Abstract Objective To provide insight into the effects of the coronavirus disease (COVID-19) pandemic on the physical and psychological health of critical care nurses in adult units. Methods A systematic search through the CINAHL, MEDLINE, and EMbase databases were performed. Studies that addressed “critical care nurses,” “COVID-19,” “physical effect,” and “psychological effect” from different perspectives were reviewed. Results A total of 42 articles were reviewed based on 2 aspects: critical care nurses’ psychological and physical health. Negative emotions were the most common conditions: fear, anxiety, depression, and post-traumatic stress disorder (PTSD). Burnout, falling ill and having thoughts of self-harm, fatigue, physical burden, sleeping disorders, and chronic work overload also adversely affected the nurses’ health. The nurses’ health deteriorated because of the changes in the unfamiliar working environment and processes, colossal workload and chronic exhaustion, worries about themselves and their families, social response, and witnessing the death toll. Conclusions Critical care nurses experienced adverse effects of the institutional reaction, social response, and individuals’ reply to the COVID-19 pandemic upon their psychological and physical health. Supporting services and preparation for other unprecedented situations should be sustainably available.
{"title":"Impacts of fighting against COVID-19 on critical care nurses’ psychological and physical health: a literature review","authors":"Arisara Malairojsiri","doi":"10.2478/fon-2023-0041","DOIUrl":"https://doi.org/10.2478/fon-2023-0041","url":null,"abstract":"Abstract Objective To provide insight into the effects of the coronavirus disease (COVID-19) pandemic on the physical and psychological health of critical care nurses in adult units. Methods A systematic search through the CINAHL, MEDLINE, and EMbase databases were performed. Studies that addressed “critical care nurses,” “COVID-19,” “physical effect,” and “psychological effect” from different perspectives were reviewed. Results A total of 42 articles were reviewed based on 2 aspects: critical care nurses’ psychological and physical health. Negative emotions were the most common conditions: fear, anxiety, depression, and post-traumatic stress disorder (PTSD). Burnout, falling ill and having thoughts of self-harm, fatigue, physical burden, sleeping disorders, and chronic work overload also adversely affected the nurses’ health. The nurses’ health deteriorated because of the changes in the unfamiliar working environment and processes, colossal workload and chronic exhaustion, worries about themselves and their families, social response, and witnessing the death toll. Conclusions Critical care nurses experienced adverse effects of the institutional reaction, social response, and individuals’ reply to the COVID-19 pandemic upon their psychological and physical health. Supporting services and preparation for other unprecedented situations should be sustainably available.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"170 ","pages":"381 - 392"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138987116","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}
Abstract Objective The enhanced recovery after surgery (ERAS) program is less implemented in gastric cancer patients. The purpose of this survey is to investigate the implementation status of ERAS in perioperative period in gastric cancer. Methods This clinical observational study enrolled 329 patients between January 2020 and August 2020 in a single gastric cancer center. The questionnaire consisted of 4 parts: basic information, preoperative status, intraoperative status, and postoperative status of ERAS implementation in gastric cancer surgery. Results In the preoperative period, patients’ education and counseling (100%) were well adopted. Smoking cessation (34.6%), drinking cessation (36.9%), avoidance of preoperative mechanical bowel preparation (24.3%), respiratory function training (11.2%), and administration of carbohydrate-rich drink before surgery (0.6%) were relatively not well adopted. During the operation, maintenance of intraoperative normothermia and fluid management (100%), as well as epidural analgesia (81.5%), were well adopted. Thromboprophylaxis was performed in 133 (40.4%) patients. In the postoperative period, early active mobilization was implemented about 9.5 h, and early ambulation was implemented about 39.5 h, after surgery. A total of 140 (42.5%) patients received prolonged prophylactic antibiotics; 268 (81.5%) patients were provided diet upon gas passage; and 320 (97.3%) patients received intravenous fluid administration more than 5 d after surgery. The practice rate of early removal of urinary catheter (0%) and nasogastric tube (15.5%) was relatively low. A total of 11 (3.3%) patients experienced postoperative complication, and 1 (0.3%) patient received unplanned reoperation. The average costs were ¥59,500, and the average hospital stay was 12 (5, 36) d. Conclusions Standard perioperative management of ERAS program in gastric cancer surgery in China still requires improvement.
