Nursing Care Of Patients Research Articles

Psychometric evaluation of Iranian version of nursing faculty’s incivility questionnaire†

Abstract Objective Faculty incivility is a growing problem in nursing schools that disrupts the learning process and affects nursing care of patients. Fostering and managing faculty incivility requires knowing this problem using a valid and reliable instrument. The purpose of this research was to evaluate the validity and reliability of the faculty’s perceived incivility questionnaire in the Iranian community. Methods In this methodological study, the participants involved were 357 nursing students. They were selected between October and December 2019. The faculty’s perceived incivility questionnaire was evaluated in terms of content and construct validity. McDonald’s omega and Cronbach’s alpha coefficients were calculated. Exploratory and confirmatory factor analyses were conducted to evaluate the construct validity of the questionnaire. Results The content validity index (CVI) was 0.86–0.91 for the items and 0.87 for the whole instrument. In factor analysis, two factors of violent and irresponsible behaviors were extracted. These factors explained >41.769% of the variance. Model fit indices (Parsimonious Comparative Fit Index [PCFI] = 0.783, Parsimonious Normed Fit Index [PNFI] = 0.756, root mean square error of approximation [RMSEA] = 0.051, Goodness-of-Fit Index [GFI] = 0.955, Adjusted Goodness-of-Fit Index [AGFI] = 0.932, Comparative Fit Index [CFI] = 0.955, χ2/df = 2.26) indicated the proportion of factors. Internal consistency was 0.87–0.93. Conclusions Faculty’s perceived incivility questionnaire is a valid and reliable tool with two factors that can be used to evaluate the incivility in Iranian faculty members.

The impact of hospital-family integrated continuation nursing based on information technology on patients unhealthy mood, family function and sexual function after cervical cancer surgery.

The objective of this study was to explore the impact on hospital-family integrated continuation care based on information technology on the negative emotions, family function, and sexual function of patients after cervical cancer surgery. The clinical case data onto 114 postoperative cervical cancer patients who were nursing in our hospital from July 2019 to July 2021 were selected and were divided into a control group and an observation group. The control group used routine nursing care, and on this basis, the observation group used information technology as the basis for hospital-family integrated continuation care, and we observed and compared the differences in the 2 groups of patients bad mood, family function, and sexual function. The score of anxiety (P = .017), depression (P = .009), fatigue rating (P = .012), and anger (P < .001) in the observation group after care were significantly lower than those in the control group. Problem solving, role, emotional response, emotional involvement, and family function total score in the observation group after care was significantly lower than those in the control group (P < .05). Sexual desire score, sexual arousal score, vaginal lubrication score, orgasm score, sexual satisfaction score, dyspareunia score, and Female Sexual Function Inventory total scores in the observation and control groups after care were significantly higher than those before care (P < .05). The sexual function scores in the observation group after care was significantly higher than those in the control group (P < .05). The hospital-family integrated continuation care based on information technology is more effective than conventional nursing care for patients after cervical cancer surgery.

Caring for Patients with Type II Diabetes Mellitus: A Nursing Case Report

Diabetes Mellitus (DM) is a disease characterized by an insufficient amount of insulin that does not function normally. According to data of Basic Health Research of Indonesia Government year 2018, the global prevalence of DM among those aged 55 to 64 years reached 6.3% of 265 individuals, the highest value among all other age groups. To present a case study with TTDM in Samarinda, Indonesia and to determine the nursing care plan, explaining the nursing interventions and showing the importance of nursing care of patients with DM. we treated 2 patients who had TTDM using a standardized nursing process for 3 days and made observations and recorded the similarities and differences that emerged as a result of disease response and the effects of the treatment provided. Researcher has completed collecting data set which was then used to establish each of the 6 nursing diagnoses, and further each nursing plan details implemented and evaluated. There is a diversity and resemblance of data that was revealed in the discussion session of ther report. Using a thematic analysis approach, patterns in the data were identified and analyzed. The data were then synthesized using Indonesian Nursing Standardized (3S) terminology. The patient's positive health outcomes supported the accuracy of the diagnoses and the appropriateness of the nursing interventions. case study method contributes in understanding the overall nursing care for patients, especially those with TTDM because it opened up nursing scenarios that support nurses in utilized critical thinking skills including in making decisions in the use of the entire nursing process. By carefully implementing chosen interventions through nursing process nurse was able to compare data between cases, to determine the causes of differences and similarities from the data obtained and analyze based on appropriate theories and concepts.

