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Benefit of BP Measurement in Pediatric ED Patients. 测量儿科急诊患者血压的益处。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-06-18 DOI: 10.5402/2012/627354
Karen M Poor, Tamara Bostrack Ducklow
{"title":"Benefit of BP Measurement in Pediatric ED Patients.","authors":"Karen M Poor, Tamara Bostrack Ducklow","doi":"10.5402/2012/627354","DOIUrl":"10.5402/2012/627354","url":null,"abstract":"<p><p>Introduction. Obtaining blood pressures in pediatric emergency department patients is the standard of care; however, there is little evidence to support its utility. This prospective study assesses the benefit of BP acquisition in patients ≤5 years. Methods. Data were collected by the ED triage nurses on 649 patients in two community hospital EDs. Relationships between abnormal blood pressures and the patients' age, acuity, and calm versus not-calm emotional state were analyzed. Results. There were significant differences in the rate of elevated BPs in the calm and not-calm groups of patients. Overall, one- and two-year-old patients were more likely to have elevated BPs than those in other age groups. Very few patients in the sample had hypotension (1%). There was no relationship between Emergency Severity Index (ESI) acuity level and an abnormal BP. Nineteen percent of calm patients had elevated BPs, with 3.6% of patients in the stage two class of hypertension. Conclusions. There is limited benefit in obtaining BPs in children age of five or less regardless of whether the child is calm or not in ESI acuity levels 3 and 4.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"627354"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30750403","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
Biofeedback Intervention for Stress and Anxiety among Nursing Students: A Randomized Controlled Trial. 针对护理专业学生压力和焦虑的生物反馈干预:随机对照试验
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-06-28 DOI: 10.5402/2012/827972
Paul Ratanasiripong, Nop Ratanasiripong, Duangrat Kathalae
{"title":"Biofeedback Intervention for Stress and Anxiety among Nursing Students: A Randomized Controlled Trial.","authors":"Paul Ratanasiripong, Nop Ratanasiripong, Duangrat Kathalae","doi":"10.5402/2012/827972","DOIUrl":"10.5402/2012/827972","url":null,"abstract":"<p><p>Purpose. It has been well documented that nursing students across the world experience stress and anxiety throughout their education and training. The purpose of this randomized controlled study is to investigate the impact of biofeedback intervention program on nursing students' levels of stress and anxiety during their first clinical training. Methods. Participants consisted of 60 second-year baccalaureate nursing students. The 30 participants in the biofeedback group received training on how to use the biofeedback device to assist in stress and anxiety management for 5 weeks while the 30 in the control group did not receive any training. Findings. Results indicated that the biofeedback group was able to maintain the stress level while the control group had a significant increase in the stress level over the 5-week period of clinical training. Additionally, the biofeedback group had a significant reduction in anxiety, while the control group had a moderate increase in anxiety. Conclusions. The better the nursing students can manage their stress and anxiety, the more successful they can be in their clinical training. Ultimately, the more psychologically healthy the nursing students are, the more likely they will flourish and graduate to become productive and contributing members of the nursing profession.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"827972"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30773963","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
Identifying the turning point: using the transtheoretical model of change to map intimate partner violence disclosure in emergency department settings. 确定转折点:使用跨理论的变化模型来绘制急诊科环境中亲密伴侣暴力披露的地图。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-06-26 DOI: 10.5402/2012/239468
Cristina Catallo, Susan M Jack, Donna Ciliska, Harriet L Macmillan
{"title":"Identifying the turning point: using the transtheoretical model of change to map intimate partner violence disclosure in emergency department settings.","authors":"Cristina Catallo,&nbsp;Susan M Jack,&nbsp;Donna Ciliska,&nbsp;Harriet L Macmillan","doi":"10.5402/2012/239468","DOIUrl":"https://doi.org/10.5402/2012/239468","url":null,"abstract":"<p><p>Background. The transtheoretical model of change (TTM) was used as a framework to examine the steps that women took to disclose intimate partner violence (IPV) in urban emergency departments. Methods. Mapping methods portrayed the evolving nature of decisions that facilitated or inhibited disclosure. This paper is a secondary analysis of qualitative data from a mixed methods study that explored abused women's decision making process about IPV