Role Of Nursing Professionals Research Articles

Exploration of undergraduate nursing students' perspectives on conducting specialized nursing education during internship: A phenomenological research study

AimTo comprehend the perspectives of undergraduate nursing students on conducting specialized nursing education during the internship phase, providing a basis for colleges to formulate plans for specialized nursing education. BackgroundNursing specialty in China was included in the national controlled specialty in 2024, which means signifying an effort to decrease the enrollment of junior college degree nurses, thereby increasing the number of high-quality undergraduate nurses. While the higher the education level of nursing students, the higher their expectations for themselves. However, after entering clinical practice, their social status and job nature are significantly different from those of doctors, which creates a psychological imbalance. In addition, employers lack a reasonable employment mechanism and undergraduate nursing students are used equally with vocational and technical nursing students, making them feel that their self-worth is difficult to realize. Therefore, their professional attitude becomes more negative (Meng Wei, 2018). In the process of forming professional identity among undergraduate nursing students, the professional role models and clinical experience of specialized nurses can serve as important promoting factors. By increasing interaction with specialized nurses and learning specialized nursing, undergraduate nursing students can better understand the professional role and values of nurses and form positive professional ethics and attitudes (Huang et al., 2023). To better adapt to the national health needs and assist undergraduates in transitioning to clinical practice, deepening the understanding of the profession and career, the integration of professional education during the internship phase can enable students to recognize their strengths, cultivate an awareness of suitable professions and facilitate a targeted adaptation from academic studies to clinical practice. DesignThe researcher initially drafted the interview outline through a literature review and intra-group discussions. To ensure the research content's richness, a semi-structured interview method was adopted. The Colaizzi seven-step analysis method was applied in the analysis. MethodsEmploying phenomenological study and purposive sampling, with data saturation as the guiding principle, 24 undergraduate nursing students undergoing internship at a tertiary hospital in China were selected for focus group interviews. ResultsFour main themes were extracted from the perspectives of undergraduate nursing students. These themes encompass awareness of specialized nursing and specialized nurses, recognition of specialized nursing education during the internship phase, demands for specialized nursing education during the internship phase and career expectations. ConclusionNursing administrators in hospitals and educational managers in colleges should prioritize align education with clinical needs, address the requirements of nursing students, strengthen collaboration between institutions，and advance the further development of specialized nursing.

Factors Affecting Hospital Provision of Health-Promoting Services Transferred to Provincial Administration in Thailand.

Following the transfer of hospital services to provincial government oversight, it is essential to understand how such changes impact service quality and efficiency. This study, conducted from 1 March 2023 to 31 March 2024 at sub-district health-promoting hospitals in Thailand, aims to identify the factors affecting hospital service quality post-transfer and evaluate the role of professional nurses in maintaining service standards under new governance. Utilizing a mixed-methods design based on the Global Fund-HSS framework (2012), which categorizes factors into accessibility, processes, productivity, and outcomes, we collected data from 340 nurses and 400 patients through structured questionnaires. These questionnaires were divided into seven sections, capturing metrics such as the personal data of nurses, hospital service activities, and leadership qualities. We employed a Likert scale to gauge the perceptions and expectations of service quality and conducted paired t-tests to compare performance metrics before and after the administrative transfer. One-way ANOVA was used to assess variability among different service units, and binary logistic regression helped identify the key determinants of service quality. The analysis revealed a significant correlation between the attitudes and competencies of healthcare teams and the levels of service quality. Notably, service units transferred less than 50% exhibited minimal changes, indicating that the degree of transfer significantly impacts service outcomes. Despite these variations, the fundamental mission of promoting health remained consistent. The study emphasizes the critical role of nurses and recommends further research to identify additional factors that could improve service quality in transferred healthcare facilities, potentially contributing to enhanced healthcare delivery across restructured health systems.

Digital Health Education and Training for Undergraduate and Graduate Nursing Students: Scoping Review.

