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Nurses' knowledge and use of the nursing process in two major hospitals in Fako, Cameroon 喀麦隆法科两家主要医院护士对护理流程的了解和使用
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12257
N. Bassah, Ngueng Nti Esther Epie, P. J. Ngunde
Background & Aim: Although the nursing process can help ensure the quality of nursing care, some nurses do not implement it in patient care. This study assessed nurses' knowledge and use of the nursing process in two major hospitals in Fako. Methods & Materials: A cross-sectional design with a purposive sample of 101 nurses was used. In addition, 310 randomly selected files of hospitalized patients were examined for the presence and effective use of a nursing care plan. A questionnaire was used to collect data on knowledge and use of the nursing process among nurses, while a checklist was used to audit hospital files for adequate use of the nursing care plan. Data were analyzed using both descriptive and inferential statistics, with the aid of SPSS version 20, with all statistics at Alpha=0.05. Results: The majority (85.1%) of participants had a mean knowledge score of 8.5/10 (1.06). There was a statistically significant association between nurses' knowledge and gender (χ2=17.998, P=0.003), age group (χ2=49.809, P=0.000), qualification (χ2=65.989, P=0.003) and duration of work experience (χ2=28.158, P=0.021). Most nurses (62.6%) reported using the nursing process only sometimes during patient care. There was a statistically significant association between nurses' age (χ2=9.723, P=0.049), qualification (χ2=34.67, P=0.000), and use of the nursing process. Only 42 files had a complete nursing care plan. Increased workload and nursing shortages were found to hinder the use of the nursing process. Conclusion: Nurses had good knowledge of the nursing process but did not effectively use it. Thus, the quality of care received by patients in these hospitals is questionable. Strategies to improve the use of the nursing process are needed for effective nursing care.
背景与目的:虽然护理过程有助于确保护理质量,但一些护士没有在患者护理中实施护理过程。本研究评估了法科两大医院护士对护理流程的了解和使用情况。方法与材料:采用横断面设计,以101名护士为研究对象。此外,对310份随机选择的住院患者档案进行了护理计划的存在和有效使用检查。调查问卷用于收集护士对护理流程的了解和使用数据,而检查表用于审计医院档案,以确保护理计划的充分使用。在SPSS版本20的帮助下,使用描述性和推断统计学对数据进行分析,所有统计数据的Alpha=0.05。结果:大多数(85.1%)参与者的平均知识得分为8.5/10(1.06)。护士的知识与性别(χ2=17.998,P=0.003)、年龄组(χ2=49.809,P=0.000)、,资格(χ2=65.989,P=0.003)和工作经验持续时间(χ2=28.158,P=0.021)。大多数护士(62.6%)报告称,在患者护理期间,仅有时使用护理流程。护士的年龄(χ2=9.723,P=0.049)、资格(χ2=34.67,P=0.000)和护理流程的使用之间存在统计学上显著的相关性。只有42份档案有完整的护理计划。工作量增加和护理短缺阻碍了护理流程的使用。结论:护士对护理流程有很好的了解,但没有有效地使用,因此,这些医院的患者所接受的护理质量值得怀疑。有效的护理需要改进护理过程使用的策略。
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引用次数: 2
Development of a self-evaluation scale of nursing practices for improving sleep quality among dementia patients taking sleeping pills 改善服用安眠药痴呆患者睡眠质量护理实践自我评价量表的研制
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12255
Y. Iwamoto, Narumi Fujino, Takaomi Furuno, Yuji Fujimoto
Background & Aim: Many patients with dementia experience sleep-related issues. However, the nursing practices that address those issues are unclear. Therefore, to develop a self-assessment scale of nursing practices to improve sleep quality in patients with dementia taking sleep medication and confirm its validity and reliability. Methods & Materials: In this mixed-methods study, qualitative research was conducted by interviewing six expert-level nurses with a wealth of experience in caring for patients with dementia; then, quantitative survey questions were administered. The preliminary scale was created and evaluated its face validity. This quantitative study was conducted using questionnaire surveys among nurses with psychiatric ward experience employed at dementia treatment centers across Japan. Data from 525 nurses were used to verify the validity and reliability of the scale. Results: Exploratory factor analysis resulted in a three-factor, 16-item scale. Criterion validity was confirmed by calculating correlation coefficients with existing scales (the self-evaluation scale of oriented problem-solving behavior in nursing practice) as external criteria (r= 0.574, p< .05). The sum of scale scores and Cronbach’s α coefficients for the three factors all exceeded 0.7. Conclusion: The development of this scale will improve the quality of nursing practice for patients with dementia who take sleeping pills. Additionally, it provides foundational research on nursing practice for the appropriate use of medications, as it offers evidence that nurses participate in drug treatment.
