ISRN nursingPub Date : 2012-01-01Epub Date: 2012-04-29DOI: 10.5402/2012/402157
Victor Olufolahan Lasebikan, Modupe Olusola Oyetunde
{"title":"Burnout among Nurses in a Nigerian General Hospital: Prevalence and Associated Factors.","authors":"Victor Olufolahan Lasebikan, Modupe Olusola Oyetunde","doi":"10.5402/2012/402157","DOIUrl":"10.5402/2012/402157","url":null,"abstract":"<p><p>Objective. To evaluate the prevalence and associated factors of burnout among nurses in a Nigerian general hospital. Methods. A total sampling method was utilized. Measurements. Burnout was evaluated using the Maslach Burnout Inventory; GHQ-12 was used to determine the presence of psychiatric morbidity. Results. A high level of burnout was identified in 39.1% of the respondents in the area of emotional exhaustion (EE), 29.2% in the area of depersonalization and 40.0% in the area of reduced personal accomplishment. Multivariate analysis showed that doctor/nurse conflict (OR = 3.1, 95% CI: 1.9-6.3), inadequate nursing personnel (OR = 2.6, 95% CI: 1.5-5.1), and too frequent night duties (OR = 3.1, 95% CI: 1.7-5.6) were predictors of burnout in the area of EE, doctor/nurse conflict (OR = 3.4, 95% CI: 2.2-7.6) and too frequent night duties (OR = 2.4, 95% CI 1.5-4.8) in the area of D, high nursing hierarchy (OR = 2.7, 95% CI: 1.5-4.8), poor wages (OR = 2.9, 95% CI: 1.6-5,6), and too frequent night duties (OR = 2.3, 95% CI: 2.3-4.5) in the area of RPA. Conclusions. Prevalence of burnout among these nurses was high. The government therefore needs to look into factors that will enhance nurses' recruitment and retention for effective health care delivery system.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"402157"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30638363","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-07-03DOI: 10.5402/2012/863291
Ami Hommel, Marie-Louise Kock, Jeanette Persson, Elisabeth Werntoft
{"title":"The Patient's View of Nursing Care after Hip Fracture.","authors":"Ami Hommel, Marie-Louise Kock, Jeanette Persson, Elisabeth Werntoft","doi":"10.5402/2012/863291","DOIUrl":"10.5402/2012/863291","url":null,"abstract":"<p><p>Background. The pathway for patients with a hip fracture described in this study is a fast track. Many studies have focused on prevention of various complications but, so far, the patient's view of nursing care has not been highlighted. Aim. The aim of the study is to illuminate the patient's view on nursing care when treated for a hip fracture. Method. Ten patients were interviewed. A content analysis design was conducted. Findings. From the analysis, four main categories emerged: waiting times; pain/pain relief and mobilisation; attitude/information and sense of security; complications. Conclusion. Patients generally felt satisfied with the nursing provided. The staff created a feeling of security and showed interest and empathy for the patient. However, patients experienced a stressful waiting for surgery, and patients who developed confusion waited more than 24 hours for surgery. Therefore, waiting time must be decreased. Furthermore, patients' descriptions of a variety of pain problem show, for example, that good collaboration between the nurse and physiotherapist is critical for achieving good pain relief before mobilisation. Nursing staff need to be attentive and should elicit the patient's feelings through patient-focused communication in order to relieve anxiety about going home.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"863291"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3397204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30773964","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-12-05DOI: 10.5402/2012/602323
Thomas Andersson, Kristin Falk, Kristofer Bjerså, Anna Forsberg
{"title":"Health Is Belonging: Lived Experiences during Recovery after Pancreaticoduodenectomy.","authors":"Thomas Andersson, Kristin Falk, Kristofer Bjerså, Anna Forsberg","doi":"10.5402/2012/602323","DOIUrl":"10.5402/2012/602323","url":null,"abstract":"<p><p>The aim of this study was to explore the lived experience of the symptoms, health, and illness reported by patients recovering after pancreaticoduodenectomy ad modum Whipple due to pancreatic or periampullary cancer. Thirteen patients with pancreatic or periampullary cancer who underwent pancreaticoduodenectomy ad modum Whipple between 2006 and 2008 were interviewed during postoperative recovery. Data were analysed using the phenomenological-hermeneutic method. The structural analysis of patient experiences revealed that recovery after pancreaticoduodenectomy was described as recapturing everyday life, being healthy, and looking to the future. Participants experienced symptoms but did not dwell on them, instead they stated that their general health was good. They strived to regain their former precancer selves and be a part of as well as contribute to the social context. Overall, the participants' view of the future was positive, and improvement in their health generated further confidence and encouragement. This study suggests that persons recovering from pancreaticoduodenectomy ad modum Whipple due to a pancreatic or periampullary tumour experience health despite postoperative symptoms. They manage their symptoms by means of different strategies and express a positive view of the future. Nurses working with such patients should adopt a person-centred approach focusing on patient perspectives, participation, and possibilities.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"602323"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3529488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31151761","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-06-12DOI: 10.5402/2012/196437
Adele Vukic, Charlotte Jesty, Sr Veronica Mathews, Josephine Etowa
