Objective: This study aimed to evaluate effectiveness of pelvic floor muscles training on females’ sexual function throughout pregnancy and postpartum. Methods: A quasi experimental research design was applied at the antenatal clinic of Mansoura University hospital, Egypt. A purposive sample of 72 nulliparous singleton pregnant client free from any connotation affect sexual practice was studied. The subjects were allocated into two groups; control group received conventional antenatal and postnatal care, while the intervention group received the same care besides performing pelvic floor muscle exercise at 20 weeks pregnancy until 10-12 weeks postpartum. Female sexual function, sexual quality of life, and strength of the pelvic floor muscle contraction were evaluated at baseline, at 28-30 weeks gestation, and at 10-12 weeks postpartum, by using the female sexual function index scale, sexual quality of life-female, and the Oxford grading scale. Results: The total female sexual quality of life index scores in the intervention group were higher than those of the control group at the pregnancy and postpartum follow ups (22.3 ± 6.9 vs. 15.9 ± 6.8 & 26.0 ± 6.7 vs. 13.5 ± 6.3 respectively; p < .001). The sexual quality of life-female scores were significantly higher in the intervention group than in the control group at the pregnancy follow up evaluation (54.2 ± 15.9 vs. 36.9 ± 9.7 respectively, p < .001) and at the postpartum follow up evaluation (59.8 ± 13.5 vs. 30.3 ± 7.0 respectively, p < .001). The pelvic floor muscles strength was significantly better in the intervention group than in the control group at the pregnancy follow up evaluation and at the postpartum follow up evaluation. Conclusions: Pelvic floor muscle training during early gestation weeks was an effective tool for improvement of the female sexual function, sexual quality of life-female, and pelvic floor muscles strength during pregnancy and postpartum. Thus, it should be encouraged for pregnant mothers at early weeks and continued till postpartum.
{"title":"Effectiveness of pelvic floor muscles training on females’ sexual function throughout pregnancy and postpartum","authors":"Tyseer Marzouk, H. Nabil","doi":"10.5430/cns.v8n2p21","DOIUrl":"https://doi.org/10.5430/cns.v8n2p21","url":null,"abstract":"Objective: This study aimed to evaluate effectiveness of pelvic floor muscles training on females’ sexual function throughout pregnancy and postpartum. Methods: A quasi experimental research design was applied at the antenatal clinic of Mansoura University hospital, Egypt. A purposive sample of 72 nulliparous singleton pregnant client free from any connotation affect sexual practice was studied. The subjects were allocated into two groups; control group received conventional antenatal and postnatal care, while the intervention group received the same care besides performing pelvic floor muscle exercise at 20 weeks pregnancy until 10-12 weeks postpartum. Female sexual function, sexual quality of life, and strength of the pelvic floor muscle contraction were evaluated at baseline, at 28-30 weeks gestation, and at 10-12 weeks postpartum, by using the female sexual function index scale, sexual quality of life-female, and the Oxford grading scale. Results: The total female sexual quality of life index scores in the intervention group were higher than those of the control group at the pregnancy and postpartum follow ups (22.3 ± 6.9 vs. 15.9 ± 6.8 & 26.0 ± 6.7 vs. 13.5 ± 6.3 respectively; p < .001). The sexual quality of life-female scores were significantly higher in the intervention group than in the control group at the pregnancy follow up evaluation (54.2 ± 15.9 vs. 36.9 ± 9.7 respectively, p < .001) and at the postpartum follow up evaluation (59.8 ± 13.5 vs. 30.3 ± 7.0 respectively, p < .001). The pelvic floor muscles strength was significantly better in the intervention group than in the control group at the pregnancy follow up evaluation and at the postpartum follow up evaluation. Conclusions: Pelvic floor muscle training during early gestation weeks was an effective tool for improvement of the female sexual function, sexual quality of life-female, and pelvic floor muscles strength during pregnancy and postpartum. Thus, it should be encouraged for pregnant mothers at early weeks and continued till postpartum.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n2p21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46764127","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}
Objective: To examine how simulation coaching affects emotional intelligence (EI) skills and situational awareness in social and healthcare staff of small and medium-sized enterprises. Methods: This qualitative study involved 36 mental health and child protection professionals in five enterprises. Following simulation-based coaching interventions centered around the development of EI and situational awareness, the participants wrote essays on their development. Inductive content analysis was used to analyze the body of material. Results: The participants found simulation coaching an effective method for learning EI, situational awareness and teamwork skills. They also considered the scenarios and shared reflections to be a form of work supervision. Conclusions: Simulation coaching offers potential for the development of EI and situational awareness in mental health and child protection professionals.
