Pub Date : 2024-06-12DOI: 10.60099/prijnr.2024.268807
Kanokon Tupcharoen, Noppawan Phinitkhajorndech, V. Puangsricharern
Corneal transplantation is the most effective treatment for visual impairment caused by corneal blindness and can improve patients’ quality of vision. However, pre- and post-operative self-care is necessary to reduce the risk of complications and graft rejection. This one-group, quasi-experimental design with repeated measures aimed to determine the feasibility and effectiveness of self-care promoting programs on self-care behavior, anxiety, and clinical outcomes in individuals with corneal transplantation. Thirty participants who met the inclusion criteria were purposively recruited from a corneal excellence center in Bangkok, Thailand, from October 2021 to August 2022. The data collection instruments included the Demographic and Health Data Forms, the Self-Care Behavior Questionnaire, and the Self-Rating Anxiety Scale. The data were analyzed using descriptive statistics, paired t-tests, and Friedman and Wilcoxon signed-rank tests. The program was found to be feasible, with all participants able to attend for 30 days postoperation. In terms of effectiveness, participants demonstrated improved self-care behavior and reduced anxiety compared to pre-program levels. Visual acuity also showed improvement 30 days postoperation, with 83.3% of participants having a clear corneal graft. These findings are significant for nursing practice, as they suggest that this program could be a promising tool for enhancing self-care behavior in individuals undergoing corneal transplantation. Nurses could potentially use this program to promote self-care behavior, alleviate anxiety, and enhance clinical outcomes. However, further research with randomized control is necessary before widespread implementation can be recommended.
角膜移植是治疗角膜盲症引起的视力障碍的最有效方法，可以改善患者的视力质量。然而，为了降低并发症和移植排斥反应的风险，术前和术后的自我护理是必要的。本研究采用重复测量的单组准实验设计，旨在确定自我护理促进计划对角膜移植患者的自我护理行为、焦虑和临床结果的可行性和有效性。2021年10月至2022年8月，研究人员从泰国曼谷的一家角膜卓越中心有目的地招募了30名符合纳入标准的参与者。数据收集工具包括人口统计学和健康数据表、自我护理行为问卷和焦虑自评量表。数据分析采用了描述性统计、配对 t 检验、Friedman 和 Wilcoxon 符号秩检验。在效果方面，与计划实施前相比，参与者的自我护理行为有所改善，焦虑情绪也有所减轻。手术后 30 天的视力也有改善，83.3% 的参与者的角膜移植术后视力清晰。这些研究结果对护理实践具有重要意义，因为它们表明，该计划可以成为一种很有前途的工具，用于提高接受角膜移植手术者的自我护理行为。护士有可能利用该计划来促进自我护理行为、减轻焦虑并提高临床疗效。不过，在建议广泛实施之前，有必要进行随机对照的进一步研究。
{"title":"Feasibility Study the Effectiveness of Self-care Promoting Program on Self-care Behavioral and Clinical Outcomes in People with Corneal Transplantation: A Quasi-experiment Study","authors":"Kanokon Tupcharoen, Noppawan Phinitkhajorndech, V. Puangsricharern","doi":"10.60099/prijnr.2024.268807","DOIUrl":"https://doi.org/10.60099/prijnr.2024.268807","url":null,"abstract":"Corneal transplantation is the most effective treatment for visual impairment caused by corneal blindness and can improve patients’ quality of vision. However, pre- and post-operative self-care is necessary to reduce the risk of complications and graft rejection. This one-group, quasi-experimental design with repeated measures aimed to determine the feasibility and effectiveness of self-care promoting programs on self-care behavior, anxiety, and clinical outcomes in individuals with corneal transplantation. Thirty participants who met the inclusion criteria were purposively recruited from a corneal excellence center in Bangkok, Thailand, from October 2021 to August 2022. The data collection instruments included the Demographic and Health Data Forms, the Self-Care Behavior Questionnaire, and the Self-Rating Anxiety Scale. The data were analyzed using descriptive statistics, paired t-tests, and Friedman and Wilcoxon signed-rank tests.\u0000The program was found to be feasible, with all participants able to attend for 30 days postoperation. In terms of effectiveness, participants demonstrated improved self-care behavior and reduced anxiety compared to pre-program levels. Visual acuity also showed improvement 30 days postoperation, with 83.3% of participants having a clear corneal graft. These findings are significant for nursing practice, as they suggest that this program could be a promising tool for enhancing self-care behavior in individuals undergoing corneal transplantation. Nurses could potentially use this program to promote self-care behavior, alleviate anxiety, and enhance clinical outcomes. However, further research with randomized control is necessary before widespread implementation can be recommended.\u0000 \u0000 ","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141354901","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}
Pub Date : 2024-06-12DOI: 10.60099/prijnr.2024.268511
Siriporn Vetcho, S. Phumdoung, Victoria J. Kain, Piyada Chaisri
