Nursing Care Of Patients Research Articles

Exploring the Use of Medical Marijuana for Supportive Care of Oncology Patients.

Medical marijuana, also known as cannabis, is being sought by patients and survivors to alleviate common symptoms of cancer and its treatments that affect their quality of life. The National Academy of Sciences (2017) reports conclusive or substantial evidence that cannabis is successful in treating chronic cancer pain and chemotherapy-induced nausea and vomiting, moderate evidence that cannabinoids are beneficial for sleep disorders that accompany chronic illnesses, and limited evidence supporting use for appetite stimulation and anxiety. However, due to the fact that cannabis is classified as a Schedule I controlled substance, there is an absence of rigorous, scientific evidence to guide health-care professionals. In addition, the Schedule I designation makes it illegal for health-care professionals in the United States to prescribe, administer, or directly distribute these drugs. Legislation has outpaced research in this area. Therefore, the National Council of State Boards of Nursing (NCSBN) appointed a medical marijuana guideline committee to create guidelines for the nursing care of patients using medical marijuana, marijuana education in nursing programs, and guidelines for advanced practice registered nurses (APRNs) certifying a patient for the use of medical marijuana (The NCSBN Medical Marijuana Guidelines Committee, 2018). Six states/districts authorize APRNs to recommend the use of medical marijuana to patients with qualifying conditions (Kaplan, 2015). As of March 2021, 35 states plus the District of Columbia have authorized the use of medical marijuana (DISA Global Solutions, 2021). Therefore, APRNs will be caring for these patients and need to know the medical, pharmacological, and legal issues surrounding medical cannabis use.

Effect of self-learning package on nurses knowledge and practices regarding patient care undergoing laparoscopic cholecystectomy

Background: Nurses caring for patients undergoing cholecystectomy spend more time with patients than do any other health care providers and patient outcomes are affected by nursing care quality. Thus, improvements in patient safety can be achieved by improving nurses' practice competence. Aim:to assess effects of the self-learning package (SLP) on nurses’ knowledge and practices regarding patient care undergoing laparoscopic cholesectomy.Setting:the study was carried out in saied Galal E conduction of further researches in this area in order to enrich, improve, & update nurse's practice. Periodic in-service education program regarding nursing care for patient undergoing laparoscopic cholecystectomy and self-learning package to be performed for patients are recommended.

Abstract P821: A New Era for Cerebral Angiograms: TransRadial Approach in NeuroInterventional Radiology

Background: Historically, femoral artery access has been the standard for neurointerventional radiology (NIR) procedures. However, recent advances in cerebral angiography have resulted in new arterial access locations, such as the TransRadial (TR) approach which has become more frequently utilized by proceduralists at our facility. This change necessitates staff competency when caring for TR-approach patients. In 2019, our facility received a recommendation for improvement (RFI) from The Joint Commission during the Comprehensive Stroke Center recertification survey related to incomplete post-TR-approach documentation. Upon initiation of TR-approach documentation audits, the team discovered documentation compliance rates of 46.2% for both TR wristband deflation volumes and wristband removal. Purpose: Due to the lack of knowledge associated with the novel TR-approach, the purpose of this project was to standardize post-NIR nursing care for patients who underwent a TR-approach cerebral angiogram. The goal was to observe a 25% increase in TR-approach care documentation elements by January 2020. Methods: Education created by the NIR manager was shared with nursing leadership and bedside nursing staff. Audits completed by the stroke quality nurse and NIR manager immediately followed to measure compliance with documentation of TR wristband deflation volumes and wristband removal. The NIR team collaborated with informatics leadership to develop a NIR documentation band within our electronic documentation system, resulting in a centralized location for documentation of all required TR-approach details. The two items specifically lacking compliance were included in the NIR documentation band build. Results: Audits demonstrated a 28.4% increase in compliance of TR wristband removal documentation and an 18.6% increase in compliance in TR wristband deflation protocol documentation. Conclusion: As a result of the RFI, our facility developed a protocol for post-TR-approach nursing care that can ultimately improve patient safety and outcomes, as well as be easily replicated at other facilities seeking to improve NIR patient care.

The relationship between patient obesity and nursing workload: An integrative review.

