Hasil untuk "Nursing"

WANG Changyue (王长跃), YUE Lina (岳丽娜), ZHANG Tingting (张婷婷) et al.

This article summarizes the clinical efficacy and nursing management in treating a patient with constipation due to gastrointestinal heat accumulation using acupoint massage combined with Five-Element music therapy, aiming to provide clinical reference for such treatments. Traditional Chinese Medicine (TCM) syndrome differentiation-guided acupoint massage directly acts on meridians and acupoints, while Five-Element music therapy regulates visceral functions, enhances spleen and stomach transportation, and alleviates anxiety. The combination of these two methods addresses both symptoms and root causes, holistically regulating the body to unblock meridians, balance yin and yang, and promote intestinal peristalsis, effectively relieving constipation. Through syndrome differentiation-based treatment and meticulous nursing care, the patient achieved normal bowel movements by the 7th day and was discharged with full recovery by the 10th day, without recurrence of constipation. (本文总结经穴推拿联合五音疗法治疗1例胃肠积热型便秘患者的效果和护理体会。中医辨证经穴推拿直接作用经络和穴位, 五音疗法调节脏腑功能, 增强脾胃运化功能, 缓解焦虑。将经穴推拿与五音疗法相结合, 标本兼治、整体调节, 以疏通经络、调整阴阳, 促进肠蠕动, 有效缓解患者便秘症状。经过辨证治疗与精心护理, 治疗第7天患者排便正常, 第10天患者康复出院, 未出现便秘症状。)

Lise Sæstad Beyene PhD, Christine Hammershaug MD, Linda Horne Mæland PhD

In mental health nursing, nurses utilise their own personality and skills to create and maintain therapeutic relationships with patients. In such relationships, they come close to patients, show empathy, and hold patients’ emotional distress. Nursing in mental healthcare involves many emotionally challenging situations and is strenuous work. These demands can lead to high stress levels and feelings of inadequacy, which may negatively impact nurses’ quality of life and job satisfaction. Self-care is essential for mental health nurses to manage stress and maintain their well-being. Despite its importance, there is only limited research on nurses’ self-care. This study aims to explore mental health nurses’ experiences with self-care in their daily work. A descriptive phenomenological design was employed, and thematic analysis was conducted on data gathered from 1 focus group interview involving 4 mental health nurses working in acute mental health wards at 4 hospitals in central Eastern Norway. The theme maturing into self-care is a process , was based on 2 sub-themes: becoming aware of self and learning to set boundaries for self. The theme dealing with self-care is challenging , was based on 3 sub-themes: distinguishing between work and leisure , balancing between own needs and those of others , and venting emotional pressure. Mental health nursing is emotionally demanding, affecting mental health nurses’ quality of care and their own well-being. To sustain their ability to support others, formal structures must be in place to ease emotional burdens over time, creating a work environment where self-care is essential.

Ada Xie, Grace Xu, Jed Duff

In the perioperative environment, the safety and wellbeing of nursing staff are paramount for ensuring the delivery of high-quality, safe and sustainable health care services. Various factors contribute to the wellbeing of perioperative nurses, and significantly influence their decisions to stay in their current roles or seek employment elsewhere. The implications of high turnover rates among perioperative nurses extend beyond individual job satisfaction to encompass broader consequences for hospital systems, including compromised quality of patient care and increased operational costs. While the existing body of research on the wellbeing of perioperative nurses is relatively limited, available findings underscore the critical importance of staff wellbeing within the health care sector. These findings highlight the urgent need for proactive initiatives to promote the wellbeing of perioperative nursing professionals. This discussion paper aims to comprehensively explore wellbeing within the context of perioperative nursing. It will delve into the various domains and characteristics of wellbeing related to perioperative nurses, shedding light on the intricate relationship between wellbeing and turnover intentions in this specialised nursing setting. Furthermore, the paper will discuss current interventions designed to promote the wellbeing of nurses.

Kim Nordmann, Stefanie Sauter, Marie-Christin Redlich et al.

