Nursing & Care Open Access Journal最新文献

{"title":"Factors influencing satisfaction with birth","authors":"Anabela Schinck","doi":"10.15406/ncoaj.2024.10.00289","DOIUrl":"https://doi.org/10.15406/ncoaj.2024.10.00289","url":null,"abstract":"Couples plan their birth and empower themselves during pregnancy, mostly by searching information with midwifes. With the covid19 pandemic, it was necessary to think of different strategies to maintain this support, particularly in what antenatal classes are concerned. Thus, midwifes had to think “outside the box” and find different ways to hold antenatal classes: livestreaming was possible but, considering couples availability, online (recorded classes) was also an option. After some months, as pandemic began to rise, the “in person” option started to be held. The aim of this study is to identify which factors may influence satisfaction with the birth experience, namely the type of pre-birth program. A questionnaire was applied consisting of several socio-demographic variables, perception felt regarding the birth experience and variables recognized as having a strong influence on satisfaction with childbirth, with the woman being asked to provide her position/opinion. We concluded that the type of antenatal classes undertaken has no influence on satisfaction with the moment of birth, which is mostly related to factors such as the place where the birth took place (private hospital) and who performed it (midwife). Although the moment of birth is a multi-factorial moment, there are, in this sample, factors that are more important in influencing the experience than the information held on antenatal classes. However, the various factors already known must continue to be taken into account, thus allowing couples to live in the moment in an informed and empowered way.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140999051","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":"Unmasking nipah: India’s battle against an emerging pathogen","authors":"Majani M Edward, Emele Arthur Hayford, Ally Mwambela, Alex Madimo","doi":"10.15406/ncoaj.2024.10.00283","DOIUrl":"https://doi.org/10.15406/ncoaj.2024.10.00283","url":null,"abstract":"The emergence of the Nipah virus as an infectious disease threat necessitates a thorough examination of India's multifaceted response. This commentary delves into India's tenacious battle against the Nipah virus, offering a detailed exploration of its response efforts, key lessons, and an extensive set of future recommendations. As a zoonotic pathogen originating in fruit bats, the Nipah virus presents a profound challenge to healthcare systems, demanding a comprehensive and adaptable strategy.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"17 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782984","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":"Unmasking nipah: India’s battle against an emerging pathogen","authors":"Majani M Edward, Emele Arthur Hayford, Ally Mwambela, Alex Madimo","doi":"10.15406/ncoaj.2024.10.00283","DOIUrl":"https://doi.org/10.15406/ncoaj.2024.10.00283","url":null,"abstract":"The emergence of the Nipah virus as an infectious disease threat necessitates a thorough examination of India's multifaceted response. This commentary delves into India's tenacious battle against the Nipah virus, offering a detailed exploration of its response efforts, key lessons, and an extensive set of future recommendations. As a zoonotic pathogen originating in fruit bats, the Nipah virus presents a profound challenge to healthcare systems, demanding a comprehensive and adaptable strategy.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"135 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842981","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":"Health systems responsiveness at a leading private hospital in Sri Lanka","authors":"Dr Chandana Merenchi Abeysekara","doi":"10.15406/ncoaj.2024.10.00282","DOIUrl":"https://doi.org/10.15406/ncoaj.2024.10.00282","url":null,"abstract":"Responsiveness is identified as a key goal of the health systems by the World Health Organization. There are eight elements in responsiveness namely, Dignity, Confidentiality, Autonomy, Communication, Prompt attention, Basic amenities, Access to social support, and choice of provider. The objective of this report was to assess the responsiveness of healthcare delivery in a leading private hospital in Colombo, Sri Lanka. Observations (participant and non-participant) and informal discussions were used to collect the data. Indicators were developed to assess the responsiveness and a 04-point Likert Scale was used as the scoring system. According to the result, all eight elements of responsiveness were in the range of 79% to 80% and can be considered “excellent”. Recommendations were given for further improvement of selected elements of responsiveness.