Pub Date : 2019-01-17DOI: 10.15344/2394-4978/2019/304
C. C. Nnedu, M. S. Davis
Background: The purpose of this quantitative retrospective study was to investigate the possible predictors of success in completing the baccalaureate-nursing program at a Historical Black College and University (HBCU) and passing the NCLEX-RN licensure exam. We addressed the following research questions: Is there a significant relationship among preprogram TEAS scores, completing the BSN program and passing the NCLEX-RN licensure exam? Methods: The data for this study were collected from student records maintained by the BSN program based on archival data, which are data taken from records collected by educators or educational institution. The categories of data collected included the TEAS’ scores, graduation status on the BSN program and NCLEXRN exam status. Results: Data indicated that the group that scored 80 and Above had a significantly higher percentage of students that received their BSN (n=11, 91.7%), relative to the other 2 groups, X2(2) =7.36, p
{"title":"Examining the Relationships between the TEAS' Score, BSN Matriculation and NCLEX-RN Pass Rate","authors":"C. C. Nnedu, M. S. Davis","doi":"10.15344/2394-4978/2019/304","DOIUrl":"https://doi.org/10.15344/2394-4978/2019/304","url":null,"abstract":"Background: The purpose of this quantitative retrospective study was to investigate the possible predictors of success in completing the baccalaureate-nursing program at a Historical Black College and University (HBCU) and passing the NCLEX-RN licensure exam. We addressed the following research questions: Is there a significant relationship among preprogram TEAS scores, completing the BSN program and passing the NCLEX-RN licensure exam? Methods: The data for this study were collected from student records maintained by the BSN program based on archival data, which are data taken from records collected by educators or educational institution. The categories of data collected included the TEAS’ scores, graduation status on the BSN program and NCLEXRN exam status. Results: Data indicated that the group that scored 80 and Above had a significantly higher percentage of students that received their BSN (n=11, 91.7%), relative to the other 2 groups, X2(2) =7.36, p","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41655818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-07DOI: 10.15344/2394-4978/2018/303
Tanya L. Sleeper
Background: In response to the federal passage of the Patient Protection and Affordable Care Act (PPACA) in 2010, ongoing efforts have been underway nationally to expand health insurance coverage to the uninsured population primarily through subsidized health insurance programs. Reasons why individuals choose not to participate in subsidized and other health insurance programs are not clearly understood. Method: Guided by the key assumptions of the Health Belief Model (HBM), this qualitative case study inquiry examined the participation rates of nine direct care workers who shared their perceptions of barriers and experiences with the Part-time Worker Coverage Voucher Program (PTWCVP). Analysis of the transcribed data suggested that both financial and non-financial barriers influenced participation rates. Results: While financial reasons were the primary impediment to participation in the PTWCVP, a number of other important findings emerged that influenced non-participation in the program including inaccurate perceptions of general health; incomplete perceptions regarding the role, purpose, and function of health insurance programs; strongly negative perceptions of program design and delivery; and inadequate knowledge and lack of effort to obtain health insurance coverage. Conclusion: Based on the HBM, the findings from this research can have significant implications nursing practice by guiding educational efforts to address perceived barriers while enhancing the likelihood of taking action by increasing participation in health insurance programs, health promotion and prevention efforts.
