This article reviews the evidence related to nurse involvement in the end of life (EOL) decision making in the Intensive Care Unit (ICU). This study was conducted by analyzing 53 scholarly papers which met the inclusion criteria. Data were searched through CINAHL, Science Direct, ProQuest, Wiley Online Library, and PubMed. The keywords used were “ICU Nurse”, combined with “end of life”, “decision making” and “end of life decision making”. The databases of PubMed, ProQuest, CINAHL, Wiley Online, Ovid, and Science Direct were used to search for the relevant articles. The results of the analysis present the definition of end of life decision making, type of end of life decision making, persons involved in end of life decision making in the ICU, process of end of life decision making in the ICU, a nurse’s role in end of life decision making, and factors influencing end of life decision making in the ICU. The results of this study are important to develop an understanding regarding nurse involvement in end of life decision making in the ICU.
{"title":"Nurse Involvement in End of Life Decision Making in the Intensive Care Unit: A Literature Review","authors":"A. Hidayat, W. Kongsuwan, K. Nilmanat","doi":"10.5176/2345-7198_5.1.5","DOIUrl":"https://doi.org/10.5176/2345-7198_5.1.5","url":null,"abstract":"This article reviews the evidence related to nurse involvement in the end of life (EOL) decision making in the Intensive Care Unit (ICU). This study was conducted by analyzing 53 scholarly papers which met the inclusion criteria. Data were searched through CINAHL, Science Direct, ProQuest, Wiley Online Library, and PubMed. The keywords used were “ICU Nurse”, combined with “end of life”, “decision making” and “end of life decision making”. The databases of PubMed, ProQuest, CINAHL, Wiley Online, Ovid, and Science Direct were used to search for the relevant articles. The results of the analysis present the definition of end of life decision making, type of end of life decision making, persons involved in end of life decision making in the ICU, process of end of life decision making in the ICU, a nurse’s role in end of life decision making, and factors influencing end of life decision making in the ICU. The results of this study are important to develop an understanding regarding nurse involvement in end of life decision making in the ICU.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74634819","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 : 2018-01-01DOI: 10.5176/2345-7198_5.1.16
Hung Shuk Yu Maria, L. Stanley, Wong Lai Mei
—Though nurses form the largest group of healthcare professionals in most of the healthcare systems, the transition from an academic to a real-world setting is characterized by high stress and reality shock, which contributes to a high turnover rate during the first year of practice. This qualitative study aimed to illustrate the transition experience of new graduate nurses and to identify the factors affecting their adaptation processes. Registered nurses who had completed university nursing training program and possessed about a year of professional nursing experience in Hong Kong were recruited for semi-structured, face-to-face individual interviews. The data was saturated after 14 new graduate nurses had been interviewed. The participants experienced complicated perceptions with fluctuating feelings ranging from frustration to a sense of accomplishment during the transition period. Four interrelated human and work related factors were illuminated to influence their adaptation to transition: 1) professional accountability and competency, 2) personal adaptation attitude and ability, 3) interpersonal relationships with colleagues and 4) institutional/workplace support and orientation. The findings demonstrated a close link between perceptions and the interrelated factors affecting transition experiences and adaptation processes. Education and healthcare institutions should provide more training and support in the promotion of emotional well-being, the improvement of professional knowledge and skills, and in-service adaptation enhancement programs before and during the transition. Further comprehensive studies with longitudinal designs are recommended to explore the perceptions of new graduate nurses.
