Accreditation plays a critical role in ensuring the quality, credibility, and continuous improvement of nursing educationprograms worldwide. This article examines the role of accreditation in nursing education, with an emphasis on qualityassurance, public trust, and the promotion of ongoing program evaluation and enhancement. Particular attention is givento the benefits of international nursing accreditation for students, faculty, institutions, employers, and communities ofinterest, including improved educational quality, enhanced global recognition, and increased mobility of graduates.The article also addresses challenges associated with international accreditation, such as time, financial costs, and thesustained commitment required to maintain compliance with accreditation standards. Additionally, the work highlightsinternational accreditation efforts led by the Accreditation Commission for Education in Nursing (ACEN), outlining itsglobal reach, comprehensive Standards and Criteria, and support for programs seeking this recognition. The article alsoprovides an overview of the ACEN Standards and Criteria as applied in international contexts, illustrating how global qualitybenchmarks are implemented while respecting local regulatory and cultural frameworks.By applying consistent, globallyrelevant standards while allowing programs to reflect local regulatory and cultural contexts, international accreditationsupports excellence in nursing education and contributes to the preparation of competent, ethical, and practice-readynurses worldwide.
Introduction: Evaluation and assessment is an important aspect for learning to assess the learner and provide feedback. This study aims to assess nursing students' perceptions regarding Objective Structured Clinical Examination (OSCE) and Traditional Clinical Examination (TCE). Methods: A cross-sectional study was conducted using a total enumerative sampling technique with 122 Nursing students from the College of Nursing in Nagaland, India. A self-structured validated questionnaire, which had two sets of self-administered questionnaires on OSCE and TCE, with 15 questions, was administered to collect data on students’ perception towards OSCE and TCE. The participants rated their responses using a 5-point Likert scale, ranging from "strongly disagree" to "strongly agree," regarding the strengths and weaknesses of the practical methods employed. The students' responses were analyzed using descriptive and inferential statistics. Results: The study revealed that out of 122 samples, 73.77% (90) had a good perception regarding OSCE, and only 26.22% (32) had an average perception. Concerning the Traditional Clinical (TCE) examination technique, 45.90% (56) had a good perception of TCE, and 54.09% (66) had an average perception. Many students found OSCE to be more organized, fair, and reliable, with minimal disturbance from patients during the examination, compared to TCE. There was a significant association between the perception of OSCE and TCE. Conclusion: Student nurses’ perception of practical and clinical assessment was found to prefer OSCE over TCE. Nurse educators can focus on using OSCE as an effective evaluation tool for students and further evaluate to improve the assessment method. However, students felt that a wide variety of clinical skills were also covered in TCE
Introduction: Nursing is a profession that demands not only clinical competence but also strong emotional andpsychological adaptability. Objectives of the study were to correlate the level of emotional intelligence and self-efficacyon self-esteem and to associate the level of emotional intelligence, self-efficacy, and self-esteem with their selectedsociodemographic variables.Methods: Descriptive cross-sectional research design was used for the research. 289 samples were taken using thecomplete enumerative sampling technique. The Rosenberg Self-Esteem Scale, the General Self-Efficacy Scale, and theSchutte Self-Report Emotional Intelligence Test (SSEIT) were the tools of the study. The data gathered at the selectednursing college was analyzed by descriptive and inferential statistical methods, and interpretations were madebased on the objectives of the study.Results: The study results show that a moderate positive correlation between emotional intelligence and self-esteemwas observed with r = 0.64; on the other hand, a strong positive correlation of r = 0.97 was observed for self-efficacy &self-esteem. Association of the demographic variables revealed that age, course, year of the study, and religion wereassociated with emotional intelligence at chi-square 0.0270, 0.0038, and 0.0417, respectively, at p < 0.5 level at 95% CI.Conclusion: The study emphasizes that emotional intelligence, self-esteem, and self-efficacy are interrelated constructsinfluencing one another and that certain demographic factors play a significant role in shaping emotional intelligenceamong the participants. Promoting emotional intelligence and self-efficacy through targeted educational andpsychological interventions may therefore enhance students’ overall self-esteem and personal growth.
