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Impact of Humanistic Nursing Intervention on Pediatric Patients with Congenital Deafness after Cochlear Implantation 人文护理干预对儿童先天性耳聋患者人工耳蜗植入术后的影响
Pub Date : 2023-09-01 DOI: 10.13189/nh.2023.080101
Kajal Pansare, Vinod Bairagi, Yogesh Ahire, Chandrashekhar Patil, Ganesh Sonawane, Deepak Somavanshi
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引用次数: 0
Nurses Application of the "TIME" Framework in the Wounds Assessment and Its Impact on the Wound Care Competences 护士“时间”框架在伤口评估中的应用及其对伤口护理能力的影响
Pub Date : 2023-09-01 DOI: 10.13189/nh.2023.080102
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
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引用次数: 0
Supporting and Prohibiting Factors in Reflective Case Discussion (RCD) 反思性案例讨论(RCD)的利弊因素
Pub Date : 2022-02-01 DOI: 10.13189/nh.2022.070101
H. Amir, A. Irwan, A. Saleh
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引用次数: 2
Enhancing Informed Choice for Genetic Screening: A Pilot Study 加强遗传筛选的知情选择:一项试点研究
Pub Date : 2014-12-01 DOI: 10.13189/NH.2014.020604
C. Skelly, S. Ulrich
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.
出生缺陷是婴儿死亡的主要原因。新的测试提供了对许多胎儿非整倍体的筛查。这些测试在怀孕早期就提供,客户面临许多选择。这使得对客户的教育更具挑战性,并威胁到客户做出知情选择的能力。该项目的目的是衡量妇女在决定是否进行许多可选的产前基因筛查测试后报告的知情选择水平。在中西部的一家私人妇产科诊所,使用多维知情选择测量(MMIC)来测量知情选择的水平。这个顶点项目是一个小型试点研究,包括26名产前客户。75%的产前客户有良好的知识,57%的人做出了知情的选择。未来的研究和方法将集中于提高这一报告水平。
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引用次数: 1
Teaching the Millennial Nursing Student: Using a "Flipping the Classroom" Model 教学千禧一代护理学生:使用“翻转课堂”模式
Pub Date : 2014-12-01 DOI: 10.13189/nh.2014.020601
A. Towle, K. Breda
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.
护士工作在病人护理的第一线,在帮助我们的国家实现护理的未来IOM报告和平价医疗法案的目标方面发挥着至关重要的作用。护理学校面临着一个新的挑战,那就是让学生在这个不同的环境中扮演重要的角色,成为领导变革的推动者。与此同时,千禧一代,具有独特学习需求的新一代学习者已经淹没了我们的护理教室。如何最有效地教育千禧一代的学生是一个紧迫的问题。千禧一代的思维和学习方式与前几代人不同,护士教育工作者被要求改变教学风格以满足他们的需求。本文的目的是介绍“翻转课堂”作为一种教学新方法的具体细节。这种模式为千禧一代护理专业的学生提供了一种革命性的教学方式。专为千禧一代学生设计的“翻转课堂”可以带来卓越的学习成果,更高的知识保留率,增强批判性思维技能和临床判断能力。护理学的“翻转”要求教育工作者不再以授课作为传递信息的主要方式,而是使用各种有吸引力的工具和活动来帮助学生理解理论,并将关键概念与现实经验联系起来。它要求学习者创新地使用在线资源,并在课前探索材料。“翻转”为课堂知识应用搭建了平台。教师和学生利用课堂时间在一个充满活力和吸引力的环境中解决问题、创造、批评和综合。最终,护士教育者和学生都可以通过这种独特的“翻转”模式进行转变。
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引用次数: 21
The Road Now Taken: Addressing the Needs of the LPN Returning to Academia 现在采取的道路:解决LPN回归学术界的需求
Pub Date : 2014-12-01 DOI: 10.13189/nh.2014.020605
Nancy Hinchcliffe Duphily
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引用次数: 0
Heading off Peripheral Neuropathy with Exercise: The Hope Study 通过运动预防周围神经病变:Hope研究
Pub Date : 2014-12-01 DOI: 10.13189/NH.2014.020602
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.
