Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients ...Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients has highlighted its importance,particularly among migrant populations.Nurses play an important role in informing and engaging patients with chronic conditions like heart failure to support their active participation in self-care.However,nurses’experiences of providing self-care counseling to migrant populations with heart failure have not been studied.Methods:A qualitative study was conducted.Nurses working with migrant patients with HF(n?13)from different types of facility in Western Sweden were interviewed between October and December 2020.Data were collected using semi-structured interviews and analyzed using inductive thematic analysis.Results:The main theme that emerged from the interviews was the difficulty for nurses“to find balance”in self-care counseling.The nurses during self-care counseling had:“to accept challenges,”“to use creative strategies,”faced“problems related to health literacy,”and“to work according to their(the nurses’)obligations.”It was evident that nurses faced several challenges in counseling migrants in self-care,including language and cultural barriers,time resource constraints,low levels of health literacy,and experienced disharmony between the law and their professional norms.They perceived building caring relationships with their patients to be crucial to fostering health-promoting self-care processes.Conclusions:To increase self-care adherence,nurses must become more sensitive to cultural differences and adapt self-care counseling to patients’health literacy.The findings of this research support and challenge nurses in providing the best counsel to migrant patients with heart failure living in Sweden’s multi-ethnic society.Policymakers in the health care organization should act to facilitate mutual cultural understanding between all involved partners for patient-safe self-care counseling.展开更多
Aim: The aim of this study is to provide insight into nurses’ role and their experiences of leading an education and counselling group intervention for women after gynecological cancer. Methods: A qualitative study, ...Aim: The aim of this study is to provide insight into nurses’ role and their experiences of leading an education and counselling group intervention for women after gynecological cancer. Methods: A qualitative study, based on focus group interview and logs from nurses who led the intervention, was conducted. Findings: The group leaders were touched by the women’s community and were given a deeper understanding of lived experiences after cancer. These insights raised the group-leaders’ understanding of nursing and influenced them to sharpen focus on patient care and priorities in cancer care and follow-up. Being a group-leader meant creating a trusting and secure atmosphere in which the individual woman’s own coping resources was strengthened and empowered. Equally important, the nurses worked continuously and substantially on themselves to build strength and endurance related to situations that called for competent leadership. Conclusion: Being competent in group leadership and having knowledge in the field of cancer are important qualifications for group leaders. Practice Implications: The study shows that nurses gain valuable insight and knowledge about women’s lived experiences of going through gynecological cancer, cancer treatment and rehabilitation. As such, this intervention seems to be educational for nurses, as well as for participants.展开更多
Objectives: To assess the nurses’ experiences in service provision a COVID-19 dedicated tertiary public hospital. Materials and Methods: This descriptive cross-sectional study was conducted in one tertiary level publ...Objectives: To assess the nurses’ experiences in service provision a COVID-19 dedicated tertiary public hospital. Materials and Methods: This descriptive cross-sectional study was conducted in one tertiary level public hospital namely Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh from January to December 2021. Data were collected through face-to-face interview using a structured questionnaire containing demographic details and experiences faced by the nurses in service provision during COVID-19. Data was analysed by using SPSS (Statistical Package for Social Science) software version 23. Results: The findings revealed that the mean age of the respondents was 32.35 ± 7.248 years, the minimum age was 23 years and maximum age was 58 years. About half of the respondents 52.1% were in 21 - 30 years. The majorities 89% were female. More than half of the respondents 72.6% were Muslim and 63.83% of respondents have completed Diploma in nursing. About 32.2% respondents were living with senior citizen, 33% respondents were infected by COVID-19, 24.23% respondent mentioned nurse-Patient ratio in general ward was 1:7 and 71.08% mentioned nurse-patient ratio in I.C.U/C.C.U. was 1:3 (December 2021). PPE were available among 88.0% respondents and N95 mask were available among 84.0% respondent. About 34.8% respondents got COVID-19 guideline training and 32.4% got donning and doffing training. More than half of the respondents 76% stated that equipment is adequate, 56.38% respondents mention that insufficient of nurses and 53.7% were mentioned insufficient of subordinate staff. About 22.6% respondents faced social stigma and majorities 96.5% respondents mentioned they got proper family support. There was a significant association found between Professional educational qualification and satisfaction of current designation (p value = 0.001 Conclusion: The most important findings of this study was lack of training, insufficient of manpower especially nurses and subordinate staff, high nurse-patient ratio and fear about personal and family safety. The findings of the study will be helpful for the authority in planning for future course of action.展开更多
Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more ...Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.展开更多
