International journal of nursing & clinical practices最新文献

{"title":"The relationships between uncertainty and coping Behaviors of patients with liver Cirrhosis","authors":"Wan-Ju Lin, Hui-Man Huang, Bih-O Lee, F. Sun","doi":"10.15344/2394-4978/2017/261","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/261","url":null,"abstract":"Background: Patients tend to develop a sense of uncertainty when they lack control over the progress of the disease, and physical discomforts. The sense of uncertainty that patients develop when facing their disease or treatment may elicit physical and psychological distress which can influence the patients’ coping behaviors. Purpose: This study investigated the relationships between cirrhotic patients’ sense of uncertainty and coping behaviors. Methods: A cross-sectional, correlational research design was used. Convenience sampling was performed to select 76 cirrhotic inpatients in the division of gastroenterology at a hospital in Southern Taiwan. Three structured questionnaires (Personal Characteristics Questionnaire, Mishel Uncertainty in Illness Scale, Coping Behaviors Scale) were used for data collection. Results: (a) Cirrhotic patients perceived a moderate or increased level of uncertainty and problemoriented coping behaviors were the most frequently used coping behaviors. (b) Patients who had no religion, who had fatigue or severe disease conditions exhibited comparatively high levels of uncertainty. (c) Patients who were singled or unemployed, or fatigue often showed emotion-oriented coping behaviors. Consuming alcohol frequency, illness severity was positively correlated with emotionoriented coping behaviors. (d) Patients who were unemployed often exhibited problem-oriented coping behaviors. Educational level and consuming alcohol frequency were positively correlated with problemoriented coping behaviors. (e) Patients’ sense of uncertainty was positively correlated with emotion- and problem-oriented coping behaviors. Conclusions/ Implications for Practice: Since cirrhotic patients frequently exhibit emotion-oriented coping behaviors and have high level of uncertainty, nurses could encourage them to express their emotions and problems, and listen to them patiently. If patients were high levels of uncertainty, and exhibit problem-oriented coping behaviors, by spontaneously providing disease-related information and social support, they can readily adopt to their disease conditions.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41681822","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":"Effectiveness of Patient Group Meetings for Postoperative Patients with Defecatory Dysfunction","authors":"A. Tsuji, M. Nakayama, K. Takifuji, M. Yamaguchi, I. Ueda, I. Morioka, Yukiko Suzuki, K. Miyashita","doi":"10.15344/2394-4978/2017/260","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/260","url":null,"abstract":"Background: Research on a peer support for patients after low anterior resection (LAR) is now limited. Little is then known about the effectiveness of patient group meeting for such patients. The aim of this study was to clarify the effectiveness of patient group meetings for the LAR postoperative patients with defecatory dysfunction. Methods: A longitudinal prospective study was conducted. Twenty-six patients (mean age: 65.6 years old) participated in this study. The patient group meetings were held three times for six months, consisting health education and group discussions. Knowledge and Emotion were measured using visual analogue scale. Defecatory dysfunction was measured using a scale. The QOL was measured by EORTC QLQ-C30. T test, Chi-squared or Fisher’s exact test, paired t test, multiple linear regression analysis and Spearman’s rank correlation were used for the statistical analyses. Results: Participants in the patient group meetings gained information on defecatory dysfunction and coping with diarrhea. Their score of scales estimating defecatory dysfunction were stable. They reported higher, but not significant, global health status/QOL and significantly higher Social Functioning. Significant decreased symptom scores of Fatigue and Diarrhea were obtained depending on the participation rate. A decreased symptom score in Diarrhea was related to the increase in the global health status/QOL and Social Functioning, and not related to the change in the defecatory dysfunction. Conclusion: A patient group meeting for the patients after LAR has positive health effects on the QOL of diarrhea. The results suggest the importance of patient group meeting to survival related to QOL of such patients. Healthcare providers should be aware of the importance of patient group meeting to improve the survival related to QOL in the postoperative patients with defecatory dysfunction.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48710475","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 Nuts & Bolts of Developing a Global Health Course","authors":"S. Byrne","doi":"10.15344/2394-4978/2018/291","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/291","url":null,"abstract":"As society becomes more culturally diverse and diseases and other health risks continue to cross national and international borders, academic schools preparing future healthcare professionals will need to address the health and wellness needs of individuals and communities worldwide. This article provides an example of many aspects of course design,following an analogy of “nuts and bolts,” used by a nursing department to assist in the development and implementation of a global health course. The course in turn promotes student knowledge and skill in the delivery of culturally humanistic and sustainable healthcare services to populations across the world in their future practice.