P. A. Berek, B. Siswanto, Dewi Irawati, W. Jatmiko, Christian Jay S. Orte, Michael I Aggari
Objective: The purpose of this study is to clarify the concept of adherence of hypertensive clients. Method: Concept analysis proposed by Walker and Avant was applied and searching strategies were done from ProQuest, CINAHL, Scopus and Google Scholar published from 1999 to 2021. Attributes and cases (model, borderline, and contradiction) were identified to clarify the concept. Results: The results of this concept analysis show that adherence to self-care is a complex concept. This involves physical, psychological, social, cultural, and other aspects that are closely related to human resources, both internal and external for each individual. However, the terminology of adherence is closely related to the self-care of hypertensive patients. Conclusion: The study clarified self-care adherence and offered defining attributes; adherence recommendations, perceived benefits and benefits of adherence, realization, and acceptance of current conditions, and ability to perform optimal self-care. Case, borderline, and contradiction models are provided to explain this concept. Antecedents, consequences, and empirical references have also been described. Topics related to self-care adherence must be further explored to advance the nursing practice in managing the hypertensive client.
{"title":"Adherence of Hypertensive Clients: A Concept Analysis","authors":"P. A. Berek, B. Siswanto, Dewi Irawati, W. Jatmiko, Christian Jay S. Orte, Michael I Aggari","doi":"10.33425/2639-9474.1212","DOIUrl":"https://doi.org/10.33425/2639-9474.1212","url":null,"abstract":"Objective: The purpose of this study is to clarify the concept of adherence of hypertensive clients. Method: Concept analysis proposed by Walker and Avant was applied and searching strategies were done from ProQuest, CINAHL, Scopus and Google Scholar published from 1999 to 2021. Attributes and cases (model, borderline, and contradiction) were identified to clarify the concept. Results: The results of this concept analysis show that adherence to self-care is a complex concept. This involves physical, psychological, social, cultural, and other aspects that are closely related to human resources, both internal and external for each individual. However, the terminology of adherence is closely related to the self-care of hypertensive patients. Conclusion: The study clarified self-care adherence and offered defining attributes; adherence recommendations, perceived benefits and benefits of adherence, realization, and acceptance of current conditions, and ability to perform optimal self-care. Case, borderline, and contradiction models are provided to explain this concept. Antecedents, consequences, and empirical references have also been described. Topics related to self-care adherence must be further explored to advance the nursing practice in managing the hypertensive client.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114828135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disaster is an event or series of events that threaten and disrupt the life and livelihood of the community caused by natural factors and or non-natural factors or human factors resulting in casualties, environmental damage, property losses, and psychological impacts. Purpose of this research is to measure the ability of the people to understand the training of disaster risk management. This research is quantitative research with a quasi-experimental design with a pre posttest with control group approach. The result of this study finds that there is strongly correlation between training and knowledge of the people of Wawosolo with p value 0, 0001. Based on the result we suggest conducting training of the people to protect the risk of disaster.
{"title":"Effect of Disaster Risk Reduction Training (Disaster Mitigation) Based on Community Participation on Flood Disaster Management Preparedness Knowledge","authors":"Rusna Tahir, A. A., Sahmad S, Iqra S","doi":"10.33425/2639-9474.1211","DOIUrl":"https://doi.org/10.33425/2639-9474.1211","url":null,"abstract":"Disaster is an event or series of events that threaten and disrupt the life and livelihood of the community caused by natural factors and or non-natural factors or human factors resulting in casualties, environmental damage, property losses, and psychological impacts. Purpose of this research is to measure the ability of the people to understand the training of disaster risk management. This research is quantitative research with a quasi-experimental design with a pre posttest with control group approach. The result of this study finds that there is strongly correlation between training and knowledge of the people of Wawosolo with p value 0, 0001. Based on the result we suggest conducting training of the people to protect the risk of disaster.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"162 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129174061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marissa Fuqua, Alicia Hernàndez, Janelle Richart, A. Mitchell
Introduction: The COVID-19 Pandemic has changed the way patients access care. While some facilities saw a significant increase in alternative methods of conducting care, such as utilizing telemedicine [1], other areas of care suffered as patients were forced to delay care [2]. These healthcare delivery and reception changes may have altered patients' feelings towards healthcare and potentially disrupted patient/provider trust. This mix-blend study served to identify patients' feelings towards healthcare through a targeted, anonymous survey. Methods: A quality improvement study was implemented in two primary care settings. Data was collected via voluntary and anonymous surveys. The surveys assessed the level of trust the patient had regarding their healthcare pre-COVID-19 and currently. The survey results were then analyzed to determine if there was a correlation between the level of trust and previous healthcare utilization. Results from 74 collected surveys were analyzed to identify if the patient level of trust in the healthcare system had decreased during the COVID-19 pandemic. The raw data was analyzed using Microsoft Excel, and results did show statistical significance between satisfaction and trust pre and during COVID-19. Conclusion: This study showed that the COVID-19 pandemic did alter patient trust in the healthcare system.
