Di Indonesia prevalensi asma berkisar diantara 5% - 6% dari populasi penduduk di Indonesia, dengan prevalensi asma pada kehamilan berkisar diantara 3,7% - 4%. Defisiensi imun seluler dapat ditemukan pada kehamilan. Pada pregnant ashmatic baik dengan peningkatan IgE maupun tidak ada perubahan memiliki kecenderungan terjadinya eksaserbasi asma yang semakin memburuk selama kehamilan. Tujuan penelitian ini membuktikan pengaruh kehamilan terhadap frekuensi kekambuhan asma pada ibu hamil trimester I, II dan III dengan riwayat asma di kota Malang. Penelitian ini menggunakan desain komparatif. Populasi dalam penelitian ini semua hamil dengan asma, sampel dipilih sesuai dengan kriteria inklusi, pengambilan sampel dilakukan dengan metode accidental sampling. Pada hasil Friedman Test didapatkan nilai p=0.03 dengan α=0,05 maka hal ini menunjukkan bahwa terdapat perbedaan frekuensi kekambuhan asma yang signifikan antara ibu hamil trimester I, II dan III. Nilai korelasi r = 0, 1 menunjukkan kekuatan korelasi sangat lemah, dan korelasi positif. R2 = 3,6% menunjukkan kehamilan memiliki pengaruh 3,6% pada frekuensi kambuhan asma pada kehamilan. Perubahan fisik, emosional dan biokimia selama kehamilan menyebabkan kambuhan asma pada kehamilan, terutama stress pada trimester ketiga. Perubahan imunitas pada kehamilan, terutama penurunan imunitas yang dimediasi sel, diduga sebagai predisposisi infeksi pada orang dengan asma dan dapat menyebabkan pemburukan asma. Kesimpulan dari penelitian ini adalah terdapat perbedaan frekuensi kambuhan asma pada kehamilan antara trimester I, II dan III, dimana frekuensi kekambuhan yang tertinggi terjadi saat trimester ketiga. Saran dari penelitian ini adalah pemantauan ketat dan penanganan yang benar pada ibu hamil penderita asma dengan melakukan Ante Natal Care (ANC) secara teratur.
{"title":"Pengaruh Kehamilan Terhadap Frekuensi Kekambuhan Asma Pada Ibu Hamil Trimester I, II Dan III Dengan Riwayat Asma Di Kota Malang","authors":"Wiwik Agustina, Sumiatun Sumiatun","doi":"10.32700/jnc.v2i2.42","DOIUrl":"https://doi.org/10.32700/jnc.v2i2.42","url":null,"abstract":"Di Indonesia prevalensi asma berkisar diantara 5% - 6% dari populasi penduduk di Indonesia, dengan prevalensi asma pada kehamilan berkisar diantara 3,7% - 4%. Defisiensi imun seluler dapat ditemukan pada kehamilan. Pada pregnant ashmatic baik dengan peningkatan IgE maupun tidak ada perubahan memiliki kecenderungan terjadinya eksaserbasi asma yang semakin memburuk selama kehamilan. Tujuan penelitian ini membuktikan pengaruh kehamilan terhadap frekuensi kekambuhan asma pada ibu hamil trimester I, II dan III dengan riwayat asma di kota Malang. Penelitian ini menggunakan desain komparatif. Populasi dalam penelitian ini semua hamil dengan asma, sampel dipilih sesuai dengan kriteria inklusi, pengambilan sampel dilakukan dengan metode accidental sampling. Pada hasil Friedman Test didapatkan nilai p=0.03 dengan α=0,05 maka hal ini menunjukkan bahwa terdapat perbedaan frekuensi kekambuhan asma yang signifikan antara ibu hamil trimester I, II dan III. Nilai korelasi r = 0, 1 menunjukkan kekuatan korelasi sangat lemah, dan korelasi positif. R2 = 3,6% menunjukkan kehamilan memiliki pengaruh 3,6% pada frekuensi kambuhan asma pada kehamilan. Perubahan fisik, emosional dan biokimia selama kehamilan menyebabkan kambuhan asma pada kehamilan, terutama stress pada trimester ketiga. Perubahan imunitas pada kehamilan, terutama penurunan imunitas yang dimediasi sel, diduga sebagai predisposisi infeksi pada orang dengan asma dan dapat menyebabkan pemburukan asma. Kesimpulan dari penelitian ini adalah terdapat perbedaan frekuensi kambuhan asma pada kehamilan antara trimester I, II dan III, dimana frekuensi kekambuhan yang tertinggi terjadi saat trimester ketiga. Saran dari penelitian ini adalah pemantauan ketat dan penanganan yang benar pada ibu hamil penderita asma dengan melakukan Ante Natal Care (ANC) secara teratur.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"49 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2018-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84854932","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000469
V. Boscart, Maryanne Brown
Background: Current senior’s care provided within the Canadian health care system is not often person-centred; nor is it always in accordance with gerontological best practices. Furthermore, gaps also exist in access to and continuity of care services, leading to poor quality of care and avoidable readmissions or setbacks in seniors’ health or chronic care conditions. The impacts of these gaps are compounded when critical information is not transferred with seniors when they change care settings (i.e. transferring between hospital, home, retirement communities, etc.). Research suggests that seniors do not always receive resources required to support them through these transitions, and advocates for their needs. Methods: This qualitative study’s