American Journal of Nursing Science最新文献

{"title":"Effectiveness of the Instructional Module on Knowledge and Interpretation of ABGs Among Critical Care Nurses","authors":"U. Zeb, Said Alam, FA Ali, M. Hanif, S. Ali","doi":"10.11648/J.AJNS.20211005.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211005.11","url":null,"abstract":"Arterial Blood Gases interpretation are considered as one of the significant investigations in the critical care areas that guides in appropriate direction to make better decision for diagnosis, treatment and expected outcome of the concerned disorders. Nurses are considered as the primary care providers in critical care units therefore their knowledge regarding ABGs interpretation and analysis may play a vital role in the management of the seriously ill patient admitted with respiratory, cardiovascular, acid base disorder and renal disease. The main intention of the study was to appraise the Effectiveness of the Instructional Module on Knowledge and Interpretation of ABGs among Critical Care Nurses. A quantitative quasi-experimental study design was used with a sample of 30 CCN by census method from Ayub Teaching hospital Abbottabad. Data was collected through a reliable and validated questionnaire before and after assigning with the instructional module. Data was analyzed by SPSS-22. The study result showed that the pretest knowledge score of the critical care nurses in the pre stage intervention was 53.3% which was poor on the grading scale. Overall mean score was found as 51.9963+26.54 in the pre assessment phase while 74.6333+15.98 was reported in the post phase of giving the instructional module with a mean significant difference of 22.63+39.50. Statistically the instructional module was found effective in enhancing the nurse’s knowledge with a –value of 0.004. The findings of the study depict that instructional module has a positive and significant association with the level knowledge of nurses regarding ABGs interpretation.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115195600","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":"Application Effect of Humanized Nursing in the Perioperative Period of Gastrointestinal Tumor","authors":"Wang Yan, Chenfan Xia, Tang Chun Yan","doi":"10.11648/J.AJNS.20211004.12","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211004.12","url":null,"abstract":"To observe the effect of humanized nursing in the perioperative period of gastrointestinal tumor. A total of 118 cases of gastrointestinal tumor patients treated in our hospital from March 2021 to May 2021 were selected. Patients were randomly assigned to the routine care control group or humanized nursing intervention group according to their willingness. The gastrointestinal function, psychological status, postoperative complications and nursing satisfaction status of the two groups were compared after intervention. The recovery rate of gastrointestinal function was faster in the study group, that is, the time of initial anal exhaust and initial defecation was lower in the study group than in the control group, and the incidence of abdominal distension was lower in the study group (P<0.05). The psychological status of the study group was significantly better than that of the control group, that is, the scores of all items of the Symptom Checklist-90 (SCL-90) in the study group were lower than those in the control group (P<0.05). Compared with the control group, the incidence of postoperative complications in the study group was lower and the nursing satisfaction was better (P < 0.05). The findings demonstrate application of humanized nursing for patients in the perioperative period of gastrointestinal tumor not only effectively promote the recovery process of patients, but also alleviate the adverse mood of patients and improve the quality of hospital nursing work, which has clinical application usefulness.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"345 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115969856","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":"In the Eye of the Hurricane - A Qualitative Study on What Is at Stake for Close Family Members to Patients Hospitalized with COVID-19","authors":"C. Bernild, M. Missel, Ilkay Dagyaran, Signe Westh Christensen, S. Berg","doi":"10.11648/J.AJNS.20211004.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211004.11","url":null,"abstract":"COVID-19 causes patient trajectories that are sudden, unpredictable and imbedded in a worldwide panic as well as lack of medical experience and knowledge. This study aims to understand how close family members to patients hospitalized with COVID-19 are affected by the situation. Individual, in-depth interviews with twelve close family members to patients hospitalized with COVID-19 were conducted. The interviews were analyzed with a hermeneutic approach using reflexive methodology. Theoretical conceptualization ensured a critical interpretation. Three empirical themes were identified: fear and unpredictability, not being able to be there and being the “key caregiver”. Family members´ fear is compounded as the whole world is preoccupied with the same