{"title":"The Effects of COVID-19 on Patient’s Perspective of Health Care","authors":"Marissa Fuqua, Alicia Hernàndez, Janelle Richart, A. Mitchell","doi":"10.33425/2639-9474.1214","DOIUrl":"https://doi.org/10.33425/2639-9474.1214","url":null,"abstract":"Introduction: The COVID-19 Pandemic has changed the way patients access care. While some facilities saw a significant increase in alternative methods of conducting care, such as utilizing telemedicine [1], other areas of care suffered as patients were forced to delay care [2]. These healthcare delivery and reception changes may have altered patients' feelings towards healthcare and potentially disrupted patient/provider trust. This mix-blend study served to identify patients' feelings towards healthcare through a targeted, anonymous survey. Methods: A quality improvement study was implemented in two primary care settings. Data was collected via voluntary and anonymous surveys. The surveys assessed the level of trust the patient had regarding their healthcare pre-COVID-19 and currently. The survey results were then analyzed to determine if there was a correlation between the level of trust and previous healthcare utilization. Results from 74 collected surveys were analyzed to identify if the patient level of trust in the healthcare system had decreased during the COVID-19 pandemic. The raw data was analyzed using Microsoft Excel, and results did show statistical significance between satisfaction and trust pre and during COVID-19. Conclusion: This study showed that the COVID-19 pandemic did alter patient trust in the healthcare system.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123449933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benzodiazepines are well established as having the ability to produce rapid relief of anxiety and sleep disorders. However, despite their association with harm and often-short therapeutic effects, they continue to be prescribed often. Through the process of aging, the accumulation of medications needed to treat various disease states contributes to polypharmacy among the elderly. Older adults have unique factors that position them at a higher susceptibility of the anticholinergic side effects of benzodiazepines, which can result in falls, cognitive impairments and depression. Given these concerns, multiple professional organizations have identified the deprescribing of benzodiazepines as a national public health priority and have strongly recommended the pursuit of alternative shared decision-making approaches. While non- pharmacologic techniques are widely recognized to safely manage the common reasons clinicians provide when choosing to prescribe benzodiazepine’s, there is a mounting need for prescriber education regarding these practical approaches as well as evidence-based clinical practice guidelines to support successful deprescribing [1]. The purpose of this DNP project was to improve prescriber knowledge of deprescribing approaches and present alternative prescribing decisions through participation of an evidence-based education program at a geriatric specialized, primary care practice in Pennsylvania. The study participants consisted of Physicians, Nurse Practitioners and Physician Assistants who prescribe benzodiazepines. The results indicated an improvement in the participant’s knowledge of deprescribing approaches and alternative prescribing choices, as evidenced by how they rated their attitudes, knowledge and practices after participating in the evidence-based education.