Objective: Historically, nursing students have found bioscience subjects challenging and anxiety provoking. To alleviatethese factors, an online industry-based short course, Biochemical Basis for Human Life (BBHL) was developed. A surveywith narrative analysis was used to explore learners’ experience and satisfaction with the course and evaluate theeffectiveness of microlearning approach in delivering nursing bioscience education.Methods: Learners enrolled in the short course and following the course completion, they were invited to submit theEnd of Course Feedback survey. The survey included quantitative measures of course satisfaction, demographicspertaining to learners’ country of origin and two open ended qualitative questions.Results: A total of 444 learners were enrolled in the course, with 33.3% completion rate (148/444). Out of the learnerswho completed the course, 89.9% (133/148) completed the End of Course Feedback survey. Across all questions,agreement rates exceeded 90%, with negligible disagreement or nonresponse in relation to course satisfaction. Out of thelearners who provided a qualitative response, majority expressed positive attitudes towards course delivery and courseimpact.Conclusions: This study highlighted the beneficial nature of the course and its microlearning approach in relationto nursing bioscience education. Furthermore, this study provides a new strategy for educators where a bite-sizedlearning can be used as pre-classroom preparation for students to enhance student engagement and decrease burdenassociated with extensive material coverage in the classroom.
Nursing is increasingly recognized as a transformative force in advancing the Sustainable Development Goals (SDGs).This article analyzes nursing’s direct and indirect contributions to the SDGs highlighting the multidimensional role ofnurses in health promotion, education, gender equity, environmental stewardship, economic growth, and social justice.Nurses play a pivotal role in achieving SDG 3 through preventive care, chronic disease management, emergency response,and mental health promotion, while also significantly contributing to SDGs related to education, clean water and sanitation,decent work, reduced inequalities, climate action, and strong institutions. Bibliometric evidence underscores that nursingresearch is heavily concentrated on health-related goals, with notable gaps in areas such as poverty reduction and zerohunger. The article further explores nursing leadership in innovation, sustainability, ethical governance, and partnerships,emphasizing the need for stronger research integration, policy engagement, and interdisciplinary collaboration.Strengthening nursing education, leadership, and research capacity is essential to maximize its impact on the 2030 Agenda.The analysis concludes that nursing is not merely a supporting discipline in global development but a central catalyst forachieving a healthier, more equitable, and sustainable future from very ancient period.
Background: Diabetes mellitus significantly impacts the quality of life (QoL) of older adults, particularly in rural Thailand.Beyond clinical management, caregiver support and social networks are considered to be crucial determinants ofwell-being. However, research regarding these factors remains limited in this specific context. This study examines theinfluence of caregiver, perceived social support, and QoL among elderly with type 2 diabetes mellitus.Methods: A cross-sectional study was conducted among 366 elderly patients with type 2 diabetes mellitus(aged ≥60years). Data were collected by structured questionnaires. Multiple linear regression analyses were performed to examineassociations while controlling sociodemographic and health-related variables.Results: The mean age of participants was 67.70 years (SD = 4.99), with 69.67% female. Most received care from a spouse(54.37%) or family members (28.69%), while 16.94% had no caregiver. High perceived social support(β = 0.507, p <0.001). was associated withbetter quality of life. Similarly,family caregivers(β = 0.229, p < 0.001),spousal care(β = 0.114,p < 0.05), secondary/vocational education(β = 0.367, p < 0.001)were also associated with better quality of life. Conversely,hypertension(β = -0.153, p < 0.001), depression symptoms(β = -0.139, p < 0.05) were negative associations.Conclusion: Caregiver and perceived social support were associated with better quality of life in elderly diabetic patientsin rural Thailand. These findings showed the importance of psychological management in diabetes mellitusand underscorethe need for holistic, community-based interventions that establish caregiving networks and social support systems toimprove well-being