{"title":"Health Beliefs, Health Insurance Status, and the Uninsured: Revisiting the Findings From the Part-Time Worker Study and Barriers to Participation in Subsidized Health Insurance Programs, Exploring the Implications for Nursing Practice","authors":"Tanya L. Sleeper","doi":"10.15344/2394-4978/2018/303","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/303","url":null,"abstract":"Background: In response to the federal passage of the Patient Protection and Affordable Care Act (PPACA) in 2010, ongoing efforts have been underway nationally to expand health insurance coverage to the uninsured population primarily through subsidized health insurance programs. Reasons why individuals choose not to participate in subsidized and other health insurance programs are not clearly understood. Method: Guided by the key assumptions of the Health Belief Model (HBM), this qualitative case study inquiry examined the participation rates of nine direct care workers who shared their perceptions of barriers and experiences with the Part-time Worker Coverage Voucher Program (PTWCVP). Analysis of the transcribed data suggested that both financial and non-financial barriers influenced participation rates. Results: While financial reasons were the primary impediment to participation in the PTWCVP, a number of other important findings emerged that influenced non-participation in the program including inaccurate perceptions of general health; incomplete perceptions regarding the role, purpose, and function of health insurance programs; strongly negative perceptions of program design and delivery; and inadequate knowledge and lack of effort to obtain health insurance coverage. Conclusion: Based on the HBM, the findings from this research can have significant implications nursing practice by guiding educational efforts to address perceived barriers while enhancing the likelihood of taking action by increasing participation in health insurance programs, health promotion and prevention efforts.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46529764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-07DOI: 10.15344/2394-4978/2018/302
Victor Haynes
Background: To determine if a teaching intervention can increase cultural competence knowledge in senior nursing students preparing to take the NCLEX-RN exam. Methods: A 90-minute lunch and learn teaching intervention was conducted related to providing culturally competent care. A 10-question quiz was administered to a group of 31 senior nursing students before and after a teaching activity. Results: Mean values for knowledge on cultural competency were significantly higher for the pretest compared to the posttest (p < 0.01). There was a decrease in the NCLEX-RN pass-rate. Conclusion: Though there was a decrease in the NCLEX-RN pass-rate, the teaching activity helped increase cultural competence knowledge in the nursing students on providing care to diverse patients. This implies that similar interventions may be used to increase knowledge related to cultural competence.
{"title":"The Impact of a Teaching Activity on Cultural Competence Knowledge","authors":"Victor Haynes","doi":"10.15344/2394-4978/2018/302","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/302","url":null,"abstract":"Background: To determine if a teaching intervention can increase cultural competence knowledge in senior nursing students preparing to take the NCLEX-RN exam. Methods: A 90-minute lunch and learn teaching intervention was conducted related to providing culturally competent care. A 10-question quiz was administered to a group of 31 senior nursing students before and after a teaching activity. Results: Mean values for knowledge on cultural competency were significantly higher for the pretest compared to the posttest (p < 0.01). There was a decrease in the NCLEX-RN pass-rate. Conclusion: Though there was a decrease in the NCLEX-RN pass-rate, the teaching activity helped increase cultural competence knowledge in the nursing students on providing care to diverse patients. This implies that similar interventions may be used to increase knowledge related to cultural competence.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42853083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-04DOI: 10.15344/2394-4978/2018/301
N. Morisaki
Purpose: The purpose is to clarify the relationship between oral exercise and oral function in dependent elderly patients in nursing facilities. Methods: The subjects are dependent elderly people aged 65 years or older admitted to nursing facilities for elderly people in Japan. Dependent elderly people gathered for group oral exercises, with the guidance of medical welfare professionals, over 3 days a week, once a day, once for about 15 minutes. The exercises included were neck, shoulder, upper limb, tongue, lip, cheek movement, vocalization, deep breathing, and so on. Oral function was evaluated before oral exercises, 3 months after implementation, and 6 months after implementation. To evaluate oral function, tongue pressure and Oral Diadochokinesis (OD) were used. Results: Before starting oral exercises, there were 62 participants; after 3 months there were 36, and after 6 months there were 25. The average value of tongue pressure prior to exercise was 22.52±9.44kPa; after 3 months it was 24.80±10.90kPa; after 6 months the value was 26.85±10.56kPa. OD’s /pa/ average value prior to exercise was 4.0±1.1 times per second; after three months the value was 4.2±1.2 times per second; after 6 months it was 5.3±3.6 times per second. The /ta/ value prior to exercise was 4.1±1.2 times per second; after 3 months the value was 4.1±1.2 times per second; after 6 months it was 5.4±3.6 times per second. The /ka/ value prior to exercise was 3.6±1.2 times per second; after 3 months the value was 3.8±1.0 times per second; after 6 months it was 4.7±3.2 times per second. Analysis of oral function evaluation values before and after oral exercises by corresponding one-way variance showed a significant increase in tongue pressure 6 months after oral exercises. Conclusions: The results of the study suggest that oral exercise is effective in improving oral function in dependent elderly people. We think that it is necessary to continuously perform oral exercise with guidance by professionals to improve dependent elderly people’s oral function.
