Clinical nursing studies最新文献

{"title":"Prevalence of unintended pregnancy and associated factors among pregnant women attending antenatal clinics","authors":"Eman H. Elshrqawy, Amina M. Elnemr","doi":"10.5430/CNS.V9N1P29","DOIUrl":"https://doi.org/10.5430/CNS.V9N1P29","url":null,"abstract":"Objective: Unintended pregnancy is an important worldwide public health problem and one of the important factors contributing to high level of maternal and child morbidity and mortality. The study was aimed to assess the prevalence and associated factors of unintended pregnancy among pregnant women attending antenatal clinics. Methods: The study followed a descriptive cross-sectional design on 1,254 pregnant women who were chosen by convenient sample technique. The study was done at governmental hospitals in EL-Mansoura City, Egypt including: The antenatal clinics of Obstetric and Gynecological specialty Center at EL-Mansoura University Hospitals, Old General Hospital and Mansoura International Hospital. Two tools were utilized for data collection (The Urdu version of pregnancy intention scale (LMUP) and structured Interviewing Questionnaire. Results: The prevalence of unintended pregnancy among studied women was (29.1%), of which 229 (18.3%) were mistimed and 136 (10.8%) were unwanted. Age, higher family size, lower family income, gravidity, parity, increased number of children and birth spacing were significantly associated with unintended pregnancy. Conclusions: The study concluded that the prevalence of unintended pregnancy was high in El-Mansoura city. It is recommended to develop educational programs and campaigns especially for rural areas to improve awareness regarding family planning and other co-factors associated with unintended pregnancy.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"9 1","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42284522","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 utilizing developed gestational diabetes mellitus guideline on pregnancy and childbirth outcomes","authors":"E. Elbeltagy, N. Khedr, N. Abd-Ella","doi":"10.5430/cns.v9n1p15","DOIUrl":"https://doi.org/10.5430/cns.v9n1p15","url":null,"abstract":"Background: Gestational Diabetes Mellitus (GDM) is one of the most common medical health problems that may happen during pregnancy and may lead to a range of short and long-term maternal, fetal as well as neonatal complications. However, effective management and education on GDM self-care measures improve pregnancy outcomes for both women and their neonates.Aim: The study was carried out to evaluate the effect of utilizing developed gestational diabetes mellitus guideline on pregnancy and childbirth outcomes.Methods: A quasi-experimental research design was used at Antenatal Clinic of Obstetric and Gynecological Specialty Center at Mansoura University Hospitals, Mansoura city. A purposive sample of 126 pregnant women diagnosed with GDM, assigned to the intervention group (n = 63) who utilized the Gestational Diabetes Mellitus Guideline (GDMG) of care in addition to routine antenatal care and control group (n = 63) who followed routine antenatal care only. Tools: Three tools were used to collect data from participants as A structured interview schedule, maternal assessment record and fetal & neonatal assessment record.Results: The current study findings indicated that, there was a highly statistical significant reduction of body mass index and the mean random blood glucose levels at 34 & 37 weeks’ of pregnancy after intervention in the GDMG group than control groups (p < .001). Also, there was a statistical significant reduction in the occurrence of maternal complications as gestational hypertension, preeclampsia, preterm labor and polyhydramnios in the GDMG group .Similarly, the neonates of the GDMG group had better Apgar scores after birth & lower incidence for developing neonatal complications as prematurity, respiratory distress syndrome and NICU admission.Conclusions and Recommendations: This study showed that, pregnant women with GDM who utilized the GDMG had better maternal & neonatal outcomes than those who did not utilize it. It is recommended to provide a manual GDMG to all pregnant women with GDM for better lifestyle changes & maintaining self-management regimen as well as better pregnancy outcomes.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42557194","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":"Situational awareness in the identification of abuse – Out-of-hospital emergency care providers’ experiences","authors":"Mari Salminen-Tuomaala, J. Tiainen, E. Paavilainen","doi":"10.5430/cns.v8n4p69","DOIUrl":"https://doi.org/10.5430/cns.v8n4p69","url":null,"abstract":"This qualitative study describes out-of-hospital emergency care providers’ experiences and views of situational awareness (SA) in the identification of abuse, including observations that led them to suspect abuse. Nine prehospital emergency care providers and three community paramedics were interviewed based on preselected themes. The data was analyzed using inductive content analysis. According to the results, emergency care providers’ self-defined situational awareness consisted of cognitive competence (logical reasoning and detection of cause-effect relationships); emotional competence (empathy and emotional intelligence); social competence (interaction skills and assessment of family dynamics), and experiential knowledge. Indicators of abuse involved the overall situation; the client’s physical condition; the client’s mental condition; the context and circumstances, and the logic in client reports. Although situational awareness develops with work experience, it is advisable for educators to include a wide range of cognitive, emotional and social skills in the initial and continuing education of emergency care professionals. These skills can be practiced using multi-professional simulation-based education.