disclosure. Findings. Change maps were created for 19 participants with movement from the precontemplation to the maintenance stages of the model. Disclosure often occurred after a significant \"turning point event\" combined with a series of smaller events over a period of time. The significant life event often involved a weighing of options where participants considered the perceived risks against the potential benefits of disclosure. Conclusions. Abused women experienced intrusion from the chaotic nature of the emergency department. IPV disclosure was perceived as a positive experience when participants trusted the health care provider and felt control over their decisions to disclose IPV. Practice Implications. Nurses can use these findings to gauge the readiness of women to disclose IPV in the emergency department setting.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"239468"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30760037","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: 25
The diversity issue revisited: international students in clinical environment. 临床环境下的留学生多样性问题再谈。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-03-26 DOI: 10.5402/2012/294138
Marianne Pitkäjärvi, Elina Eriksson, Kaisu Pitkälä
{"title":"The diversity issue revisited: international students in clinical environment.","authors":"Marianne Pitkäjärvi,&nbsp;Elina Eriksson,&nbsp;Kaisu Pitkälä","doi":"10.5402/2012/294138","DOIUrl":"https://doi.org/10.5402/2012/294138","url":null,"abstract":"<p><p>Background. Globalization within higher education leads to an increase in cultural and linguistic diversity in student populations. The purpose of this study was to explore culturally diverse health care students' experiences in clinical environment in Finland, and to compare them with those of native Finnish students' participating in the same program. Method. A cross-sectional survey was performed at 10 polytechnic faculties of health care in Finland. 283 respondents (148 international and 95 Finnish students) responded to items concerning clinical rotation. The survey included items grouped as dimensions: (1) welcoming clinical environment, (2) unsupportive clinical environment, (3) approach to cultural diversity, (4) communication, and (5) structural arrangements. Results. International students felt as welcome on their placements as Finnish students. Concerning structural arrangements set up to facilitate preceptorship and approach to cultural diversity in the learning environment, the two groups' opinions were similar. However, international students were more likely than Finnish students to experience their clinical learning environment as unsupportive (P < 0.001). In addition, their experiences of communication with the staff was poorer than that of their Finnish peers' (P = 0.04). Conclusions. Awareness of strategies that enhance understanding, acceptance, and appreciation of cultural and linguistic diversity in any health care setting are needed.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":" ","pages":"294138"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40196372","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: 24
Counselling for patients and family members: a follow-up study in the emergency department. 对病人和家属的咨询:急诊科的随访研究。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-09-12 DOI: 10.5402/2012/303790
Eija Paavilainen, Mari Salminen-Tuomaala, Päivi Leikkola
{"title":"Counselling for patients and family members: a follow-up study in the emergency department.","authors":"Eija Paavilainen,&nbsp;Mari Salminen-Tuomaala,&nbsp;Päivi Leikkola","doi":"10.5402/2012/303790","DOIUrl":"https://doi.org/10.5402/2012/303790","url":null,"abstract":"<p><p>Although the research indicates that patients and family members are not fully satisfied with the counselling they receive, little is known about the quality of counselling in more detail. The purpose of the study was to describe patients' and their family members' experiences about counselling in emergency department, and follow how these experiences possibly change after the educational intervention for the whole nursing staff of the ED ward. The pre-test-post-test follow-up design was implemented including online continuing education for ED staff. The data were collected via questionnaires from patients and their family members in two phases and analyzed statistically. After online education of staff, experiences of patients and family members concerning counselling were better than before the education. Especially, family members' satisfaction had increased. However, our results also indicated that patients and family members desire more information for example, regarding medications. Care practices had developed towards family-centeredness, which patients and family members appreciate. Online education proved also in some degree its usefulness in educating ED staff, by offering the same education to a staff which works in shifts. Furthermore, family presence and participation practices should be developed by offering possibilities for families to stay with each other on ED ward.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"303790"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/303790","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30930221","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: 11
