Discipline Of Nursing Research Articles

Participatory Action Research and Photovoice: Applicability, Relevance, and Process in Nursing Education Research.

Participatory action research (PAR) is a philosophy and approach to qualitative research. The purpose of this article is to generate a clearer understanding of PAR and its relevance to the discipline and profession of nursing. The authors provide a description of the principles and process of implementing PAR methodology, using photovoice as an innovative, participant-directed data collection method in rural nursing preceptorship. Participants were undergraduate nursing students and faculty advisors assigned to rural communities during the final clinical preceptorship. Participants described opportunities and challenges experienced during the preceptorship and how these experiences influenced their learning and overall preceptorship experience.

Medical and Allied Health Students’ Knowledge About Nutritional and Immunological Properties of Breast Milk

Abstract Objectives This study was conducted to determine medical and allied health students’ knowledge of immunological and nutritional aspects of breast milk, and to assess the preferred method for continuing education to improve knowledge about breast milk. Methods A descriptive study was conducted using an anonymous online survey administered to undergraduate and graduate students in medical, nursing, nutrition/dietetics and physician assistant training programs at a Midwestern university. A 40-item questionnaire, delivered in Qualtrics, had 5 demographic items, 29 multiple choice or true/false items about immunological and nutritional properties of breast milk, and 6 items on educational resources. Content validity of the survey was established using input from one member of IBCLC and three Registered Dietitians. A survey link was distributed by e-mail to 1396 prospective participants. Frequencies of responses, cross-tabulations, and descriptive statistics were determined. Between group differences knowledge scores were analyzed using independent t-test and ANOVA with post hoc tests (P < .05). Results The response rate was 5.6%. The mean knowledge score of the 78 participants was 49.5% ± 6.8% out of 29 items. The nutrition/dietetics students had the highest mean knowledge score of 51% ± 5%, followed closely by those from physician assistant (50% ± 7%), medical (49% ± 7%), and nursing (48% ± 8%) disciplines. The differences in mean knowledge scores among the students were not statistically significant (P = .948). Overall, 67% of students reported that the preferred method for continuing education to learn about breast milk was through an online course, over attending a seminar/workshop (60%), course in a class (37%), reading journal articles (34%), attending a professional meeting (32%), or learning from books (20%). Conclusions The low scores demonstrated a deficit in knowledge regarding the nutritional and immunological properties of breast milk among both medical and allied health students. Improving knowledge in this area by taking an online course was the preferred method by both undergraduate and graduate students in these health care fields. Funding Sources Indonesia Endowment Fund for Education (LPDP)

The nurse outcomes and patient outcomes following the High-Quality Care Project.

There have been many single cross-sectional studies on nurse or patient outcomes. However, long-term evidence on improving nurse and patient outcomes is still limited. The High-Quality Care Project is a national project in China for improving nurse and patient outcomes by implementing primary nursing. (1) To assess the long-term changes in nurse and patient outcomes in the context of the High-Quality Care Project. (2) To explore the potential influences of primary nursing on nurse and patient outcomes based on this study and broader existing evidence. The data of two cross-sectional studies were used for analysis. The two cross-sectional studies were conducted before (2009) and after (2016) the High-Quality Care Project. A total of 1376 nurses and 904 patients from 40 units of 10 tertiary hospitals were surveyed. Reliable and validated instruments were used to measure nurse and patient outcomes. Multilevel modelling was the main method for data analysis. Nurses in 2016 were more satisfied than nurses in 2009 with most dimensions of nurse work environment and job satisfaction. However, they were not more satisfied with burnout, global job satisfaction or intention to leave their job. Nurses in 2016 also reported better quality of patient care and patient safety while their patients reported higher patient satisfaction. The analysis of our results based on existing evidence indicates that primary nursing could be considered as a potentially effective way to improve nurse work environment and patient outcomes. More studies with rigorous study design from micro perspectives would be useful to further explore the direct effects of primary nursing on nurse or/and patient outcomes. Policymakers, healthcare service leaders and nurse managers should make efforts to provide multi-level supports to cultivate an encouraging environment for nurses to practice primary nursing, because the implementation of primary nursing may improve the nurse work environment and patient outcomes. Furthermore, improving nurse participation in hospital affairs and developing nursing discipline and education for increasing nursing staff resource and nurses' capacity - which all need policy and management supports - are crucial to further improve nurse and patient outcomes.