Background: Globally, Polycystic Ovary Syndrome affects 5–10% of the population of reproductive age, making itthe most prevalent endocrine condition. Symptoms often include oligomenorrhea, hyperandrogenism, and obesity.Objective: The main objective of the study is to assess the effect of life lifestyle intervention program on quality of lifeand psychological well-being among girls at risk of developing PCOS.Method: A quasi-experimentalstudy was conducted among 120 girls at risk of developing PCOS in a selected collegein Bhubaneswar (60 in the experimental group and 60 in the control group). Girls aged 16-20 years, with a PCOS riskassessment score greater than 5 and staying in the hostel, were selected purposively. Tools include 1. Socio-demographicquestionnaire, 2. Risk assessment checklist to identify the risk of PCOS girls,3. Standardised SF-36 QOL questionnaire toassess the Quality of life and 4. Standardised Riff’s psychological well-being scale to assess the psychological well–being ofgirls with risk of developing PCOS.Result: Study result shows that there was a significant improvement in the post-test mean quality of life (QOL) score in theexperimental group as compared to the control group (U=1746.0, P=0.002) and a significant reduction was seen in the posttestmean psychological well-being score in the experimental group as compared to the control group (U=1523,P=0.00).There was a significant association found between quality of life and age (c2=1.159, p=0.021), menstrual flow (c2=7.402,p=0.025), and BMI (c2=3.726, p=0.023). And significant association was found between the psychological wellbeing andtype of family (χ2 = 5.574, p 0.01), menstrual flow (χ2 = 7.402, p = 0.04), and BMI (χ2 = 3.726, p = 0.02).Conclusion: The lifestyle intervention program was an effective non-pharmacological nurse-led intervention in improvingthe quality of life and reducing psychological well-being of girls with risk of developing PCOS.
Rapid digital transformation across industries has accelerated the adoption of advanced technologies to reduce manual workload, enhance efficiency, and optimize operational costs. Healthcare is undergoing a similar transformation, with artificial intelligence (AI) emerging as a key enabler of innovative care delivery models. Among these, Voice-Enabled Virtual Nursing Assistants (VNAs) represent a promising solution to address increasing care demands, workforce shortages, and rising healthcare costs. Virtual Nursing Assistants offer 24/7 availability, enabling continuous patient engagement beyond the limitations of human staffing. They assist patients by responding to health-related queries, providing medication reminders, monitoring symptoms, supporting chronic disease management, and offering emotional and mental health support. Evidence suggests that VNAs improve accuracy, timeliness, and accessibility of care compared to traditional methods. From a healthcare provider perspective, VNAs streamline documentation, support preliminary assessment and triage, enhance real-time monitoring, and optimize workflow efficiency. In critical care settings, the integration of virtual nursing roles has been identified as a viable approach to mitigating projected nursing workforce gaps while maintaining care quality. Additionally, VNAs demonstrate potential in education and staff development through virtual teaching platforms and cognitive learning enhancement. Future advancements are expected to expand VNA capabilities through wearable integration, electronic health record synchronization, advanced personalization, and diagnostic support. Despite challenges related to data security, ethics, cost, usability, and regulatory frameworks, Virtual Nursing Assistants represent a transformative digital health innovation with significant potential to improve patient outcomes, empowers especially elderly patients and reduces nurse’s workload, and strengthen healthcare systems.
Background: Artificial intelligence (AI) is becoming more common in healthcare and health professions education, but it is still not consistently used in nursing programs because of a number of contextual factors. To help with effective implementation and curriculum development, it’s important to know what makes it easier or harder for nursing schools to use AI. Methods: A scoping review was performed utilising the Peters et al. framework to delineate the current evidence regarding AI integration in nursing and allied health professions education. A systematic search of Google Scholar, PubMed, and Semantic Scholar yielded 1,245 records; subsequent screening and full-text evaluation resulted in 42 studies that satisfied the inclusion criteria. Data from empirical studies, case reports, policy papers, and discussion articles were extracted and thematically synthesised to identify principal barriers, facilitators, and contextual influences. Results: Major problems included a lack of technological infrastructure, problems with interoperability, and a lack of technical support. There were also gaps in knowledge and skills among teachers and students. Concerns about ethics and privacy, a reluctance to change, a lack of resources, and unclear policies and regulations made it even harder for AI to be adopted. Facilitators included active participation from stakeholders, thorough training focused on AI, a supportive infrastructure, clear policy frameworks, proven benefits for learning and clinical decision-making, and collaboration between different fields. Regional, cultural, and contextual disparities significantly impacted the degree and character of AI integration, with affluent environments typically more equipped to adopt AI-enhanced education. Conclusion: The integration of AI into nursing education is influenced by a complex interplay of technological, educational, ethical, policy, and contextual factors. To make AI adoption in nursing curricula more meaningful, it is important to deal with known barriers and strengthen facilitators using strategies that are sensitive to the context and have many different parts. The review provides a foundation for creating standardised AI curricula, funding infrastructure, and guiding future implementation research and policy in nursing education.
