Healthcare is a complex combination of system engineering and clinical science which includes many aspects of care and numerous types of professionals, including clinical providers, information technologists, data scientists, insurance professionals, pharmacists, etc. Clinical care in system engineering should be evidence-based and have a wide research base to ensure quality care. Medical professionals, patients, technologies, insurance, policies and standards, etc. ensure quality care in system healthcare engineering.
{"title":"Healthcare Big Data and Pain Management: A Look into the Epidemic","authors":"Cheryl Ann Alexander","doi":"10.33805/2573-3877.122","DOIUrl":"https://doi.org/10.33805/2573-3877.122","url":null,"abstract":"Healthcare is a complex combination of system engineering and clinical science which includes many aspects of care and numerous types of professionals, including clinical providers, information technologists, data scientists, insurance professionals, pharmacists, etc. Clinical care in system engineering should be evidence-based and have a wide research base to ensure quality care. Medical professionals, patients, technologies, insurance, policies and standards, etc. ensure quality care in system healthcare engineering.","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75333308","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}
Introduction: Maternal health is a state of complete physical, mental and social well-being of the mother; it is a resource for everyday life of the mother. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to reduce maternal morbidity and mortality. The use of antenatal, delivery and postnatal care services can be accessed through the number and timing of ANC visits, proportion of births delivered in health centers, attendants during delivery and antenatal care and number of postnatal visits. Health care services during pregnancy and after delivery are important for the survival and wellbeing of both the mother and the infant. Objective: The overall objective of this study is to investigate the perceived physical barriers to maternal health seeking behavior of rural women in Raya Alamata district. Methods: The researcher employed mixed research methods (both qualitative and quantitative). The study populations were reproductive women in the age category of 15-49. In doing so, a sample of 359 reproductive women was selected from three ‘Tabias’ by using simple random sampling techniques. The qualitative data analyzed using thematic analysis whereas the quantitative data analyzed using descriptive statistics. Result: Based on the finding this study, the majority of the respondents 31% were found between the age category of 25- 34 years, 87.5% were married, 93.6% belongs to Tigrian ethnic groups, 71.6% are followers of orthodox Christian, 60.7% were illiterate; and the majority 44.7% of the respondents earned an average monthly income of 501-1000 birr. Rural women also travelled 3.87 km, 5 km, 10 km and 6.4 km in average to get maternal health services from health posts, health centers, hospitals and private clinics respectively. Moreover, long distance and lack of transportation, inequitable distribution of health facilities, inconvenient topography and weather related problems were the major barriers for rural women to get maternal health services. These perceived physical barriers have affected the treatment seeking behavior of rural women especially throughout pregnancy, delivery and postnatal stages. Conclusion: The findings of this study give much emphasis into the perceived physical barriers to maternal health seeking behavior among rural women. The physical barriers restrained rural women from getting antenatal, delivery and postnatal care services which led to pregnancy complications, home delivery, and post-delivery problems which resulted in maternal morbidity and mortality.
{"title":"Perceived Physical Barriers to Maternal Health Seeking Behavior among Rural Women: The Case of Raya-Alamata District, Southern Tigray, Ethiopia","authors":"Hayelom Abadi Mesele","doi":"10.33805/2573-3877.118","DOIUrl":"https://doi.org/10.33805/2573-3877.118","url":null,"abstract":"Introduction: Maternal health is a state of complete physical, mental and social well-being of the mother; it is a resource for everyday life of the mother. It encompasses the health care dimensions of family planning, preconception, prenatal, and postnatal care in order to reduce maternal morbidity and mortality. The use of antenatal, delivery and postnatal care services can be accessed through the number and timing of ANC visits, proportion of births delivered in health centers, attendants during delivery and antenatal care and number of postnatal visits. Health care services during pregnancy and after delivery are important for the survival and wellbeing of both the mother and the infant. Objective: The overall objective of this study is to investigate the perceived physical barriers to maternal health seeking behavior of rural women in Raya