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Integrated Care: The Way Forward for Advanced Nurse Practitioners by Using Strategy Initiatives 综合护理:利用战略倡议,高级执业护士的前进之路
Pub Date : 2024-01-14 DOI: 10.29011/2688-9501.101493
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引用次数: 0
Reducing Aspiration Risk with Validated Bedside Swallowing Screening Tools 利用经过验证的床边吞咽检查工具降低吸入风险
Pub Date : 2024-01-05 DOI: 10.29011/2688-9501.101492
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引用次数: 0
The Effect of Nurse Leader Qualification on Position Outcome: Systematic Review 护士长资质对职位结果的影响:系统回顾
Pub Date : 2023-12-11 DOI: 10.29011/2688-9501.101487
Al Alwi, Ali, Al Ali Taisir, Al Hussaini Layla, Albu Ali Kulthum, Al Hamdan Murtadha, Albusurur Yasir, Al Sultan, Algharash Amnah, Alsanawi Abdullah, Bu Owaynah Aminah, Abu Azran Ali, Alessa Ahmed, Almuwayl Taha, Bohassan Hussain, Alhabarah Huda, Alalwe Mohammed, Aljasim Fatimah, Almuraidi Wafa, Albattat Ibrahim, Al Battat Jassem, Alsunikh Sanaa, Alrashed Fatmah, Aljaber Abdullah, Alnasser Aqeel, Al Najjad, Al Asker Hussain, Alali Ali, Buamer Azhar
Background: Nurse leaders influence policy, change, and outcomes on the part of patients and junior nurses, and they are critical in resolving conflicts and in decision making. A clear understanding of whether high qualifications or experience impact more on a nurse’s leader’s outcomes is necessary. Aims: To examine whether an advanced practice registered nurse with higher qualifications is considered by themselves and by junior colleagues to have better position outcomes than one who is in the same job level but who has lesser experience and less qualifications. Methods: This review followed the methodological framework for systematic reviews described in the PRISMA statement and PRISMA checklist and the Cochrane Collaboration procedures to review quantitative studies published between 1t January 2015 and 31 December 2023. Results : This review included thirteen articles after screening articles from six different databases. The settings for the studies included a private hospital (n=1, Turkey), medical centers at University of California (n=1, USA), general hospital setup (n=3; Egypt, Taiwan, Ethiopia), trauma hospital (n=1; Iran) and clinics (n=2, Sweden, South Africa), ICU (3 Saudi Arabia, Sweden, Ethiopia). In terms of study designs, all the studies were interventional with five described as quasi-experimental studies (pre-test and post-test studies designs) and 8 Cross-sectional study design studies (completed through surveys questionnaire). Key findings highlighted the impact of nurse academic qualification and experience on position outcomes. Conclusion: Quality of nursing care is dependable on nurse staff qualification as nurses with higher academic qualifications have better position outcome than those with inferior qualifications.
