Mental illness continues to be a leading cause of stressor especially for veterans in the United States. These problems are affecting the role functioning and relationships. The purpose of this review was to explore extensive literature on the benefits of aerobic exercise that lead to non-pharmacological interventions to help patients who suffer from mental illness in a veterans hospital inpatient mental health unit. Patients admitted to inpatient mental health units have a diagnosis such as schizophrenia, bipolar disorder, major depression, or schizoaffective disorders. They should also meet the diagnostic criteria of suicidal or homicidal ideation. Sometimes it may be a veteran who is unable to care for self or needs medical supervision. Upon conclusion of the literature review, evidence has shown to provide significant data supporting the benefit of aerobic exercises.
{"title":"Effects of Aerobic Exercise on Patients with Mental Illness in a Veterans Inpatient Psychiatric Unit: A Review of the Literature","authors":"J. McCash, S. Abraham","doi":"10.20849/IJSN.V3I1.235","DOIUrl":"https://doi.org/10.20849/IJSN.V3I1.235","url":null,"abstract":"Mental illness continues to be a leading cause of stressor especially for veterans in the United States. These problems are affecting the role functioning and relationships. The purpose of this review was to explore extensive literature on the benefits of aerobic exercise that lead to non-pharmacological interventions to help patients who suffer from mental illness in a veterans hospital inpatient mental health unit. Patients admitted to inpatient mental health units have a diagnosis such as schizophrenia, bipolar disorder, major depression, or schizoaffective disorders. They should also meet the diagnostic criteria of suicidal or homicidal ideation. Sometimes it may be a veteran who is unable to care for self or needs medical supervision. Upon conclusion of the literature review, evidence has shown to provide significant data supporting the benefit of aerobic exercises.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"2 3 1","pages":"34"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78631074","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}
The development of a medical home is an integral component in decreasing health disparities among disenfranchised communities. Mobile health clinics contribute to increasing access to health services, promoting health education, and improving care coordination especially among low income rural patients. This problem based solution, case study describes the experience of a University-community based partnership in the development of a mobile clinic model within ambulatory Community Medical Health. In 2014, a university based, nursing program initiated, mobile health unit was created to offer basic medical care to rural health areas in the Central Valley. The following case describes how this was accomplished, what outcomes were tracked and what lessons were gleamed as a means of improving the process for future endeavors or as a model to others looking to develop a similar project. Over the past two years the mobile health unit has shown the increased need for medical services as evident by an increase of patient visits in these areas. In addition, implementation results and considerations are discussed including key process indicators, limitations and future model directions.
{"title":"A University-Community Problem Based Mobile Health Unit Solution: Indirect and Direct Measures of the Impact of Rural Health in the Central Valley","authors":"C. Guerra, Cheryl J Hickey, Elizabeth Villalobos","doi":"10.20849/ijsn.v3i1.298","DOIUrl":"https://doi.org/10.20849/ijsn.v3i1.298","url":null,"abstract":"The development of a medical home is an integral component in decreasing health disparities among disenfranchised communities. Mobile health clinics contribute to increasing access to health services, promoting health education, and improving care coordination especially among low income rural patients. This problem based solution, case study describes the experience of a University-community based partnership in the development of a mobile clinic model within ambulatory Community Medical Health. In 2014, a university based, nursing program initiated, mobile health unit was created to offer basic medical care to rural health areas in the Central Valley. The following case describes how this was accomplished, what outcomes were tracked and what lessons were gleamed as a means of improving the process for future endeavors or as a model to others looking to develop a similar project. Over the past two years the mobile health unit has shown the increased need for medical services as evident by an increase of patient visits in these areas. In addition, implementation results and considerations are discussed including key process indicators, limitations and future model directions.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"25 1","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87291868","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}
Kris Eden, Michelle M. Mann, G. Miller, S. Abraham
Background: Health literacy and use of preventative care are important aspects of health care. Health literacy, or the ability to understand basic medical knowledge, affects a person’s understanding and use of preventative health care. Aim: This study was designed to investigate the perception of health literacy and use of preventative care resources by female undergraduate college students. Method: This is a quantitative, non-experimental descriptive research study with a cross-sectional design. A 30-item demographic yes or no and a Likert-type scale was used to survey 62 female college students living in a dormitory. The goal was to discover if additional education is needed to obtain optimal utilization of health care resources for this population. Result: Surveying the undergraduate nursing and non-nursing students helped raise awareness of health literacy of the female students. Conclusion: Understanding the use of preventative care resources by this population may influence the way nursing interventions are formulated.
