Journal articles on the topic 'Nursing, n.e.c'
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Kitson, Alison, Suzi Robertson‐Malt, and Tiffany Conroy. "Identifying the F undamentals of C are within C ochrane S ystematic reviews: The role of the C ochrane N ursing C are F ield F undamentals of C are N ode." International Journal of Nursing Practice 19, no. 2 (April 2013): 109–15. http://dx.doi.org/10.1111/ijn.12059.
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Lockwood, Craig. "Reflections on P rofessor P earson, AM , Founding C hair of the C ochrane N ursing C are F ield." International Journal of Nursing Practice 20, no. 6 (December 2014): 562. http://dx.doi.org/10.1111/ijn.12381.
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Ferrand, Claude, Guillaume Martinent, Maxime Deliot, and Victoire Pont. "Need Satisfaction and Frustration in Older People Living in French Nursing Homes." GeroPsych 32, no. 2 (June 2019): 69–77. http://dx.doi.org/10.1024/1662-9647/a000205.
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Abstract. The study examined the profiles of basic psychological needs satisfaction (BPNS) and frustration (BPNF) in a sample of older people living in French nursing homes. It is also addresses the relationships of these profiles with depressive symptoms and adaptation to nursing home. The residents ( N = 134) completed various French self-report questionnaires. Cluster analyses revealed five distinct profiles: (a) High BPNF ( n = 19); (b) Low BPN ( n = 36); (c) Moderate BPNS and low BPNF ( n = 23); (d) high BPNS and moderate BPNF ( n = 33); and (e) High BPNS ( n = 23). Practitioners and staff members should better respect residents’ needs if nursing homes are to become places to live rather than places only to receive care.
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Ho, Trang-Thi-Thuy, and Jina Oh. "Development and Evaluation of Cultural Competence Course on Undergraduate Nursing Students in Vietnam." International Journal of Environmental Research and Public Health 19, no. 2 (January 13, 2022): 888. http://dx.doi.org/10.3390/ijerph19020888.
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Cultural competence is a crucial requirement of nursing to promote caring for patients with diverse backgrounds. The purpose of this study was to develop a cultural competence course and to evaluate the effects of the course on undergraduate nursing students in Vietnam. A concurrent triangulation mixed-methods study was adopted using quantitative and qualitative data sources. Sixty-six nursing students were recruited for the following groups: cultural competence course with field experience (n = 22), stand-alone cultural competence course (n = 22), and a control group (n = 22). The findings indicated that significant group by time interactions in total cultural competence score (F = 66.73, p < 0.001) were found. Participants’ perceptions reflected on three categories: (a) journey to cultural competence, (b) satisfaction of cultural competence course, and (c) suggestions for improvements. No statistically significant differences between the two experimental groups were revealed, but “obtaining cultural experiences” and “expanding understanding of cultural competence through field experience” were immersed from participants having field experience. It is vital to expand cultural competency education into nursing curricula to enhance nursing students’ perspective of culturally competent care.
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Bagley, Christopher, Mahmoud Abubaker, and Alice Sawyerr. "Personality, Work-Life Balance, Hardiness, and Vocation: A Typology of Nurses and Nursing Values in a Special Sample of English Hospital Nurses." Administrative Sciences 8, no. 4 (December 5, 2018): 79. http://dx.doi.org/10.3390/admsci8040079.
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This initial report of a longitudinal study of 192 English hospital nurses measured Nursing Values (the 6Cs of nursing); Personality, Self-Esteem and Depression; Burnout Potential; Work-Life Balance Stress; “Hardy Personality”; and Intention to Leave Nursing. Correlational, component, and cluster analysis identified four groups: “The Soldiers” (N = 79), with medium scores on most measures, who bravely “soldier on” in their nursing roles, in the face of numerous financial cuts to the National Health Service, and worsening nurse–patient ratios; “Cheerful Professionals” (N = 54), coping successfully with nursing roles, and a variety of challenges, in upwardly mobile careers; “High Achievers” (N = 39), senior nurses with strong profiles of a “hardy personality”, and commitment to fundamental nursing values; and “Highly Stressed, Potential Leavers” (N = 20), with indicators of significant psychological distress, and difficulty in coping with nursing role challenges. We have initiated a program of co-counselling and social support for this distressed group, by nurses who are coping more successfully with multiple challenges. We discuss the role of nurse educators in fostering nursing values, developing and supporting a “hardy personality” and emotional resilience in recruits to nursing. This study is framed within the disciplinary approach of Critical Realism, which identifies the value basis for research and dialogue in developing strategies for social change. The importance of this research is that: (a) it is part of the new thrust in nursing research, applying Critical Realist theory and methodology to research on nursing stress; (b) it has established, through network sampling, a group of nurses who can be supportive of each other in their stressful careers; (c) it establishes the reliability and potential validity of a measure of core nursing values; (d) it is among the first studies in research on nursing stress, to use the humanizing methodology of moving from data analysis (description of “things”), to describing a typology of nursing stress and career progress (description of individuals).
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Suzuki, Toshitaka, Tatsuo Kato, Ryoko Ohnishi, Shigeo Yasuda, Kimiyasu Sano, Yohei Shirakami, Masahito Shimizu, and Nobuo Murakami. "Clinical Characteristics of Nursing- and Healthcare-Associated Tuberculosis." Diseases 6, no. 4 (November 11, 2018): 101. http://dx.doi.org/10.3390/diseases6040101.
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Tuberculosis remains a serious health problem worldwide. Patients with tuberculosis who also require nursing care due to aging and underlying diseases are considered to have a high mortality rate; however, there are few studies describing detailed examinations of such disease conditions. Objective: The present study was conducted to investigate differences in clinical features of elderly tuberculosis patients according to the levels of nursing and healthcare required. Design: The study participants included 146 elderly (≥65 years) patients diagnosed with active tuberculosis among patients hospitalized with tuberculosis at a single center. The patients were classified into two groups: a nursing- and healthcare-associated tuberculosis group (n = 71) and a community-acquired tuberculosis group (n = 75). Results: The nursing- and healthcare-associated tuberculosis patients were older and had a higher frequency of comorbidities compared with the community-acquired tuberculosis group. Patients in the nursing- and healthcare-associated tuberculosis group had markedly lower levels of serum albumin and hemoglobin, and higher levels of C-reactive protein. The rate of in-hospital death was significantly higher in the nursing- and healthcare-associated tuberculosis group. This was attributed to malnutrition and comorbid conditions rather than the severity of tuberculosis. Conclusion: The prognosis was poor in elderly tuberculosis patients receiving nursing and healthcare.
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Kampisiouli, Efstathia, Aikaterini Emmanouil, Georgios Georgiadis, Olga Kadda, and Ioannis Papagiannopoulos. "Students’ assessment of master degree programme “icu and intensive nursing”." Health & Research Journal 2, no. 3 (September 30, 2016): 190. http://dx.doi.org/10.12681/healthresj.19704.
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Introduction: The term evaluation of educational work means the systematic review process in which the intended learning aims are achieved and identification of the causes that prevent their possible unsatisfactory achievement so that through the feedback process to improve the quality of education itself.Purpose: The purpose of this study was to evaluate the Master degree program "ICU and Emergency Nursing" from the students of the A and C semester.Material and Methods: The evaluation of the Master degree program "ICU and Emergency Nursing”, School of Medicine, University of Athens and Technological EducationaI Institute, Department of Nursing, Athens, was based on a questionnaire answered by the students before the exam. The questionnaire included questions concerning the views of students in relation to the courses, the teachers and the teaching method and certain demographic characteristics. 11 lessons of the first and third semester of the academic year 2015-2016 were analysed. Data analysis was performed by the statistical package for Social Sciences (SPSS) ver.19.Results: From the A 'semester reviewed 43 students of whom 74,4% (n=32) were women, the first year of graduation ranging from 1986 to 2015 and 4,7% (n=2) has other postgraduate studies. The assessment of students for the first semester out of 10 with respect to the lesson includes values from 6.1 to 9.0, in terms of teaching includes values from 6.8 to 9.4 and in terms to the student of 7, 1 to 9.5. From C semester reviewed 30 students, of whom 76,7% (n = 23) were women, the first year of graduation ranging from 1988 to 2014 and 3,3% (n=1) has other postgraduate studies. The assessment of students for the C. semester out of 10 with respect to the subject includes values from 67.3 to 8.9, in terms of teaching includes values from 7.0 to 9.0 and to the student of 7, 4 to 9.3.Conclusions: Students’ assesment is an important indicator of the effectiveness of teaching method and subsequent basic education system enhancement tool.
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Mohamad, Mas Linda, Li Yang, Xu Jin, Priscilla Tan Lee Eng, and Terence Kee Yi Shern. "Knowledge of immunosuppressive drugs used in kidney transplants." British Journal of Nursing 21, no. 13 (July 12, 2012): 795–800. http://dx.doi.org/10.12968/bjon.2012.21.13.795.
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Aim: A key role of renal nurses is the correct and safe administration of immunosuppressive drug therapy (ImmRx) to kidney transplant recipients. The authors sought to examine the knowledge and competency of ImmRx in kidney transplant patients and whether an annual kidney transplant nurse education programme had any beneficial effects. Methods: The study population was comprised of 63.2% (n=50/79) of all nurses from renal wards (ward A (n=17/35), ward B (n=21/32)) and 12 nurses from a high-dependency urology ward (ward C (n=12)). Kidney transplant patients usually receive inpatient care in wards A, B or C only as these wards specialise in urology and renal care. Each nurse completed a 35-question test that covered ImmRx in areas of indication, identification, interaction, pharmcokinetics/pharmacodynamics, therapeutic drug monitoring, administration and adverse effects. A minimum score of 70% was required to pass the test. Results: Only 46% of participants passed the test. The proportion of nurses who passed was not significantly different with respect to years of nursing experience, professional rank, postgraduate nursing qualifications or ward location. Unexpectedly, a greater proportion of nurses who did not attend the education programme passed the test (63.6%; n=14/22) than those who did attend it (32.1%; n=9/28]; p=0.03). Notably, 24% (n=12/50), 4% (n=2/50) and 4% (n=2/50) were unable to correctly answer any of the identification, interaction and therapeutic drug monitoring questions. Conclusion: These findings suggest that the nurses' understanding and knowledge of ImmRx is insufficient and they need to update their knowledge on ImmRx continually.