Background:The coronavirus disease 2019(COVID-19)pandemic posed a major global health threat,leading to the disruption and strain of numerous health systems globally.The situation deprived essential routine healthcare...Background:The coronavirus disease 2019(COVID-19)pandemic posed a major global health threat,leading to the disruption and strain of numerous health systems globally.The situation deprived essential routine healthcare services,including antenatal care,of the needed attention,significantly affecting facility workers.This study therefore aimed to explore the lived experiences and challenges faced by nurses providing antenatal care during the COVID-19 pandemic.Methods:Data were collected through in-depth interviews with seven antenatal care nurses.The interviews were transcribed and analyzed using thematic analysis to identify recurring themes.Four main themes emerged:(1)Knowledge capital,which refers to the essential knowledge and skills required;(2)Interventions,highlighting the measures taken to adapt care;(3)Antenatal care challenges,detailing the specific obstacles faced;and(4)Coping strategies,outlining the methods used by nurses to manage stress and maintain care quality.Results:The results highlight the emotional and economic toll of the pandemic on antenatal care nurses and the importance of effective collaboration and coping strategies.The findings also underscore the crucial role of teamwork,dedication,quick adjustment,and the role of information communication technology in maneuvering through pandemics to provide continuous essential care.Conclusion:These insights are crucial for health agencies and organizations to develop supportive strategies that ensure the continuity of healthcare delivery and safeguard the well-being of healthcare workers during crises.展开更多
Coronavirus disease 2019 (COVID-19) is one of the worst deadly infections that is currently causing devastating effects and damages to humanity across the world. The global pandemic which outbroke in Wuhan in China ha...Coronavirus disease 2019 (COVID-19) is one of the worst deadly infections that is currently causing devastating effects and damages to humanity across the world. The global pandemic which outbroke in Wuhan in China has equally affected almost every country in the world. Over the past several months of the coronavirus crisis, cities went into lockdown, countries issued stay-at-home orders, and an increasing number of people had been practicing social distancing on a societal scale that has never been witnessed. However, nurses continue to provide care, comfort, and information to patients at all levels while risking their personal safety and well-being. This executive report provides an insight in Nigerian nurses’ perspectives and challenges in combating COVID-19 during the surge. Capturing nursing practice and nurses’ experiences during COVID-19 surge provide real-time guidance to mitigating challenges and improving well-being of nurses.展开更多
<strong>Introduction: </strong>Problems-based learning (PBL) methodology seeks challenges in the daily life context, where students protagonise their own learning using new technologies as the ideal means ...<strong>Introduction: </strong>Problems-based learning (PBL) methodology seeks challenges in the daily life context, where students protagonise their own learning using new technologies as the ideal means to find updated and adequate information, for its processing and dissemination towards a better active and participative role. The aim was to analyze the usefulness and importance of PBL, as a strategy of significant learning in daily experiences of nursing students during the COVID-19 pandemic. <strong>Method: </strong>The study was qualitative and phenomenological, with 15 informant students of the Module “Attention to addictions in the health area” aged 20 - 25 years, enrolled in the sixth semester of nursing from a public university. Data were collected through oral testimonies, texts, and semi-structured interviews of relevant aspects to them in their everyday life facing the COVID-19 pandemic, telling their experiences. Students signed an informed consent, and the qualitative analysis followed De Souza Minayo. <strong>Results: </strong>Four categories emerged: Category 1. Students’ experiences along pandemic;1.1, Positive experiences;1.2, Negative experiences. Category 2. Students’ knowledge and abilities for self-care along pandemic. Category 3. Abilities to promote problem solving. Category 4. Impact and usefulness of PBL in students’ experiences for health education;4.1, Positive impact of PBL;4.2 Negative impact of PBL. <strong>Conclusion:</strong> PBL is very useful for significant learning. It opens knowledge, developing skills to face, support, debate, evaluate and make decisions;it does incorporate critical thinking and problem solving. PBL does encourage collaborative work.展开更多
Elderly patients with systemic disseminated <em>Penicillium marneffei </em>are generally more seriously ill with high mortality. In addition to clear diagnosis and timely treatment, careful nursing through...Elderly patients with systemic disseminated <em>Penicillium marneffei </em>are generally more seriously ill with high mortality. In addition to clear diagnosis and timely treatment, careful nursing throughout the hospitalization is particularly important for the patient’s recovery. Psychological nursing and family emotional support, the treatment of adverse drug reactions, systemic infection wound care, the prevention of pressure sores in long-term bedridden patients, antithrombotic nursing, disinfection isolation and the standard prevention of nosocomial cross infection all play decisive roles in the patient’s prognosis. After one month treatment and medical care, the patient was cured and was discharged from hospital. After discharge, the patient follow-up was carried out up to one year. This patient had completely recovered. In this paper, we report a successful nursing experience of an elderly patient with systemic disseminated <em>Penicillium marneffei.</em> With the summary of nursing key points, it could play a reference in the treatment and rehabilitation of similar patients.展开更多
