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An Effective Card Game for Conflict Resolution Between Nurses and Patients 一种有效解决护患冲突的纸牌游戏
Pub Date : 2021-04-14 DOI: 10.15344/2394-4978/2021/336
Mayumi Uno, Shin Fujinaga, Yukari Nishio
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引用次数: 0
Development of the "Scale of Identity Adaptation (SIA)" for People with Schizophrenia 精神分裂症患者“身份适应量表”的编制
Pub Date : 2021-02-13 DOI: 10.15344/2394-4978/2021/335
H. Setoguchi
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引用次数: 0
Perceived Motivators and Barriers that Influence Early Career Nurses’ Consideration or Pursuit of Doctoral Education 影响早期护士考虑或追求博士教育的动机和障碍
Pub Date : 2021-02-08 DOI: 10.15344/2394-4978/2021/334
Deundra Hearne
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引用次数: 0
Emergency Room Nurses and Surviving Adversity: Benefits of Resilience Traits 急诊室护士与逆境生存:韧性特征的益处
Pub Date : 2020-12-14 DOI: 10.15344/2394-4978/2020/333
Cynthia Mitsakis
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引用次数: 0
Mental Health Conditions of Persons in the Community and of Health Care Workers During the COVID-19 Pandemic: An Integrative Review COVID-19大流行期间社区人员和医护人员精神健康状况:一项综合综述
Pub Date : 2020-11-27 DOI: 10.15344/2394-4978/2020/332
Feni Betriana, C. Kawai, Rian Adi Pamungkas, Yueren Zhao, T. Tanioka, R. Locsin
Background: The effects of the COVID-19 pandemic are not limited to physical aspects among infected people, but also include psychological aspects among uninfected people, such as community people and health care workers. The study aimed to describe the current mental health conditions prevalent among communities and health care workers during the COVID-19 pandemic. Method: An integrative review was conducted following the steps and framework of Whittemore and Knafl. Relevant articles were obtained from electronic databases, such as Science Direct, Scopus, PubMed, and Google Scholar using the keywords: “mental health”, “Stress”, “Depression”, “COVID-19”, “SARS-CoV-2”, “health care workers”, and “community people”. Eighteen articles were selected that met the inclusion criteria: full text, written in English, published in 2020, original research and review articles discussing mental health conditions among health care workers and the community during the COVID-19 pandemic. Results: Mental health conditions among community people included lower psychological well-being, anxiety, depression/depressive symptoms, fear, stress including acute stress reaction; psychological distress; COVID-19 related stress; and stress symptoms, and grief among patients’ family members. Among health care workers, mental health conditions were identified as anxiety, depression/depressive symptoms, fear, insomnia, poor sleep quality, isolation, emotional disturbances, moral injury, post-traumatic disorder, burnout, and secondary traumatization. Conclusion: Findings of this integrative review were expected to provide evidence of the mental health conditions among groups of uninfected persons and describe how they managed their health during the pandemic. Identifying mental health conditions among community people and health care workers is essential to prevent adverse psychological conditions. Mental health support practices should be made accessible to at risk persons and discriminatory actions toward frontline workers should be eliminated. Various strategies are proposed to manage mental health conditions such as rapid access to counseling, accessing information from reliable sources, maintaining healthy lifestyle and strengthening adequate coping patterns.
背景:新冠肺炎大流行的影响不仅限于感染者的身体方面,还包括未感染者的心理方面,如社区人员和医护人员。该研究旨在描述新冠肺炎大流行期间社区和医护人员中普遍存在的当前心理健康状况。方法:按照Whittemore和Knafl的步骤和框架进行综合评价。从Science Direct、Scopus、PubMed和Google Scholar等电子数据库中获得相关文章,关键词为:“心理健康”、“压力”、“抑郁”、“新冠肺炎”、“SARS-CoV-2”、“医护人员”和“社区人”。选择了18篇符合入选标准的文章:2020年发表的英文全文、讨论新冠肺炎大流行期间医护人员和社区心理健康状况的原创研究和评论文章。结果:社区人群的心理健康状况包括较低的心理幸福感、焦虑、抑郁/抑郁症状、恐惧、压力,包括急性应激反应;心理困扰;新冠肺炎相关压力;压力症状以及患者家属的悲伤。在医护人员中,心理健康状况被确定为焦虑、抑郁/抑郁症状、恐惧、失眠、睡眠质量差、孤独、情绪障碍、道德伤害、创伤后障碍、倦怠和继发性创伤。结论:这项综合审查的结果有望为未感染人群的心理健康状况提供证据,并描述他们在疫情期间如何管理自己的健康。识别社区人员和医护人员的心理健康状况对于预防不良心理状况至关重要。应向高危人群提供心理健康支持,并消除对一线工作者的歧视行为。提出了各种策略来管理心理健康状况,如快速获得咨询、从可靠来源获取信息、保持健康的生活方式和加强适当的应对模式。
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引用次数: 0
Timely Administration of Thrombolytic Therapy in Acute Ischemic Stroke: An Ethnographic Study 急性缺血性脑卒中及时溶栓治疗的民族志研究
Pub Date : 2020-10-21 DOI: 10.15344/2394-4978/2020/331
E. Catangui, Elizabeth C. Baua, Jesús Pizarro, A. Almutairi
Background: Thrombolysis treatment is a licensed therapy for acute ischemic stroke within 4.5 hours of stroke onset. The International Guideline sets the door-to-needle (DTN) time is
背景:溶栓治疗是急性缺血性卒中4.5小时内的一种许可治疗方法。国际指南规定了从门到针(DTN)的时间是
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引用次数: 2
Maternal Vitamin D in the Late First and Second Trimester is Beneficial for Healthy Development of Fetal Head Circumference 孕晚期和孕中期母体维生素D对胎儿头围的健康发育有益
