International journal of nursing & clinical practices最新文献

{"title":"Concept-based Curriculum Development, Implementation, and Evaluation: A Systematic Review","authors":"S. Lee, P. Willson","doi":"10.15344/2394-4978/2018/271","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/271","url":null,"abstract":"Background: Concept-based curriculum (CBC) is a teaching method that enhances learning by eliminating information overload and memorization; allowing students to think critically by linking knowledge gained in the didactic setting or from previous experiences to apply to clinical practice. CBC is currently implemented in some nursing education programs across the United States. The content-laden curriculum found in traditional nursing education programs, often grounded in the systems approach, has created an environment where faculty are challenged to address current practice competency content while students struggle to gain and retain information. Often students resort to memorization of nursing knowledge and skills rather than understand scientific processes or evidence-based rationale. Methods: A systematic search of the literature was conducted to determine the state of the science of concept-based curriculum’s implementation in nursing education. Academic Search Complete, ProQuest Nursing, CINAHL, and PubMed databases were searched using nursing, education, concept(s), concept-based, and nursing education as search terms. Inclusion criteria was limited to English, peer-reviewed academic and research publications for the years 1990-2017. Results: Sixty-four reports were retrieved, 32 met eligibility and are included in the qualitative synthesis of the strengths, weaknesses, opportunities, and threats (SWOT) to CBC. The SWOT analysis is reported by CBC development, implementation into the curriculum, and evaluation of the implementation. Conclusion: Programmatic implementation strategies are described and outcome metrics are identified that may serve as benchmarks for programs and regulators. Concept-based curricular approaches were found to promote higher levels of thinking, such as evaluating, analyzing, and processing; and to improve critical thinking and clinical judgment as students apply new knowledge within the frame of the concept and analyze information.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47137621","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":"Factors Influencing Cumulative Fatigue Symptoms in Female Nurses Working in Two Shifts Rotation System in Japan","authors":"Narumi Ooshige, Tae Yamaguchi, Mitsuyo Nakashima, K. Minematsu, N. Tsunawake","doi":"10.15344/2394-4978/2018/270","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/270","url":null,"abstract":"Background: This study aimed to clarify factors affecting cumulative fatigue in nurses working two-shift rotations system with 16-hour night time shifts. Methods: A cross sectional design was employed; subjects were 96 nurses. The Cumulative Fatigue Symptoms Index (CFSI) was used to assess cumulative fatigue, and number of steps was counted as an objective measure/ index of physical activity. Data were collected over four days, which included a day shift, night shift, and day off a series of nursing shift. Participant characteristics such as their CFSI scores and years of experience were analyzed using a Mann-Whitney U or a Kruskal–Wallis test. In addition, logistic regression analysis was performed to examine the association between cumulative fatigue and potential contributing factors. Results: Valid data were obtained from 96 female nurses. Cumulative fatigue was found to be related to having less than 5 years of clinical experience (OR = .22, 95% CI=.05-.92), subjective busyness of nightime shifts (OR = 3.12-3.69, 95% CI= 1.06-12.11), and the number of steps taken on one’s day off (OR =.03, 95% CI= .10-.92). The subjective busyness in night shift work was an increasing risk factor of CFSI, and less than 5 years clinical experience and the numbers of steps of day off were lowering risk factors of CFSI. Conclusion: Clinical experience less than 5 years, subjective busyness in night shift work, and the number of steps on a day off as a measure of physical activity were identified as factors associated with CFSI in nurses working in two-shift rotation system.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43465851","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":"Opinions of Intensive Care Nurses: Traditional or Disposable Wipes Bed Bath? A Quasi-Qualitative and Cost Analysis Study","authors":"Funda Büyükyılmaz, Merdiye Şendir","doi":"10.15344/2394-4978/2017/269","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/269","url":null,"abstract":"Background: This study is to compare the traditional basin with the disposable washcloths bed bath in terms of two outcomes: ICU nurses’ satisfaction/preference and cost analysis. Methods: This is a quasi-qualitative and descriptive study was performed in three ICUs (orthopaedic, neurosurgery, and general surgical) at a university hospital. The sample consisted of 41 ICU nurses agreed to participate in the study. The ICU nurses used a visual analogue scale to respond to the questions about the two types of bed-baths. The researchers conducted interviews with ICU nurses about the two bedbath practices based on open-ended questions. The interview, lasting for 20-30 minutes, was administered during a rest period. A cost analysis was calculated by researchers based on