Nursing Research and Practice最新文献_第4页

Complementary Feeding Practices and Household Food Insecurity Status of Children Aged 6–23 Months in Shashemene City West Arsi Zone, Oromia, Ethiopia 埃塞俄比亚奥罗米亚州沙谢梅内市西阿尔西区6-23个月儿童的补充喂养做法和家庭粮食不安全状况

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-04-12 DOI: 10.1155/2022/9387031

J. Ahmed, Kebede Kumsa Sadeta, Kelil Hussen Lembo

Introduction Appropriate infant feeding practices are critical to a child's growth, health, and development during the first 1000 days of life. One in every six children worldwide receives a minimum acceptable diet. According to the EDHS 2016, the status of the minimum acceptable diet was 7 percent among children aged 6–23 months in Ethiopia. The study sought to ascertain the relationship between complementary feeding (CF) indicators and household food insecurity in children aged 6–23 months. Methods A systematic sampling method was used to conduct a cross-sectional study of 536 mother-child pairs aged 6–23 months. The 24-hour dietary recall was used to collect data on CF practices using face-to-face interviews with socioeconomic and food security questionnaires. The relationship between complementary feeding indicators and household food insecurity was investigated using logistic regression analysis. The relationship between independent variables and complementary feeding indicators was determined using multivariate logistic regression. Results Overall, a total of 67.9% of children received timely introduction of CF and Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD), and Minimum Acceptable Diet were met by 61.7%, 42.5%, and 41.7%, respectively. Result of multivariate logistic regression showed there is significant association between household food security with MMF, MDD, and MAD [AOR: 2.02, 95% CI: (1.25–3.24); AOR: 1.55, 95% CI: (1.02–2.36); and AOR: 1.62, 9595% CI: (1.06–2.47)], respectively, while there was no association with introduction of CF [AOR = 0.87, 95% CI: (0.55–1.39)]. Conclusion This study revealed that the rates of MMF, MDD, and MAD remained low in this study setting. Household socioeconomic status (wealth index, food security status, household income) and child age were found to be among the factors statistically significantly associated with complementary feeding practices indicators.

引言适当的婴儿喂养方式对儿童在生命的前1000天的生长、健康和发育至关重要。全世界每六个儿童中就有一个接受最低可接受的饮食。根据2016年EDHS，埃塞俄比亚6至23个月儿童的最低可接受饮食水平为7%。该研究试图确定补充喂养（CF）指标与6-23个月儿童家庭粮食不安全之间的关系。方法采用系统抽样方法，对536对6～23个月的母子进行横断面研究。24小时饮食回忆用于通过面对面访谈社会经济和食品安全问卷收集CF实践的数据。采用逻辑回归分析法研究了补充喂养指标与家庭粮食不安全之间的关系。自变量和补充喂养指标之间的关系采用多元逻辑回归确定。结果总的来说，67.9%的儿童及时引入CF，最低用餐频率（MMF）、最低饮食多样性（MDD）和最低可接受饮食分别达到61.7%、42.5%和41.7%。多元逻辑回归结果显示，家庭粮食安全与MMF、MDD和MAD之间存在显著关联[AOR:2.02，95%CI:（1.25–3.24）；AOR:1.55，95%CI：（1.02–2.36）；和AOR:1.62，9595%CI:（1.06–2.47）]，而与CF的引入无关[AOR = 0.87,95%可信区间：（0.55-1.39）]。结论本研究表明，在本研究环境中，MMF、MDD和MAD的发生率仍然较低。家庭社会经济状况（财富指数、粮食安全状况、家庭收入）和儿童年龄是与补充喂养做法指标在统计上显著相关的因素之一。

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引用次数: 6

The Reasons for Self-Medication from the Perspective of Iranian Nursing Students: A Qualitative Study 伊朗护生自我药疗原因的质性研究

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-04-06 DOI: 10.1155/2022/2960768

