Hasil untuk "Nursing"

J. Rattray, Martyn C. Jones

A. Meléis, Linda M. Sawyer, E. Im et al.

J. Morris, B. Fries, D. Mehr et al.

Xingguo Zhu, Zhenglong Xiao, Lei Zhuang et al.

ObjectiveTo explore the correlations of the severity degrees of coronary stenosis with cardiac function and exercise tolerance. Methods A total of 112 patients who underwent coronary angiography in Cardiology Department of Zhongshan Hospital, Fudan University between October 2024 and January 2025 were enrolled. According to the imaging results, the Gensini score was calculated, and the patients were divided into three groups based on the scores: mild group (＜20 points, n＝42), moderate group (20-40 points, n＝43), and severe group (＞40 points, n＝27). The left ventricular ejection fraction (LVEF), N-terminal pro-brain natriuretic peptide (NT-proBNP) level and its abnormal elevation ratio, 6-minute walk distance (6MWD), and grip strength were compared among the groups. The correlations between Gensini score and various indicators were analyzed using multivariate linear regression. And the multivariate binary logistic regression analysis was used to analyze the related factors of severe coronary stenosis. Results The 6MWD and LVEF values in the severe group were lower than those in the mild and moderate groups (P＜0.01), while the NT-proBNP level and its abnormal elevation ratio in the severe group were higher than those in the mild group (P＜0.05). The Gensini score was negatively correlated with 6MWD (β＝−0.965, P＜0.01), and positively correlated with NT-proBNP level and its abnormal elevation ratio (β＝0.015, P＜0.001; β＝0.003, P＝0.037). 6MWD and diabetes were independent related factors of severe coronary stenosis (OR＝0.956, P＜0.001; OR＝5.701, P＝0.038). ConclusionsThe cardiac function and exercise tolerance in patients with severe coronary stenosis decrease, 6MWD is helpful of recognizing severe coronary stenosis population.

Kathryn King, Wladyslawa Czuber-Dochan, Trudie Chalder et al.

Inflammatory bowel disease (IBD) is treated with medications to induce and maintain remission. However, many people with IBD do not take their prescribed treatment. Identifying factors associated with IBD medication adherence is crucial for supporting effective disease management and maintaining remission. Quantitative and qualitative studies researching IBD medication adherence between 2011 and 2023 were reviewed. In total, 36,589 participants were included in 79 studies. The associated non-adherence factors were contradictory across studies, with rates notably higher (72–79%) when measured via medication refill. Non-adherence was lower in high-quality studies using self-report measures (10.7–28.7%). The frequent modifiable non-adherence risks were a poor understanding of treatment or disease, medication accessibility and an individual’s organisation and planning. Clinical variables relating to non-adherence were the treatment type, drug regime and disease activity. Depression, negative treatment beliefs/mood and anxiety increased the non-adherence likelihood. The non-modifiable factors of limited finance, younger age and female sex were also risks. Side effects were the main reason cited for IBD non-adherence in interviews. A large, contradictory set of literature exists regarding the factors underpinning IBD non-adherence, influenced by the adherence measures used. Simpler medication regimes and improved accessibility would help to improve adherence. IBD education could enhance patient knowledge and beliefs. Reminders and cues might minimise forgetting medication. Modifying risks through an adherence support intervention could improve outcomes.

Yu-Jie Guo, Ping Xue, Ping Xue et al.

IntroductionThe research on cancer patients returning to work in China is still in its infancy, and there is no research and discussion on the adaptability to return-to-work for cancer patients. It is critical to develop the Adaptability to Return-to-Work Scale (ARTWS) for cancer patients and evaluate its psychometric properties.MethodsThe items of the initial scale were compiled based on the theoretical model and literature review results. Through two rounds of Delphi expert consultation (N = 15) and a pilot survey (N = 40), the initial scale was further checked and revised. Conduct a large sample survey (N = 376) and the construct validity and reliability of the ARTWS were assessed by confirmatory factor analysis (CFA) and exploratory factor analysis (EFA).ResultsThe final ARTWS consisted of 24 items. “Focusing on rehabilitation,” “Rebuilding Self-efficiency,” and “Adjusting plans” as common factors in determining adaptability to return to work for cancer patients, and the cumulative variance contribution rate for these three factors was 66.6%. The S-CVI of the total scale was 0.979. The Cronbach’s α coefficient was 0.937 and the 2-week test–retest reliability was 0.814.DiscussionARTWS has good correlation validity and can be used as a tool to measure the adaptability of cancer patients’ return to work. The presentation of the manuscript in Research Square (https://doi.org/10.21203/rs.3.rs-2323264/v1).

