ISRN nursing最新文献_第4页

Military wives' transition and coping: deployment and the return home. 军人妻子的过渡和应对:部署和回家。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-07-14 DOI: 10.5402/2012/798342

Suzanne Marnocha

引用次数: 20

Retrospective study of Japanese patients with schizophrenia treated with aripiprazole. 阿立哌唑治疗日本精神分裂症患者的回顾性研究。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-08-30 DOI: 10.5402/2012/454898

Tetsuya Tanioka, Syoko Fuji, Mika Kataoka, Beth King, Masahito Tomotake, Yuko Yasuhara, Rozzano Locsin, Keiko Sekido, Kazushi Mifune

{"title":"Retrospective study of Japanese patients with schizophrenia treated with aripiprazole.","authors":"Tetsuya Tanioka, Syoko Fuji, Mika Kataoka, Beth King, Masahito Tomotake, Yuko Yasuhara, Rozzano Locsin, Keiko Sekido, Kazushi Mifune","doi":"10.5402/2012/454898","DOIUrl":"https://doi.org/10.5402/2012/454898","url":null,"abstract":"Aim. The purpose of this retrospective study was to evaluate changes in clinical indicators which influence the quality of life (QOL) of patients with schizophrenia treated by antipsychotic therapy before and after switching to aripiprazole. Methods. A retrospective chart review of 27 patients diagnosed with schizophrenia and who were switched from one antipsychotic to aripiprazole was performed. Clinical indicators about the daily dosage of antipsychotics and antiparkinsonian drugs, psychiatric condition, and glucose/lipid metabolism, clinical evaluation by nursing observation were used to measure the responsiveness of subjects to aripiprazole. Results. Of the 27 subjects, 14 responded to the switch to aripiprazole with significant improvement of the Brief Psychiatric Rating Scale (BPRS) score (P = 0.04), significant decrease in dosage of antipsychotics in 71% of patients (P = 0.03), and tendency toward reduction in dosage of antiparkinsonian drugs (P = 0.07) and body mass index (BMI) (P = 0.06). However, 8 of 27 subjects had a significant increase in lipid levels after switching to aripiprazole (P = 0.01). Conclusion. QOL for subjects who responded to the switch to aripiprazole improved as indicated by lower doses of antipsychotic and antiparkinson medications, improvement in BPRS score, and a decrease in BMI. Results indicate little influence on patient's QOL.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"454898"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30899211","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

Translating community connectedness to practice: a qualitative study of midlevel health workers in rural guatemala. 将社区联系转化为实践：对危地马拉农村地区中级卫生工作者的定性研究。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-10-14 DOI: 10.5402/2012/648769

Alison Hernández, Anna-Karin Hurtig, Kjerstin Dahlblom, Miguel San Sebastián

{"title":"Translating community connectedness to practice: a qualitative study of midlevel health workers in rural guatemala.","authors":"Alison Hernández, Anna-Karin Hurtig, Kjerstin Dahlblom, Miguel San Sebastián","doi":"10.5402/2012/648769","DOIUrl":"10.5402/2012/648769","url":null,"abstract":"Background. The performance of midlevel health workers is a critical lever for strengthening health systems and redressing inequalities in underserved areas. Auxiliary nurses form the largest cadre of health workers in Guatemala. In rural settings, they provide essential services to vulnerable communities, and thus have great potential to address priority health needs. This paper examines auxiliary nurses' motivation and satisfaction, and the coping strategies they use to respond to challenges they confront in their practice. Methods. Semistructured interviews were conducted with 14 auxiliary nurses delivering health services in Alta Verapaz, Guatemala. Results. Community connectedness was central to motivation in this rural Guatemalan setting. Participants were from rural communities and conveyed a sense of connection to the people they were serving through shared culture and their own experiences of health needs. Satisfaction was derived through recognition from the community and a sense of valuing their work. Auxiliary nurses described challenges commonly faced in low-resource settings. Findings indicated they were actively confronting these challenges through their own initiative. Conclusions. Strategies to support the performance of midlevel health workers should focus on mechanisms to make training accessible to rural residents, support problem-solving in practice, and emphasize building relationships with communities served.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"648769"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3477764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31003720","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

Iranian Nurses' Attitudes and Perception towards Patient Advocacy. 伊朗护士对患者权益维护的态度和看法。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-12-30 DOI: 10.5402/2012/645828

Mohadeseh Motamed-Jahromi, Abbas Abbaszadeh, Fariba Borhani, Homa Zaher

引用次数: 0

How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer? 在线患者-护士交流服务如何满足最近诊断为睾丸癌的男性的信息需求?

