Background: Flipped classroom has generated significant concern in nursing education in recent years, particularly in higher education. It can provide an innovative solution to the unmet challenges of traditional classroom. Using video helps students to learn content at their own pace and use their time in the classroom to attack difficult problems. Aim of the study: to study the impact of a flipped classroom on academic achievement and perception among first year nursing students.Methods: A quasi-experimental design was utilized. Setting: The study was conducted at Faculty of Nursing of Menoufia University. Subjects: A convenient sample of all first year undergraduate students (360) who were admitted to Faculty of Nursing and were included in fundamental of nursing course of the academic year 2017-2018 throughout second term. They were divided alternatively and randomly into two groups, 180 for each, group I: Exposed to the flipped classroom and group II: Exposed to the traditional lecture classroom. Tools: Three tools were used for data collection. Tool I: Structural interviewing questionnaire, tool II: student perception of flipped classroom and tool III: student achievement tool.Results: The results revealed that the study group achieved higher level of perception towards flipped classroom after the first aid unit and the majority of them (87.2%) did not have any prior experience of flipped classroom. 58.9% of the study group were strongly agree to appreciate learning with video and about two thirds of them (63.9%) strongly agree that it was easier and more effective to learn using flipped classroom. 65% of the study group were strongly agree that video made them learn more and about half of them (57.2%) strongly agree that video could replace traditional lectures completely. The means total score of students’ achievement were 22.22 ± 5.09 and 19.77 ± 5.50 among study and control group respectively.Conclusions: Students shared in the flipped classroom (study group) achieved higher level of perception. The study group had higher level of achievement scores than those in the control group.Recommendations: Similar studies should be carried out with a bigger sample in various courses and at various educational stages to generalize the findings.
{"title":"Impact of a flipped classroom on academic achievement and perception among first year nursing students","authors":"A. El-Sheikh, H. El-Sayad","doi":"10.5430/CNS.V7N3P68","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P68","url":null,"abstract":"Background: Flipped classroom has generated significant concern in nursing education in recent years, particularly in higher education. It can provide an innovative solution to the unmet challenges of traditional classroom. Using video helps students to learn content at their own pace and use their time in the classroom to attack difficult problems. Aim of the study: to study the impact of a flipped classroom on academic achievement and perception among first year nursing students.Methods: A quasi-experimental design was utilized. Setting: The study was conducted at Faculty of Nursing of Menoufia University. Subjects: A convenient sample of all first year undergraduate students (360) who were admitted to Faculty of Nursing and were included in fundamental of nursing course of the academic year 2017-2018 throughout second term. They were divided alternatively and randomly into two groups, 180 for each, group I: Exposed to the flipped classroom and group II: Exposed to the traditional lecture classroom. Tools: Three tools were used for data collection. Tool I: Structural interviewing questionnaire, tool II: student perception of flipped classroom and tool III: student achievement tool.Results: The results revealed that the study group achieved higher level of perception towards flipped classroom after the first aid unit and the majority of them (87.2%) did not have any prior experience of flipped classroom. 58.9% of the study group were strongly agree to appreciate learning with video and about two thirds of them (63.9%) strongly agree that it was easier and more effective to learn using flipped classroom. 65% of the study group were strongly agree that video made them learn more and about half of them (57.2%) strongly agree that video could replace traditional lectures completely. The means total score of students’ achievement were 22.22 ± 5.09 and 19.77 ± 5.50 among study and control group respectively.Conclusions: Students shared in the flipped classroom (study group) achieved higher level of perception. The study group had higher level of achievement scores than those in the control group.Recommendations: Similar studies should be carried out with a bigger sample in various courses and at various educational stages to generalize the findings.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P68","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48807530","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: Breast engorgement is a common problem among postnatal women worldwide, some of whom use warm compresses to promote vasodilatation, improve circulation, and promote the amount of milk produced by the breasts. Conversely, the application of chilled cabbage leaves can reduce pain, the firmness of the engorged breasts, and prolong breastfeeding duration.Purpose: To examine the effect of warm compresses application as compared to chilled cabbage leaves for relieving breast engorgement and pain.Methods: Setting: The study was carried out at a postnatal ward and outpatient clinic at two hospitals in Menoufia Governorate, Egypt. Sampling: simple randomization technique was used to divide 100 post-natal women into two groups who received intervention with warm compresses (Group 1) and chilled cabbage leaves (Group 2). Instruments: Instrument I: interviewing questionnaire; Instrument II: six-points breast engorgement scale; and Instrument III: visual analog scale (VAS).Results: There was a highly statistically significant difference and improvement in terms of reduced engorgement and pain degree for both groups, with greater improvement was observed in Group 2 when compared to Group 1.Conclusions: Chilled cabbage leaves are effective in the treatment of breast engorgement and pain than warm compresses.Recommendations: The mothers should be advised to use chilled cabbage leaves as a home remedy to minimize breast engorment and promote comfort, further studies are recommended in this area in order to expand the evidence based approaches on management of breast engorgement.
