The journal of nursing care最新文献

{"title":"A Study to Assess the Effect of Planned Teaching Program on Knowledge Regarding Interpretation of Cardiac Arrhythmias and its Management among Staff Nurses in Selected Hospitals of Pune City","authors":"J. Jacob, Ranjana G. Tryambake, V. Jamdade, V. Sakhardande","doi":"10.4172/2167-1168.1000463","DOIUrl":"https://doi.org/10.4172/2167-1168.1000463","url":null,"abstract":"Introduction: Any change in electrical conduction or automaticity of the heart causes disturbances in heart rate and rhythm, often referred to as cardiac arrhythmias. Objectives: To assess the knowledge regarding interpretation of cardiac arrhythmias and it’s management among staff nurses before and after planned teaching program, to compare the pre-test and post-test knowledge scores regarding interpretation of cardiac arrhythmias and it’s management among staff nurses and to associate the pre-test score with selected demographic data. Materials and methods: A quantitative research approach using pre-experimental pre-test post-test design was adopted for the study. Sister Callista Roy’s adaptation model was adopted in the study, Non-Probability Convenient Sampling technique with 100 samples were selected from selected hospitals of Pune city. A self-structured questionnaire was used to collect the data during September 2017 to October 2017 to obtain the knowledge level. Results: Findings of the study shows that majority of participants were females (65%), working in critical care units (63%) with Revised Diploma in General Nursing and Midwifery (78%) in the age group of 20-25 years (52%) having attained no in-service education regarding cardiac arrhythmias (77%). There was no association between knowledge scores and selected demographic variables. Pre-test knowledge scores; in the present study 64% of the samples had average knowledge regarding interpretation of cardiac arrhythmia’s and its management Post-test knowledge scores increased after planned teaching program. 88% of samples had good knowledge regarding interpretation of cardiac arrhythmia’s and its management. Conclusion: A majority of nursing staff in ICU’s can be helpful in prevention of critical condition and promotion of health. Thus, arises the need to train nurse’s through educational programs which will benefit in early detection and diagnosis of cardiac arrhythmia’s, reducing the mortality rate and improving quality of care provided.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"26 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91495366","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 Association between Dietary Diversity with Shift Work among the Nurses","authors":"K. Mirzaei","doi":"10.4172/2167-1168.1000461","DOIUrl":"https://doi.org/10.4172/2167-1168.1000461","url":null,"abstract":"Background: Nutrition is related to different health problems. Working in shifts has been identified as one of the factors associated with overweight and obesity. This study was performed to assess the association between food intake and dietary diversity with shift work among nurses. Methods: This cross-sectional study was conducted on 270 nurses working in hospitals under the supervision of Tehran University of Medical Sciences. A three-day 24-h food recall was used to evaluate food intake and diversity, Blood pressure (mmhg), fasting blood glucose (mg/dl), insulin (μm/ml), lipid profile (mg/d), serum levels of cobalamin (ng/l), folic acid (pg/l) and anthropometric indices were also evaluated. Results: Mean age of subjects was 35.01 ± 6.52 years. Mean dietary diversity scores (by Kant and IDDS methods) were 4.68 ± 1.18 and 5.77 ± 1.25, respectively. Among study participants the mean weight (p<0.03), waist circumference (p<0.02) and hip circumference (p<0.001) showed a significant difference across the tertiles of Kant dietary diversity score. A significant difference was seen in terms of body mass index (BMI) and WHR (p<0.03). This means that by increasing dietary diversity score, average height and weight reduces. It was also seen that by increasing the dietary diversity score, systolic blood pressure decreased and serum folic acid level increased, though these changes were statistically insignificant. In the Kant method, weight and hip circumference were increased in dietary diversity in the morning shift (p=0.05). In the FAO method, insulin and vitamin B9 (Folic acid) levels decreased by increasing dietary diversity in the morning shift. However, the serum level of vitamins B9 (Folic acid) and B12 was increased by the increment of dietary diversity in the rotating shift. Conclusion: Anthropometric factors are decreased by increasing the dietary diversity. It was also found that the mean of some anthropometric indices was higher in the morning shift. Higher dietary diversity and lower carbohydrate intake was also seen in the morning shift.