Alamata district. Methods: The researcher employed mixed research methods (both qualitative and quantitative). The study populations were reproductive women in the age category of 15-49. In doing so, a sample of 359 reproductive women was selected from three ‘Tabias’ by using simple random sampling techniques. The qualitative data analyzed using thematic analysis whereas the quantitative data analyzed using descriptive statistics. Result: Based on the finding this study, the majority of the respondents 31% were found between the age category of 25- 34 years, 87.5% were married, 93.6% belongs to Tigrian ethnic groups, 71.6% are followers of orthodox Christian, 60.7% were illiterate; and the majority 44.7% of the respondents earned an average monthly income of 501-1000 birr. Rural women also travelled 3.87 km, 5 km, 10 km and 6.4 km in average to get maternal health services from health posts, health centers, hospitals and private clinics respectively. Moreover, long distance and lack of transportation, inequitable distribution of health facilities, inconvenient topography and weather related problems were the major barriers for rural women to get maternal health services. These perceived physical barriers have affected the treatment seeking behavior of rural women especially throughout pregnancy, delivery and postnatal stages. Conclusion: The findings of this study give much emphasis into the perceived physical barriers to maternal health seeking behavior among rural women. The physical barriers restrained rural women from getting antenatal, delivery and postnatal care services which led to pregnancy complications, home delivery, and post-delivery problems which resulted in maternal morbidity and mortality.","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74306899","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}
Chronic pain (constant pain lasting 6 months or longer) is a subjective experience, which is influenced by many pre-morbid (before the onset of pain) psychological problems. However, chronic pain often can produce depression, anxiety, and marital difficulties. Although physical examination and other studies, including x-ray studies, 3D-CT, electromyelograms (EMG), nerve conduction velocity studies and MRI in many cases may document an organic basis of chronic back pain, some organic syndromes defy definition by objective tests. This may be a greater problem for women, where physician prejudice can result in a significantly less extensive evaluation of their complaints of back pain. Also, any litigation may influence symptoms and the type of litigation may influence outcomes. Therefore, there is a need to differentiate between “organic” and “functional” (negative physical and laboratory examination) back pain.
{"title":"Is The Pain Real or Not?","authors":"N. Hendler","doi":"10.33805/2573.3877.117","DOIUrl":"https://doi.org/10.33805/2573.3877.117","url":null,"abstract":"Chronic pain (constant pain lasting 6 months or longer) is a subjective experience, which is influenced by many pre-morbid (before the onset of pain) psychological problems. However, chronic pain often can produce depression, anxiety, and marital difficulties. Although physical examination and other studies, including x-ray studies, 3D-CT, electromyelograms (EMG), nerve conduction velocity studies and MRI in many cases may document an organic basis of chronic back pain, some organic syndromes defy definition by objective tests. This may be a greater problem for women, where physician prejudice can result in a significantly less extensive evaluation of their complaints of back pain. Also, any litigation may influence symptoms and the type of litigation may influence outcomes. Therefore, there is a need to differentiate between “organic” and “functional” (negative physical and laboratory examination) back pain.","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81534831","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}
Within NHS Lothian an advanced nurse practitioner is required to have completed Masters level education in patient history taking, clinical examination and non-medical prescribing (NMP) before they can prescribe independently. A definition for advanced nursing practice is followed by an overview of the roles and responsibilities of the Hospital at Night Team (HAN) at the Royal Infirmary of Edinburgh. A case study based on a commonly encountered request for patient review illustrates the application of NMP in advanced nursing practice and provides the clinical context for the discussion that follows. The focus of the discussion is the complexities of prescribing for an elderly patient including immunosenescence, polypharmacy and adverse drug reactions. Standards for education and continuing professional development (CPD) are required to support the safe practice of NMP. This is especially relevant to HAN non-medical prescribers due to the wide range of medications they prescribe. For the purposes of confidentiality all identifying patient details have been removed.