{"title":"Deprescribing Benzodiazepines in Older Adults","authors":"Ryan Anne Pishock","doi":"10.33425/2639-9474.1213","DOIUrl":"https://doi.org/10.33425/2639-9474.1213","url":null,"abstract":"Benzodiazepines are well established as having the ability to produce rapid relief of anxiety and sleep disorders. However, despite their association with harm and often-short therapeutic effects, they continue to be prescribed often. Through the process of aging, the accumulation of medications needed to treat various disease states contributes to polypharmacy among the elderly. Older adults have unique factors that position them at a higher susceptibility of the anticholinergic side effects of benzodiazepines, which can result in falls, cognitive impairments and depression. Given these concerns, multiple professional organizations have identified the deprescribing of benzodiazepines as a national public health priority and have strongly recommended the pursuit of alternative shared decision-making approaches. While non- pharmacologic techniques are widely recognized to safely manage the common reasons clinicians provide when choosing to prescribe benzodiazepine’s, there is a mounting need for prescriber education regarding these practical approaches as well as evidence-based clinical practice guidelines to support successful deprescribing [1]. The purpose of this DNP project was to improve prescriber knowledge of deprescribing approaches and present alternative prescribing decisions through participation of an evidence-based education program at a geriatric specialized, primary care practice in Pennsylvania. The study participants consisted of Physicians, Nurse Practitioners and Physician Assistants who prescribe benzodiazepines. The results indicated an improvement in the participant’s knowledge of deprescribing approaches and alternative prescribing choices, as evidenced by how they rated their attitudes, knowledge and practices after participating in the evidence-based education.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124992542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: barriers to peritoneal dialysis utilization among end stage kidney disease patients in Kenya. Background: Peritoneal Dialysis (PD) is the use of the capillary rich peritoneal membrane as a dialyzer whereby waste products diffuse from the capillaries into the dialysate during dwell time. Peritoneal Dialysis is a proven viable treatment for Kidney failure (KF) but it is not popularly utilized in Kenya. However, the uptake of PD in Kenya has been shown to be low owing to various barriers that have created a hindrance to utilization of the procedure among patients suffering from end stage kidney disease (ESRD). Methodology: A descriptive – analytical cross sectional study was conducted in 6 government dialysis centres in Kenya purposively selected. The study targeted 346 patients with ESKD, 6 nephrologists, 19 general physicians, 125 nurses in six government owned dialysis centers in Kenya. The targeted policy makers were 6 from each hospital, 4 from the county governments, 2 from the national hospital insurance fund (NHIF) and 2 from the ministry of health (MOH). The nurses and patient participants were sampled through simple random sampling while the doctors and policy makers were sampled by census based on their specialization and/or deployment in dialysis units and their positions respectively. The study sought to establish barriers to utilization of PD among patients with ESKD. The study entailed mixed methods where both quantitative and qualitative data collection methods were employed. Both structured and unstructured questions were utilized in a self-administered / research assisted questionnaire. Quantitative data was analyzed using SPSS Version 22.0. Qualitative data was organized, shared, and managed using N Vivo 11 software and was analyzed using thematic areas. Hypothesis testing was done using chi- squared test whereby P-values of less than 0.05 were considered statistically significant with a 95% confidence interval (CI). Data presentation was done using tables, charts and in narrative form. Results: The research revealed low utilization of PD in the selected Hospitals where only 0.2% (1) was on PD. Chi-square tests of associations revealed that patients who had been educated on PD and patients who were educated on the equipment required for PD were more likely to utilize the PD modality of dialysis (p<0.01 and p=0.01603, respectively). Results from the multivariate logistic regression showed that only patients who had been educated on PD were more likely to choose the PD modality (p= 0.01222). Various barriers to PD utilization were identified. From the research findings, the Cost of PD fluids seems to be a major constraint given that many countries in Africa do not have the capacity to manufacture fluids but instead rely heavily on fluids imported from developed countries. Low patient education and motivation was also found to be a major barrier with a huge population unaware of PD. There was lack of expertise/experience for cat
