{"title":"COVID-19 And Mental Turmoil Among Medical Students; Unheard Challenges; Commentary on “Impact of COVID-19 on Medical Students’ Mental Wellbeing in Jordan”","authors":"","doi":"10.33140/jnh.06.03.01","DOIUrl":"https://doi.org/10.33140/jnh.06.03.01","url":null,"abstract":"Khaled Seetan et al has done great work in the recent article published in PLOS ONE entitled as “Impact of COVID-19 on medical students’ mental wellbeing in Jordan” in putting out the light over the least covered side in chaos of pandemic by tracing out the pressure that university students had to go through amidst this pandemic of COVID-19 [1]. The fact of sudden outbreak and shattered life aspects of every individual’s despite of their possession and the stability of countries they belong is no longer new. World has clearly visualized the pain, sorrow, helplessness and collapse of every single aspect that came as other side of global pandemic. However, it is strange to note the least efforts taken to cover the impacts over students in these past two years either due to incompetence’s of policy makers or neglecting this part while competing in the race of industrialization of vaccinations.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87184307","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":"COVID-19 Pandemic: Engagement in Obstetric Care for Women with HIV and Substance Use Disorder","authors":"","doi":"10.33140/jnh.06.02.02","DOIUrl":"https://doi.org/10.33140/jnh.06.02.02","url":null,"abstract":"Background: HIV and substance use disorder are major risk factors for poor obstetric outcomes and women who live with both conditions should be closely monitored during pregnancy and postpartum. It is unclear what engagement in obstetric care for women living with HIV and substance use disorder look like before and during the COVID-19 pandemic. This literature review aims to examine engagement in obstetric care for women living with HIV and substance use disorder before and during the COVID-19 pandemic and offer strategies to increase engagement in care during the COVID-19 pandemic for this vulnerable population. Methods: A literature review was conducted on January 12, 2021 across major databases including Pubmed, PsychInfo, Cochrane, and CINAHL. Results: A total of 6 studies were included in this review. Studies either assessed outcome of engagement in care among pregnant women living with HIV or pregnant women with substance use disorder. Our findings demonstrate that pregnant women with HIV or substance use disorder tend to have comorbid conditions and are less likely to be engaged in obstetric care, and this trend is aggravated by the COVID-19 pandemic. Approaches to care during the COVID-19 pandemic included expanding services outside of the clinic to virtual visits, telephonic engagement, text messaging, or electronic mail. Conclusion: Pregnant women with HIV and/or substance use disorder are at much higher risk for poor engagement in obstetric care, suboptimal financial and social support, and adverse outcomes. We recommend each in-person clinic visit be accompanied by thorough screening for mental health issues, and psychosocial difficulties. Referral services should be ready and accessible if the woman screens positive. Nurses are an integral part of ensuring proper care coordination and follow-up. More research is needed to examine engagement in obstetric care for women with both HIV and substance use disorder during the COVID-19 pandemic.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81640455","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":"Sexual Function and Depressive Symptoms in Middle-Aged Women with LongLasting Type 1 Diabetes – A Cross-Sectional Study","authors":"","doi":"10.33140/jnh.06.02.03","DOIUrl":"https://doi.org/10.33140/jnh.06.02.03","url":null,"abstract":"Background & aim: Women and men with diabetes, type 1 (T1D) and type 2 (T2D) develop complications in small and large blood vessels as well as in nerve pathways over time. In men, erectile dysfunction is a well-documented complication. However, sexual dysfunction in women with different types of diabetes is less studied. Sexual dysfunction is associated with lowered health-related quality of life and depression. The aim of the study was to investigate self-reported sexual function and signs of depression in middle-aged women with long-lasting T1D. Methods: A cross-sectional questionnaire study including the Female Sexual Function Index (FSFI) and the Patient Health Questionnaire (PHQ-9) together with background questions was designed. The sample was women aged 45-66 with T1D for at least 15 years, identified from clinical medical records at four hospitals in southern Sweden. Descriptive statistical analysis of background factors, depression, and self-reported sexual dysfunction, as well as correlation and regression analysis, are presented. Results: A total of 212 women completed the questionnaire, mean age 54.1 (SD: 5.83), mean years with T1D 36.2 (SD: 11.42). Almost half of the women had sexual dysfunction (45.2%; FSFI < 26.55, max 36) and the mean full score was 23.73 (SD: 10.57). The FSFI domains are desire, arousal, lubrication, orgasm, satisfaction and pain. Symptoms of depression measured by PHQ-9 were reported by 39.8%. A low FSFI was significantly associated with severe depression (p<0.001). Conclusions: Problems with sexual dysfunction and depression in middle-aged women with long-lasting T1D are common and may be unreported unless addressed in clinical care. Nurses could start asking women about problems with lubrication and vaginal pain in relation to sexual activity. Lubricants or local estrogen therapy could prevent those problems. Routinely assessing depressive status is equally important in improving quality of life for women with T1D.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77314758","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":"Nursing Assistants: A Hidden Work Force","authors":"","doi":"10.33140/jnh.06.02.01","DOIUrl":"https://doi.org/10.33140/jnh.06.02.01","url":null,"abstract":"The ongoing nursing shortage and an increased demand for nursing care, require both new and retooled delivery systems. The importance of teams delivering care and all team members working at the top of license or skill set are well established concepts. Across the continuum from home to acute care, the need to better understand and utilize the skills of the hidden workforce of nursing assistants has never been greater. The purpose of this manuscript is to explore the resource and potential of career nursing assistants and to provide recommendations for recruitment, recognition, and retainment of these important team members.