As technology will continue to play a pivotal role in modern-day health care and given the potential impact on the nursing profession, it is vitally important to examine the types and features of digital health education in nursing so that graduates are better equipped with the necessary knowledge and skills needed to provide safe and quality nursing care and to keep abreast of the rapidly evolving technological revolution. In this scoping review, we aimed to examine and report on available evidence about digital health education and training interventions for nursing students at the undergraduate and graduate levels. This scoping review was conducted using the Joanna Briggs Institute methodological framework and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A comprehensive search strategy was developed and applied to identified bibliographic databases including MEDLINE (Ovid; 1946 to present), Embase (Ovid; 1974 to present), CINAHL (EBSCOhost; 1936 to present), ERIC (EBSCOhost; 1966 to present), Education Research Complete (EBSCOhost; inception to present), and Scopus (1976 to present). The initial search was conducted on March 3, 2022, and updated searches were completed on January 11, 2023, and October 31, 2023. For gray literature sources, the websites of select professional organizations were searched to identify relevant digital health educational programs or courses available to support the health workforce development. Two reviewers screened and undertook the data extraction process. The review included studies focused on the digital health education of students at the undergraduate or graduate levels or both in a nursing program. Studies that discussed instructional strategies, delivery processes, pedagogical theory and frameworks, and evaluation strategies for digital health education; applied quantitative, qualitative, and mixed methods; and were descriptive or discussion papers, with the exception of review studies, were included. Opinion pieces, editorials, and conference proceedings were excluded. A total of 100 records were included in this review. Of these, 94 records were identified from database searches, and 6 sources were identified from the gray literature. Despite improvements, there are significant gaps and limitations in the scope of digital health education at the undergraduate and graduate levels, consequently posing challenges for nursing students to develop competencies needed in modern-day nursing practice. There is an urgent need to expand the understanding of digital health in the context of nursing education and practice and to better articulate its scope in nursing curricula and enforce its application across professional nursing practice roles at all levels and career trajectories. Further research is also needed to examine the impact of digital health education on improving patient outcomes, the quality of nursing care, and professional nursing role advancement. RR2-10.11124/JBIES-22-00266.

Pencegahan Resiko Jatuh pada Pasien dengan Diagnosis Keperawatan Dypsneu: Studi Kasus

Background: Patient safety is a system used to improve patient care in a relatively safer manner, including risk assessment, patient risk identification and management, case reporting and analysis, the ability to learn from cases, as well as follow-up and implementation of solutions to reduce risk and prevent injury resulting from errors caused by implementation or negligence of action procedures that must be taken. Method: The method used in writing this nurse's scientific work is descriptive qualitative and case study. Results: With the results observed for 3 days, Mrs M is a patient with a high risk of falling. Where a score of more than 45 is a high fall risk category and a score of less than 45 is a mild to moderate fall risk category. Conclusion: The role of professional nurses is as care giver, client advocate, counselor, educator, collaborator, coordinator, change agent, consultant. Application in preventing the risk of falls is by carrying out an initial assessment and re-assessment and intervention - education.

Professional identity in nursing: Why it is important in graduate education

Possessing a clear identity in nursing is a guiding principle to professional comportment. In graduate nursing education, transitioning and expanding one's professional identity requires role evolution. Nurses transitioning into the advanced professional nursing role shifts their thinking to a new level. The Conceptual Model of Professional Identity in Nursing constitutes how values and ethics, knowledge, nurse as a leader, and professional comportment are intertwined. Competency-based education requires curricular redesign. The Essentials Tool Kit aligns The Essentials with learning activities to support competency-based curriculum and assessment. The Douglass and Stager Toolkit intertwines these resources for graduate nursing educators to inform professional identity in nursing for curriculum revisions. This article aims to illustrate how faculty educate graduate nursing students in the development of professional identity using a conceptual framework to achieve competencies outlined in The Essentials (AACN, 2021).

Professional nurses supporting learners during professional socialisation in Limpopo province.