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79852126","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":"Nurses' Experiences Providing Care for People with Dementia: An Integrative Literature Review","authors":"Duangrat Monthaisong","doi":"10.4172/2167-1168.1000453","DOIUrl":"https://doi.org/10.4172/2167-1168.1000453","url":null,"abstract":"Aims and objective: This article seeks to review the experience of registered nurses providing care for dementia patients including theoretical perspectives that have been used to provide care for people with dementia. Background: Nurses have a vital role in providing special and personalized care for people with dementia and also their family members. However, there is little knowledge about the experiences of nurses providing care for people with dementia in Thailand. Design: An integrative literature review. Method: This literature review of 19 articles was undertaken to encapsulate what research has done in the experience of nurses providing care for people with dementia. Results: Four themes related to the nurses’ experiences of providing care for people with dementia included encountering with painful emotions, working under severe conditions, meeting holistic care needs, and experiencing inadequate knowledge. Factors contributing to appropriate care for people with dementia and barriers to meet the optimal care were identified in this article. Conclusion: Nurses experienced struggling with painful emotions and working under difficult circumstances and there was the need for meeting spiritual care needs of patients. Nurses identified that a lack of knowledge of dementia and the need for improved effective communication when they provided care for a group of these patients and their family members. Relevance to clinical practice: Nurses seek to understand nurses’ experiences of providing care for people with dementia may help them to utilize positive care experiences to practice. Those nurses should consider to some experiences that may be factors to achieve and hinder the optimal care.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78141116","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":"Reflection on Transitioning the Therapeutic Relationship from the Bedside to the Telephone","authors":"Robin Pelkki","doi":"10.4172/2167-1168.1000447","DOIUrl":"https://doi.org/10.4172/2167-1168.1000447","url":null,"abstract":"","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"31 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89572871","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":"Evaluation of Clinical Learning Experience on Concept Mapping for Final Year Nursing Students in a Private Hospital","authors":"Ong So Tiap, H. Hassan, Tee Mh, Mohd Rosli Ra","doi":"10.4172/2167-1168.1000465","DOIUrl":"https://doi.org/10.4172/2167-1168.1000465","url":null,"abstract":"Aim: The present study is to apply concept mapping into the learning strategy in the clinical areas for the final semester nursing students understanding of patient care and patient safety process. Objectives: To compare students’ level of understanding knowledge on concept mapping between control and experimental group post intervention training; to determine on the impact of training of concept mapping on students’ confidence level in the clinical areas; To determine students’ understanding on the application of knowledge in patient care using concept mapping in the clinical areas; to determine on students’ satisfaction level learning through concept mapping in the clinical areas. Methods: This is a case study of a group of students in the final year of the diploma in nursing program. It is a classic experimental design that consists of experimental and control group. Results: This research has given a positive impact to prove that after the intervention of concept mapping for the last year's nursing student showed significant interrelationships. Intervention concept mapping can enhance the learning more meaningful and can be improve through their motivation, sharpens thinking, deepens stimulate higher learning and thinking processes with all items to be measured in the evaluation of the CM. From the point of realized by students, it can have implications for clarifying the learning objectives, refining instructional strategies, identifying appropriate assessment tools, understanding how the learning objectives are being and meanings to the clinical practice of decision-making. Conclusion: Concept mapping is a learning strategy in the clinical areas for the final semester nursing students understanding of patient care and patient safety process. The CM is established as a significant strategy as well as an approach to assimilate matters involved in the teaching and learning practises of the clinical region.