<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation o...<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation of the Masters in Nursing Program (PME) is necessary for it to be part of the PNPC. This study focuses on self-evaluation of implementation mechanisms to assure effective communication and collaboration with and among graduated alumni. <strong>Methods:</strong> The research was qualitative, exploratory and descriptive. An informed consent was signed by four informants, graduated from the seventeenth generation of PME. Data collection from a focal group and descriptive data analysis by atlas.ti from guidance questions that were contrasted with the scale value from PME curriculum. <strong>Results:</strong> Four categories emerged from PME graduated alumni: Category <strong>I</strong>, Professional academic performance, Category<strong> II</strong>, International activities attendance, Category <strong>III</strong>, Academic networks, and Category <strong>IV</strong>, Higher satisfaction of international activities.<strong> Conclusions:</strong> It is concluded that self-evaluation shows a graduate’s vision of conditions and networks where PME develops. Masters in Nursing Program fulfills graduates expectancy to create networks, which will contribute to knowledge and recognition of professional practice, as well as on the area’ opportunities opening for better contributions.展开更多
Objectives:To examine the current studies about the impacts of faculty caring on nursing students'intent to graduate and provide recommendations.The nursing profession continues to face nursing shortages.One of th...Objectives:To examine the current studies about the impacts of faculty caring on nursing students'intent to graduate and provide recommendations.The nursing profession continues to face nursing shortages.One of the solutions recognized to alleviate the shortage is increasing the number of students graduating from nursing schools.It lacks a literature review synthesizing the current research about the impacts of faculty caring on nursing students'intent to graduate and indicate areas for future research.Methods:This is a systematic literature review.The search of the literature was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses(PRISMA).Databases searched included MEDUNE via PubMed,CINAHL,PsyclNFO,and ProQuest Search.Search terms included'attrition,''dropouts,''graduation rate,''faculty,''instructor,''professor,''nursing,'and'caring.'Results:Ten articles met the inclusion criteria.The articles were conducted in the Associate Degree of Nursing and the Bachelor of Science in Nursing programs.Nursing faculties played a significant role in students'intent to graduate by building students'confidence,creating a compassionate learning environment,and promoting students'competence.Faculties'caring behaviors,including respecting students,showing empathy,and using caring communication skills,were essential characteristics to affect students'learning environments.Conclusions:The findings indicate that students'perceptions of faculty caring can affect their perceptions of the learning environment and sense of belonging,and therefore,impact their intent to graduate.Students'perceptions of their instructors'caring behaviors are instrumental in motivating them to continue learning.The capacity of faculty caring plays a significant role in students'success.展开更多
Background:An elderly was closed to some medical problem,especially hypertension.Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest...Background:An elderly was closed to some medical problem,especially hypertension.Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest person to the patient.One important aspect of family nursing is the family itself.To achieve good treatment outcomes,implementation of evidence-based nursing is needed.The purpose of this study is to present the implementation of evidence-based nursing to an eldelry in a family bu using coconut water to reduce high blood pressure and progressive muscle relaxation therapy to reduce pain intensity in hypertensive patients,as well as acupressure therapy in stopping smoking that is applied 1 week each other.Method:In the implementation,complementary therapy is applied to hypertensive patients by given young coconut water and progressive muscle relaxation therapy,and acupressure therapy in an effort to stop smoking.Results:showed significant results in the reduction of high blood pressure before being given an intervention was TD:200/100 mmHg and after being given the intervention obtained TD:140/80 mmHg and decreased pain intensity in hypertensive patients using relaxation therapy,as well as a decrease in the number of cigarettes smoked with acupressure therapy for 1 week.Conclusion:The application of complementary therapy carried out showed improvement in elderly patients suffering from hypertension and smoking behaviour,therefore,the application of evidence based nursing in providing nursing care is recommended.Suggestion:Complementary Nursing Case Study this is expended to be a reference material to improve health services and provide an overview in carrying out complementary nursing care to families,especially an elderly with comprehensive cases of hypertension(bio,psycho,social and spiritual).展开更多
Objective: To explore the promoting function of TCM nursing in the rehabilitation of hemiplegia patients with stroke. Methods: 78 stroke hemiplegic patients admitted from April 2022 to April 2024 were randomly divided...Objective: To explore the promoting function of TCM nursing in the rehabilitation of hemiplegia patients with stroke. Methods: 78 stroke hemiplegic patients admitted from April 2022 to April 2024 were randomly divided into a control group of 38 cases who received routine care, and an experimental group of 40 cases who received routine nursing basis plus traditional Chinese medicine nursing;the nursing effects of the two groups of patients were compared. Results: After 12 days of nursing care, the experimental group showed better psychological status [SAS score (21.71 ± 3.21), SDS score (22.18 ± 2.31)], limb motor function, daily living ability, and neurological function [NIHSS score (12.23 ± 2.21)] than the control group, with significant differences in data (P Conclusion: Traditional Chinese medicine nursing for stroke hemiplegia patients is more conducive to promoting rehabilitation than routine nursing.展开更多