目的:肯尼亚终末期肾病患者腹膜透析使用的障碍。背景:腹膜透析(PD)是利用富含毛细血管的腹膜作为透析器，其中废物在停留时间内从毛细血管扩散到透析液中。腹膜透析是一种被证明可行的治疗肾衰竭(KF)的方法，但它在肯尼亚并不普遍使用。然而，由于各种障碍阻碍了终末期肾病(ESRD)患者使用PD，肯尼亚PD的使用率很低。方法:一项描述性分析横断面研究在肯尼亚的6个政府透析中心进行了有目的的选择。这项研究的对象是346名ESKD患者、6名肾病学家、19名普通医生和125名护士，他们来自肯尼亚6个政府所有的透析中心。目标决策者为每家医院6人、县政府4人、国家医院保险基金2人、卫生部2人。护士和患者采用简单随机抽样，医生和政策制定者采用人口普查抽样，分别根据透析单位的专业和/或部署及其职位进行抽样。该研究旨在确定ESKD患者使用PD的障碍。该研究采用了混合方法，其中采用了定量和定性数据收集方法。在自我管理/研究辅助问卷中使用了结构化和非结构化问题。定量数据采用SPSS Version 22.0进行分析。使用N Vivo 11软件对定性数据进行组织、共享和管理，并使用专题区域进行分析。假设检验采用卡方检验，p值小于0.05被认为具有统计学意义，95%置信区间(CI)。数据呈现采用表格、图表和叙述形式。结果:所选医院PD使用率较低，仅0.2%(1)使用PD。协会的卡方检验显示，接受过PD教育的患者和接受过PD所需设备教育的患者更有可能采用PD方式进行透析(p<0.01和p=0.01603)。多因素logistic回归结果显示，只有接受过PD教育的患者更有可能选择PD方式(p= 0.01222)。确定了PD利用的各种障碍。从研究结果来看，鉴于非洲许多国家不具备生产液体的能力，而是严重依赖从发达国家进口的液体，PD液体的成本似乎是一个主要制约因素。低患者教育和动机也被发现是一个主要障碍，大量人口不知道PD。缺乏导管插入的专业知识/经验，肾病学研究员缺乏PD培训，这是PD开始和保持的障碍。一些护士也缺乏PD操作的培训和经验。国家医院保险基金的决策者也证实，PD服务不在该基金覆盖的服务范围内，因此患者必须自付费用。此外，与其他国家不同，肯尼亚没有健全的政策或标准模式来指导PD的利用。这些障碍被分类为与患者相关、与医疗保健相关以及与政策相关。结论和建议尽管HD和PD的临床和人文预后相似，但PD可能是透析肾替代治疗(DKRT)中更方便、更节约资源的选择。PD的未充分利用主要与缺乏PD治疗方案、配件、缺乏训练有素的人员、社会经济因素以及缺乏将PD作为肾脏替代疗法(KRT)的第一选择的宣传有关。为了解决已确定的障碍，一个功能性PD团队的发展对于成功的患者结果至关重要。还需要制定一项关于PD服务管理的政策，以及指导PD利用的标准模型。
{"title":"Barriers to Peritoneal Dialysis Utilization among End Stage Kidney Disease Patients in Kenya","authors":"G. Ngaruiya","doi":"10.33425/2639-9474.1208","DOIUrl":"https://doi.org/10.33425/2639-9474.1208","url":null,"abstract":"Aim: barriers to peritoneal dialysis utilization among end stage kidney disease patients in Kenya. Background: Peritoneal Dialysis (PD) is the use of the capillary rich peritoneal membrane as a dialyzer whereby waste products diffuse from the capillaries into the dialysate during dwell time. Peritoneal Dialysis is a proven viable treatment for Kidney failure (KF) but it is not popularly utilized in Kenya. However, the uptake of PD in Kenya has been shown to be low owing to various barriers that have created a hindrance to utilization of the procedure among patients suffering from end stage kidney disease (ESRD). Methodology: A descriptive – analytical cross sectional study was conducted in 6 government dialysis centres in Kenya purposively selected. The study targeted 346 patients with ESKD, 6 nephrologists, 19 general physicians, 125 nurses in six government owned dialysis centers in Kenya. The targeted policy makers were 6 from each hospital, 4 from the county governments, 2 from the national hospital insurance fund (NHIF) and 2 from the ministry of health (MOH). The nurses and patient participants were sampled through simple random sampling while the doctors and policy makers were sampled by census based on their specialization and/or deployment in dialysis units and their positions respectively. The study sought to establish barriers to utilization of PD among patients with ESKD. The study entailed mixed methods where both quantitative and qualitative data collection methods were employed. Both structured and unstructured questions were utilized in a self-administered / research assisted questionnaire. Quantitative data was analyzed using SPSS Version 22.0. Qualitative data was organized, shared, and managed using N Vivo 11 software and was analyzed using thematic areas. Hypothesis testing was done using chi- squared test whereby P-values of less than 0.05 were considered statistically significant with a 95% confidence interval (CI). Data presentation was done using tables, charts and in narrative form. Results: The research revealed low utilization of PD in the selected Hospitals where only 0.2% (1) was on PD. Chi-square tests of associations revealed that patients who had been educated on PD and patients who were educated on the equipment required for PD were more likely to utilize the PD modality of dialysis (p<0.01 and p=0.01603, respectively). Results from the multivariate logistic regression showed that only patients who had been educated on PD were more likely to choose the PD modality (p= 0.01222). Various barriers to PD utilization were identified. From the research findings, the Cost of PD fluids seems to be a major constraint given that many countries in Africa do not have the capacity to manufacture fluids but instead rely heavily on fluids imported from developed countries. Low patient education and motivation was also found to be a major barrier with a huge population unaware of PD. There was lack of expertise/experience for cat","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"2 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116552354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equality, Equity or Justice-Finding the Greater Good","authors":"Tamara Jessica Washington-Brown","doi":"10.33425/2639-9474.1207","DOIUrl":"https://doi.org/10.33425/2639-9474.1207","url":null,"abstract":"","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134021649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health