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Influence of Students Perception/Staff Attitude in the Clinical Areas on Student’s Learning in Mathare Teaching and Referral Hospital, Nairobi, Kenya
Evangeline Kananu Njue Mugoh,
Mary Wanjira Njue Kamau
Issue:
Volume 9, Issue 2, April 2020
Pages:
47-54
Received:
18 October 2019
Accepted:
28 November 2019
Published:
13 February 2020
Abstract: Clinical learning environment is a very important aspect of nursing teaching. In Europe as well as USA, the principle of nursing education is based on a 50% theoretical class work and 50% practical through clinical experience. In Kenya, the learning is different where 69.5% is class work and 21.5% is the clinical area placement. Kenya government designed a one-year internship for all BScN students before they are entered into nursing council register to give the student enough experience before they enter into the field. Clinical learning is described as the “heart” of professional practice. Practice placement constitutes an important aspect of students` learning through influencing students’ acquisition of skills and knowledge for quality care provision in the right environments. The future of nursing profession is based on capacitating the student nurse with the ability to make critical decision at work. Noteworthy, many aspects affect student learning in clinical placement. Among them is shortage of qualified staff which is the case in the study area- Mathare Teaching and Referral Hospital. This study focused on factors that influence students learning in the clinical placement and aimed to determine the effect of student’s perspectives and staff attitude towards learning in placement areas on learning among bachelor of nursing (BScN) students. A self-administered questionnaire was used to collect data that was analyzed by using statistical package of social sciences (SPSS) version 20. Study findings were presented by use of tables, charts and text. The findings revealed that most students (64.8%) were pursuing nursing training out of individual choice and felt that nursing was a calling to them but some (25.9%) would go to another career given a chance. Most (61.1%) students were apprehensive about clinical placement and the work they would be involved in. Reception in the hospital department by supervision staff was generally fairly satisfactory however 5.6% students reported lack of satisfaction. Nursing staff in the clinical area were generally friendly and concerned; and staff supervision in the clinical area was generally helpful and caring but not always available. The clinical placement areas need to enhance nurse-under-placement and receptors relationship to enhance uptake of the real life experience of the nursing profession.
Abstract: Clinical learning environment is a very important aspect of nursing teaching. In Europe as well as USA, the principle of nursing education is based on a 50% theoretical class work and 50% practical through clinical experience. In Kenya, the learning is different where 69.5% is class work and 21.5% is the clinical area placement. Kenya government de...
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Application of Interventional Analgesics in Patients Undergoing Bariatric Surgery
Xiuli Wei,
Lilian Gao,
Tsz Hong Chong,
Chunqun Li,
Lina Wu,
Shutong Tang
Issue:
Volume 9, Issue 2, April 2020
Pages:
55-58
Received:
3 February 2020
Accepted:
17 February 2020
Published:
25 February 2020
Abstract: In order to analyze and compare the effects of interventioanal analgesics use on pain level after having surgery in patients with obesity which were undergoing bariatric surgery, 309 cases of obese patients from April 2018 to September 2019 were adopted in the study. The patients were divided into two groups according to the presence or absence of interventional use of analgesics. Numerical Rating Scale (NRS) score sheet was applied to dynamically evaluate and assess the patients' pain level, and the patients' first time of getting out of bed, the first time of postoperative flatulence and the whole length of hospital stay were collected and compared. Data showed that the interventional use of analgesics can ease the obese patients' pain level in which NRS≤2 in average after sugery (P<0.01), accelerate the first time of getting out of bed which is 6.40±2.40 hour after sugery in average (P<0.05), bring forward the first time of flatulence postoperatively which is 11.83±1.60 hour after sugery in average (P<0.05) and shorten the length of hospital stay which is 6.95±1.01 hour in average (P<0.05). In conclusion, interventional use of analgesics is beneficial to the enhanced recovery of patients undergoing bariatric surgery and shorten the overall length of hospital
Abstract: In order to analyze and compare the effects of interventioanal analgesics use on pain level after having surgery in patients with obesity which were undergoing bariatric surgery, 309 cases of obese patients from April 2018 to September 2019 were adopted in the study. The patients were divided into two groups according to the presence or absence of ...
