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Climacterium - opinions, experiences, and attitudes of women regarding menopause 更年期-妇女对更年期的看法、经验和态度
Q3 Nursing Pub Date : 2023-06-05 DOI: 10.15452/cejnm.2023.14.0001
Romana Belešová, V. Tóthová
Aim: This descriptive qualitative study provides information on research dealing with women’s opinions, experiences, and attitudes toward menopause. Design: A descriptive qualitative study. Methods: Individual semi-structured in-depth interviews were used for qualitative research into this topic. The research group consisted of 17 women aged 40 to 55 years. Thematic data analysis was used to analyze the data obtained. Results: Based on the thematic analysis, the following categories were created: 1) Association with the period of menopause; 2) Experiencing menopause; and 3) Education. The results showed that women viewed menopause as a transitional phase of life. The main symptoms included hot flashes, night sweats, disturbed sleep, mood swings, and weight gain. Prior to the study, participants were not interested in additional information on the issue. Conclusion: As estrogen levels decline later in life, women transition from the reproductive to the post-reproductive phase of their lives. For women to experience healthy menopause, they must understand the process before they begin to experience the consequences of estrogen deficiency.
目的:这个描述性的定性研究提供了关于女性对更年期的观点、经历和态度的研究信息。设计:描述性质的研究。方法:采用个人半结构化深度访谈对本课题进行定性研究。研究小组由17名年龄在40到55岁之间的女性组成。采用专题数据分析方法对所得数据进行分析。结果:基于主题分析,创建了以下类别:1)与绝经期相关;2)更年期;3)教育。研究结果表明,女性将更年期视为人生的一个过渡阶段。主要症状包括潮热、盗汗、睡眠紊乱、情绪波动和体重增加。在研究之前,参与者对这个问题的其他信息不感兴趣。结论:随着雌激素水平的下降,女性从生育期过渡到后生育期。对于女性来说,要经历健康的更年期,她们必须在开始经历雌激素缺乏的后果之前了解这个过程。
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引用次数: 0
The empowerment of Ukrainian nursing: a call to action for Central European EU countries 赋予乌克兰护理权力:中欧欧盟国家行动呼吁
Q3 Nursing Pub Date : 2023-06-05 DOI: 10.15452/cejnm.2023.14.0009
J. Gotlib
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引用次数: 0
Online teaching during Covid-19 pandemic: attitudes of Croatian nursing students 新冠肺炎大流行期间的在线教学:克罗地亚护理学生的态度
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2022.13.0020
Ivana Gusar, Karmen Gabrilo, Andrea Tokić
Aim: The aim of the study was to investigate the attitude of nursing students towards online teaching during the pandemic Covid-19. Design: A cross-sectional study was conducted. Methods: The sample included full-time and part-time undergraduate and graduate students of nursing in the Republic of Croatia. The research was conducted using an online method with a questionnaire to measure students' attitudes towards the learning process through online teaching. Results: The largest number of participants (58.66%) expressed a moderate attitude towards online teaching;two participants (0.96 %) expressed a negative attitude towards online teaching;while 84 (40.38%) had a highly positive attitude towards online teaching. The findings indicated a significant difference in attitude towards online teaching with regard to student status (full-time / part-time) (p = 0.003), students' conditions for monitoring online teaching (p = 0.003), and their beliefs and expectations (p = 0.001). Conclusion: Nursing students tended to express a moderate attitude towards online teaching. Most students would prefer combined classes and believe that conducting online classes only during the Covid-19 pandemic would reduce the amount of specific knowledge they would acquire during their studies. © 2023 Central European Journal of Nursing and Midwifery.