Background Germany's healthcare system provides high-quality, universal health coverage to almost all residents. However, a major challenge lies in the strong separation of healthcare structures, which hinders efficient interprofessional and intersectoral communication and collaboration. The mandatory nationwide implementation of the telematics infrastructure may offer a solution to enhance healthcare professionals’ communication and collaboration. Objective Our study aims to elicit participants’ perceptions of and attitudes towards the implementation and usage of the telematics infrastructure in fostering interprofessional communication and collaboration between home-care nursing services and general practitioner practices. Methods We conducted interviews with seven members of general practitioner practices and 10 in home-care nursing services. Using thematic content analysis, we identified five themes, of which four along with 10 subthemes were integrated into Greenhalgh et al.'s ‘nonadoption, abandonment, scale-up, spread and sustainability’ framework. Results Participants recognised the potential of digital technology to enhance interprofessional communication and collaboration. However, this potential largely depended on individual healthcare actors’ willingness to seek information, invest and adapt. Attitudes towards the telematics infrastructure varied widely from hopeful confidence to outright rejection. Home-care nursing services generally viewed the telematics infrastructure with optimism, while general practitioners expressed reservations, particularly due to technological disruptions, lack of user-friendliness, and organisational structures. Conclusion Our findings highlight the potential of digital technology to enhance interprofessional communication. Successful implementation of technological innovations, however, goes beyond technological aspects and involves social, political and organisational processes. Future implementation strategies for such innovations in healthcare should involve users early and ensure clear communication.

Ramy Mohamed Ghazy, Ehab Elrewany, Assem Gebreal et al.

Background: The variation in the reported vaccine safety and effectiveness could contribute to the high rates of vaccine hesitancy among the general population and healthcare workers in areas where monkeypox (mpox) is circulating. In this review, our objective was to evaluate the safety, immunogenicity, effectiveness, and efficacy of the mpox vaccines. Methods: An extensive search for articles across multiple databases was performed, including searching six databases (PubMed Central, PubMed Medline, Scopus, Web of Science, Cochrane, ProQuest), two pre-print databases (European PMC Preprint and MedRxiv), and Google Scholar. Results: A total of 4290 citations were retrieved from the included databases. Following the removal of duplicates and the initial screening of records, a total of 36 studies were included into the analysis. Additionally, we identified five more studies through manual searches, resulting in a total of 41 eligible articles for qualitative synthesis. The study findings revealed that mpox vaccines demonstrate the ability to generate adequate antibodies; however, their effectiveness may decrease over time, exhibiting varying safety profiles. Most of the included studies consistently reported substantial levels of effectiveness and efficacy against mpox. Interestingly, the number of vaccine doses administered was found to influence the degree of immunogenicity, subsequently impacting the overall effectiveness and efficacy of the vaccines. Furthermore, we found that smallpox vaccines exhibited a form of cross-protection against mpox. Conclusions: Vaccines can be used to prevent mpox and effectively control its spread.

Hanna Klingshirn, Laura Gerken, Katharina Hofmann et al.

Abstract Background People on home mechanical ventilation (HMV) belong to a heterogeneous population with complex care needs. In Germany, outpatient intensive care is provided in people's private home (PH) or in shared living communities (SLC). Increasing patient numbers have led to criticism of the quality of care in recent years. Since quality deficits from the perspective of those affected are largely unclear, the following research question emerged: How do interviews with ventilated individuals and family caregivers explain any differences or similarities in the quality of care between PH and SLC? Methods This study used a mixed-methods convergent parallel design, where quantitative and qualitative components were separately collected and analysed. The quantitative component (structured interviews and online survey) included ventilation characteristics, health-related resource use, health-related quality of life (HRQL) measured with the Severe Respiratory Insufficiency Questionnaire (SRI; range 0-100; higher scores indicated higher HRQL) and the Burden Scale of the Family Caregivers short version (BSFC-s; range 0-30; higher scores indicated higher burden). The qualitative component (semi-structured interviews) focused on people's experience of person-centred care. Data were merged using a weaving method and the Picker framework of Person-Centred Care. Results The quantitative component revealed that ventilated individuals living in PHs were on average 20 years younger than participants living in SLCs (n = 46; PH: 46.86 ±15.40 years vs. SLC: 65.07 ±11.78 years; p = .001). HRQL (n = 27; PH: 56.62 ±16.40 vs. SLC: 55.35 ±12.72; p > .999) and the burden of family caregivers (n = 16; PH: 13.20 ±10.18 vs. SLC: 12.64 ±8.55; p > .999) were not significantly different between living situation. The qualitative component revealed that person-centred care is possible in both care settings (ventilated individuals: n = 13; family caregivers: n = 18). Conclusion This study describes a care situation that is as heterogeneous as the population of people with HMV. HRQL and the burden of family caregivers are highly individual and, like person-centred care, independent of the living situation. Policy decisions that facilitate person-centred care need to recognise that quality of care is highly individual and starts with the free choice of the care setting.