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"20 9-10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140496204","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":"Frequency of falls and contributing factors in hospitalized patients with severe mental disorders","authors":"Patricia G García Cruz, Héctor Cabello Rangel, Georgina Espinosa Montiel, Karen M Arteaga Contreras","doi":"10.15406/ncoaj.2023.10.00281","DOIUrl":"https://doi.org/10.15406/ncoaj.2023.10.00281","url":null,"abstract":"Introduction: Psychiatric patients have a higher rate of falls even in the hospital setting compared to other patients; falls are a safety concern because of the negative consequences for health and quality of life. Methods: descriptive, retrospective study. A total of 162 clinical records of patients who fell during hospitalization were analyzed. Factors for falls were classified as intrinsic and extrinsic. Frequency and percentages of qualitative variables were calculated and the U-Mann Whitney test was used to compare means of qualitative variables. A logistic regression model was constructed. All analyses were performed using SPSS version 26 statistical software. Results: The frequency of falls was higher in women (n=110) with a rate of 5.4 falls per 1000 hospital days. 27.2% had more than two falls and 67.3% of patients were injured when falling (6.2% serious). In 30.9%, the adverse effect of psychotropic drugs was identified as the probable cause of the fall. Some of the predictors of falls that showed a significant difference were: cognitive impairment (ExpB=2.59), female sex (ExpB=6.41) and night shift (ExpB=1.16). Conclusions: We identified that the variables female sex, cognitive impairment (intrinsic factors) and night shift (extrinsic factor) explain the higher probability of falling during hospitalization. We consider that cognitive assessment should be included to identify the risk of falling and reduce the staffing deficit in the night shift.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139625703","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":"Covid-19 vaccine hesitancy among nurses at the university teaching hospitals’ emergency, adult, and women and new born hospitals in Lusaka, Zambia","authors":"Tasila Mbao, Morgan Mweene","doi":"10.15406/ncoaj.2024.10.00280","DOIUrl":"https://doi.org/10.15406/ncoaj.2024.10.00280","url":null,"abstract":"Introduction: Vaccination of health care providers against Corona Virus Disease 2019 ensures an adequate workforce to care for infected patients yet many of them are hesitating to acquire the vaccine. Information contributing to vaccine hesitancy helps hospital management and relevant authorities to set up strategies that can help reduce COVID-19 vaccine hesitancy and resistance among nurses and other health workers. Purpose: To identify factors associated with Covid-19 vaccination hesitancy among nurses working at UTHs' Emergency, Adult, Women, and New Born Hospitals in Lusaka, Zambia. Results: Vaccine hesitancy among nurses was found to be at 62.0%. 189 participants had not received that COVID19 vaccine. Results from Chi-square and Fisher’s exact test showed decision to get a COVID-19 vaccination was significantly influenced by several factors, including a history of being infected with COVID-19, a history of a family member being infected with COVID-19, the level of knowledge concerning COVID-19, perceived susceptibility , perceived severity, perceived benefits, and perceived barriers. In the multivariable analysis, nurses with adequate knowledge about COVID-19 had over 50% lower odds of getting the vaccine (aOR = 0.50, 95% CI = 0.24, 1.04, P = 0.023) compared to their counterparts. Those who perceived more barriers had over 99% lower odds of getting vaccinated (aOR = 0.01, 95% CI = 0.19, 0.77, P = 0.006) compared to their counterparts. Nurses with family members who were infected with COVID-19 had over 99% lower odds of getting vaccinated (aOR = 0.003, 95% CI = 0.00, 0.02, P = 0.22) compared to their counterparts. It was also revealed that female nurses had higher odds of getting vaccinated by a factor of 1.29 compared to male nurses. Conclusion: The study highlights substantial vaccine hesitancy among nurses at The University Teaching Hospitals' Emergency, Adult, And Women and New Born Hospitals in Lusaka, Zambia despite their heightened risk of infection. The influence of perceived susceptibility, severity and benefits regarding the vaccine cannot be ignored on the successful adoption and acceptance of the vaccine by the nurses. Therefore this demands for effective communication strategies that not only spotlight personal protection but also the broader societal benefits, aligning with healthcare professionals' collective responsibility in managing and mitigating the impact of the pandemic.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"76 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139629962","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":"Reframing neonatal care from an empathic care perspective","authors":"Cristina Ortiz Sobrinho Valete, Aline Albuquerque, Esther Angelica Luiz Ferreira, Cristina Helena Bruno, Gleise Aparecida Moraes Costa","doi":"10.15406/ncoaj.2023.09.00270","DOIUrl":"https://doi.org/10.15406/ncoaj.2023.09.00270","url":null,"abstract":"Neonates are subjects of rights and, when they become patients, they should be valued as patients. Clinical empathy refers to the way health professionals empathize with patients and is an essential component of patient-centered care. Considering the paucity of studies regarding empathy in neonatal care, this theoretical article aimed to provoke a discussion about this issue and suggest a reframing of neonatal clinical practices. We emphasize why we should empathize with the neonate, considering the bioethical and quality of care aspects, the results of care, and the new reality of post-pandemic relationships. On a practical basis, we report how we can empathize with the neonate, reinforcing the need to see him as the patient, protect his best interests, the role of communication in healthcare, and the need to maintain the other-orientated perspective.