{"title":"Comparing warm compresses application vs. chilled cabbage leaves for relieving breast engorgement among post-natal mothers","authors":"H. Eittah, E. Ashour","doi":"10.5430/cns.v7n3p58","DOIUrl":"https://doi.org/10.5430/cns.v7n3p58","url":null,"abstract":"Background: Breast engorgement is a common problem among postnatal women worldwide, some of whom use warm compresses to promote vasodilatation, improve circulation, and promote the amount of milk produced by the breasts. Conversely, the application of chilled cabbage leaves can reduce pain, the firmness of the engorged breasts, and prolong breastfeeding duration.Purpose: To examine the effect of warm compresses application as compared to chilled cabbage leaves for relieving breast engorgement and pain.Methods: Setting: The study was carried out at a postnatal ward and outpatient clinic at two hospitals in Menoufia Governorate, Egypt. Sampling: simple randomization technique was used to divide 100 post-natal women into two groups who received intervention with warm compresses (Group 1) and chilled cabbage leaves (Group 2). Instruments: Instrument I: interviewing questionnaire; Instrument II: six-points breast engorgement scale; and Instrument III: visual analog scale (VAS).Results: There was a highly statistically significant difference and improvement in terms of reduced engorgement and pain degree for both groups, with greater improvement was observed in Group 2 when compared to Group 1.Conclusions: Chilled cabbage leaves are effective in the treatment of breast engorgement and pain than warm compresses.Recommendations: The mothers should be advised to use chilled cabbage leaves as a home remedy to minimize breast engorment and promote comfort, further studies are recommended in this area in order to expand the evidence based approaches on management of breast engorgement.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v7n3p58","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46643547","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: Polycystic ovary syndrome (PCOS) is an uncertain etiology heterogeneous disorder, which affects 6.0% to 10.0% of women in their reproductive age. Aim: assess phenotypic characteristics of women with PCOS, discovery the association between women’s quality-of-life (QOL) and its occurrence and improve women’s knowledge & increase awareness regarding PCOS.Methods: A descriptive cross-sectional design had been utilized on a purposive sample of 300 women in reproductive age with PCOS in the gynecological outpatient clinic at Beni-Suef General Hospital, Egypt. A structured interviewing schedule, patient’s assessment record, visual-analogue-scale, Ferriman-Gallwey-Evaluation-of-Hirsutism, QOL Questionnaire, Short-Form-Health-Survey (SF-36), and designed intervention nursing-guideline had been used for data collection.Results: A high percentage (56.7%) of women had a complete phenotype characteristics of PCOS. The most prevalent phenotypic characteristics were alopecia (65.0%), irregular menses (58.7%), and obesity/overweight (48.1%). Statistically significant was found between women’s general characteristic of PCOS and their age, body-mass-index, hirsutism, and average cycle length, p < .05. Women’s QOL had affected negatively by PCO Syndrome, p < .05.Conclusions: PCOS is a common risk factor for acne, alopecia, hirsutism. Many factors to be associated with its phenotype as: body-mass-index, hirsutism, and average cycles length. It has a negative impact on phenotype characteristic, psychological/social domain and total QOL scale. The nursing guideline had a crucial role in the improvement of women’s knowledge in allover items of women’s knowledge.Recommendation: Upgrading women’s knowledge concerning PCOS with a periodic screening of women for early detection and management. Health-Promotion-Programs through different media to improve QOL for women with PCOS.
