Postoperative breathing exercises are widely important for patient to prevent postoperative respiratory complications. Breathing exercises had a highly positive effect on improving quality of recovery among post-operative patients. This study aimed to assess the effect of breathing exercises on quality of recovery among post-operative patients. Setting at Zagazig University Hospitals. Material and Method: a quasi-experimental (pre and posttest design). A purposive sample of total 258 study participants, 129 in experimental and 129 in control group based on inclusion and exclusion criteria. Data collection questionnaire were prepared with extensive review of previous literatures. Data collection through three tools includes, interviewing questionnaire sheet, postoperative quality scale and visual analogue scale of patient postoperative quality assessment scale. Breathing exercise (BE) was taught and practiced by the patients in experimental group and in control group routine postoperative care was followed. Result: postoperative quality rate was significantly different in experimental group were higher than in control group. Conclusion: post-operative breathing exercises improve postoperative quality.
{"title":"Effect of Breathing Exercises on Quality of Recovery Among Postoperative Patients","authors":"E. Hussein, N. Taha","doi":"10.20849/ijsn.v3i3.525","DOIUrl":"https://doi.org/10.20849/ijsn.v3i3.525","url":null,"abstract":"Postoperative breathing exercises are widely important for patient to prevent postoperative respiratory complications. Breathing exercises had a highly positive effect on improving quality of recovery among post-operative patients. This study aimed to assess the effect of breathing exercises on quality of recovery among post-operative patients. Setting at Zagazig University Hospitals. Material and Method: a quasi-experimental (pre and posttest design). A purposive sample of total 258 study participants, 129 in experimental and 129 in control group based on inclusion and exclusion criteria. Data collection questionnaire were prepared with extensive review of previous literatures. Data collection through three tools includes, interviewing questionnaire sheet, postoperative quality scale and visual analogue scale of patient postoperative quality assessment scale. Breathing exercise (BE) was taught and practiced by the patients in experimental group and in control group routine postoperative care was followed. Result: postoperative quality rate was significantly different in experimental group were higher than in control group. Conclusion: post-operative breathing exercises improve postoperative quality. ","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73669122","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}
The shortage of nurses in Saudi Arabia like many other countries in the world is a problem. Additionally, there are a unique socio-cultural factor that causes the problem including but not limited to the negative perceptions and attitudes towards nurses. Unfortunately, the apprentices are subjected to a system that is inadequately represented by long working hours, negative images, and work pressures. In addition, several factors are attributed to the problems the students face during the initial year of clinical education. This study will analyze and evaluate the different factors that influence the clinical education of the bachelor nursing apprentices, particularly in the first year of experience.Aims and Objectives: The purpose of this study is to explore the factors affecting the clinical practice of nursing interns at tertiary hospital Jeddah.Methodology and Methods: The research was employed as a qualitative approach. Bachelor nursing students who are currently undertaking their internship program in a tertiary hospital Jeddah) were recruited as participant in this study.Findings: Data analyses regarding the factors affecting the clinical practice of nursing interns are summarized both positively and negatively. The major theme that emerged that reflects the positive experiences of intern students was “a time for reflection”. Further to this the major theme that emerged relating to the challenges experienced by student interns was “cold environment’.Conclusions: The findings of this research contribute to our understanding of factors affecting the clinical practice of nursing interns. Students identified their clinical learning as cold learning environment because they were treated unfairly, ignored by their instructors and were being embarrassed and feeling restricted. Moreover, students have also identified positive experiences for them during their internship program. The internship program is a great chance for the student for a reflection.
