Journal of nursing and healthcare of chronic illness最新文献

{"title":"Anticipating and Addressing Challenges Utilizing Patient Oriented Research","authors":"","doi":"10.33140/jnh.03.01.10","DOIUrl":"https://doi.org/10.33140/jnh.03.01.10","url":null,"abstract":"Background: Over the last decade, Canada’s demographics and ethnic makeup have undergone significant changes with an influx of refugees from many different countries. Problem: There is a need to improve resources and access to health care services to adequately meet the health needs of refugees. Approach: Patient-Orientated Research is required to enhance all stakeholders’ understanding the health status and healthcare needs of refugees and immigrants who have resettled in Canada. Outcome: This article reflects our experience using methods to engage refugees as partners on our research team.We learned about the sensitivities, ideas, emotions and life experiences of the refugee community and how that intersect with patient-oriented research methods. Conclusion: Researchers must be mindful and show respect, empathy, and acceptance to create a culturally appropriate and safe environment in research.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80685312","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":"Comparison of the Nursing Student’s Perception in their Ability to Recognize a Change in Patient Condition Using the Patient Risk Detection Theory in a Simulated Environment","authors":"","doi":"10.33140/jnh.03.01.09","DOIUrl":"https://doi.org/10.33140/jnh.03.01.09","url":null,"abstract":"Nursing students in simulation often become preoccupied with alarms on the patient’s bedside monitor, failing to reassess the patient, or do not correlate monitor alarms with the patient symptomology, pathophysiology or treatment. This project compared 17 second semester nursing students self-reported perception of their ability to recognize and act on a patient condition change, with Meti-Vision data coding software for actual recognition and action time in real time during the scenario. Three scenarios were created with patient condition changes (Phases) on 3 minute intervals. Students were placed in groups of 2 with 12 total coded groups, each student group received at least 2 patient condition changes. Post simulation the nursing students completed a survey self-reporting 7 areas of perceived changes recognized and/or actions performed. The data coded was analyzed in minutes and seconds and placed in an Excel spreadsheet and imported into SPSS version 16 to obtain descriptive statistics.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78351783","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":"Ethical Considerations in End-of-Life Discussions","authors":"","doi":"10.33140/jnh.03.01.08","DOIUrl":"https://doi.org/10.33140/jnh.03.01.08","url":null,"abstract":"Every person deserves a dignified death. What this entails varies dramatically from patient to patient. Most people, however, never discuss their wishes regarding the care they desire for this very personal, final journey. As technology improves, as well as the ability to successfully treat almost any condition, both patients and clinicians alike have begun to ignore the reality of death. In this paper, the term clinicians will refer to doctors and nurses. In our present culture discussing death has become taboo. Patients may think about the end of their lives but are unsure or uncomfortable broaching the topic with their medical staff and families. Additionally, many clinicians are uneasy with end-of-life (EOL) discussions and, consequently, avoid them entirely. It is, however, the ethical responsibility of health care providers to address their patient’s wishes regarding EOL care. Clinicians need to take the initiative to begin the conversation regarding prognosis and care choices. They need to make the patients feel that they can comfortably discuss this delicate issue without fear of judgment, pressure, or the possibility of abandonment. Ethical dilemmas are common when caring for a dying patient, often a direct result of avoiding or delaying difficult, EOL conversations [1]. By not adequately preparing patients for the dying process, clinicians are in danger of ignoring the ethical principles of autonomy, justice, beneficence and non-maleficence. Nurses and physicians alike share this responsibility, although nurses have historically shied away from this obligation. The American Nurses Association (ANA), the premier nursing organization representing registered nurses throughout the U.S., leaves no doubt that it is nurses’ ethical duty to assure that patients have a dignified death - one that respects their spiritual, emotional, and physical needs, as well as those of their families. This duty is spelled out in the Nursing Code of Ethics. Nurses are called on to identify barriers that prevent early EOL discussions with patients so that they may work to eliminate them and ultimately improve the patient’s ethical rights to a good death. Nurses should challenge themselves to break through these barriers to ensure that patients are able to die in a manner consistent with their beliefs and values.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77437983","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":"Sexuality in Patient with Breast Cancer Hospitalized in Professional Nursing Vision","authors":"L. Organista","doi":"10.31038/cst.2017271","DOIUrl":"https://doi.org/10.31038/cst.2017271","url":null,"abstract":"The study seeks to investigate aspects of sexuality of women with breast cancer interned. The emergence of the study took place at the time of my professional practice where I came across patient dialogues, and health professionals with the behavior of women in different times, having sexual practice and professional assistants, on the other hand the kind of suppressed such an attitude as well as the patients more “excited” In the context of health, the educational process consists much more than the simple act of teaching. The client, who is often mistakenly called a passive individual, is a key player in the care process, since we already know that the process of health care is dynamic and requires the participation of both parties, whether caregiver or individual who will receive the care.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81726471","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":"Foot Ulcers: A Different Technique to Total Contact Casting for Healing Chronic Foot Ulcers","authors":"M. Shaw","doi":"10.33140/jnh.02.04.09","DOIUrl":"https://doi.org/10.33140/jnh.02.04.09","url":null,"abstract":"Total Contact Cast (TCC) is considered the gold standard method for healing diabetic foot ulcers (DFU) [1]. Chronic foot ulcers are a growing concern worldwide. Evidence-based research suggests that TCC is the best method to offload the plantar foot by adequately redistributing plantar pressures related to body mass while still maintaining patient mobility.