service organizations expect Manager Nurses to develop activities that foster the best quality results both in terms of assistance and in terms of management. To do so, managers have to master management skills in order to understand the activity carried out by the Manager Nurses in an archipelago with several islands. This is a descriptive, analytical and exploratory study of quantitative nature. The data collection instrument was an autofill questionnaire, which included a Perception Scale of the Work of the Manager Nurses. The academic qualifications of the nursing managers are as follows: postgraduate studies in specific areas other than management (15,9%); postgraduate studies in the field of management (36,5%) and master’s degree in different areas (17,5%). The results in the field of the skills of management of nursing care may be the ones that require a bigger investment in terms of training. Regarding the skills in the field of political intervention and advice, the results observed were below expectations. The need for specific training in the field of management is obvious; we were able to prove that most of the Manager Nurses do not have specific training in the field of management, which would allow them to perform the management tasks based on solid knowledge, thus improving the quality of their service.
{"title":"The Different Dimensions of Quality Care Management","authors":"Marlene Ribeiro","doi":"10.33425/2639-9474.1206","DOIUrl":"https://doi.org/10.33425/2639-9474.1206","url":null,"abstract":"Health service organizations expect Manager Nurses to develop activities that foster the best quality results both in terms of assistance and in terms of management. To do so, managers have to master management skills in order to understand the activity carried out by the Manager Nurses in an archipelago with several islands. This is a descriptive, analytical and exploratory study of quantitative nature. The data collection instrument was an autofill questionnaire, which included a Perception Scale of the Work of the Manager Nurses. The academic qualifications of the nursing managers are as follows: postgraduate studies in specific areas other than management (15,9%); postgraduate studies in the field of management (36,5%) and master’s degree in different areas (17,5%). The results in the field of the skills of management of nursing care may be the ones that require a bigger investment in terms of training. Regarding the skills in the field of political intervention and advice, the results observed were below expectations. The need for specific training in the field of management is obvious; we were able to prove that most of the Manager Nurses do not have specific training in the field of management, which would allow them to perform the management tasks based on solid knowledge, thus improving the quality of their service.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"03 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127192140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatimah Ahmed Alagnam, Zainab Hassan Alhussain, Noor Abdullh Alquwaidi, Ghadeer Dawood Alabbas, N. Alomar, O. Mousa
Background: Outpatient clinics pose a risk of infection transmission to patients. Patients can access their care without this risk through virtual consultations or virtual clinics. In addition to providing a positive benefit to medical patients who are at risk, telemedicine is also an economic and time saver for primary care users, particularly patients with chronic diseases. The aim of this study is to evaluate the awareness, experiences, and attitudes of Al Ahsa community about virtual clinics and their services. Methods: The study was a descriptive cross-sectional study carried out in Al Ahsa, Saudi Arabia, with convenience sampling. The data was collected in November 2021. A self-administered, predesigned, and validated electronic questionnaire was used in the study. Results: Among a total of 463 majorities of participants 360 (77.8%) were aged more than 40 years. A total of 286 (61.8%) participants were aware of the presence of virtual clinics and telemedicine. Only 137 (29.6%) participants used virtual clinics. In relation to the attitude of the participants, the majority of the participants (294) had a positive feeling toward virtual clinics. In order to analyze the relation between the attitude, and other factors, there is a significant correlation between the educational level and attitude toward using virtual clinics among the participants. Also, there is a positive correlation between the presence of chronic disease and the positive attitude to use virtual clinics. Conclusion: Public awareness and understanding of the potential benefits of telehealth or telemedicine are needed for telehealth initiatives to succeed. According to the study, A majority of participants were aware of virtual clinics and telemedicine. Moreover, the patients' attitudes towards using the virtual clinics were positive.