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Effect of Seamless Nursing for Complications on Cataract Patients
Junnan Lin,
Xixi Yang,
Lishi Luo
Issue:
Volume 9, Issue 2, April 2020
Pages:
59-61
Received:
11 January 2020
Accepted:
27 January 2020
Published:
28 February 2020
Abstract: Objective: Following to Chinese cataract patients were increased in last 3 years, we evaluated the effect of seamless nursing for complications on cataract patients. Methods: 102 patients diagnosed as cataract from June 2018 to March 2019, the patients were randomly assigned to control group and intervention group, the researchers care the patients by seamless nursing and traditional nursing. We collected the information by different questionnaires which included complications, depression, anxiety and satisfaction of patients. After that, we analyze and compare the result of different groups. Result: in complications status of patient, the intervention group was much lower than that in the control group [5 (9.8%) vs 14 (27.5%)]. Additionally, the improvement had not greater gap in depression and anxiety (32.25±1.02 vs 48.52±3.66, 32.58±2.01 vs 49.56±5.84), we use the Self-Rating Anxiety Scale (SAS) and the Self-rating depression scale (SDS) to assess depression and anxiety on the patients. Conclusion: the influence of seamless nursing was better than the effect of traditional nursing, it provide better outcome of cataract treatment for the cataract patients. The seamless nursing improve the higher satisfaction score in the result, it was good for publishing of new nursing methods. But the improvement of seamless nursing was not significant in the result.
Abstract: Objective: Following to Chinese cataract patients were increased in last 3 years, we evaluated the effect of seamless nursing for complications on cataract patients. Methods: 102 patients diagnosed as cataract from June 2018 to March 2019, the patients were randomly assigned to control group and intervention group, the researchers care the patients...
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The Development of Interventional Radiology Suite and the Roles of Interventional Radiology Nurses in China
Lifang Chen,
Wencai Yang,
Jiancong Chen
Issue:
Volume 9, Issue 2, April 2020
Pages:
62-65
Received:
10 February 2020
Accepted:
24 February 2020
Published:
2 March 2020
Abstract: By summarizing the literature and our experience, this paper analyzes the development trends of interventional radiology suite and the roles of nurses in China, also proposes countermeasures in order to provide the basis for clinical nursing management of interventional therapy. Interventional Radiology Center, interventional hybrid operating room and cardio-cerebrovascular first aid center are the 3 development trends of interventional radiology suite. These development trends reflect that the characteristics of interventional radiology suite is getting more centralized, specialized, diversified and advanced, which means that interventional therapy is becoming more and more important in modern medicine. As the roles of administrator, coordinator and caregiver of interventional radiology suite, interventional radiology nurses are responsible for important jobs like reasonably arranging interventional therapy schedule arrangement, assisting arranging therapy professionally and saving lives. Interventional radiology nurses are suggested to keep in step with the development of interventional radiology suite and strengthen the skills to provide professional and scientific nursing services, which is the gateway to propel the construction and development of Interventional Radiology. In addition, hospitals in China can also configure nursing human resources according to the different development levels and specialties of the interventional operating suites, in order to optimize the nursing workflow, improve the efficiency and reduce waiting time of patient.
Abstract: By summarizing the literature and our experience, this paper analyzes the development trends of interventional radiology suite and the roles of nurses in China, also proposes countermeasures in order to provide the basis for clinical nursing management of interventional therapy. Interventional Radiology Center, interventional hybrid operating room ...
