Effective Nursing Care Research Articles

Care of the acute kidney injury patient

Acute kidney injury, previously called acute renal failure, indicates a sudden and often reversible reduction in kidney function as measured by glomerular filtration rate, increased serum and plasma creatinine concentration and changes in urine output. This article reviews the pathophysiology and common causes of acute kidney injuries, including pre-renal causes from hypovolaemia, intrinsic renal causes such as glomerular diseases and post-renal obstructive causes. Veterinary nurses should be aware of the common diagnostic tests used and how to deliver support to the hospitalised patient. While an acute kidney injury can be a serious condition for some patients, it is possible for others to recover and maintain a good quality of life with effective nursing care to help maximise the prognosis of these patients.

The impact of patients' social backgrounds assessment on nursing care: Qualitative research.

Although nurses are expected to address the social determinants of health (SDH) in clinical settings, the perspectives of front-line nurses on the integration of SDH into their clinical practice remain unclear. Understanding the dynamism of this integration and its outcomes can yield crucial insights into effective nursing care. This study aims to elucidate the integration and adoption of tool-based SDH assessment nursing programs and their impacts on daily nursing care. We conducted qualitative research at a small community-based hospital in Japan, where a tool-based program characterized by social background interviews and documentation was implemented. Nurses at the hospital were recruited via purposive and snowball sampling. After hypothesis generation, semi-constructed in-depth online interviews were conducted. Each interview lasted between 30 and 50 min. The data were analyzed via thematic analysis using the framework approach. A total of 16 nurses participated. Participants' incorporation of the novel SDH assessment program was bolstered by prior learning and their recognition of its practical value. Institutional support and collaborative teamwork further facilitated the adoption of this innovation. Enhanced knowledge about the social contexts of their patients contributed to increased respect, empathy, and self-affirmation among participants, consequently enhancing the quality of nursing care. Through team-based learning, reflection, and support, nurses can integrate a tool-based SDH assessment program into their daily nursing practice. This program has the potential to empower nurses to deliver more holistic care and redefine their professional identity. Further research is warranted to assess patient-reported outcomes.

The iceberg of genomics: New perspectives in the use of genomics and epigenetics in oncology nursing clinical reasoning. A discursive paper.

Although, there is a wealth of information in the medical literature on the usefulness of genomic testing in assessing risk and its application in medical oncology decision making, there are no theoretical reflections in the nursing field. To understand the implications of molecular biology in nursing practice and highlight the role of Nursing Theory in guiding nurses' reasoning. Searching literature published between 2000 and 2022 in Medline and Google Scholar. Scientific evidence was analysed by the authors expert in different fields. Based on the findings of the literature, concerns have been raised about the proper care of cancer patients who have a genomic risk profile determination. In particular, the absence of theoretical thinking and conceptual models that consider developments in molecular biology and their impact on nursing, in addition to the prevalence of heuristic thinking and the application of clinical patterns in nursing practice, could induce patient misjudgement with inadequate planning of preventive, curative, rehabilitative and educational nursing interventions. Nurses working in the field of oncology should be aware that the risk profile determined by genomics tests is merely the visible and stated portion of the cancer patient: the tip of iceberg. This study demonstrates how genomic testing takes into account a fraction of genes discovered in tumour tissue to establish a risk profile. This subset differs, for example, from the social genome, which can determine the risk of dementia, cancer and cardiovascular disease, but in response to social adversity. Nursing theory, which views the environment as a metaparadigm, must consider a conceptual model that can integrate the findings of genomic testing with recommendations from studies on the social genome of humans to make it easier to build nursing treatments that can better reduce these risks. A nursing theoretical discourse on genomics is a paramount requirement for developing effective nursing care.