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Durand, Pierre J., Jean-Paul Ouellet, Line Beauchesne, André Tourigny, René Verreault, Louise Dicaire, Louise Lévesque, Sylvie Lauzon, Robin Gagnon, and Louis Rochette. "Programme d'intervention visant à réduire l'utilisation des contentions physiques dans des unités de soins de longue durée — mise en oeuvre et effets sur le personnel soignant." Canadian Journal on Aging / La Revue canadienne du vieillissement 21, no. 4 (2002): 559–76. http://dx.doi.org/10.1017/s0714980800002099.
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ABSTRACTThis study aimed at (a) developing a restraint reduction program, (b) describing its implementation in long-term care units, and (c) examining its effects on care staff's perceptions of and knowledge about the use of restraints. The program was composed of three parts: consciousness-raising meetings, staff education, and clinical follow-up. The study was a randomized, controlled clinical trial with eight intervention care units (five nursing homes) and 11 controls (five additional nursing homes). Care staff was surveyed at two time intervals over a 7-month period (pre- and post-test intervention; intervention care units: N = 171 [T0] and N = 158 [T1]; controls: N = 181 [T0] and N = 166 [T1]). The implementation of the program was successful and results showed significant changes in care staff perceptions of and knowledge about the use of restraints.
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Kim, Jiyoung, and Narae Heo. "Effect of a Simulated Education-based Hypoglycemia Scenario Using a High-fidelity Simulator on Acquisition and Retention of Diabetes Knowledge and Academic Self-efficacy in Nursing Students." Journal of Korean Academic Society of Nursing Education 23, no. 3 (August 31, 2017): 319–29. http://dx.doi.org/10.5977/jkasne.2017.23.3.319.
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Purpose: This study evaluated the acquisition and retention effects on diabetes knowledge and academic self-efficacy of patient simulation-based hypoglycemia scenario using a high-fidelity simulator. Methods: A nonequivalent control group pretest/posttest repeated measures quasi-experimental design determined if nursing simulation using a high-fidelity simulator helps students acquire and retain diabetes knowledge and academic self-efficacy. A total of 101 nursing students from two universities participated in this study, comprising the experimental and control groups. The experimental group (n=52) at a university in S city comprised participants in an adult nursing class, nursing practicum, and simulation education. The control group (n=49) at a university in C city participated in an adult nursing class and nursing practicum without simulation education. Results: The experimental group had statistically significant group-time interaction effects on diabetes knowledge (p=.044) and self-confidence (p<.001) of academic self-efficacy compared to the control group. Conclusion: The results indicated that the patient simulation-based hypoglycemia scenario using a high-fidelity simulator applied to nursing education is useful in encouraging nursing students to engage in strategies with acquisition and retention effects, enhancing their diabetes knowledge and self-confidence of academic self-efficacy. Therefore, educators should use simulation programs effectively with nursing classes and practicum to enhance the effects of nursing competencies.
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Álvarez Romero, José T., Daniel De La Cruz Hernández, and Raymundo Cabrera Vertti. "The dependence of N KR versus K R: the initial, thermal, volumetric recombination and screening effect on the efficiency of collected charges on the calibration of si HDR1000 plus well chambers with 192Ir HDR sources * ." Biomedical Physics & Engineering Express 8, no. 2 (January 28, 2022): 027002. http://dx.doi.org/10.1088/2057-1976/ac4c2a.
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Abstract By using the statistical techniques of the ANOVA means test and regression, it was found that the N K R calibration factor of Standard Imaging (SI) model HDR 1000 plus chambers presents a quadratic dependence with the Reference air kerma rate K R (from 6.9 mGy h−1 to 43.9 mGy h−1). In order to understand and correct this dependency one model is presented for total recombination: k s = I 300 I 150 = 1 + k i n i + k d + k vol · I 300 + k s c r e e n · I 300 2 , where k ini is the initial recombination, k vol the thermal diffusion recombination, k vol the volumetric recombination and k screen the screening for the currents/charges collected at the potential differences of 300 and 150 V. In conclusion, the total recombination k s is composed by one k ini with a constant contribution of 0.019%, one k d contribution of 0.017%, one k vol · I 300 contribution from 0.022% to 0.138%, and the k s c r e e n · I 300 2 effects from 0.002% to 0.09% in the range of K ̇ R rate above. However, when this model for k s is applied to try to correct the quadratic dependence of the N K R versus K R , explicitly there is no improvement in the variation range of 0.5% of the N K R versus K R . Nonetheless, it allows to obtain N K R values consistent with a u c ≤ 0.7%, which is less than 1.25% reported in the literature by ADCLs or SSDLs.
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Alfaro-Díaz, Cristina, Erla Kolbrun Svavarsdottir, Nuria Esandi, Marianne E. Klinke, and Ana Canga-Armayor. "Effectiveness of Nursing Interventions for Patients With Cancer and their Family Members: A Systematic Review." Journal of Family Nursing 28, no. 2 (January 21, 2022): 95–114. http://dx.doi.org/10.1177/10748407211068816.
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Cancer diagnosis poses enormous physical and psychosocial challenges for both the affected person and their families. This systematic review identifies the characteristics and effectiveness of nursing interventions offered to adult patients with cancer and their families. Five databases were searched, and 19 studies published from 2009 to 2020 were included. Interventions were categorized as follows: (a) interventions with supporting and cognitive components ( n = 3), (b) interventions that included skills training for the caregiver ( n = 3), (c) interventions to enhance care through managing symptoms ( n = 8), (d) interventions focusing on the dyad or family–patient relationship ( n = 4), and (e) interventions targeted to the patient’s condition ( n = 1). The results of this review offer an overview from which to carry out new studies and are useful for providing future directions within family nursing practice, taking into account the impact that the family has on the disease and the consequences the condition may bring to the whole family.
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Bailey, D. R. C., T. Entz, G. W. Rahnefeld, R. M. McKay, H. T. Fredeen, J. A. Newman, and G. M. Weiss. "Growth patterns of first-cross and reciprocal backcross beef cows in two environments." Canadian Journal of Animal Science 73, no. 4 (December 1, 1993): 805–21. http://dx.doi.org/10.4141/cjas93-083.
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Growth patterns of first-cross (F1) and reciprocal backcross cows, 3–5 yr old, were evaluated under two contrasting environments: extensive range conditions at Manyberries, Alberta, and semi-intensive management at Brandon, Manitoba. Cows resulting from crossing Hereford (H) × Angus (A), Simmental (S) × Shorthorn (N), Charolais (C) × Shorthorn and reciprocal backcrosses from Charolais × Hereford (CH), Charolais × Angus (CA), Charolais × Shorthorn (CN), Simmental × Hereford (SH), Simmental × Angus (SA), and Simmental × Shorthorn (SN) were evaluated at Brandon. At Manyberries, HA, SN and reciprocal backcrosses of SH, SA and SN were evaluated. All cows were bred to Limousin (L) bulls. Cow weights and backfat estimates were recorded at breeding, calving and weaning. The HA cows were the lightest group for all weigh periods at both locations. At all weigh periods, the SSN (3/4 S 1/4 N) dam crosses at Manyberries and the CCN (3/4 C 1/4 N) and CCH (3/4 C 1/4 H) at Brandon were the heaviest. At Brandon, females gained weight during gestation and usually lost weight during summer nursing. Cows at Manyberries usually gained weight during nursing, with significant gestation weight loss. Nursing status of the cow had a significant effect on weight change, with barren status providing an opportunity for large compensatory gains. The CN dams were significantly heavier at all weigh periods than their 1/4 C back-crosses. At Brandon, the SN dam cross weights exceeded those of their reciprocal backcrosses at breeding, calving and weaning and at calving for the 1/4 S dams. At Manyberries, SN weights exceeded those of the 3/4 S crosses at weaning. Over the duration of study, average backfat estimates for cows at Brandon exceeded those at Manyberries (10.8 and 8.6 mm, respectively). Specific dam crosses performed differently at the two locations, and commercial cattlemen need to closely evaluate the F1 and backcross comparisons to determine the optimal level of performance under their particular management and environmental conditions. Key words: Beef cattle, growth, nursing status, crossbreeding, environment
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Li, Falei, Wentao Zhao, Chenyuan Zhang, Yaqiong Guo, Na Li, Lihua Xiao, and Yaoyu Feng. "Cryptosporidium Species and C. parvum Subtypes in Farmed Bamboo Rats." Pathogens 9, no. 12 (December 2, 2020): 1018. http://dx.doi.org/10.3390/pathogens9121018.
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Bamboo rats (Rhizomys sinensis) are widely farmed in Guangdong, China, but the distribution and public health potential of Cryptosporidium spp. in them are unclear. In this study, 724 fecal specimens were collected from bamboo rats in Guangdong Province and analyzed for Cryptosporidium spp. using PCR and sequence analyses of the small subunit rRNA gene. The overall detection rate of Cryptosporidium spp. was 12.2% (88/724). By age, the detection rate in animals under 2 months (23.2% or 13/56) was significantly higher than in animals over 2 months (11.2% or 75/668; χ2 = 6.95, df = 1, p = 0.0084). By reproduction status, the detection rate of Cryptosporidium spp. in nursing animals (23.1% or 27/117) was significantly higher than in other reproduction statuses (6.8% or 4/59; χ2 = 7.18, df = 1, p = 0.0074). Five Cryptosporidium species and genotypes were detected, including Cryptosporidium bamboo rat genotype I (n = 49), C. parvum (n = 31), Cryptosporidium bamboo rat genotype III (n = 5), C. occultus (n = 2), and C. muris (n = 1). The average numbers of oocysts per gram of feces for these Cryptosporidium spp. were 14,074, 494,636, 9239, 394, and 323, respectively. The genetic uniqueness of bamboo rat genotypes I and III was confirmed by sequence analyses of the 70 kDa heat shock protein and actin genes. Subtyping C. parvum by sequence analysis of the 60 kDa glycoprotein gene identified the presence of IIoA15G1 (n = 20) and IIpA6 (n = 2) subtypes. The results of this study indicated that Cryptosporidium spp. are common in bamboo rats in Guangdong, and some of the Cryptosporidium spp. in these animals are known human pathogens.