INTRODUCTION With the development of economy and improvement of life quality,the incidences of hypertension,hyper-cholesterolemia,diabetes,obesity and smoking have been increased in China,which has led to a significan...INTRODUCTION With the development of economy and improvement of life quality,the incidences of hypertension,hyper-cholesterolemia,diabetes,obesity and smoking have been increased in China,which has led to a significant increase in the morbidity and mortality of coronary artery disease（CAD）~1.Since it was introduced into China in 1984,coronary intervention（PCI）has developed rapidly and has become the major treatment of CAD because of its unique characteristics of minimal invasive and effective outcome.展开更多
Aortic stenosis is one of the major causes of death in cardiovascular diseases, and transcatheter aortic valve implantation （TAVI） is a milestone in the field of cardiovascular intervention. Since the first implemen...Aortic stenosis is one of the major causes of death in cardiovascular diseases, and transcatheter aortic valve implantation （TAVI） is a milestone in the field of cardiovascular intervention. Since the first implementation in October 2010, this technology has been gradually applied in China＇-3 and accumulated certain experience.展开更多
The nursing work in the treatment of upper gastrointestinal bleeding under emergency general anesthesia and gastroscopy is still effective. For the specific nursing methods, we carried out investigations. This survey ...The nursing work in the treatment of upper gastrointestinal bleeding under emergency general anesthesia and gastroscopy is still effective. For the specific nursing methods, we carried out investigations. This survey mainly through the comparison of various data of patients in the control group and the experimental group, understands the final nursing effect of the control group and the experimental group, which has practical guiding significance for the nursing of upper gastrointestinal bleeding.展开更多
In the hospitals of many departments, deformity, and so on symptoms of acute cerebral hemorrhage, intracranial tumor is entirely a matter of neurosurgery nurses to carry out diagnosis and treatment, and these sick of ...In the hospitals of many departments, deformity, and so on symptoms of acute cerebral hemorrhage, intracranial tumor is entirely a matter of neurosurgery nurses to carry out diagnosis and treatment, and these sick of pulmonary infection in clinical emergency odds is very big, so pay special attention to hospital neurosurgery internal related treatment, the illness spread quickly in most patients. Some patients are also unable to breathe spontaneously, so in the process of clinical treatment, it is necessary to adopt intubation to help patients breathe, but this part of the work of the patient's lungs and various organs will be affected, which is one of the main causes of lung and respiratory tract infection in patients. According to relevant clinical experiments, clinical nursing can be combined with the actual treatment of severe neurosurgery patients, which plays a very important role in reducing the incidence of complications.展开更多
Objective: to analyze the nursing experience of the patients with cerebral hemorrhage in intensive care unit (ICU) after operation. Methods: 92 cases of patients with cerebral hemorrhage admitted to our hospital from ...Objective: to analyze the nursing experience of the patients with cerebral hemorrhage in intensive care unit (ICU) after operation. Methods: 92 cases of patients with cerebral hemorrhage admitted to our hospital from January 2018 to July 2020 were divided into the control group (n = 46) with routine care and the observation group (n = 46) with postoperative key pipeline care. Both groups were given intensive care measures. The nursing satisfaction of the two groups was investigated and the nursing situation of the two groups was analyzed. Results: the nursing satisfaction of the two groups of patients was higher in the observation group (P < 0.5), and the comparison data was statistically significant. Analysis of two groups of nursing situation, observation group nursing effect has obvious improvement. P < 0.5, the comparison data was statistically significant. Conclusion: the use of postoperative key pipeline nursing can improve the nursing satisfaction of patients with cerebral hemorrhage in ICU and improve the nursing results, which is worthy of popularization and application.展开更多
Objective: to analyze the nursing methods in the treatment of uremia. Methods: from February 2020 to February 2021, patients with uremic skin pruritus in our department were selected. The method of retrospective data ...Objective: to analyze the nursing methods in the treatment of uremia. Methods: from February 2020 to February 2021, patients with uremic skin pruritus in our department were selected. The method of retrospective data analysis was used to obtain the nursing effect of patients. Results: after the follow-up analysis of 22 patients, the symptoms of 8 cases improved after one treatment, 10 cases improved after two treatments, and 4 cases alleviated 4-6 times after treatment. One of the 22 patients stopped, and the other 21 patients had no adverse reactions. Conclusion: nursing intervention in the treatment of uremic skin pruritus with hemoperfusion and hemodialysis is effective and worthy of clinical recommendation.展开更多