EFEKTIFITAS NURSING TELEHEALTH DALAM MEMBERIKAN ASUHAN AKEPERAWATAN

Nursing Telehealth has a very effective impact on nurses in providing nursing services. The use of increasingly sophisticated media can penetrate the barrier between nurses and patients. Referring to Florence Nightingale's nursing paradigm, modern nursing theory was developed to describe the interaction between nursing, patient environment, health, and individual basic needs. The use of information and communication technology has impacted the evolving role of nursing in modern healthcare systems that have embraced the whole setting. Besides the many benefits, Nursing Telehealth must be faced with the readiness of human resources, financing, facilities and infrastructure as well as clear legal aspects. The purpose of this literature review is to describe the use of Telehealth in the nursing profession to provide professional care. Method: research design using Literature Review, based on summaries of several studies related to the Nursing Telehealth research topic. The journal can be accessed by searching the ProQuest database and Google Scholar 2019-2023. Results: Based on the journals collected, the use of Nursing Telehealth in nursing care can increase the effectiveness of nursing care services. Conclusions and Recommendations: Nursing Telehealth is effective in facilitating nurses in carrying out professional and effective nursing care and shortening the time and distance of services. The author recommends that Nursing Telehealth be implemented in Indonesia in stages considering Indonesia's geographical conditions.

Communication and safe and effective nursing care in surgical center and intensive care: integrative review

Objective: To identify the importance of communication for safe and effective nursing care in the surgical center and intensive care. Methods: An integrative review with a survey of productions in February 2023 in the databases Lilacs, MEDLINE, CINAHL, and Scopus. Primary studies, available in full in English, Portuguese, and Spanish, were included. Results: Of the 1,904 productions initially found, 19 were included for analysis. The studies pointed out that communication is essential to guaranty patient safety and to insert the family in the care process. This skill goes beyond verbal expression and involves other ways of communicating.However, it needs to be improved in some situations, mainly to avoid damage to the customer. It is also suggested that some forms of communication require to be standardized. Conclusion: Communication is one of the priorities and fundamental actions for the safety and effectiveness of nursing care, whether in surgical centers or intensive care units. Given this context, it is necessary that communication barriers are identified and that strategic organizational actions are put into practice, including the permanent education of professionals and the standardization of information. Actions like these minimize the potential risks that permeate critical care and positively impact relationships in the work environment

Critical Care Nurses’ Knowledge, Attitude and Practice of Deliver Care to Patients with Corona Virus Disease 2019

Background. Effective nursing care for COVID-19 patients. Design: A cross-sectional study has been conducted. Methods: This study applied purposive sampling method at 159 nurse’s intensive care units in Hospital Universiti Sains Malaysia, northern Malaysia. Data collected by structured questionnaires which consisted of four sections, Knowledge, attitudes, and practices of deliver nursing care for patients Covid -19 and demographic information for nurses. Conclusions: Finding show that nurses have positive attitude initiatives to improve the level of knowledge, and practices of nursing care for patients COVID -19, relevance to clinical practice. This proves that majority ICU nurses understood the basic information regarding COVID-19. Nursing management are encouraged to establish policies and supportive to staffs to increase and improved among ICU nurses to enhancing the quality of an excellent nursing care for COVID-19 patients.

Integrated immediate postmortem and acute bereavement care: Competency-based entrustable professional activities for nursing

BackgroundIntegrated immediate postmortem and acute bereavement care alleviates emotional distress due to losing a loved one; however, the provision of effective nursing care remains insufficient. Therefore, preparing nursing students with such skills is essential in end-of-life care education, and entrustable professional activities (EPAs) offer potential to address this gap. ObjectivesTo establish EPAs concerning immediate postmortem and acute bereavement care with a seven-category description for EPAs, milestones, and assessment tools. DesignWe used a modified Delphi method and four-step consensus-building approach to i) identifying the list of possible EPA items related to immediate postmortem and acute bereavement care based on a literature review and clinical experiences, ii) select an expert panel, iii) pool, review, and revise the EPAs, and iv) validate EPA quality using the Queen's EPA Quality rubric. Data analysis was performed via modes and quartile deviations. ResultsThe following four major EPA components were identified: i) cultural and religious ritual assessment; ii) death preparation; iii) postmortem care; and iv) acute bereavement care. Three essential competencies were identified as highly correlated: general clinical skills, communication and teamwork capabilities, and caring. Consensus was achieved after three survey rounds. A 100 % questionnaire response rate was obtained. In the third round, all items received 4 or 5 points from >95 % of the panel members and were found to meet the quartile deviation cutoff score of <0.6, indicating that a high consensus level was established. The average Queen's EPA Quality rubric score was 62.5, with an average item score of 4.46, which was higher than the cut-off score of 4.07. Three major parts of EPAs were developed: task descriptions, milestones, and the assessment tool. ConclusionThe development of EPAs assessments concerning immediate postmortem and acute bereavement care may guide nursing curricula planning to bridge the gap between competencies and clinical practice.

