Nursing Care Services Research Articles

Evaluation of Quality of Nursing Care Services Provided to Children under Five Years Based on Integrated Management of Child Health at Primary Health Care Centers in Baquba City

Objective(s): The study aims to evaluating the quality of nursing care provided to children under five years to compare between quality related to type of health sectors; to determine the quality of nursing care and to compare between such care in Baquba Health Care Sector I and II.
 Methodology: A descriptive study is carried out for the period from December 15th 2019 to May 1st 2020. A purposive "non- probability" sample, of (60) staff nurse and (60) children is selected. An adopted questionnaire has been selected for the study which consists of three parts. The first part is nurses’ socio-demographic characteristic; the second part is child’s socio-demographic characteristics; and the third part is the nursing care for neonates and children under 5 years. The content validity and the internal consistency reliability for the study instrument are determined through a pilot study. Data are collected through the use of structured interview. Data are analyzed using frequency, percent, mean of scores, mean, standard deviation, total scores and ranges and inferential statistical measures of t-test and one - way analysis of variance.
 Results: Results showed the study that the assessment module and the communication module is inadequate for the most, while, the role of staff nurses in treatment module is adequate in Baquba Health Sector I. But, in Baquba Health Care Sector II the assessment module is inadequate, and the role of staff nurses in treatment module is adequate and equally adequate and inadequate for the communication module.
 Recommendations: The study recommends that staff nurses need to be seriously involved in designed, planned and implemented training sessions on Integrated Management of Neonatal and Childhood Illness (IMNCI) program with emphasis on the assessment and communication modules. Monitoring and evaluation of the IMNCI program have to be done for the benefits of children in Baquba Health Care Sectors Keywords: Evaluation, Quality of Nursing Care, and Integrated Management of Child Health

Malnutrition Is Associated With Impaired Functional Status in Older People Receiving Home Care Nursing Service.

Objective: This study aimed to explore the magnitude and significance of associations among nutritional status, functional status, comorbidities, age, and gender in older adults receiving assistance from the in-home nursing care service.Method: In this cross-sectional study, 210 home-dwelling persons 65 years or older who received in-home nursing care service were evaluated. Demographic variables, nutritional status, comorbidities, and the dependency levels of activities of daily living were analyzed. To assess the correlation among the factors that influence nutritional status, a theoretical model was developed and adjusted using the path analysis model.Results: The primary finding is that functional status is directly associated with nutritional status (β = 0.32; p < 0.001) and severity of comorbidities is indirectly associated with nutritional status (β = −0.07; p < 0.017).Conclusion: The elicited outcomes in this study reinforce the concept that nutritional status is linked with functional status in older adults receiving in-home care nursing service.

General Inpatient Hospice Care #415.

General Inpatient Hospice Care #415.

Impact of the COVID-19 pandemic on access to healthcare services amongst patients with multiple sclerosis in the Lazio region, Italy.

Background and purposeMultiple sclerosis (MS) is a complex chronic, autoimmune inflammatory disease involving multidisciplinary assessments and interventions. Access to outpatient specialist and home healthcare services was explored during the pandemic outbreak and the lockdown amongst MS patients in the Lazio region. Adherence to disease‐modifying therapies (DMTs) is also described.MethodsA population‐based study was conducted using regional healthcare administrative databases. A validated algorithm was used to identify MS cases over the period 2011–2018. The numbers of specialist and home‐based services were compared between 2019 and 2020. The medication possession ratio was used to measure adherence to DMTs.ResultsA total of 9380 MS patients were identified (68% women). A decline in the number of outpatient care services between March and June 2020 compared to the previous year was observed, in particular for rehabilitation (−82%), magnetic resonance imaging (−56%) and neurological specialist services (−91%). Important year‐to‐year variations were observed in May and June 2020 in home‐based nursing and medical care (−91%) and motor re‐education services (−74%). Adherence to DMTs was higher in the first 4 months of 2019 compared to the same period of 2020 (67.1% vs. 57.0%).ConclusionsA notable disruption of rehabilitative therapy and home‐based services as well as in DMT adherence was observed. Since the pandemic is still ongoing and interruption of healthcare services could have a major impact on MS patients, it is necessary to monitor access of MS patients to healthcare resources in order to ensure adequate treatments, including rehabilitative therapies.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN ASUHAN KEPERAWATAN DI RS GRANDMED TAHUN 2020