早期检测方法和新疗法延长了乳腺癌患者的寿命。这些幸存者在疾病和治疗的影响下活得更久。化疗引起的周围神经病变(CIPN)已成为紫杉醇等紫杉醇类化疗治疗乳腺癌的重要剂量限制性毒性。紫杉烷化疗伴随的感觉和运动神经元功能障碍可干扰身体功能,影响生活质量。本初步研究的目的是确定有氧和力量训练运动方案对接受紫杉醇治疗的乳腺癌患者的神经病变症状、步态和平衡以及生活质量(QOL)的有效性或可行性,并与注意对照组的患者进行比较。19名连续两个月每周接受紫杉醇治疗的妇女被随机分为家庭有氧/力量训练项目(EG)或乳腺癌教育信息(AC)组。在化疗开始前和干预期间每4周收集一次数据,共12周(4,8和12周),然后在干预后3个月(24周)收集数据。采用线性混合建模(LMM)和协方差分析(ANCOVA)相结合的意向治疗数据分析计划。结果表明,在神经病变症状方面存在差异阴性趋势,与AC组相比,EG组在干预后和随访期间出现的神经病变症状较少。在干预期间,AC组和EG组在步态、平衡和生活质量方面均无差异。然而,EG在随访中显示步态和平衡改善,生活质量改善。
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引用次数: 9
Re-hospitalization of Psychiatric Residents of a Long-stay Care Home 长期护理院精神病住院病人的再住院情况
Pub Date : 2014-12-01 DOI: 10.13189/NH.2014.020603
Tsang Y.K.A., S. L. Wong
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.
本研究旨在探讨社会人口学、精神病理及康复支持背景等独立变量对香港长期护理院精神病住院患者再住院的影响。本研究回顾性分析长期护理院中有心理健康需要的精神科住院患者的再住院情况。采用描述性统计方法研究样本数据的分布。采用Logistic回归分析再住院的预测因素。共纳入176名居民,平均年龄56.9岁,SD 8.4岁,其中73%为男性。大多数居民的精神病理特征相似,94.9%的人被诊断为精神分裂症。在2年期间,在1 000名人口中,LSCH居民再住院的发生率为267人。性别、年龄、自杀未遂史、急性精神科转诊、缺乏康复训练计划是再次住院的预测因素。本文讨论了改善康体院舍现有康复支援服务的策略干预措施。
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引用次数: 1
Potential Benefits of Dialectical Behavioral Therapy for Adolescents Receiving Treatment for Borderline Personality Disorder Traits: Implications for Psychiatric Nurses 辩证行为疗法对接受边缘型人格障碍特质治疗的青少年的潜在益处:对精神科护士的启示
Pub Date : 2014-09-01 DOI: 10.13189/NH.2014.020501
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.
边缘型人格障碍(BPD)包括一系列复杂的症状,包括自杀威胁、自杀姿态和自残行为。有有限的有效治疗方案,青少年患者的BDP或BDP特征在住院医院设置。本文讨论了青少年BPD和BPD特征,探讨了住院护士面临的挑战,总结了支持辩证行为疗法(DBT)治疗具有BPD特征的青少年的证据,并提出了具体的住院环境规划,以满足这一人群的需求。本文认为,DBT可以成功实施,以优化结果。DBT通常用于成人门诊环境。然而,研究表明,在为青少年服务的住院环境中整合DBT策略可以促进有效的结果。特别是护士是医院治疗模式的关键成员。如果护士对DBP有更好的了解,并接受培训,使她们能够为DBP规划做出贡献,那么结果可能会得到改善。
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引用次数: 2
Knowledge and Attitudes about Pain Management: A Comparison of Oncology and Non-Oncology Jordanian Nurses 关于疼痛管理的知识和态度:肿瘤和非肿瘤约旦护士的比较
Pub Date : 2014-07-01 DOI: 10.13189/NH.2014.020401
S. Omran, M. Qadire, Nahla Al Ali, M. Hayek
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.
最佳疼痛管理是患者护理最重要的方面之一。护士在疼痛管理中起着关键的作用。本研究的目的是探讨和描述肿瘤和非肿瘤约旦护士对疼痛管理的知识和态度。研究样本包括来自约旦三家医院的263名护士。采用护士疼痛知识态度调查(NKASRP)对护士的疼痛管理知识和态度进行测评。参与研究的护士中,年龄在21 ~ 32岁之间的占64%,平均年龄30.9岁(SD 5.7)。共有89%的护士拥有学士学位。平均护理经验为7.3年(SD 5.3)。平均正确率为42.7%,范围为10.5% ~ 75%。在评估的40个疼痛知识问题中,平均正确回答的问题数为17.1 (SD 5.0),范围为4至30。护士特征与疼痛知识之间无显著差异。护士的受教育程度(P = 0.020)、既往癌症相关疼痛教育(P < 0.007)、定期癌症疼痛护理(P = 0.010)、疼痛管理相关知识得分和参加会议(P = 0.002)、疼痛管理相关知识得分和在职培训、模块、方案等相关知识和技能(P = 0.004)、知识得分和护士疼痛体验率(P < 0.001)、与疼痛管理相关的专业培训准备充足(P < 0.001)。目前在约旦的研究提供了关于疼痛管理知识缺陷的重要信息。护理课程中疼痛教育内容和课时分配是否适当,需要进行评估和改革。此外,强烈建议护士在临床环境中定期学习疼痛管理课程。
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引用次数: 29
期刊
Nursing and health (Alhambra, Calif.)
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