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Prototype Development, Usability, and Preference of a Culturally-relevant Pictorial Aid to Facilitate Comprehension of Likert-type Levels of Agreement in Caregivers of Children Living With HIV in Ghana

imagePictorial illustrations of Likert-type scales are culturally useful and may reduce error associated with usage of Westernized self-report measures in low- and middle-income countries. Pictorial illustrations can be encounter-specific decision aids in populations with low literacy or English proficiency. In an unanticipated finding from the SANKOFA study, caregivers of children living with human immunodeficiency virus experienced challenges comprehending Likert-type scales. A cross-sectional, qualitative study was conducted with a SANKOFA participant subset (n = 30) in Ghana. Using an informatics-based formative design approach, we developed a culturally-relevant pictorial aid to assess usability and preference when compared to a Likert-type self-report measure. Ninety percent (n = 27) of substudy participants preferred the pictorial of a traditional Bolga basket over a shallow basket. Forty-three percent (n = 13) preferred the pictorial aid over the Likert-type measure. Fifty percent reported the pictorial aid was easy to use. Fifty-seven percent preferred the Likert-type measure, potentially because English proficiency is regarded in Ghana as a means of upward social and financial mobility. Such cultural norms may have contributed to the lack of consensus and must be considered for pictorial aids to be meaningful. Pictorial aids have been designed for use in clinical and research settings. They reduce barriers associated with lower textual literacy while facilitating comprehension and decision-making.

Enfriamiento del cuero cabelludo para la prevención de la alopecia inducida por quimioterapia

Introducción. La quimioterapia produce el efecto secundario más temido por los pacientes con cáncer, la alopecia, que podría evitarse con gorros de crioterapia del cuero cabelludo. Objetivo principal. Evaluar la crioterapia del cuero cabelludo como método preventivo para la alopecia inducida por quimioterapia. Metodología. Se ha realizado una revisión bibliográfica narrativa, seleccionándose 22 artículos, introduciendo ecuaciones de búsqueda en varias bases de datos. Desarrollo. Su eficacia es difícil de determinar y la efectividad es muy variable, aprobándose en pacientes con cánceres sólidos. Sin embargo, existen ciertos efectos secundarios, requiriéndose de cuidados de enfermería independientemente de la técnica utilizada. Conclusiones. Estudios han demostrado que el uso de este método es eficaz y efectivo, y que su uso no aumenta el riesgo de metástasis en el cuero cabelludo, contraindicándose en pacientes con tumores hematoló-gicos.

Selective debridement of burn wounds using hydrosurgery system

Abstract

In recent years, hydrosurgery is a technology that has been applied more and more in debridement procedures. However, the selectivity of hydrosurgery to cutaneous necrotic tissues has not been proved. This study was designed to investigate the possible tissue selectivity of hydrosurgery in the debridement in burn wounds. Deep partial‐thickness burns were produced on the back of porcine, and 48 hours later, both burn wounds and normal skin were debrided using the hydrosurgery system. Then tissue samples were taken, and histological staining was performed and observed under microscope. Burn wound resection rates and the normal skin damaged rates were measured. Our result indicated that the burn wounds were significantly more sensitive than the normal skin when the water pressure produced by the hydrosurgery system was set between 3000 and 5000 psi (pounds per square inch), that is, the necrotic tissue portions were debrided more easily than the normal skin tissue. Based on these data, we suggest that 3000 to 5000 psi of water pressure in the hydrosurgery system has a skin tissue selectivity in burn wounds.

En la calle por ellas y por ellos: relato de experiencia en zonas de prostitución de un municipio del sur de Brasil

