Nursing Research and Practice最新文献

{"title":"Corrigendum to “Work Interruption Experienced by Nurses during Medication Administration Process and Associated Factors, Northwest Ethiopia”","authors":"Nursing Research and Practice, Abebaw Jember Ferede, Berhanu Boru Bifftu","doi":"10.1155/2019/6106932","DOIUrl":"https://doi.org/10.1155/2019/6106932","url":null,"abstract":"[This corrects the article DOI: 10.1155/2017/8937490.].","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6106932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49616470","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":"First-Time Mothers Have a Desire to Be Offered Professional Breastfeeding Support by Pediatric Nurses: An Evaluation of the Mother-Perceived-Professional Support Scale.","authors":"Matilda Möller Ranch,&nbsp;Sofia Jämtén,&nbsp;Stina Thorstensson,&nbsp;Anette C Ekström-Bergström","doi":"10.1155/2019/8731705","DOIUrl":"https://doi.org/10.1155/2019/8731705","url":null,"abstract":"<p><strong>Background: </strong>Although the World Health Organization recommends exclusive breastfeeding for six months, the rate of breastfeeding has decreased worldwide. Breastfeeding is the natural way of feeding a baby, but it is a process that has to be learnt. It is not unusual for problems to occur and hence support for breastfeeding is vital. The aim of this study was to explore first-time mothers' experiences of the breastfeeding support offered by pediatric nurses, as well as to develop and evaluate the Mother Perceived Support from Professionals (MoPPS) scale.</p><p><strong>Methods: </strong>A qualitative design involving both inductive and deductive approaches was chosen. Nine first-time mothers were interviewed regarding their experiences of the breastfeeding support offered by pediatric nurses. Semistructured interviews were conducted. The mothers were also asked to grade their experiences of breastfeeding support on the MoPPS scale. A qualitative content analysis was applied when analyzing the data obtained using both the inductive (interviews) and deductive (MoPPS scale) approaches.</p><p><strong>Results: </strong>The results revealed that the mothers felt the desire to breastfeed, although they all experienced some difficulties. They wanted the pediatric nurses to be perceptive and provide professional support based on their own experiences. When the pediatric nurses took time and booked extra appointments, the mothers felt supported. The inductive analysis resulted in one theme: \"When wanting to breastfeed, mothers have a desire to be offered professional breastfeeding support\". Two main categories were identified, namely \"Mothers wanted but lacked breastfeeding support\" and \"Mothers received professional support.\" The deductive analysis of the MoPPS scale showed similar results, and the questions were perceived as relevant to the aim. The mothers considered it important that the pediatric nurses had sufficient knowledge about breastfeeding. It was also considered important that the pediatric nurses involved the mothers' partners in the breastfeeding support. Therefore, we suggest that these areas should be included in the MoPPS scale for pediatric nurses.</p><p><strong>Conclusions: </strong>The MoPPS scale can be a useful tool for helping pediatric nurses to offer mothers professional breastfeeding support. Indeed, when offering breastfeeding support, pediatric nurses can use the items included on the MoPPS scale as guidance.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"8731705"},"PeriodicalIF":1.9,"publicationDate":"2019-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/8731705","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215892","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}