Considering Significance

Clinical journals, such as JoPAN, provide readers with evidence to support or improve perianesthesia nursing patient care. However, some JoPAN readers have confessed disappointment as to the number of research articles and their meaning. Every research article has the potential to provide evidence-based practice recommendations when readers consider two types of significance.

PENGALAMAN PASIEN TERPASANG KATETER URIN URETHRAL JENIS INDWELLING DAN INTERMITTEN: QUALITATIVE REVIEW

The use of urinary catheter affect the patient’s life in holistic. There is one review article that explores about experiences of urinary catheter patient’s inserted. But the article only discusses about psychosocial aspect and not discusses patient in holistic. The aim of this research to explore about experiences of urethral catheter patients insertedwith indwelling and intermitten. This research is qualitative review. The researcher searched data from PubMed, SAGE Journals, and Mendeley. The search was restricted to English language articles and limited to last 2001-2020. The main keywords use experience and “urinary catheter*”. There were 23 articles included in the inclusion criteria. Holistically, several experiences were reviewed including physical aspects such as sleep, comfort, pain, physical activity, urinary tract infections, muscle spasm, and bleeding. In psychological aspect, include anxiety, self-adaptation or self-acceptance, self-identity, self-image, self-ideal and self-esteem. In social aspects such as social activity and social interaction. In environmental aspects include size of toilets, toilet cleanliness, material from catheter which affect the environment. In other aspects include patient knowledge, role of health professionals (nurse), and economy crisis. Negative and positive experiences were felt for urethral catheter patients inserted with indwelling and intermitten. Nurses are expected to provide holistic nursing care for patients with urinary catheters.

Experience of nurses using the basic nursing science in performing nursing care for patients at RSUD Dr. Soedomo Trenggalek, Indonesia

Introduction: The provision of humanistic and professional nursing care services needs to be carried out comprehensively, and it must cover patients’ bio-psycho-socio-spiritual aspects. This indicates nurses have to integrate all the basic nursing science, including physiology, anatomy, pharmacology, and pathophysiology, while carrying out their duties. This integration helps to provide the best care for their patients, but they often uncertain about the basic science approach to use. Therefore, this study aimsto explore the experience of nurses using basic nursing science in caring for patients with chronic diseases.&#x0D; Design and Methods: In-depth interviews were conducted with 5 nurses working in chronic disease wards for at least 5 years. Each respondent was then interviewed using a self-constructed questionnaire.&#x0D; Results: All respondents agreed that basic nursing science is important in providing quality healthcare services. Furthermore, six themes were identified using the thematic analysis, namely (1) the process of collecting patient data, which was more focused and organized; (2) required for establishing the nursing diagnosis; (3) useful for determining the nursing care plan; (4) it is a basis for implementing nursing actions; (5) provides a basis for monitoring and follow-up; (6) and teamwork between health personnel is more effective.&#x0D; Conclusions: Based on the interview results, nurses need knowledge and skills in basic nursing science while caring for patients with chronic diseases. Furthermore, basic nursing sciences lay the foundation for nurses while assessing patients, diagnosing, planning the care, implementing nursing actions, evaluating patients’ condition, and collaborating with other health personnel.&#x0D;

Perianesthesia Nursing.

These nurses care for patients before and after surgery.

The Effect of Continuous Care Program on the Self-Efficacy of Patients with Implantable Cardioverter Defibrillator: A Randomized Control Trial.