Objetivo principal: relatar a experiência das práticas de educação em saúde, por um grupo de profissionais, integrantes da Atenção Primária em Saúde, em zonas de prostituição de Rio Grande/RS. Metodologia: Trata-se de um relato de experiência, realizado em 2016, por um grupo de profissionais (Enfermeira, Assistente Social, Educador Social e motorista), vinculados a secretaria de saúde de um município do extremo sul do Brasil. Em uma unidade móvel de saúde, o grupo percorreu as zonas de prostituição (postos de gasolina, ruas e boates). De abril a agosto de 2016, os profissionais de saúde desenvolveram ações de conscientização sobre a importância dos riscos inerentes a profissão, sobre o cuidado de si, através da oferta de testes rápidos, distribuição de preservativos masculinos e femininos e lubrificantes íntimos. Resultados: Vinte zonas de prostituição foram encontradas pela equipe, concentrados em ruas, boates e postos de combustíveis espalhados pela cidade. Cerca de 200 profis-sionais do sexo, foram atendidas pelo grupo, sendo ofertados mensalmente 40 exames de testes rápidos e 40 carteiras sociais. Quanto a pre-venção as ISTs, foram distribuídos 1500 preservativos masculinos, 200 preservativos femininos e 500 lubrificantes íntimos. Conclusão: A equipe, de forma itinerante, atuou de forma exitosa na busca, não somente de orientá-las quanto aos riscos inerentes a profissão, mas também de conhecer um pouco da sua história, do resgate a cidadania e da autoestima, a uma população que tem seus direitos frequentemente violados. Percebe-se nessa vivência a importância da educação em saúde como um instrumento de promoção e prevenção, na busca pela valorização dessas pessoas.

Final thoughts for 2019

International Wound Journal, Volume 16, Issue 6, Page 1251-1251, December 2019.

The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome

by Danny Chan, Carmen Martin-Ruiz, Gabriele Saretzki, Dermot Neely, Weiliang Qiu, Vijay Kunadian

Background

Non-ST elevation acute coronary syndrome (NSTEACS) occurs more frequently in older patients with an increased occurrence of recurrent cardiac events following the index presentation. Telomeres are structures consisting of repeated DNA sequences as associated shelterin proteins at the ends of chromosomes. We aim to determine whether telomere length (TL) and telomerase activity (TA) predicted poor outcomes in older patients presenting with NSTEACS undergoing invasive care.

Method

Older patients undergoing invasive management for NSTEACS were recruited to the ICON-1 biomarker study (NCT01933581). Peripheral blood mononuclear cells (PBMC) were recovered on 153 patients. DNA was isolated and mean TL was measured by quantitative PCR expressed as relative T (telomere repeat copy number) to S (single copy gene number) ratio (T/S ratio), and a telomere repeat amplification assay was used to assess TA during index presentation with NSTEACS. Primary clinical outcomes consisted of death, myocardial infarction (MI), unplanned revascularisation, stroke and significant bleeding recorded at 1 year. TL and TA were divided into tertile groups for analysis. Cox proportional hazards regression was performed. Ordinal regression was performed to evaluate the relationship between TL and TA and traditional cardiovascular risk factors at baseline.

Results

298 patients were recruited in the ICON-1 study of which 153 had PBMC recovered. The mean age was 81.0 ± 4.0 years (64% male). Mean telomere length T/S ratio was 0.47 ± 0.25 and mean TA was 1.52 ± 0.61 units. The primary composite outcome occurred in 44 (28.8%) patients. There was no association between short TL or low TA and incidence of the primary composite outcome (Hazard Ratio [HR] 1.50, 95% Confidence Interval [CI] 0.68–3.34, p = 0.32 and HR 1.33, 95% CI 0.52–3.36, p = 0.51 respectively).

Conclusion

TL and TA are not found to be associated with the incidence of adverse outcomes in older patients presenting with NSTEACS undergoing invasive care.

Clinical trial registration

URL: https://www.clinicaltrials.gov Unique identifier: NCT01933581

Reduction of visual and auditory stimuli to reduce pain during venipuncture in premature infants. Study protocol for a randomized controlled trial

Abstract

Aim

To evaluate the efficacy of the reduction of visual and auditory stimuli on pain during venipuncture in premature newborns of 32–36 weeks of gestation.

Design

Open, randomized, non‐blind parallel clinical trial.

Method

Study to take place at the neonatal intensive care unit of a University Hospital in 2019–2021. Fifty‐six recently born babies between 32‐36 weeks of gestation will participate. The dependent variable is the level of pain determined using the premature infant pain profile instrument. The intervention will be assigned randomly using the random.org software. Data analysis will be carried out using the IBM SPSS v.25 software assuming a level of significance of 5%.

Discussion

The evidence for the efficacy of reducing sensory stimulation and its effect on pain in minor procedures has not been studied in depth. There are no studies that evaluate the reduction of visual and auditory stimuli in a combined way.

