Nursing & Healthcare International Journal最新文献

{"title":"Knowledge and Obstacles Perceived by Critical Care Nurses in Endo-tracheal and Tracheostomy Suctioning","authors":"Jose N","doi":"10.23880/nhij-16000245","DOIUrl":"https://doi.org/10.23880/nhij-16000245","url":null,"abstract":"Tracheostomy and Endo-tracheal suctioning is one of the most common procedure performed in patients with artificial airways. It is a component of airway management and mechanical ventilation that involves the evacuation of the pulmonary secretions from the patient’s airway to prevent complications. Performance obstacle are those inhibiting factors perceived by critical care nurses in terms of knowledge and skill, tool and technology, and work setting which tend to affect their performance. Objectives: i) to assess the knowledge and performance obstacles perceived by critical care nurses while performing Endo- tracheal and Tracheostomy suctioning. ii) To find out the suggestions of critical care nurses on overcoming the performance obstacles identified in Endo-tracheal and Tracheostomy suctioning. Methodology: A cross sectional descriptive survey was designed among 80 and a questionnaire survey conducted among critical care nurses. Results: The performance obstacles during suction as perceived by nurses were 63% reported minimum obstacle, 27% reported medium obstacles, were as only 10% reported many obstacles while performing the suctioning. All of them suggested the need for training at the beginning of clinical posting in the unit, clear cut guidelines/protocol on ET suctioning and updating of guidelines/equipment. Conclusion: The performance obstacles were categorized into knowledge, skill, technology, tool and organization. The performance obstacles perceived by nurses were mostly related to the skill in doing the procedure. The major knowledge related performance obstacles perceived by nurses were inadequate training on ET suctioning in a real patient as s student (70%). Training on ET suctioning should be given during the induction program on the time of joining to the organization.","PeriodicalId":264619,"journal":{"name":"Nursing & Healthcare International Journal","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127062768","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":"Competency of Neonatal Unit Nurses Regarding Newborn Care in Selected Teaching Hospitals in Southwestern, Nigeria","authors":"Elizabeth Urenna IKE","doi":"10.23880/nhij-16000271","DOIUrl":"https://doi.org/10.23880/nhij-16000271","url":null,"abstract":"Introduction: Neonatal mortality remains an issue globally. There are approximately 6700 newborn deaths every day. Regrettably, most deaths are due to conditions which can be prevented by appropriate newborn care. Nurses play an important role in the care of neonates and prevention of neonatal death. This study aim to determine the competency of nurses as regards care of neonates in selected teaching hospitals in southwestern, Nigeria. Methods: Analytic cross-sectional descriptive study was carried out using a self-administered questionnaire and observation checklist. A total numeration of 163 nurses working in the neonatal unit participated. Data collected was analyzed using percentages, frequencies and chi-square test. Results were presented in tables and charts. Result: The mean age of respondents was 41.68 ± 9.539 years and 4 years median age years of experience. Almost all the respondents (85.9%) were married and more than half (56.4%) had BNSc degree. Approximately half (50.9%) of the nurses have unsatisfactory knowledge and attitude regarding care of neonates in neonatal unit. While in contrast, more than half (52.1%) of the nurses have satisfactory practice regarding care of neonates. Overall, less than half (45.5%) of the respondents were competent in taking care of neonates in the neonatal unit. Conclusion: Survival of neonates require nurses who are knowledgeable and competent to give quality care to neonates. The study found overall that most of the nurses were not competent in taking care of neonates. Nurses established that continuing education will facilitate their competence in the care of neonates. A regular continuing education interventions should be organized for nurses working in the neonatal unit to improve their competency in the care of newborns.","PeriodicalId":264619,"journal":{"name":"Nursing & Healthcare International Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131771029","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":"Surviving the First Year as New Faculty during a Pandemic","authors":"Swenson C","doi":"10.23880/nhij-16000260","DOIUrl":"https://doi.org/10.23880/nhij-16000260","url":null,"abstract":"","PeriodicalId":264619,"journal":{"name":"Nursing & Healthcare International Journal","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129499428","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":"Happiness as a Significant Predictor of Women’s Marital Satisfaction","authors":"Sooki