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Challenges Experienced by Caregivers in Communicating with Children with Severe to Profound Intellectual Disabilities 照护者在与重度至极重度智障儿童沟通时遇到的挑战
Pub Date : 2024-05-17 DOI: 10.11648/j.ajns.20241303.11
Emily Kanyane, N. Maseko
Background: Children with severe to profound intellectual disabilities (SPID) may have complex and numerous disabilities, such as intellectual limits and severe deficits in bodily functions. This disorder is typified by issues with speech, language, mobility, agility, and emotional issues providing quality education in appropriate special care centres for children who present with such complex conditions is challenging. Objective: This study explored and described the experiences of caregivers in communicating with children with severe to profound intellectual disabilities in selected special care centres in Gauteng Province. Method: This study followed a qualitative approach and data collection was gathered through in-depth semi-structured interviews, observations in the classroom corroborated children and caregiver`s communication behavior, and document analysis. Eight caregivers were purposively selected to participate in the study. The theory underpinning this study are Ubuntu and Attachment theories. The theories provided the study's foundation and emphasized caring as the central component and influence communication. Result: The thematic analysis revealed the key areas of support needs. The following themes emerged and are as follows: Communication strategies used for children with SPID and, experiences of caregivers in supporting children with SPID. Through these themes the research questions were answered. Conclusion: The study revealed that caregivers' inadequate communication abilities prevent them from responding to the needs of children with SPID. To meet the communication needs of children with SPID, communication requires, relevant communication devices or resources, collaboration with other stakeholders and a qualified trained caregiver.
背景:重度至极重度智障(SPID)儿童可能患有多种复杂的残疾,如智力受限和身体功能严重缺陷。这种障碍的典型表现是言语、语言、行动、敏捷性和情绪问题。要在适当的特殊护理中心为患有这种复杂病症的儿童提供优质教育,难度可想而知。研究目的本研究探讨并描述了豪滕省部分特殊护理中心的护理人员与重度至极度智障儿童沟通的经验。研究方法本研究采用定性方法,通过深入的半结构式访谈、在课堂上观察儿童和照顾者的交流行为以及文件分析来收集数据。研究有目的地选择了八名保育员参与研究。本研究的基础理论是乌班图理论和依恋理论。这些理论为本研究提供了基础,并强调关爱是影响沟通的核心要素。研究结果专题分析揭示了支持需求的关键领域。出现的主题如下:用于 SPID 儿童的沟通策略和照顾者在支持 SPID 儿童方面的经验。通过这些主题回答了研究问题。结论:研究表明,照料者沟通能力的不足阻碍了他们对 SPID 儿童的需求做出回应。为了满足 SPID 儿童的沟通需求,沟通需要相关的沟通设备或资源、与其他利益相关者的合作以及训练有素的合格照顾者。
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引用次数: 0
New Graduate Nurses Transition: Role of Lack of Experience and Knowledge as Challenging Factors 新毕业护士的过渡:缺乏经验和知识是挑战因素
Pub Date : 2024-03-13 DOI: 10.11648/j.ajns.20241302.11
Zainab Almaqbali, Khalid Alnassri
Background: Insufficient experience and practical knowledge makes challenges in addressing health-care practice-related issues. Being a professional nurse after completing your nursing studies is a challenging time. Most frequently, the quantity of patients with severe illnesses and co-morbidities, the lack of mentorship, performance anxiety, communication issues, and the blame/complaint culture are blamed for the difficulties faced by inexperienced nurses. The study aimed to identify the challenges and the associated factors which limit the knowledge acquisition of new nurse graduates in Oman. Methodology: Using a cross-sectional study design, 104 people were selected as a sample from Ibri Hospital. We have adopted convenience and snowball sampling methods to reach out to the participants. The data was collected between June, 2022, to September, 2022. Data from nurses was gathered by a primary survey approach utilizing a closed-ended questionnaire. The statistical analysis was carried out using IBM SPSS (Statistical Tool for Social Sciences) version 20.0. Results: Nursing professionals face a number of obstacles, including role expectations, lack of confidence, workload, fear, and orientation concerns. In addition, variables including the physical environment, responsibility, support, and professional development contribute to their dissatisfaction. It is rare for newly graduated nurses to be assigned to cases where they lack the confidence to handle clinical cases. The study also found positive relationship between preceptor support and leadership/communication, organizing and prioritizing, professional satisfaction, and work satisfaction. Conclusion: The study came to the conclusion that the main problem facing nurses in the healthcare setting is transition. During their transitional time, newly graduated nurses face a variety of obstacles related to job expectations, confidence, workload, orientation, and concerns. To overcome these obstacles, nursing administrators and preceptors must come up with and apply important solutions. As a result, the current study suggests that transitional support initiatives are helpful in assisting recently graduated nurses. Also, hospital orientation programs are necessary to adapt to the changing demands of new nurses in a constantly evolving healthcare setting.