Impact

It is easy to incorporate the reduction of visual and auditory stimuli into nursing practice. The results of this study could have a direct impact on clinical practice.

Trial registered at clinicaltrials.gov: NCT04041635

Intra‐individual variability in sleep is related to glycaemic control in adults with type 2 diabetes

Abstract

Aims

To examine whether there were significant differences in sleep during weekdays/weekends and whether the intra‐individual variability in sleep was related to glycaemic control in patients with type 2 diabetes.

Design

Correlational, longitudinal design.

Methods

Data were collected between February 2017–January 2018. In all, 56 adults with type 2 diabetes were included (60.7 years, 55.4% female). Sleep was measured using the Consensus Sleep Diary over 8 days. Intra‐individual variability of sleep was calculated as the standard deviation of sleep variables. Standard deviations of sleep duration, sleep efficiency, sleep quality, and mid‐sleep time were obtained. Glycaemic control was measured by haemoglobin A1C. Paired t test and multiple regression analysis were used.

Results

Overall, there were no differences in sleep parameters between weekdays and weekends. Participants slept 20 min more over the weekends than during weekdays. The mid‐sleep time during weekends was about 35 min later than during weekdays. Intra‐individual variability of sleep duration and mid‐sleep ranged from 27.6–167.4 min and 13–137 min, respectively. Controlling for covariates (e.g., distress, symptoms, and self‐care), larger variability in sleep duration, and mid‐sleep were significantly related to higher A1C levels.

Conclusion

Diabetes educators are recommended to include the assessment of intra‐individual variability in sleep. Maintaining a regular sleep habit (e.g., sleep duration and sleep timing) should be highlighted during patient education.

Impact

Intra‐individual variability in sleep is an alternative dimension for sleep assessment. This study examined whether intra‐individual variability in sleep was related to glycaemic control in an older sample of type 2 diabetes patients using a sleep diary across 8 days. This sample had a similar sleep pattern during weekdays and weekends. Larger intra‐individual variabilities in sleep duration and mid‐sleep time were independently related to worse glycaemic control. Diabetes patients are recommended to maintain a regular sleep routine.

Do emotional labour strategies influence emotional exhaustion and professional identity or vice versa? Evidence from new nurses 情绪劳动策略是否会对情绪枯竭和职业认同产生影响,反之亦然?源自新聘护士的证据

Abstract

Aims

The aim was to examine the reciprocal relationships of emotional labour strategies with emotional exhaustion and professional identity.

Design

This study adopted a four‐wave cross‐lagged panel design.

Methods

Survey data were collected in 2018 from a sample of 171 newly hired nurses from 58 hospitals in 11 provinces of China. Nurses’ emotional labour (i.e., deep acting and surface acting), emotional exhaustion and professional identity were repeatedly measured. Cross‐lagged panel analyses were conducted to examine the reciprocal relationships we hypothesized.

Results

We found that emotional exhaustion was positively related to surface acting (but not vice versa); deep acting was negatively related to emotional exhaustion (but not vice versa); professional identity was positively related to deep acting (but not vice versa).

Conclusion

Our findings suggest that deep acting and professional identity may decrease the level of emotional exhaustion, whereas emotionally exhausted nurses are more likely to employ surface acting strategies.

Impact

This research finding will have an impact on the nursing management. Healthcare managers may consider workshops or training and development programs that promote nurses’ professional identify to promote nurses’ use of deep acting and consequently reduce their level of emotional exhaustion, which has been associated with a variety of negative consequences, such as low quality of patient service, high medical accidents, and turnover rate.

目的

研究情绪劳动策略与情绪枯竭和职业认同的相互关系。

设计

本研究采用四波交叉滞后组设计。

方法

2018年,对我国11个省份58家医院的171名新聘护士进行问卷调查,收集数据。反复测量护士的情绪劳动(即深层伪装和表层伪装)、情绪枯竭和职业认同。采用交叉滞后组分析来检验我们先前假设的相互关系。

