Nursing Research and Practice最新文献

{"title":"Evaluation of Nurses' Knowledge Levels of Diabetic Foot Care Management.","authors":"Zahide Kaya, Anita Karaca","doi":"10.1155/2018/8549567","DOIUrl":"10.1155/2018/8549567","url":null,"abstract":"<p><strong>Background: </strong>Nurses, important members of the diabetes treatment team, have an essential role in the prevention of diabetic foot problems and in the care and education of patients at risk of diabetic foot problems.</p><p><strong>Objective: </strong>The study evaluated the knowledge levels of nurses regarding diabetic foot care management and determined influencing factors.</p><p><strong>Methods: </strong>This was a cross-sectional, descriptive study. The research sample comprised 435 nurses who worked in a private hospital. The research data were collected using the \"Nurse Information Form\" and \"Nurses' Knowledge Level Form on Diabetic Foot Management\".</p><p><strong>Results: </strong>It was found that 66% of the nurses did not receive training in diabetic foot care, 80.9% did not educate patients with diabetic foot problems, and 77.5% did not perform foot examinations on diabetic patients.</p><p><strong>Conclusion: </strong>Nurses' knowledge level scores regarding diabetic foot management are adequate, but this knowledge is not used during patient care. In order to facilitate nurses' involvement in diabetic foot management, theoretical and practical training programs should be organized and nurses should be encouraged to participate in these programs.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"8549567"},"PeriodicalIF":1.9,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36354331","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":"Perception of Nurses on Needs of Family Members of Patient Admitted to Critical Care Units of Teaching Hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study.","authors":"Ishwori Khatri Chhetri,&nbsp;Bedantakala Thulung","doi":"10.1155/2018/1369164","DOIUrl":"https://doi.org/10.1155/2018/1369164","url":null,"abstract":"<p><strong>Background: </strong>Critical care units' nurses should seek to develop collaborative relationships with patients' family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"1369164"},"PeriodicalIF":1.9,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1369164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36343651","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":"Adherence to Hemodialysis and Associated Factors among End Stage Renal Disease Patients at Selected Nephrology Units in Rwanda: A Descriptive Cross-Sectional Study.","authors":"Marie Claire Mukakarangwa,&nbsp;Geldine Chironda,&nbsp;Busisiwe Bhengu,&nbsp;Godfrey Katende","doi":"10.1155/2018/4372716","DOIUrl":"https://doi.org/10.1155/2018/4372716","url":null,"abstract":"<p><strong>Introduction: </strong>Worldwide, End Stage Renal Disease (ESRD) has become a public health concern increasing the number of patients maintained on hemodialysis prior to renal transplantation. Nonadherence to hemodialysis continues to impact on the care of ESRD patients, causing high increase in morbidity and mortality.</p><p><strong>Purpose of the study: </strong>The purpose of this study was to determine the level of adherence to hemodialysis and the associated factors among End Stage Renal Disease (ESRD) patients in selected nephrology units in Rwanda.</p><p><strong>Methods: </strong>This was a descriptive cross-sectional design involving 41 participants. Participants were recruited using a purposive sampling technique. Demographic and adherence to hemodialysis data were collected with the use of structured interview schedules. Descriptive statistics were used to describe the demographic variables and the level of adherence to hemodialysis. Inferential statistics of chi-square was used to establish factors associated with adherence to hemodialysis.</p><p><strong>Results: </strong>Twenty-one (51%) of ESRD participants adhered highly (scores < 80%) to HD. Seventeen (42%) adhered moderately (70-79%) to HD while three (7%) had low level of adherence to HD (below 70%). The factors associated with adherence to hemodialysis were age (mean = 27; 95% CI 26.76-29, 17; <i>p</i> = 038) and religion (95% CI 26.29-60.12, <i>p</i> = 003). Frequencies of education of health care workers about the importance of not missing dialysis (95% CI 26.71-42.56, <i>p</i> = .000), perceived relative importance of hemodialysis (95% CI 20.44-27.76, <i>p</i> = .020), and experiencing difficulties during the procedure (95% CI 20.80-28.36, <i>p</i> = .004) were significantly associated with adherence to hemodialysis<i>. Conclusion.</i> Adherence to hemodialysis is still a public health concern in Rwanda. Health care providers and particularly nurses should continue to advocate for adherence to HD for better health outcomes. Further research is needed to identify the barriers to HD in Rwanda.