The majority of cardiac disorders resulting from ventricular dysrhythmias are fatal. The Implantable Cardioverter Defibrillator (ICD) is one of the most common treatments of ventricular dysrhythmias. Despite the benefits of ICD in preserving life, patients with ICD experience adverse physical, psychological, and social consequences. This study investigated the effects of the continuous care program on self-efficacy in patients with ICD. The present study was a randomized clinical trial. Based on the inclusion criteria, 80 patients attending an educational cardiovascular center in Tehran during 2017-2018, were randomly assigned to two intervention and control groups (40 in each). The intervention included the continuous care program, an educational session, and a follow-up program undertaken for the patients receiving the ICD. The control group received routine care. Self-efficacy was then measured by ICD (SE-ICD and OE-ICD) questionnaires and compared between the two groups. The results showed no difference between the two groups before the intervention (p > 0.05). However, there was a significant difference in the mean self-efficacy score between the two groups after the intervention, being significantly higher in the intervention group (t77 = 4.9, p < 0.001). The results of the present study indicated that providing a continuous care program can increase self-efficacy in patients with ICD and can be used as an effective model in the nursing care of patients with ICD.

The implementation of Family Nursing: the experience of a District of Venice

The need to provide district nursing care for patients with simple and complex chronic diseases requires planning and investment in the training of nurses. To describe the model of management of simple chronic care with the implementation of the Family Nursing in the Districts of the Azienda ULSS 3 Serenissima. After the analysis of the epidemiological and socio-demographic data of the resident population, and the stratification in classes homogeneous for resource use, according to the Adjusted Clinical Group model, the candidates for the family nurse's position were trained with an ad hoc course. The preferred target for the experimental implementation of Family Nursing care was the elderly population with chronic diseases in District 1, not followed by other health services. At the end of 2022 12 Family Nurses candidates were identified. After a training course, they gradually took over patients with simple chronic conditions, starting with the District 1 with the highest prevalence. In the year 2022, 614 new patients started to be cared for by Family Nurses, in 2023 approximately 900 patients are being followed and monitored by the Family Nurse.

Intermittent versus continuous control of tracheal cuff pressure in patients undergoing mechanical ventilation: Asystematic review and meta-analysis.

To evaluate the effects and safety of intermittent versus continuous control of cuff pressure in patients with mechanical ventilation. Tracheal cuff pressure management is vital to the prognosis of patients with mechanical ventilation. A meta-analysis. This meta-analysis was conducted and reported according to the PRISMA checklist. We searched Pubmed, Embase, The Cochrane Library, BMJ Best Practice, Web of Science, ProQuest Dissertations, as well as the Chinese Biomedical Literature Database, Wanfang, and China national knowledge infrastructure databases up to 5 August 2022 for randomised controlled trials (RCTs) on the intermittent versus continuous control of cuff pressure. Review Manager 5.3 software was used for relevant data analysis. A total of 18 RCTs involving 1998 patients with mechanical ventilation were included. The synthesised outcomes indicated that continuous control of cuff pressure is beneficial to reduce the incidence of ventilator-associated pneumonia (VAP) [RR=0.41, 95%CI (0.35, 0.49)], aspiration [RR=0.36, 95%CI (0.21, 0.63)], duration of mechanical ventilation [MD=-3.23, 95%CI (-4.66, -1.79)], length of ICU stay [MD=-4.12, 95%CI (-5.40, -2.83)], and increase the volume of subglottic drainage [MD=18.54, 95%CI (16.50, 20.58)]. There was no significant difference in the mortality between two groups [RR=1.01, 95%CI (0.84, 1.21)]. Egger regression analyses showed that there were no obvious publication biases in the synthesised results (all p > .05). Existing evidence shows that compared with intermittent monitoring of cuff pressure, continuous monitoring of cuff pressure can reduce the occurrence of aspiration and VAP, shorten the patient's duration of mechanical ventilation and length of ICU stay. Continuous monitoring of cuff pressure is more beneficial and should be promoted in clinical nursing care of patients undergoing mechanical ventilation.

Nurse-Administered Auricular Point Acupressure for Cancer-Related Pain.

