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Assessment of Students’ Attitudes Towards the Nursing Profession at Wolkite University, Ethiopia, 2021 2021年埃塞俄比亚Wolkite大学学生对护理专业的态度评估
IF 0.8 Pub Date : 2022-08-01 DOI: 10.2147/nrr.s371365
Mamo Solomon Emire, T. G. Haile, Masino Tesu
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引用次数: 1
Exploring Challenges Faced by Nurses on Provision of Hormonal Contraceptives to Women on Antiretroviral Therapy in Selected Healthcare Facilities in Lilongwe District, Malawi 探索马拉维利隆圭区选定医疗机构中护士在向接受抗逆转录病毒治疗的妇女提供激素避孕药方面面临的挑战
IF 0.8 Pub Date : 2022-08-01 DOI: 10.2147/nrr.s363871
Esmie Mkwinda, Enalla Thombozi, J. Botha, I. Chilinda, Edna Mandala, M. Chipeta
Background: Malawi is a low-income country with a high maternal mortality rate, unmet need for family planning and high reports (41%) of unintended pregnancies. Women on Antiretroviral Therapy (ART) continued to experience unintended pregnancies after using hormonal contraceptives provided by nurses in the family planning clinics. However, the unintended pregnancies could affect the sexual and reproductive health of women and decisions of nurses on contraceptive provision to women on ART. Objective: The purpose of the study was to explore challenges faced by nurses in the provision of hormonal contraceptives to women on ART in selected clinics in Lilongwe, Malawi. Methods: A qualitative approach using an explorative design was used in this study. Eight (8) participants were selected purposefully from five public family planning clinics in Lilongwe. They were interviewed individually using a semi-structured interview guide. Data were analyzed using a content analysis guide. Results: Three themes emerged from the data and these were as follows: limited knowledge of nurses; inadequate resources and inadequate support. Results revealed that nurses had limited knowledge of contraceptives to provide to women on ART due to lack of ART content in the contraceptive training which they had. They also lacked clinical and human resources and adequate time to teach clients which affected provision of the right hormonal contraceptives to women on ART. Furthermore, they needed support in the form of supervision, reference materials and integration of ART and contraceptive provision services. Conclusion: The challenges that nurses faced had an influence on the provision of contraceptives to women on ART. The study recommends that nurses should be trained on the provision of contraceptives to women on ART and be provided with the required resources and support for proper care to be achieved. Furthermore, there is a need for clear guidelines on hormonal contraceptives that women on ART could get and the integration of ART and family planning services. ART and
背景:马拉维是一个低收入国家,产妇死亡率高,计划生育需求未得到满足,意外怀孕报告率高(41%)。接受抗逆转录病毒治疗(ART)的妇女在使用计划生育诊所护士提供的激素避孕药后,仍有意外怀孕的情况。然而,意外怀孕可能会影响妇女的性健康和生殖健康,以及护士就向接受抗逆转录病毒治疗的妇女提供避孕药具作出的决定。目的:本研究的目的是探讨护士在马拉维利隆圭选定的诊所向接受抗逆转录病毒治疗的妇女提供激素避孕药时面临的挑战。方法:本研究采用探索性设计的定性方法。有目的地从利隆圭的五家公共计划生育诊所中选择了八名参与者。他们分别接受了半结构化面试指南的面试。使用内容分析指南分析数据。结果:从数据中得出三个主题,分别是:护士知识有限;资源和支持不足。结果显示,由于护士所接受的避孕培训中缺乏抗逆转录病毒治疗的内容,因此护士对避孕药具的了解有限,无法向妇女提供抗逆转录病毒治疗。他们也缺乏临床和人力资源以及足够的时间来教导客户,这影响了向妇女提供正确的激素避孕药的抗逆转录病毒治疗。此外,他们需要以监督、参考材料和整合抗逆转录病毒治疗和避孕提供服务的形式得到支持。结论:护士面临的挑战影响了抗逆转录病毒治疗妇女避孕药具的提供。该研究建议,应培训护士如何向接受抗逆转录病毒治疗的妇女提供避孕药具,并向护士提供所需的资源和支持,以实现适当的护理。此外,需要就接受抗逆转录病毒治疗的妇女可以获得的激素避孕药制定明确的指导方针,并将抗逆转录病毒治疗与计划生育服务结合起来。艺术和
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引用次数: 0
“The Effect of Implementing an Educational Program Regarding Neurological Examination on Nurses at Asella Teaching and Referral Hospital in Oromia Region, Ethiopia: A Quasi-Experimental Study” 埃塞俄比亚奥罗米亚地区Asella教学转诊医院护士实施神经学检查教育计划的效果:一项准实验研究
IF 0.8 Pub Date : 2022-08-01 DOI: 10.2147/nrr.s370537
Usha Rani Kandula, Eshete Teklewold, Yoseph Zemene, Dinkinesh Begna, Techane Sisay Tuji
