Clinical nursing studies最新文献

{"title":"Nurses’ happiness and awareness of their influence on work in governmental and private hospitals","authors":"Ibrahim Yahya Alhakami, O. Ghazi Baker","doi":"10.5430/cns.v7n1p21","DOIUrl":"https://doi.org/10.5430/cns.v7n1p21","url":null,"abstract":"Nurses passed through many stressful experiences during nursing work. Emotional support and considering their emotional needs can alleviate such work-associated tension and contribute to the quality of their performance. Nurses’ happiness and awareness of their influence on work are necessary blocks to build the nurses’ emotional steadiness, and thus their work retention and turnover rates would be maintained. This study establishes to attain two aims: First: to identify the levels of nurses’ happiness and the awareness of their influence on work, in governmental and private hospitals, in Jeddah, Kingdom Saudi Arabia (KSA). Second: to determine the correlation between those perceived variables. Thus, a descriptive, correlative and comparative research design was employed with 300 registered nurses in King Abd El Aziz governmental hospital and 200 registered nurses in private International Medical Center, Jeddah, KSA. A survey method was applied for data collection, and the study questionnaire involved three parts. Part one is about nurses’ personal profile. The second part included happiness subscale, which was developed by Warr et al., in 1979 and the third one is the individual influence on the work scale that was developed by Toode et al., in 2015. The study findings reveal that the majority of both study groups reported a fair level of happiness, with a moderate awareness level of their influence on work. Additionally, nurses who are working in private hospital have a higher awareness level of their influence on work and happiness, more than the nurses who are working in the governmental hospital. Study subjects who experience a high level of happiness have a high level of awareness of their influence on the work. Therefore, the correlation coefficient among both research variables in both hospitals indicated a noteworthy stronger positive correlation. Conclusion and recommendations: nurse’s happiness and awareness of their influence on work are essential emotional aspects to be considered in nursing management. Fitting plan for nurses’ psychological stability at work should be designed and implemented, particularly in governmental hospitals in Jeddah. Also, Nurse Manager should assess and maintain a high nurses’ happiness level and awareness of their influence on the work; consequently, nurses work product will be improved. Further studies are needed to investigate the study variables by different measurement tools for behaviors or skills. A study about an assessment of the relation between the nurse’s emotional status and their performance is suggested.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v7n1p21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202673","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":"Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up","authors":"R. Raivio, E. Paavilainen, K. Mattila","doi":"10.5430/CNS.V7N1P11","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P11","url":null,"abstract":"Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients’ characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: “When visiting the health centre, do you usually see the same nurse”, the alternatives being “yes” or “no”. A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients’ problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43).Conclusions: In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients’ problems, showed interest toward them and a willingness to answer their questions.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46114202","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":"Exploring the relationship between perceived educational environment and academic achievement among critical care nursing students","authors":"S. A. Shalaby, Areej Talal Aljezani","doi":"10.5430/cns.v7n1p1","DOIUrl":"https://doi.org/10.5430/cns.v7n1p1","url":null,"abstract":"Objective: The integrated nursing educational environment remains to have a crucial influence on the student achievement, behaviors, satisfaction and success. The current study aimed to explore the relationship between perceived educational environment and academic achievement among critical care student nurses.Methods: Participants of this quantitative exploratory descriptive co relational study were 64 students selected conveniently from the students enrolled in Critical Care Nursing course at spring and fall semesters 2016/2017 in King Saud Bin Abdul-Aziz University. A self-reported questionnaire titled “Student Nurses’ Educational Environment Perception (SNEEP)” developed by the researcher to explore the relationship between perceived educational environment and academic achievement among critical care student nurses.Results: Students aged between 22 to 28 years old and half of them were single, while 58% of students had grade point average (GPA) between 2 to 3.49 and most students perceived their educational environment as more positive than negative, whereas the mean of their perception score was 138.58 ± 11.44. Finally, there was no statistical significant relationship between students’ academic achievement and their both clinical and educational environment perception.Conclusions: Despite the students perceived their clinical and educational environment as more positive than negative indicating their high level of satisfaction in most of areas of critical care nursing course, the current study revealed no significant correlation between students’ clinical and educational environment perception with their GPA. This necessitates the need for ongoing evaluation of learning environment for the same course and other courses to address any further correlation factors that may hinder the learning of students with unsatisfactory academic achievement.