Nursing Care Program Research Articles

Internationalization at home program significantly increases the self-efficacy of nursing students: A pre-post study

BackgroundInternationalization at home strategies seek to achieve a more inclusive and equitable higher education. Evidence about the impact of these strategies on students' self-efficacy is still scarce, even though this psychological construct is essential for the performance and well-being of nursing students. The Global Nursing Care program was designed to provide nursing students with an internationalization at home experience, combining a virtual exchange and international clinical simulation. AimTo determine the impact of the Global Nursing Care program on nursing students' self-efficacy. DesignA quasi-experimental, analytic, and longitudinal study was conducted.Settings and participants: The virtual module was carried out online, and the international simulations were developed in the Simulation Centers of the San Juan de Dios School of Nursing and Physiotherapy (Universidad Pontificia Comillas, Spain) and the West Coast University (USA). Seventy students participated in the program and 57 completed the pre-post questionnaire. MethodsData were collected using an online survey that included a sociodemographic questionnaire and the General Self-efficacy Scale. IBM's SPSS (version 28.0.1.1) was used to analyze data. Differences between self-efficacy levels were measured before and after the program, and according to sociodemographic characteristics. ResultsGeneral self-efficacy was significantly augmented following program participation (pre-intervention: mean = 32.39, SD = 3.87; post-intervention: mean = 34.44, SD = 3.86; p < 0.001). No differences based on nationality, previous international academic experience or academic year were found. ConclusionsAn internationalization at home program based on virtual exchange and simulation improves nursing students' general self-efficacy. Future research can explore to what extent this effect persists over time.

Can postpartum depression be prevented with care provided to primiparae using Levine's Conservation Model?: A single-blind randomized controlled trial

The aim of the researchers of this study was to investigate the effectiveness of care given in line with Levine's conservation model in reducing the risk of postpartum depression. There were 56 participants in the experimental group and 56 participants in the control group. To reduce postpartum depression, a nursing care program was created by examining the theoretical structure of Levine's Conservation Model. Seven home visits were paid and a nursing care program was implemented. The first four home visits were paid once a week and the remaining three home visits were paid every 15 days. The women were given trainings on different subjects during each home visits. All the trainings were given in accordance with each conservation model. During the fourth home visit, the researcher who was a Pilates instructor taught the puerperae how to do Pilates exercises by demonstrating the exercises. It was determined that in the puerperae in the experimental group, sleep quality improved, that their postpartum fatigue decreased and energy increased, and that their risk of developing postpartum depression decreased. Holistic care given based on Levine's Conservation model improves symptoms of insomnia, fatigue and depression in postpartum women. Levine's Conservation model can be used in routine care to reduce physical, psychological and social problems experienced by women in the postpartum period.

THE OUTPATIENT CLINIC FOR PATIENTS WITH HEART FAILURE: A PROPOSAL FOR ADVANCED NURSING

Abstract In Italy, Heart Failure represents the leading cause of hospitalization in people over the age of sixty–five and is considered a public health problem of enormous importance, as it entails disabling consequences for the person, such as a significant reduction in the quality of life and the degree of self–sufficiency. Therefore, the person with heart failure requires adequate nursing care in each phase of transition from one care setting to another, as well as in the phase that goes from hospital discharge to the patient‘s return to the home. In the European Guidelines dedicated to Heart Failure it is not specified whether there is a nursing management assistance program dedicated to patients, and if present as it is declined in the various healthcare contexts. The aim of the thesis was to explore in the literature and in the national territory if there are advanced nursing care programs aimed at patients with heart failure and to develop the idea of ​​a nursing–managed clinic, where advanced nursing, which can be introduced into the integrated hospital–community care network for heart failure. For this purpose, a qualitative exploratory survey was developed, divided into two phases: a telephone exploratory survey which considered the cardiological clinics of all the Health Authorities of the Veneto Region and two other Italian Regions; a semi–structured interview addressed to a group of nurses who in the past managed a nursing clinic dedicated to patients with heart failure in a healthcare company in the Veneto Region. The results, especially from the literature review, showed a significant reduction in the risk of hospital readmission and in the mortality rate, an increase in the quality of life. However, differences emerged in the local context regarding the objectives, organization and activity of a Nursing Clinic dedicated to patients with heart failure. The challenge still remains open.