目的:本研究旨在调查新冠肺炎大流行期间护生对在线教学的态度。设计:进行了一项横断面研究。方法:样本包括克罗地亚共和国护理专业的全日制和非全日制本科生和研究生。这项研究采用了在线方法和问卷调查,以测量学生对在线教学过程的态度。结果:大多数参与者(58.66%)对在线教学持温和态度;两名参与者(0.96%)对网络教学持否定态度;84人(40.38%)对网络教学持积极态度。研究结果表明,学生对在线教学的态度在学生状态(全日制/非全日制)(p=0.003)、学生监控在线教学的条件(p=0.003,以及他们的信念和期望(p=0.001)方面存在显著差异。大多数学生更喜欢组合课程,并认为仅在新冠肺炎大流行期间进行在线课程会减少他们在学习期间获得的特定知识。©2023《中欧护理与助产杂志》。
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引用次数: 1
Standard operating procedure - palliative care 标准操作程序-姑息治疗
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2022.13.0022
Ilona Plevová, Lenka Kadlubová
Aim: The aim of the research was to determine the fulfilment of the standard operating procedure – “Care of patients with increased risk levelˮ incorporating the JCI AOP 1.7 standard “Patients and their loved ones are investigated and reinvestigated due to their individualized needsˮ by healthcare professionals of the selected healthcare facility. Design: A cross-sectional study. Methods: A quantitative survey was selected for data collection. The data were obtained through structured interviews with selected healthcare professionals from the designated facilities conducted by hospital management and recorded in writing in a pre-prepared record sheet. The research sample consisted of 78 respondents, of whom 36 were physicians and 42 were nurses, from 14 facilities. The research was conducted from 15. 1. – 31. 12. 2018. Results: From the interviews, we found that respondents regarded terminal patients and their loved ones holistically, but failed to record the information obtained. We also found that there was no difference in the evaluation of the patient and his / her loved ones according to the profession of the respondents, the length of their medical practice, or their workplace. In terms of the respondentsʼ workplace, there was no difference in perceptions of the quality of palliative care provided in the selected hospital. Conclusion: Respondents perceive patients holistically and they are assessed as a bio-psycho-socio-spiritual unit, and their loved ones are included in the assessment. However, the information obtained is not fully documented in written form.
目的:本研究的目的是确定标准操作程序的实现情况——“纳入JCI AOP 1.7标准的风险水平增加患者的护理”,患者及其亲人因其个性化需求由选定医疗机构的医疗保健专业人员进行调查和再调查。设计:横断面研究。方法:采用定量调查法收集资料。数据是由医院管理层通过与指定设施的选定医疗保健专业人员进行结构化访谈获得的,并以书面形式记录在预先准备的记录表中。研究样本包括来自14家机构的78名受访者,其中36名是医生,42名是护士。这项研究从15年开始进行。1. - 31所示。12. 2018. 结果:在访谈中,我们发现被调查者对临终病人及其亲人的看法是整体性的,但没有记录所获得的信息。我们还发现,根据受访者的职业,他们的医疗实践的长度,或他们的工作场所,在病人和他/她的亲人的评价没有差异。就受访者的工作场所而言,对所选医院提供的姑息治疗质量的看法没有差异。结论:被调查者整体地看待病人,他们被评估为一个生物-心理-社会-精神单元,他们的亲人也被包括在评估中。然而,所获得的信息并没有以书面形式完整地记录下来。
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引用次数: 0
Support for research career development in nursing science 支持护理科学的研究和职业发展
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2023.14.0005
R. Suhonen
For some time, research career development and academic and other support systems have been identified as being in need of systematic development (European Commission, 2011). Predictability and transparency of a research career are of utmost importance for individual researchers but are even more important for academic and disciplinary regeneration and, therefore, need the development of structures and policies to enable the sustainable development of disciplines and organisations. While research careers have existed since the beginning of nursing science as a discipline, the number of early career researchers has increased rapidly and several careers other than academic research have appeared. However, such careers are not clear enough for individuals to become recognised as independent researchers (McKenna, 2021).