Objective: for patients with acute cerebral infarction, choosing intravenous thrombolytic therapy and pulmonary vein distress therapy in the process of disease treatment operation, to discuss the impact on the treatme...Objective: for patients with acute cerebral infarction, choosing intravenous thrombolytic therapy and pulmonary vein distress therapy in the process of disease treatment operation, to discuss the impact on the treatment effect, and to analyze the relevant nursing experience. Methods: from January 2021 to January 2022, patients who entered our hospital for hyperacute cerebral infarction treatment were taken as research samples, and the basic recovery status, bleeding probability, nursing efficiency and other indicators of the two groups of patients were evaluated. Compare and analyze. Results: from the analysis of the clinical treatment effect of the two groups of patients, it can be known that the clinical treatment effect of the routine group patients was 15.2%, and the clinical treatment effect of the study group patients was 42.4%. From the analysis of the incidence of bleeding in the two groups of patients, it can be known that the incidence of bleeding in the conventional group is 9.1%, and the incidence of bleeding in the research group is 15.2%. Conclusion: intravenous thrombolytic therapy is an effective treatment measure for hyperacute cerebral infarction. It can improve the patient's disease, and the treatment effect can also control the recurrence rate, and the patient's quality of life can be optimized under the condition of reducing bleeding changes and improve.展开更多
Objective: to explore the clinical nursing of a patient treated with transcatheter aortic valve replacement and coronary stent implantation. Methods: a patient treated with transcatheter aortic valve replacement and c...Objective: to explore the clinical nursing of a patient treated with transcatheter aortic valve replacement and coronary stent implantation. Methods: a patient treated with transcatheter aortic valve replacement and coronary stent implantation was selected as the research object, and comprehensive nursing intervention was carried out to analyze the nursing effect. Results: after systematic treatment and nursing intervention, the cross valve differential pressure disappeared, the EF increased from 47% before operation to 53% after operation, the condition was significantly improved, the symptoms of angina pectoris and heart failure were completely eliminated, and the patients were satisfied with the nursing service. Conclusion: after the treatment of transcatheter aortic valve replacement combined with coronary stent implantation, we should actively prevent the complications of patients, which can prevent the occurrence of adverse events and promote the recovery of prognosis. It can be further popularized and used in clinic.展开更多
Objective: to explore the nursing experience of prevention of intestinal flatulence by acupoint massage and exhaust exercise after cesarean section. Methods: 100 parturients who underwent caesarean section with acupun...Objective: to explore the nursing experience of prevention of intestinal flatulence by acupoint massage and exhaust exercise after cesarean section. Methods: 100 parturients who underwent caesarean section with acupuncture point massage and exhaust exercise were selected and randomly divided into the control group and the observation group. The control group received routine nursing while the observation group received nursing intervention. The nursing quality of the parturients in both groups was counted. Results: the nursing quality of parturients in the observation group was better than that in the control group (P<0.05). Conclusion: abdominal distension will occur after caesarean section. Therefore, post-operative acupuncture point massage exercise should be performed clinically to reduce flatulence of parturients undergoing caesarean section, improve gastrointestinal function of parturients undergoing caesarean section, maintain intestinal peristalsis of parturients undergoing caesarean section, restore normal indexes of the body, and promote anal exhaust. High-quality nursing is indispensable during the implementation of acupuncture point massage exhaust exercise. The exploration of cesarean section parturient exhaust exercise, combined with the basic actual situation of cesarean section parturient, conforms to the cesarean section parturients own condition, formulates effective nursing policy for cesarean section parturient. During the period of acupuncture point nursing for cesarean section parturient, continuous education should be given to enable them to cooperate with the nursing work and improve the details of clinical nursing by combining with the specific opinions of cesarean section parturient on the nursing work, which has high clinical practicality.展开更多
Supported by the scientific research project "Case-control Study on Risk Factors of Low Birth Weight of Newborns in Fukang Hospital of Tibet from 2017 to 2019". This article discusses the nursing method and ...Supported by the scientific research project "Case-control Study on Risk Factors of Low Birth Weight of Newborns in Fukang Hospital of Tibet from 2017 to 2019". This article discusses the nursing method and effect of skin scald of children. Due to young children's age and low self-care ability, the probability of accidental scald in early childhood is higher than that of adults. Once scald occurs, most of them are treated by applying scald ointment locally and exposing the wound surface at the same time. The whole process increases the difficulty of nursing the family members. At the same time, the whole treatment cycle is long, the pain time of children is also long, the prognosis effect is poor, and severe scars will be left. It seriously affects the psychology of the children and increases the anxiety of the family members. The timely delivery of infants to the hospital and the reasonable compliance of anti-infection treatment according to their illness can greatly shorten the pain time of infants and reduce their pain as much as possible, reduce the occurrence of complications, and especially reduce the generation of scar tissue. In this case, the disposable foam dressing was used to nurse a child with superficial second degree scald, which not only effectively shortened the course of the disease, but also effectively reduced the pain of the child, and was more convenient for parents to effectively nurse the child after discharge.展开更多