To explore the relationship between patient obesity and nursing workload, and discuss the nursing activities most affected by patient obesity. The increasing number of patients with obesity, and the severity of obesity, impacts the healthcare workforce, particularly to nurses who provide most direct care to patients. There is growing evidence to suggest that patient obesity may increase nursing workload and time taken for clinical care. Integrative review. A comprehensive search of academic databases for primary research related to patient obesity and nursing workload, published since 2000, was conducted. References of relevant articles were hand-searched. 27 articles were analysed. Analysis was undertaken at the levels of patient characteristics, nursing work and the healthcare system. The increasing number of patients with obesity, and the severity of patient obesity, increases nursing workload by affecting nursing time needed to deliver care. An increased number of nurses, particularly with increased clinical skill, are needed to deliver care meeting these increased needs. Organisational change is required to provide infrastructure and bariatric equipment that enables effective nursing care of patients with obesity. Organisations must consider additional time and staff needs when delivering care for patients with obesity. The current health system is not established to address the challenge of providing nursing care to the increasing numbers of patients with obesity. Further research on accurately and objectively quantifying the impact and severity of patient obesity on nursing clinical activities is required. When determining staffing, healthcare organisations must consider the increased nursing staff, time and clinical skill required to provide care for patients with obesity. Healthcare organisations should implement policies that ensure sufficient staffing in areas where care of patients with obesity is prevalent, and provide training for and workplace availability of bariatric equipment.

PEMBERIAN AROMATERAPI PEPPERMINT KEPADA PASIEN HD DI RSU SEMBIRING DELI TUA

Uremic pruritus is one of the complaints that often occurs in patients with chronic renal failure which is an uncomfortable sensation or itching and can cause disturbances during the day or night and can even occur throughout the day such as sleep disturbances, activity, depression and skin complications that can reduce quality of life for patients with chronic renal failure. Patients undergoing hemodialysis therapy will be faced with a variety of health status disorders, one of the most common complications is uremic pruritus (UP) with a multi-factor cause. The intensity and spatial distribution of pruritus were highly significant over time and patients varied to a greater extent and were influenced by the duration of renal impairment. This health education is to provide information about the benefits of peppermint in reducing uremic pruritus experienced by patients with chronic renal failure. This health education provides information about the benefits of peppermint in reducing uremic pruritus experienced by patients with chronic renal failure. This counseling was conducted at the Sembiring Deli Tua General Hospital. This counseling provides some information on the factors that cause and exacerbate the incidence of uremic pruritus in patients with chronic renal failure so that nurses can be more optimal in providing nursing care for patients with uremic pruritus, especially in patients with chronic renal failure.

Actions of the nurse to the patient with a mental disorder

The psychiatric reform that took place in Brazil carries characteristics of other movements that occurred in other parts of the world. The idea common to all movements is the struggle for the rights of the individual in mental suffering, seeking mainly the rupture of the mental model. These changes led to several transformations in the care scenario, for all professions directly linked to the patient. Nursing in turn has experienced and experiences significant changes in the provision of care. The aim of this study is to talk about nursing care for patients affected by mental disorder, making a temporal analysis of how this care occurred and how it presents itself in the current mental health conjuncture. The methodology is of the literature review type, which occurred through research in the databases BIREME, Lilacs, Scielo, BDENF and VHL. For this, the descriptors: nursing care for people with disorders were selected; nursing care for patients with mental disorders. In view of the results, it was evidenced that nurses are an important part of caring for patients with mental disorders, noting that these make up a multidisciplinary team and highlighting that care goes far beyond just caring for the patient, but that it consists mainly in the relationship with the patient's family, in bonding, in the work that aims at social reintegration and often also the family reinsertion of the individual. Profession that needs to undergo constant updates, but has experienced numerous transformations throughout this period of Reformation.

Nursing care for patient in post operatory heart surgery in the Intensive Care Unit.

To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery. Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis. Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery. Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.

A Study of the Relationship between the Levels of Satisfaction with Forgotten Nursing Care in Patients with Heart Failure

A Study of the Relationship between the Levels of Satisfaction with Forgotten Nursing Care in Patients with Heart Failure

Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach

<i>Objective:</i> Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. <i>Methods:</i> The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. <i>Results:</i> The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. <i>Conclusion:</i> Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.

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.

The Effect of Jacobson's Progressive Relaxation Technique on Postoperative Pain, Activity Tolerance, and Sleeping Quality in Patients Undergoing Gynecological Surgery.

Background:Inadequate pain management and sleep disturbances of patients undergoing gynecological surgery are associated with delayed recovery time. This study aimed to assess the effect of Jacobson's Progressive Relaxation Technique (JPRT) on postoperative pain, activity tolerance, and sleeping quality in patients undergoing gynecological surgery.Materials and Methods:A randomized controlled clinical trial conducted at Obstetrics and Gynecology Department/Damanhour educational institute, Elbehira, Egypt. The study sample involved 116 patients undergoing gynecological surgery who were equally distributed between intervention and control groups. Data collected from April to September 2019. Four tools were used for data collection: Demographic data interview schedule, pain analog scale, activity tolerance questionnaire, and the Groningen sleeping quality scale. For the intervention group, the women were asked to perform JPRT for 30 min on the second and third postoperative day, three times a day. SPSS 23.0 is used to analyze data using Chi-square, Fisher's exact, independent t-test, and Analysis of Covariance (ANCOVA). A significance level considered at p < 0.05.Results:The study results showed that JPRT significantly improves pain, sleep quality, and activity tolerance mean scores among the intervention group compared to the control group (F1 = 119.13, p < 0.001), (F1 = 361.49, p < 0.001), and (F1 = 157.49, p < 0.001), respectively. ANCOVA results showed that 33% of the decreased pain score, 12% of decreased sleeping quality score, and 26% of improved activity tolerance score are due to JPRT.Conclusion:JPRT should be offered as a part of standard postoperative nursing care for patients undergoing gynecological surgery to control pain and improve sleeping quality and activity tolerance.