Environmental and Personality Influences on Nurse Discipline Public Health Center

Introduction: discipline is a benchmark to find out whether the role of a manager or leader as a whole canbe implemented well or not.Method: This research is a quantitative study supported by qualitative data with cross-sectional study design.Results: the test with the chi-squer test of personality and environmental factors obtained a p-value of0.827 that Ha was rejected and H0 was accepted so that there was no influence between personality andenvironmental factors on the discipline of nurses in Barombong Public Health Center, Makassar.Conclusion: There is no influence between personality and environmental factors on the discipline of nursesin the Makassar City Barombong Health Center. This research can be used as a reference material forlearning about nurse discipline and is expected for health workers to be used as input for carrying out theirduties.

Methodology of Interdisciplinary Studies in Nursing Based on Islamic Documents.

To meet the needs of people from various cultures, nursing research must be performed on the basis of these cultures. This research aims to invent interdisciplinary research method based on Islamic documents. This method is with three stages: first, to describe a desired concept; second, to define the concept from the viewpoint of humans. Finally, a nursing discipline is achieved on the basis of the human knowledge and its findings, and Islamic documents. Results of this research method assist nurses in offering nursing care with regard to Muslim's beliefs in addition to their culture and customs.

Clinical effect of amiodarone on atrial fibrillation after heart valve replacement: a Meta-analysis

Objective To investigate the clinical effect of amiodarone on patients with atrial fibrillation after heart valve replacement, and to provide reference basis for improving the efficacy of patients with atrial fibrillation after heart valve replacement. Methods The PubMed, Web of Science, WILEY medical and nursing discipline database, Cochrane Library, CNKI, Wanfang database, VIP database and China Biology Medicine disc were searched by computer. Randomized controlled trials (RCTs) about amiodarone treating patients with atrial fibrillation after heart valve replacement were searched from the establishment of the database to 24th September , 2019. After two people's independent literature screening and literature quality evaluation, relevant data were extracted and quantitative comprehensive analysis was conducted with Revman 5.3 software. Results A total of 7 articles were included, including 6 Chinese articles and 1 English article. There were 710 patients in total, including 363 cases in the experimental group and 347 cases in the control group. Quantitative synthesis was performed with Revman 5.3 software, and the results showed that amiodarone treatment for atrial fibrillation after valve replacement could improve the recovery rate of atrial fibrillation (RR=1.36, 95%CI: 1.20-1.54, P<0.05) . The rate of sinus rhythm maintenance was increased (RR=1.41, 95%CI: 1.16-1.72, P=0.002) , the ICU monitoring time was shortened (MD=-1.09, 95%CI: -1.32--0.86, P<0.05) , and the total days in hospital was reduced (MD=-3.92, 95%CI: -4.25--3.59, P<0.05) . Conclusions Amiodarone treatment for atrial fibrillation after valve replacement can improve the recovery rate of atrial fibrillation and the rate of sinus rhythm maintenance, reduce the ICU monitoring time and the total days in hospital, which is worthy of clinical application. Key words: Meta-analysis; Amiodarone; Kedalong; Heart valve disease; Heart surgery; Atrial fibrillation; Atrial fibrillation; Treatment effect

Ethical Implications for Preserving the Name of the Discipline of Nursing

The term nursology has resurfaced in the nursing literature as a replacement name for the discipline of nursing. This article reviews the historical significance of the current terminology and the ethical implications that demand the preservation of the language of the discipline. The humanbecoming ethos of enduring truths is used to illustrate the importance of the current terminology for future generations of nurses and for serving humankind.