fear and uncertainty about COVID-19. Due to the volatile situation, a shift in coping strategies throughout the trajectory was illuminated as well as an ambivalence towards the health system´s treatment regime on COVID-19 implying a total separation between the patient and their close family member. In conclusion, close family members of patients hospitalized with COVID-19 are in a vulnerable situation, characterized by a high degree of unpredictability and seriousness causing fear of losing their loved ones, as well as powerlessness due to visiting restrictions. Hospitalization with COVID-19 is an unpredictable situation, where the family members are separated from their loved ones. Family members are dependent on the communication with health care professionals. Therefore, talking to family members during COVID-19 must be prioritized and it is found necessary to develop relevant and systematic practices for communication and collaboration practices.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129417398","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 Beneficial Effects of the Buttonhole Technique Used for the Cannulation of Arteriovenous Fistula Among Hemodialysis Patients: A Literature Review","authors":"H. Yin, Cai-Yi Zhou, Haiyan Yu, W. Ren","doi":"10.11648/j.ajns.20211003.19","DOIUrl":"https://doi.org/10.11648/j.ajns.20211003.19","url":null,"abstract":"Arteriovenous fistula (AVF) is a “life-line” for hemodialysis patients. Complications associated with AVF cannulation including the occurrence of vessel stenosis and formation of false aneurysms can substantially shorten the length of AVF survival and its utilization. To minimize the damages to vessel walls of AVF, various needling techniques involving the utilization of sharp or blunt needles, and rotating puncture sites are applied in clinical practice. The buttonhole cannulation (BHC) method appears to be a successful technique to solve the problem of puncturing difficult AVFs. However, it is controversial whether BHC should be extended widely to actual practice to generate further beneficial effects or be restricted in clinical use due to a higher risk of adverse AVF complications. This review reports and elaborates on the methods used to create BHC tunnels, the effects of BHC on patient outcomes compared with other cannulation techniques with regard to both objective and subjective aspects, the advantages and disadvantages of BHC, and the measures for improving BHC. According to the published literature, utilizing BHC for AVF cannulation can effectively prevent the complications associated with AVF, while formulating and implementing the standardized BHC procedure, together with comprehensive staff training and self-management education for patients, can substantially reduce the risk of infection. Future studies with rigorous design need to investigate the long-term effects and strengthen the existing evidence regarding the utilization of BHC.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124227226","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":"Adoption the Competence Exam as an Innovation Approach to Improve Nurses' Quality","authors":"M. Al-Jubouri, Mohammed Baqer Abd Ali","doi":"10.11648/j.ajns.20211003.18","DOIUrl":"https://doi.org/10.11648/j.ajns.20211003.18","url":null,"abstract":"Background: The competence exam is an action to develop nursing students' competencies before graduation to be prepared for clinical settings. Many nursing schools around the world require passing standardized tests in terms of graduation in a nursing program. However, there is no such an exam in Iraq. Method: Rogers Diffusion of Innovation Theory is helpful to determine the adoption of a behavior and to decide which components need extra effort if diffusion is to occur. This theory is used to apply the competence exam as an innovative approach to improve nurses' quality in Iraq. Results: Organization, faculty, and curriculum are the main three concepts that can be integrated based on Rogers Diffusion of Innovation Theory to adopt a competence exam. The outcome would affect nurses' quality directly, and an evaluation can determine the effectiveness of this innovation Conclusion: Adopting a competence exam prepares nursing students for the real clinical settings.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121891621","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":"Consideration of Factors Affecting Nurses’ Attitude of Pointing out Inter-professional Errors","authors":"Etsuko Okamoto, Satsuki Shiratoi","doi":"10.11648/j.ajns.20211003.17","DOIUrl":"https://doi.org/10.11648/j.ajns.20211003.17","url":null,"abstract":"In recent years, good communication and non-technical skills are recognized as critical to the delivery of high-quality patient care and to improving patient safety and clinical outcomes. The purpose of this study is to investigate the acquisition of non-technical skills by nurses and clarify the factors influencing nurses’ behavior while pointing to the multi-professional errors in health care teams in relation to non-technical skills such as communication and leadership. A mail-in questionnaire