Sentagi Sesotya Utami, Winny Setyonugroho, Moch Zihad Islami et al.

Introduction: Ship-to-shore (STS) crane operators strive for efficiency in their work, but they must take a hard look at their high-risk jobs. It is necessary to learn how to improve occupational safety and health. This study aims to investigate the problems faced by STS crane operators working in container ports and to understand the importance of fit-for-work monitoring procedures, particularly for individuals working in high-risk industries such as STS operators. Methods: This study used a qualitative approach, and data were collected through interviews and observations of STS operators and in-house clinic staff. Nine STS operators, two in-house clinic staff, and two safety, health, and environment (SHE) staff were interviewed. Results: This study found that container terminal companies emphasise two critical aspects for STS operators: productivity and occupational safety and health. STS operators face health problems, including physical and psychological problems, due to the fast-paced work system, sleep patterns, daily activities, and thoughts that are difficult to control. Employees have coping mechanisms to deal with fatigue, and stakeholders have effectively communicated the company's safety and health culture. Most stakeholders in a container terminal company want a fit-for-work monitoring system to make the business efficient and sustainable. Conclusion: The STS industry faces a significant problem with operator fatigue, which can negatively impact safety and productivity. This issue requires a comprehensive strategy, including legislation to regulate working hours and shift patterns, technology to combat fatigue, and operator education and training.

J. Morse

Deborah Maselli

La cultura della sicurezza in sala operatoria viene misurata sistematicamente e con strumenti validati solo in poche realtà: a tale scopo, l’obiettivo dello studio è adattare al contesto italiano il Safety Attitudes Questionaire OR Version (SAQ-OR). La versione tradotta in italiano è testata su 48 operatori e su un gruppo di esperti, ricercando la validità di facciata e di contenuto [indice di Validità del Contenuto (I-CVI); indice di Validità della Scala (S-CVI)]; l’affidabilità della consistenza interna con Alpha di Cronbach; la stabilità dell’affidabilità con l’indice di Pearson. Cinquantasei dei cinquantanove item sono stati considerati chiari da almeno l’80% del campione: gli item non chiari sono stati rivalutati. Otto item presentavano I-CVI minore della soglia di 0.8, e sono stati riesaminati. S-CVI = 0.9; Alpha di Cronbach = 0,95; indice di Pearson = 0,861. L’adattamento linguistico-culturale in italiano del SAQ-OR rappresenta un punto di partenza per verificarne la validità di costrutto.  

Iran dos Santos Barbosa, André Estevam Jaques, Cremilde Aparecida Trindade Radovanovic et al.

ABSTRACT Objective: To develop and validate a prototype of a mobile application shift handover between nurses in the emergency room using a severity scale. Method: This is a technological tool carried out at the Universidade Estadual de Maringá using design thinking, divided into four phases: discovering, defining, developing, and delivering. To structure the information, a checklist was used based on the Situation Background Assessment Recommendation, and to categorize patients in terms of severity, the National Early Warning Score was used. The validation of the sample was carried out by 10 nurses, specialized in the field of urgency and emergency, using the System Usability Scale questionnaire to assess usability. The content validity coefficient was used for analysis. Results: The application scored 75.75 in usability and had a content validity coefficient of 0.8. Conclusion: The prototype obtained an excellent evaluation of usability and agreement between evaluators. Future studies are needed for implementation in practice, evaluating the practicality, applicability, efficiency and time savings in shift information transfer.

Emmanuel Anongeba Anaba, Zita Buabeng, Grace Adjei Okai

Voluntary HIV counselling and testing (VHCT) is a successful intervention for fostering early HIV detection, which is essential for the management of the disease. This study sought to determine the prevalence and factors that influence the utilization of VHCT services among young people. In this study, young people in the Tema Metropolis were cross-sectionally surveyed. The simple random sampling method was used to select the participants. The majority (60%) of the participants were unaware of VHCT, and 83% did not know of any VHCT centre. The majority (72%) of the participants indicated that VHCT was important, and 81% were willing to test for HIV if VHCT services were available in schools. Young people who knew that parental consent was not a requirement during VHCT were about two times more likely to have been tested for HIV (COR = 1.96; 95% CI: 1.05–3.63) compared to their counterparts. Additionally, young people who were willing to test in youth-friendly clinics (AOR = 2.87; 95% CI: 1.09–7.51) had higher odds of testing for HIV compared to their counterparts. The utilisation of VHCT services among young people in Tema was found to be very low. Additionally, young people’s knowledge of VHCT services was below expectations.

