantly in the clinical learning environment. High-fidelity simulation training is widely adopted in training programmes of various competency areas; however, clinical judgment is explicitly focused on recently. The use of theoretical-based intervention is minimal, and the effects of this approach remain inconclusive.
Aim: We aimed to clarify the relationship between burnout and assertiveness in female nurses with preschool-age children in Japan. Methods: The directors at 24 hospitals agreed to cooperate with our study. During a one-month period from October to November 2014, a self-administered questionnaire was distributed to 832 female nurses with preschool-age children. The Japanese version of Burnout Inventory (MBI) and a visual analog scale (0 to 100mm) for assertiveness used as scales. Burnout was operationally defined as a total MBI score in the highest tertile. Results: We obtained valid responses from 528 nurses who had consented to join the study. 178 (33.7%) of the subjects had experienced burnout. In the scale for assertiveness, 116 of the subjects were “very low” (0 to 25 mm), 138 of the subjects were “somewhat low” (26 to 50 mm), 163 of the subjects were “somewhat high” (51 to 75 mm) and 107 of the subjects were “very high” (76 to 100 mm). Chi-square analysis indicated the significant differences in relationship between burnout and assertiveness in female nurses with preschool-age children in Japan. The weaker self-assertion, the easier it is to burn out. Conclusions: Female nurses with preschool-age children in Japan tend to burn out easily if their assertiveness was “very low”.
The Oral Assessment Guide (OAG) is a widely used tool designed for evaluating oral mucous problems in cancer patients. The measure has not been validated in Japan. We evaluated intraoral condition with the OAG for patients hospitalized in 15 medical departments at the university hospital. The average value of the OAG by medical departments was shown. The results showed that the Japanese version of the OAG had internal consistency, and could be used to assess patients’ oral health in acute care hospitals.
In Japan diagnostic criteria for lymphedema after gynecological cancer surgery have not been established, and it is difficult to accurately determine the rate of incidence of its occurrence [1]. As the length of hospitalizations has been shortened, there are many patients who are discharged from the hospital without having sufficient knowledge and skills to prevent the onset of lymphedema [2]. This study aims to determine factors influencing the lymphedema onset of gynecologic cancer patients who have undergone surgery, to conduct intervention programs to promote self-management of lymphedema prevention, and to establish the effect of the interventions. The study participants were gynecologic cancer patients who had undergone lymph node dissection in the participating hospitals. Inclusion criteria are patients aged between 20 and 74, and who are able to perform the self-management, participate in all the programs with physically and mentally stable conditions. We provided instruction about the self-management to prevent lymphedema for the intervention group. After discharge from the hospital, patients were given health instruction once a month by phone. The femoral circumference and body weight were measured and recorded weekly from 3 to 5 days after surgery (before discharge). For the control group, the femoral circumference and weight were measured and recorded before discharge and 6 months after surgery. Surveys were conducted twice, before discharge and 6 months after the surgery. Surveyed items were the right and left femoral circumferences and body weight, and any presence of lymphedema. We also administered a self-rating questionnaire survey, with questions of demographic characteristics, health conditions, self-efficacy with health problems, and ability to conduct self-management activities. The questionnaire was collected by mail, and the significance level of the statistical measures was set as below 0.05. This study was conducted in accordance with commonly accepted ethical considerations. We explained the outline of the study to 130 patients, and 108 expressed consent. We randomly divided the patients into two groups: 56 as an intervention group, and 52 as a control group. Before the discharge, 55 valid responses (98%) to the questionnaire were collected from the intervention group and 51 (98%) from the control group, and 6 months after surgery, from 51 (92.7%) of the intervention group, and from 45 (88.2%) of the control group. At discharge there were no significant differences in femoral circumference and body weight, or in presence of lymphedema in the groups. Six months after the surgery, the body weight and incidence of lymphedema were significantly lower in the intervention group. The intervention group reported some mild symptoms of health problems, and this group scored significantly better in the meaningfulness of sense of coherence (SOC), overall quality of life (QOL), physical area of QOL, and self-efficacy with health problems in the questionnaire. For the self-management behavior, the intervention group showed significantly higher scores in the interactions with medical personnel and in coping with symptoms. As a result of the multiple logistic regression analysis using the presence of lymphedema as an objective variable, there were differences between the groups and in the coping with symptoms as factors influencing the onset of lymphedema. The possibility of not developing lymphedema was 4.1 times higher in the intervention group, and 1.9 times higher in patients who are able to cope with symptoms. Traditionally, emphasis has been placed on physical self-management to prevent the onset of lymphedema after gynecological cancer surgery. The program here was developed by further assuming that it is important to make physical, mental and social adjustments, and we developed a program paying close attention to these aspects of recovery. As the differences between the groups and the coping with symptoms have been shown to be factors influencing lymphedema onset, it is suggested that providing interventions addressing physical, mental, and social aspects concurrently will enable patients to acquire the skills necessary to cope with symptoms by themselves.