{"title":"Effects of Oral Exercise on Oral Function among Japanese Dependent Elderly Individuals Living in Nursing Facilities","authors":"N. Morisaki","doi":"10.15344/2394-4978/2018/301","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/301","url":null,"abstract":"Purpose: The purpose is to clarify the relationship between oral exercise and oral function in dependent elderly patients in nursing facilities. Methods: The subjects are dependent elderly people aged 65 years or older admitted to nursing facilities for elderly people in Japan. Dependent elderly people gathered for group oral exercises, with the guidance of medical welfare professionals, over 3 days a week, once a day, once for about 15 minutes. The exercises included were neck, shoulder, upper limb, tongue, lip, cheek movement, vocalization, deep breathing, and so on. Oral function was evaluated before oral exercises, 3 months after implementation, and 6 months after implementation. To evaluate oral function, tongue pressure and Oral Diadochokinesis (OD) were used. Results: Before starting oral exercises, there were 62 participants; after 3 months there were 36, and after 6 months there were 25. The average value of tongue pressure prior to exercise was 22.52±9.44kPa; after 3 months it was 24.80±10.90kPa; after 6 months the value was 26.85±10.56kPa. OD’s /pa/ average value prior to exercise was 4.0±1.1 times per second; after three months the value was 4.2±1.2 times per second; after 6 months it was 5.3±3.6 times per second. The /ta/ value prior to exercise was 4.1±1.2 times per second; after 3 months the value was 4.1±1.2 times per second; after 6 months it was 5.4±3.6 times per second. The /ka/ value prior to exercise was 3.6±1.2 times per second; after 3 months the value was 3.8±1.0 times per second; after 6 months it was 4.7±3.2 times per second. Analysis of oral function evaluation values before and after oral exercises by corresponding one-way variance showed a significant increase in tongue pressure 6 months after oral exercises. Conclusions: The results of the study suggest that oral exercise is effective in improving oral function in dependent elderly people. We think that it is necessary to continuously perform oral exercise with guidance by professionals to improve dependent elderly people’s oral function.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43393913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-03DOI: 10.15344/2394-4978/2018/300
A. Huynh, Heidi He
Background: Many nurses encounter morally and ethically difficult situations in their professional duties. Associate degree nurses (ADN) often have graduated from programs focusing on preparatory entry level clinical nursing skills, but with limited preparation on healthcare ethics. New nurses often develop critical thinking skills when evaluating clinical situations, including ethical situations. In ethical dilemmas, ADNs may only have the knowledge they have gained from their clinical experiences to guide them. Stressful situations for which they are under prepared have caused nurses job dissatisfaction, burnout and abandonment of the profession. Methods: A quantitative, descriptive, exploratory design was utilized to understand the ADNs’ knowledge of ethics. A 20-question survey was e-mailed to all ADN students enrolled in an on-line ethics course through SurveyMonkey®. Data were downloaded and analyzed employing frequency statistics. Results: Eighty-three percent were female and 80% of the subjects had practiced nursing less than five years, mainly in the hospital setting. Over 70% ranged in age from 26 to 45 years old. More than half of the subjects noted they had received some form of healthcare ethics training in their ADN program. However, 40% were only somewhat satisfied with, and over 25% were not satisfied with, their previous training. Over 90% expressed interest in receiving more training. More than 90% of the nurses reported encountering ethically challenging situations in their work; 90% believed they had come across morally distressing situations. Only two nurses had ever been subpoenaed to testify. Students had difficulty with a question concerning the difference between ethics and values. Conclusion: Results indicate that ADNs have had some ethical training, but they wanted more education. Future educational interventions can be generated with this knowledge to better prepare and assist ADNs.