Maryam Janatolmakan, A. Abdi, Bahare Andayeshgar, A. Soroush, Alireza Khatony

Background The prevalence of self-medication has increased dramatically worldwide. This study was conducted to determine the reasons for self-medication from the perspective of Iranian nursing students. Methods This qualitative study was conducted using the content analysis method. Fifteen nursing students were selected by the purposeful sampling method. Data were collected by in-depth semistructured interviews. Qualitative content analysis method was used for data analysis. The MAXQDA software was used for data management. Results Data saturation was achieved with fifteen interviews with nine women and six men, with a mean age of 26.5 ± 4.8 years. The reasons for self-medication were explained in five categories and fifteen subcategories. Some of the reasons for self-medication were having medication information, having previous experience, easy access to medicine, lack of enough time, access to medical staff, cost of a doctor's visit, inadequate respect for patient privacy, pharmaceutical advertising in the media, and information explosion. Discussion. Several factors are involved in self-medication. Given the dangers of self-medication, health policymakers must adopt strict policies for pharmacies that sell drugs without a prescription. Furthermore, it is helpful to run training courses on self-medication risks for students.

背景自我用药的流行率在全球范围内急剧上升。本研究旨在从伊朗护理专业学生的角度确定自我用药的原因。方法采用内容分析法进行定性研究。采用有目的的抽样方法抽取15名护生。数据是通过深入的半结构化访谈收集的。数据分析采用定性内容分析法。MAXQDA软件用于数据管理。结果通过对9名女性和6名男性的15次访谈，数据达到饱和，平均年龄为26.5岁 ± 4.8年。自我用药的原因分为五类和十五个子类。自我用药的一些原因是有药物信息、有既往经验、容易获得药物、缺乏足够的时间、接触医务人员、医生就诊费用、不充分尊重患者隐私、媒体上的药物广告和信息爆炸。讨论自我用药涉及几个因素。鉴于自我用药的危险，卫生政策制定者必须对无处方销售药物的药店采取严格的政策。此外，为学生开设关于自我用药风险的培训课程也很有帮助。

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引用次数: 7

Perceived Caregiver Strain, 3- and 18-Month Poststroke, in a Cohort of Caregivers from the Life after Stroke Trial (LAST) 卒中后生活试验（LAST）护理人员队列中卒中后3个月和18个月的护理人员感知压力

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-03-31 DOI: 10.1155/2022/2619893

B. Langhammer, Hege Ihle Hansen, B. Indredavik, T. Askim

Aim To gain more knowledge of caregiver strain in the Life After Stroke Trial (LAST) population. Methods This is a substudy of the LAST study, including all caregivers' reports of perceived Caregiver Strain Index (CSI) at inclusion and 18-month follow-up irrespective of group allocation. The checklist “STROBE Statement—Checklist of items that should be included in reports of cohort studies” was used. Caregivers to adults (age ≥18 years), here defined as the person living with, a patient with a first-ever or recurrent stroke, community dwelling, with modified Rankin Scale (mRS) <5 and no serious comorbidities, was invited to fill out the Caregiver Strain Index at three months (10–16 weeks) poststroke. Domains indicating differences of change in perceived strain in the total sample were analyzed in a linear regression analysis. Results Caregiver strain (n = 147) varying from 5% to 27% was reported by the caregivers at baseline and between 2% to18% at 18-month follow-up. The items indicating the highest level of strain at baseline and 18 months were as follows: “Care giving is confining,” “There have been changes in personal plans,” “There have been emotional adjustments,” and “I feel completely overwhelmed.” The samples were divided into age groups 0–79 years and 80–100 years, indicating a higher strain on the caregiver for persons 80–100 years at 18 months. Conclusion Caregiver strain was relatively low both at baseline and at 18-month follow-up. Main caregiver strains were reported in terms of a sense of confinement, a tendency of emotional strain, and the altering of plans at both time points. Depression was one of the main explanatory factors for the perceived caregiver strain. The perception of caregiver strain was higher in age groups 80–100 years than age groups 0–79 years.

目的了解卒中后生活试验（LAST）人群中护理人员的压力。方法这是LAST研究的一个子研究，包括所有护理人员在纳入时和18个月随访时的感知护理人员紧张指数（CSI）报告，无论分组如何。使用了检查表“STROBE声明——队列研究报告中应包含的项目检查表”。邀请成人（年龄≥18岁）的护理人员在卒中后三个月（10-16周）填写护理人员紧张指数，这里的定义是与首次或复发性卒中患者一起生活的人，社区居住的改良兰金量表（mRS）<5且无严重合并症的人。在线性回归分析中分析了指示总样本中感知应变变化差异的域。结果护理人员紧张（n = 147）在基线时由护理人员报告的变化在5%到27%之间，在18个月的随访中在2%到18%之间。表明基线和18个月时压力最高的项目如下：“护理是有限的”、“个人计划发生了变化”、“情绪发生了调整”和“我感到完全不知所措”。样本被分为0-79岁年龄组年龄和80–100岁，表明80–100人的护理人员压力更大 18个月时为年。结论在基线和18个月的随访中，护理人员压力相对较低。据报道，在这两个时间点，主要照顾者的压力表现为禁闭感、情绪紧张倾向和计划的改变。抑郁是造成照顾者压力的主要解释因素之一。80–100岁年龄组对照顾者压力的感知更高年龄比0-79岁年龄组大年。

