GSTF journal of nursing and health care最新文献

{"title":"Increasing African American Advance Directives: Implementing the Five Wishes Education Protocol","authors":"Patricia L. Marshall, Glenda Avery, L. D. Weed","doi":"10.5176/2345-718X_1.2.49","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.49","url":null,"abstract":"The completion rate of advance directives by older African Americans remains low. This pilot study evaluated attitudes related to African Americans and advance directives and the effectiveness of the Five Wishes Education Protocol to increase completion rates. The researchers used a descriptive, cross-sectional pilot study and convenience sampling. Three group sessions were conducted over a 2-month period at three senior centers. Twenty-two older African Americans participated. The mean total score on the attitude survey indicated that participants were moderately positive towards advance directives. Following the intervention, the completion rate of the advance directive Five Wishes was 77.35% (n=17), and 54.5% (n=12) of the participants provided copies of the Five Wishes advance directives to their healthcare providers.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85413561","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":"Health within Illness among Persons living with Chronic Obstructive Pulmonary Disease","authors":"B. Leonard, M. Clark","doi":"10.5176/2345-718X_1.2.37","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.37","url":null,"abstract":"The purpose of this descriptive qualitative study is to explore perceptions of health within illness, a health strategy used by persons with chronic obstructive pulmonary disease (COPD) to maintain their quality of life. A convenience sample of 11 community-dwelling, English-speaking adults with COPD was recruited from the Southwestern United States. The study was conducted in the homes of the participants. Naturalistic inquiry using content analysis and constant comparative techniques was used to analyze the transcribed data. Five conceptual categories emerged in the final stage of analysis that provided answers to the research questions from the perspectives of the participants. The categories were: (a) Cut Off from Life, (b) Health is Everything, (c) Making the Best of It, (d) Living with It, and (e) Breaking the Cycle. Each of the categories was inducted from emergent themes and clusters of data that represented the participants’ descriptions of living with COPD. The findings of this study highlight strategies and practices portrayed by the participants to promote their health despite suffering from a serious illness. Data from the study participants suggest the management of COPD is a complex process that requires considerable flexibility, creativity, and resilience to achieve a sense of health within illness. The study highlights important ways to improve self-care among COPD sufferers on how to manage this chronic illness beyond a trial and error process.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85646624","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 Proposed Blended Course Design for Inter- Professional Education: Using Inquiry to Develop Critical Thinking for Inter-Professional Practice in Undergraduate Students","authors":"Ruth Swart","doi":"10.5176/2315-4330_WNC14.06","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC14.06","url":null,"abstract":"The purpose of this proposed blended course design is to develop inter-professional communication and collaboration in critical thinking, inquiry, and learning. Implementation of inter-professional education between undergraduate students from different faculties enables a building of connections and relationships which could lead to improved collaboration in future inter-professional practice. Critical thinking has been acclaimed as essential in the provision of competent healthcare. The proposal of a blended-learning format provides a means to accommodate the inherent scheduling challenges between different faculties, and captures the potential of cultivating critical thinking in learning experiences during face-to-face, simulation, online learning, and social media interactions. This proposal of a blended inquiry-based approach employing various educational strategies endeavours to present an innovative means to teaching and learning within inter-professional healthcare education.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80871066","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":"Aberrant Work Environments – Rationed Care as System Failure or Missed Care as Skills Failure?","authors":"C. Harvey, R. Forrest, A. Meyers, C. Buckley, Jennifer Roberts, S. Thompson, J. Searle","doi":"10.5176/2315-4330_WNC14.78","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC14.78","url":null,"abstract":"Missed’ care has emotional, professional and legal connotations because, as one participant from our study noted, the environment can change so quickly and staffing is not allocated to accommodate this. This study used the MISSCARE survey distributed to nurses in New Zealand to find out what care was routinely missed, and why they missed it. The analysis of data returned from 199 nurses revealed that nurses routinely miss care and become frustrated because they are unable to use the knowledge and skill to provide the care; rather they are forced to prioritise care, some of which is either delayed or consciously missed. Whilst this study supported findings of previous research, the emergence of presenteeism as a factor that affects nurses missing care, was highlighted. This has wider implications to the nursing workforce related to their ability to provide safe and effective care, as well as to the organisations in terms of both budget and safety in care provision.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87426665","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":"Legal Aspects of the Care of Older People in Hong Kong and Nurse's Role in it","authors":"B. Kaur","doi":"10.5176/2345-718X_1.2.50","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.50","url":null,"abstract":"Legal system provide different means of protection to older people in Hong Kong in terms of life ending decision making, elder abuse, financial and housing affairs. Nurses often plays an important role in it such as begin an advocator and providing professional views and knowledge for helping the older people to plan their life.