International journal of research in nursing最新文献

{"title":"Defining Healthy Intimate Relationships: A Qualitative Pilot Study of Rural Hispanic Women","authors":"Sandra Annan, Karen Jagiello, Deborah Elkins, Erika Metzler Sawin, Donna Schminkey, Jamie Robinson","doi":"10.3844/ijrnsp.2023.34.44","DOIUrl":"https://doi.org/10.3844/ijrnsp.2023.34.44","url":null,"abstract":": This study aimed to explore Hispanic women’s views of their relationships with current and previous partners. Researchers conducted interviews with Eight (8) women within a local rural Hispanic community. We interviewed in a semi-structured format using the participants' preferred language either English or Spanish. Interviews were audiotaped, transcribed, and reviewed for accuracy. Data were analyzed using a phenomenological focus. Half of the participants reported experiencing some type of intimate partner violence in a past relationship. Participants described positive concepts such as fidelity, respect, and communication and negative concepts such as alcohol, fear, and machismo in describing healthy versus unhealthy relationships. There were four overarching themes: Essential characteristics of healthy relationships, operationalization, threats, and ideal relationships. This pilot study provides preliminary insight into rural Hispanic women's experiences in intimate relationships. More research is needed to examine providers' understanding of how Hispanic women define a healthy relationship. This can impact screening measures and facilitate interventions toward intimate partner violence.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135058028","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":"An Evaluation of the ‘My Home Life’ Leadership Support Programme for Care Home Managers","authors":"S. Penney, A. Ryan, P. Slater, Julienne Meyer, B. Dewar, T. Owen, B. Lynch","doi":"10.3844/ijrnsp.2023.19.33","DOIUrl":"https://doi.org/10.3844/ijrnsp.2023.19.33","url":null,"abstract":": Care homes are central to the provision of care for older people and it is essential the leaders in this sector are supported to enhance the equality of care provided to these residents, often with multiple and complex needs and co-existing health conditions. The My Home Life Leadership Support program (MHLLS) is an innovative approach that enhances the culture of care in these settings. This study explored the findings of 298 participants who completed the program in England, Scotland, and Northern Ireland. Data were analyzed from two questionnaires which are routinely completed, by participants on the MHL LSP, the Assessment of Workplace Schedule (AWES) and the Perceptions of Workplace Change Schedule (PoWCS). The results were categorized by factors identified by the exploratory factor analysis. This study focuses only on the quantitative findings from pre-and post-questionnaires. The study also provides an updated factor analysis of the AWES and POWCS. The results provide robust evidence of the overall positive impact of the MHLLS program across the three participating countries. The key areas in which MHL participants report significant change within their care homes are recognition and regard for them and their staff, workload, quality of care, and working relationships. Overall, this study has demonstrated a significant positive change in managers' leadership skills and their perceptions of the impact of this on staff, relatives, and residents.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44111936","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":"Experiences and Perceptions of Older People Making the Transition to Living in a Care Home: An Integrative Literature Review","authors":"M. O'Neill, A. Ryan","doi":"10.3844/ijrnsp.2023.1.18","DOIUrl":"https://doi.org/10.3844/ijrnsp.2023.1.18","url":null,"abstract":": Globally, along with population ageing, there is an increasing trend for older people with complex care needs to reside in care homes. It is recognised that moving into a care home can be a complex and emotional experience for the individual and their families. Despite this there is a paucity of research that takes into consideration an individuals experiences of the move. An integrative literature review and a thematic synthesis supported the identification of themes describing the experiences and perspectives of older people making the transition. A systematic search was conducted in six English electronic databases (CINAHL complete, ProQuest health and medical collection, PyscINFO, and Scopus). The quality of the research papers selected were assessed using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) and the Critical Appraisal Skills Programme (CASP). Four predominant themes emerged from the review: (1) Decision making and control, (2) Process of transition, adjustment, and adaptation, (3) Psychological reactions, and (4) Connectedness, support, and companionship. Within the current body of literature there is a lack of understanding of the processes older people undergo that describe their experiences during the day to day adjustment and adaptation to living in a care home. Furthermore, there is limited research into the psychological and/or social experiences of older people moving into a care home that takes into consideration the total relocation process, incorporating residents, early and ongoing experiences during the transition.