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引用次数: 1

Living with Atrial Fibrillation: A Family Perspective 心房颤动:家庭视角

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-03-04 DOI: 10.1155/2022/7394445

Stine Rosenstrøm, S. Risom, J. Hove, A. Brødsgaard

Aim The aim of this study was to obtain insights from patients and their family members on how families are living with atrial fibrillation. Background Atrial fibrillation is the most common cardiac arrhythmia and is often described as an emerging global epidemic affecting an estimated 33.5 million people worldwide. Living with atrial fibrillation not only affects the patient but also may negatively influence family members' perceived health. The perspective of the family has previously been understudied, and more knowledge on how patients and their family members cope and adjust to life with atrial fibrillation may be helpful when developing future support for patients and their family members when coping with atrial fibrillation. Methods A qualitative phenomenological study with an inductive, descriptive research approach based on Giorgi's descriptive method was used. Data were gathered through 12 dyadic family interviews. The COnsolidated criteria for REporting Qualitative research checklist was followed while conducting the study. Results Three major themes emerged: emotional differences, changes in family life, and uncertainty about the future. Atrial fibrillation had multiple effects on the family. Frequently, several adjustments and adaptations had to be made to accommodate life with atrial fibrillation. Conclusion Patients with atrial fibrillation and their family members feel a need to talk about their emotions and worries. They required support and guidance to manage the challenges of living with atrial fibrillation. These results will be used in a family-focused intervention designed to support families in adjusting and managing their everyday lives with atrial fibrillation.

目的本研究的目的是从患者及其家庭成员那里获得关于家庭如何与房颤生活的见解。房颤是最常见的心律失常，通常被描述为一种新兴的全球流行病，影响全世界约3350万人。房颤不仅影响患者，而且可能对家庭成员的健康感知产生负面影响。家庭的观点以前没有得到充分的研究，更多地了解患者及其家庭成员如何应对和适应心房颤动的生活，可能有助于在未来为患者及其家庭成员提供应对心房颤动的支持。方法采用定性现象学研究方法，在Giorgi描述方法的基础上，采用归纳、描述的研究方法。通过12个二元家庭访谈收集数据。在进行研究时遵循定性研究综合报告标准检查表。结果出现了三个主要主题:情感差异、家庭生活的变化和对未来的不确定性。房颤对家庭有多重影响。通常，必须进行一些调整和适应以适应心房颤动的生活。结论房颤患者及其家属有必要谈论自己的情绪和担忧。他们需要支持和指导来应对房颤患者的生活挑战。这些结果将用于以家庭为中心的干预，旨在支持家庭调整和管理房颤患者的日常生活。

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引用次数: 3

Impacts of Nursing Work Environment on Turnover Intentions: The Mediating Role of Burnout in Ghana. 护理工作环境对离职意向的影响：加纳职业倦怠的中介作用》。

IF 2.2 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-02-27 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1310508

Collins Atta Poku, Ernestina Donkor, Florence Naab

Background: The nursing practice environment supports excellence and decent work and has the influence to entice and retain the quality nursing workforce. Appreciating the dynamics that affect the turnover intention of RNs offer reasonable solutions to the challenges of the nursing shortage, which directly influence the quality of nursing care. There is a paucity of information on the impacts of these concepts among RNs in Sub-Saharan African. The study therefore aimed at determining the impacts of work environment and burnout on turnover intentions among RNs in Ghana.

Methods: A descriptive cross-sectional design using a simple random and proportionate stratified sampling with a sample of 232 RNs from Municipal and Regional Hospitals, Sunyani, West-Central part of Ghana completed validated instruments measuring work environment, burnout, and turnover intentions. Descriptive analysis was done to find out RNs' perceptions of their work environment and turnover intentions. Mediation analysis by Baron and Kenny's approach was used to determine the mediating effect of burnout on the relationship between the domains of PPE and the turnover intention of RNs. STROBE checklist was used as the reporting tool.

