Journal of nursing and healthcare of chronic illness最新文献

{"title":"Korean Immigrant Women’s Perceptions and Behaviors of Cervical Cancer Screening in Hawaii","authors":"","doi":"10.33140/jnh.05.02.08","DOIUrl":"https://doi.org/10.33140/jnh.05.02.08","url":null,"abstract":"Introduction: Minority immigrant women are more likely to be diagnosed with and suffer from cervical cancer compared to other minority women in the United States. Purpose: The purpose of this qualitative ethnographic study was to explore cultural health perceptions and behaviors of cervical cancer prevention among Korean immigrant women (KIW) in Hawaii. Methods: The Health Belief Model (HBM) and the Social Ecological Model (SEM) were used to guide the study. Data were collected using individual structured interviews with 20 KIW ages 21 to 65. Data were coded and analyzed to identify themes. Result: Findings revealed that participants (a) prefer a female gynecologist and Korean-speaking physicians; (b) are highly motivated to maintain physical health, including prevention; (c) prefer culturally appropriate community-based cancer prevention programs; and (d) expect innovative health maintenance approaches. Conclusion: Findings may be used by health care providers to identify culturally specific health needs of KIW related to cervical cancer screening, and to implement appropriate preventive measures for KIW to reduce cancer death.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"1971 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90539788","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 current context of nursing in Brazil and perspectives for the post-pandemic","authors":"Mara Márcia Machado, Geovana Magalhães Ferecini Tomasella, Ariadine Cristina Rodrigues de Oliveira, Bruno, Cavalcanti Farras, E. Reis, Lucianna Reis Novaes, Michel Matos de Barros, Flora Seara, Regina Célia, Gatto Cardia de Almeida, Tatiana Melgaço Calçada, Fernanda Pereira Hernandes, Adriana Freitas Silva","doi":"10.33140/jnh.05.02.10","DOIUrl":"https://doi.org/10.33140/jnh.05.02.10","url":null,"abstract":"In the pandemic context, it is an even greater challenge to bring this professional closer to the care practice, based on essential quality principles, given the work overload due to long hours, restricted rest hours, due to the high rates of absenteeism of these professionals. These questions lead us to the importance of the moral and mental health of health professionals, in which there is a high degree of suffering, observed by anguish, physical and emotional stress, uncertainty, in addition to ethical issues. All of these points lead to an even greater damage to the quality of care, which may directly influence the outcomes in health and patient safety. Creating strategies to minimize the negative aspects of the postpandemic is essential to seek alternatives for quality of care as well as ensuring a safe environment for care practice. It is essential to know the impacts of the pandemic in its different contexts, as well as the strategies currently used to minimize its impacts; so that, with the learning provided, new actions can be planned for the reconstruction of health care models.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82517422","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 HbA1C values among Lab-tested, Finger-piercing, CGM-collected (GH-Method: math-physical medicine)","authors":"","doi":"10.33140/jnh.05.02.11","DOIUrl":"https://doi.org/10.33140/jnh.05.02.11","url":null,"abstract":"This paper describes the research results of his mathematically predicted HbA1C values from both finger-piercing data and a continuous glucose monitoring device (CGM) sensor collected data. He then compared these two sets of HbA1C against labtested data.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"30 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88716065","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":"Role Strain and Burnout among Nurses: A Public Health Concern","authors":"","doi":"10.33140/jnh.05.02.06","DOIUrl":"https://doi.org/10.33140/jnh.05.02.06","url":null,"abstract":"Among nurses, the incidences of occupational stress-related burnout is high and factors such as long shifts, difficult or demanding patients, coping with sickness and death, busy, high-stress environments, putting others first, inadequate clinical supervision and others; have been identified as encouraging burnouts. Yet, the fact that this affects not just the nurses; but also the patients who receive care, make it a necessity to engage our prompt attention.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83134600","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":"Type 2 Diabetes Nursing Guidelines based on Wave and Energy Theories Associated\u0000with Three Distinctive Postprandial Plasma Glucose Waveforms (GH-Method:\u0000Math-Physical Medicine)","authors":"","doi":"10.33140/jnh.05.02.03","DOIUrl":"https://doi.org/10.33140/jnh.05.02.03","url":null,"abstract":"This paper summarizes tips and guidelines of optimized combination\u0000of food and exercise for type 2 diabetes (T2D) patients to control\u0000their glucoses. The dataset is provided by the author, who uses his\u0000own type 2 diabetes metabolic conditions control, as a case study\u0000via the “math-physical medicine” approach of a non-traditional\u0000methodology in medical research.