Family-centered care is crucial for parent-infant bonding and collaborative healthcare in neonatal intensive care units. COVID-19 visitation restrictions have hindered this care’s effectiveness and posed challenges in Thai units. This study, conducted in a southern Thailand hospital, explored nurses’ and parents’ perspectives on implementing family-centered care during restricted visitation policies, providing globally applicable insights. An exploratory-descriptive qualitative approach was used, involving semi-structuredinterviews with ten nurses and ten parents to explore their nuanced perspectives from June to August 2023. The interviews were conducted face-to-face, individually, using a semi-structured interview guide, and the transcripts were analyzed using thematicanalysis to identify significant themes. Findings from this study comprised five themes: 1) Having a mindset to involve parents in care, 2) Parents receiving psychological support, 3) Challenges of communication, 4) Negative impact of restricted visiting times, and 5) Accommodating flexible visiting hours in exceptional circumstances. Providing the best possible care for infants requires an adaptable and flexible approach to meet each family’s unique needs. Additionally, healthcare providers need to explore how they can implementfamily-centered care effectively during visiting restrictions in the NICU in different contexts. Further research is necessary to investigate the practical implementation of this by nurses and how hospital administrators can support it in Thai neonatal intensive care units under policies restricting family visits.
{"title":"Challenges of Family-Centered Care in a Neonatal Intensive Care Unit during the Visitation Restrictions After COVID-19 Pandemic Peak: A Qualitative Study of Parents’ and Nurses’ Perspectives","authors":"Siriporn Vetcho, S. Phumdoung, Victoria J. Kain, Piyada Chaisri","doi":"10.60099/prijnr.2024.268511","DOIUrl":"https://doi.org/10.60099/prijnr.2024.268511","url":null,"abstract":"Family-centered care is crucial for parent-infant bonding and collaborative healthcare in neonatal intensive care units. COVID-19 visitation restrictions have hindered this care’s effectiveness and posed challenges in Thai units. This study, conducted in a southern Thailand hospital, explored nurses’ and parents’ perspectives on implementing family-centered care during restricted visitation policies, providing globally applicable insights. An exploratory-descriptive qualitative approach was used, involving semi-structuredinterviews with ten nurses and ten parents to explore their nuanced perspectives from June to August 2023. The interviews were conducted face-to-face, individually, using a semi-structured interview guide, and the transcripts were analyzed using thematicanalysis to identify significant themes. Findings from this study comprised five themes: 1) Having a mindset to involve parents in care, 2) Parents receiving psychological support, 3) Challenges of communication, 4) Negative impact of restricted visiting times, and 5) Accommodating flexible visiting hours in exceptional circumstances. Providing the best possible care for infants requires an adaptable and flexible approach to meet each family’s unique needs. Additionally, healthcare providers need to explore how they can implementfamily-centered care effectively during visiting restrictions in the NICU in different contexts. Further research is necessary to investigate the practical implementation of this by nurses and how hospital administrators can support it in Thai neonatal intensive care units under policies restricting family visits.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141353583","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}
Pub Date : 2024-06-12DOI: 10.60099/prijnr.2024.267762
K. Yodchai, Sakorn Hubjaroen, Ketsaree Maneekrong, N. Uthaipan
Cryotherapy is widely used in health contexts, including first aid, treating acute musculoskeletal injuries and women undergoing chemotherapy. Studies have shown that frozen gloves can help reduce nail toxicity for women undergoing chemotherapy. Nail toxicity is a common issue among people undergoing chemotherapy, causing disfigurement and pain. Although cooling gloves have been shown to reduce nail toxicity, the range of temperatures used remains unclear, often resulting in discomfort. In this innovative study, we used a quasi-experimental, two group pretest-posttest design to evaluate the effectiveness of Chemo-Cooling Gloves developed by the researchers to help prevent nail toxicity. We assessed satisfaction with the gloves among 27 Thai women undergoing chemotherapy who were purposively recruited according to the inclusion criteria from a chemotherapy center of a university-affiliated hospital in a southern region of Thailand. Participants underwent a regimen of cyclophosphamide in combination with doxorubicin and 5-fluorouracil every 21 days for six cycles. Each participant served as their own control, wearing the cooling glove on the one hand randomly selected, while the other hand remained unprotected and acted as the control. Data were collected using a demographic questionnaire, the Common Terminology Criteria for Adverse Events version 3.0, and the Chemo-Cooling Gloves Satisfaction Questionnaire. Data analysis utilized descriptive statistics and Cochran’s Q test. The results revealed that nail toxicity was significantly lower in the protected hand than in the control hand during cycles 2 to 3 and 2 to 4, but no significant difference between the two hands during cycles 2 to 5 and 2 to 6. Overall satisfaction with the Chemo-Cooling Gloves was at the highest level. The use of frozen gloves aligns with evidence-based practice, as supported by our study. Nurses need to be trained in the proper use and application of the gloves and educate patients on the benefits and correct usage to maximize comfort and efficacy. By incorporating the Chemo-Cooling Gloves into routine practice, nurses can help improve patient adherence to chemotherapy regimens and potentially enhance treatment outcomes.