Professional nurses play a significant role in the professional socialisation of learner nurses during clinical placement. Clinical placements are areas of experiential learning as learner nurses come in contact with real-life experiences. Professional nurses are custodians of learners and need to offer them support. The study sought to explore the role of professional nurses in supporting learner nurses during professional socialisation. Four clinical health facilities in Limpopo province at different levels of care were purposely sampled to obtain information from different levels of care. An ethnonursing approach and qualitative, explorative design was used. Non-probability purposive sampling was used to select 25 professional nurses. The criteria were professional nurses with 3 years of experience in professional socialisation and working in institutions accredited for clinical placement of learner nurses registered in the undergraduate programme. Data were collected through a face-to-face interview until data saturation was reached. Tesch's open coding system was used to analyse data. Professional nurses acknowledged that their responsibilities in supporting learners during professional socialisation are mentoring, teaching and being competent practitioners. Professional nurses were aware of their role in transferring ethical skills and knowledge to learners through professional socialisation. The effectiveness of professional socialisation of learner nurses depends on the support offered during clinical placements. The study adds to the body of knowledge in nursing education and practice because when learners are offered support in the clinical areas, their learning journey will be of positive experience leading to competent practitioners.

Professional identity and representations of advanced practice nurses specialising in psychiatry and mental health: A national study.

Advanced practice nurses constitute a new professional group within the French health care system. Advanced practice nurses specialise in one of five disciplines including Psychiatry/Mental-Health. This specific discipline is strongly marked by stigmatising representations by healthcare users and other health professionals (including other advanced practice nurses), whose consequences have a deleterious effect. The aim was to highlight all advanced practice nurses representation of Psychiatry/Mental-Health advanced practice nurses. An observational descriptive survey, based on an anonymous online questionnaire was conducted in April 2022 among qualified and student advanced practice nurses from the five specialist disciplines. Overall, 356 advanced practice nurses completed the survey questionnaire. No significant difference in stigmatising representations of Psychiatry/Mental-Health advanced practice nurses versus other advanced practice nurses was observed. Only 3.3% of other advanced practice nurses thought that Psychiatry/Mental-Health advanced practice nurses are often 'strange'. Psychiatry/Mental-Health advanced practice nurses and other advanced practice nurses appeared to have similar representations of the professional roles of advanced practice nurses in general and of advanced practice nurses APN specifically. Unlike other professionals in the psychiatric field (e.g. medical interns, nurses), very little stigmatisation of Psychiatry/Mental-Health advanced practice nurses by their colleagues (i.e. other advanced practice nurses) was observed. This could be partly due to the fact that advanced practice nurses professional identity appeared to be built collectively around the concept of advanced practice. Advanced practice nurses constitute a professional group that is fully involved in contemporary transformations in care and organisational innovation. The very low level of stigmatisation of Psychiatry/Mental-Health advanced practice nurses by other advanced practice nurses in our study suggests that these new healthcare actors could play a crucial role in the improvement of professional health practices, particularly in terms of improved coordination between psychiatric-care and physical-care.

The effect of the spiritual health plan on the nurses’ burnout: An experimental study

ABSTRACT The prevalence of burnout in nurses has been reported between 25% and 60% in different countries. The result of this is irreparable damage to the professional and family role of nurses. This study aimed to evaluate the effect of a spiritual health plan on the burnout of nurses. This single-blinded, pre-test/post-test, experimental study was performed on Jahrom's hospital nurses (south of Iran), who suffered from moderate to high levels of burnout in 2020. Forty nurses were randomly selected and assigned to the intervention and control groups. The experimental group received seven sessions of education and training on spiritual health plans. The control group did not attend any training sessions. Data were collected using the Maslach Burnout Inventory (MBI) questionnaire and analysed by SPSS software 21. Before the intervention, there was no significant difference in the three dimensions of MBI between the groups (P > 0.05). Also in the control group, there was no significant difference in the three dimensions of MBI pre-and post-intervention (P > 0.05). The results revealed a significant difference between the control and intervention groups in the three dimensions of MBI after the intervention (Emotional exhaustion (P = 0.001), Depersonalization (P = 0.043), Personal accomplishment (P = 0.015)). In addition, significant differences were observed in the three dimensions of MBI in the intervention group pre- and post-intervention (P < 0.05). A spiritual health plan can reduce burnout among the nurses in the three dimensions including depersonalization, emotional exhaustion, and personal performance.

The readiness of Saudi nursing interns for the professional role.