{"title":"Health Literacy and Use of Preventative Care of Female Undergraduate Nursing vs. Non-Nursing Students","authors":"Kris Eden, Michelle M. Mann, G. Miller, S. Abraham","doi":"10.20849/IJSN.V3I1.230","DOIUrl":"https://doi.org/10.20849/IJSN.V3I1.230","url":null,"abstract":"Background: Health literacy and use of preventative care are important aspects of health care. Health literacy, or the ability to understand basic medical knowledge, affects a person’s understanding and use of preventative health care. Aim: This study was designed to investigate the perception of health literacy and use of preventative care resources by female undergraduate college students. Method: This is a quantitative, non-experimental descriptive research study with a cross-sectional design. A 30-item demographic yes or no and a Likert-type scale was used to survey 62 female college students living in a dormitory. The goal was to discover if additional education is needed to obtain optimal utilization of health care resources for this population. Result: Surveying the undergraduate nursing and non-nursing students helped raise awareness of health literacy of the female students. Conclusion: Understanding the use of preventative care resources by this population may influence the way nursing interventions are formulated.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"8 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78484657","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}
Background: Several African countries, including South Africa, are using the Workload Indicators of Staffing Need (WISN) method, as the preferred health workforce planning and management approach. Ineffective implementation of this method can however mean that health outcomes are not improved. Objectives: This study explored the views of health workforce managers regarding potential barriers and enablers to implementation of the WISN method in South African primary healthcare (PHC) settings. Method: This study adopted a qualitative approach and Grounded Theory research design. Following ethics clearance, a total of fourteen participants, PHC nurse managers and WISN coordinators were purposefully selected to participate in the study. Data were collected through focus group interviews and document analysis. Open, axial and selective coding was conducted to analyse data, including the use of Nvivo data analysis software to assist with the analysis. Findings: Participants in this study highlighted a number of conditions necessary for the successful implementation of the WISN method. These included political will and leadership, provision of necessary support to enable implementation process, collaborative and consultative approach by stakeholders, clear, efficient and consistent communication, resources availability, continued support in implementing WISN and stability in leadership and staff in PHC settings. Conclusions: The study concludes that successful WISN implementation requires addressing implementation barriers, such as unavailability of financial and human resources, and enhancing enablers, such as normative guides implementation guideline, technical capacity and availability of continuous support to implementers. This study’s results can be used to enhance WISN implementation and health systems strengthening.
{"title":"The Views of Health Workforce Managers on the Implementation of Workload Indicators of Staffing Need (WISN) Method in Primary Healthcare Settings in South Africa","authors":"Ntshengedzeni M Ravhengani, N. Mtshali","doi":"10.20849/IJSN.V3I1.354","DOIUrl":"https://doi.org/10.20849/IJSN.V3I1.354","url":null,"abstract":"Background: Several African countries, including South Africa, are using the Workload Indicators of Staffing Need (WISN) method, as the preferred health workforce planning and management approach. Ineffective implementation of this method can however mean that health outcomes are not improved. Objectives: This study explored the views of health workforce managers regarding potential barriers and enablers to implementation of the WISN method in South African primary healthcare (PHC) settings. Method: This study adopted a qualitative approach and Grounded Theory research design. Following ethics clearance, a total of fourteen participants, PHC nurse managers and WISN coordinators were purposefully selected to participate in the study. Data were collected through focus group interviews and document analysis. Open, axial and selective coding was conducted to analyse data, including the use of Nvivo data analysis software to assist with the analysis. Findings: Participants in this study highlighted a number of conditions necessary for the successful implementation of the WISN method. These included political will and leadership, provision of necessary support to enable implementation process, collaborative and consultative approach by stakeholders, clear, efficient and consistent communication, resources availability, continued support in implementing WISN and stability in leadership and staff in PHC settings. Conclusions: The study concludes that successful WISN implementation requires addressing implementation barriers, such as unavailability of financial and human resources, and enhancing enablers, such as normative guides implementation guideline, technical capacity and availability of continuous support to implementers. This study’s results can be used to enhance WISN implementation and health systems strengthening.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"9 1","pages":"132"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79336558","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}
