International Journal of Urological Nursing最新文献

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To what extent is education for urinary catheter insertion and management offered to registered nurses in the United Kingdom? 在英国,注册护士在多大程度上接受了导尿管插入和管理方面的教育?
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-05-21 DOI: 10.1111/ijun.12364
Sarah Wills-Lee RN, BSc (Hons), MSc, Stephanie Dunleavy RN, MBA, SFHEA
{"title":"To what extent is education for urinary catheter insertion and management offered to registered nurses in the United Kingdom?","authors":"Sarah Wills-Lee RN, BSc (Hons), MSc,&nbsp;Stephanie Dunleavy RN, MBA, SFHEA","doi":"10.1111/ijun.12364","DOIUrl":"10.1111/ijun.12364","url":null,"abstract":"<p>Registered nurses (RNs) competent in catheter insertion and management reduce catheter days and catheter associated urinary tract infections (CAUTIs). Guidelines suggest that education in catheter insertion and management should occur regularly to ensure competency. However, there is no evidence to suggest this occurs in the United Kingdom. The databases Cinahl and Medline databases and the grey literature were searched and revealed that CAUTIs account for ~40% of hospital acquired infections and are associated with increased mortality, morbidity, length of stay and hospital costs. Prevalence, however, can be reduced if all evidence-based measures in insertion and management are carried out. The literature review demonstrated that clinical catheter related education improves nurses' knowledge which, translated into behaviour, results in reduced catheter days and CAUTI rates. A pragmatic, descriptive mixed methods convergent parallel approach was used to survey RNs from two professional associations through their mailing lists and social media platforms, using an online Qualtrics™ questionnaire. An online survey method was chosen to maximize geographical reach. Respondents confirmed their consent on accessing the online survey prior to commencing the questionnaire. All participants and their responses were anonymous. Results were saved on the Qualtrics™ platform and analysed quantitatively using descriptive statistics and qualitatively using a pragmatic approach to thematic analysis. Of the 72 responses, 61% (<i>n</i> = 44) worked in an acute hospital and 47% (<i>n</i> = 34) worked in the London area. There was representation from all over the United Kingdom except Scotland. 96% (<i>n</i> = 69) RNs were offered education in catheter insertion and management. Content of education included theory, practical, competency and ongoing education. 51% (<i>n</i> = 36) were offered education on a frequent basis. The results indicated that education in catheter insertion and management for RNs in the United Kingdom is not standardized. This may have implications for patient outcome measures such as CAUTI and on a macro level may be a symptom of wider organizational cultural inadequacies. Future research could inform the design of a standardized catheter insertion and management education package and measure its effect and impact on practice. The sampling method and subsequent response rate was a limitation of this study, and it may have been appropriate to use a more generic sampling frame to achieve representative results.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"188-198"},"PeriodicalIF":0.5,"publicationDate":"2023-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48090234","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
SHARING THE CARE: A project to enable prostate cancer care to be delivered in the community 共享护理:一个项目,使前列腺癌护理在社区提供
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-05-16 DOI: 10.1111/ijun.12365
Jason Alcorn RN, FHEA, BSc (hons), MSC, DN
{"title":"SHARING THE CARE: A project to enable prostate cancer care to be delivered in the community","authors":"Jason Alcorn RN, FHEA, BSc (hons), MSC, DN","doi":"10.1111/ijun.12365","DOIUrl":"10.1111/ijun.12365","url":null,"abstract":"<p>Prostate cancer has become the 2nd most common cancer in men worldwide. An ageing population and treatment improvements are increasing the number of men living with and beyond cancer. In 2013, there was both scant evidence to guide as to when, where or how men with prostate cancer should be followed up and neither, it appears, pointing to agreed pathways. Generally, follow up regimes are based on tradition and expert medical opinion rather than research or patient need. For men to have their follow up with their GP, several factors need to be in place such as a single system, an improved exchange of experiences, as well as information and knowledge sharing. A recent presentation of a randomized control trial has shown that there are no differences between secondary and primary care follow up. Understanding that the