Pub Date : 2023-06-19DOI: 10.60099/prijnr.2023.261650
Thi Loan Khanh, T. Mai, Phương Anh Hoang
The number of children diagnosed with autism is increasing around the world. The role of parents is vital in caring for children with autism, but stigma is a challenging and prevalent aspect that families face in raising and caring for them. This integrative review, undertaken by nurse researchers in 2022, synthesized the existing knowledge of current studies about stigma status and the factors relating to stigma among parents of children with an autism spectrum disorder. The electronic databases searched included PubMed, CINAHL (EBSCO), EMBASE, and Scopus, using the keywords “stigmatization,” “parents,” and “autism.” Thirty-six studies without time limits were included in this review, 16 qualitative, 15 quantitative, four mixed-method, and one interventional study. The results indicated that stigma was common among parents of children with autism in all studies. However, there was a difference related to cultural stigma among parents with autism in Western, Asian, and Middle Eastern countries. Both modifiable and unmodifiable factors were associated with the stigma, for example, parents’ age, marital status, child’s behavior, and social support. Further longitudinal studies on stigma should be conducted in low-resource areas with different caregivers in large sample sizes to identify the prevalence of stigma and stigma changes among parents of children with autism. This review’s results provide evidence for further intervention studies that address factors related to reducing stigma among parents of children with autism. Moreover, healthcare professionals, including nurses working with these families, should assess the level of stigma among these parents to provide timely support.
{"title":"Stigma among Parents of Children with Autism: An Integrative Review","authors":"Thi Loan Khanh, T. Mai, Phương Anh Hoang","doi":"10.60099/prijnr.2023.261650","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261650","url":null,"abstract":"The number of children diagnosed with autism is increasing around the world. The role of parents is vital in caring for children with autism, but stigma is a challenging and prevalent aspect that families face in raising and caring for them. This integrative review, undertaken by nurse researchers in 2022, synthesized the existing knowledge of current studies about stigma status and the factors relating to stigma among parents of children with an autism spectrum disorder. The electronic databases searched included PubMed, CINAHL (EBSCO), EMBASE, and Scopus, using the keywords “stigmatization,” “parents,” and “autism.”\u0000Thirty-six studies without time limits were included in this review, 16 qualitative, 15 quantitative, four mixed-method, and one interventional study. The results indicated that stigma was common among parents of children with autism in all studies. However, there was a difference related to cultural stigma among parents with autism in Western, Asian, and Middle Eastern countries. Both modifiable and unmodifiable factors were associated with the stigma, for example, parents’ age, marital status, child’s behavior, and social support. Further longitudinal studies on stigma should be conducted in low-resource areas with different caregivers in large sample sizes to identify the prevalence of stigma and stigma changes among parents of children with autism. This review’s results provide evidence for further intervention studies that address factors related to reducing stigma among parents of children with autism. Moreover, healthcare professionals, including nurses working with these families, should assess the level of stigma among these parents to provide timely support.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48928914","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 : 2023-06-17DOI: 10.60099/prijnr.2023.261537
Xiaolu Xue, W. Kunaviktikul, K. Abhicharttibutra, O. Wichaikhum
The quality of nursing care is essential and contributes to restoring people’s health and well-being, especially when people are hospitalized. Various factors relating to the quality of nursing care have been identified, including nursing shortages. However, in China, there has been little research undertaken on factors influencing nursing care quality. This cross-sectional study aimed to develop and test the Chinese Model of Quality Nursing Care. A multi-stage, proportional stratified random sampling was used to recruit 784 registered nurses in three affiliated hospitals of a medical university in the People’s Republic of China. Eight Instruments were used for data collection: a demographic data form, the Good Nursing Care Scale, the Nurse Staffing Item, the Practice Environment Scale of the Nursing Work Index, the 3-item Utrecht Work Engagement Scale, the Psychological Empowerment Scale, the High-performance Work Systems Scale, the 8-item Survey of Perceived Organizational Support. In addition, the Analysis of Moment Structure software program was used to test the hypothesized model. Results indicated that the modified model fitted the empirical data and explained 31% of the variance in the quality of nursing care. Nursing practice environment, psychological empowerment and work engagement had positive direct effects on the quality of nursing care, with the nursing practice environment having the strongest total effect. Nursing practice environment, high-performance work systems, and perceived organizational support indirectly positively affected the quality of nursing care through psychological empowerment and work engagement. Unexpectedly, the patient-to-nurse ratio had no significant influence on the quality of nursing care. The results support the need for hospital managers to take action to improve the organizational support and work environment and create high-performance work systems to retain more nurses and midwives to enhance the quality of nursing care. The model requires further testing in practice and possible refinement.