Background: The central nervous system assessment is typically perceived as a complicated exam that would be both time-consuming and challenging. A disciplined approach and directed guidelines can ameliorate much of the difficulties involved. Nursing staff should have the required knowledge of neurological examination is intended to facilitate the physician in clinical check-ups, which would lead to the client’s enhanced well-being. Objective: The study’s goal is to determine the “Effect of implementing an educational program regarding neurological examination on nurses”. Methods: Quasi-experimental research work was carried out at Asella teaching referral hospitals in the Oromia Region of Ethiopia to assess the effect of implementing an educational program regarding neurological examination on nurses. To hand pick up 56 study samples, a convenient sampling technique was asserted. At first, a comprehension set of questions on neurological examination has been used to undertake a pre-measurement evaluation, which was accompanied by a two-week self-administered intervention in an educational program regarding the neurological examination. Followed that, the same comprehension set of questions on neurological examination was used for post-measurement evaluation among nursing professionals. The acquired data was entered into epi-info version-7 for coding and error prevention and transferred to SPSS version 22 for analysis employing descriptive and inferential statistics, and after the results of the research have been contextualized. Findings: The investigation outcomes showed that the pre-measurement mean and SD were 13.02±2.62, while the post-measurement mean and SD were 22.63±3.21. The paired- t -test resulted in t=26.24 (p=0.00, df-55, S*) for the effect of implementing an educational program regarding neurological examination among nurses. Whereas, linear multiple regression was explained with no statistically significant association between pre-measurement knowledge and the study’s demographic factors. Conclusion: The study strongly indicates that there is a significant effect of implementing an educational program regarding neurological examination among nurses.
背景:中枢神经系统评估通常被认为是一项复杂的检查,既耗时又具有挑战性。有纪律的方法和有针对性的指导方针可以改善所涉及的许多困难。护理人员应具备必要的神经系统检查知识,以方便医生进行临床检查,从而提高病人的健康水平。目的:本研究的目的是确定“实施神经学检查教育计划对护士的影响”。方法:在埃塞俄比亚奥罗米亚地区的Asella教学转诊医院开展准实验研究工作,评估对护士实施神经学检查教育方案的效果。为了手动挑选56个研究样本,一种方便的采样技术被断言。首先,一套关于神经系统检查的理解问题被用来进行测量前评估,并伴随着为期两周的关于神经系统检查的教育计划的自我管理干预。随后,对护理专业人员采用相同的神经学检查理解题进行测量后评价。将获得的数据输入epi-info version-7进行编码和错误预防,并将研究结果语境化后,转移到SPSS version 22进行描述性和推理性统计分析。结果:调查结果显示,测前均值和SD为13.02±2.62,测后均值和SD为22.63±3.21。配对t检验结果为t=26.24 (p=0.00, df-55, S*)。然而,线性多元回归解释了测量前知识与研究人口统计学因素之间没有统计学意义的关联。结论:本研究强烈提示在护士中实施神经学检查教育方案有显著效果。
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引用次数: 0
Implementation of Nursing Process and Its Associated Factor Among Nurses at Woldia Comprehensive Specialized Hospital, Northern Ethiopia: An Institution-Based Cross-Sectional Study 埃塞俄比亚北部Woldia综合专科医院护士护理流程实施及其相关因素:一项基于机构的横断面研究
IF 0.8 Pub Date : 2022-07-01 DOI: 10.2147/nrr.s368097
Gizachew Yilak, Addisu Getie, Awet Fitwi, Adam Wondmieneh, T. Gebremeskel
Background: Many countries have adopted the nursing process as a basic requirement for quality health care services, but there is a problem with its implementation in the clinical areas of many hospitals. Even though nurses accept the benefits of the nursing process, they do not use it practically. The implementation of the nursing process in Ethiopia is not well organized and developed. Many health care settings in Ethiopia demand the application of the nursing process in clinical practice. Methods: An institutional-based, descriptive cross-sectional study design was conducted at Woldia Comprehensive Specialized hospital. A simple random sampling technique was applied to select study subjects. The data were collected using self-administered questionnaires from August (01/0821 to September 01/09/2021. Binary logistic regressions were used. Then, P-value < 0.05 was considered statistically significant in this study. Results: This study reviled that 62.8% of nurses implemented the nursing process. Work experience greater than or equal to five years [AOR: 1.79; 95% CI (1.31–4.84)], support from the administration of the organization to do the nursing process [AOR: 1.98; 95% CI (1.22–3.01)], and knowledgeable nurses [AOR: 2.21; 95% CI (1.32–4.97)] are significantly associated with the implementation of the nursing process. Conclusion: More than sixty present nurses implemented the nursing process. Work experience, organizational support to implement the nursing process, and knowledge were significant factors affecting the implementation of the nursing process. comprehensive specialized Hospital. Multiple logistic regressions were used to control the possible confounding factors to assess the relative effect of independent variables. It was impossible to establish a cause-and-effect relationship as the study design was a cross-sectional study design and due to the small sample size, the result might not be representative of all nurses working in Ethiopia.