Nursing care in post cesarean section due to preeclampsia

Cesarean section is the surgical procedure that consists of the removal of the fetus in a rapid and timely manner that is given as a treatment to the patient with mild pre-eclampsia, to avoid complications such as maternal fetal morbidity and mortality, seizures, postpartum eclampsia, pulmonary edema, cerebrovascular accident, HELLP syndrome, among others. So a human care with quality and warmth was applied contemplating scientific knowledge. The objective is to administer a process of care intervention for a post-cesarean patient due to preeclampsia in the post-anesthetic recovery unit.The study is qualitative, unique clinical case type, which includes a 35-year-old patient, for which the Nursing Care Process was used in its five stages: assessment, diagnosis, planning. Execution and evaluation of the results was done according to the difference of the final and baseline scores respectively. 8 altered patterns were identified and three were prioritized: pattern VI: cognitive-perceptual, pattern VII: self-perception-self-concept, pattern I: perception-health management, critical analysis allowed the identification of 8 diagnoses; being prioritized: acute pain, anxiety and risk of infection, according to the SSPFR format (signs and symptoms, problem and related factor) the evaluation was made according to the difference in final and baseline scores corresponding to +2, +3, +2 .We conclude that according to the problems identified, the nursing care program was administered in its five stages, however, it should be noted that the success of the nursing treatment depends on the timely identification of the problems and adequate treatment.

Implementation difficulties and solutions for a smart-clothes assisted home nursing care program for older adults with dementia or recovering from hip fracture.

Wearable devices have the advantage of always being with individuals, enabling easy detection of their movements. Smart clothing can provide feedback to family caregivers of older adults with disabilities who require in-home care. This study describes the process of setting up a smart technology-assisted (STA) home-nursing care program, the difficulties encountered, and strategies applied to improve the program. The STA program utilized a smart-vest, designed specifically for older persons with dementia or recovering from hip-fracture surgery. The smart-vest facilitated nurses' and family caregivers' detection of a care receiver's movements via a remote-monitoring system. Movements included getting up at night, time spent in the bathroom, duration of daytime immobility, leaving the house, and daily activity. Twelve caregivers of older adults and their care receiver participated; care receivers included persons recovering from hip fracture (n = 5) and persons living with dementia (n = 7). Data about installation of the individual STA in-home systems, monitoring, and technical difficulties encountered were obtained from researchers' reports. Qualitative data about the caregivers' and care receivers' use of the system were obtained from homecare nurses' reports, which were explored with thematic analysis. Compiled reports from the research team identified three areas of difficulty with the system: incompatibility with the home environment, which caused extra hours of manpower and added to the cost of set-up and maintenance; interruptions in data transmissions, due to system malfunctions; and inaccuracies in data transmissions, due to sensors on the smart-vest. These difficulties contributed to frustration experienced by caregivers and care receivers. The difficulties encountered impeded implementation of the STA home nursing care. Each of these difficulties had their own unique problems and strategies to resolve them. Our findings can provide a reference for future implementation of similar smart-home systems, which could facilitate ease-of-use for family caregivers.

‘Nursing Care Pain Management Program’ for children with cancer: novel views by a qualitative study

Background &amp; objective: Pain management is always a practical challenging issue in pediatric oncology. Nurses should be fortified with essential knowledge, attitude, and skills according to required standard.&#x0D; This study aimed to develop a nursing care pain management program in children with cancer.&#x0D; Methodology: This qualitative study will be conducted through two phases of interviewing and modified Delphi to develop a pain management nursing care program in children with cancer.&#x0D; Results: Three main categories (nursing, pediatrics’ parents, and health care organizations related factors) were achieved in qualitative phase as the base of initial pain management nursing care needs and Delphi technique revealed the contents in 13 pain management items.&#x0D; Conclusion: The development of a pain management nursing care program provides professional educational opportunities for optimal pain management in children with cancer.&#x0D; Key words: Children; Cancer; Nursing Care; Pain; Pain Management Program; Qualitative Study&#x0D; Citation: Naseri N, Irajpour A, Shamsi A. ‘Nursing Care Pain Management Program’ for children with cancer: novel views by a qualitative study. Anaesth. pain intensive care 2024;28(1):10−19; DOI: 10.35975/apic.v28i1.2375&#x0D; Received: July 03, 2022; Reviewed: February 10, 2023; Accepted: April 04, 2023

