Nursing Care Of Patients Research Articles

Cohort Study on the Effect of Psychological Education for Nurses in Psychiatric Department.

With the deepening of the medical and health system, high-quality nursing service with the reform of nursing service model and the provision of holistic nursing care for patients as the core connotation is being comprehensively carried out. With the continuous improvement of medical quality, people's awareness of health has gradually increased. They have put forward higher requirements for medical quality, nursing service quality, and medical care safety. Under the influence of these conditions, the workload and work pressure of clinical nurses continue to increase, and mental health problems become increasingly prominent. According to relevant data, the detection rate of occupational stress among nurses was 100%, and the proportion of nurses who perceived considerable stress was 60.9%, which seriously affected their work efficiency and quality of life. However, the physical and mental health of the frontline nurses working in psychiatric hospitals is not optimistic. This study explored the effects of psychological education among nurses in the department of psychiatry. The results showed that psychological education intervention among nurses in the department of psychiatry could alleviate their professional tiredness, effectively improve their psychological elasticity and happiness index, and thus improve sleep quality and promote their physical and mental health development.

Barriers and facilitators of rehabilitation nursing care for patients with disability in the rehabilitation hospital: A qualitative study.

Nurses play a key role in providing rehabilitation care. In this regard, identifying the factors that affect their practice can be useful in planning to improve the quality of rehabilitation nursing care. This study aims to explore the experience of nurses and members of the rehabilitation team about barriers and facilitators of rehabilitation nursing care of patients with disability in the rehabilitation hospital. This qualitative study was conducted in the main public rehabilitation hospital in Tehran, Iran. Eighteen persons including 12 nurses in clinical and managerial positions, an occupational therapist, a physical medicine specialist, a patient, and an informal caregiver participated in this study. Participants were selected based on purposeful sampling. Data were collected through 18 in-depth semi-structured interviews and analyzed based on qualitative content analysis principles. Three themes were derived from the data analysis, which represented Barriers and facilitators related to nurses (specialized knowledge and skills, psychological status, mentoring, professional communication), barriers and facilitators related to the work environment (nurses' performance evaluation, nursing workforce, comprehensive care facilities, workplace design, specialized unit), barriers and facilitators related to patients and caregivers (patient's participation in nursing care, patient adaptation, efficiency of formal caregivers). The experiences of the rehabilitation team shows that not only nurses, but also the environment, patients, and caregivers can affect the provision of care and change the quality of care. Identifying these factors can help managers, researchers, and clinical nurses to facilitate and improve rehabilitation nursing care by modifying the influencing factors.

Does the Death Anxiety of Nurses Providing Care for Patients with Covid-19 Affect their Commitment to the Profession? A Correlational Descriptive Study

Nurses make up the largest group of healthcare professionals fighting Covid-19, and they frequently face patients with Covid-19 from hospitalisation to discharge. For this reason, they are exposed to several psychological pressures and occupational hazards. This study aimed to determine the relationship between death anxiety and commitment to the profession in nurses providing nursing care for patients with Covid-19 in Turkey. A correlational descriptive study was conducted with 130 nurses giving nursing care to patients with Covid-19 in a hospital in Turkey providing care to Covid-19 patients. A personal information form, the Turkish Death Anxiety Scale, and the Nursing Professional Commitment Scale were used to collect the study data. Descriptive statistical methods were used to summarise the general information. The data are expressed as “mean ± standard deviation (X ± SD)” or “frequency and percentage.” Correlations between the scales were determined using Spearman’s correlation test. The statistical significance level was accepted as p < 05. The mean score of nurses from the Turkish Death Anxiety Scale was 76.00 ± 23.44, and their mean score from the Nursing Professional Commitment Scale was 57.00 ± 14.60. No significant relationship was found between the Turkish Death Anxiety Scale and the Nursing Professional Commitment Scale scores (r = 0.085, p = .336). The findings of the study showed that nurses had a high death anxiety level, their commitment to the profession was moderate, and that no significant relationship was found between their death anxiety and commitment to the profession. Nurses should be supported by employers to enhance their professional commitment and reduce death anxiety during the Covid-19 pandemic.

Efficacy of High-Quality Nursing Service for the Patients during the Anesthesia Recovery Period: A Meta-Analysis.