equipment and workload. Results: The application time, workload of nurses, and cost analysis scores favoured the disposable bedbath method (p≤0.05). The traditional bed-bath application scored higher than the disposable washcloth application in parameters (performing, providing communication to the patient, patient feedback, cleanliness, integrity, and softness of skin) (p≤0.01). ICU nurses reported that the three most important parameters that affect the preference for the traditional bed-bath application are communication with patients, patient satisfaction feedback, and the cleanness and integrity of skin. Conclusion: Disposable bed-bath method was performed less time, less workload of nurses, and cost effective than traditional method. Furthermore the ICU nurses preferred the traditional bed bath application. Researchers determined that a bridge between cultural habits and nursing science should be established.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47928867","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":"Comparative Examination between the Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN) and the Technological Competency as Caring in Nursing Instrument (TCCNI)","authors":"Mie Miyamoto, M. Miyagawa, T. Tanioka, Yuko Yasuhara, R. Locsin, K. Osaka, Hirokazu Ito, W. Kongsuwan","doi":"10.15344/2394-4978/2017/267","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/267","url":null,"abstract":"Background: Technological Competency as Caring in Nursing Instrument (TCCNI) was developed by Rozzano Locsin (2013) to determine the expression of “technological competency” as caring in nursing among practicing nurses. While the TCCNI was translated into other languages, no instrument measuring the ‘technological competency as caring in nursing’ among Japanese nurses was developed and tested. Considering culture and social background influencing measurement of the phenomena, Kato et al. (2016) re-envisioned the TCCNI to focus on caring behaviors of nurses in acute care settings. The Perceived Inventory of Technological Competency of Caring in Nursing (PITCCN) was developed. Aim: The aim of this study is to perform comparative examination between the PITCCN and the TCCNI. Methods: The authors developed the Japanese version of the TCCNI from its original instrument subjecting this to reverse translation using a professional English-to-Japanese-to-English translator who clearly confirmed the accuracy of the translations. In this study, the contents of the item configurations were analyzed and discussed regarding instruments, and the summary of the similarities and differences among researchers who had been involved in the research of caring. The difference between the item configuration of PITCCN and TCCNI was clearly illustrated by a comparative table, and in the case where there was no corresponding item, it was left blank. Results: The commonality between the TCCNI and PITCCN was the holistic focus on patients using information obtained through technologies. Different question items were included to provide highquality outcomes for the PITCCN. Conclusion: Considered useful in order to perform high quality practice in using technology, and to provide high quality nursing. Measured Technological Competency as Caring in Nursing might be able to utilizing for in-service education of hospitals or formalized education in nursing universities.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47078702","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":"Gender Differences in Health Practices in Middle Adolescent Boys and Girls","authors":"Robert L. Scoloveno","doi":"10.15344/2394-4978/2017/268","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/268","url":null,"abstract":"The purposes of this study are to examine responses to the revised ALP in a sample of urban middle adolescents and to further analyze these responses according to gender. The study of health practices of adolescents has gained increased attention over the past several decades and the knowledge gained from these studies has been vital in promoting health during early, middle, and late adolescents. This descriptive-comparative study is part of a larger research project on health-related outcomes in adolescents. The study focuses on a detailed analysis of one instrument used in the study, the ALP-R2. The final sample of convenience consisted of the 311 participants who completed the instrument packets that included the ALP-R2. An independent t- test determined that adolescent boys (M =121.02) had a higher mean score on the total ALP-R2 than adolescent girls (M = 114.99) at a statistically significant level (t(308) = 2.57, p = .01. The findings of this study demonstrated that adolescent girls practiced fewer health-promoting behaviors than adolescent boys, making them a vulnerable population. Outreach measures by healthcare professionals, especially school nurses and physicians are needed and might best be practiced in school settings that are less threatening environments than offices or clinics. School nurses and physicians, and other healthcare professionals can capitalize on the recommendation that schools are in a unique position to foster healthy eating habits. First and foremost, health care professionals, including nurses and doctors, need to take the leadership in addressing better culturally relevant nutrition among adolescents. Healthcare professionals, specifically school nurses, can work with teachers to put into place comprehensive and grade-related health education curricula whereby students learn about health eating behaviors.