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44396293","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":"Ambulation of hospitalized patients: Knowledge, values, and barriers of direct care providers","authors":"Melissa Tomassy, A. Moore, Ashley Peacock, Justin M. Wright, P. Ward-smith","doi":"10.5430/cns.v8n4p60","DOIUrl":"https://doi.org/10.5430/cns.v8n4p60","url":null,"abstract":"The desire to ambulate hospitalized patients is tempered by their risk of falling. Research articulates the health-related benefits of ambulation, yet routinely providing this intervention is challenging. This descriptive survey-design study obtained data from consented licensed and unlicensed direct-care providers, which assessed their knowledge, values, and perceived barriers associated with routine ambulation of patients receiving care in a hospital setting. Analyses of these data conclude that the subjects were knowledgeable about and value ambulating patients. The most frequently cited barrier to routine ambulation was an inadequate staff number, followed closely by an unexpected rise in volume and patient acuity. Interventions aimed at improving the ambulation of patients should include the results of this study.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"8 1","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2020-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41551946","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":"Sheltering in place swings door open wide to food insecurity during COVID-19 pandemic","authors":"A. Alakaam, S. Gudmundson","doi":"10.5430/cns.v9n1p11","DOIUrl":"https://doi.org/10.5430/cns.v9n1p11","url":null,"abstract":"The COVID-19 pandemic is causing economic devastation and health system instability around the world. It has been reported that virus pandemics result in food crises even before the appearance of health impacts of the virus in the community. Addressing the consequences of food insecurity is critical during public health crises such as the COVID-19 pandemic. Currently, there is no evidence for the best module or practice used to reduce food insecurity during COVID-19 pandemic. However, a previously adapted tool can be used to address and measure community needs as well as expand access to food. The purpose of this report is to introduce the impact of the COVID-19 pandemic on food insecurity among the low-income population of the United States and to provide a suggestion to intervene on the impact. Using a validated tool to identify food insecurity, coupled with urgent immediate policy change, may diminish consequences of food insecurity and protect the health of those most fragile during a pandemic crisis in rural and low-income communities.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"9 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v9n1p11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45277310","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":"Relationship between patient-perceived quality of nurse caring attitudes and behaviours and quality of life of haemodialysis patients in Switzerland","authors":"P. Delmas, Matteo Antonini, T. Bellier-Teichmann, Evelyne Boillat, Vanessa Brandalesi, L. O’reilly, Chantal Cara, Sylvain Brousseau, Delphine Roulet-Schwab, Isabelle Ledoux, J. Pasquier","doi":"10.5430/cns.v9n1p1","DOIUrl":"https://doi.org/10.5430/cns.v9n1p1","url":null,"abstract":"Background: Chronic kidney disease (CKD) is a fast-growing cause of morbidity and mortality worldwide. Patients suffering from CKD almost always develop end-stage renal disease (ESRD) that is often treated with haemodialysis (HD). In this context, the quality of the nurse-patient relationship (NPR) plays a major role in supporting the quality of life (QoL) of HD patients. This study examined the relationship between quality of nurse behaviours and attitudes as perceived by HD patients and QoL of these patients. Methods: The study used a cross-sectional correlational design. The sample consisted of 140 patients recruited in 10 HD units in French-speaking Switzerland. The Caring Nurse-Patient Interaction Scale (CNPI-70) was used to assess the NPR, and the French version of the WHOQOL-Bref was used to evaluate different dimensions of QoL. Random-intercept linear regressions adjusted for sociodemographic characteristics were used to study the relationship between patient-perceived quality of nurse caring attitudes and behaviours and patient QoL. Results: Patients reported a high frequency of caring attitudes and behaviours from their attending nurses, except relative to the dimension of spirituality. All the dimensions of patient QoL were positively influenced by the caring factor composing the CNPI-70. In particular, nurse attention to patient dignity when providing support for basic human needs seemed to be a major factor in patient QoL. Conclusions: Quality of NPR is essential to improving patient QoL. Interventions need to be developed to support quality of NPR.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"9 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v9n1p1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47782386","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":"Organizational justice and workplace spirituality: Their relation to organizational silence behavior among nurses","authors":"G. Diab, Sohair Mabrouk Mohamed","doi":"10.5430/cns.v8n4p45","DOIUrl":"https://doi.org/10.5430/cns.v8n4p45","url":null,"abstract":"Background: Justice and its implementation are one of the fundamental and innate needs of the human. Employees’ exhibit higher levels of performance, loyalty, act more than their job descriptions when they are treated fairly at the workplace. Organizational injustice negatively affects organizational silence in the workplace and using the workplace spirituality technique decreases this negative effect. Aim: To assess the relation of organizational justice and workplace spirituality with organizational silence behavior among nurses. Methods: Design: A descriptive correlational research design. Setting: The study was conducted at the University Hospital of Menoufia Governorate, Egypt. Subjects: A simple random sample consisted of 372 nurses. Tools: Data were collected by using an organizational justice questionnaire, workplace spirituality questionnaire, and organizational silence behavior scale. Results: the highest percent of the studied nurses had a moderate perception level toward organizational justice, and the mean score of the organizational justice variable was 39.37 ± 6.73. The highest mean score was the interactional justice 18.41 ± 3.16, procedural justice 11.67 ± 2.56, and then the distributive justice dimension 9.51 ± 2.21, respectively. Two-third of the studied nurses had a moderate perception level toward workplace spirituality