背景:护士长会影响政策、变革以及患者和低年资护士的工作成果,他们在解决冲突和决策方面至关重要。有必要清楚地了解是高学历还是高经验对护士领导的成果影响更大。目的:研究资历较高的高级执业注册护士是否会被自己和下级同事认为比处于相同工作级别但经验较少、资历较低的护士有更好的职位成果。方法:本综述遵循 PRISMA 声明和 PRISMA 核对表中描述的系统综述方法框架以及 Cochrane 协作程序,对 2015 年 1 月 1 日至 2023 年 12 月 31 日期间发表的定量研究进行了综述。结果:本综述从六个不同的数据库中筛选出 13 篇文章。研究地点包括私立医院(n=1,土耳其)、加利福尼亚大学医疗中心(n=1,美国)、综合医院(n=3;埃及、台湾、埃塞俄比亚)、创伤医院(n=1;伊朗)和诊所(n=2,瑞典、南非)、重症监护室(3,沙特阿拉伯、瑞典、埃塞俄比亚)。在研究设计方面,所有研究均为干预性研究,其中 5 项被描述为准实验研究(前测和后测研究设计),8 项为横断面研究设计(通过调查问卷完成)。主要研究结果强调了护士学历和经验对职位结果的影响。结论护理质量取决于护士人员的学历,因为学历高的护士比学历低的护士有更好的职位结果。
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引用次数: 0
Fall Prevention Knowledge, Attitudes, and Practices among Nurses in Saudi Arabia 沙特阿拉伯护士的防跌倒知识、态度和做法
Pub Date : 2023-12-03 DOI: 10.29011/2688-9501.101482
Afaf M. Alrimali, Mohmmad Khalf, Al-Shammari, Abdullah Sami Alamer, Abdulmajeed DhaifAllh, A. Alrashedi, Mohammed Hamoud, S. Alsaadi, Abdullah Ayed, S. Alharbi, Shaleh Husaikan, W. Al-Shammari, Mohmmad Khalf Alshammari
Objectives: To comprehensively assess the knowledge, attitudes, and practices related to fall prevention among nurses in multiple healthcare settings, emphasizing the crucial role of preventing falls in ensuring patient safety and well-being. Methods: A correlational cross-sectional design, involving the recruitment of participants through convenience sampling from sixteen government hospitals in Hail, Saudi Arabia. Data on nurses’ knowledge, attitudes, and practices regarding falls were collected using a self-reported questionnaire. The findings are reported using descriptive and inferential statistics. Results: The analysis included 295 participants. The knowledge scores ranged from 0 to 14, with a mean of 8.54, the attitude scores ranged from 19 to 54, with a mean of 39.50, and the practice score ranged from 25 to 65, with a mean of 57.02. Significant differences existed in knowledge scores among hospitals (p < .001), while attitude and practice scores were statistically significant for multiple factors, including gender, place of work, experience of falling accidents, and the fall prevention training (frequency, duration, source) (all p < .001). Conclusion: This study reveals that nurses generally possess moderate knowledge and positive attitudes towards fall prevention, with high reported adherence to preventive measures. However, variations among hospitals and the influence of factors like gender, workplace, experience with falls, and training characteristics emphasize the importance of tailored training programs to enhance patient safety.
目的:全面评估多个医疗机构中护士预防跌倒的知识、态度和实践,强调预防跌倒在确保患者安全和健康方面的关键作用。方法:采用相关横断面设计,通过方便抽样从沙特阿拉伯哈伊尔的16家政府医院招募参与者。使用自我报告问卷收集护士关于跌倒的知识、态度和做法的数据。研究结果采用描述性和推断性统计进行报告。结果:共纳入295名受试者。知识得分0 ~ 14分,平均为8.54分;态度得分19 ~ 54分,平均为39.50分;实践得分25 ~ 65分,平均为57.02分。医院间知识得分差异有统计学意义(p < 0.001),性别、工作地点、跌倒事故经历、预防跌倒培训(频次、持续时间、来源)等多因素的态度和实践得分差异有统计学意义(p < 0.001)。结论:本研究显示护士普遍对预防跌倒有中等程度的知识和积极的态度,并且对预防措施的依从性较高。然而,医院之间的差异以及性别、工作场所、跌倒经历和培训特点等因素的影响,强调了量身定制培训计划以提高患者安全的重要性。
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引用次数: 0
Impact of An Interventional Bundle on Complications Associated with Peripheral Venous Catheters in Children Admitted to A Cardiology Department 介入治疗束对心脏病科收治的儿童外周静脉导管并发症的影响
Pub Date : 2023-11-14 DOI: 10.29011/2688-9501.101480
M. Pérez-Granda, María Soledad Ferrer, María Teresa Alcaraz, Susana Cobos, Alejandra Cuenca, María López Blázquez, Nuria Gil, E. Panadero, Constancio Medrano, Patricia Muñoz, M. Guembe, María Jesus, Pérez
) Impact of An Interventional Bundle on Complications Associated with Peripheral Venous Catheters in Children Admitted
)介入治疗捆绑对入院儿童外周静脉导管并发症的影响
