Pub Date : 2021-01-28DOI: 10.11648/J.AJNS.20211001.18
Ola Ahmad Kutah
Within the nursing curriculum, there is a growing concern about unnecessary content. Since content overload is a growing issue, the content taught in undergraduate nursing curricula should be critically evaluated as reflected in the nursing literature. In the creation of quality client care in nursing practice, recognizing challenges to performing physical examination techniques among nurses produces a more thorough assessment. This research aimed to investigate the physical assessment techniques performed by Jordanian registered nurses practicing in both selected public and privet health sectors to gain better understanding of the skills required by graduates of nursing programs in Jordan. A descriptive research design of 138 Jordanian registered nurses working in different practice units using questionnaire was used. The Jordanian registered nurses reported the frequency in which they performed 30 physical assessment techniques. Different statistical methods used to analyse the data collected. The results indicated that the Jordanian registered nurses’ performance frequency of the selected physical assessment techniques was high. However, there were statistical differences evident regarding the type of healthcare sector, Gender & work experience variables. The results were in favor in registered nurses working in the public sector, females & registered nurses with less than ten years of experience. However, there were no statistical differences evident regarding the practice unite variable. Registered nurse requires to know how to perform a broad range of techniques to carry out a thorough physical assessment, however the complexity of assessment is not inevitably characterized by the specific techniques applied. And if several of these physical assessment techniques are seldom performed by registered nurses beyond their specific practice unit, the question arises whether it is suitable to incorporate them in the nursing curriculum.
{"title":"Physical Assessment Techniques Performed by Jordanian Registered Nurses (RNs): Survey Study","authors":"Ola Ahmad Kutah","doi":"10.11648/J.AJNS.20211001.18","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.18","url":null,"abstract":"Within the nursing curriculum, there is a growing concern about unnecessary content. Since content overload is a growing issue, the content taught in undergraduate nursing curricula should be critically evaluated as reflected in the nursing literature. In the creation of quality client care in nursing practice, recognizing challenges to performing physical examination techniques among nurses produces a more thorough assessment. This research aimed to investigate the physical assessment techniques performed by Jordanian registered nurses practicing in both selected public and privet health sectors to gain better understanding of the skills required by graduates of nursing programs in Jordan. A descriptive research design of 138 Jordanian registered nurses working in different practice units using questionnaire was used. The Jordanian registered nurses reported the frequency in which they performed 30 physical assessment techniques. Different statistical methods used to analyse the data collected. The results indicated that the Jordanian registered nurses’ performance frequency of the selected physical assessment techniques was high. However, there were statistical differences evident regarding the type of healthcare sector, Gender & work experience variables. The results were in favor in registered nurses working in the public sector, females & registered nurses with less than ten years of experience. However, there were no statistical differences evident regarding the practice unite variable. Registered nurse requires to know how to perform a broad range of techniques to carry out a thorough physical assessment, however the complexity of assessment is not inevitably characterized by the specific techniques applied. And if several of these physical assessment techniques are seldom performed by registered nurses beyond their specific practice unit, the question arises whether it is suitable to incorporate them in the nursing curriculum.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128999558","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 : 2021-01-28DOI: 10.11648/J.AJNS.20211001.19
Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, Wenying Li
Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.
{"title":"Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach","authors":"Xuanjing Li, Shengqi Wang, Fan Yang, Jian Yu, Xianzhen Huang, Wenying Li","doi":"10.11648/J.AJNS.20211001.19","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.19","url":null,"abstract":"Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"212 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116429198","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 : 2021-01-25DOI: 10.11648/J.AJNS.20211001.17
Xiulan Deng, Y. Zhou, Yanli Yang, N. Jiang, Xizhi Zhang, Ruiying Huang, Shanying Zhang, Xing-juan Cai, Jiewei Huang
Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.