结果

我们发现,情绪枯竭与表层伪装呈显著正相关(反之不成立);深层伪装与情绪枯竭呈显著负相关(反之不成立);职业认同与深层伪装呈显著正相关(反之不成立)。

结论

我们的研究结果表明,深层伪装和职业认同可能会降低情绪枯竭的程度,而面临情绪枯竭的护士更有可能采用表层伪装策略。

影响

本项研究发现将对护理管理工作产生影响。医疗保健管理人员可能会考虑举办研讨会或开展培训和发展计划,以提高护士的职业认同感,从而促进护士采用深层伪装策略,降低他们的情绪枯竭程度。同时情绪枯竭还与各种负面影响有关,如患者服务质量低,医疗事故频发,人员流动率高。

Path analysis from physical activity to quality of life among dementia patients: A dual‐path mediating model 痴呆症患者体力活动到生活质量的路径分析:双路径中介模型

Abstract

Aims

To clarify the specific impact paths among physical activity, activity of daily living, depression and quality of life among dementia patients.

Design

A descriptive, cross‐sectional design.

Methods

Dementia patients and their caregivers from five tertiary general hospitals and one dementia patients’ club were recruited. A total of 216 valid questionnaires were collected from November 2018 ‐ March 2019. Path analysis was performed by Mplus 7.0 to test the casual relationship among physical activity, activity of daily living, depression and quality of life.

Results

Most patients with dementia presented a low level of physical activity and suffered from impaired quality of life. The modified model presented a good model fit and revealed that physical activity had indirect positive effects on quality of life mediated by activity of daily living and depression.

Conclusion

The results showed that physical activity was a promising non‐pharmacological method to improve the performance of activity of daily living and reduce depressive symptoms and then enhance the quality of life among dementia patients.

Impact

The findings were beneficial to elevate the awareness of physical activity among patients and professionals. This study was helpful to understand how physical activity exerted effects on life quality of dementia patients. This study provided a new perspective for researchers to elucidate the causal relationship of variables among dementia patients.

目的

阐明痴呆症患者体力活动、日常生活活动、抑郁与生活质量的具体影响路径。

设计

描述性横向设计。

方法

从五所三级综合医院和一家痴呆症患者俱乐部招募痴呆症患者及其看护人员。自2018年11月至2019年3月,共收集到216份有效问卷。采用Mplus 7.0进行路径分析,以验证体力活动、日常生活活动、抑郁与生活质量之间的因果关系。

结果

大多数痴呆症患者的体力活动水平较低,生活质量较差。改进后的模型与情况相符,并表明体力活动对生活质量有间接的积极影响,其中介作用是日常生活活动和抑郁。

结论

结果表明,体力活动是一种改善痴呆症患者日常生活活动表现、减轻抑郁症状、提高生活质量的非药理学方法,具有广阔的前景。

影响

本项研究结果有助于提高患者和专业人士对体力活动的认识。本项研究有助于了解体力活动对痴呆症患者生活质量的影响。此外,这项研究还为研究人员明确痴呆症患者各影响变量之间的因果关系提供了新的研究角度。

The relationship of workplace violence and nurse outcomes: Gender difference study on a propensity score matched sample 工作场所暴力与护士结局的关系:倾向性评分匹配样本的性别差异研究

Abstract

Aims

To investigate workplace violence and nurse outcomes by comparing gender differences.

Design

A secondary analysis of cross‐sectional survey data.

Methods

Workplace violence was measured by four items from the International Hospital Outcome Study. Nurse outcomes were measured by tools including burnout, job satisfaction and intention to stay. We used propensity score matching to generate a sociodemographic balanced dataset of 108 male and 288 female nurses. A hypothetical relationship model was derived from the affective events theory. Comparative statistics and multi‐group structural equation modelling were conducted to analyze gender differences. Data were collected in China from December 2013 – August 2014.

Results

Male nurses reported more workplace violence from staff and less intention to stay than females. Besides finding the mediation of burnout sharing with female nurses consistent with the affective events theory, workplace violence was directly linked to less intention to stay in male nurses.

Conclusion

Male nurses experience more workplace violence by staff than female nurses. Besides responding emotionally to workplace violence like female nurses, male nurses also respond behaviourally.

Impact

What problem did the study address? Gender differences in workplace violence and its relationship to nurse outcomes. What were the main findings? Male nurses experienced more workplace violence than female nurses, linked directly to less intention to stay. Workplace violence linked to less job satisfaction and intention to stay in nurses was mediated by burnout. Where and on whom will the research have impact? Gender‐based prevention of and coping with workplace violence should be included in nursing training.

