Nursing & Primary Care最新文献

{"title":"Adherence of Hypertensive Clients: A Concept Analysis","authors":"P. A. Berek, B. Siswanto, Dewi Irawati, W. Jatmiko, Christian Jay S. Orte, Michael I Aggari","doi":"10.33425/2639-9474.1212","DOIUrl":"https://doi.org/10.33425/2639-9474.1212","url":null,"abstract":"Objective: The purpose of this study is to clarify the concept of adherence of hypertensive clients. Method: Concept analysis proposed by Walker and Avant was applied and searching strategies were done from ProQuest, CINAHL, Scopus and Google Scholar published from 1999 to 2021. Attributes and cases (model, borderline, and contradiction) were identified to clarify the concept. Results: The results of this concept analysis show that adherence to self-care is a complex concept. This involves physical, psychological, social, cultural, and other aspects that are closely related to human resources, both internal and external for each individual. However, the terminology of adherence is closely related to the self-care of hypertensive patients. Conclusion: The study clarified self-care adherence and offered defining attributes; adherence recommendations, perceived benefits and benefits of adherence, realization, and acceptance of current conditions, and ability to perform optimal self-care. Case, borderline, and contradiction models are provided to explain this concept. Antecedents, consequences, and empirical references have also been described. Topics related to self-care adherence must be further explored to advance the nursing practice in managing the hypertensive client.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114828135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Disaster Risk Reduction Training (Disaster Mitigation) Based on Community Participation on Flood Disaster Management Preparedness Knowledge","authors":"Rusna Tahir, A. A., Sahmad S, Iqra S","doi":"10.33425/2639-9474.1211","DOIUrl":"https://doi.org/10.33425/2639-9474.1211","url":null,"abstract":"Disaster is an event or series of events that threaten and disrupt the life and livelihood of the community caused by natural factors and or non-natural factors or human factors resulting in casualties, environmental damage, property losses, and psychological impacts. Purpose of this research is to measure the ability of the people to understand the training of disaster risk management. This research is quantitative research with a quasi-experimental design with a pre posttest with control group approach. The result of this study finds that there is strongly correlation between training and knowledge of the people of Wawosolo with p value 0, 0001. Based on the result we suggest conducting training of the people to protect the risk of disaster.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"162 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129174061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of COVID-19 on Patient’s Perspective of Health Care","authors":"Marissa Fuqua, Alicia Hernàndez, Janelle Richart, A. Mitchell","doi":"10.33425/2639-9474.1214","DOIUrl":"https://doi.org/10.33425/2639-9474.1214","url":null,"abstract":"Introduction: The COVID-19 Pandemic has changed the way patients access care. While some facilities saw a significant increase in alternative methods of conducting care, such as utilizing telemedicine [1], other areas of care suffered as patients were forced to delay care [2]. These healthcare delivery and reception changes may have altered patients' feelings towards healthcare and potentially disrupted patient/provider trust. This mix-blend study served to identify patients' feelings towards healthcare through a targeted, anonymous survey. Methods: A quality improvement study was implemented in two primary care settings. Data was collected via voluntary and anonymous surveys. The surveys assessed the level of trust the patient had regarding their healthcare pre-COVID-19 and currently. The survey results were then analyzed to determine if there was a correlation between the level of trust and previous healthcare utilization. Results from 74 collected surveys were analyzed to identify if the patient level of trust in the healthcare system had decreased during the COVID-19 pandemic. The raw data was analyzed using Microsoft Excel, and results did show statistical significance between satisfaction and trust pre and during COVID-19. Conclusion: This study showed that the COVID-19 pandemic did alter patient trust in the healthcare system.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123449933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deprescribing Benzodiazepines in Older Adults","authors":"Ryan Anne Pishock","doi":"10.33425/2639-9474.1213","DOIUrl":"https://doi.org/10.33425/2639-9474.1213","url":null,"abstract":"Benzodiazepines are well established as having the ability to produce rapid relief of anxiety and sleep disorders. However, despite their association with harm and often-short therapeutic effects, they continue to be prescribed often. Through the process of aging, the accumulation of medications needed to treat various disease states contributes to polypharmacy among the elderly. Older adults have unique factors that position them at a higher susceptibility of the anticholinergic side effects of benzodiazepines, which can result in falls, cognitive impairments and depression. Given these concerns, multiple professional organizations have identified the deprescribing of benzodiazepines as a national public health priority and have strongly recommended the pursuit of alternative shared decision-making approaches. While non- pharmacologic techniques are widely recognized to safely manage the common reasons clinicians provide when choosing to prescribe benzodiazepine’s, there is a mounting need for prescriber education regarding these practical approaches as well as evidence-based clinical practice guidelines to support successful deprescribing [1]. The purpose of this DNP project was to improve prescriber knowledge of deprescribing approaches and present alternative prescribing decisions through participation of an evidence-based education program at a geriatric specialized, primary care practice in Pennsylvania. The study participants consisted of Physicians, Nurse Practitioners and Physician Assistants who prescribe benzodiazepines. The results indicated an improvement in the participant’s knowledge of deprescribing approaches and alternative prescribing choices, as evidenced by how they rated their attitudes, knowledge and practices after participating in the evidence-based education.