This study describes implementation of a clinic-based HIV stigma reduction workshop adapted from work done in Africa to an HIV clinic in Newark, New Jersey. Clinic workers and clients participated in a series of four, three-hour workshops designed to reduce HIV-related stigma. Quantitative data, including the Berger HIV Stigma Scale and the HIV Stigma and Discrimination among Health Facility Staff questionnaire, were collected pre- and post-test over a twoweek period and again at 12 months. Average scores on the Berger Scale fell between baseline and the two-week follow-up, but increased above the baseline level after one year. Average scores on the facility questionnaire were low at baseline and decreased over the study period. Results suggest a need for “booster sessions” to ensure that the intervention sustains efficacy in the long-term. Furthermore, the findings from this preliminary work suggest the need for further research and a larger scale intervention using a randomized control trial design to formally test the intervention’s effectiveness.
{"title":"Adapting a clinic-based HIV stigma intervention to Newark, New Jersey","authors":"Ann D. Bagchi, W. Holzemer","doi":"10.5430/cns.v8n1p1","DOIUrl":"https://doi.org/10.5430/cns.v8n1p1","url":null,"abstract":"This study describes implementation of a clinic-based HIV stigma reduction workshop adapted from work done in Africa to an HIV clinic in Newark, New Jersey. Clinic workers and clients participated in a series of four, three-hour workshops designed to reduce HIV-related stigma. Quantitative data, including the Berger HIV Stigma Scale and the HIV Stigma and Discrimination among Health Facility Staff questionnaire, were collected pre- and post-test over a twoweek period and again at 12 months. Average scores on the Berger Scale fell between baseline and the two-week follow-up, but increased above the baseline level after one year. Average scores on the facility questionnaire were low at baseline and decreased over the study period. Results suggest a need for “booster sessions” to ensure that the intervention sustains efficacy in the long-term. Furthermore, the findings from this preliminary work suggest the need for further research and a larger scale intervention using a randomized control trial design to formally test the intervention’s effectiveness.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v8n1p1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48216782","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}
Tuan-I Tsai, Lauretta Luck, D. Jefferies, L. Wilkes
Objective: The prevalence of childhood overweight/obesity has increased in many countries worldwide. Children who are overweight/obese are at a higher risk of negative health outcomes. It is important to educate nursing students in their undergraduate studies to understand weight issues and therefore to help children manage overweight/obesity during childhood. The aim of this study was to compare the knowledge of childhood overweight/obesity between two cohorts (2-year program and 4-year program) of undergraduate nursing students at a University in South Taiwan.Methods: Quantitative data were collected with a translated self administered questionnaire. Survey results were analysed using descriptive statistics, including frequency counts and percentages. A T-test was used to compare the responses between the two groups of students.Results: The findings of the survey demonstrated that nursing students in Taiwan have a good general knowledge about this issue. However, the results showed that the majority of students lacked knowledge about the measurement of children’s BMI. Further, only a small percentage of students could recognize health risks that could be caused by childhood overweight/obesity.Conclusions: As the rates of childhood overweight/obesity continues to rise, it is essential that students receive the appropriate training to enable them to provide all their paediatric patients and their families with guidance and support about this health issue.
