Pub Date : 2019-07-30DOI: 10.36811/ojnmc.2019.110004
Julie Benbenishty Rh Mns and Eman Alshawish Jayyose Rn
Aim: This paper is a focus group Qualitative analysis of nursing perception of refugee needs. Background: Receiving quality health care is a challenge for refugee populations as often live in crowded, unsanitary conditions. The International Council of Nurses’ Code of Ethics asserts that nurses should expand beyond the individual model and promote a rights-enabling environment where respect for human dignity is paramount. Introduction: This investigation is analysis of Middle East and Western nurses’ collaboration in assessing and planning an intervention in refugee camps. Our education policy should be to prepare our future nurses for any health challenge they may face. Working with refugees and displaced people is currently a global health care challenge. Methods: During an international nursing conference focusing on nursing force in promoting health equity, participants were asked to recognize influence of social health determinants of refugee individuals and populations. Second, identify barriers to health care. Third, discuss professional roles in refugee patient/client care. Finally, demonstrate inter-professional engagement. The participants were from diverse populations and many of them defined themselves as displaced persons or refugees. Findings: A total of 135 nurses, midwives, nursing managers, students and professors from 12 countries participated in focus groups. Central themes included Basic human needs, management, healthcare, and communication. Conclusions: When nurses face unfamiliar situations, they use fundamental nursing theories, Watson caring theory, & Maslow to structure their assessment, intervention and evaluation. Social Policy: When theory developing policies for refugee care, knowledge and practice of fundamentals of nursing is paramount.
{"title":"Focus group qualitative analysis of Middle East and Western nurses assessing and planning interventions in refugee camps","authors":"Julie Benbenishty Rh Mns and Eman Alshawish Jayyose Rn","doi":"10.36811/ojnmc.2019.110004","DOIUrl":"https://doi.org/10.36811/ojnmc.2019.110004","url":null,"abstract":"Aim: This paper is a focus group Qualitative analysis of nursing perception of refugee needs.\u0000\u0000Background: Receiving quality health care is a challenge for refugee populations as often live in crowded, unsanitary conditions. The International Council of Nurses’ Code of Ethics asserts that nurses should expand beyond the individual model and promote a rights-enabling environment where respect for human dignity is paramount.\u0000\u0000Introduction: This investigation is analysis of Middle East and Western nurses’ collaboration in assessing and planning an intervention in refugee camps. Our education policy should be to prepare our future nurses for any health challenge they may face. Working with refugees and displaced people is currently a global health care challenge.\u0000\u0000Methods: During an international nursing conference focusing on nursing force in promoting health equity, participants were asked to recognize influence of social health determinants of refugee individuals and populations. Second, identify barriers to health care. Third, discuss professional roles in refugee patient/client care. Finally, demonstrate inter-professional engagement. The participants were from diverse populations and many of them defined themselves as displaced persons or refugees.\u0000\u0000Findings: A total of 135 nurses, midwives, nursing managers, students and professors from 12 countries participated in focus groups. Central themes included Basic human needs, management, healthcare, and communication.\u0000\u0000Conclusions: When nurses face unfamiliar situations, they use fundamental nursing theories, Watson caring theory, & Maslow to structure their assessment, intervention and evaluation. Social Policy: When theory developing policies for refugee care, knowledge and practice of fundamentals of nursing is paramount.","PeriodicalId":269087,"journal":{"name":"Open Journal of Nursing and Medical Care","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114792566","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 : 2019-05-13DOI: 10.36811/ojnmc.2019.110003
F. Lone, A. Raveendran
The UK population is ageing rapidly, with 51% of the population predicted to be over 65 years of age by 2030 compared to 2010 [1]. The urogynaecological problems in women increase with age affecting over 20% of the adult population [2]. The National Health services (NHS) will have to transform to deal with very large increases in demand for and costs of health and social care. A study forecasting the prevalence of urogynaecological problems in the US forecasted a 50% increase in the service for urogynaecological conditions2. Role of integrated continence services within acute hospitals is gaining interest. A remarkable shift in NHS services will need good joined up primary and specialist care, community care and social care, with effective out of hour’s service. Urogynaecology offers a mix of problems affecting pelvic floor in a woman. It involves treating women with urinary and/or anal symptoms (urgency, incontinence, incomplete emptying) [3], pelvic organ prolapses (POP) and impact of these symptoms on sexual function. It is a relatively new sub-speciality which requires a holistic approach to a patient symptoms and expert skills to overcome demands from aging female population and fulfilling patient expectations.