objective was to explore 35 seniors’ and 25 care partners’ care transition experiences in a suburban community, in Canada. This study is part of a larger project aimed at developing a better understanding of how to enhance care and transitions through identifying seniors’ and care partners’ perspectives of access to and continuity of quality care, and awareness and information availability during care transitions. Results: A situational analysis revealed that several factors impede successful transitions for seniors, including not being listened to; needs being ignored; task-focused and splintered care; neglect of the care context; and absence of care continuity. Conclusion: Transitional care is often not person-centred, does not follow best practices, and presents with several gaps in access to and continuity of health care services. These findings informed subsequent stages of the overall research project aimed at creating better transitions and care experiences for seniors.
{"title":"Transitional Care for Seniors: What do Care Partners and Seniors Really Experience?","authors":"V. Boscart, Maryanne Brown","doi":"10.4172/2167-1168.1000469","DOIUrl":"https://doi.org/10.4172/2167-1168.1000469","url":null,"abstract":"Background: Current senior’s care provided within the Canadian health care system is not often person-centred; nor is it always in accordance with gerontological best practices. Furthermore, gaps also exist in access to and continuity of care services, leading to poor quality of care and avoidable readmissions or setbacks in seniors’ health or chronic care conditions. The impacts of these gaps are compounded when critical information is not transferred with seniors when they change care settings (i.e. transferring between hospital, home, retirement communities, etc.). Research suggests that seniors do not always receive resources required to support them through these transitions, and advocates for their needs. Methods: This qualitative study’s objective was to explore 35 seniors’ and 25 care partners’ care transition experiences in a suburban community, in Canada. This study is part of a larger project aimed at developing a better understanding of how to enhance care and transitions through identifying seniors’ and care partners’ perspectives of access to and continuity of quality care, and awareness and information availability during care transitions. Results: A situational analysis revealed that several factors impede successful transitions for seniors, including not being listened to; needs being ignored; task-focused and splintered care; neglect of the care context; and absence of care continuity. Conclusion: Transitional care is often not person-centred, does not follow best practices, and presents with several gaps in access to and continuity of health care services. These findings informed subsequent stages of the overall research project aimed at creating better transitions and care experiences for seniors.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85502855","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000464
Spyros J. Vliamos, A. Pavlakis, P. Prezerakos, M. Maniou, K. Flora, S. Zyga
Introduction: Mobbing in the workplace occurs when someone repeatedly, for a long time is exposed to negative behaviors and may have difficulty in defending himself. In the nursing profession, labor intimidation is common. It is now accepted that anxiety and self-esteem can play a particularly important role in mental and in physical health of nurses. Purpose: The investigation of self-esteem, the existence of anxiety and the phenomena of workplace mobbing of nursing staff working in Primary Health Care, Intensive Care Unit and in the Emergency Department. Methodology: An investigation was carried out in the area of Crete between August 2017 and January 2018 in fourteen Health Centers, two Primary National Health Networks, four Emergency Department, eleven Intensive Care Units. The study involved 213 nurses. The Leymann Inventory of Psychological Terror, the State-Trait Anxiety Inventory and the Culture-free Self-esteem Inventories has been used. Results: The average age of the participants was 41.73. The 45.5% of the sample is working in Intensive Care Units, 24.9% in Emergency Departments and 29.6% in Primary Care Units. The mean value of trait anxiety was 40.82, state anxiety 39.03, and overall anxiety 79.85 for the overall study sample. They were exposed to at least one mobbing behavior in the past 12 months, and for at least once a week, almost daily or daily the 11.3% These 24 nurses attribute this behavior to competition problems (60.9%) and jealousy (58.7%). The most nurses of the total sample (50.5%) had a middle self-esteem. Conclusions: The evaluation of the results shows that the nursing staff of the overall sample of the study experiences mild anxiety symptoms. Mobbing seems to be at high rates. Early recognition of the phenomenon and its management as well as enhancing of the self-esteem should be the best practice of intervention to prevent it. *Corresponding author: Maniou Maria, Faculty of Nursing, Technological Educational Institute of Crete, Iraklion, Greece; Tel: +03