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S. Orte, Christian Jay, Ngozi O. B. Nwosu, Man ., Jestoni D. Maniago, Ruby S. Matibag, Alma M. Corpuz, and Johdel C. Cabaluna. "Health Promotion Practices in Nursing: A Scoping Review." Pakistan Journal of Medical and Health Sciences 15, no. 8 (August 30, 2021): 2273–78. http://dx.doi.org/10.53350/pjmhs211582273.
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This review aimed to describe the concept of health promotion in nursing as one of the domains of nursing practice. Among three-thousand five hundred four (n=3,504) articles from EBSCO, Medline, and Web of Science regarding the health promotion practices in different fields of nursing, only 29 were selected based on the eligibility criteria. Two themes have emerged with five subthemes were developed. The first theme is the health promotion barriers with a subtheme of financial barriers in attaining health promotion and addressing health literacy while the second theme is the health promotion field practices with a subtheme of hospital health promotion set-up, community health promotion set-up, and school health promotion set-up. This literature emphasized that health promotion is important especially in attaining wellness among client/s as well as providing nursing services. ORCID for all authors: Christian Jay S. Orte, PhD, RN (ORCID No. 0000-0002-7230-9491) Ngozi O.B. Nwosu, PhD (c), MAN (ORCID No. 0000-0002-2823-7355) Jestoni D. Maniago, DNS, RN (ORCID No. 0000-0002-8603-3094) Ruby S. Matibag, EdD, RN (ORCID No. 0000-0002-6360-0391) Alma N. Corpuz, EdD, RMT (ORCID No. 0000-0002-0477-8317) Johdel C. Cabaluna (ORCID No. 0000-0002-8289-5973) Ethical Code: IRB Log Number: Not Applicable IRCT Code: Not applicable Conflicts of interest: The authors declare that there are no conflicts of interest. Authors' contributions: C.J.S.O., N.O.B.N., J.D.M., R.S.M., A.M.C., J.C.C. conceived and planned the study. C.J.S.O., N.O.B.N., J.D.M. carried out the data collection. C.J.S.O., J.D.M., R.S.M., A.M.C., J.C.C. contributed to the interpretation of the results. C.J.S.O., J.D.M. took the lead in writing the manuscript. All authors provided critical feedback and helped shape the research, analysis and manuscript. Acknowledgment: The authors would like to thank their institutions for the support in conducting this research. Financial support and sponsorship: This study was funded by the researchers themselves. Keywords: community health promotion; health education; health literacy; health service settings; nursing
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Wong, Carin, Jenny Martinez, Brenda Fagan, and Natalie E. Leland. "Understanding Communication Between Rehabilitation Practitioners and Nurses: Implications for Post-Acute Care Quality." Journal of Applied Gerontology 39, no. 7 (August 24, 2018): 795–802. http://dx.doi.org/10.1177/0733464818794148.
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Objective: This study examined post-acute care (PAC) rehabilitation practitioner’s perspectives on communication. Method: This is a secondary data analysis of a larger qualitative study, which included PAC rehabilitation provider ( n = 99) focus groups that were held in a purposive sample of 13 skilled nursing facilities (SNFs). Results: Participants emphasized the importance of bidirectional communication between rehabilitation and nursing. Three themes were identified: (a) communication between rehabilitation practitioners and registered nurses or licensed practical nurses, (b) communication between rehabilitation practitioners and certified nursing assistants, and (c) communication between rehabilitation practitioners and nursing leaders. Two subthemes within each of the three themes were further characterized to understand how information was exchanged: (a) static communication and (b) action-oriented communication. Conclusion: Our findings highlight opportunities for better communication in PAC between rehabilitation practitioners and nursing and thus lay a foundation for future efforts to improve care coordination through enhancing interdisciplinary communication.
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Shields, F. Edmund. "Common Foundation Studies in Nursing N Kenworthy G Snowley C Gtiling Common Foundation Studies in Nursing , editors Churchill Livingstone 400pp £14.95 0-443-04401-5." Nursing Standard 8, no. 4 (October 13, 1993): 44. http://dx.doi.org/10.7748/ns.8.4.44.s53.
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Bruno, Askiel, Joseph P. McConnell, Harry H. Mansbach, Stanley N. Cohen, Gretchen E. Tietjen, and Nils U. Bang. "Aspirin dose and thromboxane metabolism in African American stroke patients." Stroke 32, suppl_1 (January 2001): 378. http://dx.doi.org/10.1161/str.32.suppl_1.378-c.
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P214 Purpose: To evaluate thromboxane metabolism in African American stroke patients on different doses of aspirin. Methods: Consecutive African American patients within 3 month of non-cardioembolic stroke and not being treated with anticoagulation were recruited. Antithrombotic therapy at the time of sample collection was not prespecified and varied according to the practice patterns of the different attending physicians who treated the patients during their acute stroke. The thromboxane metabolite 11-dehydrothroboxane B2 (11-DTB2) was measured by enzyme immunoassay in random urine samples collected at the time of enrollment. Results: 99 patients were enrolled but 15 could not give a urine sample at the time of enrollment. Data on the remaining 84 patients were evaluable. There were 49 men and 35 women aged 36–87 (mean 62) years. Based on antithrombotic treatment during sample collections, we divided patients into four groups: no aspirin N=16 (no antithrombotic drugs N=4 or ticlopidine N=12), aspirin 81–325 mg/d N=19 (81 mg/day N=1, 325 mg/day N=18), aspirin 650 mg/d N=19, aspirin 975–1300 mg/d N=30 (975 mg/d N=2 and 1300 mg/d N=28). After log transformation of the 11-DTB2 values the geometric means in the no aspirin, 81–325 mg/d, 650 mg/d, and 975–1300 mg/d groups were 1355, 912, 758, and 731 pg/mg creatinine, respectively. Based on one way ANOVA, the mean 11-DTB2 concentration was significantly different between the 4 groups (p=0.03). There was a significant negative relationship between aspirin dose and 11-DTB2 concentration (Pearson Correlation, r = -0.26, P=0.02). Conclusion: In African American stroke patients thromboxane production appears to be progressively inhibited by aspirin doses up to 650 mg/d. The clinical significance of this effect by aspirin doses ≤650 mg/d remains to be determined.
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Ai, Dannan, and Sumin Xu. "Application of the Whole Optimization of Emergency Nursing Model United and Its Influence on Patients’ Stress Response and Nursing Satisfaction." Applied Bionics and Biomechanics 2022 (May 28, 2022): 1–6. http://dx.doi.org/10.1155/2022/9936211.
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Objective. To investigate the use of an integrated emergency nursing model with a multidisciplinary team (MDT) teaching method for practice of nursing towards multiple trauma in the emergency department and its influence on patients’ stress response and nursing satisfaction. Methods. The research subjects were 120 multiple trauma patients hospitalized to our hospital’s emergency department between January 2019 and January 2020, who were evenly divided into groups A ( n = 60 ) and B ( n = 60 ) based on the sequence of admission. For patients in group A, on the basis of whole optimization of the emergency nursing model, the MDT teaching and training were given to the nursing staff in group A. Patients in group B had their emergency nursing model completely optimized. The assessment scores of nursing staff were compared. The patients’ C-reactive protein (CRP) levels in peripheral circulation, first-aid time indices, treatment effect, risk of complications & nursing contentment were all investigated. Results. Nursing personnel in group A had considerably higher achievement scores than staff nurses in group B ( P < 0.001 ). CRP levels in group A were considerably lower following therapy ( P < 0.05 ) than those in group B. The time it took for group A to receive first assistance was considerably less than that for group B ( P < 0.001 ). Group A had a considerably superior treatment effect than group B ( P < 0.05 ). Complications occurred at a lower rate in group A ( P < 0.05 ) than in group B. Group A nurses were more satisfied than group B nurses ( P < 0.05 ). Conclusion. The entire optimization of the emergency nursing model combined with the MDT way of teaching can abbreviate the rescue process, reduce stress, improve treatment effect & reduce the possibility of complications in multiple trauma patients in the emergency department, and patients seem to be more comfortable with this nursing model. As a result, it should become more well known.
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Glauberman, Gary, and Kristine Qureshi. "Community/Public Health Nurses’ Awareness of Residential High-Rise Fire Safety issues." SAGE Open Nursing 7 (January 2021): 237796082110405. http://dx.doi.org/10.1177/23779608211040597.
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High-rise (HR) building fires remain a tragic cause of preventable injury and death in the United States. Recent incidences of HR building fires have served as high-profile reminders of the persistent threat that HR fires pose to public health. Fire safety is an important aspect of household emergency preparedness addressed by community/public health nurses (C/PHNs). This study aimed to address a gap in the literature regarding C/PHNs’ awareness of fire safety for people and families who reside in HR buildings. A descriptive qualitative study using key-informant and focus group interviews was conducted involving C/PHNs ( n = 19) in Honolulu, Hawaii. Qualitative data analysis revealed three main themes related to this issue: (1) C/PHN awareness of HR fire safety issues, (2) C/PHN perceived barriers for HR building occupant fire safety, and (3) C/PHN suggested strategies to address HR fire safety for occupants. Findings highlight how more needs to be done to assure that C/PHNs are adequately prepared to work with occupants of residential HR buildings on matters related to fire safety.