Aim: study the effect of educational program on nurses' knowledge and practices regarding prevention of caesarean section wound infection. Setting: The study was conducted in Obstetrics and Gynecology Department at Farasan General Hospital. Design: A Quasi-experimental study (pre and post-test) was utilized. Sampling: Convenient sample included 50 nurses. Tools: Two tools were used Self-administered questionnaire and Observational checklist. Results: majority of studied nurses had poor total knowledge score regarding prevention of caesarean section wound infection pre intervention. While most of them had good total knowledge score regarding prevention of caesarean section wound infection post intervention. More than majority of studied nurses had unsatisfactory total practices pre intervention toward prevention of caesarean section wound infection , meanwhile majority of them had high satisfactory total practices post intervention.. Conclusion: the intervention program had positive effect on nurses' knowledge and practices regarding prevention of caesarean section wound infection after application of program compared to before application. Recommendations: Updating knowledge and practices of nurses through continuous in-service educational programs emphasizing the importance of the evidence-based practices of prevention of caesarean section wound infection.
Background: Substance use in patients with mental disorders and aggression poses significant challenges tocare quality and safety. However, a critical gap exists regarding integrated care models to overcome the lack ofcoordinated care from various departments. This study aimed to develop and evaluate a comprehensive caremodel for substance use patients with mental disorders and aggressive behavior.Methods: A randomized control trial (RCT) was employed, with 80 participants randomly assigned to intervention(n=40) or control (n=40) groups from May 2025 to October 2025 through structured questionnaires. The interventiongroup received an integrated care model and post-discharge monitoring via the LINE application. Outcomes weremeasured using the Overt Aggression Scale (OAS) and adherence at baseline and 4-month follow-up. A mixedeffectslinear regression model was used to assess the effect of the intervention on OAS scores over time whilechi-square tests were used to compare categorical variables. t-tests were used to compare continuous variables.Results:At baseline, there was no significant difference between the intervention and control groups. A significantreduction in OAS scores from baseline to 4-month follow-up (β = -35.800, p < 0.001). While the group×timeinteraction was statistically significant (β = 13.500, p < 0.001).Post-discharge adherence was higher in theintervention group, including LINE tracking (82.5%), medication adherence (77.5%), and appointment remindersand attendance (87.5%) (p < 0.001).Conclusion: The integrated care model significantly improved outcomes for substance use patients with mentaldisorders and aggressive behavior. Its success highlights the importance of interdisciplinary collaboration, stafftraining, and digital follow-up systems. The model offers a scalable solution for similar settings.
Background: Fruit and vegetable (FV) intake among children in Myanmar remain below the WHO-recommended 400 g/day, with national averages around 230 g/day and substantial regional variation. Early dietary behaviours are strongly shaped by parents and the home environment, yet there is a lack of culturally adapted, parent-focused interventions in Myanmar. The SWITCH (Supporting Wellness in Children Through Home-based Change) intervention was developed to address the gap using Social Cognitive Theory (SCT). Methods: Intervention development followed the GUIDED framework to ensure transparent and systematic reporting. Evidence from the literature, national dietary reports, and baseline assessments in a Yangon school identified key determinants, including low FV knowledge, limited parental self-efficacy, reduced home availability of FV, and high sugary drink intake. These findings informed the design of an eight-week parent-focused program featuring weekly in-person sessions, home-based challenges, digital reinforcement through Viber and Facebook, and child engagement activities. Materials including recipe cards, cooking videos, FV shopping guides, and lunchbox templates were culturally adapted to the Myanmar context. Prototype materials were pre-tested with 10 parents and refined for clarity, relevance, cost practicality, and overall feasibility. Results: The finalized intervention incorporated eight weeks addressing FV knowledge, healthy cooking, meal planning, label reading, home-environment improvements, and coping strategies. Pre-testing demonstrated high acceptability: 90% found materials easy to understand, 80% found them culturally relevant, 100% considered them useful, and 90% indicated willingness to follow strategies. Cultural adaptation and digital reinforcement enhanced feasibility for urban Myanmar families. Conclusion: SWITCH is a culturally grounded, SCT-based intervention designed to improve FV intake among schoolchildren by empowering parents. Its systematic development ensures theoretical coherence, contextual relevance, and high feasibility, providing a strong foundation for evaluation in a forthcoming quasi-experimental trial.