Nursing Assessment of Cardiovascular System: Importance of History Taking and Physical Examination

Assessment of a patient's cardiovascular system is crucial in identifying potential problems, determining a diagnosis, and creating a care plan. The nursing assessment process involves both history taking and physical examination. History taking is important in obtaining information about the patient's past medical history, risk factors for cardiovascular disease, symptoms, and medication use. This information can help to identify potential problems, such as high blood pressure or heart disease, and provide a baseline for comparison during subsequent assessments. Physical examination includes evaluating the patient's vital signs, such as blood pressure, heart rate, and rhythm, and listening to the heart and lungs for sounds that may indicate problems, such as murmurs or crackles. The examination may also involve palpating for peripheral pulses, evaluating for edema, and assessing skin color and temperature. Together, the information gathered during history taking and physical examination forms a comprehensive picture of the patient's cardiovascular system and provides the foundation for an effective nursing care plan.

CARING OUTCOMES AND RELATED FACTORS AMONG PATIENTS DIAGNOSED WITH VIRAL HEPATITIS IN CAN THO GENERAL HOSPITAL

Background: Viral hepatitis is an inflammatory condition that causes liver damage. It is a major public health problem globally, especially in developing countries. Patients with viral hepatitis have torse physical and psychological health status, and hepatitis is also a burden on family finance and the healthcare system. Effective nursing care is essential to decrease complications, re-hospitalization, mortality rate, and treatment costs and improve the quality of life for hepatitis patients. However, there was inadequate research quality of nursing care for viral hepatitis patients. Thus, it is important to conduct a study regarding caring outcomes which might be useful in developing nursing interventions to provide high-quality care for patients diagnosed with viral hepatitis. Objectives: This study aims to examine the caring outcomes and indicates its related factors among viral hepatitis patients. Methods: A descriptive cross-sectional design was applied for this study to conduct 160 inpatients in Can Tho General Hospital. The self-report questionnaires assessed caring outcomes, including 5 domains and 21 items. Results: The findings indicated that patients' good caring outcomes rate was 87.5%. In detail, health education showed the highest scores, while direct care and observation were the lowest. The study found that comorbidity significantly correlated with outcomes of provided care among viral hepatitis patients. There was no relationship between patients’ caring outcomes and their demographic characteristics. A negative correlation was presented between patients’ comorbid condition of diabetes type 2 and their caring outcomes. Conclusion: The incidence of satisfied caring outcomes among viral hepatitis patients was high. Patients’ comorbid condition was associated with their caring outcomes. Health education should be focused on order better care for patients who are diagnosed with viral hepatitis.

Nurses' knowledge and use of the nursing process in two major hospitals in Fako, Cameroon