Pub Date : 2020-10-16 DOI: 10.15344/2394-4978/2020/330
Noboru Hasegawa, Emiko Manabe, Mie Izumi, Miyako Mochizuki
Background: We previously showed that vitamin D supplementation might ameliorate typical clinical symptoms in children with autism spectrum disorder. In this study we examined the effects of maternal vitamin D status during pregnancy on the development of the fetus. Methods: Seventy-eight healthy Japanese women with uncomplicated pregnancies were enrolled in the study. Urine 25-hydroxy vitamin D (25OHD) and creatinine were measured. 25OHD concentrations were normalized for creatinine (ng/mg creatinine). Newborn anthropometry (height (cm), head circumference (cm), chest circumference (cm) and birth weight (kg)) of babies delivered naturally were measured and the relationship with the urinary vitamin D concentration of the mother at less than 90 days (third trimester) to delivery and more than 90 days to delivery (late first to second trimester) was examined. PC12 cells with various neurobiological processes were cultured and differentiation induced by 25OHD enhanced nerve growth factor was assessed. Results: Maternal and newborn characteristics were not significantly different between the late first and third trimesters. The associations between newborn length, chest circumference, birth weight and the urinary 25OHD concentration of mother in the late first and second trimester and the third trimester were not significant. As lightly positive association between urinary 25OHD and head circumference was observed in the late first and second trimester (r= 0.309), but not in the third trimester. Six nmol/L of 25OHD (=1/5 of serum level) enhanced nerve growth factor induced differentiation in PC12 cells. Conclusion: These findings show that vitamin D supplementation in the late first and second trimester beneficial for the healthy development of the fetal head circumference and neural system.
背景:我们之前的研究表明,补充维生素D可能会改善自闭症谱系障碍儿童的典型临床症状。在这项研究中,我们研究了怀孕期间母亲维生素D水平对胎儿发育的影响。方法:78名健康的无并发症妊娠的日本妇女参加了这项研究。测定尿25-羟基维生素D (25OHD)和肌酐。25OHD浓度归一化肌酐(ng/mg肌酐)。对自然分娩的新生儿进行人体测量(身高(cm)、头围(cm)、胸围(cm)、出生体重(kg)),并对分娩前不足90天(妊娠晚期至妊娠中期)和分娩后超过90天(妊娠晚期至妊娠中期)产妇尿中维生素D浓度与尿中维生素D浓度的关系进行分析。培养具有不同神经生物学过程的PC12细胞,观察25OHD增强神经生长因子对PC12细胞的诱导分化作用。结果:孕晚期和孕晚期产妇和新生儿的特征无显著差异。新生儿身长、胸围、出生体重与母亲妊娠前、中期和晚期尿25OHD浓度的相关性不显著。尿25OHD和头围轻度正相关出现在妊娠早期晚期和中期(r= 0.309),但在妊娠晚期没有。6 nmol/L的25OHD(=血清水平的1/5)可增强PC12细胞的神经生长因子诱导分化。结论:妊娠早期和中期补充维生素D有利于胎儿头围和神经系统的健康发育。
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引用次数: 0
Relationship between the Contentment of Mothers of Infants with Parenting Advice and Their Recognition in Judging Credibility 婴儿母亲对育儿建议的满足感与可信度判断的关系
Pub Date : 2020-09-25 DOI: 10.15344/2394-4978/2020/329
M. Tada, Reiko Okahisa, Y. Matsushita, Saori Nakano
Background: This study sought to clarify the contentment of mothers of infants with parenting advice, judgment regarding credibility of parenting advice, and the relationship between such contentment and judgment. Methods: We conducted an anonymous, self-reported questionnaire-based survey from April to June 2016, targeting 1,118 mothers of infants in Prefecture A. The questions covered basic attributes, contentment with parenting advice, and judging the credibility of such advice. Descriptive statistics were compiled for each factor. A t-test was performed to examine the relationship between contentment with parenting advice and judging the credibility of parenting advice. This study was conducted with the approval of the Ethics Committee of Tokushima University Hospital. Results: The questionnaires were returned by 272 subjects (collection rate of 24.3%), with 265 determined as valid (valid response rate of 23.7%). The mean score for contentment concerning parenting advice was 6.17 (standard deviation: ±1.69). More than 80% of the subjects indicated being able to select credible parenting advice, and more than 70% had sought professional consultation about childrearing. However, among subjects who had not sought professional consultation, some had wanted to seek professional consultation but had not been able to do so. Relating contentment to judging the credibility of parenting advice, the mean contentment scores of the subjects who felt able to select credible parenting advice were significantly higher than the scores of those who did not (p < 0.01). Conclusion: Although study participants’ contentment relating to parenting advice seemed higher than that of teenage mothers, their levels of contentment appeared insufficient. Additionally, some subjects wanted to seek professional consultation about childrearing but could not. Furthermore, mothers who reported being able to select credible parenting advice were found to obtain and apply sufficient parenting advice, compared to those who did not feel the same confidence.