{"title":"Urogynaecology service at a district general hospital in the United Kingdom-changing needs or a better understanding?","authors":"F. Lone, A. Raveendran","doi":"10.36811/ojnmc.2019.110003","DOIUrl":"https://doi.org/10.36811/ojnmc.2019.110003","url":null,"abstract":"The UK population is ageing rapidly, with 51% of the population predicted to be over 65 years of age by 2030 compared to 2010 [1]. The urogynaecological problems in women increase with age affecting over 20% of the adult population [2]. The National Health services (NHS) will have to transform to deal with very large increases in demand for and costs of health and social care. A study forecasting the prevalence of urogynaecological problems in the US forecasted a 50% increase in the service for urogynaecological conditions2. Role of integrated continence services within acute hospitals is gaining interest. A remarkable shift in NHS services will need good joined up primary and specialist care, community care and social care, with effective out of hour’s service. Urogynaecology offers a mix of problems affecting pelvic floor in a woman. It involves treating women with urinary and/or anal symptoms (urgency, incontinence, incomplete emptying) [3], pelvic organ prolapses (POP) and impact of these symptoms on sexual function. It is a relatively new sub-speciality which requires a holistic approach to a patient symptoms and expert skills to overcome demands from aging female population and fulfilling patient expectations.","PeriodicalId":269087,"journal":{"name":"Open Journal of Nursing and Medical Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121779612","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 : 2019-04-25DOI: 10.36811/OJNMC.2019.110002
H. I. Jensen, Anna Hedegaard Rasmussen, A. Breier, Gitte Vang Frederiksen
Aims and objectives: To examine nurse-experienced effects of using Kinaesthetic for active mobilization of ICU patients in regard to active use of the patients’ movement competences and physical work-related strain for nursing staff. Background: ICU patients often survive with permanently decreased functional levels, both physically and mentally. Active mobilization helps to maintain functional abilities. Kinaesthetic is an educational and supportive method of stimulating and training patients’ movements and their own contribution to mobilization. Design: Mixed methods with semi-structured interviews and a questionnaire survey. Methods: A four-day Kinaesthetic course was completed by 41 (61%) of ICU nurses between September 2015-March 2017. Semi-structured individual interviews and focus group interviews with course participants and non-participants were conducted, followed by a questionnaire survey between August-November 2017. Results Interviews: Kinaesthetic trainees and course participants found that Kinaesthetic helped to get patients mobilized quicker and more actively. Non-participants generally found Kinaesthetic useful, but often had a “them and us” attitude towards their experience. Questionnaire: A total of 50 (75%) participated. Most of those who had participated on the Kinaesthetic course used their new knowledge often or very often. They now involved the patients in mobilization more than before and mobilization entailed less physical strain for the staff. Nonparticipants had more varied experiences, but the majority still felt that the ICU should continue to focus on Kinaesthetic. Conclusions: Based on nurses’ experiences, Kinaesthetic is a workable method to include patients’ movement competences in mobilising ICU patients. Furthermore, the use of Kinaesthetic may reduce physical work-related strain for nursing staff. Relevance to clinical practice: Initiatives to maintain as many of hospitalized patients’ functional abilities as possible are needed. Using the concepts of Kinaesthetic helps maintaining patients’ movement competences and may be valuable to implement in all units dealing with patient mobilization issues.
