Pub Date : 2019-12-17DOI: 10.15344/2394-4978/2019/314
Yu-Ching Yang, Hui-Man Huang, Tzu-Chi Chen
Background: Intensive care unit (ICU) nurses must think critically in order to identify and deal with patients problems and thus provide better care. Currently, however, no existing research has explored ICU nurses’ critical thinking skills and caring behaviors. Purpose: To investigate the associations among the personal characteristics, critical thinking skills, and caring behaviors of ICU nurses in Taiwan. Methods: A cross-sectional correlational study was conducted. A convenience sample of 352 ICU nurses was recruited from three hospitals in southern Taiwan. Data were collected using self‐report measures including a Personal Characteristics Questionnaire, the Critical Thinking Skills Scale, and the Caring Behaviors Scale. Results: (a) The critical thinking skills and caring behaviors of the ICU nurses were found to be “moderate”, with index scores of 52.5 and 65.6, respectively. (b) The nurses’ overall critical thinking skills were associated by their clinical ladder, with their “Inference skills” being affected by their seniority and their “Interpretation skills” being affected by their position titles. (c) Their caring behaviors were affected by their age, marital status, clinical ladder, hospital work seniority, and ICU work seniority. (d) Their critical thinking skills and caring behaviors were not associated. Conclusions: In the healthcare sector, managers should seek to enhance ICU nurses’ critical thinking skills and teach them specific behaviors to help them better care for ICU patients.
{"title":"Intensive Care Unit Nurses: Critical Thinking Skills and Caring Behaviors","authors":"Yu-Ching Yang, Hui-Man Huang, Tzu-Chi Chen","doi":"10.15344/2394-4978/2019/314","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/314","url":null,"abstract":"Background: Intensive care unit (ICU) nurses must think critically in order to identify and deal with patients problems and thus provide better care. Currently, however, no existing research has explored ICU nurses’ critical thinking skills and caring behaviors. Purpose: To investigate the associations among the personal characteristics, critical thinking skills, and caring behaviors of ICU nurses in Taiwan. Methods: A cross-sectional correlational study was conducted. A convenience sample of 352 ICU nurses was recruited from three hospitals in southern Taiwan. Data were collected using self‐report measures including a Personal Characteristics Questionnaire, the Critical Thinking Skills Scale, and the Caring Behaviors Scale. Results: (a) The critical thinking skills and caring behaviors of the ICU nurses were found to be “moderate”, with index scores of 52.5 and 65.6, respectively. (b) The nurses’ overall critical thinking skills were associated by their clinical ladder, with their “Inference skills” being affected by their seniority and their “Interpretation skills” being affected by their position titles. (c) Their caring behaviors were affected by their age, marital status, clinical ladder, hospital work seniority, and ICU work seniority. (d) Their critical thinking skills and caring behaviors were not associated. Conclusions: In the healthcare sector, managers should seek to enhance ICU nurses’ critical thinking skills and teach them specific behaviors to help them better care for ICU patients.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":"2019 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44925378","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}
Background: Long-term care facility residents with stroke typically engage in daily life activities and leisure activities with low frequency, which may affect their health-related quality of life (HRQoL). Purpose: The current study was conducted to (1) Explore stroke residents’ leisure-activity participation and HRQoL, as well as related factors, and (2) Investigate the relationship between stroke residents’ leisureactivity participation and HRQoL. Methods: A cross-sectional correlational research design with convenience sampling was applied to select 70 individuals with stroke living in long-term care facilities in Taiwan. The questionnaire included items regarding the residents’ characteristics, self-perceived health status, activities of daily living (ADLs), and leisure-activity participation frequency, as well as the Stroke Impact Scale (SIS). Results: (1) The female residents had a higher frequency of active leisure-activity participation than the male residents. (2) Self-perceived health status was significantly and positively correlated with the overall frequency of leisure-activity participation, static leisure activities, and active leisure activities, while ADLs were significantly and positively correlated with the overall frequency of leisure-activity participation, static leisure activities, active leisure activities, and periodic routine activities. (3) A significant positive correlation was found between overall HRQoL and ADLs, the overall frequency of leisure-activity participation, static leisure activities, and active leisure activities. Conclusions: The relationship between leisure-activity participation and HRQoL was identified. In order to improve the HRQoL of long-term care facility residents with stroke, it is suggested that staff members should provide individualized activities to enhance residents’ abilities to engage in ADLs and increase their participation in leisure activities. Further studies are needed to reveal whether improvement of leisureactivity participation could affect HRQoL in various dimensions.