Ensino em enfermagem: reflexões sobre a utilização de mapas conceituais na prática acadêmica

O presente estudo objetiva compartilhar reflexões acerca da realização de mapas conceituais em uma prática acadêmica no curso de graduação em enfermagem da Universidade do Vale do Taquari. Trata-se de uma pesquisa descritiva e exploratória, com abordagem qualitativa realizada com vinte e cinco participantes. Os participantes foram estudantes regularmente matriculados na disciplina de Enfermagem na Saúde do Adulto e Idoso I do curso de graduação em enfermagem da Universidade do Vale do Taquari no segundo semestre do ano de 2019. A coleta de dados ocorreu por meio da realização de mapas conceituais, sendo sua discussão sob aproximações com Moreira (2012) e análise com aproximações da Análise de Conteúdo de Bardin (2016). Os resultados demonstraram que os mapas conceituais sintetizaram os conceitos principais trabalhados em sala de aula. Desta forma, a articulação dos conceitos, disposição dos termos geradores, bem como as ligações geradas pelos trabalhos dos participantes, identificam preceitos da aprendizagem significativa. Sendo assim, ao buscar compreender a realização dos mapas conceituais, percebeu-se que os participantes construíram e articularam conceitos importantes sobre o conteúdo proposto, demonstrando indícios de sua aprendizagem.

A PROPOSED EVALUATION OF POSTGRADUATE NURSING ACCORDING TO THOMAS KUHN

ABSTRACT Objective: to present Thomas Kuhn's theory and its applicability for epistemological evaluation of the Nursing Graduate Program. Method: reflective analysis with a guiding question: How can Thomas Kuhn's theory contribute to an epistemological evaluation of the Graduate Nursing Program? Results: the Nursing Science in its historical process of realization has been facing numerous challenges that impose themselves to scientific knowledge: having an accurate and robust philosophical basis that justifies and legitimizes the knowledge of the area to support its assertions; dwell on the object of his science; have clear the field of discipline and its relationship with the related sciences, establishing interdisciplinary dialogue. To base scientific production on objects proper to nursing, to seek appropriate methods to approach them without disregarding the knowledge of nurses' experiences and accomplishments may be the guiding thread that enables Nursing Science to be linked to the pragmatics of the profession and Cheers. This has been the challenge for the nursing scientific community. The elements of Kuhnian theory are presented: pre-science, normal science, crisis and revolution; points out a hypothesis to be tested by the researchers of the program. If the hypothesis is true, Nursing Science approaches the paradigmatic level and will manifest itself in pragmatics through the scientific nursing discipline. If rejected, there will be a new classification for the area. Conclusion: the corpus doutrinae of the profession requires qualitative self-assessment of an epistemological nature. Thomas Kuhn's thinking can support this assessment.

Using a general theory of implementation to plan the introduction of delirium prevention for older people in hospital.

To develop an implementation plan for delirium prevention. The use of non-pharmacological interventions to prevent hospital-acquired delirium is well established but their implementation has been notoriously difficult to achieve. Systematic analysis of context as part of implementation planning is critical. Ethnographic study was conducted in a 24-bed general medical ward. Eleven patients and family members and 15 health service staff participated through observations, individual interviews and document review. Inductive analysis was used to generate themes that described enablers and barriers. Enablers included a ward culture that embraced safety and placing the person at the centre of care. Barriers were in tension with the enablers and included limited staff knowledge, specialist forms exclusive to the nursing discipline, inflexible ward routines and frequent disruptions. In addition to standard implementation strategies such as individual education and leadership, implementing delirium prevention requires consideration of team practices, review of policy document design and identification of outcomes data than can support collaborative reflexive practice. The use of a theory-informed ethnographic approach exposed tensions that may be otherwise invisible. Understanding the tensions increases the likelihood of implementation success. Using a systematic assessment approach can create a comprehensive implementation plan.

Consensus Recommendations From the Children's Oncology Group Nursing Discipline's State of the Science Symposium: Symptom Assessment During Childhood Cancer Treatment.

