Amani Mahmoud Fadul Mokhtar, Mohammed Hassan Moreljwab, Eltayeb Abdelazeem Idress, Hamza Hussain Ahmed Balola, Murtada Mustafa Gabir Tia, Abdalla Mohamed Ahmed Osman, Mohammed F Alharbi, Ahmed Abdalla Jarelnpe, Hammad Fadlalmola
{"title":"Nurses Application of the \"TIME\" Framework in the Wounds Assessment and Its Impact on the Wound Care Competences","authors":"Amani Mahmoud Fadul Mokhtar, Mohammed Hassan Moreljwab, Eltayeb Abdelazeem Idress, Hamza Hussain Ahmed Balola, Murtada Mustafa Gabir Tia, Abdalla Mohamed Ahmed Osman, Mohammed F Alharbi, Ahmed Abdalla Jarelnpe, Hammad Fadlalmola","doi":"10.13189/nh.2023.080102","DOIUrl":"https://doi.org/10.13189/nh.2023.080102","url":null,"abstract":"","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135690496","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}
{"title":"Supporting and Prohibiting Factors in Reflective Case Discussion (RCD)","authors":"H. Amir, A. Irwan, A. Saleh","doi":"10.13189/nh.2022.070101","DOIUrl":"https://doi.org/10.13189/nh.2022.070101","url":null,"abstract":"","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41639402","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}
Birth defects are the leading cause of infant mortality. New tests offer screening for many fetal aneuploidies. These tests are offered very early in pregnancy and clients are faced with many options. This has made the education of the client more challenging and threatens the ability of the client to make an informed choice. The purpose of this project was to measure the level of informed choice women reported after making a decision on whether or not to have the many optional prenatal genetic screening tests. The level of informed choice was measured using the Multi-dimensional Measure of Informed Choice (MMIC), at a Midwestern private OB-GYN office. This capstone project was a small pilot study which included 26 prenatal clients. Seventy-five percent of the prenatal clients had good knowledge and 57 percent made an informed choice. Future studies and methods will focus on improving this reported level.
{"title":"Enhancing Informed Choice for Genetic Screening: A Pilot Study","authors":"C. Skelly, S. Ulrich","doi":"10.13189/NH.2014.020604","DOIUrl":"https://doi.org/10.13189/NH.2014.020604","url":null,"abstract":"Birth defects are the leading cause of infant mortality. New tests offer screening for many fetal aneuploidies. These tests are offered very early in pregnancy and clients are faced with many options. This has made the education of the client more challenging and threatens the ability of the client to make an informed choice. The purpose of this project was to measure the level of informed choice women reported after making a decision on whether or not to have the many optional prenatal genetic screening tests. The level of informed choice was measured using the Multi-dimensional Measure of Informed Choice (MMIC), at a Midwestern private OB-GYN office. This capstone project was a small pilot study which included 26 prenatal clients. Seventy-five percent of the prenatal clients had good knowledge and 57 percent made an informed choice. Future studies and methods will focus on improving this reported level.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245450","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}
Working on the front lines of patient care, nurses play a vital role in helping our nation meet the objectives of the Future of Nursing IOM report and the Affordable Care Act. Nursing schools have a new challenge to prepare students to function in vital roles as leading change agents in this different environment. Simultaneously, millennials, a new generation of learners with unique learning needs have inundated our nursing classrooms. How best to effectively teach millennial students is a pressing issue. Millennials think and learn differently than previous generations and nurse educators are being asked to change their teaching styles to meet their needs. The purpose of this article is to introduce the nuts and bolts of "Flipping the Classroom" as a new approach to teaching millennial students. This model offers a revolutionary way to teach millennial nursing students. Designed especially for the millennial-aged student, "flipping the classroom" can result in superior learning outcomes, higher knowledge retention, enhanced critical thinking skills and improved clinical judgment. "Flipping" in nursing requires educators to move away from lecturing as the primary way to deliver information and instead to use various engaging tools and activities to help students make sense of theory and to connect key concepts with realistic experiences. It asks learners to use online resources innovatively and to explore the material prior to class. "Flipping" sets the platform for knowledge application in the classroom. Teachers and students use class time to problem solve, create, critique, and synthesize in a dynamic and engaging environment. Ultimately, both nurse educators and students can be transformed with this unique "flipped" model.