{"title":"Causal Modelling of Factors Influencing Quality of Nursing Care in China","authors":"Xiaolu Xue, W. Kunaviktikul, K. Abhicharttibutra, O. Wichaikhum","doi":"10.60099/prijnr.2023.261537","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261537","url":null,"abstract":"The quality of nursing care is essential and contributes to restoring people’s health and well-being, especially when people are hospitalized. Various factors relating to the quality of nursing care have been identified, including nursing shortages. However, in China, there has been little research undertaken on factors influencing nursing care quality. This cross-sectional study aimed to develop and test the Chinese Model of Quality Nursing Care. A multi-stage, proportional stratified random sampling was used to recruit 784 registered nurses in three affiliated hospitals of a medical university in the People’s Republic of China. Eight Instruments were used for data collection: a demographic data form, the Good Nursing Care Scale, the Nurse Staffing Item, the Practice Environment Scale of the Nursing Work Index, the 3-item Utrecht Work Engagement Scale, the Psychological Empowerment Scale, the High-performance Work Systems Scale, the 8-item Survey of Perceived Organizational Support. In addition, the Analysis of Moment Structure software program was used to test the hypothesized model. Results indicated that the modified model fitted the empirical data and explained 31% of the variance in the quality of nursing care. Nursing practice environment, psychological empowerment and work engagement had positive direct effects on the quality of nursing care, with the nursing practice environment having the strongest total effect. Nursing practice environment, high-performance work systems, and perceived organizational support indirectly positively affected the quality of nursing care through psychological empowerment and work engagement. Unexpectedly, the patient-to-nurse ratio had no significant influence on the quality of nursing care. The results support the need for hospital managers to take action to improve the organizational support and work environment and create high-performance work systems to retain more nurses and midwives to enhance the quality of nursing care. The model requires further testing in practice and possible refinement.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47030906","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 : 2023-06-17DOI: 10.60099/prijnr.2023.261581
Nazia Ilyas, N. Sansiriphun, A. Nantsupawat, N. Chaloumsuk, S. Turale
Women’s satisfaction with the quality of care during pregnancy and childbirth can impact their access to and utilization of healthcare services. Since many women live in rural regions in developing nations, it is crucial to secure their access to and use of basic healthcare services to reduce maternal and newborn morbidity and mortality. This cross-sectional study is part of a first-time, sizeable, mixed-method study involving women and midwives’ quantitative and qualitative perspectives on the quality of mid- wifery care in rural Pakistan. The aim was to describe women’s satisfaction with the quality of midwifery care during labor and delivery at basic health units in rural Punjab, Pakistan. Simple random sampling was used to select 328 women from 96 basic health units. Data were collected between December 2020-March 2021. The Labor and Delivery Satisfaction Index measured women’s satisfaction with childbirth. Data were analyzed using descriptive statistics and presented in frequencies and percentages. Results indicated that the majority, 277 (84.5%), were satisfied with the quality of midwifery care during labor and delivery, whereas the remaining 51 (15.5%) were unsatisfied. Appropriate tools to monitor labor and delivery and non-pharmacological pain management during labor need much improvement. The women must also be treated with respect, given accurate information about their labor status, and given control over it. Midwives and other health service providers and administrators can use the findings of this study to improve services available to rural women.