Results: While most RNs had a positive perception about their work environment, greater number of them had turnover intentions. There were significant associations between some nursing work environment facets and turnover intention. The results also showed a statistically significant relationship between nurse-physician relation (β = .353, t = 5.476, p ≤ .001), nurse manager leadership (β = -0.485, t = -8.192, p ≤ .001), nursing foundation for quality care (β = .400, t = 7.059, p ≤ .001), staffing and resource adequacy on (β = 0.485, t = 8.183, p ≤ .001), and turnover intention as mediated by burnout.

Conclusion: Burnout resulting from an unsafe work environment impact RNs' turnover intention. This phenomenon can potentially affect the human resource management and quality of nursing care. Policy strategies aimed at ensuring a professional practice environment and decreased burnout can therefore improve retention of RNs at their workplace.

背景：护理实践环境支持卓越和体面的工作，并对吸引和留住高素质的护理队伍产生影响。了解影响注册护士离职意向的动态因素，可为应对护士短缺的挑战提供合理的解决方案，这将直接影响护理质量。有关这些概念对撒哈拉以南非洲地区注册护士的影响的信息很少。因此，本研究旨在确定工作环境和职业倦怠对加纳护士离职意向的影响：方法：采用描述性横断面设计，使用简单随机和比例分层抽样法，对加纳中西部苏亚尼市和地区医院的 232 名护士进行抽样调查，并填写了测量工作环境、职业倦怠和离职意向的有效工具。通过描述性分析，了解了护士对工作环境和离职意向的看法。采用 Baron 和 Kenny 的中介分析方法确定了职业倦怠对工作环境和护士离职意向之间关系的中介作用。采用 STROBE 检查表作为报告工具：结果：虽然大多数护士对工作环境持积极看法，但有更多护士有离职意向。护理工作环境的某些方面与离职意向之间存在明显关联。结果还显示，护医关系（β = .353，t = 5.476，p ≤ .001）、护士长领导力（β = -0.485，t = -8.192，p ≤ .001）、优质护理的护理基础（β = .400，t = 7.059，p ≤ .001）、人员配备和资源充足性（β = 0.485，t = 8.183，p ≤ .001）以及离职意向与职业倦怠的中介作用：结论：不安全的工作环境导致的职业倦怠会影响护士的离职意向。这一现象可能会影响人力资源管理和护理质量。因此，旨在确保专业实践环境和减少职业倦怠的政策策略可以提高护士在工作场所的留任率。

{"title":"Impacts of Nursing Work Environment on Turnover Intentions: The Mediating Role of Burnout in Ghana.","authors":"Collins Atta Poku, Ernestina Donkor, Florence Naab","doi":"10.1155/2022/1310508","DOIUrl":"10.1155/2022/1310508","url":null,"abstract":"Background: The nursing practice environment supports excellence and decent work and has the influence to entice and retain the quality nursing workforce. Appreciating the dynamics that affect the turnover intention of RNs offer reasonable solutions to the challenges of the nursing shortage, which directly influence the quality of nursing care. There is a paucity of information on the impacts of these concepts among RNs in Sub-Saharan African. The study therefore aimed at determining the impacts of work environment and burnout on turnover intentions among RNs in Ghana.Methods: A descriptive cross-sectional design using a simple random and proportionate stratified sampling with a sample of 232 RNs from Municipal and Regional Hospitals, Sunyani, West-Central part of Ghana completed validated instruments measuring work environment, burnout, and turnover intentions. Descriptive analysis was done to find out RNs' perceptions of their work environment and turnover intentions. Mediation analysis by Baron and Kenny's approach was used to determine the mediating effect of burnout on the relationship between the domains of PPE and the turnover intention of RNs. STROBE checklist was used as the reporting tool.Results: While most RNs had a positive perception about their work environment, greater number of them had turnover intentions. There were significant associations between some nursing work environment facets and turnover intention. The results also showed a statistically significant relationship between nurse-physician relation (β = .353, t = 5.476, p ≤ .001), nurse manager leadership (β = -0.485, t = -8.192, p ≤ .001), nursing foundation for quality care (β = .400, t = 7.059, p ≤ .001), staffing and resource adequacy on (β = 0.485, t = 8.183, p ≤ .001), and turnover intention as mediated by burnout.Conclusion: Burnout resulting from an unsafe work environment impact RNs' turnover intention. This phenomenon can potentially affect the human resource management and quality of nursing care. Policy strategies aimed at ensuring a professional practice environment and decreased burnout can therefore improve retention of RNs at their workplace.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 1","pages":"1310508"},"PeriodicalIF":2.2,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64770961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Foundational Knowledge as a Basis to Facilitate Critical Thinking: Nurse Educators' Perceptions. 使用基础知识作为促进批判性思维的基础:护士教育者的看法。