{"title":"Implementation and achievements of enhanced recovery after surgery program in perioperative management of gastric cancer patients†","authors":"Ya-Min Yan, Yan Hu, Jing-Jing Lu, Jia-Wen Yuan, Xiao-Hong Ni, Li-Rong Shi, Zheng-Hong Yu","doi":"10.2478/fon-2023-0046","DOIUrl":"https://doi.org/10.2478/fon-2023-0046","url":null,"abstract":"Abstract Objective The enhanced recovery after surgery (ERAS) program is less implemented in gastric cancer patients. The purpose of this survey is to investigate the implementation status of ERAS in perioperative period in gastric cancer. Methods This clinical observational study enrolled 329 patients between January 2020 and August 2020 in a single gastric cancer center. The questionnaire consisted of 4 parts: basic information, preoperative status, intraoperative status, and postoperative status of ERAS implementation in gastric cancer surgery. Results In the preoperative period, patients’ education and counseling (100%) were well adopted. Smoking cessation (34.6%), drinking cessation (36.9%), avoidance of preoperative mechanical bowel preparation (24.3%), respiratory function training (11.2%), and administration of carbohydrate-rich drink before surgery (0.6%) were relatively not well adopted. During the operation, maintenance of intraoperative normothermia and fluid management (100%), as well as epidural analgesia (81.5%), were well adopted. Thromboprophylaxis was performed in 133 (40.4%) patients. In the postoperative period, early active mobilization was implemented about 9.5 h, and early ambulation was implemented about 39.5 h, after surgery. A total of 140 (42.5%) patients received prolonged prophylactic antibiotics; 268 (81.5%) patients were provided diet upon gas passage; and 320 (97.3%) patients received intravenous fluid administration more than 5 d after surgery. The practice rate of early removal of urinary catheter (0%) and nasogastric tube (15.5%) was relatively low. A total of 11 (3.3%) patients experienced postoperative complication, and 1 (0.3%) patient received unplanned reoperation. The average costs were ¥59,500, and the average hospital stay was 12 (5, 36) d. Conclusions Standard perioperative management of ERAS program in gastric cancer surgery in China still requires improvement.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"444 ","pages":"437 - 443"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985901","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}
Abstract Objective To investigate the factors contributing to satisfaction with the work environment, job satisfaction (JS), and stress among hemodialysis (HD) staff in the central region of Malaysia. Methods A quantitative cross-sectional study was conducted on 215 HD staff working at private and non-government (NGO) dialysis centers using self-administered questionnaires. The chi-square test was used to determine factors associated with HD staff’s JS, stress, and working environment. Results The scientific proof was apparent that the working environment had an effect on JS and stress among employees at HD centers. Conclusions This research offers useful insights into the essence and complexities of HD staff’s work and will help nurses, dialysis managers, other dialysis personnel, and organizations to better understand the benefits and stresses faced by these workers.
{"title":"Impact of work environment on job satisfaction and stress among hemodialysis staff in Klang Valley","authors":"Zaima Mat Yusuf, Bit Lian Yee","doi":"10.2478/fon-2023-0052","DOIUrl":"https://doi.org/10.2478/fon-2023-0052","url":null,"abstract":"Abstract Objective To investigate the factors contributing to satisfaction with the work environment, job satisfaction (JS), and stress among hemodialysis (HD) staff in the central region of Malaysia. Methods A quantitative cross-sectional study was conducted on 215 HD staff working at private and non-government (NGO) dialysis centers using self-administered questionnaires. The chi-square test was used to determine factors associated with HD staff’s JS, stress, and working environment. Results The scientific proof was apparent that the working environment had an effect on JS and stress among employees at HD centers. Conclusions This research offers useful insights into the essence and complexities of HD staff’s work and will help nurses, dialysis managers, other dialysis personnel, and organizations to better understand the benefits and stresses faced by these workers.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"196 3","pages":"481 - 492"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139025087","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}
Xiao-Lin Feng, Shao-Mei Shang, Shun-Lin Xu, Hong-Bo Chen, Yun-Lin Wang
Abstract Objective To examine physical activity (PA) of post-percutaneous coronary intervention (PCI) patients and explore the demographic, clinical, and social psychological characteristics associated with PA levels. Methods A total of 246 post-PCI patients from the Peking University Third Hospital in Beijing, China, were included in this crosssectional study through convenience sampling. Data were collected from a self-reported questionnaire. PA was categorized into low, moderate, or high levels. The ordinal multinomial logistic regression model was used to estimate the relationship among demographic, medical, and psychosocial characteristics. Results The overall prevalence of low, moderate, and high PA was 20%, 70%, and 10%, respectively. For the domain-specific PA patterns, most participants took part in leisure-time PA (84.5%); walking was the most common PA. Increased motivation and selfefficacy, lower monthly income, and unemployment were predictors of high PA. Conclusions PA levels in post-PCI patients was not optimal, and leisure-time PA had the highest participation rate. Analyses of influencing factors can provide medical staff and health workers information to focus on high-risk groups and introduce more tailored interventions. Future studies can explore more regions, and ecological models can be introduced to study more influencing factors.