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引用次数: 0
Filling the Barrel: Innovative Marketing Strategies in an MSN Program 填满桶:MSN 计划中的创新营销策略
Pub Date : 2023-11-14 DOI: 10.29011/2688-9501.101481
Kimberly D. Helms, Laura P Walker
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引用次数: 0
Respiratory Repercussions Due to Mandibular Advancement in Children and Adolescents with Mandibular Class II Malocclusion: A Retrospective Longitudinal Study 儿童和青少年下颌骨II类错颌的呼吸反应:一项回顾性纵向研究
Pub Date : 2023-11-10 DOI: 10.29011/2688-9501.101479
Abstract To test the improvement in airway patency after mandibular advancement with functional appliances as a treatment for growing patients with skeletal Class II caused by mandibular retrognathism. Determining which functional mandibular advancement appliance has the greatest effect on the augmentation of the upper and lower pharyngeal airways. A series of measurements were made according to Arnett’s analysis in the lateral teleradiographies of the skull using the Nemoceph program to evaluate how the upper and lower airways are modified at sagittal level pre- and post-treatment, with different types of mandibular advancement appliances and in growing patients with age ranges from 8 to 15 years. There are statistically significant differences in craniometric points A, MCI and Pg in contrast to other studies with the same cephalometric analysis, where craniometric point B presented a greater increase of mm after advancement. There is an improvement in mandibular Class II skeletal malocclusion after the use of mandibular advancement appliances, and more changes are observed in the A, MCI and Pg points, confirming improvement in upper air patency.
摘要:探讨下颌骨后缩所致骨骼ⅱ类成长型患者,下颌骨前进后应用功能矫治器改善气道通畅的效果。确定哪种功能性下颌推进矫治器对上、下咽气道的扩张效果最大。根据Arnett的分析,使用Nemoceph程序进行了一系列测量,以评估不同类型的下颌推进器具和年龄在8至15岁之间的成长患者在治疗前后矢状水平上的上、下气道的改变情况。与其他相同头颅测量分析的研究相比,颅骨测量点A、MCI和Pg的差异有统计学意义,其中颅骨测量点B在推进后mm增加更大。下颌推进矫治器使用后,下颌ⅱ类骨错畸形有所改善,A点、MCI点、Pg点变化较多,证实上呼吸道通畅改善。
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引用次数: 0
COVID-19 Transmission Among Healthcare Workers COVID-19在医护人员中的传播
Pub Date : 2023-10-30 DOI: 10.29011/2688-9501.101477
Abstract Objectives: It is essential to understand how healthcare workers (HCWs) get infected in order to reduce the infection rate among HCWs and minimize nosocomial transmission of COVID-19. This study aimed to investigate work and community exposure to COVID-19 and infection prevention and control (IPC) measures among infected employees. Methods: We conducted a retrospective cross-sectional survey among infected hospital employees from April 2020 to December 2020 at Regional Hospital West Jutland (RHWJ) Denmark. The study included 163 respondents. Analyses were mainly descriptive. The analyses were stratified by two groups; respondents working in COVID-19 wards and respondents working in general wards. Results: Analyses showed that 70% of infected hospital employees were exposed to COVID-19 patients. Respondents working in COVID-19 wards were more frequently in contact with COVID-19 patients than employees working in general wards. Approximately 15% of the respondents had been in contact with a person with COVID-19 during leisure time. Respondents working in the COVID-19 wards were more adherent to IPC measures during aerosol generating procedures (AGP) than respondents in general wards. Conclusion: Hospital employees most likely acquired their infection during contact with COVID-19 patients. Working in COVID-19 wards, differential IPC training may pose as risk factors associated with COVID-19 transmission.