{"title":"Satisfaction of Women with Labor and Delivery in Rural Punjab, Pakistan: A Cross-sectional Study","authors":"Nazia Ilyas, N. Sansiriphun, A. Nantsupawat, N. Chaloumsuk, S. Turale","doi":"10.60099/prijnr.2023.261581","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261581","url":null,"abstract":" Women’s satisfaction with the quality of care during pregnancy and childbirth can impact their access to and utilization of healthcare services. Since many women live in rural regions in developing nations, it is crucial to secure their access to and use of basic healthcare services to reduce maternal and newborn morbidity and mortality. This cross-sectional study is part of a first-time, sizeable, mixed-method study involving women and midwives’ quantitative and qualitative perspectives on the quality of mid- wifery care in rural Pakistan. The aim was to describe women’s satisfaction with the quality of midwifery care during labor and delivery at basic health units in rural Punjab, Pakistan. Simple random sampling was used to select 328 women from 96 basic health units. Data were collected between December 2020-March 2021. The Labor and Delivery Satisfaction Index measured women’s satisfaction with childbirth. Data were analyzed using descriptive statistics and presented in frequencies and percentages.\u0000Results indicated that the majority, 277 (84.5%), were satisfied with the quality of midwifery care during labor and delivery, whereas the remaining 51 (15.5%) were unsatisfied. Appropriate tools to monitor labor and delivery and non-pharmacological pain management during labor need much improvement. The women must also be treated with respect, given accurate information about their labor status, and given control over it. Midwives and other health service providers and administrators can use the findings of this study to improve services available to rural women.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42535048","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 : 2023-06-17DOI: 10.60099/prijnr.2023.262244
C. Chiaranai, Saranya Chularee, Warithorn Prawatwong, Sujirat Srithongluang
Non-adherence to a medication regime often has a negative impact on patient outcomes. With a relatively low cost, many countries are using short messaging services to reduce non-adherence rates. In Thailand, research using a short messaging service reminder for people to take their medications is understudied. This multi-center randomized controlled trial, 2-arm, parallel-group research aimed to determine the effects of 2-way SMS reminders on the medication adherence and quality of life of adults with type 2 diabetes mellitus. Data were collected from 63 participants with diabetes in a treatment group (33) and a control group (30). The sample consisted of adults aged 18 and older who were diagnosed with diabetes living in a northeast province of Thailand. All participants received standard care, but those in the treatment group also received a tailored 2-way short message service as a mobile health (mHealth) treatment for four months. Medication adherence was measured by the level of hemoglobin A1c. Quality of life was measured using the Thai version of a Quality-of-Life Questionnaire developed by the World Health Organization and the Diabetes-39 Questionnaire. Data were analyzed using descriptive statistics. One-way repeated measures ANOVA was used to compare hemoglobin A1c levels and quality of life mean scores across three-time points (0, 2, and 4 months). The results revealed that at the completion of the study, the participants in the treatment group had significantly lower hemoglobin A1c than those in the control group and significantly better health-related quality of life, demonstrating that the 2-way SMS reminder service improved their health outcomes. Thus, it is recommended that nurses should employ mHealth, such as 2-way SMS reminder solutions tailored to patients’ daily routines. A future investigation comparing the cost-effectiveness and patient outcomes of different mHealth technologies is suggested.