摘要 目的 研究经皮冠状动脉介入治疗（PCI）术后患者的体力活动（PA）情况，并探讨与 PA 水平相关的人口学、临床和社会心理特征。方法 本横断面研究通过便利抽样法纳入了北京大学第三医院的 246 名 PCI 术后患者。通过自我报告问卷收集数据。PA分为低度、中度和高度。采用序数多项式逻辑回归模型来估计人口学、医学和社会心理特征之间的关系。结果 低度、中度和高度运动负荷的总体发生率分别为 20%、70% 和 10%。就特定领域的 PA 模式而言，大多数参与者都参加了业余 PA（84.5%）；步行是最常见的 PA。积极性和自我效能感的提高、月收入较低和失业是高 PA 的预测因素。结论 PCI 术后患者的 PA 水平并不理想，休闲 PA 的参与率最高。对影响因素的分析可为医务人员和卫生工作者提供信息，以关注高危人群并采取更有针对性的干预措施。未来的研究可以探索更多地区，并引入生态模型研究更多影响因素。
{"title":"Physical activity levels and predictors in patients following percutaneous coronary intervention: a cross-sectional study","authors":"Xiao-Lin Feng, Shao-Mei Shang, Shun-Lin Xu, Hong-Bo Chen, Yun-Lin Wang","doi":"10.2478/fon-2023-0051","DOIUrl":"https://doi.org/10.2478/fon-2023-0051","url":null,"abstract":"Abstract Objective To examine physical activity (PA) of post-percutaneous coronary intervention (PCI) patients and explore the demographic, clinical, and social psychological characteristics associated with PA levels. Methods A total of 246 post-PCI patients from the Peking University Third Hospital in Beijing, China, were included in this crosssectional study through convenience sampling. Data were collected from a self-reported questionnaire. PA was categorized into low, moderate, or high levels. The ordinal multinomial logistic regression model was used to estimate the relationship among demographic, medical, and psychosocial characteristics. Results The overall prevalence of low, moderate, and high PA was 20%, 70%, and 10%, respectively. For the domain-specific PA patterns, most participants took part in leisure-time PA (84.5%); walking was the most common PA. Increased motivation and selfefficacy, lower monthly income, and unemployment were predictors of high PA. Conclusions PA levels in post-PCI patients was not optimal, and leisure-time PA had the highest participation rate. Analyses of influencing factors can provide medical staff and health workers information to focus on high-risk groups and introduce more tailored interventions. Future studies can explore more regions, and ecological models can be introduced to study more influencing factors.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"689 13","pages":"471 - 480"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023183","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}
Abstract Objective This study aimed to have a good knowledge of heart failure complicated with malnutrition research status, hotspots, and forecast research trends using bibliometric analysis and visualization of studies of heart failure complicated with malnutrition in the past 10 years. Methods Articles related to malnutrition-induced heart failure were obtained from the Web of Science Core Collection (WoSCC) series from January 2012 to January 2022. Two software (Java CiteSpace 5.8R3 and Microsoft Excel 2019) were used to perform bibliometric and knowledge-map analysis, including analyzing the annual publication and trend of articles, authors and co-cited authors, institutions/countries, co-cited journals, co-occurrence, clusters, and burst of keywords, co-cited references, and reference burst. Results A total of 672 articles appeared in 180 scientific journals by 4249 authors from 1453 institutions in 71 countries. Over the past 10 years, the number of related studies released has shown an upward trend, and the range of increases has been larger over the past 5 years. Takatoshi Kasai released the most papers, while Anker S D had the most co-quotes. Simultaneously, active cooperation existed in complicated heart failure with researchers on malnutrition. Circulation, Journal of The American College of Cardiology, and Clinical Nutrition were the top 3 co-cited journals. The USA, Japan, and China were the most productive countries, while Johns Hopkins University was the most active institution. In addition, the reference published by Ponikowski P had the most co-citations, relating to as a knowledge base. The latest hotspots of heart failure complicated with malnutrition mainly included research on: (1) assessment of nutrition status, the impact/risk factor of nutrition, and the prevalence and outcome of the patients; (2) heart failure complicated with malnutrition when complicated with other diseases, for example, chronic kidney disease and diabetes mellitus; (3) the nutrition of child patients with heart failure complicated with malnutrition; and (4) the treatment of heart failure complicated with malnutrition, including assist devices, organ transplantation, and drug therapy. While the frontier topics included research on: (1) the index of heart failure complicated with malnutrition; (2) the effect of sarcopenia to heart failure complicated with malnutrition patients and the use of geriatric nutritional risk index to assess the nutritional statue; and (3) find the nutritional risk index. Conclusions This study conducted a full overview of the present research situation, hotspots, and frontiers by using bibliometric and visualization analysis methods in heart failure complicated with malnutrition, which would provide a helpful reference for future research.