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-02-01 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3736322

Agnes Makhene

引用次数: 6

Incidence and Associated Factors of Failed First Peripheral Intravenous Catheters among Adult Patients at Medical Surgical Wards in Public Referral Hospitals of West Amhara, Ethiopia, 2021. 2021 年埃塞俄比亚西阿姆哈拉公立转诊医院内科外科病房成人患者首次外周静脉导管失败的发生率和相关因素。

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2022-01-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8261225

Chanyalew Worku Kassahun, Addisu Taye Abate, Zewdu Baye Tezera, Debrewok Tesgera Beshah, Chilot Desta Agegnehu, Mehmmed Adem Getnet, Hailemichael Kindie Abate, Birhaneslasie Gebeyehu Yazew, Mahlet Temesgen Alemu

Background: Complications of peripheral intravenous catheters cause problems in clinical practice and bring high costs in terms of morbidity and mortality of patients. Therefore, this study aimed to assess the incidence and associated factors of failed first peripheral intravenous catheters among adult patients in selected Public Referral Hospitals of West Amhara Regional State, Ethiopia, 2021.

Materials and methods: An institution-based prospective observational study was conducted among 423 adult patients from January to February 2021. Patients were selected using systematic random sampling techniques. The data were collected using interviewer-based, structured questionnaires and observational checklists. EPI-DATA 3.1 and SPSS version-23 were used for data entry and analysis, respectively. Frequency, percentages, and means were calculated. The outcome variable was determined and graded based on phlebitis and infiltration scales. Binary and multivariable logistics regressions were computed.

Results: Four hundred and seventeen first peripheral cannula sites from 418 patients were followed for 2,565 peripheral catheter hours. A failed first peripheral intravenous catheter was observed in 124 (29.7%, CI: 25.6-34) adult patients. Patients who were female (AOR = 0.4, 95% CI: 0.22-0.74) had cannula duration of 49-72 hours (AOR = 0.31, 95% CI: 0.14-0.7) and 73-96 hours (AOR = 0.39, 95% CI: 0.17-0.9), and patients who had been given electrolytes (AOR = 0.31, 95% CI: 0.11-0.86) were more likely to have failed first peripheral intravenous cannula.

Conclusions: Failed first peripheral intravenous cannula is much higher as compared to the acceptable rate of ≤5% by the Infusion Nurses Society. Hence, all patients with peripheral intravenous catheters are screened for catheter failure at least once a day. Providing appropriate nursing care and patient education is also required to reduce the risks.

背景：外周静脉导管的并发症给临床实践带来了问题，并在患者的发病率和死亡率方面带来了高昂的成本。因此，本研究旨在评估 2021 年埃塞俄比亚西阿姆哈拉地区州部分公立转诊医院成年患者首次外周静脉导管置管失败的发生率和相关因素：2021 年 1 月至 2 月，对 423 名成年患者进行了一项基于医院的前瞻性观察研究。患者采用系统随机抽样技术选出。数据收集采用基于访谈的结构化问卷和观察核对表。数据录入和分析分别使用 EPI-DATA 3.1 和 SPSS version-23。计算了频率、百分比和平均值。结果变量根据静脉炎和浸润量表确定和分级。计算二元和多变量物流回归：对 418 名患者的 417 个首次外周插管部位进行了 2565 个小时的外周导管随访。在 124 名（29.7%，CI：25.6-34）成年患者中观察到首次外周静脉置管失败。女性患者（AOR = 0.4，95% CI：0.22-0.74）的插管时间为 49-72 小时（AOR = 0.31，95% CI：0.14-0.7）和 73-96 小时（AOR = 0.39，95% CI：0.17-0.9），给予电解质的患者（AOR = 0.31，95% CI：0.11-0.86）更容易出现首次外周静脉插管失败：结论：首次外周静脉插管失败率远高于输液护士协会规定的≤5%的可接受率。因此，对所有使用外周静脉导管的患者每天至少进行一次导管失效筛查。还需要提供适当的护理和患者教育，以降低风险。

