Journal of Nursing & Healthcare最新文献

{"title":"Anesthetic Depth Monitoring Decreased the Incidence of Postoperative Delirium Assessed in Nursing Delirium Screening Scale in Elective Non-Cardiac Surgical Patients Receiving Intravenous Patient-Controlled Analgesia","authors":"","doi":"10.33140/jnh.07.03.08","DOIUrl":"https://doi.org/10.33140/jnh.07.03.08","url":null,"abstract":"Background To identify the impact of processed electroencephalogram (pEEG)-guided anesthesia on postoperative delirium (POD) assessed by NuDESC, postoperative analgesic requirements, and the incidence of postoperative nausea/vomiting (PONV) in the elective non-cardiac surgical patients with intravenous patient-controlled analgesia (IVPCA) in the wards. Methods In this retrospective observational study, the anesthesiologists were free to use M-Entropy™, an pEEG device, to monitor the depth of anesthesia intraoperatively during the period (September 2015 ~ February 2018). Acute pain service team assessed the analgesic/side effects of IVPCA and POD at least twice daily for 3 days postoperatively. POD was screened by Nursing Delirium Screening Scale (NuDESC) (0-10). Pain severity was measured by an 11-point verbal numerical rating scale (0–10). Results A total of 1178 patients (≧60 years) were enrolled and divided to Entropy (749 patients) vs. non-Entropy group (429 patients). Multivariate logistic analysis showed that age (≧70), surgical types (non-joint), intraoperative highest minimum alveolar concentration (MAC) (<0.9MAC) and the POD incidence were independent predictors for group differences (multiple odds ratio and 95% confidence interval: 5.99, 4.34-8.29; 2.01, 1.49-2.72; 6.84, 4.38-10.67; 0.09, 0.04-0.19). The POD incidence in Entropy group (2.2%, 17 patients) was significantly lower than that in non-Entropy group (6.7%, 29 patients) (p <0.001). However, pEEG-guided anesthesia did not affect the phenomenological characteristics of POD. In addition, intraoperative pEEG-guided anesthesia did not reduce total morphine dose of IVPCA, the incidence of PONV and pain severity. Conclusions Processed EEG-guided anesthesia decreased POD incidence assessed in NuDESC in IVPCA patients undergoing elective non-cardiac surgery returning to the common ward. In addition, it did not reduce postoperative pain severity, postoperative analgesic requirements and PONV incidence. More researches are needed to investigate the effects of pEEG-guided anesthesia on POD and other postoperative conditions.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128158949","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":"YOGA AND HOLISTIC HEALTH","authors":"","doi":"10.33140/jnh.07.02.04","DOIUrl":"https://doi.org/10.33140/jnh.07.02.04","url":null,"abstract":"Yoga is an ancient art based on a harmonizing system of complete equilibrium of body, mind, and spirit. The link to yoga is asana. Holistic health is an approach to life, rather than focusing on illness or a specific part of the body. The holistic health approach considers the whole person and how he or she interacts with his or her environment. It emphasizes physical, mental, social, spiritual, and, intellectual. Yoga means union, so yoga is the union of the mind emotions, and the body. Holistic wellness is significant between physical health and mental health. Yoga is a holistic science, it seeks to build a lifestyle that values calmness, harmony, and positive thinking. Multiple-way yoga approach helps towards the health and well-being of humans. India ‘s invaluable gift is yoga. Many research finding concludes yoga play in holistic care.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124691375","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":"Nursing Telemedicine and Multipliers Training During the SARS-CoV-2 Pandemic – An Experience Report","authors":"","doi":"10.33140/jnh.07.02.05","DOIUrl":"https://doi.org/10.33140/jnh.07.02.05","url":null,"abstract":"The worldwide pandemic due to SARS-CoV 2 demanded an exponential increase in intensive care. The deficit between the training of professionals specialized in intensive care and the increase of ICUs exposed the need to expand specialized action in the care of critically ill patients. In this scenario, a tele-ICU project was implemented in two philanthropic hospitals in the metropolitan region of Rio Grande do Sul. Objective: The purpose of this article is to report on the experience in implementing telemedicine among nurses and training multipliers during the pandemic resulting from COVID-19. Materials & methods: The nursing telemedicine occurred weekly and lasted around 30 to 50 minutes, focusing on developing the professional in the evaluation of the critically ill patient, electing priorities, as well as in the management and education of the technical team for key elements on the patient's status and the care to be provided. The training of professionals was based on a training matrix developed together with the nursing leadership, listing the main demands for each unit. Results/Discussion: Making the trained professional a multiplier brings responsibility and engagement in replicating the knowledge and, concomitantly, in changing the institutional culture. By developing and implementing the tele-ICU project, it was possible to notice an improvement in the quality of care, reflected in the indicators and the nurses' assessment, as the discussions matured. Furthermore, it was possible to emphasize with the management team the importance of continuing education with a managed matrix to develop critical sense and continuous quality of care even despite the completion of the project.