{"title":"Understanding race and racism in nursing: insights from aboriginal nurses.","authors":"Adele Vukic, Charlotte Jesty, Sr Veronica Mathews, Josephine Etowa","doi":"10.5402/2012/196437","DOIUrl":"https://doi.org/10.5402/2012/196437","url":null,"abstract":"<p><p>Purpose. Indigenous Peoples are underrepresented in the health professions. This paper examines indigenous identity and the quality and nature of nursing work-life. The knowledge generated should enhance strategies to increase representation of indigenous peoples in nursing to reduce health inequities. Design. Community-based participatory research employing Grounded Theory as the method was the design for this study. Theoretical sampling and constant comparison guided the data collection and analysis, and a number of validation strategies including member checks were employed to ensure rigor of the research process. Sample. Twenty-two Aboriginal nurses in Atlantic Canada. Findings. Six major themes emerged from the study: Cultural Context of Work-life, Becoming a Nurse, Navigating Nursing, Race Racism and Nursing, Socio-Political Context of Aboriginal Nursing, and Way Forward. Race and racism in nursing and related subthemes are the focus of this paper. Implications. The experiences of Aboriginal nurses as described in this paper illuminate the need to understand the interplay of race and racism in the health care system. Our paper concludes with Aboriginal nurses' suggestions for systemic change at various levels.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"196437"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750402","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-11-14DOI: 10.5402/2012/782626
Elham Pirabbasi, Mahin Najafiyan, Maria Cheraghi, Suzana Shahar, Zahara Abdul Manaf, Norfadilah Rajab, Roslina Abdul Manap
{"title":"Predictors' factors of nutritional status of male chronic obstructive pulmonary disease patients.","authors":"Elham Pirabbasi, Mahin Najafiyan, Maria Cheraghi, Suzana Shahar, Zahara Abdul Manaf, Norfadilah Rajab, Roslina Abdul Manap","doi":"10.5402/2012/782626","DOIUrl":"https://doi.org/10.5402/2012/782626","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) is a systemic disease that leads to weight loss and muscle dysfunction resulting in an increase in mortality. This study aimed to determine the prevalence rate of malnutrition and nutritional status and also factors associated with nutritional status. A total of 149 subjects were involved in the cross-sectional study. The study was conducted at two medical centers in Kuala Lumpur, Malaysia. The results of the study showed that malnutrition was more prevalent (52.4%) in the subjects with severe stages of COPD as compared to mild and moderate COPD stages (26.2%) (P < 0.05). Fat-free mass depletion as assessed using fat-free mass index (FFMI) affected 41.9% of the subjects. Plasma vitamin A, peak expiratory flow (PEF), and handgrip were the predictors for body mass index (BMI) (R(2) = 0.190, P < 0.001). Plasma vitamin A and force expiratory volume in one second (FEV(1)) were the predictors of FFMI (R(2) = 0.082, P = 0.007). BMI was the predictor of respiratory factors, that is, FEV(1)% predicted (R(2) = 0.052, P = 0.011). It can be concluded that there is a need to identify malnourished COPD patients for an appropriate nutrition intervention.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"782626"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31098477","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-08-02DOI: 10.5402/2012/769262
Mette Raunkiær, Helle Timm
{"title":"Organizational Interventions concerning Palliation in Community Palliative Care Services: A Literature Study.","authors":"Mette Raunkiær, Helle Timm","doi":"10.5402/2012/769262","DOIUrl":"https://doi.org/10.5402/2012/769262","url":null,"abstract":"<p><p>Background. Studies indicate problems between different professional groups working with palliative care and the organisation of palliative home care at nursing homes. The purpose of this study is to examine international experiences and cooperative development initiatives regarding the organisation of community palliative care services. Method. The study has been carried out as a literature study based on bibliographic searches in international databases with selected key words. Results and Conclusion. The study of the literature identified 19 studies described in 20 articles that relate to development efforts and interventions regarding the organisation of palliative care in communities. Nearly, all of the studies were based on health care professionals' assessments of users (the relatives). However, it is unknown whether or how patients and relatives experience a positive effect of the interventions. The literature study shows that it is a great methodological challenge to complete and evaluate studies concerning organisation and cooperation using methods that make the results useful for others.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"769262"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3419422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30856105","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-07-16DOI: 10.5402/2012/486273
Sepali Guruge
{"title":"Nurses' role in caring for women experiencing intimate partner violence in the sri lankan context.","authors":"Sepali Guruge","doi":"10.5402/2012/486273","DOIUrl":"https://doi.org/10.5402/2012/486273","url":null,"abstract":"<p><p>Intimate partner violence has short- and long-term physical and mental health consequences. As the largest healthcare workforce globally, nurses are well positioned to care for abused women. However, their role in this regard has not been researched in some countries. This paper is based on a qualitative study that explored how Sri Lankan nurses perceive their role in caring for women who have experienced partner violence. Interviews with 30 nurses who worked in diverse clinical and geographical settings in Sri Lanka revealed that nurses' role involved: identifying abuse, taking care of patients' physical needs, attending to their safety, providing support and advice, and making referrals. Barriers to providing care included lack of knowledge; heavy workload; language barriers; threats to personal safety; nurses' status within the healthcare hierarchy; and lack of communication and collaboration between various stakeholder groups within the healthcare system. Nurses also identified a lack of appropriate services and support within hospitals and in the community. The findings reveal an urgent need for the healthcare system to respond to nurses' educational and training needs and help them function autonomously within multidisciplinary teams when caring for abused women. The findings also point to a need to address institutional barriers including the lack of appropriate services for abused women.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"486273"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3405684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30801158","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-12-05DOI: 10.5402/2012/591541