{"title":"Workplace Violence, Anxiety and Self-Esteem in Nursing Staff of Primary, Emergency and Intensive Care Units on the Island of Crete","authors":"Spyros J. Vliamos, A. Pavlakis, P. Prezerakos, M. Maniou, K. Flora, S. Zyga","doi":"10.4172/2167-1168.1000464","DOIUrl":"https://doi.org/10.4172/2167-1168.1000464","url":null,"abstract":"Introduction: Mobbing in the workplace occurs when someone repeatedly, for a long time is exposed to negative behaviors and may have difficulty in defending himself. In the nursing profession, labor intimidation is common. It is now accepted that anxiety and self-esteem can play a particularly important role in mental and in physical health of nurses. Purpose: The investigation of self-esteem, the existence of anxiety and the phenomena of workplace mobbing of nursing staff working in Primary Health Care, Intensive Care Unit and in the Emergency Department. Methodology: An investigation was carried out in the area of Crete between August 2017 and January 2018 in fourteen Health Centers, two Primary National Health Networks, four Emergency Department, eleven Intensive Care Units. The study involved 213 nurses. The Leymann Inventory of Psychological Terror, the State-Trait Anxiety Inventory and the Culture-free Self-esteem Inventories has been used. Results: The average age of the participants was 41.73. The 45.5% of the sample is working in Intensive Care Units, 24.9% in Emergency Departments and 29.6% in Primary Care Units. The mean value of trait anxiety was 40.82, state anxiety 39.03, and overall anxiety 79.85 for the overall study sample. They were exposed to at least one mobbing behavior in the past 12 months, and for at least once a week, almost daily or daily the 11.3% These 24 nurses attribute this behavior to competition problems (60.9%) and jealousy (58.7%). The most nurses of the total sample (50.5%) had a middle self-esteem. Conclusions: The evaluation of the results shows that the nursing staff of the overall sample of the study experiences mild anxiety symptoms. Mobbing seems to be at high rates. Early recognition of the phenomenon and its management as well as enhancing of the self-esteem should be the best practice of intervention to prevent it. *Corresponding author: Maniou Maria, Faculty of Nursing, Technological Educational Institute of Crete, Iraklion, Greece; Tel: +03","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88793390","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168-C2-068
C. Haigh
{"title":"YouTube as a source of clinical skills education","authors":"C. Haigh","doi":"10.4172/2167-1168-C2-068","DOIUrl":"https://doi.org/10.4172/2167-1168-C2-068","url":null,"abstract":"","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85102189","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000460
P. McLoughlin
Objective: To understand patient’s reasoning for declining remote monitoring of their cardiac device. Is a patient more likely to proceed with remote monitoring if they are aware of the benefits and limitations of remote monitoring?Background: It is now possible to assess pacemakers and defibrillators remotely through the use of personal monitors. Remote monitoring has many evidence based benefits for the patient and device clinic, and is now an integral part of the standard of medical care for CIED patients in Canada. Despite this, a minority of patients decline remote monitoring. We have a poor understanding as to why this might be, with little research in contemporary literature looking at this area.Methods: A descriptive survey, questionnaire study was used having both quantitative and qualitative features. This allowed for the primary reasons for patients declining remote monitoring to be concisely identified, using thematic analysis. It assessed a patient’s knowledge of the benefits of remote monitoring, looking for a relationship between this and likelihood to proceed with remote monitoring.Results: Loss of human contact appears to be a predominant concern, confirming patient’s reported experiences in Ottenberg’s study and as suggested in the 2015 HRS statement. Privacy and security fears were also highlighted. Surprisingly fear of technology, in a mainly elderly population, was rarely mentioned. Half of the participants in this study stated that they would be likely to proceed with remote monitoring after having read the evidence based benefits for its use.Conclusions and Recommendations: Patient acceptance of remote monitoring can be improved by educating them to its benefits and limitations. To alleviate privacy concerns, device companies should look at the feasibility of having their remote monitoring servers physically based in Canada.