{"title":"Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia","authors":"Xiulan Deng, Y. Zhou, Yanli Yang, N. Jiang, Xizhi Zhang, Ruiying Huang, Shanying Zhang, Xing-juan Cai, Jiewei Huang","doi":"10.11648/J.AJNS.20211001.17","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.17","url":null,"abstract":"Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132452687","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 : 2021-01-22DOI: 10.11648/J.AJNS.20211001.16
B. Murshid
Critical Care Nursing reflects a holistic approach in caring of patients, critical care nurses are registered nurses who are trained and skilled to practice critical care nursing for critically ill patients, she carries out independent interventions and collaborates patient care activities to address life-threatening situations that will meet patient’s physical, psychological, cultural and spiritual needs. The aim of the study was to explore competence levels of intensive care unit nurses and related socio demographic characteristics. Setting: the study was conducted at all Intensive and Critical Care Units, King Abdulaziz Medical City and King Abdullah Specialized Children Hospital. Sample: Representative convenient sample of 233 intensive and critical care unit nurses were included in the study. Tools: Intensive and Critical Care Nursing Competence Scale (ICCN- CS-1) was used for the purpose of the study, it is a self-assessment questionnaire consisting of two main basic competence; clinical competence and professional competence with a total of 140 items; each basic competence comprises four essential sub domains; knowledge, skills, attitude and value and experience base. Results of the study revealed that majority of the studied nurses has excellent total level of competency, with highest percent of the studied nurses who have good competency level related to knowledge base and there was a significant difference between total competency level of the studied nurses and their working unit and years of experience in the current Unit. Recommendation: Adding of more than one data collection method to avoid subjectivity of self-assessment scale results.
{"title":"Assessment of Competencies’ Level of Critical and Intensive Care Unites Nurses at King Abdulaziz Medical City and King Abdullah Specialized Children Hospital","authors":"B. Murshid","doi":"10.11648/J.AJNS.20211001.16","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.16","url":null,"abstract":"Critical Care Nursing reflects a holistic approach in caring of patients, critical care nurses are registered nurses who are trained and skilled to practice critical care nursing for critically ill patients, she carries out independent interventions and collaborates patient care activities to address life-threatening situations that will meet patient’s physical, psychological, cultural and spiritual needs. The aim of the study was to explore competence levels of intensive care unit nurses and related socio demographic characteristics. Setting: the study was conducted at all Intensive and Critical Care Units, King Abdulaziz Medical City and King Abdullah Specialized Children Hospital. Sample: Representative convenient sample of 233 intensive and critical care unit nurses were included in the study. Tools: Intensive and Critical Care Nursing Competence Scale (ICCN- CS-1) was used for the purpose of the study, it is a self-assessment questionnaire consisting of two main basic competence; clinical competence and professional competence with a total of 140 items; each basic competence comprises four essential sub domains; knowledge, skills, attitude and value and experience base. Results of the study revealed that majority of the studied nurses has excellent total level of competency, with highest percent of the studied nurses who have good competency level related to knowledge base and there was a significant difference between total competency level of the studied nurses and their working unit and years of experience in the current Unit. Recommendation: Adding of more than one data collection method to avoid subjectivity of self-assessment scale results.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"428 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122798743","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 : 2021-01-18DOI: 10.11648/J.AJNS.20211001.15
Peng Zhang, M. Xie, Xiaoshuang Dai
Objective: To explore the application of comprehensive nursing mode in patients with acute ischemic stroke after intra-arterial intervention. Methods: 218 patients with acute ischemic stroke undergoing interventional surgery from January 2019 to December 2019 were randomly divided into a control group (routine nursing mode，n=109) and a study group (comprehensive nursing mode，n=109). The control group adopts conventional nursing mode, such as basic nursing, life nursing, safety nursing, etc. The research group adopts the comprehensive nursing mode. Before the implementation of nursing measures, the patients' vital signs, state of consciousness, operation process and mental state are comprehensively evaluated to understand the actual needs of the patients. In the course of patient care, through real-time observation and evaluation, in a multidisciplinary cooperative mode to implement integrated care. According to the National Institutes of Health Stroke Scale (NIHSS), the two groups of patients were scored respectively after intervention and 1 week after intervention in order to compare the neurological function of them. Results: The NIHSS score of the study group 1 week after intervention was lower than that of the control group, and the difference was statistically significant (P < 0.05). Patients in the study group achieved better clinical rehabilitation effect than those in the control group. Conclusion: The comprehensive nursing mode can improve the prognosis of patients, which is worthy of promotion in clinical practice.
