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Prevalence of Obesity and its Relationship with Blood Pressure Pattern and Proteinuria among the Staff of Lautech Teaching Hospital. Osogbo 劳泰克教学医院职工肥胖患病率及其与血压、蛋白尿的关系Osogbo
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART010
K. M. Olayemi
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引用次数: 0
Contribution of Nursing Research on Nursing Administration and Organization in Improving Patients Care at Consolata Hospital Chuka - Meru Kenya 护理研究对护理管理与组织在改善肯亚丘卡梅鲁索索莱塔医院病人护理的贡献
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART007
Catherine Joan Kawira Mundi
The purpose of the study was to identify the Contribution of Nursing Research to Nursing Administration and Organization in improving patients care among nurses at Consolata Hospital Chuka Meru, Kenya. The researcher used a descriptive survey, study area being Consolata Hospital Chuka. The target population was composed of eighteen (18) nurses working at the hospital. Eighteen nurses were interviewed as represented by 77.8% (n=14) Registered Community Health Nurses at the diploma level, and 22.2% (n=4) Enrolled Community Health Nurses at the certificate level working in the Hospital. Inclusive criteria were all nurses who had completed two months working in the hospital. Questionnaires were used for data collection. Systematic sampling was adopted in selecting respondents and administering questionnaires. The quantitative data collection method was used and data analyzed through descriptive statistics such as mean, median and percentage to describe the results. Presentation of findings was done using frequency tables, pie charts, and a discussion. The results showed that 100% of the participants agreed that research contributes significantly to the improvement of patients care and 50% were convinced that research contributes much to the improvement of patient care and in administration at Consolata Hospital Chuka. Despite the fact that nursing research is significant in a healthcare organization, it requires a lot of interest and consideration. In addition, all the participants 100% (n=18) recommended Continuous Professional Development (CPD) and further research to be carried out regularly in order to equip nurses with the necessary knowledge, skills, and experience to deal with patients.
本研究的目的是确定护理研究对护理管理和组织的贡献,以改善丘卡梅鲁,肯尼亚康索拉塔医院护士对病人的护理。研究者采用描述性调查,研究区域为丘卡孔索莱塔医院。目标人群由18名在医院工作的护士组成。受访的18名护士中,77.8% (n=14)具有文凭水平的注册社区卫生护士,22.2% (n=4)具有证书水平的注册社区卫生护士在医院工作。纳入标准是所有在医院工作满两个月的护士。数据收集采用问卷调查。采用系统抽样的方式进行调查对象的选择和问卷的管理。采用定量资料收集方法,通过均值、中位数、百分比等描述性统计对数据进行分析,对结果进行描述。使用频率表、饼状图和讨论来展示研究结果。结果表明,100%的参与者同意研究对改善患者护理作出了重大贡献,50%的参与者相信研究对改善丘卡孔索莱塔医院的患者护理和管理作出了很大贡献。尽管护理研究在医疗保健组织中很重要,但它需要很多兴趣和考虑。此外,所有参与者100% (n=18)建议进行持续专业发展(CPD)并定期进行进一步的研究,以使护士具备必要的知识、技能和经验来处理患者。
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引用次数: 0
Increasing Knowledge about Human Papillomavirus (HPV) and HPV Vaccination among Adolescents in Lusaka. (Primary Research) areas of Emphasis 卢萨卡青少年对人乳头瘤病毒(HPV)和HPV疫苗接种知识的增加。(主要研究)重点领域
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART006
Alexina Mayumbelo Sitimela
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引用次数: 0
The Stressors on Community Health Nurses in the Running of Child Welfare Clinics in Tamale Metropolitant Assembly Tamale市议会儿童福利诊所社区卫生护士工作压力因素分析
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART005
Fadilah Bawa
This study examined the types of stressors that Community Health Nurses at Tamale Teaching Hospital encounter in their work. The sample consisted of 95 Nurses drawn from six health facilities in Tamale. The instrument used in this research was a self-designed inventory. ANOVA and Independent Sample T Tests analyses were used to analyze the data. The responses of the Nurses revealed that gender did not have an influence on the workload. The Staff Nurses perceive more administrative stressors than the other ranks. Those with 1-2years had more environmental workload than the rest. It was also found that the Muslims had more administrative stress than the other religions. The Tamale Hospital had more logistics than the other facilities. The recommendations centered mainly on screening most Nurses with Stress Inventories and organizing stress management workshops for them. It was also recommended that this study be replicated in the other two regional hospitals in Upper East and Upper West in the country.
