GSTF journal of nursing and health care最新文献_第8页

Care of Mechanical Ventilated Patients in General Ward: Nurses Perspective 普通病房机械通气患者的护理:护士的视角

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.27

A. Faidy, B. Ouesph, N. Yutuc, S. Melki, E. Tamonan, A. Jamaly, G. Barkat-Ali, S. Al-Eidarous, S. Mohidi

{"title":"Care of Mechanical Ventilated Patients in General Ward: Nurses Perspective","authors":"A. Faidy, B. Ouesph, N. Yutuc, S. Melki, E. Tamonan, A. Jamaly, G. Barkat-Ali, S. Al-Eidarous, S. Mohidi","doi":"10.5176/2345-718X_1.2.27","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.27","url":null,"abstract":"Aim: This study aimed to explore the care of mechanically ventilated patients in general wards from the nurses' perspective. Methodology: A cross-sectional descriptive study using a self administered questionnaire was given to the nurses with a purposive convenient sampling method in adult patients from medical, surgical and isolation units in studied hospital in KSA. Results: 149 participants from general units represents various years of experiences shared their perception on the knowledge and competencies (M= 3.38±.62) the support they received (M= 2.41±.78), their satisfaction and confidence (M= 2.86±.81) and the resources provided (M= 2.44 ±.69) for caring MV patients in their general unit revealed the total mean in each categories were in the state of either neutral or disagree with the items given. The participants admitted that the found themselves are competent in performing suctioning with aseptic technique and ability to identify the possible complications confidently. However the participant concluded that it was inadequate support for them, staffing ratio, equipment and facilities was inappropriate which leads to dissatisfaction and less confident in caring for MV patients. Conclusion: This study concludes that caring for patients in general ward causing dissatisfaction among the staff and place patients in risk. Hospital administration needs to ensure that general ward nurses are trained accordingly, provide adequate staffing ratio, and prepare the physical environment and suitable equipment to care for MV patients in general ward.","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":"79584490","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}

引用次数: 6

Gaining clinical wisdom from adversity: Nurse leaders' ethical conflict and resilience experiences 从逆境中获得临床智慧:护士领导的伦理冲突和恢复经验

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.30

D. Furlong, B. Harris, K. Weaver

引用次数: 3

Effectiveness and Cost-effectiveness of Human Papillomavirus (HPV) Vaccines in Cervical Cancer Prophylaxis 人乳头瘤病毒(HPV)疫苗在宫颈癌预防中的有效性和成本效益

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.36

W. Chan, K. C. Cheung

{"title":"Effectiveness and Cost-effectiveness of Human Papillomavirus (HPV) Vaccines in Cervical Cancer Prophylaxis","authors":"W. Chan, K. C. Cheung","doi":"10.5176/2345-718X_1.2.36","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.36","url":null,"abstract":"Human papillomavirus (HPV) infection is the main cause of cervical cancer. Cervical cancer patients go through painful long-term treatments and high medical costs. Prevention is better than cure. Hence, regular cervical screening is recommended for Hong Kong women to prevent this disease. Some studies have been conducted in Western countries to show that cost-effectiveness can be achieved by combining HPV vaccines with regular screening. The study is guided by three research groups on the future implication of the cost-effectiveness of three cervical cancer prevention strategies: (1) annual Pap smear for women aged 25–42, (2) HPV vaccination at age 12, and (3) HPV vaccination at age 12 combined with annual Pap smear screening at age 25–42. The three groups are compared in terms of their total lifetime cost, cost-effectiveness ratio and incremental life expectancy. The Markov model software is used as the main analytical tool. After analyzing, annual Pap smear screening is a cost-effective method to prevent cervical cancer that the total lifetime cost was approximately USD145.69; cost-effectiveness ratio was USD8.80/DALY; and incremental life expectancy was 2.72 years. Moreover, HPV vaccination combined with annual Pap smear screening is an effective way to prolong the life expectancy of women regardless of race that the total lifetime cost was approximately USD545.12; cost-effectiveness ratio was USD29.56/DALY; and incremental life expectancy was 2.84 years. Such result provides important insight for the formulation of a health care policy to prevent cervical cancer. This policy can save lives and reduce local treatment costs.","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":"89315559","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}

引用次数: 1

Impact of School Experiences and School Contextual Factors on STD/HIV-Related Risk Behaviors among African American College Students 学校经历和学校环境因素对非裔美国大学生性病/艾滋病相关危险行为的影响