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v7n1p1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46841661","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":"Patient satisfaction with nurse practitioner care in Newfoundland and Labrador","authors":"Wanda Emberley-Burke, R. Meadus, J. C. Twomey, K. Kean","doi":"10.5430/CNS.V6N4P101","DOIUrl":"https://doi.org/10.5430/CNS.V6N4P101","url":null,"abstract":"Objective: The aim of the study was to determine the level of patient satisfaction with health care provided by Nurse Practitioners (NPs) in Newfoundland and Labrador (NL), in primary health care settings.Methods: This is a descriptive study. 155 adult patients (N = 155) were recruited from the four regional health authorities (RHAs) throughout NL who employed NPs in a primary health care setting. A 47-item questionnaire called the Nurse Practitioner Satisfaction Survey (NPSS) was given to patients after receiving care from a NP.Results: Over 93% of the participants agreed or strongly agreed with their degree of satisfaction of care provided by the NP. Patients who visited the NP one to five times in the past year reported higher levels of satisfaction. No significant differences based upon marital status, gender or ethnicity were found.Conclusions: Patient satisfaction was rated as high for care provided by NPs with over 98% of participants reporting they would seek the services of a NP in the future. The majority of the participants would recommend the NP to others seeking health care services. This study describes patient satisfaction with NP care and highlights NPs as valued providers of care in rural and urban primary health care settings. Identified narrative themes were timely access to care, NP knowledge, trust, and provider consistency. NPs should seek ways to ensure they work to their full scope of practice to meet the needs of the population and increase their presence in primary health care settings.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N4P101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47555191","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":"Survey of umbilical cord care practices and separation time in healthy new-born in Maiduguri, Nigeria","authors":"Dathini Hamina, R. T. Kever, M. Uba, Lola Nelson, Habu Haruna, Gagare A. Ayuba, Ishaya E. Friday, Pius Iorapuu Damkor","doi":"10.5430/CNS.V6N4P94","DOIUrl":"https://doi.org/10.5430/CNS.V6N4P94","url":null,"abstract":"This study aimed at assessing the umbilical cord care practices and separation time in healthy new-born in Maiduguri, Borno State, Nigeria. A descriptive survey design was adopted for the study. A total of 365 women attending child welfare clinic were selected through systematic random sampling technique from three health care facilities in Maiduguri Metropolis. A self-developed and validated questionnaire was used to collect information from the women on common cord care practices and knowledge of standard umbilical cord care practices. The questionnaire was pretested in State Specialist Hospital Maiduguri, Borno State and the correlation coefficient of 0.87 determined. The result of the study revealed that common cord care practices among women in Maiduguri include the use of methylated spirit, hot compress, charcoal, Vaseline and table salt. Others were mixture of methylated spirit with traditional concoctions, toothpaste and cow dung were also found to be commonly used by the mothers. The mean umbilical cord separation time of 3.5 days (± 0.397) was observed with the unorthodox treatment of the cord. Although there was a good knowledge among the respondents with regards to standard umbilical cord care practice, there was however no commensurate practice. Therefore, there is an urgent need for cultural re-orientation most especially of women with regard and unhygienic traditional cord care practices on the new born.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N4P94","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43463584","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":"Rapid detection of Candida parapsilosis contamination in the infusion fluid","authors":"S. Oie, K. Kouda, H. Furukawa, A. Kamiya","doi":"10.5430/CNS.V6N4P80","DOIUrl":"https://doi.org/10.5430/CNS.V6N4P80","url":null,"abstract":"We encountered a case of microbial contamination of infusion fluid detected based on the discoloration of an inline filter (membrane filter) in the main route. A cause of this contamination may be the use of an extension tube connected to the main route for more than a month. In the infusion fluid above the inline filter (on the high calorie end), 2.4 × 105 colony forming units (cfu)/ml of Candida parapsilosis was detected. “Adenosine triphosphate (ATP) + adenosine monophosphate (AMP)” was determined in addition. We conclude that microbial contamination of this infusion fluid can be rapidly estimated by measuring the amounts of “ATP + AMP”.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N4P80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202584","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":"Perceptions of experiences of having a sibling stem cell donor","authors":"A. Kisch, A. Forsberg","doi":"10.5430/cns.v6n4p59","DOIUrl":"https://doi.org/10.5430/cns.v6n4p59","url":null,"abstract":"Objective: The aim was to explore stem cell recipients’ perceptions of experiences of having a sibling donor from pretransplantation to one year afterwards in order to support their learning process. Methods: Ten adult recipients, five women and four men, with a mean age of 52 years (19-68 years) receiving stem cells from a sibling donor were included consecutively. We used a phenomenographic approach to analyse the 28 open-ended interviews that took place before transplantation and three months and one year afterwards. Results: Ten categories emerged comprising 110 different perceptions pertaining to: Advantages, Acknowledgement, Risk evaluation, Complexity, Family impact, Non-directed donors, Self-identity, Facing the reality, Knowledge seeking and Caring encounters. Three distinct phases of the learning process were identified from before transplantation to one year afterwards, i.e., risk-benefit analysis, outcome expectations and facing the reality. Conclusions: Before transplantation the recipients had many perceptions about having a sibling donor and focused on a thorough risk versus benefit analysis for both themselves and the donor. Three months after transplantation the recipients sought knowledge in order to have realistic expectations and comprehend their future. One year after transplantation the recipients had few perceptions and focused on facing the reality, irrespective of whether the outcome was good or bad. The generic perceptions of the recipients over time were that serious blood diseases are burdensome and lethal, while treatment should include continuity of care.