American Journal of Nursing Science最新文献

{"title":"Clinical Effect of Patented Product for Specialized Nursing in Operating Rooms","authors":"Lin Ke, F. Qi, Wang Fang, Zhaokai Ding, Bai Jing","doi":"10.11648/J.AJNS.20200906.16","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.16","url":null,"abstract":"Background: Surgical counts are a basic and crucial specialized nursing operation in operating rooms, to guarantee surgical safety, prevent surgical items from retaining in the body and ensure the success of surgery and safety of patients. Objective: To explore the effect of “Surgical Instruments Organizer” applied in operating rooms as a nursing patented product to minimize the occurrence of surgical counts missing. Methods: Research setting was arranged in a large general hospital where two of the emergency operating rooms were used to compare the effects and influences of the application with “Surgical Instruments Organizer”. Results: The rate of surgical counts missing in the control room was significantly higher than that in the experimental room (P<0.05). In both the control room and the experimental room, the incidence of one surgical counts missing in one surgery was higher than that of two surgical counts missing in one surgery. Surgical counts missing between two surgeries mostly happened when surgical items were removed temporarily (141, 10.2% in the control room; 55, 4.0% in the experimental room), while surgical counts missing happened the least in preoperative preparation (21, 1.5% in the control room; 4, 0.3% in the experimental room). Between two operating rooms, most of the time lost items were found by scrub nurses (403, 29.2% in the control room; 165, 12.1% in the experimental room). Most of lost items can be found within 10 minutes (312, 22.6% in the control room; 112, 8.2% in the experimental room), but a few items cost more than 60 minutes (32, 2.3% in the control room; 17, 1.3% in the experimental room). Conclusion: “Surgical Instruments Organizer” can effectively reduce the rate of surgical counts missing in emergency surgeries, and improve the nursing quality and surgical safety.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131341808","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":"Investigation of Nosocomial Cluster Infections of Peripheral Venous Catheter-Related Bloodstream Infection","authors":"Mengying Qi, Jinai He, Jia-Yang Yan","doi":"10.11648/J.AJNS.20200906.18","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.18","url":null,"abstract":"Object: Determine the cause of nosocomial cluster infections of peripheral venous catheter-related bloodstream infection (PIVC-BSI), and provide advice on prevention, control and nursing measures. Method: A retrospective analysis of nosocomial cluster infections that occurred in a tertiary hospital on July 28-30, 2019. Blood samples from patients suspected of PIVC-BSI were retained for bacterial culture. The clinical data of the patients, environmental hygiene indicators were collected. Results: All 8 patients had chills within 0.5 - 3.5 hours after intravenous infusion, and the highest body temperature reached 41°C. The peripheral blood samples of 4 patients were cultured as Burkholderia cepacia infection, and the eluate from the catheter tip of 2 patients cultured the same bacteria as the blood culture. The humidity in the treatment preparation room was 60% - 80%. There was mold in the sterile storage cabinet. Conclusion: The nosocomial cluster infection of PIVC-BSI was caused by Burkholderia cepacia colonizing the tip of the peripheral intravenous catheter, and the high air humidity was the most likely factor. The ability of nurses to identify and respond to PIVC-BSI as well as the infection control management level of each department still needs to be improved.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"102 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113989238","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":"Knowledge Attitude and Practice Toward Chikungunya Infection Among Kassala Community in Sudan 2018-2019","authors":"M. Hassan, Mohamed Ahmed, Sultan A. Alharbi, Uthman Abdull Ah Mohammed Albeshi, Ebtisam Hanshool Mauof Al-Gathmi","doi":"10.11648/J.AJNS.20200906.15","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.15","url":null,"abstract":"Introduction: Vector-borne diseases account for over 17% of all infectious diseases, causing quite 1 million deaths each year global quite 2.5 billion people in over 100 countries are in danger of contracting Dengue. Objective: The study aimed assess Knowledge attitude and practice toward chikungunya virus among Kassala community people of selected area (Kassala in Sudan 2018-2019). Methodology: A community based cross sectional study was conducted in selected area of Kassala city. The study was conducted among 49 participants from 30th December 2018 to January 2019. Simple sampling method was followed for choosing the participants; face-face interview was taken by using structured questionnaire. Result: The results show that respondents had heard of Chikungunya infection 48 (97%), and 43 (87%) responded correctly that Chikungunya is transmitted by Aedes mosquito. Among total 49 only 2 (4%) had misconceptions that Chikungunya vector breeding in dirty storage water. Study respondents were conscious about clinical features of Chikungunya infection signs and symptoms of Chikungunya p-.000. Study participants use various methods measures against mosquitoes bites including Mosquito repellant cream18 (36%), Wearing full sleeves shirt 16 (32%), Electric racquet 16 (32%), and Bed nets 5 (10%) for insect bite prevention. Social network/ media was considered because the most significant and useful source of data on the disease. Conclusion: Community people havegood knowledge about Chikungunya breeding place and methods of prevention of the disease and further adult mosquito control measures play important role for the effective containment of a virulent disease.