Nursing care services certainly cannot be separated from the nursing process, starting from nursing assessments, nursing diagnoses, nursing interventions, nursing implementation, evaluation and documentation. There are several factors related to the implementation of nursing care at Rs GrandMed Lubuk Pakam in 2020. This study used an analytical survey research with a cross sectional study approach. The population in this study were all employees of 3 Depan. The sample in this study was used as many as 12 respondents according to the inclusion criteria. The results of this study indicate that, there is no relationship between nurse education and the implementation of nursing care (p = 1), there is no relationship between the work tenure of nurses and the implementation of nursing care (p = 0.293), there is a relationship between the workload of nurses and the implementation of nursing care (p = 0.293). p = 0.010), There is a relationship between incentives and the implementation of nursing care (p = 0.010), There is a relationship between work atmosphere and the implementation of nursing care (p = 0.045), There is a relationship between leadership style and the implementation of nursing care (p = 0.045). So it can be concluded that there is a relationship between workload, incentives, work atmosphere and leadership style on the implementation of nursing care.

EKSISTENSI PEMBELAJARAN KEPERAWATAN SPIRITUAL PADA MAHASISWA KEPERAWATAN SEBAGAI APLIKASI PROSES ASUHAN KEPERAWATAN SPIRITUAL

Background: Nurse profession is a profession obtained through higher education of professional nursing and is a profession that has the greatest opportunity to provide comprehensive nursing care services to patients, not only focused on the physical patient, but spiritual needs also take the most important place in helping the patient's healing process.&#x0D; Objective: The purpose of this study is to explore the experience of nursing students in learning spiritual care in the application of spiritual nursing care in the environment of nursing education.&#x0D; Methods: This qualitative research was carried out with a descriptive phenomenological approach through in-depth interviews using structured interview guidelines as a research instrument involving 10 nursing students who were undergoing the process of lecturing the selected extension program with a purposive sampling technique.&#x0D; Results: Data analysis was performed by data abstraction, filtering data, coding and arranging categories, sub themes and themes so that the interpretation of research data through the Collaizi method resulted in 2 main themes.&#x0D; Conclusion: The themes are the learning of spiritual care has not been maximally discussed, and the application of spiritual care nursing in clinical practice has not been well implemented.

Analysis on the Utilization of Home Nursing Care Service

Purpose: This study was analyzed the service utilization of subjects who participated in the home nursing care pilot project to improve the home nursing care service management system. Methods: The participants were 944 patients who received home nursing care services during the first and the second pilot project period. The study design was descriptive study to analyze the general characteristics, sickness characteristics, and records of the types of requests and use of home nursing care services. Results: There were many cases of home care nursing patients in the order of cesarean section, cerebral vascular disease, and cancer. The most common types of home care requests were suture removal and OP site dressing. The performance of home care was in the order of patient and caregiver education/training, dressing, removal of sutures, and breast massage. Conclusion: To activate the home nursing care service of medical institutions, it is necessary to supply more professional, efficient, and appropriate home nursing care services and establish a linkage system with other welfare services.

Mothers' Perception of Nursing Care of Hospitalized Children in Peadiatric Ward in a 3rd Level Facility in South-South Nigeria

Patient perception is an important indicator which gives an idea about the quality of nursing care services. Caregivers or family members who are responsible for the child's stay in the hospital can play significant role in expressing their perception of the care provided to their relatives.

'We must have a new VIPS meeting soon!' Barriers and facilitators for implementing the VIPS practice model in primary health care.

IntroductionPerson-centred care is a philosophy of care rather than a method ready for implementation and utilisation in daily work. Internationally, few methods for the implementation of person-centred care have been widely adopted in clinical and care practice. In Norway, the VIPS practice model is a commonly used model for person-centred care implementation.MethodQualitative manifest content analysis was used. Managers and leaders in the municipalities, care institutions and domestic nursing care services were eligible for inclusion if their workplace had implemented the VIPS practice model and conducted the consensus meeting regularly for a minimum of 12 months. Seventeen respondents were included. Individual interviews were conducted either via FaceTime, Skype or telephone.ResultsThree global categories emerged describing the implementation process: (1) factors that impact the decision made at municipal level to implement person-centred care; (2) requirements for a good start at unit level and (3) factors that help to support the new routines in the unit. The categories were entwined; the results of one affected the results of the others. The informants from both domestic nursing care and institutions described the same factors as important for the implementation of the VIPS practice model.ConclusionTo implement person-centred care by use of the VIPS practice model, the frontline staff need sufficient information about the rationale for implementing the model. The management’s vision and ethos of person-centred care must be followed by time set aside for staff training and regularly scheduled VIPS practice model consensus meetings. Head nurses are key to getting the new routines established and maintained and should be supported by the management.