current model of follow up was not working and was unsustainable, a review of urological services was undertaken in 2011 in a large National Health Service (NHS) district general hospital in the north of England. The review evaluated current services, noting that some follow up pathways did not necessarily need to be undertaken within a secondary are setting. The process of relocating patients for primary care review, involved creating a shared care process for prostate cancer. A workstream consisting of consultant urologists, nurse specialists, GPs, service managers and clinical commissioners was convened. Protocols containing specific responsibilities for secondary and primary care were devised. The review and workstream, included a shared vision for improving and sustaining services. Whilst safely moving follow up from secondary to primary care, benefits were realized such as care closer to the home. In conclusion a radical approach to follow up was needed and undertaken. Shared care has yielded success for the patient, primary and secondary care.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"159-164"},"PeriodicalIF":0.5,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41405576","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}
引用次数: 0
Patients' experiences of completing patient-reported outcomes in clinical trials: An interview study 临床试验中患者完成患者报告结果的经历:一项访谈研究
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-04-19 DOI: 10.1111/ijun.12363
Louise Dorner Østergaard MScN, PhD Student, Birgitte Nørgaard MScN, PhD, Malene Eiberg Holm MScN, PhD Student, Ann-Kirstine Hansen MScN, Lars Lund MD, Mads Hvid Poulsen MD, PhD
{"title":"Patients' experiences of completing patient-reported outcomes in clinical trials: An interview study","authors":"Louise Dorner Østergaard MScN, PhD Student,&nbsp;Birgitte Nørgaard MScN, PhD,&nbsp;Malene Eiberg Holm MScN, PhD Student,&nbsp;Ann-Kirstine Hansen MScN,&nbsp;Lars Lund MD,&nbsp;Mads Hvid Poulsen MD, PhD","doi":"10.1111/ijun.12363","DOIUrl":"10.1111/ijun.12363","url":null,"abstract":"<p>This study aimed to gain insight into how older men diagnosed with prostate cancer experience responding to ePRO about their quality of life in a clinical trial as well as what motivates and demotivates them in the process. Drop-outs in patient-reported outcome studies are a well-known challenge that influence both the reliability and validity of clinical trials. Furthermore, retaining older people in electronic patient-reported outcome (ePRO) studies has proven difficult. This study was based on qualitative semi-structured interviews with 13 male patients. The interviews were conducted between April and May 2022 and were audio-recorded and transcribed verbatim. We analysed the interview inductively using Braun and Clark's thematic analysis. Resulting in five core themes among participants' responses: (1) the ePRO frame is feasible, (2) it is challenging to rate one's life on a scale, (3) increased disease insight, (4) unmet expectations of emotional support, and (5) from motivation to demotivation. The informants were motivated primarily by the idea of helping with new knowledge, but also because ePRO was seen as easy to use and access from home. They were further motivated by the new knowledge they gained through ePRO about symptoms and the possibility to follow their own progress. However, relating to their own quality of life creates an expectation that nurses and doctors will do the same in their treatment, and when this does not happen, the initial motivation turns into demotivation as ePRO knowledge was not used to tailor their treatment and follow-up. In conclusion, older men can participate in ePRO. They are motivated by helping with new knowledge, the ability to answer ePRO from home, and the insights they gain from the questionnaire. They lose motivation when their responses are not used to tailor their disease management.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"180-187"},"PeriodicalIF":0.5,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12363","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42129660","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
Indwelling catheter patient experiences and the potential usability and acceptance of the T-Control® prototype urinary catheter T - Control®原型导尿管的留置病人体验和潜在的可用性和接受度
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-03-16 DOI: 10.1111/ijun.12362
A. Toledo-Chavarri PhD, A. Bassas-Parga Bsc, S. Endrenyi Msc, M. Luque Bsc, C. Bezos-Daleske PhD, V. Reyero MSc, P. Serrano-Aguilar PhD, J. E. Batista-Miranda PhD
