Implementation Of Nursing Care Research Articles

Effect of a comprehensive geriatric assessment nursing intervention model on older patients with diabetes and hypertension.

The Comprehensive Geriatric Assessment (CGA) was introduced late in China and is primarily used for investigating and evaluating health problems in older adults in outpatient and community settings. However, there are few reports on its application in hospitalized patients, especially older patients with diabetes and hypertension. To explore the nursing effect of CGA in hospitalized older patients with diabetes and hypertension. We performed a retrospective single-center analysis of patients with comorbid diabetes mellitus and hypertension who were hospitalized and treated in the Jiangyin Hospital of Traditional Chinese Medicine between September 2020 and June 2022. Among the 80 patients included, 40 received CGA nursing interventions (study group), while the remaining 40 received routine nursing care (control group). The study group's comprehensive approach included creating personalized CGA profiles, multidisciplinary assessments, and targeted interventions in areas, such as nutrition, medication adherence, exercise, and mental health. However, the control group received standard nursing care, including general and medical history collection, fall prevention measures, and regular patient monitoring. After 6 months of nursing care implementation, we evaluated the effectiveness of the interventions, including assessments of blood glucose levels fasting blood glucose, 2-h postprandial blood glucose, and glycated hemoglobin, type A1c (HbA1c); blood pressure indicators such as diastolic blood pressure (DBP) and systolic blood pressure (SBP); quality of life as measured by the 36-item Short Form Survey (SF-36) questionnaire; and treatment adherence. After 6 months, the nursing outcomes indicated that patients who underwent CGA nursing interventions experienced a significant decrease in blood glucose indicators, such as fasting blood glucose, 2-h postprandial blood glucose, and HbA1c, as well as blood pressure indicators, including DBP and SBP, compared with the control group (P < 0.05). Quality of life assessments, including physical health, emotion, physical function, overall health, and mental health, showed marked improvements compared to the control group (P < 0.05). In the study group, 38 patients adhered to the clinical treatment requirements, whereas only 32 in the control group adhered to the clinical treatment requirements. The probability of treatment adherence among patients receiving CGA nursing interventions was higher than that among patients receiving standard care (95% vs 80%, P < 0.05). The CGA nursing intervention significantly improved glycemic control, blood pressure management, and quality of life in hospitalized older patients with diabetes and hypertension, compared to routine care.

One-hour sepsis bundle in patients with sepsis shock: A case report of nursing care implementation

Background: Sepsis shock is a critical stage of sepsis characterized by impaired organ function and life-threatening consequences. Optimal management of sepsis shock necessitates a collaborative approach involving an interprofessional team inclusive of Intensive Care Unit (ICU) nurses. Prompt and accurate recognition of its clinical presentation is paramount for critical care nurses to ensure timely and effective intervention. Objective: This case report aims to elucidate the nursing care analysis of sepsis shock patients through the application of the one-hour sepsis bundle. Case: This case study revolves around a 69-year-old female admitted to the ICU due to sepsis shock secondary to pleural effusion and lung tumor. The patient exhibited hallmark indicators of sepsis shock, including hypotension necessitating vasoconstrictive support, fever peaking at 38.8°C, leukocytosis at 36.91 x 10^3/?L, elevated lactate levels at 2.7 mmol/L, and inadequate peripheral perfusion. Nursing diagnosis predominantly focused on assessing the risk of shock in the presence of sepsis and hypotension. The patient underwent immediate implementation of the one-hour sepsis bundle, commencing from the emergency room through ICU admission. Nursing interventions encompassed sepsis screening, continuous hemodynamic monitoring, fluid balance assessment, vigilance in maintaining airway patency, and meticulous infection control measures. Conclusion: Subsequent to fluid resuscitation and initiation of inotropic and vasopressor support, notable improvements in hemodynamics were observed. However, persistent elevation in lactate levels underscored metabolic dysfunction, necessitating sustained vasopressor support beyond the seventh day of treatment due to refractory shock and multi-organ failure. The adoption of the one-hour sepsis bundle emerges as a recommended guideline for nursing management in sepsis shock patients.

Islamic nursing care implementation: patients’ perception

Introduction: Since Islam is the dominant religion in the country, it is evident that Muslims make up most of the patients at Islamic hospitals. By incorporating Islamic values, Islamic hospitals should get Islamic nursing care. How patients perceive a hospital can be used to gauge its effectiveness. One of the reasons Islamic nursing should be practised is due to patient requests. This study aimed to understand how patients perceive Islamic nursing care. Methods: Descriptive quantitative study was used with adult inpatient ward patients. Eighty-four subjects in this study met specific requirements and used accidental sampling. A valid and reliable Likert scale and a questionnaire with 26 questions made up the study instrument. Frequency distribution-based data analysis. Results: Patients perceived good in three components, including doing care only with same-sex patients (88.1%), assisting prayer (66.7%) and doing Islamic communication (66.7%). At the same time, the poor perceived is to assess the spiritual aspect and help with prayer. Conclusion: Based on the findings of this study, nurses can better attend to patients' spiritual needs to ensure that they receive Islamic nursing care.