背景与目的:许多痴呆患者都有睡眠相关问题。然而,解决这些问题的护理实践尚不清楚。因此,本研究拟编制护理实践改善痴呆患者睡眠质量的自评量表,并验证其效度和信度。方法与材料:本研究采用混合方法,对6名具有丰富护理痴呆患者经验的专家级护士进行质性研究;然后,进行定量调查。编制了初步量表,并对其进行了面效度评价。本定量研究采用问卷调查的方式,对日本痴呆治疗中心有精神科病房工作经验的护士进行调查。采用525名护士的数据来验证量表的效度和信度。结果:探索性因子分析得出三因素、16项量表。以现有量表(护理实践中导向解决问题行为自我评价量表)作为外部标准,计算相关系数,确认效度(r= 0.574, p< 0.05)。三个因素的量表得分和Cronbach’s α系数之和均超过0.7。结论:该量表的编制有助于提高痴呆患者服用安眠药的护理质量。此外,它为适当使用药物的护理实践提供了基础研究,因为它提供了护士参与药物治疗的证据。
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引用次数: 0
Medication safety and rare side effect of carbamazepine: A case report 卡马西平的用药安全性及罕见副作用1例报告
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12251
Z. Yazdani, Shaghayegh Roofeh
Introduction: Medicines are the most widely used interventions in health care, and adverse drug reactions alone are responsible for 5-10% of hospitalizations in elderly patients. Carbamazepine is an anticonvulsant drug, and skin rash is one of its rare symptoms. It requires immediate medical attention and is sometimes life-threatening. Case Report: This case report is about a 72-year-old woman who witnessed the interaction of rivaroxaban and carbamazepine and the side effects of carbamazepine simultaneously. Conclusion: Patient participation and patient-centered tools are needed to promote patient safety.  
药物是卫生保健中最广泛使用的干预措施,仅药物不良反应就占老年患者住院的5-10%。卡马西平是一种抗惊厥药物,皮疹是其罕见症状之一。它需要立即就医,有时会危及生命。病例报告:本病例报告是关于一位72岁的女性,她同时目睹了利伐沙班与卡马西平的相互作用和卡马西平的副作用。结论:需要患者参与和以患者为中心的工具来促进患者安全。
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引用次数: 0
Development and psychometric evaluation of the gender attitudes of nursing students towards the nursing profession scale 护生护理职业性别态度量表的编制及心理测量学评价
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12259
Fatma Başaran, N. Kosgeroglu
Background & Aim: The fact that the nursing profession is seen as a female profession deepens gender discrimination in the nursing profession. This research aimed to develop a valid and reliable measurement tool to determine the gender attitudes of nursing students towards the nursing profession and study the psychometric properties thereof. Methods & Materials: The study is methodological research. The research was conducted with 238 nursing students at a public university in Türkiye. Results: Exploratory factor analysis reduced the total number of items from 41 to 10. 10 items categorized under three factors were determined to explain 57.11% of the total variance. The total Cronbach Alpha value of the scale is .62. The scale consists of 3 factors entitled “Male Gender Role”, “Professional Stereotypes,” and “Gender Discrimination”, which further include a total of 10 items. Conclusion: The scale is a valid and reliable measurement tool that can be used to determine the gender attitudes of nursing students toward the nursing profession.