The aging population puts great pressure on the long-term care system in China. Nurses motivation is crucial for an effective long-term care system.
The purpose of this study was to further elucidate the process of identity adaptation in people with schizophrenia by talking to them about their illness. Data were gathered through semi-structured interviews with 9 community-dwelling people with schizophrenia. Analysis was performed using Krippendorf’s approach to content analysis. Eleven content categories were derived: illness acceptance, self-control, help from family, help from friends, help from doctors or nurses, modifying thinking, social roles and activities, worthwhile work, enjoyment of life, being happy, and being free. Participants were found to attain illness acceptance based on help from family, help from friends, and help from doctors and nurses. As a result of an interactive process surrounding the concepts of illness acceptance, self-control and modifying thinking, participants sought out social roles and activities and worthwhile work to acquire a social identity. Thus, it was found that participants felt they enjoyed life, were happy and were free because they were productive members of society.
Currently, there are minimal educational materials customized for first generation Chinese immigrants on hypertension management. The San Francisco Bay area has an increasingly large population of first generation Chinese immigrants. Thus, the need for culturally sensitive and appropriate educational materials is critical for this vulnerable population to manage their hypertension. The aim of this study was to update and test the feasibility of the Chinese Medicine as Longevity Modality (CALM) DVD videos, including: 1) a patient education program using a Powerpoint file, conveyed via a video format; and 2) a storytelling video. The feasibility of the CALM videos was assessed by individual interviews using structured, open-ended questions to determine the participants’ comprehension of the video content and offering feedback and suggestions for the refinement of the videos. Findings generally demonstrated helpfulness of the proposed intervention protocol suggesting that educational materials that are culturally sensitive and appropriate are beneficial for the target population.
The purpose of this study was to clarify family planning services for postpartum women provided by midwives in Japan. The participants were 32 midwives with experience in providing family planning services who worked on the maternity wards of two general hospitals. Data were obtained from a self-administered questionnaire on demographic characteristics and family planning services (format, recipients, and content). The format of family planning services was group education and the recipients were postpartum women. None of the participating midwives provided family planning services to married couples. Approximately 70% of the midwives responded that family planning guidance is most appropriate during postpartum hospitalization. All midwives educated postpartum women on contraception. In Japan, the background of pregnant women has become diverse. Therefore, individualized education for family planning services is necessary. Furthermore, family planning services should be provided to both parents.