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44016104","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":"Development and Psychometric Test of the ‘Empathy and Understanding in the Dementia Index’ for Health Professionals","authors":"P. Slater, Kevin Moore, Florence Sharkey, F. Hasson","doi":"10.3844/ijrnsp.2022.1.10","DOIUrl":"https://doi.org/10.3844/ijrnsp.2022.1.10","url":null,"abstract":": Empathy among health professionals requires the application of empathic understanding in practice and in the way, care is provided. To date, few tools have been specifically designed to measure empathy concerning dementia training. Therefore, this study aimed to develop a psychometrically valid and reliable tool to measure empathy among health professionals. A mixed methods sequential exploratory design was adopted guided by Fields' theoretical structure. Phase 1-4 (development) of the instrument was based on (1) an extensive literature review, (2) qualitative research, and (3-4) the contribution of a variety of stakeholders and supported by an empathic theoretical framework. Phase 5 (validation) involved a quantitative study among a convenient sample of multi-health professionals ( n = 223) to evaluate validity and reliability and finalize the tool. Full ethical approval was acquired. A 19-item questionnaire that includes four constructions (Previous training α = 0.88, empathy α = 0.91; Understanding behavior α = 0.85; and Person-centered practice α = 0.91) emerged from qualitative findings and a strong theoretical basis. It was verified that the tool had acceptable psychometric properties, acceptable factor loadings, and internal consistency measures. The intervention had a significant impact on the empathy of the participants. The tool proved to be an effective measure of empathy, understanding, and empathy in the performance of health professionals concerning the care of a person living with dementia. It proved to be an effective measure of change over time as a result of an intervention. The intervention produced a significant change in empathy and understanding of the symptoms and impact of dementia. This difference was observed regardless of the health profession. The empathy and understanding in the dementia index are potentially useful took for estimating empathy among health professionals using virtual reality. The questionnaire demonstrated sufficient structural validity and internal consistency in empathy and understanding of the symptoms of health professionals and the impact on the person living with dementia. Further psychometric investigation including larger samples is recommended.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48390420","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":"Concentric Circles Painting Versus Back-and-Forth Scrubbing: A Comparison Between Two Skin Disinfection Techniques","authors":"Kai Beng Tan, Yu Cheng Chiu, A. Tham, Megan Hey, Hayley Pang, Qian Wen Leo, Terilyn Ong, Amanda Goh, S. Koh","doi":"10.3844/ijrnsp.2021.21.25","DOIUrl":"https://doi.org/10.3844/ijrnsp.2021.21.25","url":null,"abstract":"Corresponding Author: Kai Beng Tan Nursing Division, Sengkang General Hospital, Singapore Email: tan.kai.beng@skh.com.sg Abstract: Traditionally, skin disinfection is performed in concentric circles. In recent years, there are studies which suggest that back-and-forth scrubbing could be a better technique. However, there is insufficient evidence to demonstrate which disinfection technique is better in reducing microbial load prior to invasive procedures. This study aims to compare the effectiveness of concentric circles painting and back-and-forth scrubbing skin disinfection techniques in reducing microorganisms’ Adenosine Triphosphate (ATP) measured in Reactive Light Units (RLU). 293 participants were recruited in the quasi-experimental study. Before disinfection, the participants’ bilateral antecubital fossa was swabbed using the 3M clean-trace surface ATP test swab (3M Clean-Trace) to detect microorganisms’ ATP measured in RLU. Subsequently, on one antecubital fossa, using an assigned cleansing agent (0.9% normal saline or 70% isopropyl alcohol), it was disinfected by concentric circles painting. On the opposing antecubital fossa, using the same cleansing agent, it was disinfected by back-and-forth scrubbing. Thereafter, the participants’ bilateral antecubital fossa was swabbed using the 3M Clean-Trace to determine the amount of ATP present post-disinfection. The pre and post disinfection median RLU and median difference in RLU between the disinfection techniques were compared. Based on 146 participants after removal of outlying data, both concentric circles painting and back-andforth scrubbing disinfection techniques significantly reduced microorganisms’ ATP measured in RLU (p<0.05). However, between the two disinfection techniques, no significant median difference in RLU was observed (p>0.05). Both concentric circles painting and back-and-forth scrubbing disinfection techniques reduced microorganisms’ ATP on skin surfaces. However, no significant difference was observed between the two disinfection techniques, which could suggest that both are equally effective for skin disinfection.