Objective: to explore the clinical experience of strengthening nursing intervention for patients with diabetes and pulmonary tuberculosis. Methods: 60 patients with diabetes complicated with pulmonary tuberculosis adm...Objective: to explore the clinical experience of strengthening nursing intervention for patients with diabetes and pulmonary tuberculosis. Methods: 60 patients with diabetes complicated with pulmonary tuberculosis admitted to our hospital from December 2019 to December 2020 were randomly divided into observation group (strengthened nursing intervention) and control group (routine nursing) with 30 patients in each group. Results: the treatment compliance rate and nursing satisfaction rate in the observation group were higher (P < 0.05). The improvement of blood sugar, healthy behavior, resilience and quality of life in the observation group was more effective (P <0.05). Conclusion: strengthening nursing intervention for patients with diabetes complicated with pulmonary tuberculosis can obtain more ideal intervention effect.展开更多
The main cause of malignant syndrome is due to patients with long-term antipsychiatric drugs caused by a complication, and patients during the medication probability will be larger, when patients with malignant syndro...The main cause of malignant syndrome is due to patients with long-term antipsychiatric drugs caused by a complication, and patients during the medication probability will be larger, when patients with malignant syndrome at the same time will appear continuous fever, tremor, muscle rigidity, severe cardiovascular symptoms and autonomic nervous system (tachycardia, sweating, urinary retention) symptoms. At this time, the patients consciousness will also be seriously affected, drowsiness, coma and other symptoms will be obviously shown, and the patients consciousness range gradually narrowed, and the attention will be damaged to different degrees according to the changes of the patients condition, and the behavior begins to be uncontrolled, and the spirit will become excited to inhibition, until the emergence of a coma. In the treatment of such patients, the patients body mainly shows increasing white blood cells, myoglobin, and creatine kinase, but the use of medical effects on the patients cerebrospinal fluid is in a normal state. In addition to the treatment of such patients, the patients also need to be treated simultaneously, so as to improve the therapeutic effect of the treatment of the patients.展开更多
文摘Objectives:This study aims to enhance researchers’and nurses’understanding of how to best support migrant patients with heart failure in self-care management.Previous research on self-care in heart failure patients has highlighted its importance,particularly among migrant populations.Nurses play an important role in informing and engaging patients with chronic conditions like heart failure to support their active participation in self-care.However,nurses’experiences of providing self-care counseling to migrant populations with heart failure have not been studied.Methods:A qualitative study was conducted.Nurses working with migrant patients with HF(n?13)from different types of facility in Western Sweden were interviewed between October and December 2020.Data were collected using semi-structured interviews and analyzed using inductive thematic analysis.Results:The main theme that emerged from the interviews was the difficulty for nurses“to find balance”in self-care counseling.The nurses during self-care counseling had:“to accept challenges,”“to use creative strategies,”faced“problems related to health literacy,”and“to work according to their(the nurses’)obligations.”It was evident that nurses faced several challenges in counseling migrants in self-care,including language and cultural barriers,time resource constraints,low levels of health literacy,and experienced disharmony between the law and their professional norms.They perceived building caring relationships with their patients to be crucial to fostering health-promoting self-care processes.Conclusions:To increase self-care adherence,nurses must become more sensitive to cultural differences and adapt self-care counseling to patients’health literacy.The findings of this research support and challenge nurses in providing the best counsel to migrant patients with heart failure living in Sweden’s multi-ethnic society.Policymakers in the health care organization should act to facilitate mutual cultural understanding between all involved partners for patient-safe self-care counseling.
文摘Aim: The aim of this study is to provide insight into nurses’ role and their experiences of leading an education and counselling group intervention for women after gynecological cancer. Methods: A qualitative study, based on focus group interview and logs from nurses who led the intervention, was conducted. Findings: The group leaders were touched by the women’s community and were given a deeper understanding of lived experiences after cancer. These insights raised the group-leaders’ understanding of nursing and influenced them to sharpen focus on patient care and priorities in cancer care and follow-up. Being a group-leader meant creating a trusting and secure atmosphere in which the individual woman’s own coping resources was strengthened and empowered. Equally important, the nurses worked continuously and substantially on themselves to build strength and endurance related to situations that called for competent leadership. Conclusion: Being competent in group leadership and having knowledge in the field of cancer are important qualifications for group leaders. Practice Implications: The study shows that nurses gain valuable insight and knowledge about women’s lived experiences of going through gynecological cancer, cancer treatment and rehabilitation. As such, this intervention seems to be educational for nurses, as well as for participants.