{"title":"Understanding Patient Reluctance to the Remote Monitoring of Cardiac Implantable Electronic Devices","authors":"P. McLoughlin","doi":"10.4172/2167-1168.1000460","DOIUrl":"https://doi.org/10.4172/2167-1168.1000460","url":null,"abstract":"Objective: To understand patient’s reasoning for declining remote monitoring of their cardiac device. Is a patient more likely to proceed with remote monitoring if they are aware of the benefits and limitations of remote monitoring?Background: It is now possible to assess pacemakers and defibrillators remotely through the use of personal monitors. Remote monitoring has many evidence based benefits for the patient and device clinic, and is now an integral part of the standard of medical care for CIED patients in Canada. Despite this, a minority of patients decline remote monitoring. We have a poor understanding as to why this might be, with little research in contemporary literature looking at this area.Methods: A descriptive survey, questionnaire study was used having both quantitative and qualitative features. This allowed for the primary reasons for patients declining remote monitoring to be concisely identified, using thematic analysis. It assessed a patient’s knowledge of the benefits of remote monitoring, looking for a relationship between this and likelihood to proceed with remote monitoring.Results: Loss of human contact appears to be a predominant concern, confirming patient’s reported experiences in Ottenberg’s study and as suggested in the 2015 HRS statement. Privacy and security fears were also highlighted. Surprisingly fear of technology, in a mainly elderly population, was rarely mentioned. Half of the participants in this study stated that they would be likely to proceed with remote monitoring after having read the evidence based benefits for its use.Conclusions and Recommendations: Patient acceptance of remote monitoring can be improved by educating them to its benefits and limitations. To alleviate privacy concerns, device companies should look at the feasibility of having their remote monitoring servers physically based in Canada.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"79 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83920087","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000454
Aklilu Mamo Dacho, Abiy Tadesse Angelo
Background: Wound infection is a common complication of caesarean section and may lead to maternal sepsis, increased health care costs, prolonged hospital stay and negatively influences the outcome of the patient. Even though the extent of the problem is expected to be high in Ethiopia, it was not studied well. Objective: To assess the magnitude of post caesarean section surgical site infection and its associated factors among mothers who underwent caesarean section in Mizan Tepi university teaching hospital, south west Ethiopia, 2017. Methods: Cross-sectional study design was conducted in Mizan Tepi university teaching hospital from March 10-30, 2017. A total of 325 records of mothers were reviewed based on CDC criteria for surgical site infection after selecting the cards by simple random methods. Data were entered in epidata version 3.1and analysed with using frequency, percentage and binary logistic. Result: Overall post caesarean section surgical site infection rate was 12.9%. Rupture of membrane <24 h (AOR=0.35, 95% CI: 0.129, 0.897), pre-operative hematocrit count of <30% (AOR=2.598, 95% CI: 1.125, 6.003) and post-operative admission for less than 8 days (AOR=0. 109, 95% CI: 0.043, 0.276) were found to be independent predictors of post caesarean section surgical site infection. Conclusion and recommendation: Post caesarean section surgical site infection was found to be high in Mizan Tepi University teaching hospital. Rupture of membrane <24 h, pre-operative hematocrit count of <30% and postoperative admission for less than 8 days were found to be significant factors for post caesarean section surgical site infection. Effort should be made to prevent prolonged rupture of membrane and accessing and proper counselling on the appropriate utilization of iron folate at antenatal care setting should be stressed.