Z","doi":"10.23880/nhij-16000239","DOIUrl":"https://doi.org/10.23880/nhij-16000239","url":null,"abstract":"Introduction: Marital satisfaction promotes family and public health and its stability. Different factors may contribute to marital satisfaction. This study aimed to predict women’s marital satisfaction based on their happiness. Methods: This cross-sectional study was conducted in 2014 on 379 married women, with eligibility criteria, who referred to comprehensive healthcare centers in Shahroud, Iran. Sampling was done through cluster and simple random sampling. Data gathering tools were a researcher-made demographic questionnaire, the Oxford Happiness Index, and the ENRICH Marital Satisfaction Scale. Data were analyzed through the independent-sample t test, the one-way analysis of variance, Pearson correlation analysis, and the multiple linear regression models with the Stepwise method. P values lower than 0.05 were considered statistically significant. Results: The mean scores of marital satisfaction and happiness were 164.68±28.33 and 45.11±14.40 respectively. In univariate analysis, women’s marital satisfaction had significant relationships with their age, educational status, place of residence, economic status, having close friends, significant stressful life events during the past six months, and happiness, along with their husband’s age, educational status, and employment status (all of them p≤0.05). In second step of analyses, happiness, marriage duration, serious stressful life events during the past six months, and husband’s educational status were the significant predictors of marital satisfaction(F =73.74; R2=0.497; and P< 0.001). As the most significant predictor, happiness explained almost 43.8% of the total variance of marital satisfaction. Conclusion: Public education programs on happy living and stress management are necessary to improve women’s marital satisfaction.","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129399471","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":"Hands on Skills of NPCCs in Critical Care: Views from NPCCs, Healthcare Professionals and Other Stakeholders","authors":"Chandni B","doi":"10.23880/nhij-16000264","DOIUrl":"https://doi.org/10.23880/nhij-16000264","url":null,"abstract":"Introduction: As demand for nurse practitioners in all types of intensive care units continues to increase; ensuring successful integration of these nurses into general and specialty intensive care units poses several challenges. Adding nurse practitioners in critical care requires strategic planning to define critical aspects of the care delivery model, acceptability and autonomy before the practitioners are hired or utilized. Autonomy can be achieved when NPs’ ability to deliver care independently is encouraged, they are well accepted in critical care units by the health care professionals and other stakeholders and when NPCC perceive they are viewed and Treated by administrators as integral members of the care teams. Multiple quantitative studies revealed the attributes of NPs’ practice autonomy and roles. However, researcher has not come across any study to assess the critical care skills performed by Nurse Practitioner in critical Care (NPCC) in India. Methodology: A quantitative descriptive research approach was used to conduct study among 35 NPCCs, 80 healthcare professionals (excluding physician) and 15 physicians through purposive sampling techniques. An expressed checklist was used to assess the critical care skills performed by NPCCs after taking formal permission from the competent authority. Results: Majority of the NPCCs (71%) had good critical care skills whereas (29%) had average critical care skills. None of the NPCCs had poor critical care skills views from NPCCs Out of 15 physicians, majority of the subject (87%) revealed that NPCCs had good critical care skills whereas (13%) had average critical care skills. None of the NPCCs had poor critical care skills. Majority of the health care professionals (excluding physicians) & other stakeholders (86%) said that NPCCs had good critical care skills, (14%) had average critical care skills. None of the NPCCs had poor critical care skills. Majority of the physicians refuse to participate in the research study, only 15 physicians participated from selected institute of the research. Out of the15 physicians accept the NPCCs but found the curriculum not appropriate as per the need of the NPCCs. Conclusion: Nurse practitioners need to become more visible to both the public and other health care professionals. Continuing to educate and expose the public and other health care professionals to nurse practitioners will influence perceptions which, in turn, may increase interest in learning more about the role and affect acceptance of the role and utilization of the nurse practitioner in critical care. The utilization of NPCCs continues to have much room for expansion, allowing NPs more autonomy and involvement in the care of critical care patients, it is important for physicians and other health care providers to be familiar