{"title":"Factors Affecting the Clinical Practice of Nursing Interns at Tertiary Hospital Jeddah in Saudi Arabia","authors":"Hend Al Najjar, H. Rawas","doi":"10.20849/ijsn.v3i3.479","DOIUrl":"https://doi.org/10.20849/ijsn.v3i3.479","url":null,"abstract":"The shortage of nurses in Saudi Arabia like many other countries in the world is a problem. Additionally, there are a unique socio-cultural factor that causes the problem including but not limited to the negative perceptions and attitudes towards nurses. Unfortunately, the apprentices are subjected to a system that is inadequately represented by long working hours, negative images, and work pressures. In addition, several factors are attributed to the problems the students face during the initial year of clinical education. This study will analyze and evaluate the different factors that influence the clinical education of the bachelor nursing apprentices, particularly in the first year of experience.Aims and Objectives: The purpose of this study is to explore the factors affecting the clinical practice of nursing interns at tertiary hospital Jeddah.Methodology and Methods: The research was employed as a qualitative approach. Bachelor nursing students who are currently undertaking their internship program in a tertiary hospital Jeddah) were recruited as participant in this study.Findings: Data analyses regarding the factors affecting the clinical practice of nursing interns are summarized both positively and negatively. The major theme that emerged that reflects the positive experiences of intern students was “a time for reflection”. Further to this the major theme that emerged relating to the challenges experienced by student interns was “cold environment’.Conclusions: The findings of this research contribute to our understanding of factors affecting the clinical practice of nursing interns. Students identified their clinical learning as cold learning environment because they were treated unfairly, ignored by their instructors and were being embarrassed and feeling restricted. Moreover, students have also identified positive experiences for them during their internship program. The internship program is a great chance for the student for a reflection.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87065303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Peripheral intravenous (PIV) access is performed daily in the emergency department (ED). Difficult to access patients receive multiple intravenous attempts prior to successful cannulation. USGPIVA is a noninvasive technique to improve successful cannulation with the first attempt on a difficult to access patient. Use of the A-DIVA scoring method may determine difficult access patients prior to cannulation attempts. Purpose: The purpose of this literature review was to examine A-DIVA score and the implementation of the use of ultrasound-guided peripheral intravenous access in the emergency department. Method: A systematic review of USGIV was completed of the following databases: OVID, Current Index to Nursing and Allied Health Literature (CINAHL), PubMed, EBSCO host, and Google Scholar. Conclusion: A gap existed in the use of USGPIV in the ED. Therefore, the application of an A-DIVA score to implement USGPIV access may be beneficial. The A-DIVA prediction tool may improve the success rate of peripheral vascular access in adults rated to have difficult vascular access. Research studies on this important topic are recommended.
{"title":"A-DIVA Score and the Implementation of the Use of Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department: A Brief Literature Review","authors":"A. Nacci","doi":"10.20849/IJSN.V3I3.517","DOIUrl":"https://doi.org/10.20849/IJSN.V3I3.517","url":null,"abstract":"Background: Peripheral intravenous (PIV) access is performed daily in the emergency department (ED). Difficult to access patients receive multiple intravenous attempts prior to successful cannulation. USGPIVA is a noninvasive technique to improve successful cannulation with the first attempt on a difficult to access patient. Use of the A-DIVA scoring method may determine difficult access patients prior to cannulation attempts. Purpose: The purpose of this literature review was to examine A-DIVA score and the implementation of the use of ultrasound-guided peripheral intravenous access in the emergency department. Method: A systematic review of USGIV was completed of the following databases: OVID, Current Index to Nursing and Allied Health Literature (CINAHL), PubMed, EBSCO host, and Google Scholar. Conclusion: A gap existed in the use of USGPIV in the ED. Therefore, the application of an A-DIVA score to implement USGPIV access may be beneficial. The A-DIVA prediction tool may improve the success rate of peripheral vascular access in adults rated to have difficult vascular access. Research studies on this important topic are recommended.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85516479","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}
Substance use is a major health concern among women, as approximately 15.8 million have used an illicit drug in the past year. Another 4.3 million have misused prescription drugs. Men are more likely to engage in illicit drug use than women, however, the gender gap is narrowing. The consequences of substance abuse not only negatively impact women, but may affect the cognitive and physical abilities of their children. For methodology, electronic searches were conducted using scholarly databases with various combinations of keywords related to women, substance abuse, addiction, nursing care, pregnancy, and gender difference. Research trends indicate that women often present with gender-specific needs, including physiologically, socially, and economically. This article gives an overview of some gender differences between men and women and how they influence treatment and outcomes for women. It also discusses special considerations for nurses caring for women with substance use disorders.