This study aimed to identify factors related to career commitment among home visiting nurses in Japan. A questionnaire survey of 1,423 home visiting nurses. Items on the questionnaire were Individual factors, work environment, work life balance, burnout (MBI-GS) and career commitment. Multiple regression analysis was performed using career commitment as the objective variable. There were 569 valid responses (40.0%), and 559 (39.3%), excluding male respondents, were analyzed. The multiple regression analysis identified 8 items as related to career commitment of home visiting nurses; 1) A sense of reward in nursing at patient homes, 2) Cynicism (MBI-GS), 3) Satisfaction with own private life, 4) Person to respect present in the workplace, 5) To be able to provide and apply information about social resources and programs in a timely manner, 6) Feeling uneasy about performing medical treatment alone, 7) Professional efficacy (MBI-GS), 8) To have a good relationships with physicians. The career commitment of home visiting nurses was closely related to \
The incidence of dementia is increasing in Singapore as the aging population increases. 1 Caring for patients with dementia is stressful and burdensome as they are often very dependent on others for all their daily needs.2-4 However, very few studies have explored the family caregiver’s burden in Singapore where it is the cultural norm to care for their elders at home.
The story presents us with more than just a way of organising and communicating a series of events; it offers those in the nursing profession - a profession steeped in story, a method of making sense and meaning of what they do and who they are. Every day, nurses listen to and tell stories to create coherence in a world that may otherwise be chaotic. The use of narrative offers an authentic approach to research in the discipline of nursing by connecting nurses to one another and to the greater narrative. This paper discusses the use of stories as an approach to research, by sharing one of the stories of an early career registered nurse to demonstrate the way reflecting on the story can transform perspectives and emancipate narrators and listeners from the confines of positivist approaches to research giving voice to those who may otherwise go unheard. This paper draws from a study investigating the experiences of early career registered nurses.
Obesity is one of the modern day epidemics that play a significant role in causing poor health, negatively affecting quality of life and shortening the quantity of life. Obesity is found to be increasing in the rural areas especially among women due the changing lifestyle patterns and dietary habits. Nurses play a significant role in transforming the lives of obese people by providing simple, concerted interventions such as high intense exercises to reduce and maintain weight in healthy ranges that can free them from developing many chronic morbidities.
Newly arrived overseas registered nurses experience difficulties adjusting to the Norwegian clinical setting. According to a study (2000), into working conditions in the Norwegian clinical setting, the nursing workforce needs to provide support to enable overseas registered nurses to adapt to working in a different care system.
Nursing students must learn specific skills in order to provide high quality nursing care for elderly patients. In particular, nurses must understand the physical and mental states of healthy elderly individuals in order to skillfully navigate the physical recovery process with the elderly, and frequently frail, patients they serve. For this reason, third grade nursing students complete training practicums at the elderly welfare center in order to understand healthy aging processes. These students then apply this knowledge while caring for frail and elderly patients at hospitals and other facilities. This two-stage practical training promotes understanding of elderly individuals of various levels of health and functional ability. Recent years have seen increasing promotion of regional comprehensive care systems in Japan. Elderly clubs are key components of these systems, and are positioned as mechanisms for supporting and maximizing health and quality of life throughout the later decades of life. In order to understand healthy aging, nursing training practicums within elderly clubs are therefore critically important. The purpose of this research was to better understand the effects of training nursing students within elderly clubs in Japan. Of particular interest was the question: “Do nursing training practicums that are carried out within elderly clubs help new nursing students achieve practical objectives?”
Introduction: Stigma is one of the foremost barriers that may lead to failure or delay in treating or diagnosing HIV/AIDS. Objectives of this study were to identify the impacts of workshop and standardized lecture about HIV/AIDS-related stigma on the students of Nursing Science Program, Faculty of Medicine, Universitas Gadjah Mada (NSP - FM UGM)
Background: Spiritual care competency is an important component of holistic care. However, there is limited study on spiritual care competency issues in Taiwan. Purpose: The objective of the study was to examine the relationships among personality traits, attitudes toward spiritual care, and spiritual care competency among psychiatric nurses. Method: A cross-sectional research with a survey was conducted. A total of 239 psychiatric nurses were recruited from seven hospitals in southern and eastern Taiwan. Instruments included the spiritual care attitudes scale, the spiritual care competency scale, the big five personality trait scale, and a personal profile. Analytic strategies were descriptive statistics, t-tests, ANOVAs, person correlations, and hierarchical regression models. Results: Participants reported moderate levels of attitudes toward spiritual care and spiritual care competency. In the first model, attending spiritual education (beta=.24, p <.05) was the predictor of spiritual care competency. In the second model, attending spiritual education (beta=.17, p =.005), openness to experience personality (beta=.17, p =.024), and agreeableness personality (beta=.31, p <.001) were predictors of spiritual care competency. In the final model, only attitudes toward spiritual care (beta=.67, p <.001) was the predictor of spiritual care competency. All the study variables in the final model explained a total of 45.8% variance. Conclusion: Spiritual care experience, personality traits, and attitudes towards spiritual care were predictors of spiritual care competency. Recommendations: Spiritual care modules should involve in education agenda that may enhance nurses to provide quality of spiritual care. Future study may explore the spiritual care competency and its influences to other populations.