{"title":"Health-related Quality of Life and Leisure Participation among Long-term Care Facility Residents with Stroke","authors":"Pei-Shan Wu, Hui-Man Huang, Wan-Ju Lin, Tzu-Chi Chen","doi":"10.15344/2394-4978/2019/313","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/313","url":null,"abstract":"Background: Long-term care facility residents with stroke typically engage in daily life activities and leisure activities with low frequency, which may affect their health-related quality of life (HRQoL). Purpose: The current study was conducted to (1) Explore stroke residents’ leisure-activity participation and HRQoL, as well as related factors, and (2) Investigate the relationship between stroke residents’ leisureactivity participation and HRQoL. Methods: A cross-sectional correlational research design with convenience sampling was applied to select 70 individuals with stroke living in long-term care facilities in Taiwan. The questionnaire included items regarding the residents’ characteristics, self-perceived health status, activities of daily living (ADLs), and leisure-activity participation frequency, as well as the Stroke Impact Scale (SIS). Results: (1) The female residents had a higher frequency of active leisure-activity participation than the male residents. (2) Self-perceived health status was significantly and positively correlated with the overall frequency of leisure-activity participation, static leisure activities, and active leisure activities, while ADLs were significantly and positively correlated with the overall frequency of leisure-activity participation, static leisure activities, active leisure activities, and periodic routine activities. (3) A significant positive correlation was found between overall HRQoL and ADLs, the overall frequency of leisure-activity participation, static leisure activities, and active leisure activities. Conclusions: The relationship between leisure-activity participation and HRQoL was identified. In order to improve the HRQoL of long-term care facility residents with stroke, it is suggested that staff members should provide individualized activities to enhance residents’ abilities to engage in ADLs and increase their participation in leisure activities. Further studies are needed to reveal whether improvement of leisureactivity participation could affect HRQoL in various dimensions.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48927714","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 : 2019-09-11DOI: 10.15344/2394-4978/2019/312
Reiko Okahisa, S. Iwamoto, M. Tada, Y. Matsushita, H. Hashimoto, K. Mori
Background: Parents’ own histories of growth any experience of being abused or bullied) are regarded as one of the factors contributing to the difficulty in child-raising that those parents face. The objective of this research is to find the features of the difficulty in child-raising and resilience of mothers with past experience of adversity. Methods: A questionnaire survey was conducted targeting 4,013 mothers who were raising young children aged 1.5 years or older. The survey items were the history of growth, the child raising environment, difficulty in child-raising, and A chi squared test and the two sample t test were used for the analysis. This research was approved by the Ethics Committee of Tokushima University Hospital Results: The level of difficulty in child-raising was significantly high in the group “without stable family environments” during childhood in contrast with the group “with stable family environments” and in the group “with past experience of being bullied” in contrast with the group without such experience. The resilience of the group “without stable family environments” during childhood were significantly lower than the group “with stable family environments,” and so were the resilience of the group “with past experience of being bullied” than the group without such experience. The resilience of mothers with past experience of adversity was characterized by being low, especially in terms of sociability. Conclusion: This research has found that past experience of adversity has an impact on the difficulty in child-raising that currently nurturing mothers face. It is important for childcare support with a focus on resilience for mothers with experience of adversity to not only assist them in terms of environmental factors but also be based on the understanding of what perception they have.