目的

通过比较性别差异,探讨工作场所暴力与护士结局的关系。

设计

横向调查数据的二次分析。

方法

通过国际医院结局研究中的四个项目对工作场所暴力进行衡量研究。护士结局以工作倦怠、工作满意度和留任意愿为衡量指标。我们采用倾向性评分匹配,生成一个由108名男性护士和288名女性护士组成的社会人口平衡数据集。基于情绪事件理论提出了一个假设关系模型。通过利用好比较统计方法和多组结构方程建模来分析性别差异。数据于2013年12月至2014年8月在中国收集。

结果

相比于女护士,男护士更容易遭受工作场所暴力,留任意愿较低。除了通过与女护士分享工作倦怠的调解作用(与情绪事件理论一致)外,工作场所暴力与男护士的留任意愿降低直接相关。

结论

男护士比女护士更容易遭受工作场所暴力。除了像女护士一样对工作场所暴力做出情绪反应外,男护士还会做出行为上的反应。

影响

本项研究解决了哪些问题?工作场所暴力的性别差异及其与护士去留的关系。主要结果是什么?男护士比女护士更容易遭受工作场所暴力,这与其留任意愿较低直接相关。工作场所暴力与工作满意度和留任意愿降低相关,且通过工作倦怠调解。本项研究将适用于何处且对哪些人产生影响?护理培训应包括基于性别的工作场所暴力预防和应对措施。

Prevalence and characteristics of prediabetes in workers in industry

Abstract

Aim

To examine the prevalence of work stress and prediabetes in computer technology company employees; to analyse the relationships among stress, work stress, and prediabetes; and to explore the potential mediating effects sleep on the relationship between work stress and prediabetes.

Design

A descriptive, cross‐sectional design was used. A convenience sample included employees from a large computer technology company in central Texas.

Methods

Data collection during March–October 2015 included: retrospective electronic medical record review and online surveys. Electronic medical record review data included: height, weight, waist circumference, blood pressure, high‐density lipids, triglycerides, and fasting glucose. Online surveys collected demographic, global stress, diet, exercise, coping, sleep and work stress data from participants. Spearman rho calculations analyzed associations between demographic, socio‐cultural factors, health behaviours, work stress, and prediabetes variables. Logistic regression analyses identified probability variables. A structural equation model examined mediating variables.

Results

Prediabetes prevalence was lower and prevalence of work stress was higher in the participant sample than in the USA population. Findings suggested that low job imbalance increases the probability for prediabetes. Job imbalance was inversely related to prediabetes. Three variables increased the probability prediabetes: alcohol, job imbalance, and sleep. Sleep potentially modified the relationship between job imbalance and prediabetes.

Participants were college‐educated males working in white‐collar, technical jobs. Participants had high rates of work stress. Job imbalance was inversely related to prediabetes, which challenges previous empirical data. Future research should continue to explore the relationship between work stress and prediabetes in this population.

Conclusions

This study explored the relationship between work stress and prediabetes in a white‐collar worker population in technical industry. Findings suggested that workers in industry have a unique type of stress. Nurses who learn to recognize the non‐traditional risk factors for prediabetes can improve screening for prediabetes by including work stress and poor sleep questions.

Prevalence and Correlates of Depression, Anxiety, Stress, Healthy Beliefs, and Lifestyle Behaviors in First‐Year Graduate Health Sciences Students

Abstract

Background

Graduate and professional students are reported to have higher than average rates of depression compared to age‐ and gender‐matched populations. Further, more than half of student health visits are due to anxiety, yet little is known about the relationships among depression, anxiety, and healthy lifestyle behaviors in this population as well as what factors predict depression and anxiety.

Aims

The purposes of this study were as follows: (a) to examine the prevalence of depression, anxiety, stress, physical health, healthy beliefs, and lifestyle behaviors in incoming first‐year health sciences professional students; (b) to describe the relationships among these variables; and (c) to determine predictors of depression and anxiety.

Methods

A descriptive correlational study design was used with baseline data collected from first‐year graduate health sciences students from seven health professions colleges who were participating in a wellness onboarding intervention program, including Dentistry, Medicine, Nursing, Optometry, Pharmacy, Social Work, and Veterinary Medicine.

