Pub Date : 2019-07-16DOI: 10.1097/jnr.0000000000000346
L. Chien
Evidence-based practice is now widely recognized as the key to improving healthcare quality and patient outcomes. Although the purposes of nursing research (conducting research to generate new knowledge) and evidence-based nursing practice (utilizing best evidence as basis of nursing practice) seem quite different, an increasing number of research studies have been conducted with the goal of translating evidence effectively into practice. Clearly, evidence from research (effective innovation) must be accompanied by effective implementation, and an enabling context to achieve significant outcomes.
{"title":"Evidence-Based Practice and Nursing Research","authors":"L. Chien","doi":"10.1097/jnr.0000000000000346","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000346","url":null,"abstract":"Evidence-based practice is now widely recognized as the key to improving healthcare quality and patient outcomes. Although the purposes of nursing research (conducting research to generate new knowledge) and evidence-based nursing practice (utilizing best evidence as basis of nursing practice) seem quite different, an increasing number of research studies have been conducted with the goal of translating evidence effectively into practice. Clearly, evidence from research (effective innovation) must be accompanied by effective implementation, and an enabling context to achieve significant outcomes.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"36 1","pages":"e29 - e29"},"PeriodicalIF":0.0,"publicationDate":"2019-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85927059","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 : 2016-12-01DOI: 10.1097/JNR.0000000000000190
B. Shu
At the end of 2013, the number of elderly people over 65 years of age in Taiwan was over 2.5 million, comprising nearly 11.15% of the population. The elderly face a variety of challenges, including health needs, health problems, and adjusting to aging. In particular, healthcare professionals often overlook the underlying psychological and social needs and problems of the elderly. Thus, quality of care for the elderly has become a crucial issue of concern.
{"title":"EDITOR'S REMARK.","authors":"B. Shu","doi":"10.1097/JNR.0000000000000190","DOIUrl":"https://doi.org/10.1097/JNR.0000000000000190","url":null,"abstract":"At the end of 2013, the number of elderly people over 65 years of age in Taiwan was over 2.5 million, comprising nearly 11.15% of the population. The elderly face a variety of challenges, including health needs, health problems, and adjusting to aging. In particular, healthcare professionals often overlook the underlying psychological and social needs and problems of the elderly. Thus, quality of care for the elderly has become a crucial issue of concern.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85133216","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 : 2015-01-01DOI: 10.1097/01.JNR.0000475260.07145.6c
G. Bagcivan, N. Akbayrak, A. Chang, S. Sok, Angela Hui Ping Kirk Brenda Sok, Peng Ng Ang Noi Lee, Bixia Ang Jan Hau Lee, F. K. Farahani, M. Jasper
原著研究 243 Development and Psychometric Testing of the Turkish-Version Oral Chemotherapy Adherence Scale Gulcan Bagcivan Nalan Akbayrak 252 臺灣護理人員的文化照護能力及其相關因素 林金女 Beth Mastel-Smith Danita Alfred 林佑樺 262 Predictors of Sedentary Behavior in Elderly Koreans With Hypertension Ae Kyung Chang Sohyune R. Sok 271 第一型糖尿病青少年在不同年齡層血糖控制預測因子之探討 李淑莉 羅福松 李燕晉 陳百薰 王瑞霞 280 體外受精與自然受孕婦女於懷孕早期之妊娠壓力比較 石芬芬 陳彰惠 喬佳宜 李其融 郭碧照 賴德仁 290 The Meaning of Disease and Spiritual Responses to Stressors in Adults With Acute Leukemia Undergoing Hematopoietic Stem Cell Transplantation Zahra Farsi 298 氣喘兒童的照護壓力:主照顧者之質性研究 陳淑賢 黃璟隆 葉國偉 蔡芸芳 308 Perceptions of Pediatric Critical Care Nurses on the Initiation of a Nursing-Led Feeding Protocol Angela Hui Ping Kirk Brenda Sok Peng Ng Ang Noi Lee Bixia Ang Jan Hau Lee 313 The Perspectives of Iranian Women on Delayed Childbearing: A Qualitative Study Samira Behboudi-Gandevani saeideh Ziaei Farideh Khalajabadi Farahani Melanie Jasper 322 入住加護單位老年病人發生譫妄的影響因素 林維莉 陳怡芳 王 琤 330 誌謝 投稿簡則