Background &amp; Aim: Although the nursing process can help ensure the quality of nursing care, some nurses do not implement it in patient care. This study assessed nurses' knowledge and use of the nursing process in two major hospitals in Fako.&#x0D; Methods &amp; Materials: A cross-sectional design with a purposive sample of 101 nurses was used. In addition, 310 randomly selected files of hospitalized patients were examined for the presence and effective use of a nursing care plan. A questionnaire was used to collect data on knowledge and use of the nursing process among nurses, while a checklist was used to audit hospital files for adequate use of the nursing care plan. Data were analyzed using both descriptive and inferential statistics, with the aid of SPSS version 20, with all statistics at Alpha=0.05.&#x0D; Results: The majority (85.1%) of participants had a mean knowledge score of 8.5/10 (1.06). There was a statistically significant association between nurses' knowledge and gender (χ2=17.998, P=0.003), age group (χ2=49.809, P=0.000), qualification (χ2=65.989, P=0.003) and duration of work experience (χ2=28.158, P=0.021). Most nurses (62.6%) reported using the nursing process only sometimes during patient care. There was a statistically significant association between nurses' age (χ2=9.723, P=0.049), qualification (χ2=34.67, P=0.000), and use of the nursing process. Only 42 files had a complete nursing care plan. Increased workload and nursing shortages were found to hinder the use of the nursing process.&#x0D; Conclusion: Nurses had good knowledge of the nursing process but did not effectively use it. Thus, the quality of care received by patients in these hospitals is questionable. Strategies to improve the use of the nursing process are needed for effective nursing care.

Occupational Stress Levels and Coping Strategies among Nurses Working in an Urban Metropolis in North Central Nigeria

Background: Stress is an important psychological concept that can affect health, well-being, and job performance in negative dimensions. Objective: This study investigates stress levels and coping strategies among nurses in selected hospitals in North Central Nigeria. Methods: The study employed a multistage sample technique method. The study design was descriptive and cross-sectional, using a quantitative strategy. Data analysis was carried out using descriptive and inferential study statistics. Results: Finding shows that the minimum age of the participants was 21–30 years, 87% were female, while 41.1% had 1-5 years of working experience. The study revealed that the highest signs and symptoms of stress experienced by the participants included aches and pain (57.5%) and anxiousness (52.5%). The participants experienced moderate stress. The findings revealed that years of experience (r= 0.631, p= 0.000) were observed to be significantly associated with signs and symptoms of stress. The results showed that age (r= -0.243, p= 0.045), religion (r= 0.165, p= 0.032), and experience of memory problems (r= 0.227, p= 0.003) were observed to show significant association with coping strategies. Conclusion: Hence, a conducive work environment should be maintained to promote effective nursing care, while periodic stress assessments and management should be implemented by hospital administrators to aid positive coping strategies among nurses.

The Attitude Towards Medical Device-Related Pressure Injuries Questionnaire: A Turkish Validity and Reliability Study

BACKGROUND: The attitudes of nurses should be measured using valid and reliable tools to develop effective nursing care strategies for the prevention of medical device-related pressure injuries and to organize necessary training programs. PURPOSE: This study was planned to conduct the Turkish validity and reliability study of the Attitude towards Medical Device-Related Pressure Ulcers/Injuries Questionnaire (MDRPU/I Questionnaire (the English-language version)) in nurses. METHODS: This methodological study included 134 nurses working in hospitals of different sizes and characteristics (public hospitals, training and research hospitals, and university hospitals) in Turkey. The validity and reliability of the Attitude Towards Medical Device-Related Pressure Injuries (MDRPI Questionnaire (the Turkish-language version)) Questionnaire were tested using language validity, content validity, face validity, construct validity, and reliability analyses. RESULTS: The final version of the questionnaire had a content validity index of 98.03%, sufficient construct validity, and a Cronbach α value of 0.92 for the total questionnaire. CONCLUSIONS: The Turkish version of the MDRPI Questionnaire is valid, reliable, and suitable for measuring the attitudes of nurses in Turkey toward the prevention and care of medical device-related pressure injuries.