Supportive Care Needs of Patients with Cervical Cancer in the Northeast of Thailand

In this study, a descriptive design was used to explain the supportive care needs of cervical cancer patients in the Northeast of Thailand. The purposive sample was recruited from inpatient and outpatient departments of a university hospital. A total of 144 patients with cervical cancer in stage I - IV or recurrent stage completed the Thai version of the Supportive Care Needs Survey-Short Form 34 (SCNSF-34 Thai version). Descriptive statistics were used to identify the domains and items of the greatest unmet need. Results showed that standardized five domain scores indicated that participant’s unmet needs were highest in the health system and information domain ( = 2.95, S.D. = 1.15), and lowest in the sexuality domain ( = 1.63, S.D. = 0.94). The five most frequently endorsed items of moderate to high unmet need were all from the health system and information domain as follows: receiving information about things can do to help in recovering from illness (74.3 %), receiving information from documents, charts, or paintings about illness management and side effects that may occur at home (66 %), receiving information about cancer which is under control or in remission (63.2 %), support from at least one health care staff that can discuss illness, treatment, and follow up (63.2 %), receiving written information about the essential aspects of care (59.7 %), and receiving written information about the importance of care (59.7 %). It was clear that a large proportion of cervical cancer patients in Thailand reported unmet supportive care needs. Therefore, nurses should design nursing care services that are consistent with the supportive care needs.

BSC フレームワークを用いた介護福祉経営におけるICT 活用効果の因果構造

BSC フレームワークを用いた介護福祉経営におけるICT 活用効果の因果構造

A study of calculation of healthy life expectancy for residents in Henan, 2018

Objective To calculate healthy life expectancy for residents in Henan province in 2018 and provide evidence for the evaluation of healthy status of the residents. Methods Using available data from the death information registration management system of Henan, the 6th national health service survey and the age-specific years lived with disability rate of Henan from Global Burden of Disease Study 2019, the healthy life expectancy (self-perceived healthy life expectancy and disability-free life expectancy) and health-adjusted life expectancy for residents in Henan in 2018 were calculated. Results In 2018, the healthy life expectancy based on self-perceived health status of 0-year old residents in Henan was 70.26 years, 68.80 years for men and 71.87 years for women. In the 0-year group, the disability-free life expectancy was 71.55 years, 69.94 years for men and 73.27 years for women. Healthy adjusted life expectancy was 68.47 years for the 0-year group, 67.32 years for men and 69.85 years for women. The ratio of healthy life expectancy to life expectancy decreased with age in both men and women (all P value Conclusion The healthy life expectancy of women was higher than that of men, but the quality of life of women was lower than that of men. In addition, health support and nursing care services for the elderly should be strengthened to improve the quality of life pf this population.

Long-term Dependency Outcomes in Older Adults Following Hepato-Pancreato-Biliary Surgery for Cancer: A Population-based Analysis.

To evaluate healthcare dependency following hepatopancreato-biliary cancer surgery in older adults (OA). Functional outcomes are central to decisionmaking by OA, but long-term risks of dependency have not been described beyond 1 year in this population. All patients over age 70 undergoing hepatectomy or pancreatec-tomy for cancer between 2007 and 2017 in Ontario were analyzed. Outcomes were 1) receipt of homecare and 2) time at home. Homecare was analyzed with cumulative incidence functions, and time at home with Kaplan-Meier and Cox multivariate models. A total of 902 and 1283 patients underwent hepatectomy and pancreatectomy, respectively. Homecare use was highest (72.3%) in postoperative month-1, decreasing to stabilize between year-1 (25.5%) and year-5 (18.3%). Repeated receipt of homecare was associated with female sex (HR 1.18, 95% CI 1.05-1.32), receipt of adjuvant therapy (HR 1.56, 1.37-1.78), and more recent year of surgery (HR 3.80, 3.05-4.72). The ratio of home nursing care versus personal support services reversed from 68%/26% in year-1, to 29/64% in year-5. High time at home (>350 days) at 1 and 5 years were 40.6% (95% CI 38.5%-42.6%) and 28.1% (25.9%-30.3%), respectively. The ratio of institution-days in acute care versus nursing homes went from 77%/14% in year-1 to 23%/70% in year-5. Low time at home was associated with duodenal (HR 1.45, 1.15-1.70) and pancreas cancer (HR 1.20, 1.02-1.42), and with rural residence (HR 1.24, 1.04-1.48). High time at home was associated with more recent year of surgery (HR 0.84, 0.76-0.93) and perioperative cancer therapy (HR 0.88, 0.78-0.99). Increasing age was neither associated with homecare receipt nor time at home. Following hepatopancreatobiliary cancer surgery, there is a high rate of long-term healthcare dependency for OA. There is an immediate high need for homecare that reaches a new baseline after 6 months, and the majority of OA will have at least 1 year with low time at home, most commonly the first year. These findings can aid in preoperative preparation and transitional care planning.

