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Medical simulation – innovation in nursing education

Abstract

Aim. Analysis of the impact of educational simulation on the level of knowledge, skills and competences of nursing students.

Methods. The research used a non-systematic literature analysis method. Literature was classified for analysis, from which the contents on the impact of educational simulation on the education process of nursing students were selected. During the qualification of the magazines Google Scholar was used. Articles published in electronic databases were used: EBSCOhost, MEDLINE, ScienceDirect.

Conclusions. Education conducted using educational simulation in nursing not only increases the level of knowledge, skills and competences of students but also increases the quality of patient care and their security.

Open access
Selected aspects of patients’ functioning before and after desensitization with specific allergen immunotherapy

Abstract

Introduction. Allergic diseases belong to the most important health problems responsible for the incidence of various types of discomfort. The application of specific allergen therapy (SAI) is becoming a more and more frequent method aimed at treating allergic diseases. However, this approach requires a strict adherence to medical treatment, which may affect patients’ quality of life.

Aim. Assessment of quality of life and everyday functioning in the group of patients who underwent a specific allergen therapy.

Material and methods. The study group consisted of 80 adult patients who decided to undergo SAI treatment and were treated in two health care facilities in Małopolska region. The study included an assessment of life quality and selected aspects of functioning (as well as their retrospective assessment). As far as the applied methods are concerned, the study was based on the authors’ own questionnaire and an abbreviated version of the World Organization Quality of Life-BREF questionnaire.

Results. SAI treatment made it possible to reduce both the incidence (Me=4.00 to 2.00; p<0.001) and intensity (Me=4.00 to 2.00; p<0.001) of allergic symptoms. Also the discomfort caused by the allergy was decreased (Me=4.00 to 2.00; p<0.001). Moreover, some improvement in general well-being (Me=4.00 to 5.00; p<0.001) and life satisfaction (Me=4.00 to 5.00; p<0.001) was observed.

Conclusions. Specific allergen immunotherapy seems to be worth considering as it improves patients’ life satisfaction and reduces discomfort caused by the allergy itself.

Open access
Counteracting domestic violence against elders in the professional practice of a nurse employed in the primary health care system

Abstract

Aim. Assessment of preparation of a nurse – employee of the primary health care for providing preventative measures against domestic violence targeted at elders.

Material and methods. The material was collected in a group of 70 nurses – employees of the primary health care of a medical centre in Lodz. Inclusion criteria were: the respondent’s consent for the inclusion in the study and the position of a nurse of the primary health care system. The authors of the study used the diagnostic survey method, with the application of their own questionnaire. Obtained results were statistically analysed.

Results. In the nurses’ opinion, lack of knowledge of effective tools, which could be used to provide victims with help, considerably hampers implementation of preventive measures for counteracting domestic violence. A multivariate analysis revealed a relationship between the opinion of nurses on prevention of domestic violence against the elderly and their education, the number of years worked and individual beliefs.

Conclusions. Violence against elders is a growing global problem. Polish nurses are legally obliged to initiate interventions in order to counteract domestic violence. Nurses from the primary health care are not prepared to carry out prevention of violence against the elderly. There is a need to provide nurses employed in the primary health care with post-graduate training on counteracting domestic violence against the elderly.

Open access
Life satisfaction of the pregnant women

Abstract

Introduction. Satisfaction with life is a general assessment of satisfaction with one’s own achievements and living conditions on many levels. This includes human cognitive processes, expressing the emotional state that occurs as a result of achieving a specific goal. According to Juczyński, the assessment of life satisfaction is the result of confronting one’s own situation with the adopted criteria. If the result of the comparison is positive, the implication is the feeling of satisfaction. Satisfaction with life of pregnant women is dependent on many factors, including: personality traits, emotions, sociodemographic, factors as well as numerous physiological and psychological changes occurring during pregnancy.

Aim. The aim of the study is to assess the level of life satisfaction of pregnant women depending on sociodemographic factors.

Material and methods. The research was conducted on 415 women hospitalized and receiving care in counseling centers for pregnant women. The research was carried out by means of a diagnostic survey using a standardized Satisfaction With Life Scale (SWLS) and an original questionnaire to collect demographic data.

Results. Based on the average assessment of life satisfaction, it was found that 48.43% (n = 201) of the surveyed pregnant women was characterized by a high degree of life satisfaction, 35.18% (n = 146) average, and 16.39% (n = 68) of the respondents experienced a low level of life satisfaction.

Conclusions. Sociodemographic factors conditioned the feeling of satisfaction with life of pregnant women. Pregnant women who had a greater sense of life satisfaction were: those in relationship rather than those who were single; women with higher education than those with basic, vocational or secondary education; pregnant women working mentally rather than those not working.