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78734672","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":"Health Insights: The Efficacy of Current Prenatal Education on Listeria Monocytogenes","authors":"Lindsay Fahnestock, M. Randhawa, Gagandeep Gill, Evangelista V. Shirley, Robin D. Smith, Jesse C. Bliss, Corwin Porter, S. Soret","doi":"10.5176/2251-3833_GHC14.20","DOIUrl":"https://doi.org/10.5176/2251-3833_GHC14.20","url":null,"abstract":"Every year, at least one major Listeria monocytogenes (Listeria) outbreak occurs within the United States. If pregnant women are uninformed of possible ramifications of contracting Listeria, the mother and child are at risk for health complications. One possibly effective communication approach to this population regarding prevention and risk is through Listeria Educational Materials (LEM). In order to ascertain the status and effectiveness of currently available LEM for pregnant women, a systematic literature review was conducted. Literature searches were conducted using widely accepted public/private databases. The mesh terms used included “Listeria pregnancy”, “listeria education”, “Listeriosis”, “Listeria pregnancy prevalence” “Listeria monocytogenes”. Articles published within the past 10 years pertaining to educational materials for pregnant women were evaluated. Articles relating to general information of Listeria, were also narrowed to specific characteristics, traits, and origin for exposure. References to Listeria in elderly and immunocompromised individuals were excluded. Four studies involving Listeria interventions including LEM for pregnant women were identified. These studies all concluded a majority of pregnant women were still not provided with sufficient information on infection prevention of Listeria. Most educational materials provided to the women were in the form of pamphlets, and the majority of pregnant women who had heard of Listeria gathered the information through their own research efforts. The current evaluation of the available studies concludes there is inadequate emphasis placed on educational interventions for pregnant women regarding Listeria risk. These interventions concluded more must be done to inform these pregnant women of the dangers of Listeria as well as on the high-risk foods they consume on a daily basis.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83381791","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":"Public Private Partnership in Italian Health Care Management An Organizational Maturity Assessment Model","authors":"Marcello Martinez, C. Galdiero","doi":"10.5176/2251-3833_GHC14.34","DOIUrl":"https://doi.org/10.5176/2251-3833_GHC14.34","url":null,"abstract":"This work aims to analyze a specific phenomenon of innovation in health management: public private partnerships within the Italian healthcare sector. The object of the study is to measure the degree of organizational maturity (OM) of the forms of public-private partnerships (PPP) analyzing and measuring key managerial processes, in terms of innovation in meeting the partnership‘s goals/targets. The analysis is based on the identification of key processes relevant to the management of partnerships, to check which systems of governance are able to meet different stakeholder interests. We therefore built a conceptual standard for analysis of the OM through a field survey based on visits, participant observation, analysis of documents and semi-structured interviews with the management.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83265453","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 Measurement Tool Mini-CEX (Mini Clinical Evaluation Exercise) as an Evaluation Tool of Nursing Students in Teaching Hospital of Universitas Muhammadiyah Yogyakarta","authors":"Syafrina Arbaani Djuria, .. Moh.Afandi","doi":"10.5176/2345-718X_1.1.17","DOIUrl":"https://doi.org/10.5176/2345-718X_1.1.17","url":null,"abstract":"Mini-CEX (Mini Clinical Evaluation Exercise) was a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback. To develop a measure tool mini-CEX as an effective measure of evaluation, it is necessary to the validity and reliability of the accuracy of the mini-CEX to improving students’ learning and develop clinical education program. In the developing country, very few studies have been designed and conducted on Mini-CEX of Nursing. Moreover, in Indonesia, there is no instrument Mini-CEX of Nursing yet. Generally, this research aims to develop the use of the mini-CEX measure as professional nurses performance evaluation tool. In particular aims (a) to analyze the mini-CEX measure existing in the profession nurses, (b) to analyze the mini-CEX focused on nursing education, (c) for the validity and reliability of the tool with the mini-CEX as educational evaluation tools Nurses. This research was a descriptive quantitative method with cross sectional design. It developed an assessment tool in measuring competencies nursing students from the competencies published by PSIK UMY, 2011 adopted of ABIM (American Board of Internal Medicine), 1995; Taiwan, 2011; and British Dermatological Nursing Group. Content validity was done by the expert review to consist of 4 people are 2 nursing education and 2 medical education. The result validity are trial with used questionnaire. The respondents were 35 preceptors in the teaching hospitals of Universitas Muhammadiyah Yogyakarta. The reliability test was done by Cronbach alpha test. From the initial assessment tool which had 51 items, it became 47 items after the expert review and the reliability test. The computed Cronbach’s alpha for the 47-item scale for mini-CEX was 0.988, indicating high internal consistency. So the instrument is reliable for measuring the competencies of nursing students. This research concluded that the assessment tool in measuring competencies of the nursing student had demonstrated evidence of internal consistency reliability and content validity. It provided an objective tool for assessing the nursing students competencies during do clinical education program.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87057610","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":"Probiotics: Review of Evidence","authors":"A. Avadhani","doi":"10.5176/2345-718X_1.1.4","DOIUrl":"https://doi.org/10.5176/2345-718X_1.1.4","url":null,"abstract":"Probiotic supplements have gained much popularity in the recent years. Media participation for the promotion of probiotic supplementation for various indications has been quite impressive as well. Traditionally, the word probiotic has been referred to in a positive manner and these supplements have been utilized as helpful resources in some way or another. The fact that makes this topic complicated and challenging, not only for the laymen but also for the healthcare providers is that there are numerous types and strains of probiotics available. Additionally, the standardization for dosing based on the indications is somewhat lacking. Few of the many questions that seem to pose challenges for today’s health care providers are; which probiotic, how much of it, how long to use for and above all is there evidence to support the use of probiotics. The purpose of this article is to summarize the available evidence for Probiotic supplements for various indications and attempt to scratch the surface of probiotics data and seek answers to the pertinent probiotics related questions.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90904751","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":"Utilizing Evidence-Based Practice to Achieve “Zero Tolerance” for Catheter-Associated Urinary Tract Infections (CAUTIs)","authors":"J. Forehand, M. Stanton","doi":"10.5176/2345-718x_1.1.22","DOIUrl":"https://doi.org/10.5176/2345-718x_1.1.22","url":null,"abstract":"Catheter associated urinary tract infections continue to remain the single most common HAI; with external forces, such as mandated public reporting of HAI and the climate of “zero tolerance” for hospital-acquired infections have led to an increased effort in the reduction and elimination of CAUTIs.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78622221","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}