Objective: The objective is to correlate the nursing diagnoses of the domain Safety/Protection of NANDA-I in critically ill patients with sociodemographic and clinical data. Method: A cross-sectional study with 86 ind...Objective: The objective is to correlate the nursing diagnoses of the domain Safety/Protection of NANDA-I in critically ill patients with sociodemographic and clinical data. Method: A cross-sectional study with 86 individuals was conducted, from October 2013 to May 2014 in the Intensive Care Unit of a university hospital in northeastern Brazil, through a formal interview and physical examination. Results: It was possible to identify a total of 20 significant statistical associations, and 15 were clinically justified by the literature, namely: risk for aspiration and reason for admission;impaired dentition and age;risk for peripheral neurovascular dysfunction and sex and comorbidity;skin integrity and comorbidity;risk for impaired skin integrity and gender and reason for admission;impaired tissue integrity and gender and reason for admission;risk for perioperative positioning injury and reason for admission;risk for thermal injury and age and comorbidity;delayed surgical recovery and reason for admission;risk for poisoning and years of schooling;and risk for imbalanced body temperature and age. Conclusions: By understanding the relationship between customers’ answers and the sociodemographic and clinical profile, positive health outcomes can be achieved in particular in the prevention of risks facing vulnerability characteristics, providing greater safety and protection for the critical customer.展开更多
Purpose:This pilot study aimed to assess the reliability and validity of a modified Dundee Ready Educational Environment Measure(m-DREEM)tool used to evaluate the effects of different pedagogical approaches in a clini...Purpose:This pilot study aimed to assess the reliability and validity of a modified Dundee Ready Educational Environment Measure(m-DREEM)tool used to evaluate the effects of different pedagogical approaches in a clinical learning environment on nursing students'learning perceptions.Methods:A sample consisting of 130 nursing students in two different models of clinical education was surveyed.Results:This pilot study demonstrated that m-DREEM yields a high internal consistency.This tool can be used to evaluate nursing students'perceptions of their clinical learning environment on the basis of five sub-scales:students'learning perceptions,facilitators,academic self-perception,atmosphere,social self-perception,and mentorship.Conclusion:A definitive and inferential relationship between sub-scales and clinical models,namely,block and non-block dispersed models,could not be determined because of the small sample size of the block clinical model.Hence,further research should be performed.展开更多
Background and aims:Associate degree nursing students as future nurses must have the competency to perform IMCI(Integrated Management of Childhood Illness)which can be achieved by incorporating IMCI learning during th...Background and aims:Associate degree nursing students as future nurses must have the competency to perform IMCI(Integrated Management of Childhood Illness)which can be achieved by incorporating IMCI learning during the college study.Currently the IMCI learning for associate degree in nursing program in Aceh is still conducted conventionally which takes two meetings of a hundred minutes with IMCI chart as the only taught material.Some of the students obtain IMCI practical study experience at public health centers while others do not have any experience.Thus,there needs to be a model of IMCI learning integration into a course,and that is pediatrics nursing course.Therefore,the aimed this study was to identify the model of IMCI learning integration into the pediatrics nursing course.Methods:The design of the research is the randomized pretest-posttest control group design.For the quantitative study was 74 people(37 in the control group and 74 in the intervention group).The intervention in this study is learn of IMCI with study guided method used module.Results:The IMCI knowledge,procedural knowledge,attitude and practice scores were higher after IMCI learning by study guide method compared to IMCI learning by conventional method using IMCI chart.The higher the IMCI knowledge score,the higher the IMCI practice score.Conclusions:IMCI learning by the method of study guide using module has significant influence towards the increase of IMCI knowledge,procedural knowledge,attitude,and practice scores.Active learning program needs to be designed for students to assist their studying and achieve the learning objectives independently.展开更多
Background: Adolescent’s perception of nurse care imparted in the hemodialysis unit and the needs that they do not always express are an important starting point to optimize attention and care given by nurse professi...Background: Adolescent’s perception of nurse care imparted in the hemodialysis unit and the needs that they do not always express are an important starting point to optimize attention and care given by nurse professional;the goal is to reach the holistic focus characteristic of the discipline, and then generate scientific evidence that will help other health professionals, regarding given attention to patients in this step of their lives suffering chronic renal damage subjected to hemodialysis. Objective: To analyze the perception of adolescents with chronic kidney disease about nurse care in a hemodialysis unit. Methods: Qualitative and phenomenological study under the philosophic scope of Merleau Ponty, with a descriptive design;the information