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47383811","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 of a Nursing Practice Rating Scale for Hospitalized Pregnant Women with Threatened Preterm Labor","authors":"Hiromi Yamamoto, M. Oike","doi":"10.15344/2394-4978/2017/265","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/265","url":null,"abstract":"Objective: This study aims to develop and validate the Nursing Practice Rating Scale for Hospitalized Pregnant Women with Threatened Preterm Labor (NPRS-HTPL) instrument for clinical Japanese nurses. Design: Cross-sectional study. Setting: General hospitals in Japan with perinatal medical centers. Participants: This study collected a total of 744 nurse participants who experienced caring for pregnant women hospitalized with threatened preterm labor from 88hospitals. Methods: The items in the Nursing Practice Rating Scale for Hospitalized Pregnant Women with Threatened Preterm Labor (NPRS-HTPL) were extracted from previous research. The reliability and validity of the newly developed scale were assessed through the split-half method, internal consistency, criterion-related validity, and construct validity. The construct validity was examined by conducting a factor analysis and using the structural equation modeling (SEM). Results: The final NPRS-HTPL contained 45 items, and factor analysis identified five factors: Care That Enhances Self-care Ability (13 items), Care That Changes Depending on the Situation (7 items), Care That Respects the Wishes of Pregnant Women With Threatened Preterm Labor (9 items), Care Related to Information to Predict the Future Lives of Pregnant Women With Threatened Preterm Labor (8 items), and Practical Care for Continued Pregnancy (8 items). Cronbach’s alpha coefficient of reliability for the five factors ranged from 0.85 to 0.92 and was 0.96 for the 45 items. Confirmatory factor analysis was performed, using SEM. Analysis revealed a goodness-of-fit index (GFI) of 0.808 and the root mean square error of approximation was 0.06, which means an acceptable goodness of fit for this model. Conclusion: The reliability of the NPRS-HTPL was supported. The scale may be a useful tool with which to evaluate nursing practice to support pregnant women with threatened preterm labor while they are in hospital.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43575558","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 a Horticultural Activities Program for the Community Elderly","authors":"Junko Masuya, K. Ota, Y. Mashida","doi":"10.15344/2394-4978/2017/266","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/266","url":null,"abstract":"Objective: The purpose of this study was to examine the effect of a horticultural activities program for the community elderly. Methods: The community elderly were invited to participate in a 6-week horticultural activities program. The Intervention groups contained seven participants (3 women and 4 men ; mean age, 69 years). In the participants, demographic data, including age, gender, and experience of horticultural activity were collected, in addition to information relevant to the Geriatric Depression Scale (GDS-15), the Activities of Daily Living (ADL-20) scale, quality of life (QOL), and the Mini-Mental State Examination (MMSE), before and after the intervention. Results: Regarding QOL, the participants exhibited a significant improvement in “satisfaction with life” after the intervention (P < 0.05). Regarding GDS-15 score, the participants exhibited a significant decrease after the intervention (P < 0.05). ADL-20, and MMSE scores remained unchanged after the intervention in both groups. Conclusions: Participation in horticultural activities reduced depression and increased life satisfaction in elderly residents of the community elderly. However, the number of participants in this study was small, and it was not a randomized controlled trial. Further studies are warranted to completely elucidate the effects of horticultural activities on the psychologic, physical, and cognitive function and QOL of elderly people.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44461486","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":"Recognition and Status of Practicing Technological Competency as Caring in Nursing by Nurses in ICU","authors":"Kaori Kato, M. Miyagawa, Yuko Yasuhara, K. Osaka, Mutsuko Kataoka, Hirokazu Ito, T. Tanioka, R. Locsin, Waraporn Kongswan","doi":"10.15344/2394-4978/2017/264","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/264","url":null,"abstract":"Aim: The purpose of this study was to survey how nurses who work in Intensive Care Units in Japan, realize and practice nursing based on the theory of Technological Competency of Caring in Nursing (TCCN). Methods: The survey was conducted from September 2016 to November 2016 by questionnaire entitled, “Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN).” It was developed based on Locsin’s middle range theory on Technological Competency as Caring in Nursing. Copies of the Inventory were sent by mail to 426 ICU nurses working in hospitals within Japan. Three hundred eight questionnaire copies without missing values were returned (response rate was 72%). Results: (1) The scores about the practice situations of TCCN were significantly lower than those concerning the recognition of TCCN. Although ICU