Nicole Pyl, Prudy Menard
{"title":"Evaluation of nurses' perceptions on providing patient decision support with cardiopulmonary resuscitation.","authors":"Nicole Pyl, Prudy Menard","doi":"10.5402/2012/591541","DOIUrl":"10.5402/2012/591541","url":null,"abstract":"<p><p>The decision whether to receive cardiopulmonary resuscitation (CPR) is a decision in which the personal values of the patient must be considered along with information about the risks and benefits of the treatment. A decision aid can be used to provide patient decision support to a patient who is seriously ill and needs to consider CPR options. The goal of this project was to identify the barriers and facilitators to using a CPR decision aid, through evaluating nursing perceptions on providing patient decision support. Using a needs assessment, it was determined that implementing a patient decision aid for CPR status in the Acute Monitor Area (AMA) of The Ottawa Hospital would be an excellent quality improvement project. The nurses who chose to participate were given an education session regarding patient decision support. Questionnaires were distributed to evaluate their views of patient decision support and decision aids before and after the education session and implementation of the CPR decision aid. Questionnaire results did not indicate a significant change between before or after education session and decision aid implementation. Qualitative reports did indicate that nurses generally have positive attitudes toward patient decision support and decision aids. The nurses identified specific barriers and facilitators in their commentaries. This clinically relevant data supports the idea that patient decision support should be integrated into daily nursing practice.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"591541"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3529485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31151760","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}
ISRN nursingPub Date : 2012-01-01Epub Date: 2012-12-20DOI: 10.5402/2012/608039
Duck-Hee Kang, Na-Jin Park, Traci McArdle
{"title":"Cancer-specific stress and mood disturbance: implications for symptom perception, quality of life, and immune response in women shortly after diagnosis of breast cancer.","authors":"Duck-Hee Kang, Na-Jin Park, Traci McArdle","doi":"10.5402/2012/608039","DOIUrl":"https://doi.org/10.5402/2012/608039","url":null,"abstract":"<p><p>Purpose. To determine the levels of cancer-specific stress and mood disturbance in women shortly after diagnosis of breast cancer and to assess their associations with symptom perception, quality of life, and immune response. Design. Descriptive and correlational. Sample and Setting. One hundred women with newly diagnosed breast cancer were recruited from interdisciplinary breast clinics. Methods. Baseline data were collected using standardized questionnaires and established bioassay prior to the initiation of cancer adjuvant therapy. Blood samples were collected about the same time of day. Results. High cancer-specific stress was significantly correlated with high mood disturbance, which, in turn, was correlated with high symptom perception, poor quality of life, and an immune profile indicating high neutrophils and low lymphocytes. Conclusions. High cancer-specific stress and related mood disturbance show extensive negative relationships with multiple behavioral, clinical, and biological factors. Implications for Nursing. Routine screening for cancer-related stress and mood disturbance should be incorporated into nursing practice for all patients diagnosed with cancer. Given broad negative associations with other biobehavioral factors, early identification of patients at risk and provision and evaluation of stress and mood management programs may have a beneficial effect on subsequent health outcomes over time.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"608039"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31160028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Towards a global interdisciplinary evidence-informed practice: intimate partner violence in the ethiopian context.","authors":"Sepali Guruge, Amy Bender, Fekadu Aga, Ilene Hyman, Melesse Tamiru, Damen Hailemariam, Andargachew Kassa, Khosro Refaie-Shirpak","doi":"10.5402/2012/307271","DOIUrl":"https://doi.org/10.5402/2012/307271","url":null,"abstract":"<p><p>Background. Intimate partner violence is a global health issue and is associated with a range of health problems for women. Nurses, as the largest health workforce globally, are well positioned to provide care for abused women. Objectives. This nursing-led interdisciplinary project was conducted to understand the current state of knowledge about intimate partner violence in Ethiopia and make recommendations for country-specific activities to improve response to intimate partner violence through practice changes, education, and research. Methods. The project involved two phases: review of relevant literature and an interdisciplinary stakeholder forum and a meeting with nurse educators. Findings. The literature review identified the pervasiveness and complexity of intimate partner violence and its sociocultural determinants in the Ethiopian context. Two significant themes emerged from the forum and the meeting: the value of bringing multiple disciplines together to address the complex issue of intimate partner violence and the need for health care professionals to better understand their roles and responsibilities in actively addressing intimate partner violence. Conclusions. Further research on the topic is needed, including studies of prevention and resilience and \"best practices\" for education and intervention. Interdisciplinary and international research networks can support local efforts to address and prevent intimate partner violence.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"307271"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3363987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30679997","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}