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引用次数: 0

Assessment of Knowledge, Attitude, and Practice of Iranian Nurses towards Toothbrush Maintenance and Use. 伊朗护士对牙刷维护和使用的知识、态度和实践的评估。

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2021-12-14 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3694141

Mohammad Nazarianpirdosti, Maryam Janatolmakan, Bahare Andayeshgar, Alireza Khatony

Background: Since nurses are considered a role model in society, they should have sufficient knowledge, attitude, and practice in the field of oral hygiene. This study was aimed to assess the nurses' knowledge, practice, and attitude towards toothbrush maintenance and use.

Methods: In this cross-sectional study, 325 nurses working in hospitals affiliated to Kermanshah University of Medical Sciences were randomly recruited. Data collection tools included a demographic information form and a researcher-made questionnaire on knowledge, attitude, and practice regarding toothbrush maintenance and use. Data were analyzed by SPSS software using descriptive and inferential statistics (Mann-Whitney U and Kruskal-Wallis H).

Results: The mean scores of nurses' knowledge, attitude, and practice were 59.2 ± 16.4, 64.2 ± 20.6, and 51.4 ± 17.0 out of 100, respectively. There was no statistically significant relation between nurses' knowledge, attitude, and practice and their gender, age, level of education, and work experience.

Conclusions: Nurses had moderate knowledge, attitude, and practice regarding toothbrush maintenance and use, which is not very desirable given their role model. Therefore, training courses are recommended to be held to increase the nurses' knowledge, attitude, and practice regarding toothbrush maintenance and use.

背景:由于护士被认为是社会的榜样，他们应该在口腔卫生领域有足够的知识、态度和实践。本研究旨在了解护理人员对牙刷保养及使用的知识、行为及态度。方法:采用横断面研究方法，随机招募克尔曼沙沙医科大学附属医院的325名护士。数据收集工具包括人口统计信息表和研究人员制作的关于牙刷维护和使用的知识、态度和实践的问卷。结果:护士的知识、态度和行为的平均得分分别为59.2±16.4分、64.2±20.6分和51.4±17.0分(满分为100分)。护士的知识、态度、行为与性别、年龄、文化程度、工作经验无统计学意义。结论:护士对牙刷维护和使用的知识、态度和行为一般，这与他们的榜样作用不太理想。因此，建议举办培训课程，提高护士对牙刷维护和使用的知识、态度和实践。

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引用次数: 1

Knowledge on Newborn Life Support among the Healthcare Providers in a Tertiary Care Maternity Hospital in the Southern Province, Sri Lanka. 斯里兰卡南部省一家三级保健妇产医院的医疗保健提供者对新生儿生命支持的了解。

IF 1.9 Q1 NURSING

Nursing Research and Practice

Pub Date : 2021-11-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6991584

N D Liyanarachchi, B H H Pradeepa

Introduction: The newborn life support (NLS) is a set of educational guidelines established by the academies of Paediatrics that outline the proper procedures for resuscitation of a newborn. The objective of this study was to determine the knowledge on NLS among the healthcare providers (HCPs) in a tertiary care maternity hospital in the Southern Province, Sri Lanka.

Methods: A hospital-based cross-sectional study was carried out among doctors, nurses, and midwives, using a self-administered questionnaire. Comparison of knowledge among different categories was made using the chi-square test. Total sample of 191 consisted of 118 (61.8%) nurses, 33 (17.3%) midwives, and 36 (18.8%) doctors. The majority of HCPs (76.7%) had good knowledge of NLS; however, following guidelines on NLS among HCPs was poor (33%). According to the category, 91% of doctors and 78% of nurses had good knowledge, whereas only 48% of midwives had good knowledge. The difference of knowledge on NLS among different categories of HCPs was statistically significant (p < 0.001). Only 33% of HCPs had good knowledge of following NLS guidelines. Of them, 52% were doctors, 31% were nurses, and only 18% were midwives. The difference in adherence to NLS guidelines among different categories of HCPs was highly significant statistically (p=0.003).