{"title":"Non-medical Prescribing in the Acute Setting: A Case Report","authors":"Jayne R Worth","doi":"10.33805/2573-3877.116","DOIUrl":"https://doi.org/10.33805/2573-3877.116","url":null,"abstract":"Within NHS Lothian an advanced nurse practitioner is required to have completed Masters level education in patient history taking, clinical examination and non-medical prescribing (NMP) before they can prescribe independently. A definition for advanced nursing practice is followed by an overview of the roles and responsibilities of the Hospital at Night Team (HAN) at the Royal Infirmary of Edinburgh. A case study based on a commonly encountered request for patient review illustrates the application of NMP in advanced nursing practice and provides the clinical context for the discussion that follows. The focus of the discussion is the complexities of prescribing for an elderly patient including immunosenescence, polypharmacy and adverse drug reactions. Standards for education and continuing professional development (CPD) are required to support the safe practice of NMP. This is especially relevant to HAN non-medical prescribers due to the wide range of medications they prescribe. For the purposes of confidentiality all identifying patient details have been removed.","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77220257","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}
Pub Date : 2018-07-01DOI: 10.1016/j.respe.2018.05.277
H. Ghali, Rami Chouket, Asma Ben Cheikh, S. Khéfacha, L. Dhidah, M. B. Rejeb, H. Said Latiri
{"title":"Incidence and Risk Factors of Pressure Ulcers in a Tunisian University Hospital","authors":"H. Ghali, Rami Chouket, Asma Ben Cheikh, S. Khéfacha, L. Dhidah, M. B. Rejeb, H. Said Latiri","doi":"10.1016/j.respe.2018.05.277","DOIUrl":"https://doi.org/10.1016/j.respe.2018.05.277","url":null,"abstract":"","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88360525","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}
Pub Date : 2009-10-20DOI: 10.1043/1094-2831(2000)021<0275:TILPLN>2.0.CO;2
S. Fondiller
Abstract During the early 1960s, one of the most illustrious nurses in the world served at the presidential helm of the National League for Nursing. She was the charismatic Lucile Petry Leone, a woman of enormous drive and talent, who began her official tenure at the League at the outset of what probably became organized nursing's most productive yet controversial decade. Long before that period, Petry already could claim a number of accomplishments, having moved gracefully up the career ladder after graduating in 1929 from the Johns Hopkins Hospital School of Nursing (1).
{"title":"The Indomitable Lucile Petry Leone: Nursing's Valiant Leader","authors":"S. Fondiller","doi":"10.1043/1094-2831(2000)021<0275:TILPLN>2.0.CO;2","DOIUrl":"https://doi.org/10.1043/1094-2831(2000)021<0275:TILPLN>2.0.CO;2","url":null,"abstract":"Abstract During the early 1960s, one of the most illustrious nurses in the world served at the presidential helm of the National League for Nursing. She was the charismatic Lucile Petry Leone, a woman of enormous drive and talent, who began her official tenure at the League at the outset of what probably became organized nursing's most productive yet controversial decade. Long before that period, Petry already could claim a number of accomplishments, having moved gracefully up the career ladder after graduating in 1929 from the Johns Hopkins Hospital School of Nursing (1).","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57572300","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}
Pub Date : 2009-10-20DOI: 10.1043/1094-2831(2001)022<0085:ATM>2.0.CO;2
Carolyn Massey
Abstract Graduates of healths professions programs need to be able to function in integrated health care delivery systems and demonstrate the ability to provide comprehensive, quality, and cost-effective care as members of an interdisciplinary team. This article describes an interdisciplinary core curriculum based on a transdisciplinary functions model. The curriculum consists of courses and clinical practice experiences encompassing nursing skills and those of other health-related disciplines. A transdisciplinary approach was adopted as a guide for core curriculum development because it illustrates a client-focused care delivery system and is viewed as a cost-effective method to deliver community-based care.
{"title":"A Transdisciplinary Model for Curricular Revision.","authors":"Carolyn Massey","doi":"10.1043/1094-2831(2001)022<0085:ATM>2.0.CO;2","DOIUrl":"https://doi.org/10.1043/1094-2831(2001)022<0085:ATM>2.0.CO;2","url":null,"abstract":"Abstract Graduates of healths professions programs need to be able to function in integrated health care delivery systems and demonstrate the ability to provide comprehensive, quality, and cost-effective care as members of an interdisciplinary team. This article describes an interdisciplinary core curriculum based on a transdisciplinary functions model. The curriculum consists of courses and clinical practice experiences encompassing nursing skills and those of other health-related disciplines. A transdisciplinary approach was adopted as a guide for core curriculum development because it illustrates a client-focused care delivery system and is viewed as a cost-effective method to deliver community-based care.","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57572737","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}
Pub Date : 2009-10-20DOI: 10.1043/1094-2831(2001)022<0124:GRDAUR>2.0.CO;2
K. Montgomery, N. Eddy, Elizabeth Jackson, Erin Nelson, K. Reed, Tesa Stark, C. Thomsen
Abstract A FORTUNE COOKIE READS:“Knowing and not doing are equal to not knowing at all,” meaning knowledge without action is useless. In the world of nursing, knowledge gained through research should inevitably manifest itself in some clinical application. Evidence-based practice is increasing nurses' knowledge regarding pathology and responses to health and illness, while technological innovations have increased our capacity to investigate, communicate, and implement findings. Research conducted by nurses, disseminated to broad populations of health care providers, and then used by nurses who provide direct care to patients, represents the ideal triad of research-based clinical practice. The current state of practice is far from this ideal. It is important to disseminate research within one's own country. In addition, changes in the ability to access information instantly through the use of the Internet call attention to the importance of global research dissemination and utilization efforts. Integration...