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-12-04 DOI: 10.5402/2012/260975

Torunn Wibe, Ragnhild Hellesø, Cecilie Varsi, Cornelia Ruland, Mirjam Ekstedt

{"title":"How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer?","authors":"Torunn Wibe, Ragnhild Hellesø, Cecilie Varsi, Cornelia Ruland, Mirjam Ekstedt","doi":"10.5402/2012/260975","DOIUrl":"https://doi.org/10.5402/2012/260975","url":null,"abstract":"Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: \"a means for managing illness-related concerns at home,\" \"a means for ensuring information flow,\" \"a means for strategic information seeking,\" and \"not yet available when needed most.\" Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"260975"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3518960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31134002","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: 20

Patients' and caregivers' attributes in a meaningful care encounter: similarities and notable differences. 病患与照护者在有意义照护中的特质:相似与显著差异。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-06-03 DOI: 10.5402/2012/320145

Ingrid Snellman, Christine Gustafsson, Lena-Karin Gustafsson

{"title":"Patients' and caregivers' attributes in a meaningful care encounter: similarities and notable differences.","authors":"Ingrid Snellman, Christine Gustafsson, Lena-Karin Gustafsson","doi":"10.5402/2012/320145","DOIUrl":"https://doi.org/10.5402/2012/320145","url":null,"abstract":"In today's healthcare system, there is an imbalance between what patients expect of caregivers' care and their perception of the care they get. How is it possible to reduce this imbalance? The aim of this paper was to describe attributes associated with meaningful encounters in the Swedish healthcare system based on patients' and caregivers' written narratives and to note the differences and similarities between the attributes identified by the two groups. This paper is a qualitative descriptive study. The analysis was guided by qualitative content analyses. Based on patients' narratives, attributes associated with a meaningful encounter fell into four categories: the kind-hearted caregiver, the thoughtful caregiver, the mutually oriented caregiver, and the helpful caregiver. Based on caregivers' narratives, the attributes were categorized as being humane, caring through physical contact, caring by nurturing communication, joy and laughter in care, and a sense of mutuality. The results show that there are both similarities and differences in patients' and caregivers' opinions about the attributes of a meaningful encounter. Knowing more about the attributes associated with meaningful encounters makes it possible for caregivers to individualize care for patients and makes it easier to help and support patients in what they most need support with.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"320145"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3371756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30693580","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: 19

Gender, work, and health for trans health providers: a focus on transmen. 跨性别保健提供者的性别、工作和健康:以跨性别者为重点。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-12-17 DOI: 10.5402/2012/161097

Judith A Macdonnell, Alisa Grigorovich

{"title":"Gender, work, and health for trans health providers: a focus on transmen.","authors":"Judith A Macdonnell, Alisa Grigorovich","doi":"10.5402/2012/161097","DOIUrl":"https://doi.org/10.5402/2012/161097","url":null,"abstract":"Well-documented health research points to trans people's vulnerability to health inequities that are linked to deeply embedded structural and social determinants of health. Gender and work, as social determinants of health for trans people, both shape and are shaped by multiple factors such as support networks, social environments, income and social status, shelter, and personal health practices. There is a gap in the nursing literature in regards to research on work and health for diverse trans people and a virtual silence on the particular issues of trans-identified health providers. This qualitative study used comparative life history methodology and purposeful sampling to examine links among work, career, and health for transmen who are health providers. Semistructured interviews were completed with four Canadian transmen involved in health care professional and/or practice contexts with diverse professions, age, work, and transitioning experiences. Critical gender analysis showed that unique and gender-related critical events and influences shape continuities and discontinuities in their careerlives. This strength-based approach foregrounds how resilience and growth emerged through participants' articulation with everyday gender dynamics. These findings have implications for nursing research, education, and practice that include an understanding of how trans providers \"do transgender work\" and supporting them in that process.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"161097"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/161097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31160027","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: 18

Predictors of Prolonged Stay in the Intensive Care Unit following Cardiac Surgery. 心脏手术后重症监护病房延长住院时间的预测因素。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-06-27 DOI: 10.5402/2012/691561

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Petros Galanis, Ioannis Nenekidis, George Fildissis