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82428788","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":"SARS CoV2 Second Wave Onslaught in India and Mass Vaccination Prospects","authors":"","doi":"10.33140/jnh.06.02.04","DOIUrl":"https://doi.org/10.33140/jnh.06.02.04","url":null,"abstract":"In little over a year, in March 2020 the World Health Organisation declared COVID-19 a pandemic and on March 24, India went into the longest lockdown. On March 25, 2020, the number of new cases stood 121 and deaths were two. Contrast to that, in corresponding month this year, there are more than 53,000 cases daily and more than 250 deaths. It is still rising, doubling every 12-14 days. India is now the country with the highest number of daily infections and casualties. Unlike the first wave, the cases are currently much more widespread and has severely strained the country’s critical care capacity. This paper attempts to note the virus onslaught during Covid-19 second wave and India’s prospect at navigating the pandemic and foster for citizens early and reliable access to vaccines.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74197365","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":"Decreasing Falls through Shared Governance","authors":"","doi":"10.33140/jnh.06.01.01","DOIUrl":"https://doi.org/10.33140/jnh.06.01.01","url":null,"abstract":"In October 2018, at the unit based forum meeting, clinical nurses evaluated patient fall rates and noticed an increase in patient falls in the Q3 2018. The Q3 2018 fall rate was 6.20. Then nurses analyzed each fall including reviewing CCTV to determine possible causes. One of the falls was due to a slip in the shower. The shower floor was tiled and became slippery when wet. Additional falls occurred in the hallway of the unit and possible causes included reality distortion, unsteady gait due to age, medications, and physical condition. In some cases they noticed the CCTV did not capture a fall because there was no camera in that section of the hallway. The clinical nurses discussed this information with the Clinical Manager, at the November 2018 staff meeting. They suggested re-surfacing the floor to prevent slipping, additional cameras mounted in the hallways, and a second monitor at the other nurses station in an effort to prevent patient falls. After implementing these interventions along with CCTV monitoring the fall rate for Q1 2020 was 2.07 and Q2 2020 was 2.66. Through shared governance, evidence based practice implementation and environment of care enhancements the fall rate decreased by 40%.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80864772","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":"Urinary Catheter Care Approach for Urinary Tract Infection among Nurses in Tertiary Care Hospital","authors":"","doi":"10.33140/jnh.06.01.02","DOIUrl":"https://doi.org/10.33140/jnh.06.01.02","url":null,"abstract":"Urinary tract infections (UTIs) are the most common infection in hospital setting, the period of hospital-derived waste that affects individuals today. A significant number of seventy-five percent of urinary tract infections acquired in the hospital are associated with the use of a permanent bladder catheter (IDC), considering that there are about 15-25% chance of an inpatient requiring catheter insertion during your stay [1].","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"146 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80701536","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 physician-nurse relationship from a social identity perspective","authors":"Ruben Vermeir, R. Peleman, P. Vermeir","doi":"10.33140/jnh.06.01.03","DOIUrl":"https://doi.org/10.33140/jnh.06.01.03","url":null,"abstract":"Introduction Nurses and physicians are 2 key players in a well-functioning and high quality healthcare system. The relationship between these two professions is continuously evolving. Combining the social identity theory (SIT) and the self-categorization theory, this review explores the physician-nurse relationship from a social identity perspective. Methods Screening of PubMed, Web of Science, Cinahl and Cochrane Library on the keywords ‘Physician’, ‘Nurse’, ‘Social identity’, ‘Relationship’, ‘Medical education’, ‘Interprofessional collaboration’, ‘Teamwork’. Results To understand the physician-nurse relationship it is important to take note of the two very different identities of both professions. A nurse mainly provides hands-on care while physicians are tasked with diagnosing and setting up a treatment plan to cure the patient. With the evolution of the nurse practitioner we see these boundaries fading between the two professions with nurses becoming more independent. Patient care and safety relies more than ever on teams of people with a range of skills working effectively together. A well cooperating team is based upon the professional skills of each member. Physicians were considered highly competent by both nurses and other physicians. Social identity theory might be of help to make blurred distinctions clear by actively looking for dangers lurking in the stereotype threat. This could be useful to organize a better function healthcare system on an organizational level. Conclusion Being a nurse or a physician is a big part of the identity of the person as stated by the SIT. Nurses are becoming more and more independent. It could be useful to set up a structure with the aim of improving collaboration between physicians and nurses, and also other healthcare professions. Incorporating collaboration in the curriculum of students in de medical field could prove beneficial to both the healthcare provider and the patient.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81503034","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":"A Transition Planning Program to Reduce Stress on a Parent Caring for an Adolescent with Autism Spectrum Disorder: A Pilot Study","authors":"","doi":"10.33140/jnh.05.04.03","DOIUrl":"https://doi.org/10.33140/jnh.05.04.03","url":null,"abstract":"Autism Spectrum Disorder affects approximately 3.5 million people in the United States [1]. The transition from childhood to adolescence poses an increase in parenting stress. A key component to the parenting stress is the feeling of unpreparedness for the next phase of life. Parents/caregivers need to be better prepared for these stressful years. Transition planning programs have proven to provide parents/caregivers with knowledge needed to face these years; however, there is minimal research examining the effect of a transition planning program on parenting stress. The sample for this pilot study consisted of parent/caregivers caring for an adolescent with Autism Spectrum Disorder who attended one of the two schools that were utilized in Northeast Ohio. The design consisted of a pre-test (Parent Stress Index-Short Form (PSI-SF), transition planning program, and a post-test Parent Stress Index-Short Form (PSI-SF). Data was analyzed using a paired t test. A Transition Planning Program provides information needed to prepare for the challenges that lie ahead therefore reducing the parenting stress.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80245078","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}