文摘Objectives: To assess the nurses’ experiences in service provision a COVID-19 dedicated tertiary public hospital. Materials and Methods: This descriptive cross-sectional study was conducted in one tertiary level public hospital namely Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh from January to December 2021. Data were collected through face-to-face interview using a structured questionnaire containing demographic details and experiences faced by the nurses in service provision during COVID-19. Data was analysed by using SPSS (Statistical Package for Social Science) software version 23. Results: The findings revealed that the mean age of the respondents was 32.35 ± 7.248 years, the minimum age was 23 years and maximum age was 58 years. About half of the respondents 52.1% were in 21 - 30 years. The majorities 89% were female. More than half of the respondents 72.6% were Muslim and 63.83% of respondents have completed Diploma in nursing. About 32.2% respondents were living with senior citizen, 33% respondents were infected by COVID-19, 24.23% respondent mentioned nurse-Patient ratio in general ward was 1:7 and 71.08% mentioned nurse-patient ratio in I.C.U/C.C.U. was 1:3 (December 2021). PPE were available among 88.0% respondents and N95 mask were available among 84.0% respondent. About 34.8% respondents got COVID-19 guideline training and 32.4% got donning and doffing training. More than half of the respondents 76% stated that equipment is adequate, 56.38% respondents mention that insufficient of nurses and 53.7% were mentioned insufficient of subordinate staff. About 22.6% respondents faced social stigma and majorities 96.5% respondents mentioned they got proper family support. There was a significant association found between Professional educational qualification and satisfaction of current designation (p value = 0.001 Conclusion: The most important findings of this study was lack of training, insufficient of manpower especially nurses and subordinate staff, high nurse-patient ratio and fear about personal and family safety. The findings of the study will be helpful for the authority in planning for future course of action.
基金supported by the General Project of the Cultivation Project of the Chinese Hospital Reform and Development Research Institute of Nanjing University(NDYG2022072)。
文摘Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.
文摘Background:The coronavirus disease 2019(COVID-19)pandemic posed a major global health threat,leading to the disruption and strain of numerous health systems globally.The situation deprived essential routine healthcare services,including antenatal care,of the needed attention,significantly affecting facility workers.This study therefore aimed to explore the lived experiences and challenges faced by nurses providing antenatal care during the COVID-19 pandemic.Methods:Data were collected through in-depth interviews with seven antenatal care nurses.The interviews were transcribed and analyzed using thematic analysis to identify recurring themes.Four main themes emerged:(1)Knowledge capital,which refers to the essential knowledge and skills required;(2)Interventions,highlighting the measures taken to adapt care;(3)Antenatal care challenges,detailing the specific obstacles faced;and(4)Coping strategies,outlining the methods used by nurses to manage stress and maintain care quality.Results:The results highlight the emotional and economic toll of the pandemic on antenatal care nurses and the importance of effective collaboration and coping strategies.The findings also underscore the crucial role of teamwork,dedication,quick adjustment,and the role of information communication technology in maneuvering through pandemics to provide continuous essential care.Conclusion:These insights are crucial for health agencies and organizations to develop supportive strategies that ensure the continuity of healthcare delivery and safeguard the well-being of healthcare workers during crises.
文摘Coronavirus disease 2019 (COVID-19) is one of the worst deadly infections that is currently causing devastating effects and damages to humanity across the world. The global pandemic which outbroke in Wuhan in China has equally affected almost every country in the world. Over the past several months of the coronavirus crisis, cities went into lockdown, countries issued stay-at-home orders, and an increasing number of people had been practicing social distancing on a societal scale that has never been witnessed. However, nurses continue to provide care, comfort, and information to patients at all levels while risking their personal safety and well-being. This executive report provides an insight in Nigerian nurses’ perspectives and challenges in combating COVID-19 during the surge. Capturing nursing practice and nurses’ experiences during COVID-19 surge provide real-time guidance to mitigating challenges and improving well-being of nurses.
文摘<strong>Introduction: </strong>Problems-based learning (PBL) methodology seeks challenges in the daily life context, where students protagonise their own learning using new technologies as the ideal means to find updated and adequate information, for its processing and dissemination towards a better active and participative role. The aim was to analyze the usefulness and importance of PBL, as a strategy of significant learning in daily experiences of nursing students during the COVID-19 pandemic. <strong>Method: </strong>The study was qualitative and phenomenological, with 15 informant students of the Module “Attention to addictions in the health area” aged 20 - 25 years, enrolled in the sixth semester of nursing from a public university. Data were collected through oral testimonies, texts, and semi-structured interviews of relevant aspects to them in their everyday life facing the COVID-19 pandemic, telling their experiences. Students signed an informed consent, and the qualitative analysis followed De Souza Minayo. <strong>Results: </strong>Four categories emerged: Category 1. Students’ experiences along pandemic;1.1, Positive experiences;1.2, Negative experiences. Category 2. Students’ knowledge and abilities for self-care along pandemic. Category 3. Abilities to promote problem solving. Category 4. Impact and usefulness of PBL in students’ experiences for health education;4.1, Positive impact of PBL;4.2 Negative impact of PBL. <strong>Conclusion:</strong> PBL is very useful for significant learning. It opens knowledge, developing skills to face, support, debate, evaluate and make decisions;it does incorporate critical thinking and problem solving. PBL does encourage collaborative work.