{"title":"The impact of polycystic ovary syndrome on women’s quality of life: Nursing guidelines for its","authors":"H. Hassan, D. Farg","doi":"10.5430/CNS.V7N3P42","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P42","url":null,"abstract":"Background: Polycystic ovary syndrome (PCOS) is an uncertain etiology heterogeneous disorder, which affects 6.0% to 10.0% of women in their reproductive age. Aim: assess phenotypic characteristics of women with PCOS, discovery the association between women’s quality-of-life (QOL) and its occurrence and improve women’s knowledge & increase awareness regarding PCOS.Methods: A descriptive cross-sectional design had been utilized on a purposive sample of 300 women in reproductive age with PCOS in the gynecological outpatient clinic at Beni-Suef General Hospital, Egypt. A structured interviewing schedule, patient’s assessment record, visual-analogue-scale, Ferriman-Gallwey-Evaluation-of-Hirsutism, QOL Questionnaire, Short-Form-Health-Survey (SF-36), and designed intervention nursing-guideline had been used for data collection.Results: A high percentage (56.7%) of women had a complete phenotype characteristics of PCOS. The most prevalent phenotypic characteristics were alopecia (65.0%), irregular menses (58.7%), and obesity/overweight (48.1%). Statistically significant was found between women’s general characteristic of PCOS and their age, body-mass-index, hirsutism, and average cycle length, p < .05. Women’s QOL had affected negatively by PCO Syndrome, p < .05.Conclusions: PCOS is a common risk factor for acne, alopecia, hirsutism. Many factors to be associated with its phenotype as: body-mass-index, hirsutism, and average cycles length. It has a negative impact on phenotype characteristic, psychological/social domain and total QOL scale. The nursing guideline had a crucial role in the improvement of women’s knowledge in allover items of women’s knowledge.Recommendation: Upgrading women’s knowledge concerning PCOS with a periodic screening of women for early detection and management. Health-Promotion-Programs through different media to improve QOL for women with PCOS.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P42","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43219007","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: Testicular cancer is considered one of the most important health threats in a young men’s life. However, it is easily detected at an early stage by periodic testicular self-examination (TSE). Awareness of testicular cancer and TSE among university students is very important to aid in early detection and improve health belief. Aim: This study was conducted to evaluate the effect of educational guidelines based on health belief model regarding testicular cancer knowledge, practice and beliefs among male nursing students.Methods: Design: A quasi experimental study design was used and data were collected from Faculty of Nursing, Tanta University. Sample: Proportion stratified random sample of 160 from 500 undergraduate male nursing students were selected as following: about one third of male students from total number of them in different years in the faculty (first, second, third and fourth year). Tools: Three tools were used for data collection. Tool (I): Structure questionnaire sheet to assess students knowledge regarding testicular cancer; Tool (II): Self-reported practices regarding TSE; and Tool (III): Beliefs of students regarding testicular cancer and TSE by Using Health Belief Model (HBM).Results: The results of this study showed that there were significant improvements among students ’knowledge and selfreported practice about testicular cancer & TSE post 3-month and 6-month from educational guidelines, Furthermore, there was improvement in the positive health beliefs about behavioral changes regarding prevention of testicular cancer was observed post 6-month from implementing educational guidelines.Conclusion and Recommendation: These results indicated that educational guidelines about testicular cancer and TSE training are effective in improving knowledge, practice and health belief of young men, but TSE training should be repeated periodically for better efficacy. University faculties should create knowledge and organize workshops about TSE for students and encourage them to perform it regularly.