collection was through semi-structured interviews, field notes, and participants’ observation from three adolescents’ informers subjected to renal substitution by hemodialysis three times per week, in a high specialty medical unit in Mexico City. Selection of informers was by convenience and their previous authorization was requested by signed informed consent. The analysis of qualitative data was according to Rodríguez et al. Results: Four categories with seven subcategories emerged: Category 1, Adolescent’s perception regarding nursing care on hemodialysis;Category 2, Care during hemodialysis process;Category 3, The world of hemodialysis;Category 4, Corporeity from adolescent’s look. Conclusion: Nursing care to adolescents during hemodialysis must be accompanied by comprehension, communication, and knowledge of patients, regarding their needs perceived to know the way they live their chronic kidney illness, through their body, their world and the way they see themselves. The main characteristics of nurse care are communication and constant interaction with nurse-adolescent, this openness to an unknown world for them is seen as a pleasant interaction, perceived as necessary and it helps them to feel good in their hemodialysis treatment.展开更多
BACKGROUND Unintended pregnancy occurs when an individual or couple conceives without planning or desire,which can potentially affect a child’s physical,mental,and social well-being.This can then lead to long-term so...BACKGROUND Unintended pregnancy occurs when an individual or couple conceives without planning or desire,which can potentially affect a child’s physical,mental,and social well-being.This can then lead to long-term socioeconomic challenges for families and communities.Although its impact on child growth and development is a pressing concern,research remains limited particularly in multicenter settings.AIM To examine the long-term consequences of unintended pregnancy on the critical years of early childhood growth and development.METHODS This analytical observational study employed a case-control design and was conducted in research centers across Indonesia,encompassing those located in Central Java,Lampung,Bali,and West Nusa Tenggara.A total of 700 children aged≤5 years with histories of intended or unintended pregnancies participated.Data collection involved structured interviews and direct anthropometric and developmental assessments.Data analyses were conducted using multivariate statistics and partial least squares structural equation modeling.RESULTS Unintended pregnancy was found to have a statistically significant effect on both child growth(t=8.178;P<0.001)and child development(t=25.688;P<0.001).Key growth problems identified included underweight,undernutrition,abnormal head circumference,and stunting.Developmental challenges prominently associated with unintended pregnancy included behavioral and emotional disorders,autism spectrum disorder,attentiondeficit/hyperactivity disorder,social and motor skill deficits,as well as visual and hearing impairments.CONCLUSION Unintended pregnancy significantly affects child growth and development,underscoring the need for early intervention,quality prenatal care,and strengthened family planning policies.展开更多
Background:Improving medication safety,particularly for high-risk drugs,was identified as the third Global Patient Safety Challenge by the World Health Organization in 2017.Antineoplastic agents are included in the li...Background:Improving medication safety,particularly for high-risk drugs,was identified as the third Global Patient Safety Challenge by the World Health Organization in 2017.Antineoplastic agents are included in the list of high-risk medications because of their high potential to cause adverse events.This study evaluated the effectiveness of a project that was implemented to improve the antineoplastic therapy compounding process at a university hospital.Methods:This study had a quasi-experimental before-and-after design and used a quantitative approach to investigate the effects of implementation of this project in a centralized intravenous admixture service.The compounding of antineoplastic therapy was evaluated using five quality criteria at three time points:an initial evaluation and two post-intervention re-evaluations.The results of the intervention were subjected to statistical analysis and are presented in a Pareto chart.Results:All five quality criteria for correct compounding of antineoplastic therapy improved after implementation of the intervention,with an increase in compliance values for all criteria after the second evaluation.Improvements in criteria 1,3,and 4 were statistically significant.Conclusions:The implementation of the improvement project enhanced the quality criteria and caused a cultural shift in the team,with an improved view towards quality management in work processes.展开更多
Objective:This review aimed to map and summarize published studies that tested non-pharmacological management for chemotherapyinduced nausea and vomiting(CINV).Methods:We searched for eligible studies in 5 electronic ...Objective:This review aimed to map and summarize published studies that tested non-pharmacological management for chemotherapyinduced nausea and vomiting(CINV).Methods:We searched for eligible studies in 5 electronic databases and screened the retrieved studies using the inclusion and exclusion criteria.Data were then collated according to the types of interventions,measurement tool,and outcomes.Results:The search yielded 2343 records,of which 11 were included.Four categories of non-pharmacological CINV management were made;manipulative and body-based therapy(n=5 studies);mind–body therapy(n=3 studies);biologically based practice(n=1 study),and energy therapy(n=2 studies).Seven different scales were used to measure CINV.Nine studies repor ted improvement in CINV.Conclusions:This scoping review demonstrates the breadth of non-pharmacological management to address CINV.Various types of CINV scales were used to measure CINV severity.The management and scale can be utilized to improve nursing care,par ticularly in cancer care.展开更多