Conclusion: The majority of the healthcare providers had good knowledge of NLS. There was a significant difference in the level of knowledge on NLS among different categories of HCPs. Gaps in the knowledge in following guidelines of NLS were noted in the majority. Newborn resuscitation has to be included in nursing and midwifery curricula, and training on NLS is essential in the orientation programs for newly recruited HCPs in maternity hospitals.

新生儿生命支持(NLS)是由儿科学会制定的一套教育指南，概述了新生儿复苏的适当程序。本研究的目的是确定在斯里兰卡南部省三级保健妇产医院的医疗保健提供者(HCPs)的NLS知识。方法:采用自行填写的问卷，对医生、护士和助产士进行以医院为基础的横断面研究。不同类别间的知识比较采用卡方检验。共191人，其中护士118人(61.8%)，助产士33人(17.3%)，医生36人(18.8%)。大多数HCPs(76.7%)对NLS有较好的认识;然而，HCPs在NLS方面遵循指南的情况较差(33%)。根据类别，91%的医生和78%的护士有良好的知识，而只有48%的助产士有良好的知识。不同类型HCPs对NLS的认知差异有统计学意义(p < 0.001)。只有33%的医护人员对NLS指南有良好的了解。其中52%是医生，31%是护士，只有18%是助产士。不同类型HCPs对NLS指南的依从性差异具有高度统计学意义(p=0.003)。结论:大多数医护人员对NLS有较好的认识。不同类型医护人员对NLS的认知水平差异有统计学意义。大多数人注意到在遵循NLS指南方面的知识差距。新生儿复苏必须纳入护理和助产课程，在妇产医院新招募的保健医务人员的培训方案中，关于NLS的培训是必不可少的。

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引用次数: 1

Spatial Distribution and Determinants of Nonautonomy on Decision Regarding Contraceptive Utilization among Married Reproductive-Age Women in Ethiopia: Spatial and Bayesian Multilevel Analysis. 埃塞俄比亚已婚育龄妇女非自主性对避孕药具使用决定的空间分布和决定因素：空间和贝叶斯多层次分析。

IF 2.2 Q1 NURSING

Nursing Research and Practice

Pub Date : 2021-11-05 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2160922

Setognal Birara Aychiluhm, Kusse Urmale Mare, Mequannet Sharew Melaku, Abay Woday Tadesse

Background: Studies conducted to date in Ethiopia did not explore the spatial distribution, individual-level, and community-level factors affecting women's nonautonomy on decision to use contraceptives. Hence, this study aimed to assess the spatial distribution of women's nonautonomy on decision regarding contraceptive utilization and its determinants in Ethiopia.

Methods: Data were accessed from the Demographic Health Survey program official database website (https://dhsprogram.com). A weighted sample of 3,668 married reproductive-age women currently using contraceptives was included in this analysis. Bayesian multilevel logistic regression models were fitted to identify the determinants of women's nonautonomy on contraceptive utilization. Adjusted odds ratio with 95% credible interval was used to select variables that have a significant effect on nonautonomy on contraceptive utilization.

Results: A high proportion of women with nonautonomy on decision regarding contraceptive utilization was found in northern parts of Southern Nations, Nationalities, and People's Region, Southern parts of Oromia, and Benishangul-Gumuz regions of the country. Overall, 2876 (78.40% (95% CI: 77.0%, 79.7%)) women were nonautonomous on decision regarding contraceptive utilization. In the final model, age from 35-49 (AOR (95% CI) = 0.63 (0.54, 0.72)), living in the richer households (AOR (95% CI) = 0.12 (0.03, 0.26)), being married at 18 years or above (AOR (95% CI) = 0.33 (0.19, 0.57)), and residing in an rural areas (AOR (95% CI) = 1.34 (1.01, 1.71)) and metropolitan regions (AOR (95% CI) = 0.71(0.54, 0.91)) were associated with women's nonautonomy on decision regarding contraceptive utilization.

Conclusions: In Ethiopia, the spatial distribution of women's nonautonomy on decision about contraceptive utilization was nonrandom. More than three-fourths of married reproductive-age women in Ethiopia are nonautonomous on decision regarding contraceptive utilization. Region, residence, current age, age at marriage, and wealth index were statistically associated with women's nonautonomy on decision regarding contraceptive utilization.