原著研究 243 Development and Psychometric Testing of the Turkish-Version Oral Chemotherapy Adherence Scale Gulcan Bagcivan Nalan Akbayrak 252 台湾护理人员的文化照护能力及其相关因素 林金女 Beth Mastel-Smith Danita Alfred 林佑桦 262 Predictors of Sedentary Behavior in Elderly Koreans With Hypertension Ae Kyung Chang Sohyune R. Sok 271 第一型糖尿病青少年在不同年龄层血糖控制预测因子之探讨 李淑莉 罗福松 李燕晋 陈百薰 王瑞霞 280 体外受精与自然受孕妇女于怀孕早期之妊娠压力比较 石芬芬 陈彰惠 乔佳宜 李其融 郭碧照 赖德仁 290 The Meaning of Disease and Spiritual Responses to Stressors in Adults With Acute Leukemia Undergoing Hematopoietic Stem Cell Transplantation Zahra Farsi 298 气喘儿童的照护压力:主照顾者之质性研究 陈淑贤 黄璟隆 叶国伟 蔡芸芳 308 Perceptions of Pediatric Critical Care Nurses on the Initiation of a Nursing-Led Feeding Protocol Angela Hui Ping Kirk Brenda Sok Peng Ng Ang Noi Lee Bixia Ang Jan Hau Lee 313 The Perspectives of Iranian Women on Delayed Childbearing: A Qualitative Study Samira Behboudi-Gandevani saeideh Ziaei Farideh Khalajabadi Farahani Melanie Jasper 322 入住加护单位老年病人发生谵妄的影响因素 林维莉 陈怡芳 王 琤 330 志谢 投稿简则
{"title":"Chinese TOC.","authors":"G. Bagcivan, N. Akbayrak, A. Chang, S. Sok, Angela Hui Ping Kirk Brenda Sok, Peng Ng Ang Noi Lee, Bixia Ang Jan Hau Lee, F. K. Farahani, M. Jasper","doi":"10.1097/01.JNR.0000475260.07145.6c","DOIUrl":"https://doi.org/10.1097/01.JNR.0000475260.07145.6c","url":null,"abstract":"原著研究 243 Development and Psychometric Testing of the Turkish-Version Oral Chemotherapy Adherence Scale Gulcan Bagcivan Nalan Akbayrak 252 臺灣護理人員的文化照護能力及其相關因素 林金女 Beth Mastel-Smith Danita Alfred 林佑樺 262 Predictors of Sedentary Behavior in Elderly Koreans With Hypertension Ae Kyung Chang Sohyune R. Sok 271 第一型糖尿病青少年在不同年齡層血糖控制預測因子之探討 李淑莉 羅福松 李燕晉 陳百薰 王瑞霞 280 體外受精與自然受孕婦女於懷孕早期之妊娠壓力比較 石芬芬 陳彰惠 喬佳宜 李其融 郭碧照 賴德仁 290 The Meaning of Disease and Spiritual Responses to Stressors in Adults With Acute Leukemia Undergoing Hematopoietic Stem Cell Transplantation Zahra Farsi 298 氣喘兒童的照護壓力:主照顧者之質性研究 陳淑賢 黃璟隆 葉國偉 蔡芸芳 308 Perceptions of Pediatric Critical Care Nurses on the Initiation of a Nursing-Led Feeding Protocol Angela Hui Ping Kirk Brenda Sok Peng Ng Ang Noi Lee Bixia Ang Jan Hau Lee 313 The Perspectives of Iranian Women on Delayed Childbearing: A Qualitative Study Samira Behboudi-Gandevani saeideh Ziaei Farideh Khalajabadi Farahani Melanie Jasper 322 入住加護單位老年病人發生譫妄的影響因素 林維莉 陳怡芳 王 琤 330 誌謝 投稿簡則","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81754066","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 : 2005-12-01DOI: 10.1097/01.JNR.0000387553.96199.42
I. Li, Yu-Chi Chen, H. Kuo
The purpose of this study was to understand health promotion behaviors and their correlated factors among low-income elderly in the Taipei area. This study used a cross-sectional design with a descriptive correlation approach. A total of 89 low-income elderly from Peitou District of Taipei participated in the study. Structured questionnaires, the primary sources of measurement, were read to study subjects by a trained research assistant. The mean age of low-income elderly in the study was 76.85 year-old. A plurality were single (41.6%) and 31.5% lived alone. Subject IADLs (instrumental activities of daily living) were not as good as their ADLs (activities of daily living). Their psychosocial health status was worse than their physical health status. Among health promotion behaviors, regular exercise appears to be the most prevalent. The most significant factor among subjects for failing to follow health-promoting behaviors was their IADLs. Homebound elderly who lived alone and had poor IADL were less likely to have health promoting behaviors. A proposal to encourage health promotion behaviors for low-income elderly derived from study results is the initiation of formal personal assistance programs to remedy the inability of many elderly, especially those living alone, to leave the home due to ADL-related or other limitations.
