International Journal of Africa Nursing Sciences最新文献

Background

Tonsillectomies are generally performed on paediatric patients in ambulatory settings. The children are discharged after a short post-operative period of three to four hours which results in their parents becoming the primary caregivers at home. It is imperative that they receive extensive preparation and guidance on how to prevent, identify and manage complications related to the surgery at home. In this study, rapid-cycle evaluation and adjustment in combination with qualitative research in implementation science were used to show how health education can be revised during implementation.

Aim

The study aimed to evaluate and adjust the paediatric tonsillectomy primary caregiver health education at a designated ambulatory hospital.

Design

A rapid cycle evaluation and adjustment of paediatric tonsillectomy health education was done through qualitative research in implementation science. It was guided by the contextual and interventional facilitators and barriers of the Consolidated Framework for Implementation Research. Two rounds of semi-structured interviews were conducted with parents as the primary caregivers of children and nurses who was directly involved with the health education.

Results

The process of evaluation and adjustment provided the researcher with valuable information that were applied to create a more compressive piece of primary carer health education. A guideline was created with current information to manage pain, eating practices and to limit post-operative haemorrhaging.

Conclusion

Rapid-cycle evaluation and adjustment in combination with qualitative research in implementation science is effective to revise health education processes and material.

Introduction

Although job stress is found in most jobs, it is of higher significance in occupations that deal with human health. This study seeks to investigate the effectiveness of stress management with the action research approach on the job stress of pre-hospital emergency staff in Arak (Iran).

Methods

The present study is comparative causal research conducted using the participatory action research method on 14 pre-hospital emergency staff in Arak. At the beginning of the study, the Osipow job stress questionnaire was completed by the group, and the individuals then participated in stress management sessions in groups of six and completed the questionnaires again after the final action research session. Data analysis was carried out using descriptive data and paired t-tests using SPSS V.16 software.

Results

The first stage of the action research identified the two main categories 1. Inadequate stress management knowledge and 2. Organizational obstacles. The theme obtained at this stage was “the bottlenecks of job stress management in the workplace.” Four categories and one theme were also obtained at the seventh stage of the action research including the categories of perceived performance change benefits, empowerment for stress management, receiving encouraging feedback, and preparedness for the development of stress management among other colleagues, and the theme of “moving towards stable stress management.” After the steps of the action research were completed, Results of the mean comparison indicated significant differences (P < 0.05) between the job stress of the staff before and after group therapy in all cases.

Conclusion

Stress management group therapy affects the job stress of the staff. Pre-hospital emergency staff is recommended to take advantage of stress management skills training to improve their mental health.

Background

Applying a unique, non-pharmacological therapy for community-dwelling older adults, such as Laughing Yoga Therapy, may have a considerable impact on their anxiety, happiness, and psychological well-being.

Aim of the study

To investigate the feasibility of applying Laughing Yoga Therapy interventions to anxiety and happiness among community-dwelling older adults.

Methodology

A quasi-experimental design was used on a convenient community-dwelling. Older adult participants were selected to undergo eight sessions over four weeks. The Geriatric Anxiety Scale and Arabic Scale of Happiness were used to evaluate the participants' anxiety and happiness levels.

Results

A statistically significant decrease in anxiety level among the study group compared to the control group (Pre = 16.68 (7.35), immediate = 6.65 (2.89), post three-month = 7.68 (2.75), p=<0.001 and effect size = 0.715). As well as an increase in happiness level among the study group compared to the control group were found (pre = 54.23 (6.60), immediate = 62.05 (4.09), post three-month = 61.95 (4.38), with statistical significant= <0.001 and effect size = 0.677.

Conclusion and recommendations

Participation in laughing yoga therapy significantly reduced anxiety and increased happiness among elderly people. These findings suggest incorporating laughing yoga therapy into nursing interventions offered to older adults in nursing homes and community groups.