Follow-up of Symptoms of Patients with Type 1 Bipolar Disorder After Home Nursing Care: A Randomized Controlled Trial

Background: Due to the recurrent nature of type 1 bipolar disorder, evaluating the disease symptoms and a long-term follow-up of the disease after discharge is very important. Objectives: This study evaluated the six-month follow-up of the symptoms of patients with type 1 bipolar disorder after the implementation of the home nursing care program. Methods: This study is part of a clinical trial designed and conducted in two phases. In the first phase, an intervention was conducted to assess the effect of home nursing care on the severity of symptoms of type 1 bipolar patients, and in the second phase, the patients were followed up over 6 months. Data were collected using a demographic questionnaire and young scale and were analyzed by SPSS 24 software with repeated-measures analysis of variance, Mann-Whitney U, and Fisher’s tests at the significance level of &lt; 0.05. Results: The severity of symptoms was significantly decreased in the experimental group after the intervention. Until the second month of follow-up, almost the same severity scores were reported, but from the third month, an increase was observed in the severity of symptoms (P &lt; 0.001). Conclusions: A continuous care program for a specific period can maintain the effect of the intervention on reducing the severity of symptoms in type 1 bipolar patients. A home nursing care program is effective in reducing the severity of symptoms until four months after the intervention. This care program should be repeated every four months to maintain the effectiveness of the intervention and reduce the severity of the symptoms of the disease.

The Effect of Home-Based Education on the Occurrence of Urinary Tract Infections in Patients with Traumatic Brain Injury Discharged from the Hospital

Background: Urinary tract infections (UTIs) are common in patients with traumatic brain injury (TBI) due to their inability to take care of themselves. Thus, families have a main role in caring for these patients. Objectives: This study sought to examine the effects of home-based education on the incidence of UTIs and bedsores in patients with TBI discharged from the hospital. Methods: This quasi-experimental study was conducted on 50 patients with TBI admitted to Khatam Al-Anbia Hospital in Zahedan in 2022 and their caregivers. The participants were selected through convenience sampling among those meeting our inclusion criteria and randomly divided into the intervention and control groups. Caregivers in the intervention group received face-to-face home-based training on the second and fifth days after discharge (i.e., two 45-minute sessions). The participants in the intervention group also received educational pamphlets and videos in the patient’s living environment. The participants in the control group received routine care. After four weeks, urine samples from the patients in the two groups were cultured, and the growth of organisms and the number of colonies were determined. If the number of colonies was 105 per mL or more, the test was considered positive, confirming the presence of UTI. The data were analyzed by SPSS 21 software using appropriate statistical tests at a significance level of less than 0.05 (P &lt; 0.05). Results: The results showed that 28% and 64% of the patients in the intervention and control groups were positive for UTIs, respectively. The result of the Chi-square test indicated a statistically significant difference between the two groups in terms of the incidence of UTIs (P = 0.01). Conclusions: Home-based education for traumatic brain injury patients and their caregivers can be effective in reducing the incidence of UTIs after discharge from the hospital and should be incorporated into nursing care programs at the time of the patient’s discharge.

Impact of Nursing Interventions on Hospital Readmissions in Patients With Pulmonary Tuberculosis: A Quasi-Experimental Study