{"title":"The health status and health promotion behavior of low-income elderly in the Taipei area.","authors":"I. Li, Yu-Chi Chen, H. Kuo","doi":"10.1097/01.JNR.0000387553.96199.42","DOIUrl":"https://doi.org/10.1097/01.JNR.0000387553.96199.42","url":null,"abstract":"The purpose of this study was to understand health promotion behaviors and their correlated factors among low-income elderly in the Taipei area. This study used a cross-sectional design with a descriptive correlation approach. A total of 89 low-income elderly from Peitou District of Taipei participated in the study. Structured questionnaires, the primary sources of measurement, were read to study subjects by a trained research assistant. The mean age of low-income elderly in the study was 76.85 year-old. A plurality were single (41.6%) and 31.5% lived alone. Subject IADLs (instrumental activities of daily living) were not as good as their ADLs (activities of daily living). Their psychosocial health status was worse than their physical health status. Among health promotion behaviors, regular exercise appears to be the most prevalent. The most significant factor among subjects for failing to follow health-promoting behaviors was their IADLs. Homebound elderly who lived alone and had poor IADL were less likely to have health promoting behaviors. A proposal to encourage health promotion behaviors for low-income elderly derived from study results is the initiation of formal personal assistance programs to remedy the inability of many elderly, especially those living alone, to leave the home due to ADL-related or other limitations.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"1 1","pages":"305-12"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83114073","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 : 2005-12-01DOI: 10.1097/01.JNR.0000387552.88575.A7
H. Tseng, T. Chen, Feng Chen
This study, in which staff nurses in Taiwan participated, was aimed to construct a model for relationships among trustworthiness, trust behavior and organizational identification. One hundred and ninety five anonymously completed questionnaires were collected. Superiors' trustworthiness, staff nurses' trust behavior, and organizational identification were identified as latent variables to which the following indicators were to be applied: integrity, benevolence, ability, communication, consistency, compliance, sharing, teamwork, subordination, membership, loyalty and similarity. A logical trust and organizational identification model was constructed and tested with LISREL (Linear Structural Relations) analysis. Benevolence was eliminated due to excessive residual value. The adjusted model passed pertinent tests. It was also revealed that trust behavior acts as a mediator between trustworthiness and organizational identification. The results of this study may be taken as a reference for the training of supervisory level personnel, as well as for strengthening the organizational identification of staff nurses, and as a beginning phase in the construction and testing of a relationship model for the relationship between trust and organizational identification.