Aims: The risk of mental illness and mental health problems is known to increase with aging, there is a continuing need for research and information about the daily life and care needs of elderly people with mental illness. The aim of this study was to examine the real-life experience of elderly outpatients with mental illnesses in Taiwan communities through in-depth interviews. Methods: A qualitative study involving semi-structured interviews of mentally ill elderly patients was conducted in 15 participants (3 men and 12 women, mean age = 74.67 years, SD = 10.04 years). Results: The willpower to survive and cope with aging and mental health problems was identified as the core category of the life experiences in the older adults in this study. The struggle with the stress of aging and mental health problems was categorized in life-experience terms as ‘bear the bitterness of life,’ ‘adhere to psychiatric treatment and use resources to cope with life’s stress,’ ‘maintain the willpower to survive’. Results of this study shown that although elderly patients in community have had many stressful life experiences and problems with mental illness, they will continue to show strength to coping with the problems of aging and mental illnesses. Conclusions: The elderly mental illness patients could coping with their problems, and maintain an active lifestyle, accept the reality and arrange life, and connect with the community. Therefore, health professionals should help elderly people find new strategies to maintain their mental health and to function in their communities.
{"title":"The Life Experiences of Community Older Adults With Mental Illness in Taiwan: A Qualitative Study","authors":"S. Liao, J. Rong, Tse-Tsung Liu, Hsiao-Ju Sun","doi":"10.20849/IJSN.V3I1.362","DOIUrl":"https://doi.org/10.20849/IJSN.V3I1.362","url":null,"abstract":"Aims: The risk of mental illness and mental health problems is known to increase with aging, there is a continuing need for research and information about the daily life and care needs of elderly people with mental illness. The aim of this study was to examine the real-life experience of elderly outpatients with mental illnesses in Taiwan communities through in-depth interviews. Methods: A qualitative study involving semi-structured interviews of mentally ill elderly patients was conducted in 15 participants (3 men and 12 women, mean age = 74.67 years, SD = 10.04 years). Results: The willpower to survive and cope with aging and mental health problems was identified as the core category of the life experiences in the older adults in this study. The struggle with the stress of aging and mental health problems was categorized in life-experience terms as ‘bear the bitterness of life,’ ‘adhere to psychiatric treatment and use resources to cope with life’s stress,’ ‘maintain the willpower to survive’. Results of this study shown that although elderly patients in community have had many stressful life experiences and problems with mental illness, they will continue to show strength to coping with the problems of aging and mental illnesses. Conclusions: The elderly mental illness patients could coping with their problems, and maintain an active lifestyle, accept the reality and arrange life, and connect with the community. Therefore, health professionals should help elderly people find new strategies to maintain their mental health and to function in their communities.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"22 1","pages":"158"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87080178","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}
Providing care and comfort to women during childbirth is an important role. While medical interventions are available, all are associated with potential risks. Using nonpharmacologic means to support the normal process of birth, nurses may reduce the use of medical procedures and their potential complications. The purpose of this article is to discuss the use of two techniques that promote physiologic childbirth, ambulation and hydrotherapy, and the nurses’ role in providing comfort using these techniques in this important life event. Use of these techniques may delay or minimize the use of medical interventions while supporting the normal physiology of labor and birth.
