American Journal of Nursing Research最新文献

{"title":"Knowledge and Attitude of Nurses towards Infection Control Practices during Hajj Season at Tertiary Care Hospital in City of Makkah","authors":"Tato Yutap Radzak, Faisal Alasmari, Hawazin Alhawsawi","doi":"10.12691/AJNR-9-2-2","DOIUrl":"https://doi.org/10.12691/AJNR-9-2-2","url":null,"abstract":"Infection prevention and control is required to prevent the transmission of communicable diseases in all health care settings. Every health care worker plays a vital part in helping to minimize the risk of health care-associated infections. Aim of the study: This study aimed to determine the level of knowledge, skills and attitude of nurses towards infection control practices during Hajj at Tertiary Care Hospital in Makkah. Research design: Quantitative descriptive cross-sectional correlational research design. Setting: The study was conducted at one of the tertiary care hospitals in Makkah. Sample: A convenient sample of (82) nurses assigned in different units. Tools of data collection: In the collection of data, validated self-made questionnaire was uploaded thru “Monkey Survey” and sent to the participants and data were analyzed using Kruder Richardson for the level of knowledge, and Cronbach alpha for the level of skills and attitude with its reliability testing. Result: The study revealed that nurses had a very good knowledge and having very positive attitude, which is a good indicator that infection control practices at tertiary care hospital in Makkah have been observed. Conclusion and Recommendations: Nurses are expected to actively participate in training or seminars related to infection control practices to acquire more knowledge, develop their skills and improve their attitude in handling with hospital wastes particularly sharps, and proper segregation of linen with commitment to follow the \"5 Moments of Hand Hygiene\" and appropriate use of PPE.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132694648","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 Impact of Short-Term Solutions of Nursing Shortage on Nursing Outcome, Nurse Perceived Quality of Care, and Patient Safety","authors":"Hanan Yahya Muabbar, Omar Zayyan Alsharqi","doi":"10.12691/ajnr-9-2-1","DOIUrl":"https://doi.org/10.12691/ajnr-9-2-1","url":null,"abstract":"BACKGROUND: Nurses represent a significant proportion of the entire healthcare workforce. Unfortunately, the world is plagued with the shortage of qualified nurses to deliver safe, dignified, compassionate care. OBJECTIVE: The objective of the study was to determine the relationships between overtime and floating as short-term solutions and nursing outcomes, nurse-perceived quality of care and patient safety among registered nurses in Saudi Arabia. SETTING/DESIGN: A cross-sectional study was conducted at King Abdullah Medical City (KAMC) located in Makkah, Saudi Arabia. SUBJECTS AND METHODS: The study was conducted for two months (from July 20, 2020 to August 20, 2020), including both inpatient and outpatient registered nurses who had worked for, at least, one year at KAMC either as part-time or full-time. Nurses who had worked for less than one year, nurse educators, nurse managers and clinical nurse specialists were excluded. Measuring Variables included demographic characteristics, job satisfaction, intention to leave, nursing perceived quality of care, perceived patient safety, patient safety, patient acuity and dependency, workload and floating. A pre-designed questionnaire was distributed to willing nurses. Data were non-normally distributed and Scatter plots were also generated. T-test was used to find the relation of floating and overtime with sample characteristics. RESULTS: A total of 337 registered nurses completed the questionnaire. Majority of the participants were from 41-50 years of age group (60.5%), and non-Saudi nationals (90.5%). Statistically significant relation of age groups with development of pressure ulcers (p = 0.030) was found. Nationality showed significant relation with job satisfaction (p = 0.008), quality of care (p = 0.006) and patient safety (p <0.05). Specialist nursing category showed significant association with quality of care (p = 0.008) and pressure ulcers development (p = 0.050). Education level, overtime floating showed significant association with intention to leave (p <0.05). Nationality, extended shifts and mandatory overtime had significant association with job satisfaction. Hospital data showed significant association of overtime with medication error. CONCLUSION: Unmarried Saudi nurses have potential to provide quality of care to the patient with satisfied patient safety, especially in the days of overtime and increased workload.