{"title":"Teaching the Millennial Nursing Student: Using a \"Flipping the Classroom\" Model","authors":"A. Towle, K. Breda","doi":"10.13189/nh.2014.020601","DOIUrl":"https://doi.org/10.13189/nh.2014.020601","url":null,"abstract":"Working on the front lines of patient care, nurses play a vital role in helping our nation meet the objectives of the Future of Nursing IOM report and the Affordable Care Act. Nursing schools have a new challenge to prepare students to function in vital roles as leading change agents in this different environment. Simultaneously, millennials, a new generation of learners with unique learning needs have inundated our nursing classrooms. How best to effectively teach millennial students is a pressing issue. Millennials think and learn differently than previous generations and nurse educators are being asked to change their teaching styles to meet their needs. The purpose of this article is to introduce the nuts and bolts of \"Flipping the Classroom\" as a new approach to teaching millennial students. This model offers a revolutionary way to teach millennial nursing students. Designed especially for the millennial-aged student, \"flipping the classroom\" can result in superior learning outcomes, higher knowledge retention, enhanced critical thinking skills and improved clinical judgment. \"Flipping\" in nursing requires educators to move away from lecturing as the primary way to deliver information and instead to use various engaging tools and activities to help students make sense of theory and to connect key concepts with realistic experiences. It asks learners to use online resources innovatively and to explore the material prior to class. \"Flipping\" sets the platform for knowledge application in the classroom. Teachers and students use class time to problem solve, create, critique, and synthesize in a dynamic and engaging environment. Ultimately, both nurse educators and students can be transformed with this unique \"flipped\" model.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245310","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}
{"title":"The Road Now Taken: Addressing the Needs of the LPN Returning to Academia","authors":"Nancy Hinchcliffe Duphily","doi":"10.13189/nh.2014.020605","DOIUrl":"https://doi.org/10.13189/nh.2014.020605","url":null,"abstract":"","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245505","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. Visovsky, James A. Bovaird, Cindy S Tofthagen, Janique Rice
Early detection methods and novel therapies have increased the life span of individuals with breast cancer. These survivors are living longer lives with the effects of disease and treatment. Chemotherapy-induced peripheral neuropathy (CIPN) has become a significant dose-limiting toxicity of breast cancer treatment with taxane-based chemotherapy such as paclitaxel. The sensory and motor neuron dysfunction accompanying taxane chemotherapy can interfere with physical functioning, and impair quality of life. The purpose of this pilot study was to determine the efficacy or feasibility of an aerobic and strength training exercise program on neuropathic symptoms, gait and balance, and quality of life (QOL) in individuals treated for breast cancer with paclitaxel as compared to those in an attention control group. Nineteen women receiving weekly paclitaxel for two months were randomized to receive a home-based aerobic/strength training exercise program (EG) or breast cancer educational information (AC). Data were collected at before chemotherapy was initiated, and at every 4 weeks during the intervention phase for a total of 12 weeks (4, 8, and 12 weeks), and then at 3 months post-intervention (24 weeks). An intent-to-treat data analysis plan utilizing a combination of linear mixed modeling (LMM) and analysis of covariance (ANCOVA) was employed. Results indicate there was a differential negative trend in neuropathy symptoms, with fewer neuropathy symptoms present at post-intervention and follow-up in the EG compared to AC groups over time. There were no differences in gait and balance and QOL during the intervention period between the AC and EG groups. However, the EG showed improved gait and balance and improved QOL at follow-up.