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"4372716"},"PeriodicalIF":1.9,"publicationDate":"2018-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4372716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36284872","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":"Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters.","authors":"Suzanne Adams,&nbsp;Bridget Toroni,&nbsp;Meenal Lele","doi":"10.1155/2018/7380527","DOIUrl":"https://doi.org/10.1155/2018/7380527","url":null,"abstract":"<p><p>Short peripheral catheters (SPC) are an existing conduit into many patients' veins and line draws from SPC are a desired method of routine blood collection especially in difficult venous access patients. The PIVO device facilitates blood collection through SPC and is being used clinically in a number of hospitals. This study aimed to determine the appropriate wait time following a flush and the minimum waste volume required to obtain an undiluted blood sample when using the PIVO device and how that differed from current guidelines from SPC line draws. A clinical study was conducted examining the analyte results of samples drawn with PIVO through a SPC at varying wait times following a saline flush. Both an initial waste volume and a postwaste sample were compared to a venipuncture control. The resulting samples showed no saline dilution as measured by sodium and creatinine results at all studied wait times. These findings suggest that blood collections using the PIVO device can produce a clinically valid sample with a 30-second wait following a SPC flush and no waste volume prior to sample collection.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"7380527"},"PeriodicalIF":1.9,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7380527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36264390","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":"Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study.","authors":"Nefsu Awoke,&nbsp;Biftu Geda,&nbsp;Aseb Arba,&nbsp;Tiwabwork Tekalign,&nbsp;Kebreab Paulos","doi":"10.1155/2018/2654947","DOIUrl":"https://doi.org/10.1155/2018/2654947","url":null,"abstract":"<p><strong>Background: </strong>Nurses, who are the majority, can contaminate their hands with different types of microorganism during \"clean\" activities (e.g., lifting a patient; taking a patient's pulse, blood pressure, or oral temperature; or touching a patient's hand, shoulder, or groin). Yet good hand hygiene, the simple task of cleaning hands at the right time and in the right way, can reduce HCAIs that are transmitted by healthcare workers' hands.</p><p><strong>Method: </strong>Observational study conducted among nurses by observational tool which was adopted from WHO observational tool. And finally compliance was calculated as a percentage (i.e., compliance% = (observed hand hygiene action (HHA) ÷ hand hygiene opportunity (O)) × 100). The data were first coded, entered, and cleaned using EpiData statistical software version 3.1 and then exported into SPSS statistical software version 22 for analysis. Data were presented using descriptive statistics.</p><p><strong>Result: </strong>A total of 110 study participants were observed who gave a response rate of 94.8%. Total of 3902 opportunities and 732 hand hygiene actions were observed with overall compliance of 18.7%. The highest 22.9% hand hygiene practice was observed \"before clean∖aseptic procedure.\" Highest 19.6% compliance was recorded at night shift and 22.7% in ICU ward of the hospital. Alcohol based hand rub was a major means of method used to clean hands.</p><p><strong>Conclusion and recommendation: </strong>Observed practice of hand hygiene was poor. Lack of training, conveniently located sink, hand washing agents, and lack of time were major reasons for not practicing hand hygiene. Successful promotion of hand hygiene through instituting system change (e.g., making hand hygiene products available at the point of care) should be considered.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"2654947"},"PeriodicalIF":1.9,"publicationDate":"2018-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2654947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36177994","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":"New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice.","authors":"Bjørg Karlsen,&nbsp;Bettina Rasmussen Bruun,&nbsp;Bjørg Oftedal","doi":"10.1155/2018/6137628","DOIUrl":"https://doi.org/10.1155/2018/6137628","url":null,"abstract":"<p><p>Research suggests that guided self-determination programmes can support self-management of diabetes by empowering self-determined goal setting and competence building. As most research in this area has focused on people with type 1 diabetes, knowledge is lacking on how adults with type 2 diabetes