Background: About 10% to 85% patients with cancer experience post-traumatic stress symptoms (PTSSs); resulting in levels of depression. However, the study on the relationship between depression and PTSSs in patients with cancer is limited. Purpose: The purpose of the study was to examine the relationships between depression and PTSSs among Taiwanese patients with cancer. Methods: A cross-sectional design with convenience sampling method was conducted. A total of 80 patients with cancer were recruited from a district and teaching hospital in southern Taiwan. Instruments include the Taiwanese Depression Questionnaire (TDQ), the Post-traumatic Stress Symptoms (PTSSS) Scale for Cancer Patients, and a personal profile. Results: The majority of participants were diagnosed of head and neck cancer (78.8%), at advanced stage (77.5%). Eleven percent (n=9) of the participants achieved depression (TDQ≧18 ). TDQ score was positive related to negative feelings/cognition subscale (r=.35, p=.005) and arousal/reactivity subscale(r=.38, p=.002) on frequency of PTSSS, and to negative feelings/cognition subscale (r=.28, p=.022) and arousal/reactivity subscale (r=.32, p=.009) on intensity of PTSSS, separately. Participants with depression had higher scores on o negative feelings/cognition subscale (t=1.93, p=.005) and arousal/reactivity subscale (t=2.41, p=.038) on frequency of PTSSS, and to arousal/reactivity subscale (t=2.36, p=.039) on intensity of PTSS than those who without depression. Conclusion: It is highlight that depression is associated with PTSSs in patients with cancer. Implications for clinical practice: Nurses should recognize cancer patients with depression also accompanied with PTSSs. Early detect either depression or PTSSs of patients with cancer is beneficial to quality of care.
Emergency care for the paediatric population remains a challenge because of the varying physiology and development related issues in children. The number requiring such emergency attention is generally high in tertiary care centres in low and middle income countries. It therefore is essential to have a system of triaging to efficiently and effectively cater to the emergency needs of the sick children attending the emergency departments. The aims of this study were to: (1) Assess the Pediatric nurses’ knowledge regarding triaging; (2) Describe the morbidity pattern of children attending emergency unit and (3) Assess the triaging pattern and the child management outcomes.
Background: Illness perceptions can significantly influence patient’s lifestyle and behavior choices, and the concept has subsequently been employed as effective mechanism for improving behavior change and other health outcomes. However, little information is concerned about the illness perceptions among patients with type 2 diabetes mellitus in China. Objectives: This study aimed to investigate illness perceptions and its predictors among Chinese patients with type 2 diabetes mellitus. Design: A descriptive cross-sectional study. Settings: Two teaching hospitals in a geographical region of China. Participants: Two hundred and two Chinese in-patients with type 2 diabetes mellitus were recruited. Methods: Data were collected by the Revised Illness Perception Questionnaire and social demographic questionnaire. Descriptive analysis, Single-sample t test, Pearson’s correlation, multiple linear regression, etc were used as the analysis strategy. Results: Among the 13 common symptoms of type 2 diabetes mellitus, on average only 4.89 were recognized by the patients. Patients believed diet or eating habits, my own behavior, lack of exercise, pre-diabetes and overwork caused type 2 diabetes mellitus. Patients were lack of understanding of type 2 diabetes mellitus, but they perceived type 2 diabetes mellitus as a chronic and stable illness without having a negative affective response and believed that type 2 diabetes mellitus was controllable through themselves and treatment. Furthermore, socio-demographic factors and illness-related factors could predict the illness perceptions of type 2 diabetic patients. Conclusions: Some aspects of the illness perceptions of Chinese patients with type 2 diabetes mellitus need to be improved. Socio-demographic factors and illness-related factors are predictors of illness perceptions among type 2 diabetic patients.