{"title":"Assessment and Management of Postoperative Pain among Nurses at a Resource-Constraint Teaching Hospital in Ghana","authors":"Faisal Mahama, J. Ninnoni","doi":"10.1155/2019/9091467","DOIUrl":"https://doi.org/10.1155/2019/9091467","url":null,"abstract":"Background Postoperative pain remains one of the greatest concerns for patients following surgical procedures. Nurses play an essential role in postoperative pain assessment and management, especially within the first few days after surgery. Objective The study investigated how nurses in a resource-constraint hospital in Ghana assessed and managed postoperative pain. Methods This was an explorative qualitative study involving 12 registered nurses practising in the largest referral hospital in Ghana. Data was gathered using a semistructured interview guide. Demographic characteristics of participants were summarized using descriptive statistics. Data were analysed using Kvale's three phases for analysing qualitative data. First, the entire text was read again to identify meaning units which were then condensed. Second, the condensed texts were read again and interpreted. Finally, the condensed data containing similar meaning were coded and then sorted into subthemes. Results It was found that some nurses have never used any pain assessment tool due to lack of standard tool for assessing postoperative pain. The majority of nurses reported that managing pain by using medication was the norm especially in the first 24 hours after surgery. Conclusion Although participants may have some knowledge of assessing and managing postoperative pain, this knowledge was not largely used to manage postoperative pain effectively, partly because of resource constraints. Therefore, there is the need for adequate training and with provision of resources, it is imperative that the use of standardized pain assessment scales could help in the proper assessment and management of postoperative pain in this setting.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9091467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48905791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of the Glasgow Coma Scale among Nurses in a Tertiary Hospital in Ghana","authors":"Afizu Alhassan, Abdul-Ganiyu Fuseini, Ajara Musah","doi":"10.1155/2019/5829028","DOIUrl":"https://doi.org/10.1155/2019/5829028","url":null,"abstract":"Background Knowledge of the Glasgow Coma Scale (GCS) is recognized as an asset to all clinical nurses. However, many studies in different countries have reported low levels of knowledge of the GCS among nurses. Little is known about this subject in Ghana. Objectives The aim of this study was to assess the knowledge of Ghanaian nurses about the Glasgow Coma Scale and identify factors associated with their knowledge. Method This was a descriptive cross-sectional study involving a convenience sample of 115 nurses from a large teaching hospital in Ghana. We collected data using a structured questionnaire and analysed the data using descriptive statistics, Pearson's correlation, independent samples t-test, and one-way ANOVA. Results A little more than half of the participants (50.4%) had low knowledge of the GCS as a whole. However, with respect to basic theoretical concepts of the GCS, 62.6% of the participants had good knowledge about it, while only 5.2% demonstrated good knowledge on application of the basic knowledge in clinical scenarios. Working in Neurosurgical ward, female gender, and weekly performance of the GCS were associated with higher levels of knowledge. Academic qualification, years of experience as a nurse, and refresher training on GCS were not associated with knowledge. Conclusion The findings from this study showed that nurses in Ghana have low levels of knowledge about the GCS. A more structured approach to teaching the GCS that is very thorough and done with demonstrations should be implemented to improve nurses' knowledge on the GCS.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5829028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42642251","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":"Comment on \"Midwives' Role in Providing Nutrition Advice during Pregnancy: Meeting the Challenges? A Qualitative Study\".","authors":"Angeliki Antonakou","doi":"10.1155/2019/4307214","DOIUrl":"https://doi.org/10.1155/2019/4307214","url":null,"abstract":"Arrish et al. [1] reported some very interesting results in their qualitative study which are highly relevant to midwifery services throughout other countries in the world. It is true that midwives, despite their struggle and sincere intention to provide the best possible nutrition advice to women during pregnancy, do not manage to completely meet all the challenges. Arrish et al. reported that the role of midwives was felt to be constrained by many factors mostly out of the midwives’ control. ey suggested changes in the policy of maternity services such as allowing more time for antenatal visits, creating permanent positions for dietitians in antenatal clinics, and developing free online nutrition models and training packages for practising midwives by the professional organisations. What was equally interesting in this study, however, was the fact that there were fi y-two midwives who initially expressed their interest in participating in this study, but in the end only sixteen were finally recruited (62.9% nonparticipation). is high drop-out rate might potentially reflect a lack of interest in the specific theme of this study in the younger age group of midwives as all but one final participantwere over 35 years of age. It would be interesting to have known the demographics of this subgroup of midwives who declined to participate despite their initial interest so we could make further assumptions. Finally, in support of the findings of Arrish et al. we would like to add that the National Institute for Health and Care Excellence in 2015 issued a quality statement that lays the framework of nutritional advice provision in pregnancy [2]. It reports that all midwives should ensure that they give advice to pregnant women on how to eat healthily during pregnancy at their antenatal booking appointment. Moreover, pregnant women should receive this advice and support from a service that is evidence-based when informing them of the benefits of a healthy diet.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"4307214"},"PeriodicalIF":1.9,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4307214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37216472","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}