{"title":"Constructing and testing a model of trustworthiness, trust behavior and organizational identification.","authors":"H. Tseng, T. Chen, Feng Chen","doi":"10.1097/01.JNR.0000387552.88575.A7","DOIUrl":"https://doi.org/10.1097/01.JNR.0000387552.88575.A7","url":null,"abstract":"This study, in which staff nurses in Taiwan participated, was aimed to construct a model for relationships among trustworthiness, trust behavior and organizational identification. One hundred and ninety five anonymously completed questionnaires were collected. Superiors' trustworthiness, staff nurses' trust behavior, and organizational identification were identified as latent variables to which the following indicators were to be applied: integrity, benevolence, ability, communication, consistency, compliance, sharing, teamwork, subordination, membership, loyalty and similarity. A logical trust and organizational identification model was constructed and tested with LISREL (Linear Structural Relations) analysis. Benevolence was eliminated due to excessive residual value. The adjusted model passed pertinent tests. It was also revealed that trust behavior acts as a mediator between trustworthiness and organizational identification. The results of this study may be taken as a reference for the training of supervisory level personnel, as well as for strengthening the organizational identification of staff nurses, and as a beginning phase in the construction and testing of a relationship model for the relationship between trust and organizational identification.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"192 1","pages":"293-304"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78992502","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}
Organizational citizenship behaviors (OCB) are deemed indispensable due to their importance in promoting positive relationships among employees and involving employees in the organization's activities. OCB is believed to facilitate attainment of a hospital's goals and enhance a hospital's performance. The aim of this study is to extend the work of previous studies by providing an integrated model of OCB and demonstrate its applicability in a non-Western culture. Questionnaires were completed by 314 non-supervisory hospital nurses, each of whom was given a supervisor rating for their OCB. Exploratory factor analysis was used to assess the convergent and discriminant validity of the variables in the model. Multiple regression analysis was used because it provided estimates of net effects and explanatory power. The results showed that job satisfaction, supervisor support, job involvement, and procedural justices had significant effects on the nurses' citizenship behaviors. Since the study used a non-Western site in one of Taiwan's health care institutions, its overall findings should contribute to further understanding of the cross-cultural aspects of OCB.
{"title":"Clarification of the antecedents of hospital nurse organizational citizenship behavior -- an example from a Taiwan regional hospital.","authors":"Cheng-I Chu, Ming-Shinn Lee, Hsiang-Ming Hsu, I-Chi Chen","doi":"10.1097/01.JNR.0000387554.73328.32","DOIUrl":"https://doi.org/10.1097/01.JNR.0000387554.73328.32","url":null,"abstract":"Organizational citizenship behaviors (OCB) are deemed indispensable due to their importance in promoting positive relationships among employees and involving employees in the organization's activities. OCB is believed to facilitate attainment of a hospital's goals and enhance a hospital's performance. The aim of this study is to extend the work of previous studies by providing an integrated model of OCB and demonstrate its applicability in a non-Western culture. Questionnaires were completed by 314 non-supervisory hospital nurses, each of whom was given a supervisor rating for their OCB. Exploratory factor analysis was used to assess the convergent and discriminant validity of the variables in the model. Multiple regression analysis was used because it provided estimates of net effects and explanatory power. The results showed that job satisfaction, supervisor support, job involvement, and procedural justices had significant effects on the nurses' citizenship behaviors. Since the study used a non-Western site in one of Taiwan's health care institutions, its overall findings should contribute to further understanding of the cross-cultural aspects of OCB.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"92 1","pages":"313-24"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91081024","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 : 2005-12-01DOI: 10.1097/01.JNR.0000387548.65705.A5
Pei Tang, W. Yuan, H. Tseng
The "Health Management Plan"(HMP) for caring diabetic patient was begun by the National Health Insurance (NHI) in Taiwan in order to maximize the effectiveness of limited medical resources. This study describes the clinical experience of the nurse-directed diabetic HMP program and analyzes factors associated with the outcome. One hundred and thirty-six patients, all of whom had participated in the diabetic HMP program at least 5 times, were enrolled in the study. The effect of the HMP was evaluated by comparing hemoglobin A1C status before and after %) maintained their hemoglobin A1C status over the course of HMP participation. Diabetic patients with regular exercise habits showed a 2.8-fold increased chance of outcome improvement compared with those who did not exercise regularly. The chance of outcome improvement in patients with complications was found to be one-third that of patients who had no complications (Odds ratio: 0.3, 95% CI: 0.1-1.0). This study found that specially trained nurses, following agreed upon protocols and algorithms and collaborating with medical team members, can effectively concentrate on providing comprehensive and effective diabetes care.
