medRxiv - Nursing最新文献

{"title":"Good practice in the provision of care for people living with dementia in nursing homes: a systematic review","authors":"Laura Behan, Michael P O'Brien, Paul Dunbar, Niall McGrane, Aileen Keane, Carol Grogan, Laura M Keyes","doi":"10.1101/2024.03.04.24302868","DOIUrl":"https://doi.org/10.1101/2024.03.04.24302868","url":null,"abstract":"Background\u0000The number of people living with dementia across the world is rising, and there is a high and ever increasing proportion of people with dementia living in nursing homes. It is increasingly important that care provision in these services accounts for the specific needs of this cohort. Manifestations of dementia are modifiable with high quality dementia specific care, as such, we need to understand what good practice looks like specifically in these settings.\u0000Aim\u0000To synthesise empirical research to identify the characteristics of quality in the provision of care for people living with dementia in nursing homes.\u0000Methods\u0000Four electronic academic databases were searched: Business Complete, CINAHL, MEDLINE and APA PsychInfo. Qualitative, quantitative or mixed-methods studies published between the years of 2020-2023, that aimed to identify determinants of high quality care for people with dementia living in nursing homes, were included. Themes relating to good practices were identified and narratively summarised. Vignettes illustrating good practice were constructed from the perspective of a provider, a staff member, a resident and a family member.\u0000Results\u0000After screening of 3,356 records, 30 articles were included. This included 16 qualitative descriptive studies, 11 cross-sectional studies, 2 mixed methods studies, and 1 cohort study. Sixteen themes were identified: determinants of care quality, outcomes, person-centred care, cultural impact, care planning, meaningful engagement, eating and meals, the role of family members, restrictive practices, psychotropic medications, activities, materials, health care, end of life care, staffing and staff training.\u0000Conclusions\u0000The literature identifies what constitutes high quality care for residents with dementia in nursing homes. These findings will guide those delivering care in nursing homes in their daily work and in the implementation of quality improvement processes. It will also direct regulators, policymakers and researchers when conducting future work in this important area.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053984","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":"Practices of midwives in the management of postpartum haemorrhage: A case of Maseru, Lesotho","authors":"Mpho V Chabeli, Isabel Nyangu, Mamello Mpemi","doi":"10.1101/2024.02.16.24302896","DOIUrl":"https://doi.org/10.1101/2024.02.16.24302896","url":null,"abstract":"Abstract Postpartum haemorrhage (PPH) remains the common cause of maternal mortality. More than half of maternal deaths from PPH occur within 24 hours of delivery and could be prevented through midwives compliance with guidelines and standards for clinical practice. This study aimed to assess the midwives practices regarding the management of PPH in Maseru Lesotho. A quantitative cross-sectional study was undertaken. Convenience sampling was used to select 220 midwives who voluntarily completed a structured self-administered questionnaire. Ethical clearance was granted by the Ministry of Health Research and Ethics Committee. Data was analysed using Statistical Package for Social Science and presented using descriptive and analytic statistics. Midwives were competent with estimation and recording blood loss, placenta assessment and vital signs of patients. There was a significant association between the highest education qualification and midwives who estimate and record blood loss, palpate and measure the uterine fundus and assess the completeness of the placenta. The results revealed a significant association between work experience, uterine fundus measurement and estimated blood loss. Midwives reported to practice management of PPH based mostly on guidelines. However, many midwives still disregard recommendations, putting patients at risk hence the need to intensify supervision to ensure safe practices.