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2251-3833_GHC14.40

Jiangmin Xu, Jing-Xing Xu

{"title":"Impact of School Experiences and School Contextual Factors on STD/HIV-Related Risk Behaviors among African American College Students","authors":"Jiangmin Xu, Jing-Xing Xu","doi":"10.5176/2251-3833_GHC14.40","DOIUrl":"https://doi.org/10.5176/2251-3833_GHC14.40","url":null,"abstract":"College students, especially African American college students, are among the highest risk groups and are more likely to be at risk for contracting sexually transmitted diseases (STDs) due to their substance abuse and high-risk sexual behaviors. Previous studies and educational interventions have focused on college student knowledge of STDs and Human immunodeficiency virus (HIV), but failed to examine the impacts of some important factors beyond the individual level of behavioral influence such as student’s school experience and school contextual factors. In fact, the college environment offers many opportunities for those STD/HIV-related risk behaviors, including unsafe sex, multiple sexual partners, alcohol use, and substance abuse. Analyses were based on data gathered from 267 African American college students enrolled at Winston-Salem State University (WSSU) who participated in the American College Health Association-National College Health Assessment (ACHA-NCHA) survey. The findings indicate that STD/HIV knowledge and education have no significant effects on African American college students’ substance abuse and high-risk sexual behaviors; instead, students’ experience and school contextual factors are important factors in predicting their substance abuse and high-risk sexual behaviors.","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":"79718886","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}

引用次数: 1

Sustaining Workforce Effectiveness: Self-Care Practices by Nursing Staff 维持劳动力效率:护理人员的自我护理实践

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.39

Jean Chow, P. Burrell

引用次数: 1

Risk factors of Metabolic Syndrome and Lifestyle in Early Adulthood in Korea 韩国成年早期代谢综合征的危险因素与生活方式

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.43

Seo Yoo-jin, Byun Young Soon

{"title":"Risk factors of Metabolic Syndrome and Lifestyle in Early Adulthood in Korea","authors":"Seo Yoo-jin, Byun Young Soon","doi":"10.5176/2345-718X_1.2.43","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.43","url":null,"abstract":"The objective of this study was to identify risk factors of metabolic syndrome in early adulthood which has currently shown an increase in Korea, due to a westernized lifestyle. Health medical examination data collected from a total of 5801 participants, gathered by the National Health Insurance Service(NHIS) in 2013, was used to proceed with the study. NCEP ATP-III was used as diagnostic criteria for determining metabolic syndrome. The prevalence rate for metabolic syndrome totaled 32.8%, 29.7% for men and 3.1% for women. Among the subjects, 21.5% of men were found to have abnormal waist circumferences compared to a percentage of 2.3% for women. However, the HDL-cholesterol levels for both men and women were very similar, at 13.6% and 13.3% respectively. There were statistically significant differences in their BMIs, family histories of diabetes, smoking periods, smoking frequencies, alcohol consumption, drinking frequencies, and intense physical activities for the metabolic syndrome group and the normal group. The factors influencing metabolic syndrome were BMI(OR=1.645, 95% CI, 1.599-1.692), a high risk of diabetes(OR=8.818, 95% CI, 4.493-17.306), drinking frequency(OR=1.151, 95% CI, 1.074-1.233), smoking period(OR=1.037, 95% CI, 1.010-1.064), whereas the family history of diabetes, smoking frequency, and physical activity showed no significance. The factors attributing to a high risk in diabetes were BMI(OR=1.021, 95% CI, 1.008-1.035), family history of diabetes(OR=1.835, 95% CI, 1.045-3.225), smoking period(OR=1.125, 95% CI, 1.050-1.206), presence of metabolic syndrome(OR=8.519, 95% CI, 4.876-14.885). The result from the data illustrates the necessity in developing programs and management education for such factors (BMI, smoking, drinking) that influence metabolic syndrome in early adulthood. Promotion of the environment and social awareness of metabolic syndrome is also required to make possible improvements in lifestyle.","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":"75066904","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}

引用次数: 0

Optimizing the Home-based Cardiac Rehabilitation Programme by Internet-based Interventions: A literature review 通过网络干预优化家庭心脏康复方案:文献综述

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.47

H. K. Choy, W. Chan

{"title":"Optimizing the Home-based Cardiac Rehabilitation Programme by Internet-based Interventions: A literature review","authors":"H. K. Choy, W. Chan","doi":"10.5176/2345-718X_1.2.47","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.47","url":null,"abstract":"Cardiac rehabilitation program which includes exercise training, nutritional advice, psychosocial and risk factors counseling is traditionally applied for myocardial infarction survivor. However, the low participation rate [1] of cardiac rehabilitation has been reported globally. Recently home-based cardiac rehabilitation program is developed as an alternative approach [2][3][4] to overcome the challenges of low referral rate, inaccessibility of program site, and optimize the utilization of the program. Unfortunately, client may not be able to sustain the modified health behavior in their daily life after the completion of the cardiac rehabilitation programme. To date, the internet-based cardiac rehabilitation program has showed significant in improving the cardiovascular risk factors at the end of the cardiac rehabilitation program. [5][6][7][8] However, there are limited studies to review the significant of internet- based interventions of home- based cardiac rehabilitation in sustention of health behavior in long term. This review will fill the knowledge gap of how the internet-based interventions on home-based cardiac rehabilitation program modify the risk behavior for myocardial infarction survivor in the long run.","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":"80856905","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}

