Nursing Care Plan Research Articles

Interventions improving well-being of adult cancer patients' caregivers: A systematic review.

The aim of this study was to determine what kind of psychosocial interventions aimed at improving the well-being of adult cancer patient caregivers were developed, and to describe the methodological characteristics and clinical effectiveness of the interventions which could be included in the nursing care plans. Systematic review DATA SOURCES: A systematic search of three databases (PubMed, CINAHL, and PsycINFO) was conducted to identify peer-reviewed papers published between years 2004-2019. The review was guided by the Joanna Briggs Institute manual for systematic reviews. Data were extracted and appraised by three reviewers using standardized checklists. Narrative synthesis was used to analyse the data. A total of 37 studies underwent analysis. Most of the studies described psychoeducational interventions, designed for patient-caregiver dyads, delivered face-to-face. There was a great variety in caregiver outcomes and measurement tools used. Even though most studies used a randomized controlled design and standardized intervention protocols, many reported problems with recruitment and attrition. Most studies reported that the intervention improved caregiver outcomes, yet the majority of them failed to report effect sizes. There are currently a plethora of successful interventions available for cancer patient caregivers which can be included to the nursing care plan. Psychoeducational online interventions which include a social support component may have the best potential in supporting caregivers. It is important to address specific caregiver needs at different cancer stages rather than general needs of caregivers in future interventions. This review suggests that despite a large number of different interventions which can be included in the nursing care plan to improve the support offered to caregivers, some issues should be addressed while designing an intervention study. The emphasis should be placed on reporting effect sizes, focusing on specific caregiver needs and improving recruitment, retention strategies and sustainability of caregiver interventions.

Optimalisasi Penyusunan Panduan Asuhan Keperawatan di Unit Hemato Onkologi

This study aims to optimize the preparation of nursing care guidelines in the Hemato Oncology unit of RS X Bogor City. The method used in this research is a pilot project. The results showed that the majority of the ages were in the age range of 21-30 years, 85%, with the majority being female, as much as 80%. The competency level of nurses for pre-PK has the highest percentage at 40%. The length of work of nurses in the hemato-oncology unit is 2-5 years, as much as 60%. Respondents are implementing nurses as much as 95% and D3 education as much as 75%. The training qualification for implementing nurses that must be followed is BTCLS (Basic Trauma Cardiac Life Support) training. All nurses in the unit have attended as many as 95.24%. This research resulted in formulating an innovative nursing care guide in the Hematology-Oncology Unit. The focus was compiled because the preparation of nursing care guidelines at Hospital X Bogor City was not optimal, especially for cases in the Hematology-Oncology Unit. In conclusion, the nursing care guide becomes a guideline that will be used in determining care for patients who will bridge the nursing profession in preparing nursing care plans, especially in cases of hemato-oncology.
 
 Keywords: Integrated Collaboration, Nursing Care Guide

Acceptance of electronic and paper-based standardized Nursing Care Plans Documentation System among nurses in a Tertiary Health Facility in North-Central Nigeria

Acceptance is important for successful adoption of new technology. This study assessed the level of acceptability of electronic and paper-based Standardized Nursing Care Plans templates among nurses in a tertiary health facility in North Central Nigeria. Adopting a comparative design, data were collected from 32 nurses working in two medical units of a tertiary health facility who had earlier been introduced to an electronic and Paper-based Standardized Nursing Care plan (SNCPs) templates. A structured questionnaire was used to collect data from the nurses. Data was computed using Statistical Package for Social Sciences (SPSS) version 20 and analyzed using frequency distribution, independent t-test, and Multiple Regression. The result showed that the electronic SNCPs were accepted by all nurses working in the electronic ward while only 2(12.5%) of nurses in the paper word did not accept the paper SNCPs. There was no significant difference in the level of nurses’ acceptability of SNCPs (t-value = 1.400, p = 0.172). Also, only nurses’ years of experience had a statistically significant relationship with acceptance. Providing adequate training would enhance nurses use SNCPs in either electronic or paper formats.