{"title":"Developing emotional intelligence and situational awareness through simulation coaching","authors":"Mari Salminen-Tuomaala","doi":"10.5430/cns.v8n2p13","DOIUrl":"https://doi.org/10.5430/cns.v8n2p13","url":null,"abstract":"Objective: To examine how simulation coaching affects emotional intelligence (EI) skills and situational awareness in social and healthcare staff of small and medium-sized enterprises. Methods: This qualitative study involved 36 mental health and child protection professionals in five enterprises. Following simulation-based coaching interventions centered around the development of EI and situational awareness, the participants wrote essays on their development. Inductive content analysis was used to analyze the body of material. Results: The participants found simulation coaching an effective method for learning EI, situational awareness and teamwork skills. They also considered the scenarios and shared reflections to be a form of work supervision. Conclusions: Simulation coaching offers potential for the development of EI and situational awareness in mental health and child protection professionals.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n2p13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43142508","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}
Globally, about 75 million women have undergone abortions which is either induced or spontaneous and require post abortion care (PAC). Out of the 75 million abortions, 44 million are induced, while 31 million are miscarriages which occur spontaneously. Furthermore, half of the induced abortions are performed by unskilled people in a non-hygienic environment which make them unsafe and dangerous to the women.The World Health Organization recommends that all women who had abortion should receive PAC to prevent ill health and deaths related to complications of abortions. However, in Namibia, the status of PAC is unknown as there is no study conducted in this regard. Moreover, PAC is only conducted by medical doctors in the district hospitals and no nurses or midwives are trained on PAC services. A mini literature review was conducted on PAC globally and in Namibia.
{"title":"Identified need for improving post abortion care in Namibia","authors":"Nghitanwa Emma Maano, Hatupopi Saara Kerthu","doi":"10.5430/cns.v8n2p10","DOIUrl":"https://doi.org/10.5430/cns.v8n2p10","url":null,"abstract":"Globally, about 75 million women have undergone abortions which is either induced or spontaneous and require post abortion care (PAC). Out of the 75 million abortions, 44 million are induced, while 31 million are miscarriages which occur spontaneously. Furthermore, half of the induced abortions are performed by unskilled people in a non-hygienic environment which make them unsafe and dangerous to the women.The World Health Organization recommends that all women who had abortion should receive PAC to prevent ill health and deaths related to complications of abortions. However, in Namibia, the status of PAC is unknown as there is no study conducted in this regard. Moreover, PAC is only conducted by medical doctors in the district hospitals and no nurses or midwives are trained on PAC services. A mini literature review was conducted on PAC globally and in Namibia.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n2p10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42915582","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}
Objective: This study aimed to evaluate the catheter care given to patients with an inserted central venous catheter in the light of protocols and evidence-based applications. Methods: The universe of the study consisted of 300 nurses working in the surgical and internal medicine units of the Health Sciences University Sultan Abdulhamid Han Training and Research Hospital. Although we planned to reach the whole universe in the sample, a total of 202 nurses were included in the study because 60 nurses left the hospital due to appointment to other provinces, and 38 nurses did not want to participate in the study. Data were collected using the face-to-face interview method through a questionnaire form designed by the researcher. Results: Of the 202 nurses included in the study, 183 (90.6%) were female, and 146 (72.3%) had an undergraduate degree. Nurses who had received information about central venous catheter before and who were aware of the existence of a protocol/procedures/instructions about central venous catheter in the institution were found to get significantly high scores from correct answers that they gave to questions about central venous catheter ( p = .001, p = .035) Conclusions: To provide effective central venous catheter care, nurses should have information about the changing and developing care as well as good theoretical knowledge by following current research. In-service training programs in this area should be planned for nurses, and nurses should participate in activities such as congresses, seminars, and courses.