{"title":"RN-BSN Students Desire More Healthcare Ethics Education","authors":"A. Huynh, Heidi He","doi":"10.15344/2394-4978/2018/300","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/300","url":null,"abstract":"Background: Many nurses encounter morally and ethically difficult situations in their professional duties. Associate degree nurses (ADN) often have graduated from programs focusing on preparatory entry level clinical nursing skills, but with limited preparation on healthcare ethics. New nurses often develop critical thinking skills when evaluating clinical situations, including ethical situations. In ethical dilemmas, ADNs may only have the knowledge they have gained from their clinical experiences to guide them. Stressful situations for which they are under prepared have caused nurses job dissatisfaction, burnout and abandonment of the profession. Methods: A quantitative, descriptive, exploratory design was utilized to understand the ADNs’ knowledge of ethics. A 20-question survey was e-mailed to all ADN students enrolled in an on-line ethics course through SurveyMonkey®. Data were downloaded and analyzed employing frequency statistics. Results: Eighty-three percent were female and 80% of the subjects had practiced nursing less than five years, mainly in the hospital setting. Over 70% ranged in age from 26 to 45 years old. More than half of the subjects noted they had received some form of healthcare ethics training in their ADN program. However, 40% were only somewhat satisfied with, and over 25% were not satisfied with, their previous training. Over 90% expressed interest in receiving more training. More than 90% of the nurses reported encountering ethically challenging situations in their work; 90% believed they had come across morally distressing situations. Only two nurses had ever been subpoenaed to testify. Students had difficulty with a question concerning the difference between ethics and values. Conclusion: Results indicate that ADNs have had some ethical training, but they wanted more education. Future educational interventions can be generated with this knowledge to better prepare and assist ADNs.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49044642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-11-27DOI: 10.15344/2394-4978/2018/299
Ruriko Miyashita, H. Matsuo
Backgrounds: Lifestyle-related diseases have been increasing through rapid changes in lifestyle, which might be contributable to disturbance of the QOL (Quality of Life) and the high prevalence of three major illnesses. Healthcare during and after menopause may be an important priority for healthy life in middle-aged women. We conducted the present study to examine the cognition and behavior of lifestyle-related disease prevention, and physical determinants in middle-aged women, and compared the results along for each life stage. Methods: The subjects comprised women aged between 40 to 74 years who had received a specific checkup (n=522). The survey was conducted using an anonymous self-reporting questionnaire. The questionnaire consisted of four components (subject characteristics, lifestyle, knowledge of metabolic syndrome, and menopausal features and evaluation of menopause). We also asked each of the respondents to transfer the results of their specific health checkups, (height, weight, BMI, abdominal circumference, blood pressure, lipids (TG, LDL-C and HDL-C), blood glucose). The survey was conducted between May and December 2016. Results: The mean age was 64.1 ± 8.9 years (mean ± SD). The percentages of subjects in their 40s and 50s who suffered from strong or moderate stress was more than 60%. Sleep satisfaction was greater among the higher age brackets. There were some differences in lifestyle such as work, sleep and exercise among each age bracket. The higher the age bracket, the higher the knowledge and cognition of lifestyle-related diseases. Preventive behavior was also more prevalent among the higher age brackets. There was some correlation between the cognition and behavior of lifestyle-related disease prevention and physical assessment in each age bracket among middle-aged women. Conclusion: It was suggested that the information on lifestyle-related diseases should be provided from the younger generation and along with each age bracket among middle-aged women.