{"title":"The transition challenges faced by new graduate nurses in their first year of professional experience","authors":"Hung Shuk Yu Maria, L. Stanley, Wong Lai Mei","doi":"10.5176/2345-7198_5.1.16","DOIUrl":"https://doi.org/10.5176/2345-7198_5.1.16","url":null,"abstract":"—Though nurses form the largest group of healthcare professionals in most of the healthcare systems, the transition from an academic to a real-world setting is characterized by high stress and reality shock, which contributes to a high turnover rate during the first year of practice. This qualitative study aimed to illustrate the transition experience of new graduate nurses and to identify the factors affecting their adaptation processes. Registered nurses who had completed university nursing training program and possessed about a year of professional nursing experience in Hong Kong were recruited for semi-structured, face-to-face individual interviews. The data was saturated after 14 new graduate nurses had been interviewed. The participants experienced complicated perceptions with fluctuating feelings ranging from frustration to a sense of accomplishment during the transition period. Four interrelated human and work related factors were illuminated to influence their adaptation to transition: 1) professional accountability and competency, 2) personal adaptation attitude and ability, 3) interpersonal relationships with colleagues and 4) institutional/workplace support and orientation. The findings demonstrated a close link between perceptions and the interrelated factors affecting transition experiences and adaptation processes. Education and healthcare institutions should provide more training and support in the promotion of emotional well-being, the improvement of professional knowledge and skills, and in-service adaptation enhancement programs before and during the transition. Further comprehensive studies with longitudinal designs are recommended to explore the perceptions of new graduate nurses.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76502669","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 : 2017-07-25DOI: 10.5176/2251-3833_GHC17.47
Choy Hk, Chu Hk Oliva, Keung Wy, B. Lim, T. Winnie, N. Coghill
Background: Obesity is a global problem. Healthy workplace and personal lifestyle behavior are crucial for obesity prevention. A workplace weight management program could create a culture of health and facilitate weight control among health care providers. The study aims to describe and evaluate the health outcomes of the interaction of professional work and organizational infrastructure. Method: The hospital-based weight management program was an 8-week pilot randomized controlled trial for obese health care providers. The primary outcomes were body weight and body mass index. The secondary outcomes were serum fasting glucose, fasting cholesterol, triglyceride, highdensity and low-density lipoprotein, body fat percentage, and body mass. The RE-AIM framework was used to examine the intervention’s Reach, Effectiveness, Adoption, Implementation and Maintenance at individual and organizational level. Results: The program was successful in reaching the target population. Health care providers demonstrated shortterm weight loss and decrease in serum fasting cholesterol level after completing the program. The excellent retention rate (89%) of the study suggested that the participants were well engaged in self-weight management. The program was implemented with adequate resource and support from the health organization. The organization may consider to continue the program in view of the long term benefits of the health care providers Conclusion: Supportive organizational structure and culture not only enhance professional practice but also improve the health outcomes of the participants in hospital-based weight management program
{"title":"A Step Toward Workplace Obesity Prevention: Evaluation of Weight Management Program for Hospital-based Health Care Providers","authors":"Choy Hk, Chu Hk Oliva, Keung Wy, B. Lim, T. Winnie, N. Coghill","doi":"10.5176/2251-3833_GHC17.47","DOIUrl":"https://doi.org/10.5176/2251-3833_GHC17.47","url":null,"abstract":"Background: Obesity is a global problem. Healthy workplace and personal lifestyle behavior are crucial for obesity prevention. A workplace weight management program could create a culture of health and facilitate weight control among health care providers. The study aims to describe and evaluate the health outcomes of the interaction of professional work and organizational infrastructure. Method: The hospital-based weight management program was an 8-week pilot randomized controlled trial for obese health care providers. The primary outcomes were body weight and body mass index. The secondary outcomes were serum fasting glucose, fasting cholesterol, triglyceride, highdensity and low-density lipoprotein, body fat percentage, and body mass. The RE-AIM framework was used to examine the intervention’s Reach, Effectiveness, Adoption, Implementation and Maintenance at individual and organizational level. Results: The program was successful in reaching the target population. Health care providers demonstrated shortterm weight loss and decrease in serum fasting cholesterol level after completing the program. The excellent retention rate (89%) of the study suggested that the participants were well engaged in self-weight management. The program was implemented with adequate resource and support from the health organization. The organization may consider to continue the program in view of the long term benefits of the health care providers Conclusion: Supportive organizational structure and culture not only enhance professional practice but also improve the health outcomes of the participants in hospital-based weight management program","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84936816","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 : 2017-07-24DOI: 10.5176/2315-4330_WNC17.58
L. Panicker
{"title":"Experiences of flipping an online classroom: An appraisal using Community of Inquiry Framework","authors":"L. Panicker","doi":"10.5176/2315-4330_WNC17.58","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC17.58","url":null,"abstract":"","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82734878","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 : 2017-07-24DOI: 10.5176/2315-4330_WNC17.54
David Hunter, J. McCallum, Dora Howes
Compassion is a topical issue in nursing, in relation to clinical practice, nurse education and policy. By reviewing the literature focusing on this aspect of nurse education, it was apparent that the experiences of student nurses themselves regarding compassionate care had received little attention. This paper describes a study which aimed to address this gap in the literature. The underpinning methodology used within the study is that of an exploratory-descriptive qualitative (EDQ) design. Following ethical approval, data was collected via individual, semi-structured interviews with fifteen student nurses across four different geographical locations in the West of Scotland. Findings identified that student nurses described compassionate care as 'doing the little things', small acts of kindness which have an impact on the patient or relative. In addition, compassion relies on communication and the building of relationships.