{"title":"The Efficacy of Chemo-Cooling Gloves in Preventing Nail Toxicity among Thai Women Undergoing Chemotherapy: A Quasi-experimental Study","authors":"K. Yodchai, Sakorn Hubjaroen, Ketsaree Maneekrong, N. Uthaipan","doi":"10.60099/prijnr.2024.267762","DOIUrl":"https://doi.org/10.60099/prijnr.2024.267762","url":null,"abstract":"Cryotherapy is widely used in health contexts, including first aid, treating acute musculoskeletal injuries and women undergoing chemotherapy. Studies have shown that frozen gloves can help reduce nail toxicity for women undergoing chemotherapy. Nail toxicity is a common issue among people undergoing chemotherapy, causing disfigurement and pain. Although cooling gloves have been shown to reduce nail toxicity, the range of temperatures used remains unclear, often resulting in discomfort. In this innovative study, we used a quasi-experimental, two group pretest-posttest design to evaluate the effectiveness of Chemo-Cooling Gloves developed by the researchers to help prevent nail toxicity. We assessed satisfaction with the gloves among 27 Thai women undergoing chemotherapy who were purposively recruited according to the inclusion criteria from a chemotherapy center of a university-affiliated hospital in a southern region of Thailand. Participants underwent a regimen of cyclophosphamide in combination with doxorubicin and 5-fluorouracil every 21 days for six cycles. Each participant served as their own control, wearing the cooling glove on the one hand randomly selected, while the other hand remained unprotected and acted as the control. Data were collected using a demographic questionnaire, the Common Terminology Criteria for Adverse Events version 3.0, and the Chemo-Cooling Gloves Satisfaction Questionnaire. Data analysis utilized descriptive statistics and Cochran’s Q test.\u0000The results revealed that nail toxicity was significantly lower in the protected hand than in the control hand during cycles 2 to 3 and 2 to 4, but no significant difference between the two hands during cycles 2 to 5 and 2 to 6. Overall satisfaction with the Chemo-Cooling Gloves was at the highest level. The use of frozen gloves aligns with evidence-based practice, as supported by our study. Nurses need to be trained in the proper use and application of the gloves and educate patients on the benefits and correct usage to maximize comfort and efficacy. By incorporating the Chemo-Cooling Gloves into routine practice, nurses can help improve patient adherence to chemotherapy regimens and potentially enhance treatment outcomes.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141354964","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}
Pub Date : 2024-06-10DOI: 10.60099/prijnr.2024.268608
Sutasinee Saehoong, Renu Pookboonmee, Tipawan Daramas, N. Chansatitporn, P. Nuntnarumit
Breast milk is optimal for both term and preterm infants as it provides essential nutrition and immunity. However, mothers of preterm infants often have insufficient milk supply, resulting in low breastfeeding rates, including in Thailand, where this quasi-experimental study was undertaken. We investigated the effects of an early breastfeeding education and proactive telephone support program, including early breastfeeding education and proactive telephone support. This included breastfeeding outcomes, including total breast milk volume, duration of exclusive breastfeeding, and exclusive breastfeeding rates at discharge and three months post-discharge in mothers of preterm infants. The participants included 57 mother-infant dyads and their families. The participants were assigned to either the control group (n = 28) receiving routine care or the experimental group (n = 29) receiving the intervention program. The assignment was done using purposive sampling and matching the number of pregnancies and gestational age between the two groups. Data were collected using the Demographic Characteristics Questionnaire, the Breast Milk Expressing Record Form, the Oral Care with Breast Milk Record Form, and the Breastfeeding Practice and Problems Record Form. Data analysis was performed using the chi-square test, Mann-Whitney U test, independent t-test, and descriptive statistics. The results indicated that, after receiving the program, the total breast milk volume from day 1 to day 7 and the duration of exclusive breastfeeding in the experimental group were significantly higher and longer than in the control group. At discharge, the rate of exclusive breastfeeding in the experimental group was higher than that of the control group but with no statistical difference. However, the experimental group had a significantly higher exclusive breastfeeding rate at three months than the control group. This study confirmed the program’s effectiveness in increasing the exclusive breastfeeding rate at three months. Nurses can integrate this program to promote breastfeeding as a critical component of preterm infant care. Still, a long-term follow-up study requires comprehensive testing of its effectiveness.