Associated Factors of Empathy Level Among Nurses in Tertiary Care Hospital Lahore

It is well acknowledged that a high level of empathy among nurses is critical to their nursing care. For successful and efficient nursing care, empathy is a fundamental component of the nurse-patient relationship. Nurses are responsible to deliver patient-centered, safe, and effective nursing care at all levels of the health-care system. Nurses' sympathetic role in the therapeutic setting begins with a thorough assessment of their patients' bodily, psychological, and spiritual needs. Nurses' capacity to listen empathetically to their patients and deliver empathic nursing care successfully leads to proper patient care, which increases patient satisfaction with nursing care. Objective: To determine the association of empathy levels with demographic factors among Nurses working at Public Tertiary care Hospitals Lahore. Methods: A cross sectional analytical study design was used to conduct this study. The Sample size of n=180 nurses were recruited through simple random sampling technique. Jefferson Empathy scale was used for data collection from participants to assess the empathy level among nurses. Filled questionnaires were collected and processed for data analysis through SPSS version 21. Results: The study findings stated that empathy level among nurses was not found in association with educational institute (p-value=.623), marital status (p-value-.771), education level (p-value=.556) and job experience (p-value=.395). It simply means that the mentioned demographic factors have no influence on nurses’ empathy level here in this study. Conclusion: It is concluded that the level of empathy among nurses was not found to be associated with the demographic factors of nurses like their age, experience and institute of graduation.

The Effect of an Educational Program on Nurses’ Knowledge Concerning Nursing Care of Critically – ill Patients at king Fahad hospital Jeddah June 2022

Background: Critical care nurses must gain update knowledge, skills, experiences, high technical equipment to provide high quality nursing care to support critically ill patients’ recovery. This study aimed to evaluate the effect of educational program on nurse’s knowledge concerning Nursing Care for critically –ill Patients at Critical Care units. Methodology: This interventional pre–posttest study included 30nurses selected though a full-coverage sampling method and meeting the selection criteria. Data were collected using structured self-administered questionnaire after testing their validity and reliability through pilot study, then a written approval from the participants was taken. The pretest included an initial assessment followed by implementation of education program was designed based on actual needs of nurses in order to improve their knowledge toward effective nursing care of critically ill patient. Then the final assessment was conducted after one month (posttest). The collected data were then analyzed and interpreted using descriptive and inferential statistics based on the objective and p-value at 0.05 was considered as the level of significance using SPSS version 20. Results: this current study showed that there was statistically significant relationship between nurses knowledge in mechanical ventilator and years of experience in critical care with p value 0,04 in pre-program implementation and after 2 month post program p value was 0.02. That reflect the years of experience when the nurse handle the mechanical ventilator will became more expert than the nurse less experience of it that is why the less expert nurse does not aware of mode of mechanical ventilator. Conclusion: The study concluded that the total knowledge of nurses post-test was very good and follow-up after 2 month was good, that indicate the educational program effect in knowledge of nurses.

Opinions of Depression Patients About Transcranial Magnetic Stimulation: A Qualitative Study

BackgroundTranscranial magnetic stimulation (TMS) is the procedure to stimulate cortex with a magnetic field created on the skull. TMS is known as a promising method for the treatment of mental diseases particularly including depression. PurposeThe aim of the descriptive and qualitative study is to reveal the opinions of depression patients about TMS application. MethodData have been collected from 9 patients who are depressive by using individual interviews. FindingsThree main themes such as living with depression, TMS implementation process and last words about TMS have been determined. It was also found that patients experienced anxiety, fear, and lack of knowledge regarding TMS which is a new application in Turkey. DiscussionIt is thought that this will be a study that can guide the creation of effective nursing care procedures and meet the needs of patients with this application in the future by taking into consideration the thoughts and experiences of the patients who have undergone TMS.

Nursing research goals in pediatric care

The creation of knowledge by pediatric nurse scientists that informs and directs everyday nursing practice is essential to delivering safe and effective nursing care to children. The health of our children is at stake due to current statistics showing a steady decline in pediatric nurses and a lack of pediatric nurse scientists with PhDs. The objectives of this paper are to: Summarize the demands on pediatric health care. Express our concern that there are insufficient pediatric nurse scientists to produce the fundamental knowledge needed to direct pediatric nursing practice. Discuss the factors that may affect the number of pediatric nurse scientists. Make recommendations for nursing leaders, faculty, and professional nursing organizations to increase the depth of knowledge in pediatric health care.

