Nursing Research and Practice最新文献_第10页

Conditions Affecting the Performance of Peripheral Vein Cannulation during Hospital Placement: A Case Study. 影响医院安置期间外周静脉插管性能的条件:一个案例研究。

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-11-07 DOI: 10.1155/2017/9748492

Monika Ravik, Anton Havnes, Ida Torunn Bjørk

{"title":"Conditions Affecting the Performance of Peripheral Vein Cannulation during Hospital Placement: A Case Study.","authors":"Monika Ravik, Anton Havnes, Ida Torunn Bjørk","doi":"10.1155/2017/9748492","DOIUrl":"https://doi.org/10.1155/2017/9748492","url":null,"abstract":"Learning practical nursing skills is an important part of the baccalaureate in nursing. However, many newly qualified nurses lack practical skill proficiency required to ensure safe patient care. The invasive skill peripheral vein cannulation (PVC) is particularly challenging to learn and perform. This study explored conditions influencing nursing students' learning and performance of the technical implementation of a PVC during their clinical placement period. A qualitative and descriptive case study design with two students in Norway practicing PVC during their clinical placement was conducted. One student who mastered the vein cannulation was compared with one student who did not. Data were collected in late 2012 using multiple data sources: semistructured interviews, ad hoc conversations, and video recordings. Video recordings of the two students' cannula implementations were used to help clarify and validate the descriptions and to identify gaps between what students said and what they did. Thematic analysis of the transcribed text data enabled identifying themes that influenced skill performance. There were two overall themes: individual and contextual conditions influencing the technical implementation of a peripheral vein cannula. These findings were evaluated in terms of Benner's work on scientific and practical knowledge, defined as \"knowing that\" and \"knowing how.\"","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"9748492"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9748492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35654755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Faculty Perceptions of Online Teaching Effectiveness and Indicators of Quality. 教师对在线教学效果和质量指标的看法。

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-02-23 DOI: 10.1155/2017/9374189

Christine Frazer, Debra Henline Sullivan, Deborah Weatherspoon, Leslie Hussey

{"title":"Faculty Perceptions of Online Teaching Effectiveness and Indicators of Quality.","authors":"Christine Frazer, Debra Henline Sullivan, Deborah Weatherspoon, Leslie Hussey","doi":"10.1155/2017/9374189","DOIUrl":"https://doi.org/10.1155/2017/9374189","url":null,"abstract":"Online education programs in nursing are increasing rapidly. Faculty need to be competent in their role and possess the skills necessary to positively impact student outcomes. Existing research offers effective teaching strategies for online education; however, there may be some disconnect in the application of these strategies and faculty perceptions of associated outcomes. Focus groups were formed to uncover how nursing faculty in an online program define and describe teaching effectiveness and quality indicators in an asynchronous online environment. A semistructured interview format guided group discussion. Participants (n = 11) included nurse educators from an online university with an average of 15 years of experience teaching in nursing academia and 6 years in an online environment. Teaching effectiveness, indicators of quality, and student success were three categories that emerged from the analysis of data. What materialized from the analysis was an overarching concept of a \"dance\" that occurs in the online environment. Effective online teachers facilitate, connect, lead, and work in synchrony with students to obtain indicators of quality such as student success, student improvement over time, and student application of knowledge to the professional role.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"9374189"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9374189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34842323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 80

Knowledge, Practice, and Associated Factors of Home-Based Management of Diarrhea among Caregivers of Children Attending Under-Five Clinic in Fagita Lekoma District, Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016. 2016年埃塞俄比亚西北部阿姆哈拉州阿维区Fagita Lekoma区5岁以下儿童诊所护理人员家庭腹泻管理的知识、实践及相关因素

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-08-21 DOI: 10.1155/2017/8084548