{"title":"Determination of knowledge levels of nurses and the factors affecting the level of knowledge in central venous catheter care","authors":"Sümeyye Aydogdu, M. Akgün","doi":"10.5430/cns.v8n2p1","DOIUrl":"https://doi.org/10.5430/cns.v8n2p1","url":null,"abstract":"Objective: This study aimed to evaluate the catheter care given to patients with an inserted central venous catheter in the light of protocols and evidence-based applications. Methods: The universe of the study consisted of 300 nurses working in the surgical and internal medicine units of the Health Sciences University Sultan Abdulhamid Han Training and Research Hospital. Although we planned to reach the whole universe in the sample, a total of 202 nurses were included in the study because 60 nurses left the hospital due to appointment to other provinces, and 38 nurses did not want to participate in the study. Data were collected using the face-to-face interview method through a questionnaire form designed by the researcher. Results: Of the 202 nurses included in the study, 183 (90.6%) were female, and 146 (72.3%) had an undergraduate degree. Nurses who had received information about central venous catheter before and who were aware of the existence of a protocol/procedures/instructions about central venous catheter in the institution were found to get significantly high scores from correct answers that they gave to questions about central venous catheter ( p = .001, p = .035) Conclusions: To provide effective central venous catheter care, nurses should have information about the changing and developing care as well as good theoretical knowledge by following current research. In-service training programs in this area should be planned for nurses, and nurses should participate in activities such as congresses, seminars, and courses.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n2p1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48662293","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}
Background: While formal education and training establish the basis for new leadership roles, coaching helps the nurse manager to put this training into use.Aim: To explore the effect of clinical supervision coaching program in relation to head nurses’ professional identity.Methods: Quasi-experimental research design was employed in conducting the study. This study was conducted at Menoufia University Hospitals, Egypt. A group of (41) head nurses and a group of (205) staff nurses were selected for this study. Three tools were used; Knowledge questionnaire about clinical supervision, clinical supervision effectiveness scale and professional identity questionnaire.Results: The majority of the studied head nurses had inadequate levels of knowledge (95.1%) and clinical supervision effectiveness (65.9%) at the pre coaching phase and had significantly improved in the post and follow up phases. Professional identity was also low (80.5%) at the pre coaching phase and had significantly improved after coaching.Conclusions: There was a positive correlation between the head nurse’s clinical supervision knowledge and effectiveness and their professional identity at all study phases. Coaching was effective in improving clinical supervision and professional identity.Implications: It is recommended that coaching be used to support head nurses in a wide range of situations: orientation as a new nurse manager, support during role transitions, during new initiatives and during changing responsibilities as well as for ongoing development and succession planning that maximize their professional capabilities.
{"title":"Clinical supervision coaching program for head nurses and its relation to their professional identity","authors":"S. Safan, Amal Refat Gab Allah, R. Nassar","doi":"10.5430/cns.v8n1p41","DOIUrl":"https://doi.org/10.5430/cns.v8n1p41","url":null,"abstract":"Background: While formal education and training establish the basis for new leadership roles, coaching helps the nurse manager to put this training into use.Aim: To explore the effect of clinical supervision coaching program in relation to head nurses’ professional identity.Methods: Quasi-experimental research design was employed in conducting the study. This study was conducted at Menoufia University Hospitals, Egypt. A group of (41) head nurses and a group of (205) staff nurses were selected for this study. Three tools were used; Knowledge questionnaire about clinical supervision, clinical supervision effectiveness scale and professional identity questionnaire.Results: The majority of the studied head nurses had inadequate levels of knowledge (95.1%) and clinical supervision effectiveness (65.9%) at the pre coaching phase and had significantly improved in the post and follow up phases. Professional identity was also low (80.5%) at the pre coaching phase and had significantly improved after coaching.Conclusions: There was a positive correlation between the head nurse’s clinical supervision knowledge and effectiveness and their professional identity at all study phases. Coaching was effective in improving clinical supervision and professional identity.Implications: It is recommended that coaching be used to support head nurses in a wide range of situations: orientation as a new nurse manager, support during role transitions, during new initiatives and during changing responsibilities as well as for ongoing development and succession planning that maximize their professional capabilities.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42785116","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}
Background: Diabetic nephropathy is the primary reason that patients receive hemodialysis (HD), a frequent and lifelong treatment. However, HD is burdensome for middle–aged individuals, who still have personal and professional responsibilities, and can have a significant and disruptive impact on their lives. Aim: This study seeks to better understand the daily life experiences of middle-aged patients with diabetic nephropathy who are receiving HD. Methods: This qualitative study used purposive sampling to recruit participants from a teaching hospital in southern Taiwan from November 2014 to May 2015. The data was collected through in-depth interviews from 12 middle-aged diabetic nephropathy patients receiving HD. Data analysis was performed using Colaizzi’s phenomenological method. Results : The significant statements were categorized into four themes and 10 subthemes: (1) Mental and physical suffering: shock and refusing HD, loss of control in certain aspects of life, burdened with complications from diabetes and HD conditions. (2) Social isolation: barriers to normal life and leisure activities, financial hardship resulting in reduced self-esteem. (3) Moving toward a new adjusted lifestyle: acknowledging illness and accepting HD, changing their perspective towards HD, learning to improve their own health, and (4) End-of-life evaluation: appreciation of life and death, coming to terms with mortality, and increased time spent with their families. Conclusions: The findings of this study showed that middle-aged patients receiving HD typically underwent a process of mental and physical suffering to adaptation and end-of-life reflection. These findings can help health care providers and family members better understand the experiences and hardships of patients receiving HD, which allows for better support and improved nursing care.