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130358717","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":"Prelicensure Nursing Students Developing Clinical Judgment Through Emotional Intelligence: A Qualitative Interpretive Descriptive Study","authors":"M. Bussard","doi":"10.11648/J.AJNS.20200906.14","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.14","url":null,"abstract":"Clinical judgment is an essential skill required for nurses to provide safe, quality patient care. Nurse educators must develop effective teaching strategies to assist prelicensure nursing students in developing clinical judgment skills. The objective of this study was to determine if a teaching strategy focused on the affective domain of learning and emotional intelligence could be an effective strategy to promote the development of clinical judgment. A guest speaker was invited to the classroom and provided her “lived experience” with multiple sclerosis, which provided a storytelling method of learning. An interpretive descriptive qualitative study was conducted with twenty-one prelicensure diploma registered nursing students enrolled in a medical-surgical nursing course (in the United States of America). Tanner’s Clinical Judgment Model (noticing, interpreting, responding, and reflecting) was used as the theoretical framework to guide data analysis. Four themes emerged from the data: 1) attentive listening (noticing), 2) understanding the patient’s experience (interpreting), 3) compassionate and empathetic care (responding), and 4) treat the patient as a person, not as a disease (reflecting). Results indicated that storytelling via “lived experiences” is an effective teaching strategy which promotes learning through the affective domain and emotional intelligence while also assisting students in developing clinical judgment. Clinical judgment skills are essential for the graduate nurse transitioning to practice.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121346908","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":"Clinical Assessing and Risk Factor Analysis of Preoperative Anxiety and Depression in Patients with Thyroid Cancer","authors":"Q. Ye, Yuhua Ma, M. Xie","doi":"10.11648/J.AJNS.20200906.13","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.13","url":null,"abstract":"Objective: According to evaluating the preoperative depression and anxiety of patients with thyroid cancer, relevant risk factors were analyzed and effective intervention measures were discussed. Methods: We collected 111 participants’ information which the patients were diagnosed as thyroid cancer. They were diagnosed in the hospital and join our study from June 2018 to February 2020. In the study, we provide some questionnaires to participants, and collect the information of patient from hospital database. After that, our researchers get the result through analysis and statistics. We collect the related data, that contains anxiety assessment, depression assessment, gender, age, education, occupation, family per capita income, payment method, marital status, previous surgery history, familiarity with surgery, history of alcohol use, smoking history, sleep quality. Result: more participants in research have anxiety than the participants who have depression problems, the none level of two assessment are 41.44% vs 49.55%. In similar, anxiety assessment group has higher score than that of depression assessment group in the result (9.53±3.84 vs 8.74±3.23). In different general data the incidence, the elements which are the average monthly income of the family, pay method and history of smoking, sleep condition are statistical significance. Conclusion: the important factors of anxiety and depression contain education level in high school or above, payment at their own expense and poor sleep quality in patients with thyroid cancer before surgery.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123921472","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":"Experiences of Nurses Fighting Coronavirus Disease 2019 (COVID-19): A Qualitative Meta-Integration","authors":"Manli Liu, Ni Zhang, Weiwei Wang, Qingshan Chen, Weiju Chen, Qingran Lin","doi":"10.11648/J.AJNS.20200906.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.11","url":null,"abstract":"Purpose: To systematically review the real experience of nurses in the fight against the coronavirus disease 2019 (COVID-19). Methods: PubMed, EMBASE, Cochrane Library, CBM, CNKI, Wan-Fang Data, and VIP from inception to April 2020. Qualitative research on real experience of nurses in the fight against the COVID-19 were collected. The study was screened by two researchers according to the criteria. After obtaining the data, the study quality was evaluated according to the JBI Critical Appraisal Tool, and the results were integrated by meta-synthesis. Results: Ten qualitative studies were included, involving 29 clear results and 7 categories, then 3 integrated themes were extracted: bear the burden of mind and body; desire for support and approval; self-worth is reflected. Conclusions: Nurses play an important role in the battle against the new coronavirus pneumonia, and nursing managers should dissolve the negative emotions of nurses in time. From the national and policy level, a scientific guarantee system should be formed for the materials, talent reserve, logistics, professional knowledge and other powerful guarantees. The community needs to foster a culture of respect for health care workers so that nurses can achieve their own value and gain a sense of professional identity and honor.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114517874","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 of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel","authors":"Dongliang Xu, W. Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, Jia-Wei Tang","doi":"10.11648/J.AJNS.20200906.12","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.12","url":null,"abstract":"Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129578416","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":"Comparing Perception About Nursing Profession Among Degree, Diploma and Associate Nursing Students and Factors Influencing Enrolment in the Nursing Programs","authors":"Hisabu Kidane Gebremedhin, Zerabruk Tesfamariam Kidane, E. Tesfamariam","doi":"10.11648/j.ajns.20200905.22","DOIUrl":"https://doi.org/10.11648/j.ajns.20200905.22","url":null,"abstract":"Background: The variations between the perception of the profession of nursing and the reality of practice can lead to problems in student attrition or result in disappointment with a career in nursing after a new graduate enters practice. Objective: To assess and compare Nurses’ Perception among Associate, Diploma and Degree nursing students about Nursing profession and factors influencing enrolment in the nursing programs in Eritrea. Methods: Institution based quantitative cross sectional study design was used. 403 intended study participants was selected from about 700 population using a multi stage systematic sampling method from the Bachelors of Science in Nursing, Diploma and Associate nursing students in the School of Nursing, Asmara College of Health Sciences and School of Associate Nurses (Mendefera, Barentu and Ghindae). Data collection was carried out using a pre structured questionnaire. The collected data was entered using CSPro version 6.3 and SPSS version 22.00 for further analysis. ANOVA and Odds ratio was calculated for perception difference and related factors. A p-value < 0.05 was considered to be statistically significant. Results: The response rate was 92.06%, 371 students. 228 (61.5%) females and 143 (38.5%) were males. 190 (51.2%) associates, 128 (34.5%) diploma and 53 (14.3%) were degree nursing students. The tenet of public image and practice got significant difference among the three groups of nursing students, Values subscale revealed no significant differences. When controlling for demographic effect, practice and public image were significantly different among the groups. Associate nursing students’ perception found significant difference in their view of the public image of nursing. In the seven out of the 14 factors influencing enrolment in the nursing programs significant association was found among the nursing students with their perception to the nursing profession. Conclusion: Associate nursing students have positive perception towards the profession and motivation to enroll than BSN and Diploma.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129696182","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":"An Academic Model for Building Effective Faculty Teams to Promote Excellence in Nursing Education","authors":"Sally Cantwell, M. Norton, Valerie J. Gooder, Susan B. Thornock","doi":"10.11648/j.ajns.20200905.21","DOIUrl":"https://doi.org/10.11648/j.ajns.20200905.21","url":null,"abstract":"As a result of the national movement to advance nurses at the doctoral level, and the concurrent shortage of nursing faculty, the role of the DNP prepared nurse in the academic setting continues to evolve. At our School of Nursing, the need to define, understand and utilize the various faculty roles led to the development and implementation of an Academic Model for Nursing Education. This mixed-method research study was conducted to identify the factors that contribute to an effective culture in academia. The findings from the survey and focus groups indicated our model had a positive association on instructional design, teaching, administrative processes, adjustments of college tenure and promotion, clinical partnerships, shared faculty teaching loads, and succession planning. Focus group findings included the unanticipated benefits of improved faculty engagement, empowerment, collaboration, and faculty mentoring. Our academic practice model is reflective of the changes already occurring in collaborative clinical pathways in healthcare systems. The expected benefits of our academic practice model and those occurring in healthcare share comparable outcomes. These may include improving nursing scholarship, patient and student outcomes, strengthening the position of nursing in organizations and the broader community through enhanced leadership, providing parity with other healthcare disciplines, and improving the overall image of nursing [1]. Our Academic Model for Nursing Education is reflective of current healthcare practices, addresses the nurse faculty shortage while promoting faculty collaboration and job satisfaction.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124297453","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 Value of Evidence-based Nursing in Patients with Multiple Myeloma and Evaluation of Nursing Quality","authors":"Zhu Xianglian, W. Chunli","doi":"10.11648/j.ajns.20200905.17","DOIUrl":"https://doi.org/10.11648/j.ajns.20200905.17","url":null,"abstract":"Objective to explore the application value and quality of evidence-based nursing in patients with multiple myeloma. Methods A total of 92 patients with multiple myeloma from December 2016 to December 2019 were selected as observation objects, and they were divided into control group 46 and observation group 46 according to the order of admission. The control group was given routine nursing care, and the observation group was given evidence-based nursing care. The bone pain relief rate, Pittsburgh Sleep Quality Score (PSQI), anxiety self-rating scale (SAS) score, depression self-rating scale (SDS) score and nursing quality were compared between the two groups. Results: The relief rate of bone pain in the observation group was higher than that in the control group (P <0.05). The quality of sleep, sleep time, sleep time, sleep efficiency, sleep disorders, daytime dysfunction scores and PSQI total scores in the observation group were lower than those in the control group after nursing (P <0.05). P <0.05); SAS and SDS scores in the observation group were lower than those in the control group after nursing (P <0.05). After the implementation of evidence-based nursing, the quality of basic nursing, specialist nursing, critical care, ward management, and health education nursing care of nursing staff was higher than that before implementation (P <0.05). Conclusion Applying evidence-based nursing to patients with multiple myeloma can improve bone pain relief, improve sleep quality, reduce anxiety and depression, and improve the quality of care.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114859273","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}