Experience of providing nursing care based on Watson's theory to a patient who experienced acute rejection following a kidney transplant

<p>本文描述一位血液透析個案接受腎移植後出現急性排斥之護理經驗，照護期間為2020年1月6日至2020年1月31日。筆者藉由會談、傾聽、觀察、身體評估、病歷查閱等技巧收集資料，確立有急性疼痛、潛在危險性感染、焦慮等健康問題。運用Watson關懷照護理論，與個案建立良好的護病關係，提供個別性護理。針對術後急性疼痛，提供疼痛緩解技巧，如：呼吸控制等，並合併藥物介入，達到疼痛控制；潛在危險性感染風險，著重加強傷口照護，及出院後預防感染居家護理，加上雙重血漿置換後導致白蛋白低於正常值，更運用跨團隊會診營養師，提供高蛋白等營養攝取資訊；當對未來出現不確定，及對不熟悉的治療產生焦慮不安時，除給予治療前詳細介紹外，更運用關懷、聆聽、信仰等，加強其心理與靈性支持，增加個案的自信和希望，使其能以正向態度開始新生活。期望藉由此經驗分享在照護類似個案時，能提供更適切的護理照顧，作為日後臨床照護之參考。</p> <p> </p><p>This study describes the experience of providing nursing care to a hemodialysis patient who experienced acute rejection following a kidney transplant. The period of care lasted from January 6, 2020 to January 21, 2020. Data was collected through conversations, listening sessions, observations, physical assessments, and medical record reviews. The patient was found to be suffering from health problems such as acute pain, a potential risk of infection, and anxiety. Watson’s theory of human caring was applied to establish a strong nurse-patient relationship and to provide personalized nursing care. The patient’s acute postoperative pain was managed and controlled by means of pain alleviation methods such as respiratory control and medication treatment-based interventions. The patient’s potential risk of infection was managed by focusing on the implementation of wound care as well as infection prevention measures at the patient’s home after discharge. Furthermore, since the patient’s albumin level was lower than normal following a double filtration plasmapheresis, a multidisciplinary team was formed, and the patient consulted with a dietician who provided nutritional recommendations such as having a high protein diet. When the patient expressed uncertainty about the future or felt anxious about unfamiliar treatments, the team not only thoroughly described the treatments beforehand, but also enhanced the mental and spiritual support that they provided by expressing concern about, listening to, and placing faith in the patient, with the purpose of boosting the patient’s self-confidence and sense of hope. As a result the patient was able to begin a new life with a positive attitude. This experience is expected to serve as a reference for providing more appropriate nursing care plans for similar patients in clinical settings in the future.</p> <p> </p>

A Study to Assess the Level of Satisfaction among IV Year BSc Nursing Students Related to Midwifery on Traditional Practical Examination Method and Objective Structured Clinical Examination Method (OSCE)

The objective structured clinical examination (OSCE) is a method in which students are assessed for clinical skills in a series of stimulated stations that may invove history collection, Physical assessment, laboratory investigation, treatment and hands on demonstration. On the other hand, Traditional practice methods (TPEM) such as oral viva, written assignment, MCQs and Nursing care plans are often used in the assessment of Nursing students. Objectives: • To assess the level of satisfaction of nursing students on OSCE. • To assess the level of satisfaction of nursing students on traditional practical examination method. Methods: A descriptive research study was conducted on a total of 27 nursing students to assess the level of satisfaction. The questionnaire is structured Likert scale. Results: The present study revealed that overall samples satisfied with OSCEwere67.7% whereas satisfaction percentage for TPEM was 46.0%. This concludes that samples under study were more satisfied with OSCE as method of examination whereas the satisfaction level of samples was less than 50% in case of traditional practical examination method. Keywords: Nursing students, Objectives structured clinical examination, Traditional examination methods (TPEM), Level of satisfaction

Providing a Nursing Care Plan as a Requirement for Secondary Prevention for People Living With HTLV-1.