{"title":"Effects of an Early Breastfeeding Education and Proactive Telephone Support Program for Mothers of Preterm Infants: A Quasi-experimental Study","authors":"Sutasinee Saehoong, Renu Pookboonmee, Tipawan Daramas, N. Chansatitporn, P. Nuntnarumit","doi":"10.60099/prijnr.2024.268608","DOIUrl":"https://doi.org/10.60099/prijnr.2024.268608","url":null,"abstract":"Breast milk is optimal for both term and preterm infants as it provides essential nutrition and immunity. However, mothers of preterm infants often have insufficient milk supply, resulting in low breastfeeding rates, including in Thailand, where this quasi-experimental study was undertaken. We investigated the effects of an early breastfeeding education and proactive telephone support program, including early breastfeeding education and proactive telephone support. This included breastfeeding outcomes, including total breast milk volume, duration of exclusive breastfeeding, and exclusive breastfeeding rates at discharge and three months post-discharge in mothers of preterm infants. The participants included 57 mother-infant dyads and their families. The participants were assigned to either the control group (n = 28) receiving routine care or the experimental group (n = 29) receiving the intervention program. The assignment was done using purposive sampling and matching the number of pregnancies and gestational age between the two groups. Data were collected using the Demographic Characteristics Questionnaire, the Breast Milk Expressing Record Form, the Oral Care with Breast Milk Record Form, and the Breastfeeding Practice and Problems Record Form. Data analysis was performed using the chi-square test, Mann-Whitney U test, independent t-test, and descriptive statistics.\u0000The results indicated that, after receiving the program, the total breast milk volume from day 1 to day 7 and the duration of exclusive breastfeeding in the experimental group were significantly higher and longer than in the control group. At discharge, the rate of exclusive breastfeeding in the experimental group was higher than that of the control group but with no statistical difference. However, the experimental group had a significantly higher exclusive breastfeeding rate at three months than the control group. This study confirmed the program’s effectiveness in increasing the exclusive breastfeeding rate at three months. Nurses can integrate this program to promote breastfeeding as a critical component of preterm infant care. Still, a long-term follow-up study requires comprehensive testing of its effectiveness.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141363819","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}
Pub Date : 2024-06-03DOI: 10.60099/prijnr.2024.268281
Pornpat Hengudomsub, Pornpun Sudjai, Praphat Kangwanphanit, Pornpimon Thongkamdee, Sue Turale
It is estimated that globally, millions of adolescents experience mental health problems, especially anxiety and depression. Adolescents with high perceptions of stress often encounter mental issues, have negative thoughts or are dissatisfied with daily life events. This study employed a quasi-experimental design with two groups and repeated measures to test an innovative nursing intervention, the Be Aware of Stress Smartphone Application. This application aims to increase positive thinking and reduce perceived stress among at-risk adolescents aged 13 to 16, and we sought to determine their satisfaction with its usability. The study was conducted with 44 junior high school students from an opportunity expansion high school in Eastern Thailand, who were randomly assigned to experimental and comparison groups (22 each). Data were collected between December 2023 and February 2024 using the General Information Questionnaire, Positive Thinking Test, Perceived Stress Questionnaire, and Satisfaction of Application Usability scale. The outcomes were measured at baseline, after completing the program at week 4, and at week 8 after using the application. The chi-square test and repeated measures analysis of variance were used to analyze the data. The results of this study have important implications for future research. They indicate a significant improvement in positive thinking and a reduction in perceived stress within the experimental group, compared to the comparison group, at weeks 4 and 8. Moreover, the experimental group reported high satisfaction with the application’s usability. These findings suggest that the Be Aware of Stress application is beneficial for community nurses and others to prevent adolescent stress. The study also highlights the need for future research to enhance the application’s functionality and compatibility with various phone operating systems to ensure widespread and effective use.
