Pub Date : 2018-09-07DOI: 10.15344/2394-4978/2018/294
R. Mendy, V. Njie, Jainaba Sey Sawo
Background: Antenatal care (ANC) services are primarily concerned with the prevention, early diagnosis and treatment of pregnancy associated health disorders. Therefore, the aim of this study was to explore perceptions of early ANC access among pregnant women in Western Region 1, The Gambia. Methods: The study uses a qualitative phenomenological design and was conducted at the Sukuta and Serekunda health centers. The study population consisted of nineteen pregnant women who received ANC services at these facilities and were purposively selected. An interview guide of ten open ended questions was developed by the researcher. Data was collected through in depth interviews. These were audio recorded and later transcribed verbatim. Ethical approval was granted by The Gambia Government-MRC joint Ethical Committee and study participants. Thematic data analyzes was done manually. Results: Out of the study sample, almost all the women indicated that the ideal timing to initiating care before 20 week, but only five of these women initiated early ANC registration. The following six (6) themes were identified: (a) perceived notion of early ANC; (b) need help to prevent complications; (c) perceived barriers to early ANC services; (d) perceived risk for late ANC booking (e) strategies to facilitate early ANC and (f) perception on provider/client relationship. Conclusion: Though the women seem to have a positive perception about early booking into antenatal care, there is a critical need to strengthen health education of women on the benefits of early initiating to ANC services. The educational sessions should include family and community participation in order to deal with the barriers that affect early booking.
{"title":"Perception on Early Antenatal Booking by Women Attending Clinic in the Western Region in The Gambia","authors":"R. Mendy, V. Njie, Jainaba Sey Sawo","doi":"10.15344/2394-4978/2018/294","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/294","url":null,"abstract":"Background: Antenatal care (ANC) services are primarily concerned with the prevention, early diagnosis and treatment of pregnancy associated health disorders. Therefore, the aim of this study was to explore perceptions of early ANC access among pregnant women in Western Region 1, The Gambia. Methods: The study uses a qualitative phenomenological design and was conducted at the Sukuta and Serekunda health centers. The study population consisted of nineteen pregnant women who received ANC services at these facilities and were purposively selected. An interview guide of ten open ended questions was developed by the researcher. Data was collected through in depth interviews. These were audio recorded and later transcribed verbatim. Ethical approval was granted by The Gambia Government-MRC joint Ethical Committee and study participants. Thematic data analyzes was done manually. Results: Out of the study sample, almost all the women indicated that the ideal timing to initiating care before 20 week, but only five of these women initiated early ANC registration. The following six (6) themes were identified: (a) perceived notion of early ANC; (b) need help to prevent complications; (c) perceived barriers to early ANC services; (d) perceived risk for late ANC booking (e) strategies to facilitate early ANC and (f) perception on provider/client relationship. Conclusion: Though the women seem to have a positive perception about early booking into antenatal care, there is a critical need to strengthen health education of women on the benefits of early initiating to ANC services. The educational sessions should include family and community participation in order to deal with the barriers that affect early booking.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47467780","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 : 2018-09-05DOI: 10.15344/2394-4978/2018/293
Isatou Dampha, Momodou Jasseh, Jainaba Sey-Sawo
A better understanding of women’s perception of levonorgestrel implants has the potential to help women and their partners freely choose the number and spacing of their children and thus, increase contraceptive prevalence. The contraceptive prevalence rate is very low in the Gambia; only 8 per cent of the women of reproductive age use modern methods of family planning and 1 per cent using traditional methods and an implant utilization rate of 3.9%. Therefore, the purpose of the study is centered on exploring the perceptions and acceptance level of Levonorgestrel Implants among family planning (FP) clients in Western Health Region One (WHR, 1). The perception and acceptance of implants among users is not well documented in the Gambia despite established knowledge of availability at little or no cost in most health facilities. A phenomenological qualitative study design was employed and twelve women were purposively selected from two hospitals to serve as participants. Focus group discussions were used as data collection method among six women per discussion. Qualitative data analysis method used for the study was the Editing Analysis Style where, the data were interpreted in search of meaningful segments and units. The data were analyzed using themes and categorizing the responses of the participants under each theme with verbatim quotes used wherever necessary. Sociodemographic findings revealed that majority of the women were between the ages of 30-39 (SD± 5.35) ranging from 25 to 45 years with a mean age of 32.75 years. More than half of the study participants had between 1-4 children (n = 7, 58.33), with a mean parity of 3.75 (SD±2.48). Almost all of them were Muslims (n =11, 91.66 %). All of them received some form of education with the highest level being secondary (Conventional) (n = 6, 50%). Majority were housewives (n= 6, 50%), married (n = 11, 91.66%). The findings showed that six themes emerged from both Focus Group Discussions where the majority of the respondents gave similar answers. The themes that were reported on were; efficacy, service provider’s attitude, husband/spousal approval, undesired effects, myths and misconceptions, and satisfaction. In conclusion, the use of Implants for family planning depends on clients’ perceptions. Therefore, understanding client’s perceptions on implants would help to improve prevalence, thus reducing unintended pregnancies, induced abortions, short birth intervals, fertility rates and maternal mortality and morbidity in the country.
{"title":"Perceptions and Acceptance of Levonorgestrel Implants among Family Planning Clients within greater Banjul Area, The Gambia","authors":"Isatou Dampha, Momodou Jasseh, Jainaba Sey-Sawo","doi":"10.15344/2394-4978/2018/293","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/293","url":null,"abstract":"A better understanding of women’s perception of levonorgestrel implants has the potential to help women and their partners freely choose the number and spacing of their children and thus, increase contraceptive prevalence. The contraceptive prevalence rate is very low in the Gambia; only 8 per cent of the women of reproductive age use modern methods of family planning and 1 per cent using traditional methods and an implant utilization rate of 3.9%. Therefore, the purpose of the study is centered on exploring the perceptions and acceptance level of Levonorgestrel Implants among family planning (FP) clients in Western Health Region One (WHR, 1). The perception and acceptance of implants among users is not well documented in the Gambia despite established knowledge of availability at little or no cost in most health facilities. A phenomenological qualitative study design was employed and twelve women were purposively selected from two hospitals to serve as participants. Focus group discussions were used as data collection method among six women per discussion. Qualitative data analysis method used for the study was the Editing Analysis Style where, the data were interpreted in search of meaningful segments and units. The data were analyzed using themes and categorizing the responses of the participants under each theme with verbatim quotes used wherever necessary. Sociodemographic findings revealed that majority of the women were between the ages of 30-39 (SD± 5.35) ranging from 25 to 45 years with a mean age of 32.75 years. More than half of the study participants had between 1-4 children (n = 7, 58.33), with a mean parity of 3.75 (SD±2.48). Almost all of them were Muslims (n =11, 91.66 %). All of them received some form of education with the highest level being secondary (Conventional) (n = 6, 50%). Majority were housewives (n= 6, 50%), married (n = 11, 91.66%). The findings showed that six themes emerged from both Focus Group Discussions where the majority of the respondents gave similar answers. The themes that were reported on were; efficacy, service provider’s attitude, husband/spousal approval, undesired effects, myths and misconceptions, and satisfaction. In conclusion, the use of Implants for family planning depends on clients’ perceptions. Therefore, understanding client’s perceptions on implants would help to improve prevalence, thus reducing unintended pregnancies, induced abortions, short birth intervals, fertility rates and maternal mortality and morbidity in the country.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47862643","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 : 2018-08-22DOI: 10.15344/2394-4978/2018/292
K. Kawata, Y. Shimamatsu
Background: The current study aimed to explore the importance of mother-child relationship and influencing factors regarding the acquisition of the correct axillary temperature measurement method. Methods: Participants were 236 university students. The students completed a first self-administered questionnaire and measured their axillary body temperature for one week. Following this, participants watched an educational video, measured their axillary temperature for an additional week, and completed a second self-administered questionnaire. In total, 102 participants completed both questionnaires and 84 of also completed two axillary temperature measurements. Results: The mean axillary temperature data increased after the intervention. Additionally, the “trust” and “dependence” components of the current mother-child relationship were significantly associated with the agreement of the body temperature measurement method utilized by the participants and their mothers. Regarding the body temperature measurement method, 75 participants reported that the problem in measuring body temperature was that the palm could not be kept facing upwards, with 43 responding that keeping the palm facing upwards should be emphasized in proper education on temperature measurement method. Conclusions: The current results imply that a mother’s health practices may influence the acquisition of children’s health behaviors among good mother-child relationships. Current mothers and those planning to care for children in the future should be targeted for fundamental health education. In addition, stressing “palm faces upwards” could be helpful for obtaining an accurate body temperature measurement. Moreover, watching instructional videos could be an effective tool for the education of proper technique.