{"title":"Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania.","authors":"Helena Marco Gemuhay,&nbsp;Albino Kalolo,&nbsp;Robert Mirisho,&nbsp;Beatrice Chipwaza,&nbsp;Elijah Nyangena","doi":"10.1155/2019/3453085","DOIUrl":"https://doi.org/10.1155/2019/3453085","url":null,"abstract":"<p><p>There is an increased call for improving the environment in which nursing students learn the clinical skills. Clinical practice in the clinical placement sites should allow students to apply their theoretical knowledge in a real environment, develop nursing skills and clinical reasoning, and observe and adapt the professional role. This study aimed at identifying the factors influencing performance in clinical practice among preservice diploma nursing students in Northern Tanzania. This study relied on a cross-sectional analysis of data collected from nursing schools in Northern Tanzania in which 208 (123 nursing students and 85 nurse tutors) participants were recruited in the study. Data was gathered using a self-administered questionnaire which collected information on sociodemographic characteristics and factors influencing clinical practice categorized in students' factors, hospital based factors, social-economic factors, and nurse tutors opinions assessed. Descriptive analyses and chi-square test were employed to understand the background information of the sample and association between variables. Majority of the nursing students (84.4%) agreed that clinical placement offers students adequate opportunity for clinical practical learning. Barriers to effective clinical learning was reported by 70.1% of the participants and the barriers include student factors such as lack of self-confidence and absenteeism, school factors such as improper supervision, and poor preparation of clinical instructors or clinical facility factors. We found a significant association between type of barrier and gender (chi-square 0.786, <i>p=0.020)</i>. More male nursing students (62.1%) significantly reported unsupportive environment as a barrier and anxiety was more common in female nursing students (48.9%) <i>(p=0.020).</i> Reporting of barriers to effective clinical learning by students from different schools of nursing was not significant (P=0.696). In addition, age of participants did not have significant association with effective clinical practice (p=<i>0.606).</i> Student's factors and placement based factors played an important role to influence clinical learning experiences. Offering preclinical orientation, distributing and clarifying clinical learning objectives to students, and frequent visits and supervision of students in clinical area may improve student learning experience in clinical placement. In addition, tailoring the interventions to gender may improve learning experiences.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"3453085"},"PeriodicalIF":1.9,"publicationDate":"2019-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3453085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37277600","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}

{"title":"Research in Academia: Creating and Maintaining High Performance Research Teams.","authors":"Maria Olenick,&nbsp;Monica Flowers,&nbsp;Tatayana Maltseva,&nbsp;Ana Diez-Sampedro","doi":"10.1155/2019/8423460","DOIUrl":"https://doi.org/10.1155/2019/8423460","url":null,"abstract":"<p><p>As universities strive to raise their academic rank through the quality and quantity of scholarship in order to maintain their competitive edge and funding sources, faculty face pressure to increase number of publications and externally funded research (or project proposals). There are many challenges that make it difficult for faculty to meet a university's research demand, such as increased work load in academia, teaching large-size classes of students, and other strict university deadlines related to book ordering, scheduling classes, posting grades, etc. Faculty work group conflicts, faculty incivility, and dwindling grant/research funding add to faculty stress. In order to promote scholarship in academia, administrative support, collaborative work environments, mentoring, and appropriate appraisal systems are needed to enable faculty to be more productive and satisfied.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"8423460"},"PeriodicalIF":1.9,"publicationDate":"2019-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/8423460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37050845","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}

{"title":"Knowledge and Experience of Neonatal Resuscitation among Midwives in Tamale.","authors":"Afizu Alhassan,&nbsp;Abdul-Ganiyu Fuseini,&nbsp;Wahab Osman,&nbsp;Alhassan Basour Adam","doi":"10.1155/2019/3652608","DOIUrl":"https://doi.org/10.1155/2019/3652608","url":null,"abstract":"<p><p><i>Background.</i> Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. <i>Objectives.</i> This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. <i>Methods.</i> This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson's correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. <i>Results.</i> 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge <i>(24.67 ± 2.79, p = .014)</i>, compared to those at the Tamale Teaching Hospital <i>(22.92 ± 4.56, p = .028)</i> and Tamale West Hospital <i>(21.50 ± 6.24, p = .021)</i>. Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (<i>r</i>(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. <i>Conclusion.</i> Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"3652608"},"PeriodicalIF":1.9,"publicationDate":"2019-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3652608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36977197","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}