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Eren, Nurhan. "Nurses’ attitudes toward ethical issues in psychiatric inpatient settings." Nursing Ethics 21, no. 3 (October 3, 2013): 359–73. http://dx.doi.org/10.1177/0969733013500161.
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Background: Nursing is an occupation that deals with humans and relies upon human relationships. Nursing care, which is an important component of these relationships, involves protection, forbearance, attention, and worry. Objectives: The aim of this study is to evaluate the ethical beliefs of psychiatric nurses and ethical problems encountered. Research Design: The study design was descriptive and cross-sectional. Research context: Methods comprised of a questionnaire administered to psychiatric nurses (n = 202) from five psychiatric hospitals in Istanbul, Turkey, instruction in psychiatric nursing ethics, discussion of reported ethical problems by nursing focus groups, and analysis of questionnaires and reports by academicians with clinical experience. Participants: Participants consist of the nurses who volunteered to take part in the study from the five psychiatric hospitals (n = 202), which were selected with cluster sampling method. Ethical considerations: Written informed consent of each participant was taken prior to the study. Findings: The results indicated that nurses needed additional education in psychiatric ethics. Insufficient personnel, excessive workload, working conditions, lack of supervision, and in-service training were identified as leading to unethical behaviors. Ethical code or nursing care -related problems included (a) neglect, (b) rude/careless behavior, (c) disrespect of patient rights and human dignity, (d) bystander apathy, (e) lack of proper communication, (f) stigmatization, (g) authoritarian attitude/intimidation, (h) physical interventions during restraint, (i) manipulation by reactive emotions, (j) not asking for permission, (k) disrespect of privacy, (l) dishonesty or lack of clarity, (m) exposure to unhealthy physical conditions, and (n) violation of confidence. Discussion: The results indicate that ethical codes of nursing in psychiatric inpatient units are inadequate and standards of care are poor. Conclusion: In order to address those issues, large-scale research needs to be conducted in psychiatric nursing with a focus on case studies and criteria for evaluation of service, and competency and responsibility needs to be established in psychiatric nursing education and practice.
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Mizdrak, Maja, Tina Tičinović Kurir, Ivan Mizdrak, Ivan Jerković, and Ante Mayer. "Characteristics of COVID-19 Infection among Nursing Home Residents." Collegium antropologicum 44, no. 4 (2020): 219–27. http://dx.doi.org/10.5671/ca.44.4.4.
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Given high risk of infection-related mortality due to impaired immunity, elderly patients are at increased risk with COVID-19. In its diagnostic procedure clinical laboratory medicine has a pivotal role. The aim of this study was to investigate clinical and laboratory specificities in Croatian population of nursing home residents affected by coronavirus. One hundred and six residents of nursing homes that were hospitalized due to COVID-19 infection, were included in this retrospective study. Clinical and laboratory findings at three time points were extracted from medical records. There were 86 females and 20 males, with median of age 84 (min-max: 47–97) years. Patients were divided into three groups: Survivors (S), patients who are still alive (N=65), In-Hospital Non-Survivors (IHNS), patients who died from coronavirus during hospitalization (N=31) and Out-of-Hospital Non-Survivors (OHNS), patients who recovered from infection but died during the period of three months of the follow-up (N=10). We have established differences between these three groups in laboratory findings (p<0.05). At the admission, survivors had lower values of lactate dehydrogenase, aspartate transaminase, sedimentation ratio, ferritin and C-reactive protein, OHNS were in the middle, and IHNS had the highest values. Leukocytes and absolute lymphocyte count were greater in OHNS group, and same between survivors and IHNS. After 7 days, we noticed increase in leukocyte and neutrophils count among IHNS. Assessing of complete blood count, differential blood count, reactants of acute infection and combination of their ratios might predict worse outcome in nursing home residents due to coronavirus infection.
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Mayer, Stephan A., E. Sander Connolly, Joseph E. Bates, Allan Sim, Guy M. McKhann, and Shelly Peery. "Decompressive Hemicraniectomy for Massive Cerebral Hemorrhage." Stroke 32, suppl_1 (January 2001): 357. http://dx.doi.org/10.1161/str.32.suppl_1.357-c.
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P103 Background: Hemicraniectomy and durotomy has been shown to be a promising treatment for malignant MCA infarction, but has not been evaluated for cerebral hemorrhage. Methods: We analyzed the clinical course and outcome of 15 patients treated with decompressive surgery for space-occupying cerebral hematomas between 9/98 and 6/00. All patients were treated with duroplasty and either hemicraniectomy (n=13) or a “floating” bone flap (n=2); in some patients, hematoma (n=5) and subdural clot (n=2) evacuation was also performed. Outcomes were assessed by telephone interview using the modified Rankin scale (mRS). Results: Mean age was 49 years (range 33–66); 8 were women; the lesion was left-sided in 7. Hematoma formation was related to spontaneous aneurysmal rupture (n=7), intra-operative aneurysmal rupture (n=3), hypertensive intracerebral hemorrhage (n= 3), and hemorrhagic infarction (n=2). Surgery was peformed <24 hours after onset in 5 patients, between 24–48 hours in 6, and between 3–5 days in 4. On the day of surgery, mean hematoma volume was 63 ml (range 6–216 ml), mean GCS was 6.3 (range 4–10), and mean NIHSS was 22 (range 13–28); 5 patients had clinical herniation signs. Postoperative CT scans showed significant reductions in both mean septal shift (from 10.3 to 6.1 mm) and pineal shift (from 6.4 to 3.5 mm) (both P<.02). Eighty percent (12/15) of patients survived to discharge, and one died after discharge. After a mean follow up of 5.7 months (range 1–13), one survivor (9%) had no disability (mRS 0–1), four (36%) had slight or moderate disability (mRS 2–3), and six (54%) had moderate or severe disability (mRS 4–5). Conclusion: Duroplasty and hemicraniectomy, with or without concurrent hematoma evacuation, may improve survival and recovery in comatose patients with large aneurysmal, hypertensive, or infarct-related cerebral hemorrhages.
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Bentley, Helen. "Nursing in primary careNursing in Primary Care N Watson , C Wilkinson Palgrave &16.99 368 0-333-78192-90333781929." Primary Health Care 12, no. 8 (October 2002): 10. http://dx.doi.org/10.7748/phc.12.8.10.s14.
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CHURCH, L. "Williams obstetrics. 19th Edition By F. G. Cunningham, P. C. Mac-Donald, N. F. Gant, K. J. Leveno, and L. C. Gilstrap III. Norwalk, Connecticut: Appleton & Lange, 1993. 1,428 pages. $90.00, Hardcover." Journal of Nurse-Midwifery 39, no. 1 (January 1994): 51–52. http://dx.doi.org/10.1016/0091-2182(94)90045-0.
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Saghafi Asl, Maryam, Azimeh Izadi, and Vahideh Ebrahimzadeh Attari. "Index of Nutritional Quality and Its Association With Serum High Sensitive C-reactive Protein Between Institutionalized and Non-institutionalized Older Adults in Tabriz: A Case-Control Study." Journal of Arak University Medical Sciences 24, no. 4 (October 1, 2021): 512–27. http://dx.doi.org/10.32598/jams.24.4.4776.2.
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Background and Aim: Older adults, particularly those living in nursing homes, are a vulnerable group whose poor nutritional status and inadequate nutrient intake provide the basis for the incidence of diseases and increase their health costs. The aim of the present study was to compare the Index for Nutritional Quality (INQ) between institutionalized (nursing-home) and non-institutionalized (community-living) older adults and to investigate its association with serum high sensitive C-reactive protein (hs-CRP) level in each group. Methods & Materials: In this case-control, age- and gender-matched study in Tabriz (East Azarbaijan, Iran), o subjects aged 65 years and older were recruited from nursing homes (n=76) and community (n=88). Anthropometric parameters were measured and body mass index (BMI) was calculated. A three-day record of the foods provided for the nursing home residents were weighed, using a digital scale. The whole food intake of older adults was converted to grams and dietary data were analyzed using Nutritionist IV software. Blood sample was drawn to measure serum hs-CRP level. SPSS software was used for data analysis. Ethical Considerations: The present research was approved at Research Ethical Committee of Tabriz University of Medical Sciences (Code: TBZMED.REC.1394.152). Results: In the present study, INQ for all nutrients (except for vitamins A, D, E, biotin, vitamin B6, folic acid, and iron) was significantly different between the two groups (P<0.05). The INQ<1 for these nutrients (except for iron) in both groups indicates insufficient intake of these micronutrients. However, INQ for nearly all nutrients (other than selenium) was higher in the community-living older adults, compared to nursing-home residents (P<0.05). The intake of minerals including calcium, magnesium, manganese, selenium, zinc, chromium, sodium, and potassium was also insufficient in both groups. Nursing-home residents did not meet their estimated needs for vitamins B2, B12, and copper. A significant reverse association was observed for serum hs-CRP level and INQ for vitamin D (P=0.04) and calcium (P=0.038) in the community-living older adults after adjusting for BMI. Such a correlation was also reported between INQ for vitamin B12 and serum hs-CRP level in both groups (P=0.02). Conclusion: Based on the findings of this study, it is recommended to pay more attention to the nutritional status of older adults, especially those living in nursing-homes. A diet rich in micronutrients, especially vitamin D, calcium, and vitamin B12 may help prevent the development of inflammation in old population.
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Iyama, Keita, Takeyasu Kakamu, Kazunori Yamashita, Jiro Shimada, Osamu Tasaki, and Arifumi Hasegawa. "Survey about Intention to Engage in Specific Disaster Activities among Disaster Medical Assistance Team Members." Prehospital and Disaster Medicine 36, no. 6 (October 18, 2021): 684–90. http://dx.doi.org/10.1017/s1049023x21001035.