{"title":"Multiple Aspects of Expanding the Accuracy of Axillary Temperature Measurement Methods","authors":"K. Kawata, Y. Shimamatsu","doi":"10.15344/2394-4978/2018/292","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/292","url":null,"abstract":"Background: The current study aimed to explore the importance of mother-child relationship and influencing factors regarding the acquisition of the correct axillary temperature measurement method. Methods: Participants were 236 university students. The students completed a first self-administered questionnaire and measured their axillary body temperature for one week. Following this, participants watched an educational video, measured their axillary temperature for an additional week, and completed a second self-administered questionnaire. In total, 102 participants completed both questionnaires and 84 of also completed two axillary temperature measurements. Results: The mean axillary temperature data increased after the intervention. Additionally, the “trust” and “dependence” components of the current mother-child relationship were significantly associated with the agreement of the body temperature measurement method utilized by the participants and their mothers. Regarding the body temperature measurement method, 75 participants reported that the problem in measuring body temperature was that the palm could not be kept facing upwards, with 43 responding that keeping the palm facing upwards should be emphasized in proper education on temperature measurement method. Conclusions: The current results imply that a mother’s health practices may influence the acquisition of children’s health behaviors among good mother-child relationships. Current mothers and those planning to care for children in the future should be targeted for fundamental health education. In addition, stressing “palm faces upwards” could be helpful for obtaining an accurate body temperature measurement. Moreover, watching instructional videos could be an effective tool for the education of proper technique.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45970377","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 : 2018-08-18DOI: 10.15344/2394-4978/2018/290
E'Loria Simon-Campbell, J. Phelan
Exploring ways to help students achieve success in nursing programs is critical to improving student learning, success in nursing programs, and ultimately the number of graduates. Strategies for increasing NCLEX-RN pass rates range from modifying admission criteria, altering the number of times students can retake courses, and implementing remediation and progression policies. There does not appear, however, to be one single strategy which, when employed, can assure NCLEX-RN success. There is clear evidence, however, that studying using repeated self-testing has greater learning benefits that repeated reading, although it is unclear to what extent students understand and apply this principle on their own. In this paper we describe the implementation and use of an adaptive quizzing and learning system to provide students an environment for studying by self-testing to better master curricular material and prepare for exams. The study implemented a retrospective descriptive and correlational design to explore the relationship between usage and mastery measured in the system, course outcome data, standardized testing (ATI) scores, and NCLEX outcomes. Use of the system was voluntary and no course credit was assigned. All students (N = 36) used the practice quizzing feature of the system, answered an average of 574 questions with an overall average quizzing mastery level of 3.48 (on a scale of 1-8). There was a strong, positive correlation between the number of questions answered and overall mastery level; with increased usage students were better able to correctly answer more difficult questions and mastery of the content improved. All students in the group passed the NCLEX-RN (on the first or second attempt). Findings support the use of adaptive quizzing as a self-regulated learning strategy for nursing students and indicate that as students actively study and learn in the system, their mastery of course content increases. Additional implications will be discussed.