Nursing care and the psychology effects on post-care nurses serving COVID-19 patients in Vera Cruz isolation room, Dili, Timor-Leste

Introduction: Coronavirus 2 (SARS-CoV-2) is a syndrome of acute respiration that is serious like corona acid ribonucleic detected, made separation and identification in pneumonia sick patients in Wuhan, China in December 2019 (WHO, 2020). Timor-Leste on May 1, 2020, 24 cumulative cases was confirmed, 16 cases recovered, 12 cases are still being treated, and 12 patients experienced psychological pressure from patients and health professional. This study aimed to determine the knowledge of nurses; nursing service and the psychological influence of nurses after providing care for Covid-19 patients. Method: Qualitative research with a phenomenological approach has been used in this study, ten nurses who have worked serving Covid-19 patients participated in this study, and data was collected using interview guidelines, voice recorder, deep-interview, data analysis techniques by organizing data, grouping, categorical data, topic and answer formulation, data assessment and writing the results. Result: The majority of nurses understand and apply Covid-19 prevention, but some are confused the cause. Have not carried out nursing care according to the standards of the International Counsel of Nursing (ICN) and the Timor-Leste Nursing Association, as (assessment, diagnosis, intervention, implementation, and nursing evaluation), reasoned: new job, no format, less manpower, no orientation from senior, emergency time. The majority experienced psychological effects after providing care to the Covid-19 patient. Conclusion: This study concluded that nurses understand Covid-19, the nursing care implementation is not yet based on ICN and ETNA standards and after returning home the nurses experienced psychological effects.

Analysis on Clinical Effects of Humanistic Nursing Care on Chronic Pelvic Inflammatory Disease

To analyze clinical effects of humanistic nursing care model on patients with chronic pelvic inflammatory disease. Methods apply humanistic nursing care for patients with chronic pelvic inflammatory disease, including psychological care, humane care, dietary intervention, discharge guidance and other comprehensive humanistic nursing care measures, analyze and record patients, changes in anxiety and depression after implementation of nursing care, assess efficacy of clinical care. Patient’s anxiety, depression is significantly relieved after implementation of humanistic nursing care for patients with chronic pelvic inflammatory disease. Effective rate of clinical care is relatively high. Humanistic nursing care model is an effective model of care, which can significantly relieve patient’s anxiety, depression and other negative emotions. With significant clinical nursing effect, it can improve patient’s treatment compliance, thus results in speedy recovery.

Revisão integrativa sobre a importância da Educação em Saúde no aperfeiçoamento dos profissionais de enfermagem

O processo da educação em saúde tem como foco no sentido de saber ensinar a passar uma determinada informação à alguém que não sabe ou que necessita se atualizar sobre determinado tema voltado a aspectos relativos à saúde. O objetivo geral da pesquisa é analisar o que as pesquisas, dos últimos quatros anos, têm proposto sobre a educação continuada em saúde para enfermeiros. Trata-se de um estudo de revisão integrativa, através de busca eletrônica de artigos indexados no SCIELO, a partir da seguinte palavra-chave: educação continuada em saúde aos profissionais de enfermagem, sendo analisado 10 artigos sobre os devidos temas proposto. Como resultados a educação continuada em saúde no âmbito da enfermagem mostra ao entendimento de que o sujeito deve ter o conhecimento atual atingir um determinado objetivo em seguir sua carreira profissional, tal carreira que incluem meios eficazes de aperfeiçoamento para a realização profissional e ofertar a qualidade integral do atendimento a toda sociedade, sempre avaliando a importância e necessidade do paciente como um todo e também sendo viável para a implementação da assistência de enfermagem, possibilitando diálogos humanos os quais condizem aos temas de saúde aos indivíduos havendo os previstos cuidados por meio da qualificação. Dessa forma com os resultados dessa pesquisa espera-se contribuir de maneira clara, com os profissionais enfermeiros em geral à respeito de que a qualidade da assistência está intimamente ligada a uma necessidade constante de participação dos mesmos em programas de educação em saúde.

Os cuidados de Enfermagem na Síndrome de Stevens Johnson /Necrólise Epidérmica Tóxica: Um Relato de Caso.