{"title":"Features of Difficulty in Child Raising and Resilience of Nurturing Mothers with Past Experience of Adversity","authors":"Reiko Okahisa, S. Iwamoto, M. Tada, Y. Matsushita, H. Hashimoto, K. Mori","doi":"10.15344/2394-4978/2019/312","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/312","url":null,"abstract":"Background: Parents’ own histories of growth any experience of being abused or bullied) are regarded as one of the factors contributing to the difficulty in child-raising that those parents face. The objective of this research is to find the features of the difficulty in child-raising and resilience of mothers with past experience of adversity. Methods: A questionnaire survey was conducted targeting 4,013 mothers who were raising young children aged 1.5 years or older. The survey items were the history of growth, the child raising environment, difficulty in child-raising, and A chi squared test and the two sample t test were used for the analysis. This research was approved by the Ethics Committee of Tokushima University Hospital Results: The level of difficulty in child-raising was significantly high in the group “without stable family environments” during childhood in contrast with the group “with stable family environments” and in the group “with past experience of being bullied” in contrast with the group without such experience. The resilience of the group “without stable family environments” during childhood were significantly lower than the group “with stable family environments,” and so were the resilience of the group “with past experience of being bullied” than the group without such experience. The resilience of mothers with past experience of adversity was characterized by being low, especially in terms of sociability. Conclusion: This research has found that past experience of adversity has an impact on the difficulty in child-raising that currently nurturing mothers face. It is important for childcare support with a focus on resilience for mothers with experience of adversity to not only assist them in terms of environmental factors but also be based on the understanding of what perception they have.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44240892","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 : 2019-07-29DOI: 10.15344/2394-4978/2019/311
Noboru Hasegawa, Miyako Mochizuki, Takako Yamada
Background: We studied the effects of vitamin D3 supplementation on serum levels of glycosylated hemoglobin, 25-hydroxyvitamin D and 1, 25-hydroxyvitamin D, and on cognitive function in elderly diabetic patients. Methods: We enrolled 6 male and 9 female Japanese patients (age: 74.4 ± 6.2) with controlled diabetes mellitus who attended an outpatient clinic. The serum glycosylated hemoglobin, 25-hydroxy vitamin D, and 1, 25-hydroxy vitamin D concentrations were measured prior to supplementation and after 3, 9 and 12 months of supplementation with vitamin D3 (500 IU/day of vitamin D3, corresponding to twice the daily requirement). The Montreal Cognitive Assessment-Japanese version was used for the cognitive function test. Data were analyzed using a two-way ANOVA or the Friedman test followed by a Bartlett analysis for homoscedasticity. Results: The results showed that before vitamin D3 supplementation 25-hydroxy vitamin D level was < 20ng/ mL (deficient) in all patients except one (insufficient). Our results show that individual 25-hydroxy vitamin D levels vary significantly from each other and by supplementation duration. The vitamin D deficient group decreased from 14 to 8 patients (5: became insufficient, 1: became sufficient) and the insufficient group decreased from 1 to 0patients after 9 months. The 1, 25-hydroxyvitamin D and glycosylated hemoglobin levels did not vary significantly with duration of supplementation. The Montreal Cognitive Assessment- Japanese version scores did not vary significantly from each other or by supplementation duration. However, we observed increased Montreal Cognitive Assessment-Japanese version scores after supplementation in 60% of the patients. Conclusion: These findings show that vitamin D supplementation is associated with improved serum vitamin D levels and might improve cognitive function.