{"title":"Doing the little things: the meaning of compassionate care to Scottish student nurses","authors":"David Hunter, J. McCallum, Dora Howes","doi":"10.5176/2315-4330_WNC17.54","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC17.54","url":null,"abstract":"Compassion is a topical issue in nursing, in relation to clinical practice, nurse education and policy. By reviewing the literature focusing on this aspect of nurse education, it was apparent that the experiences of student nurses themselves regarding compassionate care had received little attention. This paper describes a study which aimed to address this gap in the literature. The underpinning methodology used within the study is that of an exploratory-descriptive qualitative (EDQ) design. Following ethical approval, data was collected via individual, semi-structured interviews with fifteen student nurses across four different geographical locations in the West of Scotland. Findings identified that student nurses described compassionate care as 'doing the little things', small acts of kindness which have an impact on the patient or relative. In addition, compassion relies on communication and the building of relationships.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80619800","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 : 2017-07-24DOI: 10.5176/2251-3833_GHC17.05
M. Sarker, F. Homayra, A. Latif, Mrittika Barua, Avijit Saha, Sukanta Paul, Rahima Akter, S. Islam, A. Islam
Tuberculosis (TB) remains a major public health problem in Bangladesh. The present study focused on identifying TB risk determinants in Bangladesh. An age-sex matched casecontrol study was conducted with each stratum consisting of one case and two controls. This study covered six divisions of Bangladesh including both the rural and urban areas. TB cases were randomly selected from BRAC TB Control Programme. For each case, two age-sex matched controls were chosen from the community where the case belonged, and in total 360 cases and 720 controls were selected for the study. Information was collected from the selected case and controls via face-to-face interviews. We divided potential risk factors into three categories, which were demographic, socio-economic, and personal health or lifestyle. A conditional logistic regression model was used to determine important risk factors for TB. The adjusted odds ratio (aOR) of primary education was 0.8 (95% CI: 0.52-1.2), secondary and higher level of education was 0.5 (0.32-0.78), compared to zero level of education. The aOR of living in a building was 2.54 (1.44-4.52) compared to living in an improper house/semi-building. The aOR of having previous TB history was 2.04 (1.05-3.94) compared to no history of TB. The aOR of past smokers was 5.27 (2.82-9.86) compared to nonsmokers. In this study, low level of education, type of household, low socio-economic status, previous TB history, and smoking habits were identified as risk factors for TB in Bangladesh. The findings can be used to strengthen the National TB Control Programme by developing social protection interventions and raising awareness about health hazard caused by smoking cigarettes or using tobacco.