{"title":"Effectiveness of an Adaptive Quizzing System as a Self-Regulated Study Tool to Improve Nursing Students' Learning","authors":"E'Loria Simon-Campbell, J. Phelan","doi":"10.15344/2394-4978/2018/290","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/290","url":null,"abstract":"Exploring ways to help students achieve success in nursing programs is critical to improving student learning, success in nursing programs, and ultimately the number of graduates. Strategies for increasing NCLEX-RN pass rates range from modifying admission criteria, altering the number of times students can retake courses, and implementing remediation and progression policies. There does not appear, however, to be one single strategy which, when employed, can assure NCLEX-RN success. There is clear evidence, however, that studying using repeated self-testing has greater learning benefits that repeated reading, although it is unclear to what extent students understand and apply this principle on their own. In this paper we describe the implementation and use of an adaptive quizzing and learning system to provide students an environment for studying by self-testing to better master curricular material and prepare for exams. The study implemented a retrospective descriptive and correlational design to explore the relationship between usage and mastery measured in the system, course outcome data, standardized testing (ATI) scores, and NCLEX outcomes. Use of the system was voluntary and no course credit was assigned. All students (N = 36) used the practice quizzing feature of the system, answered an average of 574 questions with an overall average quizzing mastery level of 3.48 (on a scale of 1-8). There was a strong, positive correlation between the number of questions answered and overall mastery level; with increased usage students were better able to correctly answer more difficult questions and mastery of the content improved. All students in the group passed the NCLEX-RN (on the first or second attempt). Findings support the use of adaptive quizzing as a self-regulated learning strategy for nursing students and indicate that as students actively study and learn in the system, their mastery of course content increases. Additional implications will be discussed.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45851440","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 : 2018-08-11DOI: 10.15344/2394-4978/2018/288
Fiona Cust, R. Carter
Perinatal mental health is a major public health concern. Antenatal depression (AND) affects approximately 13% of women and is associated with psychological and physical morbidity, including poor birth outcomes and an increased risk of maternal suicide. Qualitative studies suggest that women highly value peer support. Such studies have explored some of the mechanisms of peer support that have benefitted woman. These include being able to speak openly to a peer who has experienced similar feelings of alienation, of feeling abnormal, isolated, and experiencing stigma. Findings from these studies have included feelings of increased social support, confidence, selfesteem and hope for recovery. The aim of this randomised controlled trial (RCT) was to assess whether the provision of support in the form of six weekly, one-hour visits from a PSW to women with antenatal depression (AND) was an effective and acceptable intervention with the potential to reduce AND.
{"title":"Peer Support for Women with Antenatal Depression","authors":"Fiona Cust, R. Carter","doi":"10.15344/2394-4978/2018/288","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/288","url":null,"abstract":"Perinatal mental health is a major public health concern. Antenatal depression (AND) affects approximately 13% of women and is associated with psychological and physical morbidity, including poor birth outcomes and an increased risk of maternal suicide. Qualitative studies suggest that women highly value peer support. Such studies have explored some of the mechanisms of peer support that have benefitted woman. These include being able to speak openly to a peer who has experienced similar feelings of alienation, of feeling abnormal, isolated, and experiencing stigma. Findings from these studies have included feelings of increased social support, confidence, selfesteem and hope for recovery. The aim of this randomised controlled trial (RCT) was to assess whether the provision of support in the form of six weekly, one-hour visits from a PSW to women with antenatal depression (AND) was an effective and acceptable intervention with the potential to reduce AND.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47550252","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 : 2018-07-21DOI: 10.15344/2394-4978/2018/286
S. Lall
The complexity of clinical nursing practice, chaotic and technical nature of the workplace environment coupled with the multiple and varied roles of nurses, leads to cognitive overload that may overwhelm nurses, which may result in medication errors. All medication errors are considered serious events, but some may consequently be harmful to patients and have a lasting effect on the nurses involved in making the error. This study examined what it was like to make a medication error for registered nurses. A descriptive phenomenological study rooted in the philosophical tradition of Husserl [1] was conducted on eight registered nurses via two in-depth face to face interviews. The data generated from a total of sixteen interviews and field notes were analyzed using Colaizzi’s seven-step method. Five theme categories emerged: Immediate Impact: Psychological and Physical Reactions; Multiple Causes within Chaos: Cognitive Dimensions; Embedded Challenges: Healthcare Setting; Organizational Culture: Within the Place/Within the Person; Dynamics of Reflection: Looking Forward. The lived experience of making a medication administration error led nurses to the realization that a profound occurrence had taken place. As a result, these nurses experienced upheavals that were of a physical and emotional nature, which threatened their professional status and generated a sense of low self-esteem that considerably decreased their selfconfidence. An overwhelming amount of workload, a stressful work environment and mistreatment by peers were predominantly noted as the factors that led to these errors. Nurses in this study offered suggestions to improve the system but felt their concerns were often undervalued. Implications for nursing education and nursing practice, to significantly improve teaching strategies of medication administration process leading to improved patient outcomes, were suggested.