{"title":"A bibliometric analysis and visualization of research on heart failure complicated with malnutrition","authors":"Wuga Jishi, Jin-Bo Fang, Jie Li","doi":"10.2478/fon-2023-0044","DOIUrl":"https://doi.org/10.2478/fon-2023-0044","url":null,"abstract":"Abstract Objective This study aimed to have a good knowledge of heart failure complicated with malnutrition research status, hotspots, and forecast research trends using bibliometric analysis and visualization of studies of heart failure complicated with malnutrition in the past 10 years. Methods Articles related to malnutrition-induced heart failure were obtained from the Web of Science Core Collection (WoSCC) series from January 2012 to January 2022. Two software (Java CiteSpace 5.8R3 and Microsoft Excel 2019) were used to perform bibliometric and knowledge-map analysis, including analyzing the annual publication and trend of articles, authors and co-cited authors, institutions/countries, co-cited journals, co-occurrence, clusters, and burst of keywords, co-cited references, and reference burst. Results A total of 672 articles appeared in 180 scientific journals by 4249 authors from 1453 institutions in 71 countries. Over the past 10 years, the number of related studies released has shown an upward trend, and the range of increases has been larger over the past 5 years. Takatoshi Kasai released the most papers, while Anker S D had the most co-quotes. Simultaneously, active cooperation existed in complicated heart failure with researchers on malnutrition. Circulation, Journal of The American College of Cardiology, and Clinical Nutrition were the top 3 co-cited journals. The USA, Japan, and China were the most productive countries, while Johns Hopkins University was the most active institution. In addition, the reference published by Ponikowski P had the most co-citations, relating to as a knowledge base. The latest hotspots of heart failure complicated with malnutrition mainly included research on: (1) assessment of nutrition status, the impact/risk factor of nutrition, and the prevalence and outcome of the patients; (2) heart failure complicated with malnutrition when complicated with other diseases, for example, chronic kidney disease and diabetes mellitus; (3) the nutrition of child patients with heart failure complicated with malnutrition; and (4) the treatment of heart failure complicated with malnutrition, including assist devices, organ transplantation, and drug therapy. While the frontier topics included research on: (1) the index of heart failure complicated with malnutrition; (2) the effect of sarcopenia to heart failure complicated with malnutrition patients and the use of geriatric nutritional risk index to assess the nutritional statue; and (3) find the nutritional risk index. Conclusions This study conducted a full overview of the present research situation, hotspots, and frontiers by using bibliometric and visualization analysis methods in heart failure complicated with malnutrition, which would provide a helpful reference for future research.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"19 12","pages":"413 - 426"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139015700","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}
Dominika Kohanová, Martina Lepiešová, D. Bartoníčková, Pavol Faťun, K. Žiaková
Abstract Objective This systematized review aimed to synthesize the results of empirical studies focused on the types and factors of adverse events (AEs) that contribute to them in long-term care (LTC) settings. Methods The search was conducted in ProQuest, Scopus, and PubMed in January 2021 and resulted in 1057 records. The content analysis method was used in the data analysis. Results In all, 35 studies were identified as relevant for the review. The analysis revealed 133 different types of AEs and 60 factors that contributed to them. Conclusions In LTC, various AEs occur, most of which are preventable, while many factors that influence their occurrence could be significantly modifiable. Through an effective analysis of AEs in LTC, it is possible to minimize their occurrence and, at the same time, minimize their negative impact on all parties concerned.