{"title":"Promoting Positive Thinking and Reducing Perceived Stress Using the Be Aware of Stress Smartphone Application among At-risk Adolescents: A Quasi-experimental Study.","authors":"Pornpat Hengudomsub, Pornpun Sudjai, Praphat Kangwanphanit, Pornpimon Thongkamdee, Sue Turale","doi":"10.60099/prijnr.2024.268281","DOIUrl":"https://doi.org/10.60099/prijnr.2024.268281","url":null,"abstract":"It is estimated that globally, millions of adolescents experience mental health problems, especially anxiety and depression. Adolescents with high perceptions of stress often encounter mental issues, have negative thoughts or are dissatisfied with daily life events. This study employed a quasi-experimental design with two groups and repeated measures to test an innovative nursing intervention, the Be Aware of Stress Smartphone Application. This application aims to increase positive thinking and reduce perceived stress among at-risk adolescents aged 13 to 16, and we sought to determine their satisfaction with its usability. The study was conducted with 44 junior high school students from an opportunity expansion high school in Eastern Thailand, who were randomly assigned to experimental and comparison groups (22 each). Data were collected between December 2023 and February 2024 using the General Information Questionnaire, Positive Thinking Test, Perceived Stress Questionnaire, and Satisfaction of Application Usability scale. The outcomes were measured at baseline, after completing the program at week 4, and at week 8 after using the application. The chi-square test and repeated measures analysis of variance were used to analyze the data.\u0000The results of this study have important implications for future research. They indicate a significant improvement in positive thinking and a reduction in perceived stress within the experimental group, compared to the comparison group, at weeks 4 and 8. Moreover, the experimental group reported high satisfaction with the application’s usability. These findings suggest that the Be Aware of Stress application is beneficial for community nurses and others to prevent adolescent stress. The study also highlights the need for future research to enhance the application’s functionality and compatibility with various phone operating systems to ensure widespread and effective use.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389142","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}
Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.267631
Yanfang Huang, W. Lertwatthanawilat, Pimpaporn Klunklin, A. Unahalekhaka
Standard precautions are essential to prevent cross-infections among emergency nurses, particularly during a pandemic of infectious diseases. However, poor adherence to such standard precautions is an ongoing global health system problem. This may be due to nurses’ lack of adequate understanding regarding the influencing mechanisms of various factors that cause cross-infection in practice. In this cross-sectional study, we rigorously utilized the Theory of Planned Behaviors as a guiding framework to develop and test a causal model of factors influencing adherence to standard precautions practices among Chinese emergency nurses. From July 2022 to February 2023, purposive sampling was used to recruit 310 emergency nurses from eight tertiary hospitals in four cities in Sichuan Province, China, during the COVID-19 pandemic. Research instruments included a Demographic Data Form, the Standard Precautions Questionnaire, the Leading Culture of Quality in Infection Prevention Scale, and the Compliance with Standard Precautions Scale. Data were analyzed using descriptive statistics and the Analysis of Moment Structure program to test the influencing factors. The final model of factors influencing adherence to standard precautions practices among Chinese emergency nurses explained 36% of the variance. This model provides a practical tool for understanding and improving adherence to standard precautions. Infection prevention climate and intention can affect adherence practices directly. In addition, nurses’ attitudes to standard precautions, social norms of standard precautions, perceived behavioral control of standard precautions, and infection prevention climate indirectly affected adherence practices through intention as the mediator. Among these factors, infection prevention climate had the most substantial effect on adherence practices. These findings underscore the pivotal role of nursing administrators in highlighting the remarkable benefits of standard precautions, shaping emergency nurses’ positive attitudes and confidence toward standard precautions, and creating a supportive climate for infection control. By implementing these strategies, nursing administrators can significantly improve adherence to standard precautions, ensuring a safer healthcare environment for workers, patients, and the public.