一段时间以来,研究职业发展以及学术和其他支持系统一直被认为需要系统发展(欧盟委员会,2011年)。研究生涯的可预测性和透明度对研究人员个人来说至关重要,但对学术和学科再生来说更为重要,因此,需要制定结构和政策,以实现学科和组织的可持续发展。虽然研究职业自护理科学作为一门学科开始就存在,但早期职业研究人员的数量迅速增加,出现了学术研究以外的几种职业。然而,这样的职业还不够明确,个人无法被认可为独立研究人员(McKenna,2021)。
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引用次数: 0
Promotion of tracheostomy self-care: a qualitative study based on the nurses' perspective 促进气管切开术自我护理:基于护士视角的质性研究
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2022.13.0016
S. Queirós, Igor Emanuel Soares Pinto, Maria Alice Correia de Brito, Célia Samarina Vilaça de Brito Santos
Aim: To describe nurses’ perspectives on promoting tracheostomy self-care. There is little information on the nurses’ perspective as care providers with knowledge of clinical contexts. Design: A qualitative descriptive study was conducted. Methods: A purposeful sample of nurses was selected from eight Portuguese hospitals. Recruitment ended once data saturation was reached (n = 12). Data were collected using semi-structured interviews and analysed through content analysis. Results: The nurses described the most important aspects to promote tracheostomy self-care, namely the objectives, the contents to be addressed, the methods and resources to be used, the appropriate moment to intervene, the necessary conditions to promote self-care, the way to ensure the standardisation of interventions among nurses, and the level of tailored planned interventions. Conclusion: From the nurses’ perspective, promoting tracheostomy self-care is critical for regaining autonomy. Therefore, it is crucial to establish an intervention plan sensitive to individual needs and preferences. These results can help elucidate the aspects considered by nurses when promoting tracheostomy self-care so that more meaningful and feasible care models can be designed.
目的:了解护士对气管切开术自我护理的看法。关于护士作为具有临床背景知识的护理提供者的观点的信息很少。设计:进行定性描述性研究。方法:对葡萄牙八家医院的护士进行针对性调查。一旦达到数据饱和,招聘就结束了(n = 12)。数据收集采用半结构化访谈,并通过内容分析进行分析。结果:护士对促进气管切开术患者自我护理的目标、内容、方法和资源、干预时机、促进自我护理的必要条件、确保护士干预规范化的途径、量身定制的计划干预水平等方面进行了描述。结论:从护士的角度出发,提高气管切开术患者的自我护理水平是恢复患者自主性的关键。因此,建立一个对个体需求和偏好敏感的干预计划是至关重要的。这些结果有助于阐明护士在促进气管切开术患者自我护理时所考虑的方面,从而设计出更有意义和可行的护理模式。
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引用次数: 0
Measuring patient safety culture from the perspective of nursing students - a literature review 从护生角度衡量患者安全文化——文献综述
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2022.13.0015
D. Bartoníčková, Dominika Kohanová, K. Žiaková
Aim: To identify instruments measuring patient safety culture from the perspective of nursing students and to assess the content and reported psychometric properties of these instruments. Design: A narrative literature review. Methods: The search was carried out (according to institutional availability) in three scientific databases: ProQuest, PubMed, and Scopus. The search produced a total of 645 studies published up to May 2021. For data analysis, a summative content method was used. Results: We identified 12 instruments for measuring patient safety culture from the perspective of nursing students. Four instruments were designed to assess the perception of patient safety culture in the workplace, and eight instruments were designed for assessing nursing students’ competencies in patient safety culture. Conclusion: The instruments share a core set of domains. However, details on conceptualisation, and methodological rigor differed substantially. Moreover, data on psychometric properties have not been published for most instruments. The absence of well-established instruments calls for further research.