OBJECTIVE This study was aimed to evaluate the effect of mangosteen peel extract(MPE)on migration of human umbilical vein endothelial cells(HUVECs)treated with LPS.METHODS Cultured HUVECs were divided into five groups...OBJECTIVE This study was aimed to evaluate the effect of mangosteen peel extract(MPE)on migration of human umbilical vein endothelial cells(HUVECs)treated with LPS.METHODS Cultured HUVECs were divided into five groups:normal(untreated)group,positive control group treated with LPS at dose of 20ng·mL-1 for 24 h,and groups pre-treated with LPS at dose of 20ng·mL-1 for 24 h followed by incubation with MPE at doses of 1,2,and 4-1μg·mL,respectively.HUVECs migration was evaluated using wound-healing migration assay after 24 h of treatment.RESULTS LPS significantly(P<0.05)impaired HUVECs migration compared to the normal.MPE at dose of 1μg·mL-1 increased migration of LPS-treated HUVECs significantly(P<0.05)compared to the positive control and near to the normal level.CONCLUSION The mangosteen peel extract is able to dose-dependently preserve the endothelial cells function.展开更多
Objective: The objective was to identify spatial distribution patterns for preventable infant mortality and the main causes of death in three municipalities of Paraná state, Brazil. Design and Sample: Ecological ...Objective: The objective was to identify spatial distribution patterns for preventable infant mortality and the main causes of death in three municipalities of Paraná state, Brazil. Design and Sample: Ecological study on infant mortality among residents of the municipalities of Maringá, Sarandi and Pai?andu, between 2004 and 2008. Measures: Data were obtained from reports by the Infant Mortality Prevention Committee, georeferenced in 19 Demographic Expansion Areas and analyzed statistically using Local Moran’s Index. Results: Of the 284 deaths among children under one year of age, 68.7% were considered preventable, and higher percentages were found in outlying areas. The main causes were illnesses originated during the perinatal period (73.8%), external causes (11.3%) and diseases of the respiratory system (5.1%). Conclusion: It is necessary to implement actions and policies on child and prenatal assistance, in order to reduce the inequality observed between the central and outlying areas of the region under study.展开更多
The use of educational technology focused on child health promotion requires theoretical-methodological foundations to support aspects related to the growth and psychomotor development stage, articulating knowledge an...The use of educational technology focused on child health promotion requires theoretical-methodological foundations to support aspects related to the growth and psychomotor development stage, articulating knowledge and healthy habits as early as possible. This article is an integrative review to investigate the educational technologies used in health education actions to promote child health. The databases LILACS, MEDLINE, BDENF, PUBMED, CINAHL, and in the Virtual library Cochrane Library and SciELO were consulted. Thirteen articles were analyzed. The educational technologies have been employed to promote child health promotion actions and have contributed to the achievement of long-lasting results. The actions happen predominantly in the school context and light, light-hard and hard technologies are used. The association between light and hard technology obtained better results.展开更多
目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻...目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻译、对比译文,及采用二分量表进行初步测试5个步骤将英语版本问卷翻译为印尼语。30名住院部护士参与了量表可读性和可理解性检查。于2022年8—10月在印度尼西亚的17所医院选取350名护理人员参与调查。采用结构效度和收敛效度来评估量表的效度。采用Cronbach's α系数、项目总相关系数和组合信度指数来评估量表的信度。结果验证性因子分析显示,PES-NWI具有良好的拟合度,量表因子结构稳定。各维度的相关系数为0.70~0.88,条目的载荷值都高于0.6。量表维度的收敛效度为0.61~0.74。Cronbach's α系数为0.97,修正后的项目总相关系数0.62~0.85,各个维度的组合信度指数均高于0.89。结论印尼版PES-NWI具有良好的同质性和结构效度,护理管理人员可以使用它来衡量工作环境。展开更多
“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Prim...“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Primary care nurse practitioners are urged to confront obesity head on, with early, individualized intervention to reduce associated morbidity and mortality. Options for weight loss and maintenance are abundant and often confusing or unattractive to the patient. Working with patients to achieve realistic, reasonable, and patient-tailored goals for weight loss and exercise programs are paramount to achieving a healthy weight and lifestyle.展开更多
Objective:The aim of this research is to explore the life experiences of schizophrenic families in accompanying the recovery process.Methods:This study uses a qualitative method with descriptive phenomenology to expla...Objective:The aim of this research is to explore the life experiences of schizophrenic families in accompanying the recovery process.Methods:This study uses a qualitative method with descriptive phenomenology to explain phenomena from family experiences.The number of the participants was eight families who had family members with schizophrenia.Sampling was determined by purposive sampling.Data were collected through in-depth interviews and analyzed using the Colaizzi method.Results:The results of this study show four themes that emerged including(1)psychological burden on the family,(2)families needing support in the recovery process,(3)obstacles due to social stigma,and(4)family gratitude for being able to pass the test patiently.Conclusion:The schizophrenia family’s journey in the recovery process is very long.They are required to endure in assisting the recovery process.Experiences felt by the family include feelings,obstacles,and hopes that arise in carrying out their role to assist the recovery process which aims to improve the health of schizophrenia patients.The findings from this study provide insight for nurses to be able to pay attention to family psychological problems by strengthening families through home visits and health promotion related to the recovery process of survivor schizophrenia.展开更多