{"title":"Two-way SMS Reminders for Medication Adherence and Quality of Life in Adults with Type 2 Diabetes: A Randomized Controlled Tria","authors":"C. Chiaranai, Saranya Chularee, Warithorn Prawatwong, Sujirat Srithongluang","doi":"10.60099/prijnr.2023.262244","DOIUrl":"https://doi.org/10.60099/prijnr.2023.262244","url":null,"abstract":" Non-adherence to a medication regime often has a negative impact on patient outcomes. With a relatively low cost, many countries are using short messaging services to reduce non-adherence rates. In Thailand, research using a short messaging service reminder for people to take their medications is understudied. This multi-center randomized controlled trial, 2-arm, parallel-group research aimed to determine the effects of 2-way SMS reminders on the medication adherence and quality of life of adults with type 2 diabetes mellitus. Data were collected from 63 participants with diabetes in a treatment group (33) and a control group (30). The sample consisted of adults aged 18 and older who were diagnosed with diabetes living in a northeast province of Thailand. All participants received standard care, but those in the treatment group also received a tailored 2-way short message service as a mobile health (mHealth) treatment for four months. Medication adherence was measured by the level of hemoglobin A1c. Quality of life was measured using the Thai version of a Quality-of-Life Questionnaire developed by the World Health Organization and the Diabetes-39 Questionnaire. Data were analyzed using descriptive statistics. One-way repeated measures ANOVA was used to compare hemoglobin A1c levels and quality of life mean scores across three-time points (0, 2, and 4 months).\u0000 The results revealed that at the completion of the study, the participants in the treatment group had significantly lower hemoglobin A1c than those in the control group and significantly better health-related quality of life, demonstrating that the 2-way SMS reminder service improved their health outcomes. Thus, it is recommended that nurses should employ mHealth, such as 2-way SMS reminder solutions tailored to patients’ daily routines. A future investigation comparing the cost-effectiveness and patient outcomes of different mHealth technologies is suggested. ","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43639522","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 : 2023-06-17DOI: 10.60099/prijnr.2023.261682
Pongsri Buddharak, N. Sansiriphun, T. Kaewthummanukul, A. Nantsupawat
Pregnant women working in the manufacturing industry are at risk of experiencing stress both from pregnancy itself and from their occupation. Supporting them to cope effectively with this stress is an important role of the nurse-midwife. This cross-sectional study investigated the predictive power of job strain, pregnancy-specific stress, sense of coherence, self-esteem, religious belief, and social support in predicting coping among pregnant women working in the manufacturing industry. The participants were 288 women visiting the antenatal department of five provincial hospitals in Thailand. The research instruments were a demographic data recording form, and the Thai versions of the Job Content Questionnaire, the Revised Prenatal Distress Questionnaire, the 13-item Sense of Coherence, the Rosenberg Self-Esteem Scale, the Buddhist Belief Questionnaire, the Social Support Questionnaire, and the Ways of Coping Checklist-Revised. Data were analyzed using descriptive statistics and hierarchical multiple regression. The study results revealed that job strain, pregnancy-specific stress, sense of coherence, self-esteem, religious belief, and social support altogether could explain 60% of the variance in problem-focused coping and 57% of the variance in emotion-focused coping of pregnant women working in the manufacturing industry. Social support was the strongest predictorof problem-focused coping, while the sense of coherence was the strongest predictor of emotion-focused coping. The findings can be used by nurse-midwives in planning interventions to promote coping of pregnant women working in the manufacturing industry, focusing on enhancing social support and a sense of coherence and reducing pregnancy-specific stress.
{"title":"Factors Predicting Coping of Pregnant Women Working in the Manufacturing Industry: A Cross-sectional Study","authors":"Pongsri Buddharak, N. Sansiriphun, T. Kaewthummanukul, A. Nantsupawat","doi":"10.60099/prijnr.2023.261682","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261682","url":null,"abstract":"Pregnant women working in the manufacturing industry are at risk of experiencing stress both from pregnancy itself and from their occupation. Supporting them to cope effectively with this stress is an important role of the nurse-midwife. This cross-sectional study investigated the predictive power of job strain, pregnancy-specific stress, sense of coherence, self-esteem, religious belief, and social support in predicting coping among pregnant women working in the manufacturing industry. The participants were 288 women visiting the antenatal department of five provincial hospitals in Thailand. The research instruments were a demographic data recording form, and the Thai versions of the Job Content Questionnaire, the Revised Prenatal Distress Questionnaire, the 13-item Sense of Coherence, the Rosenberg Self-Esteem Scale, the Buddhist Belief Questionnaire, the Social Support Questionnaire, and the Ways of Coping Checklist-Revised. Data were analyzed using descriptive statistics and hierarchical multiple regression.\u0000The study results revealed that job strain, pregnancy-specific stress, sense of coherence, self-esteem, religious belief, and social support altogether could explain 60% of the variance in problem-focused coping and 57% of the variance in emotion-focused coping of pregnant women working in the manufacturing industry. Social support was the strongest predictorof problem-focused coping, while the sense of coherence was the strongest predictor of emotion-focused coping. The findings can be used by nurse-midwives in planning interventions to promote coping of pregnant women working in the manufacturing industry, focusing on enhancing social support and a sense of coherence and reducing pregnancy-specific stress.\u0000 ","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46670191","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 : 2023-06-17DOI: 10.60099/prijnr.2023.261344