{"title":"Use of Kinaesthetic in patient mobilization: an evaluation study","authors":"H. I. Jensen, Anna Hedegaard Rasmussen, A. Breier, Gitte Vang Frederiksen","doi":"10.36811/OJNMC.2019.110002","DOIUrl":"https://doi.org/10.36811/OJNMC.2019.110002","url":null,"abstract":"Aims and objectives: To examine nurse-experienced effects of using Kinaesthetic for active mobilization of ICU patients in regard to active use of the patients’ movement competences and physical work-related strain for nursing staff.\u0000\u0000Background: ICU patients often survive with permanently decreased functional levels, both physically and mentally. Active mobilization helps to maintain functional abilities. Kinaesthetic is an educational and supportive method of stimulating and training patients’ movements and their own contribution to mobilization. Design: Mixed methods with semi-structured interviews and a questionnaire survey.\u0000\u0000Methods: A four-day Kinaesthetic course was completed by 41 (61%) of ICU nurses between September 2015-March 2017. Semi-structured individual interviews and focus group interviews with course participants and non-participants were conducted, followed by a questionnaire survey between August-November 2017.\u0000\u0000Results\u0000\u0000Interviews: Kinaesthetic trainees and course participants found that Kinaesthetic helped to get patients mobilized quicker and more actively. Non-participants generally found Kinaesthetic useful, but often had a “them and us” attitude towards their experience.\u0000\u0000Questionnaire: A total of 50 (75%) participated. Most of those who had participated on the Kinaesthetic course used their new knowledge often or very often. They now involved the patients in mobilization more than before and mobilization entailed less physical strain for the staff. Nonparticipants had more varied experiences, but the majority still felt that the ICU should continue to focus on Kinaesthetic.\u0000\u0000Conclusions: Based on nurses’ experiences, Kinaesthetic is a workable method to include patients’ movement competences in mobilising ICU patients. Furthermore, the use of Kinaesthetic may reduce physical work-related strain for nursing staff.\u0000\u0000Relevance to clinical practice: Initiatives to maintain as many of hospitalized patients’ functional abilities as possible are needed. Using the concepts of Kinaesthetic helps maintaining patients’ movement competences and may be valuable to implement in all units dealing with patient mobilization issues.","PeriodicalId":269087,"journal":{"name":"Open Journal of Nursing and Medical Care","volume":"302 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124757605","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 : 2019-02-03DOI: 10.36811/OJNMC.2019.110001
Catherine Sarfo-Walters, S. Nsiah, B. Afranie, Regina Owusu Banahene, S. Donkor
Background: Malaria is one of the leading causes of mortality among children below 5 years of age in Ghana. This study aimed to determine the barriers affecting the management of malaria in children under 5 years in Manhyia hospital, Ghana. Methods: This cross-sectional study was carried out in Manhyia hospital, Kumasi. Questionnaires were administered to 131 health workers as well as 132 guardians of the children below 5 years affected with malaria to obtain data including socio-demographic characteristics of the children, guardians and health workers, the knowledge and practices towards good management of malaria and the challenges faced by guardians and health workers in malaria management. Results: Majority of the infected children (38.6%) were between 1-6 months old. Route of drug administration (p=0.018) and those who were resistant to the action of the anti-malarial drugs (p<0.001) were significantly related to the outcome condition of the child after treatment. General body weakness (80.9%) was the common side effect of the anti-malaria drugs. There was no significant barrier affecting malaria management from the results from the guardians. However, affordability of the anti-malarial drug (24.2%) was a challenge to the parents/guardians. Conclusion: constant supply of quality but affordable drugs and adequate supervision working synergistically will ensure appropriate management of malaria in children and in turn improve the quality of healthcare.
{"title":"Barriers to Effective Management of Malaria in Children under Five Years in a Primary Care, Ghana","authors":"Catherine Sarfo-Walters, S. Nsiah, B. Afranie, Regina Owusu Banahene, S. Donkor","doi":"10.36811/OJNMC.2019.110001","DOIUrl":"https://doi.org/10.36811/OJNMC.2019.110001","url":null,"abstract":"Background: Malaria is one of the leading causes of mortality among children below 5 years of age in Ghana. This study aimed to determine the barriers affecting the management of malaria in children under 5 years in Manhyia hospital, Ghana.\u0000\u0000Methods: This cross-sectional study was carried out in Manhyia hospital, Kumasi. Questionnaires were administered to 131 health workers as well as 132 guardians of the children below 5 years affected with malaria to obtain data including socio-demographic characteristics of the children, guardians and health workers, the knowledge and practices towards good management of malaria and the challenges faced by guardians and health workers in malaria management.\u0000\u0000Results: Majority of the infected children (38.6%) were between 1-6 months old. Route of drug administration (p=0.018) and those who were resistant to the action of the anti-malarial drugs (p<0.001) were significantly related to the outcome condition of the child after treatment. General body weakness (80.9%) was the common side effect of the anti-malaria drugs. There was no significant barrier affecting malaria management from the results from the guardians. However, affordability of the anti-malarial drug (24.2%) was a challenge to the parents/guardians.\u0000\u0000Conclusion: constant supply of quality but affordable drugs and adequate supervision working synergistically will ensure appropriate management of malaria in children and in turn improve the quality of healthcare.","PeriodicalId":269087,"journal":{"name":"Open Journal of Nursing and Medical Care","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128711593","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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