背景:许多国家已将护理过程作为优质卫生保健服务的一项基本要求,但在许多医院的临床领域实施护理过程存在问题。即使护士接受护理过程的好处,他们并没有实际使用它。埃塞俄比亚护理进程的实施没有得到很好的组织和发展。埃塞俄比亚的许多卫生保健机构要求在临床实践中应用护理过程。方法:在Woldia综合专科医院进行了一项基于机构的描述性横断面研究设计。采用简单的随机抽样方法选择研究对象。数据采用自填问卷的方式收集,时间为2008年8月1日至2021年9月1日。采用二元logistic回归。以p值< 0.05为本研究有统计学意义。结果:62.8%的护士实施了护理流程。工作经验大于或等于5年[AOR: 1.79;95% CI(1.31-4.84)],组织管理部门对护理过程的支持[AOR: 1.98;95% CI(1.22-3.01)],知识渊博的护士[AOR: 2.21;95% CI(1.32-4.97)]与护理过程的实施显著相关。结论:60余名在职护士实施了护理流程。工作经验、实施护理流程的组织支持和知识是影响护理流程实施的显著因素。综合性专科医院。采用多元logistic回归控制可能的混杂因素,评价自变量的相对影响。由于研究设计是横断面研究设计,并且由于样本量小,结果可能不能代表在埃塞俄比亚工作的所有护士,因此不可能建立因果关系。
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引用次数: 1
Self-Care and Health-Related Quality of Life Among Heart Failure Patients in Tagus Valley Regional Hospital, Portugal: A Pilot Study 葡萄牙塔古斯河谷地区医院心力衰竭患者的自我保健和健康相关生活质量:一项试点研究
IF 0.8 Pub Date : 2022-05-01 DOI: 10.2147/nrr.s358666
Sheka Shemsi Seid, J. Amendoeira, Maria Regina Ferreira
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引用次数: 0
Nursing Educators’ and Students’ Perspectives Regarding Online Learning During the Pandemic in Saudi Arabia 沙特阿拉伯大流行期间护理教育工作者和学生对在线学习的看法
IF 0.8 Pub Date : 2022-05-01 DOI: 10.2147/nrr.s358689
G. Castro, William D Taala, J. Guerrero, Niela S Rosales, Rino S. de Sagun, Rock P Cordero, Rolven N Ciriaco, Rayson G Javines
Purpose: The study aimed to determine nursing educators' and students' perspectives concerning the shift of teaching methodologies to online learning platform in nursing education during the COVID-19 pandemic. Materials and Methods: The cross-sectional study investigated nursing educators' and students' perspectives on online learning. Non-probability convenience sampling technique was used to recruit 120 educators and 350 students, who answered the Test of e-Learning Related Attitudes scale. The data collection was conducted from November to December 2020 in five selected colleges and universities in Saudi Arabia. Results: The findings of the study revealed that the overall mean score of the nursing educators' perspectives on online learning based on the 4 dimensions were 4.18 with a SD of 0.57 and an overall mean score of 4.22 with a SD of 0.61 for the students. Furthermore, the perspectives of both participant groups on challenges and benefits dimensions shows that there was significant difference as supported by a p-value of <0.001 and 0.046. However, it shows in the attitude and interest dimensions that there was no significant difference as supported by a p-value of 0.313 and 0.088, respectively. Conclusion: Nursing educators and students shows an agreement on their perspectives on online learning in terms of attitude and interest dimensions. However, they show their disagreement in terms of challenges and benefits dimensions. Unfortunately, the current COVID-19 pandemic situation could persist for several years. But modern technologies can partially solve current problems in nursing education.