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124992542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Peritoneal Dialysis Utilization among End Stage Kidney Disease Patients in Kenya","authors":"G. Ngaruiya","doi":"10.33425/2639-9474.1208","DOIUrl":"https://doi.org/10.33425/2639-9474.1208","url":null,"abstract":"Aim: barriers to peritoneal dialysis utilization among end stage kidney disease patients in Kenya. Background: Peritoneal Dialysis (PD) is the use of the capillary rich peritoneal membrane as a dialyzer whereby waste products diffuse from the capillaries into the dialysate during dwell time. Peritoneal Dialysis is a proven viable treatment for Kidney failure (KF) but it is not popularly utilized in Kenya. However, the uptake of PD in Kenya has been shown to be low owing to various barriers that have created a hindrance to utilization of the procedure among patients suffering from end stage kidney disease (ESRD). Methodology: A descriptive – analytical cross sectional study was conducted in 6 government dialysis centres in Kenya purposively selected. The study targeted 346 patients with ESKD, 6 nephrologists, 19 general physicians, 125 nurses in six government owned dialysis centers in Kenya. The targeted policy makers were 6 from each hospital, 4 from the county governments, 2 from the national hospital insurance fund (NHIF) and 2 from the ministry of health (MOH). The nurses and patient participants were sampled through simple random sampling while the doctors and policy makers were sampled by census based on their specialization and/or deployment in dialysis units and their positions respectively. The study sought to establish barriers to utilization of PD among patients with ESKD. The study entailed mixed methods where both quantitative and qualitative data collection methods were employed. Both structured and unstructured questions were utilized in a self-administered / research assisted questionnaire. Quantitative data was analyzed using SPSS Version 22.0. Qualitative data was organized, shared, and managed using N Vivo 11 software and was analyzed using thematic areas. Hypothesis testing was done using chi- squared test whereby P-values of less than 0.05 were considered statistically significant with a 95% confidence interval (CI). Data presentation was done using tables, charts and in narrative form. Results: The research revealed low utilization of PD in the selected Hospitals where only 0.2% (1) was on PD. Chi-square tests of associations revealed that patients who had been educated on PD and patients who were educated on the equipment required for PD were more likely to utilize the PD modality of dialysis (p<0.01 and p=0.01603, respectively). Results from the multivariate logistic regression showed that only patients who had been educated on PD were more likely to choose the PD modality (p= 0.01222). Various barriers to PD utilization were identified. From the research findings, the Cost of PD fluids seems to be a major constraint given that many countries in Africa do not have the capacity to manufacture fluids but instead rely heavily on fluids imported from developed countries. Low patient education and motivation was also found to be a major barrier with a huge population unaware of PD. There was lack of expertise/experience for cat","PeriodicalId":158343,"journal":{"name":"Nursing &amp; Primary Care","volume":"2 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116552354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equality, Equity or Justice-Finding the Greater Good","authors":"Tamara Jessica Washington-Brown","doi":"10.33425/2639-9474.1207","DOIUrl":"https://doi.org/10.33425/2639-9474.1207","url":null,"abstract":"","PeriodicalId":158343,"journal":{"name":"Nursing &amp; Primary Care","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134021649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Different Dimensions of Quality Care Management","authors":"Marlene Ribeiro","doi":"10.33425/2639-9474.1206","DOIUrl":"https://doi.org/10.33425/2639-9474.1206","url":null,"abstract":"Health service organizations expect Manager Nurses to develop activities that foster the best quality results both in terms of assistance and in terms of management. To do so, managers have to master management skills in order to understand the activity carried out by the Manager Nurses in an archipelago with several islands. This is a descriptive, analytical and exploratory study of quantitative nature. The data collection instrument was an autofill questionnaire, which included a Perception Scale of the Work of the Manager Nurses. The academic qualifications of the nursing managers are as follows: postgraduate studies in specific areas other than management (15,9%); postgraduate studies in the field of management (36,5%) and master’s degree in different areas (17,5%). The results in the field of the skills of management of nursing care may be the ones that require a bigger investment in terms of training. Regarding the skills in the field of political intervention and advice, the results observed were below expectations. The need for specific training in the field of management is obvious; we were able to prove that most of the Manager Nurses do not have specific training in the field of management, which would allow them to perform the management tasks based on solid knowledge, thus improving the quality of their service.","PeriodicalId":158343,"journal":{"name":"Nursing &amp; Primary Care","volume":"03 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127192140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness and Attitudes of Al Ahsa's Community toward Virtual Clinics","authors":"Fatimah Ahmed Alagnam, Zainab Hassan Alhussain, Noor Abdullh Alquwaidi, Ghadeer Dawood