Open access
Nursing care of a patient with sarcoidosis. Case study using ICNP®

Abstract

Introduction. Sarcoidosis is a rare, multi-organ disease of unknown etiology, characterized by the formation of granulomas mainly in the respiratory system.

Aim. The aim of the study is to present a plan of care for patients with sarcoidosis, including International Classification for Nursing Practice – ICNP® terminology.

Material and methods. The study was conducted in April 2019 at the Internal Disease Unit of the 7th Polish Navy Hospital in Gdansk, and included a 54-year-old patient hospitalized for sarcoidosis. The research employed the case study method and the technique of the interview, observation, analysis of medical records and measurements. The C-HOBIC data set was used to assess the patient’s condition.

Results and conclusions. The reasons for the patient’s admission to the hospital were a continued raised temperature, erythema, as well as joint pain. The assessment and analysis of a patient’s status allowed us to formulate seven nursing diagnoses characteristic for sarcoidosis, which included: arthritis pain, functional dyspnoea, fever, impaired active range of motion, fatigue, risk for medication side effect and lack of knowledge of disease and 2 diagnoses resulting from the lifestyle of the patient: tobacco abuse and overweight. The process of nursing care planning included interventions fundamental for the above-mentioned diagnoses. They concerned the monitoring of symptoms and health indices, the patient’s knowledge, as well as the role of the nurse in the therapeutic process. The ICNP dictionary includes a sufficient range of terms, which allows the creation of a satisfactory nursing care plan for a patient with sarcoidosis.

Open access
Analytical study of care quality and moral distress in clinical situations and patient care

Abstract

Objective

Nursing profession conventionally meets a high standard of ethical behavior and action. One of the ethical challenges in nursing profession is moral distress. Nurses frequently expose to this phenomenon which leads to different consequences such as being bored by delivering patient care that decline care quality and make it challenging to achieve health purposes. This study was conducted to investigate the association between the aspects of moral distress and care quality.

Methods

In this descriptive–analytical study, 545 nurses of intensive and cardiac care units and dialysis and psychiatric wards were recruited by census sampling. Three questionnaires, Sociodemographics, Moral Distress Scale, and Quality Patient Care Scale, were distributed among the participants and collected within 9 months. Data analysis was conducted by descriptive statistics, analysis of variance, and the least significant difference in SPSS 13.

Results

Investigating moral distress domains (ignoring patient, decision-making power, and professional competence) and care quality domains (psychosocial, physical, and communicational) demonstrated that in being exposed to moral distress, ignoring patient had no effect on psychosocial domain (P=0.056), but decision-making and professional competence of moral distress had positive effect on psychosocial, physical (bodily), and communication domains of care quality.

Conclusions

Because moral distress domains are effective on patient care quality, it is recommended to enhance the knowledge of nurses, especially beginners, about moral distress, increase their strength alongside standardizing nursing services in decision-making domains, improve the professional competence, and pay attention to patients.

Open access
Awareness and knowledge of human papillomavirus vaccination and their influential factors among Chinese women: a systematic review

Abstract

Objectives

To systematically review the knowledge attitudes and the influential factors on human papillomavirus (HPV) vaccination among Chinese women.

Methods

Published studies on knowledge and attitudes of HPV vaccination for preventing cervical cancer among Chinese female population were retrieved using the major Chinese and English databases. Meanwhile, handwork retrieval was also conducted and the references including in the literature were retrieved. The quality of the literature was rigorously evaluated and extracted independently by two researchers and the data were analyzed and described by review manager 5.3 (RevMan5.3) software.

Results

In all, 19 articles including 8 articles in Chinese and 11 in English were chosen. A total of 30,176 participants were included and the sample size ranged from 64 to 6,024. The overall awareness of HPV and HPV vaccine among Chinese women was at a low level. Chinese women generally showed poor knowledge about HPV and HPV vaccine. Acceptance of HPV vaccination among Chinese women was at a high level. Vaccination intentions were influenced by the theory of planned behavior (TPB) and measured by attitudes subjective norms and perceived behavioral control.

Conclusions

The health authorities may evaluate and develop TPB-based interventions to increase HPV vaccination intentions of Chinese women. HPV vaccination programs should focus on carrying out multi-level and targeted health education and developing effective public health strategies after balancing the cost and benefit of HPV vaccine program. Medical staff should play the positive role in promoting the use of HPV vaccines in China. Integration of policy and community perspectives and multi-level interventions are essential to maximize the public health benefits of HPV vaccination.