{"title":"Magnitude of Post Caesarean Section Surgical Site Infection and its Associated Factors among Mothers who Underwent Caesarean Section in Mizan Tepi University Teaching Hospital, South West Ethiopia, 2017","authors":"Aklilu Mamo Dacho, Abiy Tadesse Angelo","doi":"10.4172/2167-1168.1000454","DOIUrl":"https://doi.org/10.4172/2167-1168.1000454","url":null,"abstract":"Background: Wound infection is a common complication of caesarean section and may lead to maternal sepsis, increased health care costs, prolonged hospital stay and negatively influences the outcome of the patient. Even though the extent of the problem is expected to be high in Ethiopia, it was not studied well. Objective: To assess the magnitude of post caesarean section surgical site infection and its associated factors among mothers who underwent caesarean section in Mizan Tepi university teaching hospital, south west Ethiopia, 2017. Methods: Cross-sectional study design was conducted in Mizan Tepi university teaching hospital from March 10-30, 2017. A total of 325 records of mothers were reviewed based on CDC criteria for surgical site infection after selecting the cards by simple random methods. Data were entered in epidata version 3.1and analysed with using frequency, percentage and binary logistic. Result: Overall post caesarean section surgical site infection rate was 12.9%. Rupture of membrane <24 h (AOR=0.35, 95% CI: 0.129, 0.897), pre-operative hematocrit count of <30% (AOR=2.598, 95% CI: 1.125, 6.003) and post-operative admission for less than 8 days (AOR=0. 109, 95% CI: 0.043, 0.276) were found to be independent predictors of post caesarean section surgical site infection. Conclusion and recommendation: Post caesarean section surgical site infection was found to be high in Mizan Tepi University teaching hospital. Rupture of membrane <24 h, pre-operative hematocrit count of <30% and postoperative admission for less than 8 days were found to be significant factors for post caesarean section surgical site infection. Effort should be made to prevent prolonged rupture of membrane and accessing and proper counselling on the appropriate utilization of iron folate at antenatal care setting should be stressed.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"143 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76742005","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000466
Lina Corona-Lobos, C. Boivin, Muriel Harduin
Background: Hospital-to-home transitions are periods of vulnerability for older people and their caregivers. Furthermore, few studies have looked thoroughly into the psychosocial factors influencing these transitions. Nurses must understand those factors well in order to provide effective care during transitions. Objectives: To explore the psychosocial factors associated with the hospital-to-home transitions of older people, and to describe how they influence those transitions. Methods: We made a literature search of seven electronic databases for qualitative articles published from 2000-2017 and focusing on the psychosocial factors related to the hospital-to-home transitions of older people discharged from acute care hospitals. Data were synthesized using a thematic synthesis. Results: Eight articles met the review’s inclusion/exclusion criteria. Six significant psychosocial factors emerged from the thematic synthesis: Self-management of activities of daily living, informal support, and formal support, participation in discharge planning, living alone, and social participation. The factors emerged mainly after discharge and could either facilitate transitions via positive influences (e.g., patients’ feelings of safety, and independence in activities of daily living) or hinder them via negative influences (e.g., patient anxiety, poor adherence to medication, emotional burden on the caregiver, discontinuity in the activities of daily living and care, and risk of rehospitalization). Conclusion: The influences of psychosocial factors can be associated with patient health and continuity in the activities of daily living and care. Integrating the evaluations of both patients and caregivers to identify needs or problems related to medical and psychosocial factors in transitional care seems essential for facilitating those
{"title":"Psychosocial Factors Associated with Hospital-to-Home Transitions of Older People: A Review","authors":"Lina Corona-Lobos, C. Boivin, Muriel Harduin","doi":"10.4172/2167-1168.1000466","DOIUrl":"https://doi.org/10.4172/2167-1168.1000466","url":null,"abstract":"Background: Hospital-to-home transitions are periods of vulnerability for older people and their caregivers. Furthermore, few studies have looked thoroughly into the psychosocial factors influencing these transitions. Nurses must understand those factors well in order to provide effective care during transitions. Objectives: To explore the psychosocial factors associated with the hospital-to-home transitions of older people, and to describe how they influence those transitions. Methods: We made a literature search of seven electronic databases for qualitative articles published from 2000-2017 and focusing on the psychosocial factors related to the hospital-to-home transitions of older people discharged from acute care hospitals. Data were synthesized using a thematic synthesis. Results: Eight articles met the review’s inclusion/exclusion criteria. Six significant psychosocial factors emerged from the thematic synthesis: Self-management of activities of daily living, informal support, and formal support, participation in discharge planning, living alone, and social participation. The factors emerged mainly after discharge and could either facilitate transitions via positive influences (e.g., patients’ feelings of safety, and independence in activities of daily living) or hinder them via negative influences (e.g., patient anxiety, poor adherence to medication, emotional burden on the caregiver, discontinuity in the activities of daily living and care, and risk of rehospitalization). Conclusion: The influences of psychosocial factors can be associated with patient health and continuity in the activities of daily living and care. Integrating the evaluations of both patients and caregivers to identify needs or problems related to medical and psychosocial factors in transitional care seems essential for facilitating those","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72816769","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000455