The nursing education program offers opportunities to prepare nursing students with the knowledge and skills required for their professional roles. The level of their readiness and confidence will affect their ability to provide effective and sufficient nursing care. The purpose of this study is to assess nursing interns readiness for professional roles. To accomplish the study's objectives, a cross-sectional, descriptive design was employed. All nursing interns who graduated from the KAU School of Nursing in the academic year 2018-2019 were recruited from different hospitals in Jeddah, Saudi Arabia, from March 2019 until May 2019. Participants completed the Casey-Fink Readiness for Practice Survey. Descriptive statistics were conducted to answer the research questions. The results of this study demonstrated that the students felt ready and confident to assume their professional nursing roles. The students had some difficulties with managing multiple patients and certain skills, such as how to deal with dying patients and prioritize patient care needs. The findings of this study showed the students felt entirely ready for the professional nursing role. The nursing college at King Abdul-Aziz University is making a great effort to prepare its students for their professional roles. We still need to develop skills and clinical competencies in preparation for effective professional roles. In addition, continuous assessment is considered important for patient safety, to increase nurses' work retention, and to enhance professional nurse confidence and the quality of care they must provide.

Factors and barriers influencing practice of health education among nursing students in Jordan.

Health education or client teaching is an aspect of nursing care recognized as a vital and professional nursing role. As a part of the nursing community, nursing students learn the importance of health education during the study period and are trained to make use of the principles of health education during their encounters with clients and their families. Aim: This article aims to examine the factors and barriers influencing health education practices among third- and fourth-year nursing students in Southern Jordan. Cross-sectional approach is used with a study sample of 286 nursing students enrolled in the undergraduate program. A self-reported questionnaire as an instrument to collate data. The questionnaire consists of two sections. The first section is related to the demographic data of the participants. The second section comprises the participant's responses to the items related to health education barriers. Descriptive statistics, including mean, standard deviation, and frequencies are utilized to analyze the demographic characteristics and questionnaire items. The majority of nursing students report that they have not engaged in health education with patients. The first three factors identified by the students as barriers to health education are (Little time is given to patient health education due to paperwork and other assignments) (M = 4.22 and SD = 1.11), (Discharging patients from the hospital at a short time interrupts health education) (M = 4.15 and SD = 1.39), and (Evaluation of health education outcome is inapplicable due to intermittent days of training) (M = 4.05 and SD = 1.39). The findings indicate that various barriers are suggested to explain the disparity between the expectation and practice of student nurses in health education. Identifying these barriers undermining health education is a positive step toward furnishing better health education for nurses in the future. Nursing students shall be fully supported to be independent and responsible professionals working within the nursing professional practices.

Cultivation of Core Competence of Oncology Nurse Specialist in China ：A SWOT Analysis

This paper analyzes the current situation of the core competence cultivation of Oncology Nurse Specialist (ONS) in China, and puts forward targeted development strategies. On the basis of the literature review, according to the relevant theories of SWOT analysis, analyze the advantages and disadvantages, opportunities and threats of ONS development, and make targeted policy suggestions according to different combinations of elements. Strength: Social needs for the development of oncology nursing，the level of oncology specialized nursing service has been improved; Weakness: the training standards and certification standards are not yet unified; Opportunity:Strong support from national policies，expand the professional role and functions of nurses; Threats: The overall professional quality of nurses needs to be strengthened, management has the phenomenon of "emphasizing cultivation and neglecting use".By further guaranteeing the development of ONS, strengthen ONS specialized job management, improving ONS training and certification standards,and emphasizing the improvement of ONS core capabilities, constantly promoting the development oncology nursing in China.

The Social and Professional Image of the Nurse: Results of an Online Snowball Sampling Survey among the General Population in the Post-Pandemic Period.