{"title":"Vitamin D3 Supplementation Improved Cognitive Function in Diabetic Elderly Patients with Good Glycemic Control in Japan: A Pilot Study","authors":"Noboru Hasegawa, Miyako Mochizuki, Takako Yamada","doi":"10.15344/2394-4978/2019/311","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/311","url":null,"abstract":"Background: We studied the effects of vitamin D3 supplementation on serum levels of glycosylated hemoglobin, 25-hydroxyvitamin D and 1, 25-hydroxyvitamin D, and on cognitive function in elderly diabetic patients. Methods: We enrolled 6 male and 9 female Japanese patients (age: 74.4 ± 6.2) with controlled diabetes mellitus who attended an outpatient clinic. The serum glycosylated hemoglobin, 25-hydroxy vitamin D, and 1, 25-hydroxy vitamin D concentrations were measured prior to supplementation and after 3, 9 and 12 months of supplementation with vitamin D3 (500 IU/day of vitamin D3, corresponding to twice the daily requirement). The Montreal Cognitive Assessment-Japanese version was used for the cognitive function test. Data were analyzed using a two-way ANOVA or the Friedman test followed by a Bartlett analysis for homoscedasticity. Results: The results showed that before vitamin D3 supplementation 25-hydroxy vitamin D level was < 20ng/ mL (deficient) in all patients except one (insufficient). Our results show that individual 25-hydroxy vitamin D levels vary significantly from each other and by supplementation duration. The vitamin D deficient group decreased from 14 to 8 patients (5: became insufficient, 1: became sufficient) and the insufficient group decreased from 1 to 0patients after 9 months. The 1, 25-hydroxyvitamin D and glycosylated hemoglobin levels did not vary significantly with duration of supplementation. The Montreal Cognitive Assessment- Japanese version scores did not vary significantly from each other or by supplementation duration. However, we observed increased Montreal Cognitive Assessment-Japanese version scores after supplementation in 60% of the patients. Conclusion: These findings show that vitamin D supplementation is associated with improved serum vitamin D levels and might improve cognitive function.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45585727","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 : 2019-07-26DOI: 10.15344/2394-4978/2019/310
Yukiko Tomoyasu, I. Sobue
Background: The Little Baby Handbook (LBH) includes information on the growth/development of lowbirth- weight infants (LBWIs), raising these infants, administrative policies and subsidies for maternal and child health, and messages to mothers/families of LBWIs. In the present study, a focus group interview with the users of the LBH was conducted to examine its usefulness. Methods: A qualitative design with an inductive approach. The subjects were four mothers and a couple with very low-birth-weight infants whose birth weight was less than 1,500 g. Results: The mean birth weight of the infants was 800.6 ± 205.8 g and they were 26.6 ± 2.4 weeks old. Two of the infants were attending a center for children with special needs, and three were undergoing rehabilitation. Mothers of LBWIs used the LBH as a mental support for raising their children, and evaluated it as a useful tool to assess their development and sources of health/medical care information and peer support. The mothers experienced a sense of pleasure from making records of the growth and development of their children, and acquired prospects of their development through messages from mothers with similar experiences. Mothers of LBWIs hoped for the promotion of the LBH as a public tool for information sharing among the families of LBWIs and many different health care professionals. Conclusion: The results of the present study suggest that the LBH empowers the mothers of LBWIs to change their negative feelings and behaviors to positive ones.
{"title":"Benefits of a Parenting Record Handbook for Low-birth-weight Infants and Their Families","authors":"Yukiko Tomoyasu, I. Sobue","doi":"10.15344/2394-4978/2019/310","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/310","url":null,"abstract":"Background: The Little Baby Handbook (LBH) includes information on the growth/development of lowbirth- weight infants (LBWIs), raising these infants, administrative policies and subsidies for maternal and child health, and messages to mothers/families of LBWIs. In the present study, a focus group interview with the users of the LBH was conducted to examine its usefulness. Methods: A qualitative design with an inductive approach. The subjects were four mothers and a couple with very low-birth-weight infants whose birth weight was less than 1,500 g. Results: The mean birth weight of the infants was 800.6 ± 205.8 g and they were 26.6 ± 2.4 weeks old. Two of the infants were attending a center for children with special needs, and three were undergoing rehabilitation. Mothers of LBWIs used the LBH as a mental support for raising their children, and evaluated it as a useful tool to assess their development and sources of health/medical care information and peer support. The mothers experienced a sense of pleasure from making records of the growth and development of their children, and acquired prospects of their development through messages from mothers with similar experiences. Mothers of LBWIs hoped for the promotion of the LBH as a public tool for information sharing among the families of LBWIs and many different health care professionals. Conclusion: The results of the present study suggest that the LBH empowers the mothers of LBWIs to change their negative feelings and behaviors to positive ones.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41808425","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 : 2019-05-29DOI: 10.15344/2394-4978/2019/309
