GSTF journal of nursing and health care最新文献

{"title":"3-Level Integrated Telemedicine Network for Improving Healthcare Access to Rural India","authors":"R. Tyagi, S. S","doi":"10.5176/2345-718x_2.1.58","DOIUrl":"https://doi.org/10.5176/2345-718x_2.1.58","url":null,"abstract":"In a country like India, with its huge population, diverse landmass and where there is a shortage of qualified health workers and specialists in rural areas, telemedicine is going to be the most optimal solution to deliver expert advice from a central part to remotest corners of the country. In addition, as Indians spend most of their out-of-pocket health expenses on travel and accommodation in order to receive specialty treatments, Telemedicine will turn out to be the cheap and fast, as well as bridge the rural–urban health divides. With its huge strides in the medical field and expertise in ICT, India holds a great promise to become a leader in the field of telemedicine. There have been various efforts by disparate entities like ISRO, C-DAC, DRDO, and Apollo Hospitals and so on, which now needs a uniform, coordinated efforts and a larger participation from other players in the field of medicine and ICT. This paper proposes a 3-Level Integrated Telemedicine Network Infrastructure which would pave the way for an integrated telemedicine network in India.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85074334","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":"Multicultural Aspects Affecting Patient-Doctor Interactions and the Conduct of Clinical Research Examples Drawn from the Literature and First-Hand Knowledge","authors":"D. Faoite, B. Hanson","doi":"10.5176/2345-718x_2.1.64","DOIUrl":"https://doi.org/10.5176/2345-718x_2.1.64","url":null,"abstract":"Interest in international multicenter clinical trials is increasing for a variety of reasons. Working with different cultures in clinical research creates its own unique set of problems. This paper focuses on these issues from multicenter and multicultural perspectives. The influence of culture on patient-doctor communication is considered. Expectations and the use of outcomes measurements with different cultures are also explored. Details on the issue of pain and how it is expressed and measured in different cultures is also presented. Having considered the patient-doctor dynamic, the paper concludes with an examination of the unique difficulties that international multicenter studies present. Multicultural differences manifest themselves in different forms in international clinical research. Although its impact is often ignored or minimized, this manuscript demonstrates that the impact of culture on a study's success is a very real issue. In addition to secondary sources, examples from our own clinical investigations are outlined throughout this paper. A successful model to locate researchers in previously untapped countries is also outlined.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82175247","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 Implementation of an Exercise by Prescription Program in Middle-aged Hypertensive African American Women","authors":"Tessie Harris-Packer, J. Forehand, Tracey Hodges, Katherine H. Leigh","doi":"10.5176/2345-718x_2.1.59","DOIUrl":"https://doi.org/10.5176/2345-718x_2.1.59","url":null,"abstract":"The purpose of this pilot study was to implement an 8 week exercise by prescription program in a rural community to decrease hypertension and change behaviors regarding physical activity in middle-aged African American women. Participants were asked to complete the International Physical Activity Questionnaire short form, the Exercise Stages of Change (short form) survey, and a manual blood pressure examination pre and post intervention. The sample size consisted of 10 middle-aged African American women with hypertension. Analysis of the descriptive statistics revealed that total time spent walking for at least 10 minutes increased from pre-intervention (M 111.90, SD 237.24) to post-intervention (M 132.10, SD 215.91) Data also indicated a decrease in pulse pressure from pre (M 47.80 SD 9.05) to post (M 47.10 SD 8.46) intervention. This study demonstrates that exercise prescriptions are an effective method of promoting physical activity in middle-aged African American women.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89658002","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":"Interprofessional Collaboration to Improve Health through Poverty Reduction and Better Social Services in Vietnam","authors":"L. Gien","doi":"10.5176/2345-718x_2.1.62","DOIUrl":"https://doi.org/10.5176/2345-718x_2.1.62","url":null,"abstract":"This paper describes an interprofessional effort to improve community health in the Vietnam context. Since the late 1980s, Vietnam has experienced rapid economic development. However, the economic growth has not extended to all regions of the country or to all population groups. The gap is widening between the rural and urban areas, among various groups. At the same time, there is increasing incidences of social ills such as HIV/AIDS, prostitution, family violence, child and elder abuse and neglect. These community issues need intervention so that people's health can be improved. In response to request for assistance in dealing with these issues, the school of Nursing and school of Social Work of a Canadian university collaborated to assist a Vietnamese counterpart in designing programs to educate qualified social workers for meeting this great need of the country.