{"title":"A matched case-control study to identify risk determinants of tuberculosis in Bangladesh","authors":"M. Sarker, F. Homayra, A. Latif, Mrittika Barua, Avijit Saha, Sukanta Paul, Rahima Akter, S. Islam, A. Islam","doi":"10.5176/2251-3833_GHC17.05","DOIUrl":"https://doi.org/10.5176/2251-3833_GHC17.05","url":null,"abstract":"Tuberculosis (TB) remains a major public health problem in Bangladesh. The present study focused on identifying TB risk determinants in Bangladesh. An age-sex matched casecontrol study was conducted with each stratum consisting of one case and two controls. This study covered six divisions of Bangladesh including both the rural and urban areas. TB cases were randomly selected from BRAC TB Control Programme. For each case, two age-sex matched controls were chosen from the community where the case belonged, and in total 360 cases and 720 controls were selected for the study. Information was collected from the selected case and controls via face-to-face interviews. We divided potential risk factors into three categories, which were demographic, socio-economic, and personal health or lifestyle. A conditional logistic regression model was used to determine important risk factors for TB. The adjusted odds ratio (aOR) of primary education was 0.8 (95% CI: 0.52-1.2), secondary and higher level of education was 0.5 (0.32-0.78), compared to zero level of education. The aOR of living in a building was 2.54 (1.44-4.52) compared to living in an improper house/semi-building. The aOR of having previous TB history was 2.04 (1.05-3.94) compared to no history of TB. The aOR of past smokers was 5.27 (2.82-9.86) compared to nonsmokers. In this study, low level of education, type of household, low socio-economic status, previous TB history, and smoking habits were identified as risk factors for TB in Bangladesh. The findings can be used to strengthen the National TB Control Programme by developing social protection interventions and raising awareness about health hazard caused by smoking cigarettes or using tobacco.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74432345","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 : 2017-07-24DOI: 10.5176/2315-4330_WNC17.112
Yuwen Weichao, A. Chen
{"title":"Struggling to find an eclectic way: Parenting and adolescents’ health in Chinese immigrant families.","authors":"Yuwen Weichao, A. Chen","doi":"10.5176/2315-4330_WNC17.112","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC17.112","url":null,"abstract":"","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90957880","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 : 2017-07-24DOI: 10.5176/2315-4330_WNC17.55
Ang Chen, M. Todd, Ashish Amresh, U. Menon, L. Szalacha
This study examined feasibility, acceptability, and preliminary effects of a computer-tailored intervention aimed at promoting HPV vaccination in Mexican-heritage adolescents aged 11-17. Among 46 Mexican-heritage parents who had one or more eligible children who had not received HPV vaccines, 91% (n = 42) completed the intervention and assessments via touchscreen tablet computers in a vaccine clinic. Mean knowledge scores increased significantly from preto postintervention. After the intervention, 95% (n = 40) of parents intended to get their children vaccinated; 50% (n = 21) of them consented to vaccination immediately, resulting in 24 adolescents being vaccinated at that time. All parents reported learning via tablets to be easy; two nurses reported that intervention delivery in the clinic was feasible. Mean acceptability rating was high (M = 3.56, range 1 4). This tailored intervention proved to be feasible and acceptable, and it showed preliminary shortterm effects on intent and getting the first HPV vaccine dose.
{"title":"A Pilot Study of Computerized, Tailored Intervention to Promote HPV Vaccination in Mexican-Heritage Adolescents","authors":"Ang Chen, M. Todd, Ashish Amresh, U. Menon, L. Szalacha","doi":"10.5176/2315-4330_WNC17.55","DOIUrl":"https://doi.org/10.5176/2315-4330_WNC17.55","url":null,"abstract":"This study examined feasibility, acceptability, and preliminary effects of a computer-tailored intervention aimed at promoting HPV vaccination in Mexican-heritage adolescents aged 11-17. Among 46 Mexican-heritage parents who had one or more eligible children who had not received HPV vaccines, 91% (n = 42) completed the intervention and assessments via touchscreen tablet computers in a vaccine clinic. Mean knowledge scores increased significantly from preto postintervention. After the intervention, 95% (n = 40) of parents intended to get their children vaccinated; 50% (n = 21) of them consented to vaccination immediately, resulting in 24 adolescents being vaccinated at that time. All parents reported learning via tablets to be easy; two nurses reported that intervention delivery in the clinic was feasible. Mean acceptability rating was high (M = 3.56, range 1 4). This tailored intervention proved to be feasible and acceptable, and it showed preliminary shortterm effects on intent and getting the first HPV vaccine dose.","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86781425","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 : 2017-07-18DOI: 10.5176/2345-718X_4.2.138
K. Nur, T. Chinnawong, C. Kritpracha
{"title":"Illness Perception And Cardiovascular Health Behaviors In Persons With Ischemic Heart Disease: A Literature Review","authors":"K. Nur, T. Chinnawong, C. Kritpracha","doi":"10.5176/2345-718X_4.2.138","DOIUrl":"https://doi.org/10.5176/2345-718X_4.2.138","url":null,"abstract":"","PeriodicalId":91870,"journal":{"name":"GSTF journal of nursing and health care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72604110","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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