Our study aimed to evaluate the effectiveness of the nursing care program on the incidence and rate of 28-day hospital readmissions among pulmonary TB patients. We conducted a quasi-experimental study using a historical control group. Patients diagnosed with pulmonary TB who received nursing interventions between 28th January 2021 and 31st May 2021 were categorized as an intervention group, whereas historical controls (usual care) were selected from 1st January 2020 to 31st December 2020. The primary outcomes were the incidence and rates of hospital readmissions within 28 days due to TB-related complications. The secondary outcome was the change in knowledge and self-care behavior scores at discharge and 28 days post-discharge. Cox models were used to assess the intervention's impact on the incidence of hospital readmission. Rates of readmission were compared by the Poisson model. Both Cox and Poisson models were adjusted for age, sex, sputum smears at diagnosis, serum albumin level, and diabetes mellitus at baseline. Among 104 pulmonary TB patients included in the analysis (68 were in a historical control group and 36 were in an intervention group), 20 patients were readmitted due to TB-related complications. We found that our nursing care program resulted in a significant reduction in the incidence (adjusted hazard ratio was 0.16 [95% CI 0.03-0.87]) and the rate of hospital readmissions (adjusted incidence rate ratio was 0.22 [95% CI 0.06-0.85]). Furthermore, nursing interventions significantly improved knowledge and self-care behavior scores with significant score retention at 28 days post-discharge. The nursing care program can significantly decrease the incidence and rate of 28-day hospital readmission and improve knowledge and self-care behavior scores in pulmonary TB patients.

Prenatal and Postpartum Care Experiences During COVID-19 Pandemic Among Mothers in Denpasar

Pregnant women generally report hesitation and reluctance in visiting health care providers to acquire prenatal care due to fear of SAR-Cov2 infection. The habit and culture of prenatal care among pregnant women influence the final pregnancy outcome. This study aimed to explore experiences of pregnancy, postpartum, and newborn care among the mothers, and also to provide basics in developing nursing care programs for pregnant women, postpartum care, and newborn care, responding to the new normal era adequately. This was a qualitative study with a phenomenology design. In-depth interview sessions involving 12 participants with a history of pregnancy and childbirth from March 2020 to March 2021 were conducted in Denpasar City. Collaizi model enrolled for the data analysis. Three themes surfaced during the data analysis: mothers’ feelings toward their pregnancy experience during the pandemic, health care services expected from the health professionals, and social supports during the pregnancy and postpartum period. These findings may present contributions to the organization of health information and maternity care service: pregnancy, postpartum, and newborn care, with more convenient access and delivered during the visitation of the health care providers.

Impact of a smart‐clothes home nursing program in Taiwan during heightened COVID‐19 restrictions

AbstractBackgroundThe COVID‐19 pandemic has required restrictions of daily activities, which has been found to impact the lives of persons with dementia and their family caregivers, who have multiple care demands. The lack of relevant studies in Taiwan emphasized the need to explore the experiences of family caregivers of older persons with dementia faced with the intensified restrictions to control COVID‐19, and the impact of the availability of a smart‐clothes home nursing program.MethodThis qualitative study used semi‐structured interviews with family caregivers of older persons with dementia. Participants were recruited from dementia clinics of a medical center in northern Taiwan from a subset sample of a larger study on smart clothes assisted home nursing care. A total of 12 family caregivers who participated in the original study were interviewed during the follow‐up period; seven were caregivers of a person with dementia wearing a smart vest, which transmitted information to a home care nurse. Interviews were conducted by telephone because the conditions of the pandemic prevented face‐to‐face interviews. Recorded interviews were transcribed and analyzed using content analysis.ResultInterview data showed family caregivers’ felt the care recipient’s health was compromised and functional conditions intensified as Covid‐19‐related pandemic restrictions increased. Specific concerns included a lack social interactions, decreased daily activity levels, loss of interest and lack of motivation for activities, increased mood and behavioral problems, a decline in physical function and an increase in health problems. Family caregivers were also impacted by these restrictions, with significant increases in severity of caregiver role strain, including feeling trapped, a lack of in‐home support, profound powerlessness, and worries about the person with dementia contracting the coronavirus. The smart‐clothes assisted home nursing care program offered supplementary support to family caregivers by providing on‐time interactions, helping them manage health problems, enhancing predictability of the care recipient’s behaviors, and providing caregivers with emotional support.ConclusionThe findings of this study support alternative care such as implementation of technology‐assisted home health services to meet caregiver needs to facilitate family caregiving of persons with dementia during the necessary restrictions in activities during the COVID‐19 pandemic.