背景:本研究旨在阐明婴儿母亲对育儿建议的满意度、对育儿建议可信度的判断,以及这种满意度与判断之间的关系。方法:2016年4月至6月,我们对A州1118名婴儿母亲进行了一项匿名、自我报告的问卷调查。问题包括基本属性、对育儿建议的满意度以及对此类建议可信度的判断。对每个因素进行了描述性统计。采用t检验来检验对育儿建议的满意度与判断育儿建议可信度之间的关系。这项研究是在德岛大学医院伦理委员会的批准下进行的。结果:272名受试者(收集率为24.3%)返回了问卷,其中265人被确定为有效(有效回答率为23.7%)。对育儿建议的满意度平均得分为6.17(标准差:±1.69)。超过80%的受试者表示能够选择可信的育儿建议,超过70%的人寻求过有关育儿的专业咨询。然而,在没有寻求专业咨询的受试者中,有些人想寻求专业咨询,但未能做到,能够选择可信育儿建议的受试者的平均满意度得分显著高于没有选择可信育儿咨询的受试人(p<0.01)。结论:尽管研究参与者对育儿建议的满意度似乎高于青少年母亲,但他们的满意度似乎不足。此外,一些受试者希望寻求有关育儿的专业咨询,但无法。此外,与那些没有同样信心的母亲相比,那些报告能够选择可信的育儿建议的母亲被发现能够获得并应用足够的育儿建议。
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引用次数: 0
Comparison of Japanese Nurses' and Care Workers' Scores on the Dialogue Preference Scales for Elderly (DPSE) 日本护士和护理人员在老年人对话偏好量表(DPSE)上的得分比较
Pub Date : 2020-09-04 DOI: 10.15344/2394-4978/2020/328
H. Shimizu
This study compared nurses’ and care workers’ scores on the Dialogue Preference Scales for Elderly (DPSE) created from data from nursing students in Japan. For this forward-looking, quantitative, questionnairebased study, data collection was conducted from 2010 to 2012 with care seminar participants in Japan. Participants were nurses (n = 277; 36.96 ± 10.33 years old, males; 4.33% females; 95.66%) and care workers (n = 83; 40.52 ± 11.68 years old, males; 25.30% females; 74.69). The samples varied significantly in mean age (p < 0.05) and gender (p < 0.001). The number of years of experience was 139.94 for nurses with SD = 10.99 and 90.99 for care workers with SD = 45.44 (p < 0.001). Data were gathered using the 15-item Dialogue Preference Scales for Elderly (DPSE or Shimizu scale), which assesses nurses’ negative cognition and attitude tendencies during their conversations with elderly individuals [1]. The DPSE measures attributes and the four sub-concepts of bewilderment, anxiety, cognitive bias, and communication difficulty. Higher scores indicate more negative cognitions or attitudes (maximum score: 28). Data were descriptively analyzed using Pearson’s χ2 test and student’s t test of confirmatory factors. Nurses’ total scores (mean; 57.31, SD = 11.84) were not significantly different than care worker’s scores (mean; 57.58, SD = 12.25), indicating that nurses, and care workers had a similar view of communicating with older people. However, the sub-concept of cognitive bias was significantly lower for nurses, as they likely had higher levels of ageism (p < 0.10). Additionally, the communication difficulty sub-concept also was significantly higher for nurses, possibly because they had been caring for much older patients with more severe illnesses (p < 0.01).