{"title":"Exploring the knowledge of student nurses about children who are overweight/obese","authors":"Tuan-I Tsai, Lauretta Luck, D. Jefferies, L. Wilkes","doi":"10.5430/cns.v7n4p63","DOIUrl":"https://doi.org/10.5430/cns.v7n4p63","url":null,"abstract":"Objective: The prevalence of childhood overweight/obesity has increased in many countries worldwide. Children who are overweight/obese are at a higher risk of negative health outcomes. It is important to educate nursing students in their undergraduate studies to understand weight issues and therefore to help children manage overweight/obesity during childhood. The aim of this study was to compare the knowledge of childhood overweight/obesity between two cohorts (2-year program and 4-year program) of undergraduate nursing students at a University in South Taiwan.Methods: Quantitative data were collected with a translated self administered questionnaire. Survey results were analysed using descriptive statistics, including frequency counts and percentages. A T-test was used to compare the responses between the two groups of students.Results: The findings of the survey demonstrated that nursing students in Taiwan have a good general knowledge about this issue. However, the results showed that the majority of students lacked knowledge about the measurement of children’s BMI. Further, only a small percentage of students could recognize health risks that could be caused by childhood overweight/obesity.Conclusions: As the rates of childhood overweight/obesity continues to rise, it is essential that students receive the appropriate training to enable them to provide all their paediatric patients and their families with guidance and support about this health issue.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48334851","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}
Jude Ominyi, David A. Agom, Chukwuma N. Anyigor, A. B. Nwedu, S. N. Onwe
Background: Evidence-based practice (EBP) is widely recognised as being relevant in improving nursing care. However, its implementation in nursing practice has been difficult for nurses, particularly in the developing countries. Existing evidence suggests that bureaucracy in organisational governance impacts implementation processes, however, the nature of this effect is not yet explored. Objective: The study examined experiences of nursing staff implementing EBP in a bureaucratic acute care setting in Nigeria.Methods: A qualitative exploratory design was adopted. A purposive sample of 11 ward managers and 12 staff nurses from a large acute care setting in Nigeria participated in the in-depth, face-to-face interviews. Data was analysed using the thematic analysis approach.Results: Four key themes emerged: (1) top down managerial approach; (2) nurse and nurse manager relations; (3) managerial prerogatives; (4) managerial autonomy.Conclusions and implications for practice: The Nigerian bureaucracy limits professional and managerial autonomy that nurses require in driving EBP implementation. Nurse Managers require greater leadership visibility and structural empowerment to create enabling environment for EBP implementation in nursing.
{"title":"Experiences of nurses implementing evidence-based practice in an acute care setting in Nigeria: A qualitative study","authors":"Jude Ominyi, David A. Agom, Chukwuma N. Anyigor, A. B. Nwedu, S. N. Onwe","doi":"10.5430/cns.v7n4p54","DOIUrl":"https://doi.org/10.5430/cns.v7n4p54","url":null,"abstract":"Background: Evidence-based practice (EBP) is widely recognised as being relevant in improving nursing care. However, its implementation in nursing practice has been difficult for nurses, particularly in the developing countries. Existing evidence suggests that bureaucracy in organisational governance impacts implementation processes, however, the nature of this effect is not yet explored. Objective: The study examined experiences of nursing staff implementing EBP in a bureaucratic acute care setting in Nigeria.Methods: A qualitative exploratory design was adopted. A purposive sample of 11 ward managers and 12 staff nurses from a large acute care setting in Nigeria participated in the in-depth, face-to-face interviews. Data was analysed using the thematic analysis approach.Results: Four key themes emerged: (1) top down managerial approach; (2) nurse and nurse manager relations; (3) managerial prerogatives; (4) managerial autonomy.Conclusions and implications for practice: The Nigerian bureaucracy limits professional and managerial autonomy that nurses require in driving EBP implementation. Nurse Managers require greater leadership visibility and structural empowerment to create enabling environment for EBP implementation in nursing.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44959634","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}
Elise Verot, Véronique Régnier-Denois, Dominique Feld, R. Rivoirard, F. Chauvin
Objective: France is experiencing a shift in health policy. The purpose of this article is to describe how cancer care health professionals define patient empowerment, describe modalities of care of the cancer patient treated by intravenous means and identify avenues for reflection on the specific challenges facing patient-centered care, from the perspective of changes in practices in the cancer care pathway.Methods: 19 individual, semi-structured interviews with health professionals working in cancer care facilities were analyzed in a qualitative study, using the Theoretical Domain Framework linked to the COM-B model.Results: The organization of care is governed by three factors. First of all, the cancer care system focuses on the strictly curative aspect of this disease. All devices lead to management centered on the pathology, and not on the patient as a whole. Secondly, the fact that the patient suffers from cancer modifies the attitudes and representations of caregivers towards the patient. Cancer introduces a relational bias in each of the stakeholders. Thirdly, the current organization of nursing care maintains paternalistic and prescriptive care in the cancer care pathway. Only new nursing jobs (coordinating nurses or pivot nurses) suggest the possibility of switching to patient-centered care. The analysis from TDF linked to the COM-B model shows that the strategy of implementing a new tool to measure the level of patient engagement, in routine nursing care, must focus on the reflective opportunity and motivation of the stakeholders.Conclusions: Caregivers should be acculturated to patient empowerment. TDF linked to the COM-B model can make it possible to think about how to prepare and adapt this change in practice at several sites of cancer treatment. Training adapted to the context to familiarize current caregivers with this new form of care is currently being implemented. To succeed, acculturating current health care providers to this new form of care, while offering them a tool to objectively assess the level of patient empowerment would undoubtedly foster their involvement in supporting patient empowerment, while allowing them to evaluate the time required to integrate this type of care.