目的:从护理专业学生的角度确定测量患者安全文化的仪器,并评估这些仪器的内容和报告的心理测量特性。设计:叙事性文献综述。方法:在ProQuest、PubMed和Scopus三个科学数据库中进行搜索(根据机构可用性)。截至2021年5月,该搜索共发表了645项研究。对于数据分析,使用了总结内容法。结果:我们从护生的角度确定了12种测量患者安全文化的工具。设计了四个工具来评估工作场所对患者安全文化的感知,设计了八个工具来评价护理专业学生在患者安全文化方面的能力。结论:这些文书有一套核心领域。然而,关于概念化的细节和方法论的严谨性有很大的不同。此外,大多数仪器的心理测量特性数据尚未公布。缺乏完善的工具需要进一步研究。
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引用次数: 0
Nurseʼs mental health during Covid-19 pandemic Covid-19大流行期间护士的心理健康状况
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2022.13.0009
Olga Shivairová, S. Bártlová, Věra Hellerová, I. Chloubová
Aim: The aim of the research was to ascertain the feelings of frontline nurses during the Covid-19 pandemic. Design: Qualitative research using a phenomenological approach. Methods: Qualitative research using a phenomenological approach was carried out with eight nurses working with Covid-19 patients in a hospital and in a seniors home in Kladno, in the Central Bohemia region of the Czech Republic. Two diagrams, which show ties between identified categories, were generated based on results. Results: External stresses during the first wave were: lack of information, lack of protective equipment, different attitudes towards the pandemic management. During the third wave, they were: lack of nurses and other medical personnel, overwhelming of the healthcare system, too much administrative work, and long working hours spent in protective gear. The stress-reducing factors revealed after the first wave were: solidarity and gratitude expressed by society. During the third wave, nurses noted greater self-confidence and pride, better interpersonal relationships. Conclusion: The effective management of stressors in the pandemic period can contribute to better healthcare. Therefore, we should pay more attention to describe of them in future. © 2023 Central European Journal of Nursing and Midwifery.
目的:本研究旨在了解新冠肺炎大流行期间一线护士的感受。设计:使用现象学方法进行定性研究。方法:采用现象学方法对捷克共和国中波希米亚地区Kladno一家医院和一家养老院的8名护理Covid-19患者的护士进行了定性研究。两个显示已识别类别之间关系的图表是基于结果生成的。结果:第一波疫情的外部压力为:信息匮乏、防护装备匮乏、对疫情管理的态度不同。在第三次浪潮中,它们是:缺乏护士和其他医疗人员,医疗保健系统不堪重负,行政工作太多,长时间穿着防护装备工作。第一波后发现的减压因素是:社会的团结和感恩。在第三次浪潮中,护士注意到更大的自信和自豪感,更好的人际关系。结论:疫情期间对应激源的有效管理有助于提高卫生保健水平。因此,我们今后应该更加注意对它们的描述。©2023中欧护理与助产杂志。
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引用次数: 3
Quality of life in patients with recurrent diabetic foot ulcers 复发性糖尿病足溃疡患者的生活质量
Q3 Nursing Pub Date : 2023-03-06 DOI: 10.15452/cejnm.2022.13.0025
H. Haryanto, Lestari Makmuriana, H. Hartono, Desti Dwi Arini, S. Ariyanti, Yunita Sari, Mahin Ridlo Ronas, J. Junaidi, Ledy Ervita
Aim: The study aimed to evaluate the association between quality of life and wound severity in patients with recurrent diabetic foot ulcers (DFUs). Design: A cross-sectional study. Methods: The total sample comprised 86 DFU patients. The Diabetic Foot Ulcer Scale – Short Form scale was used to collect quality of life data, and Wagner grading was used to assess wound severity. Statistical analyses were conducted using the Mann-Whitney U-test and Kruskal-Wallis test. Results: The results showed that quality of life (QOL) in all domains was low. There were no significant differences between demographic and wound characteristics and QOL of patients. Significant differences were found between diabetes mellitus (DM) duration and Leisure / enjoying life (p = 0.020); Trigger and Worried about ulcers (p = 0.002); Trigger and Dependence / daily life (p = 0.006); Trigger and Negative emotions (p = 0.006); and Trigger and Bothered by ulcer care (p = 0.000). However, there were no significant differences between demographic and wound characteristics and physical health. Conclusion: The study showed that QOL of patients with recurrent diabetic ulcers was low. There was no correlation between quality of life or wound severity and recurrent DFUs. However, there was a correlation between DM duration and Leisure / enjoying life; Trigger and Worried about the ulcer; Trigger and Dependency / daily life; Trigger and Negative emotions; and Trigger and Bothered by ulcer care.