文摘Elderly patients with systemic disseminated <em>Penicillium marneffei </em>are generally more seriously ill with high mortality. In addition to clear diagnosis and timely treatment, careful nursing throughout the hospitalization is particularly important for the patient’s recovery. Psychological nursing and family emotional support, the treatment of adverse drug reactions, systemic infection wound care, the prevention of pressure sores in long-term bedridden patients, antithrombotic nursing, disinfection isolation and the standard prevention of nosocomial cross infection all play decisive roles in the patient’s prognosis. After one month treatment and medical care, the patient was cured and was discharged from hospital. After discharge, the patient follow-up was carried out up to one year. This patient had completely recovered. In this paper, we report a successful nursing experience of an elderly patient with systemic disseminated <em>Penicillium marneffei.</em> With the summary of nursing key points, it could play a reference in the treatment and rehabilitation of similar patients.
文摘INTRODUCTION With the development of economy and improvement of life quality,the incidences of hypertension,hyper-cholesterolemia,diabetes,obesity and smoking have been increased in China,which has led to a significant increase in the morbidity and mortality of coronary artery disease（CAD）~1.Since it was introduced into China in 1984,coronary intervention（PCI）has developed rapidly and has become the major treatment of CAD because of its unique characteristics of minimal invasive and effective outcome.
文摘Aortic stenosis is one of the major causes of death in cardiovascular diseases, and transcatheter aortic valve implantation （TAVI） is a milestone in the field of cardiovascular intervention. Since the first implementation in October 2010, this technology has been gradually applied in China＇-3 and accumulated certain experience.
文摘The nursing work in the treatment of upper gastrointestinal bleeding under emergency general anesthesia and gastroscopy is still effective. For the specific nursing methods, we carried out investigations. This survey mainly through the comparison of various data of patients in the control group and the experimental group, understands the final nursing effect of the control group and the experimental group, which has practical guiding significance for the nursing of upper gastrointestinal bleeding.
文摘In the hospitals of many departments, deformity, and so on symptoms of acute cerebral hemorrhage, intracranial tumor is entirely a matter of neurosurgery nurses to carry out diagnosis and treatment, and these sick of pulmonary infection in clinical emergency odds is very big, so pay special attention to hospital neurosurgery internal related treatment, the illness spread quickly in most patients. Some patients are also unable to breathe spontaneously, so in the process of clinical treatment, it is necessary to adopt intubation to help patients breathe, but this part of the work of the patient's lungs and various organs will be affected, which is one of the main causes of lung and respiratory tract infection in patients. According to relevant clinical experiments, clinical nursing can be combined with the actual treatment of severe neurosurgery patients, which plays a very important role in reducing the incidence of complications.
文摘Objective: to analyze the nursing experience of the patients with cerebral hemorrhage in intensive care unit (ICU) after operation. Methods: 92 cases of patients with cerebral hemorrhage admitted to our hospital from January 2018 to July 2020 were divided into the control group (n = 46) with routine care and the observation group (n = 46) with postoperative key pipeline care. Both groups were given intensive care measures. The nursing satisfaction of the two groups was investigated and the nursing situation of the two groups was analyzed. Results: the nursing satisfaction of the two groups of patients was higher in the observation group (P < 0.5), and the comparison data was statistically significant. Analysis of two groups of nursing situation, observation group nursing effect has obvious improvement. P < 0.5, the comparison data was statistically significant. Conclusion: the use of postoperative key pipeline nursing can improve the nursing satisfaction of patients with cerebral hemorrhage in ICU and improve the nursing results, which is worthy of popularization and application.
文摘Objective: to analyze the nursing methods in the treatment of uremia. Methods: from February 2020 to February 2021, patients with uremic skin pruritus in our department were selected. The method of retrospective data analysis was used to obtain the nursing effect of patients. Results: after the follow-up analysis of 22 patients, the symptoms of 8 cases improved after one treatment, 10 cases improved after two treatments, and 4 cases alleviated 4-6 times after treatment. One of the 22 patients stopped, and the other 21 patients had no adverse reactions. Conclusion: nursing intervention in the treatment of uremic skin pruritus with hemoperfusion and hemodialysis is effective and worthy of clinical recommendation.
文摘Objective: for patients with acute cerebral infarction, choosing intravenous thrombolytic therapy and pulmonary vein distress therapy in the process of disease treatment operation, to discuss the impact on the treatment effect, and to analyze the relevant nursing experience. Methods: from January 2021 to January 2022, patients who entered our hospital for hyperacute cerebral infarction treatment were taken as research samples, and the basic recovery status, bleeding probability, nursing efficiency and other indicators of the two groups of patients were evaluated. Compare and analyze. Results: from the analysis of the clinical treatment effect of the two groups of patients, it can be known that the clinical treatment effect of the routine group patients was 15.2%, and the clinical treatment effect of the study group patients was 42.4%. From the analysis of the incidence of bleeding in the two groups of patients, it can be known that the incidence of bleeding in the conventional group is 9.1%, and the incidence of bleeding in the research group is 15.2%. Conclusion: intravenous thrombolytic therapy is an effective treatment measure for hyperacute cerebral infarction. It can improve the patient's disease, and the treatment effect can also control the recurrence rate, and the patient's quality of life can be optimized under the condition of reducing bleeding changes and improve.