本研究调查了塔马利教学医院社区卫生护士在工作中遇到的压力源类型。样本包括来自塔马利6个卫生机构的95名护士。本研究使用的工具为自行设计的量表。采用方差分析和独立样本T检验分析数据。护士的回答显示,性别对工作量没有影响。护士长比其他职系感受到更多的行政压力。1 ~ 2年的环境负荷高于其他年龄段。调查还发现,与其他宗教相比,穆斯林的管理压力更大。塔梅尔医院比其他医院有更多的后勤保障。这些建议主要集中在用压力量表筛选大多数护士,并为他们组织压力管理讲习班。还建议在该国上东区和上西区的另外两家地区医院重复进行这项研究。
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引用次数: 0
Healthcare Delivery System in Developed, Developing and Underdeveloped Countries 发达国家、发展中国家和不发达国家的医疗保健服务体系
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART009
Hans Giplaye
The healthcare system refers to the way of treatment and policy which more than just medicine and doctors. In this regard, the developed nations rely on traditional medicine health care system model which engages doctors, nursing staff, pharmacists, and healthcare experts and professionals to deliver medicines and surgeries to provide individuals with health care services. Holistic medication or Naturopathic emphasizes the overall wellbeing and treatment of an individual. The developed countries invest a reasonable amount of their budget to their healthcare system. However, the developing and underdeveloped countries lack resources as compared to developing nations. As a result of inadequate resources, the developing and underdeveloped nations do not allocate required resources in their health sector which affects the overall health of the population at large scale regarding life expectancy, infant mortality rate, maternal mortality rate, prevention against diseases, and the crude death rate.
医疗保健系统指的是治疗方式和政策,而不仅仅是药物和医生。在这方面,发达国家依靠传统医学医疗保健系统模式,由医生、护理人员、药剂师和医疗保健专家和专业人员提供药物和手术,为个人提供医疗保健服务。整体疗法或自然疗法强调个体的整体健康和治疗。发达国家在其医疗保健系统中投入了相当数量的预算。然而,与发展中国家相比,发展中国家和欠发达国家缺乏资源。由于资源不足,发展中国家和不发达国家没有为其卫生部门分配必要的资源,这在很大程度上影响到人口的总体健康,包括预期寿命、婴儿死亡率、产妇死亡率、疾病预防和粗死亡率。
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引用次数: 0
Effect of Interventional Education on the Practice of Special Diabetic Foot Care among Nurses in Rivers State 介入教育对河流州护士糖尿病足专科护理实践的影响
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART003
R. Lilly-WestB
There has been a near absent practice of specialized diabetic foot care observed in health institutions in Rivers State, Nigeria. The study assessed the practice of diabetic foot care among 100 nurses in the University of Port Harcourt Teaching Hospital and the Rivers State Hospitals Management Board Hospitals (which include General Hospitals from all the local government areas) in Rivers state, Nigeria before and after interventional training. A one-day hands-on training workshop on diabetic foot care, adopted from the National Institute for Healthcare Excellence (NICE), was implemented to train one hundred (100) nursing practitioners. A structured questionnaire on different aspects of diabetic foot care was interviewer-administered to the nurses and scored accordingly before and after the training. Practice of foot inspection, palpation, footwear assessment and assessment of patient’s capacity for self-care was found to be significantly low prior to training. An improvement in practice of the different aspects of diabetic foot care among the nurses after the intervention was observed. This buttresses the need for formal training of nursing practitioners on diabetic foot care for improvement of the quality of diabetes care in Rivers State, Nigeria
在尼日利亚河流州的卫生机构中,几乎没有观察到专门的糖尿病足护理实践。该研究评估了尼日利亚河流州哈科特港大学教学医院和河流州医院管理委员会医院(包括所有地方政府地区的综合医院)的100名护士在介入培训前后的糖尿病足护理实践。采用国家医疗保健卓越研究所(NICE),实施了为期一天的糖尿病足护理实践培训讲习班,培训了100名护理从业人员。访谈者对护士进行了一份关于糖尿病足护理不同方面的结构化问卷调查,并在培训前后进行了相应的评分。在培训前,足部检查、触诊、鞋类评估和患者自我护理能力评估的实践明显较低。观察到干预后护士在糖尿病足护理的不同方面的实践改善。这就需要对护理从业人员进行糖尿病足护理方面的正式培训,以提高尼日利亚河流州糖尿病护理的质量
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引用次数: 0
Nurses and Midwives’ Perceptions about Benefits of Higher Education and the Barriers Faced by them in Undertaking Higher Studies 护士和助产士对高等教育的好处和他们在接受高等教育时面临的障碍的看法