Malik Sallam, Kholoud Al-Mahzoum, Latefa Ali Dardas et al.

<i>Background and Objective:</i> The recent multi-country outbreak of human monkeypox (HMPX) in non-endemic regions poses an emerging public health concern. University students in health schools/faculties represent a core knowledgeable group that can be helpful to study from a public health point of view. As future healthcare workers, assessment of their knowledge and attitude towards emerging zoonotic viral infections can be helpful to assess their taught material and courses with potential improvement if gaps in knowledge were identified. Therefore, we aimed to evaluate the level of HMPX knowledge, conspiracy beliefs regarding emerging virus infections, as well as their associated determinants among university students studying Medicine, Nursing, Dentistry, Pharmacy, Medical Laboratory Sciences, and Rehabilitation in Jordanian health schools/faculties. In addition, we sought to evaluate the correlation between HMPX knowledge and the extent of holding conspiracy beliefs regarding emerging viral infection. <i>Materials and Methods:</i> A convenient sample of university students was obtained through an electronic survey distributed in late May 2022 using the chain-referral approach. Assessment of HMPX knowledge and general attitude towards emerging virus infections was based on survey items adopted from previously published literature. <i>Results:</i> The study sample comprised 615 students with a mean age of 20 years and a majority of females (432, 70.2%) and medical students (<i>n</i> = 351, 57.1%). Out of eleven monkeypox knowledge items, three were identified correctly by >70% of the respondents. Only 26.2% of the respondents (<i>n</i> = 161) knew that vaccination to prevent monkeypox is available. Age was significantly associated with better HMPX knowledge for a majority of items. Older age, females, and affiliation to non-medical schools/faculties were associated with harboring higher levels of conspiracy beliefs regarding emerging virus infections. Our data also indicate that lower levels of HMPX knowledge were associated with higher levels of conspiracy beliefs. <i>Conclusion:</i> The current study pointed to generally unsatisfactory levels of knowledge regarding the emerging HMPX among university students in Jordanian health schools/faculties. Conspiracy beliefs regarding emerging virus infections were widely prevalent, and its potential detrimental impact on health behavior should be evaluated in future studies.

Maria da Consolação Pitanga de Sousa, Jardel Nascimento da Cruz, Conceição de Maria Vaz et al.

Objetivo: Este estudo objetivou analisar as vulnerabilidades relacionadas à saúde homem, bem como evidenciar as concepções e atitudes sobre saúde na ótica dos homens. Metodologia: Para tanto, realizou-se um estudo descritivo/exploratório com abordagem qualitativa, de Agosto a Dezembro de 2012 com funcionários de uma Instituição de Ensino Superior, utilizando um roteiro de entrevista semiestruturado e análise dos dados através da técnica Análise de Conteúdo. Resultado: Da análise resultaram três categorias: Concepções e atitudes sobre a saúde na óptica dos homens; Vulnerabilidades relacionadas à saúde do homem; e Resistência masculina para a busca dos serviços de saúde. Conclusão: Os costumes, pensamentos e estilo de vida dos homens, influenciam na baixa procura dos mesmos aos serviços de saúde, má alimentação, sedentarismo, acidentes de trânsito e de trabalho.

Elena MERDZHANOVA, Gergana PETROVA, Maria VAKRILOVA-BECHEVA

No Abstract

Carolina Freitas do Carno Rodrigues, Yeda Aparecida de Oliveira Duarte, Fabiane Aparecida Canaan Rezende et al.