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73832671","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":"Pain Assessment, Using the Critical Care Pain Observational Tool in Intensive Care\u0000Unit. An Observational Study, Lahore, Pakistan","authors":"","doi":"10.33140/jnh.05.02.04","DOIUrl":"https://doi.org/10.33140/jnh.05.02.04","url":null,"abstract":"Aim: Aim this study is to determine impact of enforcement of the critical Care Pain Observation Tool (CPOT) on the quantity\u0000and frequency of ICU’s management of analgesic.\u0000Background: Severely critically admitted patients to the Intensive care unit may also experience from specific painful stimuli,\u0000but the evaluation of pain is difficult due to the fact that the maximum number of patients are almost sedated and also unable\u0000to self report. Thus, optimizing pain assessment in those sufferers is far-reaching.\u0000Pain control or management of the pain is one of furthermost important obligations of staff nurses in an extensive care unit.\u0000The Critical Care Pain Observational Tool (CPOT) is the one of important behavioral pain scale that have been developed\u0000and tested to detect pain in significantly ill nonverbal adults.\u0000Methods: A observational quantitative study is done in a tertiary care hospital in Lahore. Study duration is 4 months, from\u0000January 2020 to May 2020. The target population of study is nurses who are working in different type of (Icu) units. Sample\u0000size is 200. An observational checklist consisted of 22 items is used as research instrument.\u0000Result: No any pain assessment or used any pain tool or intervention done by any staff nurse. Pain assessment checked through\u0000direct observation in first phase, In this phase observe nurses pain assessment in 24 hours, physician pain assessment in 24\u0000hours, After direct observation there was held a educational session about pain assessment and pain management according\u0000pain observation tool, And then We then carried out this empirical analysis in order to verify the CPOT validity and feasibility\u0000through questioners and make it accessible around the staff nurses. Mostly nurses believed that there was sufficient helpful\u0000in assessing patients pain by using of CPOT in nursing practice.\u0000Conclusion: lThe results of this research indicate that the Critical Care Pain Monitoring Method may be used as a reliable\u0000method for pain appraisal in chronically ill adult intubated patients. This method is effective and efficient in patients who are\u0000chronically ill with a regimen of analgo-sedation focused on no-hypnotic, opioid-infusion. CPOT ratings were well associated\u0000with the self-reported pain experience of patients, and demonstrated outstanding reliability amongst raters. That makes the\u0000CPOT’s a powerful method for pain evaluation.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74865312","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":"In Their Own Words: Female Adolescent Empowerment Through Participation in\u0000Participatory Action Research for Sexual Health: A Qualitative Meta-Synthesis of\u0000YPAR Empowerment Outcomes","authors":"","doi":"10.33140/jnh.05.02.02","DOIUrl":"https://doi.org/10.33140/jnh.05.02.02","url":null,"abstract":"A qualitative meta-synthesis of Youth Participatory Action Research (YPAR) on sexual health foregrounds how female adolescents\u0000voice and enact their empowerment by their participation. Through the synthesis of six studies, seven themes emerged. The\u0000female voices showed a progression of agency beginning with an increased self-awareness and altered lived experiences to\u0000supporting, educating others, a keener awareness of others’ experiences, and speaking up or against in-accurate information\u0000or authoritarian policies. Female adolescents have the right to be heard, articulate their opinions, the right to practice their\u0000culture, and ultimately, the right to influence the constraints on their personal and sexual health development.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88465108","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":"Regulatory Strategies for Orphan Drug Development in Canada – Australia","authors":"","doi":"10.33140/jnh.05.02.01","DOIUrl":"https://doi.org/10.33140/jnh.05.02.01","url":null,"abstract":"Canada, Australia have evaluated how their governments can facilitate the improvement of scientific merchandise to deal with\u0000uncommon issues. Each has hooked up programs and/or policies to help the improvement of merchandise to deal with unmet\u0000clinical wishes in small populations and to ensure their citizens get right of entry to such important medicines. Australia’s\u0000software, initiated in 1998, changed into evolved in collaboration with the United States Food and Drug Administration to\u0000facilitate the alternate and evaluation of facts on orphan tablets. Canada’s evaluation, posted in 1996, determined that a\u0000standalone orphan drug software became now not presently warranted, as present regulation and regulatory policies permit\u0000early get right of entry to critical medicinal merchandise. The incidences of such diseases were increasing at an extra pace\u0000than the speed with which drugs are researched and developed to treat such diseases. One of the fundamental motives is\u0000that the pharmaceutical enterprise is not very keen to research the improvement of orphan capsules as those capsules do no\u0000longer capture a larger market. This is the modern situation in-spite of the various incentives furnished in the orphan drug act.