The study aimed to (1) examine the feasibility of providing a training course on auricular point acupressure (APA) for clinical oncology nurses to integrate APA into real-world nursing care settings, and (2) examine the effectiveness of APA on cancer-related pain (CRP) under usual inpatient oncology ward conditions. This was a 2-phase feasibility study. Phase 1, an in-person, 8 hour training program was provided to oncology nurses. Phase 2, a prospective and feasibility study was conducted to evaluate the integration of APA into nursing care activities to manage CRP. Oncology patients were included if their pain was rated at ≥4 on a 0 to 10 numeric rating scale in the past 24 hours. Patients received 1 APA treatment administered by the nurses and were instructed to stimulate the points for 3 days. Study outcomes (pain intensity, fatigue, and sleep disturbance), pain medication use, and APA practice were measured by a phone survey daily. Ten oncology nurses received APA training in phase 1. APA had been added to the hospital's electronic health records (EHRs) as a pain treatment. In phase 2, 33 oncology patients received APA treatment with a 100% adherence rate (pressing the seeds 3 times per day, 3 minutes per time based on the suggestion). The side effects of APA were minimal (~8%-12% felt tenderness on the ear). After 3 days of APA, patients reported 38% pain relief, 39% less fatigue, and 45% improvement in sleep disturbance; 24% reduced any type of pain medication use and 19% reduced opioid use (10 mg opioids using milligram morphine equivalent). The major barrier to integrating APA into routine nursing practice was time management (how to include APA in a daily workflow). It is feasible to provide 8-hour training to oncology nurses for mastering APA skill and then integrating APA into their daily nursing care for patients with CRP. Based on the promising findings (decreased pain, improved fatigue and sleep disturbance, and less opioid use), the next step is to conduct a randomized clinical trial with a larger sample to confirm the efficacy of APA for oncology nurses to treat CRP in real-world practice.ClinicalTrial.gov identifier number: NCT04040140.

Awareness and knowledge of telenursing care and its associated factors among nurses in a resource-limited setting, northwest Ethiopia: A cross-sectional study

BackgroundNursing care practice in most developing countries is challenged due to a lack of effective methods, physical limitations, and a shortage of nurses’ professionals to provide nursing care for patients. But there is no evidence about awareness and knowledge of telenursing care. So, this study aimed to fill the evidence gap regarding telenursing awareness or knowledge among nurses in resource limited settings. MethodAn institution-based cross-sectional study was conducted among 422 nurses at a specialized teaching referral hospital from May 16 to July 18, 2022. A simple random sampling technique was applied to select study participants. Descriptive statistics were done through a table and a bar graph. A binary logistic regression analysis was done, and 95% confidence intervals with a P-value of less than 0.05 were employed to identify factors associated with telenursing awareness and knowledge. ResultFour hundred fifteen (415) nurses were included for analysis, with a response rate of 98.5%. Among study participants, 49.4% and 45.8% of them had good awareness and knowledge toward telenursing care, respectively. Educational level, job experience, source of information, digital training, internet access, and computer training were factors associated with a nurse's awareness of telenursing care. Moreover, nurses' awareness, social media use, experience contacting clients or patients online, source of information, research, digital training, and computer training were factors associated with nurses' knowledge of telenursing care. Conclusionand recommendation: Overall, nurses' awareness and knowledge about telenursing care were low. Considering factors and the user's preference could inform the implementation strategy for improving nurses' awareness and knowledge regarding telenursing care for future acceptance, use, and implantation.

Patients with Complex or Long-term Health Needs in Cardiology

During the whole illness trajectory, nurses play a vital role in managing the care of patients with cardiovascular long-term and complex illnesses. The application of Self-care of chronic illness -theory improves patients´ self-management and give the knowledge and skills with which patients can formulate their individual goals and feel self-confidence despite the condition. The aim of this review is to describe the reflections concerning advanced nursing care of patients with cardiovascular complex or long-term conditions. А theoretical review, conducted in a dialectical process between evidence-based literature, a theoretical framework and professional reflection. Nurses assess patient's level of risk for cardiovascular disease, contribute to primary and secondary illness prevention through patient education based on a nursing theory, observe symptom clusters and their effects to the patient´s functional capacity and quality of life with relevant PREMs and PROMs, conduct and interpret clinical measurements, monitor medication and treatment adherence, and develop as well as review the person-centered nursing care plan accordingly.