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139910595","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":"LIVED EXPERIENCES OF MOTHERS WITH PERIPARTUM CARDIOMYOPATHY","authors":"Doreen Mukona, Barbara Tsiko, Mathilda Zvinavashe","doi":"10.1101/2024.02.16.24302928","DOIUrl":"https://doi.org/10.1101/2024.02.16.24302928","url":null,"abstract":"Peripartum cardiomyopathy is known to occur more commonly in African women or those of African descent, with potentially devastating consequences. The purpose of this study was to explore the lived experiences of women with post-partum cardiomyopathy. A phenomenological approach was used. The study was conducted with 6 women with a confirmed diagnosis of peri-partum cardiomyopathy who were registered with the Parirenyatwa Group of Hospitals Cardiac clinic. Excluded from the study, due to compromised autonomy, were the mentally ill, critically ill, and the institutionalized. Participants were selected as they came for routine management. In-depth interviews, following semi structured questionnaires, were conducted. All participants gave informed consent, and the study was conducted according to the requirements of the Declaration of Helsinki. Interviews were held in a private room and filled in questionnaires and detailed notes were anonymized and kept in a lockable cupboard to which the researchers had sole access. Manual thematic analysis was used to analyze the data and it was presented in themes, subthemes, and codes. The stages of thematic analysis followed were data organization, familiarization, transcription, coding, identifying themes, indexing, reviewing themes, displaying, and reporting. Trustworthiness was ensured by observing credibility, dependability, confirmability, and transferability. Three major themes namely: experience on diagnosis, psychosocial tension and supporting factors were identified. Women diagnosed with peripartum cardiomyopathy experience physical, psychological, and emotional stress. Psychosocial support is very vital in the management of peripartum cardiomyopathy.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139910607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Utilization of Contraceptives by teenagers in Lesotho: A descriptive cross-sectional survey.","authors":"Retselisitsoe Khiba, Isabel Nyangu","doi":"10.1101/2024.02.09.24302554","DOIUrl":"https://doi.org/10.1101/2024.02.09.24302554","url":null,"abstract":"Background: Contraceptive service provision to teenagers prevents pregnancy and childbirth complications which are the leading causes of death among teenage girls globally.\u0000Aim: The study aimed to assess how teenagers utilized the contraceptive services provided at selected healthcare facilities in Lesotho. Methodology: A quantitative descriptive cross-sectional design was used to collect data from 194 teenagers who were conveniently sampled from two health facilities in Berea district Lesotho. Permission to conduct the study was sought and granted from the Ministry of Health and written informed consent was sought from the participants before they completed self-administered questionnaires. Data was captured and analyzed using the SPSS version 24.\u0000Results: Most (64.5%) of the teenagers knew that contraceptives prevented pregnancy whilst a fifth of them referred to them as the prevention of HIV or sexually transmitted infections. Utilization of contraceptives was reported by just over a third and about two-fifths were able to access them at the public health clinics daily. Injectables and condoms were the most preferred methods used by teenagers. Factors that enhanced contraceptive usage included nurses friendliness as well as an understanding of why teenagers are not fully utilizing the contraceptive services provided. Most teenagers were found not to be utilizing contraceptive services due to the belief that they led to weight gain and unsatisfactory intercourse.\u0000Conclusion: The study findings provided a need for and importance of contraceptive service provision to teenagers including the need for education to improve their understanding and reduce myths. Implications for nursing management: Healthcare service providers need to improve access to contraceptive services to improve their utilization by teenagers. Keywords: Contraceptives Utilization Teenagers Lesotho.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139769532","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":"Hidden stories of caregivers with children living with sickle cell disease in Uganda: experiences, coping strategies and outcomes","authors":"Isaac Alinda, Lydia Kabiri","doi":"10.1101/2024.01.16.23300398","DOIUrl":"https://doi.org/10.1101/2024.01.16.23300398","url":null,"abstract":"<strong>Background</strong> Sickle Cell Disease (SCD) poses a substantial public health challenge in Uganda, exhibiting distinct regional variations in prevalence. The Uganda Sickle Cell Surveillance Study has estimated an overall SCD prevalence of 13.3%. Notably, this prevalence diverges significantly across the country’s regions, reaching its highest in the northern region at 22.2% and it’s lowest in the central region at 5.3%. This variation reflects the diverse impact of SCD and underscores the need for a comprehensive understanding of its regional implications.