{"title":"The Reality of Making a Medication Administration Error in Nursing Practice: Nurses Share Their Lived Experiences","authors":"S. Lall","doi":"10.15344/2394-4978/2018/286","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/286","url":null,"abstract":"The complexity of clinical nursing practice, chaotic and technical nature of the workplace environment coupled with the multiple and varied roles of nurses, leads to cognitive overload that may overwhelm nurses, which may result in medication errors. All medication errors are considered serious events, but some may consequently be harmful to patients and have a lasting effect on the nurses involved in making the error. This study examined what it was like to make a medication error for registered nurses. A descriptive phenomenological study rooted in the philosophical tradition of Husserl [1] was conducted on eight registered nurses via two in-depth face to face interviews. The data generated from a total of sixteen interviews and field notes were analyzed using Colaizzi’s seven-step method. Five theme categories emerged: Immediate Impact: Psychological and Physical Reactions; Multiple Causes within Chaos: Cognitive Dimensions; Embedded Challenges: Healthcare Setting; Organizational Culture: Within the Place/Within the Person; Dynamics of Reflection: Looking Forward. The lived experience of making a medication administration error led nurses to the realization that a profound occurrence had taken place. As a result, these nurses experienced upheavals that were of a physical and emotional nature, which threatened their professional status and generated a sense of low self-esteem that considerably decreased their selfconfidence. An overwhelming amount of workload, a stressful work environment and mistreatment by peers were predominantly noted as the factors that led to these errors. Nurses in this study offered suggestions to improve the system but felt their concerns were often undervalued. Implications for nursing education and nursing practice, to significantly improve teaching strategies of medication administration process leading to improved patient outcomes, were suggested.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47867348","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 : 2018-07-21DOI: 10.15344/2394-4978/2018/287
M. Grady
Purpose: This study explored the use of video skill clips to teach caregivers to perform medical procedures required in the care of their children. The purpose was to determine from the caregiver’s perspective, the feasibility, acceptability and effectiveness of video skill clips to reinforce discharge education and if this method of instruction increased their knowledge and confidence levels. Design and methods: This One- Group Pretest-Posttest study was conducted at a large Midwestern pediatric hospital in the United States where participants completed an investigator developed questionnaire before and after viewing the video skill clips. The study inclusion criteria were caregivers: (a) 18 years of age or older; (b) able to speak and understand English, and (c) with a child requiring a medical procedure at home. Exclusion criteria were caregivers (a) unable to complete the educational sessions; (b) who had received medical skill teaching or had watched the clips during previous admissions; (c) who were professional healthcare providers themselves. Data analysis consisted of paired t-test and descriptive statistics. Results: The 100% of participants stated the clips were feasible and acceptable (n=40, M= 94.15, SD 6.84). Medical procedural knowledge and confidence levels significantly increased among participants after watching the video skill clips (p=