{"title":"Causal Model of Factors Influencing Adherence to Standard Precautions Practices Among Chinese Emergency Nurses: A Cross-sectional Study","authors":"Yanfang Huang, W. Lertwatthanawilat, Pimpaporn Klunklin, A. Unahalekhaka","doi":"10.60099/prijnr.2024.267631","DOIUrl":"https://doi.org/10.60099/prijnr.2024.267631","url":null,"abstract":"Standard precautions are essential to prevent cross-infections among emergency nurses, particularly during a pandemic of infectious diseases. However, poor adherence to such standard precautions is an ongoing global health system problem. This may be due to nurses’ lack of adequate understanding regarding the influencing mechanisms of various factors that cause cross-infection in practice. In this cross-sectional study, we rigorously utilized the Theory of Planned Behaviors as a guiding framework to develop and test a causal model of factors influencing adherence to standard precautions practices among Chinese emergency nurses. From July 2022 to February 2023, purposive sampling was used to recruit 310 emergency nurses from eight tertiary hospitals in four cities in Sichuan Province, China, during the COVID-19 pandemic. Research instruments included a Demographic Data Form, the Standard Precautions Questionnaire, the Leading Culture of Quality in Infection Prevention Scale, and the Compliance with Standard Precautions Scale. Data were analyzed using descriptive statistics and the Analysis of Moment Structure program to test the influencing factors.\u0000The final model of factors influencing adherence to standard precautions practices among Chinese emergency nurses explained 36% of the variance. This model provides a practical tool for understanding and improving adherence to standard precautions. Infection prevention climate and intention can affect adherence practices directly. In addition, nurses’ attitudes to standard precautions, social norms of standard precautions, perceived behavioral control of standard precautions, and infection prevention climate indirectly affected adherence practices through intention as the mediator. Among these factors, infection prevention climate had the most substantial effect on adherence practices. These findings underscore the pivotal role of nursing administrators in highlighting the remarkable benefits of standard precautions, shaping emergency nurses’ positive attitudes and confidence toward standard precautions, and creating a supportive climate for infection control. By implementing these strategies, nursing administrators can significantly improve adherence to standard precautions, ensuring a safer healthcare environment for workers, patients, and the public.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395396","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}
Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.268645
Patraporn Bhatarasakoon, C. Chiaranai
This manuscript responded to the call for the integration of evidence-based practice concept into the nursing curriculum. It aims to 1) review the importance of teaching evidence-based nursing in nursing education, 2) identify key principles and competencies associated with evidence-based nursing, and 3) provide evidence-based teaching strategies to foster critical thinking and research literacy among nursing students. Drawing from current pedagogical research and best practices, it provides a robust framework for enhancing teaching methodologies in the nursing field. Encompassing diverse evidence-based strategies ensures direct relevance and applicability in real-world clinical scenarios. Recognizing healthcare’s dynamic, it serves as a comprehensive resource for nurse educators, fostering a profound understanding of evidence-based practices. By distilling insights from recent pedagogical studies, it establishes a strong foundation for continuous improvement in teaching methods, advocating for seamless integration of evidence-based strategies. In summary, this paper is vital for nurse educators to refine their instructional methodologies, offering evidence-based teaching strategies grounded in research and practical application. It significantly contributes to shaping a new generation of nursing professionals, equipping them with the requisite skills, knowledge, and the adaptive mindset necessary for effective evidence-based practice in the ever-evolving healthcare landscape.
{"title":"Bridging the Gap from Theory to Practice: Teaching Evidence-based Nursing Strategies for Developing Critical Thinkers and Lifelong Learners","authors":"Patraporn Bhatarasakoon, C. Chiaranai","doi":"10.60099/prijnr.2024.268645","DOIUrl":"https://doi.org/10.60099/prijnr.2024.268645","url":null,"abstract":"This manuscript responded to the call for the integration of evidence-based practice concept into the nursing curriculum. It aims to 1) review the importance of teaching evidence-based nursing in nursing education, 2) identify key principles and competencies associated with evidence-based nursing, and 3) provide evidence-based teaching strategies to foster critical thinking and research literacy among nursing students. Drawing from current pedagogical research and best practices, it provides a robust framework for enhancing teaching methodologies in the nursing field. Encompassing diverse evidence-based strategies ensures direct relevance and applicability in real-world clinical scenarios. Recognizing healthcare’s dynamic, it serves as a comprehensive resource for nurse educators, fostering a profound understanding of evidence-based practices. By distilling insights from recent pedagogical studies, it establishes a strong foundation for continuous improvement in teaching methods, advocating for seamless integration of evidence-based strategies. In summary, this paper is vital for nurse educators to refine their instructional methodologies, offering evidence-based teaching strategies grounded in research and practical application. It significantly contributes to shaping a new generation of nursing professionals, equipping them with the requisite skills, knowledge, and the adaptive mindset necessary for effective evidence-based practice in the ever-evolving healthcare landscape.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409606","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}
Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.267807
Thayuta Inkaew, T. Wonghongkul, Chiraporn Tachaudomdach, C. Srirat
Physical activity is considered a fundamental component of cardiac rehabilitation programs and is recommended to improve the secondary prevention outcomes of people with acute coronary syndrome after percutaneous coronary interventions. However, the physical activity levels of this population are often low. Most research studies have primarily focused on older populations and chronic diseases. This descriptive cross-sectional study aimed to test a causal model of physical activities among adults based on the Health Action Process Approach. Four hundred twenty-four people were recruited using multi-stage sampling from the outpatient departments of seven tertiary hospitals in Thailand. Data were collected using a demographic data form, the International Physical Activity Questionnaire-Long form, the Self-Efficacy Questionnaire, the Outcome Expectation Questionnaire, the Risk Perception Questionnaire, the Behavioral Intention Questionnaire, the Planning Questionnaire, and the Action Control Questionnaire. Data were analyzed using descriptive statistics and structural equation modeling with Mplus software. The findings of our study hold significant promise for patient care. The model we tested, which accounted for 46% of the physical activity variance, underscores the crucial role of self-efficacy, planning, and action control in directly influencing physical activity. Notably, self-efficacy was found to exert the most profound effect. Outcome expectation was shown to influence physical activity indirectly through intention and planning. This highlights the potential for nurses to design interventions that foster self-efficacy, planning, and self-regulatory strategies. These strategies can empower patients to overcome challenges in cardiac rehabilitation and maintain physical activities, thereby improving their health outcomes. However, it is important to stress that our proposed intervention should be rigorously tested for effectiveness before implementation.
