American Journal of Nursing Science最新文献

{"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":"Experience on the Protection and Management of PICC Patients in the Department of Hematology During COVID-19 Epidemic","authors":"Chen Jiayu","doi":"10.11648/j.ajns.20200905.20","DOIUrl":"https://doi.org/10.11648/j.ajns.20200905.20","url":null,"abstract":"Objective Discuss the prevention and control measures of the Department of Hematology and standardize the PICC catheter maintenance procedures during the outbreak of corona virus disease. Method Understand the severity of COVID-19, interpret relevant documents of the Ministry of Health and hospital prevention and control requirements, formulate prevention and control measures and improve the PICC catheter maintenance process during the epidemic, and provide special prevention care for 527 patients admitted to our department during the epidemic, provide PICC catheter maintenance for205 hospitalized patients with catheters, and nursing 21 patients with related complications due to delayed maintenance of Catheter care. Result There was no infection in both doctors and patients during the epidemic; a total of 707 patients’ catheters maintenance were completed and 17 cases were extubation, of which 3 cases were unplanned remove, and the symptoms of 21 cases of catheter-related complications were improved. Conclusion During the epidemic, strict prevention and control measures can effectively implement epidemic prevention and control, standardize PICC catheter maintenance procedures, and strengthen catheter assessment may reduce incidence of PICC catheter complications. Staying in Laminar flow room can protect Hematology patients.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"126 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":"132932643","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":"Continuous Quality Improvement in Preoperative Preparation Management of Patients Undergoing Interventional Surgery","authors":"Xianzhong Wu, Jiancong Chen, Wencai Yang, Feifeng Qiu","doi":"10.11648/j.ajns.20200905.19","DOIUrl":"https://doi.org/10.11648/j.ajns.20200905.19","url":null,"abstract":"Objective: To explore the application effect of continuous quality improvement in preoperative preparation management of patients undergoing interventional surgery. Methods: Set up a continuous quality improvement (CQI) group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nurse of the interventional ward. A total of 3099 patients undergoing elective interventional surgery from January to December 2017 were selected as the control group, and 4,048 patients undergoing elective interventional surgery from January to December 2018 as improved group, which preoperative preparation was carried out after the implementation of continuous quality improvement measures. The current problems existing in the preoperative preparation were analyzed retrospectively, formulation and implementation of improvement measures. The qualified rate of preoperative preparation before and after CQI was statistically obtained. In addition, a third-party satisfaction survey was conducted and 200 valid questionnaires were collected to obtain the satisfaction of the two groups of patients. Results: The pass rate of preoperative preparation was increased from 58.02% to 87.18%, and patient satisfaction was also improved in improved group, with statistically significant difference between the two groups (P < 0.05). Conclusion: The application of CQI in preoperative preparation management can improve the pass rate of preoperative preparation, optimize the quality of preoperative nursing, and also improve patient satisfaction.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123516393","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}

{"title":"Discussion on the Accommodation Infection Prevention-control of the Supportive Medical Team Assigned to Hubei During COVID-19 Outbreak","authors":"Quan Jiang, Jiewei Huang, Xianzhong Wu, Xiaohong Mo, P. Ye","doi":"10.11648/j.ajns.20200905.18","DOIUrl":"https://doi.org/10.11648/j.ajns.20200905.18","url":null,"abstract":"Objective To summarize the infection prevention and control experiences in the resident of medical team giving support to Wuhan, and to provide some reference for our same occupations. Methods Based on the previous experience of supporting Wuhan medical teams and combined with the actual situation of our own medical team, we carried out the prevention and control of resident infection from six aspects, including the establishment of infection control team, training for control knowledge, resident layout, standardizing entry and exit processes, personnel behavior management, personnel health management. Results By the time of April 10, 2020, 172 members of our medical team had been fighting in Wuhan for 50 days and nights, in the face of the COVID-19 public health emergency, the medical team protected the members and there were no cases of medical staff infection. Conclusion In the novel coronavirus pneumonia affected area, it is effectively to prevent the occurrence of infection and personal infection in medical teams through a series of feasible prevention and control measures. At the same time, we found that many members of the medical team had mental health problems. Early psychological crisis intervention training is helpful for medical team members to better fight against the epidemic.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"107 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":"114541677","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":"Relationship Between Knowledge, Preventive Practices and Fear from COVID-19 among Middle Aged and Older Adults: During the Novel Coronavirus Outbreak","authors":"S. Ibrahim, Marwa Mahmoud","doi":"10.11648/J.AJNS.20200905.15","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200905.15","url":null,"abstract":"Background: New virus infections outbreaks among people are always a public health problem. For the COVID-19, it may have physical, psychological, and social consequences that affect on individuals. One of these psychological consequences is fear. Older adults, especially with chronic health conditions are extremely vulnerable to COVID-19. So, individuals must have good COVID-19 knowledge and preventive practices to combat this fear and prevent the spread of infection. Aim: Determine the relationship between knowledge, preventive practices, and fear from COVID-19 among middle aged and older adults: during the novel coronavirus outbreak. Design: A descriptive cross-sectional correlational research design was used in this study. Setting: The study was carried out at Temai Elamdid health insurance outpatient clinics that affiliated to the Egyptian Ministry of Health. Subjects: A convenience sample of 185 patients attending the previous study setting. Tools: Four tools were used in this study; demographic and clinical data structured interview schedule, COVID-19 knowledge structured interview schedule, COVID-19 preventive practices structured interview schedule and fear from COVID-19 scale. Results: It was noticed that more than two fifth of middle aged adults and more than one third of older adults had satisfactory COVID-19 preventive practices, Furthermore, more than one third of middle aged adults and one third of older adults had good COVID-19 knowledge with statistically significant difference was found between two groups. Also, Significant relation was found between both COVID-19 knowledge and preventive practices and fear from COVID-19 among the study subjects (P=0.000). In the same direction, there was statistically significant difference between middle aged adults and older adults regarding COVID-19 knowledge and preventive practices and higher level of COVID-19 fear (P=0.000). Conclusion: Older adults had a significant lower score of COVID-19 knowledge and preventive practices and higher level of COVID-19 fear than middle aged adults as strong negative correlation between fear from COVID-19 and either COVID-19 knowledge & preventive practices was found. Recommendations: Educational programs should be developed and implemented by nurses in different care settings to increase their awareness about COVID-19.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129698615","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}