INCIDENTES DE SEGURANÇA CLASSIFICADOS COMO PROCESSO/PROCEDIMENTO CLÍNICO EM PACIENTES HOSPITALIZADOS DURANTE PANDEMIA DE COVID-19

ABSTRACT Objective: Compare reported patient safety incidents related to a clinical process/procedure among patients with laboratory-confirmed COVID-19 diagnosis and with Severe Acute Respiratory Syndrome (SARS) caused by another infectious or undetermined agent and the other patients. Results and discussion: retrospective, documentary study approved by the ethics committee in a public teaching hospital in southern Brazil. In the study, 2,191 notifications and records of COVID-19 between March and September 2020 were used. The data were submitted to descriptive analysis with frequencies of the variables in the data set, Fisher’s test to determine the associations between outcomes (classification/process/problem) and calculation of relative risk to measure its strength. The incidence of pressure ulcers was almost 3.7 times higher in patients with SARS. In the others, various tube-related incidents and events associated to the surgical process predominated. Conclusion: Intensive nursing care for patients with SARS, risk management and strengthening of good practices for the safety of all patients were relevant.

A Quality Improvement Project for Reducing Work-Related Stress of Nurses in Converting an Oncology Ward Into a Designated COVID-19 Ward During the COVID-19 Pandemic

The community spread of SARS-CoV-2 occurred during the COVID-19 pandemic in May 2021 in Taiwan. Due to the large number of COVID-19 patients, demand for healthcare capacity had also increased. In response to the massive influx of patients with COVID-19 in our hospital, a designated COVID-19 ward was established. In addition, the oncology ward was also quickly transformed into a designated COVID-19 ward that shared staff and work schedules with the originally designed COVID-19 ward during the pandemic period. The process of setting up the ward, training personnel, and providing independent care to COVID-19 patients and the period of professional cooperation with medical staff from the infectious disease ward caused great burden and pressure on nurses. The objective of this study was to reduce the work-related stress index from 20.2 to 15. Cross-training and in-service courses were implemented to assist the oncology nurses to learn nursing care for patients with COVID-19. Five solutions were discussed and implemented in a timely manner. The interventions included the unifying the logistical flows between wards, optimizing ward environments, providing education and training on COVID-19, launching a new communication platform to facilitate discussions and gather various opinions, and implementing flexible scheduling. The stress index score declined from 20.2 to 8.2 on the stress and anxiety to viral epidemics-9 scale. The findings of this study may be referenced to assist nurses and nursing managers when making preparations to transform oncology wards into designed COVID-19 wards.

Penerapan Relaksasi Diaphragmatic Breathing Exercise Terhadap Dyspnea Pada Asuhan Keperawatn Pasien Penyakit Paru Obstruktif (PPOK)

Introduction : Chronic obstructive pulmonary disease (COPD) is a condition in which the lungs experience obstruction that is not fully reversible. One of the independent nursing interventions in dealing with decreased is the diaphragmatic breathing exersice relaxation technique. This technique is a non-pharmacological therapy that can improve abdominal movement by reducing respiratory muscle activity. The purpose of the study was to determine the application of relaxation diaphragmatic breathing to dyspnea in the nursing care of patients with chronic obstructive pulmonary disease (COPD) in Poso Hospital. Research methods: descriptive with a case study approach. Results: obtained complaints of shotness of breath, breathing 27x/m, pulse 102x/m, blood pressure 130/90 mmHg with a diagnosis of ineffective breathing pattern, ineffective airway clearance and activity intolerance. Ventilation support interventions, airway management, and activity therapy. Implementation was carried out for 5 days. Evaluation after the implementation of the implementation of Diaphragmatic Breathing Exersice Relaxation there is change in Dyspnea in Mrs.B. Conclusion the application of Diaphragmatic Breathing Exersice Relaxation can overcome the problem of Dyspnea. Suggestion: are expected to provide nursing interventions to overcome existing nursing problems in Chronic Obstructive Pulmonary Disease (COPD) patients with dyspnea cases.

Challenges of modern nursing care for patients in an intensive cardiac care unit

Challenges of modern nursing care for patients in an intensive cardiac care unit

Association of pulse pressure with all-cause mortality in older Japanese patients with type 2 diabetes mellitus: A observational cohort study.