Results

Seventeen percent of incoming students reported moderate‐to‐severe depressive symptoms with 6% reporting suicidal ideation. In addition, 14% of the participating students reported moderate‐to‐severe anxiety. Factors that predicted depression and anxiety included having less than 7 hr of sleep per night, worse general health, lower healthy lifestyle beliefs, lower healthy lifestyle behaviors, higher stress, and a perceived lack of control.

Linking Evidence to Action

These findings highlight the need to routinely screen incoming health sciences students for depression and anxiety upon entrance into their academic programs so that evidence‐based interventions can be delivered and students who report severe depression or suicidal ideation can be immediately triaged for further evaluation and treatment. Providing cultures of well‐being and emphasizing self‐care throughout academic programs also are essential for students to engage in healthy lifestyles.

The effects of job demands on nurses' burnout and presenteeism through sleep quality and relaxation

Abstract

Aims and objectives

The main aim of this study was to investigate the indirect effects of emotional dissonance and workload on presenteeism and emotional exhaustion through sleep quality and relaxation.

Background

Numerous investigations have found that job demands are related to employees' health and behaviours, but additional studies are needed among nurse samples. Specifically, little is known about the relationships between nurses' emotional dissonance and workload on one hand, and presenteeism and emotional exhaustion on the other hand. Moreover, research is needed to further explore the psychological mechanisms underlying these relationships.

Design

We used a cross‐sectional design. Our study was carried out between October 2015–February 2016. Precisely, we asked nurses from various French healthcare centres to fill out a questionnaire survey. We ensured to meticulously follow the STROBE guidelines for cross‐sectional research in designing and reporting this study.

Method

An empirical study with a sample of 378 nurses was conducted.

Results

In line with our hypotheses, our findings revealed that emotional dissonance and workload were negatively linked to sleep quality and relaxation, which were, in turn, related to lower levels of presenteeism and emotional exhaustion. Workload and emotional dissonance were also directly and positively related to emotional exhaustion, while emotional dissonance was associated with higher levels of presenteeism. Finally, the indirect effects of emotional dissonance and workload on emotional exhaustion through sleep quality as well as the indirect effects of emotional dissonance on emotional exhaustion through relaxation were significant and positive.

Conclusions

Overall, our results provide insight into the effects of emotional dissonance and workload on presenteeism and emotional exhaustion through recovery processes.

Relevance to clinical practice

The present findings have some practical implications for reducing nurses' emotional exhaustion and presenteeism. Specifically, managers and organisations should try to design and craft jobs to decrease the presence of negative work characteristics (i.e., workload and emotional dissonance). Our results also suggest that recovery processes may be important factors to focus on.

The dissimilarity between myocardial infarction patients’ and spouses’ illness perception and its relation to patients’ lifestyle

Abstract

Aim and objectives

To examine the dissimilarity between Chinese myocardial infarction (MI) patients’ and spouses’ illness perceptions (IPs), and to explore the relationship between patients’ IP, differences in couples’ IP and patients’ lifestyle after discharge.

Background

An individual's IP is affected and moderated by several factors, including the social context. One of the most influential members of the social network of patients is the spouse.

Design

Cross‐sectional design.

Methods

From April 2016–April 2017, 111 MI patients and their spouses were recruited. Before discharge from hospital, revised Illness Perception Questionnaire was administered to MI patients and their spouses separately. Two months after discharge, patients’ lifestyle was assessed using Health Promoting Lifestyle Profile II. The manuscript was organised according to STROBE guidelines.

Results

Spouses were more likely to believe that the illness would last for a long time, and patients perceived MI as being more controllable than their spouses did. The patient–spouse dissimilarity in the perception of consequences was negatively correlated with both nutrition and stress control behaviours. Patients in couples with more dissimilar perception of environmental factors as a cause were more likely to choose a healthy diet, while patients in couples with more dissimilar perceived treatment control were more able to control stress.

Conclusion

There are both similarities and dissimilarities between MI patients’ and spouses’ IP, and these dissimilarities contributed the majority of the explained variance in patients’ lifestyle after discharge.

Relevance to clinical practice

We should consider both couples when examining how a patient copes with a chronic illness.

Nurse and patient satisfaction with intentional rounding in a rural Australian setting

Abstract

Aims and objectives

To compare nurse and patient satisfaction with intentional rounding in a rural Australian hospital setting, and examine which aspects of care predict satisfaction.