{"title":"Women and Substance Use: An Overview for Nurses","authors":"Janices Janice Sanders","doi":"10.20849/ijsn.v3i3.480","DOIUrl":"https://doi.org/10.20849/ijsn.v3i3.480","url":null,"abstract":"Substance use is a major health concern among women, as approximately 15.8 million have used an illicit drug in the past year. Another 4.3 million have misused prescription drugs. Men are more likely to engage in illicit drug use than women, however, the gender gap is narrowing. The consequences of substance abuse not only negatively impact women, but may affect the cognitive and physical abilities of their children. For methodology, electronic searches were conducted using scholarly databases with various combinations of keywords related to women, substance abuse, addiction, nursing care, pregnancy, and gender difference. Research trends indicate that women often present with gender-specific needs, including physiologically, socially, and economically. This article gives an overview of some gender differences between men and women and how they influence treatment and outcomes for women. It also discusses special considerations for nurses caring for women with substance use disorders.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76241722","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}
Benon Musasizi, E. E. Kiracho, S. Kamukama, Geoffrey Babughirana
Malnutrition is a major public-health problem throughout the developing world and is an underlying factor in over 50% of the 10-11 million children under 5 years of age who die each year of preventable causes. Uganda loses US$310 million worth of productivity per year due to the high levels of stunting, iodine-deficiency disorders, iron deficiency, low birth weight, and malnutrition contributes to a loss of about 4.1% of the gross domestic product per year. This paper provides the findings of an assessment conducted in Kamuli district to determine the capacity of public health units to manage under-five malnutrition focusing on the six building blocks of the health system. This was a descriptive cross sectional study that employed both qualitative and quantitative methods of data collection, analysis and presentation. This involved interviewing health workers using a semi structured questionnaire and checklist for health facilities. Supplement qualitative data was collected using key informant interviews (KIIs). Results indicate that the capacity of health facilities to manage under-five malnutrition in Kamuli district was found to be low at 36.6% only. Capacity of health facilities was based on; Nutrition leadership and human resource development, health worker knowledge, availability of equipment and supplies, physical infrastructure, availability of infant and young child nutrition policy guidelines and planning and budgeting at health facility level.
{"title":"Assessment of Public Health Units’ Capacity to Manage Under-Five Malnutrition: A Case Study of Kamuli District, Uganda","authors":"Benon Musasizi, E. E. Kiracho, S. Kamukama, Geoffrey Babughirana","doi":"10.20849/IJSN.V3I3.511","DOIUrl":"https://doi.org/10.20849/IJSN.V3I3.511","url":null,"abstract":"Malnutrition is a major public-health problem throughout the developing world and is an underlying factor in over 50% of the 10-11 million children under 5 years of age who die each year of preventable causes. Uganda loses US$310 million worth of productivity per year due to the high levels of stunting, iodine-deficiency disorders, iron deficiency, low birth weight, and malnutrition contributes to a loss of about 4.1% of the gross domestic product per year. This paper provides the findings of an assessment conducted in Kamuli district to determine the capacity of public health units to manage under-five malnutrition focusing on the six building blocks of the health system. This was a descriptive cross sectional study that employed both qualitative and quantitative methods of data collection, analysis and presentation. This involved interviewing health workers using a semi structured questionnaire and checklist for health facilities. Supplement qualitative data was collected using key informant interviews (KIIs). Results indicate that the capacity of health facilities to manage under-five malnutrition in Kamuli district was found to be low at 36.6% only. Capacity of health facilities was based on; Nutrition leadership and human resource development, health worker knowledge, availability of equipment and supplies, physical infrastructure, availability of infant and young child nutrition policy guidelines and planning and budgeting at health facility level.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78468256","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}
Nikki L. Wills, Brittany J. Wilson, Eva B. Woodcock, S. Abraham, Deborah R. Gillum
Background: After completing a literature review on the topic of appearance and professionalism a knowledge gap was identified, relating to how individuals perceive professionalism based on appearance. First impressions are how patients form opinions of their nurses. Professionalism is influenced by many variables, such as hair, make-up, uniform, behavior, and image. Purpose: The purpose of this study was to explore perceptions of a nurse’s appearance and projected professionalism. Method: A total of 120 students volunteered to participate in the study. The research question was: “How do college students perceive the professional appearance of the nurse?” This was a quantitative, cross-sectional, non-experimental study with a descriptive design. A qualitative question was also asked to complement the quantitative data. The survey contained 3 demographic questions and 18 items based on the participant’s perception of the perceived professionalism using the given images. The data collected were analyzed using descriptive statistics. Orem’s theory of self-care was used to guide this study. Results: The results confirmed the complex nature of the nursing image. Participants perceived a nurse who took extra time to improve appearance to be professional, trustworthy and least lazy. A not so prepared nurse was perceived to lack confidence and also to be less compassionate.