{"title":"Investigating adverse events in long-term care facilities: a systematized review","authors":"Dominika Kohanová, Martina Lepiešová, D. Bartoníčková, Pavol Faťun, K. Žiaková","doi":"10.2478/fon-2023-0043","DOIUrl":"https://doi.org/10.2478/fon-2023-0043","url":null,"abstract":"Abstract Objective This systematized review aimed to synthesize the results of empirical studies focused on the types and factors of adverse events (AEs) that contribute to them in long-term care (LTC) settings. Methods The search was conducted in ProQuest, Scopus, and PubMed in January 2021 and resulted in 1057 records. The content analysis method was used in the data analysis. Results In all, 35 studies were identified as relevant for the review. The analysis revealed 133 different types of AEs and 60 factors that contributed to them. Conclusions In LTC, various AEs occur, most of which are preventable, while many factors that influence their occurrence could be significantly modifiable. Through an effective analysis of AEs in LTC, it is possible to minimize their occurrence and, at the same time, minimize their negative impact on all parties concerned.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"97 ","pages":"399 - 412"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988748","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}
Rui-Min Jia, Xiao-Ning Yan, Xing-Yu Liu, Jin-Nan Wang
Abstract Objective This study aimed to design an evaluation scale of traditional Chinese medicine (TCM) confidence and then evaluate its validity and reliability. Methods Three parallel samples with TCM learning experience were included in this current study. Randomly selected 500 nursing students were included factor analysis and reliability and validity analyses. After 4 weeks, 200 nursing students were recruited to retest the reliability. The evaluation tool of TCM confidence included 6 dimensions and 25 entries. Results Cronbach’s α coefficient of the evaluation scale was 0.95 and that of the 6 observed aspects were higher than 0.90, and split-half reliability was 0.81. For the retest reliability, Cronbach’s α coefficient of the evaluation scale was 0.93 and that of the 6 examined aspects was all over 0.80. The index of content validity Scale Content Validity Index (S-CVI) was 0.92 and Item Content Validity Index (I-CVI) was 0.83–1.00. Conclusions Observed results may indicate that the designed tool can be used to assess the TCM confidence level of students with TCM studied experience and also can evaluate results of TCM education during studying TCM lectures.
{"title":"Validity and reliability of the evaluation tool of TCM confidence in students with TCM learning experience","authors":"Rui-Min Jia, Xiao-Ning Yan, Xing-Yu Liu, Jin-Nan Wang","doi":"10.2478/fon-2023-0049","DOIUrl":"https://doi.org/10.2478/fon-2023-0049","url":null,"abstract":"Abstract Objective This study aimed to design an evaluation scale of traditional Chinese medicine (TCM) confidence and then evaluate its validity and reliability. Methods Three parallel samples with TCM learning experience were included in this current study. Randomly selected 500 nursing students were included factor analysis and reliability and validity analyses. After 4 weeks, 200 nursing students were recruited to retest the reliability. The evaluation tool of TCM confidence included 6 dimensions and 25 entries. Results Cronbach’s α coefficient of the evaluation scale was 0.95 and that of the 6 observed aspects were higher than 0.90, and split-half reliability was 0.81. For the retest reliability, Cronbach’s α coefficient of the evaluation scale was 0.93 and that of the 6 examined aspects was all over 0.80. The index of content validity Scale Content Validity Index (S-CVI) was 0.92 and Item Content Validity Index (I-CVI) was 0.83–1.00. Conclusions Observed results may indicate that the designed tool can be used to assess the TCM confidence level of students with TCM studied experience and also can evaluate results of TCM education during studying TCM lectures.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"7 4","pages":"465 - 469"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023340","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}
Abstract Objective To evaluate the level of understanding (knowledge), beliefs (attitude), and behavior (practice) of staff nurses toward medication errors (MEs). Methods Self-administered questionnaires were distributed to nursing professionals who had at least 1 year of work experience. Each questionnaire contained 19 items assessing “knowledge,” “attitude,” and “practice” attributes toward MEs. Results Responses from 47 nursing respondents were included for the final analysis. The mean knowledge score was 3.8 ± 1.1 (out of 6); 66% and 79% of the respondents had awareness of medication reporting systems and interventions in preventing MEs, respectively. Lack of adequate knowledge in recognizing MEs (P = 0.003), or presuming MEs are not as important enough to be reported (P = 0.002), was considered as the major reason for under-reporting of MEs. Nurses with higher knowledge score were against administration of medication through a different route than that prescribed by the physician (P = 0.023), and tried to rectify an ME (P = 0.020) and stayed with the patient until an oral medication had been swallowed (P = 0.037). Conclusions The nursing professionals were aware of the ME reporting system and methods to prevent the occurrence of MEs. They also exhibited a positive attitude and followed optimal practices in controlling MEs.