{"title":"Clinical follow-up study on diabetes patients participating in a health management plan.","authors":"Pei Tang, W. Yuan, H. Tseng","doi":"10.1097/01.JNR.0000387548.65705.A5","DOIUrl":"https://doi.org/10.1097/01.JNR.0000387548.65705.A5","url":null,"abstract":"The \"Health Management Plan\"(HMP) for caring diabetic patient was begun by the National Health Insurance (NHI) in Taiwan in order to maximize the effectiveness of limited medical resources. This study describes the clinical experience of the nurse-directed diabetic HMP program and analyzes factors associated with the outcome. One hundred and thirty-six patients, all of whom had participated in the diabetic HMP program at least 5 times, were enrolled in the study. The effect of the HMP was evaluated by comparing hemoglobin A1C status before and after %) maintained their hemoglobin A1C status over the course of HMP participation. Diabetic patients with regular exercise habits showed a 2.8-fold increased chance of outcome improvement compared with those who did not exercise regularly. The chance of outcome improvement in patients with complications was found to be one-third that of patients who had no complications (Odds ratio: 0.3, 95% CI: 0.1-1.0). This study found that specially trained nurses, following agreed upon protocols and algorithms and collaborating with medical team members, can effectively concentrate on providing comprehensive and effective diabetes care.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"101 1","pages":"253-62"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76510269","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 : 2005-12-01DOI: 10.1097/01.JNR.0000387550.50458.BC
Jing-Jy Wang
This study explored the state and the correlated factors of psychological abuse behavior among caregivers in long-term care facilities in Taiwan. A cross-sectional design utilizing a descriptive-correlational approach was conducted. A sociodemographic sheet, Caregiver Psychological Elder Abuse Behavior Scale (CPEAB), and Caregiver's Burden Scale (CBS) were employed to collect data. A total of 114 caregivers completed the study, of whom 16.1% returned an CPEAB score greater than 40. The potential range of CPEAB scores ranged from 20 to 80, with the highest score indicating the greatest tendency toward psychological abuse behavior. Among the total of 20 CPEAB indicators, "Accuse him/her verbally", "Ignore his/her request", and "Insult him/her" received the highest item mean scores (M = 2.18, 2.12, 2.02; SD = 0.83, 0.84, 0.91). Significant relationships between the CPEAB and subject age, professional status, educational level, geriatric care training, and CBS score were found (p < .05 - .001). These results indicate that caregivers who are younger in age, less educated and lacking in geriatric training had a greater burden and displayed a tendency toward more abusive behavior. Another important finding was that nurses displayed more abusive behavior than their care attendant counterparts. Results of this study provide important information that may be used in medical and social interventions and policies aimed at improving quality of life for the institutionalized elderly.
{"title":"Psychological abuse behavior exhibited by caregivers in the care of the elderly and correlated factors in long-term care facilities in Taiwan.","authors":"Jing-Jy Wang","doi":"10.1097/01.JNR.0000387550.50458.BC","DOIUrl":"https://doi.org/10.1097/01.JNR.0000387550.50458.BC","url":null,"abstract":"This study explored the state and the correlated factors of psychological abuse behavior among caregivers in long-term care facilities in Taiwan. A cross-sectional design utilizing a descriptive-correlational approach was conducted. A sociodemographic sheet, Caregiver Psychological Elder Abuse Behavior Scale (CPEAB), and Caregiver's Burden Scale (CBS) were employed to collect data. A total of 114 caregivers completed the study, of whom 16.1% returned an CPEAB score greater than 40. The potential range of CPEAB scores ranged from 20 to 80, with the highest score indicating the greatest tendency toward psychological abuse behavior. Among the total of 20 CPEAB indicators, \"Accuse him/her verbally\", \"Ignore his/her request\", and \"Insult him/her\" received the highest item mean scores (M = 2.18, 2.12, 2.02; SD = 0.83, 0.84, 0.91). Significant relationships between the CPEAB and subject age, professional status, educational level, geriatric care training, and CBS score were found (p < .05 - .001). These results indicate that caregivers who are younger in age, less educated and lacking in geriatric training had a greater burden and displayed a tendency toward more abusive behavior. Another important finding was that nurses displayed more abusive behavior than their care attendant counterparts. Results of this study provide important information that may be used in medical and social interventions and policies aimed at improving quality of life for the institutionalized elderly.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"8 1","pages":"271-80"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81692817","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 : 2005-12-01DOI: 10.1097/01.JNR.0000387549.42834.A9
Y. Tzeng, Y. Shih, Yu-Kuei Teng, C. Chiu, Meizhi Huang
While taking an enema to induce labor is a controversial issue worldwide, in Taiwan it remains a routine procedure in many hospitals in preparation for birth. Episiotomy is also a prevalent procedure performed during the birthing process. Some physicians believe that enemas help reduce the risk of feces contamination of the episiotomy incision and, therefore, are justified as a routine procedure. This study compared the neonatal infection rates, times to appearance of fetal head, times to first post-labor bowel movement, and rates of episiotomy dehiscence of women receiving a pre-labor enema against those who did not. A total of 534 women classified with low-risk pregnancies were recruited from a medical center in central Taiwan and assigned randomly into one of two groups for a six-month period. The first group (264 subjects) received routine enema procedures prior to delivery in the first 6 months. The second group (270 subjects) did not receive enemas. Study results revealed no significant difference between enema and non-enema groups in terms of infection rates in mothers or infants or in terms of average time to fetal head appearance. While labor duration was the same for the two groups in the first and third stages of labor, the enema group experienced a relatively shorter second stage. No significant difference was observed in times to first post-labor bowel movement or episiotomy dehiscence rates. The results of this study indicate that the administration of enemas as a routine practice prior to labor is not substantiated by medical necessity. However, limitations of the research design suggest that a randomized clinical trial be adopted in the future to explore further the scientific validity of study results.