Pub Date : 2019-04-10 DOI: 10.21522/TIJNR.2015.SE.19.01.ART002
Nasreena Navo Nazar
The study was conducted with the intention to comprehensively identify the nurses and midwives’ perception about the benefits that motivate them for higher education and what ‘they perceive as the barriers faced’ to undertake higher studies. Many nurses would like to go for higher education, but some barriers were strong enough to stop them. Study intended to identify the barriers from their own perception. Survey method with structured questionnaire deployed for data collection. Quantitative and qualitative study design was employed for analysis. Survey on the RNs and RMs’ perception about the benefits of higher education and the barriers to higher education (HE), conducted on 450 multinational nurses and midwives in a multi-specialty hospital in Dubai during September 2018, showed numerical variables like age and years of professional experience are having a significant association with the interest to undertake higher studies. 82.5% of those with DHA experience (21-25 years) shown interest whereas only 30.2% of them with experience more than 26 years Dubai Health Authority (DHA) experience, showed interest. RNs and RMs in the younger age group 22-30 years (73.1%) showed a greater interest for higher studies. No Significant difference in ‘perception of interest to do higher studies’ was observed among nurses and midwives, based on their designation. 61.6% had interest for HE but barriers prevented 83.6% respondents from going for it.
这项研究的目的是全面确定护士和助产士对激励他们接受高等教育的好处的看法,以及他们认为接受高等教育所面临的障碍。许多护士想接受高等教育,但有些障碍足以阻止他们。研究旨在从自己的感知中识别障碍。采用结构化问卷调查法进行数据收集。采用定量和定性研究设计进行分析。2018年9月,对迪拜一家多专科医院的450名跨国护士和助产士进行的关于注册护士和注册护士对高等教育的好处和高等教育障碍(HE)的看法的调查显示,年龄和专业经验年数等数字变量与接受高等教育的兴趣有显著关联。有DHA工作经验(21-25年)的人中有82.5%表示有兴趣,而在迪拜卫生局(DHA)工作经验超过26年的人中,只有30.2%表示有兴趣。22-30岁年龄组的RNs和RMs(73.1%)对高等研究表现出更大的兴趣。根据职称不同,护士和助产士在“接受高等教育的兴趣感”方面没有观察到显著差异。61.6%的受访者对高等教育感兴趣,但有83.6%的受访者因各种障碍而放弃了高等教育。
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引用次数: 1
Causes and rate of Cancellation of elective surgeries- A cross-sectional study 选择性手术取消的原因和比率-一项横断面研究
Pub Date : 2019-02-28 DOI: 10.21522/tijnr.2015.05.01.art005
Nasreena Navo Nazar
Cancellation of elective surgeries could be reduced to a greater extend if one knows the reasons or factors leading to cancellations. Cross sectional study conducted in a multispecialty hospital in Dubai during 2014-2015, to determine the weightage of the causes and the rate of cancellations. Causes were classified into system related, patient related and medical related. Performed quantitative analysis of the causes and rate of cancellations. Trend of cancellations reduced across the period from October 2014 to June 2015. 6008 surgeries were scheduled from October 2014 to June 2015. 5656 surgeries were performed; there were 352 cancellations in total. 6% cases were cancelled. Based on category wise weightage, medical related causes scored the highest reason (69.89%). Patient related causes (15.63%) was slightly more than the system related causes (14.49%). ‘Patient medically unfit for surgery’ ranked highest in the order of the reasons for cancellations. ‘Patients/relatives refused surgery’ was the second highest. ‘Patient had food before the surgery’ though instructed nil oral, ranked the third highest reason. Study of cancellations is important as the identification of the causes of surgery cancellations would help in averting the conditions leading to cancellations. Proper and timely interventions could reduce the cancellation rate. The cancellation rate reduced comparatively in the post study period. Cancellation could cause wastage of valuable time, effort and energy. Moreover, financial burden to patients & hospitals. Resource wastage can be estimated based on the cancellation rate, if the hospital administrators around the world focus their attention to it.