{"title":"French Health professionals’ attitudes about patient empowerment in the cancer care pathway","authors":"Elise Verot, Véronique Régnier-Denois, Dominique Feld, R. Rivoirard, F. Chauvin","doi":"10.5430/cns.v7n4p41","DOIUrl":"https://doi.org/10.5430/cns.v7n4p41","url":null,"abstract":"Objective: France is experiencing a shift in health policy. The purpose of this article is to describe how cancer care health professionals define patient empowerment, describe modalities of care of the cancer patient treated by intravenous means and identify avenues for reflection on the specific challenges facing patient-centered care, from the perspective of changes in practices in the cancer care pathway.Methods: 19 individual, semi-structured interviews with health professionals working in cancer care facilities were analyzed in a qualitative study, using the Theoretical Domain Framework linked to the COM-B model.Results: The organization of care is governed by three factors. First of all, the cancer care system focuses on the strictly curative aspect of this disease. All devices lead to management centered on the pathology, and not on the patient as a whole. Secondly, the fact that the patient suffers from cancer modifies the attitudes and representations of caregivers towards the patient. Cancer introduces a relational bias in each of the stakeholders. Thirdly, the current organization of nursing care maintains paternalistic and prescriptive care in the cancer care pathway. Only new nursing jobs (coordinating nurses or pivot nurses) suggest the possibility of switching to patient-centered care. The analysis from TDF linked to the COM-B model shows that the strategy of implementing a new tool to measure the level of patient engagement, in routine nursing care, must focus on the reflective opportunity and motivation of the stakeholders.Conclusions: Caregivers should be acculturated to patient empowerment. TDF linked to the COM-B model can make it possible to think about how to prepare and adapt this change in practice at several sites of cancer treatment. Training adapted to the context to familiarize current caregivers with this new form of care is currently being implemented. To succeed, acculturating current health care providers to this new form of care, while offering them a tool to objectively assess the level of patient empowerment would undoubtedly foster their involvement in supporting patient empowerment, while allowing them to evaluate the time required to integrate this type of care.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v7n4p41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45786013","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}
Mari Salminen-Tuomaala, Elina Kangasluoma, Kirsi Paavola, Sami Perälä, Sirke Uitto
Objective: To examine how health and social welfare professionals in small and medium-sized companies (SMEs) rated their theoretical, practical, and interaction competencies following simulation-based coaching, and to collect feedback for the coaching intervention.Methods: This quantitative survey is part of a wider research and development project conducted in Finland in the years 2017-2019 with assistance from the European Social Fund and carried out in collaboration between two educational institutions. Respondents were 107 nurses and other health and social care professionals in 20 SMEs. Data collection took place using an online questionnaire in May 2019. The data were analyzed using IBM SPSS for Windows 25.Results: The great majority of the participants were satisfied with the coaching intervention. Respondents rated their theoretical, practical, and interaction competencies as good. They also felt confident about their skills in learning, problem-solving, and action-based learning. Among the most salient learning needs were the use of digital tools, social media, and electronic learning environments, and the need to practice remote counseling.Conclusions: The results indicate a need to provide continuing education on information and communication technology for health and social welfare professionals in small and medium-sized companies.
