Middle East Journal of Nursing最新文献

{"title":"Understanding of Cancer Related Pain : A Continuous Education Review","authors":"B. S. B. Naga, Esam A. Al-Khasib, W. Othman","doi":"10.5742/MEN.2014.92478","DOIUrl":"https://doi.org/10.5742/MEN.2014.92478","url":null,"abstract":"Optimal pain management requires a systematic symptom assessment and appropriate management to promote quality of life. Inadequate management of pain is the result of various issues that include: under treatment by clinicians with insufficient knowledge of pain assessment and therapy; inappropriate concerns about opioid side effects and addiction; a tendency to give lower priority to symptom control than to disease management; patients under-reporting of pain and non-compliance with therapy. Thus, this paper will elaborate on all the above aspects, including the pathophysiology of pain, assessment and management of cancer pain; to understand the clinical approach used in managing cancer related pain. Cancer related pain remains the big problem now facing cancer patients, their family and oncology nurse specialists because of poor understanding, identification, assessment, and management. Despite the wide range of available pain management therapies, unfortunately, pain associated with cancer is frequently undertreated. This paper may help nurses and post graduate oncology students in understanding the issue of cancer pain; in assessment, planning, and management of cancer related pain with consideration to all aspects of cancer pain in a comprehensive and systematic approach.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128567117","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 survey of nurses' perceived barriers to research utilization in Bahrain in comparison to other countries","authors":"Nawal Buhaid, R. Lau, M. O’Connor","doi":"10.5742/MEN.2014.92475","DOIUrl":"https://doi.org/10.5742/MEN.2014.92475","url":null,"abstract":"Background: Nurses play a vital role in using the best available research evidence to provide optimal care for patients. Despite the importance of nurses' uptake of research utilization, little is known about the uptake of research utilization among nurses in Bahrain. Objectives: This study investigated the perceived barriers to research utilization in Bahrain and compared the barriers to those of other countries. Methods: This is a cross- sectional exploratory study carried out among the registered nurses in a major teaching and research hospital in Bahrain. The Barriers to Research Utilization Scale (Barriers Scale) was used to collect the data. Results: The results showed that the top three ranked perceived barriers were lack of authority to change practice, inadequate facilities and time constraints. Of the top 10 ranked perceived barriers, six items were related to the subscale 'organization' (the setting) and four to the subscale 'presentation' (report and accessibility of research findings).","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127236038","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":"Menopausal WoMen's sexual Function and Related FactoRs in West oF tehRan","authors":"M. A. Pebdani, S. Taavoni, H. Haghani","doi":"10.5742/MEN.2014.92477","DOIUrl":"https://doi.org/10.5742/MEN.2014.92477","url":null,"abstract":"Background: A lot of progress has been made in prevention and treatment of menopausal problems but still sexual function, which may be influenced by several factors, need more attention. It is essential to identify these factors in this period.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129762270","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 Combined Interventions of Diet and Physical Activity on the Perceived and Actual Risk of Coronary Heart Disease among Women in North of Jordan","authors":"Muneer Mohammad Bustanji, Sawsan A. Majali","doi":"10.5742/MEN.2014.92476","DOIUrl":"https://doi.org/10.5742/MEN.2014.92476","url":null,"abstract":"2 Abstract: Women have received little attention in cardiac research in Jordan. This study aimed to evaluate the effectiveness of combined interventions of diet and physical activity on the perceived and actual risk for coronary heart disease among women in the north of Jordan. An experimental pretest/ posttest design was used. The sample consisted of asymptomatic women aged 40 years or older who lived in the north of Jordan. The intervention involved recommendations concerning healthy diet and physical activity to modify the actual risk for coronary heart disease. The Kruskal-Wallis test; X (2, N = 134) = 46.62, p< 0.001, showed that women 2 who applied both diet and physical activity interventions scored lower actual risk for heart disease than women who only applied one type of intervention (either diet or physical activity). The results indicated the need for constant national heart disease education programmes for women emphasizing adopting healthy lifestyle behaviors. Setting and Sample: A true experimental pretest/ posttest Jordanian women were found to underestimate their study was conducted among a convenience sample of risk for coronary heart disease (CHD); and perceived women who visited the out- patients department at a breast cancer as a greater risk to their health than CHD (2). university hospital and at a government (hospitals are Despite that, 28.9% of deaths among women in Jordan located in the Irbid governorate). The inclusion criteria of were attributed to CHD and 23.5% were due to breast the sample were age is equal to or more than 40 years cancer (3). The majority of research on Jordanian women's willing to participate and not known to have CHD. The health has focused exclusively on reproductive health sample size was estimated using power analysis which aspects (4) and screening for breast cancer (5) and so far yielded a sample size of 159 participants. In this study, the no study has been performed which investigates the researcher gathered data from 165 women to avoid the perceived and the actual risk of coronary heart disease attrition risk. and or interventions that could reduce the risk of CHD among women in Jordan. Procedure This study aimed to assess the perceived risk and the Phase One: Pretest Phase: After obtaining the approval actual risk for coronary heart disease among women in the to conduct the study from the Committee on Human north of Jordan. This study also aimed to evaluate the Research- the Jordanian Ministry of Health and the effectiveness of combined interventions of diet and university hospital, the researcher visited the out- patient coronary heart disease among women in north of Jordan.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121668635","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 pAIN ExpERIENCE AND ROy ADApTATION MODEl: ApplICATION Of ThEORETICAl fRAMEwORk","authors":"B. S. B. Naga, Nijmeh Al-Atiyyat","doi":"10.5742/MEN.2014.92471","DOIUrl":"https://doi.org/10.5742/MEN.2014.92471","url":null,"abstract":"Roy Adaptation Model (RAM) provides knowledge and broad understanding of the person as both a physiological being in a physical world and thinking. According to RAM, the overall goal of nursing is to focus on promoting health of the individual and group by promoting adaptation in each of four adaptive modes: physiological-physical, selfconcept, role function, and interdependence. It could foster nursing knowledge through organized research and it could provide a more organized curriculum. The cancer patients who are under treatment with chemotherapy and radiotherapy may experience a physical selfdisruption such as fatigue, altered skin integrity, fluid and electrolyte imbalances and physical changes (hair loss). This experience in physiological changes may influence the role function of the patient (social interaction with peers) and changes in the interdependence mode (family); if the families understand how to support the patient, the patient may have an integrated adaptation level. By understanding the relationships among selfconcept, family functioning, functional status, and psychological adaptation, the nurse can identify the factors that lead to mal adaptation, and supportive services can be implemented during the course of cancer treatment. Research that studied the experience of cancer-related pain confirmed that pain is a multidimensional symptom that consists of feelings of hopelessness, helplessness, emotional distress, and has a negative impact on coping mechanism. Also, cancer pain was confirmed by researchers as a complex phenomenon associated with adverse physiologic, psychosocial consequences, (depression, anxiety), cognitive, behavioral, and socio-cultural dimensions. There are many factors associated with cancer related pain such as type of cancer, stage of disease, type of treatment received and location of cancer. Such findings have raised the importance for researchers to study the experience of cancer related-pain in a comprehensive approach using the multidimensional aspects of cancer pain experience.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128769210","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 Blended Educational Program as a Modified Educational Program in Medical Education and the Effect on Students' Critical Thinking","authors":"L. Mosalanejad, A. Alipor, B. Zandi","doi":"10.5742/MEN.2014.92473","DOIUrl":"https://doi.org/10.5742/MEN.2014.92473","url":null,"abstract":"","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"1 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133169509","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 Holistic Approach to Bedside Teaching from the Views of Main Users","authors":"L. Mosalanejad, M. Hojjat, M. Gholami","doi":"10.5742/MEN.2014.92472","DOIUrl":"https://doi.org/10.5742/MEN.2014.92472","url":null,"abstract":"Introduction: Clinical education concerns with acquiring lots of skills and competencies that enable health professionals to function properly and provide services effectively. The aim of this study was to evaluate a holistic examination on bedside teaching from the views of its main users. Materials and methods: This is a cross sectional study on 70 teachers (clinical and nursing), 70 students (medical and nursing), 400 patients in Jahrom