Reports Of Nursing Care Research Articles

Visualizing Nursing Narratives: An Evaluation of Latent Dirichlet Allocation Topic Modeling for Care Reports.

The increasing volume of unstructured textual data in healthcare, particularly in nursing care reports, presents both challenges and opportunities for enhancing patient care and operational efficiency. This study explores the application of Latent Dirichlet Allocation (LDA) topic modeling to analyze free-text nursing narratives from inpatient stays in three different clinics, aiming to uncover the latent thematic structures within. Utilizing the R programming environment and the visualization tool LDAvis, we identified three main themes: "Patient Well-being," "Patient Mobility and Care Activities," and "Treatment and Pain Management," the latter combining two closely related but initially distinct topics due to their overlapping content. Our findings demonstrate the potential of LDA topic modeling in extracting meaningful insights from nursing narratives, which could inform patient care strategies and healthcare practices. However, the study also highlights significant challenges associated with the method, including the sensitivity to parameter settings, the lack of updates for key software packages, and concerns about reproducibility. These issues highlight the need for meticulous parameter validation and the exploration of alternative text analysis methodologies for future research. By addressing these methodological challenges and emphasizing the importance of comparative method analysis, this study contributes to the advancement of text analytics in healthcare. It opens avenues for further research aimed at developing more robust, efficient, and accessible tools for analyzing free-text data, thereby enhancing the ability of healthcare professionals to use unstructured data to improve decision making and patient outcomes.

Manajemen Diet Rendah Kalium pada Pasien dengan Diangnosa Medis Chronic Kidney Disease (CKD) E. C Hiieperkalemia di Ruangan Matahari RSUD dr. TC. HILERS Maumere

Chronic Kidney Disease (CKD) with et causa Hyperkalemia is one of the highest causes of death in Indonesia as well as in Sikka district. Based on data obtained in 2022, there were 300 cases of the largest CKD in 25 sub-districts, based on data in the Matahari room there were 22 cases recorded. The aim of this research is to enable prospective nurses to apply professional practices and manage a low potassium diet in hyperkalemia patients to reduce potassium levels in the Matahari Room at RSUD dr. T.C. HILERS Maumere. This research is a case study research using the case study method which begins with identifying previous nursing care reports or via the internet The results of the study showed that there was a decrease in potassium levels in the participants as evidenced by the results of potassium examinations from 6.5 mmol/L down to 5.0 mmol/L. From the research results it can be concluded that low potassium diet management is very influential in helping to reduce potassium levels in the blood. Suggestions for relevant agencies are that low-chlorium diet management can be used as a nursing care option for patients with Chronic Kidney Disease. It is hoped that by knowing the effect of a low potassium diet on hyperkalemia sufferers, it is hoped that this can be an input for improving the quality of services in further nursing care.

Clinical Burden of Inpatient Wound Care in Internal Medicine Units During the First Wave of COVID-19 Outbreak.

To explore the clinical burden and epidemiologic profile of hospitalized patients with wounds during the first wave of COVID-19. A retrospective and observational study was conducted to analyze the inpatient episodes of wound care in the University Hospital of Salamanca (Spain) during the initial COVID-19 crisis from March 1, 2020, to June 1, 2020. Data were collected from nursing care reports and clinical discharge reports. Included patients were 18 years or older, had a hospital length of stay of 1 day or longer, and were hospitalized in an internal medicine unit. Surgical and traumatic wounds and pediatric patients were excluded. A total of 116 patients and 216 wounds were included. The overall wound prevalence was 7.6%, and incidence was 3.5% in the internal medicine units. Pressure injuries (PIs) were the most common wound type, and patients with COVID-19 had significantly higher PI risk (odds ratio [OR], 2.0; 95% confidence interval [CI], 1.1-4.0; P = .042). Significant differences in PI staging were noted: 83.2% of wounds in patients with COVID-19 were stages I-II versus 67.8% in patients without COVID-19; the probability of stage III-IV PIs among patients without COVID-19 was doubled (OR, 2.3; 95% CI, 1.2-4.5; P = .009). The probability of acute wounds tripled in patients with COVID-19 (OR, 3.7; 95% CI, 2.1-6.6; P < .001). Patients with COVID-19 also had longer mean hospital stays and higher ICU admission rates. No case fatality rate differences were observed. In this context of clinical practice, protocolized assessment and implementation of preventive measures must be ensured among older adult populations, patients with associated comorbidities, and ICU patients.

Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale.

Introduction: Nursing activities score scales are valuable instruments for assessing the quality of nursing care provided in critically ill patients and easy to use in validating nurse staffing. The aim of this study was the assessment of nursing workload (NW) as a predictive factor of mortality by using the nursing activities score (NAS) scale. Materials and Methods: In this cross-sectional study of 91 days during 2019, convenience sampling was employed to recruit 82 registered nurses (RN) from three intensive care units (ICUs) of two public hospitals with 41 beds in total. Data were collected using the NAS scale, the researcher’s observation, the information given by the staff, and the nursing care reports. Descriptive and inductive statistics were used with significance level α = 0.05. The Statistical Package for Social Sciences (SPSS 25.0) was used for analyzing the data. Results: Females were the majority of the sample (84.1%), with a mean age of 38.9 (7.7) years, 87.8% had a nursing degree from a technological educational institute (T.E.I), the average working experience was 14 (8.1) years and the ICU experience was 12.9 (8.5) years. There were 3764 daily records of NAS with an average of 54.81 (2.34) and total NAS of 756.51 (150.27). The NW of the first day’s admission in the ICU was 65.15 (13.05), NW was 13.15 h/day and the NW of patients who died was 57.37 (4.06). The optimal nurse/patient ratio (NPR) was 1:1.82, while the existing NPR was 1:2.86. The mortality rate was 28.7%. Conclusion: Although the study results did not demonstrate a significant correlation between NW and mortality, the NW in ICU appeared to be relatively higher for patients who died than for those who survived. This result may serve as an indication for a positive correlation between these two variables. In addition, NW was found to be moderate, while one ICU nurse can take care of more than one patient.

A Systemic Functional Linguistics Analysis of Cohesion and Coherence in Written Nursing Care Reports

This study analyses 25 nursing care reports written by nursing students majoring in the International Class of Nursing Diploma at a higher education institution in Indonesia. The main research focus is to assess the cohesion and coherence of nursing care reports in relation to their grades. The Systemic Functional Linguistics framework, with a focus on the textual metafunction, serves as a tool for analyzing cohesion, Thematic structures and Thematic development of the texts. The analysis of text cohesion revealed that all texts predominantly used lexical cohesion and reference to build internal ties within the texts. Reiteration of the same lexical items throughout the texts and heavy use of personal pronouns indicated the exploitation of these systems. In terms of coherence via Thematic structure, it was found that textual Themes were predominantly used. All the texts relied heavily on unmarked Themes, with no evidence indicating a proportional use of marked and unmarked Themes. In terms of Thematic development, Theme reiteration was the main method of text development for all texts. However, a few instances of Zig-zag Thematic development were found in texts in the higher graded categories. None of the texts used multiple Rheme patterns as an alternative method of text development.

Planung und Steuerung der Pflegeversorgung auch für Migranten und Migrantinnen? – Eine Analyse der Pflege- und Gesundheitsberichterstattung in der ambulanten und stationären Altenpflege

Elderly migrants are a rapidly growing group in Germany. Well-grounded health and nursing care reports which deal with the situation of migrants are therefore necessary to secure an appropriate local and national planning of care for elderly migrants. Also quality control and development need substantiated data in order to ensure proper nursing care services for this segment of the population. This contribution explores whether and to what extent data sources provide information about access, quality and use of care services by migrants. The result: the major data sources for regional and national care planning and quality control render no specific information about migrants. This is problematic since several studies indicate severe deficits in nursing care services for this group.