Nursing Management of Patients with Psychiatric Emergencies

Psychiatric emergencies are situations in which individuals' thoughts and behaviours are acutely altered causing potential or actual risks to the life of the person or others in the environment. Prompt identification and appropriate interventions will reduce the mortality and disability caused due to psychiatric emergencies. This article reviews the major psychiatric emergencies such as suicide, violence, delirium tremens, stupor and drug-related emergencies and highlights the nursing care of patients with these psychiatric emergencies.

Evidence–practice gaps in initial neuro‐protective nursing care: A mixed methods study of Thai patients with moderate or severe traumatic brain injury

This paper aims to identify the frequency and nature of evidence-practice gaps in the initial neuro-protective nursing care of patients with moderate or severe traumatic brain injury provided by Thai trauma nurses. Little is known about how Thai trauma nurses use evidence-based practice when providing initial neuro-protective nursing care to patients with moderate or severe traumatic brain injury. A mixed methods design was used to conduct this study. Data were collected from January to March 2017 using observations and audits of the clinical care of 22 patients by 35 nurses during the first 4h of admission to trauma ward. The study site was a regional hospital in Southern Thailand. The major evidence-practice gaps identified were related to oxygen and carbon dioxide monitoring and targets, mean arterial pressure and systolic blood pressure targets and management of increased intracranial pressure through patient positioning and pain and agitation management. There were evidence-practice gaps in initial neuro-protective nursing care provided by Thai trauma nurses that need to be addressed to improve the safety and quality of care for Thai patients with moderate or severe traumatic brain injury.

EVALUATION OF NURSING CARE FOR PATIENT WITH PERITONEAL DIALYSIS IN KHARTOUM TEACHING HOSPITAL (2011)

EVALUATION OF NURSING CARE FOR PATIENT WITH PERITONEAL DIALYSIS IN KHARTOUM TEACHING HOSPITAL (2011)

Distending Media Used During Hysteroscopy: Perioperative Nursing Implications.

Hysteroscopy is a gynecological procedure that may be indicated for abnormal uterine bleeding, diagnosis and management of infertility, contraception, or sterilization. Surgeons use distending media during hysteroscopy to view the uterine cavity. Media options include carbon dioxide gas and both electrolytic and nonelectrolytic fluids. All distending media is absorbed by the patient's body, but the manner in which each media is absorbed is unique to its chemical composition. Understanding the properties of each distending medium and the risks involved with its use is critical to safe perioperative nursing care for patients undergoing hysteroscopy. This article provides perioperative nurses with a review of uterine anatomy and evidence-based information on the types of distending media used during hysteroscopy and the corresponding perioperative nursing implications.

Implementation of the Nursing Process Based on Betty Neuman Model in Kidney Transplant Patients: A Study in the Field

Background: Proper use of nursing models and theories is an important step in improving patient care standards and quality of life. The growing trend of kidney failure and subsequent kidney transplantation in the country shows the importance of creating a proper structure in nursing patient care for transplant patients and recognizing the stressors that affect these patients. Objectives: This study aimed to investigate the ability of the Betty Neuman model to provide a comprehensive model for nursing care of clients undergoing kidney transplantation. Methods: This clinical and clinical study was performed on the client of the kidney transplant candidate based on the application of Betty Neuman system theory. During the data collection, the interactions between the client’s five variables were examined and the stressors and resources in the internal, inter, and extra-individual domains were identified. Nursing diagnoses were created in accordance with the North American International Nursing Diagnostics Association (2018 - 2018) classification, and then nursing interventions were designed and implemented at three levels of prevention. Results: The results of the study of physiological, psychological, social, evolutionary, and spiritual variables, as well as interpersonal and extra-individual stressors, were 7 potential and actual nursing diagnoses. Conclusions: Designing and applying a nursing process based on this model is a holistic and systematic attitude toward the client that requires proper, efficient, and evidence-based nursing care but increases the need for nursing human resources.