P. Amudha, H. Hamidah, K. Annamma, N. Ananth
Effective communication among healthcare providers is the key driver for the success of the healthcare system. All the decisions related to patient care depend on effective communication among healthcare providers. Communication and teamwork are the backbones of the organization and helps to safeguard patients’ safety. The study aimed to identify the contributing factors to the communication gap between doctors and nurses at selected private hospitals in Malaysia. The study used a qualitative method with an explorative and descriptive design to elicit the experience of 24 staff nurses from six private hospitals in Kuala Lumpur, Malaysia. A semi-structured interview was conducted to collect the data. The data were analysed using Colaizzi's method for thematic data analysis. The findings of the study suggested three categories as the factors to be responsible for the nurse-physician communication gap as perceived by nurses. The three categories are nurses work readiness; work environment and physician attributes. The respondents also suggested measures to overcome the communication barrier among nurses and physicians. In conclusion, a healthy nurse-physician communication is a vital factor in determining patient safety and quality of care.
{"title":"Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses","authors":"P. Amudha, H. Hamidah, K. Annamma, N. Ananth","doi":"10.4172/2167-1168.1000455","DOIUrl":"https://doi.org/10.4172/2167-1168.1000455","url":null,"abstract":"Effective communication among healthcare providers is the key driver for the success of the healthcare system. All the decisions related to patient care depend on effective communication among healthcare providers. Communication and teamwork are the backbones of the organization and helps to safeguard patients’ safety. The study aimed to identify the contributing factors to the communication gap between doctors and nurses at selected private hospitals in Malaysia. The study used a qualitative method with an explorative and descriptive design to elicit the experience of 24 staff nurses from six private hospitals in Kuala Lumpur, Malaysia. A semi-structured interview was conducted to collect the data. The data were analysed using Colaizzi's method for thematic data analysis. The findings of the study suggested three categories as the factors to be responsible for the nurse-physician communication gap as perceived by nurses. The three categories are nurses work readiness; work environment and physician attributes. The respondents also suggested measures to overcome the communication barrier among nurses and physicians. In conclusion, a healthy nurse-physician communication is a vital factor in determining patient safety and quality of care.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"72 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73506264","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000459
Fengjuan Zhang, Yan-hui Wang, Li Liu, Shuangshi Wu, Ke-Zhou Ni, Yangyang Yu, Yanyi Lyu, Xiao-Yang Zhang, Junyun Liu, Ying Cui
Aims and Objectives: To determine the effects of the comprehensive care to the psychological status and the eyesight recovery of the patients with vitrectomy. Background: Vitrectomy is a routine clinical practice which was widely used to treat multiple eye diseases. However, due to the anatomic location of the vitreous body and the operational risk, patients tend to develop psychological disorders, which would negatively affect the therapeutic effects. Design: 84 cases of the patients who had the vitrectomy operation in our hospital during the period of February 2015 to February 2017 were randomly divided into control group (n=42) and experimental group (n=42). The control group accepted the routine care during and after the operation, and the experimental group accepted the comprehensive care in addition to routine care. Methods: The effects of comprehensive care were evaluated by comparing the psychological status of the patients and the extent of the eyesight recovery between the two groups. Results: Both the self-rating anxiety scale (SAS) and the self-rating depressive scale (SDS) of the experimental group are significantly (p<0.01) lower than the control group. The eyesight recovery efficiency in experimental group (92.86%) is significantly higher (p<0.05) than control group (76.19%). The incidence of postoperative complications in experimental group is significantly lower (p<0.05) than control group, and the average length of stay in hospitals in experimental group is significantly shorter (p<0.01) than control group. Conclusions: There were significant beneficial effects of the comprehensive care in patients with vitrectomy. Comprehensive care could effectively improve the psychological statues of the patients and enhance their eyesight recovery. Relevance to clinical practice: Comprehensive care in patients underwent surgery improve patient’s recovery and make a difference in disease outcomes. This could potentially be applicable to most of the clinical practices.