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The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy
Hong Caimei,
Guo Xiaoxia,
Lian Huizhao,
Yang Qi,
Ba Longhong,
Chao Xinghui
Issue:
Volume 9, Issue 2, April 2020
Pages:
66-69
Received:
13 January 2020
Accepted:
20 February 2020
Published:
6 March 2020
Abstract: Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor’s advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P< 0. 05). There is also a significant difference in the occurrence of constipation between the two groups with 6 cases in control group but 0 in observation group (χ2=4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ2=5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients’ comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.
Abstract: Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patient...
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Effects of Family Involvement in Nursing Mode on Postoperative Depression and Anxiety in Patients with Laryngeal Cancer
Issue:
Volume 9, Issue 2, April 2020
Pages:
70-73
Received:
22 January 2020
Accepted:
26 February 2020
Published:
1 April 2020
Abstract: Objective: The impact of family involvement in nursing models on depression and serious complications in patients with laryngeal cancer. Evaluate the effect of family intervention on nursing mode. Methods: The data of 40 patients with laryngeal cancer who undergo surgical treatment were collected and divided into observation group (n = 20) and budget (n = 20). In addition, the patients simply received conventional laryngeal cancer nursing measures, and the observation group patients based on family involvement in nursing mode measures. The depression and anxiety of the two groups were scored using the SAS scale and the SDS scale, and the quality of life was assessed using the quality of life assessment scale for statistical analysis. Results: There was no significant difference in SAS and SDS scores between admission and admission (P < 0.05). The SAS and SDS scores evaluated at discharge were significantly lower than those at admission (P < 0.05). The SAS and SDS scores of the observation group were significantly lower. All were significantly reduced (all P < 0.05). Group (P < 0.05). Patient satisfaction in the observation group also exceeded patient satisfaction. Conclusion: The family care mode can be implemented on the basis of routine nursing, which can improve the depression and anxiety of patients and improve their quality of life, which has certain clinical application value.
Abstract: Objective: The impact of family involvement in nursing models on depression and serious complications in patients with laryngeal cancer. Evaluate the effect of family intervention on nursing mode. Methods: The data of 40 patients with laryngeal cancer who undergo surgical treatment were collected and divided into observation group (n = 20) and budg...
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Nurses’ Psychological Feelings About the Application of Gibbs Reflective Cycle of Adverse Events
Yanfei Li,
Weiju Chen,
Cuiqing Liu,
Minping Deng
Issue:
Volume 9, Issue 2, April 2020
Pages:
74-78
Received:
2 March 2020
Accepted:
18 March 2020
Published:
1 April 2020
Abstract: Subject: To investigate the psychological feelings of nurses about the application of Gibbs Reflective Cycle during nursing adverse events. Methods: 13 cases were interviewed in depth by semi-structured interviews, and the interview data were analysed and summarized. Result: After the occurrence of adverse events, nurses on duty have negative emotions, especially in the event of big adverse events, the psychological feeling of depression is more intense, and even leading to the new nurses on duty doubt about their careers. The nurses think that the Gibbs Reflective Cycle is helpful for the growth, especially for nursing staff with low seniority. However, it is difficult to determine the specific cause when analyzing the cooperation and participation of adverse events. Nurses also worry that a reflective diary could become a bad record for the rest of their careers. Conclusion: Gibbs reflection Cycle's theoretical approach can help nurses develop clinical nursing thinking in the process of dealing with adverse events and deepen nurses' understanding of the causes of adverse events. At the same time, nursing managers should pay attention to nurses' negative psychological state and eliminate their concerns about poor work records. Using Gibbs reflection Cycle to reflect on the causes of adverse events is a way to develop nurses' clinical thinking, which is an effective way to continue medical education and training.
Abstract: Subject: To investigate the psychological feelings of nurses about the application of Gibbs Reflective Cycle during nursing adverse events. Methods: 13 cases were interviewed in depth by semi-structured interviews, and the interview data were analysed and summarized. Result: After the occurrence of adverse events, nurses on duty have negative emoti...