{"title":"Indwelling catheter patient experiences and the potential usability and acceptance of the T-Control® prototype urinary catheter","authors":"A. Toledo-Chavarri PhD,&nbsp;A. Bassas-Parga Bsc,&nbsp;S. Endrenyi Msc,&nbsp;M. Luque Bsc,&nbsp;C. Bezos-Daleske PhD,&nbsp;V. Reyero MSc,&nbsp;P. Serrano-Aguilar PhD,&nbsp;J. E. Batista-Miranda PhD","doi":"10.1111/ijun.12362","DOIUrl":"10.1111/ijun.12362","url":null,"abstract":"<p>The aim of this study was to analyse the experience of users of indwelling bladder catheters and evaluate the anticipated usability of a prototype of the T-Control® urinary catheter (without being inserted) by patients who were able to compare the differences between the T-Control® prototype and other urinary catheters and urinary catheter accessories. A qualitative study was conducted with people who had lived with an indwelling urinary catheter for at least 1 week. Two user-centred design techniques were applied: patient experience trajectory map and <i>Think Aloud,</i> a method where the participants were able to express their previous experiences, expectations and preferences while manipulating the devices. The experiential trajectory was collected based on a semi-structured following interviews. Participants were able to manipulate the new T-Control® and, based on their previous experiences, compare the potential usability of T-control® with Foley-type catheter and its accessories All the participants stated that they had experienced negative emotions concerning bladder catheterisation during the trajectory of use, from the initial prescription and adaptation to the follow-up, and the forced life changes that a permanent catheterisation implies. The most frequent emotions were rejection and sadness. The new T-Control® device could potentially improve the patient experience, as all participants perceived advantages related to the closure system, ease of use, safety and discretion. Participants also noted its closure system as an advantage and highlighted its ease of use, although one-handed operation required some learning. Catheters currently on the market are functional, but some patients do not always have a satisfactory experience. This might negatively affect their quality of life, so there is a wide market opportunity for new devices that improve clinical and psychological care. Based on patient evaluation, the new T-Control® device with a built-in valve could provide benefits for patients.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"172-179"},"PeriodicalIF":0.5,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42558621","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: 1
Overview of imaging used to guide management for prostate and bladder malignancy 用于指导前列腺和膀胱恶性肿瘤治疗的影像学综述
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-03-16 DOI: 10.1111/ijun.12361
Sarah Jafarieh MBBS, FRCR, Veena Vishwanath MBBS, FRCR, Agata Rembielak MBBS, BSc (Med Phys), MD (Res), PhD (Med Sci), MA (Med Ed), FRCR
{"title":"Overview of imaging used to guide management for prostate and bladder malignancy","authors":"Sarah Jafarieh MBBS, FRCR,&nbsp;Veena Vishwanath MBBS, FRCR,&nbsp;Agata Rembielak MBBS, BSc (Med Phys), MD (Res), PhD (Med Sci), MA (Med Ed), FRCR","doi":"10.1111/ijun.12361","DOIUrl":"10.1111/ijun.12361","url":null,"abstract":"<p>This article aims to present updates and review current practise on the main imaging modalities used in diagnosis of bladder and prostate cancer and provide this to readers. Patients diagnosed with or having treatment for a urological cancer are a huge part of any urological nurses' rota or clinical responsibilities, particularly now in an era of ever changing and improving diagnosis and management options. In this manuscript a practical overview of imaging is given to influence a fuller understanding of therapeutic management in prostate and bladder malignancies. For the purpose of this article there is only a focus on imaging in terms of diagnosis and staging purposes. It is hoped that detailed use of imaging in radiotherapy and brachytherapy for planning and treatment verification will be the subject of a separate paper but, for now, it is briefly mentioned for readers that may be less familiar with radiation oncology. Discussion and overview of imaging modalities used in the diagnosis of prostate and bladder cancer will improve understanding for urology nurses, especially junior career nurses.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"152-158"},"PeriodicalIF":0.5,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47390477","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}
引用次数: 0
CAUTI-bundle application in patients' care among nurses in a Nigerian tertiary health facility 尼日利亚三级卫生机构护士在患者护理中的CAUTI捆绑应用
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-03-08 DOI: 10.1111/ijun.12360
Ezike Okwudili Calistus MSc, Linda C. Odikpo PhD,  Onyia Evert MSc, Amadi Osinachi Chidinma BSc, Egbuniwe Michel Chiedu MSc, Ada C. Nwaneri PhD, Ngozi E. Makata PhD, Ihudiebube-Splendor Chikaodilli PhD