University of Medical Sciences. Data gathering tool was a three-part questionnaire in which the first part was assigned to demographic data, the second part was 10 five-part questions aiming at investigating bedside teaching quality for teachers, students, and patients. Reliability was 0.83, 0.78, and 0.89 respectively. Results: The results showed that teachers evaluated bedside teaching in three areas of communication skills (50.4), proper clinical examination (44.4), and developing professional skills (44.4) more than other fields. Sharing some in common, the students also had a higher average in acquisition of professional skills (83.3) enhancing knowledge of students (82.3) and obtaining a suitable model of communication (72.3). The patients also considered factors such as high selfesteem, feeling of satisfaction (3.83), humanized health care (3.83), and transfer of information to both teachers and students (3.83) higher than other factors. Conclusion: According to the results, it is necessary to appropriately train teachers to meet these standards, and while justifying students to implement this method and its benefits, patients’ satisfaction, enhancing health care, and effective clinical governance should be provided.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124388007","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":"NURSE-lED ChESt DRAIN ClINIC: A CASE StUDy of ChANGE fRom NAtIoNAl hEAlth SyStEm IN UK","authors":"A. Taha, Akeel S Yousr, Kamil J Zaidan","doi":"10.5742/MEN.2014.92470","DOIUrl":"https://doi.org/10.5742/MEN.2014.92470","url":null,"abstract":"Background and Objective: There are many nurse-led clinics now in the UK, such as Chest-Pain, Endoscopy and Bronchiectasis Clinics. Herein, we present the project of Nurse-led Chest Drain Clinic in Guy’s and St Thomas, s Hospital, London. The aim is to analyze this change project. Methods: A project of change was designed to set up an outpatient clinic run by specialist clinical nurses for patients discharged home with an ambulatory chest drain system in situ. The project is observed and analyzed via interviews with the responsible nurses. Results: The clinic was established in 2005 and run by two Nurse Case Managers. 60 patients were seen in 2007 and the clinic remained well attended. Patients were happy to spend less time in hospital as they could stay safely with their families. Conclusions: A safe at home management of long-term chest drains was provided by this nurse-led clinic.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126924525","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":"FATIGUE IN EARLy STAGE AmONG JORDANIAN PATIENTS wITh CANCER RECEIVING ChEmOThERAPy","authors":"Kholoud Abu Obead, S. Yaser, M. Khattab, Faisal Al-badaynah, Laila Saqer, Kholoud Abu","doi":"10.5742/MEN.2014.92469","DOIUrl":"https://doi.org/10.5742/MEN.2014.92469","url":null,"abstract":"The purposes of this study were to (1) examine the impact of Chemotherapy on fatigue in Jordanian cancer patients, and (2) to chemotherapy related fatigue (CRF) with selected demographic variables such as age, sex, marital status, income, level of education, type of cancer, stage of disease , type of chemotherapy, body mass index, smoking and hemoglobin level. One group quasi-experimental co-relational design was used with 43 patients who had been diagnosed with cancer and required Chemotherapy treatment. Fatigue was measured using Piper Fatigue Scale (PFS). Data was collected over a period of six months and analyzed using descriptive statistics, paired-sample t-test, and Pearson Product Moment Correlation. Statistically significant differences were found between total fatigue scores as well as on behavioral, affective, sensory, and cognitive dimensions of PFS, before starting chemotherapy treatment and after 4 weeks from receiving the first dose of chemotherapy treatment.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133562914","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":"Chronic kidney disease in Saudi Arabia : a nursing perspective","authors":"H. Almutary, A. Bonner, C. Douglas","doi":"10.5742/MEJN.2013.76337","DOIUrl":"https://doi.org/10.5742/MEJN.2013.76337","url":null,"abstract":"Chronic kidney disease (CKD) is a major health problem in Saudi Arabia. The number of people requiring kidney replacement therapy in Saudi Arabia is growing, which poses challenges for health professionals and increases the burden on the health care system. However, there is a paucity of nursing literature about CKD in the Middle Eastern region, including Saudi Arabia. The purpose of this review is to describe the epidemiology, risk factors, treatment modalities and the implications for nursing practice of CKD in Saudi Arabia. Improving nurses’ knowledge and awareness about CKD and the risk factors in Saudi Arabia will help them to determine high risk groups and provide early management to delay progression of the disease.","PeriodicalId":340840,"journal":{"name":"Middle East Journal of Nursing","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121825300","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}