nurses recognized the need for TCCN, they thought that they had not practiced it enough. (2) In comparing the group having the education about caring and the group without the education, the scores concerning recognition of TCCN was significantly higher in educated group. However, no significant difference was found in the practice situation. (3) In comparing the variables “experience years of clinical nursing,” although this did not have a significant difference in the variable “recognition of TCCN.” However, the scores of the practice situation of TCCN was significantly higher compared between the group with 10 or more years of clinical experience than the group with less than 10 years’ experience. (4) In comparing years of experience, ICU nurses’ the scores concerning recognition of TCCN who had practice experience of 10 or more years was significantly higher than the group having less than fiveyears’ experience. Conclusion: By measuring nurses’ practical situation of TCCN, this focus will be to deliver high quality nursing through continuing professional education.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49020359","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 Validation of the Knowledge, Self-efficacy, Outcome Expectation and Behavior on Pesticide Exposure Prevention for Rice Farmers","authors":"Plernpit Suwan-ampai, Suda Hanklang, O. Kaewboonchoo, I. Morioka","doi":"10.15344/2394-4978/2017/263","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/263","url":null,"abstract":"Background: Rice farmers face the risk of exposure to pesticide. Assessment of knowledge, self-efficacy, and outcome expectation to promote personal protective equipment (PPE) use is important. This study aimed to develop and validate a social cognitive theory-based scale that focuses on knowledge, selfefficacy, outcome expectation and behavior on pesticide exposure prevention for rice farmers. Methods: We used the Standards for Educational and Psychological Testing Guide as a validation framework to assess validity evidence: content validity, structural validity, discriminative validity and internal consistency. Structural validity was examined using exploratory factor analysis. Internal consistency was examined using Cronbach’s alpha values. Results: The content validity index scores ranged from 0.88 to 0.94 for four constructs. Exploratory factor analysis of social cognitive theory-based scale identified four factors that corresponded well with the four domains in social cognitive theory; namely knowledge, self-efficacy, outcome expectation and behavior. The Cronbach’s alpha for knowledge (0.88), self-efficacy (0.97), outcome expectation (0.87) and behavior (0.93) subscales were acceptable. Conclusion: The social cognitive theory-based scale on knowledge, self-efficacy, outcome expectation and behaviors on pesticide exposure prevention showed acceptable psychometric properties with respect to responses from rice farmers. This scale may have usefulness for public health personnel to assess change in knowledge, self-efficacy, outcome expectation and behaviors over time in intervention research.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45092217","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 of Gerontological Nursing and Quality of Life in Japan - From Survey Results on the Elderly","authors":"Mami Takahashi, Makoto Oe, H. Sanada","doi":"10.15344/2394-4978/2017/262","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/262","url":null,"abstract":"Remarkable improvements in medical technology and system deployment have brought to Japan a level of life expectancy and a speed of aging unlike any mankind has experienced. As a result, the Japanese government has been seeking to realize a healthy society of longevity amidst its declining birthrate and super aging society. It has been developing strategies for achieving the target of extending a ‘healthy life expectancy’ and has been executing on those. The majority of patients in Japan are 65 or older. Supporting not only a complete cure but also maintaining their health are crucial to their daily Quality of Life. It will therefore be necessary to reduce their inconvenience and pain when unhealthy conditions exist and to offer concern. Working to achieve these goals is both the pleasure and responsibility of Gerontological Nursing. When focused on the last stage of life, we find that eighty per-cent of citizens die in medical institutes despite their wish to be at home. Consensus surveys report that people hope instead to spend their time at home. They do not wish to be forced to accept life-prolonging agents without justifiable cause, and the points used by the family to make the decisions regarding the prolonging of life seem to be different from those used by oneself. While around seventy percent of citizens support the idea of giving instructions for their terminal care, only three percent of them end up doing so. This indicates that the family’s opinion might not reflect that of the elderly. The major reason for why the hospital has become the place where most people die is the lack of infrastructure. Hereafter in Japan, it will be critical for Gerontological Nursing to not only develop a hard infrastructure but also to enhance the soft measures that reflect a person’s wish during the final days from the viewpoint of the Quality of Life.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47344765","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}