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45469090","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":"Reliability and Validity of an Assessment Algorithm to Predict the Coping Skills of 3- to 6-Year-old Children Undergoing Blood Sampling","authors":"Shiho Konta, Yukiko Sato","doi":"10.15344/2394-4978/2017/259","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/259","url":null,"abstract":"Background: We developed an assessment algorithm to predict the coping skills of children aged 3 to 6 years who undergo blood sampling. The objective of this study was to determine the reliability and validity of this algorithm. Methods: Subjects were 41 children aged 3 to 6 years who were to undergo blood sampling in two hospitals, and their parents. To use the assessment algorithm, we used a questionnaire to obtain the following information from the parent before the child’s blood sampling: the child’s age, whether they had previously undergone blood sampling, and the parent’s prediction regarding the child’s coping behavior. The coping behavior of the children undergoing blood sampling was directly observed and scored by one researcher. In the examination of reliability, two different researchers independently estimated the coping skills of the child using the assessment algorithm based on the parent’s questionnaire, and the estimates were compared. We analyzed the predictive validity of the coping skills estimated by the assessment algorithm and the child’s actual coping behavior during blood sampling. We evaluated the sensitivity according to the number of children for whom the coping skills estimated by the assessment algorithm exceeded those exhibited in actual coping behavior. Results: The coping skills of the children estimated by the two researchers using the assessment algorithm were concordant (kappa = 1.000, p = 0.000). Spearman’s correlation coefficient between the coping skills estimated for the children using the assessment algorithm and their actual coping behavior was very high (r = -0.74, p = 0.000). Because the assessment algorithm we developed estimated a higher level of coping skill than was exhibited in actual coping behavior for five children, its sensitivity was higher than that of any other classification algorithm. Conclusion: Our analysis showed high reliability and validity of the assessment algorithm.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48288928","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 impact of smoking on Healthcare provision","authors":"L. Delaney","doi":"10.15344/2394-4978/2017/258","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/258","url":null,"abstract":"Increasing health expenditure requires clinical leaders to have a functional understanding of health economics and its implications on the provisions of healthcare services. The subsequent health related illnesses associated with tobacco use, contribute to considerable economic burden to the health care system. Epidemiological analysis of tobacco use, suggests that it will become the leading cause of death in developed countries. The relative impact smoking has on the healthcare systems has been proffered to negate the burden of cost on health services secondary to reduced lifespans. Investing in chronic disease management programs such as pulmonary rehabilitation may reduce the impact of exacerbations of respiratory diseases on the individuals functioning, and alleviate some of the burden on acute care systems.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45922582","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":"Statistics Used in Scholarly Projects of Doctor of Nursing Practice Graduates","authors":"Aliya Kuerban","doi":"10.15344/2394-4978/2018/276","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/276","url":null,"abstract":"Background: Most of the DNP programs provide only one Biostatistics course for the students, which means instructors have limited time to prepare DNP students in mastering the statistics skills they need to complete their scholarly project. Methods: Quantitative content analysis was conduct on 100 DNP projects to retrieve information regarding the subjects, sample size, sampling strategies, and statistics methods used. These projects were selected from two online DNP projects repositories, where DNP graduates uploaded their projects voluntarily. Results: Almost half of the projects had a sample size less than 50, majority of the studies adopted convenience sampling strategy, and the most often used statistics methods discovered were descriptive analysis, t Test, and Chi square analysis. Conclusion: Small sample size is an intrinsic problem of most DNP projects. The results of this study give DNP students and faculty a more clear teaching map that focuses on skills used most often.