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Open access

Agnieszka Kotarba and Ewa Borowiak

Abstract

Aim. The aim of the study is to evaluate a relationship between demographic and work-related factors and a work stress coping style as well as a relationship between a work stress coping style and symptoms of occupational syndrome.

Material and methods. Material was collected from 50 nurses employed in intensive care units of clinical hospitals of the Medical University of Lodz. The study was conducted as a diagnostic survey using the following survey techniques: author’s questionnaire and the Coping Inventory for Stressful Situations (CISS).

Results. The study group demonstrated the highest mean value for the task-oriented coping style and the lowest mean value – for the avoidance-oriented coping style. Age, education level and subjective determination of the degree of work-related stress affect the value of the task-oriented coping style. The emotion-oriented stress style is accompanied by heart palpitations and avoidance of physical activity. The value of the avoidance-oriented coping sub-style, i.e. distraction, depends on atmosphere at workplace, heart palpitations and sleep problems. The value of the avoidance-oriented coping sub style, i.e. social diversion, is contributed by marital status, fertility and work organization.

Conclusions. Nurses working in intensive care units prefer the task-oriented coping style. Work stress coping style is related to demographic factors and perception of work environment. An unadaptive style of coping with work-related stress is accompanied by symptoms of somatic occupational burnout syndrome.

Open access

Paweł Szwarnowski, Paulina Przesławska and Hanna Grabowska

Abstract

Introduction. Metabolic syndrome is a cluster of conditions (increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) that occur together, increasing your risk of cardiovascular disorders.

Aim. The aim of the study was to formulate a nursing care plan for a patient with GN using the ICNP®? terminology.

Material and methods. The research employed the case study method and the technique of the interview, observation, analysis of medical records and measurements. The research was conducted at the Clinic of Arterial Hypertension and Diabetology at the University Clinical Centre in Gdańsk and involved 2 patients with MS.

Results and conclusions. Based on the data obtained, the following nursing diagnoses were formulated: Impaired Regulatory System Function/Hyperglycaemia, Altered Blood Pressure, Acute Pain (head), Overweight, Impaired Sleep and Anxiety, potential diagnoses: Risk For Impaired Peripheral Neurovascular Function, Risk For Diabetic Foot and Risk For Medication Side Effect, and as well as self-control and self-care: Impaired Ability To Manage Regime and Impaired Ability To Monitor Disease.

Open access

Bożena Krawczyk, Karolina Jurasz, Kornelia Skoczylas and Monika Kadłubowska

Abstract

Introduction. Leigh syndrome, also called subacute necrotizing encephalomyelopathy, belongs to a group of ultra-rare neurodegenerative mitochondrial diseases. It is most often caused by various genetic enzyme deficiencies. An infant with the syndrome is in need of constant care by their parents who have been appropriately trained and prepared for homecare.

Aim. The aim of the study was to present issues connected with the home care of a child with Leigh syndrome and to propose a new model of a home care based on a chosen case study.

Material and methods. The research employs the case study method. Used techniques include interviewing, observation, medical document analysis.

Results. Homecare of a child with Leigh syndrome involves stabilising and supporting life functions and ensuring safety as well as meeting both their physiological and psychological needs.

Conclusions. Present state of medicine does not allow for causative treatment. All that can be done is hindering the disease’s progress and moderating its symptoms. Complex medical care, nursing, along with rehabilitation can prolong and significantly affect the patient’s quality of life.

Open access

Hui Liu, Xiao Xiao, Chun-Mei Lu, Dong-Lan Ling and Rui-Hong Wei

Abstract

Objective

Mobile health (mHealth) provides an innovative and effective approach to promote prevention and management of coronary heart disease. However, the magnitude of its effects is unclear. The aim of this systematic review was to examine the impact of mHealth-based cardiac rehabilitation outcomes among coronary heart disease patients.

Methods

Medline, CINAHL, Embase, PubMed, Google Scholar, NICE, and Cochrane library were searched for randomized controlled trials published between January 2002 and March 2017 which compared mHealth with conventional cardiac rehabilitation programs among coronary heart disease patients.

Results

Eight articles were included in this review. The impact of mHealth interventions on physical activity, medicine adherence, smoking cessation, level of anxiety, and quality of life was inconsistent among the articles.

Conclusions

Further research is needed to conclusively determine the impact of mHealth interventions on cardiac rehabilitation outcomes. The limitations of the included studies (e.g., inadequate sample size, failure to address the core components of cardiac rehabilitation programs, and lack of theory-based design) should be taken into account when designing future studies.

Open access

Jie Li, Hong Lu and Rui Hou

Abstract

Objective

To review the definition and scope of the practice of midwives in Sweden, Finland, the United Kingdom, the United States, and Australia to find models and make suggestions for reforms in the midwifery policies of China.

Methods

This article reviewed the midwifery policies published by authorities, organizations, and governments of these countries and relevant literature in the databases of PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), China National Knowledge Infrastructure (CNKI), and Wanfang database.

Results

The definition and scope of practice of midwives in five representative countries and China were reviewed. The similarities and differences in midwifery policies among them show that most countries set standards based on the definition and scope of practice of midwives recommended by International Confederation of Midwives.

Conclusions

The definition of midwives should include registration, midwifery education, and acceptance standards. The scope of practice of midwives should specify an autonomous environment, the objective of care, the period of care involved, prescribing rights, emergency treatment, and health counseling.

Open access

Qiao-Qian Luo and Marcia A Petrini

Abstract

Objective

Clinical reasoning is an essential feature of health care practice; it is also a crucial ability for providing patient care of high quality. It has been identified that graduate nurses may lack the clinical reasoning skills to deliver safe and effective patient care. It is therefore of paramount importance to enhance nursing students' clinical reasoning ability. High-fidelity simulation (HFS) is proved to be an effective teaching and learning method, which may also have some advantages over other teaching methods.