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139497610","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 NURSING PHILOSOPHY OF MOTIVATIONAL INTERVIEWING ON TYPE 2 DIABETES MELLITUS: SYSTEMATIC REVIEW","authors":"Elyk Dwi Mumpuningtias, Moses Glorino Rumambo Pandin, Nursalam Nursalam","doi":"10.1101/2023.12.19.23300108","DOIUrl":"https://doi.org/10.1101/2023.12.19.23300108","url":null,"abstract":"Background: The management of Type 2 Diabetes Mellitus (T2DM) heavily relies on lifestyle choices and adherence. Opting for a high-risk lifestyle can exacerbate the impact on individuals with T2DM, worsening their condition. These approaches encompass self-care practices, cognitive behavioral strategies, training for family support, and educational initiatives focusing on lifestyle changes. Motivational interviewing is one strategy to changes behavior of T2DM patients. Method: Use ProQuest, Scopus, and ScienceDirect to look up review literature. Type 2 DM, motivational interviewing, lifestyle and adherence were the search terms used to find publications. Search parameters for full-text, open-access, English-language papers published between 2019 and 2023.\u0000Results: This study reviewed ten articles focusing on using motivational interviewing techniques to improve T2DM patients so that they can change their lifestyle and manage their glycemic index in the long term. Motivational interviewing can be conducted face to face for an average of 10-12 sessions, approximately3-6 months, both online and through intensive intervention.\u0000Conclusion: This study can demonstrate how motivational interviews can improve the behavior of T2DM patients by changing lifestyle and reducing the glycemic index in T2DM patients. Keyword: motivational interviewing, T2DM","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138825143","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":"LITERATURE REVIEW: DISASTER RISK REDUCTION PROGRAMS TO INCREASE PUBLIC AWARENESS OF NATURAL DISASTERS","authors":"Susi Wahyuning Asih, Moses Glorino Rumambo Pandin, Ahmad Yusuf, Supriyadi","doi":"10.1101/2023.12.15.23300051","DOIUrl":"https://doi.org/10.1101/2023.12.15.23300051","url":null,"abstract":"<strong>Background</strong> The key components of disaster risk reduction typically include risk assessment, early warning systems, public awareness and education, infrastructure and land-use planning, preparedness and response planning, and sustainable development. The third component is the public awareness and education. Educating communities about potential risks and how to prepare for and respond to disasters is crucial for building resilience and ensuring the effective implementation of DRR measures. The fourth component is infrastructure and land-use planning. Regarding the preparedness and response planning, developing comprehensive disaster preparedness and response plans is helpful in ensuring a swift and coordinated response during emergencies, thereby minimizing the impact on life and property. Lastly, regarding sustainable development, integrating DRR into development planning can help create sustainable and resilient communities that are better equipped to withstand and recover from disasters.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138825141","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":"Early Detection of Diabetic Neuropathy Based on Health Belief Model: A Scoping Review","authors":"Okti Sri Purwanti, Nursalam Nursalam, Moses Glorino Rumambo Pandin","doi":"10.1101/2023.12.15.23299437","DOIUrl":"https://doi.org/10.1101/2023.12.15.23299437","url":null,"abstract":"Introduction: Diabetes mellitus can cause complications of neuropathy, resulting in ulcer diabetes. Prevention of complications of Diabetes mellitus can done with the detection of early neuropathy diabetes. Early detection of Diabetes neuropathy usually uses questionnaires and physical assessments. Prevention of Diabetes complications can apply the health belief model to estimate patient behavior prevention. Practice nursing applies nursing caring review action prevention based on ontology, epistemology, and axiology.\u0000Method: Search article carried out on six databases, Scopus, Ebsco, Pubmed, Sage journal, Science Direct, and Springer links with keywords, namely \" Screening Neuropathy \" AND \" Detection Neuropathy \" AND \" Scoring Neuropathy \" AND \" Diabetic,\" which was published in 2019-2023. Study This using PRISMA Flow Chart 2020 to record the filtering process article.