Background

Intentional rounding is a systematic process used by healthcare professionals to anticipate and address fundamental needs of hospitalised patients. Despite a wealth of literature about nurse and patient satisfaction with intentional rounding, no studies have compared nurse and patient satisfaction, and little is known about intentional rounding in a rural setting.

Design

A cross‐sectional study was undertaken with nursing staff and patients at a rural hospital and reported in accordance with STROBE guidelines.

Methods

Nurses (n = 63) and patients (n = 66) were invited to complete the Patient Satisfaction Survey between April and June 2018. Nurse and patient responses were compared and predictors of nurse and patient satisfaction with intentional rounding care were determined using Generalised‐Estimating‐Equation models.

Results

Both nurses and patients positively rated satisfaction with all aspects of nursing care provided and received through intentional rounding. Nurses’ satisfaction with care provided to patients through intentional rounding was predicted by interest in patients’ feelings about their care. Patient satisfaction with the care they received while hospitalised was predicted by the ability to see a nurse when they needed to, the provision of pain relief when needed, feeling comfortable and safe, and the perception that nurses were interested in their feelings about their care.

Conclusion

Intentional rounding is a means for nurses to regularly attend to patients’ emotional and physical needs which is central to patients feeling safe and cared for while hospitalised.

Relevance to clinical practice

Intentional rounding practices ensure that patients feel genuinely cared for by nursing staff whilst hospitalised, and can improve nurse and patient interactions, satisfaction and outcomes.

Percepción de profesionales de enfermería sobre la valoración de la sexualidad en adultos mayores (Chile)

Se plantea como objetivo principal de investigación, conocer la percepción de las/os profesionales de enfermería sobre la valoración de la sexualidad del adulto mayor  a los que brindan cuidados en la atención primaria de salud. Para ello plantea un estudio cualitativo con enfoque descriptivo y análisis de datos mediante  teoría fundamentada, tomando una muestra de estudio elegida por conveniencia y basada ciertos criterios, egresados enfermeros/as de universidades públicas o privadas con mínimo de 2 años de trabajo, trabajar actualmente en APS,  excluyendo profesionales egresados de enfermería-obstetricia, poseedores de carrera anexa en obstetricia y no trabajar en APS. En los resultados se establecen cuatro categorías principales, las cuales son “significado que le atribuyen los profesionales a la sexualidad”, “relevancia de la sexualidad en adultos mayores”, “factores influyentes en la valoración de la sexualidad”, “fortalezas y debilidades profesionales en la valoración”, además aparecen categorías emergentes, que son: “factores por mejorar al valorar la sexualidad”, “necesidad de un instrumento de valoración de la sexualidad”. Se establece que la sexualidad como elemento vital en la salud de los adultos mayores influenciada estrictamente por factores socio-culturales, además de la creciente necesidad de un instrumento que permita valorar la sexualidad y orientaciones técnicas a nivel ministerial.

Avaliação de risco para pé diabético em idosos com diabetes mellitus

Este é um estudo quantitativo, de abordagem epidemiológica, realizado com dados secundários, que teve como objetivo avaliar as práticas de autocuidado e o grau de risco para o pé diabético em idosos com DM acompanhados em um Ambulatório de Pé Diabético de um município do interior de Minas Gerais. Utilizou-se a ficha de atendimento de idosos com DM, considerando o período de agosto de 2015 a agosto de 2016. Considerou-se 46 pessoas em atendimento no período, das quais, 54,3% eram homens; 52,2% morando com companheiro (a); com médias de: idade 68,2 anos (dp=6,3) e tempo de diagnóstico de DM de 16,76 anos (dp=8,04). Em uso de biguanidas (69,6%), com doenças do aparelho circulatório (89,1%), com destaque para hipertensão arterial. A falta de exame dos pés alcançou 47,8% e dos sintomas neuropáticos os mais importantes foram: queimação, dormência e formigamento (84,6%), assim como as deformidades comuns eram: calosidades (37%), ressecamento (34,8%) e unhas grossas (32,6%). O estudo mostra a necessidade de se melhorar o monitoramento dos idosos com DM, bem como, a ampliação de ações de educação em saúde que possam ser significativas direcionadas ao melhor autocuidado dos pés, com vista a evitar complicações e manter a qualidade de vida.

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