{"title":"The Cognition and Behavior of Lifestyle-Related Diseases Prevention in Middle-Aged Women and Their Association with Physical Assessment","authors":"Ruriko Miyashita, H. Matsuo","doi":"10.15344/2394-4978/2018/299","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/299","url":null,"abstract":"Backgrounds: Lifestyle-related diseases have been increasing through rapid changes in lifestyle, which might be contributable to disturbance of the QOL (Quality of Life) and the high prevalence of three major illnesses. Healthcare during and after menopause may be an important priority for healthy life in middle-aged women. We conducted the present study to examine the cognition and behavior of lifestyle-related disease prevention, and physical determinants in middle-aged women, and compared the results along for each life stage. Methods: The subjects comprised women aged between 40 to 74 years who had received a specific checkup (n=522). The survey was conducted using an anonymous self-reporting questionnaire. The questionnaire consisted of four components (subject characteristics, lifestyle, knowledge of metabolic syndrome, and menopausal features and evaluation of menopause). We also asked each of the respondents to transfer the results of their specific health checkups, (height, weight, BMI, abdominal circumference, blood pressure, lipids (TG, LDL-C and HDL-C), blood glucose). The survey was conducted between May and December 2016. Results: The mean age was 64.1 ± 8.9 years (mean ± SD). The percentages of subjects in their 40s and 50s who suffered from strong or moderate stress was more than 60%. Sleep satisfaction was greater among the higher age brackets. There were some differences in lifestyle such as work, sleep and exercise among each age bracket. The higher the age bracket, the higher the knowledge and cognition of lifestyle-related diseases. Preventive behavior was also more prevalent among the higher age brackets. There was some correlation between the cognition and behavior of lifestyle-related disease prevention and physical assessment in each age bracket among middle-aged women. Conclusion: It was suggested that the information on lifestyle-related diseases should be provided from the younger generation and along with each age bracket among middle-aged women.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43900476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-11DOI: 10.15344/2394-4978/2018/298
Kanako Honda, Emiko Takamizawa
Background: Recently, as the concept of the team-based medical care spreads, positive nurse-physician collaboration has been linked to quality of care . While nurse-physician collaboration has been shown to have a large impact on acute medical care, in emergency care in Japan, little research has been performed. This study investigated the characteristics of ‘nurse -physician collaboration' perceived by nurses in Japan. Methods: This was a quantitative study performed by inventory survey, conducted on a sample of 1318 nurses from 32 emergency care centres in Japan. Exploratory factor analysis and reliability testing were conducted on the questionnaire. The analysis software used IBM SPSS Statistics (version 21). Results: Answers were provided by 461 people-425 women (92.19%) and 36 men (7.80%), with an average age of 34.3 years (SD: 8.0) and mean experience of 4.6 years (SD: 3.99). The construct validity of the tool was established using exploratory factor analysis with a promax rotation. Internal reliability was established using the Cronbach’s Alpha coefficient. The following six factors were clarified. 'Nurses and physician understanding each other conferring'. 'Nurses and physicians understand organisation management'. 'Physician uses showing nursing care'. 'Physician uses the idea of the nurse to treat the patient'. 'Nurse is concerned with the physician so that the situation improves', with Cronbach’s Alpha ranging from 0.94 to 0.89. Conclusion: The six factors were expressed at four sides. These were ‘Autonomous behaviour of nurses’ ‘Physicians’ attitude towards nursing’, ‘Physicians and nurses’ attitudes towards each other’, and ‘Nurses’ attitudes towards physicians’. Regarding their collaboration, there are still dependent-dominant relationships between nurses and physicians. To encourage the autonomous behaviour of nurses and to enhance practical nursing ability, the authors believe it is necessary to reform the education and legal systems.