{"title":"Effect of educational guidelines based on health belief model regarding testicular cancer knowledge, practice and beliefs among male nursing students","authors":"Samira E. El Mezayen, S. A. A. El-Hay","doi":"10.5430/CNS.V7N3P27","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P27","url":null,"abstract":"Background: Testicular cancer is considered one of the most important health threats in a young men’s life. However, it is easily detected at an early stage by periodic testicular self-examination (TSE). Awareness of testicular cancer and TSE among university students is very important to aid in early detection and improve health belief. Aim: This study was conducted to evaluate the effect of educational guidelines based on health belief model regarding testicular cancer knowledge, practice and beliefs among male nursing students.Methods: Design: A quasi experimental study design was used and data were collected from Faculty of Nursing, Tanta University. Sample: Proportion stratified random sample of 160 from 500 undergraduate male nursing students were selected as following: about one third of male students from total number of them in different years in the faculty (first, second, third and fourth year). Tools: Three tools were used for data collection. Tool (I): Structure questionnaire sheet to assess students knowledge regarding testicular cancer; Tool (II): Self-reported practices regarding TSE; and Tool (III): Beliefs of students regarding testicular cancer and TSE by Using Health Belief Model (HBM).Results: The results of this study showed that there were significant improvements among students ’knowledge and selfreported practice about testicular cancer & TSE post 3-month and 6-month from educational guidelines, Furthermore, there was improvement in the positive health beliefs about behavioral changes regarding prevention of testicular cancer was observed post 6-month from implementing educational guidelines.Conclusion and Recommendation: These results indicated that educational guidelines about testicular cancer and TSE training are effective in improving knowledge, practice and health belief of young men, but TSE training should be repeated periodically for better efficacy. University faculties should create knowledge and organize workshops about TSE for students and encourage them to perform it regularly.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47599756","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}
The purpose of this article is to explore the attitude of Intensive Care Unit (ICU) nurses of good death and to improve the quality of death of dying patients in ICU. The authors conducted a literature search from databases for published, English-language, peer-reviewed reports of qualitative studies that focused on attitude of ICU nurses of providing good death from different cultures during 2009-2018. 13 studies met eligibility criteria with the following two questions: A. “What are the obstacles to realize good death in ICU?” B. “How to help ICU dying patients to get good death?”. According to these questions, we grouped all results. Finally, 5 categories each answered Research Question A(RQ-A), and 5 indicated RQ-B. The following four factors that can promote the good death of ICU dying patients: 1) Legalizing and standardizing “good death” in ICU by providing education, physical and mental support for nurses; 2) Gaining trust of family and seeking consistency of important decisions; 3) Creating a physical and cooperative environment of ICU that benefits dying patients; 4) Giving priority to satisfy physical and mental needs of dying patients and their families, leaving no regrets.
