Journal of Nursing最新文献

{"title":"[Innovative Community Care and the Sustainable Development of University Social Responsibility in the Post-Pandemic Era].","authors":"Chih-Ling Huang","doi":"10.6224/JN.202206_69(3).01","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).01","url":null,"abstract":"Corporate social responsibility (CSR) has received increasing attention in recent decades. The concept of social responsibility is being applied in universities. Because universities have goals that differ significantly from corporations, the notion of university social responsibility (USR) has emerged in the academic field. The Ministry of Education in Taiwan has regularly implemented USR practice plans since 2018 (Executive Yuan, Taiwan, ROC, 2019). The core values of these plans are \"local coalition\" and \"talent cultivation\". Moreover, these plans encourage universities to use the power of professional knowledge and creation to minimize the gap between learning and application for students and to integrate local resources and hands-on strategies to better collaborate with universities around the world and expand participation in international academic activities. Sustainable development (SD) is a core objective of both CSR and USR. The United Nations has advocated for sustainable development since 1987 and formalized the five-component paradigm (people, partnership, peace, planet, and prosperity, 5Ps) in 2015. UN Agenda 2030 addresses 17 sustainable development goals (SDGs), 169 targets, and 3,155 actions, encouraging all national governments to establish national SD action plans (United Nations, 2015). Based on the review of the literature and conceptual frameworks related to USR and SD (Bokhari, 2017), we integrate practice experiences and propose three suggestions for universities: 1) diversities universities could create a campus-wide climate of and comprehensive practice for social responsibility using their professional knowledge; 2) the social, economy, and environment are included in universities SD. The curriculum development of universities links to social practice activities to achieve the goals of talent cultivation to meet social needs; 3) The university projects include specific actions and timeline. The impacts and achievements of USR and SD may be appraised by internal and external experts. Fooyin University is a school of science and technology related to \"Big Health\". Based on the above theoretical frameworks, the outcome evaluation model of the Center for USR, the Ministry of Education, and the UN's SDGs, we implemented the \"Time Wheel Sustainable Model of Social Responsibility at Fooyin University\" (Figure 1) and began cooperating with private and government organizations. The model is an intervention and evaluation guideline for the time-dynamic wheel, with the target goal of cultivating health promotion and sustainable development talent. The outcomes and impacts of the model comprise four domains and sixteen indicators. Stakeholders of this model are students/alumni, teaching faculties and administration staff, communities, and the public. USR curriculum designs involve the School of Nursing, School of Medical and Health Sciences, School of Environment and Life Sciences, and College of Humanities and Management. In 2020,","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43673509","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 and Recommendation of Entrustable Professional Activities (EPAs) in Nursing Education].","authors":"Chang-Chiao Hung, Ching-Yu Cheng, T. Chu","doi":"10.6224/JN.202206_69(3).13","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).13","url":null,"abstract":"The competency-based approach has been advocated in medical education in recent years to strengthen the professional competencies and skills of medical professionals entering their residency. Entrustable professional activity (EPA), which consists of clinical tasks, core competencies, and milestones, is a recommended competency-based training program focused on the learning process of trainees. EPA emphasizes that trainers evaluate their trainees' learning repeatedly and provide feedback so that these trainees have an opportunity to correct their behaviors. However, EPAs have not yet been widely implemented in school-based nursing education. The purpose of this essay was to introduce the concept, connotations, development stage, and application of EPAs. The dilemmas and recommendations of EPA development in Taiwan are also presented.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"95-101"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43604451","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":"[Reducing the Incidence of Feeding Intolerance in Premature Infants in the Neonatal Intensive Care Unit].","authors":"Yu-Ting Huang, Shi-Fang Tseng, Yu-Ting Chiu, M. Lee, Li-Chen Chen","doi":"10.6224/JN.202206_69(3).11","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).11","url":null,"abstract":"BACKGROUND ≥ PROBLEMS\u0000Nutrition is very important for premature infants. Our recent research showed that the accuracy of recognition related to tube feeding was 74.8%, and the completeness of tube feeding was 74.3%. After analyzing this situation, the reasons found to be significantly associated with the low rates of tube-feeding recognition accuracy and completion included: inconsistent treatment of gastric residual by nurses in the neonatal intensive care unit (NICU), lack of sufficient assessment tools in the NICU, out-of-date specialist care guidelines, and lack of a regular inspection system.\u0000\u0000\u0000PURPOSE\u0000Our aim was to improve tube-feeding-related recognition accuracy and completion to reduce the incidence of feeding intolerance.\u0000\u0000\u0000RESOLUTIONS\u0000The intervention included developing a guideline manual for feeding procedures and making a gastric residual color card as a clinical-care reference. Holding on-the-job training and monitoring the quality of nursing care can reduce the incidence of feeding intolerance in preterm.\u0000\u0000\u0000RESULTS\u0000The accuracy of tube-feeding recognition increased from 74.8% to 93.7%. The completion of tube feeding increased from 74.3% to 95.5%. The incidence of feeding intolerance in premature infants decreased from 71.8% to 39.0%.