{"title":"Interaction between Nursing Staff and Residents with Aphasia in Long-Term Care: A Mixed Method Case Study.","authors":"Charlotta Saldert,&nbsp;Hannah Bartonek-Åhman,&nbsp;Steven Bloch","doi":"10.1155/2018/9418692","DOIUrl":"https://doi.org/10.1155/2018/9418692","url":null,"abstract":"<p><strong>Introduction: </strong>Thousands of individuals with communication disorders live in long-term residential care. Nursing staff are often their primary communication partners. The positive effects of social interaction and person-centred care have been recognised but there remains a paucity of research on the content and quality of communicative interaction between long-term care staff and residents with aphasia. This mixed method study investigates the discourse in interaction between nursing staff and residents with aphasia.</p><p><strong>Methods: </strong>A routine care activity was explored in 26 video-recordings featuring four enrolled nurses and four elderly persons with severe aphasia. Factors such as goals and roles in the activity were mapped out and a qualitative discourse analysis was performed. Based on the findings a coding scheme was constructed and the amount of time spent in different interactional foci of discourse was explored.</p><p><strong>Results: </strong>From the qualitative findings three broad, but distinct, foci in the nurse-initiated interaction could be distinguished: (1) a focus on getting the task done with minimum interaction; (2) topics related to the task, but not necessary to get the task done; and (3) personal topics related to themes beyond the caring task. The analysis of distribution of time revealed that although most of the interaction was focused on the main care activity, between 3 and 17% of the time was spent in either task-related or non task-related interaction. The distribution varied between dyads and could not be related to the residents' severity of aphasia nor the activity as such.</p><p><strong>Conclusions: </strong>An endeavour to interact socially with the residents with aphasia influences the nurses' foci of interaction. Contextual and personal factors of the residents and nurses need to be considered in clinical work as well as research on how communication may be supported to facilitate social interaction and person-centredness in long-term care of people with aphasia.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"9418692"},"PeriodicalIF":1.9,"publicationDate":"2018-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9418692","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36853325","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}

{"title":"Anxiety and Depression among Patients with Coronary Artery Disease Attending at a Cardiac Center, Kathmandu, Nepal.","authors":"Puja Sharma Dhital,&nbsp;Kalpana Sharma,&nbsp;Pratik Poudel,&nbsp;Pankaj Raj Dhital","doi":"10.1155/2018/4181952","DOIUrl":"https://doi.org/10.1155/2018/4181952","url":null,"abstract":"<p><p>Psychiatric morbidity such as anxiety and depression is common among patients with coronary artery disease (CAD). The coexistence of psychiatric morbidity negatively affects the outcome of treatment and increases the overall burden of disease in CAD patients. The objective of the study was to identify the level of anxiety and depression among patients with CAD. Descriptive, cross-sectional research design and purposive sampling were used and a total of 168 patients having coronary artery disease were selected purposively for the study from the patients attending cardiac outpatient department of Sahid Gangalaal National Heart Center, Kathmandu, Nepal. Data was collected on 2017 by using pretested semistructured interview schedule, Hospital Anxiety and Depression Scale. The findings showed that 27.4% of the respondents had anxiety caseness and 23.8% of the respondents had depression caseness. Bivariate analysis showed that patient's level of anxiety was significantly associated with sex, family income, occupation status, and self-esteem. Higher level of anxiety (42.4%) was found in female than male patients. Likewise, level of depression was significantly associated with education status, occupation status, presence of comorbidities, physical exercise, and self-esteem of the patients. There was significant positive relationship between anxiety and depression score. Thus anxiety and depression were common among patients with CAD. Hence, anxiety and depression in CAD patients need be monitored regularly, provide regular counseling services, and refer the patients for the treatment when needed.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"4181952"},"PeriodicalIF":1.9,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4181952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36866848","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}