{"title":"The lived experience of late midlife hemodialysis patients with diabetic nephropathy","authors":"Hui-Man Huang, Ting-Ju Lin, Lee-jen W. Suen","doi":"10.5430/cns.v8n1p32","DOIUrl":"https://doi.org/10.5430/cns.v8n1p32","url":null,"abstract":"Background: Diabetic nephropathy is the primary reason that patients receive hemodialysis (HD), a frequent and lifelong treatment. However, HD is burdensome for middle–aged individuals, who still have personal and professional responsibilities, and can have a significant and disruptive impact on their lives. Aim: This study seeks to better understand the daily life experiences of middle-aged patients with diabetic nephropathy who are receiving HD. Methods: This qualitative study used purposive sampling to recruit participants from a teaching hospital in southern Taiwan from November 2014 to May 2015. The data was collected through in-depth interviews from 12 middle-aged diabetic nephropathy patients receiving HD. Data analysis was performed using Colaizzi’s phenomenological method. Results : The significant statements were categorized into four themes and 10 subthemes: (1) Mental and physical suffering: shock and refusing HD, loss of control in certain aspects of life, burdened with complications from diabetes and HD conditions. (2) Social isolation: barriers to normal life and leisure activities, financial hardship resulting in reduced self-esteem. (3) Moving toward a new adjusted lifestyle: acknowledging illness and accepting HD, changing their perspective towards HD, learning to improve their own health, and (4) End-of-life evaluation: appreciation of life and death, coming to terms with mortality, and increased time spent with their families. Conclusions: The findings of this study showed that middle-aged patients receiving HD typically underwent a process of mental and physical suffering to adaptation and end-of-life reflection. These findings can help health care providers and family members better understand the experiences and hardships of patients receiving HD, which allows for better support and improved nursing care.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n1p32","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47879168","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}
Background: Nurses experience many interruptions during drug administration. Interruptions threaten the safety of patients and nurses in health institutions. Aim: This study aimed to investigate the interruptions experienced by nurses during preparation and administration of medications at the patient’s bedside/corridor in different clinics. Methods: Interruptions was determined by several observations. Observations carried out during nurses’ medication process in internal medicine and surgical services (by two researchers). Sixty observation were made in total by two researchers. Results: Interruptions were detected at least once in the preparations and administration process in all of the observations. The interruption frequency in preparation, administration and the whole process were statistically significant different between the services. The interruptions in the general surgery service were higher than the internal medicine service. The interruption frequency was significantly higher during the preparation process in internal medicine service and administration process in general surgery service. Conclusions: Interruptions during nurses’ medication process at the patient’s bedside or in the corridor was commonly observed, especially in the general surgery service.