Testicular Torsion

Abstract Testicular tuition is a genital urinary emergency that can lead to unfortunate patient outcomes. Care for these patients in a timely and effective manner will promote better patient outcomes. The purpose of this article is to discuss symptomology and clinical presentation of testicular torsion. Risk factors associated with testicular torsion and diagnostics are presented. Furthermore, emergent and effective nursing care in the preoperative, intraoperative, and postoperative processes is reviewed. Nursing implications as it relates to best practices and evidence-based care are presented for the nurse generalist and advanced practice nurse.

Intensive and Critical Care Nursing of a COVID-19 Patient in Turkey: A Case Study.

A multidisciplinary approach is required to provide holistic care and treatment in the fight against the COVID-19 pandemic. Being in the center of the multidisciplinary approach, nurses provide therapeutic, primary, and psychosocial care for the patients. This study was conducted to diagnose according to the North American Nursing Diagnosis Associations by determining the care needs of a case who was diagnosed with COVID-19, planning interventions, and observing the results. This descriptive case study included a patient who applied to a university hospital located in Istanbul/Turkey between March and April 2020 because of COVID-19. As the inclusion criteria, only a positive result from a polymerase chain reaction test was accepted. The details of the patient presented in the study were obtained through face-to-face interviews and electronic medical records. Specified care plans enable defining problems in practice for all needs of the individual and developing solution recommendations. It was observed that there were improvements and a decrease in symptom severity after the interventions were applied for the symptoms developing in the case. The execution of the treatment and care practices under quality and effective nursing care such as giving proper ventilatory support at the right time, giving prone position for a long time, and providing sufficient fluid resuscitation and an early and balanced diet contributed to the patient's discharge from the intensive care unit successfully without having any organ dysfunction. This presentation is expected to be a source for collaborative nursing care for other cases diagnosed with COVID-19 and intensive care indications. Nursing care interventions were applied for gas exchange, risk of decreased tissue perfusion, excess fluid volume, and constipation nursing diagnosis. It was observed that there were improvements and a decrease in symptom severity after the interventions were applied for the symptoms developing in the case. This presentation is expected to be a source for collaborative nursing care for other cases diagnosed with COVID-19 and intensive care indications.

Nursing management for temporary lodging facilities in Japan in the early stages of the COVID-19 pandemic: A multiple-case study.

AimTemporary lodging facilities which were non‐medical facilities were established to secure beds for severely and moderately ill patients with COVID‐19, as well as for isolation, non‐contact observation, and care of mildly ill and asymptomatic patients in Japan. This study aims to understand nursing management practices adopted in these facilities by examining cases of their establishment and operation.MethodsA multiple‐case study design was used. Interviews for qualitative data collection were conducted from August to October 2020. After analyzing the nursing management practices in four temporary lodging facilities, common points were collated and integrated.ResultsFor the establishment and operation of temporary lodging facilities, a three‐layer structure based on disaster management methods was adopted: headquarters at the helm as overseers, field supervisors in the middle, and frontline nursing staff at the base. The structure had clear roles, facilitated information exchange, and provided efficient and effective nursing care. Field supervisors mainly provided psychological and clinical support for staff and served as information and interprofessional hubs.ConclusionIt is recommended that temporary lodging facilities should be organized based on principles of the division of labor. The workforce should comprise nursing staff, and experienced nursing professionals should be recruited to the higher echelons.

Nurse's Role in Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery

Perioperative nurses have the opportunity to play a key role in prevention and recognition of stroke in patients undergoing noncardiac, nonneurological surgery and may impact this potentially devastating complication. Effective nursing care of the older adult requires a specialized knowledge base. Scientific Statements are a cornerstone of the knowledge base that informs this care. This article summarizes the recently released American Heart Association/American Stroke Association Scientific Statement entitled: Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery and discusses the nurse's role in the care of this vulnerable patient population.