文摘<strong>Background:</strong> To ensure quality and relevance of Postgraduate Programs are a commitment of the National Quality Postgraduate Programs (PNPC), and those from UNAM. Then, the self-evaluation of the Masters in Nursing Program (PME) is necessary for it to be part of the PNPC. This study focuses on self-evaluation of implementation mechanisms to assure effective communication and collaboration with and among graduated alumni. <strong>Methods:</strong> The research was qualitative, exploratory and descriptive. An informed consent was signed by four informants, graduated from the seventeenth generation of PME. Data collection from a focal group and descriptive data analysis by atlas.ti from guidance questions that were contrasted with the scale value from PME curriculum. <strong>Results:</strong> Four categories emerged from PME graduated alumni: Category <strong>I</strong>, Professional academic performance, Category<strong> II</strong>, International activities attendance, Category <strong>III</strong>, Academic networks, and Category <strong>IV</strong>, Higher satisfaction of international activities.<strong> Conclusions:</strong> It is concluded that self-evaluation shows a graduate’s vision of conditions and networks where PME develops. Masters in Nursing Program fulfills graduates expectancy to create networks, which will contribute to knowledge and recognition of professional practice, as well as on the area’ opportunities opening for better contributions.
文摘Objectives:To examine the current studies about the impacts of faculty caring on nursing students'intent to graduate and provide recommendations.The nursing profession continues to face nursing shortages.One of the solutions recognized to alleviate the shortage is increasing the number of students graduating from nursing schools.It lacks a literature review synthesizing the current research about the impacts of faculty caring on nursing students'intent to graduate and indicate areas for future research.Methods:This is a systematic literature review.The search of the literature was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses(PRISMA).Databases searched included MEDUNE via PubMed,CINAHL,PsyclNFO,and ProQuest Search.Search terms included'attrition,''dropouts,''graduation rate,''faculty,''instructor,''professor,''nursing,'and'caring.'Results:Ten articles met the inclusion criteria.The articles were conducted in the Associate Degree of Nursing and the Bachelor of Science in Nursing programs.Nursing faculties played a significant role in students'intent to graduate by building students'confidence,creating a compassionate learning environment,and promoting students'competence.Faculties'caring behaviors,including respecting students,showing empathy,and using caring communication skills,were essential characteristics to affect students'learning environments.Conclusions:The findings indicate that students'perceptions of faculty caring can affect their perceptions of the learning environment and sense of belonging,and therefore,impact their intent to graduate.Students'perceptions of their instructors'caring behaviors are instrumental in motivating them to continue learning.The capacity of faculty caring plays a significant role in students'success.
文摘Background:An elderly was closed to some medical problem,especially hypertension.Problems that occur in elderly patients with hypertension not only involve the patient itself but also involve the family as the closest person to the patient.One important aspect of family nursing is the family itself.To achieve good treatment outcomes,implementation of evidence-based nursing is needed.The purpose of this study is to present the implementation of evidence-based nursing to an eldelry in a family bu using coconut water to reduce high blood pressure and progressive muscle relaxation therapy to reduce pain intensity in hypertensive patients,as well as acupressure therapy in stopping smoking that is applied 1 week each other.Method:In the implementation,complementary therapy is applied to hypertensive patients by given young coconut water and progressive muscle relaxation therapy,and acupressure therapy in an effort to stop smoking.Results:showed significant results in the reduction of high blood pressure before being given an intervention was TD:200/100 mmHg and after being given the intervention obtained TD:140/80 mmHg and decreased pain intensity in hypertensive patients using relaxation therapy,as well as a decrease in the number of cigarettes smoked with acupressure therapy for 1 week.Conclusion:The application of complementary therapy carried out showed improvement in elderly patients suffering from hypertension and smoking behaviour,therefore,the application of evidence based nursing in providing nursing care is recommended.Suggestion:Complementary Nursing Case Study this is expended to be a reference material to improve health services and provide an overview in carrying out complementary nursing care to families,especially an elderly with comprehensive cases of hypertension(bio,psycho,social and spiritual).
文摘Objective: To explore the promoting function of TCM nursing in the rehabilitation of hemiplegia patients with stroke. Methods: 78 stroke hemiplegic patients admitted from April 2022 to April 2024 were randomly divided into a control group of 38 cases who received routine care, and an experimental group of 40 cases who received routine nursing basis plus traditional Chinese medicine nursing;the nursing effects of the two groups of patients were compared. Results: After 12 days of nursing care, the experimental group showed better psychological status [SAS score (21.71 ± 3.21), SDS score (22.18 ± 2.31)], limb motor function, daily living ability, and neurological function [NIHSS score (12.23 ± 2.21)] than the control group, with significant differences in data (P Conclusion: Traditional Chinese medicine nursing for stroke hemiplegia patients is more conducive to promoting rehabilitation than routine nursing.