Background To investigate the efficacy of high-quality nursing service for the patients during the anesthesia recovery period. Methods We used the National Library of Medicine (PubMed), Cochrane Library of Excerpta Medica Database (EMBASE), China National Knowledge Infrastructure (CNKI), Wanfang, and very important person (VIP) databases for conducting a systematic literature study. We employed the fixed-effects model for evaluating the standardized mean differences (SMDs) with 95% confidence intervals (CIs). The sensitivity and publication bias were estimated for determining the efficacy of high-quality nursing services during the recovery period of anesthesia. Results In our study, the result showed that the efficiency of recovery time of spontaneous respiration was significantly improved in the experimental group (SMD = −1.48, 95%CI = [−1.62, −1.34]). In this analysis, the extubation time of the experimental group was lower than that of the control group. In control group [WMD = −15.54, 95% CI (-21.24, -9.83), P < 0.00001], the improvement of extubation time was more obvious on high-quality nursing. Moreover, the incidence of agitation in the experimental group was lower than that of the control group, and the score of nursing satisfaction was higher than that in the control group (P = 0.01). The funnel plots identified no publication bias during the identification of efficacy. Conclusions The high-quality nursing care for patients during the resuscitation period can shorten the recovery time of their self-consciousness and self-breathing, reduce the occurrence rate of restlessness, improve patients' anxiety and depression, reduce complications, and play a certain clinical application effect.

Clinical Application Effect and Satisfaction Analysis of Mental Health Education Intervention in Nursing Care of Patients with Cerebral Infarction

Clinical Application Effect and Satisfaction Analysis of Mental Health Education Intervention in Nursing Care of Patients with Cerebral Infarction

Nursing leadership – major difficulties and opportunities

Recognizing the elements of nursing leadership is crucial to ensuring a secure future for nurse leaders who can influence outcomes for healthcare workers and patients. Health care managers’ leadership behaviors can have a beneficial or bad impact on the outcomes for organizations, providers, and ultimately, patients. The purpose of this research is to undertake a detailed check of the interdisciplinary literature to identify factors that influence nursing leadership and the efficiency of intervention strategies in assisting nurses to develop these skills. The nursing field is quite well to prepare, adapt, and take the initiative in these times of deep change and through the impending anticipated changes in the healthcare environment. Nurse leadership is crucial for accurate data collection. To enhance nursing patient care, nursing requires leaders that are very creative in their thinking. These leaders must be able to connect various pieces of information that at first glance appear unconnected and test out new strategies.

Effects of psychological nursing care on anxiety and depression in perioperative patients with lung cancer: A systematic review and meta-analysis.

Background:This study aimed to investigate the effects of psychological nursing care (PNC) on anxiety relief in perioperative lung cancer (LC) patients.Methods:We searched the Cochrane Library, PubMed, Embase, CNKI, CBM, and Wangfang electronic databases from inception to May 1, 2022. Eligible randomized controlled trials (RCTs) investigating the effects and safety of PNC on anxiety relief in perioperative LC patients. Anxiety was the primary outcome measure. The secondary outcomes were depression, length of hospital stay, and the occurrence of adverse events.Results:Six eligible RCTs with 494 patients were included in this study. Compared with routine nursing care, PNC showed better outcomes in terms of anxiety relief (mean difference [MD] = –13.24; random 95% confidence interval (CI), –18.28 to –8.20; P<.001), depression decrease (MD = –11.84; random 95% CI, –18.67 to –5.01; P < .001), and length of hospital stay (MD = –2.6; fixed 95% CI, –3.13 to –2.07; P < .001). No data on adverse events were pooled because only 1 trial reported this outcome.Conclusions:This study showed that PNC may benefit more than routine nursing care for patients with LC in anxiety, depression, and length of hospital stay. High-quality RCTs are needed to validate the current findings in the future.

Nursing Implications of the Updated 2021 Surviving Sepsis Campaign Guidelines.