摘要 目的 评价工作人员护士对用药错误（ME）的理解（知识）、信念（态度）和行为（实践）水平。方法 向至少有 1 年工作经验的护理专业人员发放自制问卷。每份问卷包含 19 个项目，分别评估对 ME 的 "知识"、"态度 "和 "实践 "属性。结果 47 名护理受访者的回答被纳入最终分析。平均知识得分为 3.8 ± 1.1（满分 6 分）；分别有 66% 和 79% 的受访者了解用药报告制度和预防 ME 的干预措施。受访者缺乏识别 ME 的足够知识（P = 0.003），或认为 ME 并不重要而无需报告（P = 0.002），被认为是未充分报告 ME 的主要原因。知识得分较高的护士反对通过与医生处方不同的途径用药（P = 0.023），并试图纠正 ME（P = 0.020），并陪伴患者直到其吞下口服药物（P = 0.037）。结论 专业护理人员了解 ME 报告制度和预防 ME 发生的方法。他们还表现出积极的态度，并在控制 ME 方面采取了最佳做法。
{"title":"Knowledge, attitude, and practices related to medication errors among nursing professionals: a questionnaire-based study in a tertiary care hospital","authors":"Vishal Raja, L. N. Babu, Rekha Priyadarshini","doi":"10.2478/fon-2023-0048","DOIUrl":"https://doi.org/10.2478/fon-2023-0048","url":null,"abstract":"Abstract Objective To evaluate the level of understanding (knowledge), beliefs (attitude), and behavior (practice) of staff nurses toward medication errors (MEs). Methods Self-administered questionnaires were distributed to nursing professionals who had at least 1 year of work experience. Each questionnaire contained 19 items assessing “knowledge,” “attitude,” and “practice” attributes toward MEs. Results Responses from 47 nursing respondents were included for the final analysis. The mean knowledge score was 3.8 ± 1.1 (out of 6); 66% and 79% of the respondents had awareness of medication reporting systems and interventions in preventing MEs, respectively. Lack of adequate knowledge in recognizing MEs (P = 0.003), or presuming MEs are not as important enough to be reported (P = 0.002), was considered as the major reason for under-reporting of MEs. Nurses with higher knowledge score were against administration of medication through a different route than that prescribed by the physician (P = 0.023), and tried to rectify an ME (P = 0.020) and stayed with the patient until an oral medication had been swallowed (P = 0.037). Conclusions The nursing professionals were aware of the ME reporting system and methods to prevent the occurrence of MEs. They also exhibited a positive attitude and followed optimal practices in controlling MEs.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"75 1","pages":"457 - 463"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013741","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}
Abstract Objective To describe the self-management (SM) behavior among persons with mild-to-moderate chronic obstructive pulmonary disease (COPD), and it examines the correlation between COPD knowledge, self-efficacy, perceived social support, and SM behavior among persons with mild-to-moderate COPD in Wenzhou, China. Methods A simple random sampling technique was used to recruit 121 persons with mild-to-moderate COPD who visited the respiratory outpatient department of the First Affiliated Hospital of Wenzhou Medical University in Wenzhou, China. Research instruments include a demographic data questionnaire, COPD SM scale, COPD knowledge questionnaire, 6-item chronic disease self-efficacy scale, and perceived social support scale. Descriptive statistics and Pearson’s Correlation were used for data analysis. Results The findings show that the mean score of COPD SM scale was 2.70 (SD = 0.45). The Pearson correlation analysis revealed that the COPD knowledge (r = 0.47, P < 0.001), self-efficacy (r = 0.28, P = 0.001), and perceived social support (r = 0.48, P < 0.001) were positively correlated to the COPD SM behavior among persons with mild-to-moderate COPD in Wenzhou, China. Conclusions The findings indicate that disease knowledge, self-efficacy, and perceived social support were related to SM behavior in persons with mild-to-moderate COPD, which provides a theoretical basis for developing SM interventions for persons with mild-to-moderate COPD and improving this population’s SM behavior.