Development of pain management nursing care program for children with cancer

Development of pain management nursing care program for children with cancer

Experiences of family caregivers of persons living with dementia with and without a smart- clothes assisted home nursing program during the heightened COVID-19 alert

BackgroundThe COVID-19 pandemic has required restrictions of daily activities, which has been found to impact the lives of persons living with dementia (PLWDs) and their family caregivers, who have multiple care demands. The lack of relevant studies in Taiwan emphasized the need to explore the experiences of family caregivers of older PLWDs faced with the intensified restrictions to control the spread of COVID-19, and the impact of the availability of a smart-clothes home nursing program.MethodsThis qualitative study used semi-structured interviews with family caregivers of older PLWDs. Participants were recruited from dementia clinics of a medical center in northern Taiwan from a subset of a sample from a larger study on smart-clothes assisted home nursing care. A total of 12 family caregivers who participated in the original study were interviewed during the follow-up period; seven family caregivers of a PLWD wearing a smart-vest, which transmitted information to a home care nurse; five caregivers of a PLWD not wearing a smart-vest. Interviews were conducted by telephone because the conditions of the pandemic prevented face-to-face interviews. Recorded interviews were transcribed and analyzed using content analysis.ResultsInterview data showed family caregivers’ felt the care recipient’s health was compromised and functional conditions intensified as Covid-19-related pandemic restrictions increased. Specific concerns included a lack social interactions, decreased daily activity levels, loss of interest and lack of motivation for activities, increased mood and behavioral problems, a decline in physical function and an increase in health problems. Family caregivers were also impacted by these restrictions, with significant increases in severity of caregiver role strain, including feeling trapped, a lack of in-home support, profound powerlessness, and worries about the PLWD contracting the coronavirus. The smart-clothes assisted home nursing care program offered supplementary support to family caregivers by providing on-time interactions, helping them manage health problems, enhancing predictability of the care recipient’s behaviors, and providing caregivers with emotional support.ConclusionsThe findings of this study support alternative care such as implementation of technology-assisted home health services to meet caregiver needs to facilitate family caregiving of PLWDs during the necessary restrictions in activities implemented during the COVID-19 pandemic.Trial registrationClinicalTrials.gov Protocol Record NCT05063045.

Morbidity and Mortality After Second Hip Fracture With and Without Nursing Care Program.

BackgroundHip fractures are an increasingly common injury among older people who usually experience significantly worse mobility, independence in function, health, quality of life, and high rates of institutionalization. Studies have shown that only 40-60% of participants recover their pre-fracture level of mobility and ability to perform instrumental activities of daily living, while for those who are independent in self-care prior to the fracture, 20-60% still require assistance for various tasks one or two years after the fracture. As the cumulative incidence of a second hip fracture has been estimated to reach 8.4%, prevention of the second hip fracture is a major concern of the health system and the society focused mainly on lifestyle modifications, osteoporotic treatment, and fall-prevention strategies. The aim of the present study was to compare morbidity/mortality, functional results, and type of recovery between the first and second hip fractures in elderly patients.MethodsPatients with a contralateral hip fracture were prospectively recruited during a three-year period (2016-2019). Level of independence, gait aids, type of rehabilitation, American Society of Anesthesiologists (ASA) physical status, Harris Hip Score (HHS), and Western Ontario and McMaster Universities Arthritis Index (WOMAC) scale were evaluated at admission for the second fracture and at the last reexamination.ResultsTwenty-seven out of 33 patients, aged 87.93±6.6, underwent surgery for contralateral hip fracture and followed up for 42.52±16.46 months; the mean interval between the two fractures was 39.63 months. The HHS averaged 86.19±12.18 and 59.01±32.83 and the WOMAC 86.37±12.09 and 68.22±26.18 before and after the second fracture, respectively. The mortality rate was 37.03%, 14.8±12.93 months after the second operation, with a significant relationship between the mortality time and the interval between fractures (p=0.028). Twelve and 14 of the patients received geriatric nursing care after the first and second fracture, respectively, without significant improvement in their functional results compared to home care. Mobility of nursing care patients after the second fracture was significantly improved (p=0.019).ConclusionsMortality is higher in the second year after the second hip fracture and strongly correlated with the time interval between fractures. A higher possibility to return in previous mobility status occurs after geriatric nursing care.