{"title":"The Nurses’ Role in Providing Comfort During Childbirth Using Ambulation and Hydrotherapy","authors":"N. Johnson, Zoë Nokomis, M. Stark","doi":"10.20849/IJSN.V3I1.347","DOIUrl":"https://doi.org/10.20849/IJSN.V3I1.347","url":null,"abstract":"Providing care and comfort to women during childbirth is an important role. While medical interventions are available, all are associated with potential risks. Using nonpharmacologic means to support the normal process of birth, nurses may reduce the use of medical procedures and their potential complications. The purpose of this article is to discuss the use of two techniques that promote physiologic childbirth, ambulation and hydrotherapy, and the nurses’ role in providing comfort using these techniques in this important life event. Use of these techniques may delay or minimize the use of medical interventions while supporting the normal physiology of labor and birth.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"30 1","pages":"123"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84156082","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}
The current article describes how a Himalayan Master and Satguru, Professor and Dr. Sri Svami Purna Maharaj, uses the Vedic/Ayurvedic and other related Himalayan methodology and tradition to address the prevention of disease and promote healthy behavior among the spiritual community of students and seekers through a system developed under his guidance and supervision called the Purna Health Management System (PHMS). The article also explains some of the Vedic/Ayurvedic traditions the PHMS is based on and how they are supported by Western literature and research. Finally, it reports findings of a pilot study investigating outcomes related to self-reported physical health, mental/emotional health, and stress for those who follow the PHMS teachings and framework. The pilot study involved a cross-sectional, mixed-methods anonymous online survey of people who were practicing the PHMS teachings and implementing the system. Out of the 100 potential participants, 41 chose to complete the survey, a 41% response rate. Non-parametric Spearman’s ρ Correlation Coefficients were used to test hypotheses for relationships between frequency of implementation of the four key factors of the PHMS and the self-reported outcomes of physical health, mental/emotional health, overall stress level, and ability to manage stress. A two-tailed p < .05 was considered statistically significant. Participants of the pilot study who reported frequently implementing the PHMS also reported positive health outcomes; for example, those who reported implementing the life balance (stress management) aspect of the PHMS more frequently also reported increased physical health, increased mental/emotional health, increased ability to manage stress, and decreased overall stress. Although further research is needed, the findings of this pilot study suggest that the PHMS approach may be useful to both faith communities and health professionals wanting to promote health and prevent disease in those whom they serve.
{"title":"How a Himalayan Master and Teacher Promotes Healthy Behavior among His Followers in the Vedic Tradition","authors":"Emily K. Schulz","doi":"10.20849/ijsn.v3i1.280","DOIUrl":"https://doi.org/10.20849/ijsn.v3i1.280","url":null,"abstract":"The current article describes how a Himalayan Master and Satguru, Professor and Dr. Sri Svami Purna Maharaj, uses the Vedic/Ayurvedic and other related Himalayan methodology and tradition to address the prevention of disease and promote healthy behavior among the spiritual community of students and seekers through a system developed under his guidance and supervision called the Purna Health Management System (PHMS). The article also explains some of the Vedic/Ayurvedic traditions the PHMS is based on and how they are supported by Western literature and research. Finally, it reports findings of a pilot study investigating outcomes related to self-reported physical health, mental/emotional health, and stress for those who follow the PHMS teachings and framework. The pilot study involved a cross-sectional, mixed-methods anonymous online survey of people who were practicing the PHMS teachings and implementing the system. Out of the 100 potential participants, 41 chose to complete the survey, a 41% response rate. Non-parametric Spearman’s ρ Correlation Coefficients were used to test hypotheses for relationships between frequency of implementation of the four key factors of the PHMS and the self-reported outcomes of physical health, mental/emotional health, overall stress level, and ability to manage stress. A two-tailed p < .05 was considered statistically significant. Participants of the pilot study who reported frequently implementing the PHMS also reported positive health outcomes; for example, those who reported implementing the life balance (stress management) aspect of the PHMS more frequently also reported increased physical health, increased mental/emotional health, increased ability to manage stress, and decreased overall stress. Although further research is needed, the findings of this pilot study suggest that the PHMS approach may be useful to both faith communities and health professionals wanting to promote health and prevent disease in those whom they serve.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"37 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2017-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87551539","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}
Background : Obesity is considered а noteworthy public health issue in both developed & developing countries. Among the 1.5 billion overweight individuals worldwide, 300 million of them were obese women. In the general, the prevalence of maternal obesity has increased 60% in the previous two decades with nearly 1 in 3 women now entering pregnancy obese. Also, the periodontаl disease has been observed to be prevalent in pregnant women with the prevalence ranging from 20% to more than 50%, especially economically disadvantaged women. Aim : explore the relation between pre-pregnant overweight and obesity with periodontal disease during pregnancy. Subjects & Methods: cross-sectional study among 400 pregnant women were booked in the high-risk obstetric departments and the antenatal outpatient clinics at governmental general hospitals in El-Fayoum City and governmental university hospital in El-Mansoura city. Results: The mean age of pregnant women was 29.9 ± 6.2 with increase the prevalence of periodontal disease in pregnant women (83.5%). Statistically significant correlation was found between prenatal weight and periodontаl disease during pregnancy (p ≤ 0.0001) with increasing the prevalence of periodontal disease in prenatal obese women (53.2%) and over weight (39.7%) were observed in women who were in their 3 rd trimester (р = 0.011). Increase prevalence of periodontal with poor oral hygiene and sedentary activity. Conclusion: increased pre-pregnancy obesity & overweight are positively correlated with periodontal disease prevalence among pregnant women, and Pregnancy itself may also be associated with аn increased risk of periodontal disease. Recommendations: Activating the role of the maternity and community health nurse in branches of Obstetrics and antenatal clinics to enhance pregnant women's knowledge regarding oral health risks of obesity & overweight.