{"title":"The attitude of providing good death from intensive care nurses: A meta-synthesis of the literature","authors":"Siyu Liu, M. Kondo","doi":"10.5430/CNS.V7N3P18","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P18","url":null,"abstract":"The purpose of this article is to explore the attitude of Intensive Care Unit (ICU) nurses of good death and to improve the quality of death of dying patients in ICU. The authors conducted a literature search from databases for published, English-language, peer-reviewed reports of qualitative studies that focused on attitude of ICU nurses of providing good death from different cultures during 2009-2018. 13 studies met eligibility criteria with the following two questions: A. “What are the obstacles to realize good death in ICU?” B. “How to help ICU dying patients to get good death?”. According to these questions, we grouped all results. Finally, 5 categories each answered Research Question A(RQ-A), and 5 indicated RQ-B. The following four factors that can promote the good death of ICU dying patients: 1) Legalizing and standardizing “good death” in ICU by providing education, physical and mental support for nurses; 2) Gaining trust of family and seeking consistency of important decisions; 3) Creating a physical and cooperative environment of ICU that benefits dying patients; 4) Giving priority to satisfy physical and mental needs of dying patients and their families, leaving no regrets.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46798218","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 examine and identify specific stressors for charge nurses at a rural Midwestern hospital.Methods: The Charge Nurses Stress Questionnaire (CNSQ) was administered to charge nurses of all units at a small Midwestern hospital. A total of 30 charge nurses completed the survey. The charge nurses completed 25 questions on four stress subscales, in addition to 11 demographic questions.Results: Study results revealed the highest stressors were primarily related to being unable to meet patient needs. This situation includes when a nurse cannot reach the provider when an urgent patient need arises; when the unit is at capacity with high acuity patients and receives notification another patient has been assigned to the unit; and when the patient is in pain or otherwise suffering, and care is delayed because orders are needed.Conclusions: Stress was noted by all charge nurses. The levels of different stressors from subscales correlate with each other, and thus an increase in one subscale of stress directly affects the level of stress of another subscale. The level of stress among charge nurses was not statistically significant among the nurses of different age, different units, different shifts, and different years of experience.
{"title":"Leading the charge: Identifying stressors in nursing leadership","authors":"Shauna Keil, Michelle Van Der Wege, P. Drees","doi":"10.5430/CNS.V7N3P12","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P12","url":null,"abstract":"Objective: This study aimed to examine and identify specific stressors for charge nurses at a rural Midwestern hospital.Methods: The Charge Nurses Stress Questionnaire (CNSQ) was administered to charge nurses of all units at a small Midwestern hospital. A total of 30 charge nurses completed the survey. The charge nurses completed 25 questions on four stress subscales, in addition to 11 demographic questions.Results: Study results revealed the highest stressors were primarily related to being unable to meet patient needs. This situation includes when a nurse cannot reach the provider when an urgent patient need arises; when the unit is at capacity with high acuity patients and receives notification another patient has been assigned to the unit; and when the patient is in pain or otherwise suffering, and care is delayed because orders are needed.Conclusions: Stress was noted by all charge nurses. The levels of different stressors from subscales correlate with each other, and thus an increase in one subscale of stress directly affects the level of stress of another subscale. The level of stress among charge nurses was not statistically significant among the nurses of different age, different units, different shifts, and different years of experience.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P12","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41436499","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}
C. Harvey, D. Hegney, Lily P Tsai, Sandy Mclellan, D. Chamberlain, A. Sobolewska, Elspeth Wood, J. Hendricks, Troy Wake
Objectives: This paper describes the findings from interviews, presented as the second stage of a study aimed at developing a career pathway for community nursing and midwifery for one Australian state, with a particular focus on early transition to community-based practice.Background: With the increasing incidence of chronic conditions, health services are focused on primary and community care as the central point of care provision, and with it, the realisation that nurses have a central role to play in care delivery. Yet, community nursing is a poorly defined area of practice, and it is often seen as an unattractive career option.Methods: Semi-structured interviews were conducted with seven experienced registered nurses currently employed and working in the community. Data analysis was undertaken using a pragmatic approach that allowed for the examination of themes emerging from the participant narratives. One member of the research team conducted interviews, with cross-checking of transcripts undertaken by other members of the team. Narrative was drawn from the transcripts and aligned to themes emerging from a draft pathway informed by a systematic review. COREQ checklist was adhered.Results: Participants identified elements essential to a good transition that included responsive orientation, innovative leadership and the development of community-based networks related to social, legal, financial and practical elements of care. Experiential knowledge and a sense of belonging within the community were two important factors considered essential to successful transition.Conclusion: Community nursing is a specialised practice which requires a revision of expectations, preparation for practice and acknowledgement of its value, before nurses can become responsive to the changing community emphasis on health service delivery.Potential implications: For a career pathway to accommodate early transition into community practice, key issues need to be addressed in relation to educational preparation, support for practice, and acceptance.