The effect of dual role conflicts on nurse performance at private general hospitals in Medan and Deli Serdang

Background: Hospital human resources and hospital organizations become one unit. This requires a female nurse to have a high commitment because she must be able to place her position as a woman employed and her responsibilities as a housewife. Career women who uphold the profession will be more likely to experience conflict. Purpose: To determine whether there is an effect of dual role conflict on performing nurses at the Medan City Private General Hospital and Deli Serdang. Method: This study uses a correlational design and cross-sectional. The sampling technique used total sampling. The population was married female nurses and had children who worked at the Medan Advent General Hospital and Sari Mutiara Lubuk Pakam General Hospital, the nurses at Intensive Care Unit, inpatient and outpatient wards of 94 respondents. Results: The finding was 67% has a dual role category and 74.5% nurse performance in a good category, and by chi-square statistical test showed that there was a significant effect between multiple roles on performance as a nurse as a housewife with p-value = 0.045 (p<0.05). Conclusion : Even though dual role conflict is happening in female nurses, that a nurse can still perform well even though she has a high dual role by remaining wise in managing time as effectively as possible so that she can still harmonize employed and housewife, and keep the nursing care services at the hospital provided remain optimal.

Early COVID-19 First-Dose Vaccination Coverage Among Residents and Staff Members of Skilled Nursing Facilities Participating in the Pharmacy Partnership for Long-Term Care Program - United States, December 2020-January 2021.

Residents and staff members of long-term care facilities (LTCFs), because they live and work in congregate settings, are at increased risk for infection with SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1,2). In particular, skilled nursing facilities (SNFs), LTCFs that provide skilled nursing care and rehabilitation services for persons with complex medical needs, have been documented settings of COVID-19 outbreaks (3). In addition, residents of LTCFs might be at increased risk for severe outcomes because of their advanced age or the presence of underlying chronic medical conditions (4). As a result, the Advisory Committee on Immunization Practices has recommended that residents and staff members of LTCFs be offered vaccination in the initial COVID-19 vaccine allocation phase (Phase 1a) in the United States (5). In December 2020, CDC launched the Pharmacy Partnership for Long-Term Care Program* to facilitate on-site vaccination of residents and staff members at enrolled LTCFs. To evaluate early receipt of vaccine during the first month of the program, the number of eligible residents and staff members in enrolled SNFs was estimated using resident census data from the National Healthcare Safety Network (NHSN†) and staffing data from the Centers for Medicare & Medicaid Services (CMS) Payroll-Based Journal.§ Among 11,460 SNFs with at least one vaccination clinic during the first month of the program (December 18, 2020-January 17, 2021), an estimated median of 77.8% of residents (interquartile range [IQR]=61.3%- 93.1%) and a median of 37.5% (IQR=23.2%- 56.8%) of staff members per facility received ≥1 dose of COVID-19 vaccine through the Pharmacy Partnership for Long-Term Care Program. The program achieved moderately high coverage among residents; however, continued development and implementation of focused communication and outreach strategies are needed to improve vaccination coverage among staff members in SNFs and other long-term care settings.

간호·간병통합서비스병동 간호사와 간호조무사의 생명의료윤리에 대한 의식

Purpose: The purpose of this study was to describe the perception of biomedical ethics in nurses and nurse’s aide of comprehensive nursing care service.Methods: The subjects were 287 registered nurses and 81 nurse’s aides who were working in comprehensive nursing care service. The data were collected from December 2 to 15, 2019 using a 4-point Likert scale questions. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test and Dunnett T3 test, using the SPSS/WIN 23 program.Results: The average score of perception of biomedical ethics in nurses were 2.95±0.25 and nurse’s aides were 3.08±0.25 points. The perception of biomedical ethics by general characteristics related to age and marital status(p=.001), education(p=.007), a total career length and a career length of comprehensive nursing care service(p<.001), job satisfaction(p=.004) of the nurse biomedical ethics score was high and statistically significant. However, the higher the age of nurse’s aide, the higher the score was statistically significant(p=.007). The perception of biomedical ethics by characteristics related to biomedical ethics was statistically higher among nurses saying that the values of biomedical ethics were very firm (p =.002), those who have experience of having issues biomedical ethics (p =.001), those who believed that rules and procedures for biomedical ethics in a hospital were well organized (p =.003), those who believed that biomedical ethics problems would become more complex and increase in the future (p =.017), and those who experienced ethical dilemmas (p =.019).Conclusion: In the future, biomedical ethics education should be provided for nursing service teams.