{"title":"Factors related to self-management behavior among persons with mild-to-moderate chronic obstructive pulmonary disease in Wenzhou, China","authors":"Xiao-Wen Sheng, Niphawan Samartkit, Khemaradee Masingboon","doi":"10.2478/fon-2023-0047","DOIUrl":"https://doi.org/10.2478/fon-2023-0047","url":null,"abstract":"Abstract Objective To describe the self-management (SM) behavior among persons with mild-to-moderate chronic obstructive pulmonary disease (COPD), and it examines the correlation between COPD knowledge, self-efficacy, perceived social support, and SM behavior among persons with mild-to-moderate COPD in Wenzhou, China. Methods A simple random sampling technique was used to recruit 121 persons with mild-to-moderate COPD who visited the respiratory outpatient department of the First Affiliated Hospital of Wenzhou Medical University in Wenzhou, China. Research instruments include a demographic data questionnaire, COPD SM scale, COPD knowledge questionnaire, 6-item chronic disease self-efficacy scale, and perceived social support scale. Descriptive statistics and Pearson’s Correlation were used for data analysis. Results The findings show that the mean score of COPD SM scale was 2.70 (SD = 0.45). The Pearson correlation analysis revealed that the COPD knowledge (r = 0.47, P < 0.001), self-efficacy (r = 0.28, P = 0.001), and perceived social support (r = 0.48, P < 0.001) were positively correlated to the COPD SM behavior among persons with mild-to-moderate COPD in Wenzhou, China. Conclusions The findings indicate that disease knowledge, self-efficacy, and perceived social support were related to SM behavior in persons with mild-to-moderate COPD, which provides a theoretical basis for developing SM interventions for persons with mild-to-moderate COPD and improving this population’s SM behavior.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"183 10","pages":"445 - 455"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014328","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}
Abstract Diabetes mellitus is a common chronic disease. With the improvement of living standards, the prevalence of diabetes mellitus in China is increasing. There are now more people with diabetes in China (>100 million) than in any other country. About half of these people with diabetes need to undergo at least one procedure in their lifetime. Diabetic patients have a much higher probability of perioperative dysglycemia than the normal population, which has a great impact on their prognosis. In addition, non-diabetic patients may also have abnormal blood glucose levels due to various reasons during the perioperative period, which will also lead to a series of adverse consequences. This article reviews the perioperative blood glucose management of patients to provide a reference for improving their health status.
{"title":"Detection and management of perioperative blood glucose abnormalities","authors":"Yi Rong, Wei-Bing Shuang","doi":"10.2478/fon-2023-0040","DOIUrl":"https://doi.org/10.2478/fon-2023-0040","url":null,"abstract":"Abstract Diabetes mellitus is a common chronic disease. With the improvement of living standards, the prevalence of diabetes mellitus in China is increasing. There are now more people with diabetes in China (>100 million) than in any other country. About half of these people with diabetes need to undergo at least one procedure in their lifetime. Diabetic patients have a much higher probability of perioperative dysglycemia than the normal population, which has a great impact on their prognosis. In addition, non-diabetic patients may also have abnormal blood glucose levels due to various reasons during the perioperative period, which will also lead to a series of adverse consequences. This article reviews the perioperative blood glucose management of patients to provide a reference for improving their health status.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"94 ","pages":"373 - 380"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988750","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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