{"title":"Nurses’ experiences of transition to community-based practice","authors":"C. Harvey, D. Hegney, Lily P Tsai, Sandy Mclellan, D. Chamberlain, A. Sobolewska, Elspeth Wood, J. Hendricks, Troy Wake","doi":"10.5430/CNS.V7N3P1","DOIUrl":"https://doi.org/10.5430/CNS.V7N3P1","url":null,"abstract":"Objectives: This paper describes the findings from interviews, presented as the second stage of a study aimed at developing a career pathway for community nursing and midwifery for one Australian state, with a particular focus on early transition to community-based practice.Background: With the increasing incidence of chronic conditions, health services are focused on primary and community care as the central point of care provision, and with it, the realisation that nurses have a central role to play in care delivery. Yet, community nursing is a poorly defined area of practice, and it is often seen as an unattractive career option.Methods: Semi-structured interviews were conducted with seven experienced registered nurses currently employed and working in the community. Data analysis was undertaken using a pragmatic approach that allowed for the examination of themes emerging from the participant narratives. One member of the research team conducted interviews, with cross-checking of transcripts undertaken by other members of the team. Narrative was drawn from the transcripts and aligned to themes emerging from a draft pathway informed by a systematic review. COREQ checklist was adhered.Results: Participants identified elements essential to a good transition that included responsive orientation, innovative leadership and the development of community-based networks related to social, legal, financial and practical elements of care. Experiential knowledge and a sense of belonging within the community were two important factors considered essential to successful transition.Conclusion: Community nursing is a specialised practice which requires a revision of expectations, preparation for practice and acknowledgement of its value, before nurses can become responsive to the changing community emphasis on health service delivery.Potential implications: For a career pathway to accommodate early transition into community practice, key issues need to be addressed in relation to educational preparation, support for practice, and acceptance.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N3P1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47658709","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: Cancer’s patients receiving chemotherapy need information about the treatments and self-care that must practice in order to prevent serious complications. Purpose of the study: To determine the impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer.Methods: Quasi experimental research design was used. The study was conducted at outpatient’s chemotherapy clinic and at word of the Oncology Menoufia University Hospital, Shebin El-Kom, Egypt. A convenience sample of 100 adult patients of both sexes who were diagnosed with cancer in the Oncology outpatient clinic and would receive first time chemotherapy treatment were enrolled in this study. Three tools were used. Tool I: Chemotherapy Patients needs assessment: structured interviewing scheduled questionnaire: The tool consisted of the following 2 parts. Part 1: Sociodemographic and clinical data, Part II: Pre Chemotherapy Knowledge Assessment Sheet. Tool II: 16 attributes of cancer therapy satisfaction questionnaire (CTSQ). Tool III: Cancer Coping Questionnaire (CCQ) 21 Items Versions.Results: The study group had better knowledge, coping and satisfaction post intervention than control group. There was statistically considerable differences between study and control group concerning the mean total score of satisfaction and coping (p value < .001). There were significant positive correlation total score of cancer coping and mean score of cancer therapy satisfaction p value < .001.Conclusions: Prechemotherapy preparation to cancer patients improved patient’s knowledge, satisfaction and coping. Recommendation: Prechemotherapy education should be considered a part of routine nursing care performed for all newly diagnosed patients with cancer who would receive chemotherapy for first time.