{"title":"Characteristics of‘Nurse-physician Collaboration' as Perceived by Nurses at an Emergency Care Centre in Japan","authors":"Kanako Honda, Emiko Takamizawa","doi":"10.15344/2394-4978/2018/298","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/298","url":null,"abstract":"Background: Recently, as the concept of the team-based medical care spreads, positive nurse-physician collaboration has been linked to quality of care . While nurse-physician collaboration has been shown to have a large impact on acute medical care, in emergency care in Japan, little research has been performed. This study investigated the characteristics of ‘nurse -physician collaboration' perceived by nurses in Japan. Methods: This was a quantitative study performed by inventory survey, conducted on a sample of 1318 nurses from 32 emergency care centres in Japan. Exploratory factor analysis and reliability testing were conducted on the questionnaire. The analysis software used IBM SPSS Statistics (version 21). Results: Answers were provided by 461 people-425 women (92.19%) and 36 men (7.80%), with an average age of 34.3 years (SD: 8.0) and mean experience of 4.6 years (SD: 3.99). The construct validity of the tool was established using exploratory factor analysis with a promax rotation. Internal reliability was established using the Cronbach’s Alpha coefficient. The following six factors were clarified. 'Nurses and physician understanding each other conferring'. 'Nurses and physicians understand organisation management'. 'Physician uses showing nursing care'. 'Physician uses the idea of the nurse to treat the patient'. 'Nurse is concerned with the physician so that the situation improves', with Cronbach’s Alpha ranging from 0.94 to 0.89. Conclusion: The six factors were expressed at four sides. These were ‘Autonomous behaviour of nurses’ ‘Physicians’ attitude towards nursing’, ‘Physicians and nurses’ attitudes towards each other’, and ‘Nurses’ attitudes towards physicians’. Regarding their collaboration, there are still dependent-dominant relationships between nurses and physicians. To encourage the autonomous behaviour of nurses and to enhance practical nursing ability, the authors believe it is necessary to reform the education and legal systems.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45332094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-15DOI: 10.15344/2394-4978/2018/297
M. Lazare
Background: Competence in dosage calculation represents a challenge that seems to be almost insurmountable for nurses as well as nursing students. The lived experiences of nursing students in the context of learning medication dosage calculation have not been explored for description and interpretation. Aim of The Study: The purpose of this study was to gain more insight about undergraduate nursing students’ lived experiences in learning medication dosage calculation. Methods: A purposive sample was selected to investigate the following question: What are they lived experiences of undergraduate nursing students studying medication dosage calculation? Data were collected through face-to-face semi-structured interviews, which the researcher transcribed verbatim, and the participants reviewed for validation. The combined interpretive and descriptive method of van Manen guided the characteristics of the thematic data analysis conducted to determine the findings. Results: The related themes of signifying, repeating, analyzing, verifying, maintaining consistency are tied to the overarching theme of assuring safety, which emerged as the essence of the participants’ lived world of learning drug dosage calculation. Conclusions: This study contributed, to some extent, to filling the empirical gap identified in the literature review. These participants gave rich, in-depth accounts of how they embodied drug dosage calculation to attain competence that they need to administer correct dosage of medications to their patients.