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Pub Date : 2024-06-01DOI: 10.60099/prijnr.2024.268207
Krit Kobkam, S. Aree-Ue, I. Roopsawang
Lower urinary tract symptoms are a common health problem in older adults, but there is limited information on their prevalence and consequences among older residents of nursing homes in the Thai context. This cross-sectional study aimed to examine the prevalence of lower urinary tract symptoms and their associations with health outcomes (sleep quality and fatigue) among older residents in private nursing homes. The participants were older adults residing in nine private nursing homes in a province in central Thailand. With purposive sampling according to the inclusion criteria, 120 participants were recruited for the study. The data collection was conducted through structured interviews with questionnaires, including the Personal Data, the International Prostate Symptom Score, the Pittsburgh Sleep Quality Index, and the Multidimensional Assessment of Fatigue. Descriptive statistics and multiple logistic regression were utilized for data analysis. Findings revealed that the prevalence of lower urinary tract symptoms was 96.7%. Most participants had poor sleep quality, while half had severe fatigue when the fatigue score was transformed into a z-score. Participants suffering from moderate to severe symptoms in the lower urinary tract were 3.35 times more likely to develop poor sleep quality than those with mild symptoms and 2.61 times more likely to develop severe fatigue than those with mild symptoms. This study highlights the associations between lower urinary tract symptoms and health outcomes. The knowledge gained from this study serves as a basis for helping healthcare professionals, particularly those working in nursing homes, to become more aware of the severity of lower urinary tract symptoms and establish tailored interventions to reduce fatigue and promote sleep quality, which could maximize the quality of life in this population.
下尿路症状是老年人常见的健康问题，但在泰国，有关下尿路症状在养老院老年居民中的流行程度和后果的信息却很有限。这项横断面研究旨在调查私立疗养院老年居民中下尿路症状的发病率及其与健康后果（睡眠质量和疲劳）之间的关系。研究对象为居住在泰国中部某省九家私立养老院的老年人。根据纳入标准进行有目的的抽样，共招募了 120 名参与者参与研究。数据收集通过结构化访谈和问卷调查进行，问卷包括个人数据、国际前列腺症状评分、匹兹堡睡眠质量指数和疲劳多维度评估。研究结果显示，下尿路症状的发生率为 96.7%。大多数参与者的睡眠质量较差，而将疲劳评分转换为 z 值时，半数参与者有严重疲劳。患有中度至重度下尿路症状的参与者出现睡眠质量差的几率是症状轻微者的 3.35 倍，出现严重疲劳的几率是症状轻微者的 2.61 倍。这项研究强调了下尿路症状与健康结果之间的关联。从这项研究中获得的知识可作为帮助医护人员，尤其是在养老院工作的医护人员更好地了解下尿路症状的严重程度，并制定有针对性的干预措施，以减轻疲劳和提高睡眠质量，从而最大限度地提高这类人群的生活质量。
{"title":"Prevalence of Lower Urinary Tract Symptoms and Their Associations with Health Outcomes among Older Nursing Home Residents: A Cross-sectional Study","authors":"Krit Kobkam, S. Aree-Ue, I. Roopsawang","doi":"10.60099/prijnr.2024.268207","DOIUrl":"https://doi.org/10.60099/prijnr.2024.268207","url":null,"abstract":"Lower urinary tract symptoms are a common health problem in older adults, but there is limited information on their prevalence and consequences among older residents of nursing homes in the Thai context. This cross-sectional study aimed to examine the prevalence of lower urinary tract symptoms and their associations with health outcomes (sleep quality and fatigue) among older residents in private nursing homes. The participants were older adults residing in nine private nursing homes in a province in central Thailand. With purposive sampling according to the inclusion criteria, 120 participants were recruited for the study. The data collection was conducted through structured interviews with questionnaires, including the Personal Data, the International Prostate Symptom Score, the Pittsburgh Sleep Quality Index, and the Multidimensional Assessment of Fatigue. Descriptive statistics and multiple logistic regression were utilized for data analysis.\u0000Findings revealed that the prevalence of lower urinary tract symptoms was 96.7%. Most participants had poor sleep quality, while half had severe fatigue when the fatigue score was transformed into a z-score. Participants suffering from moderate to severe symptoms in the lower urinary tract were 3.35 times more likely to develop poor sleep quality than those with mild symptoms and 2.61 times more likely to develop severe fatigue than those with mild symptoms. This study highlights the associations between lower urinary tract symptoms and health outcomes. The knowledge gained from this study serves as a basis for helping healthcare professionals, particularly those working in nursing homes, to become more aware of the severity of lower urinary tract symptoms and establish tailored interventions to reduce fatigue and promote sleep quality, which could maximize the quality of life in this population.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411209","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}