Objetivou-se analisar a relac?a?o entre satisfac?a?o sexual e varia?veis demogra?ficas, sociais, cli?nicas e qualidade de vida em idosos. Estudo transversal de base populacional parte do Estudo Sau?de, Bem-Estar e Envelhecimento, realizado no munici?pio de Sa?o Paulo em 2010, com uma amostra de 1.129 idosos. Avaliou-se a satisfac?a?o sexual pelo relato da atividade sexual e sua satisfac?a?o e a qualidade de vida pelo SF-12. Quanto a? satisfac?a?o sexual, 45,1% afirmaram estar inativos satisfeitos, 6,2% ativos insatisfeitos, 37,0% ativos satisfeitos e 11,7% inativos insatisfeitos. O componente fi?sico da qualidade de vida foi associado a? satisfac?a?o sexual e as maiores me?dias deste componente foram encontradas entre os idosos ativos satisfeitos. Concluiu-se que a pra?tica sexual e? de extrema importa?ncia para a qualidade de vida do idoso, reforc?ando a necessidade de implantar ac?o?es de educac?a?o e protec?a?o em relac?a?o a? vulnerabilidade da sexualidade dos idosos.

Rizwan Khan, Nadia Krishnan, Manju Dhandapani et al.

Introduction The frequency of traffic collisions in India is among the highest in the world with more than 135,000 traffic collision-related deaths occurring every year. The “Global Status Report on Road Safety” listed by the World Health Organization identified the major causes of injury as driving over the speed limit, driving under the influence, and not using helmets and seat belts. Women face unique challenges after traumatic brain injury, due to differential laws and their enforcement. Objectives To assess the use of helmet among female hospital workers (nurses, hospital attendants, sanitary attendants, and security guards) and their attitude toward helmet wearing. Methods Purposive sampling was done among female two-wheeler-riding hospital workers. A questionnaire was developed to study the use of helmet and an attitude Likert scale for assessing attitude toward wearing helmet. Data were collected, coded, and analyzed using SPSS software version 21. Results Of the total 89 women enrolled, 46.4% were mostly pillion riders, and 33% were mostly drivers. Only 19% were using helmet consistently, despite 93% owning it. Eighty-eight percent of the regular users were younger than 25 years, while 80% of the non-users were above 25 years. Even among regular drivers, 40% never wore helmet. Eighty-two percent of the non-users were merely casual despite knowing about its advantages. Conclusion Helmet use is very poor among women (both drivers and pillion riders), despite working in hospital environment and owning helmet. Stricter enforcement of helmet law is needed, as education and knowledge per-se may not instil helmet use.

Rafaela Dagma Duarte, Karla Fabiana Nunes da Silva, Márcia Marques dos Santos Félix et al.

This study aimed to evaluate the knowledge of professionals of the nursing team of an intensive care unit about blood transfusion and to identify the factors associated with such knowledge. Observational, analytical, non-experimental and cross-sectional study held in adult intensive care units of a large, public, teaching hospital located in Minas Gerais. A validated instrument of the type check list was used to collect data. Descriptive analysis, calculation of knowledge scores, t-tests and Pearson correlation tests were performed. The study included 64 professionals of the nursing team, among which 73.4% were nursing technicians and 85.9% were female. The average age was 37.7 years. A total of 93.8% professionals said they had received training on blood transfusion; 76.6% said they sought information on the subject; and 100% reported to feel confident while performing the procedure. The average overall knowledge score was 52.8%. Factors associated with knowledge about blood transfusion were: professional category nurse, participation in training and specific course for professional improvement, post-graduate degree, number of blood transfusions carried out per month and time working in the sector. A lack of knowledge was observed among professionals in relation to transfusion therapy. This reinforces the need to increase the opportunities to acquire skills such as training courses and continuing and permanent education for nursing professionals who work in critical care units, focusing on patient safety and quality of care.

M. Warner

Sirlene Cristina de Almeida Santos, Ana Paula Rolim, Nicole Acácia Cabral Nunes et al.