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125301775","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":"Protocol of Conservative Treatment of Persistent Edema after Rhinoplasty","authors":"","doi":"10.33140/jnh.07.02.02","DOIUrl":"https://doi.org/10.33140/jnh.07.02.02","url":null,"abstract":"Due to the great popularity and relative availability of surgical methods for correcting appearance, rhinoplasty steadily occupies a leading position among all types of plastic surgeries, while remaining difficult both in technical terms and in terms of the rehabilitation period. Often, edema after even sparing closed rhinoplasty using modern surgical methods, including piezotome, persists for a year or more, provoking the formation of fibrous tissue, which prompts the patient and the surgeon to revision surgery. With the increase in the number of repeated interventions on the tissues of the nose, the question arose of how to avoid certain complications, which, perhaps, will provide a predictable final result of the operation. Based on 3 years of experience with such patients, we have developed a protocol for the treatment of postoperative edema, which we actively use in our work both with patients after primary rhinoplasty and after repeated surgeries. Keywords: rehabilitation after rhinoplasty, rhinoplasty, treatment of surgical complications, postoperative edema, soft tissue edema, LLLT, neodymium laser.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127712362","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":"Water handling, sanitation, and hygienic practices and its association with under-five childhood diarrhea among households of Kirkos sub city, Addis Ababa, Ethiopia","authors":"","doi":"10.33140/jnh.07.02.01","DOIUrl":"https://doi.org/10.33140/jnh.07.02.01","url":null,"abstract":"Background: Diarrheal disease is the second leading cause of death in children under five years old. It is more than 90% is due to poor sanitation, poor hygiene, and unsafe drinking water. This research is aiming to assess the water handling, sanitation and hygiene practices of mothers/caregivers and its association with under-five childhood diarrhea in Addis Ababa. Methods: A community-based cross sectional study was conducted from April – May, 2016 to selected eligible mothers/caregivers. Data was used Epi Info 3.5.1 software and SPSS V.20 for further analysis. Binary Logistic regression analysis was used to determine COR and 95% CI. Variables with p-value <0.20 in the bivariate analysis were entered in to multivariate analysis. Result: The overall prevalence was 13.6% with 95% CI (10.4-16.9) which was associated with household income level [AOR: 7.21, 95% CI (1.49, 34.92)], water storage duration [AOR: 5.10, 95% CI (1.47, 17.62)], hand washing facility [AOR: 5.70, 95% CI (1.01, 32.247)], maternal history of diarrhea [AOR: 8.03, 95% CI (1.32, 48.67)] and presence of uncollected garbage in the compound [AOR: 3.42, 95% CI (1.38, 8.49)]. Conclusion: The two-week period under five diarrhea was relatively high and lower income level, storing water for more than a week, lack of hand washing facility, uncollected garbage in the compound, and mother/caregiver history of diarrhea were variables associated with the occurrence of diarrhea.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134391827","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 premarital genotype screening and counselling on knowledge toward Sickle Cell disease among university students in Dodoma Tanzania: uncotrolled quasi-experimental study","authors":"A. Lumbe, S. Kibusi","doi":"10.1101/2022.04.11.22273743","DOIUrl":"https://doi.org/10.1101/2022.04.11.22273743","url":null,"abstract":"Background: Tanzania is experiencing the increase burden of Sickle cell disease, with an estimate of 20.6% Sickle Cell carriers. There is no preventive measure has been put in this area by the government; a great focus has been directed in the diagnosis and management and national guideline emphasis on the care rather than prevention. Methods: A non-controlled quasi-experimental study conducted from June to September 2020 among 697 randomly recruited students from the University of Dodoma. Pre and post-test knowledge information were collected through structured self-administered questionnaires. Data analysed using SPSS v20. Simple and multiple linear analysis model used to test for significant association of variables at 95% CI, at p<0.05. The results were presented using tables and figures. Results: The mean knowledge score at pre-test was 0.009{+/-}1.014 which improved to 0.365{+/-}0.901 on the post-test, with a statistically significant difference (t=6.965, p<0.01). The results of linear regression showed that knowledge change was not statistically associated with other predictors (p>0.05) Conclusion : Health education demonstrated to be effective towards change in knowledge on sickle cell disease among University students.