目的:本研究旨在评估复发性糖尿病足溃疡(DFU)患者的生活质量与伤口严重程度之间的关系。设计:横断面研究。方法:共86例DFU患者。糖尿病足溃疡量表-简式量表用于收集生活质量数据,Wagner评分用于评估伤口严重程度。使用Mann-Whitney U型检验和Kruskal-Wallis检验进行统计分析。结果:结果显示,各领域的生活质量(QOL)均较低。患者的人口学特征、创伤特征和生活质量之间没有显著差异。糖尿病(DM)持续时间与休闲/享受生活之间存在显著差异(p=0.020);引发和担心溃疡(p=0.002);触发和依赖/日常生活(p=0.006);触发和消极情绪(p=0.006);以及溃疡护理引发和困扰(p=0.000)。然而,人口统计学和伤口特征以及身体健康之间没有显著差异。结论:糖尿病复发性溃疡患者生活质量低下。生活质量或伤口严重程度与复发性DFU之间没有相关性。然而,DM持续时间与休闲/享受生活之间存在相关性;触发并担心溃疡;触发和依赖/日常生活;触发和负面情绪;和触发和受溃疡困扰的护理。
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引用次数: 0
Intensive care nurses' experiences with brain-dead patients - a phenomenological qualitative study 重症监护护士对脑死亡患者的护理经验——现象学定性研究
Q3 Nursing Pub Date : 2022-12-05 DOI: 10.15452/cejnm.2022.13.0008
Sabine Drexler, A. Siegle, E. Farin-Glattacker
Aim: This study explores nurses’ experiences of caring for (potentially) brain-dead patients. Design: A qualitative interpretative phenomenological design was chosen to describe the phenomenon in all its complexity and dimensions. Methods: In 2016, twelve episodic interviews were conducted with intensive care nurses from six wards. The interviews related to their experiences of caring for (potentially) brain-dead patients and were analyzed according to Benner’s Interpretative Phenomenology. Results: Three key phenomena were generated: 1) The brain is dead; the body is alive; 2) Coping within high performance medicine and 3) Power(-lessness). The participants’ experience was that caring for a (potentially) brain-dead patient and explaining brain death to the patient’s relatives is very demanding. In the intensive care unit, nurses are required to diligently provide exemplary methodical and routine care, most of the time without an outlet to relieve their own work-related burdens. In some situations, the interviewees felt powerless. Conclusion: The data collected have provided a deeper insight into the situation intensive care nurses face when caring for (potentially) brain-dead patients. Nevertheless, the authors recommend further research on all phenomena, and also the design of appropriate training and support for nurses.
目的:探讨护士护理(潜在)脑死亡病人的经验。设计:选择定性解释现象学设计来描述现象的所有复杂性和维度。方法:2016年对我院6个病区重症监护护士进行12次情景访谈。这些访谈与他们照顾(潜在)脑死亡病人的经历有关,并根据Benner的解释现象学进行分析。结果:产生了三个关键现象:1)脑死亡;身体是活的;2)应对高绩效医学和3)权力(-less)。参与者的经验是,照顾一个(潜在的)脑死亡的病人,并向病人的亲属解释脑死亡是非常困难的。在重症监护室,护士被要求勤奋地提供模范的系统和常规护理,大多数时候没有出口来减轻自己的工作负担。在某些情况下,受访者感到无能为力。结论:收集到的数据为重症监护护士在护理(潜在)脑死亡患者时所面临的情况提供了更深入的了解。然而,作者建议对所有现象进行进一步研究,并为护士设计适当的培训和支持。
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引用次数: 0
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Central European Journal of Nursing and Midwifery
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