{"title":"Moving Beyond Written Reinforcement: Using Video Skill Clips to Reinforce Pediatric Patient Education and Increase Caregiver Confidence","authors":"M. Grady","doi":"10.15344/2394-4978/2018/287","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/287","url":null,"abstract":"Purpose: This study explored the use of video skill clips to teach caregivers to perform medical procedures required in the care of their children. The purpose was to determine from the caregiver’s perspective, the feasibility, acceptability and effectiveness of video skill clips to reinforce discharge education and if this method of instruction increased their knowledge and confidence levels. Design and methods: This One- Group Pretest-Posttest study was conducted at a large Midwestern pediatric hospital in the United States where participants completed an investigator developed questionnaire before and after viewing the video skill clips. The study inclusion criteria were caregivers: (a) 18 years of age or older; (b) able to speak and understand English, and (c) with a child requiring a medical procedure at home. Exclusion criteria were caregivers (a) unable to complete the educational sessions; (b) who had received medical skill teaching or had watched the clips during previous admissions; (c) who were professional healthcare providers themselves. Data analysis consisted of paired t-test and descriptive statistics. Results: The 100% of participants stated the clips were feasible and acceptable (n=40, M= 94.15, SD 6.84). Medical procedural knowledge and confidence levels significantly increased among participants after watching the video skill clips (p=","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48993251","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 : 2018-06-28DOI: 10.15344/2394-4978/2018/285
Chie Furukawa, T. Morimoto, I. Morioka
Background: Intermittent pneumatic compression (IPC) therapy is used to treat lymphedema and lower limb edema in patients who are undergoing chemotherapy for breast cancer. The aims of this study were to clarify the effects of IPC on lower limb edema and health-related quality of life (HRQOL), and to determine the relevant factors in breast cancer patients who received adjuvant chemotherapy and IPC for treating the lower limb edema, in an effort to optimize nursing care for such patients in outpatient clinics. Methods: Participants were interviewed to obtain demographic and clinical data using a questionnaire designed for this study. HRQOL and foot edema were also quantified. HRQOL was assessed using a Japanese version of the World Health Organization’s Quality of Life (WHOQOL) assessment. Foot edema was evaluated by measuring calf and ankle circumference, as well as hip abduction and ankle flexion. Results: The calf and ankle circumference, and ankle flexion significantly decreased 1 week after implementing IPC therapy, but there was no significant change in hip abduction. Scores of all domains of the WHOQOL assessment significantly increased 12 weeks after administering IPC therapy. The results of the multiple logistic regression analysis showed that time since surgery and age were significantly associated with the change in ankle circumference, and that being overweight (body mass index ≥25) was significantly associated with social relationships and global QOL domains. Conclusions: Nurses in outpatient clinics should be cognizant of a patient’s time since surgery, age, and body-mass index before implementation of IPC therapy to provide optimal nursing care.