O presente estudo trata-se de um relato de caso de um paciente pediátrico acometido pela Síndrome de Steven Johnson (SSJ)/Necrólise Epidérmica Tóxica (NET). O objetivo do presente relato é descrever o caso de um paciente pediátrico com SSJ/NET, discutir as manifestações clínicas, diagnóstico e tratamento, além de sugerir uma proposta de diagnósticos e intervenções de enfermagem baseada nos problemas levantados. Conclui-se que a imunoglobulinoterapia mostrou-se eficaz no tratamento e que a implementação da assistência de enfermagem pode ser considerada parte essencial no tratamento da SSJ/NET.

Correlation Self-Efficacy and Nurse Motivation in the Implementation of Nursing Care in a Private Hospital

The implementation standard of nursing care, according to the MOH RI (2005), is 75% of the average implementation of nursing care component. However, the implementation of nursing care as the provision of services at the hospital has not been optimal. This study aims to analyze the relationship between self-efficacy and nurse motivation as related to the implementation of nursing care. A correlational cross -section approach was used. This research was conducted at one of private hospital in Sepanjang. Thirty nurses who served as Team Leader Nurses participated. Purposive sampling was conducted. A Self-development Questionnaire was used to collect the data. The Spearman rank (rho) statistics test was used to analyze the data. The results showed there was a correlation between self efficacy and the implementation of nursing care (p = 0.00 <0.05 ; r= 0.997). There was a relation between nurse motivation and nursing care implementation where the value of the Spearman rank statistical test was (p = 0.000 <0.05 ; r = 0.964). Increasing the self-efficacy and motivation of nurses is very important in supporting the performance of the nurses, especially when implementing nursing care. Keywords: self efficacy, nurse motivation, implementation of nursing care.

Establishment and application of specific nursing quality indicators for infectious disease

Objective To explore the establishment and application of specific nursing quality indicators for infectious disease. Methods On the basis of nursing system, nursing criterion, nursing routine and nursing process, the specific nursing quality indicators were established and implemented in our hospital from October 2015 to June 2016. The specific nursing quality indicators were established according to different characteristics of patients, including psychological nursing, isolation protection, high fever nursing and so on. Every indicator was standardized by structure, process and result modules. The 3 modules included 7 items, which is organization management, nursing assessment, measures implementation, shift execution, nursing records, health guidance and related knowledge, and every item was composed of several standard rules. The correct rate of nursing assessment, the rate of measures implementation, the awareness rate of patients′ disease knowledge, the accuracy of nursing record writing, the qualified rate of shift duty, patients′ satisfaction and qualified rate of specific nursing knowledge were compared before and after implementing the specific nursing quality indicators. Results After the implementation of the specific nursing quality indicators, the correct rate of nursing assessment increased from 74.89% to 89.33%, the rate of measures implementation increased from 75.79% to 88.44%, the awareness rate of patients′ disease knowledge increased from 65.47% to 79.56%, the accuracy of nursing record writing increased from 65.02% to 88.00%, the qualified rate of shift duty increased from 60.08% to 81.33%, patients′ satisfaction increased from 92.06% to 97.08%, the qualified rate of specific nursing knowledge increased from 69.59% to 86.49%. Conclusions The establishment and application of specific nursing quality indicators for infectious disease can normalize and standardize nursing work, improve the process quality and final quality of nursing care, help continuous improvement of nursing quality, and ensure the effective implementation of nursing care. Key words: Infectious disease; Specific nursing; Nursing quality management

The influence on treatment compliance and quality of life of nursing care for hospi-talized children with asthma

Objective To investigate the effect of nursing careOn the treatment compliance and quality of life of hospitalized chil -dren with asthma.Methods In our hospital from April 2013 to Jan.2014, 80 cases of children with asthma were selected and randomly di-vided into control group （n=40, treated with conventional nursing ） and observation group （n=40, into nursing care on the basis of conven-tional care）, The treatment compliance, quality of life score （PAQLQ） of the two groups before and after the nursing intervention were com-pared.Results Compliance with medication , diet, exercise, pay attention to the prevention of predisposing factors and treatment compliance of the observation group were （90%, 87.5%, 67.5%, 82.5%） significantly better than those of the control group （P〈0.05）;Nursing intervention after PAQLQ each dimension scores （35.51 ±9.43 , 22.57 ±6.42 , 36.59 ±10.33 , 89.83 ±15.33 ） were significantly higher than those of the control group （ P〈0.05 ） .Conclusions During the implementation of nursing care of children with asthma in Tibetan ar-eas can significantly improve the treatment compliance , improve the quality of life. Key words: Asthma; Tibetan; Nursing care; Treatment compliance; Quality of life