{"title":"Association between Pre-pregnant Overweight and Obesity and Periodontal Disease during Pregnancy: A Cross Sectional Study","authors":"Eman Ali Abd El Moaty Sheha, H. Hassan, W. Gamel","doi":"10.20849/IJSN.V3I1.207","DOIUrl":"https://doi.org/10.20849/IJSN.V3I1.207","url":null,"abstract":"Background : Obesity is considered а noteworthy public health issue in both developed & developing countries. Among the 1.5 billion overweight individuals worldwide, 300 million of them were obese women. In the general, the prevalence of maternal obesity has increased 60% in the previous two decades with nearly 1 in 3 women now entering pregnancy obese. Also, the periodontаl disease has been observed to be prevalent in pregnant women with the prevalence ranging from 20% to more than 50%, especially economically disadvantaged women. Aim : explore the relation between pre-pregnant overweight and obesity with periodontal disease during pregnancy. Subjects & Methods: cross-sectional study among 400 pregnant women were booked in the high-risk obstetric departments and the antenatal outpatient clinics at governmental general hospitals in El-Fayoum City and governmental university hospital in El-Mansoura city. Results: The mean age of pregnant women was 29.9 ± 6.2 with increase the prevalence of periodontal disease in pregnant women (83.5%). Statistically significant correlation was found between prenatal weight and periodontаl disease during pregnancy (p ≤ 0.0001) with increasing the prevalence of periodontal disease in prenatal obese women (53.2%) and over weight (39.7%) were observed in women who were in their 3 rd trimester (р = 0.011). Increase prevalence of periodontal with poor oral hygiene and sedentary activity. Conclusion: increased pre-pregnancy obesity & overweight are positively correlated with periodontal disease prevalence among pregnant women, and Pregnancy itself may also be associated with аn increased risk of periodontal disease. Recommendations: Activating the role of the maternity and community health nurse in branches of Obstetrics and antenatal clinics to enhance pregnant women's knowledge regarding oral health risks of obesity & overweight.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"126 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87829677","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}
Sense of community has four elements: 1) membership, 2) influence, 3) integration and fulfillment of needs, 4) shared emotional connection. It is a term often used in relation to a geographic location, as in a neighbourhood, town or region. However, the concept encompasses much more than location and is often extended to include the work environment and relationships people build with co-workers. Scant attention has been paid to developing and testing the construct among nursing communities. This study explores how a theoretical conceptualisation of sense of community applies to nurses; describes the development of the Nurse Sense of Community Index (NSCI), and reports the results of a survey (N = 672) of New Zealand nurses. Key findings relate to high membership and low influence subscale scores, low levels of sense of community among the youngest nurses, and high levels among those working in speciality areas (i.e., small, close-knit workplaces). In addressing these issues it is recommended that early-career nurses be placed in smaller sized workplaces or teams and that preceptor and mentor programmes be used to enhance the development of sense of community among mid-career nurses. Significantly, findings demonstrate the presence of a sense of community among nurses and provide evidence that the NSCI reliably measures the construct.