{"title":"CAUTI-bundle application in patients' care among nurses in a Nigerian tertiary health facility","authors":"Ezike Okwudili Calistus MSc,&nbsp;Linda C. Odikpo PhD,&nbsp; Onyia Evert MSc,&nbsp;Amadi Osinachi Chidinma BSc,&nbsp;Egbuniwe Michel Chiedu MSc,&nbsp;Ada C. Nwaneri PhD,&nbsp;Ngozi E. Makata PhD,&nbsp;Ihudiebube-Splendor Chikaodilli PhD","doi":"10.1111/ijun.12360","DOIUrl":"10.1111/ijun.12360","url":null,"abstract":"<p>Catheter associated urinary tract infection (CAUTI) is the most prevalent healthcare-associated infection worldwide, and the use of care bundles such as CAUTI bundles has been identified as the most effective ways of preventing it. This cross sectional descriptive study thus, evaluated the application and barriers to application of CAUTI bundles in patients' care among nurses in a tertiary government hospitals. Census method was used to recruit into the study all 446 registered nurses and midwives who met the inclusion criteria in the institution; thus, no sampling was done to select the participants from the study area. Data were collected by means of researchers' developed and validated semi-structured self-administered questionnaire delivered through Google drive. Univariate and bivariate data analyses were conducted with the aid of SPSS version 24. Results of the study revealed that only 7 (1.9%) of the nurses claimed they always use written guidelines during catheter insertion, whilst majority 57.4% do not follow any written protocol or guidelines when inserting catheter. The use of aseptic non-touch technique was always done by 80% of the respondents. In general, score on compliance with the bundles was poor, as only 46.4% of the respondents correctly apply the bundles to patients' care. Barriers to application of the bundles as revealed by the results include; lack of written policy/guideline documents on CAUTI bundles in the facility (100%), lack of existing monitoring and feedback tools (98.9%), Supervisors/staff do not feel empowered to challenge suboptimal practices in a safe way (52.4%), lack of team meeting/ward round routinely addressing patients with indwelling urinary catheter (78.6%). It is thus, imperative to conclude that although the nurses in this study have some knowledge about the catheter associated urinary tract infections' bundles, their application of the bundles to patients' care is very poor, and was found to be due to some modifiable barriers. These barriers are some of the areas nurse educators and hospital policy-makers should focus in their bid to curbing healthcare acquired infections.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 3","pages":"165-171"},"PeriodicalIF":0.5,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46858447","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}
引用次数: 0
Transcutaneous sacral neuromodulation for pelvic pain and non-relaxing pelvic floor: Findings from a pilot study 经皮骶骨神经调控治疗盆腔疼痛和不松弛性盆底:一项试点研究结果
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-02-14 DOI: 10.1111/ijun.12351
Stefano Terzoni PhD, MSN, RN, Cristina Mora RN, Maria Chiara Sighinolfi PhD, MD, Giorgia Gaia MD, Barbara Pinna MSN, RN, Bernardo Rocco MD, Anne Destrebecq MSC, RN
{"title":"Transcutaneous sacral neuromodulation for pelvic pain and non-relaxing pelvic floor: Findings from a pilot study","authors":"Stefano Terzoni PhD, MSN, RN,&nbsp;Cristina Mora RN,&nbsp;Maria Chiara Sighinolfi PhD, MD,&nbsp;Giorgia Gaia MD,&nbsp;Barbara Pinna MSN, RN,&nbsp;Bernardo Rocco MD,&nbsp;Anne Destrebecq MSC, RN","doi":"10.1111/ijun.12351","DOIUrl":"10.1111/ijun.12351","url":null,"abstract":"<p>We sought to evaluate the effectiveness and acceptability by patients of transcutaneous sacral roots neuromodulation (TSRN) by paravertebral placement of surface electrodes to treat pelvic pain and pelvic muscle stiffness. Pelvic pain is a disabling condition, often related to non-relaxing pelvic muscles. Causes for the onset are often unclear; noninvasive treatment targeted at maintenance factors can be administered by nurses in some countries. previous studies have investigated the role of invasive stimulation for pelvic pain; TSRN has proved successful in other pelvic disorders. We conducted a pilot study on a sample of consecutive patients of both genders, reporting pelvic pain (chronic or not). Weekly sessions of TSRN with surface electrodes were performed; pain was recorded with the numeric rating scale (NRS) at baseline and after the end of the rehabilitation plan. Therapeutic success was defined as a reduction of 50% in pain scores. Twenty patients were enrolled, most complaining multiple symptoms apart from pain. Seven males had primary prostate pain syndrome, one had history of orthopaedic surgery, and eight had muscle stiffness (Median = 3 out of 4, IQR = [3;3], range [2;4]). Sixteen patients (12 males and 4 females) had chronic pelvic pain. The median NRS values in the sample at baseline was 4[5.5–7.5] with no significant differences between genders (<i>p</i> = 0.144) and decreased significantly (Me = 0.5, IQR[0.0–1.0], <i>p</i> &lt; 0.001) after a median of 20 weekly sessions (range [10–30]). The results indicated clinically relevant benefit for all patients (<i>ω</i><sup>2</sup> = 0.689, 95%IC[0.505–0.793]) Decrease in pelvic muscle stiffness was significant (from Me = 3, IQR [3] to Me = 0, IQR[0–1], <i>p</i> &lt; 0.0001) without differences between the genders (<i>p</i> = 0.711). No significant difference was found in the number of sessions required by males and females to achieve therapeutic success (<i>p</i> = 0.282). TSRN seems a promising treatment for pelvic pain and can be performed in outpatients' clinics with low costs and no invasivity. Further studies on larger, randomized samples are required to confirm these results.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"123-128"},"PeriodicalIF":0.5,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.12351","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49299105","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
Social support for patients with penile cancer: A mixed-method study 阴茎癌患者的社会支持:一项混合方法研究
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-02-10 DOI: 10.1111/ijun.12354
Eeva Harju RN, PhD, Minna Törnävä PT, PhD, Hanna Vasarainen MD, PhD, Tomi Pakarainen MD, PhD, Mika Helminen MSc, Ilkka Perttilä MD, Antti Kaipia MD, PhD
{"title":"Social support for patients with penile cancer: A mixed-method study","authors":"Eeva Harju RN, PhD,&nbsp;Minna Törnävä PT, PhD,&nbsp;Hanna Vasarainen MD, PhD,&nbsp;Tomi Pakarainen MD, PhD,&nbsp;Mika Helminen MSc,&nbsp;Ilkka Perttilä MD,&nbsp;Antti Kaipia MD, PhD","doi":"10.1111/ijun.12354","DOIUrl":"10.1111/ijun.12354","url":null,"abstract":"&lt;p&gt;The research questions were as follows: How much social support do patients with penile cancer (PC) receive after surgical treatment for the condition; which factors are associated with the social support received; and how do patients with PC describe the social support they receive in terms of emotional support, affirmation and concrete aid? The purpose of this study is to describe the amount and type of social support (that is, emotional support, affirmation or concrete aid) received by patients with PC. In addition, it describes the associations between patients' background variables and their perceived social support. Men affected by PC experience a range of unmet support care needs, of which social support has not previously been thoroughly studied. Emotional support consists of caring for another person, respecting and creating a safe atmosphere for them and providing spiritual support. Affirmation is the reinforcement of knowledge and is especially evident in decision-making processes through advising or counselling. Concrete aid means the provision of assistance in the form of an activity or service that causes the donor to use time or money for the benefit of another person. A partially mixed concurrent dominant status design was used and included semi-structured interviews with, or letter responses from, 15 patients and a self-reported social support score survey of 42 patients with PC. The data were analysed using descriptive statistics, a non-parametric test and a deductive content analysis. Regarding the self-reported social support score survey, 42 patients reported the social support as good (mean [SD]; range 4.34 [1.06]; 1–6). The most frequent form of social support was affirmation (mean [SD] 4.65 [1.07]), and the least frequent was emotional support (mean [SD] 4.14 [1.16]). Employment status and primary operation were significantly associated with the social support received. Qualitative data imply that family members are the most important emotional supporters. Emotional support from healthcare professionals was felt to be insufficient. Despite their affirmation, patients felt they received incomplete information about the disease. Patients received concrete aid from family members but felt there was a lack of professional help. Although patients deemed the overall social support received to be good, they received insufficient support from healthcare professionals (emotional support) and had unmet informational needs (affirmation) as well as uncertainties regarding income support (concrete aid). Our results can help nurses provide more holistic care to patients with PC. This information can be utilized in the development of nursing interventions for such patients and their family members. In the future, nurses' and other healthcare professionals' counselling skills should be taken into account in their training. They also need to be supported through consultation and referral resources when they reach the limits of their exp","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"129-138"},"PeriodicalIF":0.5,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47368689","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}