Open access
Development of an assessment and intervention protocol for postpartum hemorrhage in the mainland of China: an evidence-based method and Delphi consult

Abstract

Objective

Postpartum hemorrhage (PPH) is a leading cause of maternal death. Although guidelines have been updated, those with detailed protocols are limited for nursing practice. This study aims at establishing an early assessment and intervention protocol as a toolkit for PPH for midwives and obstetrical nurses.

Methods

Employing the evidence-based method, a systematic Internet search of guidelines was conducted and appraisal of literatures was conducted with AGREE system and Oxman-Guyatt Overview Quality Assessment Questionnaire (OQAQ), according to which a protocol draft was therefore developed. Then, a two-round modified Delphi method was utilized to reach a consensus of the protocol built on best practices. Selection criteria for each intervention measure included consensus level with a threshold of 70%, mean of importance (M) >3.5, and coefficient of variation (CV) <0.25. Reliability of experts’ opinion was calculated by positive coefficient and authoritative coefficient. Items without consistency were enlisted in the second-round consult. When all items met the selection criteria, the protocol would be finally formulated.

Results

A 122-measure protocol was established, including prevention, assessment, and intervention of PPH. With a panel of 14 experts participated in the consult, the positivity coefficient was 0.93 and 1.00 for two rounds, respectively, and the authority coefficient was 0.88. After a two-round consult and revision of the draft, the final program was formulated, containing 5 first-level indexes and 14 second-level indexes with a total item of 120.

Conclusions

The PPH protocol, based on high-quality evidences, was formulated with a two-round Delphi method, which can provide insight for midwives and obstetrical nurses to effectively deal with PPH.

Open access
Effects of abdominal massage on gastrointestinal function in ICU patients: a meta-analysis

Abstract

Objective

To evaluate the effects of abdominal massage on gastrointestinal function in the intensive care unit (ICU) patients.

Methods

Randomized controlled trials about the effects of abdominal massage on gastrointestinal function in ICU patients were included from multiple electronic databases: PubMed, Web of Science, the Cochrane Library, Embase, CINAHL, China Academic Journals Full-Text Database (CNKI), Wanfang Database, and CQVIP, until November 2018. Studies were selected according to inclusion and exclusion criteria, extracting data and assessing. Data were analyzed by RevMan 5.3.

Results

Nine studies with 720 patients were included. The results of meta-analysis in the intervention group were as follows: abdomen circumference: mean difference (MD)=-4.22, 95% confidence interval (CI)=(-6.20, -2.24), P<0.00001; abdominal distension: MD=0.34, 95% CI=(0.22, 0.52), P<0.00001; gastric residual: MD=-41.51, 95% CI=(-55.86, -29.15), P=0.001; gastric retention: MD=-0.23, 95% CI (-0.30, -0.15), P<0.00001; and vomiting: MD=0.12, 95% CI=(0.04, 0.35), P=0.0001.

Conclusions

Abdominal massage is effective in reducing abdominal distension, gastric residual, and vomiting. When the intervention period was <7 days, abdominal massage could not reduce the abdominal circumference in ICU patients, and when the intervention period was equal to 7 days, abdominal massage could reduce the abdominal circumference in ICU patients.

Open access
Identifying nursing research priorities in Vietnam: a modified Delphi study

Abstract

Objective

There is no single study that has examined nursing research priorities in Vietnam. This study aimed to gain consensus from experts on the nursing research priorities in Vietnam.

Methods

A three-round modified Delphi study was used in this study. A focus group discussion among experts was conducted in round I to identify the nursing research priorities (n=23). Data in round I were analyzed using content analysis. In round II, participants were invited to rate the importance of each nursing priority topic in a 5-point Likert scale questionnaire, which had a 74% (n=17) response rate. In round III, the questionnaire was returned to the experts (n=17) until consensus was reached. Data from round II and round III were analyzed to produce mean score and final rank.

Results

The top 12 research priority lists were identified, which included subthemes and areas of possible investigations. All priorities were classified into three groups in the rank order, namely: (i) nursing management and leadership, which included (1) nursing care quality, (2) management and leadership of nurse managers, (3) nursing image, (4) professional nurse competency, and (5) human resource management; (ii) nursing education, which included (1) knowledge-specific domain, (2) the linkage between education and practice, and (3) nurse teacher workforce; and (iii) nursing service, which included (1) adult nursing concern, (2) patient safety, (3) public health nursing concern, and (4) quality of life of patients and nurses.

Conclusions

Consensus among experts was achiever, and the findings are considered as the basis of resources to the most essential research needs in Vietnam.

Open access