with the capabilities of a NPCCs in order for them to be utilized to their maximum potential","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133044323","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":"Governance of Public Health in Local Development with Migratory Migrate Flows from the Center of Mexico","authors":"Lirios Cg","doi":"10.23880/nhij-16000262","DOIUrl":"https://doi.org/10.23880/nhij-16000262","url":null,"abstract":"Gross mode, the relationship between migration, health and development has been undertaken through governance, as a result of an identity process that is reduced to the choice of dominant groups such as the dominated and dominated cultures such as migrants. In that sense, the differences between leaders and followers lie in: a) their access to information disseminated by the State in the media; b) its ability to process information, ethics and logic alluding to risk and resilience; c) legitimization of differences based on mistrust of public administration and management. In this way, the objective of this paper is to highlight the limits of the literature consulted with respect to identity, considering as a hegemonic and preponderant factor the explanation of the continuum of: migration, health and endogenous development (local and / or regional). To this end, a non- experimental, exploratory, cross-sectional and correlational study was carried out, with a non-probabilistic selection of 345 workers, including leaders, both migrants and natives from a central Mexican location. The results show that the intentions of occupational health determine the behaviors of the so-called self-care, but these were discussed in light of the findings reported in the literature. There are lines of research with other variables, which explain in detail the sense of community, as well as occupational health and social entrepreneurship.","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133507489","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":"Proposed Plan of Home Based New Born Care in Kamis Mushayt, Saudi Arabia -Dr. Krishnavellie Chetty & Mary Johnson","authors":"Johnson M","doi":"10.23880/nhij-16000234","DOIUrl":"https://doi.org/10.23880/nhij-16000234","url":null,"abstract":"The global burden of neonatal deaths is estimated to be 2.6 million, of which 0.76 million—more than a quarter—occur in India. With a neonatal mortality rate (NMR) of 26 per 1000 live births and infant mortality rate of 39 per 1000 live births,2 deaths in the neonatal period alone contribute to two-thirds of infant deaths in India. Even among postneonatal infant deaths (1–12 months), a major proportion of deaths occur in the second month of life. Any further reduction in infant mortality is therefore intricately linked to a major reduction of neonatal and young infant (0–59 days) deaths. Various attempts have been made to implement innovative approaches for newborn care at community/home level. The Cochrane review on community- based interventions found a significant reduction—by about 25%—in neonatal mortality with community mobilisation and antenatal and postnatal home visits by health workers. The Lancet Every Newborn Study Group estimated that immediate scaling up of various community-based and primary care interventions can avert almost a third of all neonatal deaths by 2017 and one-fifth by 2025. Khamis Mushayt or Khamis Mushait city in south-west Saudi Arabia, located east of Abha, the provincial seat of the Asir province, It is the capital of the Shahran tribe. 8th largest in Saudi Arabia with an estimated population of 1,300,000. The infant mortality rate is a significant indicator of the quality of the health care provided to the population and gives insight into the factors that influence health. According to Millennium Development Goal 4, minimizing the infant mortality rate is a major challenge. Substantial efforts and resources are necessary to overcome these challenges, especially during the neonatal period, which is the main contributor to mortality figures for children under age five.The nursing team is striving to take initiative in promoting the new born care to the best possible so that the morbidity and mortality rates can come down even further and the new born wellbeing will be promoted in the areas of Khamis Mushait where the proposed plan of care is not available.","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115439009","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 Importance of Maintaining Intergenerational and Community Links with Care Home Residents throughout Covid-19 Restrictions: A Commentary on the Change and Increase in Resident Socialisation and Well-Being through Reminiscence, Cognitive and Creative Stimulation","authors":"Pritchard F","doi":"10.23880/nhij-16000244","DOIUrl":"https://doi.org/10.23880/nhij-16000244","url":null,"abstract":"The Importance of Maintaining Intergenerational and Community Links with Care Home Residents throughout Covid-19 Restrictions: A Commentary on the Change and Increase in Resident