背景与目的:护理职业被视为女性职业的事实加深了护理职业中的性别歧视。本研究旨在建立一个有效可靠的测量工具,以确定护生对护理专业的性别态度,并研究其心理测量特征。方法与材料:本研究为方法学研究。这项研究是在日本一所公立大学的238名护理专业学生中进行的。结果:探索性因子分析将项目总数从41项减少到10项。按三个因素分类的10个项目被确定为解释总方差的57.11%。量表的总Cronbach Alpha值为0.62。量表由“男性性别角色”、“职业刻板印象”和“性别歧视”3个因素组成,共包括10个项目。结论:该量表是一种有效、可靠的测量工具,可用于评估护生对护理专业的性别态度。
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引用次数: 0
It’s time to revisit non-nursing tasks performed by nurses 是时候重新审视护士所做的非护理工作了
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12250
E. Asghari, M. Archibald
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
Advancing the Nigerian health system through advanced practice nursing 通过高级护理实践推进尼日利亚卫生系统
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12252
Damilare Jonathan Arowolo, Oluwatosin Comfort Olarinde, Yetunde Oluwafunmilayo Tola, Bose C Ogunlowo, O. Akingbade
Background & Aim: To meet the changing global population needs and demands of patient care, healthcare systems worldwide are under restructuring and transformation. Advanced practice nursing has been adopted in many developed countries to meet pressing issues like workforce shortage and equitable distribution of competent healthcare professionals. However, Nigeria is yet to take advantage of this initiative despite being seriously affected by these issues. This article documents the need for and prospects of advanced practice nursing in Nigeria. Methods & Materials: A descriptive theoretical and empirical literature analysis was done to explain the impact of advanced practice nursing in advancing the Nigerian health system. Results: The expertise and capacity of the nursing workforce, especially its numerical strength, can be utilized to improve Nigeria’s health system and achieve the global goal of making quality healthcare accessible and available to all, thereby achieving universal health coverage. Conclusion: Elevating the competencies of nurses through investments in advanced practice nursing will make primary healthcare available to Nigerians living in poverty, rural dwellers, youth, and children, thereby reducing the burden of diseases and improving health promotion and disease prevention.
背景与目的:为了满足不断变化的全球人口需求和患者护理需求,全球医疗系统正在进行重组和转型。许多发达国家已经采用高级实践护理来解决劳动力短缺和合格医疗专业人员公平分配等紧迫问题。然而,尽管受到这些问题的严重影响,尼日利亚仍未利用这一举措。本文记录了尼日利亚对高级实践护理的需求和前景。方法与材料:通过描述性理论和实证文献分析,解释高级实践护理对推进尼日利亚卫生系统的影响。结果:护理人员的专业知识和能力,特别是其人数优势,可以用来改善尼日利亚的卫生系统,实现让所有人都能获得高质量医疗保健的全球目标,从而实现全民健康覆盖。结论:通过投资高级实践护理来提高护士的能力,将使生活在贫困中的尼日利亚人、农村居民、青年和儿童能够获得初级医疗保健,从而减轻疾病负担,改善健康促进和疾病预防。
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引用次数: 1
An integrated review of measures of mutuality: Pros, cons, and future directions 互惠措施的综合审查:优点、缺点和未来方向
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12253
B. Hamilton, V. Hooper
Background & Aim: Mutuality has been defined as being placed between paternalism and autonomy on the spectrum of patient engagement in care, which involves a shared experience and reciprocity between involved parties. Mutuality is foundational in creating growth and fostering relationships to improve health outcomes and address health disparities. This paper aims to examine and compare measurement instruments that measure the concept of mutuality. Methods & Materials: A systematic search was conducted to examine how mutuality has been measured. Eight studies were included in the analysis.  Results: The Mutuality Scale, the Mutuality and Interpersonal Sensitivity Scale, the Friendship Quality Questionnaire, and the Connection-Disconnection Scale were discovered. Theoretical frameworks and psychometrics were analyzed.    Conclusion: Mutuality has been applied in a variety of contexts and proves to be an important concept in understanding the needs and perspectives of culturally diverse communities. selection of a measurement instrument is going to be driven by a theoretical framework and definitions of mutuality.  All identified instruments demonstrated strengths and weaknesses. Therefore, it is important to weigh these strengths and weaknesses when selecting a measurement instrument in clinical practice or research.