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AbstractIntroduction:Different disaster activities should be performed smoothly. In relation to this, human resources for disaster activities must be secured. To achieve a stable supply of human resources, it is essential to improve the intentions of individuals responding to each type of disaster. However, the current intention of Disaster Medical Assistance Team (DMAT) members has not yet been assessed.Study Objective:To facilitate a smooth disaster response, this survey aimed to assess the intention to engage in each type of disaster activity among DMAT members.Methods:An anonymous web questionnaire survey was conducted. Japanese DMAT members in the nuclear disaster-affected area (Group A; n = 79) and the non-affected area (Group N; n = 99) were included in the analysis. The outcome was the answer to the following question: “Will you actively engage in activities during natural, human-made, and chemical (C), biological (B), radiological/nuclear (R/N), and explosive (E) (CBRNE) disasters?” Then, questionnaire responses were compared according to disaster type.Results:The intention to engage in C (50), B (47), R/N (58), and E (52) disasters was significantly lower than that in natural (82) and human-made (82) disasters (P <.001). The intention to engage in CBRNE disasters among younger participants (age ≤39 years) was significantly higher in Group A than in Group N. By contrast, the intention to engage in R/N disasters alone among older participants (age ≥40 years) was higher in Group A than in Group N. However, there was no difference between the two groups in terms of intention to engage in C, B, and E disasters. Moreover, the intention to engage in all disasters between younger and older participants in Group A did not differ. In Group N, older participants had a significantly higher intention to engage in B and R/N disasters.Conclusion:Experience with a specific type of calamity at a young age may improve intention to engage in not only disasters encountered, but also other types. In addition, the intention to engage in CBRNE disasters improved with age in the non-experienced population. To respond smoothly to specific disasters in the future, measures must be taken to improve the intention to engage in CBRNE disasters among DMAT members.
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Kidd, Jacquie, Heather Came, Sarah Herbert, and Tim McCreanor. "Māori and Tauiwi nurses’ perspectives of anti-racism praxis: findings from a qualitative pilot study." AlterNative: An International Journal of Indigenous Peoples 16, no. 4 (December 2020): 387–94. http://dx.doi.org/10.1177/1177180120974673.
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This pilot study explored Māori (Indigenous peoples of Aotearoa (New Zealand)) and Tauiwi (non-Māori) nurses’ perspectives of anti-racism. A critical qualitative design was utilised, informed by kaupapa Māori (Māori philosophical approaches). Senior nurses with more than 7 years experience were recruited for focus groups. Two focus groups, one Māori ( n = 5) and one Tauiwi ( n = 4), were conducted September 2019 in Auckland. Data were analysed using the framework of a continuum of praxis which included themes of (a) problematic or racist, (b) variable and (c) proactive or anti-racism. Problematic praxis included examples of racism and White fragility. Variable praxis included Māori language and commitment to professional development. Proactive praxis included Māori workforce and reflexivity. These overarching themes illustrate a broad spectrum of anti-racism praxis within nursing. This continuum illustrated with examples is a potentially useful tool to assess and build proactive anti-racism praxis in nursing.
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Thalib, Abdul, Rina Masadah, Prihartono Prihartono, Firdaus Hamid, Muhammad Haidir, Hulan Hasan, Sudin Keliwawa, and Irman Labulawa. "Antioxidant Activity of Laportea decumana (Roxb) Wedd Ethanol and n-Hexane Extracts." Open Access Macedonian Journal of Medical Sciences 10, A (March 14, 2022): 590–94. http://dx.doi.org/10.3889/oamjms.2022.8399.
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Background: Laportea decumana (robx.) wedd. is a traditional medicine used by Indonesian people, especially in eastern Indonesia, Maluku Ambon. But its utilization has not been based on evidence-based research, so it still needs to be developed to be used as complementary nursing therapy in the future.
Aim: This study aims to determine the phytochemical content and antioxidant activity of Laportea decumana (robx.) wedd. from Ambon Maluku.
Method: Extraction is done by the maceration method with 96% ethanol solvent. Phytochemical tests are performed with thin-layer chromatography (TLC) to look at flavonoids, tannins and triterpenoids, then alkaloids and saponins using tube tests. The antioxidant activity test was conducted using the 2,2-diphenyl-1-picryl-hydrazyl-hydrate (DPPH) method.
Results: Laportea decumana (robx.) wedd. phytochemical test positively contains alkaloids, flavonoids, tannins, triterpenoids and saponins. The antioxidant activity of Laportea Decumana (Robx) Wedd Ethanol Extract (LDrW-EE) 22.81 ppm, Laportea Decumana (Robx) Wedd n-Hexane Extract (LDrW-NHE) 44.89 ppm and vitamin C 6.03 ppm.
Conclusion: LDrW-EE antioxidant activity is better when compared to LDrW-NHE but no better than vitamin C
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Du, Qianqian, Dianchao Liang, Lixin Zhang, Guoyan Chen, and Xueyan Li. "Evaluation of Functional Magnetic Resonance Imaging under Artificial Intelligence Algorithm on Plan-Do-Check-Action Home Nursing for Patients with Diabetic Nephropathy." Contrast Media & Molecular Imaging 2022 (March 25, 2022): 1–8. http://dx.doi.org/10.1155/2022/9882532.
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This study aimed to evaluate the effect of functional magnetic resonance imaging (fMRI) under the fuzzy C-means (FCM) clustering algorithm on plan-do-check-action (PDCA) home nursing for patients with diabetic nephropathy (DN). As the characteristics of fMRI image data were combined, the FCM algorithm was improved and applied into the clustering processing of fMRI activation regions of patients. 64 patients with DN were chosen as the research objects and were divided into the research group with PDCA home nursing and the control group with routine home nursing. The patients were randomly divided into the research group (n = 32) and the control group (n = 32). The curative effect, nursing satisfaction, and quality of life of patients after nursing were compared. The results showed that the coverage of fMRI activation points was significantly higher as being detected by the FCM algorithm, and the running time was shortened by 33.6 min. After nursing, the total effective rates in the research group and the control group were 87.5% vs. 34.4% in 3 months, 93.8% vs. 68.8% in 6 months, and 96.9% vs. 75.0% in 12 months, respectively; those in the research group were significantly higher than those in the control group (P < 0.05). The nursing satisfaction score (91.3 ± 4.5 vs. 80.9 ± 5.2) and nursing service quality score (89.7 ± 6.6 vs. 80.3 ± 7.1) in the research group were also significantly higher than those in the control group (P < 0.05). Meanwhile, the scores of each item after nursing in the research group were significantly higher than those in the control group (P < 0.05). The improved FCM algorithm detected the activation regions in the fMRI images more effectively, which could provide help for diagnosis and reduce error and misdiagnosis. At the same time, the PDCA home nursing also offered great help to the recovery of patients with DN, which was more superior for the curative effect of hospitalization, the promotion of recovery, and the improvement of patients’ quality of life.
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Yau, Alan Hoi Lun, Terry Lee, Alnoor Ramji, and Hin Hin Ko. "Rate, Delay and Predictors of Hepatitis C Treatment in British Columbia." Canadian Journal of Gastroenterology and Hepatology 29, no. 6 (2015): 315–20. http://dx.doi.org/10.1155/2015/120132.
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BACKGROUND: The current treatment rate for chronic hepatitis C virus (HCV) infection is suboptimal despite the availability of efficacious antiviral therapy.OBJECTIVE: To determine the rate, delay and predictors of treatment in patients with chronic HCV infection.METHODS: A retrospective chart review of chronic HCV patients who were being evaluated at a tertiary hepatology centre in Vancouver, British Columbia, was performed.RESULTS: One hundred sixty-four patients with chronic HCV infection who were assessed for treatment between February 2008 and January 2013 were reviewed. Treatment was initiated in 25.6% (42 of 164). In multivariate analyses, male sex (OR 7.90 [95% CI 1.35 to 46.15]) and elevated alanine aminotransferase (ALT) level (>1.5 times the upper limit of normal) (OR 3.10 [95% CI 1.32 to 7.27]) were positive predictors of treatment, whereas active smoking (OR 0.09 [95% CI 0.02 to 0.53]) and Charlson comorbidity index (per point increase) (OR 0.47 [95% CI 0.27 to 0.83]) were negative predictors of treatment. The most common reasons for treatment deferral were no or minimal liver fibrosis in 57.7% (n=30), persistently normal ALT levels in 57.7% (n=30) and patient unreadiness in 28.8% (n=15). The most common reasons for treatment noninitiation were patient refusal in 59.1% (n=26), medical comorbidities in 36.4% (n=16), psychiatric comorbidities in 9.1% (n=4) and decompensated cirrhosis in 9.1% (n=4). There was a statistically significant difference in the median time delay from HCV diagnosis to general practitioner referral between the treated and untreated patients (66.3 versus 119.5 months, respectively [P=0.033]). The median wait time from general practitioner referral to hepatologist consult was similar between the treated and untreated patients (1.7 months versus 1.5 months, respectively [P=0.768]). Among the treated patients, the median time delay was 6.8 months from hepatologist consult to treatment initiation.CONCLUSIONS: The current treatment rate for chronic HCV infection remains suboptimal. Medical and psychiatric comorbidities represent a major obstacle to HCV treatment. Minimal hepatic fibrosis may no longer be a major reason for treatment deferral as more efficacious and tolerable antiviral therapies become available in the future. Greater educational initiatives for primary care physicians would promote early referral of patients. More nursing support would alleviate the backlog of patients awaiting treatment.
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Thompson, Mary, Ann Medley, and Steve Teran. "Validity of the Sitting Balance Scale in older adults who are non-ambulatory or have limited functional mobility." Clinical Rehabilitation 27, no. 2 (July 26, 2012): 166–73. http://dx.doi.org/10.1177/0269215512452879.