Alabbas, N. Alomar, O. Mousa","doi":"10.33425/2639-9474.1210","DOIUrl":"https://doi.org/10.33425/2639-9474.1210","url":null,"abstract":"Background: Outpatient clinics pose a risk of infection transmission to patients. Patients can access their care without this risk through virtual consultations or virtual clinics. In addition to providing a positive benefit to medical patients who are at risk, telemedicine is also an economic and time saver for primary care users, particularly patients with chronic diseases. The aim of this study is to evaluate the awareness, experiences, and attitudes of Al Ahsa community about virtual clinics and their services. Methods: The study was a descriptive cross-sectional study carried out in Al Ahsa, Saudi Arabia, with convenience sampling. The data was collected in November 2021. A self-administered, predesigned, and validated electronic questionnaire was used in the study. Results: Among a total of 463 majorities of participants 360 (77.8%) were aged more than 40 years. A total of 286 (61.8%) participants were aware of the presence of virtual clinics and telemedicine. Only 137 (29.6%) participants used virtual clinics. In relation to the attitude of the participants, the majority of the participants (294) had a positive feeling toward virtual clinics. In order to analyze the relation between the attitude, and other factors, there is a significant correlation between the educational level and attitude toward using virtual clinics among the participants. Also, there is a positive correlation between the presence of chronic disease and the positive attitude to use virtual clinics. Conclusion: Public awareness and understanding of the potential benefits of telehealth or telemedicine are needed for telehealth initiatives to succeed. According to the study, A majority of participants were aware of virtual clinics and telemedicine. Moreover, the patients' attitudes towards using the virtual clinics were positive.","PeriodicalId":158343,"journal":{"name":"Nursing &amp; Primary Care","volume":"13 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134636770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childbirth Experience of a Mother Who Became Pregnant Soon After the Great East Japan Earthquake","authors":"Kumi Suto, N. Shiga, K. Hattori, Takahiro Igarashi","doi":"10.33425/2639-9474.1209","DOIUrl":"https://doi.org/10.33425/2639-9474.1209","url":null,"abstract":"The purpose of the interview was to learn about the experience of childbirth in order to consider how to support expectant mothers and postpartum mothers under the stress of radiation anxiety. In May 2012, first-time mothers in their 20s who became pregnant soon after the earthquake were asked, \"How was your childbirth experience? \" and asked them to describe their childbirth experiences through semi-constructive interviews. The husbands were also present at the interviews, and they were asked to talk freely about their thoughts on childbirth. The birth experiences were converted into data by referring to Berelson's content analysis [1]. As a result, the experiences of childbirth were categorized into the following categories: \"experiences in which I was occupied with myself,\" \"experiences in which I was supported by my husband and others,\" \"experiences in which I was occupied with myself,\" and \"experiences in which I worried about the effects of radiation on my child. The case study had concerns about radiation, but her husband and the people around her supported her through the birth, and she was able to positively view the birth as a good experience. It was also suggested that it is necessary for doctors, midwives, and radiation experts at medical facilities to work together to provide continuous support to pregnant women and their husbands from the early stages of pregnancy. Furthermore, the provision of accurate and specific information via the Internet and other information devices would be useful.","PeriodicalId":158343,"journal":{"name":"Nursing &amp; Primary Care","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116060421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Main Family Caregiver","authors":"J. Shalom","doi":"10.33425/2639-9474.1203","DOIUrl":"https://doi.org/10.33425/2639-9474.1203","url":null,"abstract":"Seriously ill people are often unable to oversee their illness or live their lives independently. Nor are they always able to make responsible medical based decisions. Family caregivers can fill this gap. Often one particular family member assumes this role. This person is termed the main family caregiver (MFC). The motivating factors for taking on this demanding voluntary role are complex and variable. Legal designations such as advanced directives or medical power of attorney, where they exist, may, at most, clarify the delegation of authority to the MFC but do not provide guidelines regarding fulfilling their role. Furthermore, this delegation is often informal or de facto rather than official or legal. In addition, a changing situation such as a deterioration of the patient may render a previous formal arrangement no longer relevant. Their task is complex because of the various demands made upon them, which may include technical skills, making crucial decisions and possible ethical conflicts. Moreover, the medical system, with its patient chart-based approach often does not address MFC involvement, even when critical and decisive. As the patient’s condition deteriorates, the nature of the MFC relationship with the patient evolves from primarily a family member to primarily a caregiver role. In the course of time, the MFC may find themselves overwhelmed or unable to perform their tasks competently. In short, the medical system frequently fails to acknowledge or take into account the important challenging and helpful role that the MFC plays in patient care. The attending physician, along with the treatment team, should guide and support the MFC in order to optimize their role in supporting their loved one.","PeriodicalId":158343,"journal":{"name":"Nursing &amp; Primary Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128702749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}