Background: In India, rheumatic heart disease (RHD) affects approximately 5 to 7 out of every 1,000 children aged between 5 and 15 years, with an estimated 1 million individuals living with the condition, with many patients needing valve replacement surgery. While surgery is crucial, effective post-operative counseling and adherence to lifelong oral anticoagulant therapy (OAT) are vital to prevent complications such as thromboembolism or bleeding. Despite the clear need, there's a notable lack of formal research in India assessing how effective counseling truly impacts patient adherence and long-term outcomes after valve replacement. Methods: A Quasi experimental research study was conducted from December 2024 to Feb 2025 , using a total enumeration method. A structured questionnaire was developed, validated, and administered to 54 patients. Results: This comparative study involving 54 heart valve replacement patients (experimental group n=27, control group n=27) at KGMU, Lucknow, assessed the effectiveness of a Discharge Guidance Programme on medication adherence and post-operative complications. Baseline demographic and clinical characteristics were comparable between groups (all p > 0.05). Kolmogorov-Smirnov test confirmed non-normal distribution of outcome variables (all p < 0.05), leading to the use of non-parametric tests. At baseline, medication adherence was similar between groups (Chi-square p = 0.362; Mann-Whitney U p = 0.517). However, the Discharge Guidance Programme significantly improved medication adherence in the experimental group. At 1st week post-discharge, 70.37% of the experimental group demonstrated high adherence compared to 18.51% in the control group (p = 0.001), with a significantly higher mean adherence score (experimental: 8.00 ± 0.00; control: 2.79 ± 1.24; p = 0.000). This improvement was sustained at 4th week post-discharge, with 88.88% high adherence in the experimental group vs. 51.85% in the control group (p = 0.006), and significantly higher mean adherence (experimental: 8.00 ± 0.00; control: 3.02 ± 1.27; p = 0.000). The program also significantly reduced post-operative complications. At 1st week post-discharge, the experimental group had a lower incidence of complications (7.40%) compared to the control group (44.4%), with a significantly lower mean complication score (experimental: 0.22 ± 0.51; control: 1.00 ± 1.24; p = 0.01). By 4th week post-discharge, no patients in the experimental group reported complications (0%) compared to 29.6% in the control group, maintaining a significantly lower mean complication score (experimental: 0.00 ± 0.00; control: 0.29 ± 0.608; p = 0.01). Significant positive correlations were found between 1st and 4th week scores for complications (r=0.377, p=0.005) and medication adherence (r=0.311, p=0.022). Conclusion: The findings of this study demonstrate that the "Discharge Guidance Programme" is an effective intervention for improving medication adherence and reducing the incidence of post-operative complications among patients who have undergone heart valve replacement. The experimental group, which received the guidance programme, exhibited significantly better medication compliance and experienced fewer complications in the crucial 4-week period following discharge compared to the control group receiving standard care. This suggests that a structured discharge guidance programme can play a vital role in enhancing patient outcomes and potentially reducing the burden of post-surgical morbidity.
Introduction: Prediabetes is a lifestyle disease and dietary modifications are effective for its management and prevention. Prediabetes is a greater risk factor for type 2 diabetes mellitus, cardiovascular disease, renal failure and stroke, and is one of the most critical issues regarding human health. There are economic reasons for the above statistics. As health care professional has a responsibility to innovate strategies to save the public and Lifestyle changes in dietary pattern by consuming certain traditional home remedial measures are used to maintain blood glucose in normal level. Methodology: A quantitative approach with Pre Experimental one group Pretest- Post-test design was adopted for this study. One hundred hospital employees with Prediabetes who were aged between 25-65 years were selected for the study by Convenience Sampling Technique. Data were collected and analyzed by Descriptive and Inferential statistics. Conclusion: The present study indicating that the fenugreek seed was effective on reducing the blood sugar level in Prediabetes hospital employees. The study recommends strongly to consumptions of fenugreek seed as a cost effective management of Prediabetes in all healthcare setting and community. With this regard, the researcher would like to suggest to take more number of adjuvant therapies to treat lifestyle diseases for the wellbeing of society which would turn in to better outcome.