Perceived barriers to success for minority nursing students: an integrative review. 少数民族护理专业学生成功的感知障碍:一项综合综述。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-05-30 DOI: 10.5402/2012/806543
Collette Loftin, Susan D Newman, Bonnie P Dumas, Gail Gilden, Mary Lou Bond
{"title":"Perceived barriers to success for minority nursing students: an integrative review.","authors":"Collette Loftin,&nbsp;Susan D Newman,&nbsp;Bonnie P Dumas,&nbsp;Gail Gilden,&nbsp;Mary Lou Bond","doi":"10.5402/2012/806543","DOIUrl":"10.5402/2012/806543","url":null,"abstract":"<p><p>The objective of this paper was to identify barriers to successful program completion faced by underrepresented minority nursing students. This paper reveals that minority nursing student's face multiple barriers to success including lack of financial support, inadequate emotional and moral support, as well as insufficient academic advising, program mentoring, technical support, and professional socialization. An additional theme-a resolve to succeed in spite of the identified barriers-was identified. This body of literature focuses solely on successful minority students' experiences, revealing a significant gap in the research. The findings of this paper highlight the need to create and maintain nursing programs capable of aggressively supporting minority student needs. Recommendations for future research are included.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"806543"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30693186","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: 99
Guided self-help for prevention of depression and anxiety in women with breast cancer. 预防乳腺癌妇女抑郁和焦虑的自助指导。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-10-24 DOI: 10.5402/2012/716367
Hiroko Komatsu, Naoko Hayashi, Kumi Suzuki, Kaori Yagasaki, Yukiko Iioka, Joyce Neumann, Seigo Nakamura, Naoto T Ueno
{"title":"Guided self-help for prevention of depression and anxiety in women with breast cancer.","authors":"Hiroko Komatsu, Naoko Hayashi, Kumi Suzuki, Kaori Yagasaki, Yukiko Iioka, Joyce Neumann, Seigo Nakamura, Naoto T Ueno","doi":"10.5402/2012/716367","DOIUrl":"10.5402/2012/716367","url":null,"abstract":"<p><p>Depression and anxiety are prevalent in women with breast cancer. We developed a self-help kit as a self-learning package of necessary preparatory information (basic knowledge on chemotherapy, side effects, and problem-solving skills). We provided an oncology nurse-guided self-help kit with a cognitive behavioral therapy approach to 46 women with breast cancer in the intervention group and usual care to 36 in the control group in outpatient chemotherapy settings. The oncology nurse monitored and facilitated the patient's progress using the diary during the patient's chemotherapy. We also provided professional-led support group programs. Depression, anxiety, and quality of life were measured at baseline, 1 week, 3 months, and 6 months. The chi-square test and t were used to examine differences between the two groups, and repeated measures analysis of variance was used to test the effects of the intervention on the measures over time. All depression and anxiety scores were improved in both the intervention and control groups, but there were no significant differences between the two groups. Further studies are needed to evaluate the effectiveness of an oncology nurse-guided self-help approach for cancer patients.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"716367"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3488404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31048669","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
How baccalaureate nursing students value an interprofessional patient safety course for professional development. 本科护理学生如何重视跨专业患者安全课程的专业发展。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-03-14 DOI: 10.5402/2012/401358
Amy A Abbott, Kevin T Fuji, Kimberly A Galt, Karen A Paschal