{"title":"Effects of Comprehensive Care to the Psychological Status and the Eyesight Recovery of the Patients with Vitrectomy","authors":"Fengjuan Zhang, Yan-hui Wang, Li Liu, Shuangshi Wu, Ke-Zhou Ni, Yangyang Yu, Yanyi Lyu, Xiao-Yang Zhang, Junyun Liu, Ying Cui","doi":"10.4172/2167-1168.1000459","DOIUrl":"https://doi.org/10.4172/2167-1168.1000459","url":null,"abstract":"Aims and Objectives: To determine the effects of the comprehensive care to the psychological status and the eyesight recovery of the patients with vitrectomy. Background: Vitrectomy is a routine clinical practice which was widely used to treat multiple eye diseases. However, due to the anatomic location of the vitreous body and the operational risk, patients tend to develop psychological disorders, which would negatively affect the therapeutic effects. Design: 84 cases of the patients who had the vitrectomy operation in our hospital during the period of February 2015 to February 2017 were randomly divided into control group (n=42) and experimental group (n=42). The control group accepted the routine care during and after the operation, and the experimental group accepted the comprehensive care in addition to routine care. Methods: The effects of comprehensive care were evaluated by comparing the psychological status of the patients and the extent of the eyesight recovery between the two groups. Results: Both the self-rating anxiety scale (SAS) and the self-rating depressive scale (SDS) of the experimental group are significantly (p<0.01) lower than the control group. The eyesight recovery efficiency in experimental group (92.86%) is significantly higher (p<0.05) than control group (76.19%). The incidence of postoperative complications in experimental group is significantly lower (p<0.05) than control group, and the average length of stay in hospitals in experimental group is significantly shorter (p<0.01) than control group. Conclusions: There were significant beneficial effects of the comprehensive care in patients with vitrectomy. Comprehensive care could effectively improve the psychological statues of the patients and enhance their eyesight recovery. Relevance to clinical practice: Comprehensive care in patients underwent surgery improve patient’s recovery and make a difference in disease outcomes. This could potentially be applicable to most of the clinical practices.","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"33 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85994570","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}
Pub Date : 2018-01-01DOI: 10.4172/2167-1168.1000E137
April Anne Domingo Balanon-Bocato
The idea that nurses are an oppressed group was first suggested by Roberts in 1983. That the Nursing profession began at a time of patriarchy is something of importance to note. Through the years there has always been a power differential between doctors and nurses. A handful of articles and researches will support the fact that there is indeed a long standing culture of oppression in the nursing profession. Gordon [1], in her book nursing against the odds notes that nurses are viewed essentially as physician subordinates with no real autonomy. It is disturbing to realize that in the health care scenario, some people and some disciplines think that they are more important than others, with this way of thinking; the Dunning-Krueger effect comes to mind. According to this, people display illusory superiority and tend to judge themselves as better than others. Research by Rodwell and Demir in 2012 says that all of us are vulnerable to this decision because we all have pockets of incompetence we do not realize [2]. It isn't a question of ego blinding as to our weaknesses but psychologists have proven that people usually admit their deficits once they can spot them. Ironically, people who have a moderate amount of expertise often have less competence in their abilities; in short, they know enough to know that there is a lot they do not know. Some refer to this as the "bubble of inadequate perception". Further explained, when people are unskilled, they cannot see their own faults-but when they are exceptionally competent, they cannot perceive how unusual their abilities are. Knowing how competent we are and how our skills stack up against other people is more than just a self-esteem boost. It helps us, figure out where we can forge ahead on our own decisions and instincts and when we need to seek advice. But why is there so much self-silencing? If we truly believe that the days when nurses played