\u0000\u0000\u0000CONCLUSIONS\u0000The results and process of this project provides a reference for improving the clinical care model for preterm infants in the NICU and for improving the enteral nutrition of preterm infants. The implementation of this project may improve the quality of nursing care and enable preterm infants to receive safer and more-complete care.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"77-84"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45135616","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":"[Community Innovation and Regional Sustainability: A Case Study on an Elder Social Survey Conducted by National Cheng Kung University].","authors":"Li-Fan Liu, C. Lu","doi":"10.6224/JN.202206_69(3).04","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).04","url":null,"abstract":"National Cheng Kung University (NCKU) promotes university social responsibility and strives to ensure that all of its teaching staff and students engage in academics in a manner that incorporates both social awareness and social practice. The NCKU team has launched a series of social practice and research projects focused on accompanying and caring for older adults who live in the community, looking to establish a social practice model that bridges university teaching and research to practical community needs. The objective of this initiative is to develop an innovative model of social support and a new model for younger generations to work with older adults living in the community. The results of this survey project show better well-being in older adults to be associated with the following sets of traits: exercising regularly and lacking dental problems; engaging in daily laughter and holding positive aging perceptions; and having a higher subjective social status, more family support, and a sense of community attachment. The study results imply that multiple factors affect well-being in the context of caring for community-dwelling older adults and social development, especially during the current COVID-19 pandemic.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42990384","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":"[Role Function and Policy Prospects of Long-Term Care Nurses in Taiwan: Evidence-Based Policy Recommendations of Professional Nursing Organizations].","authors":"Ching-Min Chen, Chiu-Yen Yu, Kuei‐Min Chen, Y. Kuo","doi":"10.6224/JN.202206_69(3).12","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).12","url":null,"abstract":"Professional nursing organizations represent an important channel for the nursing profession to influence health policy, represent and protect the interests of nurses, and advocate for the further development of the profession. Facing the rapidly increasing aging population and emerging needs of long-term care in Taiwan, the Taiwan Nurses Association launched an integrated project to propose policy advice on the development of nursing in long-term care. In this paper, the relevant findings in the domestic and foreign literature are summarized to better define the role function and core competence of long-term care nurses. In addition, the current tasks, perceived competence, and training needs of nurses working in long term care settings are presented, and the consensus on various advocacy strategies are summarized. The findings presented in this study may be referenced when developing evidence-based policy recommendations related to education, practice, legal / regulatory amendments, and professional organizations.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"85-94"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48098648","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 Reappraisal of Pain Using a Nurses' Professional Study Circle].","authors":"Li-Chuan Kuo, Wan-Hsiang Wang, Yen-Chen Lee","doi":"10.6224/JN.202206_69(3).08","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).08","url":null,"abstract":"BACKGROUND\u0000Pain relates to the highly personal and subjective experience of feelings and emotions. Patients are often misunderstood because of language-related limitations and the conditions of their disease.\u0000\u0000\u0000PURPOSE\u0000In this research, a professional study circle was held to help nurses reconstruct their understanding of patient pain to enhance their awareness / empathy for differences in pain perception between others and themselves and to improve their ability to provide professional, individualized care.\u0000\u0000\u0000METHODS\u0000Nine nurses were invited from the urology department to join the developed professional study circle. We spent one year and a half reading \"Listening to Pain: Finding Words, Compassion, and Relief\" and held a sharing and discussion roundtable meeting every month. The study circle included: (1) assigned reading and the appointment of a leader on rotation to direct the sharing and discussion, (2) presentation of clinical cases related to the reading, (3) discussions of how to apply what they had learned in clinical practice, and (4) an interview of study circle members and a full analysis of their reflections and changes of view regarding pain perceptions.\u0000\u0000\u0000RESULTS\u0000After a close reading and guided discussions, these nine nurses began to change their perceptions of pain and, in general, passed through three stages, including: (1) cast doubt on the authenticity of patient expressions of pain because of stereotyped biases; (2) develop a new empathy based on careful listening; (3) providing individualized care and experiencing professional growth. After successfully transiting through these stages, the nurses held a more profound understanding of their patients, practiced a more sensitive use of language, and reflected an enhanced professional ability to assess pain.\u0000\u0000\u0000CONCLUSIONS / IMPLICATIONS FOR PRACTICE\u0000This professional study circle successfully helped the nurses internalize a more empathetic understanding of pain and exhibit greater skill in designing individualized care for their patients.