Effect of Anger Management Education on Aggression in Bipolar Disorder Hospitalized Patients: A Pilot Study

Background: Aggression is one of the symptoms of bipolar disorder. This expression can be associated with negative personal and social effects. Objective: This study aimed to determine the effect of anger management education on aggression in bipolar disorder. Method: This semi-experimental study with a repeated measures design was conducted in Hamadan, Iran, 2018. Fifty-two bipolar type-1 disorder patients were randomly selected from the Psychiatric Ward of Farshian Hospital through the convenience sampling method. The anger management education intervention included four sessions. Also, the State-Trait Anger Expression Inventory-2 (STAXI-2) was completed by the subjects before, immediately, and two weeks after the educational intervention. Data analysis was performed in SPSS16, using Mauchly’s sphericity test and the least significant difference. Results: The mean aggression score was 61.38±11.59 before the intervention, which reduced to 27.18±8.61 and 18.86±6.45 immediately and two weeks after the intervention, respectively. The repeated measures test showed that the decreasing trend of scores was statistically significant (P&lt;0.001). Moreover, pairwise comparison of study stages demonstrated a significant difference between the first and second stages (P&lt;0.001) and the second and third stages (P&lt;0.001). Conclusion: Anger management education reduced the level of aggression in bipolar type-1 disorder. Therefore, it can be incorporated into nursing care programs. Clinical Trial Registration number: The study is registered in Iranian Registry of Clinical Trials (IRCT2017052133378N2).

Nursing students' attitudes about their profession

Introduction: Positive attitudes toward the nursing profession among nursing students improve the sustainability of the profession. Studying the attitudes of nursing students toward nursing is of great importance, as it can indicate their remaining in the profession. This study aimed to determine the attitudes of nursing students toward the nursing profession.Methods: This was a cross-sectional, descriptive, analytical study. The research was conducted at the Faculty of Health Studies at the University of Sarajevo from May to June 2019. The study involved a convenience sample of 107 currently enrolled Bachelor of Nursing students from the 1st to the 4th (and final) year of full-time study and part-time students in the Baccalaureate of Nursing Care program at the University of Sarajevo. The students voluntarily and anonymously completed a questionnaire consisting of demographic information and the Nursing Image Questionnaire.Results: Overall, 107 students participated in the research. Their mean age was 23 years old (standard deviation, 5 years). Spearman’s correlation factor shows a statistically significant correlation between the scores and the mode of studying (full-time or part-time) (rho = −0.200*, p = 0.039) and whether respondents working in the profession or not (rho = 0.249*, p = 0.010).Conclusion: The attitudes of future Bachelor of Nursing toward the nursing profession were very positive. Full-time students had more positive attitudes toward the profession, compared with part-time students, although the difference was not statistically significant.

Smile Train: A Sustainable Approach to Global Cleft Care

Smile Train, the largest global cleft nonprofit organization, employs a model of establishing partnerships with treatment centers and medical professionals in low- and middle-income countries (LMICs). Having a presence in over 90 countries throughout its history, the organization provides support for cleft lip and palate repair as well as comprehensive cleft care (CCC) for patients with clefts. With the goal of reducing disparities in access to quality surgical, anesthesia, and medical care, Smile Train strengthens partners with training, education, equipment, and patient support grants. Furthermore, safety and quality protocols have been put in place as guidelines for each partner center, and partnerships with other nongovernmental agencies were created to increase safety in the operating rooms. The founder of Smile Train desired to apply technology wherever possible to build sustainability within the treatment centers and surgeons supporting their own community. Smile Train's model, aimed at increased sustainability, is supplemented by technological advancements to assist in the safety and quality of cleft care services provided in LMIC treatment centers. Examples include centralized online data record keeping for every patient, virtual simulations and training, and mobile applications to enhance care. Recently, Smile Train's focus is expanding CCC with nutrition, oral health, speech, and nursing care programs to improve functional and psychosocial outcomes for patients following their procedure. Despite the challenges imposed by the COVID-19 pandemic, Smile Train continues to provide safe, efficacious, and CCC alongside their partners in LMICs further investing tremendous efforts towards the livelihood of children with clefts globally.

Effect of care programme based on Comfort Theory on reducing parental anxiety in the paediatric day surgery: Randomised controlled trial.