Does physical performance and muscle strength predict future personal and nursing care services in community-dwelling older adults aged 75+?

The objective of this study was to investigate if grip strength or the short physical performance battery could predict the rate of receiving two different types of home care services: (a) personal care and (b) home nursing care for community-dwelling older adults aged 75+ years. A secondary data analysis of a prospective cohort study including 323 community-dwelling older adults. Measures of grip strength and the short physical performance battery were incorporated in a nationally regulated preventive home visit programme. Referral to personal and home nursing care were obtained from an administrative database with an average follow-up of 4.1 years. The rate of receiving the individual home care services and the study measures were determined using multivariable Cox proportional hazards models controlling for a priori selected covariates (age, sex, living status, obesity, smoking and prior use of home care). The mean age was 81.7 years with 58.8% being women. The rate of receiving personal care differed between the short physical performance battery groups but not between the grip strength groups after adjusting for all covariates with hazard ratios (95% confidence intervals) of 1.90 (1.29-2.81) and 1.41 (0.95-2.08), respectively. The rate of receiving home nursing care differed between both the short physical performance battery and grip strength groups after adjusting for all covariates with hazard ratios of 2.03 (1.41-2.94) and 1.48 (1.01-2.16), respectively. The short physical performance battery was associated with the rate of receiving both personal care and home nursing care. The short physical performance battery can be used to predict home care needs of community-dwelling older adults aged 75+ years.

Patient’s Knowledge and Satisfaction Regarding Nursing services and Physical Infrastructure of a Tertiary Care Hospital Situated in Rural area of Northern India (Haryana)

Background: Nowadays health care quality is a universal concern. The health sector is changing rapidlydue to the escalating requirements and desires of patients. The most appropriate method to measure a client’sexperiences about available hospital services is a patient satisfaction survey. Present study aimed to assesspatient’s knowledge and satisfaction regarding nursing services and physical infrastructure. Methods: 330patients were selected by purposive sampling technique attending various indoor departments of the selectedhospital. Self-structured checklist and three-point rating scale each containing a total 90 sets of items usedto assess knowledge and satisfaction. The reliability coefficient for the knowledge tool was 0.87 by KR 20and satisfaction was found 0.85 by Cronbach’s Alpha. Result: Study results showed that more than half(59.7 %) patients had very good level of knowledge regarding availability of services. 72.4% & 69.7% ofpatients were satisfied with Nursing services and physical infrastructure facilities respectively. Item wisedistribution of level of satisfaction among patients regarding nursing services reveals that “nurses hearyou carefully(64.5%)”, “explain patient’s condition to the family (64.5%),” and “Adequate space in ward(75.5%)” was found ranked 1st with the highest satisfaction, whereas “provide psychological counseling”,“Toilet facility and cleanliness(32.1%)” was found ranked lowest. A significant low positive correlation foundbetween mean knowledge and satisfaction scores regarding nursing services and physical infrastructure asevident by computed ‘r’ value (0.38)Conclusion: Using these necessary responses from the patients, various shortcomings can be pointed outand notify to hospital administration for improvement of the nursing care services & physical infrastructure.

Exploring internet of healthcare things for establishing an integrated care link system in the healthcare industry

With the ageing population all over the world, long-term care services, such as nursing care, are essential to provide care and treatments to elderly patients in the community. During the nursing care services, elderly patients who live in the nursing homes require to be treated and consulted in a number of healthcare organisations, for example hospitals, mental health centres and rehabilitation centres. Currently, the data management for the elderly is relatively centralised to establish their own electronic medical records and protected health information without decision support functionalities. The community and healthcare industry are eager to develop a safe and comprehensive system to provide adequate healthcare services and monitoring to the elderly. In this study, an internet of healthcare things (IoHT)-based care link system (IoHT-CLS) is proposed, which provides a structured framework on integrating IoHT and artificial intelligence (AI) to generate a one-stop solution for managing elderly’s healthcare facilities. The elderly can be effectively linked into the integrated IoHT system by using various sensing and data collection technologies. The collected data are further processed by means of the adaptive neuro-fuzzy inference system and case-based reasoning to provide the functionalities of risk management and customised elderly service programmes for the elderly care institutions. Consequently, this study contributes to the healthcare management through the enhancement of service quality in the community.

Nurses' Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach

Nurses' Experience with Inpatients in Comprehensive Nursing Care Service: A Phenomenological Approach