Background: Nursing shortage is a global issue which will be very likely even more present in the nearby future. As other countries, the Czech Republic is trying to solve this problem by encouraging migration of nurses from the countries like Russia, Ukraine, Slovakia. According to Czech Ministry of Health there are currently the Czech nursing workforce consists of about 75.000 professionally active nurses and there are approximately 3000 vacancies. This can most definitely influence the quality of care, wellbeing of nurses and their patients, inter-professional relationships and lead to burn out of the remaining nursing workforce.
Background. Early initial insulin treatment is frequently recommended for patients with type 2 diabetes (T2DM) but with poor glycemic control. Nevertheless, many studies have also found that even patients with T2DM transferred to receive insulin treatment did not achieve optimal glycemic control.
Research question: How to integrate overseas registered nurses into the clinical setting of a nursing home in Norway? Research problem: Newly arrived overseas registered nurses experience difficulties adjusting to the clinical setting in one of the institutions for old people in Norway. Purpose: The purpose of the study shall be to develop a basic knowledge that will stimulate and improve competence in multicultural nursing in the clinical area. It will help develop research studies in nursing education and practice in relation to working conditions in a cross-cultural teamwork. Method: Action research is the chosen method for this research due to its collaborative, reflective and evolutionary process of bringing about change. To ensure the effectiveness and trustworthiness of the study, focus group discussions and critical reflection are used. The data analysis is done through a hermeneutical approach according to Kvale`s (2001) level of interpretation. Results: Results reveal that diversity issues such as communication, different educational background, attitudes, values and cultural expectations, power dynamics and social avoidance are the underlying challenges of overseas registered nurses in adjusting to the Norwegian clinical setting. Implications: Findings imply that the institution needs to provide a working climate that will promote professional and social integration of both the Norwegian registered nurses and overseas registered nurses.
One of the most common chronic disease in adolescents is type 1 diabetes. This study was to analyze the self-acceptance as a predictor in depression in adolescents with type 1 diabetes. Methods: This research uses descriptive method with sampling technique of total sampling in 24 parents aged 10-19 years old in Malang city of Indonesia. The study was conducted in June-July 2017. The variables were self-acceptance and depression of adolescents with type 1 diabetes using Berger’s Self Acceptance Scale and Center for Epidemiological Studies Depression Scale for Children. Bivariate data analysis was using regression. Results: selfacceptance affect the depression by 38.4% Conclusion: Selfacceptance is a predictor variable in depression in adolescents with type 1 diabetes.
In today\'s complex healthcare environment, new nursing graduates are expected to master nursing skills in a timely manner and become critical thinkers with the capacity of solving complex healthcare problems efficiently. The increased complexity of the clinical setting requires competence-building begin in introductory courses, establishing foundational skills for critical thinking and prioritisation. In the healthcare professions, teaching and learning methods are focused on integration of clinical knowledge and skills. However, traditional teaching and learning methodologies do not always facilitate the development of a requisite level of these clinical skills. The purpose of this study is to investigate the feasibility of developing simulation as a supplemental teaching-learning strategy to enhance the transfer of student self-confidence and competence to the clinical nursing environment. To examine potential effects of simulation on the Master of Nursing Studies (MNSt) students, a pilot study was conducted including 44 participants. Data were collected weekly over 11 week period by using pre and post-test design. Analysis showed a significant increase in the confidence, competence and knowledge. Results generally indicated that the simulation had the anticipated effects. This study reveals a high feasibility of developing simulation scenarios as an active learning methodology and that it should be developed further and piloted on a larger sample.