Wariya Chankham, Rangsiman Soonthornchaiya, Pranom Othaganont, Jing Jy Wang
Family caregivers are essential people. They are the primary source of support and care for the person they are caring for, and such care is reflected in and affected by their attitudes. This qualitative descriptive study explored 17 primary family caregiv- ers’ attitudes toward caring for older adults with a major depressive disorder living at home in Thailand. Purposive sampling was undertaken, and data were collected in semi-structured interviews and analyzed using content analysis. As a result, two themes emerged. The first theme, “Rethinking in positive ways about caregiving,” included accepting being a caregiver and feeling happy and proud to provide care for a loved one. The second theme, “Began with negative attitudes towards caregiving,” included uncertainty about life, feelings of suffering, and frustration with caregiving duties. The caregivers met with challenges, and their attitudes directly affected the care they provided to older adults with major depressive disorders. Therefore, nurses and other healthcare professionals need to understand caregiving better, positively and acceptably, to improve caregivers’ ability to manage depressive symptoms. Caregiving will be enhanced by educating and training families and health professionals on effective care techniques and mentoring families in the early stages of caring for older adults with depressive disorders and throughout the care.
{"title":"Attitudes of Caregivers of Older Thai Adults with Major Depression: A Qualitative Study","authors":"Wariya Chankham, Rangsiman Soonthornchaiya, Pranom Othaganont, Jing Jy Wang","doi":"10.60099/prijnr.2023.261344","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261344","url":null,"abstract":" Family caregivers are essential people. They are the primary source of support and care for the person they are caring for, and such care is reflected in and affected by their attitudes. This qualitative descriptive study explored 17 primary family caregiv- ers’ attitudes toward caring for older adults with a major depressive disorder living at home in Thailand. Purposive sampling was undertaken, and data were collected in semi-structured interviews and analyzed using content analysis. As a result, two themes emerged. The first theme, “Rethinking in positive ways about caregiving,” included accepting being a caregiver and feeling happy and proud to provide care for a loved one. The second theme, “Began with negative attitudes towards caregiving,” included uncertainty about life, feelings of suffering, and frustration with caregiving duties. The caregivers met with challenges, and their attitudes directly affected the care they provided to older adults with major depressive disorders. Therefore, nurses and other healthcare professionals need to understand caregiving better, positively and acceptably, to improve caregivers’ ability to manage depressive symptoms. Caregiving will be enhanced by educating and training families and health professionals on effective care techniques and mentoring families in the early stages of caring for older adults with depressive disorders and throughout the care.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44467727","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 : 2023-06-17DOI: 10.60099/prijnr.2023.261523
Khajit Boonpradit, N. Sansiriphun, Kasara Sripichyakan, N. Chaloumsuk
Fetal brain development is a complex process that continues throughout pregnancy. Women need to ensure good brain development throughout their pregnancy, but a deep understanding of their perception of this issue exists. This qualitative descriptive study aimed to describe the perceptions of pregnant women regarding fetal brain development. Data were collected from 15 pregnant women living in a southern province of Thailand between August 2020 and January 2022 through in-depth interviews. In addition, analysis of qualitative data was performed using thematic analysis. From the data analysis, three themes emerged. The first theme was a Discrepancy between the significance and understanding of fetal brain development with two subthemes: 1) Perceiving the significance of fetal brain development and 2) Unclear understanding of fetal brain development. The second theme was Unrecognized harms of suboptimal fetal brain development with two subthemes: 1) Expectations for fetal brain development and 2) Understanding of harms. The third theme was Promoting fetal brain development with two subthemes: 1) Practices for nourishment and 2) Avoidance of harm. We concluded that pregnant women had a limited understanding of fetal brain development and harms hat could jeopardize fetal brain development, leading to difficulty promoting fetal brain development. Therefore, nurses should be trained to educate pregnant women, emphasizing the accurate understanding of fetal brain development, nourishment, and harm avoidance based on pregnant women’s context.