目的:了解2019冠状病毒病大流行期间护理教育教学方法向在线学习平台转变的情况,了解护理教育者和学生的看法。材料与方法:横断面研究调查护理教育工作者和学生对在线学习的看法。采用非概率便利抽样方法,对120名教育工作者和350名学生进行了网络学习相关态度测试。数据收集于2020年11月至12月在沙特阿拉伯选定的五所学院和大学进行。结果:研究结果显示,护理教育工作者在线学习观点的4个维度总体平均得分为4.18分,SD为0.57;学生总体平均得分为4.22分,SD为0.61。此外,两组参与者在挑战和利益维度上的观点存在显著差异,p值分别为<0.001和0.046。然而,在态度和兴趣维度上,p值分别为0.313和0.088,没有显著差异。结论:护理教育工作者和学生在态度和兴趣维度上对在线学习的看法一致。然而,他们在挑战和利益方面表现出分歧。不幸的是,目前的COVID-19大流行局势可能会持续数年。但现代技术可以部分解决当前护理教育中的问题。
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引用次数: 4
The Preterm Birth Rate in a Resource-Stricken Rural Area of the Limpopo Province, South Africa 南非林波波省一个资源贫乏农村地区的早产率
IF 0.8 Pub Date : 2022-04-01 DOI: 10.2147/nrr.s338161
T. Malwela, M. Maputle
Background: Midwives play a pivotal role in providing primary prevention of preterm birth. Midwives screen and diagnose pre-existing medical conditions, manage all conditions as guided by their scope of practice and refer all cases to other relevant team members. Purpose: The study aimed to determine and describe factors contributing to the escalating preterm birth rate in Limpopo, South Africa. Methods: Descriptive survey was used to determine factors related to increased preterm births. The non-probability purposive sampling selected 55 midwives, and data were collected using self-administered questionnaires. Data were analyzed through SPSS version 23. Results: Health facilities in Limpopo province had constrained resources as evidenced by a shortage of midwives, a lack of medical supply, poorly maintained, and old infrastructure. The skills of midwives and their working environment were affected by this constrained resource. The results from midwives that were perceived to affect them were 66% of participants reported lack of equipment, 29.1% participants agreed that pregnant women were presenting after 12 weeks to initiate antenatal care, while 45.3% pointed out they used steroids to prevent preterm labor. Record-keeping was viewed as an essential aspect to manage PTB when providing care. Despite the constrained resources, midwives were providing care to prevent PTB. This was evidenced by 78.2% agreeing that keep records from the first booking until the last antenatal visit, while 96.2% monitored the fetal heart rate, 98.1% screened for infections, and 90.9% referred all women at risk to the doctor. Thus, most of the midwives were competent with a confidence interval of (95%) and a prevalence of 9% and 9.5% that, is 9/10, which could prevent PTB. Conclusion: Lack of resources, including staffing and specialized care, contributed to escalating PTB at health facilities in Limpopo province.
背景:助产士在提供早产一级预防方面发挥着关键作用。助产士筛查和诊断已有的疾病,根据其执业范围管理所有疾病,并将所有病例转介给其他相关团队成员。目的:本研究旨在确定和描述导致南非林波波省不断上升的早产率的因素。方法:采用描述性调查确定与早产增加有关的因素。非概率目的抽样选取55名助产士,采用自填问卷收集数据。数据采用SPSS version 23进行分析。结果:林波波省的卫生设施资源有限,助产士短缺,医疗供应不足,维护不善,基础设施陈旧。助产士的技能和工作环境受到资源限制的影响。来自助产士的结果被认为对他们有影响,66%的参与者报告缺乏设备,29.1%的参与者同意孕妇在12周后开始产前护理,而45.3%的参与者指出他们使用类固醇来预防早产。在提供护理时,记录保存被视为管理肺结核的一个重要方面。尽管资源有限,助产士仍在提供预防肺结核的护理。78.2%的人同意保留从第一次预约到最后一次产前检查的记录,96.2%的人监测胎儿心率,98.1%的人筛查感染,90.9%的人将所有有风险的妇女推荐给医生。因此,大多数助产士都是称职的,可信区间为(95%),患病率为9%和9.5%,即9/10,可以预防肺结核。结论:缺乏资源,包括人员配备和专业护理,导致林波波省卫生机构肺结核不断升级。
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引用次数: 0
Family Members’ Experiences with the Healthcare Professionals in Nursing Homes – A Survey Study 家庭成员与护理院医护人员的经验-一项调查研究
IF 0.8 Pub Date : 2022-03-01 DOI: 10.2147/nrr.s345452
Pardis Momeni, M. Ewertzon, K. Årestedt, E. Winnberg
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引用次数: 0