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75637059","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":"Male and Societal Responses to Vasectomy in Java, Indonesia","authors":"Winarsih Nur Ambarwati","doi":"10.5176/2345-718x_2.1.63","DOIUrl":"https://doi.org/10.5176/2345-718x_2.1.63","url":null,"abstract":"Background: Indonesia is the fourth most populous nation, with a growth rate of 1.49 percent per year. Such a great number of people with lack of sufficient knowledge and skills are a challenge when it comes to issues related to national development. Generally, the result of the Family Planning Program (FPP) to Indonesian women has met much success, where approximately 60 percent of all participants are women. Fear and anxiety rank as major reasons why men remain somewhat hesitant to participate in the surgical method of vasectomy. There are also misled perceptions that sometimes cause husbands to hesitate and decided not to have a vasectomy. This often occurs because of the lack of general information and knowledge about a vasectomy and all of its effects to their long-term physical and psychological and social side effects of Javanese men. Research Objective: To explore Javanese men’s response after undergoing a vasectomy as well as society’s perspectives about the procedures. Research Method: This is a qualitative research study applying a grounded theory approach. The sample was selected using a theoretical sampling technique. The data collection instruments used include field reports, audio recordings, video recordings, and field notes. The data was analyzed using Colaizzi`s method. Research Results: Seven individuals participated in this study. The reasons participants decided to have a vasectomy were due to their social responsibility, feeling pity for their wife, and concern for the welfare of their children in the future. There was no general changes noticed in the physical nature of participants. Sexual ability after the vasectomy surgery showed no changes. Social views toward the vasectomy surgical varied. Most within Javanese society believe that having children is important, and that the welfare of the family is also important. Conclusion: Participants felt no significant physical changes after the vasectomy was completed. They decide to have a vasectomy to show their affection towards their wife, the responsibility towards the family and children welfare in the future. Therefore, undergoing a vasectomy in Java, Indonesia can improve the quality of the marital relationship.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88161770","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":"Quality of life and physical functioning of the diabetic middle aged and older adults","authors":"R. Fouad, B. Hassan, Alyaa Ibrahim","doi":"10.5176/2315-4330_WNC14.100","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC14.100","url":null,"abstract":"Objective: To compare the physical functioning and quality of life for the diabetic middle aged and older adults. Methodology: A descriptive study design was used, the study was conducted at the outpatient clinics of two hospitals in Alexandria, Egypt. A total number of 118 diabetic patients diagnosed with diabetes at least for one year, aged 20-59 for the middle aged adults group & ≥60 for the elderly group, had no current physical disabilities or mental impairments were included. Four measures were used in this study; the socio-demographic and clinical data structured interview questionnaire, the Katz Activities of Daily Living (ADL) Scale, the International Physical Activity Questionnaire-Short version (IPAQ), and the Short Form 36 General Health questionnaire (SF-36). Results: A statistical difference was observed between the two groups in all domains of generic health related quality of life except role limitations due to emotional problems, and social functioning. Adults' group with normal fasting blood sugar test had better quality of life and physical functioning than the elderly group. Conclusion& recommendations: The elderly patients with diabetes had poorer quality of life and functional status in comparison with the adults. These findings suggest that, health education programs that stress a balanced diet and increased activity should be a public health priority for all ages to control diabetes mellitus and its complications.","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":"77717975","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 Reduction of Anxiety Level With Benson Relaxation at Cibabat Cimahi Hospital","authors":"Tetti Solehati, Y. Rustina","doi":"10.5176/2345-718X_1.2.52","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.52","url":null,"abstract":"Client with post cesarean section is suffering of pain. The pain can cause the anxiety. The anxiety state can be reduced by anxiety management. The anxiety management is not only pharmacological remedy, but also non pharmacological treatment. The aim of the study is to identify the reduction of anxiety level with Benson Relaxation Technique among client with post cesarean section. The design of the study was a quasi experiment with pre and posttest design. The study was conducted at Cibabat hospital Cimahi. The sample is 30 of post cesarean section women with quota sampling based on criteria. The Benson relaxation technique is a mix between relaxation and faith philosophical factor or religion. The focus of this relaxation is a certain word that has a meaning in order to make it calm for the client. This technique is saying several times with the regular rhythm of surrender feeling. The Benson relaxation was given along 4 days every 12 hours for 10 minutes. The HARS-Zung modification is used to measure the anxiety. The instrument was applied before and after intervention along 4 days post cesarean section. The result of the study showed that the mean of anxiety before intervention was 16.47. It was decreased to 14,57. The study found the significant comparing by anxiety state before and after intervention (p = 0.00). Thus, the Benson relaxation can reduce anxiety