文摘Objective: The objective is to correlate the nursing diagnoses of the domain Safety/Protection of NANDA-I in critically ill patients with sociodemographic and clinical data. Method: A cross-sectional study with 86 individuals was conducted, from October 2013 to May 2014 in the Intensive Care Unit of a university hospital in northeastern Brazil, through a formal interview and physical examination. Results: It was possible to identify a total of 20 significant statistical associations, and 15 were clinically justified by the literature, namely: risk for aspiration and reason for admission;impaired dentition and age;risk for peripheral neurovascular dysfunction and sex and comorbidity;skin integrity and comorbidity;risk for impaired skin integrity and gender and reason for admission;impaired tissue integrity and gender and reason for admission;risk for perioperative positioning injury and reason for admission;risk for thermal injury and age and comorbidity;delayed surgical recovery and reason for admission;risk for poisoning and years of schooling;and risk for imbalanced body temperature and age. Conclusions: By understanding the relationship between customers’ answers and the sociodemographic and clinical profile, positive health outcomes can be achieved in particular in the prevention of risks facing vulnerability characteristics, providing greater safety and protection for the critical customer.
基金the receipt of financial support for this research from an internal granting institution.
文摘Purpose:This pilot study aimed to assess the reliability and validity of a modified Dundee Ready Educational Environment Measure(m-DREEM)tool used to evaluate the effects of different pedagogical approaches in a clinical learning environment on nursing students'learning perceptions.Methods:A sample consisting of 130 nursing students in two different models of clinical education was surveyed.Results:This pilot study demonstrated that m-DREEM yields a high internal consistency.This tool can be used to evaluate nursing students'perceptions of their clinical learning environment on the basis of five sub-scales:students'learning perceptions,facilitators,academic self-perception,atmosphere,social self-perception,and mentorship.Conclusion:A definitive and inferential relationship between sub-scales and clinical models,namely,block and non-block dispersed models,could not be determined because of the small sample size of the block clinical model.Hence,further research should be performed.
文摘Background and aims:Associate degree nursing students as future nurses must have the competency to perform IMCI(Integrated Management of Childhood Illness)which can be achieved by incorporating IMCI learning during the college study.Currently the IMCI learning for associate degree in nursing program in Aceh is still conducted conventionally which takes two meetings of a hundred minutes with IMCI chart as the only taught material.Some of the students obtain IMCI practical study experience at public health centers while others do not have any experience.Thus,there needs to be a model of IMCI learning integration into a course,and that is pediatrics nursing course.Therefore,the aimed this study was to identify the model of IMCI learning integration into the pediatrics nursing course.Methods:The design of the research is the randomized pretest-posttest control group design.For the quantitative study was 74 people(37 in the control group and 74 in the intervention group).The intervention in this study is learn of IMCI with study guided method used module.Results:The IMCI knowledge,procedural knowledge,attitude and practice scores were higher after IMCI learning by study guide method compared to IMCI learning by conventional method using IMCI chart.The higher the IMCI knowledge score,the higher the IMCI practice score.Conclusions:IMCI learning by the method of study guide using module has significant influence towards the increase of IMCI knowledge,procedural knowledge,attitude,and practice scores.Active learning program needs to be designed for students to assist their studying and achieve the learning objectives independently.
文摘Background: Adolescent’s perception of nurse care imparted in the hemodialysis unit and the needs that they do not always express are an important starting point to optimize attention and care given by nurse professional;the goal is to reach the holistic focus characteristic of the discipline, and then generate scientific evidence that will help other health professionals, regarding given attention to patients in this step of their lives suffering chronic renal damage subjected to hemodialysis. Objective: To analyze the perception of adolescents with chronic kidney disease about nurse care in a hemodialysis unit. Methods: Qualitative and phenomenological study under the philosophic scope of Merleau Ponty, with a descriptive design;the information collection was through semi-structured interviews, field notes, and participants’ observation from three adolescents’ informers subjected to renal substitution by hemodialysis three times per week, in a high specialty medical unit in Mexico City. Selection of informers was by convenience and their previous authorization was requested by signed informed consent. The analysis of qualitative data was according to Rodríguez et al. Results: Four categories with seven subcategories emerged: Category 1, Adolescent’s perception regarding nursing care on hemodialysis;Category 2, Care during hemodialysis process;Category 3, The world of hemodialysis;Category 4, Corporeity from adolescent’s look. Conclusion: Nursing care to adolescents during hemodialysis must be accompanied by comprehension, communication, and knowledge of patients, regarding their needs perceived to know the way they live their chronic kidney illness, through their body, their world and the way they see themselves. The main characteristics of nurse care are communication and constant interaction with nurse-adolescent, this openness to an unknown world for them is seen as a pleasant interaction, perceived as necessary and it helps them to feel good in their hemodialysis treatment.
