Parastomal hernia (PSH) can occur after an ostomy operation, leading to a significant morbidity for patients.Considering the difficulties to manage this complication, prevention measures should be investigated.Purpose: Assessing the efficacy of an ostomy support belt (Brava®) in preventing the development of PSH after ostomy operation.We conducted a retrospective observational study collecting data of 238 patients who underwent ostomy operation.Of them, 103 patients didn't wear the support belt and 135 patients have worn it since hospital discharge.Differences in incidence of PSH between the two groups were evaluated, and a multivariate logistic regression model was used to identify associations between independent risk factors and PSH onset.PSH occurred more frequently in patients who didn't wear the belt compared with patients who have worn it immediately after the hospital discharge (P=0.0015).Risk factors associated with PSH onset were non-use of the support belt (P=0.0005) and colostomy (P=0.0193).Preoperative design and emergency surgery were protective factors (P=0.0002 and P=0.0017 respectively), whereas age and gender were not associated with PSH development.The use of Brava® Ostomy Support Belt seems to be an effective preventive measure for PSH development.Further studies are needed to confirm the effectiveness of the belt.
The World Health Organization report indicated that diseases associated with psychoactive substance use account for over 12% of the total burden of diseases affecting humanity.The immoderate use of chemical agents especially illegal drugs is termed as drug abuse.This is a cross-sectional study aimed at determining the prevalence of psychoactive substance use among students in the College of Nursing and Midwifery Yola, Adamawa State.To constitute the study's sample size, a stratified random sampling technique was used to select two hundred students from the Nursing Science and Midwifery departments across different academic levels.Data was collected through a self-structured questionnaire, and a descriptive statistical technique was used in analyzing the collected data.The study findings revealed that the majority, 157(78.5%) of the students use psychoactive substances with caffeinated beverages (42.0%) and kola nut (28.0%) being identified as the most common substances used by students.Substance abuse was highly associated with final-year students (300 levels) and those in remedial programs.The rate of psychoactive substance use is high in students living on campus and those renting apartments outside the campus.The majority, 97(61.8%) of the students use psychoactive substances for academic-related purposes, including the desire to stay awake at night and study, the quest to improve academic performances, and be active during lecture hours.A good number, 86(54.8%) of the students reported dependence on psychoactive substances, and some experience body weakness 26(16.6%),headache 13(8.3%), and drowsy feelings 34(21.6%)with the use of the substances.It was concluded that students in the College of Nursing and Midwifery Yola use psychoactive substances to enhance their studies.Most of these substances commonly used are readily available on campus.
To estimate the clinical outcome of humanistic nursing intervention after cochlear implantation in pediatric patients with congenital deafness.Methods: Pediatric participants who suffered from congenital deafness were included.A total of 85 participants were assigned to a control subgroup (n=42), which adopted routine nursing intervention, and an observation subgroup (n=43), which adopted humanistic nursing intervention.Cochlear implantation was performed in both subgroups.The language and auditory rehabilitation, quality of life, and the incidence of complications were evaluated.Results: After nursing, there was a notable distinction between the observation subgroup and control subgroup in the language and hearing levels, the scores of SIR, CAP, and MAIS.As for the quality of life, it was corroborated by a notable distinction of the scores for two subgroups in somatic, physiological, social, and psychological functions.In terms of the incidence of complications, it was notably lower incidence for the observation subgroup (2.32%) versus the control subgroup (14.28%).Conclusion: The application of humanistic nursing in pediatric patients with congenital deafness undergoing cochlear implantation is beneficial to promote the rehabilitation of language and hearing, improve the quality of life and, reduce the incidence of postoperative complications.
Background: Reflective case discussion (RCD) is part of performance management development (PMD).RCD can be done in Hospital and Public Health Center.Nurses carried out RCD to discuss the Nursing issues and create a new Standard Operating Procedure (SOP) through reflective method.Objective: increase nurse professionalism and knowledge by holding discussions, sharing experiences so that mistakes in doing actions that have occurred do not happen again.All nurses must participate in RCD at least once a week.This activity was performed between half an hour and an hour.Method: Qualitative method with action research approach, involving 8 participants until the end in the operating room with three stages namely assessment, implementation and evaluation.Each stage is a reflective process, namely Plan, Action, Observe and Reflect stages.Results: This study found several themes regarding supporting factors, namely stakeholder support, and Nurse motivation, while inhibiting factors were lack of socialization and time and lack of evaluation and supervision.Conclusion: RCD did occur at Ibnu Sina Hospital because of lack of knowledge and socialization.Besides that, supervision and evaluation also did not work.The Head Nurse and Hospital management department must ensure that RCD activities are running and scheduled, because this activity is very important to improve the professionalism of nurses in their work as well as efforts to encourage the development of performance management.
Video technology is increasingly popular for disseminating research results because its multi-sensory avenues for communication provide richer information than is often available in printed reports.Despite this advantage, issues inherent in video-based dissemination research have not been well articulated in nursing literature.In this article, issues of power, representation, participant autonomy, confidentiality, informed consent, intellectual property, and commercial use and profits are described and critically analyzed.The discussion is contextualized with examples from two original qualitative research projects involving women recovering from eating disorders and adolescents living with diabetes.Recommendations for future video research include giving as much control as possible to participants through negotiation of consent, confidentiality, and copyright ownership issues on an on-going case by case basis.