{"title":"Thai Pregnant Women’s Perceptions Regarding Fetal Brain Development: A Qualitative Descriptive Study","authors":"Khajit Boonpradit, N. Sansiriphun, Kasara Sripichyakan, N. Chaloumsuk","doi":"10.60099/prijnr.2023.261523","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261523","url":null,"abstract":"Fetal brain development is a complex process that continues throughout pregnancy. Women need to ensure good brain development throughout their pregnancy, but a deep understanding of their perception of this issue exists. This qualitative descriptive study aimed to describe the perceptions of pregnant women regarding fetal brain development. Data were collected from 15 pregnant women living in a southern province of Thailand between August 2020 and January 2022 through in-depth interviews. In addition, analysis of qualitative data was performed using thematic analysis.\u0000From the data analysis, three themes emerged. The first theme was a Discrepancy between the significance and understanding of fetal brain development with two subthemes: 1) Perceiving the significance of fetal brain development and 2) Unclear understanding of fetal brain development. The second theme was Unrecognized harms of suboptimal fetal brain development with two subthemes: 1) Expectations for fetal brain development and 2) Understanding of harms. The third theme was Promoting fetal brain development with two subthemes: 1) Practices for nourishment and 2) Avoidance of harm. We concluded that pregnant women had a limited understanding of fetal brain development and harms hat could jeopardize fetal brain development, leading to difficulty promoting fetal brain development. Therefore, nurses should be trained to educate pregnant women, emphasizing the accurate understanding of fetal brain development, nourishment, and harm avoidance based on pregnant women’s context.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45073406","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 : 2023-06-17DOI: 10.60099/prijnr.2023.261494
Akramul Haque, Rangsiman Soonthornchaiya, P. Othaganont, Yu-Ju Chen
Long-term care demand for stroke survivors has increased in Bangladesh and other parts of the globe. Family caregivers play a significant role in continuing care for their relatives who are stroke survivors. Still, little is known about their experiences using long-term care services. This study explored the perceptions of Bangladeshi caregivers regarding long-term care use of family members with stroke. A qualitative descriptive study was carried out in the Rangpur division of Bangladesh between February and June 2020. A purposive sampling method was performed to select 15 participants from eligible family caregivers who met the inclusion criteria. Participants were interviewed face-to-face using semi-structured questions and recorded with a digital recording device. The duration of each interview ranged from 60 to 90 minutes. Data were analyzed using content analysis. Four major themes emerged: 1) Understanding of long-term care, 2) The challenges of providing care, 3) Long-term care services as essential support, and 4) Facilitators and barriers to using long-term care services. The findings informed that nursing and multidisciplinary long-term care is needed for stroke survivors in the institutions and at home. The study finding has important implications for the front liners in health sectors, especially for nurses, clinicians, nurse educators, and policymakers to develop specific care units for stroke survivors and train family caregivers to ensure quality long-term care.