{"title":"Sense of Community among Nurses: Results of a Study","authors":"Liz Ditzel","doi":"10.20849/IJSN.V2I2.191","DOIUrl":"https://doi.org/10.20849/IJSN.V2I2.191","url":null,"abstract":"Sense of community has four elements: 1) membership, 2) influence, 3) integration and fulfillment of needs, 4) shared emotional connection. It is a term often used in relation to a geographic location, as in a neighbourhood, town or region. However, the concept encompasses much more than location and is often extended to include the work environment and relationships people build with co-workers. Scant attention has been paid to developing and testing the construct among nursing communities. This study explores how a theoretical conceptualisation of sense of community applies to nurses; describes the development of the Nurse Sense of Community Index (NSCI), and reports the results of a survey (N = 672) of New Zealand nurses. Key findings relate to high membership and low influence subscale scores, low levels of sense of community among the youngest nurses, and high levels among those working in speciality areas (i.e., small, close-knit workplaces). In addressing these issues it is recommended that early-career nurses be placed in smaller sized workplaces or teams and that preceptor and mentor programmes be used to enhance the development of sense of community among mid-career nurses. Significantly, findings demonstrate the presence of a sense of community among nurses and provide evidence that the NSCI reliably measures the construct.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"77 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75683592","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}
Background: Although patient rounds became part of the wards' routine for many years, there are still gaps regarding its tasks, cyclicality and participants and also the round was not backed by clear goals or instructions. Aim: to examine how nurses perceive rounding in terms of its cyclicality, tasks and participants. Method: research participants were 181 nurses of the internal, surgery-orthopedic, and maternity wards. They fill a questionnaire containing 41 items, specifically designed for this research. Data was analyzed using descriptive and comparative statistics. Results: significant differences between nurses from the various wings (p=0.000) were found in the performance of actual rounding during all shifts. Rounding was performed in the internal wards every two hours and 48 minutes in average, compared with every two hours and 12 minutes in the surgery wards and every hour and 54 minutes in the maternity wards. A gaps were found between real and ideal (p=0.000), show the ideal timeframe between the rounds were shortened by 10-30 minutes in each shift. The tasks rated as most important in all shifts were: early identification of medical distress situations (respiratory, bleeding, changes in conciseness etc.), taking actions to avoid complications including identifying a malfunctioning transfusion, position changes, answering patient questions, pain assessment and treatment, and answering basic needs. Conclusions: A policy for the performance of rounding, may bridge the gap between real and ideal and promote the quality of nursing care will provide clear guidance as to its tasks, cyclicality and participants.
{"title":"Nurses' Perception of Patient Rounds – between the Real and the Ideal","authors":"M. Rassin, Tamar Kanety","doi":"10.20849/IJSN.V2I2.202","DOIUrl":"https://doi.org/10.20849/IJSN.V2I2.202","url":null,"abstract":"Background: Although patient rounds became part of the wards' routine for many years, there are still gaps regarding its tasks, cyclicality and participants and also the round was not backed by clear goals or instructions. Aim: to examine how nurses perceive rounding in terms of its cyclicality, tasks and participants. Method: research participants were 181 nurses of the internal, surgery-orthopedic, and maternity wards. They fill a questionnaire containing 41 items, specifically designed for this research. Data was analyzed using descriptive and comparative statistics. Results: significant differences between nurses from the various wings (p=0.000) were found in the performance of actual rounding during all shifts. Rounding was performed in the internal wards every two hours and 48 minutes in average, compared with every two hours and 12 minutes in the surgery wards and every hour and 54 minutes in the maternity wards. A gaps were found between real and ideal (p=0.000), show the ideal timeframe between the rounds were shortened by 10-30 minutes in each shift. The tasks rated as most important in all shifts were: early identification of medical distress situations (respiratory, bleeding, changes in conciseness etc.), taking actions to avoid complications including identifying a malfunctioning transfusion, position changes, answering patient questions, pain assessment and treatment, and answering basic needs. Conclusions: A policy for the performance of rounding, may bridge the gap between real and ideal and promote the quality of nursing care will provide clear guidance as to its tasks, cyclicality and participants.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"14 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2017-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90419832","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：