IntroductionThe absence of nursing care plans aimed at people living with HTLV-1 (PLHTLV) led us to develop and test a proposed nursing care plan based on the evaluation of 55 PLHTLV to outline interventions according to the clinical stage.MethodsAfter interviews with symptomatic patients, nursing diagnoses were made using the NANDA International Nursing Diagnoses (The International Nursing Knowledge Association). Subsequently, interventions were selected through the Classification of Nursing Interventions (NIC), and expected results were selected through the Classification of Nursing Outcomes (NOC).ResultsThe actual diagnoses included (ii) chronic pain, (iii) impaired urinary elimination, and (iv) sexual dysfunction; the health promotion diagnosis was (i) risk-prone health behavior; and the risk diagnoses were (i) risk of feeling powerless and (ii) risk of falls in adults. Nursing care must prevent the lack of adherence to monitoring, establish goals and promote family involvement. A safe home environment requires intervention for fall prevention. Full support in understanding pharmacological and non-pharmacological therapies for chronic pain is needed. Interventions allow patients with impaired urinary function to be reintroduced to society. For sexual dysfunction, it is necessary to discuss safe sex and behavioral changes. Regarding risk behaviors, it is necessary to guide the patient/family, adapt language to the education level of these individuals, and help them better accept the condition, among other guidelines.ConclusionThe development of a nursing care plan for PLHTLV is essential for preventing the rapid progression of disease and the improvement of the quality of life of PLHTLV and should be included in the multidisciplinary approach to the secondary level of prevention of HTLV-1.

Effect of Individual Innovativeness and Digital Literacy in Adopting the Nursing Care Plan Mobile/Web Application Developed

The Covid-19 pandemic showed especially the importance of nursing students' education with digital literacy. The aim of this research work was to study the effect of individual innovativeness and digital literacy on the adoption of mobile/web application in nursing care plan developed for nursing students as a result of nursing care plan standardization process and expansion of its usage.

Factors Influencing Stress Perception among Hemodialysis Patients: A Systematic Review

Background: Stress is a common comorbid disorders among hemodialysis patients and diverse factors contributed for stress perception among hemodialysis patients. Although, many findings have been consistent across the literature, there has been a surprising lack of consensus in which factor is most influence the stress perception. Objectives: This systematic review aimed to provide executive review on factors contribute for stress perception among hemodialysis patients Methods: Systematic review was conducted in Cumulative Index to Nursing and Allied Health Literature (CINHAL), PubMed, EBESCOhost, Google scholar, Medline and Web of Science (WOS) databases. Rigorous search narrowed to 16 observational studies (Total N=3567) on factors determine for stress perception among hemodialysis patients. Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline were inco-operated. Selected 16 articles were used in the qualitative synthesis. Results: Stressors were clustered as Biological, Psychological/Behavioral, or Social/Environmental factors. Effect of socio-demographic factors on stress perception was scarce and inconsistent; whilst fatigue and itching were distressing biological factors. Limitations on time and place on vacation, limitation of food and fluid, decrease in social life with substantial economic burden were enlightened as psychological and social stressors respectively. Conclusion: Multidisciplinary factors were inspired for stress perception among hemodialysis patients. Nursing care plans should addressed holistic nature of stress with appropriate nursing interventions. Although this review adopted the strict selection criteria, it remains difficult to conclude determinants due to methodological drawbacks. Thus, future research in this scope is highly appreciated with prospective longitudinal nature to produce solid clinical conclusions.

Epidermolysis Bullosa: A case study in Cyprus and the nursing care plan.

To present a case study with Epidermolysis bullosa (EB) in Cyprus and to determine the nursing care plan, explaining the nursing interventions and showing the importance of nursing care of patients with EB. Literature review on EB and semi-structured interviews commenced through a direct discussion with open-ended questions to the research subject as well as to a close relative describing his feelings, experiences, and concerns about the disease. Thematic analysis approach was used to identify and analyze patterns in the data. Then, data were synthesized using the standardized nursing terminology of NANDA-I and the Nursing Interventions Classification. The accuracy of the diagnoses and the appropriateness of the nursing interventions were supported by the positive health outcomes of the patient. Nurses should apply evidence-based practice interventions for EB wound care, pain management, nutrition, psychological and social support to these patients. Although EB is classified in the category of rare diseases, the presentation of a case study in Cyprus and the nursing care plan contribute further bibliographically to the holistic and at the same time individualized nursing practice.

Nursing Care Plan for a Newborn with the Defect of Congenital Gastroschisis in the Postoperative Period Using ICNPTM and the Dedicated Software.