{"title":"Perceptions of Caregivers about Long-term Care Services in Bangladesh: A Qualitative Descriptive Study","authors":"Akramul Haque, Rangsiman Soonthornchaiya, P. Othaganont, Yu-Ju Chen","doi":"10.60099/prijnr.2023.261494","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261494","url":null,"abstract":"Long-term care demand for stroke survivors has increased in Bangladesh and other parts of the globe. Family caregivers play a significant role in continuing care for their relatives who are stroke survivors. Still, little is known about their experiences using long-term care services. This study explored the perceptions of Bangladeshi caregivers regarding long-term care use of family members with stroke. A qualitative descriptive study was carried out in the Rangpur division of Bangladesh between February and June 2020. A purposive sampling method was performed to select 15 participants from eligible family caregivers who met the inclusion criteria. Participants were interviewed face-to-face using semi-structured questions and recorded with a digital recording device. The duration of each interview ranged from 60 to 90 minutes. Data were analyzed using content analysis.\u0000Four major themes emerged: 1) Understanding of long-term care, 2) The challenges of providing care, 3) Long-term care services as essential support, and 4) Facilitators and barriers to using long-term care services. The findings informed that nursing and multidisciplinary long-term care is needed for stroke survivors in the institutions and at home. The study finding has important implications for the front liners in health sectors, especially for nurses, clinicians, nurse educators, and policymakers to develop specific care units for stroke survivors and train family caregivers to ensure quality long-term care.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42102854","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}
Sepsis is a common health condition in older adults that may present with typical or atypical symptoms and signs. The perception of warning symptoms and signs by relatives is important in their decision to seek hospital medical treatment. This cross-sectional study was conducted to explore the symptoms and signs of sepsis in older adults as perceived by their relatives, the awareness of symptoms and signs of sepsis, and the duration from the symptom onset to hospital arrival at a tertiary care hospital in Bangkok, Thailand. Seventy-seven dyads of older adults with sepsis and their relatives were recruited. Data were collected using the Personal Information of Older Adults and Relatives Questionnaire and the Symptoms and Signs of Sepsis Questionnaire. Descriptive statistics and Fisher’s exact test were used to analyze the data. Results revealed that both typical and atypical symptoms and signs occurred in older adults with sepsis. The top five typical presentations were drowsiness/deep sleep, rapid breathing, fever, chilling, and difficulty breathing. The top five atypical presentations were malaise or fatigue, loss of appetite, signs of dehydration, comorbidity exacerbations, and decreased activities of daily living. Atypical presentations were the most common presentations that relatives were unsure of and did not recognize as sepsis. The majority of older adults with sepsis (72.7%) arrived at the emergency department within 24 hours of the onset of symptoms or signs. There was no significant difference between the number of participants arriving at the emergency department within ≥24 hours, classified by typical and atypical presentations. These findings point to the important role of relatives to be proactive in the management of sepsis in older adults, starting at home. Nurses should teach relatives about early detection and timely seeking of medical care in hospitals. A system of telehealth consultations through phone or video calls should be established to facilitate healthcare-seeking decisions prior to clinical deterioration.
{"title":"Perceptions of Relatives about Symptoms and Signs in Older Adults with Sepsis: A Cross-Sectional Study","authors":"Nattanicha Singjan, Nuchanad Sutti, Supreeda Monkong","doi":"10.60099/prijnr.2023.261134","DOIUrl":"https://doi.org/10.60099/prijnr.2023.261134","url":null,"abstract":"Sepsis is a common health condition in older adults that may present with typical or atypical symptoms and signs. The perception of warning symptoms and signs by relatives is important in their decision to seek hospital medical treatment. This cross-sectional study was conducted to explore the symptoms and signs of sepsis in older adults as perceived by their relatives, the awareness of symptoms and signs of sepsis, and the duration from the symptom onset to hospital arrival at a tertiary care hospital in Bangkok, Thailand. Seventy-seven dyads of older adults with sepsis and their relatives were recruited. Data were collected using the Personal Information of Older Adults and Relatives Questionnaire and the Symptoms and Signs of Sepsis Questionnaire. Descriptive statistics and Fisher’s exact test were used to analyze the data.