Methods

The authors retrospectively reviewed the related literature, illustrated the application of high-fidelity simulation teaching method in nursing education, putting the focus on the use of it in teaching with clinical reasoning.

Results

The application of high-fidelity simulation to nursing education can simulate the clinical situation, thus to create a safe, continuous and efficient learning environment for students, and it can effectively improve students' clinical reasoning ability.

Conclusions

high-fidelity simulation is effective for clinical reasoning teaching in nursing education. The extension of its application in China should be of great value. The relevant further study is suggested focusing on how to overcome its own limitations and have it better applied in nursing education in China.

Open access

Tantut Susanto, lis Rahmawati and Wantiyah

Abstract

Objective

This article aimed to evaluate the effects of an educational intervention programme on improving peer educator (PE) knowledge in issues around growth and development and its risk behavior problems of adolescents in Indonesia.

Methods

The study was conducted in 31 of PEs to evaluate their knowledge in adolescents. The PEs received health education and were assessed by individual work during the structured three-week programme. Data were collected before and after the training programme as pre- and post-tests.

Results

The PE demonstrated significant improvements in their knowledge after attending the three-week structured training programme. The post-test scores had significant effects on the dimensions of PE knowledge scores. The PE become knowledgeable to maintain and monitor adolescents health issues around growth and development and its risk behavior problems of adolescents.

Conclusions

The PE become knowledgeable to respond to the adolescent problems and readiness to become PE during puberty.

Open access

Rian Adi Pamungkas, Kanittha Chamroonsawasdi and Paranee Vatanasomboon

Abstract

Although the concept of family functioning has gained recent popularity, the terms "family functioning" and "family resilience" are sometimes confused and used interchangeably. The aim of this concept analysis was to clarify what is meant by family functioning in the context of diabetes self-management by assessing specific attributes, antecedents, and consequences. A concept analysis model by Walker and Avant was applied. The Identified attributes of family functioning in a diabetes self-management context Included problem-solving, communication, roles, affective responsiveness, affective involvement, and behavioral control. Antecedents Included family structure, socloeconomic status, family functioning relationships, family stage, and life events. Consequences Included family satisfaction, family cohesion, and family relationships. This analysis provided a deeper understanding of a family functioning concept within a diabetes self-management context. It is recommended that health care providers should be aware of antecedent factors that could inhibit outcome improvement. Further research is needed to explain family functioning attributes in relation to antecedents and potential consequences.

Open access

Elyda Akhya Afida Misrohmasari, Hestieyonini Hadnyanawati, Kiswaluyo, Berlian Prihartiningrum and Dina Eka Putri

Abstract

Objective

Toothache was reported as a reason for school absenteeism, sleeping difficulties, loss of appetite, and seeking dental treatment among children. These represented some impacts of dental problems on health, quality of life, and socioeconomic problems. The aims of this study were to describe the prevalence of toothache among 12–14-year-old children in Indonesia and their family characteristics and to analyze the associations of family characteristics on the toothache.

Methods

We analyzed the data from the Indonesian Family Life Survey 5 in 2014–2015. A total of 2,377 children aged 12–14 years were included in this survey. This age is the early stage of eruption of all permanent teeth. Children were asked about their experience on toothache in the last 4 weeks as a dependent variable. The independent variables were the family socioeconomic characteristics including father's and mother's highest educational level, family income, and the number of children in the family. A logistic regression was applied to analyze the relationship of family characteristics with toothache experience of children.

Results

Toothache experience was reported from 13.9% of the respondents. Descriptive statistics showed that higher percentages of toothache were experienced by male children and children from family with lower parental education and economic position as well as from bigger family. However, logistic regression showed that only the number of children in the family had a statistically positive association with self-reported toothache of the children. Children living in the family with more than four children were more likely reported toothache than living in the family with one or two children (P=0.012; odds ratio [OR]=1.53). Children living with more siblings may experience less attention from their parents on oral health hygiene. Poor oral health habits could result in dental pain.

Conclusions

Descriptive statistics showed that a higher percentage of toothache was experienced by children from lower socioeconomic families, although the only significant association was the number of children in the family.

Open access

Ting-Ting Liu, Meng-Jie Lei, Yu-Feng Li, Ya-Qian Liu, Li-Na Meng and Chang-De Jin

Abstract

Objective

This meta-analysis aimed to examine the effects of parental involvement in infant care in neonatal intensive care units (NICUs).

Methods

PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang database, and VIP database were searched till November 2017. Randomized controlled trials (RCTs) and controlled clinical trials (CCTs) examining the effect of parental involvement in the NICU were considered for inclusion.

Results

We included 10 studies (three RCTs, seven CCTs) with a total of 1,851 participants. The meta-analysis demonstrated that there were no statistically significant differences on nosocomial infection between two groups (risk ratio [RR] = 0.90, 95% CI 0.63–1.30, P = 0.58). Compared with no parental involvement groups, parental involvement groups showed more weight gain (mean difference [MD] = 1.47, 95% CI 0.65–2.29, P < 0.05), higher breast-feeding rate (RR = 1.38, 95% C11.25–1.53, P < 0.05), lower readmission rate (RR = 0.35, 95% CI 0.15–0.80, P < 0.05), and higher satisfaction rate (RR = 1.09, 95% CI 1.02–1.16, P< 0.05).

Conclusions

Parental involvement in the NICU interventions could not increase the rate of nosocomial infection of neonates, but could improve their weight gain, breast-feeding and parental satisfaction and decrease their readmission. However, since the conclusion of this meta-analysis was drawn based on the limited number of high-quality RCTs, more high-quality studies should be conducted in the future to confirm its positive intervention effects.