\u0000However, in this article, we’ve tried to focus on present regulatory framework, Current principles of rare sickness, Regulatory\u0000Challenges for Rare Disease Drug Development, Regulatory Integrated approach for the improvement and approval of orphan\u0000drugs in Canada & Australia.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"133 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86235310","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":"Pattern and Presentation of Prostate Cancer at a Referral Centre in the Brong Ahafo\u0000Region of Ghana; A 10-Year Retrospective Study","authors":"","doi":"10.33140/jnh.05.01.05","DOIUrl":"https://doi.org/10.33140/jnh.05.01.05","url":null,"abstract":"Introduction: Prostate cancer is gradually reaching a very high incidence in Africa, especially in the Sub-Saharan region.\u0000Understanding the dynamics in occurrence of the disorder is one approach to developing effective public health programmes\u0000and interventions that will help curb the rising incidence.\u0000Objective: This study was aimed at providing comprehensive and credible data on prostate cancer by assessing the incidence,\u0000trend and presentation in the Brong Ahafo Region of Ghana. We sought to provide region-specific hardcore data that will help\u0000to assess the issue and provide remedies.\u0000Methodology: All prostate disease cases recorded from the year 2009 to 2018 were retrospectively reviewed. Subjects from 40\u0000years and above were eligible for screening. Diagnostic and screening tools for prostate cancer at the study site include family\u0000history, serum prostate specific antigen (PSA) test, digital rectal examination, urological ultrasound scan and histopathology\u0000(biopsy). Age, PSA values and year of screening/diagnosis were also retrieved from patient folders for the study. Histological\u0000findings and parameters considered in the study included diagnosis, carcinoma grading, perineural invasion (PNI) and\u0000percentage of affected tissues (%TA).\u0000Results: Prostate cancer cases were 369, representing 36.4% of the 1,014 prostate diseases studied. The highest annual incidence\u0000was recorded in 2014 with 51 cases (13.8%). The ages of patients ranged from 46 to 101 years with a modal age range of 70\u0000- 79 years and a mean ± SD of 72.2 ± 9.8. The mean PSA value recorded was 37.1ng/ml (±107.3) with predominance in the\u000011 - 20.9 ng/ml range. Majority of Group Grade 2-5 (79%) constituted progressive prostate cancer. There was no significant\u0000correlation (p = 0.091) between grade of prostate cancer and perineural invasion.\u0000Conclusion: There is a high incidence of prostate cancer in the Brong Ahafo Region of Ghana (32 per 100,000), predominantly\u0000advanced prostatic carcinoma. Reported cases also show high %TA (38.7%) and PNI (38.0%). Early screening for prostate\u0000diseases should be encouraged to avoid progression to advanced stage and public health interventions are needed to address\u0000some of these issues.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82856729","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 Effect of Guided Imagery on Death Anxiety, Empathy and Attitude towards\u0000Terminally Ill Patients in Oncology Nurses","authors":"","doi":"10.33140/jnh.05.01.04","DOIUrl":"https://doi.org/10.33140/jnh.05.01.04","url":null,"abstract":"Objective: Enabling oncology nurses to become aware of their own mortality is important to provide a dignity and quality end\u0000of life care. The aim of this study is to evaluate the effect of guided imagery on death anxiety, empathy and attitude towards\u0000terminally ill patients in oncology nurses. Guided imagery may be an effective tool to help nurses at the end of life care.\u0000Methods: This quasi-experimental research included 43 oncology nurses who were chosen using total population sampling\u0000method. The data was collected by using the nurse information form, the “Thorson-Powell Death Anxiety Scale”, the “Approach\u0000to Death and Dying Patients Attitude Scale”, the “Interpersonal Reactivity Index”\u0000Results: The nurses in the intervention and control groups were similar in terms of characteristics (P> .05). In intragroup\u0000comparison of the experimental group, it was determined that while both death anxiety and empathy levels increased, scores\u0000of avoiding terminally ill patients of nurses also decreased (P< .05). On the other hand, in the intergroup comparison, it\u0000did not affect death anxiety and attitude towards the terminally ill patients (P> .05); however, it was found that it increased\u0000empathy levels of nurses (P< .05).\u0000Conclusion: Guided Imagery may be an effective technique in oncology nurses to improve positive attitude towards the terminally\u0000ill patients and increase empathy level. Using guided imagery can facilitate clinical nursing practice by changing nurses’\u0000perspective towards the nearing people end of life. However, further experimental research are needed to validate this study.","PeriodicalId":89422,"journal":{"name":"Journal of nursing and healthcare of chronic illness","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90629903","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}