Sepsis is a life-threatening illness that affects millions of people worldwide. Early recognition and timely treatment are essential for decreasing mortality from sepsis. The Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021, the fifth iteration of the guidelines, was released in October 2021 and includes 93 recommendations for the management of sepsis. The evidence-based guidelines include recommendations and rationales for screening and early treatment, initial resuscitation, mean arterial pressure targets, admission to intensive care, management of infection, hemodynamic monitoring, ventilation, and additional therapies. A new section addresses long-term outcomes and goals of care. This article presents several recommendations, changes, and updates in the 2021 guidelines and highlights the important contributions nurses have in delivering timely and evidence-based care to patients with sepsis. Recommendations may be for or against an intervention, according to the evidence. Although many recommendations are unchanged, several new recommendations directly affect nursing care and may require specialized training (eg, venovenous extracorporeal membrane oxygenation). The newest section, long-term outcomes and goals of care, is aimed at using available resources to provide care that is aligned with the patient and the patient's family through goals-of-care discussions and shared decision-making. Interventions aimed at improving recovery across the continuum of care should include attention to long-term outcomes. Nurses are essential in identifying patients with sepsis, administering and assessing response to treatment, supporting the patient and family, and limiting sequelae from sepsis. This article highlights the 2021 recommendations that influence nursing care for patients with sepsis.

Perceived Individualized Care and the Satisfaction Levels of Patients Hospitalized in Internal Medicine Departments: A Cross-Sectional and Correlational Survey

Objective: Individualized nursing care, which indicates the belief on the uniqueness and worthiness of human beings, improves the quality of healthcare and contributes to patient satisfaction. The aim of this study is to determine the relationship between the perceived individualized care and the level of satisfaction with nursing care for patients hospitalized in internal medicine departments. Methods: This study was carried on 250 patients hospitalized in internal medicine department of a university hospital in Turkey between December 2019 and February 2020. Patient information form, individualized care scale and the Newcastle satisfaction with nursing scale were used for data collection. Mann-Whitney U, Kruskal-Wallis H and Spearman’s rho correlation test were used for data analysis. Results: Participants believed that the nursing interventions supported their individuality and had positive perceptions about the individuality in their own care. They were highly satisfied with the nursing interventions. Besides there was a positive correlation between the scores obtained from the individualized care scale and Newcastle satisfaction with nursing scale. Finally, age and education levels of the patients had a positive impact on perceived individualized care and the level of satisfaction with nursing care. Conclusion: The findings suggest that individuality of each patient should be prioritized during the nursing interventions in order to increase patient satisfaction and improve the quality of nursing care.

Implementasi Pemberian Aromaterapi Lavender untuk Mengurangi Nyeri Post Sectio Caesarea di Ruang Haji RSI Banjarnegara: Case Study

Background : Labor is the process of expulsion of the fetus that occurs during a full-term pregnancy, with the expulsion of the placenta and membranes. Problems during saecarea due to tearing of tissue after a cesarean section may cause pain due to surgery.&#x0D; Objectives: This study aims to describe nursing care of patients with disturbed pain comfort Mrs. S With a Post Section Caesarea Medical Diagnosis at RSI Banjarnegara.&#x0D; Methods: This type of study is descriptive in the form of case studies. The sample used in this case study is Mrs. S with a sense of discomfort and pain disorder. The focus of the study discussed by the author is pain comfort disorders in postoperative sectio caesaria patients. Processing and analyzing data using descriptive analysis.&#x0D; Result: The three nursing diagnoses that have been established show that the acute pain associated with the physical injury agent is partially resolved, the other diagnoses that have been established have been resolved.&#x0D; Conclusion: Non-pharmacological therapy with Lavender aromatherapy can relieve Post Sectio Caesarea Pain

The Effects of the Application of the “One Disease, One Product” Program to Nursing Practice for Patients After the Resection of Pituitary Adenomas Using the Endonasal Transsphenoi