Daisuke Sato, F. Sato, Naoko Sato, Y. Arinaga
Background: Over 90% of patients undergoing prostate cancer surgery report symptoms of urinary incontinence and sexual dysfunction. Complications after surgery reduce the self-esteem of prostate cancer patients and impair their social function. Objective: Therefore, we conducted a randomized controlled study to examine whether 3 months of telenursing could reduce complications in prostate cancer patients. Interventions/Methods: The participants were randomly assigned to either an intervention group or a control group. Using a tablet computer, the participants were asked to provide information on various items, including urinary frequency, number of incontinence pads used, and presence of sexual desire and erections. Both the participants and researchers monitored automatically-graphed time-dependent changes in symptoms, and the researchers could propose concrete measures to reduce patients' complications. The control group received ordinary care. The intervention period for both groups was 3 months. If there was a problem reported after discharge from hospital, the intervention was stopped and the hospital was contacted. The primary endpoint was an improved score on the expanded prostate cancer index composite and improved urinary incontinence based on a positive stress test. The secondary endpoint was an evaluation of self-care responses to the Functional Assessment of Cancer Therapy-General (FACT-G) instrument. Results: The results showed that urinary function, urinary bother, and sexual bother improved in the intervention group. Conclusions: Furthermore, significant improvements were seen in physical, emotional, and functional wellbeing improved on the FACT-G. Implications for Practice: These findings suggest that telenursing can reduce postoperative complications and sense of burden in patients with prostate cancer.
{"title":"The Effects of Telenursing Aiming to Prevent Postsurgical Complications and Improve Quality of Life among Patients with Prostate Cancer","authors":"Daisuke Sato, F. Sato, Naoko Sato, Y. Arinaga","doi":"10.15344/2394-4978/2019/309","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/309","url":null,"abstract":"Background: Over 90% of patients undergoing prostate cancer surgery report symptoms of urinary incontinence and sexual dysfunction. Complications after surgery reduce the self-esteem of prostate cancer patients and impair their social function. Objective: Therefore, we conducted a randomized controlled study to examine whether 3 months of telenursing could reduce complications in prostate cancer patients. Interventions/Methods: The participants were randomly assigned to either an intervention group or a control group. Using a tablet computer, the participants were asked to provide information on various items, including urinary frequency, number of incontinence pads used, and presence of sexual desire and erections. Both the participants and researchers monitored automatically-graphed time-dependent changes in symptoms, and the researchers could propose concrete measures to reduce patients' complications. The control group received ordinary care. The intervention period for both groups was 3 months. If there was a problem reported after discharge from hospital, the intervention was stopped and the hospital was contacted. The primary endpoint was an improved score on the expanded prostate cancer index composite and improved urinary incontinence based on a positive stress test. The secondary endpoint was an evaluation of self-care responses to the Functional Assessment of Cancer Therapy-General (FACT-G) instrument. Results: The results showed that urinary function, urinary bother, and sexual bother improved in the intervention group. Conclusions: Furthermore, significant improvements were seen in physical, emotional, and functional wellbeing improved on the FACT-G. Implications for Practice: These findings suggest that telenursing can reduce postoperative complications and sense of burden in patients with prostate cancer.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46542082","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 : 2019-04-04DOI: 10.15344/2394-4978/2019/308
A. Sakai, Takako Shimizu, A. Sakai, Chie Isomi, Satomi Shigeta, Kazumi Tsukida
The aim of this study is to determine the psychological state and the cause of any changes in the psychological state of survivors of the Great East Japan Earthquake (GEJE) seven years after the event. The GEJE was a catastrophic disaster that struck a wide area eastern Japan. As a result, victims needed to live in shelters or temporary housings for a prolonged period. Consequently, many elderly who had been affected lost hope or had difficulty reconstructing their lives, with many eventually choosing to commit suicide or to die alone. These effects reveal a complicated process of psychological recovery and chronic distress. This study, therefore, provides a longitudinal examination of the psychological state of GEJE victims over the course of 7 years, both individually and collectively. We sampled 10 victims of the GEJE, asking them to draw a line describing the transition of their psychological state and then to describe specific episodes in which they were aware of changing in their psychological state. We subsequently found four patterns of psychological transition among victims in this study. Moreover, we found that victims’ psychological state was prone to change when triggered by circumstance in living, health status, and their relationship with their community.