{"title":"The Lived Experiences of Undergraduate Nursing Students Learning Drug Dosage Calculation","authors":"M. Lazare","doi":"10.15344/2394-4978/2018/297","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/297","url":null,"abstract":"Background: Competence in dosage calculation represents a challenge that seems to be almost insurmountable for nurses as well as nursing students. The lived experiences of nursing students in the context of learning medication dosage calculation have not been explored for description and interpretation. Aim of The Study: The purpose of this study was to gain more insight about undergraduate nursing students’ lived experiences in learning medication dosage calculation. Methods: A purposive sample was selected to investigate the following question: What are they lived experiences of undergraduate nursing students studying medication dosage calculation? Data were collected through face-to-face semi-structured interviews, which the researcher transcribed verbatim, and the participants reviewed for validation. The combined interpretive and descriptive method of van Manen guided the characteristics of the thematic data analysis conducted to determine the findings. Results: The related themes of signifying, repeating, analyzing, verifying, maintaining consistency are tied to the overarching theme of assuring safety, which emerged as the essence of the participants’ lived world of learning drug dosage calculation. Conclusions: This study contributed, to some extent, to filling the empirical gap identified in the literature review. These participants gave rich, in-depth accounts of how they embodied drug dosage calculation to attain competence that they need to administer correct dosage of medications to their patients.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43778659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-13DOI: 10.15344/2394-4978/2018/296
Mami Sonobe, Masami Usui, T. Hirose
Background: Most first parents experience childbirth with little preparation for child-rearing after birth. However, after childbirth, parents often have a hard time coping with night-time feeding or baby’s crying. This study seeks to evaluate the effects of an intervention class providing parenting support during pregnancy. The program focuses on mother-infant interaction. Methods: Participants were primipara pregnant women attending a birth center. The intervention class was offered as an addition to maternity classes. The intervention addressed fetal development, mother-newborn interaction, baby’s sleeping and waking states, baby’s self-regulation, and infant cues. The intervention group answered questionnaires containing a Prenatal Attachment Inventory (PAI) and Nurturance scales before and after the additional class; the control group answered questionnaires in the third or fourth regular maternity class. Mothers in both groups were also asked to complete a postnatal questionnaire, Maternal Attachment Inventory (MAI), and Edinburgh Postnatal Depression Scale (EPDS). Results: The intervention group included 12 primiparas (initially 13), and the control group included 12 primiparas. There was no difference in baseline (Time 1) data between the intervention group and control group, nor differences in MAI and EPDS scores postnatally (Time 3). However, the PAI score increased significantly after the intervention class (Time 2) in the intervention group. The Nurturance subordinate scale “Acceptance” also increased for the intervention group between Time 1 and Time 2. Conclusion: The early intervention parenting support class considered herein enhances attachment to the baby and acceptance in the short term, but there is no long-term effect. The implementation of multiple interventions and exploration of long-term effects are future challenges.
{"title":"Early Intervention to Support Parenting during Pregnancy: Improving Parent-Child Interactions","authors":"Mami Sonobe, Masami Usui, T. Hirose","doi":"10.15344/2394-4978/2018/296","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/296","url":null,"abstract":"Background: Most first parents experience childbirth with little preparation for child-rearing after birth. However, after childbirth, parents often have a hard time coping with night-time feeding or baby’s crying. This study seeks to evaluate the effects of an intervention class providing parenting support during pregnancy. The program focuses on mother-infant interaction. Methods: Participants were primipara pregnant women attending a birth center. The intervention class was offered as an addition to maternity classes. The intervention addressed fetal development, mother-newborn interaction, baby’s sleeping and waking states, baby’s self-regulation, and infant cues. The intervention group answered questionnaires containing a Prenatal Attachment Inventory (PAI) and Nurturance scales before and after the additional class; the control group answered questionnaires in the third or fourth regular maternity class. Mothers in both groups were also asked to complete a postnatal questionnaire, Maternal Attachment Inventory (MAI), and Edinburgh Postnatal Depression Scale (EPDS). Results: The intervention group included 12 primiparas (initially 13), and the control group included 12 primiparas. There was no difference in baseline (Time 1) data between the intervention group and control group, nor differences in MAI and EPDS scores postnatally (Time 3). However, the PAI score increased significantly after the intervention class (Time 2) in the intervention group. The Nurturance subordinate scale “Acceptance” also increased for the intervention group between Time 1 and Time 2. Conclusion: The early intervention parenting support class considered herein enhances attachment to the baby and acceptance in the short term, but there is no long-term effect. The implementation of multiple interventions and exploration of long-term effects are future challenges.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49292881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-10DOI: 10.15344/2394-4978/2018/295