如果了解取消手术的原因和因素,就可以减少选择性手术的取消。2014-2015年期间在迪拜一家多专科医院进行的横断面研究,以确定原因的权重和取消率。原因分为系统相关、患者相关和医疗相关。对取消的原因和比率进行定量分析。2014年10月至2015年6月期间,取消航班的趋势有所下降。2014年10月至2015年6月共安排6008例手术。手术5656例;总共取消了352次。6%的病例被取消。从类别权重来看,医疗相关原因占比最高(69.89%)。患者相关原因(15.63%)略高于系统相关原因(14.49%)。在取消手术的理由中,“因医学原因不适合手术的患者”排在第一位。“患者/亲属拒绝手术”是第二高的。“病人在手术前有食物”排在第三位,尽管医生指示病人不吃东西。对手术取消的研究很重要,因为确定手术取消的原因将有助于避免导致手术取消的情况。适当和及时的干预可以降低取消率。在学习后期,取消率相对降低。取消会议可能会浪费宝贵的时间、精力和精力。此外,患者和医院的经济负担。如果世界各地的医院管理者重视这一问题,可以根据取消率来估计资源浪费。
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引用次数: 0
Evaluation of the Use of NANDA-I nursing diagnoses, Nursing Outcome Classification and Nursing Intervention Classification for Documentation of Care in Primary Health Centres, Ijebu Ode 评价NANDA-I护理诊断、护理结果分类和护理干预分类在初级保健中心护理记录中的应用,Ijebu Ode
Pub Date : 2019-02-28 DOI: 10.21522/tijnr.2015.05.01.art003
O. Omonigho
Background: Documentation of nursing care is core to the Nursing profession and to share information on patients/clients with other nurses and between clinical disciplines and care settings, data needs to be recorded and stored in a standardized form. Therefore, to make the care nurses give to be visible, NANDA-I, NIC & NOC was endorsed to be used for documentation. Purpose: The purpose of the study was to evaluate whether NANDA-I, NIC, & NOC was used for documentation of care at the maternal and infant welfare units of selected Primary Health Centres (PHCs). Methodology: A retrospective descriptive research design was adopted in this study. Random sampling technique was used to select 5 PHCs. All patient nursing care plan records documented with NANDA-I, NIC & NOC was utilized for data analysis. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 17.0 for both descriptive and inferential statistics. Results: Findings revealed that nursing care was documented using NNN. There was no significant difference in the NANDA-I nursing diagnoses, NIC & NOC used as the t calculated value of -1.00 was lesser than the critical value of 1.96, which was not significant at 0.05 alpha levels. Conclusion: This study has evaluated the documentation of care using NNN in PHCs. It is imperative to state that using NNN for documentation of care is a way of showing evidence-based practice. The researcher therefore recommends that the use and documentation quality of the NNN be evaluated periodically, and corresponding feedbacks given to nurses.