Background. The COVID-19 pandemic has transformed people's lifestyles by imposing social, economic, and labor changes. Health professionals have been in the spotlight, occasionally even elevated to the status of "heroes", as they have been at the forefront of the health emergency. Media exposure has undoubtedly played a pivotal role in the evolution and perception of the public's image of nurses, especially within the Italian context. Currently, there is only one study conducted in Italy during the pandemic period. For this reason, we have opted to delve further into this subject during the post-pandemic period, with the ultimate goal of identifying this perceptual evolution. Methods. An online snowball sampling survey was conducted among the Italian population using social networks between August 2022 and January 2023. The survey utilized the Nursing Attitude Questionnaire (NAQ) to collect data. Results. The sample consisted of 564 individuals. Among the respondents, 63.8% (n = 360) were familiar with the nursing pathway, and the level of agreement regarding the training of nurses was 81.5% (n = 260). In terms of recognizing the professional role of nurses, variations emerged in certain domains of the NAQ. Specifically, professional values of nurses were more pronounced in northern and central Italy (M = 26.27). Moreover, stereotypes were more prevalent in the north (23.73 ± 3.538) and the center (23.13 ± 4.104) (p = 0.001). Conclusions. The sample acknowledged a unique competence inherent to nurses that cannot be replaced by other professionals. The study population perceives the nursing profession as pivotal within the IHS (Integrated Health System). However, the attractiveness of the profession remains exceedingly low. This study was not registered on a publicly available registry.

How the public perceives the "good nurse" in China: A content analysis of national newspapers.

Newspapers are a predominant channel through which the Chinese public learns about nurses and the nursing profession. However, little nursing research has been performed in China to investigate the newspaper portrayal of nurses, and how the public perceives the role of nurses in the Chinese context is still an ambiguous phenomenon. This study aimed to clarify the public portrayals of nurses in China, and to analyze whether there are changes over time in news content related to nurses in the national newspapers. A content analysis of the newspaper articles citing nurses that have been published since each newspaper was established. We selected two national daily newspapers as sources to systematically search for articles about nurses from 1949 to 2022. A coding instrument was developed to quantitatively extract the contents of the articles identified. Then, using a mixed methods approach, we analyzed newspaper content to show the roles of nurses presented to the public by the media. A total of 317 articles were analyzed. Nurses have been depicted with heterogeneous images in both newspapers with positive wordings and up to 28 types of public images. More than half of the articles portrayed two, three, or more types of images. Among the images of nurses identified, "overworked" appeared the most frequently, followed by "dedicated," "philanthropic and benevolent," and "with a sense of responsibility," and then "technically skilled." By analyzing the image of nurses in both newspapers over time, we found that images related to virtue have largely increased with time, while images about professionalism have decreased. Nursing continues to be depicted as a virtuous caregiving profession, often forgetting the wide need for knowledge, skill, and expertise required in the occupation. The public image of nurses portrayed in the national newspapers does not accurately match their actual roles. The public image of nurses portrayed in the national newspapers does not accurately match their actual roles. To actualize a professional role and increase social status of nurses, intentional image management is needed. Nursing schools, nursing associations, and nursing professionals should be more proactive in overcoming the stereotypical image portrayed of them and use the news media as a tool to invite attention from and dialogue with the public about the value of nursing to reframe the public's understanding of the expert role of the professional nurse in health care and to create a new and more professional image for nursing.

Reflective Transition Practice Model: The New Graduate Registered Nurse.

Reflection is a strategy that may enhance transition into practice for the new graduate registered nurse (NGRN). If introduced in the early stages of practice, reflection can be used as a tool to continuously evaluate and improve practice. A theory synthesis of Meleis' transition theory and Schon's reflective practice model was developed to support reflection as a tool for new nurses transitioning into the role of professional nurses. Reflection has the potential to improve the NGRNs' perception of their role, decrease feelings of disconnectedness, and improve patterns of response.

Association between smoking and vaping usage and perceived stress levels of undergraduate nursing students in Manila, Philippines

Background: Nursing students have used cigarettes and electronic cigarettes (ECs) to cope with stress, but such behaviors appear to worsen issues in mental health. Descriptive data are necessary to inform interventions that will strengthen the health-promoting behaviors of the students, which can influence their well-being and professional nursing roles. This cross-sectional study assessed the association between cigarette smoking and EC use and perceived stress levels (PSLs) among nursing students.