{"title":"Application of Comprehensive Nursing Mode in Patients with Acute Ischemic Stroke After Intra-arterial Intervention","authors":"Peng Zhang, M. Xie, Xiaoshuang Dai","doi":"10.11648/J.AJNS.20211001.15","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.15","url":null,"abstract":"Objective: To explore the application of comprehensive nursing mode in patients with acute ischemic stroke after intra-arterial intervention. Methods: 218 patients with acute ischemic stroke undergoing interventional surgery from January 2019 to December 2019 were randomly divided into a control group (routine nursing mode，n=109) and a study group (comprehensive nursing mode，n=109). The control group adopts conventional nursing mode, such as basic nursing, life nursing, safety nursing, etc. The research group adopts the comprehensive nursing mode. Before the implementation of nursing measures, the patients' vital signs, state of consciousness, operation process and mental state are comprehensively evaluated to understand the actual needs of the patients. In the course of patient care, through real-time observation and evaluation, in a multidisciplinary cooperative mode to implement integrated care. According to the National Institutes of Health Stroke Scale (NIHSS), the two groups of patients were scored respectively after intervention and 1 week after intervention in order to compare the neurological function of them. Results: The NIHSS score of the study group 1 week after intervention was lower than that of the control group, and the difference was statistically significant (P < 0.05). Patients in the study group achieved better clinical rehabilitation effect than those in the control group. Conclusion: The comprehensive nursing mode can improve the prognosis of patients, which is worthy of promotion in clinical practice.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"324 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121771741","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 : 2021-01-12DOI: 10.11648/J.AJNS.20211001.14
Zhiqi Luo, Na Li, Jiewei Huang, Xueyan Liu, Peiru Zhou
Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.
{"title":"Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China","authors":"Zhiqi Luo, Na Li, Jiewei Huang, Xueyan Liu, Peiru Zhou","doi":"10.11648/J.AJNS.20211001.14","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.14","url":null,"abstract":"Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133775958","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}
This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.
{"title":"Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients","authors":"Guiyan Wen, Huixia Yu, Qiu-chen Huang, Xiulan Deng, Dongxiu Liang","doi":"10.11648/J.AJNS.20211001.12","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.12","url":null,"abstract":"This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115483235","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 : 2021-01-12DOI: 10.11648/J.AJNS.20211001.13
Xia Huang, Guiyan Wen
Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among newly admitted elderly patients in the Department of Rheumatology, to search for personalized care countermeasures to prevent elderly patients from falling, and to improve the safety of elderly inpatients in the Department of Rheumatology. Method: A total of 214 elderly patients admitted to the Department of Rheumatology with different lower extremity joint pains were evaluated for the location and degree of their joint pain and their risk of falling. After which, an analysis was done to determine the correlation between the location and degree of lower extremity joint pain and the risk of falling and provide targeted nursing countermeasures to prevent falling. Results: By grading the patients’ pain levels, assessing their risk of falling, and taking corresponding nursing countermeasures to prevent falling, 214 elderly patients with different lower extremity joint pains did not fall during their stay in the hospital. Conclusion: Through pain assessment and fall risk assessment and analysis, targeted measures can be taken to effectively prevent falls and reduce the occurrence of accidental injuries among elderly patients.