{"title":"Appearance of Nurses and Perceived Professionalism","authors":"Nikki L. Wills, Brittany J. Wilson, Eva B. Woodcock, S. Abraham, Deborah R. Gillum","doi":"10.20849/ijsn.v3i3.466","DOIUrl":"https://doi.org/10.20849/ijsn.v3i3.466","url":null,"abstract":"Background: After completing a literature review on the topic of appearance and professionalism a knowledge gap was identified, relating to how individuals perceive professionalism based on appearance. First impressions are how patients form opinions of their nurses. Professionalism is influenced by many variables, such as hair, make-up, uniform, behavior, and image. Purpose: The purpose of this study was to explore perceptions of a nurse’s appearance and projected professionalism. Method: A total of 120 students volunteered to participate in the study. The research question was: “How do college students perceive the professional appearance of the nurse?” This was a quantitative, cross-sectional, non-experimental study with a descriptive design. A qualitative question was also asked to complement the quantitative data. The survey contained 3 demographic questions and 18 items based on the participant’s perception of the perceived professionalism using the given images. The data collected were analyzed using descriptive statistics. Orem’s theory of self-care was used to guide this study. Results: The results confirmed the complex nature of the nursing image. Participants perceived a nurse who took extra time to improve appearance to be professional, trustworthy and least lazy. A not so prepared nurse was perceived to lack confidence and also to be less compassionate.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86450735","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}
Head injury (HI) is one of the major causes of disability, death and health related costs. The primary goal of nursing management in head injury is to maintain adequate cerebral tissue perfusion. This study aimed to evaluate the intensive care unit nurses’ performance regarding caring patients with head injury: Setting at Zagazig University Hospitals. Material and methods: a quasi-experimental (pre/post and follow up-test design) research design was utilized. A convenient sample of (45) nurses who provide direct care for head injury patients in neurological and stroke Intensive care Unit. Data was obtained using two main tools; head injury care knowledge assessment questionnaire with the socio-demographic data sheet, and head injury care practice observational checklists. The instructional intervention was designed based on an extensive revision of the related, recent literature. The intervention was delivered throughout ten weeks. Each week involved three sessions. Every session lasts about forty to sixty minutes. Nurses were divided into 9 groups, 5 nurses each. Results revealed that the mean knowledge and practice scores of nurses are increased immediately after implementation of the program with a significant statistical difference. This increased level slightly decreased following two months of program implementation. In addition, a positive correlation was found between knowledge and practice scores of the study subjects. Therefore, the two stated research hypothesis were supported. Conclusion educational intervention has a positive effect in developing critical care nursing performance regarding caring patient with head injury.