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114441676","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":"Is there correlation between measured and console CTDIvol in multislice CT scanners?","authors":"Allen Mhagama","doi":"10.21203/rs.3.rs-1273535/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1273535/v1","url":null,"abstract":"\u0000 This study investigated the relationship between measured and console volume computed tomography dose index (CTDIvol) in multislice CT scanners. The measured CTDI values were determined from kerma length product measured using pencil ionization chamber inserted in the holes of standard CT phantoms with diameters 16 and 32 cm, which respectively mimic adult head and body using the procedures recommended by International Electro-technical Commission. Significantly large deviations were observed between the measured and console CTDI vol values in multislice CT scanners","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129375768","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":"Research on the Impact of Canceling Medicinemarkups on the Price Change of Medical Services","authors":"","doi":"10.33140/jnh.07.01.05","DOIUrl":"https://doi.org/10.33140/jnh.07.01.05","url":null,"abstract":"A new round of medical system reform in China since 2009 aims to solve the problems of \"difficult to see doctors\" and \"expensive medical treatment\". In the past few years, the cancellation of drug markups has been promoted to the whole country by local pilot projects as an important measure of medical reform. In this context, the price of medical services, as an important part of medical charges, will become the focus and difficulty of the future reform, which deserves the attention of the academic circles and practitioners. In this study, based on the policy feedback theory, this paper analyzes the interaction and mechanism between the two major medical reform policies: the cancellation of drug markups and the price adjustment of medical services, and puts forward suggestions for further reform and policy coordination in the future from the two dimensions of resource effect and interpretation effect.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123396690","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":"Prebriefing in Nursing Simulation: Does the Use of Concept Mapping in The Prebriefing Process Impact Clinical Competence in Nursing Students?","authors":"","doi":"10.33140/jnh.07.01.01","DOIUrl":"https://doi.org/10.33140/jnh.07.01.01","url":null,"abstract":"Background: The purpose of this study was to evaluate the impact of a concept map in the prebriefing on clinical competence of nursing students in a prelicensure associated degree nursing program. Methods: A prospective, quasi-experimental, comparative, post-test-only project was implemented using a concept map in the prebriefing process to evaluate the impact on clinical competence in nursing students in a prelicensure associated degree nursing program. Results: The evaluation of 115 nursing students enrolled in first-year nursing courses revealed no overall increase in clinical competence using a concept map in the prebriefing process. Although not captured, students stated they felt the concept map positively impacted their critical thinking during simulation. Conclusions: A concept map in the prebriefing process may impact the clinical competency of nursing students. Further evaluation is warranted to determine the impact of a concept map in the prebriefing process on clinical competence.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116550823","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":"Quality of Work-Life and its impact on Performance of Health Care Providers with Effect on Organizational Outcome: A Review of Contemporary Literatures","authors":"","doi":"10.33140/jnh.07.01.04","DOIUrl":"https://doi.org/10.33140/jnh.07.01.04","url":null,"abstract":"QWL is a broad term and applicable in different fields including health care sector. With regular opening of new dimensions in health care delivery system, both in curative and diagnostic aspect, and associated increase in complexity in delivering adequate and quality care to the patients, proper and in time estimation of problem and immediate formulation of its solution is now an urgency, particularly in a developing country like India, which after globalization is a popular destination for health care tourism. Doctors and also other health care employees are heart of a health care provider unit and entire system is totally dependent on their performance. It is therefore, highly essential to frame a homogeneous policy to provide health care providers, doctors in particular, adequate scope to maintain their work life balance, to enjoy work satisfaction and conductive work environment and also to achieve career fulfilment and proper recognition which in tern is reflected in better organizational performance. This study deals with recent reviews in reputed journals to update recent developments in regard of changes in work place atmosphere and policy framing with its impact on doctors and other health care workers and also on organizational performance.","PeriodicalId":302843,"journal":{"name":"Journal of Nursing &amp; Healthcare","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115175016","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}