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Enlightenment for Future Nursing Education from Evaluating Perception of Competencies of Doctor of Nursing Practice Programs
Baoxiang Wang,
Elizabeth Roe,
Weiju Chen,
Judith Ruland
Issue:
Volume 10, Issue 2, April 2021
Pages:
118-123
Received:
15 February 2021
Accepted:
23 February 2021
Published:
3 March 2021
Abstract: Lack of research still exists about how Doctor of Nursing Practice (DNP) prepared nurses meet the AACN Essentials of Doctoral Education for Advanced Nursing Practice. The goal of this study was to examine the perception of DNP prepared nurses and employers on how they met the AACN Essentials. Self-reported data was collected from a convenience sample of DNP prepared nurses and employers across the U.S. (n=202) through an electronic survey assessment. Overall, the participants perceived that the DNP prepared nurses were meeting the competencies with all Essentials receiving a mean score above 4 (agree). The lowest mean score (4.289) was rated for Essential Ⅶ (Clinical Prevention and Population Health for Improving the Nation’s Health). Two other low mean scores were 4.310 for Essential V (health care policy for advocacy in health care) and 4.360 for Essential IV (information systems/technology and patient-care technology for the improvement and transformation of health care). The perception that DNP prepared nurses rated for Essential III (4.49 ±.68, p =.026), VI (4.48 ±.84, p =.017), and the total Essentials (4.43 ±.67, p =.023), and other employers rated for Essential VI (4.02 ± 1.17, p =.042) were statistically significantly lower compared to those working as a DNP prepared nurse and an employer at the same time. The findings of this study have a number of important insights into the value of DNP prepared nurses for the future development of DNP programs in the U.S and the future initiation in other countries.
Abstract: Lack of research still exists about how Doctor of Nursing Practice (DNP) prepared nurses meet the AACN Essentials of Doctoral Education for Advanced Nursing Practice. The goal of this study was to examine the perception of DNP prepared nurses and employers on how they met the AACN Essentials. Self-reported data was collected from a convenience samp...
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Nursing Cooperation in a Patient with Superior Vena Cava Aneurysm Undergoing Contrast-Enhanced CT Examination: A Case Report
Issue:
Volume 10, Issue 2, April 2021
Pages:
124-127
Received:
3 February 2021
Accepted:
26 February 2021
Published:
4 March 2021
Abstract: Superior vena cava aneurysm is a rare life-threatening intrathoracic vascular lesion. Contrast-enhanced CT examination plays an important role for surgical planning. It needs to choose the appropriate vein as the puncture site for contrast agent injection. Hereby we report a 22-year-old male presented with sudden-onset dyspnea and unconsciousness for 2 hours and suffered from cardiac arrest before visiting our hospital. The patient's condition is critically ill, and the risk of contrast agent extravasation and aneurysm explosion is high. We established a multi-disciplinary team, involving Emergency Department, Cardiac Surgery Department, Radiological Department and intravenous therapy experts, for the integrated assessment of patients. And we activate the emergency cooperation protocol for critically ill patients. The superior vena cava can’t be used for contrast injection. Anatomically, the femoral vein drains blood back to the heart through the inferior vena cava, which could avoid the risk of rupture of the superior vena cava aneurysm due to excessive pressure of bolus injection of contrast agent. The indwelling of femoral vein puncture can be used in the treatment of critically ill patients. The vital signs of patients were closely observed during the examination process. No contrast agent extravasation and allergy reaction was observed and CT images were clear. The effective nursing cooperation in this case ensured the safety and effectiveness of the examination, and laid the foundation for further treatment.
Abstract: Superior vena cava aneurysm is a rare life-threatening intrathoracic vascular lesion. Contrast-enhanced CT examination plays an important role for surgical planning. It needs to choose the appropriate vein as the puncture site for contrast agent injection. Hereby we report a 22-year-old male presented with sudden-onset dyspnea and unconsciousness f...
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Incidence and Factors of Hypoglycemia in Perioperative Patients with Type 2 Diabetes Mellitus on Insulin Pump Therapy
Xiaohua Lu,
Youshuang Zhu,
Wane Zhao,
Yan Liu,
Xixi Luo,
Yan Zhou
Issue:
Volume 10, Issue 2, April 2021
Pages:
128-132
Received:
16 February 2021
Accepted:
13 March 2021
Published:
26 March 2021
Abstract: Objective: To estimate the incidence of and identified factors associated with hypoglycemia among perioperative diabetes patients with insulin pump therapy. Methods: This was a retrospective cohort study of type 2 diabetes patients with insulin pump therapy newly received surgery. All patients were divided into hypoglycemia group and non-hypoglycemia group according to whether they experienced hypoglycemia. Information about clinical characteristics and treatments were collected and compared between two groups. We estimated the incidence of hypoglycemia, and identified factors associated with hypoglycemia by using multivariable logistic regression. Results: A total of 172 episodes of hypoglycemia were observed in 88 (39.8%) patients, among which, 146 (84.9%) were level 1 hypoglycemia (<3.9 mmol/L) and 26 (15.1%) were level 2 (< 3.0 mmol/L). No severe hypoglycemia (level 3) was reported in this study. Results from the multivariable logistic regression model found that diabetes patients with a longer duration of pump use were more likely to have hypoglycemia (AOR=1.09 with 95% CI=1.04-1.15). However, those diabetes patients who were with higher BMI and eGFR were less likely to have hypoglycemia (AOR=0.86 with 95% CI=0.76-0.98; AOR=0.86 with 95% CI=0.76-0.98, respectively). Conclusion: Perioperative diabetes patients with insulin pump therapy were prone to develop mild to moderate hypoglycemia. The long-term of receiving insulin pump therapy during the perioperative period, with lower BMI and eGFR, put type 2 diabetes at higher risks in hypoglycemia. It may help healthcare providers to screen hypoglycemia among type 2 diabetes patients with receiving long-term insulin pump therapy.