{"title":"Intensive Care Unit Nurses’ Performance Regarding Caring Patients With Head Injury: An Educational Intervention","authors":"E. Mohammad","doi":"10.20849/IJSN.V3I3.524","DOIUrl":"https://doi.org/10.20849/IJSN.V3I3.524","url":null,"abstract":"Head injury (HI) is one of the major causes of disability, death and health related costs. The primary goal of nursing management in head injury is to maintain adequate cerebral tissue perfusion. This study aimed to evaluate the intensive care unit nurses’ performance regarding caring patients with head injury: Setting at Zagazig University Hospitals. Material and methods: a quasi-experimental (pre/post and follow up-test design) research design was utilized. A convenient sample of (45) nurses who provide direct care for head injury patients in neurological and stroke Intensive care Unit. Data was obtained using two main tools; head injury care knowledge assessment questionnaire with the socio-demographic data sheet, and head injury care practice observational checklists. The instructional intervention was designed based on an extensive revision of the related, recent literature. The intervention was delivered throughout ten weeks. Each week involved three sessions. Every session lasts about forty to sixty minutes. Nurses were divided into 9 groups, 5 nurses each. Results revealed that the mean knowledge and practice scores of nurses are increased immediately after implementation of the program with a significant statistical difference. This increased level slightly decreased following two months of program implementation. In addition, a positive correlation was found between knowledge and practice scores of the study subjects. Therefore, the two stated research hypothesis were supported. Conclusion educational intervention has a positive effect in developing critical care nursing performance regarding caring patient with head injury.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76455470","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}
M. Niemeijer, E. Baars, J. Hoekman, A. Ruijssenaars
In children developmental disorders expresses themselves by a variable presentation of symptoms and frequent manifestation of comorbidity of a complex nature. In addition to the classification of a disorder, individualising diagnostics is a means to realize assessment and treatment that are fine-tuned to the child.In the day to day care of children with a developmental disorder the Instrument for assessing the Child’s Constitution (ICC) is a supporting means to map out the child’s individual situation. The instrument is based on an anthroposophic anthropology and typology. It provides an individualised diagnosis by mapping the degree of (dis)balance in child development. In three developmental fields, the cognitive, the affective and the conative field, the (dis)balance of functioning is assessed by the ICC. The instrument consists of two parts. With reference to the three fields part I consists of 36 items, each having a subscale with 12 polar formulated items on a seven-point scale. For each of the three fields part II includes a visual analogue scale (VAS). The results of Part I and II are made comparable by putting them both on a ten-point scale. The results are graphically represented as a profile of the constitution.In this article we present the results of a study with the ICC on psychometric properties in a research group (n=535) and a control group (n=148). As reference of the assessment of the quality of the ICC a Consensus-based Standard for the selection of health Measurement Instruments is used.
{"title":"Validity and Reliability of the Instrument for Assessing the Child’s Constitution (ICC): Individualising Processes in Diagnosing Children With a Developmental Disorder","authors":"M. Niemeijer, E. Baars, J. Hoekman, A. Ruijssenaars","doi":"10.20849/IJSN.V3I3.531","DOIUrl":"https://doi.org/10.20849/IJSN.V3I3.531","url":null,"abstract":"In children developmental disorders expresses themselves by a variable presentation of symptoms and frequent manifestation of comorbidity of a complex nature. In addition to the classification of a disorder, individualising diagnostics is a means to realize assessment and treatment that are fine-tuned to the child.In the day to day care of children with a developmental disorder the Instrument for assessing the Child’s Constitution (ICC) is a supporting means to map out the child’s individual situation. The instrument is based on an anthroposophic anthropology and typology. It provides an individualised diagnosis by mapping the degree of (dis)balance in child development. In three developmental fields, the cognitive, the affective and the conative field, the (dis)balance of functioning is assessed by the ICC. The instrument consists of two parts. With reference to the three fields part I consists of 36 items, each having a subscale with 12 polar formulated items on a seven-point scale. For each of the three fields part II includes a visual analogue scale (VAS). The results of Part I and II are made comparable by putting them both on a ten-point scale. The results are graphically represented as a profile of the constitution.In this article we present the results of a study with the ICC on psychometric properties in a research group (n=535) and a control group (n=148). As reference of the assessment of the quality of the ICC a Consensus-based Standard for the selection of health Measurement Instruments is used.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"233 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77009405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Cardiac disease in pregnancy is a leading cause of maternal and neonatal morbidity and mortality. Effective management is based upon close fetal and maternal monitoring during pregnancy and labour. The aim of the present study was to evaluate maternity nurses’ performance regarding management of intrapartum woman with cardiac disease. Research design: A quasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses was included in the present study. Setting: The present study was conducted in Obstetrical and Gynecological Department at Benha University Hospital. Tools: Two tools were utilized for data collection. I-A structured interviewing questionnaire which include two parts; Part 1: Socio demographic characteristics. Part2: Assessment of nurses’ knowledge regarding cardiac disease during pregnancy and labour which includes Physiological changes of cardiovascular system during pregnancy. Causes and risk factors, etc. II-Maternity nurses' practice observational checklistwhich focus on management of cardiac women during labor including four stages of labour and Nursing care for moderate and high risk cases immediately after labour. Results: Shows significant improvement in nurses' knowledge 57.8% compared to 90.6% post intervention. Also, improvement is clear in satisfactory level of practice after intervention, in first stage for example was 32.8 % pre intervention compared to 87.5% post intervention. there were highly statistical significance differences between mean score of both knowledge and practice regarding management of intrapartum woman with cardiac diseases between the pre and post intervention phases (p<0.001).Conclusion: the study concluded that research hypotheses are supported and educational intervention had appositive effect on improvement nurses 'knowledge and practice and in turn their performance regarding management of intrapartum woman with cardiac diseases. Recommendation: Periodic educational program for nursing staff in Obstetrics and Gynecology Department regarding nursing care of cardiac patients.