To explore the application and effect of the "one disease, one product" project to the nursing care of patients who have undergone pituitary tumour surgery using the nasal sphenoid approach. This is a prospective research study. In a standard treatment control study, 132 patients undergoing transnasal pituitary tumour surgery were divided into the control group (n= 71) and the observation group (n= 61). The control group was given routine pituitary tumor care, and the "one disease, one product" nursing model was used on the experimental group. The anxiety level of patients, the incidence of postoperative complications, postoperative hospitalization, and levels of satisfaction and capability of group members were measured between the control and experimental groups. There was no difference in the level of anxiety between the 2 groups before admission (P= 0.634). The anxiety level of the patients in the observation group decreased after the "one disease, one product" nursing intervention (P= 0.012), but in the control group, it did not decrease significantly (P= 0.149), and the anxiety level in the control group was significantly higher than in the observation group on day 1 preoperatively (P < 0.001). "One disease, one product" nursing can reduce the preoperative anxiety and postoperative satisfaction of pituitary adenoma surgery patients through the sphenoid sinus approach. It is worthy of popularization and application in pituitary adenoma resection through the sphenoid sinus approach.

Planning nursing care for a patient diagnosed with testicular cancer by using International Classification for Nursing Practice (ICNP®)

Testicular cancer is the most common malignancy in young men and its prevalence is increasing all over the world. The diagnosis of such a life-threatening disease at a relatively young age may have a considerable devastating impact on numerous spheres of everyday functioning. Although testicular cancer treatment is highly effective, in some cases only symptomatic treatment is possible, an integral part of which is specialist nursing care. This study aimed to present the possibility of using the terminology of the International Classification for Nursing Practice (ICNP®) in planning nursing care for a hospice patient suffering from advanced testicular cancer. An analysis of medical records allowed for developing a patient’s case and then formulating a plan of nursing care considering diagnoses concerning biopsychosocial functioning and nursing intervention. Moreover, the study highlights typical problems of patients in the period of dying as well as the role of a nurse in hospice care.

Clinical Observation of MRI Scanning Combined with Clinical Nursing for Surgical Breast Cancer Patients.

The aim of this study was to explore the application effect of perioperative nursing care for patients with breast cancer. In this paper, 100 breast cancer patients with lymphatic spread treated by breast surgery in September 2019 to December were selected as the evaluation objects. They were divided into two groups according to preoperative imaging examination, 50 cases in each group. Group A was examined by B-ultrasound before axillary lymphadenectomy, group B was examined by MRI before axillary lymphadenectomy, and group C was examined by B-ultrasound and MRI before axillary lymphadenectomy. The facts in the three groups of disease findings were compared. Compared with the control group, the proportion of negative emotions (such as stress and depression) in the control group decreased (P<0.05). The decrease in blood cortisol was higher than in the control group (P < 0.05). Improving the existing cancer surgery can improve the patient's heart rate and reduce blood cortisol so as to improve the patient's joint function and quality of life. The difficulty of nursing patients will also be reduced, which is medically necessary.

Postoperative nursing care for patients undergoing uterine myomectomy at Babylon governorate

Myomectomy is a surgical procedure focus on removing the leiomyomas from the uterine cavity, these fibroids is growth that noncancerous nature manifest in uterus. Post-operative nursing care includes a set of activities and interventions that the nurse performed towards the patient after leaving the operating room, the aim of this study is to evaluate postoperative nursing care practices towards patients undergoing to myomectomy. Observational study carried out in five hospitals at Babylon governorate in order to evaluate post-operative nursing care in surgical maternal wards by observe the practices of nursing staff in this wards, 103 nurse were chosen as a sample for this study from the morning and night duties in the hospitals of Babylon province. The results of this study indicated the majority of nurse with age group less than 30 years’ old, more of them with secondary nursing school, work in morning shift and no attendance to any training session regarding the nursing care in postoperative phase through the period of working in hospitals. As well as, the results showed the majority of nurses with poor practice regarding the aspect of postoperative nursing care for patient underwent to surgery for removing uterine fibroids.

Nurses' strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the 'COVID-NURSE'survey.