背景:经验和实践知识不足是解决保健实践相关问题的挑战。完成护理学业后成为一名专业护士是一个充满挑战的时期。大多数情况下,缺乏经验的护士所面临的困难都归咎于重症和并发症患者的数量、缺乏指导、业绩焦虑、沟通问题以及指责/投诉文化。本研究旨在确定阿曼新毕业护士面临的挑战以及限制其获取知识的相关因素。研究方法:采用横断面研究设计,从伊布里医院选取 104 人作为样本。我们采用了方便抽样和滚雪球抽样的方法来接触参与者。数据收集时间为 2022 年 6 月至 2022 年 9 月。我们使用封闭式调查问卷,以初级调查的方式收集护士的数据。统计分析使用 IBM SPSS(社会科学统计工具)20.0 版进行。结果护理专业人员面临着许多障碍,包括角色期望、缺乏自信、工作量、恐惧和定位担忧。此外,物理环境、责任、支持和专业发展等变量也导致了他们的不满。刚毕业的护士被分配到缺乏信心处理临床病例的病例中是很少见的。研究还发现,戒律指导员的支持与领导力/沟通、组织和优先次序、专业满意度和工作满意度之间存在正相关关系。结论研究得出的结论是,护士在医疗环境中面临的主要问题是过渡。在过渡时期,新毕业的护士面临着与工作期望、信心、工作量、定位和担忧有关的各种障碍。要克服这些障碍,护理管理者和带教老师必须提出并应用重要的解决方案。因此,本研究认为,过渡性支持措施有助于帮助刚毕业的护士。此外,在不断发展的医疗环境中,医院指导计划对于适应新护士不断变化的需求也是必要的。
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引用次数: 0
Influence of Stress on Drug Abuse Among Prison Inmates: A Case of Kangeta Prison, Meru County, Kenya 压力对监狱囚犯药物滥用的影响:肯尼亚梅鲁郡康盖塔监狱案例
Pub Date : 2024-02-01 DOI: 10.11648/ajns.20241301.13
Benjamin Mugambi, Lumadede Japheth, Charles Mwirigi
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引用次数: 0
Influence of Stress on Drug Abuse Among Prison Inmates: A Case of Kangeta Prison, Meru County, Kenya 压力对监狱囚犯药物滥用的影响:肯尼亚梅鲁郡康盖塔监狱案例
Pub Date : 2024-02-01 DOI: 10.11648/ajns.20241301.13
Benjamin Mugambi, Lumadede Japheth, Charles Mwirigi
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引用次数: 0
Construction of Risk Prediction Model for Lower Extremity Deep Vein Thrombosis in Patients with Decompensated Cirrhosis 失代偿期肝硬化患者下肢深静脉血栓形成风险预测模型的建立
Pub Date : 2023-08-15 DOI: 10.11648/j.ajns.20231204.12
Lingling Lin, Zhongqiu Lu, Liyang Hu
: Objective: To develop a prediction model for the risk of lower extremity deep venous thrombosis (DVT) in patients with decompensated liver cirrhosis. Methods: A retrospective study was conducted on 236 inpatients with decompensated cirrhosis who were admitted to the Department of Infectious Diseases of a tertiary grade A comprehensive hospital in
目的:建立失代偿期肝硬化患者下肢深静脉血栓形成(DVT)风险预测模型。方法:对某三甲综合医院感染性疾病科住院的236例失代偿期肝硬化患者进行回顾性分析
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引用次数: 0
Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study 某教学医院晚期肿瘤护士姑息治疗的信心与教育需求:一项横断面研究
Pub Date : 2023-08-04 DOI: 10.11648/j.ajns.20231204.11
Nada Hamad Almutairi, Rana Abdullah Alsubhi, Lama Hikmat Ghurab, Shahad Atyan Almalki, Dhuha Youssef Wazqar
: Background : Palliative care can improve terminally ill patients’ quality of life. Despite the rising interest in palliative care for patients with cancer, the palliative care skills, and levels of confidence of oncology nurses who care for those patients have rarely been studied in developing countries, such as Saudi Arabia. Aim: To assess the confidence and educational needs of palliative care in oncology nurses who are caring for patients with advanced cancer in a teaching hospital in Jeddah, Saudi Arabia. Method: A quantitative, descriptive cross-sectional design was carried out on 108 oncology nurses who were working in oncology, medical