mellitus experience participation in such programmes. This study reports the modelling phase of a complex intervention design that explored the experiences of adults with type 2 diabetes who participated in a nurse-led guided self-determination programme in general practice and examines how the programme affected patients' motivation to self-manage diabetes. The qualitative design with semistructured interviews included 9 adults with type 2 diabetes who participated in the programme. Qualitative content analysis was used to analyse the data. The findings indicate that the participants experienced new life possibilities after participating in the programme, which seemed to have a positive influence on their motivation for self-management. Through reflections about how to live with diabetes, the participants reinterpreted their life with diabetes by gradually developing a closer relationship with the disease, moving towards acceptance. The fact that dialogue with the nurses was seen to be on an equal footing helped support the participants to become more self-determined.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"6137628"},"PeriodicalIF":1.9,"publicationDate":"2018-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/6137628","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36094476","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":"Training Nursing Skills: A Quantitative Study of Nursing Students' Experiences before and after Clinical Practice.","authors":"Elisabeth Solvik, Solveig Struksnes","doi":"10.1155/2018/8984028","DOIUrl":"10.1155/2018/8984028","url":null,"abstract":"<p><strong>Introduction: </strong>Requirements for Patient Safety suggest that students encounter patients well prepared. In clinical laboratory practice (CLP), the students simulate patient situations as a preparation for internship. Various CLP models have been tried out to meet the students' prerequisites and learning strategies.</p><p><strong>Objectives: </strong>The purpose of this study was to try out two different learning sessions related to the bed bath procedure.</p><p><strong>Design and methods: </strong>The study has a descriptive, quantitative design with elements from clinically controlled trials.</p><p><strong>Sample: </strong>The population of 160 first-year students was randomly divided into two classes.</p><p><strong>Questionnaires: </strong>Two questionnaires were answered with six-month intervals: Form 1 immediately after the first training session and Form 2 a short time after clinical practice.</p><p><strong>Findings: </strong>A majority of the nursing students reported that the exercises in the clinical lab were a good way to prepare for the practice, although most of them did not perceive that the procedure conducted at the university resembled how it is conducted in clinical practice. Age or level of discomfort related to organization of the skills training did not have impact on the students' confidence in mastering bed bath in clinical practice. Students without previous experience were less confident to master the procedure in clinical practice, but the results evened out during the internship.</p><p><strong>Conclusions: </strong>The results from this study could indicate that the students' age to a larger extent should be considered in the universities' facilitation of nursing students' clinical preparations, to improve the transition to \"real life\" as smoothly and meaningfully as possible to nursing students.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"8984028"},"PeriodicalIF":1.9,"publicationDate":"2018-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36057651","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":"Effects of Father-Neonate Skin-to-Skin Contact on Attachment: A Randomized Controlled Trial","authors":"Er Chen, M. Gau, Chieh-Yu Liu, Tzu-Ying Lee","doi":"10.1155/2017/8612024","DOIUrl":"https://doi.org/10.1155/2017/8612024","url":null,"abstract":"This study examines how skin-to-skin contact between father and newborn affects the attachment relationship. A randomized controlled trial was conducted at a regional teaching hospital and a maternity clinic in northern Taiwan. The study recruited 83 first-time fathers aged 20 years or older. By block randomization, participants were allocated to an experimental (n = 41) or a control (n = 42) group. With the exception of skin-to-skin contact (SSC), participants from each group received the same standard care. Both groups also received an Early Childcare for Fathers nursing pamphlet. During the first three days postpartum, the intervention group members were provided a daily SSC intervention with their respective infants. Each intervention session lasted at least 15 minutes in length. The outcome measure was the Father-Child Attachment Scale (FCAS). After adjusting for demographic data, the changes to the mean FCAS were found to be significantly higher in the intervention group than in the control group. We recommend that nurses and midwives use instructional leaflets and demonstrations during postpartum hospitalization, encouraging new fathers to take an active role in caring for their newborn in order to enhance father-neonate interactions and establish parental confidence. This trial is registered with clinical trial registration number NCT02886767.