目的:探讨中小企业卫生和社会福利专业人员在接受模拟培训后对其理论、实践和互动能力的评价，并为培训干预收集反馈。方法:该定量调查是2017-2019年在芬兰开展的一项更广泛的研究与开发项目的一部分，该项目由欧洲社会基金(European Social Fund)提供援助，由两所教育机构合作开展。受访者为20家中小企业的107名护士和其他保健和社会护理专业人员。数据收集于2019年5月通过在线问卷进行。使用IBM SPSS for Windows 25对数据进行分析。结果:绝大多数参与者对教练干预感到满意。受访者认为他们的理论、实践和互动能力都很好。他们也对自己的学习能力、解决问题的能力和基于行动的学习能力充满信心。其中最突出的学习需求是数字工具、社交媒体和电子学习环境的使用，以及远程咨询的需求。结论:研究结果表明，有必要为中小企业的卫生和社会福利专业人员提供信息和通信技术的继续教育。
{"title":"Health and social welfare professionals’ self-rated competence and feedback following a simulation-based coaching intervention in small and medium-sized enterprises","authors":"Mari Salminen-Tuomaala, Elina Kangasluoma, Kirsi Paavola, Sami Perälä, Sirke Uitto","doi":"10.5430/cns.v7n4p30","DOIUrl":"https://doi.org/10.5430/cns.v7n4p30","url":null,"abstract":"Objective: To examine how health and social welfare professionals in small and medium-sized companies (SMEs) rated their theoretical, practical, and interaction competencies following simulation-based coaching, and to collect feedback for the coaching intervention.Methods: This quantitative survey is part of a wider research and development project conducted in Finland in the years 2017-2019 with assistance from the European Social Fund and carried out in collaboration between two educational institutions. Respondents were 107 nurses and other health and social care professionals in 20 SMEs. Data collection took place using an online questionnaire in May 2019. The data were analyzed using IBM SPSS for Windows 25.Results: The great majority of the participants were satisfied with the coaching intervention. Respondents rated their theoretical, practical, and interaction competencies as good. They also felt confident about their skills in learning, problem-solving, and action-based learning. Among the most salient learning needs were the use of digital tools, social media, and electronic learning environments, and the need to practice remote counseling.Conclusions: The results indicate a need to provide continuing education on information and communication technology for health and social welfare professionals in small and medium-sized companies.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42954051","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}
Neonatal Intensive Care Units (NICU) plays a major role in providing care for premature neonates, sick neonates or neonates require surgery very soon following delivery. The experience of being a parent of a baby in NICU is more stressful especially if there is a little support or no support rendered from the nursing staff. Parents need support from the nursing staff to gain knowledge and understanding about the neonate’s illness, treatment measures and hospital rules. However, no studies about this issue have been conducted in Namibia. The aim of this study was to investigate the perception of parents related to the nursing support rendered by nurses to parents whose neonates were admitted to NICU at a state hospital in Windhoek, Namibia. A quantitative, cross sectional survey was used to identify and describe parents’ perceptions related to the nursing support rendered by nurses to parents whose neonates were admitted to NICU. The study results indicated that the majority of the participants perceived that they got the good support from the nurses. However, not all parents received needed support from nurses which could increases their stress level. The findings of this study could be used to improve the parents support to reduce stress among parents and neonates and to promote positive coping with regard to the stressful situation of newborns hospitalization.
{"title":"Perception of parents on nursing support rendered to parents with neonates admitted to neonatal intensive care unit in a state hospital in Windhoek, Namibia","authors":"Hatupopi Saara Kerthu, Nghitanwa Emma Maano","doi":"10.5430/cns.v7n4p22","DOIUrl":"https://doi.org/10.5430/cns.v7n4p22","url":null,"abstract":"Neonatal Intensive Care Units (NICU) plays a major role in providing care for premature neonates, sick neonates or neonates require surgery very soon following delivery. The experience of being a parent of a baby in NICU is more stressful especially if there is a little support or no support rendered from the nursing staff. Parents need support from the nursing staff to gain knowledge and understanding about the neonate’s illness, treatment measures and hospital rules. However, no studies about this issue have been conducted in Namibia. The aim of this study was to investigate the perception of parents related to the nursing support rendered by nurses to parents whose neonates were admitted to NICU at a state hospital in Windhoek, Namibia. A quantitative, cross sectional survey was used to identify and describe parents’ perceptions related to the nursing support rendered by nurses to parents whose neonates were admitted to NICU. The study results indicated that the majority of the participants perceived that they got the good support from the nurses. However, not all parents received needed support from nurses which could increases their stress level. The findings of this study could be used to improve the parents support to reduce stress among parents and neonates and to promote positive coping with regard to the stressful situation of newborns hospitalization.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v7n4p22","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45227146","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: An area that still causes difficulties and a sense of inadequacy in healthcare providers is related to Do Not Attempt Resuscitation decision (DNAR). The aim of the study is to investigate knowledge, opinions and behaviors of nurses about DNAR in order to plan appropriate improvement interventions.Methods: An anonymous questionnaire was administered to 207 nurses belonging to four Medicine Departments and to four Intensive Care areas. The questionnaire, which consists of 29 items, collects some information related to work experience and investigates opinions and behaviors of nurses about DNAR decision.Results: 55% of the nurses in the sample say they do not know the meaning of the acronym DNAR. It was noted a statistically significant association both between training and knowledge of DNAR (p-value = .038) and between years of work and knowledge of the acronym (p-value = .004). There was also a statistically significant difference between knowledge of the acronym and some opinions and behaviors of nurses, including the importance of informing the patient about DNAR decision (p-value = .028).Conclusions: The study shows that the sample investigated, regardless of the work area of afference, does not know DNAR decision adequately. The lack of knowledge influences opinions and attitudes of nurses in relation to DNAR decision, constituting a barrier for an appropriate management of the patient. The need for more training on the topic and the formulation of clear protocols on DNAR decision emerges.