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130224858","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":"From Protocolization of Care to Nursing Care Practice: A Qualitative Research","authors":"John Camilo Garcia","doi":"10.12691/ajnr-9-1-3","DOIUrl":"https://doi.org/10.12691/ajnr-9-1-3","url":null,"abstract":"This qualitative research tries to understand experiences and meaning that nurses have about nurse care protocols, since its nature, advantages, or disadvantages. Methods: some elements of ethnography were used for data recollecting, and grounded theory was used for analyzing information, 7 nurses, with wide experience in protocols development and implementation, were interviewed. Results: the main categories were that protocols are necessary, but in some cases, nurses do not follow protocols and nurses follow them excessively, in both cases, a care deconstruction takes place, results were analyzed from Betty Neuman theory. Conclusion: protocols should be rethought, they might be called just guidelines, nurses should think systematically and critically, caring is more than following protocols, when nurses just do what protocols suggest, they are not caring, they are breaking the care as a concept and as a practice, nurses have to care of caring in order for caring people.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129541196","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 Six Hats Thinking Technique on Development of Critical Thinking Disposition and Problem Solving Skills of Nursing Students","authors":"A. Morsy, H. Darweesh","doi":"10.12691/ajnr-9-1-2","DOIUrl":"https://doi.org/10.12691/ajnr-9-1-2","url":null,"abstract":"Background: Six Thinking hats is a time-tested, proven, and practical thinking tool that acts as a role-playing model. It is as a team-based problem solving and brain storming technique that can be used to explore problems and solutions and uncover ideas and options that overlooked by a homogeneously thinking group. On the same line, it separates the components of thinking in order to do them properly as there is no one brain ideal for all types of thinking. Also, it provides a framework to help people think clearly and thoroughly and directs thinking attention in one direction at a time. Edward de Bono identified 6 types of one-dimensional personalities or Thinking Hats, while the average person will often imbue qualities from several of these 6 types. Participants put on hats in turn to indicate directions of thinking, possibly more than once but not necessarily all of them, the color of each is related to a function. Method: exploratory descriptive design was used with two tools used in data collection” California Critical Thinking Disposition Inventory” and “Six Hats problem solving Application questionnaire”. Results: There were statistical significant differences between both groups of students in relation to critical thinking disposition and problem solving skills in post assessment phase in the favor of study group (p < .001). Conclusion: In the current study, the six hats technique was used in training of nurse students to improve their critical thinking disposition and the skills of problem solving, which facilitates productive critical thinking, collaboration, communication, creativity and enables each person's unique point of view to be considered in problem solving","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132600881","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":"Examining Nurses’ Theoretical Knowledge, Attitude, and Practice of Cardio-pulmonary Resuscitation in Hospitals and Primary Health Care Settings in South Sharqiyah, Sultanate of Oman","authors":"A. Nasri, Ahmed Al Bulushi","doi":"10.12691/ajnr-8-5-11","DOIUrl":"https://doi.org/10.12691/ajnr-8-5-11","url":null,"abstract":"Objectives: This study attempts to identify the level of knowledge, attitude and practice of CPR among nurses in South Sharqyiah governorate, Oman. Moreover, it evaluates the association between the knowledge score and the selected variables. This will help to review the effectiveness of current CPR training, thus set up recommendations for better CPR programs. Method: This descriptive cross-sectional study was conducted between April and July 2019 in governmental hospitals and Primary Health care (PHC) institutions in Southern Sharqyiah Oman. A questionnaire-based survey was used to collect data from 282 registered staff nurses, including the Cardiopulmonary resuscitation (CPR) knowledge in both Basic Life support (BLS) and Advanced Cardiac Life support (ACLS), and nurses' attitude and practice towards CPR. Results: An excellent response rate of a total of 267 nurses (94.6%) took part in the study. Overall, nurses demonstrated inadequate level of knowledge in BLS their mean±SD of the total knowledge scores was 9.05±3.228. Like BLS knowledge, the participants demonstrated inadequate level of knowledge in ACLS as the total mean ±SD was 3.47±.1. 784. The study noted a significant association between the total scores of BLS knowledge and nationality (p=0.028). Conclusions: The result of this study has confirmed that knowledge of the nurses in BLS and ACLS was found to be low. The study revealed high numbers of staff nurses need to renew BLS and ACLS certificates. Thus, there is a crucial need for innovative educational interventions related to CPR. There is also a need to evaluate the knowledge and performance of CPR in clinical area such as mock drill.