Objective: Cancer in women is one of the most significant global health issues, with incidence and mortalityrates continuing to rise each year according to World Health Organization. Modern healthcare generally followsa biomedical model that focuses more on physical care and psychological interventions, often neglecting thespiritual dimension. This pose a question of does spiritual well-being influences how patients interpret their lifeexperiences while facing cancer, as well as in finding peace and hope during treatment? Although there is evidencethat spirituality plays an important role in improving well-being and helping to cope with chronic conditions, thegap in acceptance of illness remains. Thus, the aim of this study is to identify the relationship between spiritualwell-being and disease acceptance in women with cancer.Material and Method: The design of this study is a cross-sectional study with a sampling technique using totalsampling. Data were collected via selfreport questionnaires self-report technique through data collection toolsconsisting of demographic data and questionnaires, (SWBS) Spiritual Well Being scale, (AIS) Acceptance of Illness,involving 131 female cancer survivors with the following inclusion criteria: patients aged ≥ 18 years, patients withcompos mentis consciousness and in stable condition, female cancer survivors (ovarian, breast, cervical), patientsdiagnosed with cancer ≤ 6 months ago who underwent chemotherapy cycles 1-II. Exclusion criteria were: patientswith mental disorders, patients with impaired consciousness, and patients with physical and psychologicalimpairments that prevented them from participating in this study.Results: The results showed a significant relationship between spiritual well-being and acceptance of illness infemale cancer patients undergoing treatment (p-value 0.000). Respondents in cycles 1-II who had high spiritualwell-being with an OR of 9.524 were 9 times more likely to accept their illness.Conclusion: This study confirms that spiritual well-being plays an important role in improving patients’ illnessacceptance of cancer. Thus, it is recommended that collaborative programs be developed between hospitals andclergy, and that nurses provide education through a spiritual well-being support approach. The implementation of this program is expected to improve the quality of life and treatment outcomes of cancer patients
Background: Flipped learning is an innovative teaching and learning strategy that enhances student-centredlearning. This study aimed to explore postgraduate diploma nursing students’ lived experiences with flippedlearning in the Community Health Nursing Practice Program at the Higher Institute of Health Specialties in Oman.Method: A hermeneutic phenomenological qualitative approach was used in the study, and six Omani studentswere interviewed.Findings: Thematic analysis revealed four themes: procedural experience of flipped learning, perceived benefitsand challenges, instructor-student roles, and comparison with lecture-based learning.Conclusion: The study findings revealed that flipped learning enhanced engagement, critical thinking, andindependent learning, but posed challenges like increased workload. The study offers insights for curriculumreform and highlights the importance of contextualizing flipped learning within Arab nursing education to meetevolving educational and professional demands.