{"title":"Awareness and Attitudes of Al Ahsa's Community toward Virtual Clinics","authors":"Fatimah Ahmed Alagnam, Zainab Hassan Alhussain, Noor Abdullh Alquwaidi, Ghadeer Dawood Alabbas, N. Alomar, O. Mousa","doi":"10.33425/2639-9474.1210","DOIUrl":"https://doi.org/10.33425/2639-9474.1210","url":null,"abstract":"Background: Outpatient clinics pose a risk of infection transmission to patients. Patients can access their care without this risk through virtual consultations or virtual clinics. In addition to providing a positive benefit to medical patients who are at risk, telemedicine is also an economic and time saver for primary care users, particularly patients with chronic diseases. The aim of this study is to evaluate the awareness, experiences, and attitudes of Al Ahsa community about virtual clinics and their services. Methods: The study was a descriptive cross-sectional study carried out in Al Ahsa, Saudi Arabia, with convenience sampling. The data was collected in November 2021. A self-administered, predesigned, and validated electronic questionnaire was used in the study. Results: Among a total of 463 majorities of participants 360 (77.8%) were aged more than 40 years. A total of 286 (61.8%) participants were aware of the presence of virtual clinics and telemedicine. Only 137 (29.6%) participants used virtual clinics. In relation to the attitude of the participants, the majority of the participants (294) had a positive feeling toward virtual clinics. In order to analyze the relation between the attitude, and other factors, there is a significant correlation between the educational level and attitude toward using virtual clinics among the participants. Also, there is a positive correlation between the presence of chronic disease and the positive attitude to use virtual clinics. Conclusion: Public awareness and understanding of the potential benefits of telehealth or telemedicine are needed for telehealth initiatives to succeed. According to the study, A majority of participants were aware of virtual clinics and telemedicine. Moreover, the patients' attitudes towards using the virtual clinics were positive.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"13 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134636770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kumi Suto, N. Shiga, K. Hattori, Takahiro Igarashi
The purpose of the interview was to learn about the experience of childbirth in order to consider how to support expectant mothers and postpartum mothers under the stress of radiation anxiety. In May 2012, first-time mothers in their 20s who became pregnant soon after the earthquake were asked, "How was your childbirth experience? " and asked them to describe their childbirth experiences through semi-constructive interviews. The husbands were also present at the interviews, and they were asked to talk freely about their thoughts on childbirth. The birth experiences were converted into data by referring to Berelson's content analysis [1]. As a result, the experiences of childbirth were categorized into the following categories: "experiences in which I was occupied with myself," "experiences in which I was supported by my husband and others," "experiences in which I was occupied with myself," and "experiences in which I worried about the effects of radiation on my child. The case study had concerns about radiation, but her husband and the people around her supported her through the birth, and she was able to positively view the birth as a good experience. It was also suggested that it is necessary for doctors, midwives, and radiation experts at medical facilities to work together to provide continuous support to pregnant women and their husbands from the early stages of pregnancy. Furthermore, the provision of accurate and specific information via the Internet and other information devices would be useful.