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114937571","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":"Efficacy of Educational Caring Program on the Nurses’ Attitude and Perception of Caring Behavior toward Patients with Substance Use Disorder","authors":"Marwa Abd Elfatah Zewiel, Amal Sabra, Hala Ahmed El Sayes, M. Essa","doi":"10.12691/ajnr-8-5-7","DOIUrl":"https://doi.org/10.12691/ajnr-8-5-7","url":null,"abstract":"Nurses are the forefront health care members working in close proximity to substance use disorder (SUD) patients. They remain the most important persons in providing caring for these patients and they play the pivotal caregiving role for them. To do this important role, nurses need to have good knowledge, positive attitude and caring behaviors toward those patients. Aim of the study: This study was aimed to evaluate the effect of educational caring program on the nurses’ attitude and their perception of caring behavior toward patients with substance use disorder. Subjects of study: sample consisted of 50 nurses who were chosen by convenient sampling. A quasi-experimental design was utilized. Setting of the study: - The study was conducted at Shopra kas center for addiction, the center is affiliated to the General Secretariat of Mental Health. Tools of the study: Two tools were used for data collection; Substance Abuse Attitudes Survey (SAAS) designed to measure nurses' attitudes towards substance use disorder and Caring Behavior Assessment Tool (CBA) aimed to assess nurse' perception regarding caring behavior toward substance use disorder patients. Result of the study: The results revealed that there was statistically significant improvement in the studied nurses’ attitude and perception of caring behavior regarding substance use disorder patients after implementation of educational caring program. Conclusion and recommendation: The study concluded educational caring program was enhancing the studied the nurses’ attitude and their perception of caring behavior toward substance use disorder patients. According to these results, up-to-date in-service training programs on regular basis for nurses' dealing with SUD patients about attitude and caring behavior skills is recommended.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132083039","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 Implementing Advanced Cardiovascular Life Support (ACLS) Guidelines 2016 on Nurse’s Knowledge and Performance","authors":"Nagwa I. Abass, M. Soliman","doi":"10.12691/ajnr-8-5-6","DOIUrl":"https://doi.org/10.12691/ajnr-8-5-6","url":null,"abstract":"Background and aim: Cardiac arrest occurs in case of cessation of effective heartbeat and blood circulation and it is one of the causes of sudden or unexpected death. Advanced cardiovascular life support (ACLS) considered, as a basic skill, is one of the most important inventions in hospital setting special intensive care units as well as a rapid and urgent intervention to prevent death or postpone it in a patient with cardiac arrest. This study aimed to assess effect of implementing advanced cardiovascular life support (ACLS) guidelines 2016 on nurse's knowledge and performance. Methods: A Quasi-Experimental study design with pre, intervention/posttest with a convenience sample included 300 nurses worked at 10 hospital settings. Data were collected by using three tools (1): Demographic Characteristics related to nurses, (2): Nurses knowledge toward ACLS pre/posttest, (3): Nurses performance an observation checklist toward ACLS according American Heart Association guidelines. Conclusions: The study confirms that significant association between the nursesi¯ knowledge and performance of ACLS in pre/posttest and their demographic characteristic. The educational program improves the knowledge and performance of the nursing staff regarding advanced life support. Recommendations: These findings indicate that it is imperative for nurses to receive regular, periodic in-service ACLS courses, updating AHA on the latest ACLS techniques, technologies and developments. In-service education program should make continuous training courses for the nurses about the new and up-to-date intervention related to knowledge & practice of American heart association ACLS.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125899148","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 Educational Program on Prevention of Pesticides Hazards among Children Working in Agriculture","authors":"E. Fathy, Effat Mohammed Elkarmlawy, Heba Al-kotb Mohamed, F. Yousef","doi":"10.12691/AJNR-8-2-9","DOIUrl":"https://doi.org/10.12691/AJNR-8-2-9","url":null,"abstract":"Background: A child's exposure to pesticides is widely acknowledged as a threat to the physical well-being of children and the environment. The research aimed to evaluate the effect of educational programs on the prevention of pesticide hazards among children working in agriculture. Design: Quasi-experimental design (study group only, pre/ post/ follow up- test) was used in this study. Setting: This study was conducted at Al Qassasin Al Kadima preparatory school. The study sample: convenient sample (97 Children) selected from preparatory school students working in agriculture. Tools: Tool (1): Children working in agriculture assessment structured interview questionnaire. Tool (2): An observational checklist for children working in agriculture. Results: there was a statistically significant relationship between socio-demographic data of children working in agriculture as gender, hours working per day and their mean scores of knowledge, and practice in post-test and follow-up phases at p<0.001. Also, there was a statistically significant correlation (P=0.041*) between their total mean scores of knowledge and practice throughout the post and follow-up phases. Also, there was a statistically significant correlation between their total mean scores of knowledge and attitude throughout the post phases. Conclusion: Knowledge, attitude, and practice of children working in agriculture about pesticides had shown high improvement as compared to the pre-program test. Recommendation: Organizing workshops and school activities such as drama plays, painting, and games about pesticides and their dangers with each agricultural cycle in schools located in rural areas to raise health awareness among children working in agriculture and their parents.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123780347","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 Applying Program Based Learning on Nurse's Performance and Self-efficacy Regarding Arterial Blood Puncture","authors":"H. M. A. Elkader, E. Shahin, A. El-Ata","doi":"10.12691/AJNR-8-2-8","DOIUrl":"https://doi.org/10.12691/AJNR-8-2-8","url":null,"abstract":"Background: Arterial blood puncture is one of the most complex parts of nursing practice. Purpose: Evaluate effect of applying program based learning on nurse's performance and self-efficacy regarding arterial blood puncture. Method: Quasi experimental research design has been utilized in this study. This study was conducted at four hospitals affiliated to ministry of health. A convenient sample of 70 nurses was included. Three tools were utilized for collecting data; first tool was a questionnaire to assess nurses' knowledge regarding arterial blood puncture. Second tool was observational checklist of arterial blood puncture procedure. The last one was arterial blood puncture self-efficacy scale. Results: the study results revealed improvement in nurses' knowledge and practice regarding arterial blood puncture after applying the program based learning. A significant difference was founded between levels of nurses' self-efficacy about arterial puncture after program implementation with p-value of 0.000. While, hospitals where nurses working are associated significantly with total self-efficacy of nurses regarding arterial blood puncture. Conclusion: the current study concluded that the program based learning about arterial puncture improves nurses' knowledge, practice and self-efficacy. Additionally, regular training program regarding arterial blood puncture should be applied in hospitals. Conducting the same study in larger sample is recommended.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127803225","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 Effectiveness of Mindfulness Training Techniques on Stress, Anxiety, and Depression of Depressed Patient","authors":"Merfat. M. Atia, L. Sallam","doi":"10.12691/ajnr-8-1-11","DOIUrl":"https://doi.org/10.12691/ajnr-8-1-11","url":null,"abstract":"Depression remains one of the world’s most urgent health problems, affecting an estimated 350 million people. Mindfulness is effective for people suffering from critical depressive symptoms. The aim of this study was to evaluate the effectiveness of mindfulness training techniques on stress, anxiety, and depression of depressed patients. Design: - Quasi-experimental design (one group pretest-posttest design) was used to achieve the aim of the study. Setting: - The study was conducted at the Psychiatric Hospital in Tanta and The Psychiatric and Addiction Treatment Hospital in Met-Khalf, Menoufia governorate, Egypt. Sample: -A Purposive sample (34) depressed patients that were diagnosed by psychiatrists according to DSM5 were selected; in the chosen setting inpatient clinics. Tools: Data were collected using the depression, anxiety and stress scale. Results: The results revealed that there is a highly statistically significant reduction in stress, anxiety, and depression mean score level among the study group after mindfulness training techniques than before; where p-value (p = 0.001). Also, there is a statistically significant positive correlation between stress and depression level of study group before and after mindfulness training techniques where p-value (p = 0.015, 0.013), respectively. Conclusion: The implementation of mindfulness training techniques with depressed patients has a positive effect on reducing stress, anxiety, and depression levels. Recommendation: Application of mindfulness training techniques for all patients with depression to reduce their stress, anxiety, and depression levels.","PeriodicalId":210760,"journal":{"name":"American Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123009850","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}