Effect of Home Nursing Care on the Severity of Symptoms in Patients With Bipolar I Disorder: A Randomized Clinical Trial

Bipolar I disorder is a common, chronic, and recurrent disease in which improper and inadequate follow-up of patients after discharge leads to increased hospitalization. This study aimed at investigating the effect of home nursing care on the severity of symptoms of bipolar I disorder. This clinical trial was performed on 90 patients admitted to 22 Bahman Qazvin Hospital in 2019. The available sampling was done using random allocation of six blocks in experimental and control groups. In the experimental group, after leaving the hospital, the intervention was performed for 3 months in the form of two telephone calls and one face-to-face meeting per month. Data were collected using a demographic questionnaire, the Yang scale questionnaire, and entered into the SPSS-24 software. Statistical tests such as Mann-Whitney u test, Fisher, independent T-test, paired T-test, chi-square, and ANCOVA were used at the significance level of p &lt; .05. The severity of the disease before the intervention in the experimental and control groups were (93/9 ± 25/32) and (04/11 ± 86/28), respectively, showing no statistically significant difference ( p = .146). However, after the intervention, the mean severity of the disease in the experimental and control groups were (17/5 ± 38/13) and (79/12 ± 21/33), respectively, showing a statistically significant difference ( p &lt; .05). According to the results, the home nursing care for patients leads to a reduction in the severity of symptoms and a reduction in the rate of re-hospitalization of patients.

Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practising in the era of COVID-19.

AimsIdentify strategies and resources for nurse leaders to use to lead with empathy and prudence to improve quality of care and to ease the psychological toll on nurses caring for patients with COVID‐19.BackgroundIn a 2020 report, clinicians caring for patients during the COVID‐19 pandemic said their healthcare leaders needed to: ‘hear me, protect me, prepare me, support me, and care for me’. These words provide an action plan for nurse leaders to communicate, educate and support nurses to practice competently and safely (physically and mentally) in the context of COVID‐19.DesignDiscursive paper.MethodIdentification and inclusion of relevant international evidence with clinical discussion.FindingsNurse leaders can mobilise system and individual level strategies and resources to support nurses to manage pandemic‐related issues including: anxiety due to the risk of infection, supporting anxious children, mitigating moral injury; providing safe and quality nursing care for patients with COVID‐19 and end‐of‐life care as needed; supporting relatives who cannot be present with a dying relative and care for grieving relatives and colleagues. We categorise a selection of evidence‐based, online sources providing current COVID‐19 information, practice updates and resources to develop personalised self‐care plans to ease anxiety and support renewal and resilience.ConclusionsNurse leaders must ensure adequate PPE supply, upskill nurses to provide safe, quality care for patients with COVID‐19 and promote restorative self‐care plans.Relevance to clinical practiceThe strategic actions nurse leaders take today can positively impact nurses' well‐being and ability to provide safe and quality care for patients in the context of COVID‐19.

Nurse's difficulty and their educational needs regarding pediatric cancer care in Japan.

AimAiming at environmental arrangements for pediatric cancer patients and their families to receive appropriate medical care and support with a sense of security, the Japanese Ministry of Health, Labour, and Welfare designated 15 hub hospitals for childhood cancer. These hub hospitals have established networks with approximately 200 centers/hospitals treating pediatric cancer. In order to promote equal access to nursing, we investigated nurses' difficulties and needs at these treatment hospitals with limited experience in pediatric cancer nursing.MethodsIn order to examine education on pediatric cancer nursing, we investigated difficulties felt by treatment hospital nurses, their educational experience and their educational needs. A total of 584 nurses (66.51%) from 52 hospitals from which written consent was received completed the questionnaires.ResultsNurses had difficulties regarding nursing care for patients with critical conditions, such as terminal care, and actions to be taken when a patient's physical condition rapidly changes. Nurses most strongly desired education on nursing care for patients with serious problems, such as terminal care, and follow‐up provided in the form of in‐ and hub‐hospital lectures.ConclusionOur study suggested that in order to provide nurses in treatment hospitals with education focusing on nursing care for patients with serious problems, education systems based on cooperation between hub and treatment hospitals are needed.

Contributions of the theory of the peaceful end of life to the nursing care for patients under palliative care

Objetivo:Investigar as contribuições da Teoria Final de Vida Pacífico para a assistência de enfermagem ao paciente em Cuidados Paliativos.Método: Pesquisa de campo com abordagem qualitativa, na qual participaram 12 enfermeiros. Para a coleta dos dados utilizou-se a técnica de entrevista semiestruturada. Os dados foram analisados mediante a técnica de análise de conteúdo. Resultados:Da análise do material empírico, emergiram duas categorias: Espiritualidade na promoção de paz nos momentos finais; Atender aos desejos do doente terminal como atitude de respeito à sua dignidade. Conclusão: As principais contribuições da Teoria do Final de Vida Pacífico consistem em fornecer um suporte apropriado para nortear as estratégias utilizadas por enfermeiros, especialmente no que se refere a promoção de paz mediante a atenção a dimensão espiritual e o respeito à dignidade do paciente em fase final de vida relacionada ao atendimento aos últimos desejos do paciente e a solução de situações mal resolvidas.