Abordaje enfermero del intento autolítico en adolescentes en el servicio de urgencias

Objectives: to analyse the role of professional Emergency Nurses regarding psychosocial care for adolescents with attempted suicide. Method: a narrative review was conducted in the Pubmed, Cinahl, Cochrane and Scopus databases, using free and controlled language, and establishing filters for publication data (last 10 years) and language (English and Spanish). Results: in total, 253 articles were retrieved, and 14 were finally chosen which met the inclusion and exclusion criteria. Four categories were formed from the analysis of these 14 articles: interventions by Emergency nursing professionals, coping strategies for parents, prevention of relapses and, finally, the importance of training on mental health for Emergency nursing professionals. Conclusions: attempted suicide is still a stigmatized subject with poor visibility. There is lack of resources to offer quality care in mental health. Nursing professionals play a major role regarding the coping process of parents, who need support to guarantee the safety of their children. Undergraduate training on mental health must be improved, due to the limited current access to specialized training through mental health residency.

New Graduate Nurses' Experiences and Challenges during a One-Year Clinical Rotation Programme in the Volta Region of Ghana: Implications for Nursing Management and Nursing Workforce Retention.

To help improve the standards and quality of nursing practice, newly graduated nurses and midwives are required after passing the Nursing and Midwifery Council's Licensing Examination to undertake a one-year mandatory clinical rotation at health facilities before registration. However, there is a lack of scientific studies to explore new graduate nurses' experiences and challenges during the one-year mandatory clinical rotation programme. This study is aimed at exploring newly qualified nurses' experiences and challenges during the one-year mandatory clinical rotation in health facilities in the Volta Region of Ghana. This qualitative exploratory study used a combination of focus group discussions (FGDs) and individual interviews. Thirty (30) newly qualified nurses were selected from two secondary and one tertiary health facilities, where newly qualified nurses are posted for a clinical rotation programmes to participate in the study. A total of two focus group discussions (FGDs) were conducted, comprising five (5) members in each group. Moreover, twenty (20) newly qualified nurses were interviewed individually, and their data were added to what was obtained from the focus group discussions. This study adopted the thematic analysis approach to analyze the data. The results of this study showed that newly qualified nurses experienced the following during the one-year clinical rotation programme: acquisition of more knowledge and competencies to assume professional nursing roles; lack of knowledge of the objectives of the clinical rotation programme by hospital staff; experience of frustration during the clinical rotation programme; inadequate supervision and support; accommodation and financial challenges. The study revealed important challenges experienced by new graduate nurses during the clinical rotation programme, including hospital staff's lack of knowledge regarding the objectives of the rotation programme, inadequate supervision and support, and accommodation and financial challenges. There is a need for the Nursing and Midwifery Council to develop guidelines for the one-year mandatory clinical rotation for newly graduated nurses and midwives to make the programme more effective.

Nurse Actions In Preventing Nosocomial Infections In Post Surgical Wounds In RB2 A and RB2 B RSUP H. Adam Malik Medan

Infection is the leading cause of death worldwide that can cause extreme pain and cause serious injury to cells or tissues. Nosocomial infections acquired or occurring in hospitals are related to the provision of health services in health care facilities and nurse actions are needed to prevent nosocomial infections by washing hands, using protective equipment, managing medical devices, disinfecting action sites, performing wound care and closure and waste management. . The design of this research is simple descriptive with the research sample being 44 nurses who work in RB 2A and 2B RSUP H. Adam Malik Medan. The sampling technique used is Total Sampling. The results of this study indicate that the characteristics of the respondents have worked for more than three years, namely 34 respondents (77.3%) with the education level of the most respondents being D3, namely 21 respondents (47.7%) and earning more than Rp. 1,500,000 there are 32 respondents (72.2%). The results showed that the actions of nurses in preventing nosocomial infections in post-surgical wounds were in the good category, namely 44 people (100%). For further research, it is recommended to conduct research on other factors that influence the occurrence of infection and the role of professional nurses in infection control as well as the nutritional needs of patients. 000 there are 32 respondents (72.2%). The results showed that the actions of nurses in preventing nosocomial infections in post-surgical wounds were in the good category, namely 44 people (100%). For further research, it is recommended to conduct research on other factors that influence the occurrence of infection and the role of professional nurses in infection control as well as the nutritional needs of patients. 000 there are 32 respondents (72.2%). The results showed that the actions of nurses in preventing nosocomial infections in post-surgical wounds were in the good category, namely 44 people (100%). For further research, it is recommended to conduct research on other factors that influence the occurrence of infection and the role of professional nurses in infection control as well as the nutritional needs of patients.