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Objective: To determine whether the Sitting Balance Scale is an acceptable alternative to the Trunk Impairment Scale for measuring the construct of sitting balance, to examine relationships with other clinical outcomes and to establish discriminative validity. Design: Prospective descriptive methodological study. Setting: Acute care, inpatient rehabilitation, skilled nursing facility and home health. Participants: Patients receiving physical therapy ( N = 98; n = 20 acute care, n = 18 inpatient rehabilitation, n = 30 skilled nursing facility, n = 30 home setting) mean (SD) age, 80.5 (7.9) years. Nineteen were non-ambulatory and 79 had limited functional mobility with Timed Up and Go scores ≥20 seconds. Main measures: Sitting Balance Scale, Trunk Impairment Scale, Timed Up and Go, length of stay and setting specific clinical measures of sitting balance (OASIS-C M1850; MDS G-3b). Results: Moderate association between ambulatory status and sitting balance measures (Sitting Balance Scale r = 0.67, Trunk Impairment Scale r = 0.61; P = 0.0001). Moderate to strong relationships between Sitting Balance Scale, Trunk Impairment Scale and clinical outcomes varying by setting. MANOVA results revealed differences between ambulators and non-ambulators and among diagnostic categories for both instruments ( P < 0.001). Conclusions: The Sitting Balance Scale is comparable to the Trunk Impairment Scale for measuring sitting balance in older adults who are non-ambulatory or have limited mobility.
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Suarez, Jose. "Cardiovascular complications in patients with massive middle cerebral artery infarction." Stroke 32, suppl_1 (January 2001): 383. http://dx.doi.org/10.1161/str.32.suppl_1.383-c.
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P242 Background: Patients with cerebral infarction have a high frequency of underlying cardiac diseases. Acute cardiac events may be observed in patients with massive middle cerebral artery (MCA) infarction due to the severity of neurological insult. We performed this study to determine the frequency of acute cardiac events in this patient population and their impact on outcome and management. Methods: Patients with massive MCA infarction were identified at five university affiliated medical centers using ICD-9 codes or local stroke registries. The medical and neuroimaging records were reviewed at each center by a neurointensivist or stroke neurologist. Only patients who underwent neurological deterioration, defined as a decline in Glasgow Coma Scale (GCS) score of ≥2, attributable to cerebral edema were included. All cardiac events and treatment required during hospitalization were recorded. Outcome was determined at 1 month using Glasgow outcome scores and modified Rankin scale. Results: A total of 54 patients (mean age 62.5±18.0 years; 26 were men) were studied. Underlying cardiac diseases included myocardial infarction (24%), congestive heart failure (20%), and dysrythmias (24%). A total of 16 patients had new cardiac events during hospitalization. These included atrial fibrillation (n=8), atrial flutter (n=1), ventricular fibrillation (n=1), ventricular tachycardia (n=2), myocardial infarction (n=2), and pulmonary edema (n=5); 3 patients had more than one event. Treatment was required for 10 of 16 (62%) events; 3 (19%) were fatal. Overall mortality was higher in patients who developed acute cardiac events during hospitalization (69%) compared to those who did not (40%, p<0.05). The mean Glasgow outcome score was 4.4±1.1 and 3.7±1.1 in patients with or without cardiac events. Conclusions: Our study demonstrates the relatively high frequency of acute cardiac events in patients with massive MCA infarction and their impact on outcome. Patients with massive MCA infarctions should be managed in settings suited for effective monitoring and management of cardiovascular emergencies.
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Dr., Robert L. Macdonald, Zhen-du Zhang Dr., and Bryce K. Weir Dr. "Why Experimental Vasospasm Resolves." Stroke 32, suppl_1 (January 2001): 359. http://dx.doi.org/10.1161/str.32.suppl_1.359-c.
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P112 It has been suggested that changes in the arterial wall contribute to the maintenance and resolution of vasospasm after subarachnoid hemorrhage (SAH). This study determined if such changes contribute to the resolution of vasosapsm after SAH, if vasospasm resolves because of loss of subarachnoid blood clot or if a combination of these mechanisms is involved. 27 monkeys underwent baseline angiography and unilateral (n = 17) or bilateral (n = 8) SAH. Animals with bilateral SAH underwent angiography 1, 3, 5 and 7 days later followed by euthanasia. Animals with unilateral SAH had angiography 7 days later. The clot then was removed in these animals and replaced with fresh clot (n = 7) or removed and not replaced (n = 5). The removed clot was placed on the left side (n = 12). Controls did not have clot removal (n = 5) and/or had fresh clot placed on the left on day 7 (n = 5). Angiography was repeated every 2 days until euthanasia on day 14. SAH caused significant middle cerebral artery vasospasm on day 7 that slowly resolved by day 14. Removal of clot on day 7 resulted in more rapid reversal of vasospasm suggesting that vasospasm depended on continued presence of subarachnoid clot rather than on or in addition to structural changes in the artery. Placing fresh clot on the right side on day 7 produced vasospasm that persisted without resolving suggesting that there is no preconditioning response in the artery that prevents or conributes to reversal of vasospasm. On the other hand, placing 7-day-old clot from the right onto the left caused significantly more rapid onset of severe vasospasm than placing fresh clot from animals 7 days after SAH, suggesting that breaking up the clot to replace it on the left increases release of spasmogens or that there is a negative adaptive response that exacerbates vasospasm. In conclusion, vasospasm resolves because of loss of subarachnoid clot. There is no evidence for a preconditioning response in cerebral arteries that renders them less responsive to subarachnoid clot. Spasmogen release from clot 7 days after SAH may be reduced in this model so that breaking up the clot increases spasmogen release resulting in rapid onset of severe vasospasm and/or that there is a negative adaptive response 7 days after SAH that worsens vasospasm.
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Hyun, Myung Sun, Jennie C. De Gagne, Jeonghwa Park, and Hee Sun Kang. "Incivility experiences of nursing students in South Korea." Nursing Ethics 25, no. 2 (December 21, 2016): 186–98. http://dx.doi.org/10.1177/0969733016684546.
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Background: Incivility behaviors are negative social behaviors that can create conflict and disrespect among the persons involved. In a learning environment, incivility negatively affects learning by reducing academic motivation, lowering satisfaction with the education program, and interrupting the learning process. In addition, incivility causes those involved to feel negative emotions, such as anger, depression, and anxiety. Research question: What are the incivility experiences of nursing students during their nursing education? In what context do nursing students experience incivility during their education? Research design: This study used an exploratory qualitative methodology. Participants and research context: Participants (n = 34) were nursing students at three universities in South Korea. Data were collected during focus group interviews of 34 participants between 20 March and 26 June 2015 and were examined using a qualitative content analysis. Ethical consideration: The institutional review board approved this study. Findings: The analysis revealed four learning contexts in which participants experienced incivility: (a) in the classroom, (b) outside the classroom, (c) clinical settings, and (d) related to technology use. Five themes were identified: student non-adherence to classroom standards, faculty non-adherence to classroom standards, lack of helping-trusting relationships with peers, lack of dedication to teaching and learning in a clinical setting, and inappropriate use of technology. Conclusion: Nursing students experience incivility in a variety of situations and settings and expect a safer, more positive learning environment. The incivility experienced by nursing students during their education affects their goal of becoming professional nurses.
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Fallin-Bennett, Amanda, Kathy Rademacher, Holly Dye, Alex Elswick, Kristin Ashford, and Amie Goodin. "Perinatal Navigator Approach to Smoking Cessation for Women With Prevalent Opioid Dependence." Western Journal of Nursing Research 41, no. 8 (February 6, 2019): 1103–20. http://dx.doi.org/10.1177/0193945918825381.
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Women who smoke during pregnancy face psychosocial barriers to cessation, and women with opioid use disorder (OUD) face amplified barriers. We pilot tested a Perinatal Wellness Navigator (PWN) program for a group of high-risk perinatal women ( N = 50; n = 42 with OUD) that consisted of (a) one-on-one tobacco treatment, (b) comprehensive assessment of cessation barriers, and (c) linkage to clinical/social services. Outcome measures were assessed at baseline and postintervention. Participants smoked 10 fewer cigarettes per day ( p = .05) at postintervention and were less dependent on nicotine ( p < .01). Mean postnatal depression scores ( p = .03) and perceived stress ( p = .03) decreased postintervention. Participants received at least one referral at baseline ( n = 106 total), and 10 participants received an additional 18 referrals at postintervention to address cessation barriers. The PWN program was minimally effective in promoting total tobacco abstinence in a high-risk group of perinatal women, but participants experienced reductions in cigarettes smoked per day, nicotine dependence, stress, and depression.
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Lusk, Brigid, Barbra Mann Wall, and Cynthia Connolly. "Letter to the editor in response to Ulrich, C., Grady, C., Hamric, A.B. & Berlinger, N. (Eds.) (2016). Nurses at the table: Nursing, ethics, and health policy, special report, Hastings Center Report , 46(5), S2–S51." Nursing Outlook 65, no. 2 (March 2017): 140–41. http://dx.doi.org/10.1016/j.outlook.2017.02.002.
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Thomas, Kali S., Jessica A. Ogarek, Joan M. Teno, Pedro L. Gozalo, and Vincent Mor. "Development and Validation of the Nursing Home Minimum Data Set 3.0 Mortality Risk Score (MRS3)." Journals of Gerontology: Series A 74, no. 2 (March 5, 2018): 219–25. http://dx.doi.org/10.1093/gerona/gly044.
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Abstract Background To develop a score to predict mortality using the Minimum Data Set 3.0 (MDS 3.0) that can be readily calculated from items collected during nursing home (NH) residents’ admission assessments. Participants We developed a training cohort of Medicare beneficiaries newly admitted to United States NHs during 2012 (N = 1,426,815) and a testing cohort from 2013 (N = 1,160,964). Methods Data came from the MDS 3.0 assessments linked to the Medicare Beneficiary Summary File. Using the training dataset, we developed a composite MDS 3.0 Mortality Risk Score (MRS3) consisting of 17 clinical items and patients’ age groups based on their relation to 30-day mortality. We assessed the calibration and discrimination of the MRS3 in predicting 30- and 60-day mortality and compared its performance to the Charlson Comorbidity Index and the clinician’s assessment of 6-month prognosis measured at admission. Results The 30- and 60-day mortality rates for the testing population were 2.8% and 5.6%, respectively. Results from logistic regression models suggest that the MRS3 performed well in predicting death within 30 and 60 days (C-Statistics of 0.744 [95% confidence limit (CL) = 0.741, 0.747] and 0.709 [95% CL = 0.706, 0.711], respectively). The MRS3 was a superior predictor of mortality compared to the Charlson Comorbidity Index (C-statistics of 0.611 [95% CL = 0.607, 0.615] and 0.608 [95% CL = 0.605, 0.610]) and the clinicians’ assessments of patients’ 6-month prognoses (C-statistics of 0.543 [95% CL = 0.542, 0.545] and 0.528 [95% CL = 0.527, 0.529]). Conclusions The MRS3 is a good predictor of mortality and can be useful in guiding decision-making, informing plans of care, and adjusting for patients’ risk of mortality.