背景:姑息治疗可以改善晚期病人的生活质量。尽管人们对癌症患者的姑息治疗越来越感兴趣,但在发展中国家,如沙特阿拉伯,很少对照顾这些患者的肿瘤护士的姑息治疗技能和信心水平进行研究。目的:评估在沙特阿拉伯吉达的一家教学医院护理晚期癌症患者的肿瘤护士对姑息治疗的信心和教育需求。方法:采用定量、描述性横断面设计对108名在肿瘤科、内科工作的肿瘤科护士进行问卷调查
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引用次数: 0
Clinical Research Monitor Burnout - Root Causes, Corrective and Preventive Action 临床研究监查员的职业倦怠--根本原因、纠正和预防措施
Pub Date : 2023-07-11 DOI: 10.11648/j.ajns.20231203.12
John Ughulu
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引用次数: 0
Status and Issues of Occupational Exposure Protection for Nurses Involved in Radiation Therapy - a Nationwide Survey in Japan 日本全国放射治疗护士职业暴露防护现状与问题调查
Pub Date : 2023-06-09 DOI: 10.11648/j.ajns.20231203.11
Satsuki Shiratori, Fumiko Oishi, Yuka Hayama
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引用次数: 0
Heparinized Saline Flushed Catheter May Reduce Risk of Thrombosis in Cancer Patients Received Chemotherapy with Peripherally Inserted Central Catheter 肝素盐水冲洗导管可降低肿瘤患者接受外周置管化疗时血栓形成的风险
Pub Date : 2023-05-10 DOI: 10.11648/j.ajns.20231202.14
Ying Wu, Guohua Huang, Jinai He, Yutong Li
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引用次数: 0
Application of Multidisciplinary Teamwork in Medication Safety Guidance for Elderly Population with Chronic Diseases in Community 多学科团队合作在社区老年慢性病患者用药安全指导中的应用
Pub Date : 2023-05-10 DOI: 10.11648/j.ajns.20231202.15
Mingzhu Yang, Xuefen Zhou, Qiao Ye, Linli Zhou, Xiaobin Liu, Yue Liu, Zhenjiao Su
: [Objective] A randomized controlled trial was conducted to investigate a systematic intervention to improve medication safety among elderly people in the community. [Methods] 150 community elderly patients with chronic diseases were randomly selected and divided into intervention group and control group. In addition to conventional medication safety guidance methods, multidisciplinary team cooperation mode was added to the intervention group. After 2 months of intervention, the knowledge, belief and practice of elderly patients with chronic diseases in the two groups were compared and analyzed. [Results]After intervention, inter-group and intra-group comparison of the intervention results showed that the total scores of knowledge, attitude and behavior KAP of the elderly with chronic diseases in the intervention group were higher than those in the control group, with statistical significance (p < 0.05)
[目的]通过随机对照试验,探讨提高社区老年人用药安全性的系统干预措施。[方法]随机选取社区老年慢性病患者150例,分为干预组和对照组。干预组在常规用药安全指导方法的基础上,加入多学科团队合作模式。干预2个月后,比较分析两组老年慢性病患者的知识、信念和行为。[结果]干预后,对干预结果进行组间、组内比较,干预组老年人慢性病患者的知识、态度、行为KAP总分均高于对照组,差异有统计学意义(p < 0.05)。
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American Journal of Nursing Science
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