Socialisation and Well-Being through Reminiscence, Cognitive and Creative Stimulation Nurs Health Care Int J The Importance of Maintaining Intergenerational and Community Links with Care Home Residents throughout Covid-19 Restrictions: A Commentary on the Change and Increase in Resident Socialisation and Well-Being through Reminiscence, Cognitive and Creative Stimulation","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116145795","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 Self-Sufficiency in seniors","authors":"A. Hudáková","doi":"10.23880/nhij-16000288","DOIUrl":"https://doi.org/10.23880/nhij-16000288","url":null,"abstract":"Background: Performance falls in old age and the onset of chronic diseases is developing a series of malfunctions and consequently there is impaired self-sufficiency and dependence. Methods and Sample: The aim of this work was to determine how perceived self-sufficiency and quality of life among seniors in the institutional facilities. We selected in this work a sample of 212 seniors with standardized questionnaire surveyed the relationship of self-sufficiency and quality of life of the seniors population. Based on statistical comparisons, using Mann - Whitney test. Results: We found poorer self-sufficiency in geriatric patients (ADL score, M=11,65) compared with residents in facilities for the elderly (ADL score, M=8,92). In our study confirmed a clear dependence on the level of self-sufficiency and quality of life of seniors (p < 0.001). ADL test has been identified in the region of Presov from the group of 1028 seniors 65 years and older 149 probants who completed the test insufficiently. Conclusions: Recommendations contained in the ADL tests, balance tests and others are part of a comprehensive geriatric assessment. The quality of life of seniors is an important indicator of their care","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129827557","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":"Cost-Utility of Venovenous Ecmo Associated with Protective Mechanical Ventilation in the Treatment of Patients with Acute Respiratory Distress Syndrome","authors":"C. B. Marta","doi":"10.23880/nhij-16000280","DOIUrl":"https://doi.org/10.23880/nhij-16000280","url":null,"abstract":"Introduction: with the emergence of COVID-19 in the world, there was a race against time in the search for studies and scientific information that validated the most appropriate treatment. As a result, when caring for patients with the disease who developed ARDS and progressed to a severe condition with hospitalization in the ICU, the need for scientific evidence to guide care for these patients was even greater. Speculation about the effectiveness of using ECMO for these patients began to emerge, and with it, the need for scientific studies that would show the costs and benefits of acquiring this technology in the SUS. The dissertation that is intended to be defended is whether the use of VV ECMO associated with protective mechanical ventilation in patients with ARDS is more cost-effective compared to exclusive protective mechanical ventilation. General Objective: to analyze the cost-effectiveness of veno-venous ECMO in the treatment of patients with COVID-19 who evolve with severe Acute Respiratory Failure. Specific Objectives: review the scientific literature to summarize the best scientific evidence available on the safety and efficacy of using exclusive mechanical ventilation and venovenous ECMO in patients with acute respiratory failure, and estimate the costs associated with mechanical ventilation and the use of veno-venous ECMO. Method: Rapid systematic review for a complete health economic assessment based on a Markov model to estimate the incremental cost-effectiveness of using venovenous ECMO associated with protective mechanical ventilation in the treatment of patients with ARDS due to COVID-19. Results: Based on the estimated costs in each of the base case scenarios and the probabilities of the clinical effects resulting from the interventions, the study showed that the ECMO + protective IMV intervention offers around 0.295 AAQA compared to 0.2015 AAQA offered by the exclusive protective VMI. The incremental cost of ECMO + protective IMV is BRL 12,519.94 for 0.397 effectiveness compared to 0.215 exclusive protective IMV (incremental effectiveness of 0.182). For each qualityadjusted year of life gained, the amount of R$ 68,902.92 would have to be disbursed. Conclusion: the results showed that both veno-venous ECMO associated with protective mechanical ventilation and exclusive protective mechanical ventilation can be cost-effective alternatives for the treatment of patients with ARDS due to COVID-19 in the SUS, depending on the willingness to pay. However, in terms of effectiveness, ECMO was the most effective alternative, but with the highest cost increase.","PeriodicalId":264619,"journal":{"name":"Nursing &amp; Healthcare International Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128770543","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}