{"title":"Interruptions experienced by nurses during preparation and administration of medications at the patient’s bedside/corridor: Duration and causes, Turkey","authors":"Gulbanu Zencir, Nazike Duruk, I. Eser","doi":"10.5430/cns.v8n1p21","DOIUrl":"https://doi.org/10.5430/cns.v8n1p21","url":null,"abstract":"Background: Nurses experience many interruptions during drug administration. Interruptions threaten the safety of patients and nurses in health institutions. Aim: This study aimed to investigate the interruptions experienced by nurses during preparation and administration of medications at the patient’s bedside/corridor in different clinics. Methods: Interruptions was determined by several observations. Observations carried out during nurses’ medication process in internal medicine and surgical services (by two researchers). Sixty observation were made in total by two researchers. Results: Interruptions were detected at least once in the preparations and administration process in all of the observations. The interruption frequency in preparation, administration and the whole process were statistically significant different between the services. The interruptions in the general surgery service were higher than the internal medicine service. The interruption frequency was significantly higher during the preparation process in internal medicine service and administration process in general surgery service. Conclusions: Interruptions during nurses’ medication process at the patient’s bedside or in the corridor was commonly observed, especially in the general surgery service.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n1p21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48322293","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}
Sumia Abded Alhafeth Alkadomi, Najah Sami Shawish, S. Saleh, Amani Mustafa Alqudah
Renal diseases are a significant cause of morbidity and mortality in children. They can affect children in various ways: they vary from completely treatable without long-lasting consequences to severe disorders such as chronic kidney disease. The causes of renal disease may differ from one country to another. Understanding the spectrum and identifying the contributing factors of renal diseases in a specific country promote early diagnosis, facilitate treatment, and prevent complications such as renal failure and end-stage kidney disease. This study was conducted to establish the spectrum and contributing factors to renal diseases among Jordanian children receiving health care in a tertiary hospital in Amman, Jordan (Prince Hamza Hospital). A convenience sample of 129 children diagnosed with renal diseases, treated and followed in our nephrology clinic, were interviewed during 2015 to 2017. A kidney-disease patient questionnaire was used to interview the children or their caregivers. The study revealed that the most common renal disease among the participants was urinary tract infection (UTI, 35.7%), followed by congenital diseases (34.1%), then chronic renal failure (CRF, 11.6%). There were several contributing factors of renal disease among the studied children, such as malnutrition, poverty, high rate of consanguinity, delayed diagnosis, and geographical location.
{"title":"Spectrum and contributing factors of renal diseases among Jordanian children","authors":"Sumia Abded Alhafeth Alkadomi, Najah Sami Shawish, S. Saleh, Amani Mustafa Alqudah","doi":"10.5430/cns.v7n4p70","DOIUrl":"https://doi.org/10.5430/cns.v7n4p70","url":null,"abstract":"Renal diseases are a significant cause of morbidity and mortality in children. They can affect children in various ways: they vary from completely treatable without long-lasting consequences to severe disorders such as chronic kidney disease. The causes of renal disease may differ from one country to another. Understanding the spectrum and identifying the contributing factors of renal diseases in a specific country promote early diagnosis, facilitate treatment, and prevent complications such as renal failure and end-stage kidney disease. This study was conducted to establish the spectrum and contributing factors to renal diseases among Jordanian children receiving health care in a tertiary hospital in Amman, Jordan (Prince Hamza Hospital). A convenience sample of 129 children diagnosed with renal diseases, treated and followed in our nephrology clinic, were interviewed during 2015 to 2017. A kidney-disease patient questionnaire was used to interview the children or their caregivers. The study revealed that the most common renal disease among the participants was urinary tract infection (UTI, 35.7%), followed by congenital diseases (34.1%), then chronic renal failure (CRF, 11.6%). There were several contributing factors of renal disease among the studied children, such as malnutrition, poverty, high rate of consanguinity, delayed diagnosis, and geographical location.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46272774","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}
Nghitanwa Emma Maano, Haitembu Teopolina, Hatupopi Saara Kerthu
Globally cancer of the breast is a challenge, and in Namibia it ranks the third common type of cancer. The purpose of this study was to assess the awareness and perception of women of reproductive age (15-49) regarding breast cancer at Okuryangava clinic. Ethical clearance for the study was obtained from the Ministry of Health and Social Services of Namibia and the University of Namibia research ethical committee. Qualitative and exploratory study design was conducted. After obtained the written consent from participants, data were collected among 10 women with interview guide through face to face interview. The sample size was determined by data saturation. Data were analyzed according to Tesch’s eight steps of data analyses that led to the formation of themes and sub themes. The study found out that majority of women at Okuryangava clinic had awareness about breast cancer. Women had different perception about breast cancer, some believe that breast cancer is curable while others perceive it as a fatal disease. The study also found that participants have knowledge on breast cancer risk factors which may assist in preventive measuresand awareness. The study recommends that the Ministry of Health and Social Services of Namibia should ensure conducting an awareness campaigns to educate the community regarding breast cancer.