Although systolic and diastolic blood pressures as well as blood glucose are monitored when nurses care for patients with type 2 diabetes, the same is not true for pulse pressure. We aimed to determine the association between pulse pressure and all-cause mortality. We conducted a longitudinal study of outpatients with type 2 diabetes aged 65 years and older at diabetes-specialized hospitals in Japan from September 2004 to December 2016. Descriptive data, blood pressure measurements, blood analysis data, and information on life and death were obtained from medical records. Cox proportional hazards models were used to estimate the relative risks with 95% confidence intervals for all-cause mortality. We analyzed 357 of the 383 recruited patients (mean age, 74.9 years; 175 men and 182 women; average follow-up, 7.7 years), and 50 patients died. After adjusting for covariates, the relative risks for pulse pressures of 55 to <65, 65 to <75, and ≥75 mmHg (reference: <55 mmHg) were 1.77 (95% confidence interval: [0.59, 5.28]), 2.66 (95% confidence interval: [0.93, 7.56]), and 3.23 (95% confidence interval: [1.16, 8.99]), respectively. The relative risk for the 65 mmHg or higher group (reference: <65 mmHg) was 2.08 (95% confidence interval: [1.11, 3.92]). Neither systolic blood pressure nor diastolic blood pressure alone were significantly associated with mortality. In older patients with type 2 diabetes, a wide pulse pressure was associated with a higher risk of all-cause mortality. Nurses caring for older people with diabetes should also monitor pulse pressure.

Humanistic Nursing Care for Patients in Low-Resourced Clinical Settings from Students' Perspectives: A Participatory Qualitative Study.

Introduction. It is of utmost importance to understand how we can better prepare students to value humanistic spirits and provide humanistic care, a core element of quality care for patients/family characterized by empathy and holistic care, from school to clinical settings (practicum) in low-resourced healthcare environments with seriously low nursing staffing levels. The current study explored participants’ experiences of learning and delivering humanistic care for patients. Methodology. This is a participatory qualitative study. Eligible participants are undergraduate students who completed all the core curricula and are ready to start their one-year clinical practicum/internships. A total of 120 eligible undergraduate students were included in the study. Participants were encouraged to share their own thoughts, questions, and perspectives on learning and providing humanistic care in clinical settings during their one-year practicum from 2020 to 2021. Results. Three major themes emerged: 1. From Textbook to Providing Humanistic Care in low-resourced work contexts; 2. Ethical Considerations; and 3. Implications for Humanistic Nursing Care Education. Discussion. Systematic reforms are needed to make clinical settings more humanistic care-friendly for nurses and nursing students. It is significant to help students internalize the essence of humanistic care in low-resource settings.

Application Research of Detailed Nursing of Tuberculous Meningitis Patients

Objective: To explore the application effect of detailed nursing in tuberculous meningitis nursing. Methods: A total of 52 patients with tuberculous meningitis who were admitted to our hospital from May 2019 to February 2022 were selected as the research objects, and divided into 25 patients in the control group and 27 patients in the study group according to the random table method, and the compliance, quality of life, recurrence, nursing satisfaction, depression, anxiety and PSQI scores of the two groups were observed and analyzed. Results: In the study group, the number of patients with complete compliance, partial compliance and non-compliance were 13, 11 and 3, respectively, and the compliance rate was 88.89%. In the control group, the number of patients with complete compliance, partial compliance and non-compliance were 11, 5 and 9, respectively, and the compliance rate was 67.86 %, and P &lt; 0.05 was considered statistically significant. The quality-of-life score of the control group was 48.36 ± 2.24, which was lower than that of the study group, 50.23 ± 2.12, (P &lt; 0.05). The rate of recurrence of the control group was 36.00%, which was significantly higher than 7.41% in the study group (P &lt; 0.05). There was no significant statistical difference between the SAS, SDS, and PSQI scores of the two groups before nursing, (P &gt; 0.05). After nursing, both groups showed a decrease in SDS and SAS scores, with the study group showing significantly lower scores than the control group (P &lt; 0.001). Besides, the PSQI dimension scores and total score in the study group were lower than those in the control group (P &lt; 0.001). Moreover, the nursing satisfaction of the patients in the study group was significantly higher than that in the control group (93.02% &gt; 71.79%), (P &lt; 0.05). Conclusion: A full range of detailed care is not only helpful for accurate diagnosis and treatment of patients, but also helps to create a satisfactory hospital environment for patients. Results from this study showed that detailed nursing care for patients with tuberculous meningitis shows a significant positive effect and should be applied in clinical practices.