Iman Kassam, Hwayeon Danielle Shin, Keri Durocher et al.

Background OpenNotes is the concept of patients having access to their health records and clinical notes in a digital form. In psychiatric settings, clinicians often feel uncomfortable with this concept, and require support during implementation. Objective This study utilizes an implementation science lens to explore clinicians’ perceptions about using OpenNotes in Canadian psychiatric care contexts. The findings are intended to inform the co-design of implementation strategies to support the implementation of OpenNotes in Canadian contexts. Method This qualitative descriptive study employed semi-structured interviews which were completed among health professionals of varying disciplines working in direct care psychiatric roles. Data analysis consisted of a qualitative directed content analysis using themes outlined from an international Delphi study of mental health clinicians and experts. Ethical approval was obtained from the Centre for Addiction and Mental Health and the University of Toronto. Results In total, 23 clinicians from psychiatric settings participated in the interviews. Many of the themes outlined within the Delphi study were voiced. Benefits included enhancements to patient recall, and empowerment, improvements to care quality, strengthened relational effects and effects on professional autonomy and efficiencies. Despite the anticipated benefits of OpenNotes, identified challenges pertained to clarity surrounding exemption policies, training on patient facing notes, managing disagreements, and educating patients on reading clinical notes. Conclusion Many benefits and challenges were identified for adopting OpenNotes in Canadian psychiatric settings. Future work should focus on applying implementation frameworks to develop interventions that address the identified challenges.

E. Papps, I. Ramsden

Gloria M Bulechek Howard Karl Butcher Joanne McCloskey, Dochterman

The Nursing Interventions Classification (NIC) is the first comprehensive classification of treatments that nurses perform. It is a standardized language of both nurse-initiated and physician-initiated nursing treatments. An alphabetical listing of 336 interventions was published in a book in May 1992 [Iowa Intervention Project, McCloskey, J. C., & Bulechek, G. M. (eds). Nursing Interventions Classification (NIC). St. Louis: Mosby-Year Book]. Each NIC intervention is composed of a label, a definition, a set of activities that a nurse does to carry out the intervention, and a short list of background readings. NIC interventions include: the physiological (e.g., Acid-Base Management, Airway Suctioning, Pressure Ulcer Care) and the psychosocial (e.g., Anxiety Reduction, Preparatory Sensory Information, Home Maintenance Assistance); illness treatment (e.g., Hyperglycemia Management, Ostomy Care, Shock Management), illness prevention (e.g., Fall Prevention, Infection Protection, Immunization/Vaccination Administration), and health promotion (e.g., Exercise Promotion, Nutrition Management, Smoking Cessation Assistance); and those used for individuals and those for families (e.g., Family Integrity Promotion, Family Support). Most recently, indirect care interventions (e.g., Emergency Cart Checking, Supply Management) have been developed. Research methods used to develop the classification include content analysis, expert survey, focus group review, similarity analysis, and hierarchical cluster analysis. The research, conducted by a large team of investigators at the University of Iowa and supported by the National Institute of Nursing Research, is ongoing. Since the 1992 publication, approximately 50 additional interventions have been developed, a taxonomic structure has been constructed and validated, a feedback and review system has been established and implemented, NIC interventions have been linked to nursing diagnoses, and five clinical agencies are serving as field sites to study the implementation process of NIC in nursing information systems. A numerical coding system for the interventions will be available in 1995. A second edition of the NIC book is in early preparation and will be available from Mosby-Year Book in early 1996. NIC facilitates the implementation of a Nursing Minimum Data Set. The use of NIC to plan and document care will facilitate the collection of large databases that will allow us to study the effectiveness and cost of nursing treatments. The use of standardized language provides for the continuity of care and enhances communication between nurses and other providers. NIC provides nursing with the treatment language that is essential for the computerized health care record. The domains and classes provide a description of the essence of nursing. NIC is helpful in representing nursing to the public and in socializing students to the profession. The coded interventions can be used in documentation and in reimbursement. For the first time in the history of nursing, nurses have a language which can be used to describe their treatments. The language is comprehensive and can be used by nurses in all settings and in all specialties. poster, giving an overview of the development of NIC, will be accompanied by a display of books and publications about NIC and its use.