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75466199","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 Fairy Tale as a Time Machine in Palliative Care","authors":"E. B. Horwitz, Natalia Tolstokova","doi":"10.4172/2167-1168.1000451","DOIUrl":"https://doi.org/10.4172/2167-1168.1000451","url":null,"abstract":"Background: Studies show that certainty of death may affect time perception and the meaning attributed to time. The central interest of this research is the connection between the perception of time and fairy tales. The aim of the study was to explore the fairy tale method in their delivery of palliative care and how this work is related to the concept of time. Methods: A focus group interview conducted with a team delivering the service in Russia forms the basis of the exploration of experiences of working with a Fairy Tale method in palliative care. The data generated from the focus group are analyzed using a phenomenological-hermeneutic method. This involves reading the data at three levels: naive reading, structure analyses and complete interpretation. Results: From the analysis, it emerged that the fairy tale method relates to 1) a multidirectional time continuum 2) an intensification of the perception of time and 3) the alertness of time. Together, these three themes act together to form a “time machine” which regulates both the perceived speed at which time passes, awareness of the quality of time, and the intensity of the perception of time within the fairy tale. Conclusion: The ‘fairy tale tool’ promises the possibility of transforming the experience of time for hospice patients, helping them to mediate perceived time and calibrate awareness. The findings are discussed with regards to the potential applications of the fairy tale tool beyond palliative care: It is suggested that it could be extended into a more existential instrument that might help larger population to deal with the postmodern living conditions and extreme hurriedness.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"21 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72925560","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":"Increasing Stroke Recognition and Behavioral Intent to Call Emergency Management Services in a Vietnamese American Population","authors":"Q. Phan, G. Bentley, T. Joshua, Lovoria B. Williams","doi":"10.4172/2167-1168.1000458","DOIUrl":"https://doi.org/10.4172/2167-1168.1000458","url":null,"abstract":"Objective: Serious complications of stroke, one of the leading causes of morbidity and mortality in the United States can be mitigated if treated in a timely manner. Stroke outcome disparity in Vietnamese Americans (VAs) is attributable to pre-hospital delay. To increase acute stroke recognition and behavior intent to call Emergency Management Services (EMS) among VAs and their families, an evidence-based, culturally and linguisticallyappropriate educational intervention was pilot-tested. Methods: A convenience sample of 38 Vietnamese-speaking adults recruited from a free community clinic participated in a one-hour educational session. Pre and post intervention surveys were administered to assess knowledge and intent. Results: Differences in pre-test and post-test means were large for stroke knowledge (Cohen's D=2.39), associated emergency action (Cohen's D=2.57) and behavioral intent to call EMS (Cohen's D=0.94). Conclusion: A linguistically and culturally appropriate community-based education intervention may be effective in increasing stroke recognition and behavior intent to call EMS among VAs.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"47 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80883592","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":"A Comparative Study Analyzing Differences in Factors Related To Childbirth Satisfaction between Primiparous and Multiparous Mothers","authors":"Ma Beln Conesa Ferrer, M. C. Ávila","doi":"10.4172/2167-1168.1000437","DOIUrl":"https://doi.org/10.4172/2167-1168.1000437","url":null,"abstract":"Objective: The objective of this study was to identify the differences in factors related to childbirth satisfaction between primiparous mothers and multiparous mothers at a highly specialized university hospital. Methods: A correlational descriptive study was carried out at a highly specialized university hospital in south-east Spain. A total of 204 mothers, 110 primiparous mothers and 94 multiparous mothers, aged 16-43 years participated in the study. A modified version of The Women´s Views of Birth Labour Satisfaction Questionnaire (WOMBLSQ) was used. Women completed questionnaires during their hospital stays. Labour and birth data were collected from the medical records. Results: Factor analysis of the 27 item questionnaire yield seven factors accounting for a 64.8% and a 70.22 % of the variance respectively in primiparous and multiparous mothers. The seven domains obtained from major to minor importance in primiparous mothers were: professional support and general satisfaction, women´s expectations, pain in labour, being in control, holding baby was delayed and an impersonal and clinic environment, support from husband/partner and holding baby, pain after delivery. These factors accounted for 25.45, 9.93, 7.83, 6.55, 5.64, 4.95, 4.43% of the variance explained, respectively. In multiparous mothers, seven domains were obtained: women´s expectations and general satisfaction, professional support and being in control, pain in labour, holding baby, support from husband/partner, and pain after delivery and environment. These factors accounted for 29.71, 10.99, 7.87, 6.22, 5.98, 4.96, 4.50% of the variance explained, respectively. Conclusion: There were significant differences between primiparous and multiparous mothers in factors related to childbirth satisfaction. The most important factor in primiparous mothers was professional support, while, in multiparous mothers, it was women's expectations. Knowing the important differences in factors related to childbirth satisfaction between primiparous and multiparous mothers enables us to improve quality of service rendered and provide a better childbirth experience.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"186 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75554688","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 Relationship between the Contact Styles and Self-Esteem of the People with Obesity","authors":"Gönül Özgür, Ayşe Büyükbayram, N. Atalay","doi":"10.4172/2167-1168.1000436","DOIUrl":"https://doi.org/10.4172/2167-1168.1000436","url":null,"abstract":"Objective: This study aimed to examine the relationship between contact styles and self-esteem of people with obesity. \u0000Methods: This relational and descriptive study was conducted in 2015 with 322 persons with obesity that were followed in endocrinology clinics of two hospitals at A„°zmir and agreed to participate. The Introductory Information Form, Rosenberg Self-Esteem Scale (RSES) and Revised Form of Gestalt Contact Styles Scale (GCSS-RF) were used. \u0000Results: Mean age of the people with obesity was 46.18 ± 11.89. 84.2% were female. Their mean RSES score was 1.48 ± 0.26. Mean GCSS-RF sub-dimension scores were: confluence 2.63 ± 0.45 (min=1, max=3.92); deflection 3.13 ± 0.69 (min=1.38, max=4.69); contact 2.71 ± 0.60 (min=1, max=4.45); emotional desensitization 2.78 ± 0.62 (min=1, max=4.83); retroflection 2.96 ± 0.75 (min=1.22, max=6.67). An inverse relationship was found between the mean scores of retroflection (r=-0.52, p 0.05). \u0000Conclusion: Self-esteem of people with obesity is lower than the moderate level. Individuals use confluence, deflection, contact, emotional desensitization, and retroflection respectively. Participants who use these subdimensions, except for emotional desensitization, have negative self-esteem.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"77 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74103448","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 Effect of a TTM-Based Intervention on the Level of Physical Activity in ICU Nurses","authors":"S. Fatemi","doi":"10.4172/2167-1168.1000397","DOIUrl":"https://doi.org/10.4172/2167-1168.1000397","url":null,"abstract":"Background: Theory-oriented interventions play a key role in promoting people’s quality of life and preventing the risks of immobility. Given this key role and also the critical nature of nurses’ professional duties, the present study was conducted to determine the effect of a TTM (trans theoretical model)-based intervention on the level of physical activity in ICU nurses working at hospitals affiliated to Gilan University of Medical Sciences. Methods: Based on the study objectives, this randomized controlled trial first selected 82 nurses through the census method in order to determine their Stage of Change (SOC) and then assigned 68 nurses who were in the first three stages into a case group and a negative control group. Valid and reliable data collection tools were used, including a demographic questionnaire and the TTM constructs (SOC, GPAQ, SE, DB and POC). The path analysis of the data was performed inLisrel-8.80 and the inter-correlation matrix between the models constructs them and with the level of physical activity was determined in order to design and implement the intervention. A two-stage assessment was performed, once immediately after the intervention and again six months later. The data obtained were analyzed using appropriate statistical tests and Pearson’s correlation coefficient. Results: A total of 97.6% of the participants were female, 59.8% were married, 92.7% had bachelor’s degrees and 82.9% were in the first three stages of the TTM. Immediately after the intervention, 55.9% of the participants were in the preparation stage, 44.1% were in the pre-contemplation stage and 76.5% were in the contemplation stage. Before the intervention, however, only 26.5% of the participants were in preparation and 44.1% were in precontemplation. There was a statistically significant difference (P=0.0001) between the negative control and the case groups immediately and six months after the intervention. Conclusion: Performing the TTM-based intervention appears to have led to the subjects’ placement in higher levels in the five SOC.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80021646","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}