Background: Congenital defect gastroschisis manifests as a defect in the sheath in the intestine of the newborn, which is not covered by the hernia sac. In this case, the priority task of the neonatal nurse is to diagnose patient care problems quickly and accurately. Choosing the correct care plan elements has a significant impact on shortening the duration of hospitalization, reducing the number and severity of complications, and preventing their recurrence. The purpose of this study was to formulate a care plan for a newborn with diagnosed congenital defect gastroschisis in the postoperative period, using the International Classification for Nursing Practice (ICNPTM) within the nursing documentation and decision support system, the “ADPIECare Dorothea” software. Methods: After a review of the relevant literature and nursing documentation, a case study of a newborn with the congenital defect gastroschisis was described. A care plan was prepared using ICNP and the “ADPIECare” software. Results: It was possible to organize and standardize care plans to provide consistent and comprehensive professional nursing care. The system supporting nursing decisions suggested interventions personalized for the nursing diagnoses and to the patient needs. Conclusions: Our findings can help to optimize the nurse’s work organization to improve health care quality, outcomes, and effectiveness.

Nursing care provided to a patient diagnosed with schizophrenia, using the International Classification for Nursing Practice (ICNP®)

Abstract Introduction. Schizophrenia spectrum disorders are a major challenge for modern psychiatry. Epidemiological data indicate an increasing trend in the prevalence of such disorders, as well as other disorders from the schizophrenia spectrum. In a long-term perspective, this means that highly specialised (both nursing and medical) care, broadly understood community care, and innovative rehabilitation methods able to reduce cognitive and executive deficits will be necessary. Aim. The aim of this paper is to propose the use of the International Classification for Nursing Practice (ICNP®) in the process of diagnosing and planning care for patients with schizophrenia. Material and method. The paper is based on the individual case study method and for the analysis of the obtained data the following research techniques were used: interview, observation, measurement, documentation analysis. The research tools: Individual Nursing Care Card, Mental Health Assessment Card, SAD PERSONS Scale for Suicide Risk Assessment, Beck Depression Inventory (BDI), Global Assessment of Functioning (GAF), Hospital Anxiety and Depression Scale (HADS), and C-HOBIC Fatigue Assessment Scale. Results. The collected data allow the formulation of 15 diagnoses in accordance with ICNP®. For the three selected diagnoses, a nursing care plan was drawn up, which included, depending on the patient’s needs, nursing interventions. Conclusions. ICNP® as a classification of nursing diagnoses allows the drafting of nursing diagnoses related to the mental state of the subject of care; various interventions provide a large selection of them.

Family Nursing Care In Hypertension Disease With Nursing Problems Knowledge Deficit With Hypertension Health Education Actions

The purpose of this study was to determine Family Nursing Care for Hypertension with Knowledge Deficit Nursing Problems with Hypertension Health Education Actions. The research design is descriptive which aims to describe important events that occur in the present. The type of descriptive research design used is a case study research design. The case study subjects consisted of 2 (two) patients. The focus in the case study is to find out family nursing care in hypertension with the problem of lack of knowledge with health education actions about hypertension. The appropriate ones are: knowledge deficit related to the inability of the family to recognize sick family members. At the intervention stage, the author prepares a nursing care plan for Mr. S and Mr. A, which is to provide health education about hypertension. When this health education was given, respondents followed the directions given to make traditional treatment from star fruit to lower blood pressure. To determine the level of success of nursing actions that provide Health Education. Mrs. S got results before giving Health Education, Ny.S blood pressure was 145/80mmHg and after Health Education, blood pressure was 140/80mmHg. While Mrs. A got the results before explaining Health Education, Mr. A's blood pressure was 140/80mmHg and health education was carried out with the results of blood pressure 135/80mmHg

Designing and Development of a Nursing Care Plan Based on Johnson’s Behavioural Model in Patient with Carcinoma of Larynx: A Case study

Background: Behavioural model can be very easily applied in the clinical settings and nurses will be able to design and implement an appropriate nursing care planning using Johnson’s behaviour model in patients with carcinoma of larynx.
 Aim: The aim of this paper was to investigate the application clinical function of Johnson’s Behavioural model in a patient with carcinoma of Larynx in a clinical setting.
 Methodology: This is a case study, in which nursing process has been used in accordance with the Johnson’s Behavioural model applied in Mr.X who is affected with cancer of Larynx.
 Result: After implementing Johnson’s Behaviour model in nursing process, the researcher achieved the goal easily. This case study was a very successful on application of Johnson’s Behaviour model.
 Conclusion: Johnson’s behaviour model is related to a person’s environment and can be used in a clinical setting as a frame work for identifying the problems of a patient and helps in evaluating the quality of nursing care. The patient who has been studied in this paper reveals the application of Johnson’s Behaviour model in a clinical setting.