Şerife Karagözoğlu, Fatma Tok Yildiz, S. Gürsoy, Z. Gülsoy, Burcu Kübra Süha, Hülya Koçyi̇ği̇t, N. Elaldı, Gonca Arslan
Introduction: This study was conducted in order to evaluate the adaptation control onVAP prevention bundle adaptationcontrol in terms of VAP speed, length of stay at hospital and adaptation of healthcare staff to bundle application. Method: The data of the study, which was conducted in cross sectional pattern on controlled and uncontrolled groups for ten months each, was gathered via Introductory Features Form, VAP Prevention Bundle Application List and VAP Prevention Bundle Control List. Gathered data was presented in numbers, percentages, averages and standard deviations. The data was analyzed via chi square test, Mann-Whitney U and Kruskal-Wallis tests. Results: It was found out that the length of stay at hospital for controlled group (X=11.41±12.29) is fairly shorter than of uncontrolled group (X=31.41±36.41); and it was also found out that, in comparison with the controlled group (4.7%) the VAP development rate is higher with the uncontrolled group (19.6%) and the difference in percentages is statistically meaningful. With the uncontrolled group the VAP speed is measured as 7.12 ventilator days while the time is 4.14 with the controlled group; and difference in time spent on mechanical ventilator is found to be statistically highly meaningful. In this study, it was found out that the adaptation rate of doctors and nurses working at ICUs to ventilator bundle are 69.89%. Conclusion: In accordance with the gathered data, it was determined that, controlled and uncontrolled groups have similar characteristics in terms of introductory features; although the adaptation rate with controlled group is lower than the average numbers in literature, while the VAP rate and speed is higher with the uncontrolled group, these numbers decrease to statistically meaningful levels with the controlled group. In our study it was observed that, in comparison with the uncontrolled group, the length of time spent at hospital and on mechanical ventilator is statistically shorter with the controlled group.
{"title":"The Effect of Bundle Adaptation Control on VAP Speed and Length of Hospital Stay in Avoiding the Ventilator Associated Pneumonia (VAP) at Anesthesia Intensive Care Unit","authors":"Şerife Karagözoğlu, Fatma Tok Yildiz, S. Gürsoy, Z. Gülsoy, Burcu Kübra Süha, Hülya Koçyi̇ği̇t, N. Elaldı, Gonca Arslan","doi":"10.15344/2394-4978/2018/295","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/295","url":null,"abstract":"Introduction: This study was conducted in order to evaluate the adaptation control onVAP prevention bundle adaptationcontrol in terms of VAP speed, length of stay at hospital and adaptation of healthcare staff to bundle application. Method: The data of the study, which was conducted in cross sectional pattern on controlled and uncontrolled groups for ten months each, was gathered via Introductory Features Form, VAP Prevention Bundle Application List and VAP Prevention Bundle Control List. Gathered data was presented in numbers, percentages, averages and standard deviations. The data was analyzed via chi square test, Mann-Whitney U and Kruskal-Wallis tests. Results: It was found out that the length of stay at hospital for controlled group (X=11.41±12.29) is fairly shorter than of uncontrolled group (X=31.41±36.41); and it was also found out that, in comparison with the controlled group (4.7%) the VAP development rate is higher with the uncontrolled group (19.6%) and the difference in percentages is statistically meaningful. With the uncontrolled group the VAP speed is measured as 7.12 ventilator days while the time is 4.14 with the controlled group; and difference in time spent on mechanical ventilator is found to be statistically highly meaningful. In this study, it was found out that the adaptation rate of doctors and nurses working at ICUs to ventilator bundle are 69.89%. Conclusion: In accordance with the gathered data, it was determined that, controlled and uncontrolled groups have similar characteristics in terms of introductory features; although the adaptation rate with controlled group is lower than the average numbers in literature, while the VAP rate and speed is higher with the uncontrolled group, these numbers decrease to statistically meaningful levels with the controlled group. In our study it was observed that, in comparison with the uncontrolled group, the length of time spent at hospital and on mechanical ventilator is statistically shorter with the controlled group.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45410382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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