{"title":"Awareness and perception of women of reproductive age (15-49) regarding breast cancer at Okuryangava clinic, Namibia","authors":"Nghitanwa Emma Maano, Haitembu Teopolina, Hatupopi Saara Kerthu","doi":"10.5430/cns.v8n1p9","DOIUrl":"https://doi.org/10.5430/cns.v8n1p9","url":null,"abstract":"Globally cancer of the breast is a challenge, and in Namibia it ranks the third common type of cancer. The purpose of this study was to assess the awareness and perception of women of reproductive age (15-49) regarding breast cancer at Okuryangava clinic. Ethical clearance for the study was obtained from the Ministry of Health and Social Services of Namibia and the University of Namibia research ethical committee. Qualitative and exploratory study design was conducted. After obtained the written consent from participants, data were collected among 10 women with interview guide through face to face interview. The sample size was determined by data saturation. Data were analyzed according to Tesch’s eight steps of data analyses that led to the formation of themes and sub themes. The study found out that majority of women at Okuryangava clinic had awareness about breast cancer. Women had different perception about breast cancer, some believe that breast cancer is curable while others perceive it as a fatal disease. The study also found that participants have knowledge on breast cancer risk factors which may assist in preventive measuresand awareness. The study recommends that the Ministry of Health and Social Services of Namibia should ensure conducting an awareness campaigns to educate the community regarding breast cancer.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n1p9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42954004","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}
Background: High Fidelity Simulation (HFS) is used as an environment for research and education into clinical judgement in nursing with positive results. Nursing actions are important aspects of clinical judgement. Observing nursing actions could provide an opportunity to identify the characteristics of clinical judgement. Therefore, the environment of HFS was chosen for this research as an observational tool. Aim: The aim of this paper is to discuss the advantages and disadvantages of using HFS as an environment for the research in aligning the nursing actions of undergraduate nurses to characteristics of clinical judgement. Methods: The study discussed in this paper was conducted in a simulation laboratory housing an HFS manikin within a large Australian university. The study used a descriptive research design with 18 undergraduate nurses agreeing to participate. Results: The major advantage of using HFS was that it provided a real time and safe platform to determine the nursing actions enacted which represented the characteristics of clinical judgement. The major disadvantage in our research was that only one person was available to conduct the research. It is also time consuming to both create an authentic scenario as well as preparation prior to conducting a simulation session. Conclusions: HFS provided an ideal environment to observe the actions of undergraduate student nurses and aligning these actions to the characteristics of clinical judgement. Implications: In using HFS for research the availability of participants needs to be negotiated. Individual rather than group assessment will provide clearer identification of needs of students to be developed.
{"title":"The advantages and disadvantages of using High Fidelity Simulation as an environment to observe undergraduate nurses’ actions and their alignment with clinical judgement characteristics","authors":"S. Jacobs, Christine Taylor, K. Dixon, L. Wilkes","doi":"10.5430/cns.v8n1p15","DOIUrl":"https://doi.org/10.5430/cns.v8n1p15","url":null,"abstract":"Background: High Fidelity Simulation (HFS) is used as an environment for research and education into clinical judgement in nursing with positive results. Nursing actions are important aspects of clinical judgement. Observing nursing actions could provide an opportunity to identify the characteristics of clinical judgement. Therefore, the environment of HFS was chosen for this research as an observational tool. Aim: The aim of this paper is to discuss the advantages and disadvantages of using HFS as an environment for the research in aligning the nursing actions of undergraduate nurses to characteristics of clinical judgement. Methods: The study discussed in this paper was conducted in a simulation laboratory housing an HFS manikin within a large Australian university. The study used a descriptive research design with 18 undergraduate nurses agreeing to participate. Results: The major advantage of using HFS was that it provided a real time and safe platform to determine the nursing actions enacted which represented the characteristics of clinical judgement. The major disadvantage in our research was that only one person was available to conduct the research. It is also time consuming to both create an authentic scenario as well as preparation prior to conducting a simulation session. Conclusions: HFS provided an ideal environment to observe the actions of undergraduate student nurses and aligning these actions to the characteristics of clinical judgement. Implications: In using HFS for research the availability of participants needs to be negotiated. Individual rather than group assessment will provide clearer identification of needs of students to be developed.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n1p15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48238845","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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