目的：癌症接受化疗的患者需要了解治疗和自我护理方面的信息，以预防严重并发症。研究目的：了解化疗前准备对癌症新诊断患者的知识、应对态度和满意度的影响。方法：采用准实验研究设计。这项研究是在埃及Shebin El Kom的Menoufia大学肿瘤医院门诊化疗诊所进行的。本研究以100名在肿瘤门诊被诊断为癌症并将接受首次化疗的成年男女患者为方便样本。使用了三种工具。工具一：化疗患者需求评估：结构化访谈计划问卷：该工具由以下两部分组成。第1部分：社会病理和临床数据，第2部分：化疗前知识评估表。工具II：癌症治疗满意度问卷（CTSQ）的16个属性。工具三：癌症应对问卷（CCQ）21项版本。结果：研究组在干预后的知识、应对和满意度均优于对照组。研究组和对照组在满意度和应对能力的平均总分上有统计学显著差异（p值<.001）。癌症应对能力总分与癌症治疗满意度的平均分数p值<0.001呈显著正相关，满足感和应对能力。建议：对于所有首次接受化疗的癌症新诊断患者，应将化疗前教育视为常规护理的一部分。
{"title":"Impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer","authors":"Samira E. Aboalizm, H. El-Sayad","doi":"10.5430/CNS.V7N2P95","DOIUrl":"https://doi.org/10.5430/CNS.V7N2P95","url":null,"abstract":"Objective: Cancer’s patients receiving chemotherapy need information about the treatments and self-care that must practice in order to prevent serious complications. Purpose of the study: To determine the impact of prechemotherapy preparation on knowledge, coping attitude and satisfaction among newly diagnosed patients with cancer.Methods: Quasi experimental research design was used. The study was conducted at outpatient’s chemotherapy clinic and at word of the Oncology Menoufia University Hospital, Shebin El-Kom, Egypt. A convenience sample of 100 adult patients of both sexes who were diagnosed with cancer in the Oncology outpatient clinic and would receive first time chemotherapy treatment were enrolled in this study. Three tools were used. Tool I: Chemotherapy Patients needs assessment: structured interviewing scheduled questionnaire: The tool consisted of the following 2 parts. Part 1: Sociodemographic and clinical data, Part II: Pre Chemotherapy Knowledge Assessment Sheet. Tool II: 16 attributes of cancer therapy satisfaction questionnaire (CTSQ). Tool III: Cancer Coping Questionnaire (CCQ) 21 Items Versions.Results: The study group had better knowledge, coping and satisfaction post intervention than control group. There was statistically considerable differences between study and control group concerning the mean total score of satisfaction and coping (p value < .001). There were significant positive correlation total score of cancer coping and mean score of cancer therapy satisfaction p value < .001.Conclusions: Prechemotherapy preparation to cancer patients improved patient’s knowledge, satisfaction and coping. Recommendation: Prechemotherapy education should be considered a part of routine nursing care performed for all newly diagnosed patients with cancer who would receive chemotherapy for first time.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N2P95","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41751039","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: The purpose of this study was to describe safety measures between reality and intentions among nursing students regarding needle stick injuries.Methods: Research Design: descriptive study cross sectional design. Setting: The study was carried out at three setting as the following: Faculty of Nursing, Institute of Nursing, School of Nursing at Menofia University, Menofia Governorate, Egypt. Subjects: 150 student nurses were included in the study. Tools for data collection: Interviewing questionnaire comprised of two sections: Demographic information, questionnaire regarding; mechanism of a needle stick injury the nursing students if present, at which stage needle injury occurs and reasons for not reporting that injury from student’s point of view, and safety injection checklist for assessing injection practices among injection providers.Results: Majority of studied sample were female mostly injured at outpatient clinic, medical department. Injury occurred mainly during IV injection, followed by IM injection and recapping needle. The majority of studied subject perceived that the reason of injury of needle stick injury were excitement and fear of Punishment and low grade during evaluation was the most common cause for non- reporting injury of needle stick injuries. Safety Injection Checklist for assessing injection practices among injection providers; showed 18% of study group were unsatisfied practiced while 100% of 3rd group showed satisfied practice.Conclusions: Increasing the awareness about the importance of reporting needle stick injuries is cardinal intervention to take adequate preventive measures for safety and continuous training and awareness program on injection safety to all the student nurses is a necessity for reducing the unsafe practices.