{"title":"Effects of Intermittent Pneumatic Compression on Lower Limb Edema and Health-Related Quality of Life in Breast Cancer Patients Undergoing Adjuvant Chemotherapy","authors":"Chie Furukawa, T. Morimoto, I. Morioka","doi":"10.15344/2394-4978/2018/285","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/285","url":null,"abstract":"Background: Intermittent pneumatic compression (IPC) therapy is used to treat lymphedema and lower limb edema in patients who are undergoing chemotherapy for breast cancer. The aims of this study were to clarify the effects of IPC on lower limb edema and health-related quality of life (HRQOL), and to determine the relevant factors in breast cancer patients who received adjuvant chemotherapy and IPC for treating the lower limb edema, in an effort to optimize nursing care for such patients in outpatient clinics. Methods: Participants were interviewed to obtain demographic and clinical data using a questionnaire designed for this study. HRQOL and foot edema were also quantified. HRQOL was assessed using a Japanese version of the World Health Organization’s Quality of Life (WHOQOL) assessment. Foot edema was evaluated by measuring calf and ankle circumference, as well as hip abduction and ankle flexion. Results: The calf and ankle circumference, and ankle flexion significantly decreased 1 week after implementing IPC therapy, but there was no significant change in hip abduction. Scores of all domains of the WHOQOL assessment significantly increased 12 weeks after administering IPC therapy. The results of the multiple logistic regression analysis showed that time since surgery and age were significantly associated with the change in ankle circumference, and that being overweight (body mass index ≥25) was significantly associated with social relationships and global QOL domains. Conclusions: Nurses in outpatient clinics should be cognizant of a patient’s time since surgery, age, and body-mass index before implementation of IPC therapy to provide optimal nursing care.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49312716","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 : 2018-06-23DOI: 10.15344/2394-4978/2018/282
E. McMillan, Natalina Stanga, Sharon L. Van Sell
The concept of holism is not new to the world of healthcare in other countries, but in the practice of traditional Western medicine, holism is still emerging. Holism is including the whole being, mind, body, and soul, acknowledging that the whole is more than a sum of the parts. The concept of holism was analyzed according to the Walker and Avant methodology to guide nursing practice to offer more comprehensive care to patients. Attributes of the concept are total, balanced, mind, body, and spirit, and whole. Antecedents were analyzed and are knowledge, understanding, relationships, and intention. Furthermore, the identified consequences of the concept were healing, peace, wellness, and Zen. To demonstrate holism in nursing a model, borderline, and contrary casesare laid out. Finally, a discussion about how the concept of holism enhances care given by the advanced practice nurse.
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Pub Date : 2018-06-23DOI: 10.15344/2394-4978/2018/283
C. Mwangi, D. Allen, Sharon L. Van Sell
An individual’s thought processes and decision making are guided by the information learned from the time of birth until death. The various experiences and education received throughout a lifetime along with genetic predisposition contribute to the development of a person’s knowledge. The knowledge acquired from different sources throughout the lifespan merge to create an individual’s lived-knowledge. Lived-knowledge plays an important role in establishing the attitudes, decision making, values, beliefs, and other thought processes that make an individual unique. Consequently, lived-knowledge not only influences the personal life of an individual, but it also affects the person’s professional practice as well. For example, the success of the advanced practice nurse (APN) is dependent on the effectiveness of clinical skills and decision making developed from formal education. Additionally, APNs must incorporate past experiences as a means to building a positive rapport and identifying with their patients, making, lived-knowledge crucial to the development and success of APN practice. A concept analysis of lived knowledge utilizing Walker and Avant’s eight step methodology was conducted to clarify the meaning of the concept lived-experience in the context of the APN.
{"title":"Lived-knowledge: A Concept Analysis","authors":"C. Mwangi, D. Allen, Sharon L. Van Sell","doi":"10.15344/2394-4978/2018/283","DOIUrl":"https://doi.org/10.15344/2394-4978/2018/283","url":null,"abstract":"An individual’s thought processes and decision making are guided by the information learned from the time of birth until death. The various experiences and education received throughout a lifetime along with genetic predisposition contribute to the development of a person’s knowledge. The knowledge acquired from different sources throughout the lifespan merge to create an individual’s lived-knowledge. Lived-knowledge plays an important role in establishing the attitudes, decision making, values, beliefs, and other thought processes that make an individual unique. Consequently, lived-knowledge not only influences the personal life of an individual, but it also affects the person’s professional practice as well. For example, the success of the advanced practice nurse (APN) is dependent on the effectiveness of clinical skills and decision making developed from formal education. Additionally, APNs must incorporate past experiences as a means to building a positive rapport and identifying with their patients, making, lived-knowledge crucial to the development and success of APN practice. A concept analysis of lived knowledge utilizing Walker and Avant’s eight step methodology was conducted to clarify the meaning of the concept lived-experience in the context of the APN.","PeriodicalId":91514,"journal":{"name":"International journal of nursing & clinical practices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762683","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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