Nursing remains a socially relevant and globally in-demand profession, yet students often struggle to makeinformed career decisions and maintain sustained motivation. This study explored the factors shaping nursingstudents’ career choices and the challenges they face at Mindanao State University – College of Health Sciences(MSU-CHS), Marawi City. Using a cross-sectional descriptive design, data were collected from 231 studentsthrough a structured questionnaire assessing personal, interpersonal, and social influences, as well as access tocareer, counseling. Descriptive statistics highlighted that personal motivations, particularly caring for ill familymembers and a strong commitment to service, were the most significant drivers of career choice. Interpersonalencouragement from family and mentors, and admiration for nurses, also shaped decisions, while social factorssuch as financial security and opportunities for overseas employment were influential. Students reported majorchallenges, including academic pressure, financial limitations, and external expectations. Most respondentsindicated limited access to effective career counseling. Findings emphasize the need to strengthen institutionalsupport by improving counseling, mental health services, and financial assistance, and by engaging parents,faculty, and community partners more effectively to prepare resilient, committed future nurses
Background: Hospitals globally face increasing pressure to enhance operational efficiency without compromising care quality. In this context, the case manager role is pivotal, yet empirical evidence of its direct impact on quantitative efficiency metrics remains limited, particularly in developing countries. Objective: This study aimed to analyse the relationship between case manager roles and the operational efficiency of inpatient wards at a public referral hospital in Indonesia. Material and Method: A cross-sectional design was employed, encompassing all 39 head nurses selected via total sampling. Data were collected using a validated questionnaire on case manager roles (Cronbach's Alpha = 0.963) and an observation sheet for Barber-Johnson efficiency indicators (BOR, LOS, TOI, BTO). The Spearman Rho correlation test was used for analysis. Results: The results demonstrated that the overall efficiency revealed that a significant majority of inpatient wards were classified as inefficient. Furthermore, a significant relationship was found between the overall role of case managers and operational efficiency (p = 0.036). Analysis of sub-variables also revealed significant relationships: coordination of health services (p=0.009), communication (p=0.048), care planning (p=0.024), prevention of intervention duplication (p=0.025), and supervision (p=0.046). Conclusion: The study concludes that the case manager's role is significantly associated with key operational efficiency indicators. Optimising this role through structured training, clear protocols, and enhanced interprofessional collaboration is recommended as a crucial strategy for hospital management to improve resource utilisation and service quality.
The research examines the challenges, perception, and ability to cope of abandoned elderly in the process of recovery in Residential Care Facility. This study sought to understand the new beginning and experience of abandoned elderly to achieve recovery. The researchers employed a phenomenological approach and utilize a non-probability sampling method. Following this, data is collected from 16 abandoned older adults participants using semi-structured interviews. Data saturation was achieved after interviewing the 13th informant, with additional insights gained from the first two, although redundancy occurred with the third informant. The raw data were audio recorded, transcribed, and analyzed using Colaizzi’s (1978) method. To ensure the credibility of the research, the researchers implemented member checking, comprehensive documentation of the research processes, bracketing, and an audit trails. The significant experiences of recovery have converged into a central theme, OLDER Not over, which encompasses five emerging themes (i.e., “OLDER”). (1) Obstacles Faced in Institutional Life illustrates the difficulties they faced during the recovery process. (2) Learning Diverse Coping Strategies to Manage Emotional Distress outlined the key methods and interventions they used to alleviate feelings of loneliness and helplessness. (3) Discovering Pathways of Emotional Resilience emphasized their capacity to explore new methods for maintaining emotional stability. (4) Exhibiting Anchors of Inner Strength focuses on their sources of hope and resilience while confronting internal challenges. (5) Rediscovering Meaning and Well-being in Recovery underscores their recognition of personal growth and improvement as they navigate their recovery. The findings from this study highlighted the role of Residential Care Facilities and their staff, such as nurses, social workers, and house parents, in addressing the fundamental needs of abandoned elderly individuals. In conclusion, the challenges in emotional and psychological state of abandoned elderly from past and present experiences had a significant impact in the speed of their recovery. This stressors and environmental factors altered their ability to cope that influence their mental health and the process of healing.
Introduction: Nursing students are expected to be ‘practice ready’ on qualifying. This includes safe medicationadministration. This pilot study investigates the relationship between exposure duration to asynchronous virtualdrug dosage calculation scenarios and nursing student actual and perceived competence.Methodology designplanned for larger scale main study was tested and piloted.Methods: A randomised quasi-experimental research design (pre- and post-test) was used. Purposive samplingwas used to recruit six groups of second/third-year pre-registration undergraduate nursing students from six sites(UK and Canada). Students were randomly assigned to four groups of different exposure to the safeMedicate®COVID-19 education module.Results: Student actual competence increased across all four groups, and their perceived competence mirroredthis. There was no clear dose-response relationship demonstrated.Conclusion: Valuable insights into the effects of asynchronous virtual learning on drug dosage calculationcompetence among nursing students were generated. Improvement in actual and perceived competence wasfound, but no clear dose-response relationship. Further research on a larger scale is needed to explore the impactof instructional design, feedback, and interaction on learning outcomes.