背景与目的:在患者参与护理的范围内,相互性被定义为介于家长式作风和自主性之间,这涉及到相关方之间的共享经验和互惠。相互性是创造增长和促进关系以改善健康结果和解决健康差距的基础。本文旨在检验和比较测量相互性概念的测量仪器。方法与材料:进行了一项系统的搜索,以检查相互性是如何测量的。分析中包括8项研究。结果:发现了相互性量表、相互性和人际敏感性量表、友谊质量问卷和联系断开量表。分析了理论框架和心理测量学。结论:相互性已被应用于各种背景,并被证明是理解文化多样性社区的需求和观点的一个重要概念。测量仪器的选择将由相互性的理论框架和定义驱动。所有已确定的文书都显示出长处和短处。因此,在临床实践或研究中选择测量仪器时,权衡这些优势和劣势是很重要的。
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引用次数: 0
Perceived implicit rationing of nursing care: Psychometric assessment in the Indonesian context 感知隐性配给护理:心理测量评估在印度尼西亚的背景下
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12254
Mahmud Ady Yuwanto, Kuswantoro Rusca Putra, H. Windarwati
Background & Aim: The perceived implicit rationing of nursing care is a tool for evaluating the rationing of nursing care. This tool has been used and psychometrically validated previously in different countries but never in Indonesia. This study aimed to assess the psychometric properties of the Indonesian version of the perceived implicit rationing of nursing care. Methods & Materials: A descriptive cross-sectional design was chosen to investigate psychometric properties of the perceived implicit rationing of nursing care. The data collection period was during May 2021. Statistical analyses were performed using Partial Least Square-Structural Equation Models (PLS-SEM) on the SPSS software with the assistance of the Smart PLS-3 program. A multivariate analysis was conducted to assess construct validity. Cronbach’s alpha coefficient was used to evaluate instrument reliability. Results: Outer loading for the entire instrument was > 0.7. Cronbach’s alpha for assistance with physical care= 0.964; monitoring-safety-support= 0.980; documentation-supervision= 0.994; communication= 0.931; and implementation of the prescribed treatment plan= 0.984. Using both statistical methods when evaluating the perceived implicit rationing of nursing care, in the confirmation that the tool is valid and reliable. Conclusion: This version of the perceived implicit rationing of the nursing care instrument showed acceptable psychometric properties for use as an assessment instrument in an Indonesian-speaking country.
背景与目的:感知隐性护理配给是评价护理配给的一种工具。这个工具以前在不同的国家使用过,并在心理测量学上得到了验证,但从未在印度尼西亚使用过。本研究旨在评估印尼版本的感知内隐配给护理的心理测量特性。方法与材料:采用描述性横断面设计研究护理内隐定量的心理测量特征。数据收集期为2021年5月。在SPSS软件上使用偏最小二乘结构方程模型(PLS-SEM)进行统计分析,并借助Smart PLS-3程序。采用多变量分析评估构念效度。采用Cronbach’s alpha系数评价仪器的可靠性。结果:整个仪器的外载荷为>.7。身体护理辅助的Cronbach’s alpha = 0.964;monitoring-safety-support = 0.980;documentation-supervision = 0.994;沟通= 0.931;处方治疗方案的执行情况= 0.984。使用两种统计方法评估感知隐性护理配给时,在确认工具是有效和可靠的。结论:这个版本的护理工具的感知隐性配给显示出可接受的心理测量特性,可作为评估工具在印度尼西亚语国家使用。
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引用次数: 0
Factors influencing foot care behavior among patients with type 2 diabetes mellitus who have a high-risk diabetic foot in China 中国2型糖尿病高危糖尿病足患者足部护理行为的影响因素
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12256
Yi-Jun Cheng, Khemaradee Masingboon, Niphawan Samartkit, Saifone Moungkum
Background & Aim: Foot ulceration and amputation have increased significantly among Chinese patients with type 2 diabetes mellitus. Proper foot care behavior is an important strategy for reducing the risk of diabetes-related foot issues. The current study aimed to assess foot care behavior and its influencing factors, including self-efficacy, foot care knowledge, and social support, among patients with type 2 diabetes mellitus who have a high-risk diabetic foot in Wenzhou, China. Methods & Materials: This research used a correlational predictive design. In total, 107 participants who were eligible for the study were randomly selected. Five self-reported questionnaires, including the demographic questionnaire, Diabetes Self-Efficacy Scale, Foot Care Knowledge questionnaire, Perceived Social Support Scale, and Chinese version of the Nottingham Assessment of Functional Footcare, were utilized. Descriptive statistical and standard multiple linear regression analyses were performed to evaluate data. Results: Approximately 90.7% of participants had poorly controlled diabetes (HbA1c≥ 7%), and 95.3% presented with foot deformities. Further, 51.4% of participants reported moderate foot care behavior, and 42.1% had poor foot care behavior. The multiple regression analysis revealed that self-efficacy, foot care knowledge, and social support significantly explained 31.1 % of the variability in foot care behavior. However, self-efficacy could predict foot care behavior (β= .490, p< .001). Conclusion: It is important to improve foot care behavior among patients with type 2 diabetes who have a high-risk diabetic foot. Nursing interventions to enhance foot care behavior should focus on improving self-efficacy and providing foot care education regularly.