AimsTo identify strategies used by registered nurses and non‐registered nursing care staff in overcoming barriers when providing fundamental nursing care for non‐invasively ventilated inpatients with COVID‐19.DesignOnline survey with open‐ended questions to collect qualitative data.MethodsIn August 2020, we asked UK‐based nursing staff to describe any strategies they employed to overcome barriers to delivering care in 15 fundamental nursing care categories when providing care to non‐invasively ventilated patients with COVID‐19. We analysed data using Framework Analysis.ResultsA total of 1062 nurses consented to participate in our survey. We derived four themes. 1) Communication behaviours included adapting verbal and non‐verbal communication with patients, using information technology to enable patients’ significant others to communicate with staff and patients, and establishing clear information‐sharing methods with other staff. 2) Organizing care required clustering interventions, carefully managing supplies, encouraging patient self‐care and using ‘runners’ and interdisciplinary input. 3) Addressing patients’ well‐being and values required spending time with patients, acting in loco familiae, providing access to psychological and spiritual support, obtaining information about patients’ wishes early on and providing privacy and comforting/meaningful items. 4) Management and leadership behaviours included training, timely provision of pandemic information, psychological support, team huddles and facilitating regular breaks.ConclusionsOur respondents identified multiple strategies in four main areas of clinical practice. Management and leadership are crucial to both fundamental care delivery and the well‐being of nurses during pandemics. Grouping strategies into these areas of action may assist nurses and leaders to prepare for pandemic nursing.ImpactAs these strategies are unlikely to be exclusive to the COVID‐19 pandemic, their global dissemination may improve patient experience and help nurses deliver fundamental care when planning pandemic nursing. However, their effectiveness is unknown. Therefore, we are currently evaluating these strategies in a cluster randomized controlled trial.

The value of a redesigned clinical course during COVID-19 pandemic: an explorative convergent mixed-methods study

BackgroundThe COVID-19 lockdown in March 2020 had a significant consequence for nursing students worldwide including limited access to learning situations in clinical rotation. Therefore, this study aims to explore how an innovative redesign of a clinical course in a time of pandemic supported nursing students in learning the fundamentals of care in their first year. The redesign involved the transformation of a traditional hands-on clinical course into a technology-enhanced learning environment.DesignThis was an explorative convergent mixed-methods study using both quantitative and qualitative methods.MethodsTwenty-four first-year nursing students responded to an online questionnaire with open-ended questions. Two nursing students and one faculty member participated in individual online interviews, and three faculty members participated in an online focus group interview. All the data were collected in June 2020. The quantitative data were analyzed using descriptive statistics and the qualitative data using content analysis. The GRAMMS guideline was applied.ResultsThe students achieved the learning outcomes regarding fundamental care, basic physical assessment skills, and clinical reasoning with the help of academic assignments, multimedia learning resources, and virtual patients. Further, six central aspects of the facilitator role in the virtual simulation were identified. The aspect that was considered most valuable involved uncovering the “red thread” between different areas of knowledge in the first year of nursing education; this supported the students to better understand how to think and talk like a nurse.ConclusionThis study offers insight into how a technology-enhanced clinical course can foster the learning of fundamental nursing care, basic physical assessment skills, and clinical reasoning skills; enhancing students’ preparedness for clinical hours. Virtual patients’ scenarios contributed to integrating different types of knowledge and skills that are important when providing nursing care for patients in clinical practice. This study also highlighted a gap in pedagogical competence among faculty members with regards to facilitating learning in a technology-enhanced learning environment. Study findings suggest promising pedagogical strategies that should be further developed post-pandemic, in response to the call for a renewal of nursing education using more technologically supported learning designs.

A study of nursing patient care in gestational diabetes during SARS CoV-2 pandemic

Although hyperglycaemia that occurs in pregnancy and resolves after birth has been recognised for over fifty years, worldwide consensus on levels of hyperglycaemic thresholds is incomplete and should be diagnosed as 'gestational diabetes mellitus' (GDM). The involvement of GDM is linked to a number of negative perinatal outcomes, including macrosomia, preterm delivery, pre-eclampsia, and eventually will affect the metabolic wellbeing of the resulting infant in future. A nursing care model for non-communicable disorders in primary hospitals increased therapy compliance, as providers aided by clear guidance and administration flowcharts. Early reports from China find COVID-19 infections among men in Wuhan. Later evidence from 30 jurisdictions outside Hubei demonstrated a drop in male domination, as did young women who were diagnosed with the disease at middle age. The psychological and mental health of mothers with GDM has become a big burden with this pandemic in the COVID-19 world-wide that resulted in serious deaths. However, as far as we know, no study explores the success of nurses or licensed clinical nurses during the SARS CoV-2 pandemic in caring for women with GDM.