{"title":"How baccalaureate nursing students value an interprofessional patient safety course for professional development.","authors":"Amy A Abbott,&nbsp;Kevin T Fuji,&nbsp;Kimberly A Galt,&nbsp;Karen A Paschal","doi":"10.5402/2012/401358","DOIUrl":"10.5402/2012/401358","url":null,"abstract":"<p><p>Nursing students need foundation knowledge and skills to keep patients safe in continuously changing health care environments. A gap exists in our knowledge of the value students place on interprofessional patient safety education. The purpose of this exploratory, mixed methods study was to understand nursing students' attitudes about the value of an interprofessional patient safety course to their professional development and its role in health professions curricula. Qualitative and quantitative data were collected from formative course performance measures, course evaluations, and interviews with six nursing students. The qualitative themes of awareness, ownership, and action emerged and triangulated with the descriptive quantitative results from student performance and course evaluations. Students placed high value on the course and essential nature of interprofessional patient safety content. These findings provide a first step toward integration of interprofessional patient safety education into nursing curricula and in meeting the Institute of Medicine's goals for the nursing profession.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":" ","pages":"401358"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3316946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40174332","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: 34
Mapping the Diagnosis Axis of an Interface Terminology to the NANDA International Taxonomy. 将接口术语的诊断轴映射到NANDA国际分类。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-07-04 DOI: 10.5402/2012/676905
Maria-Eulàlia Juvé Udina, Maribel Gonzalez Samartino, Cristina Matud Calvo
{"title":"Mapping the Diagnosis Axis of an Interface Terminology to the NANDA International Taxonomy.","authors":"Maria-Eulàlia Juvé Udina,&nbsp;Maribel Gonzalez Samartino,&nbsp;Cristina Matud Calvo","doi":"10.5402/2012/676905","DOIUrl":"https://doi.org/10.5402/2012/676905","url":null,"abstract":"<p><p>Background. Nursing terminologies are designed to support nursing practice but, as with any other clinical tool, they should be evaluated. Cross-mapping is a formal method for examining the validity of the existing controlled vocabularies. Objectives. The study aims to assess the inclusiveness and expressiveness of the nursing diagnosis axis of a newly implemented interface terminology by cross-mapping with the NANDA-I taxonomy. Design/Methods. The study applied a descriptive design, using a cross-sectional, bidirectional mapping strategy. The sample included 728 concepts from both vocabularies. Concept cross-mapping was carried out to identify one-to-one, negative, and hierarchical connections. The analysis was conducted using descriptive statistics. Results. Agreement of the raters' mapping achieved 97%. More than 60% of the nursing diagnosis concepts in the NANDA-I taxonomy were mapped to concepts in the diagnosis axis of the new interface terminology; 71.1% were reversely mapped. Conclusions. Main results for outcome measures suggest that the diagnosis axis of this interface terminology meets the validity criterion of cross-mapping when mapped from and to the NANDA-I taxonomy.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"676905"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30787425","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: 15
Gentle Human Touch and Yakson: The Effect on Preterm's Behavioral Reactions. 温柔的人类触摸和雅克森:对早产儿行为反应的影响。
ISRN nursing Pub Date : 2012-01-01 Epub Date: 2012-06-25 DOI: 10.5402/2012/750363
Bahare Bahman Bijari, Sedigheh Iranmanesh, Fateme Eshghi, Mohammad Reza Baneshi
{"title":"Gentle Human Touch and Yakson: The Effect on Preterm's Behavioral Reactions.","authors":"Bahare Bahman Bijari,&nbsp;Sedigheh Iranmanesh,&nbsp;Fateme Eshghi,&nbsp;Mohammad Reza Baneshi","doi":"10.5402/2012/750363","DOIUrl":"https://doi.org/10.5402/2012/750363","url":null,"abstract":"<p><p>Objective. Touch is one of the first strong positive senses that develop in neonate. Therapeutic touch could be considered as a complementary treatment in Neonate intensive care units (NICU). Methods. This quasi-experimental study was conducted to compare the effect of Yakson and GHT on behavioral reaction of preterm infants hospitalized in NICU in south-east of Iran. 90 preterm infants participated in this study. They are randomly divided into 3 groups: (1) Yakson group, n = 30, (2) GHT group, n = 30, (3) control group, n = 30. Each infant received the GHT and Yakson interventions twice a day for 5 days. Each session lasted 15 minutes. The control group received routine nursing care. Results. In interventional group, an increase was found in sleep state score after the Yakson and GHT intervention. Their awake and fussy states' scores decreased after both interventions. No significant difference was found between Yakson and GHT group in their behavioral state scores. Conclusion. The findings suggest that Yakson and GHT had soothing and calming effect on preterm infants and could be beneficial in nursing interventions.</p>","PeriodicalId":89398,"journal":{"name":"ISRN nursing","volume":"2012 ","pages":"750363"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30760039","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: 41
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