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128513090","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 comparative analysis of the health services indicators distribution in public hospitals:guide for nursing transformation plan in Saudi Arabia","authors":"N. Zakari","doi":"10.15406/ncoaj.2023.09.00269","DOIUrl":"https://doi.org/10.15406/ncoaj.2023.09.00269","url":null,"abstract":"Healthcare in Saudi Arabia (SA) is a national system in which the government provides free universal coverage through public health services to meet the increasing demand for healthcare due to population growth. Saudi Vision 2030 is a national transformation program that translates into a system-wide transformation involving expanding healthcare services focusing on value-based healthcare. This translates into a system-wide transformation involving expanding healthcare services focusing on value-based healthcare. This contributes to a series of developments in the health delivery systems fields and nursing services. This study aims to explore the four selected indicators of health services and to provide a plan for nursing transformation in SA. The study employs the data of 4 selected indicators and data of the total population extracted from the statistical yearbooks of the last five years (2017- 2021). Descriptive statistics, normality distribution using the Shapiro-Wilk test, and Homogeneity of variance applying Levene’s test were employed. In the analysis of health distribution, the proportion between the total population as the independent factor and the total of health services as the dependent factor was conducted. The major total of the population was located in three main regions, with 66.3%. The spatial distribution of the selected health indicators was related to the population distribution in three main regions, with 43.7% of the hospitals, 51.6% of the hospital beds, 57.3% of the physicians, and 55.4% of the nurses. The abnormality of total population distribution with a p-value of 0.001 at the freedom degree of 13 was noticed. In addition, the analysis shows an abnormally distributed total of the selected health indicators with a p-value of 0.001-0.026 at a freedom degree of 13.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"212 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115775380","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 AIDS-related social stigma: the importance of educational interventions","authors":"M. Moshki, Mitra Dogonchi","doi":"10.15406/ncoaj.2023.09.00267","DOIUrl":"https://doi.org/10.15406/ncoaj.2023.09.00267","url":null,"abstract":"","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124691625","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":"Empathic care as a command of a new clinical bioethics","authors":"Aline Albuquerque","doi":"10.15406/ncoaj.2023.09.00266","DOIUrl":"https://doi.org/10.15406/ncoaj.2023.09.00266","url":null,"abstract":"The current context of healthcare, which perpetuates the subordinate position of the patient and the violation of patients’ rights, demands the construction of a bioethical theory based on the ethical commitment to change this reality. Consequently, Principialism, the hegemonic line of Clinical Bioethics, needs to be overcome, and another framework needs to be formulated, such as what is now proposed based on clinical empathy and empathic care. This new framework for Clinical Bioethics conforms to an innovative aspect called “Healthcare Bioethics,” which has been the subject of a series of studies. These studies aimed at the theoretical structure of Healthcare Bioethics but did not focus on empathic care as an ethical structuring of this new theoretical-normative proposition. This article proposes theoretical contributions to Healthcare Bioethics based on clinical empathy and, specifically, by formulating the empathic care concept as a constituent and structuring command of this new aspect of Clinical Bioethics. Empathic care is a central ethical command of the further reference of clinical practice, Healthcare Bioethics. However, as seen, empathy is a motivational phenomenon conditioned to subjective factors that concern the individuals themselves and the context in which they find themselves. Although empathy is essential to our well-being, self-esteem, sense of belonging, and positive emotions, often, the choice is not to be empathic, given the costs of being so. This is also true in healthcare. Thus, health institutions and systems must adopt training, continuing education of health professionals, and other motivational interventions to drive empathic choice. It is an illusion to expect this choice to be made predominantly without creating factors that motivate empathic care, which must be an ethical substrate for constructing these motivational interventions. Therefore, empathic care should be incorporated into the health area as a new paradigm that founds institutions and health systems centered on the patient and the quality of care.","PeriodicalId":437508,"journal":{"name":"Nursing & Care Open Access Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133490031","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}