这项研究比较了护士和护理人员在老年人对话偏好量表(DPSE)上的得分,该量表是根据日本护理专业学生的数据创建的。对于这项前瞻性的、定量的、基于问卷的研究,从2010年到2012年对日本的护理研讨会参与者进行了数据收集。参与者为护士(n=277;36.96±10.33岁,男性;4.33%,女性;95.66%)和护理人员(n=83;40.52±11.68岁,男性,25.30%,女性;74.69)。样本的平均年龄(p<0.05)和性别(p<0.001)差异显著。SD=10.99的护士的工作年限为139.94年,SD=45.44的护理人员的工作年限(p<0.001)为90.99年使用15项老年人对话偏好量表(DPSE或清水量表)收集,该量表评估护士在与老年人对话过程中的负面认知和态度倾向[1]。DPSE测量困惑、焦虑、认知偏见和沟通困难这四个子概念的属性。得分越高,表示负面认知或态度越多(最高得分:28)。采用验证性因素的皮尔逊χ2检验和学生t检验对数据进行描述性分析。护士的总分(平均值;57.31,SD=11.84)与护理人员的得分(平均值:57.58,SD=12.25)没有显著差异,这表明护士和护理人员在与老年人沟通方面有着相似的看法。然而,护士的认知偏见子概念明显较低,因为他们可能具有更高的年龄歧视水平(p<0.10)。此外,护士的沟通困难子概念也明显较高,可能是因为他们一直在照顾患有更严重疾病的老年患者(p<0.01)。
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引用次数: 1
Affordances and Constraints of Virtual Healthcare: Students' Experiences Accessing Online Physician 虚拟医疗的支持和限制:学生访问在线医生的经验
Pub Date : 2020-08-22 DOI: 10.15344/2394-4978/2020/327
J. Nelson, V. Manokore, Chris Carvalho, Cindy Boucher, Sheldon Kallio
Background: Students at a community college in Alberta were invited to participate in this project that offered access to virtual healthcare. Prior to inception of this project, the government medical insurance did not cover virtual healthcare for its members. However, at the end of this project, virtual healthcare was considered for coverage due to challenges created by COVID-19 pandemic. The main purpose of this study was to explore the affordances and constraints of a virtual healthcare platform as reported by the students who used the online primary healthcare services. Methods: Students enrolled in the fall 2019 and winter 2020 term at the community college were invited to enrol in the project and given access to the virtual healthcare services provided by a Canadian company. Over 15,000 emails were send to the students at the college. Students who consented and volunteered to participate were enrolled to access the online physicians through the virtual healthcare company’s platform. 430 participants registered to be enrolled for the project. A total of 142 consultations were made. Participants completed a survey on their experiences soon after their consultations. Results: The findings from the survey show that the students found the platform to be convenient, especially given the circumstances created by the COVID-19 pandemic. The students’ average satisfaction with the virtual healthcare services was 4.8 out of 5 stars. Students found the platform to be user friendly, convenient to students in rural areas and newcomers to Canada, and better than visiting clinics. However, students indicated that they will only access online physicians outside the project if insurance providers cover the services. Conclusions: Findings suggest that virtual healthcare is convenient to patients especially given the healthcare access challenges that were a result of COVID-19 pandemic. The virtual healthcare will also reduce inequalities in health access of people who reside in rural and remote areas where clinics are at a distance.
背景:阿尔伯塔省一所社区学院的学生被邀请参加这个提供虚拟医疗服务的项目。在该项目启动之前,政府医疗保险不为其成员提供虚拟医疗服务。然而,在本项目结束时,由于新冠肺炎大流行带来的挑战,虚拟医疗被考虑覆盖。本研究的主要目的是探索使用在线初级医疗保健服务的学生所报告的虚拟医疗保健平台的可供性和限制。方法:社区学院2019年秋季和2020年冬季学期的学生被邀请报名参加该项目,并获得加拿大公司提供的虚拟医疗服务。向该学院的学生发送了超过15000封电子邮件。同意并自愿参与的学生被注册,通过虚拟医疗保健公司的平台访问在线医生。430名参与者登记参加该项目。共进行了142次协商。参与者在协商后不久就完成了一项关于他们经历的调查。结果:调查结果显示,学生们发现这个平台很方便,特别是考虑到新冠肺炎大流行造成的情况。学生们对虚拟医疗服务的平均满意度为4.8(满分5颗星)。学生们发现这个平台对用户友好,对农村地区的学生和新来加拿大的人来说很方便,而且比去诊所更好。然而,学生们表示,只有在保险提供商提供服务的情况下,他们才会在项目之外访问在线医生。结论:研究结果表明,虚拟医疗对患者来说很方便,特别是考虑到新冠肺炎大流行带来的医疗保健获取挑战。虚拟医疗还将减少居住在农村和偏远地区的人们在获得医疗服务方面的不平等,因为那里的诊所距离较远。
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引用次数: 0
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International journal of nursing & clinical practices
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