Patients undertaking long-lasting implantable pacemakers are challenged with numerous mental and psychosocial problems. Educating cardiac patients implanting pacemaker with important items regarding self-care management may stop healthcare problems.

Purpose

of this research was determine the impact of interventional sessions for patients with pacemakers concerning coping, quality of life and self-care management.

Methods

A quasi-experimental study was used with a sample of 45 patients with pacemakers. The current investigation was conducted at Damietta's specialized heart and digestive system center, affiliated with the Ministry of Health, Egypt. Five main tools were used in this study: A questionnaire (self-administered), Patients’ knowledge survey, a Short-form Health Assessment and Coping Strategy Indicator.

Results

showed that the educational program improved the coping, self-efficacy, and quality of life of patients with pacemakers in the post-intervention period compared with the pre-intervention period, with highly statistically significant improvements within all items (P ≤ 0.05). Finally, there was a statistically significant relationship between age and coping of patients with pacemakers pre and post program intervention (p =.001).

Conclusion

This research suggested that an essential component of the overall care of patients receiving pacemakers should be the teaching program. Upon admission, all patients receiving pacemaker implantation should get a thorough booklet that has been simplified and includes updated guidelines about pacemaker management. Patients who are illiterate should be provided with clear explanations using photographs.

Background

Globally there is increasing demand for high-quality nursing care driven by research and evidence-based practice. Engagement of undergraduate nursing students in research activities identifies experiences and strategies that bring best outcomes in nursing practice. This study sought to establish strategies that will improve research practices among undergraduate nursing students at two African universities.

Methods

The study was conducted in University of the Free State (UFS) in South Africa and Dedan Kimathi University of Technology (DeKUT) in Kenya. Nominal group technique (NGT) was used to collect data from 116 undergraduate nursing students (South Africa = 53; Kenya = 63). Participants recruitment involved complete collection sampling with 5 group discussions (South Africa = 2; Kenya = 3). Data analysis involved initial intra-group analysis step done to tally and combine scores for specific ideas. Second step identified top five ideas across groups per institution based on highest scores. Final step compared similarities and differences between the two institutions. Ethical clearance was obtained in both countries.

Results

The nominal group results showed top five priorities for the students in Kenya were group work research, calm manner of addressing mistakes, timely feedback from supervisors, standardised assessment, face to face teaching of data analysis software and avoidance of nullification of research projects. South African university students prioritised Student support, knowing expectations, supervisor’s feedback and contact classes, interactive classrooms and breaking down research jargon.

Conclusion

The participants reported need for creating supportive learning experiences with peer/teacher mentorship. Timely feedback, structured supervision, and student-centred approach to learning new information in research enrich learners’ positive experience.

Background

Perceived organizational politics is a common phenomenon in almost every organization and is associated with undesirable employee outcomes. Despite numerous studies on this important topic, studies describing the influence of perceived organizational politics on nurses' outcomes (job satisfaction and stress) remain underinvestigated. This study examined the impact of perceived organizational politics on job satisfaction and job stress among nurses.

Methods

A quantitative cross-sectional design was used in this study. Two hundred and thirteen (213) nurses participated. Three standardized instruments were utilized: Perception of Organizational Politics, Job Satisfaction Scale, and Job Stress Scale. Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analyses.

Findings

Nurses perceived a high level of organizational politics. We identified a significant correlation between perceived organizational politics, job stress, and job satisfaction in nursing. The results showed nurses' perception of organizational politics had a positive relationship with job stress and a negative relationship with job satisfaction.

Managerial implication

Hospital management should reconsider the organizational, group, and individual situations that create perceived organizational politics to prevent any unnecessary political behaviors in the hospital. Also, strategies to enhance nursing management and healthcare provision should be directed at reducing the use of politics to promote self-interest.

Originality/value

Our study provides a novel insight into the unexplored nature and impact of perceived organizational politics on nurses' job satisfaction and stress in Ghana. It is the first research to investigate organizational politics using nursing population in the Ghanaian context and makes significant contributions to theory and practice.