摘要目的:了解医护人员的感染情况,降低医护人员的感染率,减少COVID-19的院内传播。本研究旨在调查工作和社区对COVID-19的暴露情况以及感染员工的感染预防和控制措施。方法:对2020年4月至2020年12月在丹麦西日德兰地区医院(RHWJ)感染的医院员工进行回顾性横断面调查。该研究包括163名受访者。分析主要是描述性的。分析分为两组;在COVID-19病房工作的受访者和在普通病房工作的受访者。结果:分析显示,70%的医院感染员工接触过COVID-19患者。在COVID-19病房工作的受访者比在普通病房工作的员工更频繁地接触COVID-19患者。大约15%的受访者在闲暇时间与COVID-19患者接触过。与普通病房的受访者相比,在COVID-19病房工作的受访者在气溶胶产生程序(AGP)期间更遵守IPC措施。结论:医院员工最有可能在与COVID-19患者接触时获得感染。在COVID-19病房工作时,不同的IPC培训可能成为与COVID-19传播相关的风险因素。
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引用次数: 0
Final Year Nursing Students’ Attitudes Toward Violence Against Women: A Pilot Study in Tallinn Health Care College, Estonia 最后一年护理学生对暴力侵害妇女的态度:爱沙尼亚塔林卫生保健学院的试点研究
Pub Date : 2023-10-13 DOI: 10.29011/2688-9501.101475
Abstract Aim: The aim of this study was to research final year nursing students’ attitudes toward violence against women. Background: The topic has not been studied before in the context of Estonian higher education colleges of health care, and the attitudes of nursing students towards violence against women (VAW) are not known, so there is no effective input for changing the content quality of the curriculum. Methods: Cross-sectional survey design was used. Results: The pilot study found that many respondents had personal experience with various types of violence. Over 90% of final year nursing students disagree with the negative myths and stereotypes prevalent in society regarding VAW. 90.8% of the respondents consider that VAW issues are not dealt with sufficiently in Estonian society and 47% of the respondents found that they do not know how to properly provide help to victims of violence, as they lack knowledge, skills, and experience. It was also noted that future nurses, would need more training on violence in order to provide professional help. The research subjects indicated that there could be a specific subject in curriculum that deals with different types of violence, identifying the victim, intervention and providing professional nursing care, and network cooperation. Conclusions: The present pilot study raises the need to research nursing students’ attitudes toward VAW with a larger sample and with a better designed questionnaire. Necessary to develop subject of violence should be included in the nursing curricula by integrating it into existing courses. Implications for nursing: Raising health students’ awareness and skills about violence will help to provide the best possible support and assistance to victims of violence.
摘要目的:本研究旨在了解护生对女性暴力行为的态度。背景:在爱沙尼亚卫生保健高等教育学院的背景下,以前没有研究过这一主题,护理专业学生对暴力侵害妇女行为的态度尚不清楚,因此没有有效的投入来改变课程的内容质量。方法:采用横断面调查设计。结果:初步研究发现,许多受访者都有过各种类型暴力的个人经历。超过90%的护理专业毕业生不同意社会上普遍存在的关于暴力侵害的负面神话和刻板印象。90.8%的答复者认为爱沙尼亚社会没有充分处理暴力侵害妇女问题,47%的答复者发现他们不知道如何适当地向暴力受害者提供帮助,因为他们缺乏知识、技能和经验。还有人指出,未来的护士需要更多关于暴力的培训,以便提供专业帮助。研究对象指出,课程中可设置不同类型的暴力、识别受害者、干预和提供专业护理、网络合作等具体科目。结论:本初步研究提出了对护生暴力行为态度的研究需要更大的样本量和更好的问卷设计。应将必要的暴力主题纳入护理课程,将其纳入现有课程。对护理的影响:提高卫生专业学生对暴力的认识和技能,将有助于向暴力受害者提供尽可能最好的支持和援助。
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引用次数: 0
Pain Management by Non-Pharmacologic Therapies Among to Persons Suffer from Pain: A Systematic Review and Meta-Analysis 疼痛患者的非药物治疗:系统回顾和荟萃分析
Pub Date : 2023-09-20 DOI: 10.29011/2688-9501.101471
Non-Pharmacologic Therapies Among to Persons Suffer from Pain: A Systematic Review
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引用次数: 0
期刊
International journal of nursing and health care research
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