引用次数: 0
Development of a self-management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy 根治性前列腺切除术后癌症患者下尿路症状自我管理量表的研制
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-02-09 DOI: 10.1111/ijun.12344
Koji Amano
{"title":"Development of a self-management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy","authors":"Koji Amano","doi":"10.1111/ijun.12344","DOIUrl":"10.1111/ijun.12344","url":null,"abstract":"<p>How can nurses assess the self-management of lower urinary tract symptoms (LUTS) in patients with cancer after radical prostatectomy (RP)? Patients with prostate cancer who have undergone RP experience multiple LUTS. This study aimed to develop a self-management scale for LUTS in patients with cancer following RP (SMS-LUTS-RP), as well as to verify its reliability and validity. LUTS has physical, social, and psychological consequences for patients. As a result, patients are forced to self-manage their LUTS and LUTS-related issues. However, no indicators exist to assess self-management of LUTS. A total of 246 individuals were surveyed. A 49-item scale draft, whose content validity and face validity were confirmed, was used to develop a questionnaire for patients with LUTS after RP. The reliability and validity were determined using by item analysis, exploratory factor analysis, confirmatory factor analysis, and Cronbach's α coefficient. The exploratory factor analysis produced the following 18 items on five extracted factors: ‘monitoring of urinary status,’ ‘coping with daily life difficulties due to LUTS,’ ‘collaboration with medical professionals,’ ‘continued training to improve LUTS,’ and ‘living with LUTS.’ The goodness-of-fit-index (GFI) for confirmatory factor analysis was 0.876, and the root mean square error of approximation was 0.075. Cronbach's α coefficient was 0.754–0.820. SMS-LUTS-RP has desirable psychometric properties and can assess the cognitive and behavioural aspects of self-management of LUTS in patients with cancer who have undergone a RP. This scale can be used to provide individualized self-management support according to living conditions.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"103-115"},"PeriodicalIF":0.5,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46478375","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}
引用次数: 0
Postoperative symptom management perceptions and coping experiences of individuals with prostate cancer 前列腺癌患者术后症状管理认知及应对经验
IF 0.5
International Journal of Urological Nursing Pub Date : 2023-02-08 DOI: 10.1111/ijun.12345
Hatem Kazımoğlu MD, Nilgün Ulutaşdemir PhD, Nurşen Kulakaç PhD, Sevda Uzun PhD
{"title":"Postoperative symptom management perceptions and coping experiences of individuals with prostate cancer","authors":"Hatem Kazımoğlu MD,&nbsp;Nilgün Ulutaşdemir PhD,&nbsp;Nurşen Kulakaç PhD,&nbsp;Sevda Uzun PhD","doi":"10.1111/ijun.12345","DOIUrl":"10.1111/ijun.12345","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to examine in depth the perceptions of postoperative symptom management and coping experiences of individuals with prostate cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material-Method</h3>\u0000 \u0000 <p>The study was conducted with 15 individuals with prostate cancer using a phenomenological research design, which is a qualitative research design. Interviews were conducted via the WhatsApp application.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The data were analysed using Colaizzi's phenomenological method. In the data analysis, two categories, five main themes, and 15 sub-themes emerged. In the category of symptom management perception, there are themes of pain management processes, the use of complementary and alternative therapies and practices to cope with symptoms and improve quality of life. In the category of coping experiences, the themes of individual coping, interpersonal relations, and productivity were obtained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study suggests that individuals with prostate cancer have difficulty in symptom management in the postoperative coping process, but they managed them effectively with the support of their spouse, family, and health care professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"17 2","pages":"116-122"},"PeriodicalIF":0.5,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46717769","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}
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