{"title":"Heading off Peripheral Neuropathy with Exercise: The Hope Study","authors":"C. Visovsky, James A. Bovaird, Cindy S Tofthagen, Janique Rice","doi":"10.13189/NH.2014.020602","DOIUrl":"https://doi.org/10.13189/NH.2014.020602","url":null,"abstract":"Early detection methods and novel therapies have increased the life span of individuals with breast cancer. These survivors are living longer lives with the effects of disease and treatment. Chemotherapy-induced peripheral neuropathy (CIPN) has become a significant dose-limiting toxicity of breast cancer treatment with taxane-based chemotherapy such as paclitaxel. The sensory and motor neuron dysfunction accompanying taxane chemotherapy can interfere with physical functioning, and impair quality of life. The purpose of this pilot study was to determine the efficacy or feasibility of an aerobic and strength training exercise program on neuropathic symptoms, gait and balance, and quality of life (QOL) in individuals treated for breast cancer with paclitaxel as compared to those in an attention control group. Nineteen women receiving weekly paclitaxel for two months were randomized to receive a home-based aerobic/strength training exercise program (EG) or breast cancer educational information (AC). Data were collected at before chemotherapy was initiated, and at every 4 weeks during the intervention phase for a total of 12 weeks (4, 8, and 12 weeks), and then at 3 months post-intervention (24 weeks). An intent-to-treat data analysis plan utilizing a combination of linear mixed modeling (LMM) and analysis of covariance (ANCOVA) was employed. Results indicate there was a differential negative trend in neuropathy symptoms, with fewer neuropathy symptoms present at post-intervention and follow-up in the EG compared to AC groups over time. There were no differences in gait and balance and QOL during the intervention period between the AC and EG groups. However, the EG showed improved gait and balance and improved QOL at follow-up.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245369","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 aim of this study was to examine independent variables such as socio-demographic, psychopathologic, and rehabilitative support background that might predict re-hospitalization among psychiatric residents of a long-stay care home (LSCH) in Hong Kong. The re-hospitalization of psychiatric residents with mental health needs who were admitted to a long-stay care home during a 2-year period was analyzed retrospectively in this study. Descriptive statistics were gathered to study the distribution of the sample data. Logistic regression was used to examine the predictors of re-hospitalization. 176 residents (mean age 56.9, SD 8.4 years) were included, of whom 73% were male. The psychopathologic characteristics of most residents were similar in that 94.9% of them had been diagnosed with schizophrenia. Within the 2-year period the incidence of re-hospitalization among the LSCH residents was 267 out of a population of 1,000. Gender, age, a history of suicide attempts, referral from an acute psychiatric setting, and lack of participation in a rehabilitative training program were the predictors of re-hospitalization. Strategic interventions to improve the current rehabilitative support services of LSCHs are discussed.
{"title":"Re-hospitalization of Psychiatric Residents of a Long-stay Care Home","authors":"Tsang Y.K.A., S. L. Wong","doi":"10.13189/NH.2014.020603","DOIUrl":"https://doi.org/10.13189/NH.2014.020603","url":null,"abstract":"The aim of this study was to examine independent variables such as socio-demographic, psychopathologic, and rehabilitative support background that might predict re-hospitalization among psychiatric residents of a long-stay care home (LSCH) in Hong Kong. The re-hospitalization of psychiatric residents with mental health needs who were admitted to a long-stay care home during a 2-year period was analyzed retrospectively in this study. Descriptive statistics were gathered to study the distribution of the sample data. Logistic regression was used to examine the predictors of re-hospitalization. 176 residents (mean age 56.9, SD 8.4 years) were included, of whom 73% were male. The psychopathologic characteristics of most residents were similar in that 94.9% of them had been diagnosed with schizophrenia. Within the 2-year period the incidence of re-hospitalization among the LSCH residents was 267 out of a population of 1,000. Gender, age, a history of suicide attempts, referral from an acute psychiatric setting, and lack of participation in a rehabilitative training program were the predictors of re-hospitalization. Strategic interventions to improve the current rehabilitative support services of LSCHs are discussed.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245398","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}
S. Hagen, Cheryl L. Woods-Giscombe, J. Chung, L. Beeber
Borderline personality disorder (BPD) involves a complex constellation of symptoms including suicidal threats, suicidal gestures, and self-harming behaviors. There are limited effective treatment options for adolescent patients with BDP or BDP traits in the inpatient hospital setting. This paper discusses BPD and BPD traits in adolescents, examines challenges faced by inpatient nurses, summarizes evidence supporting Dialectical Behavioral Therapy (DBT) for adolescents with BPD traits, and proposes specific inpatient setting programming to address the needs of this population. This paper suggests that DBT may be successfully implemented to optimize outcomes. DBT has typically been used in adult outpatient settings. However, research suggests that the integration of DBT strategies in inpatient settings serving adolescents could facilitate effective outcomes. Nurses in particular are critical members of the hospital treatment paradigm. Outcomes could be enhanced if nurses have a better understanding of DBT and if they received training to enable them to contribute to DBP programming.