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Yatsushige, Hiroshi, Mitsuo Yamaguchi, Changman Zhou, John W. Calvert, and John H. Zhang. "Role of c-Jun N-Terminal Kinase in Cerebral Vasospasm After Experimental Subarachnoid Hemorrhage." Stroke 36, no. 7 (July 2005): 1538–43. http://dx.doi.org/10.1161/01.str.0000170713.22011.c8.
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Bhardwaj, Anish, Thomas Jk Toung, Jeffrey R. Kirsch, Raymond C. Koehler, Patricia D. Hurn, and Richard J. Traystman. "NEUROPROTECTIVE EFFECTS OF KAPPA OPIOID RECEPTOR AGONIST IN TRANSIENT FOCAL ISCHEMIA." Stroke 32, suppl_1 (January 2001): 355. http://dx.doi.org/10.1161/str.32.suppl_1.355-c.
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P91 Kappa ( K ) opioid receptors have been implicated in neuroprotection from ischemic neuronal injury. We tested the effects of a selective and specific K -opioid receptor agonist, BRL 52537 and antagonist, norBNI on infarction volume following transient focal ischemia in the rat. Under controlled conditions of normoxia, normocarbia and normothermia, halothane (1–2%)-anesthetized male Wistar rats (250–300 g) were subjected to 2 hr of middle cerebral artery occlusion (MCAO) by the intraluminal occlusion-technique using laser Doppler perfusion to assess intensity of ischemia. In a blinded randomized fashion, rats were treated with either vehicle (saline) or 1 mg/Kg/hr BRL 52537 with continuous iv infusion starting 15 min prior to MCAO. In a second set of experiments, rats were treated with vehicle (saline), 1 mg/Kg/hr BRL 52537 , 1 or 5 mg/Kg/hr norBNI starting at onset of reperfusion. All infusions were at a rate of 0.5 ml/hr and continued until the end of the experiment. Infarction volume was assessed by triphenyltetrazolium chloride (TTC) staining at 22 hr of reperfusion in all rats. TTC-determined infarction volume of ipsilateral caudoputamen (CP) complex in rats pretreated with BRL 52537 (N=7; 29±11 mm 3 ; p<0.05) (mean±SEM) and cortex (61±32 mm 3 ; p<0.05) was smaller than in rats treated with saline (N=7;72±4 mm3 and 174 ±24 mm 3 , respectively). Similarly, rats treated with BRL 52537 at the onset of reperfusion had smaller infarction volume in CP complex (N=10;35±9 mm 3 ) and cortex (73±32 mm 3 ) compared to saline (N=10;64±5 mm 3 and 148±23 mm 3 , respectively). Rats treated with norBNI (N=10) at the onset of reperfusion had similar infraction volumes in the CP complex and the cortex as compared to saline controls. These data demonstrate that K -opioid receptor agonist provides significant neuroprotection when given as a pretreatment as well as following 2 hr of transient focal ischemia.
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Larocque, Sylvie, and Florence Loyce Luhanga. "Exploring the Issue of Failure to Fail in a Nursing Program." International Journal of Nursing Education Scholarship 10, no. 1 (June 8, 2013): 115–22. http://dx.doi.org/10.1515/ijnes-2012-0037.
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AbstractA study using a qualitative descriptive design was undertaken to explore the issue of “failure to fail” in a nursing program. Individual in-depth interviews were conducted with nursing university faculty members, preceptors, and faculty advisors (n=13). Content analysis was used to analyze the data. Results indicate that: (a) failing a student is a difficult process; (b) both academic and emotional support are required for students and preceptors and faculty advisors; (c) there are consequences for programs, faculty, and students when a student has failed a placement; (d) at times, personal, professional, and structural reasons exist for failing to fail a student; and (e) the reputation of the professional program can be diminished as a result of failing to fail a student. Recommendations for improving assessment, evaluation, and intervention with a failing student include documentation, communication, and support. These findings have implications for improving the quality of clinical experiences.
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Alsaigh, Rasha Rashad, Ghadeer Essam Assas, Nashwa Hussain Yahia, Najwan Faisal Sharaf, Shahad Fareed Shaikh, Hadeel Majed Alghamdi, Hanan Abdullah Badr, and Salmah Awad Alghamdi. "The relationship between screen time exposure and the presence of anxiety-related disorders among adolescents during the COVID-19 pandemic: A cross-sectional study." Belitung Nursing Journal 8, no. 3 (June 28, 2022): 251–57. http://dx.doi.org/10.33546/bnj.2058.
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Background: The Coronavirus Disease 2019 (COVID-19) pandemic prompted rules and laws such as lockdown, which contributed to staying at home and participating in sedentary activities such as using smartphones, tablets, televisions, gaming devices, and computers. As a result of the increased use of digital screen time, a worldwide issue has arisen among various age groups, especially adolescents, which may have affected their psychological well-being, increasing their susceptibility to anxiety-related disorders. Objective: This study aimed to assess the relationship between screen time exposure and the presence of anxiety-related disorders among adolescents during the COVID-19 pandemic. Methods: A quantitative descriptive cross-sectional design using convenience sampling was used in this study. The online self-administered questionnaire, including the Arabic-translated version of the Screen for Child Anxiety-related Disorders (SCARED-C), was distributed through social media using Google forms between February and April 2021. The Chi-Squared test was used for data analysis. Results: Of 625 participants, majority were females (n = 527, 84.3%) than males (n = 98, 15.7%). A significant difference between screen time and the presence of an anxiety-related disorder among adolescents during the COVID-19 pandemic (p = .021) was noted. More than half of the participants (n = 410, 65.6%) scored above 25 in the SCARED-C test, indicating the presence of an anxiety-related disorder regardless of the type. Of those, more than a quarter (n = 176, 28.2%) used screens for more than 8 hours a day. Conclusion: The results indicated a relationship between screen time exposure and the presence of anxiety-related disorders among adolescents during the pandemic. In particular, adolescents are more susceptible to the adverse effects of increased exposure to screen time, which is constantly on the rise. Therefore, nurses and other healthcare professionals can play a significant role in providing guidance and advice to parents, caregivers, and adolescents themselves on how to limit screen time exposure. The findings can also be useful for future studies to build on and develop screen time management interventions and guidelines.
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Connor, Jean Anne, Christine LaGrasta, Benjamin Cerrato, Courtney Porter, Kimberly Gauvreau, Diana Morrill, Justine Fortkiewicz, et al. "Measuring Acuity and Pediatric Critical Care Nursing Workload by Using ICU CAMEO III." American Journal of Critical Care 31, no. 2 (March 1, 2022): 119–26. http://dx.doi.org/10.4037/ajcc2022907.
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Background The Intensive Care Unit Complexity Assessment and Monitoring to Ensure Optimal Outcomes (ICU CAMEO III) acuity tool measures patient acuity in terms of the complexity of nursing cognitive workload. Objective To validate the ICU CAMEO III acuity tool in US children’s hospitals. Methods Using a convenience sample, 9 sites enrolled children admitted to pediatric intensive care units (ICUs). Descriptive statistics were used to summarize patient, nursing, and unit characteristics. Concurrent validity was evaluated by correlating the ICU CAMEO III with the Therapeutic Intervention Scoring System-Children (TISS-C) and the Pediatric Risk of Mortality III (PRISM III). Results Patients (N = 840) were enrolled from 15 units (7 cardiac and 8 mixed pediatric ICUs). The mean number of ICU beds was 23 (range, 12-34). Among the patients, 512 (61%) were diagnosed with cardiac and 328 (39%) with noncardiac conditions; 463 patients (55.1%) were admitted for medical reasons, and 377 patients (44.9%) were surgical. The ICU CAMEO III median score was 99 (range, 59-163). The ICU CAMEO complexity classification was determined for all 840 patients: 60 (7.1%) with level I complexity; 183 (21.8%) with level II; 201 (23.9%), level III; 267 (31.8%), level IV; and 129 (15.4%), level V. Strong correlation was found between ICU CAMEO III and both TISS-C (ρ = .822, P < .001) and PRISM III (ρ = .607, P < .001) scores, and between the CAMEO complexity classifications and the PRISM III categories (ρ = .575, P = .001). Conclusion The ICU CAMEO III acuity tool and CAMEO complexity classifications are valid measures of patient acuity and nursing cognitive workload compared with PRISM III and TISS-C in academic children’s hospitals.
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Rydén, Anneli, Elin Manell, Alireza Biglarnia, Patricia Hedenqvist, Gabriel Strandberg, Charles Ley, Kerstin Hansson, Görel Nyman, and Marianne Jensen-Waern. "Nursing and training of pigs used in renal transplantation studies." Laboratory Animals 54, no. 5 (October 24, 2019): 469–78. http://dx.doi.org/10.1177/0023677219879169.
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The pig is commonly used in renal transplantation studies since the porcine kidney resembles the human kidney. To meet the requirements of intense caretaking and examination without stress, a 2-week socialisation and training programme was developed. Conventional cross-breed pigs ( n = 36) with high health status were trained for 15 min/day in a four-step training programme before kidney transplantation. The systematic training resulted in calm animals, which allowed for ultrasound examination, blood sampling and urine sampling without restraint. When a 2-methacryloyloxyethyl phosphorylcholine polymer-coated jugular catheter introduced via the auricular vein was used for post-operative blood sampling, clotting was avoided. To assess renal function, urinary output was observed and creatinine and cystatin C were measured; the latter was not found to be useful in recently transplanted pigs. The results presented contribute to the 3Rs (refine, reduce, replace).