{"title":"Global Research Dissemination and Utilization: Recommendations for Nurses and Nurse Educators","authors":"K. Montgomery, N. Eddy, Elizabeth Jackson, Erin Nelson, K. Reed, Tesa Stark, C. Thomsen","doi":"10.1043/1094-2831(2001)022<0124:GRDAUR>2.0.CO;2","DOIUrl":"https://doi.org/10.1043/1094-2831(2001)022<0124:GRDAUR>2.0.CO;2","url":null,"abstract":"Abstract A FORTUNE COOKIE READS:“Knowing and not doing are equal to not knowing at all,” meaning knowledge without action is useless. In the world of nursing, knowledge gained through research should inevitably manifest itself in some clinical application. Evidence-based practice is increasing nurses' knowledge regarding pathology and responses to health and illness, while technological innovations have increased our capacity to investigate, communicate, and implement findings. Research conducted by nurses, disseminated to broad populations of health care providers, and then used by nurses who provide direct care to patients, represents the ideal triad of research-based clinical practice. The current state of practice is far from this ideal. It is important to disseminate research within one's own country. In addition, changes in the ability to access information instantly through the use of the Internet call attention to the importance of global research dissemination and utilization efforts. Integration...","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57572792","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}
Pub Date : 2009-10-20DOI: 10.1043/1094-2831(1999)021<0247:ICOIRF>2.0.CO;2
M. Allen, R. Barry, K. DuBois, Y. Friedman, W. Hawkes, W. Hiestand, C. Julien, D. L. Moore, J. Ratner, B. Shestowsky
Abstract The 21st edition of the Interagency Council on Information Resources for Nursing's biennial list is presented as a resource for collection development and for use in locating nursing information. The list includes print, multimedia, and electronic sources to support nursing practice, education, administration, and research activities.The editors have made a concerted effort to include the most recent editions of titles in print and to evaluate electronic sources. Price, publisher, and supplier information can be obtained by consulting standard print sources such as Medical and Health Care Books and Serials in Print (New Providence, NJ, Bowker), Encyclopedia of Associations (Detroit, Gale Research), and individual websites.
第21版机构间理事会护理信息资源两年一次的列表是作为收集开发和用于定位护理信息的资源。该清单包括印刷、多媒体和电子资源，以支持护理实践、教育、管理和研究活动。编辑们已作出协调一致的努力，包括出版的最新版本的标题和评价电子资源。价格、出版商和供应商信息可以通过咨询标准印刷来源获得，如医疗保健书籍和印刷系列(New Providence, NJ, Bowker)、协会百科全书(Detroit, Gale Research)和个人网站。
{"title":"Interagency Council on Information Resources for Nursing","authors":"M. Allen, R. Barry, K. DuBois, Y. Friedman, W. Hawkes, W. Hiestand, C. Julien, D. L. Moore, J. Ratner, B. Shestowsky","doi":"10.1043/1094-2831(1999)021<0247:ICOIRF>2.0.CO;2","DOIUrl":"https://doi.org/10.1043/1094-2831(1999)021<0247:ICOIRF>2.0.CO;2","url":null,"abstract":"Abstract The 21st edition of the Interagency Council on Information Resources for Nursing's biennial list is presented as a resource for collection development and for use in locating nursing information. The list includes print, multimedia, and electronic sources to support nursing practice, education, administration, and research activities.The editors have made a concerted effort to include the most recent editions of titles in print and to evaluate electronic sources. Price, publisher, and supplier information can be obtained by consulting standard print sources such as Medical and Health Care Books and Serials in Print (New Providence, NJ, Bowker), Encyclopedia of Associations (Detroit, Gale Research), and individual websites.","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57572683","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}
Pub Date : 2009-10-20DOI: 10.1043/1094-2831(2001)022<0051:APFFDT>2.0.CO;2
G. Felton, S. Abbe, C. Gilbert, C. Markut
{"title":"NLNAC Frequently Asked Questions","authors":"G. Felton, S. Abbe, C. Gilbert, C. Markut","doi":"10.1043/1094-2831(2001)022<0051:APFFDT>2.0.CO;2","DOIUrl":"https://doi.org/10.1043/1094-2831(2001)022<0051:APFFDT>2.0.CO;2","url":null,"abstract":"","PeriodicalId":79520,"journal":{"name":"Nursing and health care perspectives","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57573164","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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