{"title":"A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients","authors":"Xia Huang, Guiyan Wen","doi":"10.11648/J.AJNS.20211001.13","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.13","url":null,"abstract":"Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among newly admitted elderly patients in the Department of Rheumatology, to search for personalized care countermeasures to prevent elderly patients from falling, and to improve the safety of elderly inpatients in the Department of Rheumatology. Method: A total of 214 elderly patients admitted to the Department of Rheumatology with different lower extremity joint pains were evaluated for the location and degree of their joint pain and their risk of falling. After which, an analysis was done to determine the correlation between the location and degree of lower extremity joint pain and the risk of falling and provide targeted nursing countermeasures to prevent falling. Results: By grading the patients’ pain levels, assessing their risk of falling, and taking corresponding nursing countermeasures to prevent falling, 214 elderly patients with different lower extremity joint pains did not fall during their stay in the hospital. Conclusion: Through pain assessment and fall risk assessment and analysis, targeted measures can be taken to effectively prevent falls and reduce the occurrence of accidental injuries among elderly patients.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130654394","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 : 2021-01-05DOI: 10.11648/J.AJNS.20211001.11
Junlan Yan, Minna Zhang, Xueyan Liu, Peiru Zhou, Jiewei Huang, Kaiming Ye
Background: COVID-19 has been declared a global public health emergency, posing a serious threat to the life and health of the general public. So the aim of this study is to investigate the ability of plague prevention of residents about COVID-19 in the normalization stage of epidemic prevention and control in China, thereby providing reference information for relevant institutions to formulate targeted health education measures. Methods: We designed the KAP for COVID-19 Prevention and Control questionnaire partly based on the COVID-19 prevention and control guidelines published by the National Health Commission of China. The questionnaire was distributed through the Questionnaire Star online survey platform between June 28 and June 31, 2020. Convenience and snowball sampling methods were used to collect data. The questionnaire link was first sent to subjects through online social platforms such as WeChat and QQ, where they were invited to send the link to their families, colleagues, and friends. Results: The survey involved 314 members of the public. Questionnaire scores were 9.90±1.967 (range: 0~14), 22.97±2.90 (range: 5~25), and 37.64±5.30 (range: 9~45) for participant COVID-19 prevention and control knowledge, attitude and practice, respectively. More than 80% of the participants had good knowledge of the core symptoms, incubation and isolation periods, and three major preventive measures of COVID-19, but only 31.8% of them answered correctly on the main transmission routes of COVID-19. There were errors when they were asked about the treatment measures, with 27.7% of participants believing that using Vedicilin (an oral antiviral liquid) and gargling brackish water can prevent COVID-19. More than 95% of participants believed that the normalization stage of epidemic prevention still requires personal protective measures. Of the participants, 60~64% were able to perform basic preventive behaviors such as wearing a mask when going out, washing hands at home, and going out less frequently, 52.6% could always comply with cough etiquette, and 40.8% could always follow the seven-step hand washing method. Conclusions: During the normalization stage of the COVID-19 plague prevention, the public had incomplete knowledge on latest prevention strategies Although belief was evident, behavioral compliance still needs to be improved. Relevant government departments or medical institutions need to relay relevant knowledge to those in blind spots, and to guide the public to maintain participation in effective and science-based prevention of the novel coronavirus.