Objetivo: Relatar a experiência vivenciada por uma equipe multiprofissional referente ao gerenciamento de um evento adverso após a passagem de cateter central de inserção periférica (PICC) por retenção do fio guia metálico. Método: Relato de experiência ocorrida em hospital geral no município de Guarulhos, São Paulo, em novembro de 2015. Resultado: Descreve-se o caso de lactente de um ano de idade, hemofílico e neuropata, que, após a passagem de PICC 3F no antebraço sem incidentes, teve seu fio guia retido, impossibilitando sua retirada. A radioscopia revelou enovelamento do fio guia, com necessidade de remoção cirúrgica. Conclusão: O procedimento cirúrgico foi realizado com sucesso. Não houve perda sanguínea de monta no campo operatório. A criança se recuperou bem, sem consequências detectáveis pela intercorrência. Notificou-se o fabricante sobre o evento ocorrido. Este caso serviu como um aprendizado para a equipe multiprofissional. 

DANIELLY VIVIANE STAUT CABRAL, JOSYARA PENDLOSKI

O presente estudo tem como objetivo analisar a mortalidade por lesões autoprovocadas voluntariamente (suicídio) em idosos no Sul do Brasil. Foram utilizados arquivos epidemiológicos da base de dados do sistema DATASUS á respeito dos óbitos de indivíduos acima de 60 anos no período de 2003 a 2012. Ao ser analisado o dado sobre a mortalidade por autolesões provocadas voluntariamente em idosos observa-se que no período de 10 anos o estado do Rio grande do Sul tem o maior índice sendo registrados, no total, 2550 óbitos por suicídio em idosos; no Paraná os óbitos foram de 839 e em Santa Catarina 873. É fundamental o estudo do tema, pois possibilita analisar a mortalidade por suicídio em idosos no Sul do Brasil, fazendo parte de seu conteúdo conceder aos profissionais de saúde e as autoridades da área da assistência ao idoso o conhecimento sobre a seriedade do fato. Identificado o perfil da mortalidade no sul do Brasil é possível apresentar soluções fundamentadas a serem exercidas frente a população idosa para que essa problemática seja combatida. Devem ser utilizados os programas de atenção já existentes propondo as adequações necessárias a cada estado.

Letícia Palota Eid, Renato Nery Soriano, Marcelo Eduardo Batalhão et al.

OBJECTIVE To evaluate the effect of using antihypertensive classes of drugs of the calcium channel antagonists and inhibitors of angiotensin-converting enzyme in plasma concentrations of hydrogen sulfide and nitric oxide in patients with hypertension. METHODS Cross-sectional study with quantitative approach conducted with hypertensive patients in use of antihypertensive classes of drugs: angiotensin-converting enzyme inhibitors or calcium channel antagonists. RESULTS It was found that the concentration of plasma nitric oxide was significantly higher in hypertensive patients that were in use of angiotensin-converting enzyme inhibitors (p<0.03) and the hydrogen sulphide concentration was significantly higher in hypertensive plasma in use of calcium channel antagonists (p<0.002). CONCLUSION The findings suggest that these medications have as additional action mechanism the improvement of endothelial dysfunction by elevate plasma levels of vasodilatory substances.

Zahra Sabzi, Hamideh Mancheri, Zahra Royani et al.

Background and Objective: Subjective well-being, a field of positive psychology, attempts to assess the cognitive and emotional lives. Given the fact that nursing and midwifery students are exposed to stress in clinical settings, we aimed to assess subjective well-being to promote educational programs. Material and Methods: This across-sectional study was conducted on 104 nursing and Midwifery students selected via simple random sampling, 2013. The instruments, filled out by students, were a demographic checklist and Kyeez subjective well-being questionnaire consisting of three domains of emotional, social and psychological. We used mean and standard deviation for data description and T-test and ANOVA for analysis. Results: The mean score of subjective well-being was 203.20 in nursing and 210.21 in midwifery students. In nursing students, the Mean score in emotional, psychological and social domain was 44.05, 93.40 and 65.74, respectively, and it was 45.72, 94.78 and 69.55, respectively in midwifery students. Gender was the only variable associated significantly with subjective well-being of nursing students (P>0.05). Conclusion: Given the high score of subjective well-being and that of its domains, we recommend applying some educational programs with the consideration of emotional, psychological and social aspect of students.

Margaret Landers

F. Gobet, Philippe Chassy