{"title":"Potential Benefits of Dialectical Behavioral Therapy for Adolescents Receiving Treatment for Borderline Personality Disorder Traits: Implications for Psychiatric Nurses","authors":"S. Hagen, Cheryl L. Woods-Giscombe, J. Chung, L. Beeber","doi":"10.13189/NH.2014.020501","DOIUrl":"https://doi.org/10.13189/NH.2014.020501","url":null,"abstract":"Borderline personality disorder (BPD) involves a complex constellation of symptoms including suicidal threats, suicidal gestures, and self-harming behaviors. There are limited effective treatment options for adolescent patients with BDP or BDP traits in the inpatient hospital setting. This paper discusses BPD and BPD traits in adolescents, examines challenges faced by inpatient nurses, summarizes evidence supporting Dialectical Behavioral Therapy (DBT) for adolescents with BPD traits, and proposes specific inpatient setting programming to address the needs of this population. This paper suggests that DBT may be successfully implemented to optimize outcomes. DBT has typically been used in adult outpatient settings. However, research suggests that the integration of DBT strategies in inpatient settings serving adolescents could facilitate effective outcomes. Nurses in particular are critical members of the hospital treatment paradigm. Outcomes could be enhanced if nurses have a better understanding of DBT and if they received training to enable them to contribute to DBP programming.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66244907","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}
Optimal pain management is one of the most important aspects of patient care. Nurses play a pivotal role effective in pain management. The aim of this study is explore and describe oncology and non-oncology Jordanian nurses' knowledge and attitudes regarding pain management. The study sample consisted of 263 nurses from three hospitals in Jordan. The Nurses' Knowledge and Attitudes Survey Regarding Pain (NKASRP) was used to measure the nurses' pain management knowledge and attitudes. Of the nurses who participated in the study, 64% were between the ages of 21 and 32 years, with a mean age of 30.9 years (SD 5.7). A total of 89% of the nurses had a baccalaureate degree. The mean years of nursing experience were 7.3 (SD 5.3). The average correct response rate was 42.7%, ranging from 10.5% to 75%. Out of the 40 pain knowledge questions assessed, the mean number of correctly answered questions was 17.1 (SD 5.0), with a range of 4 to 30. No significant differences between nurses' characteristics and pain knowledge were found. Nurses' pain knowledge differed significantly according their educational level (P = 0.020), previous pain education related to cancer (P < 0.007), regular cancer pain care (P = 0.010), knowledge score and attendance of conferences related to pain management (P = 0.002), knowledge score and in-services training, modules, protocols and other knowledge and skills related to pain management (P = 0.004), knowledge score and nurses' rate of their experience with pain (P < 0.001), and adequate professional training preparation in regard to pain management (P < 0.001). The present study in Jordan provides important information about knowledge deficits in pain management. Pain education content and allocated hours in nursing curricula need to be evaluated for their adequacy and reformed accordingly. In addition, regular courses on pain management for nurses within their clinical setting are highly recommended.
{"title":"Knowledge and Attitudes about Pain Management: A Comparison of Oncology and Non-Oncology Jordanian Nurses","authors":"S. Omran, M. Qadire, Nahla Al Ali, M. Hayek","doi":"10.13189/NH.2014.020401","DOIUrl":"https://doi.org/10.13189/NH.2014.020401","url":null,"abstract":"Optimal pain management is one of the most important aspects of patient care. Nurses play a pivotal role effective in pain management. The aim of this study is explore and describe oncology and non-oncology Jordanian nurses' knowledge and attitudes regarding pain management. The study sample consisted of 263 nurses from three hospitals in Jordan. The Nurses' Knowledge and Attitudes Survey Regarding Pain (NKASRP) was used to measure the nurses' pain management knowledge and attitudes. Of the nurses who participated in the study, 64% were between the ages of 21 and 32 years, with a mean age of 30.9 years (SD 5.7). A total of 89% of the nurses had a baccalaureate degree. The mean years of nursing experience were 7.3 (SD 5.3). The average correct response rate was 42.7%, ranging from 10.5% to 75%. Out of the 40 pain knowledge questions assessed, the mean number of correctly answered questions was 17.1 (SD 5.0), with a range of 4 to 30. No significant differences between nurses' characteristics and pain knowledge were found. Nurses' pain knowledge differed significantly according their educational level (P = 0.020), previous pain education related to cancer (P < 0.007), regular cancer pain care (P = 0.010), knowledge score and attendance of conferences related to pain management (P = 0.002), knowledge score and in-services training, modules, protocols and other knowledge and skills related to pain management (P = 0.004), knowledge score and nurses' rate of their experience with pain (P < 0.001), and adequate professional training preparation in regard to pain management (P < 0.001). The present study in Jordan provides important information about knowledge deficits in pain management. Pain education content and allocated hours in nursing curricula need to be evaluated for their adequacy and reformed accordingly. In addition, regular courses on pain management for nurses within their clinical setting are highly recommended.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66244902","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}