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2017-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8612024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48480970","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":"Psychological Distress in Healthy Low-Risk First-Time Mothers during the Postpartum Period: An Exploratory Study","authors":"C. Murphey, P. Carter, L. Price, J. Champion, Francine Nichols","doi":"10.1155/2017/8415083","DOIUrl":"https://doi.org/10.1155/2017/8415083","url":null,"abstract":"Psychological distress, defined as depression, anxiety, and insomnia in this study, can occur following the birth of a baby as new mothers, in addition to marked physiological changes, are faced with adapting to new roles and responsibilities. We investigated the cooccurrence of stress, depression, anxiety, and insomnia in mothers during the postpartum period; tested the feasibility of study methods and procedures for use in this population; and identified new mothers interest in using cranial electrotherapy stimulation (CES) as an intervention for reducing psychological distress. We recruited healthy, low-risk, English speaking first-time mothers, ages 18–32 years, with healthy babies (N = 33), within 12 months of an uncomplicated birth. Participants completed the PSS, HAM-D14, HAM-A17, and PSQI19. No problems were encountered with study procedures. Mothers reported a high interest (4.9) in the potential use of CES to treat or prevent the occurrence of psychological distress. All participants (N = 33) reported moderate levels of depression and anxiety, while 75.8% (n = 25) reported insomnia. PSS scores were within the norms for healthy women. Further research is recommended to investigate if our findings can be replicated or if different patterns of associations emerge. Implications for clinical practice are addressed.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2017-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8415083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46030757","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":"Determinants of Quality of Work Life among Nurses Working in Hawassa Town Public Health Facilities, South Ethiopia: A Cross-Sectional Study.","authors":"Lolemo Kelbiso,&nbsp;Admasu Belay,&nbsp;Mirkuzie Woldie","doi":"10.1155/2017/5181676","DOIUrl":"https://doi.org/10.1155/2017/5181676","url":null,"abstract":"<p><strong>Background: </strong>A high quality of work life (QWL) is a crucial issue for health care facilities to have qualified, dedicated, and inspired employees. Among different specialties in health care settings, nurses have a major share among other health care providers. So, they should experience a better QWL to deliver high-quality holistic care to those who need help.</p><p><strong>Objective: </strong>To assess the level of quality of work life and its predictors among nurses working in Hawassa town public health facilities, South Ethiopia.</p><p><strong>Methods: </strong>A facility based cross-sectional study was conducted on 253 nurses of two hospitals and nine health centers. The total sample size was allocated to each facility based on the number of nurses in each facility. Data were collected using a structured questionnaire. The interitem consistency of the scale used to measure QWL had Cronbach's alpha value of 0.86. A multinomial logistic regression model was fitted to identify significant predictors of quality of work life using SPSS version 20.</p><p><strong>Results: </strong>The study showed that 67.2% of the nurses were dissatisfied with the quality of their work life. We found that educational status, monthly income, working unit, and work environment were strong predictors of quality of work life among nurses (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Significant proportions of the nurses were dissatisfied with the quality of their work life. The findings in this study and studies reported from elsewhere pinpoint that perception of nurses about the quality of their work life can be modified if health care managers are considerate of the key issues surrounding QWL.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2017 ","pages":"5181676"},"PeriodicalIF":1.9,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/5181676","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35775996","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}