The Effectiveness of the Real-case Online-based Learning on Nursing Care Plan Self-efficacy

BACKGROUND: Online learning has become a new thing that is adapted and supports the learning process, including in nursing education during the COVID-19 pandemic. However, various studies report that there are limitations to conduct the online learning. AIM: The objective of the study was to identify the effectiveness of the real-case online-based learning in understanding the nursing care plan process and, self-efficacy from the students’ perspective. METHODS: Mix methods; explanatory sequential designs. One-hundred and fifty-seven respondents participated in the quantitative approach (64 students in the intervention group and, 93 students in the control group). Six students among the quantitative approach were participated in the qualitative approach. Mann-Whitney’s statistical approach was used for the quantitative approach, while Colaizzi’s method of data analysis was used for the qualitative approach. RESULTS: There was no significant difference between the control and treatment groups in the nursing care plan (p = 0.13) and student self-efficacy (p = 0.45). In addition, there were five themes identified by the students’ perspectives regarding the real case online learning, including; 1) opinions on learning, 2) the feelings experienced during the learning, 3) learning benefits, 4) learning barriers, and 5) expectations of learning. CONCLUSION: The real case online learning provides a different atmosphere including more interesting class, interactive interaction with the patients directly and providing positive experience for the students in the form of seeing the real cases online. The infrastructure/facilities (internet availability and stability) are important factors in the online learning process. The real case online learning is recommended as an alternative of learning that is more interesting and interactive involving the patients, students, and direct supervisors. Further research on the learning process of nursing care with a mixed system; limited offline and online cases with real, comprehensive, and interdisciplinary approaches are recommended.

Nurses' Experiences of Internet for Patients Cares: A Systematic Review of Qualitative Evidence

Introduction: Nurses play important roles in the Healthcare, responding to the care needs of patients with the ever-expanding Internet of Things Internet-based care programs. This is useful for patients to better self-care. The purpose of this systematic review is to explore nurses' experiences in using the Internet to care for patients.Material and Methods: This was a systematic review and qualitative evidence synthesis modeled on the Joanna Briggs Methodology. Pre-defined keywords were searched for in Google scholar, Medline, Pub med, CINAHL, and Internet of Science to locate studies published in the English language in no time limit until the end of 2019. Two reviewers independently screened articles for congruence with eligibility criteria, engaged in data extraction, and assessed quality of the included studies. Meta-aggregation was performed to synthesize the findings. A protocol was developed by two members of the review team prior to initiation of the study.Results: Six studies were included in the review, three qualitative researches, one grounded theory and two interpretive descriptive approaches. Three key themes were identified from the studies: Nurses and internet-based care plan; Patients and the internet-based care plan; challenge of the hospital in relation to the internet-based care plan.Conclusion: nurses provide care to patients during the process of illness. Internet-based nursing care plans have created to facilitate the treatment and care, and to helps patients in self-care. Nurses face many challenges and benefits in delivering internet-based care, yet they strive to do their best to provide better patient care using new technologies for patients.

Implementing the Condensed Memorial Symptom Assessment Scale on an Inpatient Oncology Unit.

Symptom distress places a burden on patients and their families, but it is often not captured in nursing documentation. Using a symptom management tool, such as the Condensed Memorial Symptom Assessment Scale (CMSAS), can assist in this capture and link patients to resources. The purpose of this quality improvement (QI) project was to implement the CMSAS and capture symptom burden to create a streamlined method of documentation. A QI pilot was conducted on an inpatient oncology unit implementing the CMSAS. Then, surveys were provided to the patients to complete at admission and discharge. The most distressing symptoms patients reported were added into the electronic health record nursing care plan that automatically uploaded interventions based on ONS Guidelines™. Patient (N = 73) symptom distress was quickly tracked, and there were no statistically significant changes in patient distress from admission to discharge, except for two symptoms.