The Association of Nurses Caring Behavior with the Level of Patient Satisfaction, Harari Region, Eastern Ethiopia 护士关怀行为与病人满意度水平的关联,哈拉里地区,埃塞俄比亚东部
IF 0.8 Pub Date : 2022-02-01 DOI: 10.2147/nrr.s345901
Haregeweyn Kibret, Barkot Tadesse, Adera Debella, M. Degefa, L. Regassa
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引用次数: 6
The Experience of Relatives of Nursing Home Residents with COVID-19: A Qualitative Study 新型冠状病毒肺炎养老院居民亲属经历的定性研究
IF 0.8 Pub Date : 2022-01-01 DOI: 10.2147/nrr.s328336
Signe Tretteteig, Siren Eriksen, Adelheid Hummelvold Hillestad, S. Julnes, Bjørn Lichtwarck, Anita Nilsen, A. Rokstad
Background: The coronavirus disease 2019 (COVID-19) pandemic had significant consequences for relatives’ opportunities to communicate with and offer care to seriously ill and dying nursing home residents with COVID-19. Residents in nursing homes were urged to protect themselves through social distancing, and visits have been permanently regulated and limited. These restrictions have been challenging, and the limitations have raised many questions and led to difficult choices. The aim of this study was to explore the experiences of relatives of nursing home residents with COVID-19. We investigated the following two research questions: How did relatives of COVID-19 patients in Norwegian nursing homes experience the situation and how did the physical distancing and precepts of infection control affect the relationship between the long-term residents and the relatives?. Methods: The study has a qualitative explorative design with a phenomenological-herme-neutic approach, with individual in-depth interviews used for data collection. The study included ten relatives of nursing home residents with COVID-19. Results: Three main perspectives were identified from the participants’ experiences: (1) the difficult choices; (2) maintaining the relationship; and (3) experiencing support. The relatives experienced ethical dilemmas when weighing the risk of getting COVID-19 if they visited the patient versus the consequences of not visiting their loved one. In this situation, they needed good information and support from health care professionals. Conclusion: To enable relatives of COVID-19 patients to make choices in line with their goals and intrinsic motivations, it is important that staff members possess competence in infection control, updated knowledge about the residents’ situations, and the skills to facilitate a safe and confident dialogue. Trust in the care staff and a feeling of safety are essential for relatives in a stressful situation with difficult choices, while a lack of confidence, routines, and/or dialogue might increase relatives’ feelings of insecurity and stress and make their caring role difficult.
背景:2019冠状病毒病(COVID-19)大流行对亲属与患有COVID-19的重病和垂死的养老院居民沟通和提供护理的机会产生了重大影响。养老院的居民被敦促通过保持社交距离来保护自己,并且访问一直受到限制和限制。这些限制是具有挑战性的,这些限制提出了许多问题,并导致了艰难的选择。本研究的目的是探讨新冠肺炎养老院居民亲属的经历。我们调查了两个研究问题:挪威养老院新冠肺炎患者的亲属如何经历这种情况,以及身体距离和感染控制规则如何影响长期居民与亲属之间的关系。方法:本研究采用定性探索性设计,采用现象学-阐发-中性方法,采用个人深度访谈进行数据收集。该研究包括10名患有COVID-19的养老院居民的亲属。结果:从参与者的经历中确定了三个主要视角:(1)艰难的选择;(二)维持关系;(3)体验支持。在权衡如果他们去看望病人而感染COVID-19的风险与不去看望他们所爱的人的后果时,亲属们经历了道德困境。在这种情况下,他们需要卫生保健专业人员提供良好的信息和支持。结论:要使COVID-19患者家属能够根据自己的目标和内在动机做出选择,工作人员必须具备感染控制能力,掌握最新的居民情况知识,并掌握促进安全和自信对话的技能。对护理人员的信任和安全感对于处于艰难选择的压力环境中的亲属至关重要,而缺乏信心、常规和/或对话可能会增加亲属的不安全感和压力感,使他们的护理角色变得困难。
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引用次数: 4
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Nursing-Research and Reviews
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