ROBOT YARDIMLI CERRAHİ GİRİŞİMLERDE İKİNCİ GÜVENLİ CERRAHİ KONTROL LİSTESİ KULLANIMININ ÖNEMİ (THE SECOND “TIME-OUT”)

Teknolojideki önemli gelişmeler cerrahi süreçleri de etkileyerek ameliyatlarda yeni tekniklerin kullanılmasına olanak sağladı. Ameliyatlarda geleneksel yöntemlerin yanı sıra robotlar da kullanılmaya başlandı. Robotların kullanılmasıyla gerçekleştirilen cerrahi girişimler “Robotik Cerrahi” olarak adlandırılmakta olup, insanlık için yeni ufuklar açan ve sürekli gelişen güncel bir teknolojidir. Robotik cerrahi, daha az kan kaybı, daha düşük transfüzyon hızı ve kısa iyileşme süresi gibi avantajları nedeniyle hastalar, cerrahlar ve hemşireler için birçok avantaja sahiptir. Hemşirelerin, teknolojik gelişmeleri takip ederek uyum sağlamaları ve profesyonel hemşirelik rollerini artırmaları beklenmektedir. Robotik cerrahide diğer önemli konu da hasta güvenliği olup, hastanın pozisyonu özel bir endişe kaynağıdır. Robotik cerrahi sonrası gelişebilecek komplikasyonlar, hasta pozisyonunun uygun olmaması ve hasta güvenliğinin tam sağlanmamasından kaynaklanabilir. Dünya Sağlık Örgütü’nün 2008 yılında yayınladığı güvenli cerrahi kontrol listesinde yer alan “time-out”un uygulanması ile perioperatif süreçte morbidite ve mortalitede azalma olduğu belirlenmiştir. Robotik cerrahi ameliyatlarında, ameliyat başladıktan 3-4 saat sonra “time-out” un tekrar uygulanmasıyla gelişebilecek komplikasyonlar önlenebilmektedir. Bu makalede robotik cerrahide ikinci güvenli cerrahi kontrol listesinin ülkemiz koşullarına uyarlanması amaçlandı.

A comprehensive health education plus monitoring support program for older adults with knee osteoarthritis coexisting with overweight and type 2 diabetes

ObjectivesTo examine the patient outcomes of a comprehensive health education plus village health volunteer monitoring support program on older adults with knee osteoarthritis who are overweight and have type 2 diabetes. MethodsQuasi-experimental, two-group, pretest-posttest design was applied. Using random geographic cluster sampling, older adults who met the inclusion criteria were assigned to two groups, 62 in the intervention group and 71 in the control group. The intervention group received the comprehensive health education plus village health volunteer monitoring support program. The control group received only the comprehensive health education program. Study outcomes, including blood glucose level, knee pain and range of motion, body weight, physical ability (Timed Up and Go Test), fatigue, depressive symptoms, quality of sleep, and quality of life, were assessed at baseline, 3 months, and 6 months after enrollment and analyzed using descriptive statistics and multivariate analysis of variance. ResultsOne hundred and ten participants completed the study (55 participants in each group). Most patient outcomes in the two groups showed general improvement with statistical significance (P ≤ 0.001): pain decreased, physical ability improved, less depressive symptoms and fatigue, quality of life and sleep improved. The interaction effect (the group and time) demonstrated statistically significant differences between the intervention and control groups on pain, knee range of motion, and fatigue according to each time follow-up (P < 0.001). ConclusionsThe comprehensive health education plus village health volunteer monitoring support program promotes good patient outcomes in this population. The integrated health education resource and support for older adults with knee osteoarthritis and type 2 diabetes is an effective, non-surgical treatment that highlights professional nursing roles and non-professional roles—village health volunteers. Nurses should consider implementing a health education plus monitoring support program to mitigate the effects of chronic diseases and improve patients’ quality of life.