Background: Recognizing and addressing illness-related distress has long been a priority for pediatric oncology nurses and the Children's Oncology Group. Although symptoms are known to be highly prevalent during treatment for childhood cancer, there is currently no guidance for how often symptoms should be assessed, which symptoms should be prioritized for assessment, and how the data should be collected. Methods: The Nursing Discipline, within Children's Oncology Group, hosted a one-day Interprofessional seminar titled "Symptom Assessment During Childhood Cancer Treatment: State of the Science Symposium." Following the symposium, an expert panel was assembled to review all available evidence, including information presented and collected during the symposium. Consensus-building discussions were held to identify common themes and to produce recommendations for clinical practice. Results: Four recommendations emerged including (1) the identification of priority "core" symptoms for assessment; (2) inclusion of the child's voice through self-report, when possible; (3) consistent documentation and communication of symptom assessment results; and (4) implementation of patient/family education related to symptoms. Discussion: Symptom recognition, through appropriate assessment, is the first step in symptom management. The goal for developing and sharing these recommendations is to promote consistent and comparable clinical practice across institutions in regard to symptom assessment during childhood cancer therapy. Integration of these recommendations will set the stage for future studies related to the frequency of symptoms across disease groups, projection of anticipated symptom trajectories, development of evidence-based teaching tools for common symptoms, and evaluation of patient outcomes with enhanced symptom assessment and management.

Symptom Biomarkers for Children Receiving Treatment for Cancer: State of the Science.

The Children's Oncology Group Nursing Discipline has identified the most concerning symptoms during childhood cancer treatment and the need for continued symptom assessment and intervention during treatment trajectory. To develop appropriate interventions, symptom science strategies must explore the biological mechanisms associated with symptoms of cancer and cancer treatment. To explore the associated biological mechanisms, biomarkers have been recommended for inclusion in symptom science studies, when applicable. The biomarker assessed, as well as the method of collection and storage, can affect the reliability and validity of the study results and clinical implication. This review will describe biomarkers that have been described in pediatric oncology symptom science research and provides special considerations for specimen collection and processing.

Symptoms in Children Receiving Treatment for Cancer-Part II: Pain, Sadness, and Symptom Clusters.

Children and adolescents receiving treatment for cancer experience multiple symptoms as a consequence of their disease and its treatment that interfere with the child's quality of life. Understanding of symptom assessment in children with cancer is foundational to the work of the Children's Oncology Group Nursing Discipline, whose research aims are to address knowledge gaps including understanding illness-related distress. This article is the second of a two-part summary of current evidence addressing the assessment of symptoms frequently reported by children and adolescents receiving treatment for cancer. Studies reporting assessment of pain, sadness, and symptom clusters published between January 2008 and May 2018 were included. Forty-three publications addressed pain. Pain was highly prevalent and distressing, varied in its trajectory across a cycle of chemotherapy and across multiple cycles of treatment, and correlated with biomarkers associated with the pain response. Consequences of pain were poorer functional status and emotional health. Twenty publications addressed sadness. Sadness was the most prevalent psychosocial symptom. Its prevalence decreased over the course of treatment and over a cycle of chemotherapy. Persistent sadness was of greater severity and distress. Eight publications addressed symptom clusters. These studies identified both groups of co-occurring symptoms and groups of patients with common symptom profiles. This two-article series provides evidence for the distressing nature of symptoms among children receiving cancer treatment. Efforts to support clinicians in routine symptom assessment are needed. Additional research directed at alleviating symptoms and building resilience among the child experiencing symptoms is needed.

Symptoms in Children Receiving Treatment for Cancer-Part I: Fatigue, Sleep Disturbance, and Nausea/Vomiting.

Children and adolescents with cancer often undergo intensive chemotherapy treatment to obtain remission and long-term survival. The pursuit of successful treatment outcomes may lead to high levels of symptom distress related to treatment side effects and toxicities. The Children's Oncology Group Nursing Discipline held a State of the Science Symposium "Symptom Assessment During Childhood Cancer Treatment" in 2018 that included reviews of evidence regarding key symptoms. The purpose of this review is to summarize and synthesize the evidence presented about the prevalence, relationships, trajectories, and associated biomarkers of selected symptoms experienced by children and adolescents during cancer treatment. Five symptoms were selected, with the focus on fatigue, sleep disturbance, and nausea/vomiting and included in Part I of the review. Using Ovid-Medline, studies published between 2008 and 2018 that focused on these specific symptoms during active chemotherapy treatment were selected. Fatigue interferes with normal developmental activities and is associated with sleep disturbances, and its pattern changes within a cycle of chemotherapy as well as across the treatment trajectory. Sleep is disrupted by the hospital environment, treatment medications, and changes in normal childhood and schedules. Disturbances of sleep persist during treatment, preventing recovery from poor quality sleep. Although pharmacologic interventions have advanced for treatment of nausea and vomiting, children and adolescents continue to struggle with this symptom. Its trajectory changes with the intensity of treatment, and over half of the patients report that they experience nausea and/or vomiting. Future research is needed to advance identification of biologic risk factors for symptoms and test effectiveness of symptom-related interventions.