F Ansari, L Akbari, SH Kohan

Background & aim: Background and Aim: Among working women, health professionals are more exposed to environmental factors and unfavorable working conditions than working women. A large group of health professionals consists of nurses and operating room staff who provide services in hospitals. For this purpose, the present study was conducted to determine the effect of unfavorable working conditions on the incidence of spontaneous abortion in operating room staff and nurses of teaching hospitals in Isfahan.   Methods: This was a retrospective analytical study. The statistical population included 300 women working in the nursing wards and operating rooms of Isfahan teaching hospitals during the years 2016-2017, by census sampling method. The data collection tool was a researcher-made questionnaire. The questionnaire consisted of 3 main parts; Details of total pregnancies and demographic information were adjusted to examine the demographic structure of the study group, occupational factors, and pregnancy outcome during the last pregnancy. Data were analyzed using t-test, chi-square and Mann-Whitney tests.   Results: In the present study, 13(8.7%) of women working in the operating room and 12 (8.1%) of women working in nursing wards had a history of spontaneous abortion in the last pregnancy, which was statistically different(p=0.85). 111 operating room staff(74%) experienced more than 3 hours of standing, 42(28.1%) more than 44 hours per week, and 57(38%) experienced a turbulent environment with almost constant noise. The operating room group was exposed to anesthesia gases (98%), sterilizing agents(94%) and x-rays(97%) which were statistically significant(p <0.05). Despite the difference in most unfavorable work situations, no significant difference was observed between the incidence of spontaneous abortion in the two groups(p=0.85).   Conclusion: Based on the results of the present study, the incidence of spontaneous abortion in the operating room group was not significantly different from women working in nursing wards.

Conway J, Trehan N, Vedagiri P

Joel Conway, Neev Trehan, Praneeth Vedagiri Faculty of Medicine, Imperial College London, London, UKCorrespondence: Neev TrehanFaculty of Medicine, Imperial College London, London, UKEmail neev.trehan16@imperial.ac.uk We read with interest this observational study by Dutta et al1 which investigated the&nbsp;satisfaction of medical and nursing students in India receiving online teaching&nbsp;during the COVID-19 pandemic. The authors aimed to assess satisfaction and&nbsp;analyse problems with online learning in the medical field. Our personal experience,&nbsp;and Rajab et al2 support online learning as a source of both great potential and&nbsp;challenges for medical students. Identifying such problems is a necessary first step&nbsp;to addressing the current challenge of medical education. Here we discuss the aims,&nbsp;analysis and implications of their research. &nbsp; View the original paper by Dutta and colleagues

Káttia Maria de Sousa Ferrer, Ermano Batista daCosta

DOI: https://doi.org/10.26694/2238-7234.7323-28 Objetivo: o estudo avaliou a prática da atividade física como um estilo de vida saudável durante a terceira idade. Metodologia: caracterizou-se como do tipo descritivo-exploratório-transversal com abordagem quantitativa, utilizando dados de entrevista semi-estruturada. Assim, foram entrevistados 20 idosos, praticantes de atividade física (caminhada), cadastrados numa Unidade Básica de Saúde da Família, localizada no distrito de Espacinha em Nova Russas - Ceará, Brasil. Resultados: os sujeitos do estudo eram, em sua maioria, hipertensos (95%), sexo feminino (90%), com nível de instrução fundamental (20% + 35% = 55%) e não fumantes (90%). Os idosos mencionaram caminhar em média 48 min/dia e 4,45 dias/semana. Como maior benefício à sensação de bem-estar (40%), locomoção (15%) e sobre o sono, dormindo em média 6,4 h/noite. Conclusões: os dados obtidos evidenciam pela percepção dos idosos, que a prática regular da caminhada traz benefícios para o corpo em geral, principalmente no sono, locomoção e no bem-estar. O estudo suscita traçar perfil dos idosos que não praticam atividade física, em especial os homens, e o incentivo profissional à prática para todos.

Christine P. L. Chan, W. So, D. Fong

J. Watson

J. Oulton