\u0000Results: 25 journals discussed its detection of early neuropathy diabetes. Detection of early neuropathy diabetes can be done by inspecting the signs and symptoms experienced. Patients use questionnaires and tools to inspect their physique.\u0000Conclusion: Examination of neuropathy diabetes in patients with Diabetes mellitus needs to be done to know the level experienced and determine neuropathy and appropriate management with conditions experienced by the patient so that can prevent complications of ulcer diabetes. Inspection of neuropathy diabetes can be done with the use of a questionnaire Michigan Neuropathy Screening Instrument (MNSI), Toronto Clinical Neuropathy Score (TCNS), Diabetic Neuropathy Classification BDC and also tools inspection such as Biothesimeter, vibratip, neurothesimeter, tuning fork, monofilament thread, results Ultrasonography Ultrasound, Artificial intelligence (AI), Nomogram","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138743205","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":"Cognitive Therapy Approach For Post-Stroke Patients : A Review Of Literature","authors":"Sarida Surya Manurung, Moses Glorino Rumambo Pandin","doi":"10.1101/2023.12.15.23300013","DOIUrl":"https://doi.org/10.1101/2023.12.15.23300013","url":null,"abstract":"<strong>Introduction</strong> Stroke is a highly consequential medical condition, characterized by a substantial risk of death and disability. Based on the data of the World Health Organization (WHO), stroke was contibuted for 6.2 million of mortalities, the second cause of death globally. In particular, half of stroke survivors encounter challenges in performing daily activities, and the psychosocial aspects of their experience often lead to a diminished quality of life, contributing to conditions like depression. In addition for the impact of physical, stroke also can induce the cognitive barriers, impacted to an attention, orientation, retention, and cognitives functions. In addressing these cognitive challenges, particularly through cognitive therapy, was shown promising in reducing levels of anxiety and depression among post-stroke individuals. This literature research deals to examine research outcomes related to various post-stroke cognitive therapies. The objective is to describe the advantages and disadvantages of this therapeutic approaches, clarify the effectiveness in rehabilitate of cognitive and psychological consequences of stroke.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138818785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Philosophical Perspective in Transculturizing Instrument Tools to Detect Diabetic Foot Ulcer : A Literature Review","authors":"Sri Wahyuni Awaluddin, Moses Glorino Rumambo Pandin, Nursalam","doi":"10.1101/2023.12.16.23300092","DOIUrl":"https://doi.org/10.1101/2023.12.16.23300092","url":null,"abstract":"Diabetes foot ulcer (DFU) is one of the main complications of diabetes mellitus (DM) and one of the main causes of death worldwide from non-communicable diseases (NCDs). The development of an instrument tool for the early diagnosis of diabetic foot is crucial since the findings can be used to prioritize clinical examinations for patients who are at risk. This literature review aimed to examine the philosophical viewpoint on transculturalizing instrument instruments to detect DFU from a variety of study reports published in both domestic and foreign journals. The original research publications published between January 2018 and December 2023 were the focus of the literature search. This study used secondary data, which came from 17 credible journal publications obtained from Science Direct, CINAHL, Pubmed, and SCOPUS databases. The PICOS framework was utilized to assess the papers’ suitability after they were selected. Articles meeting the inclusion requirements would be chosen: the studies should show the outcome of DFU detection or intervention for the outcome, and the population should consist of DM patients with or without DFU, with early DFU detection or intervention for Intervention. The studies could use any kind of research design, including descriptive, cross-sectional, observational, quasi-experimental, randomized controlled trials, and mixed methods, and should be written in English. The result of this literature review showed all the newly developed instrument tools to detect DFU have tested the validity and reliability of content, particularly translation to the local language to meet cultural appropriateness. It is important for researchers working on new DFU detection risk tools to consider including transcultural theory in their assessment instruments for DFU early detection.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138818793","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}