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v6n4p59","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44230406","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":"Effect of applying centering pregnancy model versus individual prenatal care on certain prenatal care outcomes","authors":"Tyseer Marzouk, I. M. Abd-Allah, H. Shalaby","doi":"10.5430/CNS.V6N2P91","DOIUrl":"https://doi.org/10.5430/CNS.V6N2P91","url":null,"abstract":"Objective: This study aimed to compare effect of applying centering pregnancy model (CPM) versus individual prenatal care on certain prenatal care outcomes. Methods: A quasi experimental research design was followed. A purposive sample of 216 pregnant women without medical or obstetric problems requiring individualized care, was recruited from the Antenatal Outpatient Clinics of Mansoura University Hospitals, Egypt. Participants were randomly assigned to receive prenatal care under CPM or individual prenatal approach. Data were collected for the healthy behaviors adoption using Pregnancy-relevant Health Behaviors scale, women’s extent of troubling about pregnancy physical discomforts using a Pregnancy Symptoms Distress scale, and women’s satisfaction with prenatal care using Patient Participation & Satisfaction Questionnaire. Results: Post-intervention, CPM group equated to individual care group experienced lower distress about experienced pregnancy physical discomforts (8.06 ± 2.40 vs. 15.42 ± 3.84 respectively; t = 16.89 & p < .001), reported higher engagement to pregnancyrelevant health behaviors (37.71 ± 2.91 vs. 29.78 ± 4.3 respectively; t = 15.59 & p < .001), and higher satisfaction with and participation in care (80.8 ± 10.4 and 63.8 ± 11.1 respectively, t = 11.62 & p < .001). Conclusions: Hypotheses of the current study were accepted where CPM of prenatal care was associated with increased women adoption to the pregnancy-relevant healthy behaviors, reduced women distress about the experienced pregnancy physical discomforts and increased women participation and satisfaction about prenatal care.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N2P91","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49553442","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":"Undergraduate final year nursing students’ attitudes toward caring for dying patients: Bahrain’s experience","authors":"M. Yaqoob, Husain Nasaif, H. Kadhom","doi":"10.5430/CNS.V6N4P53","DOIUrl":"https://doi.org/10.5430/CNS.V6N4P53","url":null,"abstract":"Background: Nursing students are frequently exposed to dying patients during their clinical placement. Research studies that examined nursing students’ attitudes toward caring for dying patients were limited in the Gulf Region, including Bahrain. Objective: The purpose of this study is to examine the attitudes of fourth-year baccalaureate nursing students regarding caring for dying patients. Methods: A descriptive cross-sectional design was utilized to recruit a convenience sample of fifty-four nursing students. Frommelt’s Attitudes towards Caring of the Dying (FATCOD) five Likert scale was used. Results: The overall findings revealed that participants had a neutral attitude toward caring for dying patients. The overall attitudes mean score was 3.4 ± 0.3. The majority of participants were female (83%, n = 45). The difference in the mean score in relation to gender was statistically significant ( p = .049). Although the majority of all participants (80%) reported having dealt with the terminally ill people in the past, the association between previous experience and reported attitudes was not statistically significant ( p = .31). Conclusions and recommendations: Literature revealed that students who received end of life education where found to have positive attitudes. Therefore, it’s crucial to introduce a standalone educational module regarding end of life care early on in the undergraduate curriculum. It is recommended that future studies recruit nursing students from other baccalaureate year levels to reassess the attitudes and level of preparedness following a curriculum reform and implementation of end of life care education. Additionally, a qualitative research method is recommended to explore the lived experience of the nursing students when they are caring for dying patients.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N4P53","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42935069","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 relationship between instruction specificity and resistiveness to care during activities of daily living in persons with dementia","authors":"J. Buchanan, Brittaleigh DeJager, Sandra Garcia, D. Houlihan, C. Sears, Kathleen M. Fairchild, Adam F Sattler","doi":"10.5430/CNS.V6N4P45","DOIUrl":"https://doi.org/10.5430/CNS.V6N4P45","url":null,"abstract":"It is common for persons with dementia to display resistant behaviors during activities of daily living (ADLs) and caregiver communication skills can influence the likelihood of these behaviors. Previous research suggests that the type of instructions issued by caregivers is related to rates of compliance during ADLs in persons with dementia. It is unclear, however, if these instruction types affect the likelihood resistiveness to care (RTC) during ADLs. The purpose of the current study was to examine how the use of different types of instructions relate to instances of RTC during ADLs. Results indicated that vague and ambiguous instructions (i.e., beta instructions) were more likely to precede and follow physical aggression compared to instructions that were more specific, clear and feasible (i.e., alpha instructions). Results also indicated that alpha instructions were more likely to precede verbal agitation. These findings have implications for communication training programs for caregivers working with persons with dementia.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N4P45","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202197","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}