{"title":"Safety measures between reality and intentions among nursing students regarding needle stick injuries","authors":"H. R. Atalla","doi":"10.5430/CNS.V7N2P87","DOIUrl":"https://doi.org/10.5430/CNS.V7N2P87","url":null,"abstract":"Objective: The purpose of this study was to describe safety measures between reality and intentions among nursing students regarding needle stick injuries.Methods: Research Design: descriptive study cross sectional design. Setting: The study was carried out at three setting as the following: Faculty of Nursing, Institute of Nursing, School of Nursing at Menofia University, Menofia Governorate, Egypt. Subjects: 150 student nurses were included in the study. Tools for data collection: Interviewing questionnaire comprised of two sections: Demographic information, questionnaire regarding; mechanism of a needle stick injury the nursing students if present, at which stage needle injury occurs and reasons for not reporting that injury from student’s point of view, and safety injection checklist for assessing injection practices among injection providers.Results: Majority of studied sample were female mostly injured at outpatient clinic, medical department. Injury occurred mainly during IV injection, followed by IM injection and recapping needle. The majority of studied subject perceived that the reason of injury of needle stick injury were excitement and fear of Punishment and low grade during evaluation was the most common cause for non- reporting injury of needle stick injuries. Safety Injection Checklist for assessing injection practices among injection providers; showed 18% of study group were unsatisfied practiced while 100% of 3rd group showed satisfied practice.Conclusions: Increasing the awareness about the importance of reporting needle stick injuries is cardinal intervention to take adequate preventive measures for safety and continuous training and awareness program on injection safety to all the student nurses is a necessity for reducing the unsafe practices.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N2P87","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42311873","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}
Isabelle Dufour, A. Lacasse, M. Chouinard, Y. Chiu, S. Lafontaine
Objective: Only 12% of the Canadian older adults have adequate health literacy (HL) to understand and handle health information sufficiently. A descriptive correlation study was conducted to describe HL and to examine its relationship with healthcare services use among community-dwelling older adults living with chronic conditions in a distant region of Quebec, Canada.Methods: Data was collected through self-report instruments including the Health Literacy Questionnaire (HLQ), which assesses HL on nine dimensions.Results: Based on health characteristics of the nine HLQ dimensions, the results showed significant differences between subgroups of participants as well as a negative association between the HLQ dimension Appraisal of Health Information and the number of consultations with healthcare professionals (incidence rate ratio: 0.66; p = .027).Conclusions: The results highlight the need to improve older adults HL, in order to improve their health status and use of healthcare services.
{"title":"Health literacy and use of healthcare services among community-dwelling older adults living with chronic conditions","authors":"Isabelle Dufour, A. Lacasse, M. Chouinard, Y. Chiu, S. Lafontaine","doi":"10.5430/CNS.V7N2P79","DOIUrl":"https://doi.org/10.5430/CNS.V7N2P79","url":null,"abstract":"Objective: Only 12% of the Canadian older adults have adequate health literacy (HL) to understand and handle health information sufficiently. A descriptive correlation study was conducted to describe HL and to examine its relationship with healthcare services use among community-dwelling older adults living with chronic conditions in a distant region of Quebec, Canada.Methods: Data was collected through self-report instruments including the Health Literacy Questionnaire (HLQ), which assesses HL on nine dimensions.Results: Based on health characteristics of the nine HLQ dimensions, the results showed significant differences between subgroups of participants as well as a negative association between the HLQ dimension Appraisal of Health Information and the number of consultations with healthcare professionals (incidence rate ratio: 0.66; p = .027).Conclusions: The results highlight the need to improve older adults HL, in order to improve their health status and use of healthcare services.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N2P79","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47049043","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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