{"title":"Public’s Knowledge, Attitude and Practice towards COVID-19 in the Normalization Stage of Plague Prevention and Control: A Cross-sectional Survey in China","authors":"Junlan Yan, Minna Zhang, Xueyan Liu, Peiru Zhou, Jiewei Huang, Kaiming Ye","doi":"10.11648/J.AJNS.20211001.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.11","url":null,"abstract":"Background: COVID-19 has been declared a global public health emergency, posing a serious threat to the life and health of the general public. So the aim of this study is to investigate the ability of plague prevention of residents about COVID-19 in the normalization stage of epidemic prevention and control in China, thereby providing reference information for relevant institutions to formulate targeted health education measures. Methods: We designed the KAP for COVID-19 Prevention and Control questionnaire partly based on the COVID-19 prevention and control guidelines published by the National Health Commission of China. The questionnaire was distributed through the Questionnaire Star online survey platform between June 28 and June 31, 2020. Convenience and snowball sampling methods were used to collect data. The questionnaire link was first sent to subjects through online social platforms such as WeChat and QQ, where they were invited to send the link to their families, colleagues, and friends. Results: The survey involved 314 members of the public. Questionnaire scores were 9.90±1.967 (range: 0~14), 22.97±2.90 (range: 5~25), and 37.64±5.30 (range: 9~45) for participant COVID-19 prevention and control knowledge, attitude and practice, respectively. More than 80% of the participants had good knowledge of the core symptoms, incubation and isolation periods, and three major preventive measures of COVID-19, but only 31.8% of them answered correctly on the main transmission routes of COVID-19. There were errors when they were asked about the treatment measures, with 27.7% of participants believing that using Vedicilin (an oral antiviral liquid) and gargling brackish water can prevent COVID-19. More than 95% of participants believed that the normalization stage of epidemic prevention still requires personal protective measures. Of the participants, 60~64% were able to perform basic preventive behaviors such as wearing a mask when going out, washing hands at home, and going out less frequently, 52.6% could always comply with cough etiquette, and 40.8% could always follow the seven-step hand washing method. Conclusions: During the normalization stage of the COVID-19 plague prevention, the public had incomplete knowledge on latest prevention strategies Although belief was evident, behavioral compliance still needs to be improved. Relevant government departments or medical institutions need to relay relevant knowledge to those in blind spots, and to guide the public to maintain participation in effective and science-based prevention of the novel coronavirus.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129602854","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 : 2020-12-22DOI: 10.11648/J.AJNS.20200906.22
Guiyan Wen, Jinglan Luo, Shaohui Tang
The objective of this study is to explore the effect of implementing accompanying family management in gastroenterology patients during the COVID-19 epidemic. According to the guidelines for the prevention and control of COVID-19 issued by the National Health Commission and the Guangdong Provincial Health Commission, as well as the First Affiliated Hospital of Jinan University and patients’ demands, we implemented an accompanying family management system for gastroenterology patients. The management plan not only listed the permission criteria for accompanying family, but also offered escorts with COVID-19 nucleic acid testing, COVID-19 case screening, temperature measurement, symptom observation, health education, and health protection. The results of this study revealed the following main findings: From January 23 to April 23, 2020, a total of 438 inpatients and 113 family escorts were admitted to the hospital, who demonstrated 100% compliance with epidemic prevention and control measures, no infections, and an average score of 96.2 in the patient satisfaction survey. It can be concluded that the establishment and strict implementation of an accompanying family management system together with good epidemic prevention and control practices not only substantially reduces the accompanying family rate without compromising the quality and safety of patient care, but also effectively prevents in-hospital infections.
{"title":"Implementation of Accompanying Family Management for Gastroenterology Patients During the COVID-19 Epidemic","authors":"Guiyan Wen, Jinglan Luo, Shaohui Tang","doi":"10.11648/J.AJNS.20200906.22","DOIUrl":"https://doi.org/10.11648/J.AJNS.20200906.22","url":null,"abstract":"The objective of this study is to explore the effect of implementing accompanying family management in gastroenterology patients during the COVID-19 epidemic. According to the guidelines for the prevention and control of COVID-19 issued by the National Health Commission and the Guangdong Provincial Health Commission, as well as the First Affiliated Hospital of Jinan University and patients’ demands, we implemented an accompanying family management system for gastroenterology patients. The management plan not only listed the permission criteria for accompanying family, but also offered escorts with COVID-19 nucleic acid testing, COVID-19 case screening, temperature measurement, symptom observation, health education, and health protection. The results of this study revealed the following main findings: From January 23 to April 23, 2020, a total of 438 inpatients and 113 family escorts were admitted to the hospital, who demonstrated 100% compliance with epidemic prevention and control measures, no infections, and an average score of 96.2 in the patient satisfaction survey. It can be concluded that the establishment and strict implementation of an accompanying family management system together with good epidemic prevention and control practices not only substantially reduces the accompanying family rate without compromising the quality and safety of patient care, but also effectively prevents in-hospital infections.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129255091","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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