Adolescent pregnancy is considered high-risk of health problems that impair their quality of life. Also, many pregnant adolescents are likely to have poor self-management behavior during pregnancy, affecting their health status. This quasi-experimental study aimed to determine the effectiveness of a mobile e-health individual and family self-management program for primiparous pregnant adolescents. Seventy pregnant adolescents who attended a prenatal clinic at a provincial hospital near Bangkok, Thailand, were assigned to the experimental (n = 35) and control group (n = 35). The experimental group received the intervention program and usual care, while the control group received only usual care. The program was held in three sessions over four weeks, and the outcomes were evaluated three times, at baseline, two weeks (time 1), and four weeks (time 2) after completing the program. Data collection took place from July to December 2022 using a personal data form, the Self-Management Behavior Questionnaire on Pregnancy Health of Adolescent Pregnant Women, the Pregnancy Health Status Record Form, and the WHOQOL-BREF-Thai questionnaire. Descriptive statistics, RM-ANCOVA, independent t-test, and chi-square analyzed the data. The findings revealed that four weeks after completion of the program (time 2), there was a statistically significant difference in the mean scores of self-management behavior between the experimental and control groups. Still, there was no statistically significant difference in the mean quality of life scores. In addition, the experimental group’s hemoglobin level, hematocrit level, and gestational weight gain were significantly higher than the control group’s. Moreover, the number of participants with urinary tract infections in the experimental group was lower, whereas the average fetal weight gain was higher than in the control group. Nurses and midwives can use this program for adolescent pregnancy to improve self-management behaviors, health status, and quality of life. However, further testing is needed before it is widely used.
{"title":"Effectiveness of the Mobile e-Health Individual and Family Self-management Program for Primiparous Pregnant Adolescents: A Quasi-experimental Study","authors":"Taevika Choakprasanchai, Srisamorn Phumonsakul, Bualuang Sumdeangrit, Noppawan Piaseu","doi":"10.60099/prijnr.2024.266689","DOIUrl":"https://doi.org/10.60099/prijnr.2024.266689","url":null,"abstract":" Adolescent pregnancy is considered high-risk of health problems that impair their quality of life. Also, many pregnant adolescents are likely to have poor self-management behavior during pregnancy, affecting their health status. This quasi-experimental study aimed to determine the effectiveness of a mobile e-health individual and family self-management program for primiparous pregnant adolescents. Seventy pregnant adolescents who attended a prenatal clinic at a provincial hospital near Bangkok, Thailand, were assigned to the experimental (n = 35) and control group (n = 35). The experimental group received the intervention program and usual care, while the control group received only usual care. The program was held in three sessions over four weeks, and the outcomes were evaluated three times, at baseline, two weeks (time 1), and four weeks (time 2) after completing the program. Data collection took place from July to December 2022 using a personal data form, the Self-Management Behavior Questionnaire on Pregnancy Health of Adolescent Pregnant Women, the Pregnancy Health Status Record Form, and the WHOQOL-BREF-Thai questionnaire. Descriptive statistics, RM-ANCOVA, independent t-test, and chi-square analyzed the data.\u0000The findings revealed that four weeks after completion of the program (time 2), there was a statistically significant difference in the mean scores of self-management behavior between the experimental and control groups. Still, there was no statistically significant difference in the mean quality of life scores. In addition, the experimental group’s hemoglobin level, hematocrit level, and gestational weight gain were significantly higher than the control group’s. Moreover, the number of participants with urinary tract infections in the experimental group was lower, whereas the average fetal weight gain was higher than in the control group. Nurses and midwives can use this program for adolescent pregnancy to improve self-management behaviors, health status, and quality of life. However, further testing is needed before it is widely used.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141392835","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}
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