Bogale Kassahun Desta, Nega Tezera Assimamaw, Tesfaye Demeke Ashenafi

{"title":"Knowledge, Practice, and Associated Factors of Home-Based Management of Diarrhea among Caregivers of Children Attending Under-Five Clinic in Fagita Lekoma District, Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016.","authors":"Bogale Kassahun Desta, Nega Tezera Assimamaw, Tesfaye Demeke Ashenafi","doi":"10.1155/2017/8084548","DOIUrl":"https://doi.org/10.1155/2017/8084548","url":null,"abstract":"Introduction: In Ethiopia, it is the second cause for clinical presentation among under five-year child population.Objective: The main aim of this study was to assess knowledge, practice, and associated factors of home-based management of diarrhea among caregivers of children attending the under-five clinic.Methods: Institution based quantitative cross-sectional study was carried out from March 1, 2016, to April 22, 2016.Results: Two hundred eight (56.2%) of them had good knowledge and one hundred thirty-nine (37.6%) of them had the good practice of home management of diarrhea, specifically, primary education (AOR: 5.384, 95% CI: 2.008, 14.438), secondary and above education (AOR: 11.769, 95% CI: 3.527, 39.275), daily laborer (AOR: 0.208, 95% CI: 0.054, 0.810), and no information about diarrhea (AOR: 0.139, 95% CI: 0.054, 0.354). Moreover, age range of 25-35 (AOR: 4.091, 95% CI: 1.741, 9.616) and 36-45 (AOR: 3.639, 95% CI: 1.155, 11.460), being single (AOR: 0.111, 95% CI: 0.013, 0.938), being divorced (AOR: 0.120, 95% CI: 0.024, 0.598), illiteracy (AOR: 0.052, 95% CI: 0.017, 0.518), primary education (AOR: 0.143, CI: 0.046, 0.440), and no information about diarrhea (AOR: 0.197, 95% CI: 0.057, 0.685) were significantly associated variables with the outcome variables in multivariate regression.Conclusion: Caregivers had slightly adequate knowledge but poor practice.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"8084548"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8084548","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35355261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 41

Antecedents and Consequences of Therapeutic Communication in Iranian Nursing Students: A Qualitative Research. 伊朗护生治疗性沟通的前因与后果:一项质性研究。

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-12-13 DOI: 10.1155/2017/4823723

Mahbobeh Abdolrahimi, Shahrzad Ghiyasvandian, Masoumeh Zakerimoghadam, Abbas Ebadi

{"title":"Antecedents and Consequences of Therapeutic Communication in Iranian Nursing Students: A Qualitative Research.","authors":"Mahbobeh Abdolrahimi, Shahrzad Ghiyasvandian, Masoumeh Zakerimoghadam, Abbas Ebadi","doi":"10.1155/2017/4823723","DOIUrl":"https://doi.org/10.1155/2017/4823723","url":null,"abstract":"In recent years, particular attention has been paid to nursing students' therapeutic communication (TC) with patients, due to a strong emphasis on patient-centered education in the Iranian healthcare reform. However, various studies have highlighted the poor communication of future nurses. Therefore, researchers have used qualitative methodology to shed light on the antecedents and consequences of nursing students' TC and promote it. We carried out a conventional content analysis using semistructured interviews with a purposefully selected sample of 18 participants, including nursing instructors, students, and patients in hospitals affiliated to Tehran University of Medical Sciences. \"Communication readiness,\" \"predisposing factors,\" and \"continuity of care\" were identified as the three major themes. \"Communication readiness\" consisted of \"physical readiness,\" \"academic readiness,\" and \"developmental readiness.\" \"Predisposing factors\" included \"contextual factors\" and \"educational condition.\" \"Continuity of care\" included \"patient satisfaction\" and \"improving nursing student's motivation to communicate with patients.\" \"Communication readiness\" and \"predisposing factors\" constitute the antecedents of nursing student's TC with patients, and \"continuity of care\" is considered as its consequence. More attention needs to be paid by the regulators to TC instruction in both theoretical and clinical educational curriculum. Furthermore, all nurses must be informed about the importance of TC in promoting patient outcomes and quality of care.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"4823723"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4823723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35782750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Comparing Intravenous Insertion Instructional Methods with Haptic Simulators. 静脉插入教学方法与触觉模拟器的比较。

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-01-29 DOI: 10.1155/2017/4685157

Lenora A McWilliams, Ann Malecha

{"title":"Comparing Intravenous Insertion Instructional Methods with Haptic Simulators.","authors":"Lenora A McWilliams, Ann Malecha","doi":"10.1155/2017/4685157","DOIUrl":"https://doi.org/10.1155/2017/4685157","url":null,"abstract":"Objective. The objective of this review was to compare traditional intravenous (IV) insertion instructional methods with the use of haptic IV simulators. Design. An integrative research design was used to analyze the current literature. Data Sources. A search was conducted using key words intravenous (IV) insertion or cannulation or venipuncture and simulation from 2000 to 2015 in the English language. The databases included Academic Search Complete, CINAHL Complete, Education Resource Information Center, and Medline. Review Methods. Whittemore and Knafl's (2005) strategies were used to critique the articles for themes and similarities. Results. Comparisons of outcomes between traditional IV instructional methods and the use of haptic IV simulators continue to show various results. Positive results indicate that the use of the haptic IV simulator decreases both band constriction and total procedure time. While students are satisfied with practicing on the haptic simulators, they still desire faculty involvement. Conclusion. Combining the haptic IV simulator with practical experience on the IV arm may be the best practice for learning IV insertion. Research employing active learning strategies while using a haptic IV simulator during the learning process may reduce cost and faculty time.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"4685157"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4685157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34775864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Knowledge and Attitude towards Exclusive Breast Feeding among Mothers Attending Antenatal and Immunization Clinic at Dabat Health Center, Northwest Ethiopia: A Cross-Sectional Institution Based Study. 在埃塞俄比亚西北部达巴特保健中心产前和免疫诊所就诊的母亲对纯母乳喂养的认识和态度：基于机构的横断面研究。