YAŞLILARIN SAĞLIK VE SOSYAL DURUMLARI: ÇOK DEĞİŞKENLİ BİR ANALİZ

The rationale of the study is to determine the relationship between the health and social status of the elderly and the related factors. This study is cross-sectional. The data of the study were obtained from the n=1025 nursing care plan form of elderly who applied to the primary health care institutions in the city center of Yozgat in 2016-2017. The data were analyzed by Chi-Square test, binary, and multinominal logistic regression. Of the elderly who participated in the study, 47.8% were women, 72.3% were married, and 41.7% were in the 65-69 age group. 33.6% of the elderly are obese, 82.2% have a diagnosed health problem, the most common (53.5%) is hypertension, 80.3% use drugs, 40.4% use at least three drugs. They were stated that 39.3% of them fell after the age of 65. In the last 30 days, the elderly mostly experienced anxiety (22.9%), and anger was second (17.6%). It has been observed that the elderly mostly (74.5%) tend to worship in case of stress and distress, mostly (40.1%) go to neighbors in their spare time and 79.8% of them have good neighborly relations. The elderly who are women, not exercised, non-pursuit, and have high body mass index (BMI) are at higher risk of having at least two health problems. It has been determined that a great majority of the elderly have health problems, 2/5 of them took at least three drugs and fell after the age of 65. As a result, women, those who live sedentarily, and those with high BMI are at high risk for health.

Nursing planning in complex pediatric neurosurgery procedures in a reference surgery center

Surgical Centers are essential and extremely complex sectors in health institutions, where the teams that compose them must act together so that the main objectives are achieved: that is, the patients' surgeries happen in the best possible way, with the minimization of damages and welcoming patients and their families. The need for a multidisciplinary approach is intensified in surgeries with unique specificities, such as pediatric neurosurgeries, where problems are anticipated and interventions are performed before patients are harmed. The article is an experience report of the activities of the Nurse at the Surgical Center of a Large University Hospital in the interior of the state of São Paulo related to the planning and execution of pediatric neurosurgery procedures. The results include the description of direct and indirect care activities in nursing care planning, the nursing process, the main nursing diagnoses found in pediatric neurosurgery patients.

Development and evaluation of an electronic nursing documentation system

BackgroundNursing documentation is a critical aspect of the nursing care workflow. There is a varying degree in how detailed nursing reports are described in scientific literature and care practice, and no uniform structured documentation is provided. This study aimed to describe the process of designing and evaluating the content of an electronic clinical nursing documentation system (ECNDS) to provide consistent and unified reporting in this context.MethodsA four-step sequential methodological approach was utilized. The Minimum Data Set (MDS) development process consisted of two phases, as follows: First, a literature review was performed to attain an exhaustive overview of the relevant elements of nursing and map the available evidence underpinning the development of the MDS. Then, the data included from the literature review were analyzed using a two-round Delphi study with content validation by an expert panel. Afterward, the ECNDS was developed according to the finalized MDS, and eventually, its performance was evaluated by involving the end-users.ResultsThe proposed MDS was divided into administrative and clinical sections; including nursing assessment and the nursing diagnosis process. Then, a web-based system with modular and layered architecture was developed based on the derived MDS. Finally, to evaluate the developed system, a survey of 150 registered nurses (RNs) was conducted to identify the positive and negative impacts of the system.ConclusionsThe developed system is suitable for the documentation of patient care in nursing care plans within a legal, ethical, and professional framework. However, nurses need further training in documenting patient care according to the nursing process, and in using the standard reporting templates to increase patient safety and improve documentation.

Application and Evaluation of a Care Plan for Enhanced Recovery After Thyroidectomy.

Purpose: To develop and evaluate a nursing care plan based on the ERAS (Enhanced Recovery After Surgery) approach for thyroid surgery patients. Methods: A nursing care plan has been developed after the literature review and focus group discussion. The content was validated using the Delphi method. Then, a quasi-experimental study was designed. A total of 120 cases with thyroid surgery at Ruijin Hospital from March to June 2018 were divided equally into an ERAS group and a conventional group Results: The nursing care plan consisted of 13 first-level and 32 second-level indicators. (P < .001). Strikingly the outcomes, such as pain scores, length of hospital stay, and hospitalization costs, were significantly less in the ERAS group than those in the conventional group (P<.001), while no difference was detected in the postoperative complications rate. Conclusion: A scientific and reliable nursing care plan has been used for thyroidectomy patients to enhance recovery.