背景：迄今为止，在埃塞俄比亚进行的研究并未探讨影响妇女在决定使用避孕药具时不自主的空间分布、个人层面和社区层面的因素。因此，本研究旨在评估埃塞俄比亚妇女在决定是否使用避孕药具时不自主的空间分布及其决定因素：数据来自人口健康调查计划官方数据库网站（https://dhsprogram.com）。本次分析的加权样本包括 3,668 名目前正在使用避孕药具的已婚育龄妇女。贝叶斯多层次逻辑回归模型用于确定妇女不自主对避孕药具使用的决定因素。使用调整后的几率和 95% 的可信区间来选择对使用避孕药具的非自主性有显著影响的变量：结果发现，在南部各州、民族和人民区北部、奥罗莫州南部和贝尼尚古尔-古穆兹州，避孕药具使用决策不自主的妇女比例较高。总体而言，有 2876 名（78.40%（95% CI：77.0%，79.7%））妇女在避孕药具使用方面没有自主决定权。在最终模型中，年龄在 35-49 岁（AOR (95% CI) = 0.63 (0.54, 0.72)）、生活在较富裕的家庭（AOR (95% CI) = 0.12 (0.03, 0.26)）、18 岁或以上结婚（AOR (95% CI) = 0.33 (0.19, 0.57））、居住在农村地区（AOR (95% CI) = 1.34 (1.01, 1.71)）和大都市地区（AOR (95% CI) = 0.71(0.54, 0.91)）与妇女在避孕药具使用方面的非自主决策有关：在埃塞俄比亚，妇女不自主决定是否使用避孕药具的空间分布是非随机的。在埃塞俄比亚，超过四分之三的已婚育龄妇女在避孕药具使用方面没有自主权。地区、居住地、当前年龄、结婚年龄和财富指数与妇女在避孕药具使用决策上的不自主性有统计学关联。

{"title":"Spatial Distribution and Determinants of Nonautonomy on Decision Regarding Contraceptive Utilization among Married Reproductive-Age Women in Ethiopia: Spatial and Bayesian Multilevel Analysis.","authors":"Setognal Birara Aychiluhm, Kusse Urmale Mare, Mequannet Sharew Melaku, Abay Woday Tadesse","doi":"10.1155/2021/2160922","DOIUrl":"10.1155/2021/2160922","url":null,"abstract":"Background: Studies conducted to date in Ethiopia did not explore the spatial distribution, individual-level, and community-level factors affecting women's nonautonomy on decision to use contraceptives. Hence, this study aimed to assess the spatial distribution of women's nonautonomy on decision regarding contraceptive utilization and its determinants in Ethiopia.Methods: Data were accessed from the Demographic Health Survey program official database website (https://dhsprogram.com). A weighted sample of 3,668 married reproductive-age women currently using contraceptives was included in this analysis. Bayesian multilevel logistic regression models were fitted to identify the determinants of women's nonautonomy on contraceptive utilization. Adjusted odds ratio with 95% credible interval was used to select variables that have a significant effect on nonautonomy on contraceptive utilization.Results: A high proportion of women with nonautonomy on decision regarding contraceptive utilization was found in northern parts of Southern Nations, Nationalities, and People's Region, Southern parts of Oromia, and Benishangul-Gumuz regions of the country. Overall, 2876 (78.40% (95% CI: 77.0%, 79.7%)) women were nonautonomous on decision regarding contraceptive utilization. In the final model, age from 35-49 (AOR (95% CI) = 0.63 (0.54, 0.72)), living in the richer households (AOR (95% CI) = 0.12 (0.03, 0.26)), being married at 18 years or above (AOR (95% CI) = 0.33 (0.19, 0.57)), and residing in an rural areas (AOR (95% CI) = 1.34 (1.01, 1.71)) and metropolitan regions (AOR (95% CI) = 0.71(0.54, 0.91)) were associated with women's nonautonomy on decision regarding contraceptive utilization.Conclusions: In Ethiopia, the spatial distribution of women's nonautonomy on decision about contraceptive utilization was nonrandom. More than three-fourths of married reproductive-age women in Ethiopia are nonautonomous on decision regarding contraceptive utilization. Region, residence, current age, age at marriage, and wealth index were statistically associated with women's nonautonomy on decision regarding contraceptive utilization.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2021 ","pages":"2160922"},"PeriodicalIF":2.2,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39712704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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