{"title":"Nurses and guideline for interrupting or not initiating CPR: An exploratory survey","authors":"C. Agnoletto, F. Gastaldo, Simonetta Padrin","doi":"10.5430/CNS.V7N4P13","DOIUrl":"https://doi.org/10.5430/CNS.V7N4P13","url":null,"abstract":"Objective: An area that still causes difficulties and a sense of inadequacy in healthcare providers is related to Do Not Attempt Resuscitation decision (DNAR). The aim of the study is to investigate knowledge, opinions and behaviors of nurses about DNAR in order to plan appropriate improvement interventions.Methods: An anonymous questionnaire was administered to 207 nurses belonging to four Medicine Departments and to four Intensive Care areas. The questionnaire, which consists of 29 items, collects some information related to work experience and investigates opinions and behaviors of nurses about DNAR decision.Results: 55% of the nurses in the sample say they do not know the meaning of the acronym DNAR. It was noted a statistically significant association both between training and knowledge of DNAR (p-value = .038) and between years of work and knowledge of the acronym (p-value = .004). There was also a statistically significant difference between knowledge of the acronym and some opinions and behaviors of nurses, including the importance of informing the patient about DNAR decision (p-value = .028).Conclusions: The study shows that the sample investigated, regardless of the work area of afference, does not know DNAR decision adequately. The lack of knowledge influences opinions and attitudes of nurses in relation to DNAR decision, constituting a barrier for an appropriate management of the patient. The need for more training on the topic and the formulation of clear protocols on DNAR decision emerges.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N4P13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47936018","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}
Marianne Fjose, G. Eilertsen, M. Kirkevold, E. Grov
Objective: Studies focusing on the impact of caregiving for older adult home-dwelling patients with cancer in the palliative phase, particularly the burdens on different family caregiver groups, are limited. The objective of this study was to assess and compare caregiver reactions and social provisions among different family caregiver groups in Norway.Methods: The sample consisted of 58 family members caring for 26 home-dwelling older adult patients with advanced cancer. The Caregiver Reaction Assessment and Social Provisions Scale were used to assess the caregiver reactions and social support, respectively. The analyses were performed using descriptive statistics.Results: Significant differences were revealed between the family caregiver groups in the following three dimensions of the Caregiver Reaction Assessment: impact on schedule, lack of family support and impact on health. Significant differences were revealed between the family caregiver groups in the following two dimensions of the Social Provisions Scale: nurturance and attachment.Conclusions: In our study, children and children-in-law caring for widowed patients and spouses were the most vulnerable family caregivers. We recommend assessing the caregiver situation of all available family members caring for older adult patients with advanced cancer to identify the most vulnerable caregivers.