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46774484","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 Study to Assess the SkooolTM Healthcare Education Program Among Midwifery Students of the Koforidua Nursing and Midwifery Training College","authors":"Augustine Kumah, Nicholas Adzaho, Hillary Selassi Nutakor, G. Azi, Haphsheitu Yahaya, Godwin Gideon Kwaku Dorvlo, Millicent Egbenyah, Gideon Dzando","doi":"10.3844/ijrnsp.2021.53.57","DOIUrl":"https://doi.org/10.3844/ijrnsp.2021.53.57","url":null,"abstract":"","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42761483","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 Study to Assess the Knowledge Regarding Role of Teachers in Promoting Healthy Behavior in School Children Among Primary School Teachers in Selected Primary Schools, Hyderabad, Telangana","authors":"Valluri Lucy Kezia Kamala Kumari","doi":"10.3844/ijrnsp.2021.49.52","DOIUrl":"https://doi.org/10.3844/ijrnsp.2021.49.52","url":null,"abstract":"Email: kezia_kumari2006@yahoo.com Abstract: Behavioral problems may affect the children education and they cannot good in a subject after trying hard. Teacher are the second parents to teach the children to develop a good life with good behavior this helps in getting good academic results and becomes a good citizen of the country. Every teacher should have the knowledge in promoting healthy behavior in school children it includes conduct, scholastic and emotional behavior. The researcher wants to assess the knowledge of the school teachers in promoting healthy behavior in school children during their educational period and improve the knowledge of school teachers by providing pamphlets regarding role of teacher in promoting healthy behavior in school children. The lack of knowledge in school teachers may lead to many problems in school children lives. The objectives of the study were 1. To Assess the knowledge of teachers regarding role of teachers in Promoting Healthy Behavior in School Children. 2. To find out the association between the knowledge scores of school teachers regarding role of teachers in promoting healthy behavior in school children with selected demographic Variables.3. To provide a pamphlet regarding role of Teachers in Promoting Healthy Behavior in School Children. The data collection procedure was carried out with the structured questionnaire and the samples were taken from in Selected Private Primary Schools, Almasguda, Hyderabad, Telangana. Sample of 60 primary school teachers were taken. Variables are Age, Sex, Religion, Education, Income. Marital status, years of experience, attended training programmer on behavioral problems of school children. Majority of the subjects 60% were in the age group above 40 years, 65% were females, 76.7% were Hindus, 70% of subjects were done graduation with B.Ed., 60% were in the income group of Rs. 15,000 t0 20,000,90% were married, 65% were 05 years’ experience, none of the teachers were attended training programmer on behavioral problems of school children.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42780190","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 Leadership Challenges and Opportunities During COVID-19 (SARS-CoV-2) Pandemic Response in Zambia","authors":"A. Nkowane, L. Mwape, P. Chibuye, C. Tembo","doi":"10.3844/ijrnsp.2021.26.48","DOIUrl":"https://doi.org/10.3844/ijrnsp.2021.26.48","url":null,"abstract":"Corresponding Author: Annette Mwansa Nkowane Independent Consultant, Nursing and Midwifery, Lusaka, Zambia Email: annemwansa@gmail.com Abstract: A nurse leader has the capacity to influence, coordinate and integrate nursing care for patients and families and advocate for the nursing profession to achieve positive health outcomes. In Zambia, nurse leaders operate at all levels of the health system and can contribute significantly to alleviating the negative outcomes of diseases of epidemic potential. The COVID-19 pandemic has provided an opportunity to strengthen nursing leadership efforts towards the reduction of morbidity and mortality from this outbreak. A cross-sectional survey of nurse leaders in six provinces of Zambia was conducted. The data was collected through telephone interviews and self-administered questionnaires on roles and responsibilities, nursing leadership, involvement in policy advice and overall experience with the COVID-19 outbreak. Quantitative variables were analyzed for descriptive statistics while qualitative data were summarized into emerging themes. Nurse leaders played a key role in motivating nurses despite response hesitancy due to risk of infection. Ensuring compliance to infection prevention