{"title":"Childbirth Experience of a Mother Who Became Pregnant Soon After the Great East Japan Earthquake","authors":"Kumi Suto, N. Shiga, K. Hattori, Takahiro Igarashi","doi":"10.33425/2639-9474.1209","DOIUrl":"https://doi.org/10.33425/2639-9474.1209","url":null,"abstract":"The purpose of the interview was to learn about the experience of childbirth in order to consider how to support expectant mothers and postpartum mothers under the stress of radiation anxiety. In May 2012, first-time mothers in their 20s who became pregnant soon after the earthquake were asked, \"How was your childbirth experience? \" and asked them to describe their childbirth experiences through semi-constructive interviews. The husbands were also present at the interviews, and they were asked to talk freely about their thoughts on childbirth. The birth experiences were converted into data by referring to Berelson's content analysis [1]. As a result, the experiences of childbirth were categorized into the following categories: \"experiences in which I was occupied with myself,\" \"experiences in which I was supported by my husband and others,\" \"experiences in which I was occupied with myself,\" and \"experiences in which I worried about the effects of radiation on my child. The case study had concerns about radiation, but her husband and the people around her supported her through the birth, and she was able to positively view the birth as a good experience. It was also suggested that it is necessary for doctors, midwives, and radiation experts at medical facilities to work together to provide continuous support to pregnant women and their husbands from the early stages of pregnancy. Furthermore, the provision of accurate and specific information via the Internet and other information devices would be useful.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116060421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seriously ill people are often unable to oversee their illness or live their lives independently. Nor are they always able to make responsible medical based decisions. Family caregivers can fill this gap. Often one particular family member assumes this role. This person is termed the main family caregiver (MFC). The motivating factors for taking on this demanding voluntary role are complex and variable. Legal designations such as advanced directives or medical power of attorney, where they exist, may, at most, clarify the delegation of authority to the MFC but do not provide guidelines regarding fulfilling their role. Furthermore, this delegation is often informal or de facto rather than official or legal. In addition, a changing situation such as a deterioration of the patient may render a previous formal arrangement no longer relevant. Their task is complex because of the various demands made upon them, which may include technical skills, making crucial decisions and possible ethical conflicts. Moreover, the medical system, with its patient chart-based approach often does not address MFC involvement, even when critical and decisive. As the patient’s condition deteriorates, the nature of the MFC relationship with the patient evolves from primarily a family member to primarily a caregiver role. In the course of time, the MFC may find themselves overwhelmed or unable to perform their tasks competently. In short, the medical system frequently fails to acknowledge or take into account the important challenging and helpful role that the MFC plays in patient care. The attending physician, along with the treatment team, should guide and support the MFC in order to optimize their role in supporting their loved one.
{"title":"Main Family Caregiver","authors":"J. Shalom","doi":"10.33425/2639-9474.1203","DOIUrl":"https://doi.org/10.33425/2639-9474.1203","url":null,"abstract":"Seriously ill people are often unable to oversee their illness or live their lives independently. Nor are they always able to make responsible medical based decisions. Family caregivers can fill this gap. Often one particular family member assumes this role. This person is termed the main family caregiver (MFC). The motivating factors for taking on this demanding voluntary role are complex and variable. Legal designations such as advanced directives or medical power of attorney, where they exist, may, at most, clarify the delegation of authority to the MFC but do not provide guidelines regarding fulfilling their role. Furthermore, this delegation is often informal or de facto rather than official or legal. In addition, a changing situation such as a deterioration of the patient may render a previous formal arrangement no longer relevant. Their task is complex because of the various demands made upon them, which may include technical skills, making crucial decisions and possible ethical conflicts. Moreover, the medical system, with its patient chart-based approach often does not address MFC involvement, even when critical and decisive. As the patient’s condition deteriorates, the nature of the MFC relationship with the patient evolves from primarily a family member to primarily a caregiver role. In the course of time, the MFC may find themselves overwhelmed or unable to perform their tasks competently. In short, the medical system frequently fails to acknowledge or take into account the important challenging and helpful role that the MFC plays in patient care. The attending physician, along with the treatment team, should guide and support the MFC in order to optimize their role in supporting their loved one.","PeriodicalId":158343,"journal":{"name":"Nursing & Primary Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128702749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：