The concept of dignity is an essential value of nursing practice and its attributes frequently include control, respect and self-esteem. In Hong Kong, elderly people have negative impressions about living in private nursing homes because they perceive these attributes of dignity will be lost. This study aims to understand and gain a deeper insight of the lived experience of being dignified for elderly Chinese residents in a private nursing home in Hong Kong. This study employed an interpretative qualitative design. A purposive sampling strategy was used to recruit 14 nursing home residents to participate in this study. The data were collected through in-depth, unstructured face-to-face interviews. Interviews were audiotaped, transcribed, and then analysed using van Manen's phenomenological method of qualitative research. Five themes that emerged from this study were: possessing inherent dignity, owning dignified-self perspectives, endeavouring to exercise dignity-conserving practices, receiving dignified care, and dwelling in a dignified home environment. Outcomes identified in this study showed the different ways dignity is conceptualised by the residents in the nursing home. The results enhance our understanding of dignity among residents in private nursing homes and can contribute to the development of strategies for providing dignified care in future.
The study aimed at determining the hypertensive patients' illness experience, using the patient-centred consultation approach in order to form a better partnership with the patients.Design: This was a cross-sectional hospital-based study using a semi-structured questionnaire that assessed the socio-demographic characteristics of the respondents.The respondents' fears about hypertension, ideas about its cause and expectations from consultation were explored.The response was based on a Likert scale.The data were analysed with the SPSS software version 15.Settings: This study was conducted at the GOPC, UCTH Calabar.The GOPC is the "window" of the Hospital.Subjects/participants: Two hundred and sixty eight hypertensive patients were recruited into the study. Results and Conclusions:The respondents expressed fear regarding most aspect of hypertension.Most (74.7%) agreed that hypertension could be caused by stress.A few participants gave non-biomedical views of the aetiology of hypertension, including attributing it to spiritual forces.Over three quarters of respondents (85.1%), expected their medications to give them corrective measures to hypertension.The study supports the fact that hypertensive patients have varying illness experiences that should be explored using the patient-centred consultation style and recommends that doctors should manage individual patients to suit the patients' unique experience.There was an established significant relationship between expectation and fears/ideas.
The purpose of the study was to construct and validate a questionnaire that assesses the frequency with which the Clinical Supervision (CS) strategies are implemented and the frequency with which the nurses want them to be implemented in their services.Design: The research is carried out under a quantitative paradigm, of the descriptive and exploratory type, and of a transversal nature.The non-probabilistic sample comprised 273 nurses.The data was collected by applying the Questionnaire for Assessment of Clinical Supervision Strategies in Nursing (QACSSN), between May and September 2012.Methods: A descriptive statistical analysis was made of the data obtained.The content collected from the QACSSN was validated by a group of 11 experts.Cronbach's alpha coefficient was also ascertained.Findings:The results show the experts agree with the inclusion of the 16 CS strategies in the QACSSN.The QACSSN has good internal consistency indices, both in terms of the frequency of implementation of the CS strategies and concerning the level of desire for their implementation.Conclusions: The QACSSN is a reliable instrument with valid content, and therefore can be used in the context of Mentorship, Preceptorship or CS.Clinical Relevance: The study contributes to improved quality of care by identifying the most appropriate CS strategies for the process of supervision in health contexts, enabling the nurses to play an active role in this process.
The aim of this survey was to identify psycho-oncological and psycho-social need in the routine patient care of oncological patients.Material and Methods: A total of 200 oncological patients underwent the paper-based Hornheider questionnaire, a validated instrument to identify the need of psycho-oncological and psycho-social care at first contact.Hornheider sum-scores ≥4 were considered to indicate psycho-oncological and psycho-social need.Results: Overall, 149 (75%; 68 women and 81 men, 74 ≥ 65 and 75 < 65 years) questionnaires were correctly filled out and returned.Hornheider sum-scores were ≥4 in 47 patients, i.e. in 31,7%.Psycho-oncological and psycho-social need did not differ significantly between women and men (57,5% vs. 42,5%; p=0,732) but was significantly higher in patients <65 years than in those ≥65 years (66% vs. 34%; p=0,002).Discussion: The results of this pilot project show that a high proportion of oncological patients are in need of psycho-oncological and psycho-social support; this in particular holds true for younger patients.
Compassion fatigue is an unrecognized and understudied phenomenon that occurs in practicing nurses and most likely to affect nurse educators in practice.This unique form of burnout can impede nurse educators in caring for themselves and their students, patients, colleagues, schools and healthcare agencies.It is important to recognize the outcomes and implications of compassion fatigue and the growing need to mentor and care for both current and future nurse educators.Further research studies are needed on compassion fatigue in nurse educators to minimize the impact on educator health and professional nursing care.