state among client with cesarean section. The researcher recommends for health services institution, especially maternity department can use the Benson relaxation technique as a standard operational procedure of non-pharmacological anxiety management among client with post cesarean section.","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":"80892064","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":"Testing Tablet Computers in Nursing Education: A Comprehensive Evaluation Framework","authors":"M. King, D. Nussbaumer, C. Davison, C. Symes, L. Li, J. Shimoda, C. Wolsey, R. deWeerd","doi":"10.5176/2315-4330_WNC14.68","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC14.68","url":null,"abstract":"Background: Tablet Computers (TCs) and other mobile digital devices are rapidly changing the way we communicate and access information in our personal and professional lives. Scarce research exists regarding their effectiveness in promoting the learning of health professionals. This paper describes the evaluation framework used in a study to test TCs in a post-diploma baccalaureate nursing program in the Gulf Cooperation Council (GCC) state of Qatar. Purpose: The evaluation framework was structured around 10 objectives designed to assess the impact of TC integration into the evidence-based practice (EBP) and reflective practice (RP) components of a scholarship course. Evaluation variables included perceptions of knowledge, confidence, comfort, satisfaction and technical skill before and after the 7-week TC implementation; students’ usage patterns and attitudes about the usefulness of TCs in promoting their learning related to EBP and RP were also examined; in addition, students’ views about the impact of TCs on the learning environment and their engagement in the learning process were sought. Methods: A mixed method descriptive design was used to assess outcomes of interest. Qualitative methods (focus groups, participant observation, field notes and reflective journals) were used to capture subjective perspectives of TC users. Quantitative methods (pre-test/posttest, activity logs and skills labs) were used to assess change in knowledge, attitude and technical proficiency over time. Results: The evaluation framework used to assess process and outcome variables in this study combined structural, philosophical, theoretical, pedagogical and methodological elements. These included the logic model, participatory action, theory-based course concepts, as well as a learning taxonomy involving cognitive, affective and psychomotor competencies. Conclusion: The value of a comprehensive evaluation plan executed in tandem with TC implementation is highlighted.","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":"83444051","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 Most Effective Treatment or Intervention for Treating Chinese Elderly Depression: a Literature Review","authors":"B. Kaur","doi":"10.5176/2345-718X_1.2.44","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.44","url":null,"abstract":"Background: There is an increase in the percentage of Chinese elderly population with depression globally which may be contributed by financial stain, poor living conditions, and poor social support with friends and relatives, absence of carer and precipitating poor health condition and different therapy had been used for them. Objectives: This literature review was conducted to evaluate different treatment and interventions that had been used on Chinese elderly population with depression. Methodology: A systematic searching process from January, 2013 to June, 2013. Key word used is elder, geriatric, senile, old age, aged 60 or above, depress, depression, depressive symptoms and Chinese. Results: 84 studies were retrieved and it shows that Tai Chi is most effective in treating depression symptoms, Qigong is most effective in treating the associated factors of depressive symptoms and lastly Qigong is also the most effective therapy in treating the general well-being of the outcomes of depression.","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":"73151521","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":"Political Astuteness: Informing Education for Advocacy and Efficacy","authors":"Dale M. Mueller","doi":"10.5176/2345-718X_1.2.32","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.32","url":null,"abstract":"The Political Astuteness Inventory (PAI) was used in an undergraduate RN to BSN health policy course to determine student knowledge and civic skills. Based on knowledge from the field of political science, instructors should acknowledge that adults may acquire civic skills in many ways throughout life. Having data regarding student skill levels at the outset of a course and again at the conclusion of the course can inform appropriate instructional activities. The nursing literature emphasizes the role of the RN as patient advocate, although the definition and implementations are imprecise. This study using the PAI identifies skills that can be infused into curriculum for maximum efficacy as voters and political influencers. A pre-test/post-test survey design was used (n=234, 204). Pre-test findings indicated that most students are aware of health care policy issues but only a small percentage participate to effect change such as serving as a resource to professional organizations or elected officials. Post-test findings indicated that while conceptual knowledge increased, actions as influencers did not increase. Conclusions to be drawn include the necessity of including exposure to political processes by interacting with the federal, state or local environment as part of the curriculum.","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":"78941072","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}