Conflicts Within the Discipline of Nursing: Is There a Looming Paradigm War?

This paper presents a view of the current sources of potential conflicts in the academic discipline of nursing. It suggests that these conflicts could lead, in the Kuhnian sense, to a paradigm war. The differing paradigms underlying the education and traditions of the PhD prepared nurse scientist/researcher/scholar and the DNP prepared nurse practitioner are a challenge for the discipline. DNP programs are swelling and faculty are needed to teach in these programs, and their position with regard to the usual rank and tenure structures of academe are not yet clear. Concern arises when the tenured PhD nurse scientist faculty numbers drop as the DNP faculty numbers increase. The body of nursing science is threatened as fewer students enter PhD programs and faculty retire. The DNP faculty paradigm does not provide for the rigor and preparation need to carry forward the disciplinary scientific knowledge mission. Rather than a fruitless war between the two paradigms, ways are suggested to fully embrace the differences as important to nursing, and to increase the number of PhD prepared nurse scientists.

Predatory Publishing in Nursing.

Predatory publishing is a contemporary term that refers to dubious open access publishing where there are questionable practices of marketing, business, and alteration of peer-review publishers' practices. This article begins a straight-thinking discussion with recommendations intended to inform present and future scholars of the discipline of nursing of these alarming developments in the publishing arena.

A critical reflection on the discipline of nursing based on the correct analysis of the relationship between medicine and nursing

Abstract As nursing becomes a first-level discipline, the central focus of the development process of nursing science is the independent exploration of the future path of nursing care. Although many countries have made efforts to develop nursing as an independent discipline, no remarkable advancement has been achieved due to the incorrect understanding of the relationship between nursing and medicine and the improper comprehension of other factors involved in the process of nursing reform. Teaching and practicing nursing also face many problems. Based on our understanding of the relationship between nursing and medicine and through a careful analysis of the existing problems in the current nursing discipline, this paper provides some insights into the future directions of nursing development by exploring the independently developing nursing discipline in foreign countries.

C4 Improving the Understanding of Pain Disability through Concept Analysis

The aims of this concept analysis were threefold: (1) To clarify the concept of pain disability (PD); (2) to provide a global framework for the identification of essential characteristics of PD; and (3) to increase visibility of the concept within the discipline of nursing.

Thoughts of creation and the discipline of nursing.

AimThe aim is to highlight thoughts of creation as a significant fundamental of the nursing discipline. This is achieved by exploring thoughts of creation in relation to everyday nursing care.DesignThis study, based on a hermeneutical approach, provides reused data drawn from a larger Norwegian empirical study.MethodA second thematic analysis was conducted. Data in the original study consisted of qualitative interviews and qualitative follow‐up interviews with 13 nurses. The research context was the primary and secondary somatic and psychiatric health service, inside as well as outside institutions.ResultsThree themes emerged: (a) Life as greater than a human being; (b) creational powers attributed to the human being; and (c) understanding life as basically good. Thus, thoughts of creation in terms of philosophical underpinnings seem to gain backing from nurses’ experiences of everyday nursing care and it can be argued that it adds elements that enrich nursing care.

Palliative Design Meets Palliative Medicine: A Strategic Approach to the Design, Construction, and Operation of Healthcare Facilities to Improve Quality of Life and Reduce Suffering for Patients, Families, and Caregivers.

A built environment designed to be appropriate for palliative care can make a profound difference for people with life-limiting illnesses. The built environment affects a patient's quality of life, the management of physical and psychological symptoms, and the quality of social interactions with loved ones and caregivers. This article is informed by the emerging trends in the research and practice in the disciplines of architecture, design, medicine, and nursing. The article is intended to provide a definition of palliative design and invite discussion of its potential impact on patients, families, and caregivers. Our goal is to initiate conversation about palliative design, foster sharing of experiences and feedback among building professionals, and discuss future paths for formal adoption into practice.