{"title":"Caregiver reactions and social provisions among family members caring for home-dwelling patients with cancer in the palliative phase: A cross-sectional study","authors":"Marianne Fjose, G. Eilertsen, M. Kirkevold, E. Grov","doi":"10.5430/CNS.V7N4P1","DOIUrl":"https://doi.org/10.5430/CNS.V7N4P1","url":null,"abstract":"Objective: Studies focusing on the impact of caregiving for older adult home-dwelling patients with cancer in the palliative phase, particularly the burdens on different family caregiver groups, are limited. The objective of this study was to assess and compare caregiver reactions and social provisions among different family caregiver groups in Norway.Methods: The sample consisted of 58 family members caring for 26 home-dwelling older adult patients with advanced cancer. The Caregiver Reaction Assessment and Social Provisions Scale were used to assess the caregiver reactions and social support, respectively. The analyses were performed using descriptive statistics.Results: Significant differences were revealed between the family caregiver groups in the following three dimensions of the Caregiver Reaction Assessment: impact on schedule, lack of family support and impact on health. Significant differences were revealed between the family caregiver groups in the following two dimensions of the Social Provisions Scale: nurturance and attachment.Conclusions: In our study, children and children-in-law caring for widowed patients and spouses were the most vulnerable family caregivers. We recommend assessing the caregiver situation of all available family members caring for older adult patients with advanced cancer to identify the most vulnerable caregivers.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N4P1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42860832","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: Clinical judgement has long been an important component of safe and effective nursing care. However, despite extensive research being conducted in this area it remains difficult to articulate and observe clinical judgement in action. Nursing actions could reflect the characteristics of clinical judgement, yet this alignment has not previously been reported in the literature.Aim: The aim of the study was to identify whether the nursing actions performed could be aligned with the characteristics of clinical judgement.Methods: The setting for this study was a simulation laboratory housing a high-fidelity manikin in a large Australian university. The study used a descriptive method collecting both qualitative and quantitative data. Data was collected using a Multiple-Choice Questionnaire (MCQ), a checklist of nursing actions and associated characteristics of clinical judgement and post simulation interviews were audio recorded.Results: The nursing actions could be clearly aligned the 12 characteristics of clinical judgement. In this study it was difficult to differentiate between two of the characteristics: experiential knowledge and practical knowledge.Conclusions: Aligning the nursing actions to the characteristics of clinical judgement could assist in educating students to develop their clinical judgement. The use of aligning nursing actions to the characteristics could be a more accurate way of observing clinical judgement in action.
{"title":"The alignment of nursing actions to the characteristics of clinical judgement of undergraduate student nurses","authors":"S. Jacobs, Christine Taylor, K. Dixon, L. Wilkes","doi":"10.5430/CNS.V7N3P88","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P88","url":null,"abstract":"Objective: Clinical judgement has long been an important component of safe and effective nursing care. However, despite extensive research being conducted in this area it remains difficult to articulate and observe clinical judgement in action. Nursing actions could reflect the characteristics of clinical judgement, yet this alignment has not previously been reported in the literature.Aim: The aim of the study was to identify whether the nursing actions performed could be aligned with the characteristics of clinical judgement.Methods: The setting for this study was a simulation laboratory housing a high-fidelity manikin in a large Australian university. The study used a descriptive method collecting both qualitative and quantitative data. Data was collected using a Multiple-Choice Questionnaire (MCQ), a checklist of nursing actions and associated characteristics of clinical judgement and post simulation interviews were audio recorded.Results: The nursing actions could be clearly aligned the 12 characteristics of clinical judgement. In this study it was difficult to differentiate between two of the characteristics: experiential knowledge and practical knowledge.Conclusions: Aligning the nursing actions to the characteristics of clinical judgement could assist in educating students to develop their clinical judgement. The use of aligning nursing actions to the characteristics could be a more accurate way of observing clinical judgement in action.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P88","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43140283","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}
Safa Regragui, F. Gallagher, M. Lacroix, G. Leblond, Sylvie Cardinal, L. Fecteau, A. Lacasse
Objective: A cross-sectional correlational design was used to describe patients’ satisfaction with primary healthcare nurse practitioners and identify factors associated with their satisfaction regarding the services received in a remote region of Quebec, Canada.Methods: Patients who received care from eight primary healthcare nurse practitioners were asked to complete a self-administered questionnaire. STROBE checklist was adhered.Results: A total of 574 patients were recruited (participation rate: 76.6%). Patients were very satisfied with the healthcare services received, relationship with the practitioner, information received, duration of the consultation, and the overall consultation (89.6%-93.3%). The only variable associated with a higher likelihood of being very satisfied with the overall consultation was a longer duration of the consultation (adjusted OR: 1.029; CI: 1.005-1.054; p = .018).Conclusions: The high level of patients’ satisfaction and trust with healthcare nurse practitioners is a potential contributing factor to past and future success of their integration in primary healthcare services.
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