{"title":"Predictors of Prolonged Stay in the Intensive Care Unit following Cardiac Surgery.","authors":"Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Petros Galanis, Ioannis Nenekidis, George Fildissis","doi":"10.5402/2012/691561","DOIUrl":"https://doi.org/10.5402/2012/691561","url":null,"abstract":"The prediction of intensive care unit length of stay (ICU-LOS) could contribute to more efficient ICU resources' allocation and better planning of care among cardiac surgery patients. The aim of this study was to identify the preoperative and intraoperative predictors for prolonged cardiac surgery ICU-LOS. An observational cohort study was conducted among 150 consecutive patients, who were admitted to the cardiac surgery ICU of a tertiary hospital of Athens, Greece from September 2010 to January 2011. Multivariate regression analysis revealed that patients with increased creatinine levels preoperatively (odds ratio (OR) 3.0, P = 0.049), history of atrial fibrillation (AF) (OR 6.3, P = 0.012) and high EuroSCORE values (OR 2.6, P = 0.017) had a significant greater probability to stay in the ICU for more than 2 days. In addition, intraoperative hyperglycemia (OR 3.0, P = 0.004) was strongly associated with longer ICU-LOS. In conclusion, the high perioperative risk, the history of AF and renal dysfunction, and the intraoperative hyperglycemia are significant predictors of prolonged ICU stay. The early identification of patients at risk could allow the efficient ICU resources' allocation and the reduction of healthcare costs. This would contribute to nursing care planning depending on the availability of healthcare personnel and ICU bed capacity.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"691561"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/691561","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30856104","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: 30

Nursing student perceptions of reflective journaling: a conjoint value analysis. 护生对反思日志的认知:一项联合价值分析。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-09-05 DOI: 10.5402/2012/317372

Thomas J Hendrix, Maureen O'Malley, Catherine Sullivan, Bernice Carmon

{"title":"Nursing student perceptions of reflective journaling: a conjoint value analysis.","authors":"Thomas J Hendrix, Maureen O'Malley, Catherine Sullivan, Bernice Carmon","doi":"10.5402/2012/317372","DOIUrl":"https://doi.org/10.5402/2012/317372","url":null,"abstract":"This study used a statistical technique, conjoint value analysis, to determine student perceptions related to the importance of predetermined reflective journaling attributes. An expert Delphi panel determined these attributes and integrated them into a survey which presented students with multiple journaling experiences from which they had to choose. After obtaining IRB approval, a convenience sample of 66 baccalaureate nursing students completed the survey. The relative importance of the attributes varied from a low of 16.75% (format) to a high of 23.58% (time). The model explained 77% of the variability of student journaling preferences (r(2) = 0.77). Students preferred shorter time, complete confidentiality, one-time complete feedback, semistructured format, and behavior recognition. Students with more experience had a much greater preference for a free-form format (P < .05) when compared to students with less journaling experience. Additionally, the results of English as a second language students were significantly different from the rest of the sample. In order to better serve them, educators must consider the relative importance of these attributes when developing journaling experiences for their students.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"317372"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30913708","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: 17

Using a socioecological framework to understand the career choices of single- and double-degree nursing students and double-degree graduates. 运用社会生态学框架了解护理专业单双学位学生和双学位毕业生的职业选择。

ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-07-17 DOI: 10.5402/2012/748238

Noelene Hickey, Linda Harrison, Jennifer Sumsion

{"title":"Using a socioecological framework to understand the career choices of single- and double-degree nursing students and double-degree graduates.","authors":"Noelene Hickey, Linda Harrison, Jennifer Sumsion","doi":"10.5402/2012/748238","DOIUrl":"https://doi.org/10.5402/2012/748238","url":null,"abstract":"Untested changes in nursing education in Australia, such as the introduction of double degrees in nursing, necessitate a new research approach to study nursing career pathways. A review of the literature on past and present career choice theories demonstrates these are inadequate to gain an understanding of contemporary nursing students' career choices. With the present worldwide shortage of nurses, an understanding of career choice becomes a critical component of recruitment and retention strategies. The purpose of this paper is to demonstrate how an ecological system approach based on Bronfenbrenner's theory of human development can be used to understand and examine the influences affecting nursing students' and graduates' career development and career choices. Bronfenbrenner's socioecological model was adapted to propose a new Nursing Career Development Framework as a way of conceptualizing the career development of nursing students undertaking traditional bachelor of nursing and nontraditional double-degree nursing programs. This Framework is then applied to a study of undergraduate nurses' career decision making, using a sequential explanatory mixed method study. The paper demonstrates the relevance of this approach for addressing challenges associated with nursing recruitment, education, and career choice.","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"748238"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3407633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30804739","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: 26