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-09-18 DOI: 10.1155/2017/6561028

Mulugeta Wassie Alamirew, Netsanet Habte Bayu, Nigusie Birhan Tebeje, Selam Fiseha Kassa

{"title":"Knowledge and Attitude towards Exclusive Breast Feeding among Mothers Attending Antenatal and Immunization Clinic at Dabat Health Center, Northwest Ethiopia: A Cross-Sectional Institution Based Study.","authors":"Mulugeta Wassie Alamirew, Netsanet Habte Bayu, Nigusie Birhan Tebeje, Selam Fiseha Kassa","doi":"10.1155/2017/6561028","DOIUrl":"10.1155/2017/6561028","url":null,"abstract":"Introduction: To assess knowledge and attitude towards exclusive breast feeding among mothers attending antenatal care and immunization clinic in Dabat Health Center, Northwest Ethiopia, 2016.Methodology: Institutional based descriptive cross-sectional study was conducted. The data was collected by using pretested, structured interview based questionnaires. The data were entered and analyzed using SPSS version 20.Result: A total of 384 participants were included in the study with a response rate of 100%. The majority were in the age groups of 20-30 (66.9%) and the mean age was 27.65; 325 (84.6%) were Orthodox Christianity followers. Majority were of Amhara ethnicity 370 (96.4%). Based on knowledge score, 268 (69.8%) were grouped as having good knowledge and regarding attitudinal score, 92 (24%) of the study participants were categorized as having negative attitude towards exclusive breast feeding (EBF) and the remaining 292 (76%) were categorized as having positive attitude.Conclusion: In this study, the knowledge of study participant mothers towards EBF is low which is less than three-fourths; however positive attitude towards EBF is more than three-fourths in this study. The authors recommend that health care workers who work in the areas of maternal and child health clinic should give appropriate information about EBF.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"6561028"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35719011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Behaviour among Nurses Working in Public Hospitals in Kakamega County, Kenya. 肯尼亚卡卡梅加县公立医院护士的健康行为

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-12-31 DOI: 10.1155/2017/4683189

Mchidi Kiguhe Nebert, B M Okello Agina, Yitambe Andre

{"title":"Health Behaviour among Nurses Working in Public Hospitals in Kakamega County, Kenya.","authors":"Mchidi Kiguhe Nebert, B M Okello Agina, Yitambe Andre","doi":"10.1155/2017/4683189","DOIUrl":"https://doi.org/10.1155/2017/4683189","url":null,"abstract":"Health behaviour refers to actions undertaken by a person who perceives self to be ill for the purpose of finding an appropriate remedy. Nurses as gate keepers of health are expected to seek formal treatment when they are taken ill because this is what they teach their patients. Nurses' working conditions all over the world are described as squalid with long working hours and workload. This scenario predisposes them to occupational health hazards and at the same time denies them time for self-care. Although nurses are knowledgeable about disease and its treatment and have access to health care, they engage in self-treatment in contrast to what they teach patients. Health behaviour among nurses in Kakamega County was investigated using a cross-sectional design. Data was collected using self-administered questionnaires and subjected to bivariate and logistic regression analyses. The study found that health behaviour of nurses in Kakamega County is below expectation, as 33% (n = 61) engaged in voluntary screening services. Further, 34.8% (n = 65) said that their health would improve if they engaged in health promotion activities. The study recommends empowering nurses to engage in positive health behaviour through education. The county should also provide affordable screening services to its nurses.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"4683189"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4683189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine. 护士和医生对护士-医生合作的态度:来自巴勒斯坦加沙地带的调查。

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-02-23 DOI: 10.1155/2017/7406278