文摘BACKGROUND Unintended pregnancy occurs when an individual or couple conceives without planning or desire,which can potentially affect a child’s physical,mental,and social well-being.This can then lead to long-term socioeconomic challenges for families and communities.Although its impact on child growth and development is a pressing concern,research remains limited particularly in multicenter settings.AIM To examine the long-term consequences of unintended pregnancy on the critical years of early childhood growth and development.METHODS This analytical observational study employed a case-control design and was conducted in research centers across Indonesia,encompassing those located in Central Java,Lampung,Bali,and West Nusa Tenggara.A total of 700 children aged≤5 years with histories of intended or unintended pregnancies participated.Data collection involved structured interviews and direct anthropometric and developmental assessments.Data analyses were conducted using multivariate statistics and partial least squares structural equation modeling.RESULTS Unintended pregnancy was found to have a statistically significant effect on both child growth(t=8.178;P<0.001)and child development(t=25.688;P<0.001).Key growth problems identified included underweight,undernutrition,abnormal head circumference,and stunting.Developmental challenges prominently associated with unintended pregnancy included behavioral and emotional disorders,autism spectrum disorder,attentiondeficit/hyperactivity disorder,social and motor skill deficits,as well as visual and hearing impairments.CONCLUSION Unintended pregnancy significantly affects child growth and development,underscoring the need for early intervention,quality prenatal care,and strengthened family planning policies.
文摘Background:Improving medication safety,particularly for high-risk drugs,was identified as the third Global Patient Safety Challenge by the World Health Organization in 2017.Antineoplastic agents are included in the list of high-risk medications because of their high potential to cause adverse events.This study evaluated the effectiveness of a project that was implemented to improve the antineoplastic therapy compounding process at a university hospital.Methods:This study had a quasi-experimental before-and-after design and used a quantitative approach to investigate the effects of implementation of this project in a centralized intravenous admixture service.The compounding of antineoplastic therapy was evaluated using five quality criteria at three time points:an initial evaluation and two post-intervention re-evaluations.The results of the intervention were subjected to statistical analysis and are presented in a Pareto chart.Results:All five quality criteria for correct compounding of antineoplastic therapy improved after implementation of the intervention,with an increase in compliance values for all criteria after the second evaluation.Improvements in criteria 1,3,and 4 were statistically significant.Conclusions:The implementation of the improvement project enhanced the quality criteria and caused a cultural shift in the team,with an improved view towards quality management in work processes.
文摘目的在重症监护病房(IntensiveCareUnit,ICU),护土难免会遇到需要限制治疗努力(limiting therapeutie efort,LTE)的患者,尽管多数护士还缺乏为这些临终患者及其家庭提供支持的准备。本综述旨在描述ICU护士在LTE中需要具备的能力。方法对2010年--2023年发表的文献进行综述。系统检索了5个数据库:Medline、Wiley Online Library、SciELO、ScienceDirect和Web of Science。使用关键评估项目工具西班牙语版(Critical Appraisal Skills Programme in Spanish,CASPe)作为评判性阅读工具。使用牛津循证医学中心(Center for Evidence-Based Medicine.,CEBM)评估工具确定证据级别和推荐强度。结果共纳入25篇文献。ICU护士LTE护理的能力包括对患者的直接护理、以家庭为中心的护理以及护士在团队中的作用。该综述确定了3个类别的能力:作为患者、家庭与跨学科团队之间维护者的能力,在LTE方面的决策能力,在患者生命末期治疗和护理干预的能力。结论ICU护士在LTE方面需要具备相应的能力,这对患者的生活质量死亡尊严以及患者家庭应对悲伤的全面支持至关重要。
基金supported by the Institute of Research and Innovation of Universitas Muhammadiyah Yogyakarta(No.034/PEN-LP3M/II/2021)。
文摘Objective:This review aimed to map and summarize published studies that tested non-pharmacological management for chemotherapyinduced nausea and vomiting(CINV).Methods:We searched for eligible studies in 5 electronic databases and screened the retrieved studies using the inclusion and exclusion criteria.Data were then collated according to the types of interventions,measurement tool,and outcomes.Results:The search yielded 2343 records,of which 11 were included.Four categories of non-pharmacological CINV management were made;manipulative and body-based therapy(n=5 studies);mind–body therapy(n=3 studies);biologically based practice(n=1 study),and energy therapy(n=2 studies).Seven different scales were used to measure CINV.Nine studies repor ted improvement in CINV.Conclusions:This scoping review demonstrates the breadth of non-pharmacological management to address CINV.Various types of CINV scales were used to measure CINV severity.The management and scale can be utilized to improve nursing care,par ticularly in cancer care.