The aim of this study is to explore the factors influencing registered nurses’ pursuit of postgraduate education (PGE) for specialty nursing practice in Australia. Despite the increased requirement for PGE for advanced practice, little has been reported on the contributory factors. The NATPGE (Nurses’ Attitudes Towards Postgraduate Education) instrument was administered to 1632 registered nurses from the Nurses and Midwives e-Cohort Study (NMeS) across Australia, with a response rate of 35.9% (n=568). Data reduction techniques using principal component analysis with varimax rotation was used. Accounting for 52.5% of the variance of the scale, the analysis identified a three-factor solution for 14 items: ‘facilitators’; ‘professional recognition’; and ‘barriers’. The one higher order factor, representing facilitators to postgraduate education; accounting for 28.5% of the variance: (1) improves knowledge; (2) increases nurses’ confidence in clinical decision making; (3) enhances nurses’ careers; (4) improves critical thinking; (5) improves nurses’ clinical skill; and (6) increased job satisfaction. This new instrument has potential clinical and research applications to support registered nurses’ pursuant of postgraduate education.
HIV infection is a leading cause of morbidity and mortality in our country today with nearly 1.2 million Americans living with HIV infection. Early recognition of infection is imperative for appropriate initiation of treatment to prevent comorbidities. Additionally, identification of infection can serve as a primary preventative measure to reduce spread of the disease. National organizations have supported the initiation of routine screening policies for HIV in health care settings. Primary care providers are uniquely positioned to be able to offer HIV screenings and identify infected persons very early in the course of the disease. Despite support for routine testing in the literature and by national evidence-based guidelines, testing is still not offered routinely in the primary care setting. The purpose of this project was to explore if a clinical reminder improves the frequency of HIV screening offered in a rural primary care clinic (PCC) located in Central Louisiana. Results of the project did show a statistically significant increase in the frequency of HIV screening offered following implementation of the clinical reminder system.
HIV/AIDS scare in the whole world brings impact to people\'s dignity. Aggressively, Department of Health is taking the lead to combat the dreaded disease through health education initiatives to the grassroots. The report stating that Iligan City has high increasing number of HIV/AIDS cases (Orias,2015), conveys that HIV/AIDS is everywhere. The study explored the profile, extent of knowledge and the preferred contents in the proposed HIV/AIDS health education material mobile platform in MSU-IIT community, developed the mobile platform in collaboration with the MSU-IIT School of Computer Studies and evaluated its use. Upon approval of the Institute Research Ethics Committee, online survey of 100 respondents having met eligibility criteria was conducted using convenience sampling technique with two instruments: 1)HIV Knowledge Questionnaire by Carey, M.P.,et al. (2002), pre-tested (α =0.728) standardized 18-item HIV knowledge questionnaire with permission to determine the extent of knowledge on HIV/AIDS among respondents; 2) 7-Item Likert-scale researcher-made questionnaire for User’s Preferences on Contents. Survey responses were analysed using descriptive statistics, and a mobile platform was developed and evaluated for its use in collaboration with the School of Computer Studies. Results expressed the satisfactory extent of knowledge on HIV/AIDS in MSU-IIT community and articulated that quite a number of respondents lack knowledge on the prevention, transmission, testing and treatment of HIV/AIDS thus, prompted the development of a mobile platform addressing the gap. The preferred contents highlighted a majority of totally agree responses by the users indicating preference and additional features to be incorporated for 3 iteration processes in the platform developed. Although majority of the 18-items were answered correctly, items which were answered incorrectly by the respondents require full attention and details thus the HIV/AIDS Mobile Application Learning Tool is introduced to the MSU-IIT community as a health education material for mobile platform.