Aymen Elsous, Mahmoud Radwan, Samah Mohsen

{"title":"Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine.","authors":"Aymen Elsous, Mahmoud Radwan, Samah Mohsen","doi":"10.1155/2017/7406278","DOIUrl":"https://doi.org/10.1155/2017/7406278","url":null,"abstract":"Interprofessional collaboration and teamwork between nurses and physicians is essential for improving patient outcomes and quality of health services. This study examined the attitudes of nurses and physicians toward nurse-physician collaboration. A cross-sectional study was conducted among nurses and physicians (n = 414) in two main referral public hospitals in the Gaza Strip using the Arabic Jefferson Scale of Attitude toward Physician-Nurse Collaboration. Descriptive statistics and difference of means, proportions, and correlations were examined using Student's t-test, one-way ANOVA, and Pearson correlation and p < 0.05 was considered as statistical significant. Response rate was 42.8% (75.6% for nurses and 24.4% for physicians). Nurses expressed more positives attitudes toward collaboration than physicians (M ± SD on four-point scale: 3.40 ± 0.30 and 3.01 ± 0.35, resp.) and experience duration was not proved to have an interesting influence. Teamwork approach in the professional practice should be recognized taking into consideration that the relationship between physicians and nurses is complementary and nurses are partners in patient care.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"7406278"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/7406278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34842322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 69

The Learning Preferences among Nursing Students in the King Saud University in Saudi Arabia: A Cross-Sectional Survey. 沙特阿拉伯沙特国王大学护理专业学生学习偏好的横断面调查

IF 1.9

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-05-23 DOI: 10.1155/2017/3090387

Homood A Alharbi, Adel F Almutairi, Eyad M Alhelih, Abdualrahman S Alshehry

{"title":"The Learning Preferences among Nursing Students in the King Saud University in Saudi Arabia: A Cross-Sectional Survey.","authors":"Homood A Alharbi, Adel F Almutairi, Eyad M Alhelih, Abdualrahman S Alshehry","doi":"10.1155/2017/3090387","DOIUrl":"https://doi.org/10.1155/2017/3090387","url":null,"abstract":"Objective: The present study aimed to identify the most common learning preferences among the nursing students in Saudi Arabia and to investigate the associations of certain demographic variables with the learning preferences.Methods: All the undergraduate nursing students in the nursing college were requested to participate in this descriptive cross-sectional study. An Arabic version of the Felder-Silverman learning style model (FSLSM) questionnaire was used to examine the learning preferences among undergraduate nursing students.Results: A total of 56 (43%) completed questionnaires were included in the final analysis. Results of the present study indicate that the most common learning preferences among the nursing students were visual (67.9%), followed by active (50%) and sequential (37.5%) learning preferences. The verbal style was the least common learning preference (3.6%) among the nursing students. There was no association between gender and learning preferences (p > .05).Conclusion: The present study concluded that the visual, active, and sequential styles are the commonest learning preferences among the nursing students. The nursing educators should emphasize the use of this information in their teaching methods to improve learning skills among the nursing students.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"3090387"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/3090387","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35102773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 36

Breastfeeding Supports and Services in Rural Hawaii: Perspectives of Community Healthcare Workers. 夏威夷农村的母乳喂养支持和服务：社区医疗工作者的观点

IF 2.2

Nursing Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-01-11 DOI: 10.1155/2017/6041462

Jeanie L Flood

{"title":"Breastfeeding Supports and Services in Rural Hawaii: Perspectives of Community Healthcare Workers.","authors":"Jeanie L Flood","doi":"10.1155/2017/6041462","DOIUrl":"10.1155/2017/6041462","url":null,"abstract":"Background. In the state of Hawaii, breastfeeding initiation rates are higher than the national average but fall below target rates for duration. Accessing breastfeeding support services is challenging for mothers living in rural areas of the state. Healthcare workers (HCWs) working with mothers and infants are in a key position to encourage and support breastfeeding efforts. The purpose of this study is to gain a better understanding of a Hawaiian community's (specifically Hilo, Hawai'i) breastfeeding service and support issues. Method. The qualitative study design utilized was a focused ethnography. This approach was used to gather data from participant HCWs (N = 23) about their individual or shared experience(s) about the breastfeeding supports and services available in their community. An iterative process of coding and categorizing the data followed by conceptual abstraction into patterns was completed. Results. Three patterns emerged from the qualitative interviews: Operating within Constraints of the Particular Environment, Coexisting Messages, and Process Interrupted. Participants identified a number of gaps in breastfeeding services available to their clients including the lack of available lactation consultants and the inconsistent communication between hospital and community providers. A number of implications for practice and further research were suggested within the results and are discussed.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 1","pages":"6041462"},"PeriodicalIF":2.2,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44017287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0