survey was administered to 1,834 nurses who work for advanced treatment hospitals throughout Japan. The questionnaire consisted of 84 items, including a scale for measuring the nurses’ attitude toward pointing out problems and non-technical skills. Multiple regression analyses were conducted, with the score on the scale for attitude toward pointing out problems as the objective variable and personal attributes, such as years of experience and job titles, and personality traits of individuals, such as non-technical skills, as separate explanatory variables (simultaneous forced entry). The number of responses to the questionnaire was 412. As a result of the multiple regression analyses, factors that affect nurses’ attitudes toward pointing out problems were affected more strongly by “assertiveness” and “leadership,” which fell under non-technical skills that are personality traits of individuals, than by basic attributes, which include years of experience and job titles. Nurses’ non-technical skills, such as “assertiveness” and “leadership,” which are personality traits of individuals, had an effect on their attitudes whereby they pointed out problems. These findings will be used in future intervention studies to improve these non-technical skills of leadership and self-assertion, improve communication and, as a result, reduce errors.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"189 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131526844","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":"Feasibility Investigation of Developing a Revised MEWS Score for Cardiovascular Specialty","authors":"Yanling Zhang, Haiyan Zhuo, Huai-mei Bi, Juxian Wu","doi":"10.11648/J.AJNS.20211003.16","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.16","url":null,"abstract":"Objective: Cardiovascular disease is a series of diseases with high morbidity, high fatality rate, rapid changes in condition, and it is highly prone to emergencies and severe illnesses, and it is the primary disease that leads to death of patients. The modified early warning score (MEWS) is lacks specialized indicators and can’t personalize risk prediction for cardiovascular patients. Explore the establishment of a scoring system suitable for evaluating the condition of inpatients in the Department of Cardiovascular Medicine to provide a reference basis for accurate assessment and adequate early warning of the patient's disease, and for targeted nursing plans. Methods: The questionnaire was designed through literature analysis, brainstorming, and expert interviews, and a questionnaire survey was conducted for nursing staff in the Department of Cardiology. Analyze the survey results through SSPS software. Results: According to the survey analysis, 73.9% of the experts surveyed considered it necessary or very necessary to establish a modified early warning score in cardiovascular medicine (MEWS); Approx. Chi-square value of the Bartlett sphericity test was 3760.769 (with 28 degrees of freedom), which reached a significant level (P< 0.000), indicating that the reliability and validity of the scale were high. The corrected MEWS score scale was composed of 8 observation indexes, including systolic blood pressure, diastolic blood pressure, respiration, heart rate, oxygen saturation, arrhythmia, consciousness, and chest pain. Conclusion: Cardiovascular medical nursing staff had a high degree of approval for establishing the corrected MEWS score; The constructed MEWS score for cardiovascular internal disease correction is feasible, objective and practical to a certain extent, and can provide a basis for further exploration of practical application.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114669154","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 Effects of Self-Efficacy on Cognitive Function in Patients with Acute Stroke: Verification of the Medicating Effect of Family Support","authors":"Sanghee Kim","doi":"10.11648/J.AJNS.20211003.15","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.15","url":null,"abstract":"Background: Post–stroke cognitive impairment (PSCI) is a common consequence of stroke. Many factors that affect cognitive function are known, but the effects of self-efficacy and family support have not been identified. Objectives: This study was a descriptive correlation investigation to determine the mediating effects of family support on the relationship between self-efficacy and cognitive function in stroke patients. Methods: This descriptive cross-sectional study recruited 339 adult patients with acute stroke. Data were collected using structured questionnaires between January and June 2020 and analyzed by multiple regression analysis using SPSS 25.0. The mediating effect of resilience on the relationship between emotional labor and job satisfaction was analyzed using multiple regression analysis according to Baron and Kenny’s procedure. Results: In this study, self-efficacy in patients with acute stroke showed a positive relationship with cognitive function (r=.467, p<.05) and family support (r=.341, p<.001), and family support and cognitive function also showed a positive relationship (r=.356, p<.05). In addition, family support was shown to have a partial mediating effect on the relationship between self-efficacy and cognitive function in patients with acute stroke (β=.26, p<.001). Conclusions: To improve the cognitive function of acute stroke patients, their self-efficacy and family support must be evaluated, and interventions are necessary to enhance self-efficacy and improve family support.