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Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke
Lifang Chen,
Jiancong Chen,
Peng Zhang
Issue:
Volume 9, Issue 2, April 2020
Pages:
79-83
Received:
12 March 2020
Accepted:
25 March 2020
Published:
1 April 2020
Abstract: Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients, the nurses are often responsible for the monitoring and nursing of sedated patients under the instructions of doctors. This paper aims to analyze and evaluate the effects of individualized sedation care during the interventional therapy for anterior-circulation Acute Ischemic Stroke (AIS). Methods: According to the actual situation, 106 patients were treated with sedation care, dynamic evaluating, medicating and restricting programmatically. And patients were grouped into 2 groups according to the sedation medication option, comparing the door-to-reperfusion time in the digital subtraction angiography (DSA) suite and occurrence of adverse reactions. Results: Nurses and doctors successfully cooperated during therapies. The door-to-reperfusion time in the DSA suite of the Midazolam Group and the Dexmedetomidine Group were 38.7±9.8 min and 38.4±10.9 min, which reached the reference level reported in the literature. The rates of adverse reactions were low and no death cases. There was no significant difference in blood oxygen desaturation, blood pressure decline, vomiting, sedation deficiency and over sedation between the two groups (P>0.05). But there were significant differences in image artifacts between the two groups (P<0.05). Conclusion: With individualized sedation care, it can benefit to shorten the reperfusion time and provide safety for the emergency interventional therapy for AIS patients.
Abstract: Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients,...
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Prevalence of Workplace Violence Against Nurses Working in Hospitals: A Literature Review
Amani Mobaraki,
Rawan Aladah,
Rehaf Alahmadi,
Taghreed Almuzini,
Loujain Sharif
Issue:
Volume 9, Issue 2, April 2020
Pages:
84-90
Received:
5 February 2020
Accepted:
11 March 2020
Published:
1 April 2020
Abstract: The rise in documented rates of workplace violence (WPV) in healthcare facilities has become a major issue for healthcare providers worldwide, particularly nurses. The exposure to such violence can result in grave consequences for the physiological and psychological well-being of nurses. However, previous studies in the field rarely differentiated between the types of workplace violence, their sources, and their impact on nursing staff. Aim: This review aims to describe the prevalence of WPV against nurses in hospitals. Methods: A literature review, based on the PRISMA guidelines, of studies of qualitative, quantitative, and mixed method design that focus on nursing WPV. A literature search is conducted using CINAHL, MEDLINE, and PubMed databases, via the Saudi Digital library. The search includes studies published during the last five years. All of the studies included are critically appraised using the critical appraisal tool developed by Hawker et al. (2002). In total, 25 studies matching the inclusion criteria emerge from the selection process, and are included in the review. Results: A total of four themes emerge from the literature related specifically to WPV towards nurses, namely common settings where violence is experienced, common types of violence, the characteristics of perpetrators, and the overall impact of violence on nurses. The most common hospital settings where WPV is experienced include the emergency and psychiatric departments, and the Neonatal Intensive Care Unit (NICU). The most prevalent forms of WPV are, in order of prevalence from most common to least, verbal, physical, psychological, and horizontal violence. Rates of WPV exposure are found to vary according to world region, with the highest rates for physical violence, sexual harassment, and horizontal abuse in the United States (US), and the highest rates of psychological violence and bullying in Asia. Patients, and patients’ families/friends are the most common perpetrators of WPV. The consequences of WPV are found to include a diminished physical and emotional well-being, linked to an increase in job dissatisfaction, burnout, absenteeism, and resignation from work. Conclusion: This review recommends that more high-quality research should be conducted in this field, using systematic techniques and standardized tools that enable generalization across studies. Furthermore, it recommends that preventive action in the form of multi-level educational programmes, and legislative polices to support and protect the rights of those reporting WPV, are urgently required.
Abstract: The rise in documented rates of workplace violence (WPV) in healthcare facilities has become a major issue for healthcare providers worldwide, particularly nurses. The exposure to such violence can result in grave consequences for the physiological and psychological well-being of nurses. However, previous studies in the field rarely differentiated ...
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