Abstract: Objective: To estimate the incidence of and identified factors associated with hypoglycemia among perioperative diabetes patients with insulin pump therapy. Methods: This was a retrospective cohort study of type 2 diabetes patients with insulin pump therapy newly received surgery. All patients were divided into hypoglycemia group and non-hypoglycem...
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Improving the Utilization Rate of Insulin Pump in Patients with Diabetes Mellitus with Toyota TBP
Xixi Luo,
Yan Zhou,
Xiaohua Lu,
Wane Zhao,
Yan Liu,
Qinling Chen
Issue:
Volume 10, Issue 2, April 2021
Pages:
133-137
Received:
13 February 2021
Accepted:
13 March 2021
Published:
30 March 2021
Abstract: Objective: To examine the efficacy of Toyota Business Practice (TBP) method in improving the utilization rate of insulin pump in non-endocrine diabetic patients. Methods: Toyota method is a process requires continuous learning and improvement. The characteristic feature of Toyota's working method is the problem-solving guided by basic consciousness. It is the essential basic knowledge for every person who studies Toyota problem solving methods. TBP is an ideal and scientific tool for achieving goals, careful planning, effective implementation, timely review and effective measures are the ways to make TBP a more efficient and economical tool. It is divided into eight steps including clarify problems, decompose problems, set goals, identify the real causes, formulate countermeasures, implement, evaluate results and processes, as well as consolidate achievements were used in the process of prescribing insulin pump to patients with diabetic treated in non-endocrine department. The efficacy of Toyota TBP will be measured and compared in a cohort before and after the implantation. Results: After utilizing Toyota TBP method, the use of insulin pump in non-endocrinology department increased by 10%. Conclusion: Our data suggested that the Toyota TBP method optimized the process of using insulin pump in non-endocrinology department, improved the work flow and the overall utilization rate as well as the prognosis of patients.
Abstract: Objective: To examine the efficacy of Toyota Business Practice (TBP) method in improving the utilization rate of insulin pump in non-endocrine diabetic patients. Methods: Toyota method is a process requires continuous learning and improvement. The characteristic feature of Toyota's working method is the problem-solving guided by basic consciousness...
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Effect of Predictive Nursing Intervention on Prevention of Nocturnal Hypoglycemia in Patient with Liver Cirrhosis
Issue:
Volume 10, Issue 2, April 2021
Pages:
138-141
Received:
9 March 2021
Accepted:
19 March 2021
Published:
30 March 2021
Abstract: Background: liver cirrhosis is often accompanied by disease in nocturnal hypoglycemia as the capacity of the liver to preserve carbohydrates is impaired. nocturnal hypoglycemia not only is a poor factor, but also is an indicator of malnutrition assessment in patient with liver cirrhosis. Objective: To evaluate effect of predictive nursing intervention on prevention of nocturnal hypoglycemia in patient with Liver cirrhosis. Methods: From April 2018 to December 2020, we collect valid data from 80 patients. the participants were divided into control group and intervention group: control group received common nursing intervention. intervention group participants received predictive nursing intervention. As for collecting, basic information of participant was collected by participants’ medical records and doctor's diagnosis. During study period, we collected frequency of hypoglycemia and liver function data before and after nursing intervention. Rsult: In patient characteristics research, the factors such as gender, age, Child-Pugh assessment and course of the disease were no significant difference between intervention group and control group. There had 49 females 26 (65.0%) in intervention group and 23 (57.5%) in control group] and 31 males 14 (35.0%) in intervention group and 17 (42.5%) in control group]. Additionally, intervention group participants had higher blood glucose index compare with control group participants as the results were significant difference between the two groups. In the research of liver function index, predictive nursing intervention improve the liver function index, even its effect was better than common nursing intervention. Conclusion: the effect of improving hypoglycemia in patient with Liver cirrhosis was better among intervention group compare to control group.
Abstract: Background: liver cirrhosis is often accompanied by disease in nocturnal hypoglycemia as the capacity of the liver to preserve carbohydrates is impaired. nocturnal hypoglycemia not only is a poor factor, but also is an indicator of malnutrition assessment in patient with liver cirrhosis. Objective: To evaluate effect of predictive nursing intervent...
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