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Verma, Priyanka, Keerat Preet Kour, Sandhya Gupta, Saurabh Sharma, Aasimah Hameed, and Ayushi Gupta. "Comparing the outcome of 3 different types of operative techniques practiced for chronic subdural hematoma." International journal of health sciences 6, S1 (March 14, 2022): 495–500. http://dx.doi.org/10.53730/ijhs.v6ns1.4784.
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Chronic subdural hematoma is a common condition of the neurosurgical department requiring surgical intervention. This is a retrospective study of Fifty cases of chronic subdural hematoma (CSDH) patients treated at SGT Medical College, Hospital, and Research Institute were enrolled in this study. The patients were divided into three groups based on the surgical technique performed: single bur-hole drainage (group A, n=40), double bur-hole drainage (group B, n=5), or craniostomy[Twist drill] with evacuation of hematoma (group C, n=5). The results of this study shows that craniostomy[Twist drill] with the evacuation of hematoma in CSDH patients significantly reduced the risk of recurrence, regardless of the number of burr holes used. We, therefore, recommend the use of craniostomy[Twist drill] with the evacuation of hematoma in CSDH patients.
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Solum, Eva Merethe, Veronica Mary Maluwa, Bodil Tveit, and Elisabeth Severinsson. "Enhancing students’ moral competence in practice." Nursing Ethics 23, no. 6 (August 3, 2016): 685–97. http://dx.doi.org/10.1177/0969733015580811.
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Background: Nurses and student nurses in Malawi often encounter challenges in taking a moral course of action. Several studies have demonstrated a need for increased awareness of ethical issues in the nursing education. Objective: To explore the challenges experienced by nurse teachers in Malawi in their efforts to enhance students’ moral competence in clinical practice. Research design: A qualitative hermeneutic approach was employed to interpret the teachers’ experiences. Participants and research context: Individual interviews (N = 8) and a focus group interview with teachers (N = 9) from different nursing colleges were conducted. Ethical considerations: Ethical approval was granted and all participants signed their informed consent. Findings: Two overall themes emerged: (1) authoritarian learning climate, with three subthemes: (a) fear of making critical comments about clinical practice, (b) fear of disclosing mistakes and lack of knowledge and (c) lack of a culture of critical discussion and reflection that promotes moral competence; and (2) discrepancy between expectations on learning outcome from nursing college and the learning opportunities in practice comprising three subthemes: (a) gap between the theory taught in class and learning opportunities in clinical practice, (b) lack of good role models and (c) lack of resources. Discussion: Our findings indicated that showing respect was a central objective when the students were assessed in practice. A number of previous studies have enlightened the need for critical reflection in nursing education. Few studies have linked this to challenges experienced by teachers for development of moral competence in practice. This is one of the first such studies done in an African setting. Conclusion: There is a clear relationship between the two themes. A less authoritarian learning climate may enhance critical reflection and discussion between students, teachers and nurses. This can narrow the gap between the theory taught in college and what is demonstrated in clinical practice. Moral competence must be enhanced in order to ensure patients’ rights and safety.
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Qian, Jialu, Honghe Wu, Shiwen Sun, Man Wang, and Xiaoyan Yu. "Psychometric properties of the Chinese version of the Perinatal Bereavement Care Confidence Scale (C-PBCCS) in nursing practice." PLOS ONE 17, no. 1 (January 21, 2022): e0262965. http://dx.doi.org/10.1371/journal.pone.0262965.
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Background The Perinatal Bereavement Care Confidence Scale (PBCCS) was designed to evaluate midwives’ and nurses’ confidence and its psychosocial factors to provide bereavement care in Ireland. However, it is unknown whether this scale is valid and reliable for use with midwives and nurses in China. The aim of this study was to translate the English version into Chinese (C-PBCCS) and determine its validity and reliability in a population of Chinese midwives and nurses. Methods In this cross-sectional observational study, after translating the English version of the PBCCS into Chinese and ensuring the linguistic adequacy and clarity of the language, we evaluated the validity and reliability of the C-PBCCS with Chinese midwives and nurses (n = 608). Participants were recruited using convenience sampling from 10 maternity hospitals in Zhejiang and Jiangsu Provinces. Exploratory factor analysis (EFA) was conducted to determine the construct validity (n = 304). Another sample of 304 midwives and nurses was used for confirmatory factor analysis (CFA) to verify the quality of the factor structures. Cronbach’s alpha coefficient and Guttman split-half coefficient were adopted for the evaluation of internal consistency. The STROBE was followed in reporting the results. Results The 43-item PBCCS was reduced to 40 items. Bereavement support knowledge (13 items, three factors), Bereavement support skills (eight items, two factors), Self-awareness (eight items, two factors), and Organizational support (11 items, two factors). The CFA suggested that the four scales in the C-PBCCS had acceptable fit indices. The Cronbach’s alpha ranged from 0.835–0.901. The Guttman split-half coefficient was between 0.868–0.933. Conclusion The C-PBCCS was found to be a psychometrically sound measurement tool to evaluate Chinese-speaking midwives’ and nurses’ confidence and the psychosocial factors that affect their confidence in providing perinatal bereavement care.
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Shi, Lan-Ping, Chun-Hong Liu, Jian-Fen Cao, Yan Lu, Fan-Xin Xuan, Yu-Ting Jiang, and Jin-Yang Zhou. "Development and application of a closed-loop medication administration system in University of Hongkong-Shenzhen Hospital." Frontiers of Nursing 5, no. 2 (August 14, 2018): 105–9. http://dx.doi.org/10.2478/fon-2018-0014.
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Abstract Objective This study aimed to develop and apply a closed-loop medication administration system in a hospital in order to reduce medication administration errors (MAEs). Methods The study was implemented in four pilot general wards. We used a before-and-after design to collect oral medication administration times before and after the implementation of the closed-loop medication administration system, evaluated MAE alert logs after the intervention, and conducted a survey of the nurses’ satisfaction with the system in the pilot wards. Results (a) Nursing time of oral medication administration: before the adoption of the closed-loop medication administration system, the average nursing time was 31.56 ± 10.88 minutes (n = 78); after the adoption of the system, the time was 18.74 ± 5.60 minutes (n = 54). Independent sample t-tests showed a significant difference between two groups (t = 8.85, P <0.00). (b) Degree of nurses’ satisfaction with the closed-loop medication administration system: 60.00% (n = 42) of nurses considered the system to be helpful for their work and nearly half of the nurses (47.14%, n = 33) believed that the system could facilitate clinical work and reduce workload; 51.43% (n = 36) believed that the system could reduce checking time and enhance work efficiency; 82.86% (n = 58) believed that the system was helpful in improving checking accuracy to reduce MAEs and ensure patient safety. More than 60% of the nurses considered the system to be a method that could help to track MAEs to improve nursing quality. (c) The MAE alert logs during observation period: it revealed only 27 alerts from the repeated scans of 3,428 instances of medication administration. Conclusions The nurses were satisfied with the closed-loop medication administration system because it improved their work efficiency and reduced their workload. The current investigation was limited by time; therefore, further research is needed to more closely examine the relationship between the system and MAEs.
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Ladurner, Gunther. "Neuroprotection in Acute Ischaemic Stroke." Stroke 32, suppl_1 (January 2001): 323. http://dx.doi.org/10.1161/str.32.suppl_1.323-c.
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41 Aim: This multicentre, double-blind, placebo-controlled trial was conducted to assess the efficacy and safety of an adjuvant administration of Cerebrolysin ® (CERE) in patients suffering from acute ischaemic stroke. Methods: Patients with a first acute ischaemic stroke of the middle cerebral artery were randomised to IV therapy either with placebo (n=68) or with CERE 50ml/day (n=78), for 21 days. Both groups were treated also with acetylsalicylic acid 250mg/day PO and pentoxifylline 300mg/day IV. Treatment was initiated within 24h (mean 12.9±8.1h) after onset of first symptoms. Patients were investigated on treatment days 1, 3, 7, 21 and a follow-up investigation was carried out 3 months after start of treatment. Clinical outcome was recorded on the Canadian Neurological Scale (CNS), Barthel Index (BI) and Clinical Global Impressions (CGI). CERE is a peptide preparation with proven neuroprotective (calpain and caspase inhibitor) and neurotrophic action, produced by a standardised enzymatic breakdown of lipid-free brain proteins. Results: Patients in the CERE group showed a significant improvement in motor functions (CNS, section A1) at the end of therapy (t-test p<0.05) when compared to the placebo group. CERE patients treated within 6 hours after onset of stroke showed a significant improvement in the CGI in the acute treatment phase (t-test p<0.05; CERE n=16, placebo n=14). In the subgroup of patients with a right-sided stroke, CERE patients had a significantly better performance in the BI than placebo patients (Mantel-Haenszel test p<0.001). CERE and placebo were well tolerated and safe. Three patients died in the placebo group, and 2 patients in the CERE group. Conclusion: CERE seems to be an effective adjuvant treatment for acute ischaemic stroke. Motor functions were significantly better, and subgroup evaluation showed that early CERE treatment was related to improved clinical outcome. Adjuvant CERE demonstrated a fast onset of action and offered the possibility for an accelerated rehabilitation probably due to its neuroprotective effect. Large clinical trials are needed to confirm these results.
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Alligood, Martha Raile. "Book review:Philosophies and Practices of Emancipatory Nursing: Social Justice as Praxis. Paula N. Kagan, Marlaine C. Smith, and Peggy L. Chinn, (Eds.) (2014). New York: Routledge." Nursing Science Quarterly 29, no. 1 (December 11, 2015): 86–88. http://dx.doi.org/10.1177/0894318415614906.
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