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"50-57"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44945853","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 Experience and Coping Process of Women With Breast Cancer Undergoing Neoadjuvant Chemotherapy].","authors":"Y. Chao, Yu-Ting Chu, S. Sheu","doi":"10.6224/JN.202206_69(3).07","DOIUrl":"https://doi.org/10.6224/JN.202206_69(3).07","url":null,"abstract":"BACKGROUND\u0000Neoadjuvant chemotherapy is commonly performed to reduce the size of tumors before partial mastectomy to improve the rate of breast-conservation. Few studies have been conducted to assess the neoadjuvant chemotherapy experience of women diagnosed with breast cancer and their responses to it.\u0000\u0000\u0000PURPOSE\u0000To explore the experience of women diagnosed with breast cancer who received neoadjuvant chemotherapy and their responses to it.\u0000\u0000\u0000METHODS\u0000The grounded theory was adopted as the methodology. Participants were recruited using purposive sampling. The data were collected using semi-structured, in-depth interviews and analyzed using open, axial, and selective coding.\u0000\u0000\u0000RESULTS\u0000A total of 15 women newly diagnosed with breast cancer participated in this study, with information showing that the core category oscillated between the sizes of the tumor. The three categories included difficulty in coping with the physical response to chemotherapy, absence of role fulfillment, and uneasy emotions. The coping strategies used by the participants included: body and mind adjustment, hiding, family labor adjustment, and changing the pace of social life.\u0000\u0000\u0000CONCLUSIONS / IMPLICATIONS FOR PRACTICE\u0000The participants experienced tremendous physical and psychological stress during their neoadjuvant chemotherapy, in which tumor response assessment served as a critical time point. Medical professionals, in addition to noting changes in women's physiological response, must pay attention to their psychological burden and provide emotional support and treatment information as needed.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"69 3 1","pages":"41-49"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49473039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Progress on Causes of Hemorrhoids in Pregnant Women and Diet Nursing","authors":"D. Peng, Ling Chang, Nana Ren, Ming-xian Li, P. Yang, Juan Du, Huan Wang","doi":"10.18686/JN.V10I2.195","DOIUrl":"https://doi.org/10.18686/JN.V10I2.195","url":null,"abstract":"The incidence of hemorrhoids in pregnant women is relatively high, which generally occurs in the second trimester of pregnancy. The development of the fetus at this stage causes certain damage to the pelvic cavity, intestine, inferior vena cava, portal vein, etc., affects the venous return, and causes anal swelling and pain, bloody stool and other problems. Once women get sick in pregnancy, the treatment is more difficult, which has a greater impact on the safety of pregnant women and fetus. Studies have shown that diet has a certain impact on the occurrence of the disease, so based on the analysis of the causes of hemorrhoids in pregnant women, we should formulate a scientific diet intervention plan to improve the comprehensive intervention quality of the disease.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91160808","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":"Model Construction and Identification of Genome Instability-Associated lncRNA Signature Markers in Bladder Cancer","authors":"Qi Zhao","doi":"10.18686/JN.V10I1.191","DOIUrl":"https://doi.org/10.18686/JN.V10I1.191","url":null,"abstract":"Background: Studies have shown that long non-coding RNA (LncRNA) plays a critical role in maintaining genomic instability. As a new tumor marker, the correlation between lncRNA and genomic instability is still worth exploring in bladder cancer. Methods: Therefore, combined with the lncRNA expression profile and somatic mutation profile of bladder cancer, we established a computing framework of lncRNA related to genomic instability and identified 58 new lncRNA related to genomic instability. Next, we identified a lncRNA signature (GILncSig), based on these 58 new genes, which divided patients into high-risk and low-risk groups. The clinical prognosis was significantly different and was further verified in an independent cohort of patients. Results: We confirmed that GILncSig is related to the genomic mutation rate of bladder cancer, suggesting that GILncSig can be used as an indicator of genomic instability. The results show that GILncSig has prognostic value independent of age, sex, grade, and stage, and plays an important role in evaluating clinical prognosis. To sum up, this study provides an important research basis and methods for further exploring the role of lncRNA in genomic instability of bladder cancer, and provides a theoretical basis for the identification of bladder cancer biomarkers related to genomic instability.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"11 1","pages":"19-28"},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80416143","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":"Construction of A Comprehensive Psychological Assistance System for the Affected Population after the Disaster","authors":"Jian Jin","doi":"10.18686/JN.V10I1.194","DOIUrl":"https://doi.org/10.18686/JN.V10I1.194","url":null,"abstract":"Looking for the regularity and common ground of the psychological behavior problems of the affected population after the disaster can increase the scientificity, pertinence and foreseeability of prevention and intervention, so as to formulate and take effective measures and give timely intervention and assistance, so as to form a scientific and perfect aid system. Objective: To find a new breakthrough point for further reducing various post-disaster stress psychologies and to provide basis for constructing a scientific and perfect integrated post-disaster psychological assistance system by studying and constructing a complete stress psychological assistance system.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"6 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2021-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76056676","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}