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86041045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Burden of Jetlag among Nigerians Studying in Indian and Malaysian Universities","authors":"","doi":"10.33140/jnh.02.04.10","DOIUrl":"https://doi.org/10.33140/jnh.02.04.10","url":null,"abstract":"Background: There are a large number of Nigerians studying and aspiring to study in India and Malaysia. Due to the great time-zone differences between Nigeria and these countries, there exists the possibility of experiencing adjustment problems. Aim of the study: To determine the burden of jetlag phenomenon and the distribution of its symptoms among Nigerians studying in these countries. Methodology: Online surveys using Google forms were disseminated to Nigerians studying in Indian and Malaysian Universities and the data were analyzed. Results: A hundred and three (103) eligible persons responded to the survey, most of whom were males (86.4%) and married (58.3%). Many of them did not know what jetlag was (52.4%). Most, also reported falling asleep less easily on their first night of arrival (78.6%), of whom 44.4% continued to experience same for months and even up to a year. Many also reported having more wakeful episodes during the night (41.7%); later waking time (56.3%); feeling less alert 30 minutes after waking from sleep (58.3%) and generally feeling more tired since arrival (57.3%), with many of them haven experienced same for prolonged durations. A higher proportion of those studying in Malaysia, reported experiencing these symptoms, compared to those studying in India. As an adjustment/coping technique, most of them had attempted maintaining daytime alertness (72.8%) and maintaining a dark room at night (55.3%), of whom 21.0% and 31.6% respectively found these measures very effective, while 57.3% and 50.8% respectively found them slightly effective. Conclusions: This study reveals the great enormity of this problem. It is recommended that prospective students be enlightened on the possibility of experiencing this problem and adjustment techniques even before departure from Nigeria. School clinics in these countries should also include jetlag management in their treatment programs to help affected international students.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"424 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76661793","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":"Rebecca Bergman: An International Nurse Leader (1919-2015)","authors":"","doi":"10.33140/jnh.02.03.11","DOIUrl":"https://doi.org/10.33140/jnh.02.03.11","url":null,"abstract":"Glazer, Ehrenfeld and Flanagan write to introduce a renowned nurse leader in Israel, Rebecca (Becky) Bergman, relatively unknown to nurses in the United States and elsewhere. Becky made a lasting impact on the nursing profession and her story will undoubtedly inspire nurses at any and every stage of their professional career. Her journey as a nurse leader demonstrates leadership, risk-taking and creativity, effective communication, inspiration and a clear vision to change the trajectory of the nursing profession in Israel and around the world. As the first nurse to be awarded the Israel prize (the nation’s highest honor), she broke down international, interdisciplinary and interprofessional barriers by accomplishing several feats including: becoming a World Health Organization (WHO) Consultant, Vice President for the International Council of Nurses (ICN), Chief Nurse for the American Jewish Joint Distribution Committee, establishing Israel’s first academic nursing program and supervising more than 5,000 beds at four hospitals.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80377142","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":"For the Healthcare Provider: Recognition of Heart Disease","authors":"","doi":"10.33140/jnh.02.03.10","DOIUrl":"https://doi.org/10.33140/jnh.02.03.10","url":null,"abstract":"Mr. and Mrs. Jones just arrived home from celebrating their 35th wedding anniversary with a family dinner. Mrs. Jones, a 56 year old female, begins to complain of nausea, back pain, cold sweats, and feeling dizzy. She had some anxiety, but brushes it off as the start of “something.” Her husband reminds her that she has been complaining of not feeling well for the last few weeks and suggests that they drive to the local emergency room for an antibiotic.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74974520","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":"Chaos Theory: Optimizing Critical Illness Outcomes through the Family Experience A Theoretical Review","authors":"K. Mayer, S. Mancuso, D. Howell","doi":"10.33140/jnh.02.03.12","DOIUrl":"https://doi.org/10.33140/jnh.02.03.12","url":null,"abstract":"An estimated six to eight million patients are admitted to the intensive care unit (ICU) in the United States every year [1, 2]. It is possible that new and innovative medical therapies have provided patients with treatment options that enhance survival of a critical illness and allow them go home with more medical support than previously available in earlier years. This may explain why there are now millions of ICU survivors are a result of declining mortality rates (8-19%) even though there are increased ICU admissions [3, 4]. This also indicates a change in direction of the attitudes and beliefs of the family unit today and their desire for the family member to return home after critical illness instead of moving to a tertiary facility for care. However, survivorship is not without its negative consequences especially financially. In 2005, the cost of critical illness in the ICU was estimated at $81.7 billion [5]. This in combination with frequent re-admission rates and significantly higher utilization of post ICU healthcare resources has contributed to a significant financial burden for ICU survivors and their families [2,6].","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91114874","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":"Overcome Compassion Fatigue and Burnout","authors":"","doi":"10.33140/jnh.02.02.13","DOIUrl":"https://doi.org/10.33140/jnh.02.02.13","url":null,"abstract":"As another exhausting shift comes to an end with an aching back, feet and legs, your body screaming for the rest it needs, but your mind is in overdrive and thinking about what awaits you at home. The daily duties and responsibilities build up over time to become huge burdens that seem to weigh you down and keep you pinned to where you are now, without much possibility of change on the horizon.The feeling of being overwhelmed and in a constant battle with life, just to keep up. Then to top it all, when you can finally slump into your bed, sleep is elusive, or minimal, thus making the next day start off with negatives.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88719585","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}