引用次数: 0

Therapeutic Relationship of Staff Nurses with Medical Patients: Basis for In-Service Training Program 护理人员与病人的治疗关系:在职培训的基础

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.29

Norvin T. Miguel

{"title":"Therapeutic Relationship of Staff Nurses with Medical Patients: Basis for In-Service Training Program","authors":"Norvin T. Miguel","doi":"10.5176/2345-718X_1.2.29","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.29","url":null,"abstract":"Originally highlighted in the psychiatric nursing literature, the therapeutic relationship has been recognized as fundamental to all nursing practice.15,16,18However, the researcher found out during his clinical duties that seldom the therapeutic relationship was established because of nurses' heavy workload. This captured the researcher's interest to help nurses develop their skills in establishing therapeutic relationship. Descriptive-correlational design was used with questionnaire as data gathering tool. This study was conducted in the general wards of four private tertiary hospitals in Cabanatuan City and participated by 129 staff nurses and 331 medical patients with the use of total enumeration and quota sampling techniques, respectively. Data gathered were treated statistically to determine the socio-demographic profile of staff nurses and to describe the therapeutic relationship established by staff nurses. Results revealed that staff nurses \"Always\" performed the roles pertaining to building trust, genuine interest, conveying acceptance, giving positive regard, self-awareness, and therapeutic use of self as perceived by both groups of respondents. Only in items pertaining to showing empathy did the two groups had difference in description. Moreover, there was significant difference between nurses' and medical patients' descriptions on the therapeutic relationship being rendered. A significant difference also exists among patients' description when they are grouped according to hospitals where they work. As recommendation, the researcher was able to develop an intensive in-service training program that addressed the weaknesses and problems identified in various aspects of therapeutic relationship.","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":"84178872","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}

引用次数: 1

The use of smart phones and their mobile applications among older adults in Hong Kong: An exploratory study 香港老年人使用智能手机及其移动应用程序的情况:一项探索性研究

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.45

M. Tse, K. Chan, A. Wong, E. Tam, E. Fan, G. Yip

{"title":"The use of smart phones and their mobile applications among older adults in Hong Kong: An exploratory study","authors":"M. Tse, K. Chan, A. Wong, E. Tam, E. Fan, G. Yip","doi":"10.5176/2345-718X_1.2.45","DOIUrl":"https://doi.org/10.5176/2345-718X_1.2.45","url":null,"abstract":"The purpose of this study was to explore social participation using smart phones by the older population in Hong Kong. The present study was conducted from 10-June-2013 to 16-August-2013. It was a cross-sectional survey study, and data were collected from street interviews. Potential participants were approached and invited to respond to a questionnaire. The locations for collecting data were evenly distributed on Hong Kong Island, Kowloon, and the New Territories. The size of the samples for Hong Kong Island, Kowloon, and the New Territories were calculated based on their respective proportion of the Hong Kong population in 2011. The estimated time to complete the questionnaire was approximately 10 minutes. The questionnaire included questions on demographic data and the use of smart phones and their related features. A total of 982 participants were interviewed, 46% of whom were male and 54% female. The participants were divided into the following two groups: the young-old (age 50-69) and the old-old (age 70 or above). The mean age was 67.93±10.386. The findings showed that, in comparison with the young-old group (age 50 to 69), a smaller percentage of the old-old group (70 and over) used smart phones and mobile messaging applications to communicate with others. There were no differences in patterns with regard to the type and frequency of the mobile applications being used. However, a smaller percentage of the old-old group had installed the mobile app by themselves and introduced the mobile app to others. This study reveals the behavioral patterns of the young-old and the old-old groups in the use of mobile devices to communicate. The young-old and old-old groups exhibited the same patterns in terms of the types and frequency of the mobile apps used; however, a smaller percentage of the old-old group used mobile apps to communicate. Different educational programs on the importance of social support should be established, and the promotional strategies for these programs need to be tailored to older adults.","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":"85761376","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}

引用次数: 5

Academic & Non-Academic Variables Impacting BSN Students Who are Unsuccessful on Initial NCLEX-RN 影响BSN学生在初始NCLEX-RN中不成功的学术和非学术变量

GSTF journal of nursing and health care Pub Date : 2014-08-01 DOI: 10.5176/2345-718X_1.2.31

Kerri L Outlaw, D. Burns, D. Rushing, A. Spurlock, Cathy Dunn, Judy L. Bazzell, Kelli K. Cleveland

引用次数: 0