{"title":"Enema prior to labor: a controversial routine in Taiwan.","authors":"Y. Tzeng, Y. Shih, Yu-Kuei Teng, C. Chiu, Meizhi Huang","doi":"10.1097/01.JNR.0000387549.42834.A9","DOIUrl":"https://doi.org/10.1097/01.JNR.0000387549.42834.A9","url":null,"abstract":"While taking an enema to induce labor is a controversial issue worldwide, in Taiwan it remains a routine procedure in many hospitals in preparation for birth. Episiotomy is also a prevalent procedure performed during the birthing process. Some physicians believe that enemas help reduce the risk of feces contamination of the episiotomy incision and, therefore, are justified as a routine procedure. This study compared the neonatal infection rates, times to appearance of fetal head, times to first post-labor bowel movement, and rates of episiotomy dehiscence of women receiving a pre-labor enema against those who did not. A total of 534 women classified with low-risk pregnancies were recruited from a medical center in central Taiwan and assigned randomly into one of two groups for a six-month period. The first group (264 subjects) received routine enema procedures prior to delivery in the first 6 months. The second group (270 subjects) did not receive enemas. Study results revealed no significant difference between enema and non-enema groups in terms of infection rates in mothers or infants or in terms of average time to fetal head appearance. While labor duration was the same for the two groups in the first and third stages of labor, the enema group experienced a relatively shorter second stage. No significant difference was observed in times to first post-labor bowel movement or episiotomy dehiscence rates. The results of this study indicate that the administration of enemas as a routine practice prior to labor is not substantiated by medical necessity. However, limitations of the research design suggest that a randomized clinical trial be adopted in the future to explore further the scientific validity of study results.","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"237 1","pages":"263-70"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73079334","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 : 2005-12-01DOI: 10.1097/01.JNR.0000387547.65705.41
Ching-Ju Tung, Ching-Min Chen, Pi-Hsia Lee
This is a cross-sectional study that purposely selected healthy community centers (HCC) in Taipei City to explore factors affecting volunteers' health training program participation (HTPP). The major objectives were to: (1) examine volunteer's HTPP; (2) explore relationships among volunteers' HTPP, self-efficacy (SE) in healthy community building, and community activities participation (CAP); and (3) identify key factors affecting volunteers' HTPP. A self-developed instrument with validity (content validity index > .91) and reliability (alpha = .63-.87) was used. A total of 250 participants were recruited. Study results revealed that a majority of the volunteers were middle-aged women who held at least a high school education, worked part-time, held Buddhist religious beliefs, were married and were middle class in terms of income. The average HTPP value was 19, with Xin Yi, Zhong Zhen and Bei Tou HCCs exhibiting higher HTPP values. Those not currently employed and housewives volunteers had lower HTPP values. 66.4% of volunteers participated at community activities after training and contributed 60-120 service hours a year. Volunteers' SE in healthy community building was low (M = 2.01, SD = 1.01), which, however, could explain 21% variance of HTPP. Factors affecting HTPP included HCC site, SE and CAP, which accounted for 57% of variance. Study results indicated that SE and CAP could serve as training evaluation indicators and a well-organized training program could increase volunteers' SE. Standard health training programs should incorporate three programs, including volunteerism perception, health promotion, and middle aged and elderly care to thus further improve volunteers' participation in community health activities.
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