\u0000Results revealed that both typical and atypical symptoms and signs occurred in older adults with sepsis. The top five typical presentations were drowsiness/deep sleep, rapid breathing, fever, chilling, and difficulty breathing. The top five atypical presentations were malaise or fatigue, loss of appetite, signs of dehydration, comorbidity exacerbations, and decreased activities of daily living. Atypical presentations were the most common presentations that relatives were unsure of and did not recognize as sepsis. The majority of older adults with sepsis (72.7%) arrived at the emergency department within 24 hours of the onset of symptoms or signs. There was no significant difference between the number of participants arriving at the emergency department within ≥24 hours, classified by typical and atypical presentations. These findings point to the important role of relatives to be proactive in the management of sepsis in older adults, starting at home. Nurses should teach relatives about early detection and timely seeking of medical care in hospitals. A system of telehealth consultations through phone or video calls should be established to facilitate healthcare-seeking decisions prior to clinical deterioration.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49563662","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 : 2023-06-17DOI: 10.60099/prijnr.2023.262001
Wassana Uppor, A. Klunklin, Nongkran Viseskul, S. Skulphan, S. Turale
Clinical judgment is the cognitive process that emerges from critical thinking or clinical reasoning that affects patient safety. For example, not noticing clients’ deterioration signs while making a clinical judgment may cause inaction errors. Therefore, nursing students must have sound clinical judgment before entering professional nursing practice. Simulation-based learning has become a vital pedagogy used widely to develop students’ clinical judgment. However, to date, simulation-based learning in Thailand has focused on theoretical content and clinical practices rather than the development of cognitive ability. Nursing instructors are vital in developing the thinking process of nursing students. Therefore, a deep understanding of nursing instructors’ perspectives on the essential components of designing a simulation scenario for enhancing clinical judgment among nursing students remains important. This qualitative descriptive study aimed to explore the critical components in the design characteristics of nursing simulation scenarios for improving nursing students’ clinical judgment based on the perception of nursing instructors. Participants were 23 nursing instructors purposively selected from a nursing college in Thailand. Data were collected during March 2021 in focus group discussions with all participants, then five participants with simulation-based learning expertise undertook individual in-depth interviews. Data were analyzed using content analysis. From the findings, four themes emerged: 1) fostering instructor support, 2) recognizing students’ strengths, 3) enhancing specificity in scenarios, and 4) promoting cognitive development. Nursing instructors can apply the findings in creating simulation-based activities to develop their clinical judgment to support nursing students’ cognitive processes. Such actions will help to ensure patient safety and quality of care.
{"title":"Designing Simulation Scenarios to Enhance Nursing Students’ Clinical Judgment: A Qualitative Study","authors":"Wassana Uppor, A. Klunklin, Nongkran Viseskul, S. Skulphan, S. Turale","doi":"10.60099/prijnr.2023.262001","DOIUrl":"https://doi.org/10.60099/prijnr.2023.262001","url":null,"abstract":"Clinical judgment is the cognitive process that emerges from critical thinking or clinical reasoning that affects patient safety. For example, not noticing clients’ deterioration signs while making a clinical judgment may cause inaction errors. Therefore, nursing students must have sound clinical judgment before entering professional nursing practice. Simulation-based learning has become a vital pedagogy used widely to develop students’ clinical judgment. However, to date, simulation-based learning in Thailand has focused on theoretical content and clinical practices rather than the development of cognitive ability. Nursing instructors are vital in developing the thinking process of nursing students. Therefore, a deep understanding of nursing instructors’ perspectives on the essential components of designing a simulation scenario for enhancing clinical judgment among nursing students remains important. This qualitative descriptive study aimed to explore the critical components in the design characteristics of nursing simulation scenarios for improving nursing students’ clinical judgment based on the perception of nursing instructors. Participants were 23 nursing instructors purposively selected from a nursing college in Thailand. Data were collected during March 2021 in focus group discussions with all participants, then five participants with simulation-based learning expertise undertook individual in-depth interviews. Data were analyzed using content analysis.\u0000From the findings, four themes emerged: 1) fostering instructor support, 2) recognizing students’ strengths, 3) enhancing specificity in scenarios, and 4) promoting cognitive development. Nursing instructors can apply the findings in creating simulation-based activities to develop their clinical judgment to support nursing students’ cognitive processes. Such actions will help to ensure patient safety and quality of care.","PeriodicalId":44649,"journal":{"name":"Pacific Rim International Journal of Nursing Research","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43216703","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：