背景:护理记录是护理专业的核心,为了与其他护士以及临床学科和护理机构之间共享患者/客户信息,数据需要以标准化的形式记录和存储。因此,为了使护理人员给予的护理可见,NANDA-I、NIC和NOC被批准用于文件。目的:本研究的目的是评估NANDA-I、NIC和NOC是否被用于选定初级保健中心(phc)母婴福利部门的护理记录。方法:本研究采用回顾性描述性研究设计。采用随机抽样方法选取5个PHCs。使用NANDA-I、NIC和NOC记录的所有患者护理计划记录进行数据分析。数据分析使用社会科学统计软件包(SPSS) 17.0版本进行描述性和推断性统计。结果:采用神经网络对护理过程进行记录。NANDA-I护理诊断差异无统计学意义,NIC和NOC作为t计算值-1.00小于临界值1.96,在0.05 α水平下差异无统计学意义。结论:本研究评估了在PHCs中使用神经网络的护理记录。必须指出,使用神经网络记录护理是一种显示循证实践的方式。因此,研究者建议定期评估神经网络的使用和文件质量,并向护士提供相应的反馈。
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引用次数: 1
The Effect of Pre-Procedure Teaching Module for Patients Undergoing Shock Wave Lithotripsy on Anxiety, Claustrophobia, Pain Perception and Urolithiasis Clearance 冲击波碎石术前教学模块对患者焦虑、幽闭恐惧症、疼痛感知及尿石症清除的影响
Pub Date : 2019-02-28 DOI: 10.21522/tijnr.2015.05.01.art002
A. I. Badawy
Background: Shock wave lithotripsy (SWL) is the best choice treatment for renal stone. Aim of the study is to test the effect of pre-procedure teaching module for patients undergoing SWL on patients' anxiety, claustrophobia and pain perception, and stone clearance. Methods: A quasi-experimental research design was utilized in this study, setting: The study was conducted in SWL unit at Prince Mutaib Bin Abelaziz Central Hospital, Saudi Arabia. Sample: A convenience sample consisted of 74 patients they divided equally into study and control groups. Tools: (1) An interviewing questionnaire sheet which included two parts; A) demographic and medical data and B) patients' knowledge questionnaire, (2) Beck Anxiety Inventory, (3) Numerical pain rating scale and (3) Visual analogue scale for claustrophobia. Results: Before receiving pre-procedure teaching module 100% of patients in both groups had poor level of knowledge. After receiving teaching; the study group had significant improvement in their knowledge, decrease in anxiety, claustrophobia and postoperative pain scores as well as an increase in rate of successful treatment and stone clearance than the control group (p <0.05). Conclusions: Overall results revealed that pre-procedure teaching for patients experiencing SWL procedure Led to improvement of patients' knowledge and reduction of anxiety, claustrophobia and pain scores after procedure as well as an increase in rate of successful treatment and urolithiasis clearance in the study group than the control group. Recommendations, planned teaching and simple Arabic booklet about SWL, preoperative instructions, post-procedure management, nutritional habits and life style modifications should be provided to patients before SWL.
背景:冲击波碎石是治疗肾结石的最佳选择。本研究旨在检验SWL患者术前教学模块对患者焦虑、幽闭恐怖、疼痛感知及结石清除的影响。方法:本研究采用准实验研究设计,设置:本研究在沙特阿拉伯穆塔伊布·本·阿贝拉齐兹王子中心医院SWL病房进行。样本:方便样本包括74名患者,他们平均分为研究组和对照组。工具:(1)访谈问卷,包括两部分;A)人口学和医学资料,B)患者知识问卷,(2)贝克焦虑量表,(3)数值疼痛评定量表,(3)幽闭恐惧症视觉模拟量表。结果:在接受术前教学模块前,两组患者的知识水平均为100%。接受教学后;研究组患者的知识水平、焦虑、幽闭恐惧症、术后疼痛评分均明显高于对照组,治疗成功率、结石清除率均明显高于对照组(p <0.05)。结论:总体结果显示,对SWL手术患者进行术前教学,使研究组患者的知识水平提高,术后焦虑、幽闭恐惧症和疼痛评分降低,治疗成功率和尿石清除率均高于对照组。在SWL前应向患者提供建议、有计划的教学和简单的阿拉伯语小册子、术前指导、术后管理、营养习惯和生活方式的改变。
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引用次数: 0
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TEXILA INTERNATIONAL JOURNAL OF NURSING
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