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49027859","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":"Promoting Caring by Increasing Realism in the Simulated Environment","authors":"Gail Dove Ward, L. Robinson, L. Ware","doi":"10.15344/2394-4978/2017/257","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/257","url":null,"abstract":"High-fidelity human patient simulators provide students learning opportunities for performing skills, attaining knowledge, critical thinking, and building self-confidence. Absent from this list is the essential component of learning caring in nursing. Simulation-based learning can present a challenge to students learning caring behaviors. The purpose of this paper is to address strategies helpful in creating realistic high-fidelity simulation-based learning experiences promoting learning caring during simulation. Simulation specialists who create a realistic clinical scenario and add the human component to the simulated experience were found to make the simulated environment more realistic and consequently more conducive to learning caring behaviors.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46665390","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 Recovery from Fatigue after a 16-hour Night Shift among Female Japanese Nurses","authors":"Narumi Ooshige, Tae Yamaguchi, Mitsuyo Nakashima, K. Minematsu, T. Tobina, N. Tsunawake","doi":"10.15344/2394-4978/2017/255","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/255","url":null,"abstract":"Background: The present study aimed to evaluate self-reported fatigue recovery among Japanese nurses who perform shift work and to evaluate how their fatigue was affected by a day off after a night shift. Methods: We recruited 66 healthy female Japanese nurses at three regional private hospitals. The nurses were divided into a recovery group and a non-recovery group, based on their self-reported experience of fatigue during the interval from the time before their night shift to after a following day off. Unpaired t-test and logistic regression analyses were used to find associations of self-reported fatigue with demographic and lifestyle factors. Results: The recovery group included 45 nurses, and the non-recovering group included 21 nurses. The recovery group exhibited a high degree of fatigue at five assessment points, while the non-recovery group only exhibited a high degree of fatigue at the post–day off assessment. The adjusted odds ratios (95% confidence intervals) for self-reported fatigue during the night shift were 1.27 (1.00–1.61) for the age of the nurse’s youngest child and 1.04 (1.00–1.08) for the nurse’s time spent napping (P < 0.05). Conclusion: Sleeping before a night shift may facilitate recovery after the shift, although fatigue was also influenced by the age of the nurse’s youngest child and the nurse’s napping time.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44807723","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":"Changes in the Mood and Emotion of Elderly Day Care Users Undergoing Tapping Touch and Laughter Yoga Intervention","authors":"Minako Kobayashi","doi":"10.15344/2394-4978/2017/256","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/256","url":null,"abstract":"Background: The present study was conducted to compare and examine the effects of tapping touch and laughter yoga for alleviating depression symptom and stress reactions among older adults requiring home care. Methods: Tapping touch and laughter yoga were administered to 18 older adult day care users. We evaluated participants’ emotional reactions via a two-dimensional mood scale and VAS before and after tapping touch and laughter yoga activities. Results: Activity-based care utilizing tapping touch was effective for reducing feelings of stress, pain, anxiety, and tension by placing users in a more relaxed and stable state. Laughter yoga revealed no significant effects, with the exception of a tendency toward increased comfort. Conclusion: Tapping touch was effective at reducing stress and pain in the present sample. Although laughter yoga was not similarly effective, there is a possibility that modifying its implementation could enhance its efficacy.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46553276","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":"Study of the Midwifery Care in 6 Obstetrical Facilities in Okinawa-Self- Completed Retrospective Questionnaires for One Month Postpartum Women","authors":"Yoko Tamashiro, F. Omine, Yumiko Endoh, Tsugiko Gima, Chikako Maeshiro, N. Toyama, Rika Takemoto, Tomomi Takayama, Miki Hirata","doi":"10.15344/2394-4978/2017/254","DOIUrl":"https://doi.org/10.15344/2394-4978/2017/254","url":null,"abstract":"The purpose of this study was to investigate the effective midwifery care from pregnancy to postpartum in order to promote evidence-based midwifery practice in improving childbirth satisfaction and breastfeeding. The subjects were one-month postpartum mothers who came to one-month check-up during July to October in 2010. The purpose of the self-administered questionnaire developed by the research group was explained, then provided to mothers who agreed to participate in the survey at 4 hospitals each with more than 300 beds and 1 clinic with more than 500 deliveries annually in Okinawa. The questionnaire was collected on the same day or via postal mail. A total of 540 mothers agreed to complete the survey, and 434 responses were considered valid for this study (valid response rate: 80.4%). Vaginal delivery group was 223 (82.3% with medical intervention rate of 15.2%), and the cesarean section group was 48 (17.7%). The most helpful one-on-one guidance was","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41906391","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}