文摘OBJECTIVE This study was aimed to evaluate the effect of mangosteen peel extract(MPE)on migration of human umbilical vein endothelial cells(HUVECs)treated with LPS.METHODS Cultured HUVECs were divided into five groups:normal(untreated)group,positive control group treated with LPS at dose of 20ng·mL-1 for 24 h,and groups pre-treated with LPS at dose of 20ng·mL-1 for 24 h followed by incubation with MPE at doses of 1,2,and 4-1μg·mL,respectively.HUVECs migration was evaluated using wound-healing migration assay after 24 h of treatment.RESULTS LPS significantly(P<0.05)impaired HUVECs migration compared to the normal.MPE at dose of 1μg·mL-1 increased migration of LPS-treated HUVECs significantly(P<0.05)compared to the positive control and near to the normal level.CONCLUSION The mangosteen peel extract is able to dose-dependently preserve the endothelial cells function.
文摘Objective: The objective was to identify spatial distribution patterns for preventable infant mortality and the main causes of death in three municipalities of Paraná state, Brazil. Design and Sample: Ecological study on infant mortality among residents of the municipalities of Maringá, Sarandi and Pai?andu, between 2004 and 2008. Measures: Data were obtained from reports by the Infant Mortality Prevention Committee, georeferenced in 19 Demographic Expansion Areas and analyzed statistically using Local Moran’s Index. Results: Of the 284 deaths among children under one year of age, 68.7% were considered preventable, and higher percentages were found in outlying areas. The main causes were illnesses originated during the perinatal period (73.8%), external causes (11.3%) and diseases of the respiratory system (5.1%). Conclusion: It is necessary to implement actions and policies on child and prenatal assistance, in order to reduce the inequality observed between the central and outlying areas of the region under study.
文摘The use of educational technology focused on child health promotion requires theoretical-methodological foundations to support aspects related to the growth and psychomotor development stage, articulating knowledge and healthy habits as early as possible. This article is an integrative review to investigate the educational technologies used in health education actions to promote child health. The databases LILACS, MEDLINE, BDENF, PUBMED, CINAHL, and in the Virtual library Cochrane Library and SciELO were consulted. Thirteen articles were analyzed. The educational technologies have been employed to promote child health promotion actions and have contributed to the achievement of long-lasting results. The actions happen predominantly in the school context and light, light-hard and hard technologies are used. The association between light and hard technology obtained better results.
基金supported by the Second Century Fund(C2F)90th Anniversary of Chulalongkorn University,Rachadapisek Sompote Fund.
文摘目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻译、对比译文,及采用二分量表进行初步测试5个步骤将英语版本问卷翻译为印尼语。30名住院部护士参与了量表可读性和可理解性检查。于2022年8—10月在印度尼西亚的17所医院选取350名护理人员参与调查。采用结构效度和收敛效度来评估量表的效度。采用Cronbach's α系数、项目总相关系数和组合信度指数来评估量表的信度。结果验证性因子分析显示,PES-NWI具有良好的拟合度,量表因子结构稳定。各维度的相关系数为0.70~0.88,条目的载荷值都高于0.6。量表维度的收敛效度为0.61~0.74。Cronbach's α系数为0.97,修正后的项目总相关系数0.62~0.85,各个维度的组合信度指数均高于0.89。结论印尼版PES-NWI具有良好的同质性和结构效度,护理管理人员可以使用它来衡量工作环境。
文摘“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Primary care nurse practitioners are urged to confront obesity head on, with early, individualized intervention to reduce associated morbidity and mortality. Options for weight loss and maintenance are abundant and often confusing or unattractive to the patient. Working with patients to achieve realistic, reasonable, and patient-tailored goals for weight loss and exercise programs are paramount to achieving a healthy weight and lifestyle.
文摘Objective:The aim of this research is to explore the life experiences of schizophrenic families in accompanying the recovery process.Methods:This study uses a qualitative method with descriptive phenomenology to explain phenomena from family experiences.The number of the participants was eight families who had family members with schizophrenia.Sampling was determined by purposive sampling.Data were collected through in-depth interviews and analyzed using the Colaizzi method.Results:The results of this study show four themes that emerged including(1)psychological burden on the family,(2)families needing support in the recovery process,(3)obstacles due to social stigma,and(4)family gratitude for being able to pass the test patiently.Conclusion:The schizophrenia family’s journey in the recovery process is very long.They are required to endure in assisting the recovery process.Experiences felt by the family include feelings,obstacles,and hopes that arise in carrying out their role to assist the recovery process which aims to improve the health of schizophrenia patients.The findings from this study provide insight for nurses to be able to pay attention to family psychological problems by strengthening families through home visits and health promotion related to the recovery process of survivor schizophrenia.