背景与目的:中国2型糖尿病患者足部溃疡和截肢明显增多。适当的足部护理行为是降低糖尿病相关足部问题风险的重要策略。本研究旨在评估中国温州2型糖尿病高危足患者的足部护理行为及其影响因素,包括自我效能、足部护理知识和社会支持。方法与材料:本研究采用相关预测设计。总共有107名符合研究条件的参与者被随机选择。使用了五份自我报告问卷,包括人口统计学问卷、糖尿病自我效能量表、足部护理知识问卷、感知社会支持量表和诺丁汉功能性足部护理评估的中文版。对数据进行描述性统计和标准多元线性回归分析。结果:约90.7%的参与者糖尿病控制不佳(HbA1c≥7%),95.3%的参与者足部畸形。此外,51.4%的参与者报告有中度足部护理行为,42.1%的参与者有较差的足部护理行为。多元回归分析显示,自我效能感、足部护理知识和社会支持显著解释了31.1%的足部护理行为变异。然而,自我效能感可以预测足部护理行为(β=.490,p<.001)。结论:在患有高危糖尿病足的2型糖尿病患者中,改善足部护理行为很重要。加强足部护理行为的护理干预应侧重于提高自我效能和定期提供足部护理教育。
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引用次数: 0
From nuisance to helpful assistants: A qualitative thematic analysis of medical volunteers' experiences during the COVID-19 outbreak in Iran 从滋扰到帮助:伊朗新冠肺炎疫情期间医疗志愿者经历的定性专题分析
IF 1 Q4 NURSING Pub Date : 2023-03-15 DOI: 10.18502/npt.v10i1.12258
Mohammad Hossein Sadeghian, Fatemeh Khoshnavay Fomani, Mozhgan Moshtagh, E. Elahi, A. Rostamian, A. Ostadtaghizadeh
Background & Aim: Volunteers’ perceptions may affect their future decisions to participate in crisis intervention.  Few studies in Iran have been conducted to examine the experiences of medical personnel who volunteered during the COVID-19 pandemic. This qualitative study describes the experiences of medical volunteers during COVID-19 in Iran. Methods & Materials:  A total 17 healthcare volunteers who worked in COVID-19 hospital wards were recruited using purposive sampling. All participants were recruited in the current study from the hospitals affiliated with the Tehran University of Medical Sciences if they expressed their willingness to participate and had at least two months experience of working as healthcare volunteers in COVID-19 wads. In-depth video-call semi-structured interviews were conducted from August to November 2020. The data were analyzed using the qualitative thematic analysis method. Results: One main theme “from nuisance to helpful assistants” and four sub-themes including the “feeling of inefficiency”, “negligent managing”, “situation orientation”, and “transformation for integrity” emerged from the data. Conclusion: Despite experiencing challenges, the volunteers and hospital staff tried to change their approaches to joint collaboration by improving their capabilities for situation awareness and creating integrity. These findings provide policymakers with a better understanding of health volunteers' challenges in hospitals during crises.
背景与目的:志愿者的认知可能会影响他们未来参与危机干预的决定。在伊朗,很少有人对新冠肺炎大流行期间志愿服务的医务人员的经历进行研究。这项定性研究描述了医疗志愿者在伊朗新冠肺炎期间的经历。方法与材料:采用目的性抽样方法,共招募了17名在新冠肺炎医院病房工作的医护志愿者。在本研究中,所有参与者都是从德黑兰医学科学大学附属医院招募的,前提是他们表示愿意参与,并且至少有两个月的新冠肺炎医疗志愿者工作经验。深度视频通话半结构化访谈于2020年8月至11月进行。使用定性专题分析方法对数据进行分析。结果:数据中出现了一个主主题“从讨厌到乐于助人”和四个子主题,包括“低效感”、“疏忽管理”、“情境导向”和“诚信转型”。结论:尽管遇到了挑战,志愿者和医院工作人员仍试图通过提高情境意识和创造诚信来改变他们的联合协作方式。这些发现使决策者更好地了解卫生志愿者在危机期间在医院面临的挑战。
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引用次数: 1
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Nursing Practice Today
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