The aim of the study was to determine the effect of a care programme based on the Comfort Theory on reducing parental anxiety forming during the perioperative process of paediatric day surgery. According to the Comfort Theory, nurses provide comfort and take precautions related to comfort, and they provide care and assistance by encouraging individuals/families/society and supporting coping methods. This study is the first randomised controlled study to test the effect of a nursing care programme based on the Comfort Theory for paediatric day surgery. Randomised controlled trial. The research was completed from June-September 2019 with participation of parents whose children were undergoing paediatric day surgery at a hospital in the Mediterranean region of Turkey. A total of 120 participants were randomly assigned to two equal groups. The intervention group received care programme based on Comfort Theory. The control group received nursing care routinely provided in the clinic. Data were collected using the State-Trait Anxiety Inventory. Measures were obtained at six points, at baseline, at four interval observations after the initial point and during follow-up on the 10th postoperative day. The repeated measures ANOVA test and t-test for independent samples were used to compare the anxiety levels between the intervention and control groups. There was a statistically significant difference in favour of the group receiving the care programme based on the Comfort Theory when the anxiety levels between the intervention and control groups were compared. The care programme based on the Comfort Theory was effective in reducing parental anxiety forming in the perioperative process of paediatric day surgery. The results of this study show the applicability of the care programme for paediatric day surgery. It is recommended that this programme be introduced to nurses in paediatric day surgery.

Impacts of tailored, rehabilitation nursing care on functional ability and quality of life in hospitalized elderly patients after rib fractures

Objectives: We aimed to analyze the effects of a tailored rehabilitation nursing care program on functional ability and quality of life in patients with conservative treatment for rib fractures. Design: Randomized controlled trial. Setting: Inpatient rehabilitation hospital. Subjects: Rib fracture patients treated conservatively were randomized into two groups (experimental and control group). Interventions: Patients in control group received Treatment as Usual (TAU) and patients included in experimental group received TAU and an added tailored rehabilitation nursing care program (RNT). Main measures: At baseline, and end of hospitalization treatment, the functional ability was assessed with the Barthel Index, and the quality of life was evaluated with the EuroQol-5D. Additionally, the outcomes were assessed at six-month follow-up. Results: A total of 80 patients were included in the study, whose mean age was 77.19 SD 7.71 in the RNT group and 75.55 SD 9.46 in the TAU group. Our data showed a significant difference in the post-treatment gains in overall quality of life (74.25 SD 20.62 vs 60.28 SD 20.54), and functional ability (71.79 SD 23.85 vs 69.41 SD 24.30) between the RNT group and the TAU group (P < 0.05). Compared to the TAU group, the RNT group also showed a significant improvement in functional ability and quality of life at six-month follow-up. Conclusions: A tailored rehabilitation nursing care program added to the conservative treatment during hospitalization can improve the functional ability and quality of life of patients after rib fractures at discharge and at six-month follow-up. Trial registration: ClinicalTrial.gov Identifier: NCT04168996

A research synthesis of quasi and experimental studies about palliative care nursing in Thailand

Objectives The objective of the study was to synthesize existing quantitative evidence on palliative care intervention among patients with various types of illness in Thailand. Methods A synthesis of quasi and experimental studies published between 2010-2020 was conducted. The sample included theses and research articles that focused on nursing therapeutic therapeutic nursing. programs and which utilized a quasi or experimental study design. The main research instrument was a coding sheet developed by the researchers to record characteristics of the studies that met the inclusion criteria. Data were analyzed by frequency and percentage Results The study found seven studies that were included in literature reviews. Of the seven studies, one was classified as level 2.B and other six were classified as level 2.C. The outcomes of these existing nursing therapeutic programs specific focuses of the therapeutic nursing studies were quality of life (2 studies, 28.5%), symptom management in patients with advanced cancer (1 study, 14.3%), measurement of palliative care behavior (1 study, 14.3%), measurement of self-adaptation (1 study, 14.3%), measurement of quality of nursing care (1 study, 14.3%), and perceived symptom distress and quality of care (1 study, 14.3%). There were four types of interventions for caring patients and families during periods of palliative care: structured information programs, concrete nursing care programs, teaching and counseling programs, and family participation programs. Conclusion The findings of this study could be utilized as empirical evidence in developing clinical practice guidelines for patients in need of palliative care related to the patients’ health problems, symptoms, and needs.