{"title":"Maternity Nurses’ Performance Regarding Management of the Intrapartum Woman With Cardiac Disease","authors":"Eman Mohammed Abd-Elhakam, A. Salama","doi":"10.20849/ijsn.v3i3.498","DOIUrl":"https://doi.org/10.20849/ijsn.v3i3.498","url":null,"abstract":"Background: Cardiac disease in pregnancy is a leading cause of maternal and neonatal morbidity and mortality. Effective management is based upon close fetal and maternal monitoring during pregnancy and labour. The aim of the present study was to evaluate maternity nurses’ performance regarding management of intrapartum woman with cardiac disease. Research design: A quasi-experimental design was utilized to fulfil the aim of the study. Sample: A convenient sample of a total 64 maternity nurses was included in the present study. Setting: The present study was conducted in Obstetrical and Gynecological Department at Benha University Hospital. Tools: Two tools were utilized for data collection. I-A structured interviewing questionnaire which include two parts; Part 1: Socio demographic characteristics. Part2: Assessment of nurses’ knowledge regarding cardiac disease during pregnancy and labour which includes Physiological changes of cardiovascular system during pregnancy. Causes and risk factors, etc. II-Maternity nurses' practice observational checklistwhich focus on management of cardiac women during labor including four stages of labour and Nursing care for moderate and high risk cases immediately after labour. Results: Shows significant improvement in nurses' knowledge 57.8% compared to 90.6% post intervention. Also, improvement is clear in satisfactory level of practice after intervention, in first stage for example was 32.8 % pre intervention compared to 87.5% post intervention. there were highly statistical significance differences between mean score of both knowledge and practice regarding management of intrapartum woman with cardiac diseases between the pre and post intervention phases (p<0.001).Conclusion: the study concluded that research hypotheses are supported and educational intervention had appositive effect on improvement nurses 'knowledge and practice and in turn their performance regarding management of intrapartum woman with cardiac diseases. Recommendation: Periodic educational program for nursing staff in Obstetrics and Gynecology Department regarding nursing care of cardiac patients.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90313941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Many times there is a misalignment on medical-surgical units nursing assignments that do not provide equitable distribution of the patient needs for the unit.Purpose: The purpose of the literature review was to identify resources that address patient acuity and nurse staffing issues in the acute care setting.Method: A literature review using the EBSCOhost health search engine, which included databases from Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Scholar, and ProQuest.Results: The future of nursing is moving toward staffing based on patient acuity. Chiulli, Thompson, and Reguin-Hartman (2014) developed an acuity tool because it was discovered that there was no appropriate “assessment tool…for [the] medical-surgical patient population” (p. 10). However, nurses are not guaranteed adequate staffing based on acuity regardless of what is determined by use of the tool. Recommended is that further studies need to be conducted using the Chiulli et al. tool.
背景:很多时候，在内科-外科单位护理任务不提供公平分配的病人需要的单位错位。目的:本文献综述的目的是确定解决急性护理环境中患者敏锐度和护士人员配置问题的资源。方法:使用EBSCOhost健康搜索引擎进行文献综述，包括来自CINAHL (Cumulative Index to Nursing and Allied health literature)、Google Scholar和ProQuest数据库。结果:护理的未来将朝着以患者的敏锐度为基础的人员配置方向发展。Chiulli, Thompson和Reguin-Hartman(2014)开发了一种敏锐度工具，因为他们发现没有合适的“评估工具……用于医疗外科患者群体”(第10页)。然而，无论使用工具决定了什么，都不能保证护士有足够的人员配备。建议使用Chiulli等人的工具进行进一步的研究。
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