and control standards was a key responsibility for all nurse leaders. Challenges included their late involvement in planning for service delivery, lack of dedicated resources for performing supervisory functions and the absence of a nursing operational plan for COVID-19. The inability to provide for psychological needs of nurses and unclear incentives policy were important factors for the lack of motivation. Enhanced interprofessional collaboration, professional development in critical care nursing, change management and expanded partnerships with community organizations were among opportunities identified. The role of nurse leaders can be maximized by ensuring their early involvement in strategic planning. A funded operational plan inclusive of dedicated resources for monitoring and supervisory functions of the nurse leaders is indispensable. To sustain motivation, facilities for psychological support, medical care, mentoring and a clear policy on incentives are required, as well as, a continuous professional development programme that addresses competences in nursing leadership and critical care.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44558603","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":"Mechanisms and Management of Chronic Pain.","authors":"Victor V Chaban","doi":"10.3844/ijrnsp.2021.1.2","DOIUrl":"https://doi.org/10.3844/ijrnsp.2021.1.2","url":null,"abstract":"<p><p>Chronic pain symptoms account up to half of all health care visits, afflicts >10% of US adults, at a higher prevalence in women with current analgesic drugs rarely provide enough efficacy in the absence of serious side effects. Chronic pain is also the root cause of the national opioid health crisis, which adds to health care costs and deaths. Thus, new pain therapies based on detailed understanding of nociceptive mechanisms are needed as alternatives to opioid analgesics and are of great societal importance. Chronic pain is one of the most prevalent human health problems that often is associated by the concomitant decline in cognitive and motor functions. Pain is strongly associated with other diseases that can lack of awareness to its pathology. Despite a successful reduction of pain with available medications, majority of treated patients were seeking professional help again. The average time duration between the onset of pain symptoms and the diagnosis is couple of years despite the fact that majority of patients with chronic pain suffer every day. Efficacious and reliable therapeutic intervention is still unavailable despite the tremendous economic burden imposed on healthcare to treat many diseases associated with chronic pain.</p>","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":"12 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/2d/nihms-1820816.PMC9273131.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40497762","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}

{"title":"Prevalence and Risk Factors Associated with Needle Sticks and Sharp Injuries among Nurses at the Accident and Emergency Department of Komfo Anokye Teaching Hospital, Kumasi-Ghana","authors":"Augustine Kumah, Hilda Agortimevor, Francis Akakpo, Hope Akpeke, G. Azi, E. Gblende","doi":"10.3844/IJRNSP.2020.47.53","DOIUrl":"https://doi.org/10.3844/IJRNSP.2020.47.53","url":null,"abstract":"Needle Sticks and Sharps Injuries (NSSI) represent a major occupational hazard in the health care industry, with professional nurses incurring a large proportion of the total burden particularly with items that have been previously used on patients. This study investigated the prevalence and risk factors associated with needle sticks and sharp injuries among nurses at the accident and emergency department of Komfo Anokye Teaching Hospital, Kumasi-Ghana. A cross-sectional quantitative descriptive survey was conducted among 113 Nurses at Accident & Emergency department of Komfo Anokye Teaching Hospital in Ghana using a simple random sampling in selecting participants. A structured questionnaire was used to collect data from the participants. The study shown a prevalence of 47% needle stick and sharp injury among nurses with 33.6% of those injuries resulting from needle stick. Majority (25.5%) of the respondents allowed the injury to bleed as an initial intervention measure. Majority (68.1%) reported the incidence of the injury while (31.9%) did not. Majority (33.3%) of them did not report because they did not know who to report to. Work pressure (53.1%) was identified as the major contributing factor for needle stick and sharp injuries. The study shown a prevalence of 47% needle stick and sharp injury among nurses with 33.6% of those injuries resulting from needle stick. Nurses should be trained on safety measures of handling and disposing needles and sharps and should also be encouraged to report NSSIs in other to get the right treatment and counselling.","PeriodicalId":89572,"journal":{"name":"International journal of research in nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48862793","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}