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124825587","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 Non-invasive Focused Extracorporeal Shock Wave Therapy System Promotes Increased Tissue Oxygen Saturation in Chronic Wounds in Persons with Diabetes","authors":"Windy E. Cole, Stacey Coe, G. Maislin, Valerie Marmolejo","doi":"10.11648/J.AJNS.20211003.14","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.14","url":null,"abstract":"Diabetes affects 30.3 million Americans and is on the rise. Chronic lower extremity ulceration in patients with diabetes is a common complication that can lead to major morbidity and mortality if not addressed expeditiously. Despite numerous advances in wound care and healing over the past two decades, these ulcerations continue to pose a significant clinical problem. This case series aimed to evaluate the effectiveness of focused extracorporeal shock wave therapy (F-ESWT) administered via a pulsed acoustic cellular expression system in enhancing localized wound tissue oxygenation and perfusion in chronic wounds. Fifteen subjects with a history of diabetes and a chronic wound of the foot or ankle that had failed to achieve wound area reduction of 50% or greater after at least 4 weeks of standard of care treatment underwent four weekly treatments of F-ESWT administered via a pulsed acoustic cellular expression system. Near-infrared spectroscopy (NIRS) was used to determine the effectiveness of F-ESWT on tissue oxygen saturation within the wound bed. All subjects demonstrated a statistically significant increase in tissue oxygen saturation within the wound bed as well as a decrease in wound area. Seven wounds healed. Results of this case study suggest that F-ESWT promotes increased tissue oxygenation within the wound bed and neovascularization, potentially facilitating accelerated wound resolution of chronic lower extremity ulcerations in patients with diabetes.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121230670","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":"Analysis on P Wave Morphology for PICC Placement Guided by Intracardiacelectrogram in Chinese Elderly Patients","authors":"Ying Wu, Guohua Huang, Jinai He, Qiufeng Li, Yutong Li","doi":"10.11648/J.AJNS.20211001.29","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.29","url":null,"abstract":"Objective: PICC can effectively protect upper extremity veins. It can reduce repetitive puncture and the incidence of phlebitis, relieve the pain, and improve the quality of life for those with long-term intravenous infusion, repeated infusion of stimulant drugs and blood products, and poor peripheral superficial vein conditions etc.. Successful PICC tip positioning can effectively avoid catheter-related complications during clinical care. If the catheter tip is misplaced, it may cause malfunction and related complications, such as venous thrombosis, bacteremia, arrhythmia, and heart valve injury etc. To investigate the correlation and clinical significance of monitoring P-wave characteristics, especially the occurrence of double peaks for precise tip positioning of peripherally inserted central catheter (PICC) guided by intracardiacelectrogram (IEGM). Methods: Enrolled 116 PICC patients (age≥60, no heart diseases) in our hospital. Conducted retrospective analysis on patients’ medical records, PICC catheterization data, IEGM-guided positioning records and nursing records. Observed and recorded patients’ P-wave changes (peaked P wave, bi-directional P wave and double-peaked P wave) at different catheter tip positions by real-time IEGM, and then analyzed the case number and positioning accuracy. Used chest X-ray to determine whether the catheter tip had reached the ideal position, the tracheal carina to the cavo-atrial junction (CAJ). Results: Among 116 patients (63 males, 53 females), bidirectional P waves were detected in 112 of them (96.55%) in ECG Lead II; 63 with peaked P waves (53.3%); 49 with double-peaked P waves but no peaked P waves (42.2%), meaning bidirectional P waves were seen when fed in the catheter and returned to double peaks when the catheter was withdrawn; 4 with no significant changes (3.4%). Chest X-ray proved that 49 of 49 cases with double-peaked P waves reached the ideal catheterization position (100% in accuracy), and 43 of 69 cases with peaked P waves succeeded as well (68.2% in accuracy). Conclusions: Double-peaked P waves in IEGM-guided PICC positioning for elderly patients can be considered as an indicator of the catheter tip entering the CAJ and supplementary support of peaked P wave and bidirectional P wave guidance for catheterization.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114601886","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}