{"title":"The State and Cause of Psychological Changes Seven Years after the Great East Japan Earthquake","authors":"A. Sakai, Takako Shimizu, A. Sakai, Chie Isomi, Satomi Shigeta, Kazumi Tsukida","doi":"10.15344/2394-4978/2019/308","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/308","url":null,"abstract":"The aim of this study is to determine the psychological state and the cause of any changes in the psychological state of survivors of the Great East Japan Earthquake (GEJE) seven years after the event. The GEJE was a catastrophic disaster that struck a wide area eastern Japan. As a result, victims needed to live in shelters or temporary housings for a prolonged period. Consequently, many elderly who had been affected lost hope or had difficulty reconstructing their lives, with many eventually choosing to commit suicide or to die alone. These effects reveal a complicated process of psychological recovery and chronic distress. This study, therefore, provides a longitudinal examination of the psychological state of GEJE victims over the course of 7 years, both individually and collectively. We sampled 10 victims of the GEJE, asking them to draw a line describing the transition of their psychological state and then to describe specific episodes in which they were aware of changing in their psychological state. We subsequently found four patterns of psychological transition among victims in this study. Moreover, we found that victims’ psychological state was prone to change when triggered by circumstance in living, health status, and their relationship with their community.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47270388","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 : 2019-03-08DOI: 10.15344/2394-4978/2019/307
L. Figueroa
Background: The purpose of this study was to explore spiritual perspectives and comfort levels of African American families and mental health care nurses within the context of depression. This study aimed to support the idea of testing a theoretical framework designed to increase comfort levels of nurses striving to incorporate spirituality within their practice and to assist in endorsing a culturally sensitive treatment option in population health for African American families within the context of depression. Method: The participants consisted of mental health nurses (N = 30) between the ages of 29 and 68 years, and 30 African American families (N = 63) with members between the ages of 17 and 85 years. The nurses reported working with individuals who had an Axis I diagnosis of clinical depression. The families included members who self-reported an Axis I diagnosis of clinical depression and no other mental illnesses. All participants lived in the Hampton Roads, Virginia, area at the time of the study. A descriptive statistical quantitative design and a phenomenological qualitative method were used. All participants’ spiritual perspectives were measured by the spiritual perspective scale (SPS), and comfort levels were measured by the spiritual comfort level indicator (SCLI). Results: Findings indicate the families and nurses had high scores on the SPS. However, the families scored significantly higher on the SCLI. Conclusions: Implications for nursing practice and research include using the theoretical framework to help increase cultural competence and comfort levels of nurses incorporating spirituality into their practice and population health.