Background: Posttraumatic Stress Disorder (PTSD) is a psychiatric disorder strike people who have experienced or witnessed a traumatic event.Parents' of children with cancer are at risk of PTSD.The aim of the study is to assess the posttraumatic stress disorder symptoms among Saudi mothers who have a child newly diagnosed with cancer.Methodology: A descriptive exploratory design was used with a convenient sample of 110 Saudi mothers.Mothers were recruited from pediatric oncology (Ward 11) at King Khalid National Guard Hospital (KKNGH), Jeddah.Mothers completed a questionnaire of self-report PTSD Checklist (PCL-C) The PTSD severity was determined by totaling the 20 PDS-5 as the higher the score the more the severity of PTSD.Results: the results revealed that the mean age of children and mothers was (4.43±SD3.6)and (37.6±SD9.3)respectively.More than half(57.2%) of mothers experienced with shock at the time of diagnosis.More than one-third (32.7%) meet the criteria of PTSD and severity of symptoms ranged from mild to very severe as (44.5%) have mild symptoms (14.5%), moderate (17.3%) severe compared by (6.4) experienced very severe symptoms of PTSD.Furthermore, there was a significant correlation between the severity of PTSD with the number of children, the age of parents, gender, literacy and economic state (P = 0.001).Conclusion and recommendation: the study concluded the presence of PTSD symptoms among participants of the current study.Additionally, factors such as age, sex, the number of children, educational state and economic state of the family can influence the severity of PTSD.Therefore, health professionals might screen the parents of children with chronic illnesses to ascertain whether they could benefit from stress management.By the same token, clinicians should recognize that most parents tend to cope well through reinforcing their adaptive coping skills.
The purpose of this study was to investigate the factors influencing occupational burnout among psychiatric nurses. Psychiatric nurses are often misunderstood and subjected to social bias due to the nature of their work. Their work entails responding to emergencies and they must endure the psychological stress of the threat of aggression from patients. Thus, it is easy for such nurses to experience occupational burnout. A cross-sectional study was undertaken from February to April 2012 among hospitals psychiatric nurses in southern Taiwan. Of 235, 217 nurses eligible for the study completed survey (response rate 92.3%). Information on personal characteristics, workplace stressors (QMWS), and burnout (MBI) was obtained through structured questionnaire survey. The results indicated that a nurse's age, hospital level, work unit, seniority, psychiatric work, and overtime work were associated with the nurse's level of occupational burnout and its three dimensions. According to our findings, there is positive correlation between job stress and burnout. In addition, our study also showed that overall job stress, total years in nursing, age, maintenance of relationships with patients, personal assessment system, and encountering medical disputes are predictive factors for psychiatric nurses' overall occupational burnout and its three dimensions of emotional exhaustion, depersonalization, and personal accomplishment. In conclusions, our study could help psychiatric nurses to be more aware of their working stress. In order to improve the quality of professional care, hospital management should provide psychiatric nurses with positive and healthy coping strategies.
Specialised outpatient palliative caring (SAPV) has been available in Germany for nearly ten years. SAPV structures exist in all German federal states but coverage is still not comprehensive. For further development, assessment at the level of care providers, quantitative and qualitative composition of the PCT, networking, coordination and organisational structures is important. This survey was conducted in physicians from independent practices and hospitals if it was known that they worked within SAPV structures with the aim of collecting and analysing data from everyday German healthcare practice. It is the first survey to include physicians from different specializations and to ask specifically about SAPV in Germany. SAPV is undertaken predominantly on a multi-professional basis; qualified general practitioners are the most strongly represented group of specialists. They cooperate closely with colleagues from other specializations and from non-medical professions. Mostly, physicians deliver SAPV alongside their activity in an independent practice or hospital, which further increases the high workload involved. In Germany, SAPV has developed into an essential structural element of palliative care. Its further development must be systematically promoted.
Severe acute malnutrition is associated with mortality in young infants.Associated risk factors and management were not well addressed.The aims of this study were to identify factors associated with severe acute malnutrition in children < 6 months of age and to evaluate the outcome of treatment after feeding them diluted therapeutic formula milk (F-100) along with breast-feeding.This interventional hospital-based study was conducted at 2 major children hospitals in Khartoum during the period between September 2011 and January 2014 among malnourished children less than 6 month of age.Infants' demographic, clinical and anthropometric measurements were recorded and then received routine medications and breastfeeding and/or 130ml/kg/day diluted F100 formula for 5 consecutive days and weight gain was recorded.All recruited infants (N=83) received diluted F-100 with breast milk.They had a mean±SD age of 3.8±5.8months.The male to female a ratio was 1.3.The majority was from poor socioeconomic background and most mothers were below 40 years of age.Only 36 (43.3%) were exclusively breastfed and 37 (44.6%) of infants fed on food other than milk.Following feeding for 5 days, 76 out of 83 (91.6%) malnourished under the age of 6 months infants were discharged with adequate weight gain, 5 (6%) prematurely left the hospital and thus the study, 2 (2.4%) were defaulters and there was no deaths.Infants <6 months of age with severe acute malnutrition were mostly from poor backgrounds and developed malnutrition despite breast-feeding.Diluted F-100 formula was beneficial in treatment along with breastfeeding.