Satisfaction with the quality of pre-intraoperative nursing care in patients undergoing breast surgery, National Institute of Neoplastic Diseases [Satisfacción de la calidad del cuidado de enfermería pre-intraoperatorio en pacientes intervenidos a cirugía de mama, Instituto Nacional de Enfermedades Neoplásicas

The essence of nursing is patient care, having as a fundamental axis in the processes of quality care; however, sometimes due to the workload, reduced time in care, lack of protocols, training, staff attitudes, among other aspects; affect the quality of nursing care, which generates dissatisfaction in patient health care. Objective: To determine the level of satisfaction with the quality of preoperative and intraoperative nursing care in patients undergoing breast surgery at the National Institute of Neoplastic Diseases, 2020. Method: Quantitative, descriptive, cross-sectional, prospective. The population consisted of 664 patients undergoing breast surgery, the sample size was 191 patients by probabilistic, simple random sampling, the instrument used to collect the data was a questionnaire, validity was carried out through trial of 8 experts whose value was 0.030 and for reliability the Kuder Richardson test was applied whose value is 0.81 obtaining high reliability. Results: The level of satisfaction of the quality of preoperative and intraoperative nursing care 59.16% of the patients undergoing breast surgery considered to be moderately satisfied with the nursing care received. Conclusions: Satisfaction with the quality of nursing care in the preoperative and intraoperative area is moderately satisfied and dissatisfied, so it is necessary to reinforce care actions that improve the perception of patients in the area.

The application of post conference on shift operates in ward 16 and ward 21 Hospitals Mubarak Al-Kabir Kuwait

Post-conference is a discussion of the clinical aspects after implementing nursing care for patients. The results of observations and pretest with the nurses in the Ward 16 and Ward 21 Hospitals Mubarakiyah Al-Kabir Kuwait, the implementation of post-conferences was not optimal, because it was not in accordance with the rules of post-conference activities. This influences the nursing care provided by nurses. The purpose of this study was to optimize the implementation of the post-conference in room Ward 16 and ward 21 Hospitals Mubarakiyah Al-Kabir Kuwait in 2022. The study was conducted on 26 August 2022. The number of research samples was 7 team leaders in two rooms, 3 team leaders from Ward 16 and 4 team leaders from Ward 2, data collection was obtained through observations and questionnaires. After the implementation of nursing, the dissemination of knowledge and the application of role play about post conferences for 5 days showed the results of observation after science dissemination and role play showed an increase in nurses in implementing post conferences in ward 16 and ward 21 hospitals Mubarakiyah Al-Kabir Kuwait. The application of post-conference is very effective to improve the quality of shift operations in the room for this reason, it is expected that the hospital can follow the standard operating procedures in shift operations.

The Space in the Middle: Attitudes of Women's Health and Neonatal Nurses in the United States about Abortion.

Despite playing an integral part in sexual and reproductive health care, including abortion care, nurses are rarely the focus of research regarding their attitudes about abortion. A sample of 1,820 nurse members of the Association of Women's Health, Obstetric and Neonatal Nurses were surveyed about their demographic and professional backgrounds, religious beliefs, and abortion attitudes. Scores on the Abortion Attitudes Scale were analyzed categorically and trichotomized in multinomial regression analyses. Almost one-third of the sample (32%) had moderately proabortion attitudes, 29% were unsure, 16% had strongly proabortion attitudes, 13% had strongly antiabortion attitudes, and 11% had moderately antiabortion attitudes. Using trichotomized Abortion Attitudes Scale scores (proabortion, unsure, antiabortion), adjusted regression models showed that the following characteristics were associated with proabortion attitudes: being non-Christian, residence in the North or West, having no children, and having had an abortion. Understanding nurses' attitudes toward abortion, and what characteristics may influence their attitudes, is critical to sustaining nursing care for patients considering and seeking abortion. Additionally, because personal characteristics were associated with antiabortion attitudes, it is likely that personal experiences may influence attitudes toward abortion. A large percentage of nurses held attitudes that placed them in the "unsure" category. Given the current ubiquitous polarization of abortion discourse, this finding indicates that the binary narrative of this topic is less pervasive than expected, which lends itself to an emphasis on empathetic and compassionate nursing care.