and the highest the mean score was 27.18 ± 1.68 related to the sense of community dimension. The highest percent of the studied nurses had a high level toward organizational silence behavior and the mean score of the organizational silence variable was 38.24 ± 6.73. Also, the most type of organizational silence behavior was prosocial silence, and the most common cause of nurses silent was “supervisor support for silence factor”. Conclusions: There was a highly statistically significant positive correlation between organizational justice and workplace spirituality and there was a negative correlation between organizational justice, workplace spirituality, and organizational silence behavior among nurses. Recommendations: Nursing Managers have to respect to rights and duties of nurses in making decisions and conducted periodically meeting with their nurses to discuss and solve work problems and have to create a transparent environment in which nurses express their ideas and views to minimize the reasons that push them to remain silent.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"8 1","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2020-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n4p45","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42306881","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":"Efficacy of a preventive instructional module on mothers’ knowledge regarding shaken baby syndrome","authors":"S. Hashem, B. Mohammed, G. Ahmed, Eman A. Fadel","doi":"10.5430/cns.v8n4p35","DOIUrl":"https://doi.org/10.5430/cns.v8n4p35","url":null,"abstract":"Objective: Shaken baby syndrome (SBS) is a shocking phenomenon that is recognized as one of the most severe forms of child abuse with very high rates of morbidity and mortality among infant less than one year of age. Although of its high mortality and morbidity, it is a highly preventable health problem. So, there is an essential need for a strategy to prevent it through education by nurses and physicians to new mothers. This study aimed to evaluate the efficacy of a preventive instructional module on mothers’ knowledge regarding SBS. Methods: A quasi-experimental design was carried out on eighty mothers who had delivered full-term infants and hospitalized on labour and delivery unit affiliated to Mansoura University Hospital, Mansoura City, Egypt. Data were collected through using of a structured interview questionnaire sheet (pre and post-test format) for assessing mothers’ knowledge about SBS and infant’s crying. Results: The total mean knowledge scores improved post implementation of a preventive instructional module regarding SBS compared to pre-implementation (0.86 ± 0.19 versus 0.35 ± 0.39 respectively). Conclusions: The study hypothesis was accepted. There were highly significant improvement in the studied women’s knowledge regarding SBS and infant crying. Indicating that the developed preventive instructional module was an effective tool for the enrichment of mothers’ knowledge regarding SBS and infant’s crying. Recommendation: Implementation of antenatal classes for improving mothers’ knowledge regarding SBS and infant crying.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2020-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n4p35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48587996","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":"Comparing the differences in health of body, mental and spirit among Schedule I and II controlled drugs users with Schedule III and IV controlled drugs users","authors":"Hui-Man Huang, A. Long, F. Sun, Chu-Yun Lu, YuChun Yao","doi":"10.5430/CNS.V8N4P26","DOIUrl":"https://doi.org/10.5430/CNS.V8N4P26","url":null,"abstract":"Objective: To compare the differences in physical, mental, and spiritual health among Schedule I and II with III and IV controlled drugs users. Methods: A cross-sectional comparison design was used. A convenience sample of 479 drugs users was recruited in Taiwan. Results: The results showed that Schedule I and II drug-users had less perceptions of their overall body-mental-spirit health than Schedule III and IV drug-users (52.72 vs. 55.40, t = -3.00, p < .01). Conclusions: The health professionals could design drug rehabilitation programs for all Schedules of drug-users, especially for Schedule I and II drug-users.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"8 1","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V8N4P26","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45574738","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":"Towards more authentic simulation-based learning – Nursing students’ experiences","authors":"Mari Salminen-Tuomaala, Elina Leppäkangs, Sami Perälä","doi":"10.5430/CNS.V8N4P18","DOIUrl":"https://doi.org/10.5430/CNS.V8N4P18","url":null,"abstract":"Background: Nursing students need opportunities for authentic learning in contexts that strongly resemble real-life clinical settings. Objective: This qualitative study describes final year nursing students’ experiences of simulation authenticity and presents development needs proposed by the students. The study aimed at producing knowledge that can be used by educators and technology specialists to develop simulation pedagogy for acute nursing. Methods: Eleven final-year nursing students specializing in acute nursing (intensive care and in- and out-of-hospital emergency care) responded to a questionnaire with four open questions in December 2019. Inductive content analysis was used to analyze the data. Results: The students stressed the importance of their own preparations and living into the nursing role with proper briefing from an expert teacher, supported by a realistic representation of the setting using real equipment, actors, visualization and other multisensory cues. Conclusions: Students’ subjective experience of authenticity depends on many factors; preparation, awareness of objectives, support from the facilitator and the level of environmental fidelity. Simulations, which reach a reasonable degree of authenticity in the students’ experience, can be considered an effective form of authentic learning.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"8 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V8N4P18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43444278","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}