the role of skilled handmaidens to physicians are in the past, then why do nurses allow their practice to be defined by the physicians they work with? Friere's [3] theory of oppression has been used in nursing literature to define the oppressed state of the nursing profession for years. Whether we would like to admit it or not, the culture of oppression in nursing is something prevailing. Perhaps from a time when the profession of nursing fell under a male dominated group of physicians, or from a time when nurses and doctors belonged to different herds and groups, a time when overt and covert behaviours were used to put people in their place. Researches by Dong and Temple in 2011 [4] have proven that the experience of oppression may result in violence as a way to achieve power over peers. Whenever there is a dominant group and an oppressed group, the dominant group exerts all its power on the oppressed group and because the oppressed group cannot exert their power upward, they unconsciously start attacking each other. Fletcher called this the submissive aggres
{"title":"Tolerated and Unchallenged: Workplace Oppression among Nurses","authors":"April Anne Domingo Balanon-Bocato","doi":"10.4172/2167-1168.1000E137","DOIUrl":"https://doi.org/10.4172/2167-1168.1000E137","url":null,"abstract":"The idea that nurses are an oppressed group was first suggested by Roberts in 1983. That the Nursing profession began at a time of patriarchy is something of importance to note. Through the years there has always been a power differential between doctors and nurses. A handful of articles and researches will support the fact that there is indeed a long standing culture of oppression in the nursing profession. Gordon [1], in her book nursing against the odds notes that nurses are viewed essentially as physician subordinates with no real autonomy. It is disturbing to realize that in the health care scenario, some people and some disciplines think that they are more important than others, with this way of thinking; the Dunning-Krueger effect comes to mind. According to this, people display illusory superiority and tend to judge themselves as better than others. Research by Rodwell and Demir in 2012 says that all of us are vulnerable to this decision because we all have pockets of incompetence we do not realize [2]. It isn't a question of ego blinding as to our weaknesses but psychologists have proven that people usually admit their deficits once they can spot them. Ironically, people who have a moderate amount of expertise often have less competence in their abilities; in short, they know enough to know that there is a lot they do not know. Some refer to this as the \"bubble of inadequate perception\". Further explained, when people are unskilled, they cannot see their own faults-but when they are exceptionally competent, they cannot perceive how unusual their abilities are. Knowing how competent we are and how our skills stack up against other people is more than just a self-esteem boost. It helps us, figure out where we can forge ahead on our own decisions and instincts and when we need to seek advice. But why is there so much self-silencing? If we truly believe that the days when nurses played the role of skilled handmaidens to physicians are in the past, then why do nurses allow their practice to be defined by the physicians they work with? Friere's [3] theory of oppression has been used in nursing literature to define the oppressed state of the nursing profession for years. Whether we would like to admit it or not, the culture of oppression in nursing is something prevailing. Perhaps from a time when the profession of nursing fell under a male dominated group of physicians, or from a time when nurses and doctors belonged to different herds and groups, a time when overt and covert behaviours were used to put people in their place. Researches by Dong and Temple in 2011 [4] have proven that the experience of oppression may result in violence as a way to achieve power over peers. Whenever there is a dominant group and an oppressed group, the dominant group exerts all its power on the oppressed group and because the oppressed group cannot exert their power upward, they unconsciously start attacking each other. Fletcher called this the submissive aggres","PeriodicalId":22775,"journal":{"name":"The journal of nursing care","volume":"21 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76464266","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}
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