{"title":"Spiritual Perspectives and Comfort Levels of African American Families and Mental Health Nurses within the Context of Depression","authors":"L. Figueroa","doi":"10.15344/2394-4978/2019/307","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/307","url":null,"abstract":"Background: The purpose of this study was to explore spiritual perspectives and comfort levels of African American families and mental health care nurses within the context of depression. This study aimed to support the idea of testing a theoretical framework designed to increase comfort levels of nurses striving to incorporate spirituality within their practice and to assist in endorsing a culturally sensitive treatment option in population health for African American families within the context of depression. Method: The participants consisted of mental health nurses (N = 30) between the ages of 29 and 68 years, and 30 African American families (N = 63) with members between the ages of 17 and 85 years. The nurses reported working with individuals who had an Axis I diagnosis of clinical depression. The families included members who self-reported an Axis I diagnosis of clinical depression and no other mental illnesses. All participants lived in the Hampton Roads, Virginia, area at the time of the study. A descriptive statistical quantitative design and a phenomenological qualitative method were used. All participants’ spiritual perspectives were measured by the spiritual perspective scale (SPS), and comfort levels were measured by the spiritual comfort level indicator (SCLI). Results: Findings indicate the families and nurses had high scores on the SPS. However, the families scored significantly higher on the SCLI. Conclusions: Implications for nursing practice and research include using the theoretical framework to help increase cultural competence and comfort levels of nurses incorporating spirituality into their practice and population health.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42925373","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 : 2019-02-20DOI: 10.15344/2394-4978/2019/306
Tomekia Yvette Luckett
Background: Presently, less than 1% of the nursing workforce possesses a doctoral degree. Characteristics of nurses who seek doctoral education are poorly understood. This research describes the motivational orientation and factors of Registered Nurses (RN’s) pursuing doctoral education. Methods: A descriptive correlational design was utilized to examine concepts relating to the motivational orientation of Registered Nurses (RN’s) pursuing doctoral education. Participants included (1) RN’s seeking the Doctor of Philosophy (PhD); and (2) RN’s pursuing the Doctor of Nursing Practice (DNP). A total of 178 RN’s comprised the final sample. Results: Results of the study indicated that participants self-identified with the motivational orientation of intrinsic motivation-to know, a self-determined motivational orientation. Positive correlates included geographical locale, age and race. Conclusion: The innate benefits perceived by RN’s as reflected in the intrinsically motivated orientation provides insight into potential innovative strategies to recruit and retain RN’s seeking doctoral degrees.
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Pub Date : 2019-01-17DOI: 10.15344/2394-4978/2019/305
E. Yoshioka, S. Kaneko
Background: The present paper elucidates the current status of ethical judgment capacity and nursing ethics in relation to continuous nursing education, while further examining the ideal direction for future educational ventures. Method: We searched the Igaku Chuo Zasshi, MEDLINE, and CINAHL databases for the time period between 2008 and 2018. The keywords used were “nursing ethics,” “nursing practice,” “ethical education,” and “nurses,” restricting the search to research articles focusing on nurses working in hospital wings (excluding nursing managerial positions). Results: A total of 22 papers were extracted. The capacity to make ethical judgments during continuous nursing education corresponds to Article 1 through 11 of the Code of Ethics from the Japanese Nursing Association. Assessed levels included awareness, judgment, and action. In terms of the clinical ladder for nurses, ladders I, II, and IV were observed. In Japan, literature on ethics education for nurses primarily comprised case studies, while papers in foreign countries carried out education through expert knowledge, namely by placing nursing ethics scholars in the hospital. Conclusion: Currently, the capacity for nurses to make ethical judgments does not cover the entire Code of Ethics, and ethics education is not being provided according to all clinical ladder stages. Thus, future work will need to devise a step-wise educational program that can continuously provide adequate ethics training.
背景:本文阐述了与护理继续教育相关的伦理判断能力和护理伦理的现状，并进一步探讨了未来教育事业的理想方向。方法:检索Igaku Chuo Zasshi、MEDLINE和CINAHL数据库，检索时间为2008 - 2018年。使用的关键词是“护理伦理”、“护理实践”、“伦理教育”和“护士”，将搜索限制在专注于在医院工作的护士(不包括护理管理职位)的研究文章。结果:共提取论文22篇。在护理持续教育中进行道德判断的能力符合日本护理协会的道德准则第1条至第11条。评估的水平包括意识、判断和行动。护士的临床阶梯分为一级、二级和四级。在日本，关于护士伦理教育的文献主要以案例研究为主，而国外的文献则通过专家知识的方式进行教育，即将护理伦理学者安置在医院。结论:目前，护士的伦理判断能力未覆盖整个《伦理规范》，未按临床各阶梯阶段进行伦理教育。因此，未来的工作将需要设计一个循序渐进的教育计划，可以持续提供足够的道德培训。
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