文摘Objective: to explore the clinical nursing of a patient treated with transcatheter aortic valve replacement and coronary stent implantation. Methods: a patient treated with transcatheter aortic valve replacement and coronary stent implantation was selected as the research object, and comprehensive nursing intervention was carried out to analyze the nursing effect. Results: after systematic treatment and nursing intervention, the cross valve differential pressure disappeared, the EF increased from 47% before operation to 53% after operation, the condition was significantly improved, the symptoms of angina pectoris and heart failure were completely eliminated, and the patients were satisfied with the nursing service. Conclusion: after the treatment of transcatheter aortic valve replacement combined with coronary stent implantation, we should actively prevent the complications of patients, which can prevent the occurrence of adverse events and promote the recovery of prognosis. It can be further popularized and used in clinic.
文摘Objective: to explore the nursing experience of prevention of intestinal flatulence by acupoint massage and exhaust exercise after cesarean section. Methods: 100 parturients who underwent caesarean section with acupuncture point massage and exhaust exercise were selected and randomly divided into the control group and the observation group. The control group received routine nursing while the observation group received nursing intervention. The nursing quality of the parturients in both groups was counted. Results: the nursing quality of parturients in the observation group was better than that in the control group (P<0.05). Conclusion: abdominal distension will occur after caesarean section. Therefore, post-operative acupuncture point massage exercise should be performed clinically to reduce flatulence of parturients undergoing caesarean section, improve gastrointestinal function of parturients undergoing caesarean section, maintain intestinal peristalsis of parturients undergoing caesarean section, restore normal indexes of the body, and promote anal exhaust. High-quality nursing is indispensable during the implementation of acupuncture point massage exhaust exercise. The exploration of cesarean section parturient exhaust exercise, combined with the basic actual situation of cesarean section parturient, conforms to the cesarean section parturients own condition, formulates effective nursing policy for cesarean section parturient. During the period of acupuncture point nursing for cesarean section parturient, continuous education should be given to enable them to cooperate with the nursing work and improve the details of clinical nursing by combining with the specific opinions of cesarean section parturient on the nursing work, which has high clinical practicality.
文摘Supported by the scientific research project "Case-control Study on Risk Factors of Low Birth Weight of Newborns in Fukang Hospital of Tibet from 2017 to 2019". This article discusses the nursing method and effect of skin scald of children. Due to young children's age and low self-care ability, the probability of accidental scald in early childhood is higher than that of adults. Once scald occurs, most of them are treated by applying scald ointment locally and exposing the wound surface at the same time. The whole process increases the difficulty of nursing the family members. At the same time, the whole treatment cycle is long, the pain time of children is also long, the prognosis effect is poor, and severe scars will be left. It seriously affects the psychology of the children and increases the anxiety of the family members. The timely delivery of infants to the hospital and the reasonable compliance of anti-infection treatment according to their illness can greatly shorten the pain time of infants and reduce their pain as much as possible, reduce the occurrence of complications, and especially reduce the generation of scar tissue. In this case, the disposable foam dressing was used to nurse a child with superficial second degree scald, which not only effectively shortened the course of the disease, but also effectively reduced the pain of the child, and was more convenient for parents to effectively nurse the child after discharge.
文摘Objective: to explore the clinical experience of strengthening nursing intervention for patients with diabetes and pulmonary tuberculosis. Methods: 60 patients with diabetes complicated with pulmonary tuberculosis admitted to our hospital from December 2019 to December 2020 were randomly divided into observation group (strengthened nursing intervention) and control group (routine nursing) with 30 patients in each group. Results: the treatment compliance rate and nursing satisfaction rate in the observation group were higher (P < 0.05). The improvement of blood sugar, healthy behavior, resilience and quality of life in the observation group was more effective (P <0.05). Conclusion: strengthening nursing intervention for patients with diabetes complicated with pulmonary tuberculosis can obtain more ideal intervention effect.
文摘The main cause of malignant syndrome is due to patients with long-term antipsychiatric drugs caused by a complication, and patients during the medication probability will be larger, when patients with malignant syndrome at the same time will appear continuous fever, tremor, muscle rigidity, severe cardiovascular symptoms and autonomic nervous system (tachycardia, sweating, urinary retention) symptoms. At this time, the patients consciousness will also be seriously affected, drowsiness, coma and other symptoms will be obviously shown, and the patients consciousness range gradually narrowed, and the attention will be damaged to different degrees according to the changes of the patients condition, and the behavior begins to be uncontrolled, and the spirit will become excited to inhibition, until the emergence of a coma. In the treatment of such patients, the patients body mainly shows increasing white blood cells, myoglobin, and creatine kinase, but the use of medical effects on the patients cerebrospinal fluid is in a normal state. In addition to the treatment of such patients, the patients also need to be treated simultaneously, so as to improve the therapeutic effect of the treatment of the patients.
